TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ADKINS KEDRICK D........................................................................ DIRECTOR	1.00 .......................40.00	X		0	638,707	14,024
(2) AGERTER MD DAVID C........................................................................ DIRECTOR	1.00 .......................40.00	X		0	555,112	18,208
(3) BOLTON JEFFREY W........................................................................ VICE CHAIR / DIRECTOR	1.00 .......................40.00	X	X	0	904,718	63,247
(4) GABRIELSON SHARON R........................................................................ DIRECTOR	1.00 .......................40.00	X		0	237,017	46,495
(5) GERTZ MD MORIE A........................................................................ DIRECTOR	1.00 .......................40.00	X		0	606,531	18,031
(6) GORES MD GREGORY J........................................................................ DIRECTOR	1.00 .......................40.00	X		0	712,670	69,781
(7) GRACE RICHARD W........................................................................ DIRECTOR	1.00 .......................40.00	X		0	406,560	31,651
(8) HARPER JR MD CHARLES M........................................................................ VICE CHAIR / DIRECTOR	1.00 .......................40.00	X	X	0	971,655	70,387
(9) JOHNSON PAMELA O........................................................................ DIRECTOR	40.00 .......................0.00	X		373,108	0	28,576
(10) KOCH MARK B........................................................................ DIRECTOR	1.00 .......................40.00	X		0	395,727	18,025
(11) KRUSE JOSEPH J........................................................................ DIRECTOR	1.00 .......................40.00	X		0	330,319	68,233
(12) LINTON MD RANDALL L........................................................................ DIRECTOR	1.00 .......................40.00	X		0	577,599	59,749
(13) NARR MD BRADLY J........................................................................ DIRECTOR	1.00 .......................40.00	X		0	535,890	66,554
(14) NELSON MD HEIDI........................................................................ DIRECTOR	1.00 .......................40.00	X		0	604,223	68,444
(15) NESSE MD ROBERT E........................................................................ DIRECTOR	1.00 .......................40.00	X		0	866,876	19,647
(16) NOSEWORTHY MD JOHN H........................................................................ CEO / PRESIDENT / DIRECTOR	1.00 .......................40.00	X	X	0	2,267,774	68,888
(17) SANTRACH MD PAULA J........................................................................ DIRECTOR	1.00 .......................40.00	X		0	409,577	61,220

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) STELLNER WINSTON L........................................................................ DIRECTOR / SECRETARY	1.00 .......................40.00	X	X				0	181,494	42,657
(19) WALD MD JOHN T........................................................................ DIRECTOR	1.00 .......................40.00	X					0	647,741	61,187
(20) WARNER MD MARK A........................................................................ DIRECTOR	1.00 .......................40.00	X					0	702,906	17,944
(21) WHITED MD BRIAN L........................................................................ DIRECTOR	1.00 .......................40.00	X					0	444,464	39,145
(22) WILLIAMS MD AMY W........................................................................ VICE CHAIR / DIRECTOR	1.00 .......................40.00	X	X				0	273,718	37,120
(23) WILLIAMSON MARY J........................................................................ SECRETARY / TREASURER / DIRECTOR	1.00 .......................40.00	X	X				0	402,480	48,271
(24) YTTERBERG MD KAREN L........................................................................ DIRECTOR	1.00 .......................40.00	X					0	203,442	41,093
(25) HUBERT SHERRY L........................................................................ ASST. SECRETARY	1.00 .......................40.00		X				0	246,816	53,601
(26) LINDAHL ROGER A........................................................................ ASST. TREASURER	1.00 .......................40.00		X				0	261,023	70,089
(27) OVIATT JONATHAN J........................................................................ ASST. SECRETARY	1.00 .......................40.00		X				0	603,409	74,395
(28) SANDEEN DARRELL L........................................................................ ASST. TREASURER	1.00 .......................40.00		X				0	315,701	60,060
(29) DILLON KEVIN R........................................................................ HOSPITAL PHARMACY DIRECTOR	40.00 .......................0.00			X			224,281	0	49,597
(30) FREDERICK BARBARA L........................................................................ HOSPITAL OPERATIONS ADMINSTRATOR	40.00 .......................0.00			X			243,066	0	16,091
(31) ZWYGART AMY M........................................................................ VICE CHAIR OF NURSING	40.00 .......................0.00			X			205,091	0	29,267
(32) CHRISTIANSEN PHILIP R........................................................................ PHARMACY MANAGER	40.00 .......................0.00				X		184,945	0	44,272
(33) GAINES KIM A........................................................................ NURSING ADMINISTRATOR	40.00 .......................0.00				X		179,747	0	38,067
(34) JONES KRISTI L........................................................................ RN	40.00 .......................0.00				X		197,734	0	21,739
(35) LOVELY JENNA K........................................................................ MEDICATION MGT INFORMATICIST	40.00 .......................0.00				X		186,068	0	38,451
(36) WEISBROD CHERYL A........................................................................ NURSING ADMINISTRATOR	40.00 .......................0.00				X		176,797	0	16,873
(37) BROWN WILLIAM A........................................................................ FORMER ASST. TREASURER	0.00 .......................40.00					X	0	217,637	61,140
(38) COLLINS CRAIG C........................................................................ FORMER ASST. TREASURER	0.00 .......................40.00					X	0	281,893	64,399
(39) EHMAN MD RICHARD L........................................................................ FORMER VICE CHAIR	0.00 .......................40.00					X	0	662,391	64,489
(40) ROCK MD MICHAEL G........................................................................ FORMER VICE CHAIR	0.00 .......................40.00					X	0	684,989	19,118
(41) WEIS SHIRLEY A........................................................................ FORMER VICE CHAIR	0.00 .......................40.00					X	0	1,478,614	51,706

(A) Name and business address	(B) Description of services	(C) Compensation
MAYO FNDN FOR MEDICAL EDUCATION & RESEAR 200 FIRST STREET SW ROCHESTER,MN55905	PROCUREMENT AGENT	63,943,421
MCHS - ALBERT LEA AND AUSTIN 1000 FIRST DRIVE NW AUSTIN,MN55912	DIALYSIS SERVICE	518,670
MCHS - FRANCISCAN MEDICAL CENTER INC 700 WEST AVENUE SOUTH LACROSSE,WI54601	DIALYSIS SERVICE	100,122


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 3

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 domestic organizations and domestic governments. See Part IV, line 21 ....	17,139,967	17,139,967
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	172,114	172,114
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	1,169,079	908,923	260,156
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	134,283	134,283
7	Other salaries and wages ....	447,700,722	432,784,171	14,916,551
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,629,697	10,270,405	359,292
9	Other employee benefits .......	87,603,029	84,641,975	2,961,054
10	Payroll taxes ...........	38,174,046	36,883,732	1,290,314
11	Fees for services (non-employees):
a	Management ......	96,426		96,426
b	Legal .........
c	Accounting ...........	15,732		15,732
d	Lobbying ...........	67,048	67,048
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	275,955,004	201,271,093	74,683,911
12	Advertising and promotion ....	107,251	107,237	14
13	Office expenses .......	40,902,828	39,814,714	1,088,114
14	Information technology ......	785,128	782,846	2,282
15	Royalties ..	7,410	7,410
16	Occupancy ...........	12,227,753	11,448,323	779,430
17	Travel ............	1,289,601	1,263,432	26,169
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	580,394	567,398	12,996
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	51,457,127	51,378,297	78,830
23	Insurance ..............
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	MEDICAL SUPPLIES	287,778,651	287,778,651
b	BAD DEBT EXPENSE	23,018,757	23,018,757
c	MN CARE TAX	18,416,058	18,416,058
d	MEDICAID SURCHARGE	16,829,330	16,829,330
e	All other expenses	1,856,904	1,266,093	590,811
25	Total functional expenses. Add lines 1 through 24e	1,334,114,339	1,236,952,257	97,162,082	0
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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	55,476	1	55,574
2	Savings and temporary cash investments .........	0	2	0
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	385,398,832	4	427,641,083
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 .............		7
8	Inventories for sale or use ..............	11,118,401	8	14,687,357
9	Prepaid expenses and deferred charges ..........	2,419,491	9	1,322,464
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,187,359,021
b	Less: accumulated depreciation .....	10b	729,710,405	443,580,524	10c	457,648,616
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....	39,045,822	12	22,763,652
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	524,190,487	15	835,415,034
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,405,809,033	16	1,759,533,780
	17	Accounts payable and accrued expenses .........	49,685,516	17	101,108,080
18	Grants payable .................		18
19	Deferred revenue ................		19
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....................	283,411,787	25	193,157,807
26	Total liabilities. Add lines 17 through 25.........	333,097,303	26	294,265,887
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,066,177,731	27	1,458,730,183
28	Temporarily restricted net assets ...........	3,613,782	28	3,482,892
29	Permanently restricted net assets ...........	2,920,217	29	3,054,818
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	1,072,711,730	33	1,465,267,893
34	Total liabilities and net assets/fund balances ........	1,405,809,033	34	1,759,533,780

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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......
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.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
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.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization MAYO CLINIC HOSPITAL - ROCHESTER

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization MAYO CLINIC HOSPITAL - ROCHESTER

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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

(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

(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

(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

(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) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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) 2014

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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) 2014

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)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

67,048

Total. Add lines 1c through 1i ...............................

67,048

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE AMOUNT IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

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:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ....	9,156,388	4,592,935	2,508,951	3,571,089	3,187,011
b	Contributions ........	137,100	3,969,015	1,669,425	651,446	73,723
c	Net investment earnings, gains, and losses	806,446	802,538	603,838	-1,713,584	310,355
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	343,776	208,100	189,279
f	Administrative expenses ....
g	End of year balance ......	9,756,158	9,156,388	4,592,935	2,508,951	3,571,089

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

54.070 %

Permanent endowment SchDMd Bullet

31.310 %

Temporarily restricted endowment SchDMd Bullet

14.620 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	14,081,125		14,081,125
b	Buildings ................	911,731,949	565,314,690	346,417,259
c	Leasehold improvements ............	202,966	44,843	158,123
d	Equipment ................	228,371,763	164,350,872	64,020,891
e	Other .................	32,971,218		32,971,218
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				457,648,616

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				834,862,306
(2) DEFERRED COMPENSATION				552,728







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				835,415,034

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
DUE TO AFFILIATES		192,605,079
DEFERRED COMPENSATION LIABILITY		552,728







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		193,157,807
2. Liability for uncertain tax positions. 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) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation
PART V, LINE 4:	THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS.
PART X, LINE 2:	AT DECEMBER 31, 2014 AND 2013, 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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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)	(f) Total expenditures for and investments in region
	EAST ASIA AND THE PACIFIC	0	3	TRAVEL - INTERNATIONAL BUSINESS & CONFERENCES	9,866
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	3	TRAVEL - INTERNATIONAL BUSINESS & CONFERENCES	8,562
	MIDDLE EAST AND NORTH AFRICA	0	1	TRAVEL - INTERNATIONAL BUSINESS & CONFERENCES	120
	NORTH AMERICA	0	2	TRAVEL - INTERNATIONAL BUSINESS & CONFERENCES	2,087













3a	Sub-total .....	0	9		20,635
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	9		20,635

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

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)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 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) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
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).

ReturnReference	Explanation
PART I, LINE 2:	GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES IS REPORTED BASED ON WHERE PAYMENTS WERE REMITTED. OUR CURRENT REPORTING SYSTEM DOES NOT TRACK ACTIVITIES OUTSIDE THE UNITED STATES BY LOCATION OF SERVICE.

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

If "Yes," did the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	8,950,128		8,950,128	0.680 %
b	Medicaid (from Worksheet 3, column a) ....	141,633,032	92,576,541	49,056,491	3.740 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	150,583,160	92,576,541	58,006,619	4.420 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4) ..
f	Health professions education (from Worksheet 5) ..	76,004,666	19,337,903	56,666,763	4.320 %
g	Subsidized health services (from Worksheet 6) ..	195,989,875	143,554,214	52,435,661	4.000 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..	271,994,541	162,892,117	109,102,424	8.320 %
k	Total. Add lines 7d and 7j .	422,577,701	255,468,658	167,109,043	12.740 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

23,018,757

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

464,916,615

Enter Medicare allowable costs of care relating to payments on line 5.....

