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        <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
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        <State>MN</State>
        <ZIPCode>55905</ZIPCode>
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      <Name>DARRELL L SANDEEN</Name>
      <Title>INTERIM VICE PRESIDENT</Title>
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      <DateSigned>2013-11-13</DateSigned>
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      <ActivityOrMissionDescription>TO ASSIST IN CARRYING OUT THE CHARITABLE PURPOSES OF MAYO CLINIC</ActivityOrMissionDescription>
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      <MissionDescription>TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO ASSIST IN CARRYING OUT THE CHARITABLE PURPOSES OF MAYO CLINIC, INCLUDING, BUT NOT LIMITED TO, MEDICAL EDUCATION AND RESEARCH,MEDICAL PRACTICE ACTIVITIES, AND CLINICAL OUTREACH ACTIVITIES IN FURTHERANCE OF SUCH MEDICAL EDUCATION AND RESEARCH AND PROMOTION OFHEALTH.</MissionDescription>
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      <Description>SUPPORT SERVICES (SEE SCHEDULE O)MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER) PARTICIPATES IN THE DIRECTION AND GUIDANCE OF MEDICAL CLINICS OPERATED BY MAYO CLINIC. THESE INCLUDE MAYO CLINIC, LOCATED IN ROCHESTER, MINNESOTA, AS WELL AS SEPARATE, NONPROFIT MEDICAL CLINICS OPERATED BY MAYO CLINIC IN JACKSONVILLE, FLORIDA; SCOTTSDALE, ARIZONA; EAU CLAIRE, LACROSSE AND MENOMONIE, WISCONSIN; ALBERT LEA, AUSTIN, CANNON FALLS, FAIRMONT, FARIBAULT, LAKE CITY, MANKATO, NEW PRAGUE , OWATONNA, RED WING, ST. JAMES, SPRINGFIELD, WABASHA AND WASECA, MINNESOTA; DECORAH, IOWA AND WAYCROSS, GEORGIA. MFMER'S RELATIONSHIP WITH THESE CLINICS IS TO ENSURE THE HIGHEST QUALITY STANDARDS OF PATIENT CARE AND PATIENT DATA ESTABLISHED AT MAYO CLINIC ARE CONSISTENT THROUGHOUT THE MAYO CLINIC SYSTEM SO THAT THE RESEARCH AND EDUCATIONAL PURPOSES OF MAYO CLINIC CAN BE ACCOMPLISHED. THE EXTENSION OF THE RESEARCH, EDUCATION AND PATIENT CARE LEADERSHIP ROLE ASSOCIATED WITH MAYO CLINIC INTO AREAS OUTSIDE OF ROCHESTER CREATES USEFUL AND OTHERWISE UNAVAILABLE COMPARATIVE RESEARCH AND EDUCATIONAL OPPORTUNITIES TO FURTHER MAYO'S EXEMPT PURPOSE. MFMER ALSO PROVIDES PAYROLL, PURCHASING, SALARY &amp; BENEFIT ADMINISTRATION AND OTHER MISCELLANEOUS SUPPORT SERVICES FOR MAYO CLINIC AND AFFILIATES.</Description>
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        <Revenue>172799675</Revenue>
        <Description>PHARMACIES AND MEDICAL PRODUCTS (SEE SCHEDULE O)IN ORDER TO CONVENIENTLY ACCOMMODATE THE NEEDS OF PATIENTS AND EMPLOYEES OF MAYO CLINIC, MFMER OPERATES PHARMACIES AND A MEDICAL PRODUCTS STORE AT THE MAYO CLINIC SITES. THESE OPERATIONS ARE NOT INTENDED TO SERVE THE GENERAL PUBLIC. THE STAFF AT THESE PHARMACIES ALSO ASSIST MAYO CLINIC SCIENTISTS IN DRUG PROTOCOLS FOR RESEARCH.</Description>
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        <Description>HEALTH INFORMATION (SEE SCHEDULE O)MFMER 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. DURING 2012, MFMER SOLD 5,055,972 COPIES OF THE MAYO CLINIC HEALTH LETTER. THE HEALTH LETTER IS A MONTHLY NEWSLETTER CONTAINING USEFUL HEALTH INFORMATION FOR THE GENERAL PUBLIC. MFMER SOLD 2,470,415 COPIES OF THE MAYO CLINIC EMBODYHEALTH NEWSLETTER. MOST OF THE COPIES WERE SOLD TO EMPLOYERS AND MEMBER ORGANIZATIONS AS PART OF MFMER'S CORPORATE WELLNESS PROGRAM. THIS PROGRAM IS DESIGNED TO MEET THE SPECIFIC POPULATION HEALTH MANAGEMENT NEEDS OF EMPLOYERS AND MEMBER ORGANIZATIONS. THE EMBODYHEALTH NEWSLETTER PROVIDES HEALTH INFORMATION TO THE SUBCRIBING ORGANIZATION'S EMPLOYEES AND MEMBERS. IN ADDITION, THE FOLLOWING BOOKLETS WERE SOLD TO EMPLOYERS AND MEMBER ORGANIZATIONS UNDER THE CORPORATE WELLNESS PROGRAM: 50 HEAD-TO-TOE HEALTH TIPS 10,150 COPIES 8 WAYS TO LOWER YOUR RISK OF A HEART ATTACK OR STROKE 210 COPIES DISEASE-FIGHTING FOODS: SMART EATING CHOICES 910 COPIES EATING OUT: YOUR POCKET GUIDE TO HEALTH DINING 3,610 COPIES HEALTHY EATING FOR HURRIED LIVES 1,375 COPIES HEALTHY WEIGHT FOR LIFE 6,335 COPIES HIGH BLOOD PRESSURE &amp; YOUR HEART 2,500 COPIES LIVE LONGER, LIVE BETTER 1,025 COPIES COMPLEMENTARY &amp; ALTERNATIVE MEDICINE 100 COPIES WALK YOUR WAY TO FITNESS 985 COPIES YOUR HEART-HEALTHY EATING GUIDE 110 COPIES MFMER ALSO SELLS NUMEROUS BOOKS ON HEALTH RELATED TOPICS. DURING 2012, MFMER SOLD 12,926 COPIES OF MAYO CLINIC FAMILY HEALTH BOOK, AN ILLUSTRATED COMPREHENSIVE HOME MEDICAL REFERENCE WITH DETAILED, CURRENT INFORMATION ON HUNDREDS OF MEDICAL CONDITIONS. DURING 2012, MFMER ALSO SOLD THE FOLLOWING BOOKS, WHICH ARE ALL PART OF A SERIES OF EASY TO UNDERSTAND, YET COMPREHENSIVE BOOKS THAT PROVIDE ANSWERS TO QUESTIONS ABOUT EACH HEALTH CONCERN:MAYO CLINIC 5 STEPS TO CONTROLLING HIGH BLOOD PRESSURE 6,643 COPIESMAYO CLINIC BOOK OF ALTERNATIVE MEDICINE 9,015 COPIESMAYO CLINIC BOOK OF HOME REMEDIES 27,837 COPIESMAYO CLINIC BREAST CANCER BOOK 6,544 COPIESMAYO CLINIC DIABETES DIET 18,225 COPIESMAYO CLINIC DIABETES DIET JOURNAL 30 COPIESMAYO CLINIC DIABETES WORKBOOK 3,150 COPIESMAYO CLINIC ESSENTIAL GUIDE TO PROSTATE HEALTH 6,318MAYO CLINIC FITNESS FOR EVERYBODY 3,071 COPIESMAYO CLINIC ON ALZHEIMER'S 603 COPIESMAYO CLINIC ON DIGESTIVE HEALTH 12,027 COPIESMAYO