2024-11-15T09:12:19-06:00 2023-12-31 990 2023-01-01 416011702 MAYO CLINIC MAYO 5075381297 200 FIRST STREET SW TAX ROCHESTER MN 55905 JAMES J JANSSEN JR TAX DIRECTOR 5075381297 2024-11-15 1 2023 2024-10-15 13:58:12Z GIANRICO FARRUGIA MD 200 FIRST STREET SW TAX ROCHESTER MN 55905 17736970092 0 5983 X WWW.MAYOCLINIC.ORG X 1919 MN PATIENT CARE, RESEARCH AND EDUCATION 31 18 29044 374 482604528 47481393 2389724888 3328764626 4050774292 3356722496 592500111 649564702 42354919 89919101 7075354210 7424970925 323566414 937924597 0 0 3087079075 3600682164 902800 1233879 49451955 2266407337 1639557695 5677955626 6179398335 1397398584 1245572590 22107639425 23339620165 9578170747 9955393531 12529468678 13384226634 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 4590077525 868938287 3357928867 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. THESE ORGANIZATIONS CONSIST 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 DIAGNOSES 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 COMMUNITIES IN MINNESOTA, WISCONSIN, AND IOWA THROUGH A NETWORK OF COMMUNITY-BASED PHYSICIANS TO PROVIDE QUALITY HEALTH CARE CLOSE TO HOME. THIS NETWORK IS 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. MAYO CLINIC HAS 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. FOR THE 2023-2024 PERIOD, MAYO CLINIC HAD ITS HOSPITAL (MAYO CLINIC HOSPITAL-ROCHESTER) NAMED TO THE BEST HOSPITALS HONOR ROLL BY U.S. NEWS & WORLD REPORT, ALONG WITH BEING RANKED IN THE TOP 50 HOSPITALS IN 13 MEDICAL SPECIALTIES AND EARNED THE HIGHEST HIGH-PERFORMING RATING FOR 20 OF 21 EVALUATED PROCEDURES AND CONDITIONS.MAYO CLINIC OFFERS BOTH SPECIALTY AND PRIMARY CARE IN ITS COMMUNITY PRACTICES AND MAINTAINS A POPULATION HEALTH OFFICE. 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 130 COUNTRIES COME TO MAYO CLINIC FOR CARE. DURING 2023, APPROXIMATELY 453,000 PATIENT VISITS WERE RECORDED BY MAYO CLINIC AND ITS AFFILIATED HOSPITAL IN ROCHESTER, MN. TOTAL PATIENT VISITS FOR MAYO CLINIC AND ITS AFFILIATES DURING 2023 WERE OVER 1.3 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 2023, THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICAID AND MINNESOTA CARE (A PROGRAM THAT PROVIDES MEDICAL ASSISTANCE FOR LOW INCOME POPULATIONS) WAS APPROXIMATELY $251,650,000. THIS AMOUNT INCLUDES APPROXIMATELY $35,431,000 PAID TO MINNESOTACARE. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $1,104,930,000 AND THE COST OF CHARITY CARE PROVIDED IN 2023 WAS APPROXIMATELY $14,755,000.IN 2023, WITH SYSTEM-WIDE REVENUES OF $17.9 BILLION, MAYO CLINIC AND ITS AFFILIATES PROVIDED $681.7 MILLION IN CARE TO PEOPLE IN NEED. THIS TOTAL INCLUDES $57.8 MILLION IN CHARITY CARE AND $623.9 MILLION IN UNPAID PORTIONS OF MEDICAID AND OTHER INDIGENT CARE PROGRAMS FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED. MAYO ALSO PROVIDED $3.0 BILLION IN UNPAID PORTIONS OF MEDICARE AND OTHER SENIOR PROGRAMS. APPROXIMATELY 57 PERCENT OF MAYO'S TOTAL MEDICAL SERVICES PROVIDED ARE FOR MEDICARE, MEDICAID AND OTHER GOVERNMENT PATIENTS. MAYO CLINIC AND ITS AFFILIATES CONTRIBUTED APPROXIMATELY $32.8 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 2023, THE MAYO CLINIC CARE NETWORK CONSISTED OF APPROXIMATELY 45 MEMBERS LOCATED IN THE UNITED STATES, CHINA, EGYPT, INDIA, INDONESIA, MEXICO, MALAYSIA, SAUDI ARABIA, AND THE UNITED ARAB EMIRATES. THROUGH THE MAYO CLINIC CARE NETWORK, MILLIONS OF PATIENTS AND THEIR 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, PROVIDE 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.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. 866205011 37095817 6201050 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 WELL-BEING 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 2023, MAYO CLINIC, IN CONJUNCTION WITH ITS AFFILIATES, HAD OVER 5,000 RESEARCH PERSONNEL, 22 CORE LABORATORIES, MORE THAN 9,900 ACTIVE INSTITUTIONAL REVIEW BOARD-APPROVED HUMAN RESEARCH STUDIES, APPROXIMATELY 1,060 NEW HUMAN RESEARCH STUDIES APPROVED BY THE INSTITUTIONAL REVIEW BOARD AND OVER 10,500 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. 336789552 31890493 67691094 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 OLDEST AND LARGEST SCHOOLS OF GRADUATE MEDICAL EDUCATION WITH ANNUAL ENROLLMENT OF APPROXIMATELY 1,800 RESIDENT AND FELLOW PHYSICIANS IN TRAINING. THE SCHOOL TRAINS DOCTORS IN OVER 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. THE ACCEPTANCE RATE FOR INCOMING STUDENTS IS APPROXIMATELY 4%. FOR 2023, THE SCHOOL RECEIVED 5,503 APPLICATIONS AND OF THOSE, 215 STUDENTS WERE OFFERED ACCEPTANCE TO ONE OF THE PROGRAMS. FULL-TIME ENROLLEMNT IS APPROXIMATELY 430 STUDENTS ON THE ROCHESTER, MINNESOTA; SCOTTSDALE, ARIZONA; AND JACKSONVILLE, FLORIDA CAMPUSES.THE INNOVATIVE AND TRANSFORMATIVE CURRICULA 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 RECEIVE A SCIENCE OF HEALTH CARE DELIVERY CERTIFICATE IN ADDITION TO A MEDICAL DEGREE. THE INTEGRATED CURRICULA 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.THE MAYO CLINIC ALIX SCHOOL OF MEDICINE STUDENTS WAS RANKED NO. 13 IN THE NATION FOR THE BEST MEDICAL SCHOOL FOR RESEARCH FOR THE 2023-2024 PERIOD BY U.S. NEWS & WORLD REPORT. 3. MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES HAS A DISTINGUISHED HISTORY OF PREPARING STUDENTS FOR CAREERS AS COMPETITIVE BIOMEDICAL RESEARCH INVESTIGATORS. THE SCHOOL OFFERS MASTER'S AND DOCTORAL DEGREE PROGRAMS FOCUSING SEVERAL 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 COLLABORATE 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 350 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 1,600 STUDENTS. WITH CAMPUSES IN MINNESOTA, FLORIDA AND ARIZONA, THE SCHOOL PREPARES STUDENTS IN OVER 150 PROGRAMS REPRESENTING 50 HEALTH SCIENCE AREAS. THE SCHOOL ALSO PROVIDES CLINICAL INTERNSHIPS FOR HUNDREDS OF AFFILIATED SCHOOLS. APPROXIMATELY 480 FACULTY MEMBERS ENSURE EVERY STUDENT RECEIVES EXTENSIVE PERSONALIZED TRAINING. 5. MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT PROVIDES A COMPREHENSIVE SELECTION OF OVER 200 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. 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 BEEN CONTINUOUSLY PUBLISHED SINCE 1926 AND HAS AN IMPACT FACTOR OF 8.9, RANKING IT #20 OUT OF 167 JOURNALS IN THE MEDICINE, GENERAL AND INTERNAL CATEGORY. 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. 5793072088 1 1 0 1 0 1 0 1 0 1 1 1 0 1 1 1 0 1 1 1 1 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 1328 0 1 29044 1 1 1 1 CJ EI MX UK 0 0 0 0 0 0 0 0 0 0 0 1 0 X 31 18 1 1 0 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 KS KY MD MA MI MN MS NH NJ NY NC NM OK OR PA RI TN UT VA WV WI SC AZ HI X CORPORATE TAX 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 FARRUGIA MD GIANRICO TRUSTEE/PRESIDENT/CEO 1.00 40.00 X X 0 4213853 95852 THIELEN MD KENT R TRUSTEE/VP 1.00 40.00 X X 0 2497385 97748 GRAY MD RICHARD J TRUSTEE/VP 1.00 40.00 X X 0 2486103 88170 ZORN CHRISTINA K TRUSTEE/VP 1.00 40.00 X X 0 1853748 83740 GORMAN PAUL A TREASURER 1.00 40.00 X 0 1785236 97398 WILLIAMS MD AMY W TRUSTEE 1.00 40.00 X 0 1824113 50799 DAHLEN DENNIS E CFO 1.00 40.00 X 0 1611747 103349 MURPHY JOSHUA B SECY 1.00 40.00 X 0 1601782 95873 LANZINO MD GIUSEPPE PHYSICIAN 40.00 0.00 X 1513030 0 89353 KRAUSS MD WILLIAM E PHYSICIAN 40.00 0.00 X 1523588 0 68994 GORES MD GREGORY J PHYSICIAN 40.00 0.00 X 1491256 0 49170 MARSH MD W RICHARD DIR-SPINE CENTER 40.00 0.00 X 1433287 0 45987 SPINNER MD ROBERT J CHAIR-NEURO SURGERY 40.00 0.00 X 1368740 0 99740 CLARKE MD MICHELLE J PHYSICIAN 40.00 0.00 X 1359482 0 65364 WILLIAMSON MARY J CAO-MCS 40.00 0.00 X 1129852 0 79237 OTLEY MD CLARK C FORMER KEY EMPLOYEE 40.00 0.00 X 1118928 0 87590 AMMASH MD NASER M FORMER KEY EMPLOYEE 0.00 40.00 X 0 1081879 80108 MENKOSKY PAULA E ASST SECY 1.00 40.00 X 0 1066055 91946 RIHAL MD CHARANJIT S TRUSTEE 40.00 0.00 X 974122 0 94582 MORICE MD WILLIAM G CEO-MCS 40.00 0.00 X 979922 0 88092 ARNETT JENNIFER P CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 967487 0 81398 SHAH MD VIJAY EXECUTIVE DEAN OF RESEARCH 40.00 0.00 X 956903 0 84231 CALLSTROM MD MATTHEW R TRUSTEE 40.00 0.00 X 944092 0 89358 NOSEWORTHY MD PETER A DIV CHAIR-HEART RHYTHM 40.00 0.00 X 923200 0 73238 HARA MD AMY K TRUSTEE 1.00 40.00 X 0 848587 86008 PAGNANO MD MARK W PHYSICIAN 40.00 0.00 X 824218 0 90276 WALD MD JOHN T FORMER KEY EMPLOYEE 40.00 0.00 X 803551 0 98613 KENDRICK MD MICHAEL L CHAIR-SURGERY 40.00 0.00 X 812814 0 85285 DOWDY MD SEAN C CHIEF VALUE OFFICER 40.00 0.00 X 797010 0 75540 DIDEHBAN ROSHANAK TRUSTEE/ASST SECY 1.00 40.00 X X 0 808214 44264 LEIBOVICH MD BRADLEY C PHYSICIAN 40.00 0.00 X 764839 0 84740 GALANIS MD EVANTHIA EXECUTIVE DEAN OF DEVELOPMENT 40.00 0.00 X 767820 0 79210 FONSECA MD RAFAEL TRUSTEE 1.00 40.00 X 0 743054 87410 LOFTUS MD CONOR G FORMER KEY EMPLOYEE 40.00 0.00 X 750960 0 73330 CIMA MD ROBERT R FORMER KEY EMPLOYEE 40.00 0.00 X 707560 0 83787 KHAN RITA G FORMER KEY EMPLOYEE 0.00 40.00 X 0 716933 58240 BROWN MD MICHAEL J PHYSICIAN 40.00 0.00 X 676037 0 81029 MCLAUGHLIN MD SARAH A TRUSTEE 1.00 40.00 X 0 712086 40305 FRANK MD IGOR PHYSICIAN 40.00 0.00 X 657287 0 76033 DUNN AJANI N TRUSTEE/ASST SECY 1.00 40.00 X X 0 656330 66603 KHAN MD AMIR R PHYSICIAN 40.00 0.00 X 626342 0 81904 PETERS MD STEVE G PHYSICIAN 40.00 0.00 X 641488 0 43084 GAZELKA MD HALENA M FORMER KEY EMPLOYEE 0.00 40.00 X 0 613020 60271 FAMUYIDE MBBS ABIMBOLA O TRUSTEE 40.00 0.00 X 579171 0 83092 HORLOCKER MD TERESE T PHYSICIAN 40.00 0.00 X 612562 0 43144 FRANCIS JAMES R ASST TREASURER 1.00 40.00 X 0 568925 66276 POE JOHN D FORMER KEY EMPLOYEE 0.00 40.00 X 0 563459 70949 CAINE NATALIE A CAO-ROCHESTER 40.00 0.00 X 553593 0 65010 LUETMER MD PATRICK H FORMER KEY EMPLOYEE 40.00 0.00 X 573111 0 41995 HAYES MD SHARONNE N FORMER KEY EMPLOYEE 40.00 0.00 X 532183 0 78189 DIETER HEIDI L CHAIR-RESEARCH ADMIN 40.00 0.00 X 527499 0 65003 AMSTUTZ GWENDOLYN J CHAIR-PRACTICE ADMIN 40.00 0.00 X 417434 0 81419 HOLTAN DOUGLAS J CHAIR-FACILITIES 40.00 0.00 X 456677 0 39136 HUBERT SHERRY L ASST SECY 1.00 40.00 X 0 404237 91421 NORBY SUSAN M FORMER OFFICER 0.00 40.00 X 0 385612 76286 NARR MD BRADLY J FORMER KEY EMPLOYEE 40.00 0.00 X 407261 0 43588 DIASIO MD ROBERT B FORMER KEY EMPLOYEE 40.00 0.00 X 153621 27551 11141 BROWN WILLIAM A ASST TREASURER 1.00 40.00 X 0 174083 36325 DAVIS JED V TRUSTEE 