504,352,878

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-39,436,263

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	MAYO CLINIC HOSPITAL-ROCHESTER 1216 2ND STREET SW ROCHESTER,MN55905 00428	X	X	X	X	X	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MAYO CLINIC HOSPITAL - ROCHESTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.MAYOCLINIC.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	MAYO CLINIC HOSPITAL - ROCHESTER
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	MAYO CLINIC HOSPITAL - ROCHESTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
MAYO CLINIC HOSPITAL - ROCHESTER	PART V, SECTION B, LINE 5: THE DIRECTOR OF OLMSTED COUNTY PUBLIC HEALTH WAS AN ACTIVE PARTICIPANT IN THE OLMSTED COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (OCCHNA), ON WHICH THE HOSPITAL'S CHNA IS BASED. THE OCCHNA TEAM INVOLVED MULTIPLE LAYERS OF COMMUNITY INPUT, INCLUDING: LEADERS OF COMMUNITY HUMAN SERVICE AND NONPROFIT ORGANIZATIONS, RANDOMLY SELECTED OLMSTED COUNTY RESIDENTS FOR A TELEPHONE SURVEY, AND FOCUS GROUPS WITH LOCAL UNDERSERVED AND MINORITY COMMUNITY POPULATION REPRESENTATIVES. INPUT WAS ALSO PROVIDED BY A DEDICATED WORKGROUP OF THE OLMSTED COUNTY COMMUNITY HEALTHCARE ACCESS COLLABORATIVE, A 23-MEMBER CONSORTIUM THAT HAS EXISTED SINCE 2007 TO IDENTIFY AND ADDRESS HEALTH CARE AND HEALTH CARE ACCESS ISSUES FOR OLMSTED COUNTY RESIDENTS, WITH SPECIAL FOCUS ON DIVERSE AND UNDERSERVED POPULATIONS.
MAYO CLINIC HOSPITAL - ROCHESTER	PART V, SECTION B, LINE 6A: OLMSTED MEDICAL CENTER
MAYO CLINIC HOSPITAL - ROCHESTER	PART V, SECTION B, LINE 7D: A FULL COPY OF THE OLMSTED COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, WHICH IS REFERENCED IN THE HOSPITAL'S CHNA REPORT, CAN BE ACCESSED AT: HTTP:///WWW.CO.OLMSTED.MN.US/OCPHS/ REPORTS/PAGES/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX.
MAYO CLINIC HOSPITAL - ROCHESTER	PART V, SECTION B, LINE 11: MAYO CLINIC HOSPITAL - ROCHESTER INTEGRATES PROGRAMMING AND STAFFING WITH MAYO CLINIC'S COMPREHENSIVE OUTPATIENT PATIENT CARE SERVICES, RESEARCH AND EDUCATION OPERATIONS ON ITS ROCHESTER CAMPUS. LOCAL COMMUNITY HEALTH IMPROVEMENT IS ADDRESSED THROUGH ALL MAYO CLINIC OPERATIONS, INCLUDING HOSPITAL TREATMENT AND RECOVERY ROOMS, CLASSROOMS AND CLINICAL TRAINING AREAS (PUBLIC HEALTH AS WELL AS MEDICAL EDUCATION), RESEARCH LABS, OUTPATIENT CARE SETTINGS AND COMMUNITY SPACES. IN 2014 MAYO CLINIC ADDRESSED THE PRIORITIES OF THE OLMSTED COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IN THE FOLLOWING WAYS. 1) IDENTIFIED EXISTING MAYO CLINIC SUPPORTING EFFORTS BY GATHERING EXPERTS (PHYSICIANS, ADMINISTRATORS, RESEARCHERS AND EDUCATORS) IN EACH OF THE FIVE PRIORITY AREAS TO ASSESS RESOURCES AND IDENTIFY OPPORTUNITIES TO ADDRESS NEEDS THROUGH MEASURABLE GOALS AND EVALUATION PLANS. THE TEAMS IDENTIFIED SPECIFIC CHNA IMPLEMENTATION ACTIVITIES WITHIN THE FOLLOWING AREAS:OBESITY: - EFFORTS TO PROMOTE HEALTHY EATING, ACTIVITY LEVELS AMONG SCHOOL-AGED CHILDREN WITHIN THE SCHOOL AND AFTER SCHOOL YOUTH ENRICHMENT ENVIRONMENTS. - EFFORTS TO IMPROVE PEDIATRIC OBESITY AWARENESS OF BEST PRACTICES AMONG ALL CARE GIVERS BY STANDARDIZING MESSAGING AND EDUCATION. - SHARE EXPERTISE OF NUTRITION, MENU PLANNING AND OVERALL HEALTHY FOOD RECOMMENDATIONS TO AREA EMPLOYERS AND ORGANIZATIONS AS A PUBLIC SERVICE. - EXPAND HEALTHY MENU OPTIONS IN ALL STAFF AND PATIENT CAFETERIAS AND CATERING SERVICES.TYPE-2 DIABETES: - ENHANCE INFORMATIONAL TECHNOLOGY SYSTEMS TO IMPROVE TRACKING AND AUTOMATIC PROMPTS ON PATIENT RECORDS AND PROCESS PROTOCOLS FOR PATIENT FOLLOW-UP. - ENHANCE SPECIALTY CARE SUPPORT TO PRIMARY CARE PROVIDERS AND NURSES IN TREATING AND MANAGING PATIENTS WITH TYPE-2 DIABETES. - DEVELOP A ROBUST CATALOG OF INTERNAL AND COMMUNITY RESOURCES FOR NEWLY DIAGNOSED DIABETIC PATIENTS. - ENHANCE PATIENT EDUCATION MATERIALS THROUGH WEBSITES. MENTAL HEALTH: - INVENTORY, EVALUATE AND PRIORITIZE LOCAL AND STATE SERVICE GAPS FOR OLMSTED COUNTY BEHAVIORAL HEALTH POPULATION. - ADVOCATE FOR ADEQUATE RESOURCES TO MEET IDENTIFIED NEEDS. - ENHANCE COORDINATED EFFORTS TO SCREEN AND MONITOR PATIENTS FOR MENTAL HEALTH ISSUES ACROSS THE CONTINUUM OF CARE. IMMUNIZATIONS / VACCINE PREVENTABLE ILLNESSES: - ACHIEVE HIGHER RATES OF IMMUNIZATIONS AMONG MAYO CLINIC COMMUNITY PATIENTS FOR THE FOLLOWING ILLNESSES: - EARLY CHILDHOOD DISEASES VACCINATION FOR KIDS AGE 2 - INFLUENZA VACCINATIONS FOR 5-12 YEAR OLDS - HPV VACCINATIONS FOR KIDS AGES 13-15 - TDAP OR TD VACCINATIONS BY AGE 13 - SHINGLES VACCINE FOR OLDER ADULTSHOMELESSNESS / FINANCIAL STRESS: - IMPROVE THE IDENTIFICATION OF PATIENTS WHO ARE EXPERIENCING FINANCIAL DIFFICULTY THROUGH MAYO CLINIC'S OFFICE OF HEALTH EQUITY AND INCLUSION. - PROVIDE FINANCIAL SUPPORT TO LOCAL EFFORTS EXPLORING AFFORDABLE HOUSING NEEDS IN OLMSTED COUNTY, MN, AND PARTICIPATE IN FEASIBILITY STUDIES TO MEET AFFORDABLE HOUSING NEEDS.EACH AREA AND ACTIVITY HAS AN IDENTIFIED PROJECT CHAMPION AND IS MONITORING PROGRESS.2) MAYO CLINIC PARTICIPATED IN THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (OCCHIP) THROUGHOUT 2014. THE COLLABORATIVE EFFORT IS LED BY OLMSTED COUNTY PUBLIC HEALTH AND IS COMPRISED OF REPRESENTATIVES AND COMMUNITY VOLUNTEERS FROM A NUMBER OF LOCAL GOVERNMENT AND COMMUNITY ORGANIZATIONS TO RESPOND TO THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS. MAYO CLINIC PROVIDES FINANCIAL AS WELL AS IN-KIND SUPPORT TO THE OCCHIP BY PAYING A PORTION OF SHARED STAFFING AND ADMINISTRATIVE NEEDS, AND STAFF TIME AND EXPERTISE. MAYO CLINIC EXPERTS IN COMMUNITY ENGAGEMENT, POPULATION RESEARCH, AND COMMUNITY HEALTH PARTICIPATE IN ALL ASPECTS OF THE EFFORT, INCLUDING LEADERSHIP AND PLANNING GROUPS, DATA ANALYSIS, AND AS FACILITATORS AT PUBLIC INPUT AND DISCUSSION MEETINGS. THE COMMUNITY-WIDE EFFORT HAS ESTABLISHED IMPLEMENTATION WORKGROUPS TO ADVANCE COMMUNITY HEALTH IN EACH OF THE FIVE PRIORITY HEALTH NEEDS AREAS. THE GROUPS ARE AT VARIOUS STAGES OF PLANNING, FROM CONVENING WIDER COMMUNITY INPUT, INVENTORYING COMMUNITY RESOURCES AND CONDUCTING SWOT (STRENGTH, WEAKNESSES, OPPORTUNITIES AND THREATS) ANALYSES, TO COMING TO SHARED DEFINITIONS TO CONSTRUCT COLLECTIVE SMART (SPECIFIC, MEASURABLE, ACHIEVABLE, REALISTIC AND TIMELY) GOALS AND EVALUATION PLANS GOING FORWARD. THESE ARE CRITICAL, NECESSARY STEPS TO BUILDING SUSTAINABLE AND EFFECTIVE COLLECTIVE IMPACT EFFORTS. THE OCCHIP IS ALSO COORDINATING EFFORTS WITH UPCOMING 2016 COMMUNITY WIDE CHNA PLANNING EFFORTS TO ENSURE THAT INSIGHTS FROM THE HEALTH IMPROVEMENT EFFORTS ARE INCORPORATED INTO IMPROVED HEALTH NEEDS ASSESSMENT PROCESSING GOING FORWARD. FOR EXAMPLE, NEWER DETERMINANTS OF COMMUNITY HEALTH, SUCH AS RESILIENCY, AND SOCIAL CONNECTEDNESS WILL NOW BE INCLUDED AND TESTED FOR IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT DUE TO SUGGESTIONS FROM WIDER HEALTH IMPROVEMENT WORKGROUPS AND COMMUNITY DISCUSSIONS. THIS HELPS ASSURE THAT OVERALL EFFORTS TO IMPROVE COMMUNITY HEALTH ARE AS EFFICIENT, EFFECTIVE AND SUSTAINABLE AS POSSIBLE. 3) THE MAYO CLINIC CENTER FOR THE SCIENCE OF HEALTHCARE DELIVERY WORKS TO APPLY SCIENTIFIC ENGINEERING PRINCIPLES TO REDUCE COSTS AND INCREASE QUALITY IN THE DELIVERY OF HEALTH CARE. IN 2014, THE MAYO CENTER FOR SCIENCE OF HEALTHCARE DELIVERY ALIGNED BROAD RESEARCH THEMES IN ITS POPULATION HEALTH SCIENCES PROGRAM TO FOCUS ON MAYO CLINIC PRIMARY CARE PRACTICES AND THE COMMUNITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT FOR OLMSTED COUNTY, MINNESOTA. THESE INCLUDE: - CANCER PREVENTION AND CONTROL - CHRONIC DISEASE MANAGEMENT - DIABETES - HEALTHY LIFESTYLE PROMOTION - MENTAL HEALTH - OBESITY PREVENTION AND MANAGEMENT - PALLIATIVE CARE - VACCINE-PREVENTABLE DISEASES4) IN 2014 MAYO CLINIC IN ROCHESTER CONTRIBUTED $2 MILLION TO LOCAL COMMUNITY PROJECTS THAT ENHANCE HEALTH, WELLBEING AND SOCIAL SAFETY NETS IN OLMSTED COUNTY TO BENEFIT LOCAL RESIDENTS. MORE THAN 100 PROJECTS WERE SUPPORTED, MANY THAT PROVIDE INDIRECT SUPPORT TO CHNA PRIORITIES SUCH AS OBESITY, DIABETES PREVENTION, MENTAL HEALTH, AND RESPONDING TO POVERTY AND HOMELESSNESS. EXAMPLES OF PROJECTS FUNDED INCLUDE BASKETBALL PROGRAMS FOR AT-RISK YOUTH, SUICIDE AWARENESS AND PREVENTION PROGRAMS IN AREA SCHOOLS, AFTERSCHOOL PROGRAMMING FOR KIDS THAT PROMOTE HEALTHY EATING AND PHYSICAL FITNESS, AFFORDABLE HOUSING STUDIES AND CONSTRUCTION PROJECTS, WORKFORCE TRAINING AND DEVELOPMENT PROGRAMS, AMONG MANY OTHERS.
MAYO CLINIC HOSPITAL - ROCHESTER	PART V, SECTION B, LINE 13H: THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED AND UNIQUENESS OF CARE. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
MAYO CLINIC HOSPITAL - ROCHESTER	PART V, SECTION B, LINE 16I: WITH REGARD TO THE POSTINGS WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
MAYO CLINIC HOSPITAL - ROCHESTER	PART V, SECTION B, LINE 20E: FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS AND STATEMENTS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
MAYO CLINIC HOSPITAL - ROCHESTER	PART V, SECTION B, LINE 22D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 20% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 16A WEBSITE:	SEE PART VI
MAYO CLINIC HOSPITAL - ROCHESTER PART V, SECTION B, LINE 16B WEBSITE:	SEE PART VI

