Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
200 FIRST STREET SW
 
Room/suite
City or town, state or country, and ZIP + 4
ROCHESTER, MN55905
D Employer identification number

41-1506440
E Telephone number

G Gross receipts $ 1,100,656,874
F Name and address of principal officer:
WILLIAM J LITCHY MD
200 FIRST STREET SW
ROCHESTER,MN55905
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MAYO.EDU
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1915
M State of legal domicile: MN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO ASSIST IN CARRYING OUT THE CHARITABLE PURPOSES OF MAYO CLINIC
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 5
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 7,002
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 23,386,917
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 5,097,732
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,161,728 4,705,966
9 Program service revenue (Part VIII, line 2g) ......... 976,161,104 1,088,612,710
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,043,567 3,461,139
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,123,814 3,172,255
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 984,490,213 1,099,952,070
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 68,327 38,692
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 506,830,931 566,629,269
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet571,267    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 457,922,987 517,124,239
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 964,822,245 1,083,792,200
19 Revenue less expenses. Subtract line 18 from line 12....... 19,667,968 16,159,870
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,369,241,497 1,596,665,927
21 Total liabilities (Part X, line 26)............. 1,263,296,869 1,466,359,536
22 Net assets or fund balances. Subtract line 21 from line 20..... 105,944,628 130,306,391
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO ASSIST IN CARRYING OUT THE CHARITABLE PURPOSES OF MAYO CLINIC, INCLUDING, BUT NOT LIMITED TO, MEDICAL EDUCATION AND RESEARCH,MEDICAL PRACTICE ACTIVITIES, AND CLINICAL OUTREACH ACTIVITIES IN FURTHERANCE OF SUCH MEDICAL EDUCATION AND RESEARCH AND PROMOTION OFHEALTH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 779,365,018 including grants of $ 38,692 ) (Revenue $ 831,692,607 )
SUPPORT SERVICES (SEE SCHEDULE O)MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER) PARTICIPATES IN THE DIRECTION AND GUIDANCE OF MEDICAL CLINICS OPERATED BY MAYO CLINIC. THESE INCLUDE MAYO CLINIC, LOCATED IN ROCHESTER, MINNESOTA, AS WELL AS SEPARATE, NONPROFIT MEDICAL CLINICS OPERATED BY MAYO CLINIC IN JACKSONVILLE, FLORIDA; SCOTTSDALE, ARIZONA; EAU CLAIRE, LACROSSE AND MENOMONIE, WISCONSIN; ALBERT LEA, AUSTIN, CANNON FALLS, FAIRMONT, FARIBAULT, LAKE CITY, MANKATO, NEW PRAGUE , OWATONNA, RED WING, ST. JAMES, SPRINGFIELD, WABASHA AND WASECA, MINNESOTA; DECORAH, IOWA AND WAYCROSS, GEORGIA. MFMER'S RELATIONSHIP WITH THESE CLINICS IS TO ENSURE THE HIGHEST QUALITY STANDARDS OF PATIENT CARE AND PATIENT DATA ESTABLISHED AT MAYO CLINIC ARE CONSISTENT THROUGHOUT THE MAYO CLINIC SYSTEM SO THAT THE RESEARCH AND EDUCATIONAL PURPOSES OF MAYO CLINIC CAN BE ACCOMPLISHED. THE EXTENSION OF THE RESEARCH, EDUCATION AND PATIENT CARE LEADERSHIP ROLE ASSOCIATED WITH MAYO CLINIC INTO AREAS OUTSIDE OF ROCHESTER CREATES USEFUL AND OTHERWISE UNAVAILABLE COMPARATIVE RESEARCH AND EDUCATIONAL OPPORTUNITIES TO FURTHER MAYO'S EXEMPT PURPOSE. MFMER ALSO PROVIDES PAYROLL, PURCHASING, SALARY & BENEFIT ADMINISTRATION AND OTHER MISCELLANEOUS SUPPORT SERVICES FOR MAYO CLINIC AND AFFILIATES.
4b (Code:   ) (Expenses $ 163,611,998 including grants of $   ) (Revenue $ 172,799,675 )
PHARMACIES AND MEDICAL PRODUCTS (SEE SCHEDULE O)IN ORDER TO CONVENIENTLY ACCOMMODATE THE NEEDS OF PATIENTS AND EMPLOYEES OF MAYO CLINIC, MFMER OPERATES PHARMACIES AND A MEDICAL PRODUCTS STORE AT THE MAYO CLINIC SITES. THESE OPERATIONS ARE NOT INTENDED TO SERVE THE GENERAL PUBLIC. THE STAFF AT THESE PHARMACIES ALSO ASSIST MAYO CLINIC SCIENTISTS IN DRUG PROTOCOLS FOR RESEARCH.
4c (Code:   ) (Expenses $ 55,927,908 including grants of $   ) (Revenue $ 56,864,515 )
HEALTH INFORMATION (SEE SCHEDULE O)MFMER IS USED AS A MEANS OF MAKING AVAILABLE TO THE MEDICAL COMMUNITY AND TO THE GENERAL PUBLIC THE RESULTS OF MAYO'S RESEARCH AND EDUCATION PROGRAMS. DURING 2012, MFMER SOLD 5,055,972 COPIES OF THE MAYO CLINIC HEALTH LETTER. THE HEALTH LETTER IS A MONTHLY NEWSLETTER CONTAINING USEFUL HEALTH INFORMATION FOR THE GENERAL PUBLIC. MFMER SOLD 2,470,415 COPIES OF THE MAYO CLINIC EMBODYHEALTH NEWSLETTER. MOST OF THE COPIES WERE SOLD TO EMPLOYERS AND MEMBER ORGANIZATIONS AS PART OF MFMER'S CORPORATE WELLNESS PROGRAM. THIS PROGRAM IS DESIGNED TO MEET THE SPECIFIC POPULATION HEALTH MANAGEMENT NEEDS OF EMPLOYERS AND MEMBER ORGANIZATIONS. THE EMBODYHEALTH NEWSLETTER PROVIDES HEALTH INFORMATION TO THE SUBCRIBING ORGANIZATION'S EMPLOYEES AND MEMBERS. IN ADDITION, THE FOLLOWING BOOKLETS WERE SOLD TO EMPLOYERS AND MEMBER ORGANIZATIONS UNDER THE CORPORATE WELLNESS PROGRAM: 50 HEAD-TO-TOE HEALTH TIPS 10,150 COPIES 8 WAYS TO LOWER YOUR RISK OF A HEART ATTACK OR STROKE 210 COPIES DISEASE-FIGHTING FOODS: SMART EATING CHOICES 910 COPIES EATING OUT: YOUR POCKET GUIDE TO HEALTH DINING 3,610 COPIES HEALTHY EATING FOR HURRIED LIVES 1,375 COPIES HEALTHY WEIGHT FOR LIFE 6,335 COPIES HIGH BLOOD PRESSURE & YOUR HEART 2,500 COPIES LIVE LONGER, LIVE BETTER 1,025 COPIES COMPLEMENTARY & ALTERNATIVE MEDICINE 100 COPIES WALK YOUR WAY TO FITNESS 985 COPIES YOUR HEART-HEALTHY EATING GUIDE 110 COPIES MFMER ALSO SELLS NUMEROUS BOOKS ON HEALTH RELATED TOPICS. DURING 2012, MFMER SOLD 12,926 COPIES OF MAYO CLINIC FAMILY HEALTH BOOK, AN ILLUSTRATED COMPREHENSIVE HOME MEDICAL REFERENCE WITH DETAILED, CURRENT INFORMATION ON HUNDREDS OF MEDICAL CONDITIONS. DURING 2012, MFMER ALSO SOLD THE FOLLOWING BOOKS, WHICH ARE ALL PART OF A SERIES OF EASY TO UNDERSTAND, YET COMPREHENSIVE BOOKS THAT PROVIDE ANSWERS TO QUESTIONS ABOUT EACH HEALTH CONCERN:MAYO CLINIC 5 STEPS TO CONTROLLING HIGH BLOOD PRESSURE 6,643 COPIESMAYO CLINIC BOOK OF ALTERNATIVE MEDICINE 9,015 COPIESMAYO CLINIC BOOK OF HOME REMEDIES 27,837 COPIESMAYO CLINIC BREAST CANCER BOOK 6,544 COPIESMAYO CLINIC DIABETES DIET 18,225 COPIESMAYO CLINIC DIABETES DIET JOURNAL 30 COPIESMAYO CLINIC DIABETES WORKBOOK 3,150 COPIESMAYO CLINIC ESSENTIAL GUIDE TO PROSTATE HEALTH 6,318MAYO CLINIC FITNESS FOR EVERYBODY 3,071 COPIESMAYO CLINIC ON ALZHEIMER'S 603 COPIESMAYO CLINIC ON DIGESTIVE HEALTH 12,027 COPIESMAYO CLINIC GUIDE TO A HEALTY PREGANCY 68,164 COPIES MAYO CLINIC GUIDE TO BETTER VISION 7,622 COPIESMAYO CLINIC GUIDE TO MANAGING ARTHRITIS 4,473 COPIESMAYO CLINIC GUIDE TO PAIN RELIEF 3,764 COPIESMAYO CLINIC GUIDE TO PREVENTING & TREATING OSTEOPOROSIS 3,350 COPIESMAYO CLINIC GUIDE TO SELF CARE 25,074 COPIESMAYO CLINIC GUIDE TO YOUR BABY'S FIRST YEAR 17,447 COPIESMAYO CLINIC HEART HEALTHY FOR LIFE! 51,035 COPIESMAYO CLINIC HEALTHY WEIGHT FOR EVERYBODY 50 COPIESMAYO CLINIC INTERACTIVE BREAST CANCER DECISION TOOL 8 COPIESMAYO CLINIC KIDS' COOKBOOK 3900 COPIESMAYO CLINIC ON BETTER HEARING AND BALANCE 13,266 COPIESMAYO CLINIC ON MANAGING INCONTINENCE 1,247 COPIESMAYO CLINIC PLAN - 10 ESSENTIAL STEPS TO A BETTER BODY & HEALTHIER LIFE 230 COPIESMAYO CLINIC PLAN ON HEALTHY AGING 8,063 COPIESMAYO CLINIC ESSENTIAL DIABETES BOOK 50,776 COPIES IN COLLABORATION WITH GAIAM, INC., "WELLNESS SOLUTIONS", A DVD SERIES OFFERING INTEGRATIVE HEALTH SOLUTIONS FOR 10 COMMON CONDITIONS, WAS ORIGINALLY PUBLISHED IN 2008 SELLING 8,202 COPIES IN 2012.IN 2012, MFMER SOLD 35,023 COPIES OF THE MAYO CLINIC DIET BOOK AND 18,507 COPIES OF THE DIET JOURNAL. IN THE BOOK AND THE JOURNAL, MAYO CLINIC HAS BOILED THE RESEARCH DOWN TO FIVE SIMPLE HABITS TO HELP TAKE OFF EXTRA WEIGHT AND FIVE HABITS TO BREAK SO THAT WEIGHT DOES NOT COME BACK. FIX IT AND ENJOY IT COOKBOOKS SOLD 3,007 COPIES AND THE MAYO CLINIC COOKBOOK SOLD 36,557 COPIES. THE HEALTHY EATING WORKBOOK SOLD 25 COPIES AND AWARD WINNING RECIPES SOLD 44,360 COPIES.MFMER ALSO OPERATES MAYO'S INFORMATIONAL CONSUMER WEBSITE, MAYOCLINIC.COM, WHICH HAS THOUSANDS OF VISITORS DAILY.ASK MAYO CLINIC, A TELEPHONIC HEALTH RESOURCE ADMINISTERED BY MFMER IS A STRATEGIC RESOURCE AVAILABLE TO EMPLOYERS TO OFFER TO THEIR EMPLOYEES. THIS 24-HOUR NURSE LINE AND HEALTH ADVOCACY SERVICE IS STAFFED BY EXPERIENCED REGISTERED NURSES WHO DRAW ON THE RESOURCES OF MAYO CLINIC TO HELP PEOPLE CHOOSE THE RIGHT LEVEL OF CARE FOR ILLNESSES AND INJURIES, AND ACCESS APPROPRIATE RESOURCES FOR THEIR PERSONAL HEALTH NEEDS.
(Code:   ) (Expenses $ 18,604,774 including grants of $   ) (Revenue $ 28,659,046 )
LICENSING OF TECHNOLOGY:MAKING THE RESULTS OF RESEARCH AND TECHNOLOGY DEVELOPED THROUGHOUT MAYO CLINIC AVAILABLE TO THE PUBLIC IS ANOTHER FUNCTION OF MFMER. THIS IS ACCOMPLISHED THROUGH LICENSING ARRANGEMENTS WITH OTHERS HAVING THE CAPABILITY TO DISTRIBUTE THE TECHNOLOGY TO THE MEDICAL COMMUNITY AND THE GENERAL PUBLIC. DURING 2012, MFMER SIGNED 86 LICENSES WITH COMPANIES TO DISTRIBUTE MAYO CLINIC TECHNOLOGY AND INVENTIONS. IN EXCHANGE FOR THESE LICENSES, MFMER RECEIVES ROYALTIES BASED ON GROSS REVENUES GENERATED FROM THE PRODUCTS DEVELOPED FROM THE LICENSED TECHNOLOGY OR INVENTION. THE REVENUES FROM THESE ROYALTIES ARE USED TO FURTHER THE RESEARCH AND EDUCATIONAL ACTIVITIES OF MAYO CLINIC. MAYO CLINIC VENTURES (MCV) WORKS WITH INVENTORS AND INDUSTRY TO MOVE INNOVATIONS FROM BENCH TO BEDSIDE BY CREATING NEW LICENSING OPPORTUNITIES, NEW COMPANIES AND NEW PRODUCTS. MCV HAS FILED MORE THAN 3,400 PATENT APPLICATIONS RESULTING IN MORE THAN 625 ACTIVE LICENSE AGREEMENTS WITH COMPANIES IN THE BIOMEDICAL AND MANUFACTURING INDUSTRIES.TECHNOLOGY BASED VENTURES (TBV): WHEN CLEARLY DEFINED CRITERIA ARE MET, A TECHNOLOGY MAY BE CONSIDERED FOR THE OFFICE OF INTELLECTUAL PROPERTY'S TECHNOLOGY BASED VENTURES (TBV) PROGRAM, WHICH COMMERCIALIZES A TECHNOLOGY IN EXCHANGE FOR EQUITY AND ACTS AS A VEHICLE FOR A POSSIBLE MAYO CLINIC INVESTMENT INTO A START-UP COMPANY. THE TECHNOLOGY-BASED VENTURES PROGRAM FOCUSES ON COMMERCIALIZING MAYO CLINIC TECHNOLOGIES BY CREATING NEW COMPANIES, LICENSING TECHNOLOGIES INTO EXISTING START-UP COMPANIES, AND INVESTING IN VENTURE CAPITAL-BACKED COMPANIES. THIS WORK IS DONE IN CLOSE PARTNERSHIP WITH VENTURE CAPITAL FIRMS AND MANAGEMENT TEAMS THAT HAVE SIGNIFICANT EXPERIENCE IN THE HEALTH CARE INDUSTRY.AS PART OF THIS EFFORT, THE TECHNOLOGY-BASED VENTURES PROGRAM MANAGES A VENTURE CAPITAL INVESTMENT FUND. THE PROGRAM CO-INVESTS WITH LEADING VENTURE CAPITAL FIRMS IN HEALTH CARE TECHNOLOGY COMPANIES AND SEEKS TO PROVIDE A FINANCIAL RETURN TO MAYO CLINIC TO SUPPORT PATIENT CARE, RESEARCH AND EDUCATION. SINCE 1996, THE PROGRAM HAS INVESTED IN OVER TWO-DOZEN COMPANIES THAT ARE BASED ON MAYO CLINIC TECHNOLOGY OR UTILIZE MAYO CLINIC EXPERTISE. OUR CURRENT INVESTMENT FUND, MMV FUND II, WAS ESTABLISHED IN 2008 IN A COLLABORATIVE RELATIONSHIP BETWEEN MAYO CLINIC VENTURES AND MAYO CLINIC TREASURY SERVICES.
