2011-11-14T13:38:47-06:00 2010-12-31 DELOITTE TAX LLP 111 S WACKER DRIVE CHICAGO IL 606064301 990 2010-01-01 593337028 MAYO CLINIC JACKSONVILLE MAYO 5075381297 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 Mary J Hoffman 5075381297 2011-11-14 JENNIFER L GILARDI 3124861000 2010 2016-03-07 17:11:31Z DR WILLIAM RUPP 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 576690845 0 X WWW.MAYO.EDU X 1995 FL OPERATION OF A MULTI-SPECIALTY OUTPATIENT CLINIC. 15 0 3215 820 5931125 1199333 79544148 68605514 494250288 500742104 3383495 5007850 1751831 1456175 578929762 575811643 2296510 35011614 0 0 312409219 316099336 0 0 0 237184499 243341325 551890228 594452275 27039534 -18640632 607851191 592107945 261616188 264941134 346235003 327166811 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 458501760 31796672 499966005 PATIENT & COMMUNITY SERVICES (SEE SCHEDULE O)PATIENT & COMMUNITY SERVICES:MAYO CLINIC JACKSONVILLE (MCJ) IS A MULTISPECIALTY OUTPATIENT CLINIC WITH A TEAM APPROACH TO PATIENT CARE ALLOWING FOR COMPREHENSIVE EVALUATION AND ADVANCED TREATMENT OF COMPLEX DISEASES. MCJ HAS OVER 3,200 PHYSICIANS, SCIENTISTS, ALLIED HEALTH STAFF, STUDENTS AND ADMINSTRATIVE PERSONNEL. IN 2010, MORE THAN 89,000 PATIENTS WERE DIAGNOSED AND TREATED AT MCJ AND SURGEONS PERFORMED APPROXIMATELY 6,070 OUTPATIENT PROCEDURES.MCJ, IN AFFILIATION WITH MAYO CLINIC FLORIIDA (A RELATED HOSPITAL EXEMPT UNDER SECTION 501(C)(3) OF THE CODE), IS ONE OF THE MAIN PROVIDERS OF HEALTH CARE SERVICES IN NORTHEAST FLORIDA. MAYO CLINIC FLORIDA (MCF) IS LOCATED ON THE CAMPUS OF MCJ. THE AFFILIATED ORGANIZATIONS ARE OFTEN REFERRED TO AND VIEWED AS A SINGLE INTEGRATED INSTITUTION.MCJ PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $2,142,000. THE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $146,000,000. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2010 WAS APPROXIMATELY $6,318,000.OF THE FINANCIAL ASSISTANCE PROVIDED EACH YEAR, A PORTION OF IT GOES TO TRANSPLANT PATIENTS WHO WOULD OTHERWISE DIE WITHOUT A NEW, FUNCTIONING ORGAN.MCJ AND MCF REALIZE THAT NOT ALL RESIDENTS HAVE EASY ACCESS TO MEDICAL CARE WHEN THEY NEED IT. FOR SOME PEOPLE, LACK OF HEALTH INSURANCE PREVENTS THEM FROM GETTING TREATMENT WHILE OTHERS MAY NOT HAVE HEALTH PROFESSIONALS CLOSE AT HAND. REGARDLESS OF THE REASONS, MCJ AND MCF TRY TO DO THEIR PART FOR PEOPLE WHO ARE NOT GETTING ADEQUATE MEDICAL CARE BY FINDING CREATIVE WAYS TO PROVIDE IT. BEING CONNECTED AND INVOLVED PROVIDES AN OPPORTUNITY TO COLLABORATE WITH OTHER HEALTH SERVICE PROVIDERS TO ADDRESS THE COMMUNITY'S HEALTH CARE NEEDS.MCJ AND MCF HAVE PARTNERED WITH MANY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE AND MAKE JACKSONVILLE AND NORTHEAST FLORIDA A HEALTHIER COMMUNITY. IN 2010, THE MAYO SITES WORKED WITH OVER 40 ORGANIZATIONS AND AGENCIES IN THE JACKSONVILLE AND NORTHEAST FLORIDA AREA. THESE PARTNERSHIPS HELP MCJ AND MCF DISCOVER UNMET NEEDS IN THE COMMUNITY AND DEVELOP PROGRAMS TO FULFILL THOSE NEEDS. MCJ AND MCF WORKED SUCCESSFULLY WITH THE BLOOD ALLIANCE TO OPEN THE MAYO CLINIC BLOOD DONOR CENTER IN 2008. THE CENTER, STAFFED AND OPERATED BY THE BLOOD ALLIANCE, IS OPEN FIVE DAYS A WEEK. UNDERSTANDING THE NEED TO INCREASE BLOOD DONATION, THE MAYO SITES WERE ABLE TO PROVIDE SPACE AND FURNISHINGS FOR A DONOR CENTER OPEN TO THE PUBLIC. MCJ, MCF AND THE BLOOD ALLIANCE COORDINATE TO CREATE INTERNAL MARKETING CAMPAIGNS AND EMPLOYEE CONTESTS TO STIMULATE WHOLE BLOOD AND PLATELET DONATIONS. IN 2010, THE CENTER COLLECTED 2,228 UNITS OF RED CELLS (93 PERCENT OF GOAL) AND 523 UNITS OF PLATELETS (132 PERCENT OF GOAL). MCJ AND MCF ARE DEDICATED TO FURTHERING MINORITY HEALTH AND WELLNESS EFFORTS AND ENDING HEALTH DISPARITIES. THROUGH EDUCATION AND AWARENESS PROGRAMS, PERSONALIZED HEALTH CARE AND INNOVATIVE RESEARCH, MCJ AND MCF STRIVE TO ELIMINATE DISPARITIES WITHIN THE COMMUNITIES AND TO HELP PREVENT AND REDUCE ILLNESS AND DEATH IN MINORITY POPULATIONS. OVERALL, IN 2010 THE HEALTH DISPARITIES PROGRAM HELD SEVERAL MAJOR PROJECTS AND INITIATIVES TO BRING TOGETHER THE JACKSONVILLE COMMUNITY TO DISCUSS AND LEARN ABOUT SOLUTIONS TO SOME OF THE HEALTH DISPARITIES FACED BY THE LOCAL COMMUNITY. SOME OF THE INITIATIVES OF THE HEALTH DISPARITIES PROGRAM ARE OUTLINED BELOW. IN 2006 MCJ AND MCF DEVELOPED AN INITIATIVE ENTITLED "LIVE WELL - BE WELL". THROUGH THIS INITIATIVE MCJ AND MCF WORKED WITH A PUBLIC RELATIONS FIRM THAT SPECIALIZED IN PROMOTING AND PROVIDING EDUCATION IN MINORITY COMMUNITIES. THE OBJECTIVE CONTINUES BY PROVIDING EDUCATION AND FOSTERING DISCUSSION ABOUT HEALTH DISPARITIES AND THE IMPORTANCE OF CLINICAL TRIAL PARTICIPATION. IN 2010, THE PROGRAMS REACHED MORE THAN 2,000 COMMUNITY MEMBERS THROUGH EDUCATIONAL FORUMS, COMMUNITY EVENTS AND OTHER OUTREACH EFFORTS. PARTICIPATION RATES FOR MINORITIES INVOLVED IN CANCER CLINICAL TRIALS WAS 39.5 PERCENT IN 2010, COMPARED TO 7 PERCENT IN 2004.IN 2010, UNDER THE HEALTH DISPARTIES PROGRAM, STAFF FROM "LIVE WELL - BE WELL" WORKED WITH LOCAL CHURCHES TO BRING RESEARCH TO THE COMMUNITY. WITH THE HELP OF A MOBILE RESEARCH VAN, A MULTIPLE MYELOMA EDUCATIONAL PROGRAM AND A CLINICAL TRIAL WERE BROUGHT TO THE COMMUNITY. THE TRIAL PARTICIPATION RATE WAS 59%, WITH MORE THAN 80% MINORITY PARTICIPATION. STAFF WORKED WITH THE AFRICAN METHODIST EPISCOPAL CHURCH DISTRICT AND THE DUVAL COUNTY HEALTH DEPARTMENT TO PRESENT THE 4TH ANNUAL BREAST HEALTH PROGRAM ENTITLED "AFRICAN AMERICAN, BLACK AND WOMEN OF COLOR SUMMIT" (ABC SUMMIT). THIS SATURDAY MORNING PROGRAM BROUGHT TOGETHER WOMEN OF COLOR FROM ALL OVER THE COUNTY TO PARTICIPATE IN A DAY OF EDUCATION ABOUT BREAST CANCER. MORE THAN 100 WOMEN PARTICIPATED, AND WORK IS NOW UNDERWAY TO EXPAND THIS PROGRAM TO REACH WOMEN IN THE 5 SURROUNDING COUNTIES IN 2011.ANOTHER INITIATIVE DEVELOPED BY MCJ AND MCF IS THE "LIVE WELL - THINK WELL" PROGRAM. THIS PROGRAM PROMOTES HEALTHY BRAIN AGING. DURING 2010, MCJ AND MCF PARTNERED WITH THE MAYOR'S OFFICE AND BROOKDALE SENIOR LIVING TO SPONSOR THE THIRD "BRAIN BOWL". TO ACCOMMODATE ALL INTERESTED PARTICIPANTS, THE EVENT WAS HELD ON TWO CONSECUTIVE DAYS. NEARLY 400 SENIOR CITIZENS ATTENDING THE EVENT WERE TAUGHT TECHNIQUES TO DEVELOP AND MAINTAIN AN ACTIVE AND HEALTHY LIFESTYLE TO ENSURE A HEALTHY BRAIN. INTERACTIVE ACTIVITES INCLUDED BOARD GAMES, COMPUTER CHALLENGES, TRIVIA CONTESTS AND OTHER SKILLS TO ENHANCE MEMORY AND THINKING ABILITIES. IN 2010, MCJ AND MCF, ALONG WITH SEVERAL LOCAL AGENCIES (INCLUDING ELDERSOURCE, COMMUNITY HOSPICE AND THE CITY OF JACKSONVILLE) CONTRIBUTED TO THE FORMING OF THE CAREGIVER COALITION WHICH PROVIDED SEVERAL WORKSHOPS THROUGHOUT NORTHEAST FLORIDA CENTERED AROUND CARING FOR THE CAREGIVER. DURING 2010, MORE THAN 1,500 EMPLOYEES FROM BOTH MCJ AND MCF VOLUNTEERED THEIR TIME AND EXPERTISE FOR COMMUNITY PROJECTS. IN ADDITION, EMPLOYEES DONATED MORE THAN $245,000 TO THE UNITED WAY AND OTHER CHARITABLE CAUSES. EMPLOYEES OF MCJ AND MCF ARE MAJOR SUPPORTERS OF THE CHILDREN'S CHRISTMAS PARTY OF JACKSONVILLE, A PROJECT THEY HAVE BEEN INVOLVED WITH FOR 9 YEARS. IN 2010, THEY HELPED RAISE $15,500 ALONG WITH A CORPORATE DONATION OF $8,000 TO BUY 360 BICYCLES AND HELMETS FOR THE MORE THAN 7,500 LOW-INCOME CHILDREN WHO ATTENDED THE PARTY. IN ADDITION, OVER 75 MAYO CLINIC EMPLOYEES VOLUNTEERED FOR THE SET-UP