CLINIC GUIDE TO A HEALTY PREGANCY 68,164 COPIES MAYO CLINIC GUIDE TO BETTER VISION 7,622 COPIESMAYO CLINIC GUIDE TO MANAGING ARTHRITIS 4,473 COPIESMAYO CLINIC GUIDE TO PAIN RELIEF 3,764 COPIESMAYO CLINIC GUIDE TO PREVENTING &amp; TREATING OSTEOPOROSIS 3,350 COPIESMAYO CLINIC GUIDE TO SELF CARE 25,074 COPIESMAYO CLINIC GUIDE TO YOUR BABY'S FIRST YEAR 17,447 COPIESMAYO CLINIC HEART HEALTHY FOR LIFE! 51,035 COPIESMAYO CLINIC HEALTHY WEIGHT FOR EVERYBODY 50 COPIESMAYO CLINIC INTERACTIVE BREAST CANCER DECISION TOOL 8 COPIESMAYO CLINIC KIDS' COOKBOOK 3900 COPIESMAYO CLINIC ON BETTER HEARING AND BALANCE 13,266 COPIESMAYO CLINIC ON MANAGING INCONTINENCE 1,247 COPIESMAYO CLINIC PLAN - 10 ESSENTIAL STEPS TO A BETTER BODY &amp; HEALTHIER LIFE 230 COPIESMAYO CLINIC PLAN ON HEALTHY AGING 8,063 COPIESMAYO CLINIC ESSENTIAL DIABETES BOOK 50,776 COPIES IN COLLABORATION WITH GAIAM, INC., "WELLNESS SOLUTIONS", A DVD SERIES OFFERING INTEGRATIVE HEALTH SOLUTIONS FOR 10 COMMON CONDITIONS, WAS ORIGINALLY PUBLISHED IN 2008 SELLING 8,202 COPIES IN 2012.IN 2012, MFMER SOLD 35,023 COPIES OF THE MAYO CLINIC DIET BOOK AND 18,507 COPIES OF THE DIET JOURNAL. IN THE BOOK AND THE JOURNAL, MAYO CLINIC HAS BOILED THE RESEARCH DOWN TO FIVE SIMPLE HABITS TO HELP TAKE OFF EXTRA WEIGHT AND FIVE HABITS TO BREAK SO THAT WEIGHT DOES NOT COME BACK. FIX IT AND ENJOY IT COOKBOOKS SOLD 3,007 COPIES AND THE MAYO CLINIC COOKBOOK SOLD 36,557 COPIES. THE HEALTHY EATING WORKBOOK SOLD 25 COPIES AND AWARD WINNING RECIPES SOLD 44,360 COPIES.MFMER ALSO OPERATES MAYO'S INFORMATIONAL CONSUMER WEBSITE, MAYOCLINIC.COM, WHICH HAS THOUSANDS OF VISITORS DAILY.ASK MAYO CLINIC, A TELEPHONIC HEALTH RESOURCE ADMINISTERED BY MFMER IS A STRATEGIC RESOURCE AVAILABLE TO EMPLOYERS TO OFFER TO THEIR EMPLOYEES. THIS 24-HOUR NURSE LINE AND HEALTH ADVOCACY SERVICE IS STAFFED BY EXPERIENCED REGISTERED NURSES WHO DRAW ON THE RESOURCES OF MAYO CLINIC TO HELP PEOPLE CHOOSE THE RIGHT LEVEL OF CARE FOR ILLNESSES AND INJURIES, AND ACCESS APPROPRIATE RESOURCES FOR THEIR PERSONAL HEALTH NEEDS.</Description>
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        <Description>LICENSING OF TECHNOLOGY:MAKING THE RESULTS OF RESEARCH AND TECHNOLOGY DEVELOPED THROUGHOUT MAYO CLINIC AVAILABLE TO THE PUBLIC IS ANOTHER FUNCTION OF MFMER. THIS IS ACCOMPLISHED THROUGH LICENSING ARRANGEMENTS WITH OTHERS HAVING THE CAPABILITY TO DISTRIBUTE THE TECHNOLOGY TO THE MEDICAL COMMUNITY AND THE GENERAL PUBLIC. DURING 2012, MFMER SIGNED 86 LICENSES WITH COMPANIES TO DISTRIBUTE MAYO CLINIC TECHNOLOGY AND INVENTIONS. IN EXCHANGE FOR THESE LICENSES, MFMER RECEIVES ROYALTIES BASED ON GROSS REVENUES GENERATED FROM THE PRODUCTS DEVELOPED FROM THE LICENSED TECHNOLOGY OR INVENTION. THE REVENUES FROM THESE ROYALTIES ARE USED TO FURTHER THE RESEARCH AND EDUCATIONAL ACTIVITIES OF MAYO CLINIC. MAYO CLINIC VENTURES (MCV) WORKS WITH INVENTORS AND INDUSTRY TO MOVE INNOVATIONS FROM BENCH TO BEDSIDE BY CREATING NEW LICENSING OPPORTUNITIES, NEW COMPANIES AND NEW PRODUCTS. MCV HAS FILED MORE THAN 3,400 PATENT APPLICATIONS RESULTING IN MORE THAN 625 ACTIVE LICENSE AGREEMENTS WITH COMPANIES IN THE BIOMEDICAL AND MANUFACTURING INDUSTRIES.TECHNOLOGY BASED VENTURES (TBV): WHEN CLEARLY DEFINED CRITERIA ARE MET, A TECHNOLOGY MAY BE CONSIDERED FOR THE OFFICE OF INTELLECTUAL PROPERTY'S TECHNOLOGY BASED VENTURES (TBV) PROGRAM, WHICH COMMERCIALIZES A TECHNOLOGY IN EXCHANGE FOR EQUITY AND ACTS AS A VEHICLE FOR A POSSIBLE MAYO CLINIC INVESTMENT INTO A START-UP COMPANY. THE TECHNOLOGY-BASED VENTURES PROGRAM FOCUSES ON COMMERCIALIZING MAYO CLINIC TECHNOLOGIES BY CREATING NEW COMPANIES, LICENSING TECHNOLOGIES INTO EXISTING START-UP COMPANIES, AND INVESTING IN VENTURE CAPITAL-BACKED COMPANIES. THIS WORK IS DONE IN CLOSE PARTNERSHIP WITH VENTURE CAPITAL FIRMS AND MANAGEMENT TEAMS THAT HAVE SIGNIFICANT EXPERIENCE IN THE HEALTH CARE INDUSTRY.AS PART OF THIS EFFORT, THE TECHNOLOGY-BASED VENTURES PROGRAM MANAGES A VENTURE CAPITAL INVESTMENT FUND. THE PROGRAM CO-INVESTS WITH LEADING VENTURE CAPITAL FIRMS IN HEALTH CARE TECHNOLOGY COMPANIES AND SEEKS TO PROVIDE A FINANCIAL RETURN TO MAYO CLINIC TO SUPPORT PATIENT CARE, RESEARCH AND EDUCATION. SINCE 1996, THE PROGRAM HAS INVESTED IN OVER TWO-DOZEN COMPANIES THAT ARE BASED ON MAYO CLINIC TECHNOLOGY OR UTILIZE MAYO CLINIC EXPERTISE. OUR CURRENT INVESTMENT FUND, MMV FUND II, WAS ESTABLISHED IN 2008 IN A COLLABORATIVE RELATIONSHIP BETWEEN MAYO CLINIC VENTURES AND MAYO CLINIC TREASURY SERVICES.</Description>
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        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>195158</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>50972</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MCNAMARA MICHAEL J</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>341572</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>63886</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAGIN DO CHARLES R</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>712327</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16289</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MEYERS MD MICHAEL S</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>635582</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20604</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAMULAPATI MD KRISHNA M</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>567798</ReportableCompFromRelatedOrgs>
