2020-11-15T21:08:14-06:00 2019-12-31 990 2019-01-01 416011702 MAYO CLINIC MAYO 5075381297 200 FIRST STREET SW NO TAX ROCHESTER MN 55905 DENNIS E DAHLEN CFO 5075381297 2020-11-15 129.176.197.230 2020-11-15 21:07:57 CS P 2B99657FF10654900382520BB94A42D1F7014C9E 2B99657FF10654900382520BB94A42D1F7014C9E 2019 2021-01-29 14:40:06Z X GIANRICO FARRUGIA MD 200 FIRST STREET SW NO TAX ROCHESTER MN 55905 9745884969 0 5983 X WWW.MAYOCLINIC.ORG X 1919 MN PATIENT CARE, RESEARCH AND EDUCATION 31 17 26211 1601 763141498 117334059 1975507156 2194234892 4050035431 4015535000 323162453 523751881 74654454 85901148 6423359494 6819422921 204564712 469941762 0 0 2805440917 2716211079 941836 1028755 44680185 2616840186 2497578933 5627787651 5684760529 795571843 1134662392 12305407265 13128051185 9273937859 9359845452 3031469406 3768205733 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 3642552459 406063773 3995172085 PATIENT CARE (SEE SCHEDULE O FOR DESCRIPTION)PATIENT CARE:MAYO CLINIC IS AN INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE. ITS STANDARD OF CARE BRINGS TOGETHER TEAMS OF EXPERTS TO PROVIDE HIGH-QUALITY, AFFORDABLE AND COMPASSIONATE CARE TO EACH PATIENT CONSISTENT WITH MAYO CLINIC'S PRIMARY VALUE - THE NEEDS OF THE PATIENT COME FIRST. MAYO CLINIC'S MISSION IS TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH. MAYO CLINIC'S HERITAGE OF COLLABORATIVE MEDICAL EXPERTISE IS COMBINED WITH CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS, RESULTING IN A THOROUGH AND PERSONAL APPROACH TO HEALTH CARE.PATIENT CARE ADVANCED THROUGH EDUCATION AND RESEARCH IS THE FOUNDATION OF MAYO CLINIC'S MISSION. TO ACCOMPLISH ITS MISSION, MAYO CLINIC NOT ONLY PROVIDES A VARIETY OF PROGRAMS IN DIRECT PATIENT CARE, MEDICAL EDUCATION AND RESEARCH, BUT ALSO SERVES AS THE PARENT ORGANIZATION OF A MULTI-ENTITY ORGANIZATION CONSISTING OF HOSPITALS, CLINICS, HEALTH CARE PROVIDERS AND OTHER ENTITIES PROVIDING HEALTH CARE-RELATED SERVICES AND KNOWLEDGE DELIVERY TO THE PUBLIC THROUGHOUT THE WORLD. IN ROCHESTER, MAYO CLINIC WORKS COLLABORATIVELY WITH MAYO CLINIC HOSPITAL - ROCHESTER, AN AFFILIATED ENTITY COMPRISED OF SAINT MARYS CAMPUS AND METHODIST CAMPUS TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY.MAYO CLINIC IS ALSO THE SOLE MEMBER OF MAYO CLINIC ARIZONA AND MAYO CLINIC JACKSONVILLE WHICH PROVIDE SERVICES TO PATIENTS IN THE SOUTHWEST AND SOUTHEAST REGIONS OF THE UNITED STATES. IN THE MIDWEST, MAYO CLINIC HEALTH SYSTEM SERVES APPROXIMATELY 60 COMMUNITIES IN MINNESOTA, WISCONSIN, AND IOWA THROUGH A NETWORK OF COMMUNITY-BASED PHYSICIANS TO PROVIDE QUALITY HEALTH CARE CLOSE TO HOME, AND ALSO SUPPORTED BY THE HIGHLY SPECIALIZED EXPERTISE AND RESOURCES OF MAYO CLINIC.UTILIZING COMMON GOVERNANCE, SHARED SYSTEMS AND STANDARDIZED POLICIES AND PROCEDURES WHENEVER POSSIBLE, MAYO CLINIC STRIVES TO PROVIDE CONSISTENT, HIGH QUALITY HEALTH CARE SERVICES AND KNOWLEDGE DELIVERY WITHIN EVERY ASPECT OF CARE. A 31-MEMBER BOARD OF TRUSTEES COMPRISED OF A MAJORITY OF PUBLIC MEMBERS ALONG WITH MAYO PHYSICIANS AND ADMINISTRATORS ENSURE THE ENTIRE ORGANIZATION REMAINS TRUE TO ITS MISSION AND CULTURE OF PROVIDING FOR THE HEALTH CARE NEEDS OF THE PUBLIC RATHER THAN FOR PRIVATE BENEFIT. IN 2019, THE ORGANIZATION REINFORCED ITS LEADERSHIP IN PATIENT CARE, RESEARCH AND EDUCATION TO DRIVE FORWARD THE TRANSFORMATION OF HEALTH CARE OVER THE NEXT DECADE. WITH DIGITAL INNOVATIONS AND NEW TECHNOLOGIES, MAYO CLINIC IS MOVING QUICKLY TO EXTEND ITS COMPASSIONATE CARE, EXPERTISE AND RESEARCH, AND IS REINVESTING IN PEOPLE AND FACILITIES IN THE COMMUNITIES IT SERVES. MAYO CLINIC HAS ACCELERATED ITS INVESTMENT IN THE DIGITAL TRANSFORMATION OF HEALTH CARE, AS PART OF ITS 2030 STRATEGY TO TRANSFORM PATIENT AND CLINICIAN EXPERIENCES AND SOLVE HUMANITY'S MOST COMPLEX MEDICAL CHALLENGES. MAYO CLINIC REMAINS TOP-RANKED IN QUALITY MORE THAN ANY OTHER HEALTH CARE ORGANIZATION BY INDEPENDENT GROUPS, SUCH AS THE NURSING MAGNET RECOGNITION PROGRAM, PRESS GANEY PATIENT EXPERIENCE AWARDS, THE CENTERS FOR MEDICARE & MEDICAID SERVICES OVERALL HOSPITAL QUALITY STAR RATINGS, LEAPFROG HOSPITAL SAFETY SURVEY AND THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM. IN 2019, MAYO CLINIC IN ROCHESTER, MINNESOTA, AGAIN WAS RANKED THE NO. 1 HOSPITAL IN THE NATION AND NO. 1 IN MORE SPECIALTIES THAN ANY OTHER HOSPITAL BY U.S. NEWS & WORLD REPORT.MAYO CLINIC OFFERS BOTH SPECIALTY AND PRIMARY CARE IN ITS COMMUNITY PRACTICES AND CREATED A POPULATION HEALTH OFFICE IN 2013. IT IS THE CHARGE OF MAYO'S POPULATION HEALTH COMMITTEE TO TRANSFORM THE WAY COMMUNITY CARE IS DELIVERED AND IMPROVE PATIENT OUTCOMES WHILE REDUCING THE OVERALL TOTAL COST OF CARE. POPULATION HEALTH AT MAYO COORDINATES EXISTING PRACTICE MODELS WITH TRANSFORMATIONAL INITIATIVES TO BETTER ENGAGE PATIENTS, KEEP THEM HEALTHY, SUPPORT PATIENT WELLNESS GOALS AND HELP PATIENTS TO BETTER MANAGE CHRONIC ILLNESSES. THE PRACTICE CHANGE INITIATIVES DEVELOPED, TESTED AND IMPLEMENTED THROUGH THE MAYO MODEL OF COMMUNITY CARE (MMOCC) ARE AIMED AT IMPROVING THE QUALITY OF LIFE FOR PATIENTS, REDUCING OVERALL HEALTH CARE COSTS AND BUILDING A SUSTAINABLE PRACTICE MODEL THAT TRULY SUPPORTS THE NEEDS OF COMMUNITY PATIENTS.THROUGH MAYO CLINIC'S CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE, MAYO CLINIC COLLABORATES WITH DIVERSE COMMUNITY MEMBERS TO HELP COMMUNITY MEDICAL PROVIDERS INCORPORATE PRACTICE-BASED AND RESEARCH-BASED KNOWLEDGE TO IMPROVE OVERALL COMMUNITY HEALTH OUTCOMES AND ELIMINATE HEALTH DISPARITIES. EACH YEAR, PEOPLE FROM ALL 50 STATES AND APPROXIMATELY 135 COUNTRIES COME TO MAYO CLINIC FOR CARE. DURING 2019, MAYO CLINIC PROVIDED SERVICES TO APPROXIMATELY 413,000 OUTPATIENT VISITORS. TOTAL PATIENT VISITS FOR MAYO CLINIC AND ITS AFFILIATES DURING 2019 WERE APPROXIMATELY 1.2 MILLION. MAYO CLINIC PROVIDES CARE TO PEOPLE COVERED BY GOVERNMENTAL PROGRAMS SUCH AS MEDICARE AND MEDICAID, AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. IN 2019, THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICAID AND MINNESOTA CARE (A PROGRAM THAT PROVIDES MEDICAL ASSISTANCE FOR LOW INCOME POPULATIONS) WAS APPROXIMATELY $212,234,000. THIS AMOUNT INCLUDES APPROXIMATELY $44,105,000 PAID TO MINNESOTACARE. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $999,066,000 AND THE COST OF CHARITY CARE PROVIDED IN 2019 WAS APPROXIMATELY $28,395,000.IN 2019, WITH SYSTEM-WIDE REVENUES OF $13.8 BILLION, MAYO CLINIC AND ITS AFFILIATES PROVIDED $590 MILLION IN CARE TO PEOPLE IN NEED. THIS TOTAL INCLUDES $96 MILLION IN CHARITY CARE AND $494 MILLION IN UNPAID PORTIONS OF MEDICAID AND OTHER INDIGENT CARE PROGRAMS FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED. MAYO ALSO PROVIDED $2.2 BILLION IN UNPAID PORTIONS OF MEDICARE AND OTHER SENIOR PROGRAMS. APPROXIMATELY 55 PERCENT OF MAYO'S TOTAL MEDICAL SERVICES PROVIDED ARE FOR MEDICARE AND MEDICAID PATIENTS. MAYO CLINIC AND ITS AFFILIATES CONTRIBUTED MORE THAN $7 MILLION IN CASH AND IN-KIND DONATIONS TO LOCAL COMMUNITIES. THE MAYO CLINIC CARE NETWORK CONSISTS OF INDEPENDENT HEALTH-CARE ORGANIZATIONS THAT SHARE A COMMON GOAL OF IMPROVING DELIVERY OF HEALTH CARE IN THEIR COMMUNITIES THROUGH HIGH-QUALITY, DATA DRIVEN AND EVIDENCE BASED MEDICAL CARE. MEMBERS OF THE NETWORK HAVE ACCESS TO MAYO CLINIC KNOWLEDGE, COLLABORATION TOOLS, DISEASE MANAGEMENT PROTOCOLS, CLINICAL CARE GUIDELINES, TREATMENT RECOMMENDATIONS, PATIENT EDUCATION MATERIALS AND CONTINUING MEDICAL EDUCATION OPPORTUNITIES. THE MAIN GOAL OF THE NETWORK IS TO HELP PEOPLE GAIN THE BENEFITS OF MAYO CLINIC EXPERTISE WITHOUT HAVING TO TRAVEL TO A MAYO CLINIC FACILITY. FOR 2019, THE MAYO CLINIC CARE NETWORK CONSISTED OF APPROXIMATELY 45 MEMBERS LOCATED IN THE UNITED STATES, CHINA, EGYPT, INDIA, MEXICO, SAUDI ARABIA, SOUTH KOREA, SINGAPORE AND THE UNITED ARAB EMIRATES. THROUGH THE MAYO CLINIC CARE NETWORK, MORE THAN 15 MILLION PATIENTS AND CARE TEAMS HAVE ACCESS TO MAYO CLINIC KNOWLEDGE, CLINICAL PROTOCOLS AND CONSULTATIONS VIA MAYO'S CONNECTED CARE PLATFORM.HEALTH INFORMATION IS VIEWED AS AN IMPORTANT PART OF MAYO CLINIC'S PATIENT CARE MISSION. MAYO CLINIC, IN CONJUNCTION WITH ITS AFFILIATES, PROVIDES A VARIETY OF HEALTH INFORMATION RESOURCES (BOOKS, NEWSLETTER, ON-LINE CONTENT, ETC.) TO PATIENTS, CONSUMERS AND THE GENERAL PUBLIC.MAYO CLINIC'S SOCIAL MEDIA NETWORK IS A NETWORK OF HEALTH CARE ORGANIZATIONS, HOSPITALS AND MEDICAL PROFESSIONALS COMMITTED TO BROADER AND DEEPER ENGAGEMENT IN SOCIAL MEDIA TO HELP IMPROVE HEALTH CARE LITERACY, HEALTH CARE DELIVERY AND POPULATION HEALTH WORLDWIDE.MAYO CLINIC LIBRARIES REFLECT AN INTEGRATED SYSTEM OF LIBRARIES, KNOWLEDGE CENTERS AND ARCHIVES. THE BREADTH OF THESE RESOURCES AND THEIR INTEGRATION MAKES THE MAYO CLINIC LIBRARIES AMONG THE MOST COMPREHENSIVE IN NORTH AMERICA. THE LIBRARIES SUPPORT HOSPITALIZED PATIENTS AND THEIR FAMILIES, ALONG WITH SUPPORTING EMPLOYEES, RESEARCHERS, FACULTY AND STUDENTS IN THEIR CARE OF PATIENTS AND MEDICAL RESEARCH.COMMUNITY GIVING AND INVOLVEMENT IS A VALUE-DRIVEN PRIORITY AT MAYO CLINIC. QUALITY PATIENT CARE IS BEST ADVANCED WITHIN A VIBRANT LOCAL COMMUNITY, WITH STRONG SOCIETAL FOUNDATIONS, SUCH AS EDUCATION, HEALTH, INCLUSIVITY, A DIVERSE ECONOMY, SUPPORTIVE SOCIAL SERVICES, AND AMENITIES THAT MAKE ROCHESTER A DESIRABLE PLACE TO LIVE AND SUPPORT SOCIAL DETERMINANTS OF HEALTH. MAYO CLINIC'S COMMUNITY CONTRIBUTIONS PROGRAM PROVIDES FINANCIAL AND IN-KIND SUPPORT TO NON-PROFIT ORGANIZATIONS IN SUPPORT OF THESE EFFORTS. 