AND ACTUAL PARTY BEING SANTA'S HELPERS BY DISTRIBUTING TOYS AND GIVING BICYCLES TO THE CHILDREN.ACCESS TO CULTURAL EVENTS AND THE ARTS IS SOMETIMES AN OVERLOOKED MEASURE OF A COMMUNITY'S HEALTH AND QUALITY OF LIFE. MCJ AND MCF INTEGRATE THE ARTS INTO ITS MEDICAL ENVIRONMENT. WALKING THROUGH THE CAMPUS, PATIENTS AND VISITORS ARE LIKELY TO HEAR A PIANIST PLAYING A CLASSICAL MELODY. MANY PATIENTS' STAYS ARE BRIGHTENED BY LIVE MUSICAL PERFORMANCES OR WATCHING AN ARTIST BRING A CANVAS TO LIFE. VOLUNTEERS ESCORT THE FEATURED MUSICIANS AROUND THE CAMPUS IN SEARCH OF PATIENTS WHO WOULD APPRECIATE A BEDSIDE CONCERT. SIMILARLY, AN ART BY THE BEDSIDE PROGRAM BRINGS LOCAL VOLUNTEER ARTISTS IN TO WORK WITH PATIENTS ON PROJECTS SUCH AS NEEDLEPOINT, WATERCOLOR AND CREATING POSTCARDS.EVERY YEAR, MCJ AND MCF FUND AND SPONSOR A VARIETY OF CULTURAL PROGRAMS OPEN TO ALL MEMBERS OF THE COMMUNITY, CREATING CONNECTIONS BETWEEN ART AND HEALING. AS MUSIC PROGRAMS IN PUBLIC SCHOOLS CONTINUE TO DECLINE, MCJ AND MCF ARE BRINGING CLASSICAL MUSICIANS AND DANCE TROUPES TO CLASSROOMS THROUGH ITS SPONSORSHIP OF THE BEACHES FINE ARTS SERIES.WITH SUPPORT FROM MCJ AND MCF, ALONG WITH OTHERS IN THE COMMUNITY, A SERIES OF FREE, WORLD-CLASS MUSIC AND DANCE PERFORMANCES ARE PROVIDED EIGHT TIMES A YEAR AT ST. PAUL'S BY THE SEA EPISCOPAL CHURCH IN JACKSONVILLE BEACH. FEATURED ARTISTS ALSO HOLD SPECIAL CONCERTS FOR STUDENTS AT VARIOUS DUVAL COUNTY SCHOOLS AND COMMUNITY ORGANIZATIONS. STUDENTS AT MORE THAN 50 LOCAL SCHOOLS HAVE HAD THE OPPORTUNITY TO ENJOY CLASSICAL MUSIC PERFORMANCES. THE PERFORMANCES ARE OPEN TO ALL SCHOOLS, WITH A SPECIAL EMPHASIS ON UNDERSERVED AND INNER-CITY YOUTH.IN 2010, MCJ RECEIVED DONATED SERVICES FROM 820 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 59,189 HOURS, VALUED AT APPROXIMATELY $1,264,000 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES FOR 2010. 47664011 3214942 458029 RESEARCH ACTIVITIES (SEE SCHEDULE O)RESEARCH ACTIVITIES:MCJ CONDUCTS AN EXTENSIVE PROGRAM OF MEDICAL RESEARCH IN FACILITIES LOCATED ON ITS CAMPUS. RESEARCH FOCUSES ON NEUROSCIENCE, NEURODEGENERATIVE DISEASES, AND CANCER TREATMENT. TWO 75,000 SQUARE FOOT FACILITIES PROVIDE SPACE FOR ABOUT 320 SCIENTIFIC INVESTIGATORS AND SUPPORT STAFF INCLUDING PRE-DOCTORAL AND POST-DOCTORAL FELLOWS, VISITING SCIENTISTS, TECHNICIANS, AND OTHER SUPPORT PERSONNEL. SOME OF THE RESEARCH ACCOMPLISHMENTS FOR 2010 ARE LISTED BELOW.EXAMPLES ARE:- RESEARCHERS AT MCJ HAVE FOUND THAT A MOLECULE LONG BELIEVED TO BE A BENEFICIAL TUMOR SUPPRESSOR (AND THUS A POTENTIAL CANCER DRUG TARGET) APPEARS TO ACT AS AN ONCOGENE IN SOME LETHAL BRAIN TUMORS. THE PROTEIN, EPITHELIAL CADHERIN (E-CADHERIN), IS KNOWN FOR ITS ABILITY TO KEEP CANCER CELLS GLUED TOGETHER, PREVENTING THEM FROM BREAKING AWAY AND METASTASIZING. BASED ON THEIR FINDINGS, PUBLISHED ONLINE IN PLOS ONE IN OCTOBER 2010, THE SCIENTISTS SUGGEST E-CADHERIN CAN ALSO FUNCTION AS AN ONCOGENE IN SOME CANCERS.- CANCER RESEARCHERS AT MCJ FOUND THAT A SINGLE POSITIVE MOLECULAR TEST - A PROTEIN SAMPLE KNOWN AS IMMUNOHISTOCHEMISTRY (IHC) - IS ENOUGH TO DETERMINE THAT HERCEPTIN SHOULD BE USED AS THERAPY FOR BREAST CANCER PATIENTS, AND IF THAT TEST IS NEGATIVE, THEN A SECOND TEST TO CHECK FOR HER2 GENES SHOULD BE ORDERED. THE RESEARCHERS, WHO PUBLISHED THEIR FINDINGS ONLINE AUGUST 9 IN THE JOURNAL OF CLINICAL ONCOLOGY (JCO), INDICATE THAT CURRENTLY, MANY PHYSICIANS USE AS MANY AS THREE DIFFERENT TESTS TOGETHER, WHICH ADDS CONSIDERABLE EXPENSE TO BREAST CANCER TREATMENT. THE MAYO RESEARCHERS FOUND THAT BOTH IHC AND A FLUORESCENCE IN SITU HYBRIDIZATION (FISH) TEST EQUALLY PREDICTED IF A PATIENT WOULD BENEFIT FROM HERCEPTIN, AND THAT A THIRD TEST TO MEASURE CHROMOSOME 17 COPY NUMBER IS NOT HELPFUL AT ALL. THIS DATA IS IMPORTANT TO CLINICAL PRACTICE, PROVIDING EVIDENCE THAT A SIMPLE CHANGE IN TEST ORDERING IS SAFE AND CAN REDUCE HEALTH CARE COSTS. - THE DEPARTMENT OF NEUROSCIENCE AT MCJ CONTINUES TO MAINTAIN ITS REPUTATION AS A CENTER OF EXCELLENCE IN ALZHEIMER'S AND NEURODEGENERATIVE DISORDERS. DURING 2010, MEMBERS WERE RECOGNIZED FOR THEIR OUTSTANDING CONTRIBUTIONS TO THE FIELD AND DISCOVERY OF NEW GENES, BIOMARKERS AND THERAPEUTIC TARGETS. ONE OF THE DEPARTMENT'S RESEARCHERS WAS NAMED A ROBERT E. JACOBY PROFESSOR FOR ALZHEIMER'S RESEARCH AND WON THE PRESTIGIOUS POTAMKIN PRIZE FOR FIRST IDENTIFYING THE ROLE OF TAU PROTEIN IN ALZHEIMER'S DISEASE. IN SHEDDING NEW LIGHT ON THE UNDERLYING CAUSES OF ALS, FRONTOTEMPORAL DEMENTIA, PARKINSON'S DISEASE AND STROKE, THE DEPARTMENT OF NEUROSCIENCE OBTAINED NATIONAL INSTITUTE OF HEALTH APPROVAL TO SUBMIT LARGE, PROGRAM PROJECT AND UDALL CENTER GRANT APPLICATIONS TO FURTHER THEIR RESEARCH. - RESEARCHERS AT MCJ MADE SIGNIFICANT CONTRIBUTIONS TO THE LOCAL COMMUNITY AND BEYOND THROUGH THE ALZHEIMER'S DISEASE RESEARCH CENTER AND THE STATE OF FLORIDA ALZHEIMER'S DISEASE INITIATIVE. MCJ INVESTIGATORS IDENTIFIED COMMON GENETIC VARIANTS IN LATE ONSET ALZHEIMER'S DISEASE (LOAD), AND CO-AUTHORED TWO, HIGH-IMPACT NATURE GENETICS PAPERS. THE ARTICLES, GENERATED AS A RESULT OF UNPRECEDENTED NATIONAL AND INTERNATIONAL COLLABORATIONS, GARNERED NATIONAL MEDIA ATTENTION RANGING FROM THE NEW YORK TIMES TO NATIONAL PUBLIC RADIO.- MCJ IS ALSO EXPLORING SCIENTIFIC PARTNERSHIPS WITH SEVERAL ACADEMIC INSTITUTIONS, INCLUDING ARIZONA STATE UNIVERSITY BIOINFORMATICS AND KAROLINSKA INSTITUTE. IN ADDITION, MCJ WILL CONTINUE TO DEVELOP SCIENTIFIC COLLABORATIONS WITH CANCER BIOLOGY AND A STATE-WIDE INITIATIVE WITH SCIENTISTS AT SCRIPPS FLORIDA AND THE UNIVERSITY OF FLORIDA. 3739858 669513 EDUCATION ACTIVITIES (SEE SCHEDULE O)EDUCATION ACTIVITIES:MCJ, IN CONJUNCTION WITH MCF, PROVIDES VARIOUS EDUCATIONAL PROGRAMS. IN 2010, 62 MEDICAL STUDENTS RECEIVED TRAINING AT THE MAYO SITES IN JACKSONVILLE. THROUGH 42 ACTIVE AND APPROVED MEDICAL PROGRAMS, A TOTAL OF 268 RESIDENTS AND FELLOWS ALSO RECEIVED TRAINING AT THE MAYO SITES IN JACKSONVILLE. PARTNERSHIPS WITH LOCAL EDUCATIONAL INSTITUTIONS PROVIDED 27 EDUCATIONAL PROGRAMS SERVING 300 ALLIED HEALTH STUDENTS THROUGH THE MAYO SCHOOL OF HEALTH SCIENCES. THE ABOVE MENTIONED STUDENTS, RESIDENTS AND FELLOWS RECEIVED ALL OR A PORTION OF THEIR TRAINING AT THE MCJ CAMPUS. PHYSICIANS AND RESEARCHERS AT MCJ AND MCF AUTHORED 558 ARTICLES PUBLISHED IN PEER-REVIEWED JOURNALS IN 2010.THE EDUCATIONAL MISSION OF MCJ AND MCF ALSO EXTENDS TO THE COMMUNITY. MCJ AND MCF BELIEVE THAT THEIR MEDICAL KNOWLEDGE MUST BE SHARED WITH THE COMMUNITY, PHYSICIANS AND HEALTH-CARE PROFESSIONALS. THROUGH THE MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT, HEALTH-CARE PROVIDERS RECEIVE EDUCATIONAL PROGRAMS TO UPDATE THEIR KNOWLEDGE. IN 2010, 6,500 PHYSICIANS AND HEALTH-CARE PROFESSIONALS PARTICIPATED IN THESE EDUCATIONAL PROGRAMS.MCJ AND MCF ESTABLISHED A HIGH SCHOOL BOOT CAMP TO INTRODUCE STUDENTS TO CAREER OPPORTUNITIES IN MEDICINE AND SCIENCE. THE BOOT CAMP OCCURS TWICE A YEAR AND SERVES 50 STUDENTS PER SESSION. ONE HUNDRED LOCAL HIGH SCHOOL STUDENTS PARTICIPATED IN 2010. MCJ AND MCF ALSO PROVIDE CLINICAL AND BASIC SCIENCE RESEARCH INTERNSHIPS FOR STUDENTS FROM ACROSS THE UNITED SATES. SEVEN SUMMER UNDERGRADUATE RESEARCH FELLOWSHIP (SURF) STUDENTS PARTICIPATED IN A 10-WEEK BASIC SCIENCE RESEARCH PROGRAM.ADDITIONALLY, STAFF FROM MCJ AND MCF