2016-10-25T13:31:56-05:00 2015-12-31 990 2015-01-01 410944601 MAYO CLINIC HOSPITAL - ROCHESTER MAYO 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 KEDRICK D ADKINS JR CFO 5075381297 2016-10-25 2015 2017-02-10 21:41:12Z JOHN H NOSEWORTHY MD 200 FIRST STREET SW ROCHESTER MN 55905 2026979701 0 5983 X WWW.MAYOCLINIC.ORG X 1968 MN THE FILING ORGANIZATION PROVIDES TERTIARY-CARE AND ACUTE-CARE IN ROCHESTER, MINNESOTA. 26 0 10469 1514 0 0 6395158 5053284 1741529002 2008969682 1299403 -1922108 8532018 9669947 1757755581 2021770805 17312081 350300984 0 0 585410856 662202704 0 0 0 731391402 855734013 1334114339 1868237701 423641242 153533104 1759533780 1952100204 294265887 327074040 1465267893 1625026164 X TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. 0 0 1650259676 350041885 2016720532 PATIENT CARE (SEE SCHEDULE O)MAYO CLINIC HOSPITAL - ROCHESTER WORKS COLLABORATIVELY WITH MAYO CLINIC TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. UTILIZING COMMON GOVERNANCE, SHARED SYSTEMS AND STANDARDIZED POLICIES AND PROCEDURES WHENEVER POSSIBLE, MAYO CLINIC HOSPITAL - ROCHESTER STRIVES TO PROVIDE CONSISTENT, HIGH QUALITY HEALTH CARE SERVICES AND KNOWLEDGE DELIVERY, REGARDLESS OF WHERE AND HOW THESE ARE PROVIDED. MAYO CLINIC IS THE SOLE MEMBER OF MAYO CLINIC HOSPITAL - ROCHESTER. OVERALL GOVERNANCE FOR MAYO CLINIC AND ITS AFFILIATED ENTITIES IS PROVIDED BY A 31-MEMBER BOARD OF TRUSTEES COMPOSED OF A MAJORITY OF PUBLIC MEMBERS ALONG WITH MAYO CLINIC PHYSICIANS AND ADMINISTRATORS. THE BOARD OF TRUSTEES ENSURES THE ENTIRE ORGANIZATION, INCLUDING MAYO CLINIC HOSPITAL - ROCHESTER, REMAINS TRUE TO ITS MISSION OF PROVIDING FOR THE HEALTH CARE NEEDS OF THE PUBLIC, RATHER THAN FOR PRIVATE BENEFIT. A SEPARATE 16-MEMBER BOARD OF DIRECTORS PROVIDES GOVERNANCE AND POLICY DIRECTION FOR MAYO CLINIC HOSPITAL - ROCHESTER.MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE IN THE WORLD. ITS STYLE OF CARE BRINGS TOGETHER TEAMS OF EXPERTS TO PROVIDE HIGH-QUALITY, AFFORDABLE AND COMPASSIONATE CARE TO EACH PATIENT CONSISTENT WITH ITS PRIMARY VALUE - "THE NEEDS OF THE PATIENT COME FIRST." MAYO CLINIC'S MISSION IS "TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH." MAYO CLINIC HOSPITAL - ROCHESTER COMBINES ITS HERITAGE OF MEDICAL EXPERTISE, CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS AND THE EXPERTISE AND RESOURCES OF OUR AFFILIATED ENTITIES TO PROVIDE A THOROUGH AND PERSONAL APPROACH TO HEALTH CARE TO MEET THE NEEDS OF ITS PATIENTS. MAYO CLINIC HOSPITAL - ROCHESTER IS ONE OF THE LARGEST PRIVATE, NON-PROFIT HOSPITALS IN THE WORLD, PROVIDING A BROAD RANGE OF SERVICES IN ALMOST ALL MEDICAL SPECIALTIES. SOME OF THE TREATMENT AREAS AT MAYO CLINIC HOSPITAL - ROCHESTER INCLUDE NEUROSURGERY (INCLUDING COMPUTER-ASSISTED BRAIN SURGERY AND GAMMA KNIFE TREATMENT,) EPILEPSY MONITORING UNIT, CARDIAC TREATMENT (INCLUDING HEART AND LUNG TRANSPLANT AND ROBOTIC HEART SURGERY,) REHABILITATION UNIT SPECIALIZING IN CARE OF STROKE, SPINAL CORD INJURY AND TRAUMATIC BRAIN INJURY, A PAIN REHABILITATION CENTER TO TREAT PATIENTS WHO HAVE CHRONIC PAIN; TEN INTENSIVE CARE UNITS WITH 192 ICU BEDS; MAYO EUGENIO LITTA CHILDREN'S HOSPITAL (WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT) AND THE MAYO PSYCHIATRY AND PSYCHOLOGY TREATMENT CENTER. IN ADDITION, MAYO CLINIC HOSPITAL - ROCHESTER HOUSES A NUMBER OF RESEARCH LABORATORIES, INCLUDING UNITS FOR GASTROINTESTINAL, ENDOCRINOLOGY, AND DIABETES RESEARCH, AS WELL AS A GENERAL CLINICAL RESEARCH CENTER WHICH COORDINATES A WIDE VARIETY OF PATIENT-RELATED RESEARCH. MAYO CLINIC HOSPITAL - ROCHESTER HAS 2,059 LICENSED BEDS AND 114 OPERATING AND PROCEDURAL ROOMS WHERE 58,345 INPATIENT AND OUTPATIENT SURGICAL PROCEDURES WERE PERFORMED IN 2015. 59,466 PATIENTS WERE ADMITTED TO MAYO CLINIC HOSPITAL - ROCHESTER FOR A TOTAL OF 320,155 PATIENT DAYS AND THERE WERE 14,633 OBSERVATION UNIT STAYS. MAYO CLINIC HOSPITAL - ROCHESTER OPERATES ON A NONDISCRIMINATORY BASIS, REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN. MAYO CLINIC HOSPITAL - ROCHESTER IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL 1 TRAUMA CENTER, DIRECTLY SERVICING PATIENTS WITHIN A 200 MILE RADIUS, WHILE ALSO CARING FOR PATIENTS FROM A MUCH BROADER GEOGRAPHICAL SPECTRUM. DURING 2015, APPROXIMATELY 70,332 EMERGENCY ROOM VISITS WERE RECORDED. MAYO ONE HELICOPTER SERVICE IS AVAILABLE FOR PATIENTS WITHIN A 50 - 150 MILE RADIUS, AND IS UTILIZED TO TRANSPORT EMERGENTLY ILL PATIENTS TO MAYO CLINIC HOSPITAL - ROCHESTER.MAYO CLINIC HOSPITAL - PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF PROVIDING PATIENT CARE.SEVERAL SUBSIDIZED COMMUNITY ACTIVITIES AND SERVICES ARE OFFERED BY THE HOSPITAL. COMMUNITY EDUCATION ACTIVITIES INCLUDE A VARIETY OF CHILDBIRTH AND PRENATAL EDUCATION INCLUDING CESAREAN BIRTH, SIX-WEEK PRENATAL, PRENATAL COMFORT MEASURES, INFANT MESSAGE, SIBLING PREPARATION, MAGNIFICENT MULTIPLES, INFANT PASSENGER SAFETY AND GRAND-PARENTING. LIVESTRONG EXERCISE PROGRAMS SPECIALLY-DEVELOPED AND OFFERED FOR POST-TREATMENT CANCER PATIENTS ARE ALSO AVAILABLE, ALONG WITH FALLS PREVENTION EDUCATION AND AWARENESS FOR ADULT AND PEDIATRIC POPULATIONS.MAYO CLINIC HOSPITAL - ROCHESTER ALSO OFFERS TEEN TRAFFIC SAFETY SCHOOLS WITH PRESENTATIONS AND INTERACTIVE LEARNING ACTIVITIES FOR UNDERAGE ALCOHOL AND CHEMICAL TRAUMA-RELATED EDUCATION AND AWARENESS, ADULT TRAFFIC SAFETY THROUGH COMMUNITY EVENTS AND SAFETY FAIRS, BIKE SAFETY HELMET EDUCATION AND CHILD PASSENGER EDUCATION. THE ADULT AND PEDIATRIC TRAUMA PROGRAMS AT MAYO CLINIC HOSPITAL - ROCHESTER IMPROVE OUTCOMES AND PATIENT SAFETY THROUGHOUT THE REGION AND PROVIDE SIGNIFICANT RESOURCES TO ACHIEVE THIS THROUGH OUTREACH EDUCATION, INJURY PREVENTION, PRACTICE DEVELOPMENT AND PERFORMANCE IMPROVEMENT AND PATIENT SAFETY PROGRAMS. ADULT TRANSITIONSTHE TRANSITIONS PROGRAM IS A 16-PERSON (MAXIMUM) INTENSIVE OUTPATIENT PROGRAM DESIGNED FOR PATIENTS DISCHARGING FROM ACUTE HOSPITALIZATION WHO NEED ENHANCED CARE AFTER AN EMERGENCY DEPARTMENT VISIT, OR (MORE RARELY) PATIENTS WHO NEED INCREASED TREATMENT WITHOUT REQUIRING ACUTE HOSPITALIZATION. EACH PATIENT'S PROGRAM IS INDIVIDUALLY ARRANGED AND TAKES ADVANTAGE OF RESOURCES IN SELF-ASSESSMENT AND GOAL SETTING, DIALECTICAL BEHAVIORAL THERAPY SKILLS, OCCUPATIONAL THERAPY, TRANSITION SKILLS, AND SOBRIETY MANAGEMENT. GROUP TREATMENT IS THE PRIMARY MODALITY USED AND INDIVIDUAL APPOINTMENTS MAY ALSO BE ARRANGED INCLUDING VERY LIMITED PSYCHIATRIC MANAGEMENT. CHILD AND ADOLESCENT INTEGRATED MOOD PROGRAM (CAIMP) CAIMP IS A TWO-WEEK INTENSIVE OUTPATIENT FAMILY-FOCUSED TREATMENT PROGRAM STAFFED BY A MULTI-DISCIPLINARY TEAM AND IS GROUP-BASED. CAIMP UTILIZES PSYCHO-EDUCATION, COGNITIVE BEHAVIORAL THERAPY, INTERPERSONAL THERAPY, ACCEPTANCE COMMITMENT AND MINDFULNESS TECHNIQUES. ADJUNCTIVE INTERVENTIONS INCLUDE INTEGRATED MEDICATION MANAGEMENT, HEALTH AND WELLNESS STRATEGIES, OCCUPATIONAL THERAPY AND RECREATION THERAPY.ALL PROGRAMMING IS PROVIDED IN A GROUP SETTING OF UP TO EIGHT MEMBERS LED BY PSYCHOLOGISTS, PSYCHIATRISTS, CLINICAL NURSE SPECIALISTS, LICENSED CLINICAL SOCIAL WORKERS REGISTERED NURSES, REGISTERED DIETICIAN, OCCUPATIONAL THERAPISTS, AND RECREATIONAL THERAPIST. MAYO CLINIC HOSPITAL - ROCHESTER CONDUCTS DAILY CHAPEL SERVICES OPEN TO THE PUBLIC AND HAS A HEALTHY LIVING CENTER FOR EMPLOYEES AND THEIR FAMILIES. MAYO CLINIC HOSPITAL - ROCHESTER, HAS VERY ACTIVE AND ENGAGED VOLUNTEERS. IN 2015, 1514 ACTIVE VOLUNTEERS PROVIDED 139,723 HOURS OF DONATED TIME IN SERVICE TO THE PATIENTS, VISITORS AND STAFF OF THE HOSPITAL. THE ESTIMATED VALUE OF THE TIME DONATED BY THESE HOSPITAL VOLUNTEERS WAS APPROXIMATELY, $3,291,874 AS VALUED BY THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICE.VOLUNTEERS STAFFED OR COORDINATED SERVICES IN 38 DIFFERENT AREAS, INCLUDING: -"COME & SEE PROGRAM", A CLASS FOR ROCHESTER AREA FIRST GRADE STUDENTS TO INTRODUCE THEM IN A NON-THREATENING WAY TO THE HOSPITAL AND TO BEING A PATIENT, WHERE A PEDIATRIC NURSE CONDUCTS THE CLASS AND INCLUDES ALL CLASS PARTICIPANTS IN ROLE-PLAY SITUATIONS-GUIDED ART, HERITAGE AND HISTORICAL TOURS-LIBRARY/EDUCATIONAL SERVICES FOR PATIENT AND VISITOR READING MATERIALS-PATIENT AND VISITOR SERVICES - ASSISTANCE TO PATIENTS AND FAMILIES IN THE EMERGENCY DEPARTMENT, SURGICAL WAITING AREAS, CAFETERIA, INFORMATION/WELCOME DESKS, PEDIATRIC OUTPATIENT DESK AND CAST ROOM-STORES AND GIFT SHOPS -CARING CANINES THERAPY DOG PROGRAM-INTEGRATIVE HEALING ENHANCEMENT - CARING HANDS, REIKI AND HEALING TOUCH-WHEELCHAIR ROUNDUP -HANDICRAFTS SUCH AS STUFFED ANIMALS FOR PEDIATRIC PATIENTS IN THE EMERGENCY ROOM, SAME-DAY SURGERY AND RADIOLOGY AREAS. OTHER ITEMS PRODUCED BY VOLUNTEERS INCLUDE CRANIOTOMY CAPS, CRUTCH CADDIES, WHEELCHAIR AND BED CADDIES, BABY QUILTS, KNITTED CAPS AND BOOTIES, TOE COZIES, CLOTH MEMORY ENVELOPES AND PRAYER SHAWLS. ALL ARE GIFTS TO PATIENTS. 