Schedule H (Form 990) 2014

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address		Type of Facility (describe)
1	MAYO CLINIC DIALYSIS ONALASKA 191 THEATER ROAD ONALASKA,WI54650	HOSPITAL BASED DIALYSIS FACILITY
2	MAYO CLINIC DIALYSIS ALBERT LEA 1705 SE BROADWAY ALBERT LEA,MN56007	HOSPITAL BASED DIALYSIS FACILITY
3	MAYO CLINIC DIALYSIS FAIRMONT 835 JOHNSON STREET FAIRMONT,MN56031	HOSPITAL BASED DIALYSIS FACILITY
4	MAYO CLINIC DIALYSIS OWATONNA 2200 NW 26TH STREET OWATONNA,MN55060	HOSPITAL BASED DIALYSIS FACILITY
5	MAYO CLINIC DIALYSIS WABASHA 1200 FIFTH GRANT BLVD WABASHA,MN55981	HOSPITAL BASED DIALYSIS FACILITY
6	MAYO CLINIC DIALYSIS DECORAH 901 MONTGOMERY STREET DECORAH,IA52101	HOSPITAL BASED DIALYSIS FACILITY
7	MAYO CLINIC DIALYSIS NE CLINIC 3041 STONEHEDGE NE DR ROCHESTER,MN55906	HOSPITAL BASED DIALYSIS FACILITY
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (CHARITY CARE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
PART I, LINE 7G:	THERE WAS NO NET COMMUNITY BENEFIT COST ATTRIBUTED TO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 23,018,757.
PART III, LINE 2:	THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 4:	FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 5, 7, 8 AND 9 OF MAYO CLINIC'S 2014 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY).REASONS WHY MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B:	MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS POTENTIALLY MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF THE PATIENT IS DETERMINED TO BE INELIGIBLE FOR FINANCIAL ASSISTANCE OR IS ELIGIBLE FOR ONLY PARTIAL FINANCIAL ASSISTANCE AND DOES NOT AGREE TO PAY THE REMAINING BALANCE.
PART VI, LINE 2:	MAYO CLINIC ATTRACTS PATIENTS FROM AREAS FAR BEYOND THE IMMEDIATE COMMUNITIES WHERE ITS FACILITIES ARE LOCATED. IN 2014, PATIENTS CAME TO MAYO FROM EVERY STATE AND NEARLY 135 FOREIGN COUNTRIES. BESIDES ITS PRINCIPAL FACILITIES LOCATED IN ROCHESTER, MN, PHOENIX AND SCOTTSDALE, AZ AND JACKSONVILLE, FL, MAYO CLINIC HAS A NETWORK OF COMMUNITY BASED HEALTH CARE PROVIDERS IN MORE THAN 70 COMMUNITIES THROUGHOUT MINNESOTA, IOWA, WISCONSIN AND GEORGIA. MAYO CLINIC SUPPORTS AND COORDINATES EFFORTS TO IMPROVE THE HEALTH AND WELL BEING WITHIN EACH OF THE COMMUNITIES WHERE IT IS LOCATED AND ALSO CONDUCTS MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF HEALTH CARE DELIVERY TO BENEFIT BROADER REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES.IN ADDITION, MAYO CLINIC HAS ESTABLISHED THE MAYO CLINIC CARE NETWORK. THE NETWORK INCLUDES HEALTH-CARE ORGANIZATIONS THAT SHARE A COMMON GOAL OF IMPROVING THE DELIVERY OF HEALTH CARE IN THEIR COMMUNITIES THROUGH HIGH-QUALITY, DATA DRIVEN AND EVIDENCE BASED MEDICAL CARE. MEMBERS OF THE NETWORK CAN USE ELECTRONIC CARE REFERENCE AND COLLABORATION TOOLS THAT CONNECT THEM DIRECTLY TO MAYO CLINIC SPECIALISTS, DISEASE MANAGEMENT PROTOCOLS, CLINICAL CARE GUIDELINES AND TREATMENT RECOMMENDATIONS. THE MAIN GOAL OF THE NETWORK IS TO HELP PEOPLE GAIN THE BENEFITS OF MAYO CLINIC EXPERTISE WITHOUT HAVING TO TRAVEL TO A MAYO CLINIC FACILITY. IN 2014, THE NETWORK HAD 31 MEMBERS. IN ROCHESTER, MAYO CLINIC WORKS COLLABORATIVELY WITH MAYO CLINIC HOSPITAL-ROCHESTER, THROUGH COMMON GOVERNANCE AND SHARED SYSTEMS, POLICIES AND PROCEDURES TO MEET THE HEALTH CARE NEEDS OF THE LOCAL OLMSTED COUNTY COMMUNITY OF APPROXIMATELY 150,000 RESIDENTS. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS "MAYO" FOR PURPOSES OF THIS DESCRIPTION.MAYO'S EFFORTS TO ASSESS THE HEALTH NEEDS OF OLMSTED COUNTY REST ON FOUR GUIDING PRINCIPLES DEVELOPED WITH COMMUNITY PARTNERS AND AFFIRMED BY MAYO LEADERSHIP:1. HEALTH IS VALUED BY BOTH THE COMMUNITY AND MAYO.2. "HEALTH" IS DETERMINED BY BOTH MEDICAL AND NON-MEDICAL (E.G., SOCIAL AND BEHAVIORAL) FACTORS AND BOTH MUST BE ADDRESSED.3. MAYO IS COMMITTED TO PRODUCING MEASURABLE IMPROVEMENTS IN THE HEALTH OF ALL OLMSTED COUNTY RESIDENTS.4. STRATEGIES TO IMPROVE COMMUNITY HEALTH ARE BEST DETERMINED AND IMPLEMENTED THROUGH PARTNERSHIPS BETWEEN HEALTH CARE PROVIDERS AND COMMUNITY MEMBERS.WITH THESE PRINCIPLES AS THE BASIS OF ITS DECISION MAKING, AND CONSISTENT WITH ITS PRIMARY VALUE OF "THE NEEDS OF THE PATIENT COME FIRST," MAYO REGULARLY SEEKS INPUT TO COORDINATE EFFORTS TO ADDRESS COMMUNITY NEEDS IN A TIMELY, EFFICIENT AND EFFECTIVE MANNER. MAYO ANNUALLY REVIEWS COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY THE PUBLIC HEALTH DEPARTMENT, SOCIAL SERVICES, AND OTHER COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY AND THE SALVATION ARMY THAT SERVE BROAD COMMUNITY HEALTH NEEDS. THESE ASSESSMENTS ARE USED TO DETERMINE SERVICES CURRENTLY AVAILABLE AND TO IDENTIFY GAPS THAT CAN BE ADDRESSED IN MAYO'S RESPONSE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. IN 2013, MAYO CLINIC PARTNERED WITH OLMSTED PUBLIC HEALTH SERVICES AND OLMSTED MEDICAL CENTER TO JOINTLY CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND TO BEGIN PREPARING A COMMUNITY HEALTH IMPROVEMENT PLAN.MAYO ALSO PROVIDES SHARED LEADERSHIP FOR THE OLMSTED COUNTY COALITION OF COMMUNITY HEALTH INTEGRATION (CCHI) AND THE COMMUNITY HEALTHCARE ACCESS COLLABORATIVE (CHAC). CCHI IS COMPOSED OF LEADERSHIP FROM MAJOR ORGANIZATIONS IN OLMSTED COUNTY. ITS MISSION IS TO CREATE OPPORTUNITIES TO COORDINATE AND INTEGRATE EFFICIENT AND EFFECTIVE SERVICES ACROSS ORGANIZATIONS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY AND THE CLIENTS WE SERVE. CHAC IS A MULTICULTURAL VOLUNTEER COALITION OF OVER 20 HEALTH CARE RELATED SERVICE PROVIDERS, PUBLIC HEALTH, SOCIAL SERVICE, AND OTHER ORGANIZATIONS FROM THE GOVERNMENT, PRIVATE AND NOT-FOR-PROFIT SECTORS. CCHI AND CHAC WORK TO ADDRESS HEALTH CARE NEEDS FOR ALL RESIDENTS OF OLMSTED COUNTY WITH SPECIAL EMPHASIS ON DIVERSE AND UNDER-RESOURCED POPULATIONS. PRIORITIES ARE ESTABLISHED BASED ON THE REVIEW OF COMMUNITY-WIDE NEEDS, AN ANALYSIS OF EXISTING SERVICES AND BY IMPLEMENTING STRATEGIES TO CLOSE GAPS. THE PLANNING PROCESS FOR CHAC ACTIVITY OCCURS THROUGH A COMMON COMMUNICATION PROCESS, INCLUDING MONTHLY MEETINGS AND A PUBLICLY ACCESSIBLE WEB SITE (WWW.CHACMN.ORG ) SUPPLEMENTED BY INPUT FROM A COMMUNITY ADVISORY BOARD (CAB). THE CAB IS COMPRISED OF 25 MEMBERS DRAWN FROM DIVERSE REPRESENTATIVES OF RACIAL, ETHNIC, GENDER ORIENTATION, RELIGIOUS, GEOGRAPHIC, SOCIOECONOMIC AND OTHER GROUPS THAT MAKE UP THE COMMUNITY. ACTIVITIES OF THE CAB INCLUDE SETTING PRIORITIES FOR HEALTH IMPROVEMENT PROJECTS, PROVIDING INPUT TO COLLABORATIVE PROJECTS AMONG SERVICE PROVIDERS AND FACILITATING DIALOG BETWEEN PROVIDERS AND THE COMMUNITY.WITHIN MAYO, COMMUNITY HEALTH ASSESSMENT INITIATIVES ARE COORDINATED THROUGH THE COMMUNITY ENGAGEMENT COMMITTEE (CEC). CEC INCLUDES REPRESENTATIVES FROM PRACTICE, EDUCATION, AND RESEARCH WITHIN MAYO AS WELL AS MEMBERS FROM THE COMMUNITY. THE ROLES OF THE CEC ARE TO MONITOR IMPLEMENTATION OF OVERALL MAYO COMMUNITY ENGAGEMENT STRATEGIES AND TO FOSTER THE DEVELOPMENT OF LONG-TERM, MUTUALLY BENEFICIAL RELATIONSHIPS BETWEEN MAYO AND THE COMMUNITY. THE