SUPPORT VARIOUS EDUCATIONAL PROGRAMS IN PUBLIC SCHOOLS. THESE STAFF MEMBERS ASSIST VARIOUS ELEMENTARY, HIGH SCHOOLS, COMMUNITY COLLEGES AND UNIVERSITIES IN THE COMMUNITY. THE STAFF MEMBERS SERVE ON ADVISORY BOARDS, BOARDS OF TRUSTEES AND PARTICIPATE AS RESOURCE PERSONS ON A REGULAR BASIS FOR SCHOOLS, COLLEGES AND UNIVERSITIES 509905629 1 1 0 1 0 0 1 0 1 1 1 0 1 1 1 0 1 0 1 1 1 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 0 0 3215 1 1 1 0 0 0 0 0 0 0 0 0 X 15 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X CORPORATE TAX 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 X BRIGHAM ROBERT F 40.00 X X 741182 0 24883 BUSKIRK MD STEVEN J 40.00 X 1451114 0 68352 DEVAULT MD KENNETH R 40.00 X 678358 0 103487 GONWA MD THOMAS A 40.00 X 357403 0 82487 HERNKE DEBRA A 40.00 X 148828 0 21655 HOFFMAN MARY J 40.00 X X 360001 0 49281 JENSEN NANCY W 1.00 X 0 227832 44206 JORGENSEN STEVEN C 40.00 X X 252425 0 60676 LANGE MD STEPHEN M 40.00 X X 1146991 0 127568 LEVENTHAL MD JACK P 40.00 X X 784581 0 107627 MATHEWS HILARY G 40.00 X 229676 0 52132 O'CONNOR MD MARY I 40.00 X 1340492 0 102755 ROMME CLIFFORD R 40.00 X 274654 0 17320 RUPP MD WILLIAM C 40.00 X X 820006 0 49246 SMITH MD CD 40.00 X 632726 0 88667 TALLEY MD NICHOLAS J 40.00 X 240477 49709 64200 ACKERMAN FRANKLIN K 40.00 X 154343 0 29623 BOLLING DAVID B 40.00 X 497979 0 60605 BROTT MD THOMAS G 40.00 X 322084 0 92338 FONTAINE ROBERT J 40.00 X 152773 0 13278 FORD MARGARET J 40.00 X 157525 0 40704 HUBER HAROLD D 40.00 X 197993 0 19789 KHOOR MD ANDRAS 40.00 X 512380 0 84264 MURRAY MD PETER M 40.00 X 720488 0 83769 PRESUTTI DO RICHARD J 40.00 X 236624 0 40345 TOMLINSON DANIEL L 40.00 X 183704 0 37638 WEBER JOAN A 40.00 X 177394 7313 22964 WHAREN MD ROBERT E 40.00 X 2666089 0 348897 ZORN CHRISTINA K 40.00 X 195310 0 30618 DEEN MD HUGH 40.00 X 2163278 0 320859 MAY MD GERALD R 40.00 X 2246402 0 182154 ODELL MD JOHN A 40.00 X 2218423 0 174331 REIMER MD RONALD 40.00 X 2024665 0 322106 SAFFORD MD ROBERT E 40.00 X 2366549 0 131094 BARTLEY MD GEORGE B X 0 1741011 92535 BERQUIST MD THOMAS H X 3886788 0 10232 BOLLING MD JAMES P X 1444770 0 62910 COLON-OTERO MD GERARDO X 726611 0 46849 WALTERS ROBERT M X 0 851047 62572 WILLIAMS MD HUGH J X 2385557 0 169764 SAWYER NAN B X 0 503199 63004 CROFT CHERYL X 0 227064 43239 35096643 3607175 3651023 502 1 1 0 MAYO FOUNDATION FOR MEDICAL EDUCATION & 200 FIRST STREET SW ROCHESTER MN 55905 SUPPORT SERVICES 40080428 MAYO COLLABORATIVE SERVICES INC 200 FIRST STREET SW ROCHESTER MN 55905 LAB SERVICES 5040697 MMSI INC 200 FIRST STREET SW ROCHESTER MN 55905 BENEFIT SERVICES 1589184 3 45588360 17118604 5898550 68605514 NET PATIENT REVENUE 620000 381889407 381889407 SHARED SERVICES 561000 111816905 111816905 REFERENCE LAB REVENUE 621500 5797653 5797653 EDUCATION REVENUE 611600 635986 635986 RESEARCH REVENUE 541700 602153 602153 500742104 5025289 5025289 137626 137626 334721 20217 115139 219582 20217 239799 20217 219582 327019 344458 -17439 -17439 -17439 694721 419605 275116 275116 MISCELLANEOUS 900099 418761 213190 205571 PARKING 812930 270991 270991 CONSULTING/MANAGEMENT 541610 113882 627 113255 803634 575811643 495295894 5931125 5979110 34937815 34937815 73799 73799 17549069 13904055 3645014 9161163 9161163 218352109 213931607 4420502 22474090 21862084 612006 34305562 33368761 936801 14257343 13803959 453384 423708 403479 20229 584034 30385 553649 48282 48282 25286 25286 79341883 27181241 52160642 49218 44958 4260 65175136 63680616 1494520 15980602 584172 15396430 17253775 13764386 3489389 4208211 3986736 221475 218211 188918 29293 6242514 6242514 23645196 23427254 217942 10160240 10018359 141881 BAD DEBT EXPENSE 17326298 17326298 EMPLOYEE EXPENSES 1620699 1340793 279906 DUES, LICENSES, ETC. 769735 593995 175740 UBI TAXES 268297 268297 594452275 509905629 84546646 0 27643 14843 23386283 22583688 74660195 76509329 22404 15253 2628234 3129774 1247478 1206956 490120331 221685112 298367631 268435219 19983579 24850742 81419696 102345379 106108048 93016762 607851191 592107945 22372121 29692720 1896600 1952114 100000000 100000000 137347467 133296300 261616188 264941134 X 277211669 248242424 35245878 43413294 33777456 35511093 346235003 327166811 607851191 592107945 X -18640632 -427560 X X 0 1 1 X 1 1 X 37047878 76094722 70928948 79544148 68605514 332221210 37047878 76094722 70928948 79544148 68605514 332221210 332221210 4292190 10441939 -3541530 4014800 5360010 20567409 53191 52896 53867 661148 1200259 2021361 354809980 2200602741 0.93630 0.94320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 48282 48282 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: PERCENTAGE OF LOBBYING EXPENSES INCLUDED IN MEMBERSHIP DUES TO THE FLORIDA HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, THE FLORIDA MEDICAL ASSOCIATION AND THE JACKSONVILLE CHAMBER OF COMMERCE. X 0 67437689 5883716 7086954 893967 3565633 75948759 60445837 4437091 4491671 1936910 67437689 40957359 24902621 -4377809 1036334 60445837 0.50430 0.49570 0 1 1 27061935 27061935 299226354 108723487 190502867 155197298 112935040 42262258 8634744 26585 8608159 268435219 MAYO POOLED INVESTMENTS 102345379 F 102345379 DUE FROM AFFILIATES 93016762 93016762 DUE TO AFFILIATES 108445558 DEFERRED COMPENSATION LIABILITY 24850742 133296300 Part III, Line 1a: FOOTNOTE FROM MAYO CLINIC ("THE CLINIC") CONSOLIDATED AUDIT: THE 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 THE CLINIC'S PATIENTS. IT IS THE CLINIC'S POLICY TO NEITHER CAPITALIZE CONTRIBUTED WORKS OF ART NOR RECORD THE RELATED CONTRIBUTION REVENUE. Part III, Line 4: WORKS OF ART DISPLAYED ACROSS THE FILING ORGANIZATION'S 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: AT DECEMBER 31, 2010 AND 2009, THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION WAS $2,787 AND $18,950 RESPECTIVELY. FIN 48 FOOTNOTE FROM MAYO CLINIC ("THE CLINIC") CONSOLIDATED AUDIT WHICH IS DENOMINATED IN $MILLIONS: 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 A FEW FOREIGN JURISDICTIONS. THE STATUTES OF LIMITATIONS FOR TAX YEARS 2007 THROUGH 2009 REMAINS 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 2007 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) IS PERFORMING 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, TWO REMAINING ENTITIES HAVE EXTENDED THE STATUTES OF LIMITATIONS FOR 2005 AND 2006 UNTIL JUNE 30, 2011. AS OF DECEMBER 31, 2010, 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, 2010 AND 2009, THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS WAS $0.2 AND $16.3, RESPECTIVELY. THE 2010 DECREASE WAS PRIMARILY RELATED TO INTERCOMPANY TRANSFER PRICING METHODOLOGY CHALLENGED BY THE IRS AND SETTLED, WHICH ALSO RESULTED IN A DECREASE TO AN OFFSETTING DEFERRED TAX ASSET. IT IS REASONABLY POSSIBLE THAT UNRECOGNIZED BENEFITS WILL DECREASE BY APPROXIMATELY $0.2 IN THE NEXT 12 MONTHS DUE TO EXPIRING STATUTES OF LIMITATIONS OR SETTLEMENT WITH THE IRS. THE CLINIC'S PRACTICE IS TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE COMPONENTS OF TAX EXPENSE ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CLINIC RECORDS DEFERRED INCOME TAXES DUE TO TEMPORARY DIFFERENCES BETWEEN FINANCIAL REPORTING AND TAX REPORTING FOR CERTAIN ASSETS AND LIABILITIES OF ITS TAXABLE ACTIVITIES. AT DECEMBER 31, 2010, THE CLINIC HAS NET OPERATING LOSS CARRYFORWARDS OF $35.8 FOR FEDERAL INCOME TAX PURPOSES, WHICH ARE EXPECTED TO EXPIRE BEGINNING 2011 THROUGH 2029. 