81233941 259099 1018375 EDUCATION (SEE SCHEDULE O)MAYO CLINIC HOSPITAL - ROCHESTER IS INTEGRAL TO THE EDUCATION PROGRAMS OF MAYO CLINIC COLLEGE OF MEDICINE, PROVIDING ESSENTIAL CLINICAL CARE EXPERIENCES FOR RESIDENTS, STUDENTS AND TRAINEES. AS A TEACHING HOSPITAL, MAYO CLINIC HOSPITAL - ROCHESTER PROVIDED EDUCATIONAL EXPERIENCE TO 791 RESIDENTS OF THE MAYO SCHOOL OF GRADUATE MEDICAL EDUCATION IN 2015.MAYO CLINIC HOSPITAL - ROCHESTER PROVIDES CLINICAL EXPERIENCES FOR SEVERAL MAYO SCHOOL OF HEALTH SCIENCES PROGRAMS. THESE INCLUDE A DIETETIC INTERNSHIP PROGRAM, PHARMACY RESIDENCY PROGRAM, CHAPLAINCY INTERNSHIP PROGRAM, NURSE ANESTHESIA, CLINICAL PASTORAL EDUCATION AND OTHERS. IN ADDITION, UNDERGRADUATE CLINICAL NURSING EXPERIENCE IS OFFERED TO STUDENTS THROUGH AFFILIATIONS WITH A NUMBER OF NURSING SCHOOL PROGRAMS. AN ADMINISTRATIVE INTERNSHIP PROGRAM IS SPONSORED BY MAYO CLINIC HOSPITAL - ROCHESTER AND ECHOCARDIOGRAPHY AND CARDIOVASCULAR INVASIVE SPECIALIST PROGRAMS WITHIN THE MAYO SCHOOL OF HEALTH SCIENCES ARE ALSO BASED AT MAYO CLINIC HOSPITAL - ROCHESTER. 1731493617 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 10469 1 0 0 0 0 0 0 0 0 0 0 X 26 0 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X CORPORATE TAX UNIT 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 ADKINS JR KEDRICK D DIRECTOR 1.00 40.00 X 0 873672 64089 AGERTER MD DAVID C DIRECTOR 1.00 40.00 X 0 597592 26206 BOLTON JEFFREY W VICE CHAIR/DIRECTOR 1.00 40.00 X X 0 1024209 67344 GABRIELSON SHARON R DIRECTOR 1.00 40.00 X 0 264255 58558 GERTZ MD MORIE A DIRECTOR 1.00 40.00 X 0 645474 26311 GORES MD GREGORY J DIRECTOR 1.00 40.00 X 0 809499 76275 GOSTOUT MD BOBBIE S DIRECTOR 1.00 40.00 X 0 623749 57816 GRACE RICHARD W DIRECTOR 1.00 40.00 X 0 339136 24448 HANSON MD CURTIS A DIRECTOR 1.00 40.00 X 0 486410 66011 HARPER JR MD CHARLES M VICE CHAIR/DIRECTOR 1.00 40.00 X X 0 1082223 75594 JOHNSON PAMELA O DIRECTOR 40.00 0.00 X 405740 0 24571 KOCH MARK B DIRECTOR 1.00 40.00 X 0 483196 23677 KRUSE JOSEPH J DIRECTOR 1.00 40.00 X 0 301466 67831 LINTON MD RANDALL L DIRECTOR 1.00 40.00 X 0 584173 104176 MEYERS ANN M DIRECTOR 1.00 40.00 X 0 279758 46677 MORICE MD WILLIAM G DIRECTOR 1.00 40.00 X 0 502123 59148 NARR MD BRADLY J DIRECTOR 1.00 40.00 X 0 548180 49598 NELSON MD HEIDI DIRECTOR 1.00 40.00 X 0 640900 77861 NESSE MD ROBERT E DIRECTOR 1.00 40.00 X 0 917696 28153 NOSEWORTHY MD JOHN H CEO/PRESIDENT/DIRECTOR 1.00 40.00 X X 0 2442024 79134 SANTRACH MD PAULA J DIRECTOR 1.00 40.00 X 0 422547 67394 STELLNER WINSTON L DIRECTOR 1.00 40.00 X 0 188919 42444 WALD MD JOHN T DIRECTOR 1.00 40.00 X 0 665459 64425 WARNER MD MARK A DIRECTOR 1.00 40.00 X 0 733215 26533 WEBER JOAN A DIRECTOR 1.00 40.00 X 0 292717 45919 WHITED MD BRIAN L DIRECTOR 1.00 40.00 X 0 476401 69631 WILLIAMS MD AMY W VICE CHAIR/DIRECTOR 1.00 40.00 X X 0 296639 48487 WILLIAMSON MARY J SECRETARY/TREASURER/DIRECTOR 1.00 40.00 X X 0 475954 49944 YTTERBERG MD KAREN L DIRECTOR 1.00 40.00 X 0 214423 47271 HUBERT SHERRY L ASST SECRETARY 1.00 40.00 X 0 254583 56656 LINDAHL ROGER A ASST TREASURER 1.00 40.00 X 0 267112 69700 MURPHY JOSHUA B ASST SECRETARY 1.00 40.00 X 0 447523 57748 OVIATT JONATHAN J ASST SECRETARY 1.00 40.00 X 0 622296 79198 SANDEEN DARRELL L ASST TREASURER 1.00 40.00 X 0 325415 56461 ACKERMAN FRANKLIN K ASSOC ADMIN-HOSPITAL OPS 40.00 1.00 X 176006 55230 49922 DILLON KEVIN R CHIEF PHARMACY OFFICER 40.00 0.00 X 215622 0 52803 ZWYGART AMY M VICE CHAIR NURSING 40.00 0.00 X 215980 0 36530 BERGRUD KAREN J SR DIRECTOR-PHARMACY 40.00 0.00 X 189971 0 20945 CHRISTIANSEN PHILIP R MGR-PHARM OPS-MED PROD 40.00 0.00 X 192951 0 47973 GAINES KIM A ADMIN NURSING 40.00 0.00 X 183539 0 43567 JONES KRISTI L RN 40.00 0.00 X 238800 0 38901 OYEN LANCE J ASSOC CHIEF PHARM OFF-PRACT/RS 40.00 0.00 X 187024 0 37673 BROWN WILLIAM A FORMER OFFICER 0.00 40.00 X 0 223492 62769 ROCK MD MICHAEL G FORMER OFFICER 0.00 40.00 X 0 739286 24317 2005633 20146946 2300689 684 1 1 0 MAYO FNDN FOR MEDICAL EDUCATION & RESEAR 200 FIRST STREET SW ROCHESTER MN 55905 PROCUREMENT AGENT 86103710 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 PURCHASED SERVICES 7732995 CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 MEDICAL SERVICES 2536749 MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND 1000 FIRST DRIVE NW AUSTIN MN 55912 MEDICAL SERVICES 281642 4 1822299 3229907 1078 5053284 NET PATIENT REVENUE 620000 1988642839 1988642839 SHARED SERVICES 561000 19275015 19275015 EDUCATION REVENUE 611600 1018375 1018375 LIFELINE 621990 33453 33453 2008969682 478997 478997 133152 0 133152 133152 133152 1933302 4334407 -2401105 -2401105 -2401105 1638551 874489 764062 764062 CAFETERIA/VENDING REVE 722210 8720797 8720797 MISC. REVENUE 900099 51936 48428 3508 8772733 2021770805 2017738907 0 -1021386 X 350029884 350029884 271100 271100 1172122 1126472 45650 38667 12715 25952 503090236 486405196 16685040 40755006 39403394 1351612 75824661 73309988 2514673 41322012 39951596 1370416 12564 12564 40787 40787 40037 40037 320733038 210843636 109889402 147997 145664 2333 53862074 51675444 2186630 2599527 2470361 129166 7601 7561 40 13686375 12018140 1668235 1747439 1710437 37002 703183 697580 5603 58882128 58780207 101921 46635 46635 MEDICAL SUPPLIES 337288132 337288132 BAD DEBT EXPENSE 25900147 25900147 MN CARE TAX 18910315 18910315 MEDICAID SURCHARGE 18014736 18014736 3111298 2434240 677058 1868237701 1731493617 136744084 0 55574 56100 427641083 506501861 14687357 14598059 1322464 1006360 1426974140 783423413 457648616 643550727 22763652 22475429 835415034 763911668 1759533780 1952100204 101108080 86186529 193157807 240887511 294265887 327074040 X 1458730183 1618682139 3482892 3221207 3054818 3122818 1465267893 1625026164 1759533780 1952100204 X 153533104 -309299 6534466 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 40037 40037 0 PART II-B, LINE 1: THE AMOUNT IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. 