5.00 0.00 X 0 158633 0 REMY DONALD M TRUSTEE 5.00 0.00 X 0 140483 0 GERBERDING MD JULIE L TRUSTEE 5.00 0.00 X 0 110892 0 ROTHBLATT A MARTINE TRUSTEE 5.00 0.00 X 0 105805 0 ALIX JAY TRUSTEE 5.00 0.00 X 0 20511 0 BAKER JR DOUGLAS M TRUSTEE 5.00 0.00 X 0 13595 0 ROBERTS ROBIN R TRUSTEE 5.00 0.00 X 0 9688 0 PERETSMAN NANCY B TRUSTEE 5.00 0.00 X 0 6521 0 POWELL MICHAEL K TRUSTEE/CHAIR 5.00 0.00 X X 0 5978 0 STEER MD RANDOLPH C TRUSTEE 5.00 0.00 X 0 5118 0 BAICKER KATHERINE TRUSTEE 5.00 0.00 X 0 1445 0 BILICIC GEORGE W 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 PECK KRISTIN TRUSTEE 5.00 0.00 X 0 0 0 SCHMIDT ERIC E EXECUTIVE DEAN OF RESEARCH 5.00 0.00 X 0 0 0 SWEENEY ANNE M TRUSTEE 5.00 0.00 X 0 0 0 TOMM CHARLES B TRUSTEE 5.00 0.00 X 0 0 0 30326927 27822661 4270223 7665 1 1 0 MAYO FOUNDATION FOR MEDICAL EDUCATION & 200 FIRST STREET SW ROCHESTER MN 55905 PROCUREMENT & MED SUPPORT SERVICES 593397260 MAYO COLLABORATIVE SERVICES INC 200 FIRST STREET SW ROCHESTER MN 55905 REFERENCE LAB SERVICES 12565480 2 25446 2230798990 339299448 758640742 68686368 3328764626 NET PATIENT CARE 621110 3282830352 2811778127 471052225 EDUCATION 611600 67691094 67691094 RESEARCH 541700 6201050 2014146 4186904 3356722496 366315677 1485583 364830094 1884587 1884587 1904422 1904422 5840342 4517319 1323023 1323023 1323023 10582501894 6027272 10301309141 5855587 281192753 171685 281364438 281364438 413233 317120 96113 96113 NET SHARED SERVICES 561000 58978109 58978109 MISC. REVENUE 900099 8639645 5943800 2695845 MISC. CONSULTING 541610 6690188 824985 5783703 81500 12287601 7447199 4840402 86595543 7424970925 2956581882 482604528 657019889 903222488 903222488 31964586 31964586 2737523 2737523 19794836 15887241 2523394 1384201 11936243 10891730 948552 95961 2716487843 2599505547 91247827 25734469 161951149 153808694 6116158 2026297 513291579 492787357 16607961 3896261 177220514 168993332 6404497 1822685 745810 382667 162331 200812 2089800 2089800 184160 184160 1233879 1233879 3420227 3420227 272568895 245328996 19191756 8048143 1322162 1194005 77590 50567 180661123 169875968 9005261 1779894 51457814 50026035 1431517 262 4665403 4665153 250 51169237 17069069 33006705 1093463 53969083 50804062 1646939 1518082 6335625 6243965 37674 53986 136960360 376986 136583374 177819204 176971490 777073 70641 23945786 23945786 MEDICAL SUPPLIES 538319053 538319053 UBIT 4448299 4448299 EMPLOYEE RELATED 42623440 38899670 3300728 423042 MN CARE TAX 39923737 39922172 1565 46928477 44616054 2293113 19310 6179398335 5793072088 336874292 49451955 7612763 10197868 1296847969 1174006293 552606481 545368699 512569768 389838910 1850548 20134099 10787335 13606001 55435863 79071287 4118989404 2534746780 1512972243 1584242624 509632934 703702998 16069269429 17096491435 5000000 1578054092 1717959951 22107639425 23339620165 2064798992 2049813354 172598176 154114274 1474194291 1438317105 2691172955 2693616997 3175406333 3619531801 9578170747 9955393531 X 8306935513 8832320576 4222533165 4551906058 12529468678 13384226634 22107639425 23339620165 X 1245572590 769024057 -1159838690 X X 0 1 X 1 1 1 X 2194234892 2422520612 2825326266 2389724888 3328764626 13160571284 3324127662 3408043003 3197736676 3191523521 2956581882 16078012744 17097585 9994115 12809372 8121798 7617747 55640617 5535460139 5840557730 6035872314 5589370207 6292964255 29294224645 0 0 0 29294224645 230253855 200743329 271179894 239752060 368698465 1310627603 114491776 180609096 160531494 118746266 24983105 599361737 344745631 381352425 431711388 358498326 393681570 1909989340 5880205770 6221910155 6467583702 5947868533 6686645825 31204213985 0.93880 0.94490 0.06120 0.05490 X 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 184160 184160 0 PART II-B, LINE 1: DURING 2023, 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 2023, 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 2023, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM 990 ARE $877,958. SCHEDULE C PART II-B LINE 1I THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. 11 700000 756000 8814542 1 1 X 0 5488591144 94948287 445895067 215366854 5814067644 6117351716 113233718 -545428302 196565988 5488591144 5061662985 90896164 1143091782 178299215 6117351716 4427091907 171083411 647792722 184305055 5061662985 3852237495 155829477 461221455 42196520 4427091907 0.45830 0.31960 0.22210 0 0 111778966 111778966 2098165652 1338615653 759549999 1608279594 1196131127 412148467 300765192 300765192 1584242624 MAYO POOLED INVESTMENTS 15296662448 F QUALIFIED PENSION PLAN 1799828987 F 17096491435 INVESTMENTS IN SUBSIDIARIES 149860257 CONTRIBUTED ASSETS PENDING DISPOSAL 130692338 ART 3167394 TRUSTS 146478055 DEFERRED INCOME TAX ASSET 16125484 OTHER LONG TERM ASSETS 105880724 ASSETS HELD FOR DISSOLUTION 304034 TECH BASED VENTURES 337185449 BOND-RELATED TRUSTEE HELD INVEST 10282137 DUE FROM AFFILIATES 817984079 1717959951 DUE TO AFFILIATES 3619531801 3619531801 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. 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 2020 THROUGH 2022 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 THE U.S. DISTRICT COURT. ON AUGUST 6, 2019, THE COURT ISSUED A SUMMARY JUDGMENT IN FAVOR OF THE CLINIC. THE IRS APPEALED THIS DECISION AND ON MAY 13, 2021, THE EIGHT CIRCUIT COURT OF APPEALS REVERSED THE SUMMARY JUDGMENT AND REMANDED THE CASE TO THE U.S. DISTRICT COURT FOR TRIAL. THE CASE WAS TRIED IN 2022 AND THE U.S. DISTRICT COURT ISSUED A JUDGEMENT IN FAVOR OF THE CLINIC ON DECEMBER 9, 2022. THE IRS DISAGREED WITH THIS RULING AND FILED AN APPEAL WITH THE EIGHTH CIRCUIT COURT OF APPEALS ON SEPTEMBER 1, 2023. A REQUEST FOR ORAL ARGUMENT WAS FILED WITH THE COURT, BUT NO DATE FOR THE HEARING HAS BEEN ASSIGNED. NO ADJUSTMENT HAS BEEN MADE TO UNRECOGNIZED TAX BENEFITS AS THE ISSUE HAS NOT BEEN DEFINITIVELY RESOLVED AT THIS TIME. THE CLINIC HAS REDUCED THE RESERVE FOR UNCERTAIN TAX POSITIONS BY $2 MILLION, INCLUDING INTEREST AND PENALTIES, DURING THE YEAR ENDED DECEMBER 31, 2023. AS OF DECEMBER 31, 2023 AND 2022, THE RESERVE TOTALED $9 MILLION AND $11 MILLION, RESPECTIVELY. 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 CLINIC ALIX SCHOOL OF MEDICINE STUDENTS WHO ARE RESIDENTS OF MINNESOTA. IN ADDITION, FEDERAL DIRECT STUDENT LOANS (SUBSIDIZED, UNSUBSIDIZED, PARENT PLUS AND GRADPLUS) 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 97 TRAVEL 172958 EAST ASIA AND THE PACIFIC 0 228 TRAVEL 1287338 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 759 TRAVEL 2793575 MIDDLE EAST AND NORTH AFRICA 0 94 TRAVEL 487695 NORTH AMERICA 0 408 TRAVEL 598795 RUSSIA AND THE NEIGHBORING STATES 0 5 TRAVEL 15661 SOUTH AMERICA 0 79 TRAVEL 222321 SOUTH ASIA 0 41 TRAVEL 316088 SUB-SAHARAN AFRICA 0 58 TRAVEL 252512 CENTRAL AMERICA AND THE CARIBBEAN 5 5 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 526589 EAST ASIA AND THE PACIFIC 1 1 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 259251 MIDDLE EAST AND NORTH AFRICA 1 1 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 87623 NORTH AMERICA 1 2 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 373318 SOUTH AMERICA 3 4 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 551839 SOUTH ASIA 1 1 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 184443 MIDDLE EAST AND NORTH AFRICA 0 3 PROGRAM SERVICES PATIENT CARE- SSMC EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES PATIENT CARE EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 PROGRAM SERVICES PATIENT CARE MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES PATIENT CARE 100985 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES CONSULTING NORTH AMERICA 0 3 PROGRAM SERVICES EDUCATION CONFERENCE - MAYO SPONSOR 355587 MIDDLE EAST AND NORTH AFRICA 0 1 PROGRAM SERVICES EDUCATION CONFERENCE - MAYO SPONSOR 86225 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 942667363 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS EXPENSE EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 1247763495 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS EXPENSE 14321193 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS 762191820 MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS 173931175 NORTH AMERICA 0 0 INVESTMENTS 97468877 RUSSIA AND THE NEIGHBORING STATES 0 0 INVESTMENTS SOUTH AMERICA 0 0 INVESTMENTS 21632461 SOUTH ASIA 0 0 INVESTMENTS 83106489 SUB-SAHARAN AFRICA 0 0 INVESTMENTS 9395275 0 0 0 0 0 0 0 0 0 1711 12 79 12 1790 5894431 3355256520 3361150951 EAST ASIA AND THE PACIFIC 56700 0 EAST ASIA AND THE PACIFIC 35786 0 EAST ASIA AND THE PACIFIC 8073 0 EUROPE (INCLUDING ICELAND & GREENLAND) 25314 0 EUROPE (INCLUDING ICELAND & GREENLAND) 101216 0 EUROPE (INCLUDING ICELAND & GREENLAND) 11155 0 EUROPE (INCLUDING ICELAND & GREENLAND) 34891 0 EUROPE (INCLUDING ICELAND & GREENLAND) 268226 0 EUROPE (INCLUDING ICELAND & GREENLAND) 147388 0 EUROPE (INCLUDING ICELAND & GREENLAND) 83840 0 EUROPE (INCLUDING ICELAND & GREENLAND) 5684 0 EUROPE (INCLUDING ICELAND & GREENLAND) 198471 0 EUROPE (INCLUDING ICELAND & GREENLAND) 16056 0 EUROPE (INCLUDING ICELAND & GREENLAND) 21239 0 EUROPE (INCLUDING ICELAND & GREENLAND) 69634 0 EUROPE (INCLUDING ICELAND & GREENLAND) 81873 0 EUROPE (INCLUDING ICELAND & GREENLAND) 454135 0 EUROPE (INCLUDING ICELAND & GREENLAND) 56000 0 EUROPE (INCLUDING ICELAND & GREENLAND) 93975 0 EUROPE (INCLUDING ICELAND & GREENLAND) 43960 0 EUROPE (INCLUDING ICELAND & GREENLAND) 21508 0 EUROPE (INCLUDING ICELAND & GREENLAND) 67418 0 EUROPE (INCLUDING ICELAND & GREENLAND) 68059 0 MIDDLE EAST AND NORTH AFRICA 13376 0 MIDDLE EAST AND NORTH AFRICA 23082 0 NORTH AMERICA 12978 0 NORTH AMERICA 5565 0 NORTH AMERICA 12300 0 NORTH AMERICA 19546 0 NORTH AMERICA 62500 0 NORTH AMERICA 13836 0 NORTH AMERICA 90000 0 NORTH AMERICA 28368 0 NORTH AMERICA 303047 0 NORTH AMERICA 48878 0 SOUTH AMERICA 10800 0 SUB-SAHARAN AFRICA 5131 0 SUB-SAHARAN AFRICA 59400 0 SUB-SAHARAN AFRICA 33174 0 SUB-SAHARAN AFRICA 24941 0 0 40 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 IV - FILING OF CERTAIN FOREIGN FORMS DISCLOSURE STATEMENT RELATED TO FORMS 5713: FOR TAX YEAR 2023, FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO COLLABORATIVE SERVICES, INC (EIN: 41-1346366) MAYO CLINIC ARIZONA (EIN: 86-0800150) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) 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 THE 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 FORMS 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT 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 FORMS 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT 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 (CFPS), AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISIFIED 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 FORMS 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT X X X X X X 1 THE STELTER COMPANY 10435 NEW YORK AVE DES MOINES IA 50322 DIRECT MAIL SERVICES 0 0 91150 0 QCSS 21925 FIELD PARKWAY SUITE 210 DEER PARK IL 60010 SERVICES-THANK YOU CALLS/CARDS 0 0 42729 0 MARKETEAM 600 NORTHPARK TOWN CENTER SUITE 40 ATLANTA GA 30328 CONSULTING 0 0 1100000 0 1233879 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) 346091887 0 SUPPORT CHARITABLE PROGRAMS MAYO FOUNDATION FOR MEDICAL 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15000 0 SUPPORT CHARITABLE PROGRAMS GEORGETOWN UNIVERSITY 37TH AND O STREETS NW WASHINGTON DC 20057 530196603 501(C)(3) 12972 0 SUPPORT CHARITABLE PROGRAMS MED CITY ARTS FESTIVAL INC 611 NORTH BROADWAY ROCHESTER MN 55906 834311621 501(C)(3) 12800 0 SUPPORT CHARITABLE PURPOSE ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS PC 8940 NORTH WOOD SAGE ROAD PEORIA IL 61615 371331017 - 12572 0 SUPPORT RESEARCH PROGRAM ONEJAX INC 1616 BROOKWOOD RD JACKSONVILLE FL 32207 202719059 501(C)(3) 12500 0 SUPPORT CHARITABLE PROGRAMS BLACK DATA PROCESSING ASSOCIATES SOUTHERN MN CHAPTER PO BOX 6981 ROCHESTER MN 55901 411929150 501(C)(3) 12500 0 SUPPORT CHARITABLE PROGRAMS PACE CENTER FOR GIRLS INC 6745 PHILIPS INDUSTRIAL BLVD JACKSONVILLE FL 32256 592414492 501(C)(3) 12500 0 SUPPORT CHARITABLE PROGRAMS ST CLARE HEALTH MISSION INC 918 FERRY STREET LA CROSSE WI 54601 823903651 501(C)(3) 12500 0 SUPPORT CHARITABLE PROGRAMS ST CLARE HEALTH MISSION OF MONROE COUNTY INC 310 WEST MAIN STREET SPARTA WI 54656 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STUDENTS OF AMERICA 548 SILICON DR 101 SOUTHLAKE TX 76092 510249380 501(C)(3) 10000 0 SUPPORT CHARITABLE PROGRAMS NATIONAL MEDICAL ASSOCIATION 8403 COLESVILLE ROAD 820 SILVER SPRING MD 20910 536010805 501(C)(3) 10000 0 SUPPORT CHARITABLE PROGRAMS PHILOXENIA CHARITIES 703 W CENTER ST ROCHESTER MN 55902 841883469 501(C)(3) 10000 0 SUPPORT CHARITABLE PROGRAMS AUGUSTA UNIVERSITY RESEARCH INSTITUTE INC 1120 15TH STREET AUGUSTA GA 30912 581418202 501(C)(3) 9577 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF CALIFORNIA IRVINE 160 ALDRICH HALL IRVINE CA 92697 952226406 STATE OF CA 9367 0 SUPPORT RESEARCH PROGRAM GOODWILL INDUSTRIES INC 553 FAIRVIEW AVE N ST PAUL MN 55104 410706171 501(C)(3) 9000 0 SUPPORT CHARITABLE PROGRAMS SOUTHEASTERN MINNESOTA YOUTH ORCHESTRA INC 1001 14TH ST NW SUITE 450 ROCHESTER MN 55901 411427785 501(C)(3) 9000 0 SUPPORT CHARITABLE PROGRAMS MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 10467 131740114 501(C)(3) 8692 0 SUPPORT CHARITABLE PROGRAMS CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION) 2950 CLEVELAND CLINIC BLVD WESTON FL 33331 650003177 501(C)(3) 8200 0 SUPPORT CHARITABLE PROGRAMS MINNESOTA HEALTHSOLUTIONS CORPORATION 861 E HENNEPIN AVE STE 440 MINNEAPOLIS MN 55414 204428357 - 8054 0 SUPPORT RESEARCH PROGRAM MINNESOTA ASSISTANCE COUNCIL FOR VETERANS 1000 UNIVERSITY AVENUE WEST NO 10 SAINT PAUL MN 55104 411694717 501(C)(3) 8000 0 SUPPORT CHARITABLE PROGRAMS MINNESOTA ORCHESTRAL ASSOCIATION 1111 NICOLLET MALL MINNEAPOLIS MN 55403 410693875 501(C)(3) 7500 0 SUPPORT CHARITABLE PROGRAMS BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1450 EAST DUARTE ROAD DUARTE CA 91010 953432210 501(C)(3) 7497 0 SUPPORT CHARITABLE PROGRAMS POWER OF PERCEPTION INC 5576 NORMANDALE DR EAU CLAIRE WI 54703 862587368 501(C)(3) 7000 0 SUPPORT CHARITABLE PROGRAMS SENTARA HOSPITALS 6015 POLAR HALL DRIVE NORFOLK VA 23502 541547408 501(C)(3) 7000 0 SUPPORT RESEARCH PROGRAM ROCHESTER PRIDE PO BOX 1174 ROCHESTER MN 55903 834370550 501(C)(3) 6900 0 SUPPORT CHARITABLE PROGRAMS YALE NEW HAVEN HEALTH SERVICES CORPORATION 789 HOWARD AVENUE NEW HAVEN CT 06519 222529464 501(C)(3) 6536 0 SUPPORT CHARITABLE PROGRAMS BOARD OF TRUSTEES OF THE MINNESOTA STATE COLLEGES AND UNIVERSITIES 30 EAST 7TH STREET ST PAUL MN 55101 411687554 STATE OF MN 6500 0 SUPPORT RESEARCH PROGRAM C A R E CLINIC 906 COLLEGE AVE RED WING MN 55066 270540451 501(C)(3) 6250 0 SUPPORT CHARITABLE PROGRAMS CITY OF SCOTTSDALE 7447 E INDIAN SCHOOL ROAD STE 210 SCOTTSDALE AZ 85251 866000735 CITY OF SCOTTSDALE 6000 0 SUPPORT EXEMPT PURPOSE MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 501(C)(3) 5979 0 SUPPORT CHARITABLE PROGRAMS SPECTRUM HEALTH HOSPITALS 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 381360529 501(C)(3) 5853 0 SUPPORT CHARITABLE PROGRAMS TMC HEALTHCARE 5301 E GRANT ROAD TUCSON AZ 85712 202218975 501(C)(3) 5750 0 SUPPORT CHARITABLE PURPOSE CHABAD-LUBAVITCH OF ROCHESTER JEWISH EDUC & HOSPITALITY CENTER 730 2ND ST SW ROCHESTER MN 55902 411823492 501(C)(3) 5400 0 SUPPORT CHARITABLE PROGRAMS 257 19 SCHOLARSHIPS 1257 17674962 MEDICAL STUDENT STIPENDS 683 14215531 CHARITABLE SUPPORT OF INDIVIDUALS 27 73693 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 -REDUCE DISPARITIES AND INEQUITIES RELATED TO ACCESS TO HEALTH AND WELLNESS 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. 