1 Central America and the Caribbean 16 TRAVEL - INTERNATIONAL CONFERENCE 6643 East Asia and the Pacific 29 TRAVEL - INTERNATIONAL CONFERENCE 19591 Europe (Including Iceland & Greenland) 114 TRAVEL - INTERNATIONAL CONFERENCE 91051 Middle East and North Africa 7 TRAVEL - INTERNATIONAL CONFERENCE 5604 North America 84 TRAVEL - INTERNATIONAL CONFERENCE 82293 South America 34 TRAVEL - INTERNATIONAL CONFERENCE 13713 South Asia 15 TRAVEL - INTERNATIONAL CONFERENCE 1968 Sub-Saharan Africa 1 TRAVEL - INTERNATIONAL CONFERENCE 4855 300 0 300 225718 0 225718 Europe (Including Iceland & Greenland) CONDUCT RESEARCH 32506 CHECK, ELECTRONIC FUND OR WIRE TRANSFER North America CONDUCT RESEARCH 33330 CHECK, ELECTRONIC FUND OR WIRE TRANSFER Europe (Including Iceland & Greenland) CONDUCT RESEARCH 7963 CHECK, ELECTRONIC FUND OR WIRE TRANSFER 3 0 0 0 0 0 0 0 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. Method Used to Acccount for Expenditures: Schedule F, Part I, Line 3: ACCRUAL METHOD 1 1 1 X 1 X 1 1 1 0 1 1 6318378 6318378 0.01090 3102210 960528 2141682 0.00370 9420588 960528 8460060 0.01460 3739858 669513 3070345 0.00530 48521258 32730186 15791072 0.02740 47664011 458029 47205982 0.08180 403030 403030 0.00070 100328157 33857728 66470429 0.11520 109748745 34818256 74930489 0.12980 210106 210106 0.00040 210106 210106 0.00040 0 9213410 0 1 1 0 1 MAYO CLINIC JACKSONVILLE

4500 SAN PABLO ROAD JACKSONVILLE FL 32224

X NOT REQUIRED 1 4 ST AUGUSTINE CLINIC

110 SOUTHWOOD LAKE DRIVE ST AUGUSTINE FL 32086

CLINIC BEACHES PRIMARY CARE CENTER

742 MARSHLANDING PARKWAY JACKSONVILLE BEACH FL 32250

CLINIC SANDCASTLE

4020 SOUTH THIRD STREET JACKSONVILLE BEACH FL 32250

OFFICE BILLING & COLLECTIONS ROGER MAIN BUILDING

4203 BELFORT ROAD JACKSONVILLE FL 32216

OUTPATIENT DIALYSIS Part I, Line 6a: THE ANNUAL REPORT FOR THE FILING ORGANIZATION 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 WOULD NOT BE 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: $15,791,072. 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 $ 17326298. Part II: MAYO CLINIC JACKSONVILLE (MCJ) CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT FOR NEW AND ONGOING PROGRAMS WITHIN ALL AREAS SUPPORTING BASIC HUMAN SERVICES, EDUCATION AND WORKFORCE DEVELOPMENT, YOUTH AND ELDERLY ENRICHMENT OPPORTUNITIES, THE ARTS AND CULTURAL ENRICHMENT, DIVERSITY AND OTHERS. CAPITAL CAMPAIGNS AND MULTI-YEAR GRANTS ARE CONSIDERED AS MCJ'S FINANCIAL RESOURCES ALLOW. PRIORITY IS GIVEN TO PROJECTS THAT DEMONSTRATE ONE OR MORE OF THE FOLLOWING:- ADDRESS SIGNIFICANT AND EMERGENT NEEDS WITHIN OUR COMMUNITY- ENHANCE MAYO'S CAPACITY TO MEET ITS MISSION- IMPROVE HEALTH OF INDIVIDUALS IN COMMUNITIES- ENABLE LONG-TERM CAPACITY BUILDING AND SUSTAINABILITY- DEMONSTRATE PARTNERSHIP BUILDING AND COLLABORATION Part III, Line 4: 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.FOOTNOTE FROM MAYO CLINIC ("THE CLINIC") CONSOLIDATED AUDITED FINANCIAL STATEMENTS: 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.BAD DEBT EXPENSE AT COST IS DETERMINED USING THE SAME COST TO CHARGE RATIO THAT IS USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID SHORTFALL. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE. Part III, Line 8: MAYO CLINIC JACKSONVILLE (MCJ) IS NOT REQUIRED TO FILE THE SAME MEDICARE 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, MCJ DID HAVE A MEDICARE SHORTFALL OF $132,314,518 BASED ON MEDICARE REIMBURSEMENT OF $93,171,051 AND COSTS OF $225,485,568. 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 CHARITY CARE 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 CHARITY CARE 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 EVERY REASONABLE ATTEMPT TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. 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. 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. 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. Part VI, Line 2: MAYO CLINIC JACKSONVILLE (MCJ) AND MAYO CLINIC FLORIDA (MCF) WORK COLLABORATIVELY IN THEIR INPATIENT AND OUTPATIENT PRACTICES TO MEET THE HEALTH CARE NEEDS OF THE LOCAL DUVAL COUNTY AND ST. JOHNS COUNTY COMMUNITIES OF ABOUT 1 MILLION RESIDENTS. IN ADDITION, MCJ AND MCF ARE PART OF A MULTI-ENTITY, INTEGRATED HEALTHCARE ORGANIZATION THAT WORKS TOGETHER TO MEET THE HEALTH CARE NEEDS OF BROADER REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS "MAYO CLINIC" FOR PURPOSES OF THIS DESCRIPTION. MAYO CLINIC'S EFFORTS TO ASSESS THE HEALTH CARE NEEDS OF THE LOCAL NORTHEAST FLORIDA COMMUNITY REST ON FOUR GUIDING PRINCIPLES DEVELOPED IN CONJUNCTION WITH COMMUNITY PARTNERS AND AFFIRMED BY MAYO CLINIC LEADERSHIP:1. HEALTH IS VALUED BY BOTH THE COMMUNITY AND MAYO CLINIC.2. "HEALTH" IS DETERMINED BY BOTH MEDICAL AND NON-MEDICAL (E.G., SOCIAL AND BEHAVIORAL) FACTORS AND BOTH CATEGORIES OF FACTORS MUST BE ADDRESSED.3. MAYO CLINIC IS COMMITTED TO PRODUCING MEASURABLE IMPROVEMENTS IN THE HEALTH OF ALL DUVAL COUNTY AND ST. JOHNS COUNTY RESIDENTS, AND BEYOND.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 CLINIC'S APPROACH TO ASSESS THE NEEDS OF THE COMMUNITY IS ORGANIZED INTO TWO MAIN FUNCTIONS: 1) MECHANISMS TO ENGAGE AND UTILIZE INPUT FROM THE COMMUNITY AND 2) MECHANISMS TO SUPPORT AND COORDINATE INITIATIVES WITHIN MAYO CLINIC.TO ENGAGE AND UTILIZE INPUT FROM THE COMMUNITY, MAYO CLINIC REGULARLY REVIEWS COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY THE DUVAL COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS THAT SERVE BROAD COMMUNITY HEATH NEEDS, SUCH AS NORTHEAST FLORIDA UNITED WAY AND JACKSONVILLE COMMUNITY COUNCIL INC. THE INFORMATION PROVIDED BY THESE ORGANIZATIONS AND OTHERS IS USED TO DETERMINE HEALTH CARE SERVICES AVAILABLE AND TO IDENTIFY GAPS THAT CAN BE ADDRESSED IN MAYO CLINIC'S RESPONSE TO THE HEALTH CARE NEEDS OF THE COMMUNITY. IN CONJUNCTION WITH OTHER AREA HOSPITALS, MAYO CLINIC EVALUATES THE NEEDS OF UNDERSERVED POPULATIONS AND WORKS COLLECTIVELY WITH THE DUVAL COUNTY MEDICAL SOCIETY'S WE CARE PROGRAM TO HELP MEET THOSE NEEDS.WITHIN MAYO CLINIC, COORDINATION OF COMMUNITY ENGAGEMENT INITIATIVES IS ACCOMPLISHED THROUGH A COMMUNITY RELATIONS WORKGROUP, WHICH EVALUATES FUNDING AND SPONSORSHIP REQUESTS FROM COMMUNITY AGENCIES AND GUIDES INSTITUTIONAL SUPPORT FOR VARIOUS COMMUNITY INITIATIVES. THIS GROUP ENSURES THE GUIDING PRINCIPLES ARE FOLLOWED AND FACILITATES COMMUNITY OUTREACH INITIATIVES. THE JACKSONVILLE HEALTH DISPARITIES OVERSIGHT COMMITTEE WAS FORMED IN SEPTEMBER 2006 TO ADDRESS HEALTH DISPARITIES ISSUES. THE COMMITTEE WORKS CLOSELY WITH THE COMMUNITY RESEARCH ADVISORY BOARD (CRAB), WHICH CONSISTS OF MEMBERS FROM THE JACKSONVILLE COMMUNITY OF MULTICULTURAL BACKGROUNDS AND VARIOUS PROFESSIONS, WHO ARE RESPONSIBLE FOR 2 MAIN FUNCTIONS:- REVIEW RESEARCH PROTOCOLS AND PROVIDE IMPORTANT FEEDBACK BASED ON DIVERSE PERSPECTIVES TO INVESTIGATORS ABOUT THEIR PROPOSED STUDY DESIGN.