9756158 854891 320550 661705 10269894 9156388 137100 806446 343776 9756158 4592935 3969015 802538 208100 9156388 2508951 1669425 603838 189279 4592935 3571089 651446 -1713584 2508951 0.57000 0.30000 0.13000 0 1 1 14081125 14081125 1027424084 596651706 430772378 202966 58374 144592 328832043 186713333 142118710 56433922 56433922 643550727 DUE FROM AFFILIATES 763123130 DEFERRED COMPENSATION 788538 763911668 DUE TO AFFILIATES 240098973 DEFERRED COMPENSATION LIABILITY 788538 240887511 X PART V, LINE 4: THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS. PART X, LINE 2: AT DECEMBER 31, 2015 AND 2014, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE FILING ORGANIZATION. CENTRAL AMERICA AND THE CARIBBEAN 0 2 TRAVEL - INTERNATIONAL CONFERENCE 1499 EAST ASIA AND THE PACIFIC 0 12 TRAVEL - INTERNATIONAL CONFERENCE 30413 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 4 TRAVEL - INTERNATIONAL CONFERENCE 9576 NORTH AMERICA 0 4 TRAVEL - INTERNATIONAL CONFERENCE 3180 0 22 0 0 0 22 44668 0 44668 0 0 0 0 0 0 FILING OF CERTAIN FOREIGN FORMS DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 4 AND 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED TAXPAYER NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS, AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED 1 1 X 1 X 1 X 1 0 0 8538425 8538425 0.00460 141678379 83995962 57682417 0.03130 150216804 83995962 66220842 0.03590 2025 2025 0.00000 81011441 20254738 60756703 0.03300 138253641 95147755 43105886 0.02340 219267107 115402493 103864614 0.05640 369483911 199398455 170085456 0.09230 0 25900787 551426515 565792427 -14365912 X 1 1 1 1 MAYO CLINIC HOSPITAL-ROCHESTER 1216 2ND STREET SW ROCHESTER MN 55905 WWW.MAYOCLINIC.ORG 00428 X X X X X X MAYO CLINIC HOSPITAL - ROCHESTER 1 0 0 1 X X X X X X X X 13 1 1 1 1 X MAYOCLINIC.ORG X X 1 13 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X X 1 1 X X X X 1 X MAYOCLINIC.ORG X MAYOCLINIC.ORG X MAYOCLINIC.ORG X X X X X X 1 X 0 X X X X X 1 X 0 0 MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 5: THE DIRECTOR OF OLMSTED COUNTY PUBLIC HEALTH WAS AN ACTIVE PARTICIPANT IN THE OLMSTED COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (OCCHNA), ON WHICH THE HOSPITAL'S CHNA IS BASED. THE OCCHNA TEAM INVOLVED MULTIPLE LAYERS OF COMMUNITY INPUT, INCLUDING: LEADERS OF COMMUNITY HUMAN SERVICE AND NONPROFIT ORGANIZATIONS, RANDOMLY SELECTED OLMSTED COUNTY RESIDENTS FOR A TELEPHONE SURVEY, AND FOCUS GROUPS WITH LOCAL UNDERSERVED AND MINORITY COMMUNITY POPULATION REPRESENTATIVES. INPUT WAS ALSO PROVIDED BY A DEDICATED WORKGROUP OF THE OLMSTED COUNTY COMMUNITY HEALTHCARE ACCESS COLLABORATIVE, A 23-MEMBER CONSORTIUM THAT HAS EXISTED SINCE 2007 TO IDENTIFY AND ADDRESS HEALTH CARE AND HEALTH CARE ACCESS ISSUES FOR OLMSTED COUNTY RESIDENTS, WITH SPECIAL FOCUS ON DIVERSE AND UNDERSERVED POPULATIONS. MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 6A: OLMSTED MEDICAL CENTER MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 6B: OLMSTED COUNTY PUBLIC HEALTH MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 7D: A FULL COPY OF THE OLMSTED COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, WHICH IS REFERENCED IN THE HOSPITAL'S CHNA REPORT, CAN BE ACCESSED AT: HTTP://WWW.CO.OLMSTED.MN.US/OCPHS/ REPORTS/PAGES/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 11: MAYO CLINIC HOSPITAL - ROCHESTER (MCH-R) OPERATIONS AND STAFFING ARE INTEGRATED WITH MAYO CLINIC'S COMPREHENSIVE OUTPATIENT CARE SERVICES, AND RESEARCH AND EDUCATION OPERATIONS ON ITS ROCHESTER CAMPUS. LOCAL COMMUNITY HEALTH IMPROVEMENT IS ADDRESSED THROUGH ALL MAYO CLINIC OPERATIONS, INCLUDING HOSPITAL TREATMENT AND RECOVERY ROOMS, CLASSROOMS AND CLINICAL TRAINING AREAS (PUBLIC HEALTH AS WELL AS MEDICAL EDUCATION), RESEARCH LABS, OUTPATIENT CARE SETTINGS AND COMMUNITY SPACES. IN 2015 MAYO CLINIC ADDRESSED THE PRIORITIES OF THE OLMSTED COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IN THE FOLLOWING WAYS: 1) CONTINUED EFFORTS THROUGH EXISTING MAYO CLINIC SERVICES AND EXPERTISE IN EACH OF THE FIVE PRIORITY AREAS:OBESITY: - WORKED WITH CITY AND COMMUNITY PLANNING GROUPS TO TEST FEASIBILITY OF PROVIDING THE NICE RIDE BICYCLE SHARING PROGRAM TO DOWNTOWN ROCHESTER IN 2016. THE PROGRAM PROVIDES AFFORDABLE, QUALITY BICYCLES FOR THE PUBLIC TO USE FOR FITNESS AND COMMUTING. - IMPROVED NUTRITION AND HEALTHY FOOD OPTIONS AND ENCOURAGED HEALTHY EATING CHOICES IN ALL PATIENT AND EMPLOYEE CAFETERIAS. THIS RESULTED IN AN OVERALL INCREASE IN THE CONSUMPTION OF HEALTHIER BEVERAGES, FRUITS AND VEGETABLES AND WHOLE GRAIN FOODS AND LESS CONSUMPTION OF MEAT AND POULTRY IN CAMPUS CAFETERIAS. - PROVIDED A NUTRITION CURRICULUM FOR THE SUMMER YOUTH Y CAMPS, ROCHESTER AREA YMCA. - CONDUCTED COMMUNITY-BASED RESEARCH IN THE ROCHESTER PUBLIC SCHOOL'S ALTERNATIVE LEARNING CENTER FOR HIGH SCHOOL STUDENTS. THE GOAL IS TO INFORM THE DEVELOPMENT OF AN AGE AND CULTURALLY APPROPRIATE ON-SITE PROGRAM THAT PROMOTES HEALTHY LIFESTYLES. - CONDUCTED COMMUNITY-BASED RESEARCH AND OUTREACH WITH AFRICAN AMERICAN COMMUNITY MEMBERS TO EDUCATE ABOUT CARDIOVASCULAR HEALTH AND WELLNESS TOPICS (DIET, SMOKING, PHYSICAL INACTIVITY, HYPERTENSION, DIABETES, CHOLESTEROL, OBESITY) USING WEB-BASED AND IPAD MODALITIES. TYPE-2 DIABETES: - IMPROVED THE MEDICAL PRACTICE TO PROMOTE A CLOSER RELATIONSHIP BETWEEN ENDOCRINOLOGISTS AND DIABETIC PATIENTS WITHIN THE PRIMARY CARE AND EMPLOYEE-COMMUNITY HEALTH PRACTICES. - EXPANDED THE NUMBER OF DIABETIC PANEL MANAGERS THROUGHOUT THE PRIMARY CARE AND EMPLOYEE-COMMUNITY HEALTH PRACTICES. - CONTINUED EFFORTS TO INTEGRATE DIABETIC NURSE PRACTITIONERS ACROSS THE EMPLOYEE-COMMUNITY HEALTH AND PRIMARY CARE PRACTICES. - ADVANCED A PROPOSAL TO EXPAND COMMUNITY HEALTH WORKERS FOR TYPE-2 DIABETES PATIENTS WITH LIMITED LANGUAGE PROFICIENCY IN ENGLISH. - CONDUCTED COMMUNITY-BASED RESEARCH TO TEST THE EFFECTIVENESS OF CULTURALLY-TAILORED DIGITAL STORY TELLING INTERVENTIONS TO IMPROVE DIABETES MANAGEMENT AMONG LOCAL HISPANIC AND SOMALI POPULATIONS TO REDUCE HEALTH DISPARITIES. DIGITAL STORYTELLING IS A MODEL WHERE PATIENTS ARE INVITED TO SHARE THEIR STORIES ABOUT OVERCOMING CHALLENGES IN MANAGING THEIR CHRONIC HEALTH ISSUES.MENTAL HEALTH: - IN 2015 MAYO CLINIC FORMED A BEHAVIORAL HEALTH TASK FORCE TO ANALYZE CHALLENGES SURROUNDING THE PROVISION OF MENTAL HEALTH SERVICES WITHIN THE MAYO CLINIC PRACTICE AND SURROUNDING COMMUNITY. THE GROUP IS COMPRISED OF ADMINISTRATIVE AND PRACTICE COLLEAGUES ACROSS AREAS TO WORK WITH AGENCIES AND ORGANIZATIONS WITHIN MINNESOTA TO HELP IMPROVE THE MENTAL HEALTH CARE DELIVERY SYSTEM, INCLUDING THE SHORTAGE OF PSYCHIATRIC BEDS WITHIN THE STATE HOSPITAL SYSTEM. - MCH-R SAINT MARYS CAMPUS TREATS BEHAVIORAL HEALTH COMMUNITY PATIENTS WITHIN ITS EMERGENCY DEPARTMENT AS WELL AS TWO ADULT AND ONE CHILD/ADOLESCENT BEHAVIORAL HEALTH INPATIENT FACILITIES. DEMAND FOR BOTH INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE CONTINUES TO RISE IN OLMSTED COUNTY. MCH-R SERVES AS THE RESOURCE OF LAST RESORT FOR COMMUNITY PATIENTS WHO ARE TURNED AWAY ELSEWHERE AND/OR EXPERIENCING MENTAL HEALTH AND BEHAVIORAL ISSUES THAT OTHER CARE PROVIDERS ARE NOT EQUIPPED TO SERVE.IMMUNIZATIONS/VACCINE PREVENTABLE ILLNESSES: - MAYO CLINIC CONDUCTED COMMUNITY-BASED, PARTICIPATORY RESEARCH PROGRAMS TO BETTER UNDERSTAND BARRIERS TO AND INCREASE IMMUNIZATION RATES AMONG OLMSTED COUNTY POPULATIONS. THESE PROGRAMS FOCUSED ON: * BARRIERS, IMPACTS AND LESSONS FOR HPV VACCINATION THROUGH A SCHOOL-BASED INFLUENZA VACCINATION PROGRAM * USING HISTORICAL GEOSPATIAL ANALYSIS OF PERTUSSIS OUTBREAKS TO IMPROVE INTERVENTIONS AND IMMUNIZATION STRATEGIES. - MAYO CLINIC PARTNERED WITH OLMSTED COUNTY PUBLIC HEALTH AND ROCHESTER PUBLIC SCHOOLS TO PROMOTE AND PROVIDE INFLUENZA IMMUNIZATIONS TO CHILDREN IN 47 PRIVATE AND PUBLIC SCHOOLS ACROSS OLMSTED COUNTY, INCLUDING FREE IMMUNIZATIONS TO QUALIFYING STUDENTS. - MAYO CLINIC PEDIATRIC AND IMMUNIZATION EXPERTS PARTICIPATED IN PUBLIC EDUCATION EFFORTS TO INFORM COMMUNITY MEMBERS, PARENTS AND TEENS ABOUT THE HEALTH PROTECTION BENEFITS OF THE INFLUENZA AND HPV VACCINES.HOMELESSNESS/FINANCIAL: - MAYO CLINIC HAS RESPONDED THROUGH ITS COMMUNITY CONTRIBUTION PROGRAM AND WORK THROUGH THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN, BOTH NOTED BELOW. - MCH-R CONTINUES TO SERVE OLMSTED COUNTY PATIENTS WITH CHRONIC AND EMERGENT BEHAVIORAL HEALTH ISSUES, INCLUDING ALL THOSE WHO ARE TURNED AWAY FROM OTHER HEALTH PROVIDERS DUE TO THEIR INABILITY TO PAY, OR DUE TO OVER-CAPACITY ISSUES. OFTENTIMES THESE PATIENTS WILL ALSO BE EXPERIENCING HOMELESSNESS. BEHAVIORAL HEALTH PATIENTS WITHOUT HOMES ARE NOT RELEASED FROM THE HOSPITAL UNTIL SUFFICIENT HOUSING RESOURCES OR LONGER-TERM CARE FACILITIES CAN BE SECURED FOR