CEC MEETS MONTHLY AND REPORTS REGULARLY TO THE MAYO PRESIDENT AND CEO AS WELL AS TO INSTITUTIONAL COMMITTEES. WITHIN THE PRACTICE FUNCTION OF MAYO, A COMMUNITY HEALTH COUNCIL (CHC) FACILITATES COMMUNITY ACCESS TO AND PARTICIPATION IN PATIENT CARE AND COMMUNITY OUTREACH INITIATIVES. CHC IS GUIDED BY CEC, WITH INPUT FROM COMMUNITY ADVISORY BOARDS (CAB) DESCRIBED ABOVE.CHC IS PART OF AN INTEGRATED PRACTICE UNIT THAT FOCUSES ON PRIMARY CARE DELIVERY FOR THE LOCAL COMMUNITY WHICH REQUIRES DIFFERENT APPROACHES THAN THOSE PATIENTS WHO UTILIZE MAYO'S SPECIALTY CARE SERVICES. CHC SERVES TO OVERSEE, COORDINATE AND LINK INITIATIVES IN PRACTICE AND EDUCATION THAT HAVE THE POTENTIAL TO IMPACT THE COMMUNITY OR LOCAL HEALTH-RELATED SERVICE PROVIDERS. ALTHOUGH CHC IS PRIMARILY FOCUSED ON PRACTICE AND EDUCATION ACTIVITIES, IT HAS LINKS TO RESEARCH RESOURCES WHICH CAN BE DIRECTED TOWARDS COMMUNITY INITIATIVES THAT WOULD BENEFIT FROM A RESEARCH APPROACH OR TECHNICAL EXPERTISE. AN 18 MEMBER CAB CHAIRED BY COMMUNITY MEMBERS HELPS CHC IDENTIFY AND PRIORITIZE NEEDS, CONNECTS THE COMMUNITY TO MAYO PERSONNEL, REVIEWS PROPOSALS FOR MAYO OUTREACH ACTIVITIES, PROVIDES FEEDBACK ON THE RESULTS OF THESE ACTIVITIES AND GIVES INPUT FOR NEW PROGRAMS.FROM A RESEARCH PERSPECTIVE, MAYO'S CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE (CCATS) PLANS INPUT SESSIONS WITH REPRESENTATIVES OF LOCAL COMMUNITY GROUPS TO IDENTIFY, PLAN AND CARRY OUT COMMUNITY BASED RESEARCH TO IMPROVE HEALTH OUTCOMES AMONG UNDERSERVED POPULATIONS. CCATS SUPPORTS SIGNIFICANT EFFORTS WITHIN THE CLINICAL RESEARCH UNIT AT MAYO TO INCREASE COMMUNITY INVOLVEMENT IN RESEARCH AND TO RECRUIT A DIVERSE POPULATION OF RESEARCH SUBJECTS. IN PARTNERSHIP WITH CCATS EDUCATION RESOURCES, CCATS HAS DEVELOPED A SERIES OF COMMUNITY ENGAGEMENT EDUCATION MODULES FOR RESEARCH INVESTIGATORS. THESE EFFORTS HAVE RESULTED IN A VARIETY OF RESEARCH ACTIVITIES THAT INVOLVE NOT ONLY THE OLMSTED COUNTY COMMUNITY BUT ALSO OTHER COMMUNITIES THROUGHOUT THE REGION. EXAMPLES OF THESE ACTIVITIES INCLUDE COLLABORATIONS WITH OTHER PROVIDERS, PUBLIC HEALTH SERVICES, PUBLIC SCHOOLS AND UNIVERSITIES, CITY AND COUNTY GOVERNMENT AND COMMUNITY ORGANIZATIONS SUCH AS THE INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION, MIGRANT HEALTH SERVICES, OLMSTED COUNTY CHILD CARE RESOURCE AND REFERRAL, ELDER NETWORK, ROCHESTER SENIOR CENTER, EMMANUEL IGLESIA DE DIOS, THE RED CROSS, ASIAN HEALTHCARE LEADERS ASSOCIATION, INDIAN HEALTH SERVICES AND MANY OTHERS.ANOTHER RESEARCH EFFORT WITHIN MAYO IS THE OFFICE OF HEALTH DISPARITIES RESEARCH (OHDR). OHDR SUPPORTS MEANINGFUL RESEARCH PROGRAMS TO IDENTIFY, DEVELOP AND DEPLOY STRATEGIES TO ELIMINATE HEALTH DISPARITIES IN UNDERSERVED POPULATIONS IN OUR COMMUNITIES.A CRITICAL COMPONENT OF MEETING THE NEEDS OF THE COMMUNITY IS THE ROCHESTER EPIDEMIOLOGY PROJECT (REP), A COLLABORATION OF MAYO WITH OLMSTED MEDICAL CENTER AND ROCHESTER FAMILY MEDICINE CLINIC. REP LINKS TOGETHER NEARLY ALL THE MEDICAL RECORDS OF THE RESIDENTS OF OLMSTED COUNTY, MAKING IT POSSIBLE TO CONDUCT POPULATION-BASED RESEARCH OF MOST MEDICAL CONDITIONS. THIS UNIQUE RESEARCH INFRASTRUCTURE PROVIDES AN EXTENSIVE DATA REPOSITORY OF CARE DELIVERED TO COMMUNITY RESIDENTS FOR ALMOST HALF A CENTURY AND IS VIRTUALLY UNPARALLELED IN THE UNITED STATES. REP HAS BEEN USED BY HUNDREDS OF INVESTIGATORS TO DEVELOP STUDIES ON A WIDE RANGE OF MEDICAL CONDITIONS AND HAS RESULTED IN OVER 2,000 PUBLICATIONS SINCE 1966.
PART VI, LINE 3:	MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE BY POSTING IT ON THEIR WEBPAGE INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY AND APPLICATION FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST. THE POLICY EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. ADDITIONALLY, CHARITABLE CARE AND FINANCIAL ASSISTANCE IS REFERENCED ON PATIENT CORRESPONDENCE INCLUDING: THE MONTHLY STATEMENT OF ACCOUNT, ACCOUNT BALANCE LETTERS, AND LATE PAYMENT NOTIFICATIONS. ALL PATIENT CORRESPONDENCE REFERENCING CHARITABLE CARE AND FINANCIAL ASSISTANCE INCLUDE INTERNET, PHONE, AND MAILING ADDRESS CONTACT INFORMATION.
PART VI, LINE 4:	MAYO SERVES THE POPULATION OF OLMSTED COUNTY IN MINNESOTA AS WELL AS A WIDER REGIONAL, NATIONAL, AND EVEN INTERNATIONAL POPULATION. OLMSTED COUNTY HAS A POPULATION OF 150,287 RESIDENTS IN 61,213 HOUSING UNITS ACCORDING TO THE 2013 CENSUS. FOURTEEN PERCENT OF THESE RESIDENTS ARE NONWHITE AND 74% LIVE WITHIN THE CITY OF ROCHESTER. THE MAJORITY OF MAYO PATIENTS COME FROM A 150 MILE RADIUS OF ROCHESTER MINNESOTA; HOWEVER, PATIENTS COME TO MAYO FROM ALL 50 STATES AND MORE THAN 130 FOREIGN COUNTRIES. ALTHOUGH IT SERVES A WIDE RANGE OF HEALTH CARE NEEDS INCLUDING PRIMARY AND COMMUNITY CARE, MAYO IS ESPECIALLY FOCUSED IN PROVIDING TERTIARY CARE AND SPECIALTY TREATMENT OF THE MORE UNUSUAL AND DIFFICULT MEDICAL CASES.
PART VI, LINE 5:	THIS FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST". THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION - EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDS:MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. COMMUNITY REPRESENTATION ON GOVERNING BODY:THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE FILING ORGANIZATION, WHICH IS CONTROLLED BY MAYO CLINIC, RELIES ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT.OPEN V. CLOSED STAFF MODEL:SEVERAL OF MAYO CLINIC'S HOSPITAL ENTITIES HAVE OBTAINED LETTER RULINGS APPROVING A STAFF MODEL IN WHICH ONLY MAYO CLINIC EMPLOYED PHYSICIANS ARE GIVEN STAFF PRIVILEGES IN ORDER TO MAINTAIN STANDARD METHODS OF PRACTICE AND PROTOCOLS. FOR THOSE ENTITIES, THE PHYSICIANS ARE SALARIED EMPLOYEES AND THUS THE ISSUE OF PRIVATE INUREMENT AND PRIVATE BENEFIT ADDRESSED BY THE OPEN STAFF REQUIREMENT ARE OTHERWISE ADDRESSED. THE FILING ORGANIZATION IS ONE OF THE ENTITIES WHICH OPERATES BASED ON THE CLOSED STAFF MODEL.EMERGENCY ROOM:THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM ON THE ST. MARY'S CAMPUS 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
PART VI, LINE 6:	THIS ORGANIZATION IS PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH MAYO CLINIC. MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST". MORE THAN 4,100 STAFF PHYSICIANS AND SCIENTISTS, 3,100 RESIDENTS, FELLOWS, AND STUDENTS, AND 52,000 ALLIED HEALTH STAFF WORK AT MAYO CLINIC, WHICH HAS SITES IN ROCHESTER, MINNESOTA, JACKSONVILLE, FLORIDA, AND SCOTTSDALE/PHOENIX, ARIZONA, AS WELL AS A REGIONAL NETWORK OF HOSPITALS AND CLINICS IN MINNESOTA, WISCONSIN, IOWA, AND GEORGIA. COLLECTIVELY, MORE THAN 1.3 MILLION PEOPLE ARE TREATED EACH YEAR.SPECIFICALLY, THE FILING ORGANIZATION PROVIDES HOSPITAL SERVICES AT THE ROCHESTER, MINNESOTA LOCATIONS. FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O).
PART VI, LINE 7	NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION.
PART VI, SECTION B, LINES 16A & 16B	URL OF THE FINANCIAL ASSISTANCE POLICY AND APPLICATION:WWW.MAYOCLINIC.ORG/PATIENT-VISITOR-GUIDE/MINNESOTA/BILLING-INSURANCE/CHARITY-CARE

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number
41-0944601

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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 Domestic Organizations and Domestic Governments. 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 section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER,MN55905	41-1494881	501(C)(3)	39,803	FURTHERANCE OF EXEMPT PURPOSE
(2) MAYO CLINIC 200 FIRST STREET SW ROCHESTER,MN55905	41-6011702	501(C)(3)	17,099,464	FURTHERANCE OF EXEMPT PURPOSE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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
(1) FINANCIAL ASSISTANCE	3	8,114
(2) NURSING SCHOLARSHIPS	70	164,000

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS AND/OR AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. MAYO CLINIC HOSPITAL - ROCHESTER PROVIDES SHORT-TERM FINANCIAL ASSISTANCE TO EMPLOYEES EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. NURSING SCHOLARSHIPS ARE AVAILABLE TO EMPLOYEES OF MAYO CLINIC HOSPITAL - ROCHESTER TO OFFSET THE COST OF TUITION, BOOKS, OR OTHER EXPENSES RELATED TO ATTENDING A NURSING PROGRAM. SCHOLARSHIPS ARE NOT MONITORED ONCE AWARDED TO THE RECIPIENT.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ADKINS KEDRICK DDIRECTOR	(i) (ii)	0 ............................... 558,946	0 ............................... 50,000	0 ............................... 29,761	0 ............................... 0	0 ............................... 14,024	0 ............................... 652,731	0 ............................... 0
2AGERTER MD DAVID CDIRECTOR	(i) (ii)	0 ............................... 499,015	0 ............................... 0	0 ............................... 56,097	0 ............................... 675	0 ............................... 17,533	0 ............................... 573,320	0 ............................... 0
3BOLTON JEFFREY WVICE CHAIR / DIRECTOR	(i) (ii)	0 ............................... 801,232	0 ............................... 0	0 ............................... 103,486	0 ............................... 42,569	0 ............................... 20,678	0 ............................... 967,965	0 ............................... 0
4GABRIELSON SHARON RDIRECTOR	(i) (ii)	0 ............................... 236,134	0 ............................... 0	0 ............................... 883	0 ............................... 28,406	0 ............................... 18,089	0 ............................... 283,512	0 ............................... 0
5GERTZ MD MORIE ADIRECTOR	(i) (ii)	0 ............................... 531,751	0 ............................... 0	0 ............................... 74,780	0 ............................... 692	0 ............................... 17,339	0 ............................... 624,562	0 ............................... 0
6GORES MD GREGORY JDIRECTOR	(i) (ii)	0 ............................... 622,436	0 ............................... 0	0 ............................... 90,234	0 ............................... 42,999	0 ............................... 26,782	0 ............................... 782,451	0 ............................... 0
7GRACE RICHARD WDIRECTOR	(i) (ii)	0 ............................... 329,333	0 ............................... 0	0 ............................... 77,227	0 ............................... 13,000	0 ............................... 18,651	0 ............................... 438,211	0 ............................... 0
8HARPER JR MD CHARLES MVICE CHAIR / DIRECTOR	(i) (ii)	0 ............................... 817,975	0 ............................... 0	0 ............................... 153,680	0 ............................... 44,375	0 ............................... 26,012	0 ............................... 1,042,042	0 ............................... 0
9JOHNSON PAMELA ODIRECTOR	(i) (ii)	358,987 ............................... 0	0 ............................... 0	14,121 ............................... 0	12,211 ............................... 0	16,365 ............................... 0	401,684 ............................... 0	0 ............................... 0
10KOCH MARK BDIRECTOR	(i) (ii)	0 ............................... 378,314	0 ............................... 0	0 ............................... 17,413	0 ............................... 533	0 ............................... 17,492	0 ............................... 413,752	0 ............................... 0
11KRUSE JOSEPH JDIRECTOR	(i) (ii)	0 ............................... 245,195	0 ............................... 0	0 ............................... 85,124	0 ............................... 39,616	0 ............................... 28,617	0 ............................... 398,552	0 ............................... 0
12LINTON MD RANDALL LDIRECTOR	(i) (ii)	0 ............................... 558,144	0 ............................... 0	0 ............................... 19,455	0 ............................... 26,250	0 ............................... 33,499	0 ............................... 637,348	0 ............................... 0
13NARR MD BRADLY JDIRECTOR	(i) (ii)	0 ............................... 470,041	0 ............................... 0	0 ............................... 65,849	0 ............................... 42,966	0 ............................... 23,588	0 ............................... 602,444	0 ............................... 0
14NELSON MD HEIDIDIRECTOR	(i) (ii)	0 ............................... 531,775	0 ............................... 0	0 ............................... 72,448	0 ............................... 47,534	0 ............................... 20,910	0 ............................... 672,667	0 ............................... 0
15NESSE MD ROBERT EDIRECTOR	(i) (ii)	0 ............................... 749,175	0 ............................... 0	0 ............................... 117,701	0 ............................... 0	0 ............................... 19,647	0 ............................... 886,523	0 ............................... 0
16NOSEWORTHY MD JOHN HCEO / PRESIDENT / DIRECTOR	(i) (ii)	0 ............................... 1,893,559	0 ............................... 0	0 ............................... 374,215	0 ............................... 49,000	0 ............................... 19,888	0 ............................... 2,336,662	0 ............................... 0
17SANTRACH MD PAULA JDIRECTOR	(i) (ii)	0 ............................... 374,197	0 ............................... 0	0 ............................... 35,380	0 ............................... 46,338	0 ............................... 14,882	0 ............................... 470,797	0 ............................... 0
18STELLNER WINSTON LDIRECTOR / SECRETARY	(i) (ii)	0 ............................... 181,054	0 ............................... 0	0 ............................... 440	0 ............................... 16,298	0 ............................... 26,359	0 ............................... 224,151	0 ............................... 0
19WALD MD JOHN TDIRECTOR	(i) (ii)	0 ............................... 561,955	0 ............................... 0	0 ............................... 85,786	0 ............................... 33,871	0 ............................... 27,316	0 ............................... 708,928	0 ............................... 0
20WARNER MD MARK ADIRECTOR	(i) (ii)	0 ............................... 608,867	0 ............................... 0	0 ............................... 94,039	0 ............................... 676	0 ............................... 17,268	0 ............................... 720,850	0 ............................... 0
21WHITED MD BRIAN LDIRECTOR	(i) (ii)	0 ............................... 427,369	0 ............................... 0	0 ............................... 17,095	0 ............................... 13,000	0 ............................... 26,145	0 ............................... 483,609	0 ............................... 0
22WILLIAMS MD AMY WVICE CHAIR / DIRECTOR	(i) (ii)	0 ............................... 264,035	0 ............................... 0	0 ............................... 9,683	0 ............................... 34,167	0 ............................... 2,953	0 ............................... 310,838	0 ............................... 0
23WILLIAMSON MARY JSECRETARY / TREASURER / DIRECTOR	(i) (ii)	0 ............................... 399,081	0 ............................... 0	0 ............................... 3,399	0 ............................... 25,722	0 ............................... 22,549	0 ............................... 450,751	0 ............................... 0
24YTTERBERG MD KAREN LDIRECTOR	(i) (ii)	0 ............................... 200,990	0 ............................... 0	0 ............................... 2,452	0 ............................... 37,331	0 ............................... 3,762	0 ............................... 244,535	0 ............................... 0
25HUBERT SHERRY LASST. SECRETARY	(i) (ii)	0 ............................... 245,897	0 ............................... 0	0 ............................... 919	0 ............................... 30,463	0 ............................... 23,138	0 ............................... 300,417	0 ............................... 0
26LINDAHL ROGER AASST. TREASURER	(i) (ii)	0 ............................... 259,243	0 ............................... 0	0 ............................... 1,780	0 ............................... 37,803	0 ............................... 32,286	0 ............................... 331,112	0 ............................... 0
27OVIATT JONATHAN JASST. SECRETARY	(i) (ii)	0 ............................... 525,037	0 ............................... 0	0 ............................... 78,372	0 ............................... 44,727	0 ............................... 29,668	0 ............................... 677,804	0 ............................... 0
28SANDEEN DARRELL LASST. TREASURER	(i) (ii)	0 ............................... 303,937	0 ............................... 0	0 ............................... 11,764	0 ............................... 33,923	0 ............................... 26,137	0 ............................... 375,761	0 ............................... 0
29DILLON KEVIN RHOSPITAL PHARMACY DIRECTOR	(i) (ii)	195,879 ............................... 0	0 ............................... 0	28,402 ............................... 0	25,543 ............................... 0	24,054 ............................... 0	273,878 ............................... 0	0 ............................... 0
30FREDERICK BARBARA LHOSPITAL OPERATIONS ADMINSTRATOR	(i) (ii)	239,337 ............................... 0	0 ............................... 0	3,729 ............................... 0	0 ............................... 0	16,091 ............................... 0	259,157 ............................... 0	0 ............................... 0
31ZWYGART AMY MVICE CHAIR OF NURSING	(i) (ii)	204,600 ............................... 0	0 ............................... 0	491 ............................... 0	19,186 ............................... 0	10,081 ............................... 0	234,358 ............................... 0	0 ............................... 0
32CHRISTIANSEN PHILIP RPHARMACY MANAGER	(i) (ii)	172,850 ............................... 0	0 ............................... 0	12,095 ............................... 0	29,831 ............................... 0	14,441 ............................... 0	229,217 ............................... 0	0 ............................... 0
33GAINES KIM ANURSING ADMINISTRATOR	(i) (ii)	178,114 ............................... 0	0 ............................... 0	1,633 ............................... 0	28,773 ............................... 0	9,294 ............................... 0	217,814 ............................... 0	0 ............................... 0
34JONES KRISTI LRN	(i) (ii)	187,356 ............................... 0	0 ............................... 0	10,378 ............................... 0	13,093 ............................... 0	8,646 ............................... 0	219,473 ............................... 0	0 ............................... 0
35LOVELY JENNA KMEDICATION MGT INFORMATICIST	(i) (ii)	164,593 ............................... 0	0 ............................... 0	21,475 ............................... 0	11,451 ............................... 0	27,000 ............................... 0	224,519 ............................... 0	0 ............................... 0
36WEISBROD CHERYL ANURSING ADMINISTRATOR	(i) (ii)	174,639 ............................... 0	0 ............................... 0	2,158 ............................... 0	0 ............................... 0	16,873 ............................... 0	193,670 ............................... 0	0 ............................... 0
37BROWN WILLIAM AFORMER ASST. TREASURER	(i) (ii)	0 ............................... 214,598	0 ............................... 0	0 ............................... 3,039	0 ............................... 39,455	0 ............................... 21,685	0 ............................... 278,777	0 ............................... 0
38COLLINS CRAIG CFORMER ASST. TREASURER	(i) (ii)	0 ............................... 280,124	0 ............................... 0	0 ............................... 1,769	0 ............................... 35,928	0 ............................... 28,471	0 ............................... 346,292	0 ............................... 0
39EHMAN MD RICHARD LFORMER VICE CHAIR	(i) (ii)	0 ............................... 563,155	0 ............................... 0	0 ............................... 99,236	0 ............................... 47,350	0 ............................... 17,139	0 ............................... 726,880	0 ............................... 0
40ROCK MD MICHAEL GFORMER VICE CHAIR	(i) (ii)	0 ............................... 590,213	0 ............................... 0	0 ............................... 94,776	0 ............................... 601	0 ............................... 18,517	0 ............................... 704,107	0 ............................... 0
41WEIS SHIRLEY AFORMER VICE CHAIR	(i) (ii)	0 ............................... 33,423	0 ............................... 0	0 ............................... 1,445,191	0 ............................... 50,228	0 ............................... 1,478	0 ............................... 1,530,320	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
PART I, LINE 1A	THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC VOTING/CONSULTING STAFF. 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.
PART I, LINES 4A-B	SHIRLEY WEIS, FORMER CHIEF ADMINISTRATIVE OFFICER OF MAYO CLINIC, RECEIVED CASH ASSISTANCE WITH A VALUE OF $15,000 ALONG WITH PAYMENT OF MOVING EXPENSES PURSUANT TO THE MAYO HOME RELOCATION ASSISTANCE POLICY AVAILABLE TO EMPLOYEES THAT MAYO CLINIC RELOCATES TO ANOTHER WORK SITE. MAYO CLINIC ALSO PURCHASED HER HOME FOR APPRAISED FAIR MARKET VALUE OF $393,870 IN CONNECTION WITH HER RELOCATION. SHE ALSO RECEIVED A NON-COMPETE AND TRANSITION PAYMENT IN THE AMOUNT OF $1,220,000 WHICH APPROXIMATES THE VALUE OF HER SALARY AND BENEFITS DURING THE NON-COMPETE PERIOD FOLLOWING HER RETIREMENT IN DECEMBER, 2013 PLUS $8,949 REIMBURSEMENT FOR LEGAL EXPENSES RELATED TO HER TRANSITION. 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). AGERTER M.D., DAVID C. $ 49,966 BOLTON, JEFFREY W. $ 98,503 EHMAN M.D., RICHARD L. $ 85,109 GERTZ M.D., MORIE A. $ 68,199 GORES M.D., GREGORY J. $ 85,739 HARPER JR., M.D., CHARLES M. $142,972 JOHNSON, PAMELA O. $ 10,985 KOCH, MARK B. $ 14,770 KRUSE, JOSEPH J. $ 4,999 NARR M.D., BRADLY J. $ 59,100 NELSON M.D., HEIDI $ 56,434 NESSE M.D., ROBERT E. $106,863 NOSEWORTHY M.D., JOHN H. $349,582 OVIATT, JONATHAN J. $ 69,618 ROCK M.D., MICHAEL G. $ 81,962 SANDEEN, DARRELL L. $ 1,857 SANTRACH M.D., PAULA J. $ 32,289 WALD M.D., JOHN T. $ 83,709 WARNER M.D., MARK A. $ 85,890 WEIS, SHIRLEY A. $164,349 WILLIAMS M.D., AMY W. $ 7,443 WILLIAMSON, MARY J. $ 323
PART I, LINE 3:	THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. PART III: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting 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) 2014

