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      <Phone>5075381297</Phone>
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        <AddressLine1>200 FIRST STREET SW</AddressLine1>
        <City>ROCHESTER</City>
        <State>MN</State>
        <ZIPCode>55905</ZIPCode>
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      <Name>Robert E Perez</Name>
      <Title>TREASURER</Title>
      <Phone>5075381297</Phone>
      <DateSigned>2011-11-07</DateSigned>
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      <MissionDescription>TO PROVIDE SUPERIOR PATIENT CARE, AT A REASONABLE COST IN A WAY THAT ENGAGES THE WHOLE TEAM, WORKING TOGETHER IN CLINICAL PRACTICE, EDUCATION AND RESEARCH.</MissionDescription>
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      <Description>PATIENT CARE - SEE SCHEDULE OGOLD CROSS AMBULANCE SERVICE/GCMN(ROCHESTER, MN) OPERATES IN CONJUNCTION WITH GOLD CROSS AMBULANCE INC. (EAU CLAIRE, WI) AND GCAS (DULUTH, MN) TO FORM A MEDICAL TRANSPORTATION SERVICE REFERRED TO AS GOLD CROSS. THE ABOVE REFERENCED THREE GOLD CROSS LEGAL ENTITIES OPERATE AS "OUT-OF-HOSPITAL" CARE ORGANIZATIONS THAT PROVIDE MEDICAL CARE, COMPREHENSIVE MEDICAL TRANSPORTATION AND MEDICAL EDUCATION AND TRAINING TO GROUPS AND INDIVIDUALS IN THE COMMUNITIES THEY SERVE. THE CORE PURPOSE OF THE GOLD CROSS SERVICE IS PROVIDING CARE TO PEOPLE DURING THEIR TIME OF NEED RESULTING FROM ACCIDENTS AND MEDICAL EMERGENCIES. GOLD CROSS RESPONDS TO "911" CALLS IN EACH COMMUNITY SERVED WITHOUT ANY REGARD TO REIMBURSEMENT FOR SERVICES, INCLUDING THE ABILITY OF THE CALLING PARTY TO PAY FOR THE COSTS ASSOCIATED WITH THE SERVICE. GOLD CROSS PROVIDES BASIC LIFE SUPPORT, ADVANCED LIFE SUPPORT, AND CRITICAL CARE SERVICES. NATIONALLY REGISTERED PARAMEDICS AND EMT'S (EMERGENCY MEDICAL TECHNICIANS) STAFF GOLD CROSS AMBULANCES. THIS CERTIFICATION REPRESENTS THE HIGHEST LEVEL OF CERTIFICATION FOR OUT-OF-HOSPITAL EMERGENCY CARE PROVIDERS AVAILABLE AND EXCEEDS THE AMBULANCE SERVICE STANDARDS REQUIRED BY MINNESOTA AND WISCONSIN LAW. THE AMBULANCE SERVICE UTILIZES DISPATCHING SERVICES PROVIDED BY A SOPHISTICATED COMPUTER AIDED DISPATCH SYSTEM HOUSED IN OUR CENTRALIZED EMERGENCY COMMUNICATIONS CENTER (ECC) IN ROCHESTER, MN, WHICH IS LOCATED IN AND OPERATED BY MAYO CLINIC - SAINT MARYS HOSPITAL, A RELATED EXEMPT MAYO ENTITY. THE ECC ENABLES AREA-WIDE DIGITAL PAGING, PROVIDES PRE-ARRIVAL MEDICAL INSTRUCTIONS TO CALLERS, AND ENSURES TIMELY AND EFFICIENT DISPATCH FOR ALL GOLD CROSS UNITS. WHEN PATIENT CARE REQUIRES IT, GOLD CROSS TEAMS UP WITH SPECIALLY TRAINED STAFF, INCLUDING REGISTERED NURSES FROM REGIONAL MEDICAL HELICOPTER PROGRAMS TO PROVIDE A HIGHER LEVEL OF CARE FOR THE PATIENT, CRITICAL CARE. THE STANDARDIZATION OF PATIENT CARE, SERVICES AND SUPPLIES ACROSS THE SYSTEM AND THE INTEGRATION OF GROUND AND AIR RESPONSE THROUGH A CENTRALIZED EMERGENCY COMMUNICATIONS CENTER HAS ENABLED GOLD CROSS TO PREPARE AN EFFICIENT PLAN OF ACTION FOR MULTIPLE INJURY INCIDENTS. IN ADDITION, GOLD CROSS FILLS A VARIETY OF PUBLIC SAFETY SERVICES IN EACH COMMUNITY SERVED.IN 2010, GOLD CROSS, AS AN INTEGRATED SYSTEM, PROVIDED MEDICAL TRANSPORTATION TO MORE THAN 46,718 PATIENTS, OFTEN INVOLVING COMPREHENSIVE MEDICAL CARE DURING TRANSPORTATION. OF THESE PATIENT TRANSPORTS, GCMN PROVIDED SERVICE TO APPROXIMATELY 34,837 OF THEM. IN ADDITION, GCMN RESPONDED TO OVER 11,000 EMERGENT REQUESTS FOR SERVICE THAT DID NOT RESULT IN THE TRANSPORTATION OF A PATIENT. THESE NO TRANSPORT REQUESTS CONSUME A SIGNIFICANT AMOUNT OF FINANCIAL RESOURCES, WITHOUT A MEANS OF BILLING FOR AND COLLECTING REVENUE, AS GCMN FULFILLS ONE OF ITS ROLES AS A PUBLIC SAFETY PROVIDER IN THE COMMUNITIES SERVED. OVER 300 OF THESE NO TRANSPORTS ARE SPECIFIC REQUESTS FOR US TO STANDBY AS OTHER PUBLIC SAFETY PROVIDERS CONDUCT THEIR NORMAL BUSINESS SUCH AS FIGHTING FIRES, DOING HIGH-RISK POLICE ENTRIES AND ACTIVITIES, ETC., WHICH CAN OFTEN CONSUME SEVERAL HOURS OF UNPAID SERVICE BY OUR CREWS FOR EACH STANDBY. IN ADDITION, GOLD CROSS SERVES THE NEEDS OF VETERANS THROUGH CONTRACTS FOR AMBULANCE SERVICE WITH THE VETERANS ADMINISTRATION IN ST. CLOUD AND DULUTH, IN MINNESOTA AND SUPERIOR, IN WISCONSIN.GCMN PROVIDES CHARITY CARE FOR PATIENTS FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. SERVICES ARE ALSO PROVIDED TO PATIENTS COVERED BY MEDICARE, MEDICAID, AND OTHER GOVERNMENTAL PROGRAMS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS AN ADDITIONAL FINANCIAL STRAIN ON AMBULANCE SERVICES. A RECENT GAO STUDY ON MEDICARE REIMBURSEMENT INDICATED REIMBURSEMENT FALLS SHORT OF ACTUAL COSTS BY 6% IN URBAN AND RURAL AREAS AND 17% IN SUPER-RURAL AREAS. THE COST OF CHARITY CARE PROVIDED IN 2010 WAS $39,113 AND THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID IN 2010 WAS $1,793,014. THE UNREIMBURSED COST OF MEDICARE WAS $4,483,314. GCMN PAID $336,600 TO MNCARE, A PROGRAM THAT PROVIDES HEALTH CARE TO BENEFIT ELIGIBLE MINNESOTA RESIDENTS.