        <OtherCompensation>59146</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SINGH MD MANDEEP</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>640718</ReportableCompFromRelatedOrgs>
        <OtherCompensation>22104</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TAK MD TAHIR</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>641823</ReportableCompFromRelatedOrgs>
        <OtherCompensation>65825</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>13234346</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>9735175</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>2903403</TotalOtherCompensation>
      <NumberIndividualsGT100K>1116</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>STRUCTURE TONE</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1050 WALL ST W</AddressLine1>
            <City>LYNDHURST</City>
            <State>NJ</State>
            <ZIPCode>07071</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>34499058</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GILBANE BUILDING COMPANY-KNUTSON CONSTRU</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>7 JACKSON WALKWAY</AddressLine1>
            <City>PROVIDENCE</City>
            <State>RI</State>
            <ZIPCode>02903</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>28310483</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PEOPLECLICK INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>9425 N MACARTHUR BLVD</AddressLine1>
            <City>IRVING</City>
            <State>TX</State>
            <ZIPCode>75063</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HR SERVICES</DescriptionOfServices>
        <Compensation>24001135</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>HUNT CONSTRUCTION GROUP INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6720 N SCOTTSDALE RD STE 300</AddressLine1>
            <City>SCOTTSDALE</City>
            <State>AZ</State>
            <ZIPCode>85253</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>22859838</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SODEXO SERVICES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 536922</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30353</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FOOD SERVICES</DescriptionOfServices>
        <Compensation>20344173</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>878</NumberOfContractorsGT100K>
      <RelatedOrganizations>4692568</RelatedOrganizations>
      <GovernmentGrants>13398</GovernmentGrants>
      <TotalContributions>4705966</TotalContributions>
      <ProgramServiceRevenue>
        <Description>SUPPORT SERVICES</Description>
        <BusinessCode>561000</BusinessCode>
        <TotalRevenueColumn>830289475</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>822830475</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>7459000</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PHARMACY REVENUE</Description>
        <BusinessCode>446110</BusinessCode>
        <TotalRevenueColumn>159370433</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>158356843</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1013590</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>HEALTH INFORMATION REV</Description>
        <BusinessCode>511190</BusinessCode>
        <TotalRevenueColumn>56864515</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>46960155</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>9421645</UnrelatedBusinessRevenue>
        <ExclusionAmount>482715</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>ROYALTY REVENUE</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>28659046</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>27585388</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1073658</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICAL PRODUCT SALES</Description>
        <BusinessCode>446199</BusinessCode>
        <TotalRevenueColumn>13429241</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10564139</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>2865102</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>1088612710</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>2517527</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>-425</UnrelatedBusinessRevenue>
        <ExclusionAmount>2517952</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Other>1648416</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>704804</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>943612</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>943612</TotalRevenueColumn>
        <ExclusionAmount>943612</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>14540</GrossIncomeFundraisingEvents>
      <FundraisingDirectExpenses>0</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>14540</TotalRevenueColumn>
        <ExclusionAmount>14540</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>MISC REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1617466</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>988345</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>428885</UnrelatedBusinessRevenue>
