2013-11-13T11:01:13-06:00 2012-12-31 990 2012-01-01 416011702 MAYO CLINIC MAYO 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 JEFFREY W BOLTON 5072662332 2013-11-13 2012 2016-02-24 21:20:13Z JOHN H NOSEWORTHY MD 200 FIRST STREET SW ROCHESTER MN 55905 5323867843 0 X WWW.MAYO.EDU X 1919 MN EDUCATION, RESEARCH AND PATIENT CARE 31 10 20028 761 283755158 11663527 834802485 781802012 2705225032 2789929988 177683650 305708865 21083993 22055302 3738795160 3899496167 125503964 143121999 0 0 1748592979 1879373407 2361803 1792568 30769118 1537136633 1629309730 3413595379 3653597704 325199781 245898463 7570727549 8532788121 5783939326 7081916066 1786788223 1450872055 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 215845266 3657165 48968972 EDUCATION (SEE SCHEDULE O FOR DESCRIPTION)MEDICAL EDUCATION: EDUCATION IS A CRITICAL FUNCTION OF MAYO CLINIC. OUR WORLD-RENOWNED EDUCATIONAL PROGRAMS INFORM AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS AND OUR COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING. THESE PROGRAMS SPAN THE CONTINUUM OF HEALTH CARE AND ENSURE THE MAYO MODEL OF PATIENT CARE CONTINUES. WE ARE COMMITTED TO PROVIDING USEFUL, TIMELY KNOWLEDGE AND SKILLS THAT REFLECT OUR STANDARDS OF EXCELLENCE: *EDUCATING THE NEXT GENERATION OF PHYSICIANS, MEDICAL RESEARCHERS AND HEALTH PROFESSIONALS.*SHARING KNOWLEDGE FREELY IN THE SPIRIT OF COLLABORATION TO PROMOTE HEALTH & WELL-BEING.*EMPOWERING PEOPLE TO MANAGE THEIR OWN HEALTH.*SPREADING MAYO'S MEDICAL EXPERTISE, EDUCATION AND RESEARCH FINDINGS TO MEET HEALTHCARE NEEDS THROUGHOUT THE WORLD.THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN THE COLLEGE OF MEDICINE- MAYO CLINIC WHICH CONSISTS OF FIVE SCHOOLS: 1. MAYO SCHOOL OF GRADUATE MEDICAL EDUCATION, ONE OF THE FIRST MEDICAL SPECIALTY TRAINING PROGRAMS IN THE WORLD, IS THE OLDEST OF OUR EDUCATIONAL ENDEAVORS. MORE THAN 23,000 ALUMNI HAVE BEEN TRAINED SINCE ITS INCEPTION IN 1915. THE SCHOOL HAS 256 MEDICAL RESIDENCY AND FELLOWSHIP TRAINING PROGRAMS REPRESENTING VIRTUALLY ALL MEDICAL SPECIALTIES. IN 2012, ENROLLMENT IN THE SCHOOL TOTALED 1,532 RESIDENTS AND FELLOWS.2. MAYO MEDICAL SCHOOL PROVIDES DOCTOR OF MEDICINE DEGREES AND JOINT MD-PROFESSIONAL DEGREES. THERE WERE APPROXIMATELY 200 STUDENTS ENROLLED AT MAYO MEDICAL SCHOOL IN 2012. ADDITIONAL OFFERINGS AT THE SCHOOL INCLUDE VISITING MEDICAL STUDENT CLERKSHIP PROGRAMS AND SUMMER MINORITY MEDICAL STUDENT PROGRAMS. PLANNING IS UNDERWAY FOR MAYO MEDICAL SCHOOL - ARIZONA WHICH WILL BE ACCREDITED AS A BRANCH CAMPUS OF MAYO MEDICAL SCHOOL IN ROCHESTER AND WILL ENROLL APPROXIMATELY 48 STUDENTS PER CLASS. STUDENTS AT MAYO MEDICAL SCHOOL ARIZONA WILL EARN AN M.D. DEGREE FROM MAYO MEDICAL SCHOOL IN ROCHESTER AND A MASTER'S DEGREE IN THE SCIENCE OF HEALTH CARE DELIVERY FROM ARIZONA STATE UNIVERSITY. 3. MAYO GRADUATE SCHOOL HAS A DISTINGUISHED HISTORY OF ACHIEVING ITS MISSION TO PREPARE STUDENTS FOR CAREERS AS COMPETITIVE, INDEPENDENT RESEARCH INVESTIGATORS. MAYO GRADUATE SCHOOL OFFERS DOCTORAL AND MASTER'S DEGREE PROGRAMS FOCUSING ON SEVEN BIOMEDICAL SUBSPECIALTIES AS WELL AS PROGRAMS FOR VISITING PREDOCTORAL AND SUMMER UNDERGRADUATE RESEARCH STUDENTS. ENROLLMENT IN 2012 WAS 281 STUDENTS.4. MAYO SCHOOL OF HEALTH SCIENCES PREPARES THE HEALTHCARE WORKFORCE OF THE FUTURE IN PROGRAMS RANGING FROM PROVIDING CLINICAL INTERNSHIPS FOR HUNDREDS OF AFFILIATED SCHOOLS TO AWARDING A DOCTORATE IN PHYSICAL THERAPY. IN 2012, THE SCHOOL EDUCATED 1,100 STUDENTS IN 133 PROGRAMS REPRESENTING MORE THAN 70 HEALTH SCIENCE CAREERS. THE SCHOOL'S NEARLY 500 FACULTY MEMBERS ENSURE THAT EVERY STUDENT RECEIVES EXTENSIVE PERSONALIZED TRAINING.5.MAYO SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT PROVIDES A COMPREHENSIVE SELECTION OF CLINICAL, SURGICAL AND RESEARCH COURSES, AS WELL AS PROGRAMS ON MANAGED CARE, SPIRITUALITY IN MEDICINE, PRACTICE MANAGEMENT AND LEADERSHIP TO HEALTH CARE PROFESSIONALS THROUGHOUT THE WORLD. IN 2012, THE SCHOOL PROVIDED 308 CONTINUING EDUCATION ACTIVITIES TO 66,999 PHYSICIAN AND 33,573 NONPHYSICIAN PARTICIPANTS.IN ADDITION TO ITS FORMAL PROGRAMS IN EDUCATION, SEVERAL INITIATIVES ENABLE MAYO CLINIC TO IMPROVE QUALITY AND PATIENT SAFETY, SHARE KNOWLEDGE, AND ENHANCE THE AVAILABILITY OF MEDICAL INFORMATION IN CREATIVE WAYS. MAYO CLINIC'S "ASK MAYO EXPERT" IS AN ELECTRONIC DATABASE FOR MAYO CLINIC PHYSICIANS TO SHARE THEIR MOST UP-TO-DATE MEDICAL KNOWLEDGE. DOCTORS CAN SEARCH FOR DISEASES, TREATMENTS AND TRIAL INFORMATION QUICKLY AND EASILY. ASK MAYO EXPERT IS ALSO NOW OFFERED THROUGH THE MAYO CLINIC CARE NETWORK. A MOBILE VERSION OF ASK MAYO EXPERT IS AVAILABLE FOR APPLE'S IPHONE, IPAD OR IPOD TOUCH. NEW CARE PROCESS MODELS WITHIN ASK MAYO EXPERT PROVIDE INTERACTIVE ALGORITHMS THAT DEMONSTRATE BEST PRACTICE FOR PHYSICIANS.MAYO CLINIC ALSO HAS A QUALITY ACADEMY THAT OFFERS INDIVIDUAL AND TEAM-BASED CLASSES TO EDUCATE MAYO STAFF IN QUALITY IMPROVEMENT TOOLS AND THEIR APPLICATION. THE SCIENCE OF QUALITY IMPROVEMENT IS EMBEDDED WITHIN THE CURRICULUM AND INCLUDES LEARNING HOW TO IDENTIFY AND MEASURE HEALTH CARE QUALITY, PINPOINT WASTE AND IMPROVE WORK FLOW. MAYO CLINIC'S MULTIDISCIPLINARY SIMULATION CENTERS IN ARIZONA, FLORIDA, AND MINNESOTA ENABLE SIMULATION OF REAL-LIFE PATIENT CARE SITUATIONS, GIVING HEALTH CARE PROFESSIONALS, RESIDENTS, FELLOWS, AND STUDENTS THE UNPRECEDENTED OPPORTUNITY TO PRACTICE ON COMPUTERIZED MANNEQUINS THAT BLEED, CRY, STOP BREATHING, REQUIRE DIFFICULT INTUBATIONS AND PRESENT ALL THE CHALLENGES OF REAL PATIENTS. PRESENTATIONS ON TOPICS SUCH AS ATRIAL FIBRILLATION ARE OFFERED IN THE POPULAR ONLINE VIRTUAL COMMUNITY SECOND LIFE.MAYO CLINIC'S CENTER FOR SOCIAL MEDIA - THE FIRST OF ITS KIND FOCUSED ON HEALTH CARE - IS A NETWORK OF HEALTH CARE ORGANIZATIONS, HOSPITALS AND MEDICAL PROFESSIONALS COMMITTED TO BROADER AND DEEPER ENGAGEMENT IN SOCIAL MEDIA BY HOSPITALS, MEDICAL PROFESSIONALS AND PATIENTS TO HELP IMPROVE HEALTH CARE LITERACY, HEALTH CARE DELIVERY AND POPULATION HEALTH WORLDWIDE. IN 2012 MAYO CLINIC CONNECTED WITH OVER 4 MILLION PEOPLE THROUGH SOCIAL MEDIA CONVERSATIONS. ALL OF THESE EDUCATIONAL EFFORTS BUILD AND EXPAND ON OUR PATIENT CARE ACTIVITIES TO SHARE MEDICAL KNOWLEDGE AND ENABLE THE HIGHEST QUALITY AND SAFEST PATIENT CARE. PROGRAM SERVICE EXPENDITURES FOR EDUCATIONAL ACTIVITIES WERE APPROXIMATELY $215,845,000 IN 2012. 2166143380 0 2209531150 PATIENT CARE (SEE SCHEDULE O FOR DESCRIPTION)PATIENT CARE:MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE IN THE WORLD. OUR UNIQUE STYLE OF CARE BRINGS TOGETHER TEAMS OF EXPERTS TO PROVIDE HIGH-QUALITY, AFFORDABLE AND COMPASSIONATE CARE TO EACH PATIENT CONSISTENT WITH OUR 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". WE COMBINE OUR HERITAGE OF COLLABORATIVE MEDICAL EXPERTISE WITH CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS, RESULTING IN A THOROUGH AND PERSONAL APPROACH TO HEALTH CARE.TO ACCOMPLISH ITS MISSION, MAYO CLINIC NOT ONLY PROVIDES A VARIETY OF PROGRAMS IN DIRECT PATIENT CARE, MEDICAL EDUCATION AND RESEARCH, BUT WE ALSO SERVE AS THE PARENT ORGANIZATION OF A MULTI-ENTITY ORGANIZATION CONSISTING OF HOSPITALS, CLINICS, HEALTH CARE PROVIDERS AND OTHER ENTITIES PROVIDING HEALTH CARE RELATED SERVICES AND KNOWLEDGE DELIVERY TO THE PUBLIC THROUGHOUT THE WORLD. MAYO CLINIC WORKS COLLABORATIVELY WITH ITS AFFILIATED HOSPITALS IN ROCHESTER, MN (MAYO CLINIC - SAINT MARYS HOSPITAL AND MAYO CLINIC - METHODIST HOSPITAL) TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. MAYO CLINIC IS ALSO THE SOLE MEMBER OF MAYO CLINIC IN ARIZONA AND MAYO CLINIC IN JACKSONVILLE WHICH PROVIDE SERVICES TO PATIENTS IN THE SOUTHWEST AND SOUTHEAST REGIONS OF THE US. IN THE MIDWEST, MAYO CLINIC HEALTH SYSTEM SERVES OVER 70 COMMUNITIES IN MINNESOTA, WISCONSIN, AND IOWA THROUGH A NETWORK OF COMMUNITY-BASED PHYSICIANS TO PROVIDE QUALITY HEALTH CARE CLOSE TO HOME BUT SUPPORTED BY THE HIGHLY SPECIALIZED EXPERTISE AND RESOURCES OF MAYO CLINIC.UTILIZING COMMON GOVERNANCE, SHARED SYSTEMS AND STANDARDIZED POLICIES AND PROCEDURES WHENEVER POSSIBLE, MAYO CLINIC STRIVES TO PROVIDE CONSISTENT, HIGH QUALITY HEALTH CARE SERVICES AND KNOWLEDGE DELIVERY REGARDLESS OF WHERE AND HOW THESE ARE PROVIDED. A 31-MEMBER BOARD OF TRUSTEES COMPOSED OF A MAJORITY OF PUBLIC MEMBERS ALONG WITH MAYO PHYSICIANS AND ADMINISTRATORS ENSURE THE ENTIRE ORGANIZATION REMAINS TRUE TO ITS MISSION AND CULTURE OF PROVIDING FOR THE HEALTH CARE NEEDS OF THE PUBLIC RATHER THAN FOR PRIVATE BENEFIT.PATIENT CARE IS THE FOUNDATION OF MAYO CLINIC'S MISSION. IN DETERMINING THAT MAYO CLINIC QUALIFIES AS A TAX EXEMPT ENTITY, THE IRS STATED THAT THESE PATIENT CARE ACTIVITIES ARE AN INTRINSIC PART OF, AND ARE INTRICATELY INTERTWINED WITH, MAYO CLINIC'S EDUCATIONAL AND SCIENTIFIC RESEARCH PURPOSES AND ARE OF THE SCOPE NECESSARY TO ACHIEVE THESE PURPOSES. EVERY YEAR, PEOPLE FROM ALL 50 STATES AND MORE THAN 135 COUNTRIES COME TO MAYO CLINIC FOR CARE. IN ROCHESTER, OVER 37,000 PATIENT CARE PHYSICIANS, RESIDENTS AND ALLIED HEALTH STAFF PROVIDED SERVICES FOR MORE THAN 1.5 MILLION OUTPATIENT VISITS IN 2012. HOSPITAL ADMISSIONS IN ROCHESTER TOTALED 56,594 WITH 298,090 HOSPITAL DAYS OF CARE PROVIDED. PROGRAM SERVICE EXPENDITURES FOR PATIENT CARE ACTIVITIES WERE APPROXIMATELY $2,166,000,000 IN 2012.MAYO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICAID AND MINNESOTACARE (A PROGRAM THAT PROVIDES MEDICAL ASSISTANCE FOR LOW INCOME POPULATIONS) WAS APPROXIMATELY $91,245,600. THIS AMOUNT INCLUDES APPROXIMATELY $33,960,000 PAID TO MINNESOTA CARE(A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS). THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $401,196,400. THE COST OF CHARITY CARE PROVIDED IN 2012 WAS APPROXIMATELY $16,844,300.IN 2012, OUT OF SYSTEM-WIDE REVENUES OF $8.8 BILLION, MAYO CLINIC AND ITS AFFILIATES PROVIDED QUANTIFIABLE BENEFITS TO THE BROADER COMMUNITY IT SERVES OF OVER $1.6 BILLION. MAYO CLINIC IS DEDICATED TO SERVING ALL PATIENTS WHO NEED OUR CARE. APPROXIMATELY HALF OF OUR MEDICAL SERVICES ARE FOR MEDICARE PATIENTS AND PATIENTS IN OTHER GOVERNMENT PROGRAMS. IN 2012, OUR BENEFIT TO THE BROADER COMMUNITY INCLUDED $1.6 BILLION IN SERVICES THAT WENT UNPAID THROUGH MEDICARE, MEDICAID OR OTHER SENIOR AND INDIGENT CARE PROGRAMS. WE ALSO PROVIDED AN ADDITIONAL $83.4 MILLION IN CHARITY CARE TO PATIENTS IN SIGNIFICANT FINANCIAL NEED.QUALITY IS THE HALLMARK OF MAYO CLINIC. MAYO HAS BEEN RECOGNIZED FOR EXCELLENCE AND HAS RECEIVED NUMEROUS AWARDS IN RECOGNITION OF ITS ACCOMPLISHMENTS. AS JUST ONE EXAMPLE, IN 2012 U.S. NEWS & WORLD REPORT NAMED MAYO CLINIC TO ITS 'BEST HOSPITALS' HONOR ROLL FOR THE 23RD STRAIGHT YEAR. THE HONOR ROLL CONSISTS OF "AN ELITE GROUP" OF PROVIDERS RECOGNIZED FOR "BREADTH