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MARK D LARSON	SPOUSE OF BOARD OFFICER, AMY W. WILLIAMS, M.D.	134,283	COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: WHITED M.D., BRIAN L. GRACE, RICHARD W. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: NESSE M.D., ROBERT E. KOCH, MARK B. GRACE, RICHARD W. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: HARPER JR, M.D., CHARLES M. YTTERBERG M.D., KAREN L. WILLIAMSON, MARY J. WILLIAMS M.D., AMY W. WARNER M.D., MARK A. WALD M.D., JOHN T. SANTRACH M.D., PAULA J. NESSE M.D., ROBERT E. NELSON M.D., HEIDI NARR M.D., BRADLY J. KOCH, MARK B. GORES M.D., GREGORY J. GERTZ M.D., MORIE A. GABRIELSON, SHARON R. AGERTER M.D., DAVID C. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: ADKINS JR KEDRICK D. WILLIAMSON, MARY J. SANDEEN, DARRELL L. OVIATT, JONATHAN J. NOSEWORTHY M.D., JOHN H. HUBERT, SHERRY L. BOLTON, JEFFREY W. JOHNSON, PAMELA O. HARPER JR, M.D., CHARLES M. NESSE M.D., ROBERT E. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: ADKINS JR KEDRICK D. WILLIAMSON, MARY J. STELLNER, WINSTON L. SANDEEN, DARRELL L. OVIATT, JONATHAN J. NOSEWORTHY M.D., JOHN H. LINDAHL, ROGER A. HUBERT, SHERRY L. BOLTON, JEFFREY W. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: ADKINS JR KEDRICK D. SANDEEN, DARRELL L. OVIATT, JONATHAN J. NOSEWORTHY M.D., JOHN H. LINDAHL, ROGER A. HUBERT, SHERRY L. BOLTON, JEFFREY W. YTTERBERG M.D., KAREN L. WHITED M.D., BRIAN L. KRUSE, JOSEPH J. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF HEALTH TRADITION HEALTH PLAN, A RELATED TAXABLE ENTITY. SANDEEN, DARRELL L. OVIATT, JONATHAN J. LINDAHL, ROGER A. HUBERT, SHERRY L. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. SANDEEN, DARRELL L. NESSE M.D., ROBERT E. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MMSI, INC, 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 4	THE BYLAWS WERE RESTATED TO REFLECT THE CHANGE IN THE MAXIMUM NUMBER OF DIRECTORS FROM 22 TO 24. EXECUTION OF DOCUMENTS VERBIAGE WAS EXPANDED UPON AND MEDICAL STAFF VERBIAGE WAS ADJUSTED TO REFLECT A MORE ACCURATE DESCRIPTION SINCE THE MERGER OF THE TWO MAYO CLINIC HOSPITALS IN ROCHESTER.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER IS MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBER IS RESPONSIBLE FOR APPOINTING REPLACEMENT DIRECTORS FOR VACANCIES OCCURRING BEFORE TERM EXPIRATIONS.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBER MUST APPROVE MANAGEMENT OF PROPERTY AND ASSETS, MERGERS AND CONSOLIDATIONS, AND AMENDMENTS TO ARTICLES OF INCORPORATION AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS, EXECUTIVE AND SENIOR ADMINISTRATIVE LEADERSHIP, ALONG WITH ALLIED HEALTH STAFF. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY OR REGIONAL LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY PRIOR TO IMPLEMENTATION OF THE RESPECTIVE COMPENSATION INCREASE. THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF ADMINISTRATIVE OFFICER (CAO) WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR EXECUTIVE LEADERSHIP. THE COMPENSATION AND BENEFITS OF THE EXECUTIVE LEADERSHIP FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR PHYSICIANS FROM ALL CAMPUSES, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF SENIOR PHYSICIAN, ADMINISTRATIVE, AND EXECUTIVE LEADERSHIP POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
FORM 990, PART IX, LINE 11G	IC PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 186,420,388. MANAGEMENT AND GENERAL EXPENSES 73,948,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,369,035. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 14,850,705. MANAGEMENT AND GENERAL EXPENSES 735,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,585,969.
FORM 990, PART XI, LINE 9:	PENSION-POST RETIREMENT (PER FASB A -31,344,053.
FORM 990, PART I, LINE 4 & PART VI, LINE 1B	INDEPENDENT VOTING BOARD MEMBERS OF THE GOVERNING BODY - THE BOARD OF TRUSTEES OF MAYO CLINIC, THE PARENT ENTITY OF MAYO CLINIC-AFFILIATED ENTITIES, IS COMPRISED OF MORE THAN 50% PUBLIC TRUSTEES.
FILING OF CERTAIN FOREIGN FORMS	DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) MAYO CLINIC ARIZONA (EIN: 86-0800150) MAYO CLINIC JACKSONVILLE (EIN: 59-3337028) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 4 AND 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED TAXPAYER NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS, AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MAYO CLINIC HOSPITAL - ROCHESTER

Employer identification number

41-0944601

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on 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" on 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?
(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	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) DESTINATION MEDICAL CENTER EDA 50 SOUTH SIXTH STREET SUITE 1500 MINNEAPOLIS,MN554021498 46-4893585	ECONOMIC DEVELOPMENT	MN	501(C)(3)	11-I	MAYO CLINIC	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 ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259 86-0800150	HOSPITAL AND CLINIC	AZ	501(C)(3)	3	MAYO CLINIC	Yes
(8) MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) 4500 SAN PABLO ROAD JACKSONVILLE,FL32224 59-0714831	HOSPITAL	FL	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	Yes
(9) MAYO CLINIC HOSPITAL -- ROCHESTER 200 FIRST STREET SW ROCHESTER,MN55905 41-0944601	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	Yes
(10) MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE,FL32224 59-3337028	PATIENT CARE - CLINIC	FL	501(C)(3)	7	MAYO CLINIC	Yes
(11) 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
(12) MAYO KLINIK STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM	FUNDRAISING FOUNDATION	GM			MFMER	Yes
(13) MCHS IN WAYCROSS INC 1900 TEBEAU STREET WAYCROSS,GA31501 58-1667166	HOSPITAL	GA	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	Yes
(14) MCHS--ALBERT LEA AND AUSTIN 1000 FIRST DRIVE NW AUSTIN,MN55912 41-1404075	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes
(15) MCHS--AUSTIN FOUNDATION 1000 FIRST DRIVE NW AUSTIN,MN55912 30-0107471	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--ALBERT LEA AND AUSTIN	Yes
(16) MCHS--CANNON FALLS 32021 COUNTY ROAD 24 BLVD CANNON FALLS,MN55009 20-4156428	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes
(17) MCHS--CHIPPEWA VALLEY INC 1501 THOMPSON STREET BLOOMER,WI54724 39-0980343	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	Yes
(18) MCHS--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
(19) MCHS--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
(20) MCHS--EAU CLAIRE HOSPITAL INC 1221 WHIPPLE STREET EAU CLAIRE,WI54703 39-0813418	HOSPITAL	WI	501(C)(3)	3	MAYO CLINIC	Yes
(21) MCHS--FAIRMONT 800 MEDICAL CENTER DRIVE PO BOX 800 FAIRMONT,MN56031 41-0760836	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes
(22) MCHS--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
(23) MCHS--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
(24) MCHS--FRANCISCAN HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE,WI54601 39-1411999	HEALTHCARE SYSTEM PARENT	WI	501(C)(3)	11-I	MAYO CLINIC	Yes
(25) MCHS--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
(26) MCHS--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
(27) MCHS--LAKE CITY 500 WEST GRANT STREET LAKE CITY,MN55041 41-1906820	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	Yes
(28) MCHS--MANKATO 1025 MARSH STREET MANKATO,MN56002 41-1236756	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes
(29) MCHS--MANKATO HEALTH CARE FOUNDATION 1025 MARSH STREET MANKATO,MN56002 41-1663357	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--MANKATO	Yes
(30) MCHS--NEW PRAGUE 301 SECOND STREET NE NEW PRAGUE,MN56071 41-0723639	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes
(31) MCHS--NORTHLAND INC 1222 EAST WOODLAND AVENUE BARRON,WI54812 39-0920634	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	Yes
(32) MCHS--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
(33) MCHS--OWATONNA 134 SOUTHVIEW ST OWATONNA,MN55060 41-1862132	PATIENT CARE - CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes
(34) MCHS--RED CEDAR INC 2321 STOUT ROAD MENOMONIE,WI54751 51-0190875	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC	Yes
(35) MCHS--RED WING 701 HEWITT BOULEVARD RED WING,MN55066 41-1713783	PATIENT CARE SERVICES	MN	501(C)(3)	3	MAYO CLINIC	Yes
(36) MCHS--SPRINGFIELD 625 NORTH JACKSON AVENUE SPRINGFIELD,MN56087 41-1893827	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes
(37) MCHS--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) MCHS--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) MCHS--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) MCHS--WASECA 501 NORTH STATE STREET WASECA,MN56093 36-3606405	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes
(41) 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
(42) POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER,MN55905 41-1494881	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MAYO CLINIC HOSPITAL - ROCHESTER	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) FRANKLIN HEATING STATION 119 THIRD ST SW ROCHESTER,MN55902 41-0264830	UTILITY	MN	MAYO CLINIC	EXCLUDED	63	1,343,028		No		Yes		15.950 %
(2) LATIGO PETROLEUM LLC PO BOX 14230 ODESSA,TX79768 36-4767494	OIL & GAS EXPLORATION	DE	N/A
(3) PHYSICIAN SOFTWARE SYSTEMS LLC 3333 WARRENVILLE ROAD SUITE 200 LISLE,IL60532 45-3414836	HEALTHCARE RELATED SOFTWARE	IL	N/A
(4) WATERSHED CAP INSTL PRTNRS III LP ONE MARITIME PLAZA SUITE 1525 SAN FRANCISCO,CA94111 46-2982848	INVESTMENT ACTIVITIES	DE	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) BWL HOLDINGS INC 1209 ORANGE STREET WILMINGTON,DE19801 47-2413749	OIL & GAS EXPLORATION	DE	N/A	C			Yes
(2) AMBIENT CLINICAL ANALYTICS INC 221 1ST AVE SW SUITE 202 ROCHESTER,MN55902 80-0928405	SOFTWARE	DE	N/A	C			Yes
(3) CAVALRY CLO III LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ	INVESTMENT ACTIVITIES	CJ	N/A	C			Yes
(4) CAVALRY CLO IV LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ	INVESTMENT ACTIVITIES	CJ	N/A	C			Yes
(5) GMO GLOBAL BOND INVESTMENT FUND 78 SIR JOHN ROGERSONS QUAY DUBLIN 2 EI	OTHER FINANCIAL INVESTMENT ACTIVITIES	EI	N/A				Yes
(6) HEALTH TRADITION HEALTH PLAN 1808 EAST MAIN STREET ONALASKA,WI54650 39-1545987	MEDICAL SERVICES COMPANY	WI	N/A	C			Yes
(7) LOBSS NETWORK SUPPORT 2002 INC 200 FIRST STREET SW ROCHESTER,MN55905 48-1276150	ADMINISTRATIVE SERVICES	MN	N/A	C			Yes
(8) MAYO CLINIC GBS MAURITIUS 2ND FLOOR EBENE MEWS 57 EBENE CYBERCITY MP	HEALTHCARE MANAGEMENT	MP	N/A	C			Yes
(9) MAYO CLINIC SUPPORT SERVICES TEXAS 200 FIRST STREET SW ROCHESTER,MN55905 47-1751102	HEALTH SERVICES	TX	N/A	C			Yes
(10) MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-1578020	HOLDING COMPANY	MN	N/A	C			Yes
(11) MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER,MN55905	SELF INSURANCE POOL	CJ	N/A	C			Yes
(12) MCHS--DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH,IA52101 41-1711329	PATIENT CARE - CLINIC	IA	N/A	C			Yes
(13) MCHS--PHARMACY & HOME MEDICAL INC 1221 WHIPPLE STREET EAU CLAIRE,WI54703 39-1528920	PHARMACY SERVICES	WI	N/A	C			Yes
(14) MMSI INC 21 FIRST STREET SW ROCHESTER,MN55905 41-1547003	THIRD PARTY ADMINISTRATION SERVICES	MN	N/A	C			Yes
(15) RESOUNDANT INC 221 1ST AVE SW ROCHESTER,MN55902 46-1661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	N/A	C			Yes
(16) ROCHESTER AIRPORT COMPANY ROUTE 2 ROCHESTER,MN55902 41-0506870	AIRPORT MANAGEMENT	MN	N/A	C			Yes
(17) SATILLA HEALTHNET INC 1900 TEBEAU STREET WAYCROSS,GA31501 58-2151076	HEALTH SERVICES	GA	N/A	C			Yes
(18) SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE,AZ85259 86-0870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	N/A	C			Yes
(19) THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER,MN55905 20-8994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C			Yes
(20) CHARITABLE LEAD TRUST	CHARITABLE TRUST	CA	N/A	T			Yes
(21) PERPETUAL TRUST	CHARITABLE TRUST	ND	N/A	T			Yes
(22) PERPETUAL TRUST	CHARITABLE TRUST	AZ	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) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	AZ	N/A	T			Yes
(27) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	N/A	T			Yes
(28) CHARITABLE REMAINDER TRUST (9)	CHARITABLE TRUST	FL	N/A	T			Yes
(29) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	LA	N/A	T			Yes
(30) CHARITABLE REMAINDER TRUST (73)	CHARITABLE TRUST	MN	N/A	T			Yes
(31) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	NC	N/A	T			Yes
(32) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	NM	N/A	T			Yes
(33) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	NV	N/A	T			Yes
(34) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	NY	N/A	T			Yes
(35) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	TX	N/A	T			Yes
(36) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	WI	N/A	T			Yes
(37) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	N/A	T			Yes
(38) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	IL	N/A	T			Yes
(39) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MI	N/A	T			Yes
(40) CHARITABLE REMAINDER TRUST (70)	CHARITABLE TRUST	MN	N/A	T			Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) GOLD CROSS AMBULANCE SERVICE	P	2,406,603	GAAP
(2) GOLD CROSS AMBULANCE SERVICE	P	226,723	GAAP
(3) MAYO CLINIC ARIZONA	M	97,064	GAAP
(4) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	S	8,686,882	GAAP
(5) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	P	909,001,685	GAAP
(6) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	R	16,892,176	GAAP
(7) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	Q	52,109	GAAP
(8) MCHS-ALBERT LEA AND AUSTIN	K	116,532	GAAP
(9) MCHS-ALBERT LEA AND AUSTIN	M	510,198	GAAP
(10) MCHS-FAIRMONT	K	53,993	GAAP
(11) MCHS-FRANCISCAN MEDICAL CENTER INC	K	138,128	GAAP
(12) MCHS-FRANCISCAN MEDICAL CENTER INC	M	100,122	GAAP
(13) MCHS-OWATONNA	K	52,500	GAAP
(14) MMSI INC	S	203,503,683	GAAP
(15) POVERELLO FOUNDATION	C	1,475,160	GAAP