- ADVISE ON STRATEGIES FOR THE RECRUITMENT OF DIVERSE POPULATIONS TO MCJ RESEARCH PROTOCOLS.MAYO CLINIC ALSO ATTRACTS PATIENTS FROM AREAS FAR BEYOND ITS IMMEDIATE COMMUNITIES. PATIENTS COME TO MAYO CLINIC FROM EVERY STATE AND MANY FOREIGN COUNTRIES. BESIDES ITS PRINCIPAL CLINICAL AND HOSPITAL FACILITIES IN ROCHESTER, MINNESOTA, MAYO CLINIC HAS A NETWORK OF COMMUNITY BASED HEALTH CARE PROVIDERS IN OVER 70 COMMUNITIES THROUGHOUT SOUTHERN MINNESOTA, NORTHERN IOWA AND WEST CENTRAL WISCONSIN. IN ADDITION, MAYO CLINIC HAS FACILITIES IN SCOTTSDALE AND PHOENIX, ARIZONA AS WELL AS JACKSONVILLE, FLORIDA. MAYO CLINIC SUPPORTS AND COORDINATES EFFORTS TO IMPROVE THE HEALTH AND WELL BEING WITHIN EACH OF THE COMMUNITIES IT SERVES AS WELL AS CONDUCTING MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF MEDICINE TO BENEFIT A BROAD RANGE OF REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES. Part VI, Line 3: ELIGIBILITY: THE CHARITY CARE INFORMATION BROCHURE IS PROMINENTLY DISPLAYED IN REGISTRATION AND PATIENT WAITING AREAS. THE BROCHURE EXPLAINS THE CHARITY CARE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. IDENTIFICATION: THERE ARE A NUMBER OF WAYS A PATIENT CAN BE IDENTIFIED AND EVALUATED FOR CHARITY CARE ASSISTANCE.1. PATIENTS MAY REQUEST FINANCIAL ASSISTANCE.2. STAFF MAY REFER PATIENTS TO A FINANCIAL COUNSELOR.3. COLLECTION AGENCIES MAY REFER PATIENTS.4. BUSINESS/PATIENT FINANCIAL SERVICES MAY REFER PATIENTS TO A FINANCIAL COUNSELOR.5. PHYSICIANS MAY REFER PATIENTS.6. LOCAL GOVERNMENT AGENCIES MAY REFER PATIENTS.INDIGENT CARE: EMERGENCY ROOM PATIENTS WHO CANNOT PAY THEIR BILLS MAY BE CLASSIFIED AS "CHARITY" IF THEY DO NOT HAVE A JOB, MAILING ADDRESS, RESIDENCE, OR INSURANCE. CONSIDERATION MUST ALSO BE GIVEN TO CLASSIFYING EMERGENCY ROOM ONLY PATIENTS AS CHARITY IF THEY DO NOT PROVIDE ADEQUATE INFORMATION AS TO THEIR FINANCIAL STATUS. IN MANY INSTANCES, THESE PATIENTS ARE HOMELESS AND HAVE FEW RESOURCES TO COVER THE COST OF THEIR CARE.GOVERNMENTAL ASSISTANCE: IN DETERMINING WHETHER AN INDIVIDUAL QUALIFIES FOR CHARITY CARE, OTHER COUNTY OR GOVERNMENTAL ASSISTANCE PROGRAMS SHOULD ALSO BE CONSIDERED. MANY APPLICANTS ARE NOT AWARE THAT THEY MAY BE ELIGIBLE FOR PUBLIC HEALTH INSURANCE PROGRAMS.1. STAFF WILL HELP THE INDIVIDUAL DETERMINE ELIGIBILITY FOR GOVERNMENTAL OR OTHER ASSISTANCE, AS APPROPRIATE.2. PERSONS WHO ARE ELIGIBLE FOR PROGRAMS (SUCH AS STATE-SPONSORED MEDICAID) BUT WHO WERE NOT COVERED AT THE TIME THAT MEDICAL SERVICES WERE GRANTED MAY BE GRANTED CHARITY CARE, PROVIDED THAT THE PATIENT NOW APPLIES FOR GOVERNMENT ASSISTANCE. THIS MAY BE PRUDENT, ESPECIALLY IF THE PATIENT REQUIRES ONGOING SERVICES. Part VI, Line 4: MAYO CLINIC JACKSONVILLE (MCJ) AND MAYO CLINIC FLORIDA (MCF) ARE LOCATED IN EASTERN JACKSONVILLE, DUVAL COUNTY, FLORIDA AND TOGETHER SERVE POPULATIONS FROM JACKSONVILLE, AS WELL AS PATIENTS FROM ACROSS THE SOUTHEASTERN UNITED STATES AND INTERNATIONALLY. APPROXIMATELY 45% OF THE PATIENT POPULATION RESIDES OUTSIDE THE JACKSONVILLE METROPOLITAN AREA, AND 50% ARE MEDICARE PATIENTS. THE FILING ORGANIZATIONS EMPHASIZE COMPLEX AND DIFFICULT SPECIALTY AND TERTIARY CARE, INCLUDING ORGAN TRANSPLANTATION, NEUROLOGY, ONCOLOGY AND ORTHOPEDICS. THE ORGANIZATION DOES NOT HAVE PEDIATRIC OR OBSTETRIC PRACTICES, AND THIS LIMITS ACCESS TO MEDICAID PATIENTS SINCE FLORIDA'S MEDICAID BENEFITS ARE GENERALLY RESTRICTED TO CHILDREN AND PREGNANT WOMEN; HOWEVER, THE ORGANIZATION DOES HAVE AGREEMENTS WITH THE STATE OF FLORIDA TO PROVIDE A CERTAIN PERCENTAGE OF ORGAN TRANSPLANTS TO MEDICAID OR CHARITY PATIENTS (THE AMOUNT VARIES WITH EACH ORGAN). THE ORGANIZATION MAINTAINS A VIBRANT RESEARCH PROGRAM, WITH BASIC SCIENCE FOCUS ON NEUROSCIENCE AND CANCER, AND CLINICAL TRIALS ACROSS THE SPECTRUM. THERE IS ALSO A STRONG MEDICAL EDUCATION PROGRAM, WITH MORE THAN 268 RESIDENTS AND FELLOWS IN MORE THAN 42 PROGRAMS. Part VI, Line 6: THIS FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION - EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO 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.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. THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE FILING ORGANIZATION, WHICH IS CONTROLLED BY MAYO CLINIC, RELIES ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT. SEVERAL OF MAYO CLINIC'S HOSPITAL ENTITIES HAVE OBTAINED LETTER RULINGS APPROVING A STAFF MODEL IN WHICH ONLY MAYO CLINIC EMPLOYED PHYSICIANS ARE GIVEN STAFF PRIVILEGES IN ORDER TO MAINTAIN STANDARD METHODS OF PRACTICE AND PROTOCOLS. FOR THOSE ENTITIES, THE PHYSICIANS ARE SALARIED EMPLOYEES AND THUS THE ISSUE OF PRIVATE INUREMENT AND PRIVATE BENEFIT ADDRESSED BY THE OPEN STAFF REQUIREMENT ARE OTHERWISE ADDRESSED. THE FILING ORGANIZATION IS ONE OF THE ENTITIES WHICH OPERATES BASED ON THE CLOSED STAFF MODEL. 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 7: THE FILING ORGANIZATION IS PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH MAYO CLINIC. MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." MORE THAN 3,300 PHYSICIANS, SCIENTISTS AND RESEARCHERS AND 46,000 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.SPECIFICALLY, THE FILING ORGANIZATION PROVIDES MEDICAL EDUCATION, RESEARCH, AND CLINIC SERVICES AT THE FLORIDA LOCATION. FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). 1 UNITED NEGRO COLLEGE FUND INC 1080 WOODCOCK ROAD SUITE 280 ORLANDO FL 32803 131624241 501(C)(3) 5000 EDUCATION FLORIDA HOSPITAL ASSOCIATION 306 EAST COLLEGE AVENUE TALLAHASSEE FL 32301 590690327 501(C)(6) 10000 HEALTHCARE ST JOHN'S COUNTY CHAMBER OF COMMERCE 1 RIBERIA STREET ST AUGUSTINE FL 32084 590432275 501(C)(6) 5000 COMMUNITY DEVELOPMENT UNIVERSITY OF NORTH FLORIDA FOUNDATION 1 UNF BOULEVARD BUILDING 39 ROOM 3031 JACKSONVILLE FL 32224 237167701 501(C)(3) 60000 EDUCATION NORTH FLORIDA CARDIOVASCULAR EDUCATION FOUNDATION 501 RIVERSIDE AVENUE SUITE 800 JACKSONVILLE FL 32202 201773470 501(C)(3) 5000 EDUCATION WOMEN OF COLOR CULTURAL FOUNDATION PO BOX 43632 JACKSONVILLE FL 32203 593621843 501(C)(3) 5000 DIVERSITY AMERICAN HEART ASSOCIATION 5851 ST AUGUSTINE ROAD JACKSONVILLE FL 32207 135613797 501(C)(3) 60000 HEALTHCARE JACKSONVILLE COMMUNITY COUNCIL 2434 ATLANTIC BOULEVARD JACKSONVILLE FL 32207 591163905 501(C)(3) 5500 COMMUNITY DEVELOPMENT AMERICAN DIABETES ASSOCIATION 8384 BAYMEADOWS ROAD SUITE 10 JACKSONVILLE FL 32256 131623888 501(C)(3) 12500 HEALTHCARE ST ANDREW'S LIGHTHOUSE 1797 BEACH BOULEVARD JACKSONVILLE FL 32250 311489868 501(C)(3) 116000 HEATLHCARE MUSCULAR DYSTROPHY ASSOCIATION 10245 CENTURION PARKWAY SUITE 315 JACKSONVILLE FL 32256 131665552 501(C)(3) 5000 HEALTHCARE JACKSONVILLE SYMPHONY ASSOCIATION 300 WEST WATER STREET SUITE 200 JACKSONVILLE FL 32202 596002520 501(C)(3) 19000 COMMUNITY DEVELOPMENT NATIONAL MULTIPLE SCLEROSIS SOCIETY 4237 SALISBURY ROAD SUITE 406 JACKSONVILLE FL 32216 410790658 501(C)(3) 10500 HEATLHCARE AMERICAN CANCER SOCIETY 2850 ISABELLA BOULEVARD JACKSONVILLE BEACH FL 32250 590657320 501(C)(3) 5250 HEALTHCARE BEACHES FINE ART SERIES PO BOX 51171 JACKSONVILLE BEACH FL 32240 592989136 501(C)(3) 10000 COMMUNITY DEVELOPMENT THE CHILDREN'S CHRISTMAS PARTY OF JACKSONVILLE PO BOX 5338 JACKSONVILLE FL 32247 593611757 501(C)(3) 8000 EQUALITY OF OPPORTUNITY LEUKEMIA & LYMPHOMA SOCIETY 7077 BONNEVAL ROAD JACKSONVILLE FL 32256 860282117 501(C)(3) 5000 HEALTHCARE THE RITZ CHAMBER MUSIC SOCIETY INC 300 WATER STREET SUITE 200 JACKSONVILLE FL 32202 562281527 501(C)(3) 5000 COMMUNITY DEVELOPMENT KATIE CAPLES FOUNDATION 98 SOUTH FLECHER AVENUE AMELAI ISLAND FL 32034 593580838 501(C)(3) 15000 HEALTHCARE JACKSONVILLE