OF EXCELLENCE," ACCORDING TO THE MAGAZINE. MAYO CLINIC WAS THE ONLY ONE OF THE ROUGHLY 3% OF HOSPITALS SURVEYED TO BE RANKED IN ALL 16 SUBSPECIALTY CATEGORIES. MAYO CLINIC SCORED IN THE TOP FIVE IN 11 SPECIALTIES ASSESSED AND WAS RANKED FIRST OR SECOND IN EIGHT SPECIALTIES. FORTUNE MAGAZINE NAMED MAYO CLINIC TO ITS SELECT LIST OF THE "100 BEST COMPANIES TO WORK FOR" IN 2012 FOR THE 10TH CONSECUTIVE YEAR. PATIENTS ALSO RECOGNIZE THE EXCELLENT CARE THEY RECEIVE AT MAYO CLINIC. IN A 2010 PATIENT SATISFACTION SURVEY CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC), SIXTY-SIX UNITS AND/OR DEPARTMENTS WERE RECOGNIZED FOR SERVICE EXCELLENCE. MAYO CLINIC RECEIVED EIGHT TOP PERFORMER AWARDS, PRC'S HIGHEST AWARD GIVEN TO UNITS/DEPARTMENTS THAT SCORE AT THE 100TH PERCENTILE AMONG PRC'S CLIENTS FOR PATIENT RATINGS OF OVERALL QUALITY OF CARE. FIFTY-EIGHT UNITS AND/OR DEPARTMENTS RECEIVED THE 5-STAR AWARD FOR SCORING AT OR ABOVE THE 90TH PERCENTILE OF PRC'S CLIENT DATABASE FOR PATIENT RATINGS OF OVERALL QUALITY OF CARE. TO ENSURE THE HIGHEST STANDARDS OF CARE AND TO SERVE THE PUBLIC AS A TRUSTED SOURCE OF HEALTH SERVICES AND HEALTH INFORMATION, MAYO CLINIC STRIVES TO TRANSFORM HEALTH CARE DELIVERY TO ALLOW NEW CARE MODELS AND SERVICES, AND EXPAND THE RANGE OF PRODUCTS AND SERVICES OFFERED. ALTHOUGH MAYO HAS A RICH INNOVATION HISTORY, NURTURED AND DRIVEN BY ITS CULTURE OF TEAMWORK AND COLLABORATION, MAYO CLINIC HAS DEVOTED SIGNIFICANT RESOURCES TO ACCELERATE ITS INNOVATION EFFORTS BY CREATING THE CENTER FOR INNOVATION (CFI). THE MISSION OF THE CENTER IS TO TRANSFORM THE WAY HEALTH CARE IS EXPERIENCED AND DELIVERED BY PROVIDING A UNIQUE SETTING FOR NURTURING NEW IDEAS, ENABLING THEM TO GROW, MATURE AND EVOLVE UNTIL THEY ARE READY FOR THE CLINICAL SETTING. CFI IS PURSUING MANY AVENUES FOR INNOVATIVE THINKING TO DEVELOP WHAT MEDICAL PRACTICES WILL BE DOING TOMORROW, AND TO IDENTIFY WAYS TO DO WHAT THEY DO TODAY, BETTER.IN 2011, MAYO CLINIC LAUNCHED MAYO CLINIC CARE NETWORK, A NETWORK OF PROVIDER ORGANIZATIONS ACROSS THE NATION THAT WILL HAVE ACCESS TO MAYO EXPERTISE AND PHYSICIANS TO HELP CARE FOR PATIENTS CLOSEST TO HOME WHENEVER POSSIBLE. THIS INITIATIVE IS JUST ONE EXAMPLE OF MAYO CLINIC'S EFFORTS TO CREATE, CONNECT AND APPLY ITS INTEGRATED MEDICAL KNOWLEDGE TO DELIVER THE BEST HEALTH CARE, HEALTH GUIDANCE AND HEALTH INFORMATION TO PEOPLE EVERYWHERE, REGARDLESS OF WHETHER OR NOT THEY COME TO MAYO FOR THEIR CARE. 532156165 47262985 3428129 RESEARCH (SEE SCHEDULE O FOR DESCRIPTION)RESEARCH: MAYO CLINIC IS ONE OF THE PREMIER MEDICAL RESEARCH ORGANIZATIONS IN THE WORLD. INNOVATION AND IMPROVEMENT OF SCIENCE AND THE DELIVERY OF HEALTH CARE ARE ENHANCED THROUGH MAYO CLINIC'S RESEARCH PROGRAMS. CLINICAL PRACTICE OBSERVATIONS BECOME THE BASIS FOR RESEARCH STUDIES AND THE FINDINGS FROM RESEARCH FLOW BACK INTO THE PRACTICE TO IMPROVE PATIENT CARE AND OUTCOMES. PHYSICIANS, PHYSICIAN/RESEARCHERS AND CAREER SCIENTISTS WORK IN TANDEM TO CHANGE THE FUTURE OF MEDICINE AND TO IMPROVE THE HEALTH AND WELL BEING OF NOT JUST MAYO CLINIC PATIENTS BUT ALSO THE PUBLIC AT LARGE AS THESE FINDINGS ARE DISSEMINATED WORLDWIDE.MOST OF THE PATIENT CARE PHYSICIANS AT MAYO CLINIC IN ROCHESTER PARTICIPATE IN SOME RESEARCH ACTIVITIES. IN ADDITION, 829 PHYSICIAN/SCIENTISTS, 594 RESEARCH ASSOCIATES AND FELLOWS AND 2,471 ALLIED HEALTH PERSONNEL IN ROCHESTER WERE ENGAGED PRIMARILY IN RESEARCH ACTIVITIES IN 2012. THESE ACTIVITIES INCLUDE BASIC SCIENCE RESEARCH, CLINICAL TRIALS, TRANSLATIONAL RESEARCH AND HUMAN RESEARCH STUDIES. DURING 2012, OVER 5,300 RESEARCH AND REVIEW ARTICLES BASED ON MAYO CLINIC RESEARCH WERE PUBLISHED IN PEER-REVIEWED JOURNALS AND OVER 8,000 HUMAN CLINICAL STUDIES WERE CONDUCTED BY MAYO RESEARCHERS AND CLINICIANS. THROUGH OUR CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIES, MAYO CLINIC COLLABORATES WITH DIVERSE COMMUNITY MEMBERS TO HELP COMMUNITY MEDICAL PROVIDERS INCORPORATE PRACTICE-BASED AND RESEARCH-BASED KNOWLEDGE TO IMPROVE OVERALL COMMUNITY HEALTH OUTCOMES AND ELIMINATE HEALTH DISPARITIES. ONE CRITICAL COMPONENT OF MAYO CLINIC'S RESEARCH EFFORTS IS THE ROCHESTER EPIDEMIOLOGY PROJECT, A COLLABORATION THAT LINKS TOGETHER NEARLY ALL OF THE MEDICAL RECORDS OF THE RESIDENTS OF OLMSTED COUNTY IN MINNESOTA. THIS UNIQUE DATABASE PROVIDES AN EXTENSIVE DATA REPOSITORY OF MEDICAL CARE DELIVERED TO COMMUNITY RESIDENTS FOR OVER HALF A CENTURY AND IS VIRTUALLY UNPARALLELED IN THE UNITED STATES.MAYO CLINIC IS ALSO MAKING TIGHTER CONNECTIONS BETWEEN RESEARCH AND PATIENT CARE WITH THE ADVANCEMENT OF OUR THREE NEWEST CENTERS: THE CENTER FOR THE SCIENCE OF HEALTH CARE DELIVERY, THE CENTER FOR INDIVIDUALIZED MEDICINE AND THE CENTER FOR REGENERATIVE MEDICINE. THESE STRATEGIC CENTERS ARE CHANGING HOW MEDICINE IS PRACTICED THROUGH DIRECT APPLICATION OF INNOVATIONS AND BEST PRACTICES. IN 2012, THE REGENERATIVE MEDICINE CLINIC AND THE INDIVIDUALIZED MEDICINE CLINIC WERE INTRODUCED AT MAYO. BOTH OF THESE CLINICS ACCEPT PATIENT REFERRALS AND ARE ACTIVELY PURSUING ANSWERS TO COMPLEX CLINICAL PROBLEMS THROUGH BREAKTHROUGH METHODOLOGIES.OTHER EXAMPLES OF MAYO CLINIC RESEARCH ADVANCES IN 2012 INCLUDE:-UNCOVERING THE TOXIC INTERACTION IN NEURONS THAT LEAD TO DEMENTIA AND ALS DISEASE-DEVELOPING THE FIRST PROTEIN TEST TO PREDICT THE RATE OF PROGRESSION IN ALS DISEASE-DISCOVERING THE MOST POTENT GENETIC RISK FACTOR FOR ALZHEIMER'S DISEASE IN 20 YEARS-DISCOVERING A NEW TEST FOR PREDICTING COLORECTAL CANCERS-DISCOVERING NEW BIOMARKERS FOR IDENTIFYING PROSTATE CANCERS-REGENERATING HEART TISSUE WITH MODIFIED STEM CELLSFUNDING OF RESEARCH ACTIVITIES AT MAYO CLINIC COMES FROM OVER 3,200 GRANTS AND CONTRACTS AS WELL AS FROM MAYO FUNDS AND GIFTS FROM GENEROUS BENEFACTORS. TOTAL EXPENDITURES FOR RESEARCH ACTIVITIES IN 2012 WERE APPROXIMATELY $532,156,000. 94088220 92201849 543229622 COMMUNITY CONTRIBUTIONS:COLLABORATION AND COMMUNITY GIVING IS A SIGNIFICANT, TIME-HONORED PART OF MAYO'S HERITAGE AND IT TAKES MANY FORMS. MAYO'S FOUNDERS CREATED AN ORGANIZATION WHERE SUPPORTING THE COMMUNITY IS INTEGRAL TO OUR MISSION. QUALITY PATIENT CARE, RESEARCH AND EDUCATION ARE ONLY POSSIBLE IN A THRIVING, VIBRANT COMMUNITY, WITH EXCELLENT EDUCATION PROGRAMS AT ALL LEVELS, A WELL-TRAINED WORK FORCE AND AMENITIES THAT MAKE ROCHESTER A DESIRABLE PLACE TO LIVE. A THRIVING COMMUNITY ALSO RELIES ON A VARIETY OF ORGANIZATIONS TO PROVIDE VITAL SERVICES AND PROGRAMS TO MEET COMMUNITY NEEDS. LIKE MOST URBAN CITIES, ROCHESTER FACES FUNDAMENTAL SOCIO-ECONOMIC CHALLENGES SUCH AS HUNGER, POVERTY AND UNEQUAL ACCESS TO HEALTHCARE. ROCHESTER IS BECOMING A VERY DIVERSE COMMUNITY, CREATING A NEED TO WELCOME DIVERSE NEWCOMERS, TO HELP THEM ASSIMILATE TO THEIR NEW ENVIRONMENT, AND TO PROVIDE SERVICES THAT ARE UNIQUE TO THEIR NEEDS. EVEN THOUGH ROCHESTER HAS EXCELLENT SCHOOLS, MANY STUDENTS IN THE COMMUNITY STRUGGLE BECAUSE OF LANGUAGE DIFFERENCES OR PROBLEMS AT HOME. MAYO CLINIC'S OFFICE OF COMMUNITY ENGAGEMENT WORKS TO BUILD COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GOVERNMENTAL AGENCIES, COMMUNITY GROUPS, AND NON-PROFIT ORGANIZATIONS TO BUILD ADDITIONAL CAPACITY AND ENSURE SUSTAINABILITY TO MEET THESE EVER INCREASING NEEDS. MAYO ALSO MAKES SIGNIFICANT FINANCIAL AND IN-KIND CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS. MAYO'S COMMUNITY CONTRIBUTIONS ARE THE RESULT OF NEEDS-BASED ASSESSMENTS AND FALL INTO SUCH BROAD CATEGORIES INCLUDING: HEALTH AND WELLNESS, DIVERSITY, HOUSING, EDUCATION-WORKFORCE DEVELOPMENT, YOUTH (ESPECIALLY AT-RISK YOUTH) AND THE CULTURAL ARTS. MAYO STRIVES TO MAINTAIN A PROGRAM THAT IS FISCALLY RESPONSIBLE AND SOCIALLY ACCOUNTABLE. IN 2012, MAYO CLINIC PROVIDED ALMOST $1.7 MILLION IN DIRECT FINANCIAL ASSISTANCE TO ALMOST 80 NON-PROFIT ORGANIZATIONS. SOME EXAMPLES OF MAYO CLINIC'S COMMUNITY COLLABORATIONS INCLUDE: - FINANCIAL AND IN-KIND SUPPORT TO THE SALVATION ARMY GOOD SAMARITAN MEDICAL AND DENTAL CLINICS AND THE ZUMBRO VALLEY MENTAL HEALTH CENTER TO SERVE LOCAL CITIZENS AND FAMILIES WHO CANNOT OTHERWISE AFFORD CARE.- MAYO PARTICIPATES IN THE COMMUNITY HEALTH ACCESS COLLABORATIVE GROUP, A PARTNERSHIP OF APPROXIMATELY 30 LOCAL AND REGIONAL COMMUNITY HEALTH CARE ORGANIZATIONS. THE COLLABORATIVE ANALYZES NEEDS AND CREATES SOLUTIONS FOR HEALTH CARE ACCESS, HEALTH EDUCATION AND PREVENTION FOR ALL MEMBERS OF THE ROCHESTER COMMUNITY AND IN THE SOUTHEAST MINNESOTA REGION.- MAYO SUPPORTS ROCHESTER PATIENT HOSPITALITY HOUSES SUCH AS THE RONALD MCDONALD HOUSE, THE HOPE LODGE, AND THE GIFT OF LIFE TRANSPLANT HOUSE. THESE FACILITIES PROVIDE PATIENTS WITH SERIOUS AND COMPLICATED ILLNESSES WITH A HOME-LIKE PLACE TO LIVE DURING THEIR LENGTHY VISITS TO ROCHESTER FOR EXTENDED CARE.- MAYO PARTNERS WITH THE OLMSTED COUNTY HEALTH DEPARTMENT, OLMSTED COUNTY MEDICAL CENTER, AND OTHER AREA HEALTH PROVIDERS TO PREPARE FOR AND COORDINATE RESPONSES TO EMERGENCY HEALTH ISSUES. - MAYO'S CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIES (CTSA) SEEKS TO IMPROVE PATIENT CARE AND OVERALL COMMUNITY HEALTH BY WORKING WITH OLMSTED COUNTY AND REGIONAL COMMUNITIES ON HEALTH ISSUES THAT MATTER TO THEIR MEMBERS, COLLABORATING WITH DIVERSE COMMUNITY MEMBERS TO CONDUCT RESEARCH RELEVANT TO THEM, AND HELPING COMMUNITY MEDICAL PROVIDERS INCORPORATE PRACTICE-BASED RESEARCH AND RESEARCH-BASED CHANGE.IN 2012 ON AN SYSTEMWIDE LEVEL, MAYO CLINIC AND ITS AFFILIATES INVESTED MORE THAN $2.5 MILLION INTO HUNDREDS OF LOCAL COMMUNITY EFFORTS NEAR OUR LOCATIONS TO STRENGTHEN HEALTH AND WELLNESS, EDUCATION, YOUTH ENRICHMENT, WORKFORCE DEVELOPMENT, HUMAN SERVICES AND OTHER EMERGING NEEDS. THE SYSTEM ALSO INCURS SIGNIFICANT ADDITIONAL INDIRECT COSTS IN CONDUCTING ITS PROGRAMS. THE SYSTEMWIDE COSTS OF THE MANY MORE LOCALIZED COMMUNITY BENEFIT ACTIVITIES ARE NOT REFLECTED IN THESE TOTALS, NOR ARE THE INTANGIBLE COMMUNITY BENEFITS QUANTIFIED.FUNDRAISING:MAYO CLINIC CONDUCTS A VERY SUBSTANTIAL DEVELOPMENT PROGRAM STAFFED BY MORE THAN 200 EMPLOYEES. CONSISTENT WITH PAST EXPERIENCE, THE ORGANIZATION EXPECTS CONTRIBUTIONS FROM INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND OTHERS TO APPROACH OR EXCEED $250 MILLION PER YEAR FOR THE FORESEEABLE FUTURE. EVEN THOUGH THE EXPENSES ASSOCIATED WITH THIS ACTIVITY ARE REPORTED IN THE FUNDRAISING COLUMN, MAYO CLINIC FEELS THAT THEY ARE TRULY PROGRAM SERVICE RELATED. FUNDRAISING EXPENDITURES TOTALED APPROXIMATELY $30.8 MILLION IN 2012.HEALTH INFORMATION:MAYO CLINIC IS USED AS A MEANS OF MAKING AVAILABLE TO THE MEDICAL COMMUNITY AND TO THE GENERAL PUBLIC THE RESULTS OF MAYO'S RESEARCH AND EDUCATION PROGRAMS. MAYO CLINIC PUBLISHES MAYO CLINIC PROCEEDINGS (A MONTHLY JOURNAL FOR PHYSICIANS AND OTHER MEDICAL PERSONNEL), MAYO CLINIC HEALTH LETTER (A MONTHLY NEWSLETTER PROVIDING HEALTH INFORMATION FOR CONSUMERS) AND NUMEROUS HEALTH-RELATED BOOKS FOR HEALTHCARE PROFESSIONALS AND CONSUMERS.SHARED SERVICES:VARIOUS SHARED SERVICES THROUGHOUT MAYO PROVIDE GENERAL INFRASTRUCTURE AND SUPPORT SERVICES TO THE AFFILIATES OF MAYO CLINIC. 