THEM. SUBSEQUENTLY, MCH-R RETAINS PATIENTS WITHIN THEIR CARE FACILITIES UNTIL CAPACITY AT OTHER LONG TERM CARE CENTERS CAN BE MADE. THIS PLACES A SIGNIFICANT FINANCIAL BURDEN ON THE HOSPITAL'S OPERATING BUDGET. - OUTPATIENT CARE PLANNERS OF MCH-R REFER HOMELESS PATIENTS TO AREA SHELTERS AND OTHER SUPPORT SYSTEMS. A PORTION OF MAYO CLINIC'S COMMUNITY CONTRIBUTIONS PROGRAM BUDGET SUPPORTS LOCAL SHELTERS AND AFFORDABLE HOUSING INITIATIVES.2) MAYO CLINIC PARTICIPATED IN THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (OCCHIP) THROUGHOUT 2015. THE COLLABORATIVE EFFORT IS LED BY OLMSTED COUNTY PUBLIC HEALTH AND IS COMPRISED OF REPRESENTATIVES AND COMMUNITY VOLUNTEERS FROM LOCAL GOVERNMENT AND COMMUNITY ORGANIZATIONS TO RESPOND TO THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS. MAYO CLINIC PROVIDES FINANCIAL AS WELL AS IN-KIND SUPPORT TO THE OCCHIP BY PAYING A PORTION OF A CHIP COORDINATOR FULL TIME POSITION AND ADDITIONAL ADMINISTRATIVE NEEDS. MAYO CLINIC EXPERTS IN COMMUNITY ENGAGEMENT, POPULATION RESEARCH, EPIDEMIOLOGY AND COMMUNITY HEALTH PARTICIPATE IN ALL ASPECTS OF THE EFFORT, INCLUDING LEADERSHIP AND PLANNING GROUPS, DATA ANALYSIS, AND AS FACILITATORS AT PUBLIC INPUT AND DISCUSSION MEETINGS. IN 2015 THE OCCHIP WORKGROUPS IN EACH OF THE FIVE PRIORITY HEALTH AREAS CONTINUED THEIR WORK TO CONVENE WIDER COMMUNITY DISCUSSIONS, PROMOTE AWARENESS AND FOCUS RESOURCES FOR EACH HEALTH ISSUE. THE WORK GROUPS ALSO ALIGNED MORE CLOSELY WITH PARALLEL COMMUNITY HEALTH IMPROVEMENT PLATFORMS, SUCH AS THE STATEWIDE HEALTH IMPROVEMENT PLAN, OLMSTED COUNTY MAKING IT BETTER COALITION, CITY AND COUNTY PLANNING, AND LOCAL AFFORDABLE HOUSING EFFORTS. THESE FORUMS HAVE STRENGTHENED AND INSPIRED SHARED PROGRAMS AMONG COMMUNITY ORGANIZATIONS AND VOLUNTEERS, INCLUDING THE MOVING FORWARD AND HEALTHY KIDS CAMP AT THE ROCHESTER YMCA, THE PEER SUPPORT SPECIALISTS IN THE RECOVERY COMMUNITY CENTER THROUGH THE NATIONAL ASSOCIATION OF MENTAL ILLNESS, EXPANDED COLLABORATIVE CHILDHOOD IMMUNIZATION ACCESS IN OUR PUBLIC AND PRIVATE SCHOOLS, AND NEW HOUSING FACILITIES FOR HOMELESS YOUTH AND SINGLE PARENT FAMILIES TO NAME A FEW.3) IN 2015 MAYO CLINIC IN ROCHESTER CONTRIBUTED $2 MILLION TO LOCAL COMMUNITY PROJECTS THAT ENHANCE HEALTH, WELLBEING AND SOCIAL SAFETY NETS IN OLMSTED COUNTY TO BENEFIT LOCAL RESIDENTS. MORE THAN 100 PROJECTS WERE SUPPORTED, AND THE MAJORITY, DIRECTLY AND INDIRECTLY, HELP TO ADDRESS CHNA PRIORITIES. EXAMPLES OF PROJECTS FUNDED INCLUDE THE PROGRAMS MENTIONED IN THE PRECEDING PARAGRAPH, AS WELL AS SPORTS PROGRAMS FOR AT-RISK YOUTH, SUICIDE AWARENESS AND PREVENTION PROGRAMS IN AREA SCHOOLS, AFTERSCHOOL PROGRAMMING FOR KIDS THAT PROMOTE HEALTHY EATING AND PHYSICAL FITNESS, AFFORDABLE HOUSING EFFORTS, WORKFORCE TRAINING AND DEVELOPMENT PROGRAMS, AMONG MANY OTHERS.4) THE MAYO CLINIC CENTER FOR THE SCIENCE OF HEALTHCARE DELIVERY WORKS TO APPLY SCIENTIFIC ENGINEERING PRINCIPLES TO REDUCE COSTS AND INCREASE QUALITY IN THE DELIVERY OF HEALTH CARE. IN 2015, THE MAYO CENTER FOR SCIENCE OF HEALTHCARE DELIVERY CONTINUED TO ALIGN RESEARCH THEMES IN ITS POPULATION HEALTH SCIENCES PROGRAM TO FOCUS ON MAYO CLINIC PRIMARY CARE PRACTICES AND THE COMMUNITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES FOR OLMSTED COUNTY, MINNESOTA. THESE INCLUDED: -CANCER PREVENTION AND CONTROL -CHRONIC DISEASE MANAGEMENT -DIABETES -HEALTHY LIFESTYLE PROMOTION -MENTAL HEALTH -OBESITY PREVENTION AND MANAGEMENT -PALLIATIVE CARE -VACCINE-PREVENTABLE DISEASES MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 13B: IF A PATIENT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, BUT THE PATIENT DOES NOT QUALIFY BASED ON FPG, CHARITY WILL BE ADJUSTED TO A MINIMUM OF THE AMOUNT GENERALLY BILLED (AGB). THE AGB IS DETERMINED USING THE LOOK-BACK METHOD AND CALCULATED USING ALL CLAIMS ALLOWED BY PRIVATE PAY INSURERS (INCLUDING MEDICARE ADVANTAGE) AND MEDICARE (TRADITIONAL) FOR INPATIENT AND OUTPATIENT SERVICES FOR THE YEAR. MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 13H: THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED AND UNIQUENESS OF CARE. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED. MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 15E: REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE. MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 16I: WITH REGARD TO THE POSTINGS WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT. MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 20E: FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS AND STATEMENTS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG. MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 22D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 50% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE. 7 1 - MAYO CLINIC DIALYSIS ONALASKA 191 THEATER ROAD ONALASKA WI 54650 HOSPITAL BASED DIALYSIS FACILITY 2 - MAYO CLINIC DIALYSIS ALBERT LEA 1705 SE BROADWAY ALBERT LEA MN 56007 HOSPITAL BASED DIALYSIS FACILITY 3 - MAYO CLINIC DIALYSIS FAIRMONT 835 JOHNSON STREET FAIRMONT MN 56031 HOSPITAL BASED DIALYSIS FACILITY 4 - MAYO CLINIC DIALYSIS OWATONNA 2200 NW 26TH STREET OWATONNA MN 55060 HOSPITAL BASED DIALYSIS FACILITY 5 - MAYO CLINIC DIALYSIS WABASHA 1200 FIFTH GRANT BLVD WABASHA MN 55981 HOSPITAL BASED DIALYSIS FACILITY 6 - MAYO CLINIC DIALYSIS DECORAH 901 MONTGOMERY STREET DECORAH IA 52101 HOSPITAL BASED DIALYSIS FACILITY 7 - MAYO CLINIC DIALYSIS NE CLINIC 3041 STONEHEDGE NE DR ROCHESTER MN 55906 HOSPITAL BASED DIALYSIS FACILITY PART I, LINE 3C: MEDICAL INDIGENCY MAY BE USED TO DETERMINE ELIGIBILITY. IF A PATIENT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, BUT THE PATIENT DOES NOT QUALIFY BASED ON FPG, CHARITY WILL BE ADJUSTED TO A MINIMUM OF THE AMOUNT GENERALLY BILLED (AGB). THE AGB IS DETERMINED USING THE LOOK-BACK METHOD AND CALCULATED USING ALL CLAIMS ALLOWED BY PRIVATE PAY INSURERS (INCLUDING MEDICARE ADVANTAGE) AND MEDICARE (TRADITIONAL) FOR INPATIENT AND OUTPATIENT SERVICES FOR THE YEAR. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (CHARITY CARE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO. PART I, LINE 7G: THERE WAS NO NET COMMUNITY BENEFIT COST ATTRIBUTED TO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 25,900,787. SCHEDULE H, PART I, LINE 5A THE FILING ORGANIZATION ESTIMATES CHARITY CARE FOR FINANCIAL PLANNING PURPOSES ONLY. THE ESTIMATED AMOUNT OF CHARITY CARE DOES NOT INFLUENCE OR HAVE ANY IMPACT ON THE AMOUNT OF CHARITY CARE PROVIDED. PART III, LINE 2: PART III, SECTION A, LINE 1:THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. PART III, LINE 4: FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 5, 7, 8 AND 9 OF MAYO CLINIC'S 2015 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). REASONS WHY MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS POTENTIALLY MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF THE PATIENT IS DETERMINED TO BE INELIGIBLE FOR FINANCIAL ASSISTANCE OR IS ELIGIBLE FOR ONLY PARTIAL FINANCIAL ASSISTANCE AND DOES NOT AGREE TO PAY THE REMAINING BALANCE. PART VI, LINE 2: MAYO CLINIC ATTRACTS PATIENTS FROM AREAS FAR BEYOND THE IMMEDIATE COMMUNITIES WHERE ITS FACILITIES ARE LOCATED. IN 2015, PATIENTS CAME TO MAYO FROM EVERY STATE AND NEARLY 140 FOREIGN COUNTRIES. BESIDES ITS PRINCIPAL FACILITIES LOCATED IN ROCHESTER, MN, PHOENIX AND SCOTTSDALE, AZ AND JACKSONVILLE, FL, MAYO CLINIC HAS A NETWORK OF COMMUNITY BASED HEALTH CARE PROVIDERS IN MORE THAN 70 COMMUNITIES THROUGHOUT MINNESOTA, IOWA, WISCONSIN AND GEORGIA. MAYO CLINIC SUPPORTS AND COORDINATES EFFORTS TO IMPROVE THE HEALTH AND WELL BEING WITHIN EACH OF THE COMMUNITIES WHERE IT IS LOCATED AND ALSO CONDUCTS MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF HEALTH CARE DELIVERY TO BENEFIT BROADER REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES.IN ADDITION, MAYO CLINIC HAS ESTABLISHED THE MAYO CLINIC CARE NETWORK. THE NETWORK INCLUDES HEALTH-CARE ORGANIZATIONS THAT SHARE A COMMON GOAL OF IMPROVING THE DELIVERY OF HEALTH CARE IN THEIR COMMUNITIES THROUGH HIGH-QUALITY, DATA DRIVEN AND EVIDENCE BASED MEDICAL CARE. MEMBERS OF THE NETWORK CAN USE ELECTRONIC CARE REFERENCE AND COLLABORATION TOOLS THAT CONNECT THEM DIRECTLY TO MAYO CLINIC SPECIALISTS, DISEASE MANAGEMENT PROTOCOLS, CLINICAL CARE GUIDELINES AND TREATMENT RECOMMENDATIONS. THE MAIN GOAL OF THE NETWORK IS TO HELP PEOPLE GAIN THE BENEFITS OF MAYO CLINIC EXPERTISE WITHOUT HAVING TO TRAVEL TO A MAYO CLINIC FACILITY. IN 2015, THE NETWORK HAD 39 MEMBERS. IN ROCHESTER, MAYO CLINIC WORKS COLLABORATIVELY WITH MAYO CLINIC HOSPITAL-ROCHESTER, THROUGH COMMON GOVERNANCE AND SHARED SYSTEMS, POLICIES AND PROCEDURES TO MEET THE HEALTH CARE NEEDS OF THE LOCAL OLMSTED COUNTY COMMUNITY OF APPROXIMATELY 150,000 RESIDENTS. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS "MAYO" FOR PURPOSES OF THIS DESCRIPTION.MAYO'S EFFORTS TO ASSESS THE HEALTH NEEDS OF OLMSTED COUNTY REST ON FOUR GUIDING PRINCIPLES DEVELOPED WITH COMMUNITY PARTNERS AND AFFIRMED BY MAYO LEADERSHIP:1. HEALTH IS VALUED BY BOTH THE COMMUNITY AND MAYO.2. "HEALTH" IS DETERMINED BY BOTH MEDICAL AND NON-MEDICAL (E.G., SOCIAL AND BEHAVIORAL) FACTORS AND BOTH MUST BE ADDRESSED.3. MAYO IS COMMITTED TO PRODUCING MEASURABLE IMPROVEMENTS IN THE HEALTH OF ALL OLMSTED COUNTY RESIDENTS.4. STRATEGIES TO IMPROVE COMMUNITY HEALTH ARE BEST DETERMINED AND IMPLEMENTED THROUGH PARTNERSHIPS BETWEEN HEALTH CARE PROVIDERS AND COMMUNITY MEMBERS.WITH THESE PRINCIPLES AS THE BASIS OF ITS DECISION MAKING, AND CONSISTENT WITH ITS PRIMARY VALUE OF "THE NEEDS OF THE PATIENT COME FIRST," MAYO REGULARLY SEEKS INPUT TO COORDINATE EFFORTS TO ADDRESS COMMUNITY NEEDS IN A TIMELY, EFFICIENT AND EFFECTIVE MANNER. MAYO ANNUALLY REVIEWS COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY THE PUBLIC HEALTH DEPARTMENT, SOCIAL SERVICES, AND OTHER COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY AND THE SALVATION ARMY THAT SERVE BROAD COMMUNITY HEALTH NEEDS. THESE ASSESSMENTS ARE USED TO DETERMINE SERVICES CURRENTLY AVAILABLE AND TO IDENTIFY GAPS THAT CAN BE ADDRESSED IN MAYO'S RESPONSE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. IN 2013, MAYO CLINIC PARTNERED WITH OLMSTED PUBLIC HEALTH SERVICES AND OLMSTED MEDICAL CENTER TO JOINTLY CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND TO BEGIN PREPARING A COMMUNITY HEALTH IMPROVEMENT PLAN.MAYO ALSO PROVIDES SHARED LEADERSHIP FOR THE OLMSTED COUNTY COALITION OF COMMUNITY HEALTH INTEGRATION (CCHI) AND THE COMMUNITY HEALTHCARE ACCESS COLLABORATIVE (CHAC). CCHI IS COMPOSED OF LEADERSHIP FROM MAJOR ORGANIZATIONS IN OLMSTED COUNTY. ITS MISSION IS TO CREATE OPPORTUNITIES TO COORDINATE AND INTEGRATE EFFICIENT AND EFFECTIVE SERVICES ACROSS ORGANIZATIONS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY AND THE CLIENTS WE SERVE. CHAC IS A MULTICULTURAL VOLUNTEER COALITION OF OVER 20 HEALTH CARE RELATED SERVICE PROVIDERS, PUBLIC HEALTH, SOCIAL SERVICE, AND OTHER ORGANIZATIONS FROM THE GOVERNMENT, PRIVATE AND NOT-FOR-PROFIT SECTORS. CCHI AND CHAC WORK TO ADDRESS HEALTH CARE NEEDS FOR ALL RESIDENTS OF OLMSTED COUNTY WITH SPECIAL EMPHASIS ON DIVERSE AND UNDER-RESOURCED POPULATIONS. PRIORITIES ARE ESTABLISHED BASED ON THE REVIEW OF COMMUNITY-WIDE NEEDS, AN ANALYSIS OF EXISTING SERVICES AND BY IMPLEMENTING STRATEGIES TO CLOSE GAPS. THE PLANNING PROCESS FOR CHAC ACTIVITY OCCURS THROUGH A COMMON COMMUNICATION PROCESS, INCLUDING MONTHLY MEETINGS AND A PUBLICLY ACCESSIBLE WEB SITE (WWW.CHACMN.ORG ) SUPPLEMENTED BY INPUT FROM A COMMUNITY ADVISORY BOARD (CAB). THE CAB IS COMPRISED OF 25 MEMBERS DRAWN FROM DIVERSE REPRESENTATIVES OF RACIAL, ETHNIC, GENDER ORIENTATION, RELIGIOUS, GEOGRAPHIC, SOCIOECONOMIC AND OTHER GROUPS THAT MAKE UP THE COMMUNITY. ACTIVITIES OF THE CAB INCLUDE SETTING PRIORITIES FOR HEALTH IMPROVEMENT PROJECTS, PROVIDING INPUT TO COLLABORATIVE PROJECTS AMONG SERVICE PROVIDERS AND FACILITATING DIALOG BETWEEN PROVIDERS AND THE COMMUNITY.WITHIN MAYO, COMMUNITY HEALTH ASSESSMENT INITIATIVES ARE COORDINATED THROUGH THE COMMUNITY ENGAGEMENT COMMITTEE (CEC). CEC INCLUDES REPRESENTATIVES FROM PRACTICE, EDUCATION, AND RESEARCH WITHIN MAYO AS WELL AS MEMBERS FROM THE COMMUNITY. THE ROLES OF THE CEC ARE TO MONITOR IMPLEMENTATION OF OVERALL MAYO COMMUNITY ENGAGEMENT STRATEGIES AND TO FOSTER THE DEVELOPMENT OF LONG-TERM, MUTUALLY BENEFICIAL RELATIONSHIPS BETWEEN MAYO AND THE COMMUNITY. THE CEC MEETS MONTHLY AND REPORTS REGULARLY TO THE MAYO PRESIDENT AND CEO AS WELL AS TO INSTITUTIONAL COMMITTEES. WITHIN THE PRACTICE FUNCTION OF MAYO, A COMMUNITY HEALTH COUNCIL (CHC) FACILITATES COMMUNITY ACCESS TO AND PARTICIPATION IN PATIENT CARE AND COMMUNITY OUTREACH INITIATIVES. CHC IS GUIDED BY CEC, WITH INPUT FROM COMMUNITY ADVISORY BOARDS (CAB) DESCRIBED ABOVE.CHC IS PART OF AN INTEGRATED PRACTICE UNIT THAT FOCUSES ON PRIMARY CARE DELIVERY FOR THE LOCAL COMMUNITY WHICH REQUIRES DIFFERENT APPROACHES THAN THOSE PATIENTS WHO UTILIZE MAYO'S SPECIALTY CARE SERVICES. CHC SERVES TO OVERSEE, COORDINATE AND LINK INITIATIVES IN PRACTICE AND EDUCATION THAT HAVE THE POTENTIAL TO IMPACT THE COMMUNITY OR LOCAL HEALTH-RELATED SERVICE PROVIDERS. ALTHOUGH CHC IS PRIMARILY FOCUSED ON PRACTICE AND EDUCATION ACTIVITIES, IT HAS LINKS TO RESEARCH RESOURCES WHICH CAN BE DIRECTED TOWARDS COMMUNITY INITIATIVES THAT WOULD BENEFIT FROM A RESEARCH APPROACH OR TECHNICAL EXPERTISE. AN 18 MEMBER CAB CHAIRED BY COMMUNITY MEMBERS HELPS CHC IDENTIFY AND PRIORITIZE NEEDS, CONNECTS THE COMMUNITY TO MAYO PERSONNEL, REVIEWS PROPOSALS FOR MAYO OUTREACH ACTIVITIES, PROVIDES FEEDBACK ON THE RESULTS OF THESE ACTIVITIES AND GIVES INPUT FOR NEW PROGRAMS.FROM A RESEARCH PERSPECTIVE, MAYO'S CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE (CCATS) PLANS INPUT SESSIONS WITH REPRESENTATIVES OF LOCAL COMMUNITY GROUPS TO IDENTIFY, PLAN AND CARRY OUT COMMUNITY BASED RESEARCH TO IMPROVE HEALTH OUTCOMES AMONG UNDERSERVED POPULATIONS. CCATS SUPPORTS SIGNIFICANT EFFORTS WITHIN THE CLINICAL RESEARCH UNIT AT MAYO TO INCREASE COMMUNITY INVOLVEMENT IN RESEARCH AND TO RECRUIT A DIVERSE POPULATION OF RESEARCH SUBJECTS. IN PARTNERSHIP WITH CCATS EDUCATION RESOURCES, CCATS HAS DEVELOPED A SERIES OF COMMUNITY ENGAGEMENT EDUCATION MODULES FOR RESEARCH INVESTIGATORS. THESE EFFORTS HAVE RESULTED IN A VARIETY OF RESEARCH ACTIVITIES THAT INVOLVE NOT ONLY THE OLMSTED COUNTY COMMUNITY BUT ALSO OTHER COMMUNITIES THROUGHOUT THE REGION. EXAMPLES OF THESE ACTIVITIES INCLUDE COLLABORATIONS WITH OTHER PROVIDERS, PUBLIC HEALTH SERVICES, PUBLIC SCHOOLS AND UNIVERSITIES, CITY AND COUNTY GOVERNMENT AND COMMUNITY ORGANIZATIONS SUCH AS THE INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION, MIGRANT HEALTH SERVICES, OLMSTED COUNTY CHILD CARE RESOURCE AND REFERRAL, ELDER NETWORK, ROCHESTER SENIOR CENTER, EMMANUEL IGLESIA DE DIOS, THE RED CROSS, ASIAN HEALTHCARE LEADERS ASSOCIATION, INDIAN HEALTH SERVICES AND MANY OTHERS.ANOTHER RESEARCH EFFORT WITHIN MAYO IS THE OFFICE OF HEALTH DISPARITIES RESEARCH (OHDR). OHDR SUPPORTS MEANINGFUL RESEARCH PROGRAMS TO IDENTIFY, DEVELOP AND DEPLOY STRATEGIES TO ELIMINATE HEALTH DISPARITIES IN UNDERSERVED POPULATIONS IN OUR COMMUNITIES.A CRITICAL COMPONENT OF MEETING THE NEEDS OF THE COMMUNITY IS THE ROCHESTER EPIDEMIOLOGY PROJECT (REP), A COLLABORATION OF MAYO WITH OLMSTED MEDICAL CENTER AND ROCHESTER FAMILY MEDICINE CLINIC. REP LINKS TOGETHER NEARLY ALL THE MEDICAL RECORDS OF THE RESIDENTS OF OLMSTED COUNTY, MAKING IT POSSIBLE TO CONDUCT POPULATION-BASED RESEARCH OF MOST MEDICAL CONDITIONS. THIS UNIQUE RESEARCH INFRASTRUCTURE PROVIDES AN EXTENSIVE DATA REPOSITORY OF CARE DELIVERED TO COMMUNITY RESIDENTS FOR ALMOST HALF A CENTURY AND IS VIRTUALLY UNPARALLELED IN THE UNITED STATES. REP HAS BEEN USED BY HUNDREDS OF INVESTIGATORS TO DEVELOP STUDIES ON A WIDE RANGE OF MEDICAL CONDITIONS AND HAS RESULTED IN OVER 2,000 PUBLICATIONS SINCE 1966. PART VI, LINE 3: MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE BY POSTING IT ON THEIR WEBPAGE INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY AND APPLICATION FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST. THE POLICY EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. ADDITIONALLY, CHARITABLE CARE AND FINANCIAL ASSISTANCE IS REFERENCED ON PATIENT CORRESPONDENCE INCLUDING: THE MONTHLY STATEMENT OF ACCOUNT, ACCOUNT BALANCE LETTERS, AND LATE PAYMENT NOTIFICATIONS. ALL PATIENT CORRESPONDENCE REFERENCING CHARITABLE CARE AND FINANCIAL ASSISTANCE INCLUDE INTERNET, PHONE, AND MAILING ADDRESS CONTACT INFORMATION. PART VI, LINE 4: MAYO SERVES THE POPULATION OF OLMSTED COUNTY IN MINNESOTA AS WELL AS A WIDER REGIONAL, NATIONAL, AND EVEN INTERNATIONAL POPULATION. OLMSTED COUNTY HAS A POPULATION OF 150,287 RESIDENTS IN 61,213 HOUSING UNITS ACCORDING TO THE 2013 CENSUS. FOURTEEN PERCENT OF THESE RESIDENTS ARE NONWHITE AND 74% LIVE WITHIN THE CITY OF ROCHESTER. THE MAJORITY OF MAYO PATIENTS COME FROM A 150 MILE RADIUS OF ROCHESTER MINNESOTA; HOWEVER, PATIENTS COME TO MAYO FROM ALL 50 STATES AND MORE THAN 130 FOREIGN COUNTRIES. ALTHOUGH IT SERVES A WIDE RANGE OF HEALTH CARE NEEDS INCLUDING PRIMARY AND COMMUNITY CARE, MAYO IS ESPECIALLY FOCUSED IN PROVIDING TERTIARY CARE AND SPECIALTY TREATMENT OF THE MORE UNUSUAL AND DIFFICULT MEDICAL CASES. PART VI, LINE 5: THIS FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST". THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION - EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDS:MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. COMMUNITY REPRESENTATION ON GOVERNING BODY:THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE FILING ORGANIZATION, WHICH IS CONTROLLED BY MAYO CLINIC, RELIES ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT.OPEN V. CLOSED STAFF MODEL:SEVERAL OF MAYO CLINIC'S HOSPITAL ENTITIES HAVE OBTAINED LETTER RULINGS APPROVING A STAFF MODEL IN WHICH ONLY MAYO CLINIC EMPLOYED PHYSICIANS ARE GIVEN STAFF PRIVILEGES IN ORDER TO MAINTAIN STANDARD METHODS OF PRACTICE AND PROTOCOLS. FOR THOSE ENTITIES, THE PHYSICIANS ARE SALARIED EMPLOYEES AND THUS THE ISSUE OF PRIVATE INUREMENT AND PRIVATE BENEFIT ADDRESSED BY THE OPEN STAFF REQUIREMENT ARE OTHERWISE ADDRESSED. THE FILING ORGANIZATION IS ONE OF THE ENTITIES WHICH OPERATES BASED ON THE CLOSED STAFF MODEL.EMERGENCY ROOM:THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM ON THE SAINT MARYS CAMPUS 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY. PART VI, LINE 6: THIS ORGANIZATION IS PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH MAYO CLINIC. MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST". 4,500 STAFF PHYSICIANS AND SCIENTISTS, 2,400 RESIDENTS, FELLOWS, AND STUDENTS, AND 57,100 ALLIED HEALTH STAFF WORK AT MAYO CLINIC, WHICH HAS SITES IN ROCHESTER, MINNESOTA, JACKSONVILLE, FLORIDA, AND SCOTTSDALE/PHOENIX, ARIZONA, AS WELL AS A REGIONAL NETWORK OF HOSPITALS AND CLINICS IN MINNESOTA, WISCONSIN, IOWA, AND GEORGIA. COLLECTIVELY, MORE THAN 1.3 MILLION PEOPLE ARE TREATED EACH YEAR.SPECIFICALLY, THE FILING ORGANIZATION PROVIDES HOSPITAL SERVICES AT THE ROCHESTER, MINNESOTA LOCATIONS. FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). PART VI, LINE 7 NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION. 1 POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER MN 55905 411494881 501(C)(3) 29184 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 501(C)(3) 350000000 SUPPORT CHARITABLE PROGRAMS 2 0 FINANCIAL ASSISTANCE 5 12001 NURSING SCHOLARSHIPS 85 222500 MEDICAL STUDENT STIPENDS 6 36599 PART I, LINE 2: TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS AND/OR AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. MAYO CLINIC HOSPITAL - ROCHESTER PROVIDES SHORT-TERM FINANCIAL ASSISTANCE TO EMPLOYEES EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. NURSING SCHOLARSHIPS ARE AVAILABLE TO EMPLOYEES OF MAYO CLINIC HOSPITAL - ROCHESTER TO OFFSET THE COST OF TUITION, BOOKS, OR OTHER EXPENSES RELATED TO ATTENDING A NURSING PROGRAM. SCHOLARSHIPS ARE NOT MONITORED ONCE AWARDED TO THE RECIPIENT. MEDICAL STUDENT STIPENDS ARE MOSTLY PAID TO STUDENTS IN THE MAYO GRADUATE SCHOOL, THE MD/PHD PROGRAM AND SELECT PROGRAMS (MOSTLY RESIDENCIES OR FELLOWSHIPS) IN THE MAYO SCHOOL OF HEALTH SCIENCES TO HELP OFFSET THE COST OF THE STUDENT'S LIVING EXPENSES AND ARE NOT MONITORED. X X 1 1 0 1 0 0 0 0 0 0 0 ADKINS JR KEDRICK D DIRECTOR 0 787735 0 0 0 85937 0 47641 0 16448 0 937761 0 0 AGERTER MD DAVID C DIRECTOR 0 523301 0 0 0 74291 0 10639 0 15567 0 623798 0 0 BOLTON JEFFREY W VICE CHAIR/DIRECTOR 0 861181 0 0 0 163028 0 50700 0 16644 0 1091553 0 0 GABRIELSON SHARON R DIRECTOR 0 263239 0 0 0 1016 0 43230 0 15328 0 322813 0 0 GERTZ MD MORIE A DIRECTOR 0 561565 0 0 0 83909 0 10621 0 15690 0 671785 0 0 GORES MD GREGORY J DIRECTOR 0 697099 0 0 0 112400 0 49949 0 26326 0 885774 0 0 GOSTOUT MD BOBBIE S DIRECTOR 0 545128 0 0 0 78621 0 52956 0 4860 0 681565 0 0 GRACE RICHARD W DIRECTOR 0 338139 0 0 0 997 0 10607 0 13841 0 363584 0 0 HANSON MD CURTIS A DIRECTOR 0 408477 0 0 0 77933 0 50715 0 15296 0 552421 0 0 HARPER JR MD CHARLES M VICE CHAIR/DIRECTOR 0 910714 0 0 0 171509 0 52766 0 22828 0 1157817 0 0 JOHNSON PAMELA O DIRECTOR 374390 0 0 0 31350 0 10653 0 13918 0 430311 0 0 0 KOCH MARK B DIRECTOR 0 446213 0 0 0 36983 0 10710 0 12967 0 506873 0 0 KRUSE JOSEPH J DIRECTOR 0 290161 0 0 0 11305 0 46805 0 21026 0 369297 0 0 LINTON MD RANDALL L DIRECTOR 0 576367 0 0 0 7806 0 82436 0 21740 0 688349 0 0 MEYERS ANN M DIRECTOR 0 255493 0 0 0 24265 0 31960 0 14717 0 326435 0 0 MORICE MD WILLIAM G DIRECTOR 0 463464 0 0 0 38659 0 37354 0 21794 0 561271 0 0 NARR MD BRADLY J DIRECTOR 0 481066 0 0 0 67114 0 31549 0 18049 0 597778 0 0 NELSON MD HEIDI DIRECTOR 0 542612 0 0 0 98288 0 57858 0 20003 0 718761 0 0 NESSE MD ROBERT E DIRECTOR 0 769366 0 0 0 148330 0 10600 0 17553 0 945849 0 0 NOSEWORTHY MD JOHN H CEO/PRESIDENT/DIRECTOR 0 1960565 0 0 0 481459 0 59031 0 20103 0 2521158 0 0 SANTRACH MD PAULA J DIRECTOR 0 384093 0 0 0 38454 0 55656 0 11738 0 489941 0 0 STELLNER WINSTON L DIRECTOR 0 188442 0 0 0 477 0 22047 0 20397 0 231363 0 0 WALD MD JOHN T DIRECTOR 0 577695 0 0 0 87764 0 42789 0 21636 0 729884 0 0 WARNER MD MARK A DIRECTOR 0 626104 0 0 0 107111 0 10639 0 15894 0 759748 0 0 WEBER JOAN A DIRECTOR 0 290387 0 0 0 2330 0 37443 0 8476 0 338636 0 0 WHITED MD BRIAN L DIRECTOR 0 473513 0 0 0 2888 0 49069 0 20562 0 546032 0 0 WILLIAMS MD AMY W VICE CHAIR/DIRECTOR 0 281672 0 0 0 14967 0 45478 0 3009 0 345126 0 0 WILLIAMSON MARY J SECRETARY/TREASURER/DIRECTOR 0 444926 0 0 0 31028 0 28730 0 21214 0 525898 0 0 YTTERBERG MD KAREN L DIRECTOR 0 211730 0 0 0 2693 0 44485 0 2786 0 261694 0 0 HUBERT SHERRY L ASST SECRETARY 0 253502 0 0 0 1081 0 36051 0 20605 0 311239 0 0 LINDAHL ROGER A ASST TREASURER 0 264566 0 0 0 2546 0 47255 0 22445 0 336812 0 0 MURPHY JOSHUA B ASST SECRETARY 0 443541 0 0 0 3982 0 36550 0 21198 0 505271 0 0 OVIATT JONATHAN J ASST SECRETARY 0 538678 0 0 0 83618 0 55179 0 24019 0 701494 0 0 SANDEEN DARRELL L ASST TREASURER 0 311478 0 0 0 13937 0 42242 0 14219 0 381876 0 0 ACKERMAN FRANKLIN K ASSOC ADMIN-HOSPITAL OPS 174616 39010 0 0 1390 16220 28651 793 16219 4259 220876 60282 0 0 DILLON KEVIN R CHIEF PHARMACY OFFICER 214218 0 0 0 1404 0 33694 0 19109 0 268425 0 0 0 ZWYGART AMY M VICE CHAIR NURSING 215163 0 0 0 817 0 27838 0 8692 0 252510 0 0 0 BERGRUD KAREN J SR DIRECTOR-PHARMACY 185921 0 0 0 4050 0 7550 0 13395 0 210916 0 0 0 CHRISTIANSEN PHILIP R MGR-PHARM OPS-MED PROD 178814 0 0 0 14137 0 34626 0 13347 0 240924 0 0 0 GAINES KIM A