</Description>
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        <Description>EDUCATION AND TRAINING - SEE SCHEDULE O: GOLD CROSS HAS BEEN DESIGNATED BY THE AMERICAN HEART ASSOCIATION (AHA) AS A COMMUNITY TRAINING CENTER (CTC) FOR THE AHA WHICH HAS ESTABLISHED GOLD CROSS AS A PROVIDER OF EMERGENCY CARDIAC CARE TRAINING AT VARIOUS PROFESSIONAL LEVELS FOR THE AHA. GOLD CROSS PROVIDES CUSTOMIZED EDUCATIONAL AND TRAINING PROGRAMS TO THE PUBLIC, MAYO CLINIC, MAYO FOUNDATION, OTHER ALLIED HEALTH CARE AGENCIES, AND PUBLIC SAFETY AGENCIES COVERING TOPICS SUCH AS BASIC EMERGENCY CARE, MEDICAL-LEGAL ISSUES, OSHA REQUIREMENTS, ENVIRONMENTAL EMERGENCIES AND OTHER COURSES SPECIFIC TO CUSTOMER NEEDS. THROUGHOUT 2010, OVER 30,000 PEOPLE WERE TRAINED THROUGH THE CTC OPERATED BY GOLD CROSS.GOLD CROSS DONATES TRAINING TIME TO A VARIETY OF CITIES, COUNTIES, FIRE DEPARTMENTS, EMERGENCY MEDICAL SERVICE AGENCIES, AS WELL AS THE GENERAL PUBLIC. GCMN HAS DEMONSTRATED THIS COMMITMENT BY SUPPORTING VARIOUS ASSOCIATIONS INCLUDING THE SOUTHEAST REGIONAL EMS PROGRAM BOARD, THE MN EMS REGULATORY BOARD, THE MN EMS REGULATORY BOARD DATA COLLECTION SUBCOMMITTEE, THE MN EMS REGULATORY BOARD PREHOSPITAL EDUCATION ADVISORY COMMITTEE, THE MN EMS REGULATORY BOARD MENTAL HEALTH TRANSFER TASK FORCE, THE ROCHESTER/OLMSTED COUNTY INTEGRATED EMERGENCY MANAGEMENT SYSTEM DISASTER EXERCISE SUBCOMMITTEE, THE AMERICAN HEART ASSOCIATION, THE MINNESOTA AMBULANCE ASSOCIATION, AND THE SOUTHEAST REGIONAL EMS PREHOSPITAL ADVISORY COMMITTEE. APPROXIMATELY 7,800 HOURS OF EMPLOYEE TIME WAS PROVIDED FOR A VARIETY OF SAFETY-RELATED PROGRAMS TO VARIOUS COMMUNITIES, BUSINESSES, AND SCHOOLS. IN ADDITION, GCMN EMPLOYEES PARTICIPATED IN A LARGE NUMBER OF COMMUNITY EVENTS, SCHOOL CAREER FAIRS, STUDENT TOURS, BROWNIE TROOPS, CUB SCOUTS, BOY SCOUTS, VARIOUS PARADES, HEAD START EVENTS AND HEALTH FAIRS, AMONG OTHERS. THE ESTIMATED DOLLAR VALUE OF THESE EFFORTS AND OTHER DONATED SERVICES EXCEEDED $349,200.IN ROCHESTER, MN, GOLD CROSS IS PROUD TO HAVE ATTAINED THE NATION'S HIGHEST SURVIVAL RATE FOR OUT-OF-HOSPITAL VENTRICULAR FIBRILLATION CARDIAC ARREST VICTIMS. GOLD CROSS' RESEARCH DEMONSTRATED THE VALUE OF, AND HAS RESULTED IN NATIONWIDE EFFORTS TO PLACE AUTOMATIC DEFIBRILLATORS IN POLICE AND OTHER FIRST RESPONSE VEHICLES. AT THE END OF 2010, GOLD CROSS HAD 20 RESEARCH PROJECTS UNDERWAY, WHICH WILL HELP SHAPE CARE PROVIDED TO PATIENTS IN THE OUT OF HOSPITAL SETTING IN THE FUTURE. THESE RESEARCH PROJECTS INCLUDE PROJECTS RELATED TO CARDIAC PATIENTS, STROKE PATIENTS, AIRWAY MANAGEMENT TOOLS AND TECHNIQUES, DRIVER SAFETY, CREW CONFIGURATION AS RELATED TO PATIENT CARE, AND OTHER CRITICAL TREATMENTS FOR PATIENTS SERVED BY GOLD CROSS AND ALL OF EMS ACROSS THE NATION. RESEARCH PROJECTS ARE ESTABLISHED AND COORDINATED THROUGH THE MAYO CLINIC MEDICAL TRANSPORT RESEARCH COMMITTEE AND COMPLY WITH THE STANDARDS OF MAYO CLINIC IN ALL ASPECTS. THE INFORMATION PUBLISHED IS THE RESULT OF COLLABORATIVE EFFORTS BETWEEN GOLD CROSS AND REGIONAL HOSPITALS. GOLD CROSS HAS REQUESTED AND RECEIVED "INSTITUTIONAL REVIEW BOARD" (IRB) APPROVAL FROM THE REGIONAL HOSPITALS DEMONSTRATING THE QUALITY OF RESEARCH BEING CONDUCTED BY GOLD CROSS. OTHER RESEARCH PROJECTS UNDERWAY, DIRECTLY RELATED TO PATIENT CARE, INCLUDE A RETROSPECTIVE REVIEW OF SPINAL IMMOBILIZATION EFFICACY, A COMMUNITY CARDIAC ARREST STUDY, TRAUMA REVIEW STUDIES, AND A RETROSPECTIVE 12-LEAD ECG STUDY RELATED TO ST ELEVATION IN MYOCARDIAL INFARCTION PATIENTS. ALL RESEARCH PROJECTS ARE WELL INTEGRATED WITH OTHER MEDICAL INSTITUTIONS, INCLUDING IRB APPROVALS WHERE APPROPRIATE. THESE ARE IN ADDITION TO INTERNAL QUALITY ASSURANCE