4d Other program services (Describe in Schedule O.)
(Expenses $ 18,604,774 including grants of $   ) (Revenue $ 28,659,046 )
4e Total program service expensesMediumBullet1,017,509,698
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
4,531
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
7,002
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletMX , AE , MP
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
Yes
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
2
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
5
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN , CA , KY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletCORPORATE TAX UNIT200 FIRST STREET SWROCHESTERMN55905 (507) 538-1297
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) LITCHY MD WILLIAM J........................................................................
DIRECTOR/CHAIR
1.00
.......................40.00
X   X       0 283,349 15,137
(2) LIENAU MARTY A........................................................................
DIRECTOR/TAX ANALYST
40.00
.......................0.00
X           101,695 0 20,062
(3) MATTHIAS MARK A........................................................................
DIR/ASST. TREAS/DIVISION VICE CHAIR
40.00
.......................0.00
X   X       211,514 0 47,820
(4) LINDAHL ROGER A........................................................................
DIR/ASST. SECRETARY/DIVISION CHAIR
40.00
.......................0.00
X   X       239,038 0 63,769
(5) BOLTON JEFFREY W........................................................................
DIRECTOR/VICE PRESIDENT/CFO
40.00
.......................0.00
X   X       777,777 0 59,357
(6) BRIGHAM ROBERT F........................................................................
ASST. SECRETARY
1.00
.......................40.00
    X       0 516,616 24,095
(7) HOFFMAN III HARRY N........................................................................
TREASURER
1.00
.......................40.00
    X       0 959,096 515,354
(8) HOFFMAN MARY J........................................................................
ASST. SECRETARY
1.00
.......................40.00
    X       0 279,686 61,176
(9) MELVIN KEVIN B........................................................................
ASST. SECRETARY/LEGAL COUNSEL
1.00
.......................40.00
    X       0 143,449 42,492
(10) SAWYER NAN B........................................................................
ASST. TREASURER
1.00
.......................40.00
    X       0 404,098 47,463
(11) SCHMIDT BRADLEY D........................................................................
ASST. TREASURER
1.00
.......................40.00
    X       0 337,928 51,243
(12) THOMAS GREGORY J........................................................................
ASST. SECRETARY & ADMINISTRATOR
1.00
.......................40.00
    X       3,944 458,384 9,159
(13) VAN NURDEN STEVEN P........................................................................
ASST. TREAS(1/1-5/23)/DIVISION DIRECTOR
40.00
.......................0.00
    X       121,782 0 42,771
(14) ESTES DANIEL D........................................................................
ASST. TREAS(5/23-12/31)/DIVISION DIRECTOR
40.00
.......................0.00
    X       164,999 0 30,573
(15) GOLDMAN DANIEL S........................................................................
ASST. SECRETARY/LEGAL COUNSEL
40.00
.......................0.00
    X       201,698 0 48,351
(16) BROWN MICHAEL E........................................................................
ASST. SECRETARY/LEGAL COUNSEL
40.00
.......................0.00
    X       203,646 0 33,425
(17) BROWN WILLIAM A........................................................................
ASST. TREAS/DIR OF STAFF SERVICES
40.00
.......................0.00
    X       210,372 0 56,925
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) LOHKAMP CHRISTIE A........................................................................
ASST. TREASURER/TAX DIRECTOR
40.00
.......................0.00
    X       212,205 0 33,042
(19) OTTE KIMBERLY K........................................................................
ASST. SEC/CHIEF COMPLIANCE OFFICER
40.00
.......................0.00
    X       213,820 0 42,550
(20) HUBERT SHERRY L........................................................................
ASST. SECRETARY/LEGAL COUNSEL
40.00
.......................0.00
    X       241,289 0 49,176
(21) HERBERT DAVID P........................................................................
ASST. SECRETARY/DIVISION CHAIR
40.00
.......................0.00
    X       256,042 0 64,056
(22) FROISLAND JEFFREY R........................................................................
ASST. TREASURER/DIVISION CHAIR
40.00
.......................0.00
    X       258,637 0 38,803
(23) FRANCIS JAMES R........................................................................
ASST. TREASURER/DIVISION CHAIR
40.00
.......................0.00
    X       326,347 0 58,524
(24) OVIATT JONATHAN J........................................................................
SECRETARY/CHIEF LEGAL OFFICER
40.00
.......................0.00
    X       555,778 0 62,556
(25) WEIS SHIRLEY A........................................................................
ASST. TREASURER/CAO OF MAYO CLINIC
1.00
.......................40.00
    X       971,605 0 59,023
(26) JORGENSEN STEVEN C........................................................................
DIVISION CHAIR
1.00
.......................40.00
      X     35,732 266,084 54,235
(27) BENGALI ABDUL R........................................................................
CHIEF INFORMATION OFFICER
40.00
.......................0.00
      X     512,433 0 8,155
(28) MENKOSKY PAULA E........................................................................
DIVISION CHAIR
20.00
.......................20.00
      X     250,648 129,612 50,594
(29) ROSS CHRISTOPHER J........................................................................
CHIEF INFORMATION OFFICER
40.00
.......................0.00
      X     201,485 0 6,868
(30) ROTTY BRIAN W........................................................................
ADMINISTRATOR
40.00
.......................0.00
      X     222,575 0 49,964
(31) LANGSTRAAT HARLAN J........................................................................
DIVISION VICE CHAIR
40.00
.......................0.00
      X     235,797 0 53,762
(32) COLLINS CRAIG C........................................................................
DIVISION CHAIR
40.00
.......................0.00
      X     236,296 0 60,425
(33) CROFT CHERYL R........................................................................
DIVISION CHAIR
40.00
.......................0.00
      X     240,116 0 55,134
(34) CRANMER JOHN P........................................................................
DIVISION CHAIR
40.00
.......................0.00
      X     258,477 0 15,015
(35) GROSSET JESSICA A........................................................................
DIVISION VICE CHAIR
40.00
.......................0.00
      X     274,404 0 23,671
(36) RYAN MICHAEL J........................................................................
DIVISION CHAIR
40.00
.......................0.00
      X     270,684 0 48,628
(37) MCNEILL STEVEN L........................................................................
CHIEF PLANNING OFFICER
40.00
.......................0.00
      X     300,710 0 49,515
(38) LA FORGIA JOHN M........................................................................
CHIEF PUBLIC AFFAIRS OFFICER
40.00
.......................0.00
      X     303,872 0 53,391
(39) RAGSDALE JILL M........................................................................
CHIEF HUMAN RESOURCES OFFICER
40.00
.......................0.00
      X     448,280 0 47,598
(40) NOSEWORTHY MD JOHN H........................................................................
PRESIDENT/CEO OF MAYO CLINIC
1.00
.......................40.00
      X     1,692,329 0 55,870
(41) BRODERSEN MD MARK P........................................................................
PHYSICIAN-ORTHOPEDICS
1.00
.......................40.00
        X   1,888 614,616 76,211
(42) FOGELSON MD JEREMY L........................................................................
PHYSICIAN-NEUROSURGERY
20.00
.......................20.00
        X   211,669 227,795 14,104
(43) CALAMIA MD KENNETH T........................................................................
CEO OF MCHS-WAYCROSS
20.00
.......................20.00
        X   226,009 154,545 64,518
(44) LETTIERI MD SALVATORE C........................................................................
PHYSICIAN-PLASTIC SURGERY
40.00
.......................1.00
        X   444,819 72,778 50,510
(45) TRASTEK MD VICTOR F........................................................................