        <ExclusionAmount>200236</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MAYO MEDICAL TRANSPORT</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>957541</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>261276</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>696265</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISC CONSULTING</Description>
        <BusinessCode>541610</BusinessCode>
        <TotalRevenueColumn>400214</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>400214</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>182494</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>153511</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>28983</UnrelatedBusinessRevenue>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>3157715</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>1099952070</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1067700132</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>23386917</UnrelatedBusinessRevenue>
        <ExclusionAmount>4159055</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
        <Total>26175</Total>
        <ProgramServices>26175</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>12517</Total>
        <ProgramServices>12517</ProgramServices>
      </GrantsToDomesticIndividuals>
      <CompCurrentOfficersDirectors>
        <Total>11941575</Total>
        <ProgramServices>11941575</ProgramServices>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>1392067</Total>
        <ProgramServices>1392067</ProgramServices>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>426576380</Total>
        <ProgramServices>426576380</ProgramServices>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>69966304</Total>
        <ProgramServices>69966304</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>24631296</Total>
        <ProgramServices>24631296</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>32121647</Total>
        <ProgramServices>32121647</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>471665</Total>
        <ProgramServices>471665</ProgramServices>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>4718382</Total>
        <ProgramServices>4718382</ProgramServices>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>1680170</Total>
        <ProgramServices>1680170</ProgramServices>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>1436439</Total>
        <ProgramServices>1436439</ProgramServices>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
        <Total>454</Total>
        <ProgramServices>454</ProgramServices>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>116653817</Total>
        <ProgramServices>116653817</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>7804949</Total>
        <ProgramServices>7804949</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>169179167</Total>
        <ProgramServices>169179167</ProgramServices>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>69035593</Total>
        <ProgramServices>69035593</ProgramServices>
      </InformationTechnology>
      <Royalties>
        <Total>10317474</Total>
        <ProgramServices>10317474</ProgramServices>
      </Royalties>
      <Occupancy>
        <Total>47798029</Total>
        <ProgramServices>47798029</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>9132140</Total>
        <ProgramServices>9132140</ProgramServices>
      </Travel>
      <ConferencesMeetings>
        <Total>504387</Total>
        <ProgramServices>504387</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>1196</Total>
        <ProgramServices>1196</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>64428457</Total>
        <ProgramServices>64428457</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>350</Total>
        <ProgramServices>350</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>UBI TAXES</Description>
        <Total>4371035</Total>
        <ManagementAndGeneral>4371035</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EMPLOYEE RELATED</Description>
        <Total>5418042</Total>
        <ProgramServices>5418042</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>1440495</Total>
        <ProgramServices>1440495</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISC. EXPENSE</Description>
        <Total>1271206</Total>
        <ProgramServices>1271206</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1460792</Total>
        <ProgramServices>-60450675</ProgramServices>
        <ManagementAndGeneral>61340200</ManagementAndGeneral>
        <Fundraising>571267</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>1083792200</Total>
        <ProgramServices>1017509698</ProgramServices>
        <ManagementAndGeneral>65711235</ManagementAndGeneral>
        <Fundraising>571267</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>61451785</BOY>
        <EOY>344799962</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>52742224</BOY>
        <EOY>25055653</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>47770817</BOY>
        <EOY>44960327</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>194861015</BOY>
        <EOY>194828369</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>30370547</BOY>
        <EOY>31107578</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>28879121</BOY>