AND IMPROVEMENT STUDIES DONE WITHIN GOLD CROSS TO CONTINUALLY IMPROVE PATIENT CARE. RESULTS OF INTERNAL STUDIES ARE SHARED IN VARIOUS VENUES TO PROMOTE A HIGHER LEVEL OF CARE FOR PATIENTS SERVED BY THE EMS INDUSTRY NATIONWIDE. MANY LOCAL COMMUNITIES CANNOT UPGRADE THEIR AMBULANCE SERVICE FROM BASIC (BLS) TO ADVANCED (ALS) BECAUSE VOLUNTEERS DO NOT HAVE ACCESSIBLE TRAINING. INSPIRED BY THIS FACT, GOLD CROSS ENTITIES HAVE WORKED WITH COMMUNITY PARTNERS IN ST. PETER, MOOSE LAKE AND PINE COUNTY (ALL IN MINNESOTA), TO DEVELOP INNOVATIVE TRAINING SOLUTIONS. SIMILARLY, VOLUNTEER COMMUNITY GROUPS SPECIALIZING IN FIRST RESPONSE OR DISASTER RESPONSE OFTEN LACK FINANCES TO MAKE INITIAL PURCHASES OF EQUIPMENT OR TO UPGRADE EQUIPMENT. GOLD CROSS DONATES USED EQUIPMENT TO SUCH ORGANIZATIONS REGULARLY. THE TOTAL VALUE OF DONATED EQUIPMENT, INCLUDING VEHICLES IN 2010 WAS APPROXIMATELY $26,300. GOLD CROSS FURTHER SUPPORTS VARIOUS COMMUNITIES BY CONTRACTING WITH THEM TO PROVIDE MANAGEMENT SUPPORT SERVICES FOR THEIR SERVICES.OVER THE YEARS, GOLD CROSS HAS DEVELOPED COOPERATIVE APPROACHES IN MEETING MEDICAL CENTER STAFFING NEEDS AS WELL AS INCREASING TRAINING FOR GOLD CROSS PARAMEDICS. BY COLLABORATING WITH HOSPITALS IN VARIOUS CITIES IN WHICH WE PROVIDE SERVICE, GOLD CROSS PARAMEDICS PROVIDE ADVANCED LEVEL PATIENT CARE IN THE EMERGENCY ROOM ENVIRONMENT IN COMMUNITIES THAT BENEFIT FROM THAT STAFFING. THROUGH THIS COLLABORATIVE EFFORT, GOLD CROSS PARAMEDICS RECEIVE TRAINING AND EXPERIENCE TO KEEP THEIR SKILLS UP TO DATE AND THE HOSPITAL AND MEDICAL CENTER BENEFIT FROM THE AVAILABILITY OF PARAMEDICS TO ASSIST DURING PERIODS OF TIME WHEN THEY EXPERIENCE SHORTAGES IN STAFFING.GOLD CROSS IS A FOUNDING MEMBER OF THE NORTH CENTRAL EMS COOPERATIVE (NCEMSC). THE NCEMSC IS OPEN TO MEMBERSHIP FROM EMS AGENCIES IN MINNESOTA, IOWA, NORTH DAKOTA, SOUTH DAKOTA, WISCONSIN AND OTHER PARTS OF THE COUNTRY, AND PROVIDES GROUP PURCHASING OF AMBULANCES, MEDICAL SUPPLIES AND DEVICES AND OTHER SERVICES IN AN EFFORT TO REDUCE COSTS OF VARIOUS INFRASTRUCTURES FOR AMBULANCE SERVICES FACING FINANCIAL HARDSHIP. IN ADDITION, GOLD CROSS PARTICIPATES IN THE WORK OF THE NORTH CENTRAL EMS INSTITUTE (NCEMSI) FOR THE PURPOSES OF ADVANCING BENCHMARKING AND PUBLIC POLICY RESEARCH RELATED TO THE EMS INDUSTRY. SIMILAR INVESTMENTS OF STAFF TIME AND ADMINISTRATIVE RESOURCES ARE EXPENDED IN EFFORTS WITH THE AMERICAN AMBULANCE ASSOCIATION ON NATIONAL BENCHMARKING EFFORTS FOR THE PURPOSE OF IMPROVING THE SERVICES PROVIDED TO THE PATIENTS SERVED BY EMS NATION WIDE, AS WELL AS THE AMERICAN HEART ASSOCIATION ON RESEARCH FUNDING AND EXECUTION OF COMMUNITY AWARENESS.</Description>
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        <NamePerson>DECKER MD WYATT W</NamePerson>
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        <NamePerson>SCHNEIDER KENNETH J</NamePerson>
        <Title>DIRECTOR</Title>
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        <NamePerson>TRANKEL SUSAN K</NamePerson>
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        <NamePerson>PEREZ ROBERT E</NamePerson>
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            <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AN</BusinessNameLine1>
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          <AddressUS>
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            <City>ROCHESTER</City>
            <State>MN</State>
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      <GrantsToDomesticOrgs>
        <Total>200</Total>
        <ProgramServices>200</ProgramServices>
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        <Total>168016</Total>
        <ProgramServices>11089</ProgramServices>
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        <Total>11284029</Total>
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        <ManagementAndGeneral>178600</ManagementAndGeneral>
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        <ProgramServices>5856</ProgramServices>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>1000</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>27300</ManagementAndGeneral>
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        <Total>1548587</Total>
        <ProgramServices>1316259</ProgramServices>