PHYSICIAN-PROFESSIONAL/ETHICS
40.00
.......................0.00
        X   867,707 0 60,723
(46) ANDERSON JAMES G........................................................................
FORMER ASST. TREASURER
0.00
.......................40.00
          X 0 263,587 16,451
(47) EDWARDS MD BROOKS S........................................................................
FORMER PRESIDENT
0.00
.......................40.00
          X 0 448,077 60,887
(48) KOCH MARK B........................................................................
FORMER ASST. SECRETARY
0.00
.......................40.00
          X 0 289,086 16,795
(49) SCHILMOELLER ALAN R........................................................................
FORMER VICE PRESIDENT
40.00
.......................0.00
          X 189,498 0 15,968
(50) NESSE MD ROBERT E........................................................................
FORMER KEY EMPLOYEE
0.00
.......................40.00
          X 0 688,141 18,683
(51) STEVENS JEFFREY J........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 195,158 0 50,972
(52) MCNAMARA MICHAEL J........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 341,572 0 63,886
(53) CAGIN DO CHARLES R........................................................................
FORMER HIGHEST PAID
0.00
.......................40.00
          X 0 712,327 16,289
(54) MEYERS MD MICHAEL S........................................................................
FORMER HIGHEST PAID
0.00
.......................40.00
          X 0 635,582 20,604
(55) PAMULAPATI MD KRISHNA M........................................................................
FORMER HIGHEST PAID
0.00
.......................40.00
          X 0 567,798 59,146
(56) SINGH MD MANDEEP........................................................................
FORMER HIGHEST PAID
0.00
.......................40.00
          X 0 640,718 22,104
(57) TAK MD TAHIR........................................................................
FORMER HIGHEST PAID
0.00
.......................40.00
          X 0 641,823 65,825
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 13,234,346 9,735,175 2,903,403
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,116
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
STRUCTURE TONE1050 WALL ST WLYNDHURSTNJ07071 CONSTRUCTION 34,499,058
GILBANE BUILDING COMPANY-KNUTSON CONSTRU7 JACKSON WALKWAYPROVIDENCERI02903 CONSTRUCTION 28,310,483
PEOPLECLICK INC9425 N MACARTHUR BLVDIRVINGTX75063 HR SERVICES 24,001,135
HUNT CONSTRUCTION GROUP INC6720 N SCOTTSDALE RD STE 300SCOTTSDALEAZ85253 CONSTRUCTION 22,859,838
SODEXO SERVICES INCPO BOX 536922ATLANTAGA30353 FOOD SERVICES 20,344,173
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet878
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 4,692,568
e Government grants (contributions)1e 13,398
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 4,705,966
 Program Service Revenue Business Code
2a SUPPORT SERVICES 561000 830,289,475 822,830,475 7,459,000  
b PHARMACY REVENUE 446110 159,370,433 158,356,843 1,013,590  
c HEALTH INFORMATION REV 511190 56,864,515 46,960,155 9,421,645 482,715
d ROYALTY REVENUE 541900 28,659,046 27,585,388 1,073,658  
e MEDICAL PRODUCT SALES 446199 13,429,241 10,564,139 2,865,102  
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,088,612,710
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 2,517,527   -425 2,517,952
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   1,648,416
b Less: cost or other basis and sales expenses   704,804
c Gain or (loss)   943,612
d Net gain or (loss)..........MediumBullet 943,612     943,612
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a 14,540
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 14,540   14,540
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a MISC REVENUE 900099 1,617,466 988,345 428,885 200,236
b MAYO MEDICAL TRANSPORT 621990 957,541 261,276 696,265  
c MISC CONSULTING 541610 400,214   400,214  
d All other revenue .... 182,494 153,511 28,983  
e Total. Add lines 11a–11d ...... MediumBullet 3,157,715
12 Total revenue. See Instructions......MediumBullet 1,099,952,070 1,067,700,132 23,386,917 4,159,055
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 26,175 26,175
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 12,517 12,517
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 11,941,575 11,941,575    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,392,067 1,392,067    
7 Other salaries and wages 426,576,380 426,576,380    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 69,966,304 69,966,304    
9 Other employee benefits ....... 24,631,296 24,631,296    
10 Payroll taxes ........... 32,121,647 32,121,647    
11 Fees for services (non-employees):        
a Management ...... 471,665 471,665    
b Legal ......... 4,718,382 4,718,382    
c Accounting ........... 1,680,170 1,680,170    
d Lobbying ........... 1,436,439 1,436,439    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 454 454    
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 116,653,817 116,653,817    
12 Advertising and promotion .... 7,804,949 7,804,949    
13 Office expenses ....... 169,179,167 169,179,167    
14 Information technology ...... 69,035,593 69,035,593    
15 Royalties .. 10,317,474 10,317,474    
16 Occupancy ........... 47,798,029 47,798,029    
17 Travel ............ 9,132,140 9,132,140    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 504,387 504,387    
20 Interest ........... 1,196 1,196    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 64,428,457 64,428,457    
23 Insurance .............. 350 350    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a UBI TAXES 4,371,035   4,371,035  
b EMPLOYEE RELATED 5,418,042 5,418,042    
c BAD DEBT EXPENSE 1,440,495 1,440,495    
d MISC. EXPENSE 1,271,206 1,271,206    
e All other expenses 1,460,792 -60,450,675 61,340,200 571,267
25 Total functional expenses. Add lines 1 through 24e 1,083,792,200 1,017,509,698 65,711,235 571,267
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 61,451,785 1 344,799,962
2 Savings and temporary cash investments ......... 52,742,224 2 25,055,653
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 47,770,817 4 44,960,327
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 194,861,015 7 194,828,369
8 Inventories for sale or use .............. 30,370,547 8 31,107,578
9 Prepaid expenses and deferred charges .......... 28,879,121 9 32,869,708
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 710,232,226
b Less: accumulated depreciation ..... 10b 533,582,911 182,183,624 10c 176,649,315
11 Investments—publicly traded securities .......... 2,660,070 11 3,502,264
12 Investments—other securities. See Part IV, line 11 ..... 31,932,907 12 30,487,172
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 736,389,387 15 712,405,579
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,369,241,497 16 1,596,665,927
Liabilities 17 Accounts payable and accrued expenses ......... 674,416,326 17 760,002,516
18 Grants payable .................   18  
19 Deferred revenue ................ 13,764,206 19 11,176,098
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 575,116,337 25 695,180,922
26 Total liabilities. Add lines 17 through 25......... 1,263,296,869 26 1,466,359,536
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 98,684,474 27 122,735,767
28 Temporarily restricted net assets ........... 4,954,880 28 5,228,003
29 Permanently restricted net assets ........... 2,305,274 29 2,342,621
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 105,944,628 33 130,306,391
34 Total liabilities and net assets/fund balances ........ 1,369,241,497 34 1,596,665,927
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,099,952,070
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,083,792,200
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
16,159,870
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
105,944,628
5
Net unrealized gains (losses) on investments ...............
5
8,201,893
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
130,306,391
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 1,031,520   2,770,435 4,161,728 4,705,966 12,669,649
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... 258,925,047 617,391,814 719,508,061 954,588,081 1,067,700,132 3,618,113,135
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5. 259,956,567 617,391,814 722,278,496 958,749,809 1,072,406,098 3,630,782,784
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.           0
c Add lines 7a and 7b..           0
8 Public support (Subtract line 7c from line 6.)           3,630,782,784
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6... 259,956,567 617,391,814 722,278,496 958,749,809 1,072,406,098 3,630,782,784
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 11,794,270 3,731,267 1,670,909 1,966,965 2,517,952 21,681,363
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.   967,146 1,225,483 6,226,296 5,097,732 13,516,657
c Add lines 10a and 10b. 11,794,270 4,698,413 2,896,392 8,193,261 7,615,684 35,198,020
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) .. 3,570,624 4,435,698 1,449,009 1,228,907 697,491 11,381,729
13 Total support. (Add lines 9, 10c, 11, and 12.).. 275,321,461 626,525,925 726,623,897 968,171,977 1,080,719,273 3,677,362,533
14
Section C. Computation of Public Support Percentage
15
15
98.730 %
16
16
98.290 %
Section D. Computation of Investment Income Percentage
17
17
0.960 %
18
18
1.230 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: SUPPORT SERVICES - 2008 AMOUNT: $ 3,570,624. 2009 AMOUNT: $ 4,435,698. 2010 AMOUNT: $ 560,158. 2011 AMOUNT: $ 500,249. HEALTH INFORMATION - 2010 AMOUNT: $ 601,804. 2011 AMOUNT: $ 527,017. 2012 AMOUNT: $ 482,715. MISCELLANEOUS - 2010 AMOUNT: $ 287,047. 2011 AMOUNT: $ 201,641. 2012 AMOUNT: $ 200,236. FUNDRAISING - 2012 AMOUNT: $ 14,540.
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
Yes
 