        <EOY>32869708</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>710232226</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>533582911</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>182183624</BOY>
        <EOY>176649315</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>2660070</BOY>
        <EOY>3502264</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>31932907</BOY>
        <EOY>30487172</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>736389387</BOY>
        <EOY>712405579</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>1369241497</BOY>
        <EOY>1596665927</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>674416326</BOY>
        <EOY>760002516</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>13764206</BOY>
        <EOY>11176098</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>575116337</BOY>
        <EOY>695180922</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1263296869</BOY>
        <EOY>1466359536</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>98684474</BOY>
        <EOY>122735767</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>4954880</BOY>
        <EOY>5228003</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>2305274</BOY>
        <EOY>2342621</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>105944628</BOY>
        <EOY>130306391</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1369241497</BOY>
        <EOY>1596665927</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>16159870</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>8201893</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>1031520</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus2Years>2770435</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4161728</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4705966</CurrentTaxYear>
        <Total>12669649</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>258925047</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>617391814</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>719508061</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>954588081</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1067700132</CurrentTaxYear>
        <Total>3618113135</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>259956567</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>617391814</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>722278496</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>958749809</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1072406098</CurrentTaxYear>
        <Total>3630782784</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>3630782784</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>11794270</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3731267</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1670909</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1966965</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2517952</CurrentTaxYear>
        <Total>21681363</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <CurrentTaxYearMinus3Years>967146</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1225483</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6226296</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5097732</CurrentTaxYear>
        <Total>13516657</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>11794270</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4698413</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2896392</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8193261</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7615684</CurrentTaxYear>
        <Total>35198020</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>3570624</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4435698</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1449009</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1228907</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>697491</CurrentTaxYear>
        <Total>11381729</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>275321461</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>626525925</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>726623897</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>968171977</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1080719273</CurrentTaxYear>
        <Total>3677362533</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98730</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98290</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00960</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01230</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: SUPPORT SERVICES - 2008 AMOUNT: $ 3,570,624. 2009 AMOUNT: $ 4,435,698. 2010 AMOUNT: $ 560,158. 2011 AMOUNT: $ 500,249. HEALTH INFORMATION - 2010 AMOUNT: $ 601,804. 2011 AMOUNT: $ 527,017. 2012 AMOUNT: $ 482,715. MISCELLANEOUS - 2010 AMOUNT: $ 287,047. 2011 AMOUNT: $ 201,641. 2012 AMOUNT: $ 200,236. FUNDRAISING - 2012 AMOUNT: $ 14,540.</GeneralExplanation>
    </IRS990ScheduleA>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KOCH MARK B</NamePerson>