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        <ManagementAndGeneral>15436</ManagementAndGeneral>
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        <ManagementAndGeneral>13584</ManagementAndGeneral>
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        <ManagementAndGeneral>64275</ManagementAndGeneral>
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        <ManagementAndGeneral>12561</ManagementAndGeneral>
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        <Total>827481</Total>
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        <Description>BAD DEBT EXPENSE</Description>
        <Total>2581786</Total>
        <ProgramServices>2581786</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MN CARE TAX</Description>
        <Total>336600</Total>
        <ProgramServices>336600</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EMPLOYEE RELATED EXPENS</Description>
        <Total>124062</Total>
        <ProgramServices>92214</ProgramServices>
        <ManagementAndGeneral>31848</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES, LICENSES AND SUBS</Description>
        <Total>42022</Total>
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      <TotalFunctionalExpenses>
        <Total>23558385</Total>
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        <Fundraising>0</Fundraising>
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        <EOY>27370853</EOY>
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      <AuditCommittee>1</AuditCommittee>
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        <Total>11364</Total>
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        <CurrentTaxYearMinus3Years>25141501</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25670372</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>25933176</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27665265</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>25141501</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25670372</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>25933176</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27665265</CurrentTaxYear>
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      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
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        <Total>0</Total>
      </SupportFromDQPsEtc>
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      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>858551</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>572257</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>44784</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>24831</CurrentTaxYear>
        <Total>2243263</Total>
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      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>572257</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>44784</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>24831</CurrentTaxYear>
        <Total>2243263</Total>
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        <CurrentTaxYearMinus1Year>26550</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27450</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>26004510</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27717546</CurrentTaxYear>
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      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>Schedule A, Part II, Line 12, Explanation of Other Income: MISC. REVENUE</GeneralExplanation>
    </IRS990ScheduleA>
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        <Identifier>Explanation of Other Lobbying Activities:</Identifier>
        <ReturnReference>Part II-B, Line 1i:</ReturnReference>
