2014-11-17T08:44:10-06:00 2013-12-31 990 2013-01-01 860800150 MAYO CLINIC ARIZONA MAYO 5075381297 13400 EAST SHEA BLVD SCOTTSDALE AZ 852595404 JEFFREY R FROISLAND TREASURER 5075381297 2014-11-17 2013 2015-11-30 17:44:51Z WYATT W DECKER MD 13400 EAST SHEA BLVD SCOTTSDALE AZ 852595404 1085283526 0 5983 X WWW.MAYO.EDU X 1995 AZ OPERATION OF A HOSPITAL AND CLINICS 13 0 5775 699 414551 173217 62390587 103441516 943058566 956686791 7221660 12803318 8947711 9180234 1021618524 1082111859 15857687 15906112 0 0 529362851 550019906 0 0 262463 402965264 393366712 948185802 959292730 73432722 122819129 870541855 1035808417 255730161 285681384 614811694 750127033 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 748847711 12177430 956045452 PATIENT CARE (SCHEDULE O):PATIENT CARE:MAYO CLINIC, AS AN AFFILIATED GROUP OF HEALTHCARE ENTITIES, IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY THAT THE NEEDS OF THE PATIENT COME FIRST. OVER 3,800 PHYSICIANS AND SCIENTISTS AND 51,000 ALLIED HEALTH STAFF WORK AT MAYO CLINIC, WHICH HAS SITES IN ROCHESTER, MINNESOTA; JACKSONVILLE, FLORIDA; AND SCOTTSDALE/PHOENIX, ARIZONA. COLLECTIVELY, THE THREE LOCATIONS TREAT MORE THAN HALF A MILLION PEOPLE EACH YEAR. MAYO CLINIC ALSO SERVES OVER 70 COMMUNITIES IN THE UPPER MIDWEST AND IN GEORGIA THROUGH MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC IS DRIVEN BY ITS MISSION OF PROVIDING THE BEST PATIENT CARE TO EVERY PATIENT EVERY DAY THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. AS A NOT-FOR-PROFIT INSTITUTION, MAYO CLINIC REINVESTS ALL OF ITS NET OPERATING INCOME BACK INTO PROGRAMS THAT SUPPORT THIS MISSION. THROUGH ITS MISSION, MAYO CLINIC ENRICHES THE COMMUNITIES IN WHICH IT OPERATES AS WELL AS THE BROADER COMMUNITY BY IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. MAYO CLINIC ARIZONA (MCA) IS AN ARIZONA NONPROFIT CORPORATION, TAX-EXEMPT AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MCA OPERATES EXCLUSIVELY FOR EDUCATIONAL, RESEARCH AND CHARITABLE PURPOSES AS WELL AS FOR THE CLINICAL PRACTICE OF MEDICINE.MCA HAS BEEN AN INTERNATIONAL LEADER IN PATIENT CARE, HEALTH SCIENCES RESEARCH AND MEDICAL EDUCATION. SINCE OPENING IN SCOTTSDALE IN 1987, MCA HAS EVOLVED INTO AN INTEGRATED MULTI-CAMPUS SYSTEM THAT INCLUDES THE MAYO CLINIC BUILDING, THE SAMUEL C. JOHNSON RESEARCH BUILDING AND THE MAYO CLINIC COLLABORATIVE RESEARCH BUILDING IN SCOTTSDALE, MAYO CLINIC HOSPITAL AND THE MAYO CLINIC SPECIALTY BUILDING IN NORTHEAST PHOENIX AND OUTPATIENT LOCATIONS IN SCOTTSDALE AND GLENDALE.PHYSICIANS AT MCA EMPHASIZE A UNIQUE TEAM APPROACH TO DELIVERING HEALTH CARE SERVICES AND ARE DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN MORE THAN 65 ADULT MEDICAL AND SURGICAL SPECIALTIES (INCLUDING PROGRAMS IN CANCER TREATMENT AND ORGAN TRANSPLANTATION) WITH CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS. MCA CONTINUES THE TRADITION OF LEADERSHIP IN MEDICAL PRACTICE, EDUCATION AND RESEARCH FIRST ESTABLISHED IN ROCHESTER, MINNESOTA. THE FIVE-STORY OUTPATIENT MAYO CLINIC BUILDING ON THE SCOTTSDALE CAMPUS INCLUDES APPROXIMATELY 425 EXAM AND PROCEDURE ROOMS, AN OUTPATIENT SURGERY CENTER EQUIPPED FOR GENERAL ANESTHESIA, A FULL-SERVICE LABORATORY, A PHARMACY, A PATIENT-EDUCATION LIBRARY, AN ENDOSCOPY SUITE AND A 188-SEAT AUDITORIUM FOR PATIENT AND PHYSICIAN-EDUCATION.MAYO CLINIC HOSPITAL IN NORTH PHOENIX OPENED IN OCTOBER 1998 AND IS THE ONLY HOSPITAL PLANNED, DESIGNED AND BUILT BY MAYO CLINIC. THE HOSPITAL, WHICH SITS ON A 210-ACRE SITE, SERVES PATIENTS FROM THROUGHOUT THE 50 STATES AND 80 FOREIGN COUNTRIES. IN ARIZONA, MCA SERVES NEARLY 100,000 PATIENTS EACH YEAR WITH AN INTEGRATED, TEAM-BASED APPROACH. MEDICAL PRACTICE ACTIVITIES ARE AN INTRINSIC PART OF THE ACTIVITIES AT MCA. MEDICAL PRACTICE ACTIVITIES AT MCA ARE INTRICATELY INTERTWINED WITH RESEARCH AND EDUCATIONAL ACTIVITIES. MCA HAS DEVELOPED STRATEGIC COLLABORATIONS IN ARIZONA, WORKING WITH ORGANIZATIONS WITH VALUES THAT ARE CONSISTENT WITH MCA'S MISSION OF SERVING PATIENTS. THIS SHARING OF KEY RESOURCES AND CAPABILITIES AMONG MANY OUTSTANDING ORGANIZATIONS ENABLES MCA TO PROVIDE PROGRAMS AND SERVICES FOR PATIENTS AND THEIR FAMILIES THAT WOULD NOT BE POSSIBLE OTHERWISE. SOME OF THESE PATIENT CARE COLLABORATIONS INCLUDE: ARIZONA STATE UNIVERSITY: THERE ARE NUMEROUS COLLABORATIONS BETWEEN ARIZONA STATE UNIVERSITY AND MCA. THESE INCLUDE DUAL DEGREE PROGRAMS FOR MAYO MEDICAL STUDENTS, JOINT RESEARCH INITIATIVES, AND COLLABORATIONS WITHIN ARTS AND HUMANITIES PROGRAMS TO BENEFIT OUR PATIENTS AND THEIR FAMILIES.PHOENIX CHILDREN'S HOSPITAL: IN 2003 MCA PARTNERED WITH PHOENIX CHILDREN'S HOSPITAL TO INTRODUCE THE VALLEY'S FIRST PEDIATRIC BONE MARROW TRANSPLANT (BMT) PROGRAM, ELIMINATING THE NEED FOR FAMILIES TO TEMPORARILY MOVE HUNDREDS OF MILES AWAY FROM HOME IN ORDER TO CARE FOR AND BE NEAR A CHILD RECEIVING TREATMENT. AS PART OF A UNIFIED SYSTEM ON MULTIPLE CAMPUSES, THE BMT PROGRAM AT MCA IS ONE OF THE LARGEST AND MOST EXPERIENCED IN THE WORLD. IN 2007, A UNIQUE COLLABORATION BETWEEN MCA, PHOENIX CHILDREN'S HOSPITAL AND ARIZONA'S PEDIATRIC CARDIOLOGY CONSULTANTS BEGAN PROVIDING CONTINUITY OF CARE FOR PATIENTS WITH CONGENITAL HEART DISEASE - HELPING PATIENTS WHO REACH ADULTHOOD TO TRANSITION FROM PEDIATRIC TO SPECIALIZED ADULT MEDICAL CARE AND RECEIVE TREATMENT AT MAYO'S PHOENIX CAMPUS.TRANSLATIONAL GENOMICS RESEARCH INSTITUTE (TGEN): IN 2003 MCA AND TGEN BEGAN A UNIQUE RESEARCH PARTNERSHIP THAT INVESTIGATES BIOLOGY, GENETICS AND THE TARGETED TREATMENT OF CERTAIN CANCERS AND BRINGS INNOVATIVE RESEARCH FINDINGS DIRECTLY TO THE BEDSIDE OF PATIENTS. MCA AND TGEN HAVE FORMALIZED A STRATEGIC ALIGNMENT THAT WILL ALLOW TGEN RESEARCHERS TO BECOME MEMBERS IN THE MAYO CLINIC CANCER CENTER. THEIR MEMBERSHIP WILL FACILITATE AND ENHANCE THE COLLABORATION BETWEEN THE FACULTY OF BOTH ORGANIZATIONS ON CANCER RESEARCH INITIATIVES.LODGING FOR TRANSPLANT AND CANCER PATIENTS: THE ARIZONA TRANSPLANT HOUSE AND THE AMERICAN CANCER SOCIETY HOPE LODGE OPENED ITS NEW FACILITY, THE VILLAGE AT MAYO CLINIC, ON THE PHOENIX CAMPUS OF MCA IN JUNE 2009. THE THREE "CASITAS" THAT HOUSE PATIENTS AND THEIR CAREGIVERS PROVIDE A NURTURING, HOME-AWAY-FROM-HOME ENVIRONMENT WHERE PATIENTS UNDERGOING A TRANSPLANT OR LONG-TERM CHEMOTHERAPY CAN BOND WITH FELLOW PATIENTS AND PROVIDE SUPPORT TO EACH OTHER - ALL WHILE BEING CLOSE TO THEIR APPOINTMENTS AT MAYO CLINIC HOSPITAL AND THE MAYO CLINIC SPECIALTY BUILDING.HOSPICE OF THE VALLEY: MCA AND HOSPICE OF THE VALLEY HAVE BEEN WORKING TOGETHER FOR MANY YEARS TO PROVIDE EXCELLENT END-OF-LIFE CARE FOR PATIENTS WITH CANCER AND OTHER DISEASES. HOSPICE OF THE VALLEY HAS BUILT AN INPATIENT FACILITY ON THE MAYO CLINIC HOSPITAL CAMPUS IN NORTHEAST PHOENIX. THE STRUCTURE IS A PRIVATE, HOMELIKE SETTING FOR PATIENTS PROVIDING FOR NEEDS BETTER MET IN AN INPATIENT ENVIRONMENT. THERE ARE 12 PRIVATE ROOMS, A FAMILY AREA, KITCHEN AND AN AREA FOR STAFF. FAMILIES ARE WELCOME AROUND THE CLOCK. THERE ARE PLANS TO BUILD A SECOND STRUCTURE TO HOUSE ADDITIONAL PATIENTS ON THE PHOENIX CAMPUS.MCA IS ACTIVELY INVOLVED IN NATIONAL HEALTH CARE REFORM EFFORTS IN SUPPORT OF THE BELIEF THAT THE NEEDS OF THE PATIENT COME FIRST. MCA HAS CONTINUED TO RAISE AWARENESS ABOUT THE NEED FOR PATIENT-CENTERED REFORM, BUILDING ON THE WORK OF SEVERAL SYMPOSIUMS AND CONFERENCES HELD OVER THE PAST THREE YEARS BY THE MAYO CLINIC HEALTH POLICY CENTER WHERE PARTICIPANTS DISCUSSED AND COMPARED HEALTH CARE REFORM RECOMMENDATIONS WITHIN THE CONTEXT OF REGIONAL HEALTH CARE ISSUES FACED BY PROVIDERS, PAYERS, EMPLOYERS AND PATIENTS THROUGHOUT ARIZONA.MCA PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AND SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. IN 2013 THE COST OF CHARITY CARE PROVIDED WAS APPROXIMATELY $9,871,400. THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $6,669,900. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $223,032,000.IN 2013, MCA RECEIVED DONATED SERVICES FROM 699 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 76,298 HOURS, VALUED AT APPROXIMATELY $1,720,520 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES FOR 2013. 