709959642 44905291 5700835 MEDICAL RESEARCH (SEE SCHEDULE O FOR DESCRIPTION)MEDICAL RESEARCH:MAYO CLINIC IS ONE OF THE PREMIER MEDICAL RESEARCH ORGANIZATIONS IN THE WORLD. INNOVATION AND IMPROVEMENT OF SCIENCE AND THE DELIVERY OF HEALTH CARE ARE ENHANCED THROUGH MAYO CLINIC'S RESEARCH PROGRAMS. CLINICAL PRACTICE OBSERVATIONS BECOME THE BASIS FOR RESEARCH STUDIES AND THE FINDINGS FROM RESEARCH FLOW BACK INTO THE PRACTICE TO IMPROVE PATIENT CARE AND OUTCOMES. PHYSICIAN/RESEARCHERS AND CAREER SCIENTISTS' WORK IN TANDEM TO ADVANCE MEDICINE AND TO IMPROVE THE HEALTH AND WELLBEING OF NOT JUST MAYO CLINIC PATIENTS, BUT ALSO THE PUBLIC AT LARGE, AS THESE FINDINGS ARE DISSEMINATED WORLDWIDE.RESEARCH AT MAYO CLINIC INVOLVES MEDICAL PROFESSIONALS COMMITTED TO SEARCHING FOR ANSWERS TO COMPLEX MEDICAL PROBLEMS WITH THE GOAL OF BRINGING NEW SOLUTIONS AND ADVANCED CARE RAPIDLY TO PATIENTS THROUGHOUT THE WORLD. RESEARCH ACTIVITIES INCLUDE BASIC SCIENCE RESEARCH, CLINICAL TRIALS, TRANSLATIONAL RESEARCH AND HUMAN RESEARCH STUDIES. DURING 2019, MAYO CLINIC, IN CONJUNCTION WITH ITS AFFILIATES, HAD OVER 4,200 RESEARCH PERSONNEL, 23 CORE LABORATORIES, OVER 11,600 ACTIVE INSTITUTIONAL REVIEW BOARD-APPROVED STUDIES, OVER 3,100 NEW HUMAN RESEARCH STUDIES APPROVED BY THE INSTITUTIONAL REVIEW BOARD AND MORE THAN 8,700 RESEARCH AND REVIEW ARTICLES PUBLISHED IN PEER-REVIEWED JOURNALS. MANY OF THESE PERSONNEL, LABORATORIES, STUDIES AND ARTICLES ARE LOCATED OR PERFORMED BY MAYO CLINIC IN ROCHESTER, MINNESOTA. FUNDING OF RESEARCH ACTIVITIES AT MAYO CLINIC COMES FROM GRANTS AND CONTRACTS AS WELL AS FROM MAYO FUNDS AND GIFTS FROM GENEROUS BENEFACTORS. 266462342 18972697 58060521 MEDICAL EDUCATION (SEE SCHEDULE O FOR DESCRIPTION)MEDICAL EDUCATION:MEDICAL EDUCATION, RESEARCH TRAINING, CONTINUOUS MEDICAL LIFE-LONG LEARNING AND A COMMITTED QUEST FOR NEW KNOWLEDGE ARE INTEGRAL FUNCTIONS OF MAYO CLINIC. OUR WORLD-RENOWNED EDUCATIONAL PROGRAMS INFORM, INSTRUCT, AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS AND OUR COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING. THESE PROGRAMS SPAN THE CONTINUUM OF HEALTH CARE AND ENSURE THE MAYO MODEL OF CARE IS PERPETUATED AND SHARED BROADLY. MAYO CLINIC IS COMMITTED TO PROVIDING USEFUL, TIMELY KNOWLEDGE AND SKILLS THAT REFLECT ITS STANDARDS OF EXCELLENCE AND ITS DEDICATION TO FINDING ANSWERS FOR UNMET PATIENT NEEDS: EDUCATING THE NEXT GENERATION OF PHYSICIANS, MEDICAL RESEARCHERS AND HEALTH PROFESSIONALS WITH TRANSFORMATIVE CURRICULA THAT FOCUSES NOT ONLY ON HELPING THE PATIENT, BUT ALSO IMPROVING THE HEALTH CARE SYSTEM;SHARING KNOWLEDGE AND INNOVATIVE BEST PRACTICES FREELY IN THE SPIRIT OF COLLABORATION TO ADVANCE THE SCIENCE OF MEDICINE AND THE ART OF COMPASSIONATE, PATIENT-CENTERED CARE;EMPOWERING PEOPLE TO MANAGE THEIR HEALTH THROUGH PATIENT EDUCATION AND SHARED DECISION-MAKING MEDICAL TRAINING;SPREADING MAYO'S MEDICAL EXPERTISE, EDUCATION AND RESEARCH FINDINGS THROUGHOUT THE WORLD TO IMPROVE HEALTH CARE FOR ALL.WORKING COLLABORATIVELY AT A NATIONAL LEVEL TO MODERNIZE AND TRANSFORM MEDICAL EDUCATION TO ADDRESS AREAS SUCH AS IMPROVING HEALTH CARE DELIVERY, PHYSICIAN BURN-OUT, POPULATION HEALTH ISSUES, AND TEAM-BASED CARE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE'S FIVE SCHOOLS: 1. MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION IS ONE OF THE NATION'S LARGEST SCHOOLS OF GRADUATE MEDICAL EDUCATION WITH ANNUAL ENROLLMENT OF APPROXIMATELY 1,790 RESIDENT AND FELLOW PHYSICIANS IN TRAINING. THE SCHOOL TRAINS DOCTORS IN APPROXIMATELY 300 RESIDENCY AND FELLOWSHIP PROGRAMS, REPRESENTING VIRTUALLY EVERY MEDICAL SPECIALTY. IN ADDITION, MANY GRADUATES COMPLETE MAYO CLINIC QUALITY ACADEMY TRAINING - A CONCERTED EFFORT TO EDUCATE AND PREPARE TRAINEES TO CONTINUOUSLY EXPLORE WAYS TO IMPROVE PATIENT SAFETY, QUALITY CARE AND ELIMINATE HEALTH DISPARITIES. 2. MAYO CLINIC ALIX SCHOOL OF MEDICINE PROVIDES A FOUR-YEAR MEDICAL EDUCATION PROGRAM LEADING TO DOCTOR OF MEDICINE DEGREES AND JOINT MD/PH.D. DEGREES. FOR 2019 THE SCHOOL HAD APPROXIMATELY 400 STUDENTS ENROLLED ON THE ROCHESTER, MINNESOTA AND SCOTTSDALE, ARIZONA CAMPUSES.THE INNOVATIVE AND TRANSFORMATIVE CURRICULUM OF MAYO CLINIC ALIX SCHOOL OF MEDICINE FOCUSES ON EDUCATING FUTURE PHYSICIAN LEADERS IN PATIENT-CENTERED, SCIENCE-DRIVEN, TEAM-BASED, HIGH VALUE HEALTH CARE. STUDENTS ACROSS ALL CAMPUSES ARE SOME OF THE FIRST NATIONWIDE TO TRAIN AND FIRST NATIONWIDE TO RECEIVE A SCIENCE OF HEALTH CARE DELIVERY CERTIFICATE IN ADDITION TO A MEDICAL DEGREE. THE INTEGRATED, TRANSFORMATIVE CURRICULUM IS PART OF AN INITIATIVE TO BETTER PREPARE STUDENTS FOR THE CHALLENGES OF DELIVERING PATIENT CARE IN A COMPLEX HEALTH CARE ENVIRONMENT. ADDITIONAL OFFERINGS AT THE SCHOOL INCLUDE VISITING MEDICAL STUDENT CLERKSHIP PROGRAMS AND SUMMER MINORITY MEDICAL STUDENT PROGRAMS. THE SCHOOL CULTIVATES STUDENTS TO CONTINUALLY PURSUE NEW KNOWLEDGE THROUGH DISCOVERY, TRANSLATION AND CLINICAL APPLICATION TO MEET THE NEEDS OF THEIR PATIENTS.MAYO CLINIC ALIX SCHOOL OF MEDICINE STUDENTS PARTICIPATE IN UNDERSERVED AND OUTREACH CARE PROGRAMS, ALONG WITH PRIMARY CARE AND COMMUNITY CARE EXPERIENTIAL LEARNING OPPORTUNITIES NEAR THEIR CAMPUSES AND AT MAYO CLINIC HEALTH SYSTEM SITES.3. MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES HAS A DISTINGUISHED HISTORY OF PREPARING STUDENTS FOR CAREERS AS COMPETITIVE, BASIC AND BIOMEDICAL RESEARCH INVESTIGATORS. THE SCHOOL OFFERS MASTER'S AND DOCTORAL DEGREE PROGRAMS FOCUSING ON SEVEN BIOMEDICAL SPECIALTIES, AS WELL AS ONE OF THE FIRST INTERDISCIPLINARY PROGRAMS IN REGENERATIVE MEDICAL RESEARCH. THE SCHOOL IS A PIONEER IN EXPANDING RESEARCH TRAINING OPPORTUNITIES FOR STUDENTS FROM BACKGROUNDS UNDERREPRESENTED IN RESEARCH, INCLUDING VISITING PRE-DOCTORAL AND SUMMER UNDERGRADUATE RESEARCH PROGRAMS WHERE DIVERSE STUDENTS HAVE THE OPPORTUNITY TO WORK WITH WORLD-RENOWNED RESEARCHERS AT MAYO CLINIC CAMPUSES IN ARIZONA, FLORIDA AND MINNESOTA. THE MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES HAS AN ANNUAL ENROLLMENT OF APPROXIMATELY 340 STUDENTS.4. MAYO CLINIC SCHOOL OF HEALTH SCIENCES PREPARES THE ALLIED HEALTH CARE WORKFORCE OF THE FUTURE IN PROGRAMS RANGING FROM A 10-MONTH PHLEBOTOMY CERTIFICATE PROGRAM TO A DOCTORATE IN PHYSICAL THERAPY OR NURSE ANESTHESIA. THE MAYO CLINIC SCHOOL OF HEALTH SCIENCES HAS AN ANNUAL ENROLLMENT OF APPROXIMATELY 1,800 STUDENTS. WITH CAMPUSES IN MINNESOTA, FLORIDA AND ARIZONA, THE SCHOOL PREPARES STUDENTS IN APPROXIMATELY 180 PROGRAMS REPRESENTING APPROXIMATELY 55 HEALTH SCIENCE CAREERS. THE SCHOOL ALSO PROVIDES CLINICAL INTERNSHIPS FOR HUNDREDS OF AFFILIATED SCHOOLS. APPROXIMATELY 500 FACULTY MEMBERS ENSURE EVERY STUDENT RECEIVES EXTENSIVE PERSONALIZED TRAINING. 5. MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT PROVIDES A COMPREHENSIVE SELECTION OF CLINICAL, SURGICAL, ALLIED HEALTH AND RESEARCH COURSES, AS WELL AS PROGRAMS ON HEALTH CARE ISSUES, PRACTICE MANAGEMENT AND LEADERSHIP, TO HEALTH CARE PROFESSIONALS THROUGHOUT THE WORLD. THE SCHOOL ANNUALLY PROVIDES CONTINUING EDUCATION ACTIVITIES TO APPROXIMATELY 84,000 PARTICIPANTS. PARTICIPANTS INCLUDE MAYO AND NON-MAYO ATTENDEES. MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE ALSO HAS INITIATED MAYO CLINIC EDUCATION PLATFORMS TO DEVELOP AND DELIVER ONLINE EDUCATIONAL OPPORTUNITIES FOR BROAD DISTRIBUTION OF CONTINUING MEDICAL EDUCATION, FACULTY DEVELOPMENT, STUDENT EDUCATION AND FUTURE PATIENT EDUCATION. VIDEO SEMINARS AND ONLINE LEARNING MODULES PROVIDE CONSISTENT KNOWLEDGE DELIVERY ACROSS MULTI-SPECIALTIES AND ALLOW FOR MORE INTERACTIVE FACULTY/STUDENT PARTICIPATION IN THE CLASSROOM SETTING. ONLINE LEARNING ALSO FACILITATES THE ABILITY FOR MAYO CLINIC TO SHARE AND EXPAND THE LATEST MEDICAL KNOWLEDGE AND INNOVATIVE LEARNING OPPORTUNITIES WITH OTHERS OUTSIDE MAYO CLINIC.ANOTHER INITIATIVE IMPLEMENTED THROUGH MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE IS THE OFFICE OF APPLIED SCHOLARSHIP AND EDUCATION SCIENCE (OASES). THIS INNOVATIVE OFFICE PROVIDES EXPERTISE AND SUPPORT IN FACULTY DEVELOPMENT, EDUCATION EVALUATION AND PRINCIPLES AND PRACTICES OF EDUCATION SCIENCE TO ENSURE THE HIGHEST QUALITY OF EDUCATION DELIVERY WITHIN EACH OF THE SCHOOLS WITHIN THE COLLEGE. THE COLLEGE HAS ALSO IMPLEMENTED AN ACADEMY OF EDUCATIONAL EXCELLENCE TO DEVELOP AND RECOGNIZE EDUCATORS TO BETTER PREPARE LEARNERS TO ADVANCE SCIENCE, MEET PATIENTS' NEEDS AND SERVE AS TRANSFORMATIVE LEADERS IN HEALTH CARE.AS PART OF ITS MEDICAL EDUCATION MISSION, MAYO CLINIC SPONSORS MAYO CLINIC PROCEEDINGS, A MONTHLY JOURNAL FOR PHYSICIANS AND OTHER MEDICAL PERSONNEL. THE JOURNAL IS PUBLISHED TO PROMOTE THE BEST INTERESTS OF PATIENTS BY ADVANCING THE KNOWLEDGE AND PROFESSIONALISM OF THE PHYSICIAN COMMUNITY. MAYO CLINIC PROCEEDINGS IS A PEER-REVIEWED CLINICAL JOURNAL IN GENERAL AND INTERNAL MEDICINE AND AMONG THE MOST WIDELY READ AND HIGHLY CITED SCIENTIFIC PUBLICATIONS FOR PHYSICIANS. MAYO CLINIC PROCEEDINGS HAS A CIRCULATION OF APPROXIMATELY 127,000 AND HAS BEEN CONTINUOUSLY PUBLISHED SINCE 1926. MAYO CLINIC PROCEEDINGS' CONTENT FOCUSES ON CLINICAL AND LABORATORY MEDICINE, HEALTH CARE POLICY AND ECONOMICS, MEDICAL EDUCATION AND ETHICS, AND RELATED TOPICS. ALL OF THESE EDUCATIONAL EFFORTS TO DISCOVER, DELIVER, EXPAND AND SHARE MEDICAL KNOWLEDGE PROMOTE MAYO'S CLINIC'S ABILITY TO PERPETUATE THE HIGHEST QUALITY AND SAFETY IN PATIENT CARE. 4618974443 1 1 0 1 0 1 0 1 0 1 1 1 0 0 1 1 0 1 1 1 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 1102 0 1 26211 1 1 1 1 GM CJ EI MX UK 0 0 0 0 1 6 0 0 0 0 0 0 0 0 X 31 17 1 1 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 AL AK AR CA CT FL GA IL IN KS KY MD MA MI MN MS NH NJ NY NC NM OK OR PA RI TN UT VA WV WI SD SC AZ DE HI ID IA LA ME WA WY VT TX NE NV MO MT X CORPORATE TAX 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 FARRUGIA MD GIANRICO PRESIDENT/CEO/TRUSTEE 1.00 40.00 X X 0 2685375 89785 GOSTOUT MD BOBBIE S TRUSTEE/VP 1.00 40.00 X X 0 1755460 101504 BOLTON JEFFREY W TRUSTEE/VP 1.00 40.00 X X 0 1644114 90268 HOFFMAN III HARRY N TREASURER 1.00 40.00 X 0 1550323 79952 KRAUSS MD WILLIAM E PHYSICIAN 40.00 0.00 X 1392074 0 91017 HARPER JR MD CHARLES M TRUSTEE 1.00 40.00 X 0 1463746 36088 LANZINO MD GIUSEPPE PHYSICIAN 40.00 0.00 X 1322691 0 82559 THIELEN MD KENT R TRUSTEE/VP 1.00 40.00 X X 0 1327476 88761 MARSH MD W RICHARD PHYSICIAN 40.00 0.00 X 1310323 0 35725 CLARKE MD MICHELLE J PHYSICIAN 40.00 0.00 X 1261446 0 63018 SPINNER MD ROBERT J PHYSICIAN 40.00 0.00 X 1257066 0 65890 MEYER MD FREDRIC B FORMER KEY EMPLOYEE 0.00 40.00 X 0 1308005 46558 GORMAN PAUL A ASST TREASURER 1.00 40.00 X 0 1257031 90450 DAHLEN DENNIS E CFO 1.00 40.00 X 0 1229810 88659 OTLEY MD CLARK C PHYSICIAN 40.00 0.00 X 1088159 0 86570 GORES MD GREGORY J PHYSICIAN 40.00 0.00 X 1134741 0 38037 MURPHY JOSHUA B SECY 1.00 40.00 X 0 1075237 84069 GRAY MD RICHARD J TRUSTEE/VP 1.00 40.00 X X 0 951672 74057 WILLIAMSON MARY J TRUSTEE 40.00 0.00 X 920644 0 87097 BERRY MD DANIEL J TRUSTEE 40.00 0.00 X 852949 0 97833 DIASIO MD ROBERT B PHYSICIAN 40.00 0.00 X 907663 0 31848 CALLSTROM MD MATTHEW R PHYSICIAN 40.00 0.00 X 827567 0 79176 MENKOSKY PAULA E TRUSTEE/ASST SECY 1.00 40.00 X X 0 844268 87502 RIHAL MD CHARANJIT S PHYSICIAN 40.00 0.00 X 793467 0 92087 NESSE MD ROBERT E FORMER KEY EMPLOYEE 0.00 40.00 X 0 873160 36748 LUETMER MD PATRICK H FORMER KEY EMPLOYEE 40.00 0.00 X 767832 0 98089 CAMILLERI MD MICHAEL FORMER KEY EMPLOYEE 40.00 0.00 X 807468 0 37175 WALD MD JOHN T PHYSICIAN 40.00 0.00 X 753201 0 89087 HEBL MD JAMES R FORMER KEY EMPLOYEE 40.00 0.00 X 750750 0 79054 HAYES MD DAVID L FORMER KEY EMPLOYEE 40.00 0.00 X 784577 0 40282 ROGER MD VERONIQUE L TRUSTEE 40.00 0.00 X 732390 0 85516 ZORN CHRISTINA K TRUSTEE/ASST SECY 1.00 40.00 X X 0 752952 72793 NOSEWORTHY MD JOHN H FORMER CEO/PRESIDENT 0.00 40.00 X 0 776844 2425 AMMASH MD NASER M PHYSICIAN 40.00 0.00 X 693570 0 81896 BUSKIRK MD STEVEN J TRUSTEE 1.00 40.00 X 0 752740 36879 FOOTE MD ROBERT L FORMER KEY EMPLOYEE 40.00 0.00 X 728913 0 34372 LOFTUS MD CONOR G FORMER KEY EMPLOYEE 40.00 0.00 X 686991 0 72191 HAEFLINGER RICKY J ASST TREASURER 40.00 0.00 X 664908 0 81832 WILLIAMS MD AMY W TRUSTEE 40.00 0.00 X 653960 0 73626 MORICE MD WILLIAM G PHYSICIAN 40.00 0.00 X 636216 0 79992 GERTZ MD MORIE A FORMER KEY EMPLOYEE 40.00 0.00 X 658913 0 34079 OKUNO MD SCOTT H FORMER KEY EMPLOYEE 40.00 0.00 X 594897 0 87466 WHITED MD BRIAN L FORMER KEY EMPLOYEE 40.00 0.00 X 597586 0 84307 FRANK MD IGOR PHYSICIAN 40.00 0.00 X 601260 0 73933 KENDRICK MD MICHAEL L PHYSICIAN 40.00 0.00 X 587352 0 77426 CIMA MD ROBERT R PHYSICIAN 40.00 0.00 X 578953 0 77444 HADAWAY CHERYL J CHAIR-DEPT OF DEVELOPMENT 40.00 0.00 X 622716 0 33422 KHAN MD AMIR R PHYSICIAN 40.00 0.00 X 574053 0 80093 HAYES MD SHARONNE N PHYSICIAN 40.00 0.00 X 586102 0 59827 BROWN MD MICHAEL J PHYSICIAN 40.00 0.00 X 554918 0 79010 PETERS MD STEVE G PHYSICIAN 40.00 0.00 X 584199 0 36486 HORLOCKER MD TERESE T PHYSICIAN 40.00 0.00 X 567395 0 33446 CLARK LEON G CHAIR-DEPT OF RESEARCH ADMIN 40.00 0.00 X 510134 0 84013 GAZELKA MD HALENA M PHYSICIAN 40.00 0.00 X 512211 0 73119 NARR MD BRADLY J PHYSICIAN 40.00 0.00 X 539557 0 36387 SANTRACH MD PAULA J FORMER KEY EMPLOYEE 40.00 0.00 X 516384 0 57185 KRAHN MD LOIS E TRUSTEE 1.00 40.00 X 0 499154 90745 WARNER MD MARK A FORMER KEY EMPLOYEE 40.00 0.00 X 524850 0 33759 FRANCIS JAMES R ASST TREASURER 1.00 40.00 X 0 485420 94242 DECKER MD WYATT W FORMER VICE PRESIDENT 0.00 40.00 X 0 494915 54855 BLACK MD JOHN L FORMER KEY EMPLOYEE 40.00 0.00 X 498241 0 30864 LUCCHINETTI MD CLAUDIA F TRUSTEE 40.00 0.00 X 435069 0 87224 DIDEHBAN ROSHANAK FORMER KEY EMPLOYEE 40.00 0.00 X 457350 0 45592 GREENE MD EDDIE L TRUSTEE 40.00 0.00 X 409064 0 84779 AGERTER MD DAVID C FORMER KEY EMPLOYEE 40.00 0.00 X 458665 0 33609 NELSON MD HEIDI TRUSTEE 40.00 0.00 X 428926 0 18994 WEBER JOAN A ASST TREASURER 1.00 40.00 X 0 389591 31292 UHLENKAMP SUSAN M ASST TREASURER 1.00 40.00 X 0 343428 73079 HUBERT SHERRY L ASST SECY 1.00 40.00 X 0 307147 89516 FROISLAND JEFFREY R ASST TREASURER 1.00 40.00 X 0 338845 22381 LOCKETT KEVIN M ASST TREASURER 1.00 40.00 X 0 274156 79700 NORBY MARK L ASST TREASURER 1.00 40.00 X 0 281357 56904 BROWN WILLIAM A ASST TREASURER 1.00 40.00 X 0 247577 34018 PAIGE SR KEVIN A FORMER KEY EMPLOYEE 40.00 0.00 X 153825 0 69269 PERETSMAN NANCY B TRUSTEE 5.00 0.00 X 0 65400 0 ALIX JAY TRUSTEE 5.00 0.00 X 0 24241 0 POWELL MICHAEL K TRUSTEE 5.00 0.00 X 0 8909 0 GEORGE WILLIAM W TRUSTEE 5.00 0.00 X 0 7583 0 STEER MD RANDOLPH C TRUSTEE 5.00 0.00 X 0 4975 0 SWEENEY ANNE M TRUSTEE 5.00 0.00 X 0 3405 0 COLEMAN MARY SUE TRUSTEE 5.00 0.00 X 0 3156 0 DI PIAZZA JR SAMUEL A TRUSTEE/CHAIR 5.00 0.00 X X 0 2788 0 BILICIC GEORGE W TRUSTEE 5.00 0.00 X 0 2551 0 ALVARADO LINDA G TRUSTEE 5.00 0.00 X 0 1986 0 BAICKER KATHERINE TRUSTEE 5.00 0.00 X 0 0 0 BURNS URSULA M TRUSTEE 5.00 0.00 X 0 0 0 DAVIS RICHARD K TRUSTEE 5.00 0.00 X 0 0 0 HALVORSON GEORGE C TRUSTEE 5.00 0.00 X 0 0 0 MULALLY ALAN R TRUSTEE 5.00 0.00 X 0 0 0 ROBERTS CORINNE TRUSTEE 5.00 0.00 X 0 0 0 SALAZAR KENNETH L TRUSTEE 5.00 0.00 X 0 0 0 SCHMIDT ERIC E TRUSTEE 5.00 0.00 X 0 0 0 TOMM CHARLES B TRUSTEE 5.00 0.00 X 0 0 0 34282186 24034797 4848932 5344 1 1 1 MAYO FOUNDATION FOR MEDICAL EDUCATION & 200 FIRST STREET SW ROCHESTER MN 55905 PROCUREMENT & MED SUPPORT SERVICES 489372754 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 MEDICAL SUPPORT SERVICES 3247799 2 23272 1223269987 304500669 666440964 70082597 2194234892 NET PATIENT CARE 621110 3947442645 3214494184 732948461 EDUCATION REVENUE 611600 58060521 58060521 RESEARCH REVENUE 541700 5700835 3598953 2101882 MEDICAL PRODUCT SALES 446199 4330999 4330999 4015535000 229857978 2686033 227171945 1219751 1219751 27774261 27774261 1868159 2106723 -238564 -238564 -244564 6000 