        <Explanation>DURING 2010 GOLD CROSS AMBULANCE SERVICE (GCMN) OFFICIALS HAD SEVERAL MEETINGS AND CONTACTS WITH GOVERNMENT OFFICIALS, PRIMARILY FROM THE MINNESOTA STATE GOVERNMENT. THESE MEETINGS INCLUDED DISCUSSIONS OF VARIOUS STATE REGULATORY AGENCIES. THESE MEETINGS WERE PRIMARILY HELD IN ST. PAUL, MINNESOTA. GCMN ALSO HAD A MEMBERSHIP IN THE MINNESOTA AMBULANCE ASSOCIATION WHICH MAY ADVOCATE ON BEHALF OF ITS MEMBERS BEFORE THE MINNESOTA LEGISLATURE. GCMN HAS ON OCCASION CORRESPONDED WITH ELECTED REPRESENTATIVES AND GOVERNMENT OFFICIALS OUTLINING GCMN'S CONCERNS AND RECOMMENDATIONS ON VARIOUS HEALTH CARE INITIATIVES AND PROPOSALS. THE PRIMARY FOCUS OF ALL THESE CONTACTS WAS TO DISCUSS PRINCIPLES OF AMBULANCE RELATED HEALTH CARE LEGISLATION RATHER THAN TRY TO INFLUENCE SPECIFIC PROPOSED LEGISLATION. THE MAJORITY OF THESE ACTIVITIES WERE CONDUCTED BY REGISTERED LOBBYISTS. FEES PAID TO REGISTERED LOBBYISTS FOR THESE ACTIVITIES TOTALED $27,300. EMPLOYEES AND REPRESENTATIVES OF GCMN HAVE ALSO CORRESPONDED, HELD MEETINGS AND TESTIFIED BEFORE LEGISLATORS AND LEGISLATIVE COMMITTEES AT THE REQUEST OF LEGISLATORS WHEN PARTICULAR EXPERTISE IN CERTAIN AREAS WAS REQUIRED. GCMN ALSO OCCASIONALLY HOSTS VISITS TO OUR VARIOUS SITES FOR POLICY MAKERS AND ELECTED OFFICIALS WHEN CERTAIN PROCEDURES AND UNIQUE ASPECTS OF GCMN OPERATIONS MAY HAVE A USEFUL BEARING ON PUBLIC POLICY OR THE PROVISION OF PUBLIC SERVICES. GCMN MAY ALSO DEAL WITH MEMBERS OF GOVERNMENT ON A LESS REGULAR BASIS WHEN MAKING EFFORTS TO MEET CERTAIN REGULATORY REQUIREMENTS IMPOSED BY LOCAL, STATE AND FEDERAL LAW AND RULE. THESE AREAS MAY INCLUDE AMBULANCE-RELATED REGULATIONS, PERSONNEL CERTIFICATION, TAX STATUS, LICENSING OF REGULATED ACTIVIES SUCH AS OUR CERTIFIED TRAINING INSTITUTIONS, REAL ESTATE AND GROWTH MANAGEMENT ISSUES, ZONING, PUBLIC WORKS AND OTHER ISSUES COMMON IN THE COURSE OF PROVIDING SERVICES TO OUR PATIENTS AND FULFILLING OUR EDUCATIONAL AND RESEARCH OBLIGATIONS. WE BELIEVE THAT THESE INFORMAL MEETINGS DO NOT CONSTITUTE ATTEMPTS TO INFLUENCE SPECIFIC LEGISLATION AS CONTEMPLATED BY THESE QUESTIONS.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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        <BookValue>765968</BookValue>
      </Land>
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        <Depreciation>1258017</Depreciation>
        <BookValue>1277140</BookValue>
      </Buildings>
      <Equipment>
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        <Depreciation>5873866</Depreciation>
        <BookValue>1511508</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>3554616</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>MAYO POOLED INVESTMENTS</Description>
        <BookValue>16971759</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>16971759</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>3685764</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>3685764</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>4993880</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>4993880</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>AT DECEMBER 31, 2010 AND 2009, THERE WAS NO MATERIAL LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RIVERLAND COMMUNITY COLLEGE FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1900 8TH AVENUE NW</AddressLine1>
          <City>AUSTIN</City>
          <State>MN</State>
          <ZIPCode>55912</ZIPCode>
        </AddressUS>
        <EINOfRecipient>411286409</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfNonCashAssistance>7500</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>2000 FORD E350 WHEELED COACH AMBULANCE</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>SUPPORT OF COMMUNITY WITH DONATION OF USED EQUIPMENT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>DEXTER FIRST RESPONDERS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
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          <City>DEXTER</City>
          <State>MN</State>
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        <DescriptionOfNonCashAssistance>2002 FORD E350 WHEELED COACH AMBULANCE</DescriptionOfNonCashAssistance>
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          <City>ST CLOUND</City>
          <State>MN</State>
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        <NamePerson>GALINDEZ PETER</NamePerson>
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        <NamePerson>BRIGHAM ROBERT F</NamePerson>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</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). 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. JEFFREY W. BOLTON $221,277 ROBERT R. BRIGHAM $341,469 WYATT W. DECKER, M.D. $92,821 PAULA J. SANTRACH, M.D. $120,728 KENNETH J. SCHNEIDER $31,633 CRAIG A. SMOLDT $884,927 SCOTT P. ZIETLOW, M.D. $564,904</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. 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.</Explanation>
      </Form990ScheduleJPartIII>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KWIK TRIP INC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BUSINESS - OVERLAPPING BOARD</Relationship>
        <AmountOfTransaction>258044</AmountOfTransaction>
        <DescriptionOfTransaction>FUEL PURCHASE - ALL TRANSACTIONS ARE CONDUCTED AT AN ARMS LENGTH BASIS.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUAL: JEFFREY W. BOLTON HAS A BUSINESS RELATIONSHIP WITH: PETER GALINDEZ, AND ROBERT E. PEREZ DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS: JEFFREY W. BOLTON, AND CRAIG A. SMOLDT HAVE A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS: WYATT W. DECKER, M.D., PAULA J. SANTRACH, M.D., KENNETH J. SCHNEIDER, SCOTT A. SEINOLA, CRAIG A. SMOLDT, SUSAN K. TRANKEL, AND SCOTT P. ZIETLOW, M.D. JEFFREY W. BOLTON AND CRAIG A. SMOLDT SERVED AS BOARD MEMBERS OF MAYO COLLABORATIVE SERVICES, INC., AN AFFILIATED TAXABLE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 3</Identifier>
        <Explanation>MAYO-AFFILIATED ENTITIES ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>THE SOLE CORPORATE MEMBER IS MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>THE SOLE CORPORATE MEMBER ELECTS AND/OR REMOVES THE DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>THE SOLE MEMBER MUST APPROVE CERTAIN ACTIONS OF THE BOARD SUCH AS INCURRENCE OF DEBT, CHANGES INVOLVING THE CORPORATION OR ITS STRATEGIC PLAN AND/OR MISSION, THE ALTERATION OF NAMES USED BY FACILITIES OPERATED BY THE CORPORATION, AND DISTRIBUTION OF ASSETS UPON DISSOLUTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT PRIOR TO SUBMISSION TO SITE PERSONNEL. THE TAX RETURN IS THEN REVIEWED BY THE SITE FINANCE STAFF AND THE TREASURER. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF GCMN 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.</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>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 SALARIES OF THE CHAIR, VICE-CHAIR, AND SEVERAL DIRECTORS WERE REVIEWED BY THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR FLORIDA, ARIZONA, AND ROCHESTER, MN - 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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS NOT PUBLICLY AVAILABLE. CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST AND ALSO ON MAYOCLINIC.ORG WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII SECTION A</ReturnReference>
        <Explanation>CRAIG A. SMOLDT 40.0 JEFFREY W. BOLTON 40.0 PAUL D. ANDERSON 16.0 PAULA J. SANTRACH, M.D. 40.0 ROBERT E. PEREZ 21.0 SCOTT A. SEINOLA 40.0 SCOTT P. ZIETLOW, M.D. 40.0 WYATT W. DECKER, M.D. 40.0 KENNETH J. SCHNEIDER 40.0 PETER GALINDEZ 40.0 SUSAN K. TRANKEL 40.0 KIMBERLY K. OTTE 40.0 ROBERT F. BRIGHAM 40.0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>PART XII LINE 2C EXPLANATION</ReturnReference>
        <Explanation>THERE WAS NO CHANGE IN THE PROCESS DURING THE YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>INDEPENDENCE</Identifier>
        <ReturnReference>FORM 990 PART VI LINE 1B</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEES OF MAYO CLINIC, THE PARENT ENTITY OF THE MAYO CLINIC-AFFILIATED ENTITIES, IS COMPRISED OF MORE THAN 50% PUBLIC TRUSTEES.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>404 WEST FOUNTAIN STREET</AddressLine1>
          <City>ALBERT LEA</City>
          <State>MN</State>
          <ZIPCode>56007</ZIPCode>
        </AddressUS>
        <EIN>411404075</EIN>
        <PrimaryActivities>HOSPITAL AND CLINIC</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 FIRST DRIVE NW</AddressLine1>
          <City>AUSTIN</City>
          <State>MN</State>
          <ZIPCode>55912</ZIPCode>
        </AddressUS>
        <EIN>410695606</EIN>
        <PrimaryActivities>HOSPITAL AND CLINIC</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AUSTIN MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 FIRST DRIVE NW</AddressLine1>
          <City>AUSTIN</City>
          <State>MN</State>
          <ZIPCode>55912</ZIPCode>
        </AddressUS>
        <EIN>300107471</EIN>
        <PrimaryActivities>FUNDRAISING FOUNDATION</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1222 EAST WOODLAND AVE</AddressLine1>
          <City>BARRON</City>
          <State>WI</State>
          <ZIPCode>54812</ZIPCode>
        </AddressUS>
        <EIN>390920634</EIN>
        <PrimaryActivities>HOSPITAL AND CLINIC</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LUTHER HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BLOOMER LAKEVIEW INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2110 DUNCAN ROAD</AddressLine1>
          <City>BLOOMER</City>
          <State>WI</State>
          <ZIPCode>54724</ZIPCode>
        </AddressUS>
        <EIN>391450617</EIN>
        <PrimaryActivities>LOW INCOME HOUSING</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1501 THOMPSON STREET</AddressLine1>
          <City>BLOOMER</City>
          <State>WI</State>
          <ZIPCode>54724</ZIPCode>
        </AddressUS>
        <EIN>390980343</EIN>
        <PrimaryActivities>HOSPITAL AND CLINIC</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LUTHER HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CANNON FALLS MEDICAL CENTER -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1116 WEST MILL STREET</AddressLine1>
          <City>CANNON FALLS</City>
          <State>MN</State>
          <ZIPCode>55009</ZIPCode>
        </AddressUS>
        <EIN>204156428</EIN>
        <PrimaryActivities>HOSPITAL AND CLINIC</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHARTERHOUSE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
        </AddressUS>
        <EIN>411405254</EIN>
        <PrimaryActivities>RETIREMENT LIVING CENTER</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 MEDICAL CENTER DRIVE PO BOX 800</AddressLine1>
          <City>FAIRMONT</City>
          <State>MN</State>
          <ZIPCode>56031</ZIPCode>
        </AddressUS>
        <EIN>410760836</EIN>
        <PrimaryActivities>HOSPITAL AND CLINIC</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FOUNTAIN LAKE TREATMENT CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>404 WEST FOUNTAIN STREET</AddressLine1>
          <City>ALBERT LEA</City>
          <State>MN</State>
          <ZIPCode>56007</ZIPCode>
        </AddressUS>
        <EIN>411404076</EIN>
        <PrimaryActivities>CHEMICAL DEPENDENCY TREATMENT</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>464 SOUTH JOHNSON STREET</AddressLine1>
          <City>ARCADIA</City>
          <State>WI</State>
          <ZIPCode>54612</ZIPCode>
        </AddressUS>
        <EIN>391322480</EIN>
        <PrimaryActivities>FUNDRAISING FOUNDATION</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FRANCISCAN SKEMP HEALTHCARE INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SKEMP FOUNDATION OF SPARTA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>310 WEST MAIN STREET</AddressLine1>
          <City>SPARTA</City>
          <State>WI</State>
          <ZIPCode>54656</ZIPCode>
        </AddressUS>
        <EIN>391423234</EIN>
        <PrimaryActivities>FUNDRAISING FOUNDATION</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FRANCISCAN SKEMP HEALTHCARE INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SKEMP FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 WEST AVE SOUTH</AddressLine1>
          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54601</ZIPCode>
        </AddressUS>
        <EIN>391186647</EIN>
        <PrimaryActivities>FUNDRAISING FOUNDATION</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FRANCISCAN SKEMP HEALTHCARE INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SKEMP HEALTHCARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 WEST AVE SOUTH</AddressLine1>
          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54601</ZIPCode>
        </AddressUS>
        <EIN>391411999</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM PARENT</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SKEMP MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 WEST AVE SOUTH</AddressLine1>
          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54601</ZIPCode>
        </AddressUS>
        <EIN>390806374</EIN>
        <PrimaryActivities>HOSPITAL AND CLINIC</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FRANCISCAN SKEMP HEALTHCARE INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GCAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
        </AddressUS>
        <EIN>411917517</EIN>
        <PrimaryActivities>AMBULANCE SERVICE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOLD CROSS AMBULANCE SERVICE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
        </AddressUS>
        <EIN>411917516</EIN>
        <PrimaryActivities>AMBULANCE SERVICE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOLD CROSS AMBULANCE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
        </AddressUS>
        <EIN>391942957</EIN>
        <PrimaryActivities>AMBULANCE SERVICE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1025 MARSH STREET</AddressLine1>
          <City>MANKATO</City>
          <State>MN</State>
          <ZIPCode>56002</ZIPCode>
        </AddressUS>
        <EIN>411236756</EIN>
        <PrimaryActivities>HOSPITAL AND CLINIC</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1025 MARSH STREET</AddressLine1>
          <City>MANKATO</City>
          <State>MN</State>
          <ZIPCode>56002</ZIPCode>
        </AddressUS>
        <EIN>411663357</EIN>
        <PrimaryActivities>FUNDRAISING FOUNDATION</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 WEST GRANT STREET</AddressLine1>
          <City>LAKE CITY</City>
          <State>MN</State>
          <ZIPCode>55041</ZIPCode>
        </AddressUS>
        <EIN>411906820</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LUTHER HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1221 WHIPPLE STREET</AddressLine1>
          <City>EAU CLAIRE</City>
          <State>WI</State>
          <ZIPCode>54703</ZIPCode>
        </AddressUS>
        <EIN>390813418</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LUTHER LAKESIDE APARTMENTS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>714 SOUTH BARSTOW STREET</AddressLine1>
          <City>EAU CLAIRE</City>
          <State>WI</State>
          <ZIPCode>54701</ZIPCode>
        </AddressUS>
        <EIN>391409024</EIN>
        <PrimaryActivities>LOW INCOME HOUSING</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LUTHER HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LUTHER MIDELFORT FOUNDATION INC</BusinessNameLine1>
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        <TypeOfEntity>C</TypeOfEntity>
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        </NameOfRelatedOrg>
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          <City>ROCHESTER</City>
          <State>MN</State>
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        </AddressUS>
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          <City>ROCHESTER</City>
          <State>MN</State>
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          <City>EAU CLAIRE</City>
          <State>WI</State>
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          <State>FL</State>
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        <TypeOfEntity>C</TypeOfEntity>
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          <State>MN</State>
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          <AddressLine1>13400 E SHEA BLVD</AddressLine1>
          <City>SCOTTSDALE</City>
          <State>AZ</State>
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        <AddressUS>
          <AddressLine1>200 FIRST STREET SW</AddressLine1>
          <City>ROCHESTER</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
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      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
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          <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
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          <BusinessNameLine1>ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
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          <BusinessNameLine1>MAYO CLINIC - SAINT MARYS HOSPITAL</BusinessNameLine1>
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          <BusinessNameLine1>MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GCAS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GOLD CROSS AMBULANCE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>GCAS INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MAYO CLINIC</BusinessNameLine1>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>