PUBLIC LIBRARY FOUNDATION PO BOX 40103 JACKSONVILLE FL 32203 592836110 501(C)(3) 5000 COMMUNITY DEVELOPMENT AMERICAN LUNG ASSOCIATION 6852 BELFORT OAKS PLACE JACKSONVILLE FL 32216 590662271 501(C)(3) 7500 HEALTHCARE DEEN DEVELOPMENT CORPORATION 5290-4 NORWOOD AVENUE JACKSONVILLE FL 32209 300500543 501(C)(3) 5950 HEALTHCARE AMYOTROPHIC LATERAL SCLEROIS ASSOCIATION - FLORIDA CHAPTER 3242 PARKSIDE CENTER CIRCLE TAMPA FL 33619 943124732 501(C)(3) 7500 HEALTHCARE LEADERSHIP JACKSONVILLE INC 4040 WOODCOCK DRIVE SUITE 155 JACKSONVILLE FL 32207 591718154 501(C)(3) 7500 COMMUNITY DEVELOPMENT VOLUNTEERS IN MEDICINE 41 EAST DUVAL STREET JACKSONVILLE FL 32202 753002172 501(C)(3) 10000 HEALTHCARE WE CARE JACKSONVILLE INC 900 UNIVERSITY BLVD SUITE 200E JACKSONVILLE FL 32211 593431724 501(C)(3) 10500 HEALTHCARE JACKSONVILLE REGIONAL CHAMBER OF COMMERCE INC 3 INDEPENDENT DRIVE JACKSONVILLE FL 32202 590306161 501(C)(6) 145106 COMMUNITY DEVELOPMENT CORIELL INSTITUTE FOR MEDICAL RESEARCH 43 HADDON AVENUE CAMDEN NJ 08103 210672684 501(C)(3) 76785 RESEARCH PALO ALTO INSTITUTE FOR RESEARCH AND EDUCATION 3801 MIRANDA AVENUE PALO ALTO CA 94304 770207331 501(C)(3) 21665 RESEARCH COLUMBIA UNIVERSITY 630 WEST 168TH STREET NEW YORK NY 10032 135598093 501(C)(3) 183916 RESEARCH WASHINGTON UNIVERSITY 700 ROSEDALE AVENUE BOX 1034 SAINT LOUIS MO 63111 430653611 501(C)(3) 85957 RESEARCH UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER 1515 HOLCOMBE BLVD HOUSTON TX 77030 746001118 STATE OF TEXAS 6368 RESEARCH ALACHUA COUNTY HEALTH DEPARTMENT 224 24TH STREET SE GAINESVILLE FL 32641 596000501 ALACHUA COUNTY, FL 15809 RESEARCH UNIVERSITY OF VIRGINIA PO BOX 400194 CHARLOTTESVILLE VA 22904 546001796 STATE OF VIRGINIA 248565 RESEARCH MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 860800150 501(C)(3) 11046 RESEARCH MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 501(C)(3) 17229452 CONTRIBUTIONS & RESEARCH MAYO CLINIC FLORIDA 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 590714831 501(C)(3) 16445116 CAPITAL CONTRIBUTION 34 3 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY THE FILING ORGANIZATION AS PRESCRIBED IN OMB CIRCULAR A-133. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. 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. NO ADDITIONAL MONITORING IS PERFORMED. X X X 1 1 0 1 0 0 0 0 0 0 0 BRIGHAM ROBERT F 396045 0 0 0 345137 0 1455 0 23428 0 766065 0 179161 0 BUSKIRK MD STEVEN J 478955 0 0 0 972159 0 53647 0 14705 0 1519466 0 34769 0 DEVAULT MD KENNETH R 426373 0 0 0 251985 0 75659 0 27828 0 781845 0 0 0 GONWA MD THOMAS A 296288 0 0 0 61115 0 52482 0 30005 0 439890 0 36768 0 HERNKE DEBRA A 146774 0 0 0 2054 0 586 0 21069 0 170483 0 0 0 HOFFMAN MARY J 239357 0 0 0 120644 0 23372 0 25909 0 409282 0 51850 0 JENSEN NANCY W 0 185138 0 0 0 42694 0 25782 0 18424 0 272038 0 0 JORGENSEN STEVEN C 250843 0 0 0 1582 0 39239 0 21437 0 313101 0 7614 0 LANGE MD STEPHEN M 430865 0 0 0 716126 0 105719 0 21849 0 1274559 0 171171 0 LEVENTHAL MD JACK P 341532 0 0 0 443049 0 92120 0 15507 0 892208 0 109850 0 MATHEWS HILARY G 227554 0 0 0 2122 0 27703 0 24429 0 281808 0 0 0 O'CONNOR MD MARY I 507865 0 0 0 832627 0 75892 0 26863 0 1443247 0 273300 0 ROMME CLIFFORD R 225866 0 0 0 48788 0 197 0 17123 0 291974 0 11469 0 RUPP MD WILLIAM C 694131 0 0 0 125875 0 40938 0 8308 0 869252 0 118772 0 SMITH MD CD 472451 0 34250 0 126025 0 71937 0 16730 0 721393 0 21674 0 TALLEY MD NICHOLAS J 201721 1923 0 0 38756 47786 42681 8823 12696 0 295854 58532 22212 0 ACKERMAN FRANKLIN K 153989 0 0 0 354 0 10105 0 19518 0 183966 0 0 0 BOLLING DAVID B 200214 0 0 0 297765 0 27670 0 32935 0 558584 0 48000 0 BROTT MD THOMAS G 294309 0 0 0 27775 0 74941 0 17397 0 414422 0 2994 0 FONTAINE ROBERT J 127036 0 0 0 25737 0 0 0 13278 0 166051 0 0 0 FORD MARGARET J 156057 0 0 0 1468 0 22807 0 17897 0 198229 0 0 0 HUBER HAROLD D 194383 0 0 0 3610 0 489 0 19300 0 217782 0 0 0 KHOOR MD ANDRAS 374307 0 0 0 138073 0 51648 0 32616 0 596644 0 21484 0 MURRAY MD PETER M 478451 0 0 0 242037 0 67482 0 16287 0 804257 0 27242 0 PRESUTTI DO RICHARD J 232015 0 0 0 4609 0 14589 0 25756 0 276969 0 0 0 TOMLINSON DANIEL L 168343 0 0 0 15361 0 9527 0 28111 0 221342 0 0 0 WEBER JOAN A 159714 7273 0 0 17680 40 13038 537 9050 339 199482 8189 0 0 WHAREN MD ROBERT E 711370 0 0 0 1954719 0 325269 0 23628 0 3014986 0 360019 0 ZORN CHRISTINA K 194961 0 0 0 349 0 9711 0 20907 0 225928 0 0 0 DEEN MD HUGH 700487 0 0 0 1462791 0 299345 0 21514 0 2484137 0 169547 0 MAY MD GERALD R 512519 0 0 0 1733883 0 158633 0 23521 0 2428556 0 0 0 ODELL MD JOHN A 611718 0 0 0 1606705 0 147817 0 26514 0 2392754 0 132649 0 REIMER MD RONALD 695790 0 0 0 1328875 0 290626 0 31480 0 2346771 0 101850 0 SAFFORD MD ROBERT E 441331 0 20000 0 1905218 0 113853 0 17241 0 2497643 0 0 0 BARTLEY MD GEORGE B 0 536762 0 0 0 1204249 0 73710 0 18825 0 1833546 0 363578 BERQUIST MD THOMAS H 522391 0 23000 0 3341397 0 0 0 10232 0 3897020 0 508768 0 BOLLING MD JAMES P 449095 0 0 0 995675 0 40135 0 22775 0 1507680 0 257252 0 COLON-OTERO MD GERARDO 326057 0 0 0 400554 0 26661 0 20188 0 773460 0 127465 0 WALTERS ROBERT M 0 286610 0 0 0 564437 0 38219 0 24353 0 913619 0 88103 WILLIAMS MD HUGH J 564647 0 0 0 1820910 0 152900 0 16864 0 2555321 0 362094 0 SAWYER NAN B 0 318929 0 0 0 184270 0 54549 0 8455 0 566203 0 53929 CROFT CHERYL 0 225511 0 0 0 1553 0 22278 0 20961 0 270303 0 0 Part I, Line 1a DR. RUPP AND DR. LEVENTHAL SERVED ON THE BOARD OF TRUSTEES FOR MAYO CLINIC (THE PARENT COMPANY OF THE FILING ORGANIZATION) AND WERE PROVIDED TRAVEL FOR COMPANIONS SO THEIR SPOUSES COULD ACCOMPANY THEM TO THE SITE OF THE MAYO CLINIC BOARD OF TRUSTEE MEETING. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION AND WAS GROSSED-UP. MAYO CLINIC AND AFFILIATES HAVE A NON-QUALIFIED DEFERRED COMPENSATION PLAN (SEE DESCRIPTION FOR SCHEDULE J, PART I, LINE 4B) THAT INCLUDES A PARTIAL TAX ADJUSTMENT FOR PAYMENTS FROM THE PLAN OTHER THAN THE CURRENT COMPENSATION COMPONENT. CURRENT & FORMER OFFICERS, TRUSTEES, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES LISTED ON THIS RETURN MAY HAVE RECEIVED THIS ADJUSTMENT. DR. BERQUIST 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. PERSONAL INCOME TAX PREPARATION SERVICES (I.E. PERSONAL SERVICES) ARE AVAILABLE TO ALL VOTING STAFF OF MAYO CLINIC. SEVERAL CURRENT & FORMER TRUSTEES, KEY EMPLOYEES AND HIGHEST PAID 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. Part I, Line 4b THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(a)(17). IN 2010, THE COMPONENT OF THIS SRP BENEFIT THAT WAS DEFERRED COMPENSATION SUBJECT TO SECTIONS 409A AND 457(f) OF THE INTERNAL REVENUE CODE WAS TERMINATED. THIS PLAN TERMINATION TRIGGERED THE IMMEDIATE TAXATION OF THE ENTIRE SRP BENEFIT THAT HAS BEEN ACCRUED AND DEFERRED OVER EACH PARTICIPANT'S CAREER AT MAYO. STARTING JANUARY 1, 2011, ALL FUTURE SRP BENEFIT WILL BE PAID AS AN ANNUAL TAXABLE CASH PAYMENT THAT HAS NO SUBSTANTIAL RISK OF FORFEITURE. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN EITHER AS A RESULT OF THE NORMAL OPERATION OF PLAN TERMS OR BECAUSE OF THE TERMINATION OF THE PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). A PORTION OF THE AMOUNT MAY BE INCLUDED IN SCHEDULE J, PART II, COLUMN (F) IF DISCLOSED ON A PRIOR YEAR'S FORM 990. THESE AMOUNTS HAVE BEEN ACCRUED OVER THE SPAN OF THE INDIVIDUAL'S CAREER AT MAYO. GEORGE BARTLEY, M.D. - $1,198,692 THOMAS BERQUIST, M.D. - $3,329,260 JAMES BOLLING, M.D. - $990,923 DAVID BOLLING - $295,850 ROBERT BRIGHAM - $341,469 THOMAS BROTT, M.D. - $22,436 STEVEN BUSKIRK, M.D. - $967,137 GERARDO COLON-OTERO, M.D. - $398,162 HUGH DEEN, M.D. - $1,455,735 KENNETH DEVAULT, M.D. - $249,049 THOMAS GONWA, M.D. - $55,060 MARY HOFFMAN - $119,315 STEVEN JORGENSEN - $199 ANDRAS KHOOR, M.D. - $133,960 STEPHEN LANGE, M.D. - $711,541 JACK LEVENTHAL, M.D. - $435,445 GERALD MAY, M.D. - $1,723,987 PETER MURRAY, M.D. - $238,018 MARY O'CONNOR, M.D. - $828,849 JOHN ODELL, M.D. - $1,594,968 RONALD REIMER, M.D. - $1,322,439 CLIFFORD ROMME - $20,791 WILLIAM RUPP, M.D. - $111,567 ROBERT SAFFORD, M.D. - $1,863,106 NAN SAWYER - $180,734 C.D. SMITH, M.D. - $122,953 NICHOLAS TALLEY, M.D. - $67,767 ROBERT WALTERS - $561,858 ROBERT WHAREN, M.D. - $1,947,545 HUGH WILLIAMS, M.D. - $1,815,106 Supplemental Information Part III COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. Supplemental Information Part III 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. MAYO COLLABORATIVE SERVICES INC BOARD OVERLAP 10616613 LAB SERVICES 0 MMSI INC BOARD OVERLAP 1589184 BENEFITS AND SERVICES 0 JANICE CLARKE MD SPOUSE OF OFFICER 408624 EMPLOYMENT 0 KRISTIN SCHUMANN DAUGHTER OF OFFICER 15628 EMPLOYMENT 0 Form 990, Part VI, Section A, line 2 DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT BY RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS: ROBERT BRIGHAM JACK LEVENTHAL, M.D. WILLIAM RUPP, M.D. NAN SAWYER HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL: NICHOLAS TALLEY, M.D. DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT BY RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUAL: ROBERT BRIGHAM MARY O'CONNOR, M.D. NAN SAWYER ROBERT WALTERS HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL: NANCY JENSEN ROBERT BRIGHAM, WILLIAM RUPP, M.D. AND MARY HOFFMAN ALSO SERVE ON THE BOARD OF PHYSICIAN AND HOSPITAL PRACTICES, INC. Form 990, Part VI, Section A, line 3 MAYO CLINIC FLORIDA IS AFFILIATED WITH MAYO CLINC. MAYO CLINIC AFFILIATED ENTITIES ROUTINELY DELEGATE VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES. Form 990, Part VI, Section A, line 6 THE SOLE CORPORATE MEMBER OF MAYO CLINIC JACKSONVILLE IS MAYO CLINIC. Form 990, Part VI, Section A, line 7a MEMBERS OF THE MAYO CLINIC JACKSONVILLE EXECUTIVE BOARD ARE CONFIRMED BY THE MAYO CLINIC BOARD OF GOVERNORS AND THE VOTING STAFF OF MAYO CLINIC JACKSONVILLE. Form 990, Part VI, Section A, line 7b MAYO CLINIC JACKSONVILLE'S ARTICLES PROVIDE THE SOLE CORPORATE MEMBER POWER IN AREAS SUCH AS COMPENSATION, CAPTIAL, BUDGET, DEBT AND APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS. Form 990, Part VI, Section B, line 11 THE FORM 990 FOR MAYO CLINIC JACKSONVILLE WAS PREPARED BY THE MAYO CORPORATE TAX UNIT WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN WAS REVIEWED WITHIN THE MAYO CORPORATE TAX UNIT, AS WELL AS BY OUTSIDE TAX CONSULTANTS. IT WAS THEN REVIEWED BY THE FILING ORGANIZATION'S CHIEF FINANCIAL OFFICER AND FINANCE STAFF. A COPY OF THE FORM 990 WAS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. HIGHLIGHTS ARE PRESENTED TO BOARD MEMBERS, AND THE REVIEW IS DOCUMENTED IN MEETING MINUTES. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. Form 990, Part VI, Section B, line 12c MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. Form 990, Part VI, Section B, line 15 THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY. THE SALARY OF THE CEO, CAO, CFO AND THE VICE CHAIR WERE REVIEWED PURSUANT TO THE PROCESS DESCRIBED BELOW. 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 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. Form 990, Part VI, Section C, line 19 THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. MAYO CLINICS CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATIONS FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990. Form 990, Part VII, Section A, Average Hours Per Week Devoted to Position with Related Organizations: GEORGE BARTLEY, M.D. - 40 HOURS CHERYL CROFT - 40 HOURS NANCY JENSEN - 40 HOURS NICHOLAS TALLEY, M.D. - 40 HOURS ROBERT WALTERS - 40 HOURS NAN SAWYER - 40 HOURS JOAN WEBER - 40 HOURS Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 4,572,440. CAPITAL TRANSFER TO MAYO CLINIC -50,000,000. CAPITAL TRANSFER FROM MAYO CLINIC FLORIDA 45,000,000. Total to Form 990, Part XI, Line 5: -427,560. Form 990, Part XII, Line 2c: THERE WAS NO CHANGE IN THE PROCESS DURING THE YEAR. ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM 404 WEST FOUNTAIN STREET ALBERT LEA MN 56007 411404075 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 1 AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM 1000 FIRST DRIVE NW AUSTIN MN 55912 410695606 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 1 AUSTIN MEDICAL CENTER FOUNDATION 1000 FIRST DRIVE NW AUSTIN MN 55912 300107471 FUNDRAISING FOUNDATION MN 501(c)(3) 7 AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM 1 BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM 1222 EAST WOODLAND AVE BARRON WI 54812 390920634 HOSPITAL AND CLINIC WI 501(c)(3) 3 LUTHER HOSPITAL 1 BLOOMER LAKEVIEW INC 2110 DUNCAN ROAD BLOOMER WI 54724 391450617 LOW INCOME HOUSING WI 501(c)(3) 7 BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM 1 BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM 1501 THOMPSON STREET BLOOMER WI 54724 390980343 HOSPITAL AND CLINIC WI 501(c)(3) 3 LUTHER HOSPITAL 1 CANNON FALLS MEDICAL CENTER -- MAYO HEALTH SYSTEM 1116 WEST MILL STREET CANNON FALLS MN 55009 204156428 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 1 CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 411405254 RETIREMENT LIVING CENTER MN 501(c)(3) 9 MAYO CLINIC 1 FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM 800 MEDICAL CENTER DRIVE PO BOX 800 FAIRMONT MN 56031 410760836 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 1 FOUNTAIN LAKE TREATMENT CENTER 404 WEST FOUNTAIN STREET ALBERT LEA MN 56007 411404076 CHEMICAL DEPENDENCY TREATMENT MN 501(c)(3) 3 ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM 1 FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC 464 SOUTH JOHNSON STREET ARCADIA WI 54612 391322480 FUNDRAISING FOUNDATION WI 501(c)(3) 9 FRANCISCAN SKEMP HEALTHCARE INC 1 FRANCISCAN SKEMP FOUNDATION OF SPARTA INC 310 WEST MAIN STREET SPARTA WI 54656 391423234 FUNDRAISING FOUNDATION WI 501(c)(3) 9 FRANCISCAN SKEMP HEALTHCARE INC 1 FRANCISCAN SKEMP FOUNDATION INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391186647 FUNDRAISING FOUNDATION WI 501(c)(3) 11-II FRANCISCAN SKEMP HEALTHCARE INC 1 FRANCISCAN SKEMP HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391411999 HEALTHCARE SYSTEM PARENT WI 501(c)(3) 11-I MAYO CLINIC 1 FRANCISCAN SKEMP MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE WI 54601 390806374 HOSPITAL AND CLINIC WI 501(c)(3) 3 FRANCISCAN SKEMP HEALTHCARE INC 1 GCAS 200 FIRST STREET SW ROCHESTER MN 55905 411917517 AMBULANCE SERVICE MN 501(c)(3) 9 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 1 GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER MN 55905 411917516 AMBULANCE SERVICE MN 501(c)(3) 9 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 1 