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. X X X X 1 1 X X X X X 0 1 1 0 0 0 0 0 0 FARRUGIA MD GIANRICO TRUSTEE/PRESIDENT/CEO 0 3474332 0 0 0 739521 0 48053 0 47799 0 4309705 0 0 THIELEN MD KENT R TRUSTEE/VP 0 2105547 0 0 0 391838 0 51486 0 46262 0 2595133 0 0 GRAY MD RICHARD J TRUSTEE/VP 0 2098533 0 0 0 387570 0 43241 0 44929 0 2574273 0 0 ZORN CHRISTINA K TRUSTEE/VP 0 1552753 0 0 0 300995 0 39907 0 43833 0 1937488 0 0 GORMAN PAUL A TREASURER 0 869135 0 759770 0 156331 0 56444 0 40954 0 1882634 0 0 WILLIAMS MD AMY W TRUSTEE 0 1559718 0 0 0 264395 0 35380 0 15419 0 1874912 0 0 DAHLEN DENNIS E CFO 0 1444487 0 0 0 167260 0 59498 0 43851 0 1715096 0 0 MURPHY JOSHUA B SECY 0 1353249 0 0 0 248533 0 50034 0 45839 0 1697655 0 0 LANZINO MD GIUSEPPE PHYSICIAN 1255810 0 0 0 257220 0 48776 0 40577 0 1602383 0 0 0 KRAUSS MD WILLIAM E PHYSICIAN 1260954 0 0 0 262634 0 35643 0 33351 0 1592582 0 0 0 GORES MD GREGORY J PHYSICIAN 1258261 0 0 0 232995 0 13200 0 35970 0 1540426 0 0 0 MARSH MD W RICHARD DIR-SPINE CENTER 1172896 0 0 0 260391 0 13205 0 32782 0 1479274 0 0 0 SPINNER MD ROBERT J CHAIR-NEURO SURGERY 1137006 0 0 0 231734 0 57148 0 42592 0 1468480 0 0 0 CLARKE MD MICHELLE J PHYSICIAN 1230971 0 0 0 128511 0 32342 0 33022 0 1424846 0 0 0 WILLIAMSON MARY J CAO-MCS 950612 0 0 0 179240 0 37622 0 41615 0 1209089 0 0 0 OTLEY MD CLARK C FORMER KEY EMPLOYEE 919991 0 0 0 198937 0 49478 0 38112 0 1206518 0 0 0 AMMASH MD NASER M FORMER KEY EMPLOYEE 0 746448 0 0 0 335431 0 58906 0 21202 0 1161987 0 0 MENKOSKY PAULA E ASST SECY 0 910434 0 0 0 155621 0 53545 0 38401 0 1158001 0 0 RIHAL MD CHARANJIT S TRUSTEE 788282 0 0 0 185840 0 56398 0 38184 0 1068704 0 0 0 MORICE MD WILLIAM G CEO-MCS 849552 0 0 0 130370 0 50168 0 37924 0 1068014 0 0 0 ARNETT JENNIFER P CHIEF DEVELOPMENT OFFICER 906305 0 0 0 61182 0 53984 0 27414 0 1048885 0 0 0 SHAH MD VIJAY EXECUTIVE DEAN OF RESEARCH 791107 0 0 0 165796 0 45917 0 38314 0 1041134 0 0 0 CALLSTROM MD MATTHEW R TRUSTEE 780137 0 0 0 163955 0 59591 0 29767 0 1033450 0 0 0 NOSEWORTHY MD PETER A DIV CHAIR-HEART RHYTHM 807731 0 0 0 115469 0 30039 0 43199 0 996438 0 0 0 HARA MD AMY K TRUSTEE 0 733241 0 0 0 115346 0 44725 0 41283 0 934595 0 0 PAGNANO MD MARK W PHYSICIAN 681505 0 0 0 142713 0 50655 0 39621 0 914494 0 0 0 WALD MD JOHN T FORMER KEY EMPLOYEE 694838 0 0 0 108713 0 59642 0 38971 0 902164 0 0 0 KENDRICK MD MICHAEL L CHAIR-SURGERY 694822 0 0 0 117992 0 48260 0 37025 0 898099 0 0 0 DOWDY MD SEAN C CHIEF VALUE OFFICER 684276 0 0 0 112734 0 38595 0 36945 0 872550 0 0 0 DIDEHBAN ROSHANAK TRUSTEE/ASST SECY 0 730236 0 0 0 77978 0 28882 0 15382 0 852478 0 0 LEIBOVICH MD BRADLEY C PHYSICIAN 647644 0 0 0 117195 0 47941 0 36799 0 849579 0 0 0 GALANIS MD EVANTHIA EXECUTIVE DEAN OF DEVELOPMENT 659144 0 0 0 108676 0 42439 0 36771 0 847030 0 0 0 FONSECA MD RAFAEL TRUSTEE 0 572506 0 0 0 170548 0 47661 0 39749 0 830464 0 0 LOFTUS MD CONOR G FORMER KEY EMPLOYEE 676135 0 0 0 74825 0 36488 0 36842 0 824290 0 0 0 CIMA MD ROBERT R FORMER KEY EMPLOYEE 577317 0 0 0 130243 0 48656 0 35131 0 791347 0 0 0 KHAN RITA G FORMER KEY EMPLOYEE 0 656480 0 0 0 60453 0 42329 0 15911 0 775173 0 0 BROWN MD MICHAEL J PHYSICIAN 584882 0 0 0 91155 0 41814 0 39215 0 757066 0 0 0 MCLAUGHLIN MD SARAH A TRUSTEE 0 644490 0 0 0 67596 0 30954 0 9351 0 752391 0 0 FRANK MD IGOR PHYSICIAN 594792 0 0 0 62495 0 36806 0 39227 0 733320 0 0 0 DUNN AJANI N TRUSTEE/ASST SECY 0 556392 0 0 0 99938 0 29929 0 36674 0 722933 0 0 KHAN MD AMIR R PHYSICIAN 558372 0 0 0 67970 0 45800 0 36104 0 708246 0 0 0 PETERS MD STEVE G PHYSICIAN 562610 0 0 0 78878 0 13204 0 29880 0 684572 0 0 0 GAZELKA MD HALENA M FORMER KEY EMPLOYEE 0 570973 0 0 0 42047 0 43369 0 16902 0 673291 0 0 FAMUYIDE MBBS ABIMBOLA O TRUSTEE 477477 0 0 0 101694 0 55206 0 27886 0 662263 0 0 0 HORLOCKER MD TERESE T PHYSICIAN 537672 0 0 0 74890 0 13201 0 29943 0 655706 0 0 0 FRANCIS JAMES R ASST TREASURER 0 511076 0 0 0 57849 0 34679 0 31597 0 635201 0 0 POE JOHN D FORMER KEY EMPLOYEE 0 517215 0 0 0 46244 0 43599 0 27350 0 634408 0 0 CAINE NATALIE A CAO-ROCHESTER 546572 0 0 0 7021 0 23938 0 41072 0 618603 0 0 0 LUETMER MD PATRICK H FORMER KEY EMPLOYEE 468996 0 0 0 104115 0 13200 0 28795 0 615106 0 0 0 HAYES MD SHARONNE N FORMER KEY EMPLOYEE 431026 0 0 0 101157 0 49892 0 28297 0 610372 0 0 0 DIETER HEIDI L CHAIR-RESEARCH ADMIN 493984 0 0 0 33515 0 40478 0 24525 0 592502 0 0 0 AMSTUTZ GWENDOLYN J CHAIR-PRACTICE ADMIN 400188 0 0 0 17246 0 66632 0 14787 0 498853 0 0 0 HOLTAN DOUGLAS J CHAIR-FACILITIES 428051 0 0 0 28626 0 13279 0 25857 0 495813 0 0 0 HUBERT SHERRY L ASST SECY 0 382885 0 0 0 21352 0 53579 0 37842 0 495658 0 0 NORBY SUSAN M FORMER OFFICER 0 370812 0 0 0 14800 0 47160 0 29126 0 461898 0 0 NARR MD BRADLY J FORMER KEY EMPLOYEE 317382 0 0 0 89879 0 13208 0 30380 0 450849 0 0 0 DIASIO MD ROBERT B FORMER KEY EMPLOYEE 126700 0 0 0 26921 27551 2670 0 8471 0 164762 27551 0 27551 BROWN WILLIAM A ASST TREASURER 0 171498 0 0 0 2585 0 7171 0 29154 0 210408 0 0 DAVIS JED V TRUSTEE 0 0 0 0 0 158633 0 0 0 0 0 158633 0 0 PART I, LINE 1A EXTERNAL TRUSTEES MAY BE REIMBURSED FOR ACTUAL TRAVEL EXPENSES, INCLUDING FIRST CLASS TRAVEL, RELATED TO MAYO BUSINESS. THIS REIMBURSEMENT MAY INCLUDE PRIVATE AIR TRAVEL, IN WHICH CASE REIMBURSEMENT IS LIMITED TO THE COST OF A FIRST CLASS TICKET AND THE AMOUNT IS GROSSED UP AND TREATED AS TAXABLE INCOME. IN 2023, MATTHEW R. CALLSTROM M.D. WAS PROVIDED BUSINESS/FIRST-CLASS TRAVEL. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES AND EX-OFFICIOS SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS AND FOR OTHER BUSINESS RELATED PURPOSES. IN 2023, JAY ALIX, JENNIFER P. ARNETT, KATHERINE BAICKER, DOUGLAS M. BAKER JR., MATTHEW R. CALLSTROM, ABIMBOLA O. FAMUYIDE MBBS, MICHAEL K. POWELL, DONALD M. REMY, ROBIN R. ROBERTS AND RANDOLPH C. STEER M.D. RECEIVED SPOUSAL TRAVEL, WHICH WAS GROSSED UP AND TREATED AS TAXABLE INCOME. 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. IN 2023, PETER A. NOSEWORTHY WAS PROVIDED PAYMENTS FOR TUITION RELATED TO HIS JOB RESPONSIBILITIES. SIMILAR TO OTHER NON LISTED EMPLOYEES, THIS AMOUNT WAS TAXABLE TO THE EMPLOYEE AND GROSSED UP. 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 4B-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). AMMASH M.D., NASER M. $115875 AMSTUTZ, GWENDOLYN J. $13870 ARNETT, JENNIFER P. $56461 BROWN M.D., MICHAEL J. $77891 CAINE, NATALIE A. $6540 CALLSTROM M.D., MATTHEW R. $134243 CIMA M.D., ROBERT R. $73176 CLARKE M.D., MICHELLE J. $126086 DAHLEN, DENNIS E. $154039 DIASIO M.D., ROBERT B. $21139 DIDEHBAN, ROSHANAK $70047 DIETER, HEIDI L. $32470 DOWDY M.D., SEAN C. $102361 DUNN, AJANI N. $49169 FAMUYIDE M.B.B.S., ABIMBOLA O. $56973 FARRUGIA M.D., GIANRICO $729310 FONSECA M.D., RAFAEL $90225 FRANCIS, JAMES R. $53767 FRANK M.D., IGOR $57599 GALANIS M.D., EVANTHIA $105592 GAZELKA M.D., HALENA M. $40462 GORES M.D., GREGORY J. $217601 GORMAN, PAUL A. $150267 GRAY M.D., RICHARD J. $382493 HARA M.D., AMY K. $113802 HAYES M.D., SHARONNE N. $69733 HOLTAN, DOUGLAS J. $26400 HORLOCKER M.D., TERESE T. $63062 HUBERT, SHERRY L. $19549 KENDRICK M.D., MICHAEL L. $105487 KHAN M.D., AMIR R. $65981 KHAN, RITA G. $43431 KRAUSS M.D., WILLIAM E. $253291 LANZINO M.D., GIUSEPPE $252171 LEIBOVICH M.D., BRADLEY C. $95223 LOFTUS M.D., CONOR G. $72802 LUETMER M.D., PATRICK H. $90162 MARSH M.D., W. RICHARD $230209 MCLAUGHLIN M.D., SARAH A. $66114 MENKOSKY, PAULA E. $151817 MORICE M.D., WILLIAM G. $127392 MURPHY, JOSHUA B. $242548 NARR M.D., BRADLY J. $49044 NORBY, SUSAN M. $13328 NOSEWORTHY M.D., PETER A. $42514 OTLEY M.D., CLARK C. $170477 PAGNANO M.D., MARK W. $138957 PETERS M.D., STEVE G. $67798 POE, JOHN D. $43844 RIHAL M.D., CHARANJIT S. $132026 SHAH M.D., VIJAY $137551 SPINNER M.D., ROBERT J. $221809 THIELEN M.D., KENT R. $382493 WALD M.D., JOHN T. $103863 WILLIAMS M.D., AMY W. $253223 WILLIAMSON, MARY J. $175269 ZORN, CHRISTINA K. $296155 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: DOWDY M.D., SEAN C. FAMUYIDE M.B.B.S., ABIMBOLA O. KENDRICK M.D., MICHAEL L. NOSEWORTHY M.D., PETER A. RIHAL M.D., CHARANJIT S. SHAH M.D., VIJAY SPINNER M.D., ROBERT J. PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. 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 771902GW7 2014-05-08 120000000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 D CITY OF ROCHESTER MINNESOTA 416005494 771902GB3 2015-12-31 494267 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 A 130000000 325948187 8864264 2230808 87603115 227250000 2010 1 0 1 1 B 135494267 293208150 2088829 291119321 2011 1 0 1 1 C 120012445 310855 400343 119301247 2016 0 0 1 1 D 494267 494267 2016 1 0 1 1 C 0 0 0 0 0.01060 0.00050 0.01110 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 0 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: 05/08/2019 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2020 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. SCHEDULE K, PART IV, ARBITRAGE CALCULATIONS FOR 2015 BOND ISSUES: DURING 2015 PROPERTY THAT WAS FINANCED BY PREVIOUSLY ISSUED BONDS WAS SOLD. REMEDIAL ACTION WAS REQUIRED DUE TO THE SALE OF BOND-FINANCED PROPERTY WHICH RESULTED IN AN ALLOCABLE PORTION OF EACH OF THE PREVIOUSLY ISSUED BONDS TO BE TREATED AS HAVING BEEN REISSUED - RESULTING IN THE 2015 BOND ISSUES REFLECTED ON THIS SCHEDULE K. THE TRANSFERRED/SALE PROCEEDS WERE DEEMED TO HAVE BEEN SPENT IMMEDIATELY TO RETIRE THE ALLOCABLE PORTIONS OF THE PREVIOUS BOND ISSUES. THE 2015 TRANSFERRED/SALE PROCEEDS WERE REDIRECTED TO ANOTHER QUALIFYING PROJECT ALREADY COMPLETED RESULTING IN ZERO INVESTMENT EARNINGS FOR PURPOSES OF THE ARBITRAGE CALCULATIONS. SINCE THERE WERE NO INVESTMENT EARNINGS RELATED TO THE PROCEEDS, WE HAVE INDICATED FOR PART IV (ARBITRAGE), LINE 2C THAT NO REBATE WAS DUE AS OF DECEMBER 31, 2020. A CITY OF ROCHESTER MINNESOTA 416005494 771902GY3 2016-05-03 75000000 REFUND 2006 BONDS 0 0 0 B CITY OF ROCHESTER MINNESOTA 416005494 771902HE6 2016-10-13 293825280 REFUND 2000 BONDS 0 0 0 C CITY OF ROCHESTER MINNESOTA 416005494 771902HF3 2018-10-16 200152000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 D CITY OF ROCHESTER MINNESOTA 416005494 000000000 2020-05-15 130000000 REFUND 2008 BONDS 0 0 0 A 75000000 75000000 2016 1 0 1 1 B 293828470 2361460 1467010 290000000 2016 1 0 1 1 C 201883614 9157904 1140947 191584762 2020 0 0 1 1 D 130000000 130000000 2020 1 0 1 1 A 0 0 0 1 0 0.00130 0.00010 0.00140 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 1 0 0.00010 0.00000 0.00010 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A CITY OF ROCHESTER MINNESOTA 416005494 771902HM8 2022-04-12 305570347 REFUND 2012 AND 2015 BONDS AND CONSTRUCTION 0 0 0 A 308235051 18119155 1518194 74588014 204031250 9978438 1 0 0 1 A 0 0 0 1 0 0.00040 0.00010 0.00050 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 MERIT SCHOLARSHIP 30000 SCHOLARSHIP BUSCHMAN SAMANTHA R FAMILY MEMBER OF OFFICER FRANCIS, JAMES R. 66594 EMPLOYMENT 0 EMANUEL ELIZABETH M FAMILY MEMBER OF FORMER OFFICER NORBY, SUSAN M. 61058 EMPLOYMENT 0 FAMUYIDE OMOLOLA O FAMILY MEMBER OF TRUSTEE FAMUYIDE M.B.B.S., ABIMBOLA O. 64127 EMPLOYMENT 0 GORMAN ELLEN K FAMILY MEMBER OF OFFICER GORMAN, PAUL A. 11244 EMPLOYMENT 0 KENDRICK CONNER D FAMILY MEMBER OF KEY EMPLOYEE KENDRICK M.D., MICHAEL L. 54324 EMPLOYMENT 0 LARSON MD MARK V FAMILY MEMBER OF TRUSTEE WILLIAMS M.D., AMY W. 770317 EMPLOYMENT 0 LUETMER MD MARIANNE T FAMILY MEMBER OF FORMER KEY EMPLOYEE LUETMER M.D., PATRICK H. 291986 EMPLOYMENT 0 MIDTHUN MD DAVID E FAMILY MEMBER OF TRUSTEE WILLIAMS M.D., AMY W. 536125 EMPLOYMENT 0 PETERS MD MARGOT S FAMILY MEMBER OF KEY EMPLOYEE PETERS M.D., STEVE G. 335265 EMPLOYMENT 0 POE JUSTIN D FAMILY MEMBER OF FORMER KEY EMPLOYEE POE, JOHN D. 80311 EMPLOYMENT 0 RUDDY KATHRYN J FAMILY MEMBER OF KEY EMPLOYEE NOSEWORTHY M.D., PETER A. 582078 EMPLOYMENT 0 SAITO LOFTUS MD YURI A FAMILY MEMBER OF FORMER KEY EMPLOYEE LOFTUS M.D., CONOR G. 371821 EMPLOYMENT 0 UHLENKAMP NOAH B FAMILY MEMBER OF FORMER OFFICER NORBY, SUSAN M. 56945 EMPLOYMENT 0 WALD MICHELLE K FAMILY MEMBER OF FORMER KEY EMPLOYEE WALD M.D., JOHN T. 64896 EMPLOYMENT 0 WILLIAMSON MD ERIC E FAMILY MEMBER OF KEY EMPLOYEE WILLIAMSON, MARY J. 822298 EMPLOYMENT 0 X 3 0 EXPERTS X 0 EXPERTS X 311 23314305 MEAN MARKET VALUE X 8 33533187 EXPERTS X 2 2183600 EXPERTS X 1 9655276 EXPERTS X EQUIPMENT 3 0 EXPERTS X AIRTIME 1 0 EXPERTS 9 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 2023, A GROUP RETURN (MAYO CLINIC GROUP RETURN - EIN: 38-3952644) WAS FILED THAT INCLUDED SEVENTEEN 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 2023 TAX YEAR. THIS IS IN LIEU OF CONSOLIDATING SUCH INFORMATION WITH ITS SUBORDINATE ORGANIZATIONS AND REPORTING SUCH INFORMATION ON THE 2023 MAYO CLINIC GROUP RETURN. FORM 990, PART VI, SECTION A, LINE 1A 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: DAHLEN, DENNIS E., WILLIAMS M.D., AMY W., ZORN, CHRISTINA K., THIELEN M.D., KENT R., MURPHY, JOSHUA B., MENKOSKY, PAULA E., HUBERT, SHERRY L., GORMAN, PAUL A., FRANCIS, JAMES R., FARRUGIA M.D., GIANRICO, BROWN, WILLIAM 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: DUNN, AJANI N., DIDEHBAN, ROSHANAK, NOSEWORTHY M.D., PETER A., DAHLEN, DENNIS E., MURPHY, JOSHUA B., HUBERT, SHERRY L., GORMAN, PAUL A., FRANCIS, JAMES R., BROWN, WILLIAM A., THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: DIDEHBAN, ROSHANAK, GRAY M.D., RICHARD J., HARA M.D., AMY K., FONSECA M.D., RAFAEL, RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: DIDEHBAN, ROSHANAK, GRAY M.D., RICHARD J., HARA M.D., AMY K., FONSECA M.D., RAFAEL, THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: DUNN, AJANI N., MCLAUGHLIN M.D., SARAH 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: DUNN, AJANI N., MCLAUGHLIN M.D., SARAH A., THIELEN M.D., KENT R., ********************** WILLIAMSON, MARY J., HOLTAN, DOUGLAS J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF ROCHESTER AIRPORT COMPANY, 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., 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. BAKER JR., DOUGLAS M. GERBERDING M.D., JULIE L. SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF AN UNRELATED TAXABLE ENTITY RESULTING IN A BUSINESS RELATIONSHIP. 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 B, LINE 11B THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT AND IS REVIEWED BY THE TAX DIRECTOR. IT IS THEN REVIEWED BY THE CHAIR-FINANCIAL AND ACCOUNTING SERVICES, CHAIR-REVENUE CYCLE, CHIEF INVESTMENT OFFICER, CHIEF FINANCIAL OFFICER AND CHIEF LEGAL 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, CONSULTING STAFF 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, CONSULTING STAFF 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, CONSULTING STAFF 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 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 XI, LINE 9: MAYO COLLABORATIVE SERVICES (LLC TO C-CORP) -176,858,824. MAYO HOLDING COMPANY TRANSFER -378,631,498. PENSION-POST RETIREMENT (PER FASB A -601,986,275. LOSSES ON UNCOLLECTIBLE PLEDGES -2,089,512. CONTRIBUTIONS-REFUND-FMV ADJUSTMENT -272,581. FORM 990, PART XII, LINE 2C, AUDIT PROCESS THE OVERSIGHT OF THE AUDIT PROCESS OR THE PROCESS FOR SELECTING AN AUDITOR HAS NOT CHANGED. 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