6,855
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
1,429,584
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
 
j
Total. Add lines 1c through 1i ...............................
1,436,439
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: MAYO CLINIC (MAYO) IS THE PARENT OF THE FILING ORGANIZATION. DURING 2012, MAYO OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED MEDICARE LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S CONCERNS AND RECOMMENDATIONS REGARDING HEALTHCARE REFORM. THE PRIMARY FOCUS OF MOST OF THESE CONTACTS WAS TO DISCUSS PRINCIPLES FOR HEALTH CARE REFORM RATHER THAN TRY TO INFLUENCE THE PASSAGE OF ANY SPECIFIC PROPOSED LEGISLATION. 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. SUCH ACTIVITY IS NORMALLY AT THE REQUEST OF A LEGISLATIVE BODY, COMMITTEE OR MEMBER. IN 2012, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. 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.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 2,305,274 2,369,808 2,397,178 2,312,185 2,227,967
b Contributions ........          
c Net investment earnings, gains, and losses 37,347 -64,534 -27,370 84,993 84,218
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ...... 2,342,621 2,305,274 2,369,808 2,397,178 2,312,185
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   10,963 10,415 548
c Leasehold improvements ............        
d Equipment ................   701,843,845 533,572,496 168,271,349
e Other .................   8,377,418   8,377,418
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 176,649,315
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES 606,355,170
(2) GIFT ANNUITIES 95,250,138
(3) RELOCATION HOUSES 3,174,646
(4) MISC. CONTRIBUTED ASSETS 1,189,714
(5) OTHER LONG TERM ASSETS 41,000
(6) THIRD PARTY TRUSTS 6,394,910



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 712,405,579
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
DUE TO AFFILIATES 691,678,658
DEFERRED COMPENSATION LIABILITY 3,502,264







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 695,180,922
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: AT DECEMBER 31, 2012 AND 2011, 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.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part I
General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total expenditures
for and investments
in region
CENTRAL AMERICA AND THE CARIBBEAN 0 5 TRAVEL- INTERNATIONAL CONFERENCE   7,794
EAST ASIA AND THE PACIFIC 0 10 TRAVEL- INTERNATIONAL CONFERENCE   12,833
EUROPE (INCLUDING ICELAND & GREENLAND) 0 24 TRAVEL- INTERNATIONAL CONFERENCE   49,833
MIDDLE EAST AND NORTH AFRICA 0 8 TRAVEL- INTERNATIONAL CONFERENCE   17,728
NORTH AMERICA 0 36 TRAVEL- INTERNATIONAL CONFERENCE   78,468
SOUTH AMERICA 0 7 TRAVEL- INTERNATIONAL CONFERENCE   17,603
SOUTH ASIA 0 14 TRAVEL- INTERNATIONAL CONFERENCE   33,126
CENTRAL AMERICA AND THE CARIBBEAN 1 1 PATIENT SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 32,132
SOUTH AMERICA 1 2 PATIENT SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 83,651
NORTH AMERICA 1 3 PATIENT SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 119,791
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES MANAGEMENT CONSULTING 82,221
SUB-SAHARAN AFRICA 0 1 INVESTMENT   265,000
CENTRAL AMERICA AND THE CARIBBEAN 0 19 SUPPLIES & SERVICES PURCHASED   66,346
EAST ASIA AND THE PACIFIC 0 88 SUPPLIES & SERVICES PURCHASED   581,038
EUROPE (INCLUDING ICELAND & GREENLAND) 0 342 SUPPLIES & SERVICES PURCHASED   8,686,975
MIDDLE EAST AND NORTH AFRICA 0 48 SUPPLIES & SERVICES PURCHASED   479,077
NORTH AMERICA 0 273 SUPPLIES & SERVICES PURCHASED   4,863,417
RUSSIA & THE NEWLY INDEPENDENT STATES 0 4 SUPPLIES & SERVICES PURCHASED   18,714
SOUTH AMERICA 0 36 SUPPLIES & SERVICES PURCHASED   207,430
SOUTH ASIA 0 34 SUPPLIES & SERVICES PURCHASED   455,173
SUB-SAHARAN AFRICA 0 15 SUPPLIES & SERVICES PURCHASED   157,742
EAST ASIA AND THE PACIFIC 0 0 ROYALTIES    
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 ROYALTIES    
NORTH AMERICA 0 0 ROYALTIES    
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 SUPPLIES & SERVICES PURCHASED MARKETING 783,227
NORTH AMERICA 0 0 SUPPLIES & SERVICES PURCHASED MARKETING 737,682
3a Sub-total ..... 1 105 249,517
b Total from continuation sheets to Part I ... 2 865 17,587,484
c Totals (add lines 3a and 3b) 3 970 17,837,001
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
METHOD USED TO ACCCOUNT FOR EXPENDITURES:   SCHEDULE F, PART I, LINE 3: ACCRUAL METHOD
  SCHEDULE F, PART I, LINE 3: SUPPLIES & SERVICES PURCHASED - AS THE PROCUREMENT COMPANY FOR MAYO CLINIC AND AFFILIATES, THE FILING ORGANIZATION PURCHASES SUPPLIES AND SERVICES FROM AROUND THE WORLD. THE AMOUNTS AND REGIONS REFLECTED IN SCHEDULE F AS "SUPPLIES & SERVICES PURCHASED" ARE BASED ON ADDRESSES PROVIDED AT TIME OF INVOICING AND IS A CONSOLIDATED NUMBER FOR ALL THE ENTITIES WHO PURCHASE THROUGH THE FILING ORGANIZATION.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
Additional Data


Software ID:  
Software Version:  



Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number
41-1506440
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) GIFT OF LIFE INC
705 SECOND STREET SW
ROCHESTER,MN55902
41-1495845 501(C)(3) 6,125       SUPPORT EXEMPT PURPOSE
(2) THE LEUKEMIA & LYMPHOMA SOCIETY INC
1311 MAMARONECK AVE ROOM/SUITE 310
WHITE PLAINS,NY10605
13-5644916 501(C)(3) 5,000       SUPPORT EXEMPT PURPOSE
(3)  

 
 
          SUPPORT EXEMPT PURPOSE


















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) SCHOLARSHIPS - MAYO SCHOOL OF HEALTH SCIENCES 13 9,517      
(2) FINANCIAL ASSISTANCE - SPIRIT OF CARING AWARDS 1 3,000      










Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)LITCHY MD WILLIAM JDIRECTOR/CHAIR (i)
(ii)
0
271,773
0
0
0
11,576
0
139
0
14,998
0
298,486
0
0
(2)MATTHIAS MARK ADIR/ASST. TREAS/DIVISION VICE CHAIR (i)
(ii)
210,743
0
0
0
771
0
23,512
0
24,308
0
259,334
0
0
0
(3)LINDAHL ROGER ADIR/ASST. SECRETARY/DIVISION CHAIR (i)
(ii)
237,384
0
0
0
1,654
0
33,986
0
29,783
0
302,807
0
0
0
(4)BOLTON JEFFREY WDIRECTOR/VICE PRESIDENT/CFO (i)
(ii)
693,020
0
0
0
84,757
0
37,595
0
21,762
0
837,134
0
0
0
(5)BRIGHAM ROBERT FASST. SECRETARY (i)
(ii)
0
457,288
0
0
0
59,328
0
246
0
23,849
0
540,711
0
0
(6)HOFFMAN III HARRY NTREASURER (i)
(ii)
0
540,934
0
262,990
0
155,172
0
486,975
0
28,379
0
1,474,450
0
262,990
(7)HOFFMAN MARY JASST. SECRETARY (i)
(ii)
0
273,136
0
0
0
6,550
0
32,745
0
28,431
0
340,862
0
0
(8)MELVIN KEVIN BASST. SECRETARY/LEGAL COUNSEL (i)
(ii)
0
142,750
0
0
0
699
0
10,306
0
32,186
0
185,941
0
0
(9)SAWYER NAN BASST. TREASURER (i)
(ii)
0
371,461
0
0
0
32,637
0
37,719
0
9,744
0
451,561
0
0
(10)SCHMIDT BRADLEY DASST. TREASURER (i)
(ii)
0
317,508
0
0
0
20,420
0
35,672
0
15,571
0
389,171
0
0
(11)THOMAS GREGORY JASST. SECRETARY & ADMINISTRATOR (i)
(ii)
0
397,937
0
0
3,944
60,447
1
88
0
9,070
3,945
467,542
0
0
(12)VAN NURDEN STEVEN PASST. TREAS(1/1-5/23)/DIVISION DIREC (i)
(ii)
105,900
0
0
0
15,882
0
28,367
0
14,404
0
164,553
0
0
0
(13)ESTES DANIEL DASST. TREAS(5/23-12/31)/DIVISION DIR (i)
(ii)
162,730
0
0
0
2,269
0
24,093
0
6,480
0
195,572
0
0
0
(14)GOLDMAN DANIEL SASST. SECRETARY/LEGAL COUNSEL (i)
(ii)
200,635
0
0
0
1,063
0
23,224
0
25,127
0
250,049
0
0
0
(15)BROWN MICHAEL EASST. SECRETARY/LEGAL COUNSEL (i)
(ii)
202,903
0
0
0
743
0
22,656
0
10,769
0
237,071
0
0
0
(16)BROWN WILLIAM AASST. TREAS/DIR OF STAFF SERVICES (i)
(ii)
208,775
0
0
0
1,597
0
35,696
0
21,229
0
267,297
0
0
0
(17)LOHKAMP CHRISTIE AASST. TREASURER/TAX DIRECTOR (i)
(ii)
211,703
0
0
0
502
0
21,863
0
11,179
0
245,247
0
0
0
(18)OTTE KIMBERLY KASST. SEC/CHIEF COMPLIANCE OFFICER (i)
(ii)
212,712
0
0
0
1,108
0
21,376
0
21,174
0
256,370
0
0
0
(19)HUBERT SHERRY LASST. SECRETARY/LEGAL COUNSEL (i)
(ii)
240,635
0
0
0
654
0
27,239
0
21,937
0
290,465
0
0
0
(20)HERBERT DAVID PASST. SECRETARY/DIVISION CHAIR (i)
(ii)
254,445
0
0
0
1,597
0
34,944
0
29,112
0
320,098
0
0
0
(21)FROISLAND JEFFREY RASST. TREASURER/DIVISION CHAIR (i)
(ii)
257,441
0
0
0
1,196
0
26,083
0
12,720
0
297,440
0
0
0
(22)FRANCIS JAMES RASST. TREASURER/DIVISION CHAIR (i)
(ii)
311,297
0
0
0
15,050
0
34,432
0
24,092
0
384,871
0
0
0
(23)OVIATT JONATHAN JSECRETARY/CHIEF LEGAL OFFICER (i)
(ii)
486,490
0
0
0
69,288
0
39,892
0
22,664
0
618,334
0
0
0
(24)WEIS SHIRLEY AASST. TREASURER/CAO OF MAYO CLINIC (i)
(ii)
820,314
0
0
0
151,291
0
44,546
0
14,477
0
1,030,628
0
0
0
(25)JORGENSEN STEVEN CDIVISION CHAIR (i)
(ii)
34,204
243,955
0
0
1,528
22,129
3,666
27,299
2,576
20,694
41,974
314,077
0
0
(26)BENGALI ABDUL RCHIEF INFORMATION OFFICER (i)
(ii)
93,094
0
0
0
419,339
0
40
0
8,115
0
520,588
0
0
0
(27)MENKOSKY PAULA EDIVISION CHAIR (i)
(ii)
197,106
128,712
0
0
53,542
900
17,790
9,200
15,713
7,891
284,151
146,703
0
0
(28)ROSS CHRISTOPHER JCHIEF INFORMATION OFFICER (i)
(ii)
200,824
0
0
0
661
0
0
0
6,868
0
208,353
0
0
0
(29)ROTTY BRIAN WADMINISTRATOR (i)
(ii)
219,763
0
0
0
2,812
0
24,572
0
25,392
0
272,539
0
0
0
(30)LANGSTRAAT HARLAN JDIVISION VICE CHAIR (i)
(ii)
233,752
0
0
0
2,045
0
38,508
0
15,254
0
289,559
0
0
0
(31)COLLINS CRAIG CDIVISION CHAIR (i)
(ii)
234,704
0
0
0
1,592
0
31,423
0
29,002
0
296,721
0
0
0
(32)CROFT CHERYL RDIVISION CHAIR (i)
(ii)
239,176
0
0
0
940
0
33,024
0
22,110
0
295,250
0
0
0
(33)CRANMER JOHN PDIVISION CHAIR (i)
(ii)
251,574
0
0
0
6,903
0
140
0
14,875
0
273,492
0
0
0
(34)GROSSET JESSICA ADIVISION VICE CHAIR (i)
(ii)
266,981
0
0
0
7,423
0
67
0
23,604
0
298,075
0
0
0
(35)RYAN MICHAEL JDIVISION CHAIR (i)
(ii)
269,616
0
0
0
1,068
0
20,731
0
27,897
0
319,312
0
0
0
(36)MCNEILL STEVEN LCHIEF PLANNING OFFICER (i)
(ii)
288,705
0
0
0
12,005
0
26,535
0
22,980
0
350,225
0
0
0
(37)LA FORGIA JOHN MCHIEF PUBLIC AFFAIRS OFFICER (i)
(ii)
290,315
0
0
0
13,557
0
40,012
0
13,379
0
357,263
0
0
0
(38)RAGSDALE JILL MCHIEF HUMAN RESOURCES OFFICER (i)
(ii)
434,327
0
0
0
13,953
0
24,994
0
22,604
0
495,878
0
0
0
(39)NOSEWORTHY MD JOHN HPRESIDENT/CEO OF MAYO CLINIC (i)
(ii)
1,400,539
0
0
0
291,790
0
40,843
0
15,027
0
1,748,199
0
0
0
(40)BRODERSEN MD MARK PPHYSICIAN-ORTHOPEDICS (i)
(ii)
0
516,481
0
0
1,888
98,135
139
45,254
0
30,818
2,027
690,688
0
0
(41)FOGELSON MD JEREMY LPHYSICIAN-NEUROSURGERY (i)
(ii)
161,476
201,810
50,000
0
193
25,985
0
0
6,010
8,094
217,679
235,889
0
0
(42)CALAMIA MD KENNETH TCEO OF MCHS-WAYCROSS (i)
(ii)
203,589
149,241
0
0
22,420
5,304
27,009
18,469
9,423
9,617
262,441
182,631
0
0
(43)LETTIERI MD SALVATORE CPHYSICIAN-PLASTIC SURGERY (i)
(ii)
396,777
72,512
0
0
48,042
266
24,839
4,064
18,703
2,904
488,361
79,746
0
0
(44)TRASTEK MD VICTOR FPHYSICIAN-PROFESSIONAL/ETHICS (i)
(ii)
720,852
0
0
0
146,855
0
43,418
0
17,305
0
928,430
0
0
0
(45)ANDERSON JAMES GFORMER ASST. TREASURER (i)
(ii)
0
249,583
0
0
0
14,004
0
0
0
16,451
0
280,038
0
0
(46)EDWARDS MD BROOKS SFORMER PRESIDENT (i)
(ii)
0
394,110
0
0
0
53,967
0
29,845
0
31,042
0
508,964
0
0
(47)KOCH MARK BFORMER ASST. SECRETARY (i)
(ii)
0
279,804
0
0
0
9,282
0
322
0
16,473
0
305,881
0
0
(48)SCHILMOELLER ALAN RFORMER VICE PRESIDENT (i)
(ii)
134,281
0
0
0
55,217
0
0
0
15,968
0
205,466
0
0
0
(49)NESSE MD ROBERT EFORMER KEY EMPLOYEE (i)
(ii)
0
593,641
0
0
0
94,500
0
0
0
18,683
0
706,824
0
0
(50)STEVENS JEFFREY JFORMER KEY EMPLOYEE (i)
(ii)
194,346
0
0
0
812
0
22,206
0
28,766
0
246,130
0
0
0
(51)MCNAMARA MICHAEL JFORMER KEY EMPLOYEE (i)
(ii)
317,471
0
0
0
24,101
0
47,784
0
16,102
0
405,458
0
0
0
(52)CAGIN DO CHARLES RFORMER HIGHEST PAID (i)
(ii)
0
610,546
0
0
0
101,781
0
0
0
16,289
0
728,616
0
0
(53)MEYERS MD MICHAEL SFORMER HIGHEST PAID (i)
(ii)
0
570,339
0
0
0
65,243
0
0
0
20,604
0
656,186
0
0
(54)PAMULAPATI MD KRISHNA MFORMER HIGHEST PAID (i)
(ii)
0
508,338
0
0
0
59,460
0
38,542
0
20,604
0
626,944
0
0
(55)SINGH MD MANDEEPFORMER HIGHEST PAID (i)
(ii)
0
550,780
0
0
0
89,938
0
0
0
22,104
0
662,822
0
0
(56)TAK MD TAHIRFORMER HIGHEST PAID (i)
(ii)
0
584,329
0
0
0
57,494
0
42,703
0
23,122
0
707,648
0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A IN 2012, SEVERAL OF THE LISTED PERSONS OF THE FILING ORGANIZATION SERVED ON THE BOARD OF TRUSTEES FOR MAYO CLINIC (THE PARENT COMPANY OF THE FILING ORGANIZATION) AND WERE PROVIDED TRAVEL FOR COMPANIONS SO THAT SPOUSES COULD ACCOMPANY THEM TO THE SITE OF THE MAYO CLINIC BOARD OF TRUSTEE MEETINGS. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION AND IS ORDINARILY GROSSED-UP. DURING A REVIEW OF SOME COMPENSATION ITEMS, IT WAS REALIZED THAT SOME SMALL AMOUNTS OF REIMBURSED EXPENSES ESCAPED TAXATION IN PRIOR YEARS. THE CORRECTIONS WERE MADE IN 2012 AND PAYMENTS OF THE TAX IMPACT WERE TREATED AS TAXABLE COMPENSATION. THE FOLLOWING INDIVIDUAL WAS IMPACTED: JOHN H.NOSEWORTHY M.D. SEVERAL OF THE LISTED PERSONS FOR THE FILING ORGANIZATION RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN SUCH AWARDS MAY HAVE A TAX GROSS-UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT ARE AVAILABLE TO ALL VOTING STAFF OF MAYO CLINIC. 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. THE SUBMISSION OF A RECEIPT IS NOT REQUIRED AS THE BENEFIT IS PAID DIRECTLY TO THE VENDOR. MARK BRODERSEN, GREGORY THOMAS AND MICHAEL MCNAMARA EACH RECEIVED A HOUSING ALLOWANCE WHILE TEMPORARILY ASSIGNED TO OTHER POSITIONS WITHIN THE ENTERPRISE. THE PAYMENTS WERE INCLUDED IN TAXABLE INCOME AND WERE GROSSED UP.
  PART I, LINES 4A-B 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. $ 8,400 BENGALI, ABDUL R. $ 31,295 BOLTON, JEFFREY W. $ 80,495 BRIGHAM, ROBERT F. $ 55,113 BRODERSEN M.D., MARK P. $ 76,015 CAGIN D.O., CHARLES R. $ 94,688 CALAMIA M.D., KENNETH T. $ 3,492 CRANMER, JOHN P. $ 1,023 EDWARDS M.D., BROOKS S. $ 50,902 FRANCIS, JAMES R. $ 12,794 FROISLAND, JEFFREY R. $ 463 GROSSET, JESSICA A. $ 4,163 HOFFMAN III, HARRY N. $151,234 HOFFMAN, MARY J. $ 5,541 JORGENSEN, STEVEN C. $ 6,239 KOCH, MARK B. $ 8,013 LA FORGIA, JOHN M. $ 10,942 LETTIERI M.D., SALVATORE C. $ 45,986 LITCHY M.D., WILLIAM J. $ 6,672 MCNAMARA, MICHAEL J. $ 15,419 MCNEILL, STEVEN L. $ 10,942 MENKOSKY, PAULA E. $ 7,689 MEYERS M.D., MICHAEL S. $ 63,492 NESSE M.D., ROBERT E. $ 85,127 NOSEWORTHY M.D., JOHN H. $271,361 OVIATT, JONATHAN J. $ 65,197 PAMULAPATI M.D., KRISHNA M. $ 54,718 RAGSDALE, JILL M. $ 12,148 SAWYER, NAN B. $ 29,745 SCHILMOELLER, ALAN R. $ 32,405 SCHMIDT, BRADLEY D. $ 18,459 SINGH M.D., MANDEEP $ 62,101 TAK M.D., TAHIR $ 51,312 THOMAS, GREGORY J. $ 39,049 TRASTEK M.D., VICTOR F. $133,194 WEIS, SHIRLEY A. $145,708 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT (TOTAL INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(I)): ABDUL R. BENGALI $ 358,000.
SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) LINDAHL ANNE FAMILY MEMBER OF ROGER LINDAHL, OFFICER 49,625 EMPLOYMENT COMPENSATION   No
(2) BRIGHAM ANDREW FAMILY MEMBER OF ROBERT BRIGHAM, OFFICER 52,892 EMPLOYMENT COMPENSATION   No
(3) SMITH JILL A FAMILY MEMBER OF GREGORY WARNER, OFFICER 241,524 EMPLOYMENT COMPENSATION   No
(4) CRANMER CAROL FAMILY MEMBER OF JOHN CRANMER, KEY EMPLOYEE 22,757 EMPLOYMENT COMPENSATION   No
(5) SMITH SARA N FAMILY MEMBER OF KEVIN MELVIN, OFFICER 76,102 EMPLOYMENT COMPENSATION   No
(6) MAYO COLLABORATIVE SERVICES INC
 