94088220 92201849 543229622 3008233031 1 1 0 1 0 0 0 1 0 1 1 1 0 1 1 1 0 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 1 1 1 1 0 0 1 X 1069 0 1 20028 1 1 1 1 CA GM MP CJ 0 0 0 1 1 0 0 0 0 X 31 10 1 1 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 AL AK AR AZ CA CO CT FL GA HI IL KS KY ME MD MA MI MN MS NH NJ NM NY ND OH OK OR PA RI SC TN UT VA WA WV WI NC IN X CORPORATE TAX 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 BOLTON JEFFREY W 1.00 40.00 X X 0 777777 59357 BRIGHAM ROBERT F 1.00 40.00 X X 0 516616 24095 BUSKIRK MD STEVEN J 1.00 40.00 X 0 576078 52324 DECKER MD WYATT W 1.00 40.00 X X 0 739688 47521 GORMAN MD R SCOTT 1.00 40.00 X 0 361714 56216 LEVENTHAL MD JACK P 1.00 40.00 X 0 392837 64836 RUPP MD WILLIAM C 1.00 40.00 X X 0 915355 11605 ALVARADO LINDA G 5.00 0.00 X 60094 0 0 ANDERSON BRADBURY BRAD H 5.00 0.00 X 0 0 0 BARKSDALE JAMES L 5.00 0.00 X 4921 0 0 BROKAW THOMAS J 5.00 0.00 X 6192 0 0 CARLSON NELSON MARILYN 5.00 0.00 X X 2601 0 0 CORDOVA FRANCE A 5.00 0.00 X 2067 0 0 DAVIS A DANO 5.00 0.00 X 0 0 0 DI PIAZZA SAMUEL A JR 5.00 0.00 X 0 0 0 DOUGHERTY MICHAEL E 5.00 0.00 X 42395 0 0 GEORGE WILLIAM W 5.00 0.00 X 45859 0 0 GONDA LOUIS L 5.00 0.00 X 0 0 0 HERBERGER ROY A 5.00 0.00 X 0 0 0 MITCHELL PATRICIA E 5.00 0.00 X 1236 0 0 OLSON RONALD L 5.00 0.00 X 0 0 0 PETERS AULANA L 5.00 0.00 X 1621 0 0 POWELL MICHAEL K 5.00 0.00 X 3855 0 0 RAYMOND LEE R 5.00 0.00 X 0 0 0 STEER MD RANDOLPH C 5.00 0.00 X 3387 0 0 TATLOCK ANNE E 5.00 0.00 X 1876 0 0 EHMAN MD RICHARD L 40.00 0.00 X 641439 0 62427 MILLINER MD DAWN S 40.00 0.00 X 444470 0 2085 NESSE MD ROBERT E 40.00 0.00 X 688141 0 18683 NOSEWORTHY MD JOHN H 40.00 0.00 X X 0 1692329 55870 OLSEN MD KERRY D 40.00 0.00 X 553890 0 14627 ROGER MD VERONIQUE L 40.00 0.00 X 585804 0 40261 WEIS SHIRLEY A 40.00 0.00 X X 0 971605 59023 FRANCIS JAMES R 1.00 40.00 X 0 326347 58524 BROWN WILLIAM A 1.00 40.00 X 0 210372 56925 FROISLAND JEFFREY R 1.00 40.00 X 0 258637 38803 HOFFMAN MARY J 1.00 40.00 X 0 279686 61176 HUBERT SHERRY L 1.00 40.00 X 0 241289 49176 OVIATT JONATHAN J 1.00 40.00 X 0 555778 62556 THOMAS GREGORY J 1.00 40.00 X 0 462328 9159 GORMAN PAUL A 40.00 0.00 X 596419 0 356484 HAEFLINGER RICKY J 40.00 0.00 X 220349 0 217086 HOFFMAN III HARRY N 40.00 0.00 X 959096 0 515354 SCHMIDT BRADLEY D 40.00 0.00 X 337928 0 51243 BERRY MD DANIEL J 40.00 0.00 X 631421 0 52303 CAMILLERI MD MICHAEL 40.00 0.00 X 575582 0 64142 CASCINO MD TERRANCE L 40.00 0.00 X 476728 0 44395 COCKERILL MD FRANKLIN R 40.00 0.00 X 528928 0 62485 DESCHAMPS MD CLAUDE 40.00 0.00 X 595530 0 58492 DIASIO MD ROBERT B 40.00 0.00 X 587911 0 15793 FOOTE MD ROBERT L 40.00 0.00 X 578359 0 55671 GERTZ MD MORIE A 40.00 0.00 X 555710 0 35306 HARPER JR MD CHARLES M 40.00 0.00 X 759333 0 60544 HAYES MD DAVID L 40.00 0.00 X 596305 0 42618 KING MD BERNARD F 40.00 0.00 X 728309 0 56596 LA RUSSO MD NICHOLAS F 40.00 0.00 X 671067 0 8244 NARR MD BRADLY J 40.00 0.00 X 522662 0 60647 NICHOLS III MD FRANCIS C 40.00 0.00 X 526169 0 63147 RIZZA MD ROBERT A 40.00 0.00 X 661866 0 15500 ROCK MD MICHAEL G 40.00 0.00 X 643678 0 62208 SAWYER NAN B 40.00 0.00 X 404098 0 47463 SWENSEN MD STEPHEN J 40.00 0.00 X 694305 0 60424 WALD MD JOHN T 40.00 0.00 X 609472 0 54259 WARNER MD MARK A 40.00 0.00 X 579774 0 53914 PICHELMANN MD MARK A 40.00 0.00 X 422861 398146 39115 ATKINSON MD JOHN LD 40.00 0.00 X 805043 0 20604 DEARANI MD JOSEPH A 40.00 0.00 X 778657 0 55445 MARSH MD W RICHARD 40.00 0.00 X 810328 0 34945 MEYER MD FREDRIC B 40.00 0.00 X 823000 0 67381 TRASTEK MD VICTOR F 0.00 40.00 X 0 867707 60723 FORBES MD GLENN S 40.00 0.00 X 221197 0 1803 SCHWENK MD NINA M 40.00 0.00 X 284166 0 50596 GROSSET JESSICA A 0.00 40.00 X 0 274404 23671 BROWN JR MD ROBERT D 40.00 0.00 X 311305 0 44859 EDWARDS MD BROOKS S 40.00 0.00 X 448077 0 60887 ERLICHMAN MD CHARLES 40.00 0.00 X 401920 0 57715 FARRUGIA MD GIANRICO 40.00 0.00 X 503967 0 52034 GORES MD GREGORY J 40.00 0.00 X 487572 0 56349 GOSTOUT MD BOBBIE S 40.00 0.00 X 562316 0 41202 HORLOCKER MD TERESE T 40.00 0.00 X 462830 0 53703 SCHNEIDER KENNETH J 40.00 0.00 X 285534 0 14669 SIMMONS MD PATRICIA S 40.00 0.00 X 355615 0 62525 SMOLDT CRAIG A 40.00 0.00 X 419924 0 8244 WOOD MD DOUGLAS L 40.00 0.00 X 620597 0 67550 26135756 10818693 3893587 3273 1 1 0 MAYO FOUNDATION FOR MEDICAL EDUCATION & 200 FIRST STREET SW ROCHESTER MN 55905 PROCUREMENT AGENT & MEDICAL SUPPORT SERV 373593085 MMSI INC 200 FIRST STREET SW ROCHESTER MN 55905 BENEFIT ADMINISTRATION SERVICE 12370699 MAYO COLLABORATIVE SERVICES INC 200 FIRST STREET SW ROCHESTER MN 55905 LAB SERVICES 5476261 MAYO CLINIC HEALTH SYSTEM--FRANCISCAN ME 700 WEST AVENUE SOUTH LA CROSSE WI 54601 MEDICAL SUPPORT SERVICES 1968733 MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CL 200 FIRST STREET SW ROCHESTER MN 55905 MEDICAL SUPPORT SERVICES 1273307 12 10028 1175 185663470 286365288 309762051 28452788 781802012 PATIENT CARE REVENUE 621110 2184675885 1901464072 282634472 577341 SHARED SERVICES 561000 543142004 536793897 6348107 EDUCATION REVENUE 611600 48968972 48949497 19475 MEDICAL PRODUCT SALES 446199 9627381 9627381 RESEARCH REVENUE 541700 3428129 241831 1821551 1364747 87617 87617 2789929988 211701434 -3100496 214801930 1714113 1714113 1888561 1783309 105252 1421885 2539537 -1117651 -1117651 -611459 -506192 1505144060 8971784 1413339297 8483229 91804763 488555 92293318 92293318 2025 1175 9613 -7588 -7588 CAFETERIA/VENDING 722210 10972440 10972440 PARKING 812930 4630871 4630871 MANAGEMENT FEE REVENUE 541610 2835357 445463 2389894 2853312 2026673 515944 310695 21291980 3899496167 2512392180 283755158 321546817 X 137346483 137346483 3763902 3763902 2011614 2011614 19991602 13550284 6155721 285597 8121489 7424247 678397 18845 1459754136 1405767237 38588143 15398756 86896090 85285711 1196671 413708 211465266 200638544 8045325 2781397 93144824 89321021 2841464 982339 2975421 2695972 154924 124525 10390559 1150198 9175009 65352 32240574 74859 32165715 764043 272 763771 1792568 1792568 3424499 3424499 524675819 204786547 315959058 3930214 2044854 1401439 641713 1702 86606946 76098811 8903774 1604361 132059782 13524633 118397561 137588 277854201 264598076 11785117 1471008 38285464 35916981 1093329 1275154 5218147 4833800 163644 220703 46977307 2740548 44236759 57766789 57766789 124836560 123682178 1112423 41959 12314852 12244852 70000 MEDICAL SUPPLIES 190786042 190786042 UNRELATED BUSINESS TAX 6507108 6507108 MN CARE TAX 33961810 33961810 BAD DEBT EXPENSE 21573650 21573650 18045303 15286531 2535430 223342 3653597704 3008233031 614595555 30769118 2017475 3589644 9329102 554195 200837962 184022797 382468264 484573360 48400118 36071710 3298091 3239288 15089234 18111652 2511247272 1253831506 1142887688 1257415766 96582824 116840523 3773173428 4448366625 1245417 1896643363 1978757144 7570727549 8532788121 1867748412 2432659945 50271287 47678295 1405803416 1898206436 295720065 276079874 2164396146 2427291516 5783939326 7081916066 X 394471388 -130926065 725544506 875233875 666772329 706564245 1786788223 1450872055 7570727549 8532788121 X 245898463 236770086 -818584717 X 0 1 X 1 1 1 X 537306055 286081699 546721460 834802485 781802012 2986713711 1941912542 2045718507 2175100797 2446070773 2512392180 11121194799 15395969 4360503 4263677 4487634 4630871 33138654 2494614566 2336160709 2726085934 3285360892 3298825063 14141047164 0 0 0 14141047164 -13096658 8240020 88918239 99682684 216682004 400426289 -3809852 3757095 4963818 20061164 11663527 36635752 -16906510 11997115 93882057 119743848 228345531 437062041 935926 1814220 2874530 52209 310695 5987580 2478643982 2349972044 2822842521 3405156949 3527481289 14584096785 0.96960 0.98340 0.03000 0.01610 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2008 AMOUNT: $ 295,248. 2009 AMOUNT: $ 1,533,367. 2010 AMOUNT: $ 2,237,485. 2011 AMOUNT: $ 52,209. 2012 AMOUNT: $ 310,695. RECYCLING - 2008 AMOUNT: $ 640,678. 2009 AMOUNT: $ 280,853. 2010 AMOUNT: $ 637,045. SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: WHILE THE IRS DETERMINED THAT MAYO CLINIC QUALIFIES UNDER LINE 9, AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME, WE BELIEVE THAT IT ALSO QUALIFIES UNDER THE CLASSIFICATION OF LINE 2 - A SCHOOL DESCRIBED IN SECTION 170(B)(1)(A)(II), LINE 3 - A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III), AND LINE 7, AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1 0 1 0 1 764043 764043 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: DURING 2012, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED MEDICARE LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S CONCERNS AND RECOMMENDATIONS REGARDING HEALTHCARE REFORM. THE PRIMARY FOCUS OF MOST OF THESE CONTACTS WAS TO DISCUSS PRINCIPLES FOR HEALTH CARE REFORM RATHER THAN TRY TO INFLUENCE THE PASSAGE OF ANY SPECIFIC PROPOSED LEGISLATION. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. SUCH ACTIVITY IS NORMALLY AT THE REQUEST OF A LEGISLATIVE BODY, COMMITTEE OR MEMBER. IN 2012, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2012, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES THAT ARE REPORTED ON MFMER'S 2012 FEDERAL FORM 990 TOTALED $ 1,043,112. PART IV, SUPPLEMENTAL INFORMATION: THE AMOUNT IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. 3167394 X 0 0 0 1780921634 52562392 240953623 39093758 2035343891 1371788199 58600014 418416458 67883037 1780921634 18928464 1305111196 75605239 27856700 1371788199 12902219 5193334 1556243 723332 18928464 9408019 6537258 -2690556 352502 12902219 0.42680 0.35210 0.22110 0 0 9477289 56290788 65768077 1591336200 680086997 911249203 854142995 573744509 280398486 1257415766 MAYO POOLED INVESTMENTS 4388656376 F BOND-RELATED TRUSTEE HELD INVESTMENTS 59390249 F TECH BASED VENTURES 320000 C 4448366625 DUE FROM AFFILIATES 1216725527 INVESTMENTS IN SUBSIDIARIES 600699331 CONTRIBUTED ASSETS PENDING DISPOSAL 13332594 ART 3167394 TRUSTS 144832298 1978757144 DUE TO AFFILIATES 2308911129 DEFERRED COMPENSATION LIABILITY 116840523 FEDERAL INCOME TAXES 1539864 2427291516 X PART III, LINE 1A: PART III LINE 1B (III): MAYO CLINIC PERIODICALLY RECEIVES WORKS OF ART FROM VARIOUS BENEFACTORS. THESE ITEMS ARE UNIQUE IN NATURE AND ARE HELD ON DISPLAY FOR THE BENEFIT AND ENJOYMENT OF MAYO'S PATIENTS. IT IS MAYO'S POLICY TO NEITHER CAPITALIZE CONTRIBUTED WORKS OF ART, NOR RECORD THE RELATED CONTRIBUTION REVENUE. PART III, LINE 4: THE PRIMARY MISSION OF MAYO CLINIC IS EXCELLENCE IN PATIENT CARE, YET ITS FOUNDERS RECOGNIZED THAT CARING FOR THE WHOLE PATIENT EXTENDS BEYOND TREATING PHYSICAL AILMENTS. SINCE ITS INCEPTION, MAYO HAS USED ART, ARCHITECTURE AND BEAUTY IN SURROUNDINGS TO ADDRESS THE "SPIRITUAL ASPECTS" OF MEDICAL CARE. BENEFACTOR GIFTS FROM PATIENTS, FRIENDS, EMPLOYEES OR ALUMNI HELP MAYO SUPPORT THE ACQUISITION OF ART USED TO HUMANIZE THE MEDICAL ENVIRONMENT AND COMPLEMENT THE BELIEF THAT RESTORING THE MIND AND SPIRIT IS AN IMPORTANT PART OF MAKING THE BODY WELL. WORKS OF ART DISPLAYED ACROSS THE MAYO CAMPUS PROVIDE BEAUTY, PRESERVATION OF HERITAGE AND RESPECT FOR THE DIVERSITY OF PATIENTS, VISITORS AND STAFF. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: AT DECEMBER 31, 2012 AND 2011, THERE WAS NO SIGNIFICANT LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION. PORTION OF INCOME TAX FOOTNOTE FROM MAYO CLINIC CONSOLIDATED AUDITED FINANCIALS STATEMENTS: MOST OF THE INCOME RECEIVED BY THE CLINIC AND ITS SUBSIDIARIES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). THE CLINIC OR ITS SUBSIDIARIES FILE INCOME TAX RETURNS IN THE U.S. FEDERAL, VARIOUS STATE, AND FOREIGN JURISDICTIONS. THE STATUTES OF LIMITATIONS FOR TAX YEARS 2009 THROUGH 2011 REMAIN OPEN IN THE MAJOR U.S. TAXING JURISDICTIONS IN WHICH THE CLINIC AND SUBSIDIARIES ARE SUBJECT TO TAXATION. IN ADDITION, FOR ALL TAX YEARS PRIOR TO 2009 GENERATING OR UTILIZING A NET OPERATING LOSS (NOL), TAX AUTHORITIES CAN ADJUST THE AMOUNT OF NOL CARRYFORWARD TO SUBSEQUENT YEARS. THE INTERNAL REVENUE SERVICE (IRS) PERFORMED AN EXAMINATION OF THE TAX AND INFORMATION RETURNS OF THE CLINIC AND TWO SUBSIDIARIES FOR 2005 AND 2006. AS A RESULT OF THE AUDIT BY THE IRS, ONE REMAINING ENTITY HAS EXTENDED THE STATUTES OF LIMITATIONS FOR 2005 THROUGH 2009 UNTIL DECEMBER 31, 2013. AS OF DECEMBER 31, 2012, ONE AUDIT REMAINS OPEN, AND THE IRS HAS PROPOSED ONE ADJUSTMENT THAT MANAGEMENT HAS TAKEN INTO CONSIDERATION DURING ITS DETERMINATION OF UNRECOGNIZED TAX BENEFITS SINCE THE PROPOSED ISSUE HAS NOT BEEN SETTLED. AT DECEMBER 31, 2012 AND 2011, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO LONGER A RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED. THE CLINIC'S PRACTICE IS TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 THE RACIALLY NONDISCRIMINATORY POLICY OF THE MAYO COLLEGE OF MEDICINE, WHICH DRAWS STUDENTS FROM ACROSS THE UNITED STATES AND AROUND THE WORLD, IS MADE AVAILABLE IN ALL OF ITS PUBLISHED DOCUMENTS AND WEBSITE TO ANY INTERESTED APPLICANTS. EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 MAYO CLINIC'S MEDICAL SCHOOLS RECEIVE CAPITATION GRANTS FROM THE STATE OF MINNESOTA FOR STUDENTS WHO ARE MINNESOTA RESIDENTS. MANY OF MAYO CLINIC'S STUDENTS PARTICIPATE IN FEDERAL GOVERNMENT LOAN PROGRAMS SUCH AS STAFFORD, HEAL, SLS, AND HPSL. 1 CENTRAL AMERICA AND THE CARIBBEAN - 0 108 TRAVEL- INTERNATIONAL CONFERENCE 182226 EAST ASIA AND THE PACIFIC - 0 513 TRAVEL- INTERNATIONAL CONFERENCE 1138367 EUROPE (INCLUDING ICELAND & GREENLAND) - 0 1464 TRAVEL- INTERNATIONAL CONFERENCE 3246010 MIDDLE EAST AND NORTH AFRICA - 0 170 TRAVEL- INTERNATIONAL CONFERENCE 373242 NORTH AMERICA - CANADA AND MEXICO, BUT 0 529 TRAVEL- INTERNATIONAL CONFERENCE 1102167 RUSSIA & THE NEWLY INDEPENDENT STATES - 0 25 TRAVEL- INTERNATIONAL CONFERENCE 44425 SOUTH AMERICA - ARGENTINA, BOLIVIA, 0 226 TRAVEL- INTERNATIONAL CONFERENCE 383764 SOUTH ASIA - AFGHANISTAN, BANGLADESH, 0 136 TRAVEL- INTERNATIONAL CONFERENCE 207477 SUB-SAHARAN AFRICA - ANGOLA, 0 93 TRAVEL- INTERNATIONAL CONFERENCE 180256 MIDDLE EAST AND NORTH AFRICA 0 40 PROGRAM SERVICES PATIENT CARE 1490692 EUROPE (INCLUDING ICELAND & GREENLAND) 0 1 PROGRAM SERVICES PATIENT CARE 123219 EAST ASIA AND THE PACIFIC - 0 22 PROGRAM SERVICES MANAGEMENT CONSULTING 1554285 MIDDLE EAST AND NORTH AFRICA 0 3 PROGRAM SERVICES MANAGEMENT CONSULTING 36391 NORTH AMERICA 0 5 PROGRAM SERVICES EDUCATION CONFERENCE - MAYO SPONSOR 97479 CENTRAL AMERICA AND THE CARIBBEAN 0 54 PROGRAM SERVICES EDUCATION - PROGRAM IN UNDERSERVED GLOBAL HEALTH 57731 EUROPE (INCLUDING ICELAND & GREENLAND) 0 6 PROGRAM SERVICES EDUCATION CONFERENCE - MAYO SPONSOR 387697 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS NORTH AMERICA 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 FUNDRAISING 5008 CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENTS 172552603 EAST ASIA AND THE PACIFIC - 0 0 INVESTMENTS 200092818 EUROPE (INCLUDING ICELAND & GREENLAND) - 0 0 INVESTMENTS 3051700 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 421670308 NORTH AMERICA - CANADA AND MEXICO, BUT 0 0 INVESTMENTS 54260569 SOUTH AMERICA - ARGENTINA, BOLIVIA, 0 0 INVESTMENTS 4405667 SOUTH ASIA - AFGHANISTAN, BANGLADESH, 0 0 INVESTMENTS 1888100 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 1400277 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 3900000 NORTH AMERICA 0 0 ROYALTY INCOME EAST ASIA AND THE PACIFIC 0 0 ROYALTY INCOME EUROPE (INCLUDING ICELAND & GREENLAND) 0 1 PROGRAM SERVICES MANAGEMENT CONSULTING 17187 EUROPE (INCLUDING ICELAND & GREENLAND) 0 1 PROGRAM SERVICES MANAGEMENT CONSULTING 6000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 1 PROGRAM SERVICES MANAGEMENT CONSULTING 9786 EAST ASIA AND THE PACIFIC 0 1 PROGRAM SERVICES MANAGEMENT CONSULTING 16000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 1 PROGRAM SERVICES MANAGEMENT CONSULTING 24000 0 3171 0 229 0 3400 6677678 867227773 873905451 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARD 30508 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EAST ASIA AND THE PACIFIC RESEARCH SUBAWARD 136500 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 7560 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 24307 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 223772 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 146070 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 55000 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 9262 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 11600 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 45000 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 87638 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 204539 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 118874 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARD 11814 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARD 13929 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARD 7640 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARD 97000 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 13200 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 166393 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 49390 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 35728 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 74624 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 22580 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 62500 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 8400 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 8150 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 8495 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 10435 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 7200 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 27810 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 8100 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 36264 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA RESEARCH SUBAWARD 75385 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER SUB-SAHARAN AFRICA RESEARCH SUBAWARD 131696 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER 0 34 RESEARCH SUBAWARD GUNNAR B WALLIN 1 11000 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER RESEARCH SUBAWARD NICHOLAS J TALLEY MD 1 5000 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER RESEARCH SUBAWARD TSEGAHUN MANYAZEWAL 1 7000 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER RESEARCH SUBAWARD YEWONDWOSSEN T MENGISTU 1 11250 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER 1 0 1 1 1 1 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY MAYO CLINIC AS PRESCRIBED IN OMB CIRCULAR A-133. SEE ALSO SCHEDULE I, PART IV FOR ADDITIONAL INFORMATION ON MAYO CLINIC'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS AS THE SAME PROCEDURES APPLY TO DOMESTIC AND FOREIGN GRANTS. GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES IS REPORTED BASED ON WHERE PAYMENTS WERE REMITTED. OUR CURRENT REPORTING SYSTEM DOES NOT TRACK ACTIVITIES OUTSIDE THE UNITED STATES BY LOCATION OF SERVICE. METHOD USED TO ACCCOUNT FOR EXPENDITURES: SCHEDULE F, PART I, LINE 3: ACCRUAL METHOD X X X X X X 1 MOORE WALLACERR DONNELLY 111 SOUTH WACKER DRIVE CHICAGO IL 606064301 DIRECT MAIL SERVICES 0 0 1502421 -1502421 GRAY PLANT MOOTY 500 IDS CENTER 80 SOUTH 80TH ST MINNEAPOLIS MN 55402 CONSULTS ON LEGAL ISSUES 0 0 29032 -29032 LISA SELLNER 31 JUNCTION OVERLOOK STRASBURG VA 22657 WRITER ON DIRECT MAIL PIECES 0 0 18545 -18545 MAUREEN OTIS 4850 WRIGHT RD STE 168 STAFFORD TX 77477 CONSULTS ON LEGAL ISSUES 0 0 19078 -19078 PENTERA 8650 COMMERECE PARK PLACE SUITE G INDIANAPOLIS IN 46268 CONSULTS ON DIRECT MAILING & WEB ACTIVITIES 0 0 23370 -23370 PARADYSZ MATERA & CO 215 PARK AVE SOUTH NEW YORK NY 10003 CONSULTING 0 0 94099 -94099 M R STRATEGIC SERVICES 2120 L STREET NW 6TH FLOOR WASHINGTON DC 20037 CONSULTING 0 0 90024 -90024 NNE MARKETING LLC 754 MASSACHUSETTS AVE ARLINGTON MA 02476 CONSULTING 0 0 16000 -16000 1792569 -1792569 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) PAYMENTS MADE TO FUNDRAISERS WERE FOR SERVICES PROVIDED TO MAYO CLINIC IN RELATION TO FUNDRAISING CONDUCTED EXCLUSIVELY BY MAYO CLINIC. 1 1 X 1 X 1 X 1 1 0 1 1 16844279 16844279 0.00460 111469032 20223434 91245598 0.02510 128313311 20223434 108089877 0.02970 26440 26440 0.00000 215845266 48968972 166876294 0.04590 305830407 135042903 170787504 0.04700 532156165 3406501 528749664 0.14560 561441 561441 0.00020 1054419719 187418376 867001343 0.23870 1182733030 207641810 975091220 0.26840 1000 1000 0.00000 75000 75000 0.00000 1132920 1132920 0.00030 416000 416000 0.00010 25000 25000 0.00000 1649920 1649920 0.00040 0 21573650 X 1 1 1 1 MAYO CLINIC

200 FIRST STREET SW ROCHESTER MN 55905

X MAYO CLINIC 1 1 1 200.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X 1 0 X X X X X 1 X 0 0 6 MAYO FAMILY CLINIC NE

3041 STONEHEDGE DRIVE NE ROCHESTER MN 55906

OUTPATIENT PHYSICIAN CLINIC MAYO FAMILY CLINIC NW

4111 HIGHWAY 52 NORTH ROCHESTER MN 55901

OUTPATIENT PHYSICIAN CLINIC MAYO FAMILY CLINIC KASSON

411 WEST MAIN KASSON MN 55944

OUTPATIENT PHYSICIAN CLINIC NORTH MAYO EXPRESS CARE

3454 55TH ST NW SUITE 430 ROCHESTER MN 55901

CLINIC SOUTH MAYO EXPRESS CARE