GOLD CROSS AMBULANCE INC 200 FIRST STREET SW ROCHESTER MN 55905 391942957 AMBULANCE SERVICE MN 501(c)(3) 9 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 1 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 1025 MARSH STREET MANKATO MN 56002 411236756 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 1 IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH SYSTEM 1025 MARSH STREET MANKATO MN 56002 411663357 FUNDRAISING FOUNDATION MN 501(c)(3) 7 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 1 LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM 500 WEST GRANT STREET LAKE CITY MN 55041 411906820 HOSPITAL MN 501(c)(3) 3 MAYO CLINIC 1 LUTHER HOSPITAL 1221 WHIPPLE STREET EAU CLAIRE WI 54703 390813418 HOSPITAL WI 501(c)(3) 3 MAYO CLINIC 1 LUTHER LAKESIDE APARTMENTS INC 714 SOUTH BARSTOW STREET EAU CLAIRE WI 54701 391409024 LOW INCOME HOUSING WI 501(c)(3) 9 LUTHER HOSPITAL 1 LUTHER MIDELFORT FOUNDATION INC 733 W CLAIREMONT AVE PO BOX 1510 EAU CLAIRE WI 54702 391633407 GRANTMAKING FOUNDATION WI 501(c)(3) PF MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM 0 MAYO CLINIC ARIZONA 13400 EAST SHEA BLVD SCOTTSDALE AZ 85259 860800150 HOSPITAL AND CLINIC AZ 501(c)(3) 3 MAYO CLINIC 1 MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 590714831 HOSPITAL FL 501(c)(3) 3 MAYO CLINIC JACKSONVILLE 1 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 PATIENT CARE - CLINIC FL 501(c)(3) 7 MAYO CLINIC 1 MAYO CLINIC -- METHODIST HOSPITAL 200 FIRST STREET SW ROCHESTER MN 55905 410739106 HOSPITAL MN 501(c)(3) 3 MAYO CLINIC 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 PATIENT CARE - CLINIC MN 501(c)(3) 9 MAYO CLINIC 1 MAYO CLINIC -- SAINT MARYS HOSPITAL 200 FIRST STREET SW ROCHESTER MN 55905 410944601 HOSPITAL MN 501(c)(3) 3 MAYO CLINIC 1 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER MN 55905 411506440 CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES MN 501(c)(3) 9 MAYO CLINIC 1 MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM PO BOX 1510 EAU CLAIRE WI 54702 391735831 PATIENT CARE - CLINIC WI 501(c)(3) 3 MAYO CLINIC 0 MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES 200 FIRST STREET SW ROCHESTER MN 55905 412020392 SUPPORT RESEARCH, PRACTICE & EDUCATION MN 501(c)(3) 11-I MAYO CLINIC 1 NORTHWEST WISCONSIN HOMECARE INC PO BOX 2060 EAU CLAIRE WI 54702 391491516 HOME HEALTH AND HOSPICE CARE WI 501(c)(3) 9 LUTHER HOSPITAL 1 NORTHWEST WISCONSIN SUPPORTIVE HOMECARE INC PO BOX 2060 EAU CLAIRE WI 54702 391686673 HOME HEALTH CARE WI 501(c)(3) 9 LUTHER HOSPITAL 1 OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM PO BOX 70 / 13025 EIGHTH STREET OSSEO WI 54758 391029430 HOSPITAL AND CLINIC WI 501(c)(3) 3 LUTHER HOSPITAL 1 POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER MN 55905 411494881 FUNDRAISING FOUNDATION MN 501(c)(3) 11-I MAYO CLINIC -- SAINT MARYS HOSPITAL 1 RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM 2321 STOUT ROAD MENOMONIE WI 54751 510190875 HOSPITAL AND CLINIC WI 501(c)(3) 3 MAYO CLINIC 1 SPRINGFIELD MEDICAL CENTER -- MAYO HEALTH SYSTEM 625 NORTH JACKSON AVENUE SPRINGFIELD MN 56087 411893827 HOSPITAL AND CLINIC MN 501(c)(3) 3 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 1 ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 410797368 HOSPITAL AND CLINIC MN 501(c)(3) 3 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 1 ST JAMES MEDICAL CENTER FOUNDATION INC 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 411444129 FUNDRAISING FOUNDATION MN 501(c)(3) 7 ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM 1 WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM 501 NORTH STATE STREET WASECA MN 56093 363606405 HOSPITAL AND CLINIC MN 501(c)(3) 3 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 1 MAYO KLINIK STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM FUNDRAISING FOUNDATION GM MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 1 WILLIAM B DREW CHARITABLE FOUNDATION TRUST PO BOX 2578 JACKSONVILLE FL 322032578 596669745 FUNDRAISING FOUNDATION FL 501(c)(3) 11-I MAYO CLINIC JACKSONVILLE 1 FRANKLIN HEATING STATION 119 THIRD ST SW ROCHESTER MN 55902 410264830 UTILITY MN N/A CANNON VALLEY CLINIC -- MAYO HEALTH SYSTEM 635 FIRST STREET SE FARIBAULT MN 55021 411817179 PATIENT CARE - CLINIC MN N/A C DECORAH CLINIC -- MAYO HEALTH SYSTEM 907 MONTGOMERY STREET DECORAH IA 52101 411711329 PATIENT CARE - CLINIC IA N/A C FIOS THERAPEUTICS INC 200 FIRST STREET SW ROCHESTER MN 55905 711029189 RESEARCH MN N/A C HEALTH TRADITION HEALTH PLAN 1808 EAST MAIN STREET ONALASKA WI 54650 391545987 MEDICAL SERVICES COMPANY WI N/A C LOBSS NETWORK SUPPORT 2002 INC 200 FIRST STREET SW ROCHESTER MN 55905 481276150 ADMINISTRATIVE SERVICES MN N/A C MAYO COLLABORATIVE SERVICES INC 200 FIRST STREET SW ROCHESTER MN 55905 411346366 REFERENCE LAB SERVICES MN N/A C MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER MN 55905 411578020 HOLDING COMPANY MN N/A C MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER MN 55905 SELF INSURANCE POOL CJ N/A C MAYO MEDICAL LABORATORIES NEW ENGLAND INC 265 BALLARDVALE STREET WILMINGTON MA 01887 043323713 LABORATORY SERVICES MA N/A C MAYO REGIONAL PRACTICES OF ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 061190278 THIRD PARTY ADMINISTRATION SERVICES AZ N/A C MHS SERVICES INC 200 FIRST STREET SW ROCHESTER MN 55905 411282517 EQUIPMENT & REAL ESTATE LEASING MN N/A C MMSI INC 21 FIRST STREET SW ROCHESTER MN 55905 411547003 THIRD PARTY ADMINISTRATION SERVICES MN N/A C NORTHWEST HEALTH VENTURES INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 391528920 PHARMACY SERVICES WI N/A C OWATONNA CLINIC -- MAYO HEALTH SYSTEM 134 SOUTHVIEW OWATONNA MN 55060 411862132 PATIENT CARE - CLINIC MN N/A C PHYSICIAN AND HOSPITAL PRACTICES INC 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 930926631 HEALTH SERVICES FL N/A C ROCHESTER AIRPORT COMPANY ROUTE 2 ROCHESTER MN 55902 410506870 AIRPORT MANAGEMENT MN N/A C SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE AZ 85259 860870505 COMMERCIAL PROPERTY OWNERS ASSOCIATION AZ N/A C THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER MN 55905 208994499 COMMERCIAL PROPERTY OWNERS ASSOCIATION MN N/A C 1 1 1 0 0 0 1 0 1 0 1 1 0 1 1 1 1 1 MAYO CLINIC C 47488889 GAAP MAYO CLINIC R 2498517 GAAP MAYO CLINIC I 5512373 GAAP MAYO CLINIC ARIZONA C 143465 GAAP MAYO CLINIC FLORIDA R 45000000 GAAP MAYO CLINIC FLORIDA P 47240277 GAAP MAYO CLINIC FLORIDA K 515230 GAAP MAYO CLINIC FLORIDA I 7478335 GAAP MAYO COLLABORATIVE SERVICES INC K 5575916 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH R 15633518 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH P 939173 GAAP MAYO CLINIC B 17229452 GAAP MAYO CLINIC Q 50000000 GAAP MAYO CLINIC O 19229 GAAP MAYO CLINIC A 744898 GAAP MAYO CLINIC L 2232 GAAP MAYO CLINIC ARIZONA B 11046 GAAP MAYO CLINIC FLORIDA Q 18433556 GAAP MAYO CLINIC FLORIDA B 16445116 GAAP MAYO COLLABORATIVE SERVICES INC L 5040697 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH G 127920388 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH L 382418 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH O 127534 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH L 64475 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH N 236254937 GAAP MMSI INC L 1589184 GAAP