3201448589 15530684 2906500997 17804124 294947592 -2273440 292674152 292674152 123356 50204 73152 73152 MISC CONSULTING 541610 36373325 5254583 24285216 6833526 MISC REVENUE 900099 9494401 3253363 1040754 5200284 CAFETERIA/VENDING 722514 6784244 6784244 5640329 576554 5063775 58292299 6819422921 3323883098 763141498 538163433 X 448712727 448712727 19085333 19085333 2143702 2143702 20691539 18153156 1875614 662769 24451463 22153993 2290839 6631 1984791652 1897382026 63767199 23642427 171747407 59387659 110831769 1527979 376024197 359812045 13268017 2944135 138504821 131858241 5212687 1433893 2473030 1673736 445526 353768 318476 80569 237907 179481 179481 1028755 1028755 3530388 3477888 52500 1111633684 453094284 652253491 6285909 15679239 14910997 652053 116189 215468764 201125930 11965150 2377684 155354727 47676407 107384208 294112 4768564 4767814 750 75501730 35855722 38281147 1364861 65308551 61261560 2109436 1937555 5601805 5528216 70016 3573 102795951 99128462 3667489 192189279 190292148 1819037 78094 12282363 12282363 MEDICAL SUPPLIES 399183612 399183612 UBIT 21810497 21810497 MN CARE TAX 44105062 44105062 BAD DEBT 31158843 31148843 10000 38234887 32701970 4911066 621851 5684760529 4618974443 1021105901 44680185 2513119 1961577 462 2707657 402817614 461417804 432211923 475448207 219206137 2714555 6669532 6933859 6456807 18380706 3573217226 2118090613 1505252762 1455126613 322107196 405470594 8266135991 9776652970 1142035722 521236643 12305407265 13128051185 2200959666 3075133623 50905241 28715653 1685324936 1681244005 1363981822 1361009267 3972766194 3213742904 9273937859 9359845452 X 393444475 684716360 2638024931 3083489373 3031469406 3768205733 12305407265 13128051185 X 1134662392 722862137 -1120788202 X X 0 1 X 1 1 1 X 1010332924 1180799873 1722852961 1975507156 2194234892 8083727806 2890288119 3122923742 3359185346 3390245417 3325989821 16088632445 4433234 4664443 4697015 17480366 17097585 48372643 3905054277 4308388058 5086735322 5383232939 5537322298 24220732894 0 0 0 24220732894 67235999 73514343 104141866 54704231 228391696 527988135 34562859 42801655 63998037 78762106 114491776 334616433 101798858 116315998 168139903 133466337 342883472 862604568 1382377 8627843 10722804 5805837 26538861 4008235512 4433331899 5265598029 5522505113 5880205770 25109876323 0.96460 0.96920 0.03440 0.02960 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2015 AMOUNT: $ 1,382,377. 2016 AMOUNT: $ 8,627,843. 2017 AMOUNT: $ 10,722,804. 2018 AMOUNT: $ 5,805,837. 2019 AMOUNT: $ 0. SCHEDULE A PART I LINE 2: WHILE THE IRS DETERMINED THAT MAYO CLINIC QUALIFIES UNDER LINE 10, AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME, WE BELIEVE THAT IT ALSO QUALIFIES UNDER THE CLASSIFICATION OF LINE 2 - A SCHOOL DESCRIBED IN SECTION 170(B)(1)(A)(II), LINE 3 - A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III), AND LINE 7, AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1 0 1 1 1 179481 179481 0 PART II-B, LINE 1: DURING 2019, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2019, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH. IN ADDITION TO CORRESPONDENCE, MAYO EXPRESSES ITS PERSPECTIVE ON POLICY ISSUES VIA EDITORIALS AND IN RESPONSES TO MEDIA INQUIRIES. ON OCCASION, MAYO'S POLICY PERSPECTIVE MAY BE INCLUDED IN THE SPEECH CONTENT OF MAYO LEADERS. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2019, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES THAT ARE REPORTED ON THE 2019 MAYO CLINIC GROUP FEDERAL FORM 990 TOTALED $1,257,203. SCHEDULE C PART II-B LINE 1I THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. 6 835650 535000 3166662 1 1 X 0 3852237495 155829477 461221455 42196520 4427091907 3649041615 232064809 59629160 88498089 3852237495 3166765991 207453772 430687700 155865847 3649041616 2949847568 97648438 167579144 48309159 3166765991 2925727513 116977304 33069061 125926310 2949847568 0.46450 0.34500 0.19050 0 0 86958196 86958196 1718728625 1043891521 674837104 66083877 32959931 33123946 1630950732 1041239161 589711571 70495796 70495796 1455126613 MAYO POOLED INVESTMENTS 9749386769 F BOND-RELATED TRUSTEE HELD INVESTMENTS 15583173 F TECH BASED VENTURES 11683028 C 9776652970 DUE TO AFFILIATES 2808272310 DEFERRED COMPENSATION LIABILITY 405470594 3213742904 X PART III, LINE 1A: MAYO CLINIC PERIODICALLY RECEIVES WORKS OF ART FROM VARIOUS BENEFACTORS. THESE ITEMS ARE UNIQUE IN NATURE AND ARE HELD ON DISPLAY FOR THE BENEFIT AND ENJOYMENT OF MAYO'S PATIENTS. IT IS MAYO'S POLICY TO NEITHER CAPITALIZE CONTRIBUTED WORKS OF ART, NOR RECORD THE RELATED CONTRIBUTION REVENUE. IN THE RARE OCCURRENCE THAT MAYO CLINIC COMMISSIONS ART; IT IS REFLECTED AS AN EXPENSE OR ON THE BALANCE SHEET. PART III, LINE 4: MAYO'S FOUNDERS RECOGNIZED THAT CARING FOR THE WHOLE PATIENT EXTENDS BEYOND TREATING PHYSICAL AILMENTS. SINCE ITS INCEPTION, MAYO HAS USED ART, ARCHITECTURE AND BEAUTY IN SURROUNDINGS TO ADDRESS THE SPIRITUAL ASPECTS OF MEDICAL CARE. BENEFACTOR GIFTS FROM PATIENTS, FRIENDS, EMPLOYEES OR ALUMNI HELP MAYO SUPPORT THE ACQUISITION OF ART USED TO HUMANIZE THE MEDICAL ENVIRONMENT AND COMPLEMENT THE BELIEF THAT RESTORING THE MIND AND SPIRIT IS AN IMPORTANT PART OF MAKING THE BODY WELL. WORKS OF ART DISPLAYED ACROSS THE MAYO CAMPUS PROVIDE BEAUTY, PRESERVATION OF HERITAGE AND RESPECT FOR THE DIVERSITY OF PATIENTS, VISITORS AND STAFF. PART V, LINE 4: THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS. PART X, LINE 2: PORTION OF INCOME TAX FOOTNOTE FROM MAYO CLINIC CONSOLIDATED AUDITED FINANCIAL STATEMENTS: MOST OF THE INCOME RECEIVED BY THE CLINIC AND ITS SUBSIDIARIES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). THE CLINIC AND ITS SUBSIDIARIES FILE INCOME TAX RETURNS IN THE U.S., INCLUDING FEDERAL AND VARIOUS STATE RETURNS, AS WELL AS CERTAIN FOREIGN JURISDICTIONS. THE STATUTES OF LIMITATIONS FOR TAX YEARS 2016 THROUGH 2018 REMAIN OPEN IN MAJOR U.S. TAXING JURISDICTIONS IN WHICH THE CLINIC AND SUBSIDIARIES ARE SUBJECT TO TAXATION. THE INTERNAL REVENUE SERVICE (IRS) PERFORMED AN EXAMINATION OF THE TAX AND INFORMATION RETURNS OF THE CLINIC AND TWO SUBSIDIARIES AND ULTIMATELY ASSESSED $12 MILLION IN TAXES FOR YEARS 2003-2012. THE RESULTS OF THIS AUDIT WERE ULTIMATELY LITIGATED IN U.S. DISTRICT COURT. ON AUGUST 6,2019, THE COURT ISSUED A SUMMARY JUDGMENT IN FAVOR OF THE CLINIC. THE IRS HAS APPEALED THIS DECISION. THIS RULING HAS BEEN TAKEN INTO CONSIDERATION DURING THE CLINIC'S DETERMINATION OF UNRECOGNIZED TAX BENEFITS. THE CLINIC'S RESERVE FOR UNCERTAIN TAX POSITIONS, INCLUDING INTEREST AND PENALTIES, DID NOT CHANGE SIGNIFICANTLY DURING THE YEAR ENDED DECEMBER 31,2019. AS OF DECEMBER 31,2019 AND 2018, THE RESERVE TOTALED $14 MILLION. IT IS NOT ANTICIPATED THAT A SIGNIFICANT CHANGE IN THE RESERVE WILL OCCUR OVER THE NEXT 12 MONTHS. THE CLINIC'S PRACTICE IS TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THE RACIALLY NONDISCRIMINATORY POLICY OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE, WHICH DRAWS STUDENTS FROM ACROSS THE UNITED STATES AND AROUND THE WORLD, IS MADE AVAILABLE IN ALL OF ITS PUBLISHED DOCUMENTS AND WEBSITE TO ANY INTERESTED APPLICANTS. SCHEDULE E, PART I, LINE 6 MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE/MAYO CLINIC RECEIVES FUNDS FROM THE STATE OF MINNESOTA FOR MAYO MEDICAL SCHOOL STUDENTS WHO ARE RESIDENTS OF MINNESOTA. IN ADDITION, FEDERAL DIRECT STUDENT LOANS (SUBSIDIZED, UNSUBSIDIZED, PARENT PLUS AND GRADUATE PLUS) ARE AVAILABLE FOR STUDENTS IN THE MAYO CLINIC ALIX SCHOOL OF MEDICINE, MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES AND MAYO CLINIC SCHOOL OF HEALTH SCIENCES. FINALLY, QUALIFYING UNDERGRADUATE STUDENTS IN THE MAYO CLINIC SCHOOL OF HEALTH SCIENCES ARE ELIGIBLE FOR FUNDS FOR THE FEDERAL PELL GRANT PROGRAM. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 257 TRAVEL 340990 EAST ASIA AND THE PACIFIC 0 924 TRAVEL 2002763 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 2043 TRAVEL 4610901 MIDDLE EAST AND NORTH AFRICA 0 396 TRAVEL 2160280 NORTH AMERICA 0 1325 TRAVEL 1646658 RUSSIA AND THE NEIGHBORING STATES 0 50 TRAVEL 70075 SOUTH AMERICA 0 335 TRAVEL 473645 SOUTH ASIA 0 190 TRAVEL 356750 SUB-SAHARAN AFRICA 0 105 TRAVEL 171394 EAST ASIA AND THE PACIFIC 0 2 PROGRAM SERVICES PATIENT CARE 30178 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 5 PROGRAM SERVICES PATIENT CARE 123990 MIDDLE EAST AND NORTH AFRICA 0 8 PROGRAM SERVICES PATIENT CARE 99843 SOUTH AMERICA 0 1 PROGRAM SERVICES CONSULTING 11060 NORTH AMERICA 0 2 PROGRAM SERVICES EDUCATION CONFERENCE - MAYO SPONSOR 201988 MIDDLE EAST AND NORTH AFRICA 0 1 PROGRAM SERVICES EDUCATION CONFERENCE - MAYO SPONSOR 115960 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 12 FUNDRAISING 746088 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 1337896557 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS EXPENSE EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 696872256 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS EXPENSE 11176924 EUROPE (INCLUDING ICELAND AND GREENLAND) 1 0 INVESTMENTS 898809671 MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS 362954 NORTH AMERICA 0 0 INVESTMENTS 101641050 RUSSIA AND THE NEIGHBORING STATES 0 0 INVESTMENTS 3227626 SOUTH AMERICA 0 0 INVESTMENTS 8535667 SOUTH ASIA 0 0 INVESTMENTS 129704013 SUB-SAHARAN AFRICA 0 0 INVESTMENTS 19892805 EAST ASIA AND THE PACIFIC 1 10 UNRELATED BUSINESS ACTIVITY REFERENCE LAB 295567 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 4 UNRELATED BUSINESS ACTIVITY REFERENCE LAB 373 MIDDLE EAST AND NORTH AFRICA 0 14 UNRELATED BUSINESS ACTIVITY REFERENCE LAB 311141 NORTH AMERICA 0 79 UNRELATED BUSINESS ACTIVITY REFERENCE LAB 744132 SOUTH AMERICA 0 3 UNRELATED BUSINESS ACTIVITY REFERENCE LAB 24365 0 5520 2 246 2 5766 11662062 3210995602 3222657664 EAST ASIA AND THE PACIFIC 11300 0 EAST ASIA AND THE PACIFIC 22755 0 EAST ASIA AND THE PACIFIC 29400 0 EAST ASIA AND THE PACIFIC 145000 0 EAST ASIA AND THE PACIFIC 19995 0 EAST ASIA AND THE PACIFIC 655821 0 EUROPE (INCLUDING ICELAND & GREENLAND) 48000 0 EUROPE (INCLUDING ICELAND & GREENLAND) 30000 0 EUROPE (INCLUDING ICELAND & GREENLAND) 86917 0 EUROPE (INCLUDING ICELAND & GREENLAND) 318156 0 EUROPE (INCLUDING ICELAND & GREENLAND) 17976 0 EUROPE (INCLUDING ICELAND & GREENLAND) 14228 0 EUROPE (INCLUDING ICELAND & GREENLAND) 77839 0 EUROPE (INCLUDING ICELAND & GREENLAND) 56129 0 NORTH AMERICA 38500 0 NORTH AMERICA 92925 0 NORTH AMERICA 7900 0 NORTH AMERICA 150000 0 NORTH AMERICA 166563 0 NORTH AMERICA 22025 0 NORTH AMERICA 67202 0 NORTH AMERICA 7750 0 NORTH AMERICA 55022 0 SOUTH ASIA 63720 0 0 24 RESEARCH SUBAWARD EUROPE (INCLUDING ICELAND AND GREENLAND) 1 9393 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER FMV 1 0 1 1 1 1 PART I, LINE 2: FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE REGULARLY MONITORED BY THE FILING ORGANIZATION FOR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS AND/OR THE CONTRACT PROVISIONS. SEE ALSO SCHEDULE I, PART IV FOR ADDITIONAL INFORMATION ON MAYO CLINIC'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS AS THE SAME PROCEDURES APPLY TO DOMESTIC AND FOREIGN GRANTS. GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES IS REPORTED BASED ON WHERE PAYMENTS WERE REMITTED. OUR CURRENT REPORTING SYSTEM DOES NOT TRACK ACTIVITIES OUTSIDE THE UNITED STATES BY LOCATION OF SERVICE. PART I, LINE 3: ACCRUAL METHOD PART III ACCOUNTING METHOD: PART I, LINE 3: THE AMOUNTS REPORTED IN SCHEDULE R, PART IV, COLUMN H AND SCHEDULE F, PART I, COLUMN F FOR BAIN CAPITAL CREDIT CLO 2017-2, LTD. IS BASED ON GROSS YEAR-END ASSETS, WHICH SIGNIFICANTLY OVERSTATES OUR SHARE OF THE VALUE OF THE OVERALL INVESTMENT. OUR SHARE OF THE VALUE OF THE ORGANIZATIONS IS $37,330,038 FOR BAIN CAPITAL CREDIT CLO 2017-2, LTD. X X X X X X 1 GRAY PLANT MOOTY 500 IDS CENTER 80 SOUTH 8TH ST MINNEAPOLIS MN 55402 CONSULTS ON LEGAL ISSUES 0 0 82469 0 MAUREEN OTIS 4850 WRIGHT RD STE 168 STAFFORD TX 77477 CONSULTS ON LEGAL ISSUES 0 0 12900 0 TRUESENSE MARKETING 155 COMMERCE DRIVE FREEDOM PA 15042 CONSULTING 0 0 524640 0 TARGET MARKETEAM INC 600 NORTHPARK TOWN CTR1200 ABERNAT ATLANTA GA 30328 CONSULTING 0 0 64505 0 FOLEY AND LARDNER ONE INDEPENDENT DR SUITE 1300 JACKSONVILLE FL 32202 CONSULTS ON LEGAL ISSUES 0 0 223349 0 THE STELTER COMPANY 10435 NEW YORK AVE DES MOINES IA 50322 DIRECT MAIL SERVICES 0 0 120892 0 1028755 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY SCHEDULE G, PART I, LINE 2B, COLUMN (V) PAYMENTS MADE TO FUNDRAISERS WERE FOR SERVICES PROVIDED TO MAYO CLINIC IN RELATION TO FUNDRAISING CONDUCTED EXCLUSIVELY BY MAYO CLINIC. 1 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 501(C)(3) 152161560 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 860800150 501(C)(3) 205210473 0 SUPPORT CHARITABLE PROGRAMS REGEN THERANOSTICS INC 3033 41ST ST NW STE 301 ROCHESTER MN 55901 271652200 - 3288557 0 SUPPORT RESEARCH PROGRAM REGENTS OF THE UNIV OF MN DBA UNIVERSITY OF MN 2221 UNIV AVE SE STE 111 MINNEAPOLIS MN 55414 416007513 STATE OF MN 2523210 0 SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO 1855 FOLSOM ST BOX 0812 SAN FRANCISCO CA 94143 946036493 STATE OF CA 1643771 0 SUPPORT RESEARCH PROGRAM UT MD ANDERSON CANCER CENTER PO BOX 301439 HOUSTON TX 772301439 746001118 STATE OF TX 1390979 0 SUPPORT RESEARCH PROGRAM MCKESSON SPECIALTY PHARMACY ONE POST STREET SAN FRANCISCO CA 94104 204085284 - 1334151 0 SUPPORT RESEARCH PROGRAM DUKE UNIVERSITY DUMC 3934 DURHAM NC 27710 560532129 501(C)(3) 1332642 0 SUPPORT CHARITABLE PROGRAMS MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 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SOUTHERN MINNESOTA INITIATIVE FOUNDATION 525 FLORENCE AVE OWATONNA MN 55060 363454285 501(C)(3) 7500 0 SUPPORT CHARITABLE PROGRAMS BOLDER OPTIONS 2100 STEVENS AVENUE SOUTH MINNEAPOLIS MN 55404 411909408 501(C)(3) 7500 0 SUPPORT CHARITABLE PROGRAMS MULTICARE HEALTH SYSTEMS PO BOX 5299 TACOMA WA 98415 911352172 501(C)(3) 7191 0 SUPPORT CHARITABLE PROGRAMS YMCA CAMP OLSON 4160 LITTLE BOY RD NE LONGVILLE MN 56655 410967781 501(C)(3) 7000 0 SUPPORT CHARITABLE PROGRAMS MINNESOTA ZOO FOUNDATION 13000 ZOO BOULEVARD APPLE VALLEY MN 55124 510147653 501(C)(3) 7000 0 SUPPORT CHARITABLE PROGRAMS UC REGENTS UNIV OF CALIFORNIA-SD 9500 GILMAN DR MC 0617 LA JOLLA CA 920930617 956006144 STATE OF CA 6913 0 SUPPORT RESEARCH PROGRAM ALTRU HEALTH SYSTEM 1200 S COLUMBIA RD GRAND FORKS ND 58206 450310462 501(C)(3) 6500 0 SUPPORT RESEARCH PROGRAM TOLEDO CLINIC INC 4235 SECOR RD TOLEDO OH 436234299 340936207 - 6404 0 SUPPORT RESEARCH PROGRAM BANNER HEALTH RESEARCH INSTITUTE 1441 NORTH 12TH STREET PHOENIX AZ 85006 450233470 501(C)(3) 6095 0 SUPPORT CHARITABLE PROGRAMS 241 32 SCHOLARSHIPS 678 10303114 MEDICAL STUDENT STIPENDS 430 8669583 CHARITABLE SUPPORT OF INDIVIDUALS 47 112636 PART I, LINE 2: AS A PRIVATE TRUST FOR THE PUBLIC GOOD, MAYO IS DEDICATED TO GIVING BACK TO THE COMMUNITIES IN WHICH ITS EMPLOYEES LIVE AND WORK. MAYO INVESTS RESOURCES RESPONSIBLY TO PRODUCE THE BEST OUTCOMES FOR PATIENT CARE, EDUCATION, RESEARCH, COMMUNITY ENRICHMENT AND SUSTAINABILITY. GRANT APPLICATIONS ARE REVIEWED AND PRIORITIZED IN HOW THEY: - ADDRESS SIGNIFICANT AND EMERGENT COMMUNITY NEEDS - ALIGN WITH MAYO'S MISSION - IMPROVE HEALTH OF INDIVIDUALS IN THE COMMUNITY - DEMONSTRATE PARTNERSHIP AND COLLABORATION BUILDING - ENABLE LONG TERM CAPACITY BUILDING AND SUSTAINABILITY MONITORING OF GRANTS GIVEN IS DEPENDENT ON TYPE. LARGER MULTI-YEAR AND CAPITAL GRANTS ARE MONITORED FOR ACHIEVEMENT OF STATED GOALS WITHIN THE GRANT AGREEMENT. SINGLE-YEAR OPERATIONAL AND PROGRAMMATIC GRANTS ARE NOT MONITORED AFTER THE FUNDS HAVE BEEN DISBURSED; HOWEVER, ADDITIONAL FUNDING REQUESTS ARE CONSIDERED BASED ON USE AND OUTCOMES OF PREVIOUSLY AWARDED GRANTS. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS AND/OR AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO INDIVIDUALS AND OTHER ORGANIZATIONS ARE MONITORED BY MAYO AS PRESCRIBED IN TITLE 2 U.S. CODE OF FEDERAL REGULATIONS PART 200, UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS (UNIFORM GUIDANCE), SUBPART D-SUBRECIPIENT MONITORING AND MANAGEMENT 200.331 REQUIREMENTS FOR PASS-THROUGH ENTITIES. SHORT-TERM FINANCIAL ASSISTANCE AND SUPPORT IS PROVIDED TO EMPLOYEES AND INDIVIDUALS EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. MEDICAL STUDENT STIPENDS ARE PAID TO THE STUDENTS OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE TO HELP OFFSET THE COST OF THE STUDENT'S LIVING EXPENSES AND ARE NOT MONITORED. MERIT-BASED AND NEEDS-BASED SCHOLARSHIPS AND GRANTS ARE AWARDED TO INDIVIDUALS PURSUING A DEGREE IN A HEALTHCARE FIELD AND ARE CONTINGENT UPON ON-GOING SATISFACTORY ACADEMIC PROGRESS. 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EMPLOYEE 0 1069547 0 0 0 238458 0 11205 0 35353 0 1354563 0 0 GORMAN PAUL A ASST TREASURER 0 626282 0 537002 0 93747 0 59487 0 30963 0 1347481 0 0 DAHLEN DENNIS E CFO 0 1098177 0 0 0 131633 0 56724 0 31935 0 1318469 0 0 OTLEY MD CLARK C PHYSICIAN 904197 0 0 0 183962 0 54359 0 32211 0 1174729 0 0 0 GORES MD GREGORY J PHYSICIAN 953251 0 0 0 181490 0 11204 0 26833 0 1172778 0 0 0 MURPHY JOSHUA B SECY 0 916944 0 0 0 158293 0 51185 0 32884 0 1159306 0 0 GRAY MD RICHARD J TRUSTEE/VP 0 895006 0 0 0 56666 0 45713 0 28344 0 1025729 0 0 WILLIAMSON MARY J TRUSTEE 792806 0 0 0 127838 0 51600 0 35497 0 1007741 0 0 0 BERRY MD DANIEL J TRUSTEE 682831 0 0 0 170118 0 68575 0 29258 0 950782 0 0 0 DIASIO MD ROBERT B PHYSICIAN 743742 0 0 0 163921 0 5687 0 26161 0 939511 0 0 0 CALLSTROM MD MATTHEW R PHYSICIAN 696422 0 0 0 131145 0 56428 0 22748 0 906743 0 0 0 MENKOSKY PAULA E TRUSTEE/ASST SECY 0 730923 0 0 0 113345 0 58198 0 29304 0 931770 0 0 RIHAL MD CHARANJIT S PHYSICIAN 624056 0 0 0 169411 0 60088 0 31999 0 885554 0 0 0 NESSE MD ROBERT E FORMER KEY EMPLOYEE 0 673953 0 0 0 199207 0 11200 0 25548 0 909908 0 0 LUETMER MD PATRICK H FORMER KEY EMPLOYEE 640254 0 0 0 127578 0 66376 0 31713 0 865921 0 0 0 CAMILLERI MD MICHAEL FORMER KEY EMPLOYEE 596409 0 0 0 211059 0 11200 0 25975 0 844643 0 0 0 WALD MD JOHN T PHYSICIAN 642904 0 0 0 110297 0 60075 0 29012 0 842288 0 0 0 HEBL MD JAMES R FORMER KEY EMPLOYEE 676754 0 0 0 73996 0 49920 0 29134 0 829804 0 0 0 HAYES MD DAVID L FORMER KEY EMPLOYEE 606944 0 0 0 177633 0 11200 0 29082 0 824859 0 0 0 ROGER MD VERONIQUE L TRUSTEE 565046 0 0 0 167344 0 72843 0 12673 0 817906 0 0 0 ZORN CHRISTINA K TRUSTEE/ASST SECY 0 675464 0 0 0 77488 0 43666 0 29127 0 825745 0 0 NOSEWORTHY MD JOHN H FORMER CEO/PRESIDENT 0 41200 0 0 0 735644 0 2425 0 0 0 779269 0 0 AMMASH MD NASER M PHYSICIAN 585174 0 0 0 108396 0 61766 0 20130 0 775466 0 0 0 BUSKIRK MD STEVEN J TRUSTEE 0 641533 0 0 0 111207 0 11200 0 25679 0 789619 0 0 FOOTE MD ROBERT L FORMER KEY EMPLOYEE 603498 0 0 0 125415 0 11234 0 23138 0 763285 0 0 0 LOFTUS MD CONOR G FORMER KEY EMPLOYEE 611715 0 0 0 75276 0 43277 0 28914 0 759182 0 0 0 HAEFLINGER RICKY J ASST TREASURER 362541 0 270972 0 31395 0 67727 0 14105 0 746740 0 0 0 WILLIAMS MD AMY W TRUSTEE 549831 0 0 0 104129 0 66687 0 6939 0 727586 0 0 0 MORICE MD WILLIAM G PHYSICIAN 544296 0 0 0 91920 0 51243 0 28749 0 716208 0 0 0 GERTZ MD MORIE A FORMER KEY EMPLOYEE 456626 0 0 0 202287 0 11200 0 22879 0 692992 0 0 0 OKUNO MD SCOTT H FORMER KEY EMPLOYEE 500212 0 0 0 94685 0 57396 0 30070 0 682363 0 0 0 WHITED MD BRIAN L FORMER KEY EMPLOYEE 536343 0 0 0 61243 0 60426 0 23881 0 681893 0 0 0 FRANK MD IGOR PHYSICIAN 537672 0 0 0 63588 0 43214 0 30719 0 675193 0 0 0 KENDRICK MD MICHAEL L PHYSICIAN 529165 0 0 0 58187 0 48770 0 28656 0 664778 0 0 0 CIMA MD ROBERT R PHYSICIAN 521883 0 0 0 57070 0 50457 0 26987 0 656397 0 0 0 HADAWAY CHERYL J CHAIR-DEPT OF DEVELOPMENT 540795 0 0 0 81921 0 11201 0 22221 0 656138 0 0 0 KHAN MD AMIR R PHYSICIAN 504474 0 0 0 69579 0 51494 0 28599 0 654146 0 0 0 HAYES MD SHARONNE N PHYSICIAN 487021 0 0 0 99081 0 53087 0 6740 0 645929 0 0 0 BROWN MD MICHAEL J PHYSICIAN 488580 0 0 0 66338 0 47765 0 31245 0 633928 0 0 0 PETERS MD STEVE G PHYSICIAN 501593 0 0 0 82606 0 11200 0 25286 0 620685 0 0 0 HORLOCKER MD TERESE T PHYSICIAN 494298 0 0 0 73097 0 10698 0 22748 0 600841 0 0 0 CLARK LEON G CHAIR-DEPT OF RESEARCH ADMIN 459686 0 0 0 50448 0 55557 0 28456 0 594147 0 0 0 GAZELKA MD HALENA M PHYSICIAN 487392 0 0 0 24819 0 49381 0 23738 0 585330 0 0 0 NARR MD BRADLY J PHYSICIAN 421000 0 0 0 118557 0 11200 0 25187 0 575944 0 0 0 SANTRACH MD PAULA J FORMER KEY EMPLOYEE 457177 0 0 0 59207 0 45579 0 11606 0 573569 0 0 0 KRAHN MD LOIS E TRUSTEE 0 430543 0 0 0 68611 0 60395 0 30350 0 589899 0 0 WARNER MD MARK A FORMER KEY EMPLOYEE 350562 0 0 0 174288 0 11200 0 22559 0 558609 0 0 0 FRANCIS JAMES R ASST TREASURER 0 436750 0 0 0 48670 0 62930 0 31312 0 579662 0 0 DECKER MD WYATT W FORMER VICE PRESIDENT 0 39101 0 0 0 455814 0 52607 0 2248 0 549770 0 0 BLACK MD JOHN L FORMER KEY EMPLOYEE 424957 0 0 0 73284 0 11200 0 19664 0 529105 0 0 0 LUCCHINETTI MD CLAUDIA F TRUSTEE 392362 0 0 0 42707 0 58965 0 28259 0 522293 0 0 0 DIDEHBAN ROSHANAK FORMER KEY EMPLOYEE 435477 0 0 0 21873 0 35413 0 10179 0 502942 0 0 0 GREENE MD EDDIE L TRUSTEE 375371 0 0 0 33693 0 59770 0 25009 0 493843 0 0 0 AGERTER MD DAVID C FORMER KEY EMPLOYEE 339145 0 0 0 119520 0 11200 0 22409 0 492274 0 0 0 NELSON MD HEIDI TRUSTEE 298134 0 0 0 130792 0 8400 0 10594 0 447920 0 0 0 WEBER JOAN A ASST TREASURER 0 361285 0 0 0 28306 0 10180 0 21112 0 420883 0 0 UHLENKAMP SUSAN M ASST TREASURER 0 326578 0 0 0 16850 0 53761 0 19318 0 416507 0 0 HUBERT SHERRY L ASST SECY 0 295811 0 0 0 11336 0 58912 0 30604 0 396663 0 0 FROISLAND JEFFREY R ASST TREASURER 0 322399 0 0 0 16446 0 11372 0 11009 0 361226 0 0 LOCKETT KEVIN M ASST TREASURER 0 271475 0 0 0 2681 0 51849 0 27851 0 353856 0 0 NORBY MARK L ASST TREASURER 0 278642 0 0 0 2715 0 43564 0 13340 0 338261 0 0 BROWN WILLIAM A ASST TREASURER 0 241871 0 0 0 5706 0 9506 0 24512 0 281595 0 0 PAIGE SR KEVIN A FORMER KEY EMPLOYEE 47983 0 0 0 105842 0 65576 0 3693 0 223094 0 0 0 PART I, LINE 1A EXTERNAL TRUSTEES MAY BE REIMBURSED FOR TRAVEL EXPENSES. THE FILING ORGANIZATION REIMBURSES TRUSTEES FOR ACTUAL TRAVEL EXPENSES (WHICH COULD INCLUDE FIRST CLASS OR CHARTER TRAVEL) UP TO THE MAXIMUM COST OF FIRST CLASS TRAVEL. IN 2019, NASER M. AMMASH M.D., DANIEL J.BERRY M.D., JOHN L. BLACK M.D., MATTHEW R. CALLSTROM M.D., ROSHANAK DIDEHBAN, IGOR FRANK M.D., CHERYL J. HADAWAY, DAVID L. HAYES M.D. AND CLARK C. OTLEY M.D. WERE PROVIDED BUSINESS/FIRST-CLASS AND/OR CHARTER TRAVEL JUSTIFIED BY BUSINESS NEED. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. BUSINESS/FIRST-CLASS AND CHARTER TRAVEL IS AVAILABLE BASED ON DEMONSTRATED BUSINESS NEED AND NOT BASED ON POSITION OR TO ANY SPECIFIC INDIVIDUALS. IN ADDITION TO ALL REGULAR TRAVEL APPROVAL AND DOCUMENTATION PROCESSES, BUSINESS/FIRST-CLASS AND CHARTER TRAVEL REQUIRE SEPARATE DOCUMENTATION OF BUSINESS NEED, APPROVAL BY A SENIOR OFFICER, AND OVERSIGHT REVIEW BY TRIP ACCOUNTING MANAGER AS DELEGATED BY THE MAYO CLINIC TRIP AND TRAVEL COMMITTEE. TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES AND EX-OFFICIOS SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS. IN 2019, JAY ALIX, LINDA G. ALVARADO, MARY SUE COLEMAN, SAMUEL A. DI PIAZZA JR., WILLIAM W. GEORGE, GREGORY J. GORES, CHERYL J. HADAWAY, MICHAEL K. POWELL, VERONIQUE L. ROGER, RANDOLPH C. STEER AND ANNE M. SWEENEY RECEIVED SPOUSAL TRAVEL, WHICH WAS GROSSED UP AND TREATED AS TAXABLE INCOME. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2019, DR. SCOTT H. OKUNO RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME. EMPLOYEES PERFORMING WORK OUTSIDE THEIR HOME STATE HAVE THEIR COMPENSATION GROSSED UP IN THE FORM OF A SUPPLEMENTAL PAYMENT TO HELP OFFSET THE COST OF THE STATE INCOME TAXES INCURRED AS A RESULT OF HAVING TO WORK IN A DIFFERENT STATE. IN 2019, ONE OR MORE LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. MOVING EXPENSE REIMBURSEMENT IS PROVIDED TO QUALIFYING EMPLOYEES WHEN JUSTIFIED BY BUSINESS NEED. IN 2019, ONE LISTED PERSON RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER TO NOT DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. ONE OR MORE LISTED PERSONS RECEIVED AN AWARD, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC VOTING/CONSULTING STAFF. ONE OR MORE LISTED PERSONS RECEIVED THIS SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. PART I, LINES 4A-C THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). AGERTER M.D., DAVID C. $ 64,445 AMMASH M.D., NASER M. $ 91,789 BERRY M.D., DANIEL J. $ 129,009 BLACK M.D., JOHN L. $ 49,096 BOLTON, JEFFREY W. $ 284,425 BROWN M.D., MICHAEL J. $ 51,144 BUSKIRK M.D., STEVEN J. $ 99,109 CALLSTROM M.D., MATTHEW R. $ 113,188 CAMILLERI M.D., MICHAEL $ 116,168 CIMA M.D., ROBERT R. $ 50,235 CLARK, LEON G. $ 47,727 CLARKE M.D., MICHELLE J. $ 122,901 DAHLEN, DENNIS E. $ 117,841 DECKER M.D., WYATT W. $ 397,146 DIASIO M.D., ROBERT B. $ 131,272 DIDEHBAN, ROSHANAK $ 16,615 FARRUGIA M.D., GIANRICO $ 359,595 FOOTE M.D., ROBERT L. $ 101,290 FRANCIS, JAMES R. $ 41,748 FRANK M.D., IGOR $ 58,583 FROISLAND, JEFFREY R. $ 14,506 GAZELKA M.D., HALENA M. $ 23,108 GERTZ M.D., MORIE A. $ 87,551 GORES M.D., GREGORY J. $ 168,702 GORMAN, PAUL A. $ 89,547 GOSTOUT M.D., BOBBIE S. $ 278,030 GRAY M.D., RICHARD J. $ 53,562 GREENE M.D., EDDIE L. $ 28,815 HADAWAY, CHERYL J. $ 73,521 