500 CROSSROADS DRIVE SW ROCHESTER MN 55902

CLINIC MAYO CLINIC AT MALL OF AMERICA

120 SOUTH AVENUE BLOOMINGTON MN 55425

OUTPATIENT PHYSICIAN CLINIC PART I, LINE 6A: THE ANNUAL REPORT IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, 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 ARE NOT BASED ON A COST-TO-CHARGE RATIO. PART I, LINE 7G: THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $170,787,504. 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 $ 21573650. PART II: MAYO CLINIC IS DEDICATED TO SUPPORTING THE HEALTH OF THE LOCAL COMMUNITIES NEAREST ITS FACILITIES AND TO POSITIVELY IMPACTING LOCAL, REGIONAL AND NATIONAL HEALTH FOR ALL PEOPLE THROUGH PROLIFERATION OF ITS ADVANCES IN MEDICAL PRACTICE, RESEARCH AND EDUCATION. MAYO CLINIC'S COMMUNITY BUILDING ACTIVITIES REFLECT ITS BELIEF THAT IN ADDITION TO TRADITIONAL MEDICAL CARE, COMMUNITY HEALTH IS LARGELY IMPACTED BY MANY SOCIETAL INFLUENCES, SUCH AS SOCIAL, LIFESTYLE, EDUCATIONAL, ECONOMIC, AND ENVIRONMENTAL FACTORS.THROUGH ITS OFFICE OF COMMUNITY RELATIONS, MAYO CLINIC INVESTS IN, AND PARTNERS WITH, HUNDREDS OF COMMUNITY GROUPS AND ORGANIZATIONS TO ENSURE ITS LOCAL COMMUNITY IS: - A WELCOMING, HEALTHY ENVIRONMENT - AN ENVIRONMENT THAT ATTRACTS AND SUSTAINS A DIVERSE WORKFORCE TO DELIVER THE BEST PATIENT CARE, RESEARCH AND EDUCATION FOR THE PROMOTION OF THE HEALTH AND WELL BEING OF PATIENTS AND THE GENERAL PUBLIC.AS PART OF ITS COMMUNITY CONTRIBUTIONS PROGRAM, MAYO CLINIC PROVIDES FUNDING AND IN-KIND SUPPORT FOR NEW AND ONGOING PROGRAMS THAT ULTIMATELY SUPPORT HEALTH, SUCH AS BASIC HUMAN SERVICES, EDUCATION AND WORKFORCE DEVELOPMENT, YOUTH AND ELDERLY ENRICHMENT OPPORTUNITIES, THE ARTS AND CULTURAL ENRICHMENT, DIVERSITY, AND OTHERS. MAYO CLINIC GUIDELINES STATE THAT ITS PHILOTHROPIC SUPPORT AND COMMUNITY BUILDING ACTIVITIES SHOULD: - ADDRESS SIGNIFICANT AND EMERGENT NEEDS WITHIN THE COMMUNITY (EDUCATION AND WORKFORCE DEVELOPMENT, AFFORDABLE AND ACCESSIBLE COMMUNITY RESOURCES, DIVERSITY) - ENHANCE MAYO'S CAPACITY TO MEET ITS MISSION - IMPROVE THE HEALTH OF INDIVIDUALS IN THE COMMUNITY - ENABLE LONG-TERM CAPACITY BUILDING AND SUSTAINABILITY FOR MEETING COMMUNITY NEEDS - DEMONSTRATE PARTNERSHIP BUILDING AND COLLABORATION WITH COMMUNITY PARTNERSIN ADDITION TO DIRECT AND INDIRECT MONETARY AND IN-KIND SUPPORT, MAYO CLINIC APPOINTS REPRESENTATIVES FROM ITS STAFF TO SERVE ON NUMEROUS NONPROFIT BOARDS AND COMMUNITY TASK FORCES TO ENHANCE THE CAPACITY OF LOCAL ORGANIZATIONS FOR SUSTAINABILITY, COMMUNITY COLLABORATION, EFFICIENCY AND IMPACT. MAYO CLINIC REPRESENTATIVES WORK WITH COMMUNITY GROUPS TO DEVELOP AND NURTURE A SHARED VISION TO SOLVE COMPLEX AND SYSTEMIC COMMUNITY CHALLENGES SUCH AS HUNGER, GANG ACTIVITY AND YOUTH MENTORSHIP, EARLY CHILDHOOD DEVELOPMENT, DIVERSITY AND INCLUSIVENESS AND HEALTH CARE EDUCATION AND ACCESS. PART III, LINE 4: FOOTNOTE FROM MAYO CLINIC 2012 CONSOLIDATED AUDITED FINANCIAL STATEMENTS: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES - ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE STATED AT NET REALIZABLE VALUE. THE CLINIC ESTIMATES THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORIC WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED.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.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. PART III, LINE 8: MAYO IS NOT REQUIRED TO FILE THE SAME COST REPORT THAT IS REQUIRED OF HOSPITALS AND REFERRED TO IN THE INSTRUCTIONS FOR CALCULATING THE AMOUNT TO REPORT IN PART III, SECTION B, LINE 6; HOWEVER, USING A COST-TO-CHARGE RATIO, MAYO DID HAVE A MEDICARE SHORTFALL OF $368,734,511 BASED ON MEDICARE REIMBURSEMENT OF $310,061,997 AND COSTS OF $678,796,507. BOTH REVENUE AND EXPENSE HAVE BEEN ADJUSTED TO ACCOUNT FOR MEDICARE REVENUE AND EXPENSES THAT ARE INCLUDED IN EDUCATION EXPENSES AND SUBSIDIZED HEALTH SERVICES. THE MEDICARE SHORTFALL REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS, REPORTS THE TOTAL MEDICARE SHORTFALL RELATED TO PATIENT CARE AND IS THEREFORE NOT ADJUSTED FOR EDUCATION EXPENSE AND SUBSIDIZED HEALTH SERVICES.REASONS WHY MEDICARE SHORTFALL 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 MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILTY 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 MAYO WOULD TELL THE COLLECTION AGENCY TO PURSUE COLLECTIONS ON THE BALANCE OR PARTIAL BALANCE IF THERE WAS A CHARITY ADJUSTMENT. MAYO CLINIC PART V, SECTION B, LINE 14G: 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. MAYO CLINIC PART V, SECTION B, LINE 18E: 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 GOVENMENTAL 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 PART V, SECTION B, LINE 20D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 20% 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. PART VI, LINE 2: MAYO CLINIC ATTRACTS PATIENTS FROM AREAS FAR BEYOND THE IMMEDIATE COMMUNITIES WHERE ITS FACILITIES ARE LOCATED, COMING FROM EVERY STATE AND NEARLY 135 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 IT SERVES AND ALSO CONDUCTS MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF MEDICINE TO BENEFIT REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES. IN ROCHESTER, MAYO CLINIC WORKS COLLABORATIVELY WITH ITS AFFILIATED ENTITIES (MAYO CLINIC - SAINT MARYS HOSPITAL AND MAYO CLINIC - METHODIST HOSPITAL), THROUGH COMMON GOVERNANCE AND SHARED SYSTEMS, POLICIES AND PROCEDURES TO MEET THE HEALTH CARE NEEDS OF THE LOCAL OLMSTED COUNTY COMMUNITY OF APPROXIMATELY 120,000 RESIDENTS. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS "MAYO" FOR PURPOSES OF THIS DESCRIPTION.MAYO'S EFFORTS TO ASSESS THE HEALTH CARE NEEDS OF THE 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. MAYO ALSO PROVIDES SHARED LEADERSHIP FOR THE OLMSTED COUNTY COMMUNITY HEALTHCARE ACCESS COLLABORATIVE (CHAC). 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. CHAC WORKS 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. 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 TRANSLATIONAL SCIENCE ACTIVITY (CTSA, HTTP://CTSA.MAYO.EDU/COMMUNITY/INDEX.HTML) 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. CTSA 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 CTSA EDUCATION RESOURCES, CTSA 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, IGLESIA DE DIOS EMMANUEL DE ROCHESTER, THE RED CROSS, ASIAN HEALTHCARE LEADERS ASSOCIATION, INDIAN HEALTH SERVICES AND MANY OTHERS.ONE CRITICAL COMPONENT OF MEETING THE NEEDS OF THE COMMUNITY IS THE ROCHESTER EPIDEMIOLOGY PROJECT (REP, HTTP://WWW.ROCHESTERPROJECT.ORG/), 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.ANOTHER COMPONENT OF ASSESSING COMMUNITY HEALTH NEEDS IS THE COMMUNITY CONTRIBUTIONS PROGRAM FACILITATED BY A COMMUNITY CONTRIBUTIONS COMMITTEE (CCC) WITHIN MAYO'S OFFICE OF COMMUNITY RELATIONS. THIS PROGRAM CONSIDERS MONETARY AND IN-KIND REQUESTS FROM COMMUNITY ORGANIZATIONS THAT ALIGN WITH MAYO'S EFFORTS TO DIRECTLY OR INDIRECTLY PROMOTE HEALTH AND WELLNESS. SUCH REQUESTS FOR PHILANTHROPIC SUPPORT ARE CONSIDERED AND RESPONDED TO BASED ON PUBLISHED GUIDELINES AND PRIORITIES. BY MONITORING REQUESTS WITHIN SPECIFIC FOCUS AREAS, CCC IDENTIFIES NEEDS WITHIN VARIOUS SECTORS WITHIN THE COMMUNITY. REVIEW OF REQUESTS ALSO PROVIDES AN OPPORTUNITY FOR MAYO STAFF TO MEET WITH INDIVIDUAL ORGANIZATIONS TO BETTER UNDERSTAND NEEDS AND OPPORTUNITIES FOR COLLABORATION. MAYO PROVIDES CONSIDERABLE IN-KIND SUPPORT TO LOCAL ORGANIZATIONS IN THE FORM OF LEGAL, ADMINISTRATIVE, FACILITIES, FINANCIAL ANALYSIS, PRINTING, MARKETING AND OTHER AREAS OF EXPERTISE TO HELP BUILD THE CAPACITY OF COMMUNITY ORGANIZATIONS TO BE SUSTAINABLE AND EFFECTIVE IN SERVING THE NEEDS OF THE COMMUNITY. 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 AVAILABLE BY POSTING IT ON THEIR WEBPAGE INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY 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. PART VI, LINE 4: MAYO CLINIC 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 144,248 RESIDENTS IN 60,495 HOUSING UNITS ACCORDING TO THE 2010 CENSUS. FOURTEEN PERCENT OF THESE RESIDENTS ARE NONWHITE AND 74% LIVE WITHIN THE CITY OF ROCHESTER. THE MAJORITY OF MAYO CLINIC PATIENTS COME FROM A 150 MILE RADIUS OF ROCHESTER MINNESOTA HOWEVER OVER 50% OF MAYO CLINIC PATIENTS COME FROM OUTSIDE THE STATE OF MINNESOTA, COMING FROM ALL 50 STATES AND NEARLY 135 FOREIGN COUNTRIES. ALTHOUGH IT SERVES A WIDE RANGE OF HEALTH CARE NEEDS INCLUDING PRIMARY AND COMMUNITY CARE, MAYO CLINIC IS ESPECIALLY FOCUSED IN PROVIDING TERTIARY CARE AND SPECIALTY TREATMENT OF THE MORE UNUSUAL AND DIFFICULT MEDICAL CASES. PART VI, LINE 5: 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 BODYTHE 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, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. THE PATIENTS OF THE FILING ORGANIZATION HAVE ACCESS TO AN EMERGENCY ROOM OPERATED BY A RELATED ENTITY ADJACENT TO OR IN CLOSE PROXIMITY TO THE FILING ORGANIZATION. PART VI, LINE 6: MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE IN THE WORLD, BRINGING 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". TO ACCOMPLISH ITS MISSION, MAYO CLINIC IS PART OF A MULTI-ENTITY ORGANIZATIONAL STRUCTURE CONSISTING OF HOSPITALS, CLINICS, HEALTH CARE PROVIDERS AND OTHER ENTITIES PROVIDING HEALTH CARE RELATED SERVICES AND KNOWLEDGE DELIVERY TO THE PUBLIC THROUGHOUT THE WORLD. MAYO CLINIC WORKS COLLABORATIVELY WITH ITS AFFILIATED HOSPITALS (MAYO CLINIC - SAINT MARYS HOSPITAL AND MAYO CLINIC - METHODIST HOSPITAL) IN ROCHESTER, MN TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. MAYO CLINIC IS ALSO THE SOLE MEMBER OF MAYO CLINIC ARIZONA AND MAYO CLINIC JACKSONVILLE WHICH PROVIDE SERVICES TO PATIENTS IN THE SOUTHWEST AND SOUTHEAST REGIONS OF THE US. IN THE MIDWEST, MAYO CLINIC HEALTH SYSTEM SERVES OVER 70 COMMUNITIES IN MINNESOTA, WISCONSIN AND IOWA THROUGH A NETWORK OF COMMUNITY-BASED PHYSICIANS TO PROVIDE QUALITY HEALTH CARE CLOSE TO HOME BUT SUPPORTED BY THE HIGHLY SPECIALIZED EXPERTISE AND RESOURCES OF MAYO CLINIC. UTILIZING COMMON GOVERNANCE AND SHARED SYSTEMS, POLICIES AND PROCEDURES WHENEVER POSSIBLE, MAYO CLINIC STRIVES TO PROVIDE CONSISTENT, HIGH QUALITY HEALTH CARE SERVICES AND KNOWLEDGE DELIVERY REGARDLESS OF WHERE AND HOW THESE ARE PROVIDED. A 31-MEMBER BOARD OF TRUSTEES COMPOSED OF A MAJORITY OF PUBLIC MEMBERS ALONG WITH MAYO CLINIC PHYSICIANS AND ADMINISTRATORS ENSURE THE ENTIRE ORGANIZATION REMAINS TRUE TO ITS MISSION AND CULTURE OF PROMOTING THE COMMON GOOD BY PROVIDING FOR THE HEALTH CARE NEEDS OF THE PUBLIC RATHER THAN FOR PRIVATE BENEFIT. 