50808746 3728682 1300142 RESEARCH (SCHEDULE O)RESEARCH: MCA'S BASIC AND CLINICAL RESEARCH ACTIVITIES ARE CONCENTRATED IN THE AREAS OF CANCER, METABOLISM, NEUROSCIENCES, CARDIOVASCULAR DISEASES AND GI DISORDERS/TRANSPLANTATION AT ITS FACILITIES LOCATED IN SCOTTSDALE AND PHOENIX, ARIZONA. THE SAMUEL C. JOHNSON RESEARCH BUILDING IS A 75,000 SQUARE-FOOT FACILITY ON THE SCOTTSDALE CAMPUS THAT PROVIDES SPACE FOR SCIENTIFIC INVESTIGATORS, SUPPORT STAFF, PRE-DOCTORAL AND POST-DOCTORAL FELLOWS AND VISITING SCIENTISTS. THE SECOND FLOOR OF THE JOHNSON RESEARCH BUILDING IS LEASED TO THE ASU BIOMEDICAL INFORMATICS DEPARTMENT TO FURTHER ENHANCE THE RESEARCH COLLABORATIONS BETWEEN ASU AND MAYO CLINIC. THE MAYO CLINIC COLLABORATIVE RESEARCH BUILDING, ALSO ON THE SCOTTSDALE CAMPUS, IS A 100,000 SQUARE FOOT BIOMEDICAL RESEARCH FACILITY THAT HOUSES A TRANSLATIONAL GENOMICS INSTITUTE (TGEN) INITIATIVE CALLED THE CENTER FOR DRUG DEVELOPMENT (TD2), MAYO CLINIC CANCER RESEARCHERS, AS WELL AS THE MAYO-ASU CENTER FOR METABOLIC AND VASCULAR BIOLOGY COLLABORATIVE RESEARCH PROGRAM. ONGOING CLINICAL RESEARCH TRIALS AT MCA OFFER PATIENTS ACCESS TO NEW INVESTIGATIONAL TREATMENTS BEFORE THEY BECOME FDA-APPROVED AND COMMERCIALLY AVAILABLE. IN 2013, MCA SPENT $50M ON BIOMEDICAL RESEARCH OF WHICH $25M WAS DERIVED FROM APPROXIMATELY 500 EXTERNAL GRANTS AND CONTRACTS FROM THE FEDERAL GOVERNMENT, CHARITABLE FOUNDATIONS AND INDUSTRY SPONSORS. MCA CURRENTLY SUPPORTS 260 FTE'S IN RESEARCH INCLUDING 23 FULL-TIME CAREER SCIENTIST AND CLINICIAN INVESTIGATORS. THOSE SAME SCIENTISTS HOST APPROXIMATELY 120 RESEARCH FELLOWS, ASSOCIATES, TRAINEES, COLLABORATORS, AND VISITING SCIENTISTS. ALMOST 800 SCIENTIFIC PAPERS WERE PUBLISHED BY MCA STAFF IN 2013.MAYO CLINIC IN ARIZONA HAS SEVERAL RESEARCH AND CLINICAL COLLABORATIONS AND CLINICAL OUTREACH PARTNERSHIPS WITH MOUNTAIN PARK HEALTH SYSTEM, MARICOPA INTEGRATED HEALTH SYSTEM AND THE PHOENIX INDIAN MEDICAL CENTER. THESE COLLABORATIONS ARE MAINLY RELATED TO CANCER, NEUROSCIENCES, TRANSPLANTATION MEDICINE AND CARDIOLOGY. 27476481 6497431 EDUCATION (SCHEDULE O) EDUCATION: EDUCATING HEALTH CARE PROFESSIONALS HAS BEEN A CORE MISSION OF MAYO CLINIC SINCE THE EARLIEST DAYS OF THE 20TH CENTURY, WHEN PHYSICIANS FROM THROUGHOUT THE WORLD TRAVELED TO ROCHESTER, MINNESOTA TO TRAIN WITH THE MAYO BROTHERS.MAYO CLINIC IN ARIZONA OPENED IN 1987 AS A PREMIERE ACADEMIC MEDICAL CENTER IN THE SOUTHWESTERN UNITED STATES, WHERE MEDICAL RESEARCH AND EDUCATION ARE FULLY INTEGRATED WITH DELIVERING THE HIGHEST-QUALITY PATIENT CARE. IN ARIZONA, MAYO CLINIC OFFERS PHYSICIAN RESIDENCY PROGRAMS AND FELLOWSHIPS IN MANY MEDICAL AND SURGICAL SPECIALTIES. THE MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION IN ARIZONA HAS 42 TRAINING PROGRAMS. OF THESE, TEN ARE RESIDENCIES AND 32 ARE SUB-SPECIALTY BASED FELLOWSHIP TRAINING. TO COMPLEMENT EXCEPTIONAL DIDACTIC CURRICULUM, MCA OFFERS HANDS-ON TRAINING THROUGH SIMULATION EDUCATION IN FOUR ENVIRONMENTS EDUCATING OVER 6,300 LEARNERS: 1-MULTIDISCIPLINARY SIMULATION CENTER LOCATED ON THE 6TH FLOOR OF THE HOSPITAL;2-AYARZA LAPAROSCOPIC LABORATORY LOCATED ON THE 3RD FLOOR OF THE MULTISPECIALTY BUILDING;3-CENTER FOR PROCEDURAL INNOVATION LOCATED ON THE CONCOURSE LEVEL OF THE MAYO COLLABORATIVE BUILDING; AND 4-NURSING SKILLS LABORATORY LOCATED IN THE SUPPORT BUILDING BEHIND THE HOSPITAL. MCA IS COMMITTED TO EDUCATING THE NEXT GENERATION OF PHYSICIANS. EACH YEAR, MORE THAN 250 RESIDENTS, FELLOWS AND MEDICAL STUDENT CLERKS COMPLETE EDUCATIONAL ASSIGNMENTS IN ARIZONA.IN ADDITION, MCA OFFERS ROBUST EDUCATIONAL TRAINING PROGRAMS FOR ALLIED HEALTH STUDENTS THROUGH THE SCHOOL OF HEALTH SCIENCES, GRADUATE STUDENTS PREPARING FOR CAREERS AS BIOMEDICAL SCIENTISTS THROUGH MAYO GRADUATE SCHOOL, AND LIFE LONG LEARNERS THROUGH COURSES PROVIDED BY THE MAYO SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT. MAYO AND ARIZONA STATE UNIVERSITY HAVE ALSO COLLABORATED TO CREATE A JOINT DEGREE NURSING PROGRAM, WHICH INCREASES ENROLLMENT CAPACITY FOR NURSING STUDENTS STATEWIDE. STUDENTS RECEIVE THEIR TRAINING FROM THE ASU COLLEGE OF NURSING CURRICULUM. THEY ARE TAUGHT BY FACULTY COMPOSED OF MASTER'S-LEVEL REGISTERED NURSES FROM MAYO IN CLASSROOM AND LABORATORY LEARNING SPACE AT MAYO CLINIC HOSPITAL.MOST RECENTLY ANNOUNCED IS THE REDESIGN OF THE MAYO MEDICAL SCHOOL CURRICULUM, INCORPORATING PRINCIPLES OF THE SCIENCE OF HEALTHCARE DELIVERY. THIS NEW DESIGN IS THE MODEL FOR OUR NATIONAL MEDICAL SCHOOL SPANNING ALL THREE CAMPUSES. THE EXPANSION IN ARIZONA MIRRORS THE CAMPUS IN ROCHESTER, MN AND IN JACKSONVILLE, FL. ACCOMMODATIONS FOR STUDENTS TO COMPLETE THEIR 3RD AND 4TH YEARS OF MEDICAL SCHOOL ARE BEING COMPLETED. EFFORTS ARE UNDERWAY TO RAISE FUNDS FOR THE EXPANSION AND TRANSFORMATION OF UNDERGRADUATE MEDICAL EDUCATION AT MAYO CLINIC. THE GROWING RELATIONSHIP BETWEEN MCA AND ARIZONA STATE UNIVERSITY (ASU) HAS RESULTED IN SEVERAL COLLABORATIVE EFFORTS: THE ASU BARRETT HONORS COLLEGE PREMEDICAL SCHOLARS PROGRAM IS ONE EXAMPLE. THIS MAYO CLINIC SPONSORED PROGRAM WILL TEACH PREMEDICAL STUDENTS ABOUT THE WIDE VARIETY OF INTERESTS AND CAREER OPPORTUNITIES AVAILABLE IN MEDICINE, AND ALSO ENCOURAGE THEM TO TAKE AN ACTIVE ROLE IN COMMUNITY AND HUMANITARIAN PROGRAMS. THE INITIATIVE PAIRS EACH STUDENT WITH A MAYO CLINIC PHYSICIAN MENTOR AND PROVIDES A NUMBER OF ACTIVE LEARNING AND GROWTH OPPORTUNITIES, INCLUDING: SHADOWING PHYSICIANS FROM A VARIETY OF MEDICAL AND SURGICAL SPECIALTIES; HANDS-ON LABORATORY EXPERIENCES, INCLUDING SUTURING, APPLYING A CAST, CPR, PERFORMING A SIMULATED COLONOSCOPY AND OPERATING IN THE SURGICAL SIMULATION CENTER; RESEARCH ASSIGNMENTS ON MAYO CLINIC-SPONSORED PROJECTS THAT COMPLEMENT THOSE ALREADY AVAILABLE THROUGH ASU; HELP IN PREPARING A STRONG MEDICAL SCHOOL APPLICATION. STUDENTS WILL ALSO BE ENCOURAGED TO PARTICIPATE IN A NUMBER OF HUMAN-INTEREST COMMUNITY PROGRAMS, INCLUDING: SHADOWING MEDICAL DIRECTORS AND HOME NURSES AT HOSPICE OF THE VALLEY; OBSERVING A VARIETY OF CLINICAL TREATMENTS AT ST. VINCENT DE PAUL FREE CLINIC; PARTICIPATING IN AN AMBULANCE RIDE-A-LONG WITH SCOTTSDALE EMERGENCY MEDICAL SERVICES; TRAINING AS A SUPPORT GROUP FACILITATOR AT THE NEW SONG CENTER, WHICH PROVIDES GRIEF SUPPORT AND EDUCATION FOR CHILDREN, YOUNG ADULTS, AND THEIR FAMILIES.ARIZONA STATE UNIVERSITY (ASU) HAS ALSO HELPED TO ELEVATE THE EDUCATION OF OUR PATIENTS THROUGH ARTS AND HUMANITIES. HUMANITIES IN MEDICINE OFFER A SERIES OF EVENTS AND VISUAL RESPITE FOR THOSE WAITING AND HOPING TO FIND COMFORT. THESE PROGRAMS INCLUDE ROTATING ART GALLERIES, ATRIUM CONCERT SERIES, BEDSIDE MUSIC, POETRY AND ART. 827132938 1 1 0 1 0 0 0 1 0 1 1 1 0 1 1 1 0 1 0 1 1 1 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 4 0 1 5775 1 1 1 0 0 0 0 0 0 0 0 0 X 13 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 AZ X CORPORATE TAX UNIT 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 PAIGE SR KEVIN A ASST SECRETARY/DIRECTOR 40.00 0.00 X X 339194 0 58142 DECKER MD WYATT W CHAIR/CEO/DIRECTOR 40.00 0.00 X X 824732 0 44548 ANDREWS MD PAUL E DIRECTOR 40.00 0.00 X 559297 0 59082 BLAIR MD JANIS E DIRECTOR 40.00 0.00 X 214191 0 46938 CONNOLLY TERESA L DIRECTOR 40.00 0.00 X 210511 0 37408 FONSECA MD RAFAEL DIRECTOR 40.00 0.00 X 453649 0 45503 KRAHN MD LOIS E DIRECTOR 40.00 0.00 X 363435 0 44822 MAYER MD ANITA P DIRECTOR 40.00 0.00 X 252258 0 50377 STEWART ALEXANDER KEITH DIRECTOR 40.00 0.00 X 410217 0 47569 ZIMMERMAN MD RICHARD S DIRECTOR 40.00 0.00 X 854149 0 56261 FREY MD KEITH A DIRECTOR (1/1-12/2) 40.00 0.00 X 289936 0 56492 MENKOSKY PAULA E SECRETARY/DIRECTOR 40.00 0.00 X X 399644 0 50464 FROISLAND JEFFREY R TREASURER/DIRECTOR 1.00 40.00 X X 0 267575 34865 STONE MD WILLIAM M VICE CHAIR/DIRECTOR 40.00 0.00 X X 627007 0 51699 GORMAN MD R SCOTT VICE CHAIR/DIRECTOR (1/1-6/30) 40.00 0.00 X X 221546 0 43816 BROWN MICHAEL E ASST SECRETARY/LEGAL COUNSEL 1.00 40.00 X 0 201471 27602 TRENTMAN MD TERRANCE L PHYSICIAN 40.00 0.00 X 471465 0 49425 EDWARDS MD FREDERICK D PHYSICIAN 40.00 0.00 X 230199 0 48293 HAROLD MD KRISTI L PHYSICIAN 40.00 0.00 X 462800 0 24837 MESA MD RUBEN A PHYSICIAN 40.00 0.00 X 387206 0 39008 TAZELAAR MD HENRY D PHYSICIAN 40.00 0.00 X 462722 0 52738 LYONS MD MARK K PHYSICIAN 40.00 0.00 X 827978 0 48266 SIRVEN MD JOSEPH I PHYSICIAN 40.00 0.00 X 320827 0 46867 MAGTIBAY MD PAUL M PHYSICIAN 40.00 0.00 X 550187 0 45238 HATTRUP MD STEVEN J PHYSICIAN 40.00 0.00 X 627390 0 48656 HAYDEN MD RICHARD E PHYSICIAN 40.00 0.00 X 542853 0 15771 SCHILD MD STEVEN E PHYSICIAN 40.00 0.00 X 555465 0 38214 JOHNSON MD C DANIEL PHYSICIAN 40.00 0.00 X 681638 0 51881 MONEY MD SAMUEL R PHYSICIAN 40.00 0.00 X 559810 0 47323 LEIGHTON MD JONATHAN A PHYSICIAN 40.00 0.00 X 506265 0 56371 COLE MD DANIEL J PHYSICIAN 40.00 0.00 X 465843 0 53918 MUELLER MD JEFF T PHYSICIAN 40.00 0.00 X 466935 0 31904 EVERSMAN MD WILLIAM G PHYSICIAN 40.00 0.00 X 664188 0 55657 MULLIGAN MD DAVID C PHYSICIAN 40.00 0.00 X 472791 0 47803 SWANSON MD SCOTT K PHYSICIAN 40.00 0.00 X 561162 0 58916 FOWL MD RICHARD J PHYSICIAN 