HAEFLINGER, RICKY J. $ 27,114 HARPER JR., M.D., CHARLES M. $ 257,115 HAYES M.D., DAVID L. $ 111,637 HAYES M.D., SHARONNE N. $ 85,275 HEBL M.D., JAMES R. $ 69,659 HOFFMAN III, HARRY N. $ 132,335 HORLOCKER M.D., TERESE T. $ 66,883 HUBERT, SHERRY L. $ 9,311 KENDRICK M.D., MICHAEL L. $ 55,742 KHAN M.D., AMIR R. $ 67,220 KRAHN M.D., LOIS E. $ 45,051 KRAUSS M.D., WILLIAM E. $ 246,966 LANZINO M.D., GIUSEPPE $ 184,352 LOCKETT, KEVIN M. $ 998 LOFTUS M.D., CONOR G. $ 73,279 LUCCHINETTI M.D., CLAUDIA F. $ 36,859 LUETMER M.D., PATRICK H. $ 109,408 MARSH M.D., W. RICHARD $ 225,811 MENKOSKY, PAULA E. $ 108,414 MEYER M.D., FREDRIC B. $ 225,266 MORICE M.D., WILLIAM G. $ 81,398 MURPHY, JOSHUA B. $ 153,387 NARR M.D., BRADLY J. $ 75,170 NELSON M.D., HEIDI $ 107,226 NESSE M.D., ROBERT E. $ 184,015 NORBY, MARK L. $ 1,731 NOSEWORTHY M.D., JOHN H. $ 689,080 OKUNO M.D., SCOTT H. $ 66,616 OTLEY M.D., CLARK C. $ 154,574 PAIGE SR., KEVIN A. $ 42,801 PETERS M.D., STEVE G. $ 67,972 RIHAL M.D., CHARANJIT S. $ 117,329 ROGER M.D., VERONIQUE L. $ 103,786 SANTRACH M.D., PAULA J. $ 53,312 SPINNER M.D., ROBERT J. $ 217,088 THIELEN M.D., KENT R. $ 139,012 UHLENKAMP, SUSAN M. $ 15,464 WALD M.D., JOHN T. $ 106,500 WARNER M.D., MARK A. $ 82,007 WEBER, JOAN A. $ 25,580 WHITED M.D., BRIAN L. $ 57,262 WILLIAMS M.D., AMY W. $ 82,331 WILLIAMSON, MARY J. $ 125,083 ZORN, CHRISTINA K. $ 75,350 UNDER MAYO CLINIC'S ROYALTY SHARING POLICY, INVENTORS, INCLUDING LISTED PERSONS, ARE ENTITLED TO SHARE IN A PORTION OF ROYALTIES RECEIVED BY MAYO INCLUDING INSTANCES WHERE SUCH ROYALTIES ARE IN THE FORM OF EQUITY-BASED INSTRUMENTS SUCH AS STOCK, WARRANTS, OR PARTNERSHIP INTERESTS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN EQUITY-BASED COMPENSATION ARRANGEMENT: FARRUGIA M.D., GIANRICO MARSH M.D., W. RICHARD PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. PART I, LINE 4B IN ADDITION TO THE ABOVE SUPPLEMENTAL RETIREMENT PLAN (SRP), THIS ENTITY OR ITS AFFILIATE ALSO HAVE A NONQUALIFIED DEFERRED COMPENSATION 457(B) PLAN. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM FIDELITY, AN UNRELATED ORGANIZATION, DURING THE TAX YEAR. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). PAIGE SR., KEVIN A. $ 53,718 A CITY OF ROCHESTER MINNESOTA 416005494 771902FE8 2008-04-10 330000000 CONSTRUCTION OF HEALTH CARE FACILITIES & REFUND 1998 BONDS 0 0 0 B CITY OF ROCHESTER MINNESOTA 416005494 771902GA5 2011-05-05 293208150 REFUND 1992 AND 2001 BONDS 0 0 0 C CITY OF ROCHESTER MINNESOTA 416005494 771902GD9 2012-04-04 192662250 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 D CITY OF ROCHESTER MINNESOTA 416005494 771902GW7 2014-05-08 120000000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 A 325948187 8864264 2230808 87603115 227250000 2010 1 0 1 1 B 494267 293208150 2088829 291119321 2011 1 0 1 1 C 44266950 195311300 12134007 1523766 181653527 2013 0 0 1 1 D 120012445 310855 400343 119301247 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 1 0 0 0 0.00000 0.00000 0.00000 0 1 0.24000 1 1 D 1 0 0 0 0.01000 0.00000 0.01000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 03/05/2013 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/05/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/08/2019 SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3 THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR THE BOND ISSUES ARE INVESTMENT EARNINGS OR LOSSES. A CITY OF ROCHESTER MINNESOTA 416005494 771902GB3 2015-12-31 494267 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 B CITY OF ROCHESTER MINNESOTA 416005494 771902GD9 2015-12-31 44266950 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 C CITY OF ROCHESTER MINNESOTA 416005494 771902GY3 2016-05-03 75000000 REFUND 2006 BONDS 0 0 0 D CITY OF ROCHESTER MINNESOTA 416005494 771902HE6 2016-10-13 293825280 REFUND 2000 BONDS 0 0 0 A 494267 494267 2016 1 0 1 1 B 44266950 44266950 2016 1 0 1 1 C 75000000 75000000 2016 1 0 1 1 D 293828611 2361460 1473244 290000000 140 2016 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 1 0 0 1 0 0.00310 0.00020 0.00330 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A CITY OF ROCHESTER MINNESOTA 416005494 771902HF3 2018-10-15 200152000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 A 201840037 8644444 1140947 177209733 14844913 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 BOIS MD JOHN P FAMILY MEMBER OF TRUSTEE BUSKIRK M.D., STEVEN J. 338605 EMPLOYMENT 0 BOIS MD MELANIE C FAMILY MEMBER OF TRUSTEE BUSKIRK M.D., STEVEN J. 618422 EMPLOYMENT 0 EMANUEL ELZABETH M FAMILY MEMBER OF OFFICER UHLENKAMP, SUSAN M. 56500 EMPLOYMENT 0 ENRIQUEZ-SARANO MD MAURICE E FAMILY MEMBER OF TRUSTEE ROGER M.D., VERONIQUE L. 477152 EMPLOYMENT 0 FOOTE PATRICK H FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L. 77390 EMPLOYMENT 0 FOOTE ROBERT T FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L. 118085 EMPLOYMENT 0 GOSTOUT MD CHRISTOPHER J FAMILY MEMBER OF VP/TRUSTEE GOSTOUT M.D., BOBBIE S. 79396 EMPLOYMENT 0 HARPER SARAH B FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M. 96039 EMPLOYMENT 0 HAYES MD DAVID L FAMILY MEMBER OF KEY EMPLOYEE HAYES M.D., SHARONNE N. 824860 EMPLOYMENT 0 HAYES MD SHARONNE N FAMILY MEMBER OF FKE HAYES M.D., DAVID L. 645929 EMPLOYMENT 0 KAPURCH MD CAITLIN J FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M. 77159 EMPLOYMENT 0 LAMER MD TIM J FAMILY MEMBER OF KEY EMPLOYEE GAZELKA M.D., HALENA M. 590446 EMPLOYMENT 0 LARSON MD MARK V FAMILY MEMBER OF TRUSTEE WILLIAMS M.D., AMY W. 741511 EMPLOYMENT 0 LUETMER MD MARIANNE T FAMILY MEMBER OF FKE LUETMER M.D., PATRICK H. 69178 EMPLOYMENT 0 MEISSNER MD IRENE FAMILY MEMBER OF FKE MEYER M.D., FREDRIC B. 348530 EMPLOYMENT 0 MEYER ILANA E FAMILY MEMBER OF FKE MEYER M.D., FREDRIC B. 69504 EMPLOYMENT 0 MIDTHUN MD DAVID E FAMILY MEMBER OF TRUSTEE WILLIAMS M.D., AMY W. 656087 EMPLOYMENT 0 NEAL MD LONZETTA FAMILY MEMBER OF TRUSTEE GREENE M.D., EDDIE L. 259558 EMPLOYMENT 0 NORBY SUZANNE M FAMILY MEMBER OF ASST TREASURER NORBY, MARK 474028 EMPLOYMENT 0 NOSEWORTHY MD PETER A FAMILY MEMBER OF FORMER OFFICER NOSEWORTHY M.D., JOHN H. 716288 EMPLOYMENT 0 PETERS MD MARGOT S FAMILY MEMBER OF KEY EMPLOYEE PETERS M.D., STEVE G. 383846 EMPLOYMENT 0 ROSS JARED M FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L. 126023 EMPLOYMENT 0 RUDDY MD KATHRYN J FAMILY MEMBER OF FORMER OFFICER NOSEWORTHY M.D., JOHN H. 540079 EMPLOYMENT 0 SAITO LOFTUS MD YURI A FAMILY MEMBER OF FKE LOFTUS M.D., CONOR G. 382778 EMPLOYMENT 0 THIELEN MD JACQUELINE M FAMILY MEMBER OF VP/TRUSTEE THIELEN M.D., KENT R. 46514 EMPLOYMENT 0 WALD MICHELLE K FAMILY MEMBER OF KEY EMPLOYEE WALD M.D., JOHN T. 61229 EMPLOYMENT 0 WARNER MD LINDSAY L FAMILY MEMBER OF FKE WARNER M.D., MARK A. 181838 EMPLOYMENT 0 WARNER MD MARY E FAMILY MEMBER OF FKE WARNER M.D., MARK A. 337119 EMPLOYMENT 0 WARNER MD MATTHEW A FAMILY MEMBER OF FKE WARNER M.D., MARK A. 512493 EMPLOYMENT 0 WARNER MD NAFISSEH S FAMILY MEMBER OF FKE WARNER M.D., MARK A. 385268 EMPLOYMENT 0 WARNER MD PAUL A FAMILY MEMBER OF FKE WARNER M.D., MARK A. 517977 EMPLOYMENT 0 WILLIAMSON MD ERIC E FAMILY MEMBER OF TRUSTEE WILLIAMSON, MARY J. 790333 EMPLOYMENT 0 X 5 0 X 327 29566670 MEAN MARKET VALUE X 1 5800 EXPERTS X 3 40261830 EXPERTS X 3 11483 EXPERTS X 1 110000 EXPERTS X 1 108119 EXPERTS X 3 0 X 2 0 X JEWELRY 3 18695 EXPERTS X OTHER MISC 71 0 12 0 1 1 PART I, LINE 32B: MAYO CLINIC (MAYO) UTILIZES SEVERAL THIRD PARTIES TO SELL NON-CASH CONTRIBUTIONS. FOR REAL ESTATE GIFTS, MAYO CONTRACTS WITH REALTORS AND BROKERS; FOR STOCK AND SECURITY GIFTS MAYO UTILIZES SEVERAL DIFFERENT BROKERS AND BROKERAGE FIRMS; FOR TANGIBLE PERSONAL PROPERTY, MAYO USES VARIOUS AUCTION OUTLETS DEPENDING ON THE VALUE (I.E. BONHAMS, CHRISTIE'S, SOTHEBY'S, ETC.). THESE ARRANGEMENTS ARE ALL FEE AND COMMISSION-BASED. PART I, LINE 33: MAYO CLINIC RECEIVED CONTRIBUTIONS OF WORKS OF ART DURING THE YEAR WHERE NO REVENUE WAS RECORDED. AS PERMITTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (SFAS 116), MAYO CLINIC DID NOT RECOGNIZE REVENUE OR CAPITALIZE THE WORKS OF ART. MAYO CLINIC RECEIVED IN-KIND GIFTS (BOOKS/PUBLICATIONS, CLOTHING/HOUSEHOLD GOODS, SUPPLIES, ETC.) THROUGHOUT THE YEAR WHERE NO REVENUE WAS RECORDED AND NO DESCRIPTIVE RECEIPTS WERE ISSUED. REVENUE IS RECOGNIZED ON GIFTS IN-KIND WHEN THE FAIR MARKET VALUE MEETS CAPITALIZATION THRESHOLDS OR WHEN TANGIBLE PERSONAL PROPERTY IS SOLD. FORM 990 LINE H MAYO CLINIC IS INCLUDED IN A GROUP EXEMPTION. THE GROUP EXEMPTION COVERS MAYO CLINIC (THE CENTRAL ORGANIZATION) AND MAYO CLINIC'S AFFILIATED SUBSIDIARIES (THE SUBORDINATE ORGANIZATIONS). FOR 2019, A GROUP RETURN (MAYO CLINIC GROUP RETURN - EIN: 38-3952644) WAS FILED THAT INCLUDED SIXTEEN OF MAYO CLINIC'S SUBORDINATE ORGANIZATIONS. IN ACCORDANCE WITH REG. 1.6033-2(D)(5), WITH RESPECT TO THE CENTRAL ORGANIZATION, MAYO CLINIC HAS REPORTED THE INFORMATION REQUIRED BY REG. 1.6033-2(A)(2)(II)(F), (G) AND (H) ON ITS FORM 990 FOR THE 2019 TAX YEAR. THIS IS IN LIEU OF CONSOLIDATING SUCH INFORMATION WITH ITS SUBORDINATE ORGANIZATIONS AND REPORTING SUCH INFORMATION ON THE 2019 MAYO CLINIC GROUP RETURN. FORM 990, PART VI, SECTION A, LINE 1 BETWEEN MEETINGS OF MAYO CLINIC'S BOARD OF TRUSTEES, MAYO CLINIC'S BYLAWS DELEGATE TO THE MAYO CLINIC BOARD OF GOVERNORS, AN EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, BROAD AUTHORITY TO EXERCISE THE POWERS OF THE BOARD OF TRUSTEES WITHIN CERTAIN LIMITATIONS OF TIME AND TOPIC. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: GRAY M.D., RICHARD J., DAHLEN, DENNIS E., UHLENKAMP, SUSAN M., THIELEN M.D., KENT R., NORBY, MARK L., MURPHY, JOSHUA B., HUBERT, SHERRY L., HOFFMAN III, HARRY N., HARPER JR., M.D., CHARLES M., GOSTOUT M.D., BOBBIE S., GORMAN, PAUL A., FROISLAND, JEFFREY R., FRANCIS, JAMES R., FARRUGIA M.D., GIANRICO, BROWN, WILLIAM A., BOLTON, JEFFREY W., WEBER, JOAN A., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: ZORN, CHRISTINA K., MENKOSKY, PAULA E., OTLEY M.D., CLARK C., DAHLEN, DENNIS E., MURPHY, JOSHUA B., HUBERT, SHERRY L., HOFFMAN III, HARRY N., FROISLAND, JEFFREY R., FRANCIS, JAMES R., BROWN, WILLIAM A., THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: GRAY M.D., RICHARD J., MENKOSKY, PAULA E., KRAHN M.D., LOIS E., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: GRAY M.D., RICHARD J., MENKOSKY, PAULA E., KRAHN M.D., LOIS E., FROISLAND, JEFFREY R., THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: ZORN, CHRISTINA K., LOCKETT, KEVIN M., BUSKIRK M.D., STEVEN J., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: ZORN, CHRISTINA K., LOCKETT, KEVIN M., BUSKIRK M.D., STEVEN J., THIELEN M.D., KENT R., ********************** HOFFMAN III, HARRY N., HAEFLINGER, RICKY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF BWL HOLDINGS, INC, A RELATED TAXABLE ENTITY. MENKOSKY, PAULA E., FROISLAND, JEFFREY R., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., MURPHY, JOSHUA B., HUBERT, SHERRY L., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., HOFFMAN III, HARRY N., GORMAN, PAUL A., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. WILLIAMSON, MARY J., BOLTON, JEFFREY W., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC, A RELATED TAXABLE ENTITY. UHLENKAMP, SUSAN M., HOFFMAN III, HARRY N., HAEFLINGER, RICKY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF LATIGO PETROLEUM, A RELATED TAXABLE ENTITY. MULALLY, ALAN R. SCHMIDT, ERIC E. SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC AND HAVE A BUSINESS RELATIONSHIP WITH GOOGLE, INC./ALPHABET. FORM 990, PART VI, SECTION A, LINE 3 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES WHICH WOULD INCLUDE THE FILING ORGANIZATION. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. FORM 990, PART VI, SECTION A, LINE 4 AMENDMENTS TO THE MAYO CLINIC BYLAWS INCLUDED: REMOVING REFERENCES TO INTERNAL DOCUMENT ENTITLED "MAYO CLINIC GOVERNANCE AND MANAGEMENT STRUCTURE". ADDING LANGUAGE SO THAT OFFICERS OF THE MAYO CLINIC BOARD OF TRUSTEES, EXCEPT FOR THE CHAIR, ARE NOMINATED BY THE MAYO CLINIC BOARD OF GOVERNORS. REVISING THE TERMS FOR THE MEMBERS OF THE MAYO CLINIC BOARD OF GOVERNORS (A COMMITTEE OF THE BOARD OF TRUSTEES) TO BE FOUR YEARS AND FOR THE MEMBERS TO BE ELECTED BY THE MAYO CLINIC BOARD OF TRUSTEES. ADDING LANGUAGE ALLOWING THE MAYO CLINIC MIDWEST EXECUTIVE OPERATIONS TEAM TO APPOINT COMMITTEES AND SUBCOMMITTEES AND TO ADOPT SUCH RULES AND REGULATIONS WITH RESPECT TO THE OPERATION OF COMMITTEES AND SUBCOMMITTEES. THE ADDED LANGUAGE INDICATES THAT THE COMMITTEES AND SUBCOMMITTEES SHALL BE SELECTED FROM SUCH PERSONS AND IN SUCH MANNER DETERMINED BY THE MAYO CLINIC MIDWEST EXECUTIVE OPERATIONS TEAM. REVISING LANGUAGE RELATED TO NOMINATIONS, MEMBERSHIP CRITERIA, ETC. FOR VOTING STAFF OF MAYO CLINIC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT AND IS REVIEWED BY THE TAX DIRECTOR. IT IS THEN REVIEWED BY THE ACCOUNTING OPERATIONS VICE CHAIR, FINANCIAL REPORTING AND CONSOLIDATION CHAIR, FINANCIAL AND ACCOUNTING SERVICES CHAIR, CHIEF FINANCIAL OFFICER, CHIEF FINANCIAL OFFICER ROCHESTER, CHIEF INVESTMENT OFFICER, CHIEF DEVELOPMENT OFFICER, CHIEF LEGAL OFFICER, CHIEF ADMINISTRATIVE OFFICER, AND THE CHIEF EXECUTIVE OFFICER. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF MAYO CLINIC'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. THIS POLICY APPLIES TO THE ORGANIZATION'S DISREGARDED ENTITIES. FORM 990, PART VI, SECTION B, LINE 15B MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE LEADERSHIP, ALONG WITH ALLIED HEALTH STAFF. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY OR REGIONAL LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY PRIOR TO IMPLEMENTATION OF THE RESPECTIVE COMPENSATION INCREASE. THE COMPENSATION AND BENEFITS OF THE CEO AND SEVERAL OTHER OFFICERS AND KEY EMPLOYEES OF MAYO CLINIC AND MAYO CLINIC GROUP WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW. THE COMPENSATION AND BENEFITS OF EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE LEADERSHIP FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS AND CERTAIN SENIOR ADMINISTRATIVE LEADERSHIP FROM ALL CAMPUSES (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF EXECUTIVE LEADERSHIP AND SENIOR PHYSICIAN POSITIONS (INCLUDING THE CEO) FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE. FORM 990, PART VI, SECTION C, LINE 19 MAYO CLINIC'S ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE SECRETARY OF STATE'S OFFICE OR UPON REQUEST FROM MAYO CLINIC. BYLAWS AND OTHER GOVERNANCE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR PURPOSES THAT MAYO CLINIC DEEMS APPROPRIATE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON MAYO CLINIC'S WEBSITE OR UPON REQUEST. MAYO CLINIC'S CONSOLIDATED FINANCIAL STATEMENTS AND FEDERAL FORM 990 ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 222,732,733. MANAGEMENT AND GENERAL EXPENSES 622,974,481. FUNDRAISING EXPENSES 1,252,812. TOTAL EXPENSES 846,960,026. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 230,361,551. MANAGEMENT AND GENERAL EXPENSES 29,279,010. FUNDRAISING EXPENSES 5,033,097. TOTAL EXPENSES 264,673,658. FORM 990, PART XI, LINE 9: REFUNDS OF CONTRIBUTIONS -191,300. PENSION-POST RETIREMENT -1,114,699,350. LOSSES ON UNCOLLECTIBLE PLEDGES -5,555,916. CHANGE IN LEASE ACCOUNTING -341,636. FORM 990, PART XII, LINE 2C, AUDIT PROCESS THE OVERSIGHT OF THE AUDIT PROCESS OR THE PROCESS FOR SELECTING AN AUDITOR HAS NOT CHANGED. JOHN E HERMAN HOME AND TREATMENT FACILITY LLC 200 FIRST STREET SW ROCHESTER MN 55905 824183345 RESIDENTIAL RECOVERY AND TREATMENT FACILITY MN 1286017 7719852 MAYO CLINIC MAYO CLINIC COMMUNITY ACO LLC 200 FIRST STREET SW ROCHESTER MN 55905 830610557 ACCOUNTABLE CARE ORGANIZATION MN 0 93217 MAYO CLINIC MAYO COLLABORATIVE SERVICES LLC 200 FIRST STREET SW ROCHESTER MN 55905 411346366 REFERENCE LAB SERVICES MN 777413495 196183998 MAYO CLINIC MC INTERNATIONAL LLC 200 FIRST STREET SW ROCHESTER MN 55905 832805059 CONTRACTING SERVICES MN 0 0 MAYO CLINIC MC PROPERTY HOLDINGS LLC 200 FIRST STREET SW ROCHESTER MN 55905 843454849 REAL ESTATE MN 0 0 MAYO CLINIC BLOOMER LAKEVIEW INC 2110 DUNCAN ROAD BLOOMER WI 54724 391450617 LOW INCOME HOUSING WI 501(C)(3) 7 MCHS--NORTHWEST WISCONSIN REGION INC 1 CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 411405254 RETIREMENT LIVING CENTER MN 501(C)(3) 10 MAYO CLINIC 1 DESTINATION MEDICAL CENTER EDA 50 SOUTH SIXTH STREET SUITE 1500 MINNEAPOLIS MN 554021498 464893585 ECONOMIC DEVELOPMENT MN 501(C)(3) 12-I MAYO CLINIC 1 MAYO CLINIC AMBULANCE 200 FIRST STREET SW ROCHESTER MN 55905 411917516 AMBULANCE SERVICE MN 501(C)(3) 10 MFMER 1 LUTHER LAKESIDE APARTMENTS INC PO BOX 1510 EAU CLAIRE WI 54702 391409024 LOW INCOME HOUSING FOR ELDERLY WI 501(C)(3) 10 MCHS--NORTHWEST WISCONSIN REGION INC 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 PATIENT CARE - 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