        <Title>FORMER ASST. SECRETARY</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>279804</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>9282</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>322</DeferredCompRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SCHILMOELLER ALAN R</NamePerson>
        <Title>FORMER VICE PRESIDENT</Title>
        <BaseCompensationFilingOrg>134281</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>55217</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NESSE MD ROBERT E</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>593641</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>94500</OtherCompensationRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEVENS JEFFREY J</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <BaseCompensationFilingOrg>194346</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationFilingOrg>812</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>22206</DeferredCompFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MCNAMARA MICHAEL J</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <BaseCompensationFilingOrg>317471</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationFilingOrg>24101</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>47784</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CAGIN DO CHARLES R</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>610546</CompBasedOnRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MEYERS MD MICHAEL S</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>570339</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>65243</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>20604</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>656186</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAMULAPATI MD KRISHNA M</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>508338</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>59460</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SINGH MD MANDEEP</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>550780</CompBasedOnRelatedOrgs>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
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        <TotalCompensationRelatedOrgs>662822</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TAK MD TAHIR</NamePerson>
        <Title>FORMER HIGHEST PAID</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>584329</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>57494</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>42703</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>23122</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>707648</TotalCompensationRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>IN 2012, SEVERAL OF THE LISTED PERSONS OF THE FILING ORGANIZATION SERVED ON THE BOARD OF TRUSTEES FOR MAYO CLINIC (THE PARENT COMPANY OF THE FILING ORGANIZATION) AND WERE PROVIDED TRAVEL FOR COMPANIONS SO THAT SPOUSES COULD ACCOMPANY THEM TO THE SITE OF THE MAYO CLINIC BOARD OF TRUSTEE MEETINGS. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION AND IS ORDINARILY GROSSED-UP. 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 INDIVIDUAL WAS IMPACTED: JOHN H.NOSEWORTHY M.D. SEVERAL OF THE LISTED PERSONS FOR THE FILING ORGANIZATION RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN SUCH AWARDS MAY HAVE A TAX GROSS-UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. 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 NOT REQUIRED AS THE BENEFIT IS PAID DIRECTLY TO THE VENDOR. MARK BRODERSEN, GREGORY THOMAS AND MICHAEL MCNAMARA EACH RECEIVED A HOUSING ALLOWANCE WHILE TEMPORARILY ASSIGNED TO OTHER POSITIONS WITHIN THE ENTERPRISE. THE PAYMENTS WERE INCLUDED IN TAXABLE INCOME AND WERE GROSSED UP.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINES 4A-B</ReturnReference>
        <Explanation>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). ANDERSON, JAMES G. $ 8,400 BENGALI, ABDUL R. $ 31,295 BOLTON, JEFFREY W. $ 80,495 BRIGHAM, ROBERT F. $ 55,113 BRODERSEN M.D., MARK P. $ 76,015 CAGIN D.O., CHARLES R. $ 94,688 CALAMIA M.D., KENNETH T. $ 3,492 CRANMER, JOHN P. $ 1,023 EDWARDS M.D., BROOKS S. $ 50,902 FRANCIS, JAMES R. $ 12,794 FROISLAND, JEFFREY R. $ 463 GROSSET, JESSICA A. $ 4,163 HOFFMAN III, HARRY N. $151,234 HOFFMAN, MARY J. $ 5,541 JORGENSEN, STEVEN C. $ 6,239 KOCH, MARK B. $ 8,013 LA FORGIA, JOHN M. $ 10,942 LETTIERI M.D., SALVATORE C. $ 45,986 LITCHY M.D., WILLIAM J. $ 6,672 MCNAMARA, MICHAEL J. $ 15,419 MCNEILL, STEVEN L. $ 10,942 MENKOSKY, PAULA E. $ 7,689 MEYERS M.D., MICHAEL S. $ 63,492 NESSE M.D., ROBERT E. $ 85,127 NOSEWORTHY M.D., JOHN H. $271,361 OVIATT, JONATHAN J. $ 65,197 PAMULAPATI M.D., KRISHNA M. $ 54,718 RAGSDALE, JILL M. $ 12,148 SAWYER, NAN B. $ 29,745 SCHILMOELLER, ALAN R. $ 32,405 SCHMIDT, BRADLEY D. $ 18,459 SINGH M.D., MANDEEP $ 62,101 TAK M.D., TAHIR $ 51,312 THOMAS, GREGORY J. $ 39,049 TRASTEK M.D., VICTOR F. $133,194 WEIS, SHIRLEY A. $145,708 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT (TOTAL INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(I)): ABDUL R. BENGALI $ 358,000.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>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. COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LINDAHL ANNE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF ROGER LINDAHL, OFFICER</Relationship>
        <AmountOfTransaction>49625</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRIGHAM ANDREW</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF ROBERT BRIGHAM, OFFICER</Relationship>
        <AmountOfTransaction>52892</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SMITH JILL A</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF GREGORY WARNER, OFFICER</Relationship>
        <AmountOfTransaction>241524</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CRANMER CAROL</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF JOHN CRANMER, KEY EMPLOYEE</Relationship>
        <AmountOfTransaction>22757</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SMITH SARA N</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KEVIN MELVIN, OFFICER</Relationship>
        <AmountOfTransaction>76102</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MAYO COLLABORATIVE SERVICES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER / OFFICER OVERLAP</Relationship>
        <AmountOfTransaction>11557617</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE BENEFIT ALLOCATIONS &amp; COST TRANSFERS</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MMSI INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER / OFFICER OVERLAP</Relationship>
        <AmountOfTransaction>6225285</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE BENEFIT ALLOCATIONS, SERVICES, &amp; COST TRANSFERS</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>VHA UPPER MIDWEST (OWNED BY VHA)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER / OFFICER OVERLAP</Relationship>
        <AmountOfTransaction>36437030</AmountOfTransaction>
        <DescriptionOfTransaction>REVENUE &amp; REBATES $22,795,198 UMCSC SERVICE PAYMENTS $6,516,147 UMCSC OWNERSHIP FEES $1,590,295 MEMBER FEES &amp; PURCHASED SERVICES 5,535,390</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MAYO CLINIC GBS MAURITIUS</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER / OFFICER OVERLAP</Relationship>
        <AmountOfTransaction>300000</AmountOfTransaction>
        <DescriptionOfTransaction>TRANSFER OF ASSETS</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>RESOUNDANT INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER / OFFICER OVERLAP</Relationship>
        <AmountOfTransaction>795000</AmountOfTransaction>
        <DescriptionOfTransaction>TRANSFER OF ASSETS</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: MENKOSKY, PAULA E. 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: BROWN, MICHAEL E. FROISLAND, JEFFREY R. MENKOSKY, PAULA E. THOMAS, GREGORY J. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: BRIGHAM, ROBERT F. BRODERSEN M.D., MARK P. CALAMIA M.D., KENNETH T. HOFFMAN, MARY J. JORGENSEN, STEVEN 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. CALAMIA M.D., KENNETH T. CROFT, CHERYL R. HOFFMAN, MARY J. JORGENSEN, STEVEN C. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: FOGELSON M.D., JEREMY L. HOFFMAN III, HARRY N. LETTIERI M.D., SALVATORE C. LITCHY M.D., WILLIAM J. MELVIN, KEVIN B. SAWYER, NAN B. SCHMIDT, BRADLEY D. 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. FRANCIS, JAMES R. FROISLAND, JEFFREY R. GROSSET, JESSICA A. HOFFMAN III, HARRY N. HUBERT, SHERRY L. NOSEWORTHY M.D., JOHN H. OVIATT, JONATHAN J. SAWYER, NAN B. SCHMIDT, BRADLEY D. THOMAS, GREGORY J. WEIS, SHIRLEY A. JEFFREY W. BOLTON, DANIEL S. GOLDMAN, DAVID P. HERBERT, ROGER A. LINDAHL, MARK A. MATTHIAS, AND 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 W. BOLTON, CRAIG C. COLLINS, DAVID P. HERBERT, WILLIAM J. LITCHY M.D., MARK A. MATTHIAS, JONATHAN J. OVIATT, AND BRIAN W. ROTTY HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MMSI, INC., A RELATED TAXABLE ENTITY. JEFFREY W. BOLTON AND DANIEL D. ESTES HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC., A RELATED TAXABLE ENTITY. JEFFREY R. FROISLAND, DAVID P. HERBERT, MARK A. MATTHIAS AND NAN B. SAWYER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO COLLABORATIVE SERVICES, INC., A RELATED TAXABLE ENTITY. JEFFREY R. FROISLAND, HARRY N. HOFFMAN III, AND JONATHAN J. OVIATT HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY LIMITED., A RELATED TAXABLE ENTITY. JEFFREY R. FROISLAND, PAULA E. MENKOSKY, AND 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. ROGER A. LINDAHL AND CHRISTIE A. LOHKAMP HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC GBS MAURITIUS, A RELATED TAXABLE ENTITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE SOLE CORPORATE MEMBER IS MAYO CLINIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>DIRECTORS OF MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ARE DESIGNATED BY THE SOLE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>CERTAIN TRANSACTIONS REQUIRE APPROVAL BY THE MEMBER BEFORE ACTION CAN BE TAKEN SUCH AS AMENDMENT TO THE ARTICLES AND BYLAWS, MERGER, OR OTHER RESTRUCTURING, AND INCURRENCE OF DEBT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT AND IS REVIEWED BY THE TAX DIRECTOR. PRIOR TO ITS REVIEW AND APPROVAL BY THE BOARD MEMBERS, THE FORM 990 IS REVIEWED BY AN OFFICER OF THE FILING ORGANIZATION. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA U.S. MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARIES OF THE PRESIDENT AND VICE PRESIDENT WERE REVIEWED BY THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE AND/OR THE MAYO CLINIC GOVERNANCE COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR PHYSICIAN AND ADMINISTRATIVE LEADERSHIP. 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 AS DEFINED FOR PURPOSES OF IRC SECTION 4958). 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE FILING ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>IC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 25,336,694. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,336,694. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 91,317,123. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,317,123.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>IN REGARDS TO FILING CERTAIN FOREIGN FORMS</Identifier>
        <ReturnReference>SCHEDULE F, PART IV, LINES 3, 5, &amp; 6</ReturnReference>
        <Explanation>DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS, AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED</Explanation>
      </GeneralExplanation>
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          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
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        <LegalDomicileState>MN</LegalDomicileState>
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      <Form990ScheduleRPartII>
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        <AddressUS>
          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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        <EIN>410739106</EIN>
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        <LegalDomicileState>MN</LegalDomicileState>
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      <Form990ScheduleRPartII>
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          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
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          <City>SCOTTSDALE</City>
          <State>AZ</State>
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          <State>MN</State>
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          <State>MN</State>
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          <State>MN</State>
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          <State>WI</State>
          <ZIPCode>54702</ZIPCode>
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          <State>WI</State>
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          <BusinessNameLine1>MAYO CLINIC HEALTH SYSTEM--FAIRMONT</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>800 MEDICAL CENTER DRIVE PO BOX 800</AddressLine1>
          <City>FAIRMONT</City>
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          <BusinessNameLine1>MCHS--MANKATO</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC</BusinessNameLine1>
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          <AddressLine1>700 WEST AVE SOUTH</AddressLine1>
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          <BusinessNameLine1>MCHS--FRANCISCAN HEALTHCARE INC</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC</BusinessNameLine1>
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          <AddressLine1>310 WEST MAIN STREET</AddressLine1>
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          <State>WI</State>
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          <AddressLine1>700 WEST AVE SOUTH</AddressLine1>
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          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC</BusinessNameLine1>
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          <BusinessNameLine1>MCHS--FRANCISCAN HEALTHCARE INC</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC HEALTH SYSTEM--HOME HEALTH &amp; HOSPICE INC</BusinessNameLine1>
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          <AddressLine1>PO BOX 2060</AddressLine1>
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          <BusinessNameLine1>MCHS--EAU CLAIRE HOSPITAL INC</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC HEALTH SYSTEM--LAKE CITY</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC</BusinessNameLine1>
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          <AddressLine1>1222 EAST WOODLAND AVENUE</AddressLine1>
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          <State>MN</State>
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          <AddressLine1>119 THIRD ST SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55902</ZIPCode>
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          <AddressLine1>3333 WARRENVILLE ROAD SUITE 200</AddressLine1>
          <City>LISLE</City>
          <State>IL</State>
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          <BusinessNameLine1>HEALTH TRADITION HEALTH PLAN</BusinessNameLine1>
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          <AddressLine1>1808 EAST MAIN STREET</AddressLine1>
          <City>ONALASKA</City>
          <State>WI</State>
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          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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          <AddressLine1>2ND FLOOR EBENE MEWS 57</AddressLine1>
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