BOARD MEMBER / OFFICER OVERLAP 11,557,617 EMPLOYEE BENEFIT ALLOCATIONS & COST TRANSFERS   No
(7) MMSI INC
 
BOARD MEMBER / OFFICER OVERLAP 6,225,285 EMPLOYEE BENEFIT ALLOCATIONS, SERVICES, & COST TRANSFERS   No
(8) VHA UPPER MIDWEST (OWNED BY VHA)
 
BOARD MEMBER / OFFICER OVERLAP 36,437,030 REVENUE & REBATES $22,795,198 UMCSC SERVICE PAYMENTS $6,516,147 UMCSC OWNERSHIP FEES $1,590,295 MEMBER FEES & PURCHASED SERVICES 5,535,390   No
(9) MAYO CLINIC GBS MAURITIUS
 
BOARD MEMBER / OFFICER OVERLAP 300,000 TRANSFER OF ASSETS   No
(10) RESOUNDANT INC
 
BOARD MEMBER / OFFICER OVERLAP 795,000 TRANSFER OF ASSETS   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Identifier Return Reference Explanation
  FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: MENKOSKY, PAULA E. THOMAS, GREGORY J. 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. MENKOSKY, PAULA E. THOMAS, GREGORY J. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: BRIGHAM, ROBERT F. BRODERSEN M.D., MARK P. CALAMIA M.D., KENNETH T. HOFFMAN, MARY J. JORGENSEN, STEVEN C. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BRIGHAM, ROBERT F. CALAMIA M.D., KENNETH T. CROFT, CHERYL R. HOFFMAN, MARY J. JORGENSEN, STEVEN C. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: FOGELSON M.D., JEREMY L. HOFFMAN III, HARRY N. LETTIERI M.D., SALVATORE C. LITCHY M.D., WILLIAM J. MELVIN, KEVIN B. SAWYER, NAN B. SCHMIDT, BRADLEY D. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BOLTON, JEFFREY W. BRIGHAM, ROBERT F. BROWN, WILLIAM A. FRANCIS, JAMES R. FROISLAND, JEFFREY R. GROSSET, JESSICA A. HOFFMAN III, HARRY N. HUBERT, SHERRY L. NOSEWORTHY M.D., JOHN H. OVIATT, JONATHAN J. SAWYER, NAN B. SCHMIDT, BRADLEY D. THOMAS, GREGORY J. WEIS, SHIRLEY A. JEFFREY W. BOLTON, DANIEL S. GOLDMAN, DAVID P. HERBERT, ROGER A. LINDAHL, MARK A. MATTHIAS, AND JONATHAN J. OVIATT HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. JEFFREY W. BOLTON, CRAIG C. COLLINS, DAVID P. HERBERT, WILLIAM J. LITCHY M.D., MARK A. MATTHIAS, JONATHAN J. OVIATT, AND BRIAN W. ROTTY HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MMSI, INC., A RELATED TAXABLE ENTITY. JEFFREY W. BOLTON AND DANIEL D. ESTES HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC., A RELATED TAXABLE ENTITY. JEFFREY R. FROISLAND, DAVID P. HERBERT, MARK A. MATTHIAS AND NAN B. SAWYER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO COLLABORATIVE SERVICES, INC., A RELATED TAXABLE ENTITY. JEFFREY R. FROISLAND, HARRY N. HOFFMAN III, AND JONATHAN J. OVIATT HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY LIMITED., A RELATED TAXABLE ENTITY. JEFFREY R. FROISLAND, PAULA E. MENKOSKY, AND GREGORY J. THOMAS HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION, A RELATED TAXABLE ENTITY. ROGER A. LINDAHL AND CHRISTIE A. LOHKAMP HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC GBS MAURITIUS, 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 DIRECTORS OF MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ARE DESIGNATED BY THE SOLE MEMBER.
  FORM 990, PART VI, SECTION A, LINE 7B CERTAIN TRANSACTIONS REQUIRE APPROVAL BY THE MEMBER BEFORE ACTION CAN BE TAKEN SUCH AS AMENDMENT TO THE ARTICLES AND BYLAWS, MERGER, OR OTHER RESTRUCTURING, AND INCURRENCE OF DEBT.
  FORM 990, PART VI, SECTION B, LINE 11 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. PRIOR TO ITS REVIEW AND APPROVAL BY THE BOARD MEMBERS, THE FORM 990 IS REVIEWED BY AN OFFICER OF THE FILING ORGANIZATION. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA U.S. 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.
    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. THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARIES OF THE PRESIDENT AND VICE PRESIDENT WERE REVIEWED BY THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE AND/OR THE MAYO CLINIC GOVERNANCE COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR PHYSICIAN AND ADMINISTRATIVE LEADERSHIP. THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE ARIZONA, FLORIDA, AND ROCHESTER, MINNESOTA CAMPUSES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). FOR THOSE INDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE SALARY AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION, AND GOVERNANCE (GOVERNANCE COMMITTEE) IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS THE COMPENSATION AND BENEFITS FOR PHYSICIANS FROM ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS AS DEFINED FOR PURPOSES OF IRC SECTION 4958). 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 AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE.
OTHER FEES FORM 990, PART IX, LINE 11G IC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 25,336,694. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,336,694. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 91,317,123. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,317,123.
IN REGARDS TO FILING CERTAIN FOREIGN FORMS SCHEDULE F, PART IV, LINES 3, 5, & 6 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
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
 
Employer identification number

41-1506440
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) BLOOMER LAKEVIEW INC

2110 DUNCAN ROAD

BLOOMER,WI54724
39-1450617
LOW INCOME HOUSING WI 501(C)(3) 7 MCHS--CHIPPEWA VALLEY INC
 
Yes
 
(2) CHARTERHOUSE INC

200 FIRST STREET SW

ROCHESTER,MN55905
41-1405254
RETIREMENT LIVING CENTER MN 501(C)(3) 9 MAYO CLINIC
 
Yes
 
(3) FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC

464 SOUTH ST JOSEPH AVENUE

ARCADIA,WI54612
39-1322480
FUNDRAISING FOUNDATION WI 501(C)(3) 9 MCHS--FRANCISCAN HEALTHCARE INC
 
Yes
 
(4) GOLD CROSS AMBULANCE SERVICE

200 FIRST STREET SW

ROCHESTER,MN55905
41-1917516
AMBULANCE SERVICE MN 501(C)(3) 9 MFMER
 
Yes
 
(5) LUTHER LAKESIDE APARTMENTS INC

PO BOX 1510

EAU CLAIRE,WI54702
39-1409024
LOW INCOME HOUSING FOR ELDERLY WI 501(C)(3) 9 MCHS--EAU CLAIRE HOSPITAL INC
 
Yes
 
(6) MAYO CLINIC

200 FIRST STREET SW

ROCHESTER,MN55905
41-6011702
PATIENT CARE - CLINIC MN 501(C)(3) 9 N/A
Yes
 
(7) MAYO CLINIC -- METHODIST HOSPITAL

200 FIRST STREET SW

ROCHESTER,MN55905
41-0739106
HOSPITAL MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(8) MAYO CLINIC -- SAINT MARYS HOSPITAL