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE FILING ORGANIZATION IS COMPRISED OF A TERTIARY-CARE HOSPITAL AND AN ACUTE-CARE HOSPITAL.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	24
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 2014 (Part V, line 2a) ......	5	10,106
6	Total number of volunteers (estimate if necessary) .............	6	674
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,317,969	6,395,158
9	Program service revenue (Part VIII, line 2g) .........	975,075,683	1,741,529,002
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,395,699	1,299,403
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,264,692	8,532,018
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	988,054,043	1,757,755,581
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	137,686	17,312,081
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)	430,047,710	585,410,856
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	402,020,915	731,391,402
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	832,206,311	1,334,114,339
19	Revenue less expenses. Subtract line 18 from line 12.......	155,847,732	423,641,242
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,405,809,033	1,759,533,780
21	Total liabilities (Part X, line 26).............	333,097,303	294,265,887
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,072,711,730	1,465,267,893

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,160,898,974 including grants of $ 17,099,464 ) (Revenue $ 1,749,914,034 )
	PATIENT CARE (SEE SCHEDULE O)MAYO CLINIC HOSPITAL - ROCHESTER WORKS COLLABORATIVELY WITH MAYO CLINIC IN ROCHESTER TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. UTILIZING COMMON GOVERNANCE, SHARED SYSTEMS AND STANDARDIZED POLICIES AND PROCEDURES WHENEVER POSSIBLE, MAYO CLINIC HOSPITAL - ROCHESTER AND ITS AFFILIATED ENTITIES STRIVE TO PROVIDE CONSISTENT, HIGH QUALITY HEALTH CARE SERVICES AND KNOWLEDGE DELIVERY REGARDLESS OF WHERE AND HOW THESE ARE PROVIDED. MAYO CLINIC IS THE SOLE MEMBER OF MAYO CLINIC HOSPITAL - ROCHESTER. OVERALL GOVERNANCE FOR MAYO CLINIC AND ITS AFFILIATED ENTITIES IS PROVIDED BY A BOARD OF TRUSTEES COMPOSED OF A MAJORITY OF PUBLIC MEMBERS ALONG WITH MAYO CLINIC PHYSICIANS AND ADMINISTRATORS. THIS BOARD OF TRUSTEES ENSURES THE ENTIRE ORGANIZATION, INCLUDING MAYO CLINIC HOSPITAL - ROCHESTER, REMAINS TRUE TO ITS MISSION OF PROVIDING FOR THE HEALTH CARE NEEDS OF THE PUBLIC RATHER THAN FOR PRIVATE BENEFIT. A SEPARATE BOARD OF DIRECTORS PROVIDES GOVERNANCE AND POLICY DIRECTION FOR MAYO CLINIC HOSPITAL - ROCHESTER.MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE IN THE WORLD. ITS STYLE OF CARE BRINGS TOGETHER TEAMS OF EXPERTS TO PROVIDE HIGH-QUALITY, AFFORDABLE AND COMPASSIONATE CARE TO EACH PATIENT CONSISTENT WITH OUR PRIMARY VALUE - "THE NEEDS OF THE PATIENT COME FIRST". MAYO CLINIC'S MISSION IS "TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH". MAYO CLINIC HOSPITAL - ROCHESTER COMBINES ITS HERITAGE OF MEDICAL EXPERTISE, CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS AND THE EXPERTISE AND RESOURCES OF OUR AFFILIATED ENTITIES TO PROVIDE A THOROUGH AND PERSONAL APPROACH TO HEALTH CARE TO MEET THE NEEDS OF OUR PATIENTS. MAYO CLINIC HOSPITAL - ROCHESTER IS ONE OF THE LARGEST PRIVATE, NON-PROFIT HOSPITALS IN THE WORLD, PROVIDING A BROAD RANGE OF SERVICES IN ALMOST ALL MEDICAL SPECIALTIES. SOME OF THE TREATMENT AREAS AT MAYO CLINIC HOSPITAL - ROCHESTER INCLUDE: NEUROSURGERY (INCLUDING COMPUTER-ASSISTED BRAIN SURGERY AND GAMMA KNIFE TREATMENT); EPILEPSY MONITORING UNIT; CARDIAC TREATMENT (INCLUDING HEART AND LUNG TRANSPLANT AND ROBOTIC HEART SURGERY); REHABILITATION UNIT SPECIALIZING IN CARE OF STROKE, SPINAL CORD INJURY AND TRAUMATIC BRAIN INJURY; A PAIN REHABILITATION CENTER TO TREAT PATIENTS WHO HAVE CHRONIC PAIN; TEN INTENSIVE CARE UNITS WITH 192 ICU BEDS; MAYO EUGENIO LITTA CHILDREN'S HOSPITAL (WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT); AND THE MAYO PSYCHIATRY AND PSYCHOLOGY TREATMENT CENTER. IN ADDITION, MAYO CLINIC HOSPITAL-ROCHESTER HOUSES A NUMBER OF RESEARCH LABORATORIES, INCLUDING UNITS FOR GASTROINTESTINAL, ENDOCRINOLOGY, AND DIABETES RESEARCH AS WELL AS A GENERAL CLINICAL RESEARCH CENTER WHICH COORDINATES A WIDE VARIETY OF PATIENT-RELATED RESEARCH. MAYO CLINIC HOSPITAL - ROCHESTER HAS 2,059 LICENSED BEDS AND 67 OPERATING AND PROCEDURAL ROOMS WHERE 56,775 SURGICAL PROCEDURES WERE PERFORMED IN 2014. DURING 2014, 54,010 PATIENTS WERE ADMITTED TO MAYO CLINIC HOSPITAL - ROCHESTER FOR A TOTAL OF 299,864 PATIENT DAYS AND THERE WERE 15,923 OBSERVATION UNIT STAYS. MAYO CLINIC HOSPITAL - ROCHESTER OPERATES ON A NONDISCRIMINATORY BASIS, REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN. MAYO CLINIC HOSPITAL - ROCHESTER PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AND SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS/RESIDENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. IN 2014, THE COST OF CHARITY CARE PROVIDED WAS APPROXIMATELY $8,950,000. THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID AND MINNESOTACARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME MINNESOTA RESIDENTS) WAS APPROXIMATELY $49,056,000. THIS AMOUNT INCLUDES A MEDICAID SURCHARGE OF $16,829,330 AND A MINNESOTACARE TAX OF $18,416,058. MAYO CLINIC HOSPITAL - ROCHESTER IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL 1 TRAUMA CENTER, DIRECTLY SERVICING PATIENTS WITHIN A 200 MILE RADIUS, WHILE ALSO CARING FOR PATIENTS FROM A MUCH BROADER GEOGRAPHICAL SPECTRUM. DURING 2014, APPROXIMATELY 72,000 EMERGENCY ROOM VISITS WERE RECORDED. MAYO ONE HELICOPTER SERVICE IS AVAILABLE FOR PATIENTS WITHIN A 50-150 MILE RADIUS AND IS UTILIZED TO TRANSPORT EMERGENTLY ILL PATIENTS TO MAYO CLINIC HOSPITAL - ROCHESTER.WITH MAYO CLINIC, MAYO CLINIC HOSPITAL - ROCHESTER OPERATES THE LIFELINE PROGRAM, A PERSONAL RESPONSE SYSTEM FOR PEOPLE WHO NEED HELP AT HOME. LIFELINE IS DEDICATED TO PROVIDE THE HIGHEST QUALITY SYSTEM FOR THE ELDERLY AND PHYSICALLY CHALLENGED INDIVIDUALS WITHIN THE COMMUNITY TO SUMMON HELP WHEN HOME ALONE AS WELL AS OFFERING AN AUTOMATED FALL RECOGNITION SYSTEM. TO ACCOMPLISH ITS MISSION, LIFELINE PLEDGES TO PROVIDE QUALITY EQUIPMENT IN THE HOME AND INSTANT ACCESS TO A TWENTY-FOUR HOUR RESPONSE CENTER WITH HIGHLY TRAINED STAFF, PROVIDE CUSTOMER SATISFACTION THROUGH EDUCATION AND A RAPID RESPONSE TIME, RECOGNIZE THE RESPONSIBILITY FOR THE SAFETY OF THOSE SERVED, CONTINUALLY SEARCH FOR INNOVATIVE STRATEGIES TO IMPROVE SERVICE, AND STRIVE TO BE RECOGNIZED FOR EXCELLENCE BY THOSE SERVED AND BY THE COMMUNITY.

4b	(Code: ) (Expenses $ 76,004,666 including grants of $ 164,000 ) (Revenue $ 389,207 )
	EDUCATION (SEE SCHEDULE O)MAYO CLINIC HOSPITAL - ROCHESTER IS INTEGRAL TO THE EDUCATION PROGRAMS OF MAYO CLINIC COLLEGE OF MEDICINE, PROVIDING ESSENTIAL CLINICAL CARE EXPERIENCES FOR RESIDENTS, STUDENTS AND TRAINEES. AS A TEACHING HOSPITAL, MAYO CLINIC HOSPITAL - ROCHESTER PROVIDED EDUCATIONAL EXPERIENCE TO THE MORE THAN 1,665 RESIDENTS OF THE MAYO SCHOOL OF GRADUATE MEDICAL EDUCATION IN 2014.MAYO CLINIC HOSPITAL - ROCHESTER PROVIDES CLINICAL EXPERIENCES FOR SEVERAL MAYO SCHOOL OF HEALTH SCIENCES PROGRAMS. THESE INCLUDE A DIETETIC INTERNSHIP PROGRAM, PHARMACY RESIDENCY PROGRAM, CHAPLAINCY INTERNSHIP PROGRAM, NURSE ANESTHESIA, CLINICAL PASTORAL EDUCATION AND OTHERS. UNDERGRADUATE CLINICAL NURSING EXPERIENCE IS OFFERED TO STUDENTS THROUGH AFFILIATIONS WITH A NUMBER OF NURSING SCHOOL PROGRAMS. IN ADDITION, AN ADMINISTRATIVE INTERNSHIP PROGRAM IS SPONSORED BY MAYO CLINIC HOSPITAL - ROCHESTER. ECHOCARDIOGRAPHY AND CARDIOVASCULAR INVASIVE SPECIALIST PROGRAMS WITHIN THE MAYO SCHOOL OF HEALTH SCIENCES ARE ALSO BASED AT MAYO CLINIC HOSPITAL - ROCHESTER.

4c	(Code: ) (Expenses $ 48,617 including grants of $ 48,617 ) (Revenue $ 25,616 )
	COMMUNITY ACTIVITIES & SERVICES AND OTHER (SEE SCHEDULE O): SEVERAL SUBSIDIZED COMMUNITY ACTIVITIES AND SERVICES ARE OFFERED BY THE HOSPITAL. COMMUNITY EDUCATION ACTIVITIES INCLUDE A VARIETY OF CHILDBIRTH AND PRENATAL EDUCATION CLASSES INCLUDING CESAREAN BIRTH, SIX-WEEK PRENATAL, PRENATAL COMFORT MEASURES, INFANT MASSAGE, SIBLING PREPARATION, MAGNIFICENT MULTIPLES, INFANT PASSENGER SAFETY AND GRANDPARENTING. LIVESTRONG EXERCISE PROGRAMS SPECIALLY DEVELOPED AND OFFERED FOR POST-TREATMENT CANCER PATIENTS ARE ALSO AVAILABLE AND FALLS PREVENTION EDUCATION AND AWARENESS FOR ADULT AND PEDIATRIC POPULATIONS ARE OTHER SPECIALTY PROGRAMS AVAILABLE.MAYO CLINIC HOSPITAL - ROCHESTER ALSO OFFERS TEEN TRAFFIC SAFETY SCHOOLS WITH PRESENTATIONS AND INTERACTIVE LEARNING ACTIVITIES, UNDERAGE ALCOHOL AND CHEMICAL TRAUMA-RELATED EDUCATION AND AWARENESS, ADULT TRAFFIC SAFETY THROUGH COMMUNITY EVENTS AND SAFETY FAIRS, BIKE SAFETY HELMET EDUCATION AND CHILD PASSENGER EDUCATION. MAYO CLINIC HOSPITAL - ROCHESTER CONDUCTS DAILY CHAPEL SERVICES OPEN TO THE PUBLIC AND HAS A HEALTHY LIVING CENTER FOR EMPLOYEES AND THEIR FAMILIES. MAYO CLINIC HOSPITAL - ROCHESTER, HAS VERY ACTIVE AND ENGAGED VOLUNTEERS. IN 2014, 674 ACTIVE VOLUNTEERS PROVIDED 76,821 HOURS OF DONATED TIME IN SERVICE TO THE PATIENTS, VISITORS AND STAFF OF THE HOSPITAL. THE ESTIMATED VALUE OF THE TIME DONATED BY THESE HOSPITAL VOLUNTEERS WAS APPROXIMATELY $1,772,260, AS VALUED BY THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICE. SOME OF THE ACTIVITIES OF THE VOLUNTEERS INCLUDE:VOLUNTEERS PROVIDE THE "COME & SEE PROGRAM", A CLASS FOR FIRST GRADE STUDENTS TO INTRODUCE THEM IN A NON-THREATENING WAY TO THE HOSPITAL AND TO BEING A PATIENT. A PEDIATRIC NURSE CONDUCTS THE CLASS AND INCLUDES ALL CLASS PARTICIPANTS IN ROLE-PLAY SITUATIONS. FROM ADMISSION TO DISCHARGE, STUDENTS LEARN ABOUT BLOOD DRAWS, VITAL SIGNS, A SURGICAL PROCEDURE (TONSILLECTOMY), X-RAYS, AND MUCH MORE. THE VOLUNTEERS PAY FOR THE BUSING FOR STUDENTS FROM ROCHESTER SCHOOL DISTRICT #535 AS WELL AS THE COST OF THE ITEMS FOR A TAKE-HOME BAG. VOLUNTEER STAFF SCHEDULE AND COORDINATE THESE CLASSES. FOR THE 2013-2014 SCHOOL YEAR THE PROGRAM HOSTED 1,808 FIRST GRADE STUDENTS FROM 80 CLASSROOMS FROM ROCHESTER SCHOOL DISTRICT #535, ROCHESTER CATHOLIC SCHOOLS, ROCHESTER CENTRAL LUTHERAN SCHOOL AND SCHAEFFER ACADEMY AS WELL AS PUBLIC SCHOOLS IN THE SURROUNDING COMMUNITIES OF BYRON, CHATFIELD AND LEWISTON-ALTURA.152 VOLUNTEERS STAFF THE HOSPITAL GIFT SHOPS UNDER THE DIRECTION OF A PAID SUPERVISOR. GIFT SHOP PROCEEDS ARE DONATED TO THE POVERELLO AND GOOD SAMARITAN FUND AND USED TO HELP NEEDY MAYO CLINIC HOSPITAL - ROCHESTER PATIENTS' PAY THEIR HOSPITAL BILLS. THE REMAINING PROCEEDS PROVIDE FUNDING FOR THE VOLUNTEER'S GROWTH FUND AND OTHER ACTIVITIES SUCH AS HEART & LUNG PILLOWS.VOLUNTEERS PROVIDE STAFFING TO ASSIST PATIENTS AND FAMILIES IN THE EMERGENCY DEPARTMENT, SURGICAL WAITING AREAS, VISITOR CAFETERIAS, INFORMATION/WELCOME DESKS, PEDIATRIC OUTPATIENT DESK AND CAST ROOM.VOLUNTEERS OFFER HOSPITALITY SERVICES TO PATIENTS AND FAMILY MEMBERS SUCH AS A PICTURE CART OFFERING PATIENTS A CHOICE OF FRAMED ART FOR THEIR ROOMS DURING THEIR STAY, SURGICAL MESSENGERS WORKING WITH NURSE COMMUNICATORS TO KEEP FAMILIES INFORMED ON THE DAY OF SURGERY AND PATIENT COMFORT ITEMS, SUCH AS FRESH WATER AND WARM BLANKETS FOR INPATIENTS VOLUNTEERS STAFF THE HOSPITAL LIBRARY CIRCULATION DESK AND PROVIDE BOOKS, MAGAZINES AND AUDIOVISUAL ITEMS TO PATIENTS AND VISITORS. THE VOLUNTEERS ALSO OFFER BOOK CART SERVICES TO DELIVER MATERIALS TO PATIENTS IN THEIR HOSPITAL ROOM. VOLUNTEERS SEW STUFFED ANIMALS THAT ARE DISTRIBUTED TO PEDIATRIC PATIENTS IN THE EMERGENCY ROOM, SAME-DAY SURGERY AND RADIOLOGY AREAS. OTHER ITEMS PRODUCED BY VOLUNTEERS INCLUDE CRANIOTOMY CAPS, CRUTCH CADDIES, WHEELCHAIR AND BED CADDIES, BABY QUILTS, KNITTED CAPS AND BOOTIES FOR NICU PATIENTS, TOE COZIES FOR ORTHOPEDIC PATIENTS, CLOTH MEMORY ENVELOPES FOR BEREAVED FAMILIES AND PRAYER SHAWLS. THESE ITEMS ARE PROVIDED TO PATIENTS AT NO CHARGE.TRAINED VOLUNTEERS PROVIDED OVER 6,500 HAND MASSAGES TO PATIENTS, FAMILY MEMBERS AND STAFF. VOLUNTEERS PROVIDED VIGIL COMPANIONS TO PATIENTS IN THEIR LAST HOURS OF LIFE WHO HAVE NO FAMILY OR FRIENDS TO BE WITH THEM THROUGH A PROGRAM CALLED "NO-ONE DIES ALONE".THE AUXILIARY ALSO ADMINISTERS THE MAYO CLINIC ERICKSON HAIR AND SKIN CARE CENTER TO PROVIDE PRODUCTS, SERVICES AND EDUCATION FOR PATIENTS EXPERIENCING THE COSMETIC SIDE EFFECTS OF CANCER TREATMENT. THE CENTER WAS DEVELOPED IN RESPONSE TO EMOTIONAL SUFFERING EXPERIENCED BY INDIVIDUALS WHO LOSE THEIR HAIR BECAUSE OF CHEMOTHERAPY OR OTHER CANCER TREATMENTS. THE CENTER, WHICH IS STAFFED BY 2 LICENSED COSMETOLOGISTS AND 12 AUXILIANS, PROVIDES WIGS AND CAPS AT NO COST TO PATIENTS. DURING THE PAST YEAR, THEY SERVED MORE THAN 1,866 PATIENTS, GAVE AWAY 320 WIGS AND 740 CAPS. IN ADDITION, THE CENTER PROVIDED "LOOK GOOD, FEEL BETTER" CLASSES FOR CANCER PATIENTS. IN 2014, 12 GROUP CLASSES WERE OFFERED SERVING 70 PATIENTS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,236,952,257

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,970,837	18,629,673	1,851,931

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,522,416
e	Government grants (contributions)1e		4,821,427

f	All other contributions, gifts, grants, and similar amounts not included above1f		51,315

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			6,395,158
			Business Code
2a	NET PATIENT REVENUE		620000	1,740,879,751	1,740,879,751
b	EDUCATION REVENUE		611600	389,207	389,207
c	LIFELINE		621990	260,044	260,044
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,741,529,002
3	Investment income (including dividends, interest, and other similar amounts).......			2,114,737			2,114,737
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	132,675
b	Less: rental expenses	0
c	Rental income or (loss)	132,675
d	Net rental income or (loss).......			132,675			132,675
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		61,771
b	Less: cost or other basis and sales expenses		877,105
c	Gain or (loss)		-815,334
d	Net gain or (loss)..........			-815,334			-815,334
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
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...
10a	Gross sales of inventory, less returns and allowances .
	a		1,670,776
b	Less: cost of goods sold ..b		2,076,044
c	Net income or (loss) from sales of inventory..			-405,268			-405,268
Miscellaneous Revenue			Business Code
11a	CAFETERIA/VENDING REVE		722210	8,774,239	8,774,239
b	MISC. REVENUE		900099	30,372	25,616		4,756
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			8,804,611
12	Total revenue. See Instructions......			1,757,755,581	1,750,328,857	0	1,031,566


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			55,476	1	55,574
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			385,398,832	4	427,641,083
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 .............				7
8	Inventories for sale or use ..............			11,118,401	8	14,687,357
9	Prepaid expenses and deferred charges ..........			2,419,491	9	1,322,464
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,187,359,021
b	Less: accumulated depreciation .....	10b	729,710,405	443,580,524	10c	457,648,616
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....			39,045,822	12	22,763,652
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			524,190,487	15	835,415,034
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,405,809,033	16	1,759,533,780
17	Accounts payable and accrued expenses .........			49,685,516	17	101,108,080
18	Grants payable .................				18
19	Deferred revenue ................				19
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....................			283,411,787	25	193,157,807
26	Total liabilities. Add lines 17 through 25.........			333,097,303	26	294,265,887
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,066,177,731	27	1,458,730,183
28	Temporarily restricted net assets ...........			3,613,782	28	3,482,892
29	Permanently restricted net assets ...........			2,920,217	29	3,054,818
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			1,072,711,730	33	1,465,267,893
34	Total liabilities and net assets/fund balances ........			1,405,809,033	34	1,759,533,780

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)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may 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; do not file with Form 990)............................	Yes	No
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)..............................	Yes	No
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, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
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)....................................	Yes	No
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; do not file with Form 990).....................................	Yes	No