40.00 0.00 X 565253 0 45619 DE VALERIA MD PATRICK A PHYSICIAN 40.00 0.00 X 725644 0 52343 LANZA MD LOUIS A PHYSICIAN 40.00 0.00 X 762731 0 55940 PAJARO MD OCTAVIO E PHYSICIAN 40.00 0.00 X 685309 0 27224 BIRCH MD BARRY D PHYSICIAN 40.00 0.00 X 782986 0 49675 PATEL MD NARESH P PHYSICIAN 40.00 0.00 X 756025 0 36854 TRASTEK MD VICTOR F PHYSICIAN/FMR CEO/FMR CHAIR 0.00 40.00 X 0 863178 62543 ANDERSON JAMES G DIVISION CHAIR/FMR SECY-TREASURER 40.00 0.00 X 244686 0 14568 HELMERS MD RICHARD A FORMER VICE CHAIR 40.00 0.00 X 510341 0 49419 THOMAS GREGORY J INTERIM ADMIN CHAIR/FMR SECY-TREAS 0.00 40.00 X 0 475149 8792 ARABIA MD FRANCISCO A FORMER KEY EMPLOYEE 40.00 0.00 X 102851 0 30040 BEAUCHAMP MD CHRISTOPHER P FORMER KEY EMPLOYEE 40.00 0.00 X 636929 0 57200 COLBY MD THOMAS V FORMER KEY EMPLOYEE 40.00 0.00 X 424459 0 18119 DOUGLAS MD DAVID D FORMER KEY EMPLOYEE 40.00 0.00 X 491782 0 56265 FERRIGNI MD ROBERT G FORMER KEY EMPLOYEE 40.00 0.00 X 539411 0 55884 FITCH MD TOM R FORMER KEY EMPLOYEE 40.00 0.00 X 391408 0 51970 MARLER RONALD J FORMER KEY EMPLOYEE 40.00 0.00 X 113737 0 39787 ROBERTS MD DANIEL L FORMER KEY EMPLOYEE 40.00 0.00 X 242092 0 33293 SCOTT MD LUIS R FORMER KEY EMPLOYEE 40.00 0.00 X 535599 0 46819 SMITH MD ANTHONY A FORMER KEY EMPLOYEE 40.00 0.00 X 623696 0 64052 WINGERCHUK MD DEAN M FORMER KEY EMPLOYEE 40.00 0.00 X 263808 0 37245 YOUNG-FADOK MD TONIA M FORMER KEY EMPLOYEE 40.00 0.00 X 491171 0 37470 25727408 1807373 2547795 896 1 1 0 MAYO FOUNDATION FOR MEDICAL EDUCATION AN 200 FIRST STREET SW ROCHESTER MN 55905 PROCUREMENT AGENT ACCOUNTS PAYABLE 122233701 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 PURCHASED SERVICES 9278753 MMSI INC 200 FIRST STREET SW ROCHESTER MN 55905 BENEFIT ADMINISTRATION SERVICE 1901601 3 73628419 19377336 10435761 103441516 NET PATIENT REVENUE 620000 948889218 948799199 90019 EDUCATION REVENUE 611600 6497431 6493692 3739 RESEARCH REVENUE 541700 1300142 769145 530997 956686791 13474905 13474905 482709 482709 1183680 961472 222208 222208 222208 696715 1368302 -671587 -671587 -671587 958794 841893 116901 116901 CAFETERIA/VENDING 722210 5686781 5686781 MEDICAL DIRECTOR FEES 541900 924156 39388 884768 MISC. REVENUE 900099 749259 273668 475591 998220 713076 285144 8358416 1082111859 963218270 414551 15037522 X 15738623 15738623 27715 27715 139774 139774 17999561 14048892 3688206 262463 7877096 7277480 599616 395259671 385959068 9300603 31158390 30425490 732900 70910850 69241509 1669341 26814338 26182961 631377 497984 462073 35911 1406841 41323 1365518 4630938 1092677 3538261 184346 77597 106749 10222 10222 115980321 36770246 79210075 147596 123059 24537 21677218 19216257 2460961 23240707 1112989 22127718 155042 152045 2997 10818899 6047107 4771792 6919607 6619474 300133 1318478 1276982 41496 36060194 35560311 499883 3052319 3052319 MEDICAL SUPPLIES 146494011 146444356 49655 UNRELATED BUSINESS TAX 146360 146360 BAD DEBT EXPENSE 16082950 16082950 EMPLOYEE RELATED 3224726 3120470 104256 1317953 839191 478762 959292730 827132938 131897329 262463 19392 17815 108254 77177 5254498 5955357 176769063 184191125 14732325 14385781 1382310 555435 912431981 368797474 465926924 543634507 152590543 200443641 53758546 86547579 870541855 1035808417 39654394 53184085 7037324 5437936 50819215 50784962 158219228 176274401 255730161 285681384 X 496691561 583924535 39438118 55025500 78682015 111176998 614811694 750127033 870541855 1035808417 X 122819129 12723489 -227279 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 106749 0 1 77597 184346 0 PART I-A, LINE 1: DURING 2013, MAYO CLINIC ARIZONA OFFICIALS HAD SEVERAL MEETINGS AND CONTACTS WITH GOVERNMENT OFFICIALS, PRIMARILY FROM THE ARIZONA STATE GOVERNMENT. THESE MEETINGS INCLUDED DISCUSSIONS OF VARIOUS PROPOSALS BEFORE THE ARIZONA LEGISLATURE AND ADMINISTRATIVE MATTERS BEFORE VARIOUS STATE REGULATORY AGENCIES. THESE MEETINGS WERE PRIMARILY HELD IN PHOENIX, ARIZONA. MAYO ALSO HAS PHYSICIAN MEMBERSHIP IN THE ARIZONA MEDICAL ASSOCIATION WHICH ADVOCATES ON BEHALF OF PHYSICIANS BEFORE THE ARIZONA LEGISLATURE. MAYO HAS ON OCCASION CORRESPONDED WITH ELECTED REPRESENTATIVES AND GOVERNMENT OFFICIALS OUTLINING MAYO'S CONCERNS AND RECOMMENDATIONS ON VARIOUS HEALTH CARE INITIATIVES AND PROPOSALS. MOST OFTEN, THE FOCUS OF THESE CONTACTS WAS TO DISCUSS PRINCIPLES OF HEALTH CARE LEGISLATION RATHER THAN TO INFLUENCE SPECIFIC PROPOSED LEGISLATION. THE MAJORITY OF THESE ACTIVITIES WERE CONDUCTED BY REGISTERED LOBBYISTS. FEES PAID TO REGISTERED LOBBYISTS FOR THESE ACTIVITIES TOTALED APPROXIMATELY $107,000 IN 2013. EMPLOYEES AND REPRESENTATIVES OF MAYO CLINIC ARIZONA 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. MAYO ALSO OCCASIONALLY HOSTS VISITS TO THE ARIZONA CAMPUS FOR POLICY MAKERS AND ELECTED OFFICIALS WHEN CERTAIN PROCEDURES AND UNIQUE ASPECTS OF MAYO CLINIC ARIZONA'S OPERATIONS MAY HAVE A USEFUL BEARING ON PUBLIC POLICY OR THE PROVISION OF PUBLIC SERVICES. MAYO 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 EDUCATION AND RESEARCH ACTIVITIES, PHYSICIAN LICENSURE, TAX STATUS, LICENSING OF REGULATED ACTIVITIES, 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. PART II-B, LINE 1: THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. X 0 119390102 20888103 25012777 165290982 90736037 15419036 13235029 119390102 74382310 7288481 9210053 144807 90736037 78878899 6363685 2273769 13134043 74382310 61564610 14581267 7145826 4412804 78878899 0.31170 0.54550 0.14280 0 1 1 28838394 28838394 525318779 208103260 317215519 222179515 160694214 61485301 136095293 136095293 543634507 MAYO POOLED INVESTMENTS 200443641 F 200443641 DUE FROM AFFILIATES 11517350 INTEREST IN NET ASSETS OF MAYO CLINIC 32598664 DEFERRED COMPENSATION 42431565 86547579 DEFERRED COMPENSATION RESERVE 42431565 FINANCING OBLIGATION ON LEASED BLDG 23657518 DUE TO AFFILIATES 110185318 176274401 X PART III, LINE 1A: THE ORGANIZATION PERIODICALLY RECEIVES WORKS OF ART FROM VARIOUS BENEFACTORS. THESE ITEMS ARE UNIQUE IN NATURE AND ARE HELD ON DISPLAY FOR THE BENEFIT AND ENJOYMENT OF THE CLINIC'S PATIENTS. IT IS THE CLINIC'S POLICY TO NEITHER CAPITALIZE CONTRIBUTED WORKS OF ART NOR RECORD THE RELATED CONTRIBUTION REVENUE. PART III, LINE 4: WORKS OF ART DISPLAYED ACROSS THE 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: AT DECEMBER 31, 2013 AND 2012, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO LONGER A RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE FILING ORGANIZATION. 1 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 9 TRAVEL FOR INTERNATIONAL CONFERENCE 19398 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 48 TRAVEL FOR INTERNATIONAL CONFERENCE 93230 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 155 TRAVEL FOR INTERNATIONAL CONFERENCE 444468 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 0 9 TRAVEL FOR INTERNATIONAL CONFERENCE 13937 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 98 TRAVEL FOR INTERNATIONAL CONFERENCE 161133 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 13 TRAVEL FOR INTERNATIONAL CONFERENCE 22372 SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 0 9 TRAVEL FOR INTERNATIONAL CONFERENCE 12463 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA, FASO, 0 7 TRAVEL FOR INTERNATIONAL CONFERENCE 16255 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 1 PROGRAM SERVICES PATIENT CARE 6063 RUSSIA AND NEIGHBORING STATES 0 6 TRAVEL FOR INTERNATIONAL CONFERENCE 18515 0 348 0 7 0 355 783256 24578 807834 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH SUBAWARD 85060 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH SUBAWARD 15286 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER EUROPE (INCLUDING ICELAND & GREENLAND) RESERACH SUBAWARD 39428 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER 3 0 0 0 0 0 1 PART I, LINE 2: FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY THE FILING ORGANIZATION AS PRESCRIBED IN OMB CIRCULAR A-133. SEE ALSO SCHEDULE I, PART IV FOR ADDITIONAL INFORMATION ON 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 VENDOR 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 1 1 X 1 X 1 X 1 1 0 1 1 9871373 9871373 0.01050 13566344 6896480 6669864 0.00710 23437717 6896480 16541237 0.01760 27476481 6991163 20485318 0.02170 56445196 19578251 36866945 0.03910 50808746 24963596 25845150 0.02740 253459 253459 0.00030 134983882 51533010 83450872 0.08850 158421599 58429490 99992109 0.10610 3864 3864 0.00000 51692 51692 0.00010 8325 8325 0.00000 63881 63881 0.00010 0 16082950 139350854 175872281 -36521427 X 1 1 1 1 MAYO CLINIC HOSPITAL 5777 EAST MAYO BOULEVARD PHOENIX AZ 85054 WWW.MAYOCLINIC.ORG H2027 X X X X PHARMACY/REHAB MAYO CLINIC ARIZONA 1 1 X X X X X X X X 13 1 0 1 X HTTP://WWW.MAYOCLINIC.ORG/ABOUT-MAYO-CLIN X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X 1 0 X X X X X 1 X 0 0 MAYO CLINIC ARIZONA PART V, SECTION B, LINE 3: MAYO CLINIC ARIZONA CONDUCTED KEY STAKEHOLDER INTERVIEWS AND MEETINGS WITH NUMEROUS ORGANIZATIONS IN MARICOPA COUNTY THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN THE COUNTY'S HEALTH NEEDS, INCLUDING, BUT NOT LIMITED TO: THE PERFORMANCE IMPROVEMENT COORDINATOR AND EVALUATION TEAM LEADER OF THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, VALLEY OF THE SUN UNITED WAY, CIRCLE OF THE CITY CARE FACILITY FOR THE HOMELESS, AND ARIZONA DEPARTMENT OF HEALTH SERVICES. MAYO CLINIC ARIZONA PART V, SECTION B, LINE 12I: THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED AND UNIQUENESS OF CARE. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED. MAYO CLINIC ARIZONA PART V, SECTION B, LINE 14G: WITH REGARD TO THE POSTINGS WITHIN THE FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHTOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. MAYO CLINIC ARIZONA PART V, SECTION B, LINE 18E: FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS AND STATEMENTS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG. MAYO CLINIC ARIZONA PART V, SECTION B, LINE 20D: THE POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 50% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BESTNEGOTIATED COMMERCIAL RATE. 4 MAYO CLINIC SCOTTSDALE CAMPUS 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 RESEARCH FACILITY/CLINIC/PHARMACY MAYO CLINIC SPECIALTY BUILDING 5777 EAST MAYO BLVD PHOENIX AZ 85054 CLINIC MAYO CLINIC FAMILY MEDICINE - ARROWHEAD 20199 NORTH 75TH AVENUE GLENDALE AZ 85308 CLINIC MAYO CLINIC FAMILY MEDICINE THUNDERBIRD 13737 NORTH 92ND STREET SCOTTSDALE AZ 85260 CLINIC PART I, LINE 6A: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (CHARITY CARE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO. PART I, LINE 7G: THE FOLLOWING COSTS ATTRIBUTED TO PHYSICIAN CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES $10,939,411. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16,082,950. PART II, COMMUNITY BUILDING ACTIVITIES: MCA IS A NOT-FOR-PROFIT ORGANIZATION WITH THE PRIMARY MISSION OF PATIENT CARE. AS A PRIVATE TRUST FOR THE PUBLIC GOOD, MCA IS DEDICATED TO GIVING BACK TO THE COMMUNITIES IN WHICH ITS EMPLOYEES LIVE AND WORK. MCA INVESTS RESOURCES RESPONSIBLY TO PRODUCE THE BEST OUTCOMES FOR PATIENT CARE, EDUCATION, RESEARCH, COMMUNITY ENRICHMENT AND SUSTAINABILITY. THROUGH ITS OFFICE OF COMMUNITY RELATIONS, MCA PARTNERS WITH OTHERS TO ENSURE THAT:- OUR COMMUNITY IS A WELCOMING, HEALTHY ENVIRONMENT- OUR COMMUNITY IS AN ENVIRONMENT THAT ATTRACTS AND SUSTAINS A DIVERSE WORKFORCE TO DELIVER THE BEST PATIENT CAREMCA CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT FOR NEW AND ONGOING PROGRAMS WITHIN ALL AREAS SUPPORTING THE ABOVE GOALS, SUCH AS BASIC HUMAN SERVICES, EDUCATION AND WORKFORCE DEVELOPMENT, YOUTH AND ELDERLY ENRICHMENT OPPORTUNITIES, THE ARTS AND CULTURAL ENRICHMENT, DIVERSITY AND OTHERS. CAPITAL CAMPAIGNS AND MULTI-YEAR GRANTS ARECONSIDERED AS FINANCIAL RESOURCES ALLOW. PRIORITY IS GIVEN TO PROJECTS THAT DEMONSTRATE ONE OR MORE OF THE FOLLOWING:- ADDRESS SIGNIFICANT AND EMERGENT NEEDS WITHIN OUR COMMUNITY (EDUCATION AND WORKFORCE DEVELOPMENT, AFFORDABLE AND ACCESSIBLE COMMUNITY RESOURCES,DIVERSITY)- ENHANCE MCA'S CAPACITY TO MEET ITS MISSION- IMPROVE HEALTH OF INDIVIDUALS IN COMMUNITIES- ENABLE LONG-TERM CAPACITY BUILDING AND SUSTAINABILITY- DEMONSTRATE PARTNERSHIP BUILDING AND COLLABORATION PART III, LINE 2: THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. PART III, LINE 4: FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 5, 6, 8 AND 9 OF MAYO CLINIC'S 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF $223,032,000 AS REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL REPORTED ON THE CORE FORM, PART III INCLUDE: (1) INCLUSION OF MEDICARE ADVANTAGE REVENUE AND EXPENSES; (2) INCLUSION OF PART B REVENUE AND EXPENSES; (3) INCLUSION OF OTHER FEE SCHEDULE REVENUE; AND (4) SOME TIMING ISSUES.REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING EVERY REASONABLE ATTEMPT TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILTY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF MAYO WOULD TELL THE COLLECTION AGENCY TO PURSUE COLLECTIONS ON THE BALANCE OR PARTIAL BALANCE IF THERE WAS A CHARITY ADJUSTMENT. PART VI, LINE 2: MCA WORKS COLLABORATIVELY, THROUGH COMMON GOVERNANCE, WITH ITS AFFILIATED ENTITIES (MAYO CLINIC HOSPITAL, THUNDERBIRD FAMILY PRACTICE & WOMEN'S HEALTH CLINIC AND THE ARROWHEAD FAMILY PRACTICE CLINIC) TO MEET A SEGMENT OF THE HEALTH CARE NEEDS OF THE LOCAL MARICOPA COUNTY COMMUNITY OF APPROXIMATELY 3.5 MILLION RESIDENTS. IN ADDITION, MCA IS PART OF A MULTI-ENTITY, INTEGRATED HEALTHCARE ORGANIZATION THAT WORKS TOGETHER TO MEET THE HEALTH CARE NEEDS OF BROADER REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS "MAYO CLINIC" FOR PURPOSES OF THIS DESCRIPTION. LOCAL MARICOPA COUNTY COMMUNITY -MCA'S EFFORTS TO ASSESS THE HEALTH CARE NEEDS OF THE LOCAL MARICOPA COUNTY COMMUNITY REST ON FOUR GUIDING PRINCIPLES DEVELOPED IN CONJUNCTION WITH COMMUNITY PARTNERS AND AFFIRMED BY MCA LEADERSHIP:1.HEALTH IS VALUED BY BOTH THE COMMUNITY AND MCA.2."HEALTH" IS DETERMINED BY BOTH MEDICAL AND NON-MEDICAL (E.G., SOCIAL AND BEHAVIORAL) FACTORS AND BOTH CATEGORIES OF FACTORS MUST BE ADDRESSED.3.MCA IS COMMITTED TO PRODUCING MEASURABLE IMPROVEMENTS IN THE HEALTH OF MARICOPA COUNTY RESIDENTS, AND BEYOND.4.STRATEGIES TO IMPROVE COMMUNITY HEALTH ARE BEST DETERMINED AND IMPLEMENTED THROUGH PARTNERSHIPS BETWEEN HEALTH CARE PROVIDERS AND COMMUNITY MEMBERS.WITH THESE PRINCIPLES AS THE BASIS OF ITS DECISION MAKING, AND CONSISTENT WITH ITS PRIMARY VALUE OF "THE NEEDS OF THE PATIENT COME FIRST", MCA'S APPROACH TO ASSESS THE NEEDS OF THE COMMUNITY IS ORGANIZED INTO TWO MAIN FUNCTIONS: 1) MECHANISMS TO ENGAGE AND UTILIZE INPUT FROM THE COMMUNITY AND 2) MECHANISMS TO SUPPORT AND COORDINATE INITIATIVES WITHIN MCA.TO ENGAGE AND UTILIZE INPUT FROM THE COMMUNITY, MCA REVIEWS COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY THE GREATER PHOENIX UNITED WAY, THE MARICOPA COUNTY PUBLIC HEALTH DEPARTMENT, THE SOCIETY OF ST. VINCENT DE PAUL AND OTHER COMMUNITY ORGANIZATIONS. IN ADDITION, MCA PROVIDES SHARED CLINICAL CARE AND ADMINISTRATIVE LEADERSHIP FOR MARICOPA COUNTY INTEGRATED HEALTH SYSTEM. MARICOPA COUNTY INTEGRATED HEALTH SYSTEM IS THE MAJOR MARICOPA COUNTY HOSPITAL, SERVING DIVERSE POPULATIONS BOTH ETHNICALLY AND SOCIOECONOMICALLY. IN ADDITION, MCA PROVIDES CLINICAL CARE SUPPORT FOR MULTIPLE HOSPITALS AND CLINICS IN THE VALLEY INCLUDING, BUT NOT LIMITED TO, PHOENIX CHILDREN'S HOSPITAL, PHOENIX INDIAN MEDICAL CENTER, AND MOUNTAIN PARK COMMUNITY HEALTH CLINIC. THESE ORGANIZATIONS WORK TO IDENTIFY AND ADDRESS THE ISSUES OF HEALTH, AND CARE FOR ALL PEOPLE IN MARICOPA COUNTY WITH SPECIAL EMPHASIS ON DIVERSE AND UNDER-RESOURCED POPULATIONS. PRIORITIES ARE ESTABLISHED BASED ON REVIEW OF COMMUNITY-WIDE NEEDS, AN ANALYSIS OF EXISTING HEALTH CARE SERVICES AND BY IDENTIFYING STRATEGIES AND INITIATIVES TO CLOSE HEALTH GAPS. THE PLANNING PROCESS FOR COMMUNITY NEEDS AFFILIATIONS ARE THROUGH MEMORANDUMS OF UNDERSTANDING, BOARD MEMBERSHIP AND COMMUNITY MEETINGS BETWEEN THE COMMUNITY HEALTH AND CARE RESOURCES, AND MCA. THE INFORMATION IN THESE ASSESSMENTS IS USED TO DETERMINE HEALTH CARE SERVICES AVAILABLE, AND TO IDENTIFY GAPS THAT CAN BE APPROPRIATELY ALIGNED AND ADDRESSED IN MCA'S RESPONSE TO THE HEALTH CARE NEEDS OF THE COMMUNITY. WITHIN MCA, COORDINATION OF COMMUNITY ENGAGEMENT INITIATIVES ARE ACCOMPLISHED THROUGH MCA'S EDUCATION COMMITTEE, DIVISION OF CONTINUING MEDICAL EDUCATION, OFFICE FOR PUBLIC AFFAIRS, CLINICAL PRACTICE COMMITTEE, COMMUNITY & BUSINESS RELATIONS WORK GROUP, GUIDED BY MCA EXECUTIVE OPERATIONS TEAM. THESE GROUPS ENSURE THE GUIDING PRINCIPLES ARE FOLLOWED AND FACILITATE COMMUNITY ACCESS TO AND PARTICIPATION IN MCA PATIENT CARE ACTIVITIES AND COMMUNITY OUTREACH INITIATIVES. THE MCA COMMUNITY & BUSINESS RELATIONS WORK GROUP (C&BRWG) INCLUDES THE DIRECTOR OF COMMUNITY AFFAIRS SO THAT THE VOICE OF THE COMMUNITY IS HEARD. THE C&BRWG REPORTS DIRECTLY TO MCA'S EXECUTIVE OPERATIONS TEAM. THE ROLES OF THE C&BRWG ARE TO FORMULATE AND MONITOR IMPLEMENTATION OF OVERALL MCA COMMUNITY ENGAGEMENT STRATEGIES AND TO FOSTER THE DEVELOPMENT OF LONG-TERM, BI-DIRECTIONAL, MUTUALLY BENEFICIAL RELATIONSHIPS BETWEEN MCA AND THE LOCAL MARICOPA COUNTY COMMUNITY. THE C&BRWG MEETS MONTHLY AND HAS REGULAR SCHEDULED REPORTS TO INSTITUTIONAL GOVERNANCE COMMITTEES, AND PERIODIC UPDATES TO THE PRESIDENT AND CEO OF MCA.AS A RESULT OF THE COMMUNITY AND BUSINESS RELATIONS WORK GROUP ACTIVITY, ADDITIONAL RELATIONSHIPS WERE FORGED IN 2012 TO HELP WITH CHALLENGES OF ACCESS TO MEDICAL CARE BY POPULATIONS THAT WERE GOING UNDERSERVED IN MARICOPA COUNTY. THE PARTNERSHIP WITH CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS WAS DEVELOPED TO ASSIST WITH CLINICAL CARE, ADMINISTRATIVE BOARD ROLES, IN KIND CONTRIBUTIONS OF HUMAN RESOURCES AND DURABLE MEDICAL GOODS AND EQUIPMENT.FROM A RESEARCH PERSPECTIVE MCA IS ACTIVELY ENGAGED IN CLINICALLY BASED RESEARCH AND PARTNERS WITH MULTIPLE ENTITIES AT ARIZONA STATE UNIVERSITY (ASU), AND THE ASU SOUTHWEST INTERDISCIPLINARY RESEARCH CENTER. THE SOUTHWEST INTERDISCIPLINARY RESEARCH CENTER (SIRC) IS AN EXPLORATORY CENTER OF EXCELLENCE CONDUCTING TRANS-DISCIPLINARY MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH, TRAINING AND COMMUNITY OUTREACH.REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES -IN ADDITION TO ITS PRINCIPAL CLINICAL AND HOSPITAL FACILITIES IN: ROCHESTER, MINNESOTA, SCOTTSDALE/PHOENIX, ARIZONA AND JACKSONVILLE, FLORIDA, MAYO CLINIC HAS A NETWORK OF COMMUNITY BASED HEALTH CARE PROVIDERS IN OVER 70 COMMUNITIES THROUGHOUT SOUTHERN MINNESOTA, NORTHERN IOWA, WEST CENTRAL WISCONSIN AND IN GEORGIA. MAYO CLINIC SUPPORTS AND COORDINATES EFFORTS TO IMPROVE THE HEALTH AND WELL BEING WITHIN EACH OF THE COMMUNITIES IT SERVES AS WELL AS CONDUCTING MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF MEDICINE TO BENEFIT A BROAD RANGE OF REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES. PART VI, LINE 3: MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE BY POSTING IT ON THEIR WEBPAGE INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY AND APPLICATION FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST. THE POLICY EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. PART VI, LINE 4: MCA IS LOCATED IN THE GREATER PHOENIX METROPOLITAN AREA. THE OUTPATIENT CLINIC IS IN THE NORTHEAST QUADRANT OF SCOTTSDALE, AZ. THE MAYO CLINIC INPATIENT HOSPITAL IS LOCATED IN NORTH PHOENIX, APPROXIMATELY 13 MILES NORTHWEST OF THE SCOTTSDALE LOCATION. BOTH PHOENIX AND SCOTTSDALE ARE MORE URBAN AND SUBURBAN COMMUNITIES. HOWEVER, MAYO CLINIC OF ARIZONA RESIDES IN MARICOPA COUNTY - THE LARGEST COUNTY IN THE STATE AND 4TH LARGEST IN THE UNITED STATES. IN ADDITION TO LARGE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES, IT ALSO HAS A LARGER SERVICE DELIVERY AREA OF RURAL AND FARM COMMUNITIES. MARICOPA COUNTY HAS AN ESTIMATED POPULATION OF NEARLY 4 MILLION.POPULATION: IN 2008-2012, MARICOPA COUNTY HAD A TOTAL POPULATION OF APPROXIMATELY 3.9 MILLION - 1.9 MILLION (50 PERCENT) FEMALES AND 1.9 MILLION (50 PERCENT) MALES. THE MEDIAN AGE WAS 34.6 YEARS. TWENTY-FIVE PERCENT OF THE POPULATION WAS UNDER 18 YEARS AND 13.4 PERCENT WAS 65 YEARS AND OLDER.INCOME: THE MEDIAN INCOME OF HOUSEHOLDS IN MARICOPA COUNTY WAS $54,385. EIGHTY PERCENT OF THE HOUSEHOLDS RECEIVED EARNINGS AND 16.5 PERCENT RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. TWENTY-SIX PERCENT OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THE AVERAGE INCOME FROM SOCIAL SECURITY WAS $18,007. THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE; THAT IS, SOME HOUSEHOLDS RECEIVED INCOME FROM MORE THAN ONE SOURCE. POVERTY AND PARTICIPATION IN GOVERNMENT PROGRAMS: IN 2008-2012, 15.8 PERCENT OF PEOPLE WERE IN POVERTY. TWENTY-TWO PERCENT OF RELATED CHILDREN UNDER 18 WERE BELOW THE POVERTY LEVEL, COMPARED WITH 7.4 PERCENT OF PEOPLE 65 YEARS OLD AND OVER. TWELVE PERCENT OF ALL FAMILIES AND 28.6 PERCENT OF FAMILIES WITH A FEMALE HOUSEHOLDER AND NO HUSBAND PRESENT HAD INCOMES BELOW THE POVERTY LEVEL. THE EXPONENTIAL POPULATION GROWTH OF MARICOPA COUNTY IN THE 80'S AND 90'S WAS DUE IN PART TO VARYING INDUSTRIES WHO CHOSE ARIZONA AS THEIR CORPORATE HEADQUARTERS FOR THE CLIMATE, LOW COST OF LIVING AND HOUSING, LOCATION AND PROXIMITY TO MANY LARGER BUSINESS COMMUNITIES, AND A WORKFORCE BASE TO SUPPORT THEIR INDUSTRY. THIS PERIOD ATTRACTED BOTH YOUNG UPWARDLY MOBILE PROFESSIONALS, AND YOUNG FAMILIES. HOWEVER, THE HEALTHCARE COMMUNITY DID NOT GROW AS RAPIDLY AS THE SURGE IN POPULATION FOR MARICOPA COUNTY. AT THE TIME, THE CONSTRUCTION OF THE MAYO CLINIC HOSPITAL IN 1998 WAS THE FIRST HOSPITAL BUILT IN MARICOPA IN 20 YEARS. SINCE THAT TIME THE HEALTHCARE COMMUNITY HAS BEEN TRYING TO CATCH UP WITH ADDITIONAL HOSPITALS BEING BUILT TO MAINTAIN THE MEDICAL HEALTH OF THE MARICOPA COUNTY COMMUNITIES. MCA IS A SPECIALTY REFERRAL CENTER AND HAS AN ANNUAL PATIENT POPULATION OF NEARLY 100,000 PATIENTS PER YEAR. THIS SPECIALTY REFERRAL CENTER MODEL MAKES THE SERVICE DELIVERY AREA QUITE BROAD. EVERY STATE IN THE UNION IS REPRESENTED IN THE MAYO CLINIC PATIENT POPULATION. HOWEVER, APPROXIMATELY MORE THAN 60 PERCENT OF THE MAYO CLINIC IN ARIZONA PATIENT POPULATION IS REFERRED FROM THE LOCAL COUNTY. THE PHOENIX METROPOLITAN AREA HAS A UNIQUE DEMOGRAPHIC COMPOSITION. ARIZONA HAS ONE OF THE LARGEST AMERICAN INDIAN POPULATIONS IN THE UNITED STATES. WHILE THE PERCENTAGE OF THE DEMOGRAPHIC POPULATION OF AMERICAN INDIANS IS ONLY SLIGHTLY HIGHER THAN TWO PERCENT IN AZ, THE PROPORTION OF TOTAL AMERICAN INDIANS IN THE COUNTRY THAT RESIDE IN ARIZONA IS A LARGE PERCENTAGE OF THE TOTAL POPULATION. ARIZONA HAS 17 MAJOR TRIBES THROUGHOUT THE STATE. PROVISIONS FOR HEALTHCARE ON AMERICAN INDIAN LAND ARE OFTEN THROUGH THE BUREAU OF INDIAN AFFAIRS COMBINED WITH SPECIALTY CARE REFERRAL TO OTHER MEDICAL FACILITIES WITHIN THEIR SERVICE DELIVERY AREA. THERE ARE ALSO TRIBES THAT HAVE OPTED OUT OF THE FEDERALLY FUNDED MEDICAL CARE. THOSE TRIBES HAVE DIRECT ACCESS TO HEALTHCARE PROVIDERS IN THEIR SERVICE DELIVERY AREA. IN ADDITION TO THE AMERICAN INDIAN POPULATION, NEARLY 25 PERCENT OF THE POPULATION OF MARICOPA COUNTY IS LATINO, LARGELY MEXICAN. THE NUMBER OF THE UNDOCUMENTED POPULATION IS UNCLEAR. BUT, IT IS ESTIMATED THAT ARIZONA HAS THE LARGEST POPULATION OF MEXICAN UNDOCUMENTED IMMIGRANTS IN THE UNITED STATES. THE REMAINING TAPESTRY OF ARIZONA IS DIVERSE BOTH IN ETHNIC MAKE-UP AS WELL AS AGE DEMOGRAPHIC. IN ADDITION TO THE LOCAL REFERRED PATIENTS, THE REMAINING PATIENTS ARE LARGELY FROM THE SOUTHWEST REGION OF THE UNITED STATES WITH A SMALLER INTERNATIONAL POPULATION OF PATIENTS. MAYO CLINIC IN ARIZONA SERVES THE POPULATION OF THE SCOTTSDALE/PHOENIX METROPOLITAN AREA AS WELL AS A WIDER REGIONAL, NATIONAL, AND EVEN INTERNATIONAL POPULATION. 35% OF THE PATIENT POPULATION SERVED COMES FROM OUTSIDE THE METROPOLITAN AREA. ALTHOUGH THE FILING ORGANIZATION SERVES A WIDE RANGE OF NEEDS INCLUDING PRIMARY CARE, IT IS PARTICULARLY KNOWN FOR ITS TERTIARY CARE AND TREATMENT OF THE MORE UNUSUAL AND DIFFICULT MEDICAL CASES. PART VI, LINE 5: THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION - EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDS: MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. COMMUNITY REPRESENTATION ON GOVERNING BODY: THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE FILING ORGANIZATION, WHICH IS CONTROLLED BY MAYO CLINIC, RELIES ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT. SEVERAL OF MAYO CLINIC'S HOSPITAL ENTITIES HAVE OBTAINED LETTER RULINGS APPROVING A STAFF MODEL IN WHICH ONLY MAYO CLINIC EMPLOYED PHYSICIANS ARE GIVEN STAFF PRIVILEGES IN ORDER TO MAINTAIN STANDARD METHODS OF PRACTICE AND PROTOCOLS. FOR THOSE ENTITIES, THE PHYSICIANS ARE SALARIED EMPLOYEES AND THUS THE ISSUE OF PRIVATE INUREMENT AND PRIVATE BENEFIT ADDRESSED BY THE OPEN STAFF REQUIREMENT ARE OTHERWISE ADDRESSED. THE FILING ORGANIZATION IS ONE OF THE ENTITIES WHICH OPERATES BASED ON THE CLOSED STAFF MODEL. EMERGENCY ROOM: THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY. PART VI, LINE 6: THIS ORGANIZATION IS PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH MAYO CLINIC. MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." MORE THAN 4,000 STAFF PHYSICIANS AND SCIENTISTS, 3,400 RESIDENTS, FELLOWS, AND STUDENTS, AND 53,000 ALLIED HEALTH STAFF WORK AT MAYO CLINIC, WHICH HAS SITES IN ROCHESTER, MINNESOTA, JACKSONVILLE, FLORIDA, AND SCOTTSDALE/PHOENIX, ARIZONA, AS WELL AS A REGIONAL NETWORK OF HOSPITALS AND CLINICS IN MINNESOTA, WISCONSIN, GEORGIA AND IOWA. COLLECTIVELY, MORE THAN HALF A MILLION PEOPLE ARE TREATED EACH YEAR.SPECIFICALLY, THE FILING ORGANIZATION PROVIDES MEDICAL EDUCATION, RESEARCH, HOSPITAL SERVICES AND CLINIC SERVICES AT THE ARIZONA LOCATION. FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). PART VI LINE 7: NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION. 1 AMERICAN CANCER SOCIETY GREAT WEST DIVISION 4550 E BELL ROAD SUITE 126 PHOENIX AZ 85032 841316555 501(C)(3) 55000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE AMERICAN HEART ASSOCIATION 710 SECOND AVENUE 900 SEATTLE WA 98104 135613797 501(C)(3) 30000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE AMERICAN LIVER FOUNDATION 4545 E SHEA BLVD 164 PHOENIX AZ 85028 362883000 501(C)(3) 40550 SUPPORT ORGANIZATION'S EXEMPT PURPOSE ARIZONA STATE UNIVERSITY PO BOX 870502 TEMPE AZ 85287 860196696 STATE OF AZ 683423 RESEARCH GRANT SUBCONTRACT ARIZONA TRANSPLANT HOUSE FOUNDATION INC 5811 E MAYO BLVD PHOENIX AZ 85054 860936101 501(C)(3) 40000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE DANA FARBER CANCER INSTITUTE 44 BINNEY ST STE BP600 BOSTON MA 02115 042263040 501(C)(3) 19524 RESEARCH GRANT SUBCONTRACT DIVERSITY LEADERSHIP ALLIANCE 3519 E DESERT COVE AVE PHOENIX AZ 85028 202260284 501(C)(3) 10000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE DONOR NETWORK OF ARIZONA 201 W COOLIDGE ST PHOENIX AZ 85013 860707697 501(C)(3) 15000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE EPILEPSY FOUNDATION ARIZONA 240 W THOMAS 2ND FLOOR PHOENIX AZ 85013 866080639 501(C)(3) 6500 SUPPORT ORGANIZATION'S EXEMPT PURPOSE MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 501(C)(3) 12278864 SUPPORT ORGANIZATION'S EXEMPT PURPOSE MEDICAL COLLEGE OF WISCONSIN PO BOX 26509 MILWAUKEE WI 53226 390806261 501(C)(3) 13588 RESEARCH GRANT SUBCONTRACT NATIONAL MULTIPLE SCLEROSIS SOCIETY - ARIZONA CHAPTER 5025 E WASHINGTON SUITE 102 PHOENIX AZ 85034 860180887 501(C)(3) 10500 SUPPORT ORGANIZATION'S EXEMPT PURPOSE THE LEUKEMIA & LYMPHOMA SOCIETY INC 3877 N 7TH ST SUITE 300 PHOENIX AZ 85014 135644916 501(C)(3) 17925 SUPPORT ORGANIZATION'S EXEMPT PURPOSE THE THUNDERBIRDS 7226 N 16TH ST STE 100 PHOENIX AZ 85020 860373052 501(C)(6) 10000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE 445 N 5TH ST STE 600 PHOENIX AZ 85004 753065445 501(C)(3) 832905 RESEARCH GRANT SUBCONTRACT NATIONAL KIDNEY FOUNDATION OF ARIZONA 4203 E INDIAN SCHOOL RD NO 140 PHOENIX AZ 85018 866052343 501(C)(3) 8650 SUPPORT ORGANIZATION'S EXEMPT PURPOSE NORTH AMERICAN QUITLINE CONSORTIUM 3219 E CAMELBACK ROAD ROOM 416 PHOENIX AZ 85018 270142713 501(C)(3) 53260 RESEARCH GRANT SUBCONTRACT WASHINGTON UNIVERSITY 660 S EUCLID AVE ST LOUIS MO 63110 430653611 501(C)(3) 45000 RESEARCH GRANT SUBCONTRACT BANNER HEALTH RESEARCH INSTITUE 926 EAST MCDOWELL ROAD STE 122 PHOENIX AZ 85006 450233470 501(C)(3) 8091 RESEARCH GRANT SUBCONTRACT NANOSCALE COMBINATORIAL SYNTHESIS INC 3100 CENTRAL EXPRESSWAY SANTA CLARA CA 95051 860909295 154727 RESEARCH GRANT SUBCONTRACT OREGON HEALTH & SCIENCES UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND OR 972393098 931176109 283471 RESEARCH GRANT SUBCONTRACT VALLEY OF THE SUN UNITED WAY PO BOX 10748 PHOENIX AZ 850640748 860104419 501(C)(3) 20000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE DIOCESAN COUNCIL FOR THE SOCIETY OF ST VINCENT DE PAUL DIOCESE PHOENIX PO BOX 13600 PHOENIX AZ 850023600 860096789 501(C)(3) 20000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE THE WELLNESS COMMUNITY ARIZONA 360 EAST PALM LANE PHOENIX AZ 85004 860897810 501(C)(3) 10000 SUPPORT ORGANIZATION'S EXEMPT PURPOSE BLACK HILLS CENTER FOR AMERICAN INDIAN HEALTH 701 ST JOSEPH ST STE 204 RAPID CITY SC 577012776 460451715 501(C)(3) 557232 RESEARCH GRANT SUBCONTRACT UNIVERSITY OF ARIZONA PO BOX 3520 TUCSON AZ 857223520 742652689 STATE OF AZ 220597 RESEARCH GRANT SUBCONTRACT MEDICAL UNIVERSITY OF SOUTH CAROLINA PO BOX 250754 CHARLESTON SC 29425 576000722 STATE OF SC 85475 RESEARCH GRANT SUBCONTRACT GFK CUSTOM RESEACH LLC PO BOX 347353 PITTSBURGH PA 152514353 362948619 58802 RESEARCH GRANT SUBCONTRACT AMERICAN NONSMOKERS' RIGHTS FOUNDATION 2530 SAN PABLO AVE SUITE J BERKELEY CA 94702 942922136 501(C)(3) 54600 RESEARCH GRANT SUBCONTRACT CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI OH 452293039 310833936 501(C)(3) 25587 RESEARCH GRANT SUBCONTRACT REGENTS OF THE UNIV OF MN DBA UNIVERSITY OF MN 2221 UNIV AVE SE STE 111 MINNEAPOLIS MN 55414 416007513 STATE OF MN 8376 RESEARCH GRANT SUBCONTRACT 27 4 FINANCIAL HARDSHIP 3715 RESEARCH SUBAWARD 1 24000 PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY THE FILING ORGANIZATION AS PRESCRIBED IN OMB CIRCULAR A-133. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS 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. X X X 1 1 0 1 0 0 0 0 0 0 0 PAIGE SR KEVIN A ASST SECRETARY/DIRECTOR 309247 0 0 0 29947 0 37171 0 20971 0 397336 0 0 0 DECKER MD WYATT W CHAIR/CEO/DIRECTOR 735151 0 0 0 89581 0 23135 0 21413 0 869280 0 0 0 ANDREWS MD PAUL E DIRECTOR 489534 0 0 0 69763 0 26807 0 32275 0 618379 0 0 0 BLAIR MD JANIS E DIRECTOR 208221 0 0 0 5970 0 21379 0 25559 0 261129 0 0 0 CONNOLLY TERESA L DIRECTOR 210009 0 0 0 502 0 17747 0 19661 0 247919 0 0 0 FONSECA MD RAFAEL DIRECTOR 371114 0 0 0 82535 0 19948 0 25555 0 499152 0 0 0 KRAHN MD LOIS E DIRECTOR 345447 0 0 0 17988 0 23741 0 21081 0 408257 0 0 0 MAYER MD ANITA P DIRECTOR 229816 0 0 0 22442 0 29533 0 20844 0 302635 0 0 0 STEWART ALEXANDER KEITH DIRECTOR 389799 0 0 0 20418 0 25934 0 21635 0 457786 0 0 0 ZIMMERMAN MD RICHARD S DIRECTOR 704063 0 0 0 150086 0 28063 0 28198 0 910410 0 0 0 FREY MD KEITH A DIRECTOR (1/1-12/2) 275218 0 0 0 14718 0 36590 0 19902 0 346428 0 0 0 MENKOSKY PAULA E SECRETARY/DIRECTOR 381640 0 0 0 18004 0 22766 0 27698 0 450108 0 0 0 FROISLAND JEFFREY R TREASURER/DIRECTOR 0 264194 0 0 0 3381 0 21953 0 12912 0 302440 0 0 STONE MD WILLIAM M VICE CHAIR/DIRECTOR 522612 0 0 0 104395 0 30672 0 21027 0 678706 0 0 0 GORMAN MD R SCOTT VICE CHAIR/DIRECTOR (1/1-6/30) 175528 0 0 0 46018 0 39428 0 4388 0 265362 0 0 0 BROWN MICHAEL E ASST SECRETARY/LEGAL COUNSEL 0 200714 0 0 0 757 0 19286 0 8316 0 229073 0 0 TRENTMAN MD TERRANCE L PHYSICIAN 423356 0 0 0 48109 0 23498 0 25927 0 520890 0 0 0 EDWARDS MD FREDERICK D PHYSICIAN 227469 0 0 0 2730 0 33426 0 14867 0 278492 0 0 0 HAROLD MD KRISTI L PHYSICIAN 435851 0 0 0 26949 0 16580 0 8257 0 487637 0 0 0 MESA MD RUBEN A PHYSICIAN 368007 0 0 0 19199 0 17817 0 21191 0 426214 0 0 0 TAZELAAR MD HENRY D PHYSICIAN 394561 0 0 0 68161 0 32526 0 20212 0 515460 0 0 0 LYONS MD MARK K PHYSICIAN 700252 0 0 0 127726 0 26631 0 21635 0 876244 0 0 0 SIRVEN MD JOSEPH I PHYSICIAN 307332 0 0 0 13495 0 22676 0 24191 0 367694 0 0 0 MAGTIBAY MD PAUL M PHYSICIAN 495188 0 0 0 54999 0 22304 0 22934 0 595425 0 0 0 HATTRUP MD STEVEN J PHYSICIAN 544465 0 0 0 82925 0 30362 0 18294 0 676046 0 0 0 HAYDEN MD RICHARD E PHYSICIAN 471157 0 0 0 71696 0 142 0 15629 0 558624 0 0 0 SCHILD MD STEVEN E PHYSICIAN 487912 0 0 0 67553 0 24894 0 13320 0 593679 0 0 0 JOHNSON MD C DANIEL PHYSICIAN 581706 0 0 0 99932 0 36264 0 15617 0 733519 0 0 0 MONEY MD SAMUEL R PHYSICIAN 503716 0 0 0 56094 0 30212 0 17111 0 607133 0 0 0 LEIGHTON MD JONATHAN A PHYSICIAN 450448 0 0 0 55817 0 32927 0 23444 0 562636 0 0 0 COLE MD DANIEL J PHYSICIAN 412346 0 0 0 53497 0 32274 0 21644 0 519761 0 0 0 MUELLER MD JEFF T PHYSICIAN 428391 0 0 0 38544 0 22624 0 9280 0 498839 0 0 0 EVERSMAN MD WILLIAM G PHYSICIAN 551382 0 0 0 112806 0 30472 0 25185 0 719845 0 0 0 MULLIGAN MD DAVID C PHYSICIAN 357097 0 0 0 115694 0 29040 0 18763 0 520594 0 0 0 SWANSON MD SCOTT K PHYSICIAN 487735 0 0 0 73427 0 36326 0 22590 0 620078 0 0 0 FOWL MD RICHARD J PHYSICIAN 477487 0 0 0 87766 0 37303 0 8316 0 610872 0 0 0 DE VALERIA MD PATRICK A PHYSICIAN 640915 0 0 0 84729 0 27708 0 24635 0 777987 0 0 0 LANZA MD LOUIS A PHYSICIAN 643291 0 0 0 119440 0 35013 0 20927 0 818671 0 0 0 PAJARO MD OCTAVIO E PHYSICIAN 643996 0 0 0 41313 0 6380 0 20844 0 712533 0 0 0 BIRCH MD BARRY D PHYSICIAN 688751 0 0 0 94235 0 20041 0 29634 0 832661 0 0 0 PATEL MD NARESH P PHYSICIAN 692939 0 0 0 63086 0 16718 0 20136 0 792879 0 0 0 TRASTEK MD VICTOR F PHYSICIAN/FMR CEO/FMR CHAIR 0 720744 0 0 0 142434 0 42467 0 20076 0 925721 0 0 ANDERSON JAMES G DIVISION CHAIR/FMR SECY-TREASURER 232023 0 0 0 12663 0 0 0 14568 0 259254 0 0 0 HELMERS MD RICHARD A FORMER VICE CHAIR 427216 0 0 0 83125 0 34851 0 14568 0 559760 0 0 0 THOMAS GREGORY J INTERIM ADMIN CHAIR/FMR SECY-TREAS 0 387572 0 0 0 87577 0 52 0 8740 0 483941 0 0 ARABIA MD FRANCISCO A FORMER KEY EMPLOYEE 115 0 0 0 102736 0 30040 0 0 0 132891 0 0 0 BEAUCHAMP MD CHRISTOPHER P FORMER KEY EMPLOYEE 534265 0 0 0 102664 0 36356 0 20844 0 694129 0 0 0 COLBY MD THOMAS V FORMER KEY EMPLOYEE 333978 0 0 0 90481 0 126 0 17993 0 442578 0 0 0 DOUGLAS MD DAVID D FORMER KEY EMPLOYEE 430136 0 0 0 61646 0 26630 0 29635 0 548047 0 0 0 FERRIGNI MD ROBERT G FORMER KEY EMPLOYEE 460951 0 0 0 78460 0 37077 0 18807 0 595295 0 0 0 FITCH MD TOM R FORMER KEY EMPLOYEE 345811 0 0 0 45597 0 34660 0 17310 0 443378 0 0 0 MARLER RONALD J FORMER KEY EMPLOYEE 111980 0 0 0 1757 0 20423 0 19364 0 153524 0 0 0 ROBERTS MD DANIEL L FORMER KEY EMPLOYEE 240303 0 0 0 1789 0 13064 0 20229 0 275385 0 0 0 SCOTT MD LUIS R FORMER KEY EMPLOYEE 479338 0 0 0 56261 0 20921 0 25898 0 582418 0 0 0 SMITH MD ANTHONY A FORMER KEY EMPLOYEE 538953 0 0 0 84743 0 39417 0 24635 0 687748 0 0 0 WINGERCHUK MD DEAN M FORMER KEY EMPLOYEE 262009 0 0 0 1799 0 16397 0 20848 0 301053 0 0 0 YOUNG-FADOK MD TONIA M FORMER KEY EMPLOYEE 448042 0 0 0 43129 0 24259 0 13211 0 528641 0 0 0 PART I, LINE 1A WYATT W. DECKER, M.D. WHO ALSO SERVED ON THE BOARD OF TRUSTEES OF MAYO CLINIC, THE PARENT COMPANY, WAS PROVIDED COMPANION TRAVEL SO THAT HIS SPOUSE COULD ACCOMPANY HIM TO THE BOARD OF TRUSTEES MEETINGS. THIS WAS TREATED AS TAXABLE INCOME TO THE BOARD MEMBER. DAVID MULLIGAN, M.D. WAS PROVIDED COMPANION TRAVEL SO THAT HIS SPOUSE COULD ACCOMPANY HIM TO ANOTHER MAYO SITE FOR RECRUITMENT PURPOSES. MAYO EMPLOYEES WHO INCUR REDUCTIONS IN THEIR NET PAY AS A RESULT OF WORKING OUTSIDE THEIR HOME STATE RECEIVE A SUPPLEMENTAL PAYMENT TO HELP OFFSET THE COST OF THE STATE INCOME TAXES INCURRED. SEVERAL LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC STAFF. SEVERAL OF THE CURRENT AND FORMER OFFICERS, DIRECTORS, AND KEY EMPLOYEES LISTED ON THIS RETURN RECEIVED THIS SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. TWO OF THE LISTED PERSONS RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN SUCH AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. PART I, LINE 4B THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ANDERSON, JAMES G. $ 7,000 ANDREWS M.D., PAUL E. $ 67,340 ARABIA M.D., FRANCISCO A. $ 83,859 BEAUCHAMP M.D., CHRISTOPHER P. $ 80,328 BIRCH M.D., BARRY D. $ 91,649 BLAIR, JANIS E. $ 173 COLBY M.D., THOMAS V. $ 43,287 COLE M.D., DANIEL J. $ 36,964 DE VALERIA M.D., PATRICK A. $ 81,759 DECKER M.D., WYATT W. $ 86,439 DOUGLAS M.D., DAVID D. $ 49,415 EDWARDS M.D., FREDERICK D. $ 940 EVERSMAN M.D., WILLIAM G. $ 89,417 FERRIGNI M.D., ROBERT G. $ 62,063 FITCH M.D., TOM R. $ 28,345 FONSECA M.D., RAFAEL $ 33,172 FOWL M.D., RICHARD J. $ 66,150 FREY M.D., KEITH A. $ 11,426 FROISLAND, JEFFREY R. $ 2,262 GORMAN M.D., R. SCOTT $ 19,826 HAROLD M.D., KRISTI L. $ 25,687 HATTRUP M.D., STEVEN J. $ 78,928 HAYDEN M.D., RICHARD E. $ 61,336 HELMERS M.D., RICHARD A. $ 49,776 JOHNSON M.D., C. DANIEL $ 92,217 KRAHN M.D., LOIS E. $ 16,716 LANZA M.D., LOUIS A. $110,412 LEIGHTON M.D., JONATHAN A. $ 52,215 LYONS M.D., MARK K. $124,999 MAGTIBAY M.D., PAUL M. $ 52,565 MAYER M.D., ANITA P. $ 5,673 MENKOSKY, PAULA E. $ 16,612 MESA M.D., RUBEN A. $ 15,626 MONEY M.D., SAMUEL R. $ 52,359 MUELLER M.D., JEFF T. $ 36,964 MULLIGAN M.D., DAVID C. $ 61,449 PAIGE SR., KEVIN A. $ 25,539 PAJARO M.D., OCTAVIO E. $ 38,933 PATEL M.D., NARESH P. $ 61,099 SCHILD M.D., STEVEN E. $ 65,752 SCOTT M.D., LUIS R. $ 35,062 SIRVEN M.D., JOSEPH I. $ 11,756 SMITH M.D., ANTHONY A. $ 77,528 STEWART, ALEXANDER KEITH $ 18,372 STONE M.D., WILLIAM M. $ 81,012 SWANSON M.D., SCOTT K. $ 66,823 TAZELAAR M.D., HENRY D. $ 41,833 THOMAS, GREGORY J. $ 41,708 TRASTEK M.D., VICTOR F. $133,000 WINGERCHUK M.D., DEAN M. $ 1,187 YOUNG-FADOK M.D., TONIA M. $ 40,877 ZIMMERMAN M.D., RICHARD S. $130,599 TRENTMAN M.D., TERRANCE L. $ 35,914 PART I, LINE 3 THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. PART III: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. A INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF MARICOPA COUNTY 860445263 566816HJ6 2006-05-11 51044714 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 A 53731834 3777160 310641 49644033 2008 0 0 1 1 A 0 0 1 0 1 0 0.00190 0.00130 0.00320 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF MARICOPA COU DATE THE REBATE COMPUTATION WAS PERFORMED: 01/04/2011 SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3 DIFFERENCE BETWEEN PART I COLUMN (E) AND PART II LINE 3 FOR BOND ISSUE A IS INVESTMENT EARNINGS. THERESE A JOHNSON FAMILY RELATIONSHIP - SPOUSE OF KEY EMPLOYEE C. DANIEL JOHNSON, M.D. 96556 COMPENSATION 0 LINDA Q PAIGE FAMILY RELATIONSHIP - SPOUSE OF OFFICER KEVIN A. PAIGE 140053 COMPENSATION 0 PATRICIA MONROE-FOWL CRNA FAMILY RELATIONSHIP - SPOUSE OF KEY EMPLOYEE RICHARD J. FOWL, M.D. 223322 COMPENSATION 0 MMSI INC COMMON BOARD MEMBERS 44038164 THIRD PARTY PAYOR AND ADMINISTRATION FEES 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: BROWN, MICHAEL E. FROISLAND, JEFFREY R. THOMAS, GREGORY J. TRASTEK M.D., VICTOR F. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BROWN, MICHAEL E. FROISLAND, JEFFREY R. FROISLAND, JEFFREY R., MENKOSKY, PAULA E. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION, A RELATED TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 3 MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS MAYO CLINIC. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF THE GOVERNING BODY IS SUBJECT TO CONFIRMATION BY THE MAYO CLINIC BOARD OF GOVERNORS. THE MANAGEMENT OF THIS CORPORATION AND ITS AFFAIRS SHALL BE VESTED IN A MAYO CLINIC ARIZONA EXECUTIVE OPERATIONS TEAM. FORM 990, PART VI, SECTION A, LINE 7B THE ARTICLES PROVIDE THE SOLE CORPORATE MEMBER POWER IN AREAS SUCH AS COMPENSATION, CAPITAL, BUDGET, DEBT AND APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE FILING ORGANIZATION'S TREASURER AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY. IT IS PLACED ON THE BOARD PORTAL AND MEMBERS RECEIVE AN EMAIL FROM FINANCE THAT THE 990 IS AVAILABLE TO THEM. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARIES OF THE CEO, CAO, CFO AND THE VICE CHAIRS WERE REVIEWED PURSUANT TO THE PROCESS DESCRIBED BELOW. THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE ARIZONA, FLORIDA, AND ROCHESTER, MINNESOTA CAMPUSES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). FOR THOSE INDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE SALARY AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION, AND GOVERNANCE (GOVERNANCE COMMITTEE) IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS THE COMPENSATION AND BENEFITS FOR PHYSICIANS FROM ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE GOVERNANCE COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF SENIOR PHYSICIAN, ADMINISTRATIVE, AND EXECUTIVE LEADERSHIP POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE. FORM 990, PART VI, SECTION C, LINE 19 THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990. FORM 990, PART IX, LINE 11G I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,750,828. MANAGEMENT AND GENERAL EXPENSES 78,118,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,869,751. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 24,019,418. MANAGEMENT AND GENERAL EXPENSES 1,091,152. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,110,570. FORM 990, PART XI, LINE 9: REFUNDS OF RESEARCH GRANTS -227,279. FILING OF CERTAIN FOREIGN FORMS DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) MAYO CLINIC ARIZONA (EIN: 86-0800150) MAYO CLINIC JACKSONVILLE (EIN: 59-3337028) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 4 AND 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED TAXPAYER NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS, AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED 990, PART I, LINE 4 AND PART VI, LINE 1B INDEPENDENT VOTING MEMBERS THE BOARD OF TRUSTEES OF MAYO CLINIC, THE PARENT ENTITY OF THE MAYO CLINIC-AFFILIATED ENTITIES, IS COMPRISED OF MORE THAN 50% PUBLIC TRUSTEES. BLOOMER LAKEVIEW INC 2110 DUNCAN ROAD BLOOMER WI 54724 391450617 LOW INCOME HOUSING WI 501(C)(3) 7 MCHS--CHIPPEWA VALLEY INC 1 CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 411405254 RETIREMENT LIVING CENTER MN 501(C)(3) 9 MAYO CLINIC 1 FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC 464 SOUTH ST JOSEPH AVENUE ARCADIA WI 54612 391322480 FUNDRAISING FOUNDATION WI 501(C)(3) 9 MCHS--FRANCISCAN HEALTHCARE INC 1 GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER MN 55905 411917516 AMBULANCE SERVICE MN 501(C)(3) 9 MFMER 1 LUTHER LAKESIDE APARTMENTS INC PO BOX 1510 EAU CLAIRE WI 54702 391409024 LOW INCOME HOUSING FOR ELDERLY WI 501(C)(3) 9 MCHS--EAU CLAIRE HOSPITAL INC 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 PATIENT CARE - CLINIC MN 501(C)(3) 9 N/A 1 MAYO CLINIC -- METHODIST HOSPITAL 200 FIRST STREET SW ROCHESTER MN 55905 410739106 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HOSPITAL-- ROCHESTER 200 FIRST STREET SW ROCHESTER MN 55905 410944601 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 860800150 HOSPITAL AND CLINIC AZ 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 590714831 HOSPITAL FL 501(C)(3) 3 MAYO CLINIC JACKSONVILLE 1 MCHS IN WAYCROSS INC 1900 TEBEAU STREET WAYCROSS GA 31501 581667166 HOSPITAL GA 501(C)(3) 3 MAYO CLINIC JACKSONVILLE 1 MCHS--ALBERT LEA AND AUSTIN 1000 FIRST DRIVE NW AUSTIN MN 55912 411404075 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--AUSTIN FOUNDATION 1000 FIRST DRIVE NW AUSTIN MN 55912 300107471 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--ALBERT LEA AND AUSTIN 1 MCHS--CANNON FALLS 1116 WEST MILL STREET CANNON FALLS MN 55009 204156428 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--CHIPPEWA VALLEY INC 1501 THOMPSON STREET BLOOMER WI 54724 390980343 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--EAU CLAIRE CLINIC INC 733 W CLAIREMONT AVE PO BOX 1510 EAU CLAIRE WI 54702 391735831 PATIENT CARE - CLINIC WI 501(C)(3) 3 MAYO CLINIC 0 MCHS--EAU CLAIRE FOUNDATION INC 733 W CLAIREMONT AVE PO BOX 1510 EAU CLAIRE WI 54702 391633407 GRANTMAKING FOUNDATION WI 501(C)(3) 11-I MCHS--EAU CLAIRE CLINIC INC 0 MCHS--EAU CLAIRE HOSPITAL INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 390813418 HOSPITAL WI 501(C)(3) 3 MAYO CLINIC 1 MCHS--FAIRMONT 800 MEDICAL CENTER DRIVE PO BOX 800 FAIRMONT MN 56031 410760836 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MCHS--FRANCISCAN HEALTHCARE FOUNDATION INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391186647 FUNDRAISING FOUNDATION WI 501(C)(3) 7 MCHS--FRANCISCAN HEALTHCARE INC 1 MCHS--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC 310 WEST MAIN STREET SPARTA WI 54656 391423234 FUNDRAISING FOUNDATION WI 501(C)(3) 9 MCHS--FRANCISCAN HEALTHCARE INC 1 MCHS--FRANCISCAN HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391411999 HEALTHCARE SYSTEM PARENT WI 501(C)(3) 11-I MAYO CLINIC 1 MCHS--FRANCISCAN MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE WI 54601 390806374 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--FRANCISCAN HEALTHCARE INC 1 MCHS--HOME HEALTH & HOSPICE INC PO BOX 2060 EAU CLAIRE WI 54702 391491516 HOME HEALTH AND HOSPICE CARE WI 501(C)(3) 9 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--LAKE CITY 500 WEST GRANT STREET LAKE CITY MN 55041 411906820 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--MANKATO 1025 MARSH STREET MANKATO MN 56002 411236756 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--MANKATO HEALTH CARE FOUNDATION 1025 MARSH STREET MANKATO MN 56002 411663357 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--MANKATO 1 MCHS--NEW PRAGUE 301 SECOND STREET NE NEW PRAGUE MN 56071 410723639 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MCHS--NORTHLAND INC 1222 EAST WOODLAND AVENUE BARRON WI 54812 390920634 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--OAKRIDGE INC 13025 EIGHTH STREET PO BOX 70 OSSEO WI 54758 391029430 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--OWATONNA 134 SOUTHVIEW ST OWATONNA MN 55060 411862132 PATIENT CARE - CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--RED CEDAR INC 2321 STOUT ROAD MENOMONIE WI 54751 510190875 HOSPITAL AND CLINIC WI 501(C)(3) 3 MAYO CLINIC 1 MCHS--RED WING 701 HEWITT BOULEVARD RED WING MN 55066 411713783 PATIENT CARE SERVICES MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--SPRINGFIELD 625 NORTH JACKSON AVENUE SPRINGFIELD MN 56087 411893827 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MCHS--ST JAMES 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 410797368 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MCHS--ST JAMES HEALTH CARE FOUNDATION 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 411444129 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--ST JAMES 1 MCHS--SUPPORTIVE HOMECARE INC PO BOX 2060 EAU CLAIRE WI 54702 391686673 HOME HEALTH CARE WI 501(C)(3) 9 MCHS--EAU CLAIRE HOSPITAL INC 1 MCHS--WASECA 501 NORTH STATE STREET WASECA MN 56093 363606405 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 PATIENT CARE - CLINIC FL 501(C)(3) 7 MAYO CLINIC 1 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER MN 55905 411506440 CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES MN 501(C)(3) 9 MAYO CLINIC 1 MAYO KLINIK STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM FUNDRAISING FOUNDATION GM MFMER 1 MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES 200 FIRST STREET SW ROCHESTER MN 55905 412020392 SUPPORT RESEARCH, PRACTICE & EDUCATION MN 501(C)(3) 11-I MAYO CLINIC 1 POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER MN 55905 411494881 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MAYO CLINIC HOSPITAL - ROCHESTER 1 J ORIN EDSON FOUNDATION PO BOX 14580 JACKSON WY 830024580 263002560 FUNDRAISING FOUNDATION WY 501(C)(3) 11-I N/A 0 FRANKLIN HEATING STATION 119 THIRD ST SW ROCHESTER MN 55902 410264830 UTILITY MN N/A PHYSICIAN SOFTWARE SYSTEMS LLC 3333 WARRENVILLE ROAD SUITE 200 LISLE IL 60532 453414836 HEALTHCARE RELATED SOFTWARE IL N/A GMO GLOBAL BOND INVESTMENT FUND 78 SIR JOHN ROGERSONS QUAY DUBLIN 2 EI OTHER FINANCIAL INVESTMENT ACTIVITIES EI N/A 0 HEALTH TRADITION HEALTH PLAN 1808 EAST MAIN STREET ONALASKA WI 54650 391545987 MEDICAL SERVICES COMPANY WI N/A C 0 LOBSS NETWORK SUPPORT 2002 INC 200 FIRST STREET SW ROCHESTER MN 55905 481276150 ADMINISTRATIVE SERVICES MN N/A C 0 MAYO CLINIC GBS MAURITIUS 2ND FLOOR EBENE MEWS 57 EBENE CYBERCITY MP HEALTHCARE MANAGEMENT MP N/A C 0 MCHS--DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH IA 52101 411711329 PATIENT CARE - CLINIC IA N/A C 0 MCHS--PHARMACY & HOME MEDICAL INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 391528920 PHARMACY SERVICES WI N/A C 0 MCHS PHYSICIANS IN WAYCROSS INC 1900 TEBEAU STREET WAYCROSS GA 31501 204363143 PHYSICIAN OFFICES GA N/A C 0 MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER MN 55905 411578020 HOLDING COMPANY MN N/A C 0 MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER MN 55905 SELF INSURANCE POOL CJ N/A C 0 MMSI INC 21 FIRST STREET SW ROCHESTER MN 55905 411547003 THIRD PARTY ADMINISTRATION SERVICES MN N/A C 0 RESOUNDANT INC 221 1ST AVE SW ROCHESTER MN 55902 461661978 MANUFACTURING MEDICAL DEVICE COMPONENT MN N/A C 0 ROCHESTER AIRPORT COMPANY ROUTE 2 ROCHESTER MN 55902 410506870 AIRPORT MANAGEMENT MN N/A C 0 SATILLA HEALTHNET INC 1900 TEBEAU STREET WAYCROSS GA 31501 582151076 HEALTH SERVICES GA N/A C 0 SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE AZ 85259 860870505 COMMERCIAL PROPERTY OWNERS ASSOCIATION AZ MAYO CLINIC ARIZONA C 0.66670 0 THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER MN 55905 208994499 COMMERCIAL PROPERTY OWNERS ASSOCIATION MN N/A C 0 DESTINATION MEDICAL CENTER ECONOMIC DEVELOPMENT AGENCY 50 SOUTH SIXTH STREET SUITE 1500 MINNEAPOLIS MN 554021498 464893585 ECONOMIC DEVELOPMENT MN N/A C 0 CAVALRY CLO III LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ INVESTMENT ACTIVITIES CJ N/A C 0 CHARITABLE LEAD TRUST (2) CHARITABLE TRUST CA N/A T 0 CHARITABLE LEAD TRUST CHARITABLE TRUST MN N/A T 0 CHARITABLE LEAD TRUST CHARITABLE TRUST IL N/A T 0 PERPETUAL TRUST CHARITABLE TRUST ND N/A T 0 PERPETUAL TRUST CHARITABLE TRUST AZ N/A T 0 PERPETUAL TRUST CHARITABLE TRUST LA N/A T 0 PERPETUAL TRUST (2) CHARITABLE TRUST MA N/A T 0 PERPETUAL TRUST CHARITABLE TRUST MN N/A T 0 PERPETUAL TRUST CHARITABLE TRUST MO N/A T 0 CHARITABLE REMAINDER TRUST CHARITABLE TRUST AZ N/A T 0 CHARITABLE REMAINDER TRUST CHARITABLE TRUST CO N/A T 0 CHARITABLE REMAINDER TRUST (7) CHARITABLE TRUST FL N/A T 0 CHARITABLE REMAINDER TRUST CHARITABLE TRUST LA N/A T 0 CHARITABLE REMAINDER TRUST (76) CHARITABLE TRUST MN N/A T 0 CHARITABLE REMAINDER TRUST CHARITABLE TRUST NC N/A T 0 CHARITABLE REMAINDER TRUST CHARITABLE TRUST TX N/A T 0 CHARITABLE REMAINDER TRUST CHARITABLE TRUST CO N/A T 0 CHARITABLE REMAINDER TRUST CHARITABLE TRUST IL N/A T 0 CHARITABLE REMAINDER TRUST CHARITABLE TRUST MI N/A T 0 CHARITABLE REMAINDER TRUST (72) CHARITABLE TRUST MN N/A T 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH L 1251359 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH R 35683860 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH Q 436273708 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH P 438435207 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH M 372216 GAAP MMSI INC S 42127563 GAAP MMSI INC M 1910601 GAAP MAYO CLINIC - METHODIST HOSPITAL L 164697 GAAP