200 FIRST STREET SW

ROCHESTER,MN55905
41-0944601
HOSPITAL MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(9) MAYO CLINIC ARIZONA

13400 EAST SHEA BOULEVARD

SCOTTSDALE,AZ85259
86-0800150
HOSPITAL AND CLINIC AZ 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(10) MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)

4500 SAN PABLO ROAD

JACKSONVILLE,FL32224
59-0714831
HOSPITAL FL 501(C)(3) 3 MAYO CLINIC JACKSONVILLE
 
Yes
 
(11) MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC

1900 TEBEAU STREET

WAYCROSS,GA31501
58-1667166
HOSPITAL GA 501(C)(3) 3 MAYO CLINIC JACKSONVILLE
 
Yes
 
(12) MAYO CLINIC HEALTH SYSTEM--ALBERT LEA

1000 FIRST DRIVE NW

AUSTIN,MN55912
41-1404075
HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(13) MAYO CLINIC HEALTH SYSTEM--AUSTIN

1000 FIRST DRIVE NW

AUSTIN,MN55912
41-0695606
HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(14) MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION

1000 FIRST DRIVE NW

AUSTIN,MN55912
30-0107471
FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--AUSTIN
 
Yes
 
(15) MAYO CLINIC HEALTH SYSTEM--CANNON FALLS

1116 WEST MILL STREET

CANNON FALLS,MN55009
20-4156428
HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(16) MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC

1501 THOMPSON STREET

BLOOMER,WI54724
39-0980343
HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC
 
Yes
 
(17) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC

733 W CLAIREMONT AVE PO BOX 1510

EAU CLAIRE,WI54702
39-1735831
PATIENT CARE - CLINIC WI 501(C)(3) 3 MAYO CLINIC
 
 
No
(18) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC

733 W CLAIREMONT AVE PO BOX 1510

EAU CLAIRE,WI54702
39-1633407
GRANTMAKING FOUNDATION WI 501(C)(3) 11-I MCHS--EAU CLAIRE CLINIC INC
 
 
No
(19) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC

1221 WHIPPLE STREET

EAU CLAIRE,WI54703
39-0813418
HOSPITAL WI 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(20) MAYO CLINIC HEALTH SYSTEM--FAIRMONT

800 MEDICAL CENTER DRIVE PO BOX 800

FAIRMONT,MN56031
41-0760836
HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO
 
Yes
 
(21) MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC

700 WEST AVE SOUTH

LA CROSSE,WI54601
39-1186647
FUNDRAISING FOUNDATION WI 501(C)(3) 7 MCHS--FRANCISCAN HEALTHCARE INC
 
Yes
 
(22) MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC

310 WEST MAIN STREET

SPARTA,WI54656
39-1423234
FUNDRAISING FOUNDATION WI 501(C)(3) 9 MCHS--FRANCISCAN HEALTHCARE INC
 
Yes
 
(23) MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC

700 WEST AVE SOUTH

LA CROSSE,WI54601
39-1411999
HEALTHCARE SYSTEM PARENT WI 501(C)(3) 11-I MAYO CLINIC
 
Yes
 
(24) MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC

700 WEST AVE SOUTH

LA CROSSE,WI54601
39-0806374
HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--FRANCISCAN HEALTHCARE INC
 
Yes
 
(25) MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC

PO BOX 2060

EAU CLAIRE,WI54702
39-1491516
HOME HEALTH AND HOSPICE CARE WI 501(C)(3) 9 MCHS--EAU CLAIRE HOSPITAL INC
 
Yes
 
(26) MAYO CLINIC HEALTH SYSTEM--LAKE CITY

500 WEST GRANT STREET

LAKE CITY,MN55041
41-1906820
HOSPITAL MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(27) MAYO CLINIC HEALTH SYSTEM--MANKATO

1025 MARSH STREET

MANKATO,MN56002
41-1236756
HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(28) MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION

1025 MARSH STREET

MANKATO,MN56002
41-1663357
FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--MANKATO
 
Yes
 
(29) MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE

301 SECOND STREET NE

NEW PRAGUE,MN56071
41-0723639
HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO
 
Yes
 
(30) MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC

1222 EAST WOODLAND AVENUE

BARRON,WI54812
39-0920634
HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC
 
Yes
 
(31) MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC

13025 EIGHTH STREET PO BOX 70

OSSEO,WI54758
39-1029430
HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC
 
Yes
 
(32) MAYO CLINIC HEALTH SYSTEM--OWATONNA

134 SOUTHVIEW ST

OWATONNA,MN55060
41-1862132
PATIENT CARE - CLINIC MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(33) MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC

2321 STOUT ROAD

MENOMONIE,WI54751
51-0190875
HOSPITAL AND CLINIC WI 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(34) MAYO CLINIC HEALTH SYSTEM--RED WING

701 HEWITT BOULEVARD

RED WING,MN55066
41-1713783
PATIENT CARE SERVICES MN 501(C)(3) 3 MAYO CLINIC
 
Yes
 
(35) MAYO CLINIC HEALTH SYSTEM--RED WING HOME HEALTH & HOSPICE

701 HEWITT BOULEVARD

RED WING,MN55066
41-1539756
HOME HEALTHCARE SERVICES MN 501(C)(3) 7 MCHS--RED WING
 
Yes
 
(36) MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD

625 NORTH JACKSON AVENUE

SPRINGFIELD,MN56087
41-1893827
HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO
 
Yes
 
(37) MAYO CLINIC HEALTH SYSTEM--ST JAMES

1101 MOULTON PARSONS DR PO BOX 460

ST JAMES,MN56081
41-0797368
HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO
 
Yes
 
(38) MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION

1101 MOULTON PARSONS DR PO BOX 460

ST JAMES,MN56081
41-1444129
FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--ST JAMES
 
Yes
 
(39) MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC

PO BOX 2060

EAU CLAIRE,WI54702
39-1686673
HOME HEALTH CARE WI 501(C)(3) 9 MCHS--EAU CLAIRE HOSPITAL INC
 
Yes
 
(40) MAYO CLINIC HEALTH SYSTEM--WASECA

501 NORTH STATE STREET

WASECA,MN56093
36-3606405
HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO
 
Yes
 
(41) MAYO CLINIC JACKSONVILLE

4500 SAN PABLO ROAD

JACKSONVILLE,FL32224
59-3337028
PATIENT CARE - CLINIC FL 501(C)(3) 7 MAYO CLINIC
 
Yes
 
(42) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

200 FIRST STREET SW

ROCHESTER,MN55905
41-1506440
CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES MN 501(C)(3) 9 MAYO CLINIC
 
Yes
 
(43) MAYO KLINIK STIFTUNG

60486 FRANKFURT AM MAIN
FRANKFURT    
GM
FUNDRAISING FOUNDATION GM     MFMER
 
Yes
 
(44) MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES

200 FIRST STREET SW

ROCHESTER,MN55905
41-2020392
SUPPORT RESEARCH, PRACTICE & EDUCATION MN 501(C)(3) 11-I MAYO CLINIC
 
Yes
 
(45) POVERELLO FOUNDATION

200 FIRST STREET SW

ROCHESTER,MN55905
41-1494881
FUNDRAISING FOUNDATION MN 501(C)(3) 7 MAYO CLINIC -- SAINT MARYS HOSPITAL
 
Yes
 
(46) RED WING SEMINARY HOME

701 HEWITT BOULEVARD

RED WING,MN55066
41-1263419
RESIDENT CARE AND HOUSING MN 501(C)(3) 9 MCHS--RED WING
 
Yes
 
(47) SATILLA HEALTH MANAGEMENT INC

1900 TEBEAU STREET

WAYCROSS,GA31501
58-1717889
HEALTHCARE SERVICES GA 501(C)(3) 3 MCHS IN WAYCROSS INC
 
Yes
 
(48) THE DOWNTOWN PLAZA

701 HEWITT BOULEVARD

RED WING,MN55066
41-1532554
ELDERLY HOUSING MN 501(C)(3) 9 MCHS--RED WING
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) FRANKLIN HEATING STATION

119 THIRD ST SW
ROCHESTER,MN55902
41-0264830
UTILITY MN N/A
                 
(2) PHYSICIAN SOFTWARE SYSTEMS LLC

3333 WARRENVILLE ROAD SUITE 200
LISLE,IL60532
45-3414836
HEALTHCARE RELATED SOFTWARE IL MFMER
 
UNRELATED -486,149 3,727,925   No     No 51.280 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HEALTH TRADITION HEALTH PLAN

1808 EAST MAIN STREET
ONALASKA,WI54650
39-1545987
MEDICAL SERVICES COMPANY WI N/A
C       Yes  
(2) LOBSS NETWORK SUPPORT 2002 INC

200 FIRST STREET SW
ROCHESTER,MN55905
48-1276150
ADMINISTRATIVE SERVICES MN N/A
C       Yes  
(3) MAYO CLINIC GBS MAURITIUS

2ND FLOOR EBENE MEWS 57
EBENE CYBERCITY    
MP
HEALTHCARE MANAGEMENT MP MFMER
 
C     100.000 % Yes  
(4) MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS

907 MONTGOMERY STREET
DECORAH,IA52101
41-1711329
PATIENT CARE - CLINIC IA N/A
C       Yes  
(5) MAYO CLINIC HEALTH SYSTEM--FARIBAULT