ADMIN NURSING 181835 0 0 0 1704 0 34981 0 8586 0 227106 0 0 0 JONES KRISTI L RN 232826 0 0 0 5974 0 29956 0 8945 0 277701 0 0 0 OYEN LANCE J ASSOC CHIEF PHARM OFF-PRACT/RS 186087 0 0 0 937 0 17746 0 19927 0 224697 0 0 0 BROWN WILLIAM A FORMER OFFICER 0 220316 0 0 0 3176 0 45658 0 17111 0 286261 0 0 ROCK MD MICHAEL G FORMER OFFICER 0 631970 0 0 0 107316 0 8403 0 15914 0 763603 0 0 PART I, LINE 1A EMPLOYEES PERFORMING WORK OUTSIDE THEIR HOME STATE RECEIVE A SUPPLEMENTAL PAYMENT TO HELP OFFSET THE COST OF THE STATE INCOME TAXES INCURRED AS A RESULT OF HAVING TO WORK IN A DIFFERENT STATE. IN 2015, ONE OR MORE LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC VOTING/CONSULTING STAFF. SEVERAL OF THE CURRENT AND FORMER OFFICERS, DIRECTORS, AND KEY EMPLOYEES LISTED ON THIS RETURN RECEIVED THIS SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. PART I, LINE 3 THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. PART I, LINE 4B THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ADKINS JR., KEDRICK D. $ 68,550 AGERTER M.D., DAVID C. $ 67,586 BOLTON, JEFFREY W. $152,277 GABRIELSON, SHARON R. $ 0 GERTZ M.D., MORIE A. $ 76,752 GORES M.D., GREGORY J. $103,040 GOSTOUT M.D., BOBBIE S. $ 71,190 GRACE, RICHARD W. $ 0 HANSON M.D., CURTIS A. $ 44,989 HARPER JR., M.D., CHARLES M. $157,231 JOHNSON, PAMELA O. $ 28,318 KOCH, MARK B. $ 33,730 KRUSE, JOSEPH J. $ 7,434 LINDAHL, ROGER A. $ 630 LINTON M.D., RANDALL L. $ 0 MORICE M.D., WILLIAM G. $ 29,121 MURPHY, JOSHUA B. $ 0 NARR M.D., BRADLY J. $ 60,052 NELSON M.D., HEIDI $ 80,575 NESSE M.D., ROBERT E. $137,631 NOSEWORTHY M.D., JOHN H. $458,059 OVIATT, JONATHAN J. $ 75,908 ROCK M.D., MICHAEL G. $ 93,122 SANDEEN, DARRELL L. $ 12,736 SANTRACH M.D., PAULA J. $ 32,868 WALD M.D., JOHN T. $ 85,545 WARNER M.D., MARK A. $ 98,345 WEBER, JOAN A. $ 0 WHITED M.D., BRIAN L. $ 0 WILLIAMS M.D., AMY W. $ 12,546 WILLIAMSON, MARY J. $ 29,457 PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. ELIZABETH M MORICE FAMILY MEMBER OF DIRECTOR WILLIAM MORICE M.D. 12715 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: WILLIAMS M.D., AMY W., MEYERS, ANN M., HANSON M.D., CURTIS A., WILLIAMSON, MARY J., WARNER M.D., MARK A., NELSON M.D., HEIDI, MORICE M.D., WILLIAM G., HARPER JR., M.D., CHARLES M., GOSTOUT M.D., BOBBIE S., GORES M.D., GREGORY J., GERTZ M.D., MORIE A., WALD M.D., JOHN T., NARR M.D., BRADLY J., SANTRACH M.D., PAULA J., NESSE M.D., ROBERT E., WHITED M.D., BRIAN L., YTTERBERG M.D., KAREN L., KOCH, MARK B., GABRIELSON, SHARON R., AGERTER M.D., DAVID C. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: JOHNSON, PAMELA O., OVIATT, JONATHAN J., NOSEWORTHY M.D., JOHN H., MURPHY, JOSHUA B., HUBERT, SHERRY L., BOLTON, JEFFREY W., ADKINS JR., KEDRICK D., WEBER, JOAN A., WILLIAMSON, MARY J., HARPER JR.,M.D., CHARLES M., GOSTOUT M.D., BOBBIE S. THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: SANDEEN, DARRELL L., LINDAHL, ROGER A., OVIATT, JONATHAN J., NOSEWORTHY M.D., JOHN H., MURPHY, JOSHUA B., HUBERT, SHERRY L., BOLTON, JEFFREY W., ADKINS JR.,KEDRICK D., WEBER, JOAN A., STELLNER, WINSTON L., NESSE M.D., ROBERT E., GABRIELSON, SHARON R. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: LINDAHL, ROGER A., OVIATT, JONATHAN J., MURPHY, JOSHUA B., HUBERT, SHERRY L., ADKINS JR., KEDRICK D., GABRIELSON, SHARON R. THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: GRACE, RICHARD W. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: NESSE M.D., ROBERT E., WHITED M.D., BRIAN L., KOCH, MARK B. THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: LINTON M.D., RANDALL L., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: NESSE M.D., ROBERT E., SANTRACH M.D., PAULA J. KRUSE, JOSEPH J., WHITED M.D., BRIAN L., YTTERBERG M.D., KAREN L., GABRIELSON, SHARON R. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF HEALTH TRADITION HEALTH PLAN, A RELATED TAXABLE ENTITY. LINDAHL, ROGER A., HUBERT, SHERRY L. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC SUPPORT SERVICES, TEXAS, A RELATED TAXABLE ENTITY. LINDAHL, ROGER A., OVIATT, JONATHAN J., MURPHY, JOSHUA B., HUBERT, SHERRY L., ADKINS JR., KEDRICK D., GABRIELSON, SHARON R. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. OVIATT, JONATHAN J., MURPHY, JOSHUA B. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. SANDEEN, DARRELL L., NESSE M.D., ROBERT E., GABRIELSON, SHARON R. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MMSI, INC, A RELATED TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 3 MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS MAYO CLINIC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER IS RESPONSIBLE FOR APPOINTING REPLACEMENT DIRECTORS FOR VACANCIES OCCURRING BEFORE TERM EXPIRATIONS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER MUST APPROVE MANAGEMENT OF PROPERTY AND ASSETS, MERGERS AND CONSOLIDATIONS, AND AMENDMENTS TO ARTICLES OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS, EXECUTIVE AND SENIOR ADMINISTRATIVE LEADERSHIP, ALONG WITH ALLIED HEALTH STAFF. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY OR REGIONAL LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY PRIOR TO IMPLEMENTATION OF THE RESPECTIVE COMPENSATION INCREASE. THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF ADMINISTRATIVE OFFICER (CAO) WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR EXECUTIVE LEADERSHIP. THE COMPENSATION AND BENEFITS OF THE EXECUTIVE LEADERSHIP FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR PHYSICIANS FROM ALL CAMPUSES, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF SENIOR PHYSICIAN, ADMINISTRATIVE, AND EXECUTIVE LEADERSHIP POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE. FORM 990, PART VI, SECTION C, LINE 19 THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990. FORM 990, PART IX, LINE 11G IC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 190,822,323. MANAGEMENT AND GENERAL EXPENSES 108,929,121. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 299,751,444. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,021,313. MANAGEMENT AND GENERAL EXPENSES 960,281. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,981,594. FORM 990, PART XI, LINE 9: PENSION-POST RETIREMENT (PER FASB A 6,534,466. FORM 990, PART I, LINE 4 & PART VI, LINE 1B INDEPENDENT VOTING BOARD MEMBERS OF THE GOVERNING BODY - THE BOARD OF TRUSTEES OF MAYO CLINIC, THE PARENT ENTITY OF MAYO CLINIC-AFFILIATED ENTITIES, IS COMPRISED OF MORE THAN 50% PUBLIC TRUSTEES. BLOOMER LAKEVIEW INC 2110 DUNCAN ROAD BLOOMER WI 54724 391450617 LOW INCOME HOUSING WI 501(C)(3) 7 MCHS--CHIPPEWA VALLEY INC 1 CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 411405254 RETIREMENT LIVING CENTER MN 501(C)(3) 9 MAYO CLINIC 1 DESTINATION MEDICAL CENTER EDA 50 SOUTH SIXTH STREET SUITE 1500 MINNEAPOLIS MN 554021498 464893585 ECONOMIC DEVELOPMENT MN 501(C)(3) 11-I MAYO CLINIC 1 GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER MN 55905 411917516 AMBULANCE SERVICE MN 501(C)(3) 9 MFMER 1 LUTHER LAKESIDE APARTMENTS INC PO BOX 1510 EAU CLAIRE WI 54702 391409024 LOW INCOME HOUSING FOR ELDERLY WI 501(C)(3) 9 MCHS--EAU CLAIRE HOSPITAL INC 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 PATIENT CARE - CLINIC MN 501(C)(3) 9 N/A 1 MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 860800150 HOSPITAL AND CLINIC AZ 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 590714831 HOSPITAL FL 501(C)(3) 3 MAYO CLINIC JACKSONVILLE 1 MAYO CLINIC HOSPITAL -- ROCHESTER 200 FIRST STREET SW ROCHESTER MN 55905 410944601 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 PATIENT CARE - CLINIC FL 501(C)(3) 7 MAYO CLINIC 1 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER MN 55905 411506440 CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES MN 501(C)(3) 9 MAYO CLINIC 1 MAYO CLINIC STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM FUNDRAISING FOUNDATION GM MFMER 1 MCHS IN WAYCROSS INC 1900 TEBEAU STREET WAYCROSS GA 31501 581667166 HOSPITAL GA 501(C)(3) 3 MAYO CLINIC JACKSONVILLE 1 MCHS--ALBERT LEA AND AUSTIN 1000 FIRST DRIVE NW AUSTIN MN 55912 411404075 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--AUSTIN FOUNDATION 1000 FIRST DRIVE NW AUSTIN MN 55912 300107471 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--ALBERT LEA AND AUSTIN 1 MCHS--CANNON FALLS 32021 COUNTY ROAD 24 BLVD CANNON FALLS MN 55009 204156428 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--CHIPPEWA VALLEY INC 1501 THOMPSON STREET BLOOMER WI 54724 390980343 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--EAU CLAIRE CLINIC INC 733 W CLAIREMONT AVE PO BOX 1510 EAU CLAIRE WI 54702 391735831 PATIENT CARE - CLINIC WI 501(C)(3) 3 MAYO CLINIC 1 MCHS--EAU CLAIRE FOUNDATION INC 733 W CLAIREMONT AVE PO BOX 1510 EAU CLAIRE WI 54702 391633407 GRANTMAKING FOUNDATION WI 501(C)(3) 11-I MCHS--EAU CLAIRE CLINIC INC 1 MCHS--EAU CLAIRE HOSPITAL INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 390813418 HOSPITAL WI 501(C)(3) 3 MAYO CLINIC 1 MCHS--FAIRMONT 800 MEDICAL CENTER DRIVE PO BOX 800 FAIRMONT MN 56031 410760836 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MCHS--FRANCISCAN HEALTHCARE FOUNDATION INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391186647 FUNDRAISING FOUNDATION WI 501(C)(3) 7 MCHS--FRANCISCAN HEALTHCARE INC 1 MCHS--FRANCISCAN HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391411999 HEALTHCARE SYSTEM PARENT WI 501(C)(3) 11-I MAYO CLINIC 1 MCHS--FRANCISCAN MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE WI 54601 390806374 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--FRANCISCAN HEALTHCARE INC 1 MCHS--LAKE CITY 500 WEST GRANT STREET LAKE CITY MN 55041 411906820 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--MANKATO 1025 MARSH STREET MANKATO MN 56002 411236756 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--MANKATO HEALTH CARE FOUNDATION 1025 MARSH STREET MANKATO MN 56002 411663357 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--MANKATO 1 MCHS--NEW PRAGUE 301 SECOND STREET NE NEW PRAGUE MN 56071 410723639 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MCHS--NORTHLAND INC 1222 EAST WOODLAND AVENUE BARRON WI 54812 390920634 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--OAKRIDGE INC 13025 EIGHTH STREET PO BOX 70 OSSEO WI 54758 391029430 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--OWATONNA 134 SOUTHVIEW ST OWATONNA MN 55060 411862132 PATIENT CARE - CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--RED CEDAR INC 2321 STOUT ROAD MENOMONIE WI 54751 510190875 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--RED WING 701 HEWITT BOULEVARD RED WING MN 55066 411713783 PATIENT CARE SERVICES MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--SPRINGFIELD 625 NORTH JACKSON AVENUE SPRINGFIELD MN 56087 411893827 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MCHS--ST JAMES 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 410797368 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MCHS--WASECA 501 NORTH STATE STREET WASECA MN 56093 363606405 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES 200 FIRST STREET SW ROCHESTER MN 55905 412020392 SUPPORT RESEARCH, PRACTICE & EDUCATION MN 501(C)(3) 11-I MAYO CLINIC 1 POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER MN 55905 411494881 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MAYO CLINIC HOSPITAL - ROCHESTER 1 FRANKLIN HEATING STATION 119 THIRD ST SW ROCHESTER MN 55902 410264830 UTILITY MN MAYO CLINIC EXCLUDED 17 8353074 0 1 0.15950 LATIGO PETROLEUM LLC PO BOX 14230 ODESSA TX 79768 364767494 OIL & GAS EXPLORATION DE N/A WATERSHED CAP INSTL PRTNRS III LP ONE MARITIME PLAZA SUITE 1525 SAN FRANCISCO CA 94111 462982848 INVESTMENT ACTIVITIES DE N/A AMBIENT CLINICAL ANALYTICS INC 221 1ST AVE SW SUITE 202 ROCHESTER MN 55902 800928405 SOFTWARE DE N/A C 1 BWL HOLDINGS INC 1209 ORANGE STREET WILMINGTON DE 19801 472413749 OIL & GAS EXPLORATION DE N/A C 1 CAVALRY CLO III LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ INVESTMENT ACTIVITIES CJ N/A C 1 CAVALRY CLO IV LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ INVESTMENT ACTIVITIES CJ N/A C 1 GMO GLOBAL BOND INVESTMENT FUND 78 SIR JOHN ROGERSONS QUAY DUBLIN 2 EI OTHER FINANCIAL INVESTMENT ACTIVITIES EI N/A 1 HEALTH TRADITION HEALTH PLAN 1808 EAST MAIN STREET ONALASKA WI 54650 391545987 MEDICAL SERVICES COMPANY WI N/A C 1 LOBSS NETWORK SUPPORT 2002 INC 200 FIRST STREET SW ROCHESTER MN 55905 481276150 ADMINISTRATIVE SERVICES MN N/A C 1 MAYO CLINIC GBS MAURITIUS 2ND FLOOR EBENE MEWS 57 EBENE CYBERCITY MP HEALTHCARE MANAGEMENT MP N/A C 1 MAYO CLINIC SUPPORT SERVICES TEXAS 200 FIRST STREET SW ROCHESTER MN 55905 471751102 HEALTH SERVICES TX N/A C 1 MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER MN 55905 411578020 HOLDING COMPANY MN N/A C 1 MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER MN 55905 SELF INSURANCE POOL CJ N/A C 1 MCHS--DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH IA 52101 411711329 PATIENT CARE - CLINIC IA N/A C 1 MCHS--PHARMACY & HOME MEDICAL INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 391528920 PHARMACY SERVICES WI N/A C 1 MMSI INC 200 FIRST STREET SW ROCHESTER MN 55905 411547003 THIRD PARTY ADMINISTRATION SERVICES MN N/A C 1 RESOUNDANT INC 221 1ST AVE SW SUITE 202 ROCHESTER MN 55902 461661978 MANUFACTURING MEDICAL DEVICE COMPONENT MN N/A C 1 ROCHESTER AIRPORT COMPANY 200 FIRST STREET SW ROCHESTER MN 55905 410506870 AIRPORT MANAGEMENT MN N/A C 1 SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE AZ 85259 860870505 COMMERCIAL PROPERTY OWNERS ASSOCIATION AZ N/A C 1 THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER MN 55905 208994499 COMMERCIAL PROPERTY OWNERS ASSOCIATION MN N/A C 1 CHARITABLE LEAD TRUST CHARITABLE TRUST CA N/A T 1 PERPETUAL TRUST CHARITABLE TRUST ND N/A T 1 PERPETUAL TRUST CHARITABLE TRUST AZ N/A T 1 PERPETUAL TRUST CHARITABLE TRUST LA N/A T 1 PERPETUAL TRUST (2) CHARITABLE TRUST MA N/A T 1 PERPETUAL TRUST CHARITABLE TRUST MO N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST AZ N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST CO N/A T 1 CHARITABLE REMAINDER TRUST (8) CHARITABLE TRUST FL N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST LA N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST MA N/A T 1 CHARITABLE REMAINDER TRUST (77) CHARITABLE TRUST MN N/A T 1 CHARITABLE REMAINDER TRUST (2) CHARITABLE TRUST NC N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST TX N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST CO N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST IL N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST MI N/A T 1 CHARITABLE REMAINDER TRUST (64) CHARITABLE TRUST MN N/A T 1 CHARITABLE REMAINDER TRUST (7) CHARITABLE TRUST MN N/A T 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 CHARTERHOUSE M 2536749 GAAP GOLD CROSS AMBULANCE SERVICE P 3042456 GAAP MAYO CLINIC ARIZONA L 213100 GAAP MAYO CLINIC JACKSONVILLE L 55900 GAAP MAYO CLINIC JACKSONVILLE M 90419 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH M 1673693 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH P 1103749134 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH Q 1604908 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH R 40517270 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH S 5104314 GAAP MCHS-ALBERT LEA AND AUSTIN K 58266 GAAP MCHS-ALBERT LEA AND AUSTIN M 281642 GAAP MCHS-EAU CLAIRE CLINIC M 70417 GAAP MCHS-EAU CLAIRE HOSPITAL R 148763 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC K 106164 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC P 73162 GAAP MCHS-MANKATO R 108556 GAAP MMSI INC S 215751326 GAAP POVERELLO FOUNDATION C 1656960 GAAP