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." MORE THAN 3,800 STAFF PHYSICIANS AND SCIENTISTS, 3,600 RESIDENTS, FELLOWS, AND STUDENTS, AND 50,900 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, AND IOWA. COLLECTIVELY, MORE THAN HALF A MILLION PEOPLE ARE TREATED EACH YEAR.IN ADDITION TO PROVIDING HEALTH CARE SERVICES TO PATIENTS LOCALLY, REGIONALLY, NATIONALLY AND INTERNATIONALLY, ALL MAYO CLINIC LOCATIONS ENGAGE IN COMMUNITY OUTREACH ACTIVITIES TO IMPROVE COMMUNITY HEALTH AND RESPOND TO LOCAL COMMUNITY NEEDS.FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4B (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 ON THE MINNESOTA HOSPITAL ANNUAL REPORT OR TO THE WISCONSIN HOSPITAL ASSOCIATION. 1 ADVOCATE HEALTH AND HOSPITALS CORPORATION DBA ADVOCATE S SUBURBAN HOSP 2025 WINDSOR DR OAK BROOK IL 60523 362169147 501(C)(3) 13200 SUPPORT RESEARCH PROGRAM AGILEX TECHNOLOGIES INC 5155 PARKSTONE DR CHANTILLY VA 20151 205967657 195512 SUPPORT RESEARCH PROGRAM AGNESIAN HEALTHCARE INC DBA FON DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC WI 54935 390807236 501(C)(3) 10400 SUPPORT RESEARCH PROGRAM ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 400 AMBASSADOR DR ANCHORAGE AK 99508 920162721 501(C)(3) 293270 SUPPORT RESEARCH PROGRAM ALTRU CANCER CENTER 960 SOUTH COLUMBIA RD GRAND FORKS ND 58206 450368330 501(C)(3) 75730 SUPPORT RESEARCH PROGRAM AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501(C)(3) 25000 SUPPORT CHARITABLE PROGRAMS AMERICAN INDIAN CANCER FOUNDATION 800 IDS CENTER 80 SOUTH 8TH ST MINNEAPOLIS MN 55402 270300026 501(C)(3) 5000 SUPPORT RESEARCH PROGRAM ARBOR RESEARCH COLLABORATIVE FOR HEALTH 315 W HURON ST STE 360 ANN ARBOR MI 48103 383289521 501(C)(3) 29885 SUPPORT RESEARCH PROGRAM ARIZONA STATE UNIVERSITY PO BOX 875812 TEMPE AZ 852875812 860196696 STATE OF AZ 184061 SUPPORT RESEARCH PROGRAM ATLANTA REGIONAL CCOPST JOSEPHS HOSPITAL 5665 PEACHTREE DUNWOODY RD NE ATLANTA GA 30342 580566257 501(C)(3) 5500 SUPPORT RESEARCH PROGRAM BASSETT MEDICAL CENTER ONE ATWELL RD COOPERSTOWN NY 13326 135596796 501(C)(3) 6000 SUPPORT RESEARCH PROGRAM BAYLOR COLLEGE OF MEDICINE PO BOX 4708 HOUSTON TX 772104708 741613878 501(C)(3) 678137 SUPPORT RESEARCH PROGRAM BAYLOR RESEARCH INSTITUTE OF METABOLIC DISEASE 3812 ELM STREET DALLAS TX 75226 751921898 501(C)(3) 126561 SUPPORT RESEARCH PROGRAM BE THE MATCH FOUNDATION 3001 BROADWAY STREET NE NO 601 MINNEAPOLIS MN 554131753 411704734 501(C)(3) 10000 SUPPORT CHARITABLE PROGRAMS BEAUFORT COUNTY HOSPITAL 628 E 12TH ST WASHINGTON NC 27889 560675676 501(C)(3) 7200 SUPPORT RESEARCH PROGRAM BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE WA 981012795 910653422 501(C)(3) 347188 SUPPORT RESEARCH PROGRAM BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 666000763 501(C)(3) 122393 SUPPORT RESEARCH PROGRAM BIOLOGICS INC 120 WESTON OAKS CT CARY NC 27513 561861614 9500 SUPPORT RESEARCH PROGRAM BLACK DATA PROCESSING ASSOCIATION SE MN CHAPTER 423 MANOR BROOK LANE NW ROCHESTER MN 55901 411929150 501(C)(3) 25000 SUPPORT CHARITABLE PROGRAMS BOCA RATON REGIONAL HOSPITAL INC 800 MEADOWS RD BOCA RATON FL 33486 591006663 501(C)(3) 7200 SUPPORT RESEARCH PROGRAM BOLDER OPTIONS 2100 STEVENS AVE S MINNEAPOLIS MN 55404 411909480 501(C)(3) 15000 SUPPORT CHARITABLE PROGRAMS BOYS AND GIRLS CLUB OF ROCHESTER 1026 EAST CENTER STREET ROCHESTER MN 55904 411945875 501(C)(3) 201375 SUPPORT CHARITABLE PROGRAMS BRIDGEPORT HOSPITAL 267 GRANT ST BRIDGEPORT CT 06610 060646554 501(C)(3) 40329 SUPPORT RESEARCH PROGRAM BRIGHAM AND WOMENS HOSPITAL INC 75 FRANCIS ST BOSTON MA 02115 042312909 501(C)(3) 225035 SUPPORT RESEARCH PROGRAM CAMP VICTORY MINISTRIES INC 58212 403RD AVE ZUMBRO FALLS MN 55991 311710184 501(C)(3) 10000 SUPPORT CHARITABLE PROGRAMS CANCER CENTER OF KANSAS PA PO BOX 1458 WICHITA KS 672011458 481181579 121422 SUPPORT RESEARCH PROGRAM CANCER RESEARCH FOR THE OZARKS 1730 E REPUBLIC RD STE V SPRINGFIELD MO 65804 431908796 15330 SUPPORT RESEARCH PROGRAM CARL T HAYDEN MEDICAL RESEARCH FOUNDATION 650 E INDIAN SCHOOL RD RS151B PHOENIX AZ 85012 860907729 501(C)(3) 9044 SUPPORT RESEARCH PROGRAM CARLE CANCER CENTER 602 W UNIVERSITY AVE URBANA IL 618012594 371188284 24290 SUPPORT RESEARCH PROGRAM CARNEGIE INSTITUTION OF WASHINGTON 1530 P STREET NW WASHINGTON DC 20005 530196523 501(C)(3) 9047 SUPPORT RESEARCH PROGRAM CASE 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RESEARCH PROGRAM THE RESEARCH FOUNDATION OF STATE UNIVERSITY OF NEW YORK 750 E ADAMS ST SYRACUSE NY 13210 141368361 501(C)(3) 60983 SUPPORT RESEARCH PROGRAM THE SPARTANBURG REGIONAL HEALTHCARE SYSTEM FOUNDATION PO BOX 8040 SPARTANBURG SC 29305 570937166 501(C)(3) 8234 SUPPORT RESEARCH PROGRAM THE SUQUAMISH TRIBE PO BOX 767 SUQUAMISH WA 983920617 910854725 10000 SUPPORT RESEARCH PROGRAM TOLEDO COMMUNITY HOSPITAL ONCOLOGY PROGRAM 3232 CENTRAL PARK WEST SUITE C TOLEDO OH 43617 341434759 501(C)(3) 52771 SUPPORT RESEARCH PROGRAM TREASURER VIRGINIA TECH CE 702 UNIVERSITY CITY BLVD VIRGINIA TECH MAIL CODE 0272 BLACKSBURG VA 24061 546001805 STATE OF VA 98373 SUPPORT RESEARCH PROGRAM TRINITY HEALTH MICHIGAN DBA ST JOSEPH MERCY PORT HURON 2601 ELECTRIC AVE PORT HURAN MI 48060 382113393 501(C)(3) 51594 SUPPORT RESEARCH PROGRAM TRUSTEES OF DARTMOUTH COLLEGE 37 DEWEY FIELD RD STE 6163 HANOVER NH 03755 020222111 501(C)(3) 398837 SUPPORT RESEARCH PROGRAM TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3620 LOCUST WALK SUITE 1100 SH-DH PHILADELPHIA PA 191046302 231352685 501(C)(3) 385955 SUPPORT RESEARCH PROGRAM TRUVEN HEALTH ANALYTICS INC 777 E EISENHOWER PARKWAY ANN ARBOR MI 48108 061467923 76302 SUPPORT RESEARCH PROGRAM U OF MASS MED SCHOOL 55 LAKE AVE NORTH WORCESTER MA 01655 043167352 STATE OF MA 26757 SUPPORT RESEARCH PROGRAM UC REGENTS UNIV OF CALIFORNIA-SD - CME 9500 GILMAN DR MC 0617 LA JOLLA CA 920930617 956006144 STATE OF CA 409518 SUPPORT RESEARCH PROGRAM UC REGENTSBIOCHEMICAL GENETIC DEPT OF PEDIATRICS 0830 9500 GILMAN DRIVE LA JOLLA CA 920930830 330833316 STATE OF CA 140022 SUPPORT RESEARCH PROGRAM UNITED WAY OF OLMSTED COUNTY INC 903 WEST CENTER STREET ROCHESTER MN 55902 410695594 501(C)(3) 416000 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF ALABAMA AT BIRMINGHAM 1665 UNIVERSITY BLVD STE 327 BIRMINGHAM AL 352940022 636005396 STATE OF AL 460592 SUPPORT RESEARCH PROGRAM UNIVERSITY OF ARIZONA PO BOX 3520 TUCSON AZ 857223520 742652689 501(C)(3) 41111 SUPPORT RESEARCH PROGRAM UNIVERSITY OF CHICAGO 5747 S ELLIS AVE 122 CHICAGO IL 606371043 362177139 501(C)(3) 9500 SUPPORT RESEARCH PROGRAM UNIVERSITY OF CINCINNATI 51 GOODMAN DR CINCINNATI OH 452210333 316000989 STATE OF OH 37029 SUPPORT RESEARCH PROGRAM UNIVERSITY OF FLORIDA PO BOX 113001 GAINESVILLE FL 326113001 596002052 STATE OF FL 30567 SUPPORT RESEARCH PROGRAM UNIVERSITY OF HAWAII AT HILO CONFERENCE CENTER 200 WEST KAWILI ST HILO HI 967244091 996000354 STATE OF HI 57600 SUPPORT RESEARCH PROGRAM UNIVERSITY OF IOWA 105 JESSUP HALL IOWA CITY IA 52242 426004813 STATE OF IA 65000 SUPPORT RESEARCH PROGRAM UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE INC 3901 RAINBOW BLVD MALL STOP 1039 KANSAS CITY MO 66160 481108830 501(C)(3) 339660 SUPPORT RESEARCH PROGRAM UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC 529 S JACKSON ST LOUISVILLE KY 40202 611029626 501(C)(3) 16909 SUPPORT RESEARCH PROGRAM UNIVERSITY OF MARYLAND 655 W BALTIMORE ST BALTIMORE MD 21201 526002033 STATE OF MD 7322 SUPPORT RESEARCH PROGRAM UNIVERSITY OF MEMPHIS 807 JEFFERSON AVE MEMPHIS TN 38105 620648618 22754 SUPPORT RESEARCH PROGRAM UNIVERSITY OF MICHIGAN MEDICAL SCHOOLOFFICE OF CME G12000 TOWSLEY CENTER BOX 0201 1500 E MEDICAL CENTER DR ANN ARBOR MI 481090201 386006309 STATE OF MI 529487 SUPPORT RESEARCH PROGRAM UNIVERSITY OF MISSOURI KANSAS CITY 224 ADMINISTRATIVE CENTER 5100 ROCKHILL RD KANSAS CITY MO 641102499 436003859 STATE OF MO 9000 SUPPORT RESEARCH PROGRAM UNIVERSITY OF NEBRASKA DBA UNIV OF NEBRASKA MEDICAL CENTER 986800 NEBRASKA MEDICAL CENTER OMAHA NE 681985050 470049123 STATE OF NE 38368 SUPPORT RESEARCH PROGRAM UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL DBA UNC CENTER FOR HEART & VASC 104 AIRPORT DR CAMPUS BOX 1220 CHAPEL HILL NC 275991220 566001393 501(C)(3) 38433 SUPPORT RESEARCH PROGRAM UNIVERSITY OF NORTH TEXAS PO BOX 305010 DENTON TX 79430 756002149 STATE OF TX 23516 SUPPORT RESEARCH PROGRAM UNIVERSITY OF PITTSBURGH 4200 5TH AVE PITTSBURGH PA 15260 250965591 501(C)(3) 119161 SUPPORT RESEARCH PROGRAM UNIVERSITY OF TEXAS 5323 HARRY HINES BLVD DALLAS TX 753908573 756002868 STATE OF TX 160069 SUPPORT RESEARCH PROGRAM UNIVERSITY OF TEXAS DEPARTMENT OF ANATOMY & NEUROSCIENCE 301 UNIVERSITY BLVD GALVESTON TX 775550144 746000949 STATE OF TX 16292 SUPPORT RESEARCH PROGRAM UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER-HOUSTON 6431 FANNIN ST STE 6168 HOUSTON TX 77030 741761309 501(C)(3) 16599 SUPPORT RESEARCH PROGRAM UNIVERSITY OF UTAH 110 S FORT DOUGLAS BLVD SALT LAKE CITY UT 84113 876000525 STATE OF UT 67890 SUPPORT RESEARCH PROGRAM UNIVERSITY OF VERMONT 128 LAKESIDE AVE SUITE 100 BURLINGTON VT 05401 030179440 STATE OF VT 311777 SUPPORT RESEARCH PROGRAM UNIVERSITY OF WISCONSIN -LA CROSSE HSC BUILDING 1725 STATE STREET LACROSSE WI 54601 391805963 STATE OF WI 88873 SUPPORT RESEARCH PROGRAM UNIVERSITY OF WISCONSIN MEDICAL SCHOOL 600 HIGHLAND AVE MADISON WI 53792 396006492 STATE OF WI 336910 SUPPORT RESEARCH PROGRAM UT MD ANDERSON CANCER CENTER DEPT OF CMECONFERENCE SERVICE UNIT 1381 PO 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RESEARCH PROGRAM ZUMBRO VALLEY MENTAL HEALTH CENTER INC 343 WOOD LAKE DR SE ROCHESTER MN 55904 416052022 501(C)(3) 80000 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF PUERTO RICO PO BOX 365067 SAN JUAN PR 009365067 660433762 TERRITORY OF US 16547 SUPPORT RESEARCH PROGRAM ROCHESTER DOWNTOWN ALLIANCE FOUNDATION 220 S BROADWAY STE 100 ROCHESTER MN 55904 261845537 501(C)(3) 75000 SUPPORT CHARITABLE PROGRAMS ROCHESTER AREA CHAMBER OF COMMERCE 220 S BROADWAY STE 100 ROCHESTER MN 55904 410506950 501(C)(3) 113100 SUPPORT CHARITABLE PROGRAMS 258 42 MAYO COLLEGE OF MEDICINE SCHOLARSHIPS 150 3657165 RESEARCH GRANTS 2 46588 FINANCIAL HARDSHIP 25 60149 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: AS A PRIVATE TRUST FOR THE PUBLIC GOOD, MAYO IS DEDICATED TO GIVING BACK TO THE COMMUNITIES IN WHICH ITS EMPLOYEES LIVE AND WORK. MAYO INVESTS RESOURCES RESPONSIBLY TO PRODUCE THE BEST OUTCOMES FOR PATIENT CARE, EDUCATION, RESEARCH, COMMUNITY ENRICHMENT AND SUSTAINABILITY. GRANT APPLICATIONS ARE REVIEWED AND PRIORITIZED IN HOW THEY: - ADDRESS SIGNIFICANT AND EMERGENT COMMUNITY NEEDS - ALIGN WITH MAYO'S MISSION - IMPROVE HEALTH OF INDIVIDUALS IN THE COMMUNITY - DEMONSTRATE PARTNERSHIP AND COLLABORATION BUILDING - ENABLE LONG TERM CAPACITY BUILDING AND SUSTAINABILITY MONITORING OF GRANTS GIVEN IS DEPENDENT ON TYPE. LARGER MULTI-YEAR AND CAPITAL GRANTS ARE MONITORED FOR ACHIEVEMENT OF STATED GOALS WITHIN THE GRANT AGREEMENT. SINGLE-YEAR OPERATIONAL AND PROGRAMMATIC GRANTS ARE NOT MONITORED AFTER THE FUNDS HAVE BEEN DISBURSED; HOWEVER, ADDITIONAL FUNDING REQUESTS ARE CONSIDERED BASED ON USE AND OUTCOMES OF PREVIOUSLY AWARDED GRANTS. MAYO CLINIC'S SCHOOLS OFFER BOTH MERIT-BASED AND NEEDS-BASED SCHOLARSHIPS AND GRANTS THAT ARE CONTINGENT UPON ON-GOING SATISFACTORY ACADEMIC PROGRESS. TRANSFERS OR GRANTS TO 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. CAPITAL CONTRIBUTIONS TO AFFILIATED TAX EXEMPT ORGANIZATIONS WILL ALSO BE APPROVED BY THE GOVERNING BODY AND NOTED IN BOARD MINUTES. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY MAYO AS PRESCRIBED IN OMB CIRCULAR A-133. MAYO PROVIDES SHORT-TERM FINANCIAL ASSISTANCE TO EMPLOYEES EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. X X X X 1 1 X X X X X 0 1 1 0 0 0 0 0 0 BOLTON JEFFREY W 0 693020 0 0 0 84757 0 37595 0 21762 0 837134 0 0 BRIGHAM ROBERT F 0 457288 0 0 0 59328 0 246 0 23849 0 540711 0 0 BUSKIRK MD STEVEN J 0 499515 0 0 0 76563 0 37484 0 14840 0 628402 0 0 DECKER MD WYATT W 0 660036 0 0 0 79652 0 27185 0 20336 0 787209 0 0 GORMAN MD R SCOTT 0 319788 0 0 0 41926 0 45525 0 10691 0 417930 0 0 LEVENTHAL MD JACK P 0 344891 0 0 0 47946 0 47946 0 16890 0 457673 0 0 RUPP MD WILLIAM C 0 765942 0 0 0 149413 0 154 0 11451 0 926960 0 0 EHMAN MD RICHARD L 551058 0 0 0 90381 0 41823 0 20604 0 703866 0 0 0 MILLINER MD DAWN S 397826 0 0 0 46644 0 21 0 2064 0 446555 0 0 0 NESSE MD ROBERT E 593641 0 0 0 94500 0 0 0 17263 1420 705404 1420 0 0 NOSEWORTHY MD JOHN H 0 1400539 0 0 0 291790 0 40843 0 15027 0 1748199 0 0 OLSEN MD KERRY D 451333 0 0 0 102557 0 44 0 14583 0 568517 0 0 0 ROGER MD VERONIQUE L 502511 0 0 0 83293 0 35057 0 5204 0 626065 0 0 0 WEIS SHIRLEY A 0 820314 0 0 0 151291 0 44546 0 14477 0 1030628 0 0 FRANCIS JAMES R 0 311297 0 0 0 15050 0 34432 0 24092 0 384871 0 0 BROWN WILLIAM A 0 208775 0 0 0 1597 0 35696 0 21229 0 267297 0 0 FROISLAND JEFFREY R 0 257441 0 0 0 1196 0 26083 0 12720 0 297440 0 0 HOFFMAN MARY J 0 273136 0 0 0 6550 0 32745 0 28431 0 340862 0 0 HUBERT SHERRY L 0 240635 0 0 0 654 0 27239 0 21937 0 290465 0 0 OVIATT JONATHAN J 0 486490 0 0 0 69288 0 39892 0 22664 0 618334 0 0 THOMAS GREGORY J 0 397937 0 0 0 64391 0 89 0 9070 0 471487 0 0 GORMAN PAUL A 359871 0 176203 0 60345 0 330331 0 26153 0 952903 0 176203 0 HAEFLINGER RICKY J 176269 0 42989 0 1091 0 199500 0 17586 0 437435 0 42989 0 HOFFMAN III HARRY N 540934 0 262990 0 155172 0 486975 0 28379 0 1474450 0 262990 0 SCHMIDT BRADLEY D 317508 0 0 0 20420 0 35672 0 15571 0 389171 0 0 0 BERRY MD DANIEL J 548597 0 0 0 82824 0 31698 0 20605 0 683724 0 0 0 CAMILLERI MD MICHAEL 487881 0 3923 0 83778 0 40658 0 23484 0 639724 0 0 0 CASCINO MD TERRANCE L 387950 0 0 0 88778 0 22691 0 21704 0 521123 0 0 0 COCKERILL MD FRANKLIN R 473212 0 0 0 55716 0 40381 0 22104 0 591413 0 0 0 DESCHAMPS MD CLAUDE 517039 0 0 0 78491 0 37888 0 20604 0 654022 0 0 0 DIASIO MD ROBERT B 506354 0 0 0 81557 0 154 0 15639 0 603704 0 0 0 FOOTE MD ROBERT L 504039 0 0 0 74320 0 32754 0 22917 0 634030 0 0 0 GERTZ MD MORIE A 484083 0 0 0 71627 0 20822 0 14484 0 591016 0 0 0 HARPER JR MD CHARLES M 654846 0 0 0 104487 0 39557 0 20987 0 819877 0 0 0 HAYES MD DAVID L 453892 0 0 0 142413 0 19707 0 22911 0 638923 0 0 0 KING MD BERNARD F 620998 0 0 0 107311 0 39772 0 16824 0 784905 0 0 0 LA RUSSO MD NICHOLAS F 568961 0 0 0 102106 0 0 0 8244 0 679311 0 0 0 NARR MD BRADLY J 460848 0 0 0 61814 0 37484 0 23163 0 583309 0 0 0 NICHOLS III MD FRANCIS C 470808 0 0 0 55361 0 32773 0 30374 0 589316 0 0 0 RIZZA MD ROBERT A 565468 0 0 0 96398 0 0 0 15500 0 677366 0 0 0 ROCK MD MICHAEL G 554737 0 0 0 88941 0 47784 0 14424 0 705886 0 0 0 SAWYER NAN B 371461 0 0 0 32637 0 37719 0 9744 0 451561 0 0 0 SWENSEN MD STEPHEN J 568766 0 0 0 125539 0 35594 0 24830 0 754729 0 0 0 WALD MD JOHN T 546058 0 0 0 63414 0 29680 0 24579 0 663731 0 0 0 WARNER MD MARK A 496698 0 1000 0 82076 0 39250 0 14664 0 633688 0 0 0 PICHELMANN MD MARK A 394505 290839 0 0 28356 107307 9475 8922 11571 9147 443907 416215 0 0 ATKINSON MD JOHN LD 683135 0 0 0 121908 0 0 0 20604 0 825647 0 0 0 DEARANI MD JOSEPH A 693751 0 0 0 84906 0 29741 0 25704 0 834102 0 0 0 MARSH MD W RICHARD 684275 0 0 0 126053 0 20276 0 14669 0 845273 0 0 0 MEYER MD FREDRIC B 696635 0 0 0 126365 0 37551 0 29830 0 890381 0 0 0 TRASTEK MD VICTOR F 0 720852 0 0 0 146855 0 43418 0 17305 0 928430 0 0 FORBES MD GLENN S 74397 0 0 0 146800 0 0 0 1803 0 223000 0 0 0 SCHWENK MD NINA M 274672 0 0 0 9494 0 41734 0 8862 0 334762 0 0 0 GROSSET JESSICA A 0 266981 0 0 0 7423 0 67 0 23604 0 298075 0 0 BROWN JR MD ROBERT D 296023 0 0 0 15282 0 28904 0 15955 0 356164 0 0 0 EDWARDS MD BROOKS S 394110 0 0 0 53967 0 29845 0 31042 0 508964 0 0 0 ERLICHMAN MD CHARLES 350019 0 0 0 51901 0 47784 0 9931 0 459635 0 0 0 FARRUGIA MD GIANRICO 460193 0 0 0 43774 0 25461 0 26573 0 556001 0 0 0 GORES MD GREGORY J 432833 0 0 0 54739 0 37431 0 18918 0 543921 0 0 0 GOSTOUT MD BOBBIE S 492616 0 0 0 69700 0 38449 0 2753 0 603518 0 0 0 HORLOCKER MD TERESE T 415231 0 0 0 47599 0 33099 0 20604 0 516533 0 0 0 SCHNEIDER KENNETH J 276526 0 0 0 9008 0 245 0 14424 0 300203 0 0 0 SIMMONS MD PATRICIA S 335852 0 0 0 19763 0 48101 0 14424 0 418140 0 0 0 SMOLDT CRAIG A 372168 0 0 0 47756 0 0 0 8244 0 428168 0 0 0 WOOD MD DOUGLAS L 427155 0 0 0 193442 0 45223 0 22327 0 688147 0 0 0 PART I, LINE 1A TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS. IN 2012, SEVERAL TRUSTEES RECEIVED SPOUSAL TRAVEL, WHICH WAS TREATED AS TAXABLE INCOME TO THE TRUSTEE. IN ADDITION, SEVERAL LISTED PERSONS ALSO RECEIVED TRAVEL FOR COMPANIONS SO THAT SPOUSES COULD ACCOMPANY THEM TO FUNDRAISING FUNCTIONS, THIS TOO WAS TREATED AS TAXABLE INCOME TO THE LISTED PERSONS. EXTERNAL TRUSTEES MAY BE REIMBURSED FOR TRAVEL EXPENSES. THE FILING ORGANIZATION REIMBURSES TRUSTEES FOR ACTUAL TRAVEL EXPENSES UP TO THE MAXIMUM COST OF FIRST CLASS TRAVEL. DURING A REVIEW OF SOME COMPENSATION ITEMS, IT WAS REALIZED THAT SOME SMALL AMOUNTS OF REIMBURSED EXPENSES ESCAPED TAXATION IN PRIOR YEARS. THE CORRECTIONS WERE MADE IN 2012 AND PAYMENTS OF THE TAX IMPACT WERE TREATED AS TAXABLE COMPENSATION. THE FOLLOWING INDIVIDUALS WERE IMPACTED: BROWN JR., M.D., ROBERT D. CAMILLERI M.D., MICHAEL DESCHAMPS M.D., CLAUDE FORBES M.D., GLENN S. NESSE M.D., ROBERT E. OLSEN M.D., KERRY D. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT ARE AVAILABLE TO ALL VOTING STAFF OF MAYO CLINIC. 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. THE SUBMISSION OF A RECEIPT IS REQUIRED UNLESS THE BENEFIT IS PAID DIRECTLY TO THE VENDOR. ONE OF THE LISTED PERSONS RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN SUCH AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. EXTERNAL TRUSTEES RECEIVE A SUPPLEMENTAL MEDICAL BENEFIT WHICH, ALONG WITH A PAYMENT TO COVER RELATED TAXES, IS TREATED AS TAXABLE COMPENSATION. PART I, LINES 4B-C 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 RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ATKINSON M.D., JOHN L.D. 117,204 BERRY M.D., DANIEL J. 80,215 BOLTON, JEFFREY W. 80,495 BRIGHAM, ROBERT F. 55,113 BROWN JR., M.D., ROBERT D. 10,989 BUSKIRK M.D., STEVEN J. 71,314 CAMILLERI M.D., MICHAEL 68,546 CASCINO M.D., TERRANCE L. 50,702 COCKERILL M.D., FRANKLIN R. 49,291 DEARANI M.D., JOSEPH A. 82,389 DECKER M.D., WYATT W. 70,148 DESCHAMPS M.D., CLAUDE 74,211 DIASIO M.D., ROBERT B. 71,177 EDWARDS M.D., BROOKS S. 50,902 EHMAN M.D., RICHARD L. 83,284 ERLICHMAN M.D., CHARLES 32,469 FARRUGIA M.D., GIANRICO 42,089 FOOTE M.D., ROBERT L. 70,614 FORBES M.D., GLENN S. 132,843 FRANCIS, JAMES R. 12,794 FROISLAND, JEFFREY R. 463 GERTZ M.D., MORIE A. 64,669 GORES M.D., GREGORY J. 51,466 GORMAN M.D., R. SCOTT 30,639 GORMAN, PAUL A. 59,017 GOSTOUT M.D., BOBBIE S. 66,080 GROSSET, JESSICA A. 4,163 HARPER JR., M.D., CHARLES M. 89,902 HAYES M.D., DAVID L. 68,799 HOFFMAN III, HARRY N. 151,234 HOFFMAN, MARY J. 5,541 HORLOCKER M.D., TERESE T. 46,076 KING M.D., BERNARD F. 102,884 LA RUSSO M.D., NICHOLAS F. 88,846 LEVENTHAL M.D., JACK P. 30,078 MARSH M.D., W. RICHARD 117,169 MEYER M.D., FREDRIC B. 121,369 MILLINER M.D., DAWN S. 41,408 NARR M.D., BRADLY J. 58,382 NESSE M.D., ROBERT E. 85,127 NICHOLS III, M.D., FRANCIS C. 48,308 NOSEWORTHY M.D., JOHN H. 271,361 OLSEN M.D., KERRY D. 64,626 OVIATT, JONATHAN J. 65,197 PICHELMANN M.D., MARK A. 27,287 RIZZA M.D., ROBERT A. 84,215 ROCK M.D., MICHAEL G. 81,615 ROGER M.D., VERONIQUE L. 74,701 RUPP M.D., WILLIAM C. 133,241 SAWYER, NAN B. 29,745 SCHMIDT, BRADLEY D. 18,459 SCHNEIDER, KENNETH J. 7,302 SCHWENK M.D., NINA M. 7,452 SIMMONS M.D., PATRICIA S. 13,149 SMOLDT, CRAIG A. 33,035 SWENSEN M.D., STEPHEN J. 91,253 THOMAS, GREGORY J. 39,049 TRASTEK M.D., VICTOR F. 133,194 WALD M.D., JOHN T. 61,413 WARNER M.D., MARK A. 62,316 WEIS, SHIRLEY A. 145,708 WOOD M.D., DOUGLAS L. 79,606 RICHARD EHMAN, M.D. RECEIVED STOCK AS A RESULT OF MAYOS ROYALTY SHARING PLAN THAT HAD A FAIR MARKET VALUE OF $398,760. SUPPLEMENTAL INFORMATION PART III COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. 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. A CITY OF ROCHESTER 416005494 771902EY5 2006-05-11 76567052 CONSTRUCTION & ACQUISITION 0 0 0 B CITY OF ROCHESTER 416005494 771902FE8 2008-04-10 330000000 CONSTRUCTION & ACQUISITION 0 0 0 C CITY OF ROCHESTER 416005494 771902GA5 2011-05-05 293208150 REFUND BONDS ORIGINALLY ISSUED 7/16/92 & 9/27/01 0 0 0 D CITY OF ROCHESTER 416005494 771902GD9 2012-04-04 192662250 TO FINANCE ACQUISITION & CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 A 80683218 5666177 538346 74478695 2008 0 0 1 1 B 325948187 8864264 2230808 87603115 227250000 2010 1 0 1 1 C 293208150 2088829 291119321 1 0 1 1 D 194830108 4949479 1523766 128966826 59390036 0 0 0 1 A 0 0 1 0 1 0 0.00190 0.00040 0.00230 0 0 1 B 0 0 1 0 1 0 0.00080 0.00240 0.00320 0 0 1 D 0 0 1 0 1 0 0.00000 0.00010 0.00010 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3 THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUE A IS INVESTMENT EARNINGS. THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUE B IS INVESTMENT LOSS. THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUE D IS INVESTMENT EARNINGS. PART IV 2C COLUMN A CALCULATION PERFORMED JANUARY 4, 2011. SCHEDULE K, PART II, LINE 11, COLUMN B OTHER SPENT PROCEEDS 44800 MERIT SCHOLARSHIPS EDUCATIONAL 3M COMMON BOARD MEMBERS 238499 CONSULTING, PURCHASED PRODUCTS AND SERVICES 0 APOLLO GROUP COMMON BOARD MEMBERS 15000 PURCHASED SERVICES 0 BARRETTE MD BRIGITTE A SPOUSE OF KEY EMPLOYEE C. DESCHAMPS, M.D. 241925 EMPLOYMENT 0 BOIS MD JOHN P SON IN LAW OF BOARD MEMBER S. BUSKIRK, M.D. 64564 EMPLOYMENT 0 BOIS MD MELANIE C DAUGHTER OF BOARD MEMBER S. BUSKIRK, M.D. 24611 EMPLOYMENT 0 CAPSTONE THERAPEUTICS COMMON BOARD MEMBERS 30000 CONSULTING 0 CARDIOVASCULAR SYSTEMS INC OWNER IS SPOUSE OF MARILYN CARLSON NELSON 59190 PURCHASED SERVICES 0 CARLSON WAGONLIT BV ENTITY MORE THAN 35% OWNED BY MARILYN CARLSON NELSON 23303 SERVICES 0 COUNTRY INN AND SUITES BY CARLSON SUBSIDIARY OF ENTITY MORE THAN 35% OWNED BY MARILYN CARLSON NELSON 54926 PURCHASED SERVICES 0 ENRIQUEZ-SARANO MD MAURICE E SPOUSE OF BOARD MEMBER V. ROGER, M.D. 533496 EMPLOYMENT 0 FEDERAL EXPRESS COMMON BOARD MEMBERS 900847 SHIPPING & CONSULTING 0 FOOTE ROBERT TYLER SON OF KEY EMPLOYEE R. FOOTE, M.D. 68546 EMPLOYMENT 0 GABRIEL MD SHERINE E SPOUSE OF KEY EMPLOYEE F. COCKERILL, M.D. 320301 EMPLOYMENT 0 GENERAL MILLS COMMON BOARD MEMBERS 79800 RESEARCH AGREEMENT/GRANT AND CONSORTIUM 0 GERTZ JAIMEE B DAUGHTER OF KEY EMPLOYEE M. GERTZ, M.D. 69201 EMPLOYMENT 0 GOSTOUT MD CHRISTOPHER J SPOUSE OF FORMER KEY EMPLOYEE B. GOSTOUT, M.D. 531012 EMPLOYMENT 0 HAYES MD SHARONNE N SPOUSE OF KEY EMPLOYEE D. HAYES, M.D. 449063 EMPLOYMENT 0 HOUSTON MD MARGARET S SPOUSE OF BOARD MEMBER R. EHMAN, M.D. 135260 EMPLOYMENT 0 INCISIVE SURGICAL INC COMMON BOARD MEMBERS 11381 PURCHASED SERVICES 0 INSPIRE MEDICAL SYSTEMS LLC COMMON BOARD MEMBERS 12500 CONSULTING CONTRACT 0 MAYO COLLABORATIVE SERVICES INC COMMON BOARD MEMBERS 499299322 SERVICES,RENT AND ACQUISTION OF ASSETS 0 MAYO HOLDING COMPANY COMMON BOARD MEMBERS 191824611 SERVICES, RENT AND DIVIDEND 0 MAYO MEDICAL LABORATORIES NEW ENGLAND INC COMMON BOARD MEMBERS 2896396 SERVICES 0 MERCK & CO COMMON BOARD MEMBERS 12284004 SPONSORED RESEARCH, PURCHASED SERVICES AND CONSULTING 0 MILLINER MD ERIC K SPOUSE OF BOARD MEMBER D. MILLINER, M.D. 244249 EMPLOYMENT 0 MMSI INC COMMON BOARD MEMBERS 268715669 SERVICES AND RENT 0 NXTHERA COMMON BOARD MEMBERS 67491 SPONSORED RESEARCH 0 OLSEN MD DAVID A SON OF BOARD MEMBER K. OLSEN, M.D. 68254 EMPLOYMENT 0 OLSEN MD MOLLY M DAUGHTER-IN-LAW OF BOARD MEMBER K. OLSEN, M.D. 68829 EMPLOYMENT 0 OLSEN MD STEVEN M SON OF BOARD MEMBER K. OLSEN, M.D. 37525 EMPLOYMENT 0 PITNEY BOWES COMMON BOARD MEMBERS 5301268 PURCHASED SERVICES 0 RADISSON SUBSIDIARY OF ENTITY MORE THAN 35% OWNED BY MARILYN CARLSON NELSON 62205 PURCHASED SERVICES 0 ROCK CHRISTOPHER M SON OF KEY EMPLOYEE M. ROCK, M.D. 91032 EMPLOYMENT 0 SCHWENK II MD W FREDERICK SPOUSE OF FORMER OFFICER N. SCHWENK, M.D. 264411 EMPLOYMENT 0 SPECTRUM DYNAMICS BOARD MEMBER IS SPOUSE OF MARILYN CARLSON NELSON 602816 PURCHASED PRODUCTS AND SERVICES 0 WARNER MD MARY ELLEN SPOUSE OF KEY EMPLOYEE M. WARNER, M.D. 31115 EMPLOYMENT 0 WARNER MD PAUL A SON OF KEY EMPLOYEE M. WARNER, M.D. 506849 EMPLOYMENT 0 WASTE MANAGEMENT COMMON BOARD MEMBERS 470097 PURCHASED SERVICES 0 RESOUNDANT INC JOINT VENTURE OWNERSHIP 795000 JOINT VENTURE 0 SAWYER DANIEL D SPOUSE OF KEY EMPLOYEE NAN B. SAWYER 102523 EMPLOYMENT 0 X 4 X 227 10136281 MEAN MARKET VALUE X 1 950000 MEAN MARKET VALUE X 4 15000000 MARKET VALUE X 1 2000000 EXPERTS X 1 X 2 X OTHER MISCELLANEOUS 44 366507 MARKET VALUE 9 0 1 1 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE NUMBER OF CONTRIBUTORS FOR EACH TYPE OF PROPERTY REPRESENTS THE TOTAL NUMBER OF CONTRIBUTIONS. THIRD PARTY USE: PART I, LINE 32B: MAYO CLINIC (MAYO) UTILIZES SEVERAL THIRD PARTIES TO SELL NON-CASH CONTRIBUTIONS. FOR REAL ESTATE GIFTS, MAYO CONTRACTS WITH REALTORS AND BROKERS; FOR STOCK AND SECURITY GIFTS, MAYO UTILIZES SEVERAL DIFFERENT BROKERS AND BROKERAGE FIRMS; FOR TANGIBLE PERSONAL PROPERTY, MAYO USES A BROKER WHO LISTS THE ITEMS ON EBAY. THESE ARRANGEMENTS ARE ALL FEE AND COMMISSION-BASED. NON REPORTING OF REVENUE: PART I, LINE 33: MAYO RECEIVED IN-KIND GIFTS THROUGHOUT THE YEAR WHERE NO REVENUE IS RECORDED AND A DESCRIPTIVE RECEIPT IS ISSUED. REVENUE IS RECOGNIZED ON GIFTS IN-KIND WHEN THE FAIR MARKET VALUE MEETS CAPITALIZATION THRESHOLDS. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: BOLTON, JEFFREY W. BROWN, WILLIAM A. FRANCIS, JAMES R. FROISLAND, JEFFREY R. GROSSET, JESSICA A. HUBERT, SHERRY L. NOSEWORTHY M.D., JOHN H. OVIATT, JONATHAN J. THOMAS, GREGORY J. TRASTEK M.D., VICTOR F. WEIS, SHIRLEY A. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BOLTON, JEFFREY W. BRIGHAM, ROBERT F. BROWN, WILLIAM A. EDWARDS M.D., BROOKS S. FRANCIS, JAMES R. FROISLAND, JEFFREY R. GROSSET, JESSICA A. HOFFMAN III, HARRY N. HOFFMAN, MARY J. HUBERT, SHERRY L. NESSE M.D., ROBERT E. NOSEWORTHY M.D., JOHN H. OVIATT, JONATHAN J. SAWYER, NAN B. SCHMIDT, BRADLEY D. THOMAS, GREGORY J. TRASTEK M.D., VICTOR F. WEIS, SHIRLEY A. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: BRIGHAM, ROBERT F. BUSKIRK M.D., STEVEN J. HOFFMAN, MARY J. LEVENTHAL M.D., JACK P. PICHELMANN M.D., MARK A. RUPP M.D., WILLIAM C. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BRIGHAM, ROBERT F. BUSKIRK M.D., STEVEN J. HOFFMAN, MARY J. LEVENTHAL M.D., JACK P. RUPP M.D., WILLIAM C. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: DECKER M.D., WYATT W. GORMAN M.D., R. SCOTT THOMAS, GREGORY J. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: DECKER M.D., WYATT W. FROISLAND, JEFFREY R. GORMAN M.D., R. SCOTT THOMAS, GREGORY J. TRASTEK M.D., VICTOR F. FRANKLIN R. COCKERILL M.D. & RICHARD L. EHMAN M.D. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF LOBSS NETWORK SUPPORT 2002, INC., A RELATED TAXABLE ENTITY. FRANKLIN R. COCKERILL M.D., RICHARD L. EHMAN M.D., GIANRICO FARRUGIA M.D., JEFFREY R. FROISLAND, NAN B. SAWYER, & JOHN T. WALD M.D. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO COLLABORATIVE SERVICES, INC., A RELATED TAXABLE ENTITY. JEFFREY W. BOLTON & JONATHAN J. OVIATT HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. JEFFREY R. FROISLAND, HARRY N. HOFFMAN III, & JONATHAN J. OVIATT HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD., A RELATED TAXABLE ENTITY. FRANKLIN R. COCKERILL M.D. & RICHARD L. EHMAN M.D. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO MEDICAL LABORATORIES NEW ENGLAND, INC., A RELATED TAXABLE ENTITY. JEFFREY W. BOLTON, SCOTT R. GORMAN M.D., ROBERT E. NESSE M.D., JONATHAN J. OVIATT, & MICHAEL G. ROCK M.D. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MMSI, INC., A RELATED TAXABLE ENTITY. JEFFREY W. BOLTON & RICHARD L. EHMAN M.D. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC., A RELATED TAXABLE ENTITY. JEFFREY R. FROISLAND & GREGORY J. THOMAS HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS' ASSOCIATION, A RELATED TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 3 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES WHICH WOULD INCLUDE THE FILING ORGANIZATION. 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 4 THE BYLAWS WERE CHANGED TO ALLOW FOR A TEMPORARY CHANGE IN THE NUMBER OF PUBLIC TRUSTEES. 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 AND IS REVIEWED BY THE TAX DIRECTOR. IT IS THEN REVIEWED BY THE CONTROLLER, CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, THE CAO, AND CEO. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF MAYO CLINIC'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 THE 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. THIS POLICY APPLIES TO THE ORGANIZATION'S DISREGARDED ENTITY. FORM 990, PART VI, SECTION B, LINE 15B THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE ARIZONA, FLORIDA, AND ROCHESTER, MINNESOTA CAMPUSES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). FOR THOSE INDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE SALARY AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION, AND GOVERNANCE (GOVERNANCE COMMITTEE) IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS THE COMPENSATION AND BENEFITS FOR PHYSICIANS FROM ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, 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 GOVERNANCE 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. FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER OF MAYO CLINIC (ALONG WITH OTHER SENIOR LEADERSHIP POSITIONS), THE COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT WHO ANNUALLY PROVIDES A WRITTEN REPORT CONTAINING A SUMMARY OF RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION AND RECOMMENDATIONS REGARDING THE LEVEL OF COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER THAT WOULD BE REASONABLE IN LIGHT OF THE BENCHMARK INFORMATION. THE GOVERNANCE COMMITTEE CAREFULLY REVIEWS THE BENCHMARK INFORMATION, DISCUSSES IT DIRECTLY WITH THE CONSULTANT IN AN EXECUTIVE SESSION THAT THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER DO NOT ATTEND, DISCUSSES RECOMMENDED COMPENSATION AND BENEFITS FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER, CONFIRMS THAT THE RECOMMENDED COMPENSATION AND BENEFITS ARE REASONABLE IN LIGHT OF THE BENCHMARK DATA, AND PROVIDES FINAL APPROVAL OF THE RECOMMENDED AMOUNTS. FORM 990, PART VI, SECTION C, LINE 19 MAYO CLINIC'S ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE SECRETARY OF STATE'S OFFICE OR UPON REQUEST FROM MAYO CLINIC. BYLAWS AND OTHER GOVERNANCE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR PURPOSES THAT MAYO CLINIC DEEMS APPROPRIATE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON MAYO CLINIC'S WEBSITE OR UPON REQUEST. MAYO CLINIC'S CONSOLIDATED FINANCIAL STATEMENTS AND FEDERAL FORM 990 ARE AVAILABLE UPON REQUEST OR THROUGH THE MINNESOTA ATTORNEY GENERALS'S OFFICE. THE CONSOLIDATED FINANCIAL STATEMENTS OF MAYO CLINIC ARE ALSO ATTACHED TO THE FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990. MAYO CLINIC'S FORMS 990-T AND 1023 ARE AVAILABLE UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 84,177,246. MANAGEMENT AND GENERAL EXPENSES 304,967,591. FUNDRAISING EXPENSES 115,153. TOTAL EXPENSES 389,259,990. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 120,609,301. MANAGEMENT AND GENERAL EXPENSES 10,991,467. FUNDRAISING EXPENSES 3,815,061. TOTAL EXPENSES 135,415,829. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: REFUNDS OF CONTRIBUTIONS -276,035. PENSION-POST RETIREMENT (PER FASB ASC 715) -853,235,164. PLEDGE CHANGE (PER FASB ASC 958-20) -712,566. CHANGE IN INVESTMENT IN TAXABLE SUBSIDIARY - MHC -72,340,169. LOSSES ON UNCOLLECTIBLE PLEDGES -20,660,664. ASSETS OF DISREGARDED ENTITY 128,639,881. MAYO COLLABORATIVE SERVICES LLC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 LAB SERVICES MN 0 181702022 MAYO CLINIC 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 FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC 464 SOUTH ST JOSEPH AVENUE ARCADIA WI 54612 391322480 FUNDRAISING FOUNDATION WI 501(C)(3) 9 MCHS--FRANCISCAN HEALTHCARE INC 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 -- METHODIST HOSPITAL 200 FIRST STREET SW ROCHESTER MN 55905 410739106 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