635 FIRST STREET SE
FARIBAULT,MN55021
41-1817179
PATIENT CARE - CLINIC MN N/A
C       Yes  
(6) MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC

1221 WHIPPLE STREET
EAU CLAIRE,WI54703
39-1528920
PHARMACY SERVICES WI N/A
C       Yes  
(7) MAYO COLLABORATIVE SERVICES INC

200 FIRST STREET SW
ROCHESTER,MN55905
41-1346366
REFERENCE LAB SERVICES MN N/A
C       Yes  
(8) MAYO HOLDING COMPANY

200 FIRST STREET SW
ROCHESTER,MN55905
41-1578020
HOLDING COMPANY MN N/A
C       Yes  
(9) MAYO INSURANCE COMPANY LTD

200 FIRST STREET SW
ROCHESTER,MN55905
SELF INSURANCE POOL CJ N/A
C       Yes  
(10) MAYO MEDICAL LABORATORIES NEW ENGLAND INC

265 BALLARDVALE STREET
WILMINGTON,MA01887
04-3323713
LABORATORY SERVICES MA N/A
C       Yes  
(11) MAYO REGIONAL PRACTICES OF ARIZONA

13400 EAST SHEA BOULEVARD
SCOTTSDALE,AZ85259
06-1190278
THIRD PARTY ADMINISTRATION SERVICES AZ N/A
C       Yes  
(12) MMSI INC

21 FIRST STREET SW
ROCHESTER,MN55905
41-1547003
THIRD PARTY ADMINISTRATION SERVICES MN N/A
C       Yes  
(13) RESOUNDANT INC

221 1ST AVE SW
ROCHESTER,MN55902
46-1661978
MANUFACTURING MEDICAL DEVICE COMPONENT MN MFMER
 
C   1,603,300 60.000 % Yes  
(14) ROCHESTER AIRPORT COMPANY

ROUTE 2
ROCHESTER,MN55902
41-0506870
AIRPORT MANAGEMENT MN N/A
C       Yes  
(15) SATILLA HEALTH ENTERPRISES INC

1900 TEBEAU STREET
WAYCROSS,GA31501
58-1717222
HEALTHCARE GA N/A
C       Yes  
(16) SATILLA HEALTHNET INC

1900 TEBEAU STREET
WAYCROSS,GA31501
58-2151076
HEALTH SERVICES GA N/A
C       Yes  
(17) SATILLA REGIONAL SPECIALTY PHYSICIANS INC

1900 TEBEAU STREET
WAYCROSS,GA31501
20-4363143
PHYSICIAN OFFICES GA N/A
C       Yes  
(18) SIT ALPHA II BOND FUND LTD

CLIFTON HOUSE 75 FORTH ST
GRAND CAYMAN   KY1-1108
CJ
98-0648163
INVESTMENT MANAGEMENT CJ N/A
C       Yes  
(19) SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION

13400 E SHEA BLVD
SCOTTSDALE,AZ85259
86-0870505
COMMERCIAL PROPERTY OWNERS ASSOCIATION AZ N/A
C       Yes  
(20) THE STABILE BUILDING OWNERS' ASSOCIATION

200 FIRST STREET SW
ROCHESTER,MN55905
20-8994499
COMMERCIAL PROPERTY OWNERS ASSOCIATION MN N/A
C       Yes  
(21) CHARITABLE LEAD TRUST

 
 
CHARITABLE TRUST CA N/A
T       Yes  
(22) PERPETUAL TRUST

 
 
CHARITABLE TRUST ND N/A
T       Yes  
(23) PERPETUAL TRUST

 
 
CHARITABLE TRUST LA N/A
T       Yes  
(24) PERPETUAL TRUST (2)

 
 
CHARITABLE TRUST MA N/A
T       Yes  
(25) PERPETUAL TRUST

 
 
CHARITABLE TRUST MO N/A
T       Yes  
(26) PERPETUAL TRUST

 
 
CHARITABLE TRUST AZ N/A
T       Yes  
(27) CHARITABLE REMAINDER TRUST

 
 
CHARITABLE TRUST CO N/A
T       Yes  
(28) CHARITABLE REMAINDER TRUST (6)

 
 
CHARITABLE TRUST FL N/A
T       Yes  
(29) CHARITABLE REMAINDER TRUST

 
 
CHARITABLE TRUST FL N/A
T       Yes  
(30) CHARITABLE REMAINDER TRUST

 
 
CHARITABLE TRUST IL N/A
T       Yes  
(31) CHARITABLE REMAINDER TRUST

 
 
CHARITABLE TRUST LA N/A
T       Yes  
(32) CHARITABLE REMAINDER TRUST

 
 
CHARITABLE TRUST MI N/A
T       Yes  
(33) CHARITABLE REMAINDER TRUST (68)

 
 
CHARITABLE TRUST MN N/A
T       Yes  
(34) CHARITABLE REMAINDER TRUST (77)

 
 
CHARITABLE TRUST MN N/A
T       Yes  
(35) CHARITABLE REMAINDER TRUST

 
 
CHARITABLE TRUST NC N/A
T       Yes  
(36) CHARITABLE REMAINDER TRUST (2)

 
 
CHARITABLE TRUST TX N/A
T       Yes  
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Yes
 
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) CHARTERHOUSE INC

G 7,160,008 GAAP
(2) CHARTERHOUSE INC

O 8,585,747 GAAP
(3) CHARTERHOUSE INC

Q 680,976 GAAP
(4) CHARTERHOUSE INC

S 677,903 GAAP
(5) GOLD CROSS AMBULANCE SERVICE

G 6,277,417 GAAP
(6) GOLD CROSS AMBULANCE SERVICE

O 15,131,442 GAAP
(7) GOLD CROSS AMBULANCE SERVICE

P 1,004,117 GAAP
(8) GOLD CROSS AMBULANCE SERVICE

Q 635,568 GAAP
(9) MAYO CLINIC - METHODIST HOSPITAL

G 165,273,658 GAAP
(10) MAYO CLINIC - METHODIST HOSPITAL

O 153,735,685 GAAP
(11) MAYO CLINIC - METHODIST HOSPITAL

P 2,630,684 GAAP
(12) MAYO CLINIC - METHODIST HOSPITAL

S 9,717,600 GAAP
(13) MAYO CLINIC - SAINT MARYS HOSPITAL

G 179,977,696 GAAP
(14) MAYO CLINIC - SAINT MARYS HOSPITAL

O 354,948,627 GAAP
(15) MAYO CLINIC - SAINT MARYS HOSPITAL

P 3,001,580 GAAP
(16) MAYO CLINIC - SAINT MARYS HOSPITAL

Q 162,607 GAAP
(17) MAYO CLINIC - SAINT MARYS HOSPITAL

S 22,315,709 GAAP
(18) MAYO CLINIC ARIZONA

G 345,861,347 GAAP
(19) MAYO CLINIC ARIZONA

L 583,827 GAAP
(20) MAYO CLINIC ARIZONA

O 431,292,559 GAAP
(21) MAYO CLINIC ARIZONA

P 1,353,635 GAAP
(22) MAYO CLINIC ARIZONA

Q 98,135,918 GAAP
(23) MAYO CLINIC ARIZONA

S 30,038,886 GAAP
(24) MAYO CLINIC FLORIDA

G 162,598,984 GAAP
(25) MAYO CLINIC FLORIDA

O 73,274,528 GAAP
(26) MAYO CLINIC FLORIDA

P 348,386 GAAP
(27) MAYO CLINIC FLORIDA

S 5,459,709 GAAP
(28) MAYO CLINIC GBS MAURITIUS

R 300,000 GAAP
(29) MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC

G 11,501,917 GAAP
(30) MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC

Q 386,728 GAAP
(31) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC

G 51,872,757 GAAP
(32) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC

M 88,696 GAAP
(33) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC

Q 1,975,785 GAAP
(34) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC

G 227,611 GAAP
(35) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC

G 102,346,599 GAAP
(36) MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC

Q 2,737,203 GAAP
(37) MAYO CLINIC HEALTH SYSTEM--FAIRMONT

O 38,190,705 GAAP
(38) MAYO CLINIC HEALTH SYSTEM--FARIBAULT

G 2,228,185 GAAP
(39) MAYO CLINIC HEALTH SYSTEM--FARIBAULT

O 11,201,263 GAAP
(40) MAYO CLINIC HEALTH SYSTEM--FARIBAULT

Q 401,654 GAAP
(41) MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC

M 105,940 GAAP
(42) MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC

G 1,577,119 GAAP
(43) MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC

Q 60,313 GAAP
(44) MAYO CLINIC HEALTH SYSTEM--LAKE CITY

O 15,184,507 GAAP
(45) MAYO CLINIC HEALTH SYSTEM--MANKATO

L 97,539 GAAP
(46) MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC

G 27,393,983 GAAP
(47) MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC

Q 583,080 GAAP
(48) MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC

G 6,422,491 GAAP
(49) MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC

Q 209,468 GAAP
(50) MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC

G 6,366,910 GAAP
(51) MAYO CLINIC JACKSONVILLE

G 122,946,620 GAAP
(52) MAYO CLINIC JACKSONVILLE

L 475,501 GAAP
(53) MAYO CLINIC JACKSONVILLE

O 269,246,658 GAAP
(54) MAYO CLINIC JACKSONVILLE

P 979,481 GAAP
(55) MAYO CLINIC JACKSONVILLE

Q 84,869,327 GAAP
(56) MAYO CLINIC JACKSONVILLE

S 18,339,944 GAAP
(57) MAYO COLLABORATIVE SEVICES INC

Q 8,975,247 GAAP
(58) MAYO COLLABORATIVE SEVICES INC

S 2,582,370 GAAP
(59) MAYO MEDICAL LABORATORIES NEW ENGLAND INC

S 448,605 GAAP
(60) MAYO REGIONAL PRACTICE ARIZONA

S 68,583 GAAP
(61) MMSI

L 197,150 GAAP
(62) MMSI

P 1,847,230 GAAP
(63) MMSI

Q 1,742,935 GAAP
(64) MMSI

S 2,437,970 GAAP
(65) RESOUNDANT INC

S 795,000 GAAP
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID:  
Software Version: