TY 2018 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) ALIX JAY...................................................................... TRUSTEE	5.00 ................. 0.00	X		75,257	0	0
(2) ALVARADO LINDA G...................................................................... TRUSTEE	5.00 ................. 0.00	X		0	0	0
(3) ANDERSON BRADBURY BRAD H...................................................................... TRUSTEE	5.00 ................. 0.00	X		0	0	0
(4) BERRY MD DANIEL J...................................................................... TRUSTEE	40.00 ................. 0.00	X		844,360	0	80,559
(5) BILICIC GEORGE W...................................................................... TRUSTEE	5.00 ................. 0.00	X		74,760	0	0
(6) BOLTON JEFFREY W...................................................................... VP/TRUSTEE	40.00 ................. 0.00	X	X	0	1,541,049	80,037
(7) BURNS URSULA M...................................................................... TRUSTEE	5.00 ................. 0.00	X		0	0	0
(8) BUSKIRK MD STEVEN J...................................................................... TRUSTEE	1.00 ................. 40.00	X		0	724,718	34,240
(9) COLEMAN MARY SUE...................................................................... TRUSTEE	5.00 ................. 0.00	X		5,166	0	0
(10) DAVIS RICHARD K...................................................................... TRUSTEE	5.00 ................. 0.00	X		0	0	0
(11) DECKER MD WYATT W...................................................................... VP/TRUSTEE	1.00 ................. 40.00	X	X	0	2,036,466	79,220
(12) DI PIAZZA JR SAMUEL A...................................................................... CHAIR/TRUSTEE	5.00 ................. 0.00	X	X	2,496	0	0
(13) FARRUGIA MD GIANRICO...................................................................... VP/TRUSTEE	1.00 ................. 40.00	X	X	0	1,836,138	74,821
(14) GEORGE WILLIAM W...................................................................... TRUSTEE	5.00 ................. 0.00	X		0	0	0
(15) GOSTOUT MD BOBBIE S...................................................................... VP/TRUSTEE	1.00 ................. 40.00	X	X	0	1,472,277	92,428
(16) GREENE MD EDDIE L...................................................................... TRUSTEE	40.00 ................. 0.00	X		400,081	0	74,645
(17) HALVORSON GEORGE C...................................................................... TRUSTEE	5.00 ................. 0.00	X		0	0	0

(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) HARPER JR MD CHARLES M........................................................................ TRUSTEE	1.00 .......................40.00	X					0	1,440,702	33,371
(19) HERBERGER PHD ROY A........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(20) KRAHN MD LOIS E........................................................................ TRUSTEE	1.00 .......................40.00	X					0	525,173	73,430
(21) MENKOSKY PAULA E........................................................................ ASST SECY/TRUSTEE	1.00 .......................40.00	X	X				0	735,158	74,935
(22) MULALLY ALAN R........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(23) NELSON MD HEIDI........................................................................ TRUSTEE	40.00 .......................0.00	X					761,160	0	87,925
(24) NOSEWORTHY MD JOHN H........................................................................ CEO/PRESIDENT/TRUSTEE	40.00 .......................0.00	X	X				0	3,416,776	35,861
(25) POWELL MICHAEL K........................................................................ TRUSTEE	5.00 .......................0.00	X					13,267	0	0
(26) ROBERTS CORINNE........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(27) ROGER MD VERONIQUE L........................................................................ TRUSTEE	40.00 .......................0.00	X					712,820	0	64,548
(28) SALAZAR KENNETH L........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(29) SCHMIDT ERIC E........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(30) STEER MD RANDOLPH C........................................................................ TRUSTEE	5.00 .......................0.00	X					6,242	0	0
(31) SWEENEY ANNE M........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(32) TAYLOR DIANA L........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(33) TOMM CHARLES B........................................................................ TRUSTEE	5.00 .......................0.00	X					0	0	0
(34) WILLIAMSON MARY J........................................................................ TRUSTEE	40.00 .......................0.00	X					797,512	0	65,917
(35) BROWN WILLIAM A........................................................................ ASST TREASURER	1.00 .......................40.00		X				0	251,130	32,141
(36) DAHLEN DENNIS E........................................................................ CFO	1.00 .......................40.00		X				0	1,066,321	33,818
(37) FRANCIS JAMES R........................................................................ ASST TREASURER	1.00 .......................40.00		X				0	453,444	81,974
(38) FROISLAND JEFFREY R........................................................................ ASST TREASURER	1.00 .......................40.00		X				0	337,576	43,424
(39) GORMAN PAUL A........................................................................ ASST TREASURER	1.00 .......................40.00		X				0	1,134,570	77,321
(40) HAEFLINGER RICKY J........................................................................ ASST TREASURER	40.00 .......................0.00		X				562,112	0	79,599
(41) HOFFMAN III HARRY N........................................................................ TREASURER	1.00 .......................40.00		X				0	1,252,135	83,288
(42) HUBERT SHERRY L........................................................................ ASST SECY	1.00 .......................40.00		X				0	313,016	74,752
(43) LOCKETT KEVIN M........................................................................ ASST TREASURER	1.00 .......................40.00		X				0	275,978	68,625
(44) MURPHY JOSHUA B........................................................................ SECY	1.00 .......................40.00		X				0	905,630	73,501
(45) NORBY MARK L........................................................................ ASST TREASURER	1.00 .......................40.00		X				0	280,609	50,237
(46) UHLENKAMP SUSAN M........................................................................ ASST TREASURER	1.00 .......................40.00		X				0	339,804	61,507
(47) WEBER JOAN A........................................................................ ASST TREASURER	1.00 .......................40.00		X				0	388,243	68,099
(48) ZORN CHRISTINA K........................................................................ ASST SECY	1.00 .......................40.00		X				0	687,130	63,574
(49) CIMA MD ROBERT R........................................................................ PHYSICIAN	40.00 .......................0.00			X			559,273	0	68,918
(50) CLARK LEON G........................................................................ CHAIR - DEPT OF RESEARCH ADMIN	40.00 .......................0.00			X			486,510	0	72,494
(51) DIASIO MD ROBERT B........................................................................ PHYSICIAN	40.00 .......................0.00			X			885,779	0	29,126
(52) DIDEHBAN ROSHANAK........................................................................ CHAIR - DEPT OF PRACTICE ADMIN	40.00 .......................1.00			X			432,512	15,608	35,922
(53) FRANK MD IGOR........................................................................ PHYSICIAN	40.00 .......................0.00			X			587,106	0	62,767
(54) GORES MD GREGORY J........................................................................ PHYSICIAN	40.00 .......................0.00			X			1,017,632	0	35,054
(55) HADAWAY CHERYL J........................................................................ CHAIR - DEPT OF DEVELOPMENT	40.00 .......................0.00			X			595,125	0	30,746
(56) HAYES MD DAVID L........................................................................ PHYSICIAN	40.00 .......................0.00			X			778,559	0	38,624
(57) HORLOCKER MD TERESE T........................................................................ PHYSICIAN	40.00 .......................0.00			X			572,794	0	74,613
(58) KHAN MD AMIR R........................................................................ PHYSICIAN	40.00 .......................0.00			X			575,012	0	69,040
(59) LOFTUS MD CONOR G........................................................................ PHYSICIAN	40.00 .......................0.00			X			639,860	0	63,223
(60) LUETMER MD PATRICK H........................................................................ PHYSICIAN	40.00 .......................0.00			X			763,224	0	81,131
(61) MORICE MD WILLIAM G........................................................................ PHYSICIAN	40.00 .......................0.00			X			617,887	0	69,877
(62) NARR MD BRADLY J........................................................................ PHYSICIAN	40.00 .......................0.00			X			599,666	0	33,982
(63) THIELEN MD KENT R........................................................................ PHYSICIAN	40.00 .......................0.00			X			894,420	0	74,739
(64) WALD MD JOHN T........................................................................ PHYSICIAN	40.00 .......................0.00			X			751,930	0	77,917
(65) WILLIAMS MD AMY W........................................................................ PHYSICIAN	40.00 .......................0.00			X			649,121	0	65,246
(66) KRAUSS MD WILLIAM E........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,382,340	0	77,009
(67) LANZINO MD GIUSEPPE........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,319,244	0	73,580
(68) MARSH MD W RICHARD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,302,744	0	33,050
(69) SPINNER MD ROBERT J........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,251,113	0	55,741
(70) VAN DEURSEN JAN........................................................................ CHAIR BIOCHEM/MOL	40.00 .......................0.00				X		1,422,324	0	73,333
(71) ADKINS JR KEDRICK D........................................................................ FORMER OFFICER	0.00 .......................40.00					X	0	585,800	2,190
(72) SANDEEN DARRELL L........................................................................ FORMER OFFICER	0.00 .......................40.00					X	0	368,289	60,987
(73) AGERTER MD DAVID C........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	586,016	0	31,310
(74) BLACK MD JOHN L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	492,017	0	29,795
(75) CAMILLERI MD MICHAEL........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	810,122	0	31,867
(76) FOOTE MD ROBERT L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	733,754	0	53,811
(77) GERTZ MD MORIE A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	677,154	0	31,560
(78) HEBL MD JAMES R........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	687,600	0	65,052
(79) KOCH MARK B........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	650,558	0	21,532
(80) MEYER MD FREDRIC B........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00					X	0	1,293,738	42,846
(81) NESSE MD ROBERT E........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00					X	0	1,109,651	34,400
(82) OKUNO MD SCOTT H........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	587,897	0	75,431
(83) PAIGE SR KEVIN A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	488,503	0	82,554
(84) ROCK MD MICHAEL G........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	299,544	0	12,555
(85) SANTRACH MD PAULA J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	511,888	0	76,393
(86) WARNER MD MARK A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	572,625	0	30,621
(87) WHITED MD BRIAN L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00					X	594,962	0	76,097

(A) Name and business address	(B) Description of services	(C) Compensation
MAYO FOUNDATION FOR MEDICAL EDUCATION & 200 FIRST STREET SW ROCHESTER,MN55905	PROCUREMENT & MED SUPPORT SERVICES	546,927,462
GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER,MN55905	MEDICAL SUPPORT SERVICES	7,257,843
MAYO CLINIC HOSPITAL - ROCHESTER 200 FIRST STREET SW ROCHESTER,MN55905	MEDICAL SUPPORT SERVICES	7,045,728
MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE,FL32224	MEDICAL SUPPORT SERVICES	4,208,228
MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259	MEDICAL SUPPORT SERVICES	1,084,761
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 5

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	719,080,681	1,010,332,924	1,180,799,873	1,722,852,961	1,975,507,156	6,608,573,595
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	2,418,987,212	2,890,288,119	3,122,923,742	3,359,185,346	3,390,245,417	15,181,629,836
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....	4,570,629	4,433,234	4,664,443	4,697,015	17,480,366	35,845,687
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	3,142,638,522	3,905,054,277	4,308,388,058	5,086,735,322	5,383,232,939	21,826,049,118
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons						0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.						0
c	Add lines 7a and 7b..						0
8	Public support. (Subtract line 7c from line 6.)						21,826,049,118

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...	3,142,638,522	3,905,054,277	4,308,388,058	5,086,735,322	5,383,232,939	21,826,049,118
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	83,892,931	67,235,999	73,514,343	104,141,866	54,704,231	383,489,370
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.	62,443,018	34,562,859	42,801,655	63,998,037	78,762,106	282,567,675
c	Add lines 10a and 10b.	146,335,949	101,798,858	116,315,998	168,139,903	133,466,337	666,057,045
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.) ..	570,564	1,382,377	8,627,843	10,722,804	5,805,837	27,109,425
13	Total support. (Add lines 9, 10c, 11, and 12.)..	3,289,545,035	4,008,235,512	4,433,331,899	5,265,598,029	5,522,505,113	22,519,215,588

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 2018 (line 8, column (f) divided by line 13, column (f)) .........

96.920 %

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

95.900 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

2.960 %

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

3.990 %

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2018

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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, PART III, LINE 12, EXPLANATION OF OTHER INCOME:	MISCELLANEOUS - 2014 AMOUNT: $ 570,564. 2015 AMOUNT: $ 1,382,377. 2016 AMOUNT: $ 8,627,843. 2017 AMOUNT: $ 10,722,804. 2018 AMOUNT: $ 5,805,837.
SCHEDULE A PART I LINE 2:	WHILE THE IRS DETERMINED THAT MAYO CLINIC QUALIFIES UNDER LINE 10, AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME, WE BELIEVE THAT IT ALSO QUALIFIES UNDER THE CLASSIFICATION OF LINE 2 - A SCHOOL DESCRIBED IN SECTION 170(B)(1)(A)(II), LINE 3 - A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III), AND LINE 7, AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI).

Return Reference

Explanation

SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:

MISCELLANEOUS - 2014 AMOUNT: $ 570,564. 2015 AMOUNT: $ 1,382,377. 2016 AMOUNT: $ 8,627,843. 2017 AMOUNT: $ 10,722,804. 2018 AMOUNT: $ 5,805,837.

SCHEDULE A PART I LINE 2:

WHILE THE IRS DETERMINED THAT MAYO CLINIC QUALIFIES UNDER LINE 10, AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME, WE BELIEVE THAT IT ALSO QUALIFIES UNDER THE CLASSIFICATION OF LINE 2 - A SCHOOL DESCRIBED IN SECTION 170(B)(1)(A)(II), LINE 3 - A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III), AND LINE 7, AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI).

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization MAYO CLINIC

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization MAYO CLINIC		Employer identification number 41-6011702

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization MAYO CLINIC			Employer identification number 41-6011702
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.) $ 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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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

Employer identification number

41-6011702

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on 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)? ........

Yes

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

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Yes

800,773

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

800,773

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:	DURING 2018, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2018, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2018, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES THAT ARE REPORTED ON MFMER'S 2018 FEDERAL FORM 990 TOTALED $1,252,917.
SCHEDULE C PART II-B LINE 1I	THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.

Return Reference

Explanation

PART II-B, LINE 1:

DURING 2018, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2018, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2018, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES THAT ARE REPORTED ON MFMER'S 2018 FEDERAL FORM 990 TOTALED $1,252,917.

SCHEDULE C PART II-B LINE 1I

THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.

Schedule C (Form 990 or 990EZ) 2018

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds
1	Total number at end of year .........	4
2	Aggregate value of contributions to (during year)	1,575,000
3	Aggregate value of grants from (during year)	35,000
4	Aggregate value at end of year ........	2,523,481

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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	3,649,041,615	3,166,765,991	2,949,847,568	2,925,727,513	2,451,147,929
b	Contributions ...	232,064,809	207,453,772	97,648,438	116,977,304	103,503,897
c	Net investment earnings, gains, and losses	59,629,160	430,687,700	167,579,144	33,069,061	371,075,687
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	88,498,089	155,865,847	48,309,159	125,926,310
f	Administrative expenses ....
g	End of year balance ......	3,852,237,495	3,649,041,616	3,166,765,991	2,949,847,568	2,925,727,513

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

Board designated or quasi-endowment SchDMd Bullet

46.880 %

Permanent endowment SchDMd Bullet

35.360 %

Temporarily restricted endowment SchDMd Bullet

17.760 %

The percentages on 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)

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

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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	85,868,823		85,868,823
b	Buildings ....	1,672,272,143	988,914,347	683,357,796
c	Leasehold improvements	47,898,592	30,097,879	17,800,713
d	Equipment ....	1,649,828,477	1,019,545,231	630,283,246
e	Other .....	87,942,184		87,942,184
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,505,252,762

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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........
(3) Other (A) MAYO POOLED INVESTMENTS	8,155,499,821	F
(B) BOND-RELATED TRUSTEE HELD INVEST	96,457,191	F
(C) TECH BASED VENTURES	14,178,979	C
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	8,266,135,991

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				412,890,387
(2) INVESTMENTS IN SUBSIDIARIES				533,459,979
(3) CONTRIBUTED ASSETS PENDING DISPOSAL				85,694,164
(4) ART				3,167,394
(5) TRUSTS				78,756,134
(6) DEFERRED INCOME TAX ASSET				28,067,664
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,142,035,722

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	663,569
DUE TO AFFILIATES	3,649,995,429
DEFERRED COMPENSATION LIABILITY	322,107,196
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,972,766,194
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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 III, LINE 1A:	MAYO CLINIC PERIODICALLY RECEIVES WORKS OF ART FROM VARIOUS BENEFACTORS. THESE ITEMS ARE UNIQUE IN NATURE AND ARE HELD ON DISPLAY FOR THE BENEFIT AND ENJOYMENT OF MAYO'S PATIENTS. IT IS MAYO'S POLICY TO NEITHER CAPITALIZE CONTRIBUTED WORKS OF ART, NOR RECORD THE RELATED CONTRIBUTION REVENUE. IN THE RARE OCCURRENCE THAT MAYO CLINIC COMMISSIONS ART; IT IS REFLECTED AS AN EXPENSE OR ON THE BALANCE SHEET.
PART III, LINE 4:	MAYO'S FOUNDERS RECOGNIZED THAT CARING FOR THE WHOLE PATIENT EXTENDS BEYOND TREATING PHYSICAL AILMENTS. SINCE ITS INCEPTION, MAYO HAS USED ART, ARCHITECTURE AND BEAUTY IN SURROUNDINGS TO ADDRESS THE "SPIRITUAL ASPECTS" OF MEDICAL CARE. BENEFACTOR GIFTS FROM PATIENTS, FRIENDS, EMPLOYEES OR ALUMNI HELP MAYO SUPPORT THE ACQUISITION OF ART USED TO HUMANIZE THE MEDICAL ENVIRONMENT AND COMPLEMENT THE BELIEF THAT RESTORING THE MIND AND SPIRIT IS AN IMPORTANT PART OF MAKING THE BODY WELL. WORKS OF ART DISPLAYED ACROSS THE MAYO CAMPUS PROVIDE BEAUTY, PRESERVATION OF HERITAGE AND RESPECT FOR THE DIVERSITY OF PATIENTS, VISITORS AND STAFF.
PART V, LINE 4:	THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS.
PART X, LINE 2:	PORTION OF INCOME TAX FOOTNOTE FROM MAYO CLINIC CONSOLIDATED AUDITED FINANCIALS STATEMENTS: MOST OF THE INCOME RECEIVED BY THE CLINIC AND ITS SUBSIDIARIES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE CODE. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). THE CLINIC AND ITS SUBSIDIARIES FILE INCOME TAX RETURNS IN THE U.S. FEDERAL, VARIOUS STATE, AND FOREIGN JURISDICTIONS. THE STATUTES OF LIMITATIONS FOR TAX YEARS 2015 THROUGH 2017 REMAIN OPEN IN THE MAJOR U.S. TAXING JURISDICTIONS IN WHICH THE CLINIC AND SUBSIDIARIES ARE SUBJECT TO TAXATION. THE INTERNAL REVENUE SERVICE (IRS) PERFORMED AN EXAMINATION OF THE TAX AND INFORMATION RETURNS OF THE CLINIC AND TWO SUBSIDIARIES FOR 2005 AND 2006. THE IRS HAS CONCLUDED A LIMITED-SCOPE AUDIT OF THE CLINIC FOR TAX YEAR 2011. AS OF DECEMBER 31, 2015, THE IRS PROPOSED AN $11 MILLION TAX AND INTEREST ASSESSMENT FOR 2005 THROUGH 2012 THAT THE CLINIC PAID. THE CLINIC HAS FILED A CLAIM FOR REFUND FOR THESE AMOUNTS, WHICH WAS REJECTED BY THE IRS. THE CLINIC IS LITIGATING THE DENIAL OF THE CLAIMS IN U.S. DISTRICT COURT. MANAGEMENT HAS TAKEN THIS INTO CONSIDERATION DURING ITS DETERMINATION OF UNRECOGNIZED TAX BENEFITS. THE CLINIC HAS RECORDED $2 MILLION TAX INCLUDING INTEREST AND PENALTIES, FOR UNCERTAIN TAX POSITIONS DURING THE YEAR ENDED DECEMBER 31, 2018. AS OF DECEMBER 31, 2018 AND 2017, THE RESERVE TOTALED $14 MILLION AND $12 MILLION RESPECTIVELY. IT IS NOT ANTICIPATED THAT A SIGNIFICANT CHANGE IN THE RESERVE WILL OCCUR OVER THE NEXT 12 MONTHS. THE CLINIC'S PRACTICE IS TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE E(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Schools

Complete if the organization answered "Yes" on Form 990,
Part IV, line 13, or Form 990-EZ, Part VI, line 48.
Right pointing arrow large image

Attach to Form 990 or Form 990-EZ.
Right pointing arrow large image

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047 2018Open to Public Inspection

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

Part I

YES

Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,

other governing instrument, or in a resolution of its governing body? . . . . . . . . . . . . . . . . . . .

Yes

Does the organization include a statement of its racially nondiscriminatory policy toward students in all its

brochures, catalogues, and other written communications with the public dealing with student admissions,

programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during

the period of solicitation for students, or during the registration period if it has no solicitation program, in a way

that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No,"

please explain. If you need more space use Part II. . . . . . . . . . . . . . . . . . . . . . . . .

Does the organization maintain the following?

Records indicating the racial composition of the student body, faculty, and administrative staff? . . . . . . . . .

Yes

Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory

basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Copies of all catalogues, brochures, announcements, and other written communications to the public dealing

with student admissions, programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . .

Yes

Copies of all material used by the organization or on its behalf to solicit contributions? . . . . . . . . . . . .

Yes

If you answered "No" to any of the above, please explain. If you need more space, use Part II.

Does the organization discriminate by race in any way with respect to:

Students' rights or privileges? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Admissions policies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Employment of faculty or administrative staff? . . . . . . . . . . . . . . . . . . . . . . . . .

Scholarships or other financial assistance? . . . . . . . . . . . . . . . . . . . . . . . . . .

Educational policies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Use of facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Athletic programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.

Does the organization receive any financial aid or assistance from a governmental agency? . . . . . . . . . .

Yes

Has the organization's right to such aid ever been revoked or suspended? . . . . . . . . . . . . . . . .

If you answered "Yes" to either line 6a or line 6b, explain on Part II.

Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05

of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II. . . . . . . . .

Yes

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

Cat. No. 50085D

Schedule E (Form 990 or 990-EZ) (2018)

Schedule E (Form 990 or 990EZ) (2018)

Page 2

Part II

Supplemental Information. Provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also provide
any other additional information (see instructions).

Return Reference

Explanation

SCHEDULE E, PART I, LINE 3

THE RACIALLY NONDISCRIMINATORY POLICY OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE, WHICH DRAWS STUDENTS FROM ACROSS THE UNITED STATES AND AROUND THE WORLD, IS MADE AVAILABLE IN ALL OF ITS PUBLISHED DOCUMENTS AND WEBSITE TO ANY INTERESTED APPLICANTS.

SCHEDULE E, PART I, LINE 6

MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE/MAYO CLINIC RECEIVES FUNDS FROM THE STATE OF MINNESOTA FOR MAYO CLINIC ALIX SCHOOL OF MEDICINE STUDENTS WHO ARE RESIDENTS OF MINNESOTA. IN ADDITION, FEDERAL DIRECT STUDENT LOANS (SUBSIDIZED, UNSUBSIDIZED, PARENT PLUS AND GRADUATE PLUS) ARE AVAILABLE FOR STUDENTS IN THE MAYO CLINIC ALIX SCHOOL OF MEDICINE, MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES AND MAYO CLINIC SCHOOL OF HEALTH SCIENCES. FINALLY, QUALIFYING UNDERGRADUATE STUDENTS IN THE MAYO CLINIC SCHOOL OF HEALTH SCIENCES ARE ELIGIBLE FOR FUNDS FOR THE FEDERAL PELL GRANT PROGRAM.

Schedule E (Form 990 or 990-EZ) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
MAYO CLINIC

Employer identification number

41-6011702

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)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN	0	135	TRAVEL		368,685
	EAST ASIA AND THE PACIFIC	0	465	TRAVEL		1,805,273
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	1,238	TRAVEL		5,107,132
	MIDDLE EAST AND NORTH AFRICA	0	153	TRAVEL		707,042
	NORTH AMERICA	0	612	TRAVEL		1,484,539
	RUSSIA AND THE NEIGHBORING STATES	0	19	TRAVEL		56,666
	SOUTH AMERICA	0	176	TRAVEL		536,542
	SOUTH ASIA	0	89	TRAVEL		223,011
	SUB-SAHARAN AFRICA	0	54	TRAVEL		132,973
	MIDDLE EAST AND NORTH AFRICA	0	3	PROGRAM SERVICES	PATIENT CARE	65,000
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	2	PROGRAM SERVICES	CONSULTING	17,223
	SOUTH AMERICA	0	1	PROGRAM SERVICES	CONSULTING	14,321
	NORTH AMERICA	0	2	PROGRAM SERVICES	EDUCATION CONFERENCE - MAYO SPONSOR	185,656
	MIDDLE EAST AND NORTH AFRICA	0	15	PROGRAM SERVICES	EDUCATION CONFERENCE - MAYO SPONSOR	94,208
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	FUNDRAISING		7,526
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		1,221,642,040
	EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS EXPENSE		8,671,207
	EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS		568,198,589
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS EXPENSE		10,869,501
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS		745,871,166
	MIDDLE EAST AND NORTH AFRICA	0	0	INVESTMENTS		292,658
	NORTH AMERICA	0	0	INVESTMENTS		110,424,073
	RUSSIA AND THE NEIGHBORING STATES	0	0	INVESTMENTS		2,094,633
	SOUTH AMERICA	0	0	INVESTMENTS		5,875,133
	SOUTH ASIA	0	0	INVESTMENTS		119,749,936
	SUB-SAHARAN AFRICA	0	0	INVESTMENTS		23,848,956
	EAST ASIA AND THE PACIFIC	1	1	PROGRAM SERVICES	PATIENT SERVICES	326,420
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	3	PROGRAM SERVICES	PATIENT SERVICES	25,657
	MIDDLE EAST AND NORTH AFRICA	0	1	PROGRAM SERVICES	PATIENT SERVICES	367,941
	NORTH AMERICA	0	6	PROGRAM SERVICES	PATIENT SERVICES	994,203
	SOUTH AMERICA	0	0	PROGRAM SERVICES	PATIENT SERVICES	60,774
3a	Sub-total .....	0	2,887			10,288,890
b	Total from continuation sheets to Part I ...					2,819,829,794
c	Totals (add lines 3a and 3b)	1	2,975			2,830,118,684

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

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.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant
EAST ASIA AND THE PACIFIC	RESEARCH SUBAWARD	8,763
EAST ASIA AND THE PACIFIC	RESEARCH SUBAWARD	130,064
EAST ASIA AND THE PACIFIC	RESEARCH SUBAWARD	15,850
EAST ASIA AND THE PACIFIC	RESEARCH SUBAWARD	32,600
EAST ASIA AND THE PACIFIC	RESEARCH SUBAWARD	27,791
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARD	6,415
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARD	0
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARD	40,013
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARD	74,388
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARD	164,840
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARD	77,839
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARD	19,285
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARD	24,000
NORTH AMERICA	RESEARCH SUBAWARD	52,672
NORTH AMERICA	RESEARCH SUBAWARD	22,100
NORTH AMERICA	RESEARCH SUBAWARD	12,663
NORTH AMERICA	RESEARCH SUBAWARD	107,565
NORTH AMERICA	RESEARCH SUBAWARD	38,750
NORTH AMERICA	RESEARCH SUBAWARD	8,400
NORTH AMERICA	RESEARCH SUBAWARD	204,891
NORTH AMERICA	RESEARCH SUBAWARD	23,700
NORTH AMERICA	RESEARCH SUBAWARD	286,071
NORTH AMERICA	RESEARCH SUBAWARD	7,825
SOUTH AMERICA	RESEARCH SUBAWARD	33,407
SOUTH ASIA	RESEARCH SUBAWARD	96,129
SUB-SAHARAN AFRICA	RESEARCH SUBAWARD	26,996

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	0
3	Enter total number of other organizations or entities .......................	26

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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.

	(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(h) Method of valuation (book, FMV, appraisal, other)
RESEARCH SUBAWARD	EUROPE (INCLUDING ICELAND AND GREENLAND)	1	7,290	CHECK, ELECTRONIC FUND, OR WIRE TRANSFER	FMV
RESEARCH SUBAWARD	SOUTH AMERICA	1	14,321	CHECK, ELECTRONIC FUND, OR WIRE TRANSFER	FMV

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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:	FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE REGULARLY MONITORED BY THE FILING ORGANIZATION FOR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS AND/OR THE CONTRACT PROVISIONS. SEE ALSO SCHEDULE I, PART IV FOR ADDITIONAL INFORMATION ON MAYO CLINIC'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS AS THE SAME PROCEDURES APPLY TO DOMESTIC AND FOREIGN GRANTS. GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES IS REPORTED BASED ON WHERE PAYMENTS WERE REMITTED. OUR CURRENT REPORTING SYSTEM DOES NOT TRACK ACTIVITIES OUTSIDE THE UNITED STATES BY LOCATION OF SERVICE.
PART I, LINE 3:	ACCRUAL METHOD
PART I, LINE 3:	THE AMOUNTS REPORTED IN SCHEDULE R, PART IV, COLUMN H AND SCHEDULE F, PART I, COLUMN F FOR BAIN CAPITAL CREDIT CLO 2017-2, LTD. AND CAVALRY CLO IV, LTD. ARE BASED ON GROSS YEAR-END ASSETS, WHICH SIGNIFICANTLY OVERSTATES OUR SHARE OF THE VALUE OF THE OVERALL INVESTMENT. OUR SHARE OF THE VALUE OF THE ORGANIZATIONS IS $41,032,770 FOR BAIN CAPITAL CREDIT CLO 2017-2, LTD. AND $3,450,287 FOR CAVALRY CLO IV, LTD.

Schedule F (Form 990) 2018

Additional Data

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Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
MAYO CLINIC

Employer identification number

41-6011702

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	GRAY PLANT MOOTY 500 IDS CENTER 80 SOUTH 8TH ST MINNEAPOLIS, MN55402	CONSULTS ON LEGAL ISSUES		No	0	24,466	0
	MAUREEN OTIS 4850 WRIGHT RD STE 168 STAFFORD, TX77477	CONSULTS ON LEGAL ISSUES		No	0	7,985	0
	CCAH (CHAPMAN CUBINE AND HUSSEY) 2000 15TH STREET NORTH SUITE 550 ARLINGTON, VA22201	CONSULTING		No	0	201,648	0
	TARGET MARKETEAM INC 600 NORTHPARK TOWN CTR1200 ABERNAT ATLANTA, GA30328	CONSULTING		No	0	387,029	0
	FOLEY AND LARDNER ONE INDEPENDENT DR SUITE 1300 JACKSONVILLE, FL32202	CONSULTS ON LEGAL ISSUES		No	0	257,256	0
	THE STELTER COMPANY 10435 NEW YORK AVE DES MOINES, IA50322	DIRECT MAIL SERVICES		No	0	63,452	0




Total . . . . . . . . . . . . . . . . . . . .						941,836

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation
SCHEDULE G, PART I, LINE 2B, COLUMN (V)	PAYMENTS MADE TO FUNDRAISERS WERE FOR SERVICES PROVIDED TO MAYO CLINIC IN RELATION TO FUNDRAISING CONDUCTED EXCLUSIVELY BY MAYO CLINIC.

Schedule G (Form 990 or 990-EZ) 2018

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MAYO CLINIC

Employer identification number
41-6011702

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" on 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	(e) Amount of non-cash assistance	(h) Purpose of grant or assistance
(1) MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE,FL32224	59-3337028	501(C)(3)	74,395,470	0	SUPPORT CHARITABLE PROGRAMS
(2) MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259	86-0800150	501(C)(3)	64,733,170	0	SUPPORT CHARITABLE PROGRAMS
(3) DUKE UNIVERSITY DUMC 3934 DURHAM,NC27710	56-0532129	501(C)(3)	3,908,802	0	SUPPORT CHARITABLE PROGRAMS
(4) REGENTS OF THE UNIV OF MN DBA UNIVERSITY OF MN 2221 UNIV AVE SE STE 111 MINNEAPOLIS,MN55414	41-6007513	STATE OF MN	2,646,259	0	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(5) THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO 1855 FOLSOM ST BOX 0812 SAN FRANCISCO,CA94143	94-6036493	STATE OF CA	2,182,107	0	SUPPORT RESEARCH PROGRAM
(6) REGEN THERANOSTICS INC 3033 41ST ST NW STE 301 ROCHESTER,MN55901	27-1652200	-	1,879,500	0	SUPPORT RESEARCH PROGRAM
(7) UNIVERSITY OF CHICAGO 5747 S ELLIS AVE 122 CHICAGO,IL606371043	36-2177139	501(C)(3)	1,598,233	0	SUPPORT CHARITABLE PROGRAMS
(8) DANA-FARBER CANCER INSTITUTE INC 450 BROOKLINE AVE BOSTON,MA02215	04-2263040	501(C)(3)	1,593,255	0	SUPPORT CHARITABLE PROGRAMS
(9) SANFORD-BURNHAM MEDICAL RESEARCH INSTITUTE 10901 N TORREY PINES RD LA JOLLA,CA92037	51-0197108	501(C)(3)	1,500,102	0	SUPPORT CHARITABLE PROGRAMS
(10) DUKE UNIVERSITY HEALTH SYSTEM INC 3400 WAKE FOREST RD CHARLOTTE,NC282751274	56-2070036	501(C)(3)	1,237,029	0	SUPPORT CHARITABLE PROGRAMS
(11) TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ONE COLLEGE HALL PHILADELPHIA,PA191046303	23-1352685	501(C)(3)	1,124,845	0	SUPPORT CHARITABLE PROGRAMS
(12) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER,MN55905	41-1506440	501(C)(3)	851,504	0	SUPPORT CHARITABLE PROGRAMS
(13) MCKESSON SPECIALTY PHARMACY ONE POST STREET SAN FRANCISCO,CA94104	20-4085284	-	918,795	0	SUPPORT RESEARCH PROGRAM
(14) UT MD ANDERSON CANCER CENTER PO BOX 301439 HOUSTON,TX772301439	74-6001118	STATE OF TX	853,849	0	SUPPORT RESEARCH PROGRAM
(15) CORINDUS INC 309 WAVERLEY OAKS ROAD SUITE 105 WALTHAM,MA02452	68-0673201	-	772,046	0	SUPPORT RESEARCH PROGRAM
(16) THE REGENTS OF THE UNIVERSITY OF MICHIGAN 1500 E MEDICAL CENTER DR ANN ARBOR,MI481090201	38-6006309	STATE OF MI	693,534	0	SUPPORT RESEARCH PROGRAM
(17) MCHS--SOUTHEAST MINNESOTA REGION (FKA MCHS - ALBERT LEA AND AUSTIN) 1000 FIRST DRIVE NW AUSTIN,MN55912	41-1404075	501(C)(3)	758,433	0	SUPPORT CHARITABLE PROGRAMS
(18) COLUMBIA UNIVERSITY 630 W 168TH ST UNIT 39 NEW YORK,NY10032	13-5598093	501(C)(3)	596,267	0	SUPPORT CHARITABLE PROGRAMS
(19) EMORY UNIVERSITY SCHOOL OF MEDICINE 1365-B CLIFTON RD ATLANTA,GA30322	58-0566256	501(C)(3)	573,942	0	SUPPORT CHARITABLE PROGRAMS
(20) MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE,WI54601	39-0806374	501(C)(3)	632,826	0	SUPPORT CHARITABLE PROGRAMS
(21) GENERAL ELECTRIC COMPANY 41 FARNSWORTH STREET BOSTON,MA02210	14-0689340	-	532,057	0	SUPPORT RESEARCH PROGRAM
(22) UNIVERSITY OF SOUTHERN CALIFORNIA 1510 SAN PABLO HCC 514 LOS ANGELES,CA90033	95-1642394	501(C)(3)	472,001	0	SUPPORT CHARITABLE PROGRAMS
(23) WASHINGTON UNIVERSITY CAMPUS BOX 8063 660 S EUCLID AVE ST LOUIS,MO63110	43-0653611	501(C)(3)	455,381	0	SUPPORT CHARITABLE PROGRAMS
(24) MCHS--SOUTHWEST MINNESOTA REGION (FKA MCHS - MANKATO) 1025 MARSH STREET MANKATO,MN56001	41-1236756	501(C)(3)	464,610	0	SUPPORT CHARITABLE PROGRAMS
(25) OHIO STATE UNIVERSITY RESEARCH FOUNDATION 1010 LINCOLN TOWER 1800 CANNON DR COLUMBUS,OH432101230	31-6401599	501(C)(3)	411,099	0	SUPPORT CHARITABLE PROGRAMS
(26) UNITED WAY OF OLMSTED COUNTY INC 903 WEST CENTER STREET ROCHESTER,MN55902	41-0695594	501(C)(3)	410,650	0	SUPPORT CHARITABLE PROGRAMS
(27) BRIGHAM AND WOMENS HOSPITAL 75 FRANCIS ST BOSTON,MA02115	04-2312909	501(C)(3)	404,489	0	SUPPORT CHARITABLE PROGRAMS
(28) OHIO STATE UNIVERSITY 558 DOAN HALL 410 W 10TH AVENUE COLUMBUS,OH43210	31-6025986	STATE OF OH	390,090	0	SUPPORT RESEARCH PROGRAM
(29) THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS 506 S WRIGHT 209 HAB MC-339 URBANA,IL61801	37-6000511	501(C)(3)	386,373	0	SUPPORT CHARITABLE PROGRAMS
(30) RECOMBINETICS 1246 UNIVERSITY AVE W ST PAUL,MN55104	26-3121470	-	375,047	0	SUPPORT RESEARCH PROGRAM
(31) GENERAL HOSPITAL CORPORATION 55 FRUIT BOSTON,MA02114	04-2697983	501(C)(3)	370,336	0	SUPPORT CHARITABLE PROGRAMS
(32) OPTUM LABS INC 9900 BREN RD E MINNETONKA,MN55343	46-1615964	-	358,200	0	SUPPORT RESEARCH PROGRAM
(33) CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVE CLEVELAND,OH441067037	34-1018992	501(C)(3)	339,968	0	SUPPORT CHARITABLE PROGRAMS
(34) UNIVERSITY OF MIAMI PO BOX 248106 CORAL GABLES,FL331242912	59-0624458	501(C)(3)	329,335	0	SUPPORT CHARITABLE PROGRAMS
(35) MCHS--NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE,WI54702	39-0813418	501(C)(3)	556,174	0	SUPPORT CHARITABLE PROGRAMS
(36) HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH PO BOX 1524 MINNEAPOLIS,MN554401524	41-1670163	501(C)(3)	319,099	0	SUPPORT CHARITABLE PROGRAMS
(37) ROSWELL PARK CANCER INSTITUTE ELM AND CARLTON STREETS BUFFALO,NY14263	16-1552370	115(1)	318,499	0	SUPPORT RESEARCH PROGRAM
(38) THE HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE INC 6720-A ROCKLEDGE DR STE 100 BETHESDA,MD20817	52-1317896	501(C)(3)	308,233	0	SUPPORT CHARITABLE PROGRAMS
(39) THE GENEVA FOUNDATION PO BOX 98687 LAKEWOOD,WA98496	91-1593913	501(C)(3)	302,626	0	SUPPORT CHARITABLE PROGRAMS
(40) BOSTON UNIVERSITY SCHOOL OF MEDICINE 715 ALBANY STREET A-305 BOSTON,MA021182526	04-2103547	501(C)(3)	288,901	0	SUPPORT CHARITABLE PROGRAMS
(41) MINNEAPOLIS MEDICAL RESEARCH FOUNDATION HENNEPIN CTY 530 CHICAGO AVE MINNEAPOLIS,MN55415	41-1677920	501(C)(3)	284,571	0	SUPPORT CHARITABLE PROGRAMS
(42) RUTGERS THE STATE UNIVERSITY OF NJ 57 US HIGHWAY 1 NEW BRUNSWICK,NJ089018554	22-6001086	STATE OF NJ	281,260	0	SUPPORT RESEARCH PROGRAM
(43) UNIVERSITY OF PITTSBURGH 4200 5TH AVE PITTSBURGH,PA15260	25-0965591	501(C)(3)	277,204	0	SUPPORT CHARITABLE PROGRAMS
(44) UNIVERSITY OF IOWA 105 JESSUP HALL IOWA CITY,IA52242	42-6004813	STATE OF IA	270,341	0	SUPPORT RESEARCH PROGRAM
(45) ALLINA HEALTH SYSTEM PO BOX 43 MINNEAPOLIS,MN55440	36-3261413	501(C)(3)	269,591	0	SUPPORT CHARITABLE PROGRAMS
(46) HENRY FORD HEALTH SYSTEM 2799 W GRAND BLVD DETROIT,MI48202	38-1357020	501(C)(3)	262,087	0	SUPPORT CHARITABLE PROGRAMS
(47) HARVARD MEDICAL SCHOOL 260 LONGWOOD RM 262 BOSTON,MA021155720	04-2103580	501(C)(3)	257,127	0	SUPPORT CHARITABLE PROGRAMS
(48) GEORGIA TECH RESEARCH CORPORATION 505 10TH STREET NW ATLANTA,GA30332	58-0603146	501(C)(3)	252,755	0	SUPPORT CHARITABLE PROGRAMS
(49) INTEGRATIVE MEDICINE SERVICE BOX 303 1275 YORK AVE NEW YORK,NY10021	13-1624082	501(C)(3)	252,453	0	SUPPORT CHARITABLE PROGRAMS
(50) NYU DEPARTMENT OF RADIOLOGY 560 1ST AVE NEW YORK,NY100164998	13-5562309	STATE OF NY	248,365	0	SUPPORT RESEARCH PROGRAM
(51) AMERICAN COLLEGE OF SURGEONS 633 N SAINT CLAIR ST CHICAGO,IL606115005	36-2192800	501(C)(3)	246,072	0	SUPPORT CHARITABLE PROGRAMS
(52) INTERMOUNTAIN HEALTH CARE 36 S STATE ST STE 2200 SALT LAKE CITY,UT84111	87-0269232	501(C)(3)	245,148	0	SUPPORT CHARITABLE PROGRAMS
(53) STANFORD UNIVERSITY 1450 PAGE MILL RD STANFORD,CA94304	94-1156365	501(C)(3)	241,085	0	SUPPORT CHARITABLE PROGRAMS
(54) OREGON HEALTH & SCIENCES UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND,OR97239	93-1176109	STATE OF OR	239,014	0	SUPPORT RESEARCH PROGRAM
(55) UTHSCH-DEPT OF DIAGNOSTIC AND INTERVENTIONAL IMAGING 6431 FANNIN ST STE 6168 HOUSTON,TX770301501	74-1761309	501(C)(3)	232,974	0	SUPPORT CHARITABLE PROGRAMS
(56) TRUSTEES OF DARTMOUTH COLLEGE DBA DARTMOUTH COLLEGE 37 DEWEY FIELD RD STE 6163 HANOVER,NH03755	02-0222111	501(C)(3)	231,870	0	SUPPORT CHARITABLE PROGRAMS
(57) UNIVERSITY OF UTAH 110 S FORT DOUGLAS BLVD SALT LAKE CITY,UT84113	87-6000525	STATE OF UT	219,335	0	SUPPORT RESEARCH PROGRAM
(58) WEILL CORNELL MEDICAL COLLEGE 1315 YORK AVENUE NEW YORK,NY10021	13-1623978	501(C)(3)	206,225	0	SUPPORT CHARITABLE PROGRAMS
(59) TEXAS A&M UNIVERSITY 1250 TAMU KENNY KIMBAL KNY K COLLEGE STATION,TX77843	74-6000531	STATE OF TX	205,027	0	SUPPORT RESEARCH PROGRAM
(60) SCRIPPS RESEARCH INSTITUTE 10550 NORTH TORREY PINES RD TPC 2 LA JOLLA,CA92037	33-0435954	501(C)(3)	197,862	0	SUPPORT CHARITABLE PROGRAMS
(61) UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD DALLAS,TX753900860	75-6002868	STATE OF TX	190,284	0	SUPPORT RESEARCH PROGRAM
(62) RETINA FOUNDATION OF THE SOUTHWEST 9600 N CENTRAL EXPRESSWAY STE 200 DALLAS,TX75231	51-0151514	501(C)(3)	189,596	0	SUPPORT CHARITABLE PROGRAMS
(63) SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH 1275 YORK AVE NEW YORK,NY10065	13-1624182	501(C)(3)	189,152	0	SUPPORT CHARITABLE PROGRAMS
(64) UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL DBA UNC CENTER FOR HEART & VASC 104 AIRPORT DR CAMPUS BOX 1220 CHAPEL HILL,NC275991220	56-6001393	501(C)(3)	188,324	0	SUPPORT CHARITABLE PROGRAMS
(65) ESSENTIA HEALTH 502 E SECOND ST DULUTH,MN55805	20-0360007	501(C)(3)	185,224	0	SUPPORT CHARITABLE PROGRAMS
(66) UNIVERSITY OF PUERTO RICO MEDICAL SCIENCES CAMPUS PO BOX 365067 SAN JUAN,PR009365067	66-0433762	COMM OF PR	184,006	0	SUPPORT RESEARCH PROGRAM
(67) ARIZONA STATE UNIVERSITY 411 N CENTRAL AVE PHOENIX,AZ85004	86-0196696	STATE OF AZ	183,307	0	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(68) MINNESOTA VETERANS MEDICAL RESEARCH AND EDUCATION FOUNDATION 1821 UNIVERSITY AVE W ST PAUL,MN55104	41-1652941	501(C)(3)	171,516	0	SUPPORT CHARITABLE PROGRAMS
(69) UNIVERSITY OF COLORADO 4200 E 9TH AVE BOX 8188 DENVER,CO802660001	84-6000555	STATE OF CO	167,943	0	SUPPORT RESEARCH PROGRAM
(70) UNIVERSITY OF WASHINGTON 325 9TH AVE SEATTLE,WA98195	91-6001537	STATE OF WA	165,509	0	SUPPORT RESEARCH PROGRAM
(71) YUKON-KUSKOKWIM HEALTH CORPORATION PO BOX 528 BETHEL,AK995590528	92-0041414	501(C)(3)	164,160	0	SUPPORT CHARITABLE PROGRAMS
(72) UNIVERSITY OF WISCONSIN MEDICAL SCHOOL 600 HIGHLAND AVE MADISON,WI53792	39-6006492	STATE OF WI	158,959	0	SUPPORT RESEARCH PROGRAM
(73) DARTMOUTH-HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON,NH03756	02-0222140	501(C)(3)	158,450	0	SUPPORT CHARITABLE PROGRAMS
(74) CLEVELAND CLINIC EDUCATIONAL FOUNDATION PO BOX 931653 CLEVELAND,OH44193	34-0714585	501(C)(3)	156,391	0	SUPPORT CHARITABLE PROGRAMS
(75) AVERA MCKENNAN 740 S HILL SIOUX FALLS,SD570588760	46-0224743	501(C)(3)	153,879	0	SUPPORT CHARITABLE PROGRAMS
(76) GEORGETOWN UNIVERSITY 255 BASIC SCIENCE BLDG 3900 RESERVOIR RD NW WASHINGTON,DC20057	53-0196603	501(C)(3)	147,100	0	SUPPORT CHARITABLE PROGRAMS
(77) THE ROCKEFELLER UNIVERSITY 1230 YORK AVENUE NEW YORK,NY10065	13-1624158	501(C)(3)	144,075	0	SUPPORT CHARITABLE PROGRAMS
(78) MAYO CLINIC HEALTH SYSTEM--FAIRMONT 800 CLINIC CIRCLE FAIRMONT,MN56031	41-0760836	501(C)(3)	150,185	0	SUPPORT CHARITABLE PROGRAMS
(79) CARNEGIE INSTITUTION OF WASHINGTON 1530 P STREET NW WASHINGTON,DC20005	53-0196523	501(C)(3)	138,298	0	SUPPORT CHARITABLE PROGRAMS
(80) NORTHSHORE UNIVERSITY 2650 RIDGE AVENUE EVANSTON,IL60201	36-2167060	501(C)(3)	137,545	0	SUPPORT CHARITABLE PROGRAMS
(81) UC REGENTS 10945 LE CONTE AVE STE 2339 BOX 951687 LOS ANGELES,CA90095	95-6006143	STATE OF CA	136,420	0	SUPPORT RESEARCH PROGRAM
(82) H LEE MOFFIT CANCER CENTER AND RESEARCH INSTITUTE INC 12902 MAGNOLIA DR TAMPA,FL33612	59-2451713	501(C)(3)	135,788	0	SUPPORT CHARITABLE PROGRAMS
(83) COLORADO STATE UNIVERSITY 8008 CAMPUS DELIVERY FORT COLLINS,CO805238008	84-6000545	STATE OF CO	132,532	0	SUPPORT RESEARCH PROGRAM
(84) ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE,AK99508	92-0162721	501(C)(3)	127,111	0	SUPPORT CHARITABLE PROGRAMS
(85) GEORGE MASON UNIVERSITY 4400 UNIVERSITY DR FAIRFAX,VA22030	54-0836354	STATE OF VA	125,061	0	SUPPORT RESEARCH PROGRAM
(86) RHODE ISLAND HOSPITAL 593 EDDY ST PROVIDENCE,RI029034970	05-0258954	501(C)(3)	123,400	0	SUPPORT CHARITABLE PROGRAMS
(87) BLOOD SYSTEMS INC PO BOX 53022 PHOENIX,AZ850723022	86-0098929	501(C)(3)	122,162	0	SUPPORT CHARITABLE PROGRAMS
(88) MEDICOMP INC PO BOX 932874 ATLANTA,GA311932874	52-2283535	-	121,000	0	SUPPORT RESEARCH PROGRAM
(89) MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC 55 FRUIT ST BLDG RM 205 BOSTON,MA021142622	04-2807148	501(C)(3)	120,960	0	SUPPORT CHARITABLE PROGRAMS
(90) UNIVERSITY OF ROCHESTER 518 HYLAN BUILDING BOX 270140 ROCHESTER,NY14627	16-0743209	501(C)(3)	118,850	0	SUPPORT CHARITABLE PROGRAMS
(91) NORTHEASTERN UNIVERSITY 360 HUNTINGTON AVE BOSTON,MA021150195	04-1679980	501(C)(3)	118,490	0	SUPPORT CHARITABLE PROGRAMS
(92) JOHNS HOPKINS UNIVERSITY 1101 E 33RD ST STE D200 BALTIMORE,MD21218	52-0595110	501(C)(3)	117,503	0	SUPPORT CHARITABLE PROGRAMS
(93) UC REGENTS UNIV OF CALIFORNIA-SD 9500 GILMAN DR MC 0617 LA JOLLA,CA920930617	95-6006144	STATE OF CA	117,025	0	SUPPORT RESEARCH PROGRAM
(94) THOMAS JEFFERSON UNIVERSITY HOSPITAL-NURSING SERVICE 111 SOUTH 11TH STREET 1940 GIBBON PHILADELPHIA,PA19107	23-1352651	501(C)(3)	115,999	0	SUPPORT CHARITABLE PROGRAMS
(95) BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1500 E DUARTE RD DUARTE,CA91010	95-3432210	501(C)(3)	115,709	0	SUPPORT CHARITABLE PROGRAMS
(96) ESSENTIA INSTITUTE OF RURAL 502 E SECOND ST DULUTH,MN55805	27-1291124	501(C)(3)	110,688	0	SUPPORT CHARITABLE PROGRAMS
(97) ROCHESTER AREA FOUNDATION 400 SOUTH BROADWAY SUITE 300 ROCHESTER,MN55904	41-6017740	501(C)(3)	107,100	0	SUPPORT CHARITABLE PROGRAMS
(98) UNIVERSITY OF CALIFORNIA REGENTS 1200 DUTTON HALL ONE SHIELDS AVE DAVIS,CA956168549	94-6036494	STATE OF CA	106,405	0	SUPPORT RESEARCH PROGRAM
(99) TRUTH INITIATIVE FOUNDATION 900 G ST NW 4TH FLR WASHINGTON,DC20001	91-1956621	501(C)(3)	103,046	0	SUPPORT CHARITABLE PROGRAMS
(100) MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVE CAMBRIDGE,MA021394307	04-2103594	501(C)(3)	101,845	0	SUPPORT CHARITABLE PROGRAMS
(101) CITY OF HOPE NATIONAL MEDICAL CENTER 1500 E DUARTE RD DUARTE,CA910100269	95-1683875	501(C)(3)	101,250	0	SUPPORT CHARITABLE PROGRAMS
(102) COMMUNITY DENTAL CARE INC 1670 BEAM AVE SUITE 204 MAPLEWOOD,MN55109	04-3692982	501(C)(3)	100,000	0	SUPPORT CHARITABLE PROGRAMS
(103) CENTER CITY HOUSING CORPORATION 105 1/2 W FIRST ST DULUTH,MN55802	36-3485584	501(C)(3)	100,000	0	SUPPORT CHARITABLE PROGRAMS
(104) SAGE BIONETWORKS 1100 FAIRVIEW AVE N SEATTLE,WA981091024	26-4489946	501(C)(3)	97,519	0	SUPPORT CHARITABLE PROGRAMS
(105) SOUTH DAKOTA HEALTH RESEARCH FOUNDATION 1400 W 22ND ST SIOUX FALLS,SD57105	46-0450378	501(C)(3)	95,815	0	SUPPORT CHARITABLE PROGRAMS
(106) THE SALVATION ARMY NORTHERN DIVISION - SERVING MN & ND 2445 PRIOR AVE N ROSEVILLE,MN55113	41-0698597	501(C)(3)	95,685	0	SUPPORT CHARITABLE PROGRAMS
(107) TEMPLE POSTGRADUATE TEMPLE UNIV MED SCHOOL CME OFC 3400 N BROAD ST PHILADELPHIA,PA19140	23-1365971	501(C)(3)	94,317	0	SUPPORT CHARITABLE PROGRAMS
(108) UNIVERSITY OF MISSOURI KANSAS DBA UNIVERSITY OF MISSOURI COLUMBIA COLLEGE O 4011 DISCOVERY DR COLUMBIA,MO65201	43-6003859	STATE OF MO	90,611	0	SUPPORT RESEARCH PROGRAM
(109) COMPUTER TASK GROUP INC 800 DELAWARE AVE BUFFALO,NY14209	16-0912632	-	87,650	0	SUPPORT RESEARCH PROGRAM
(110) TREASURER VIRGINIA TECH CE 702 UNIVERSITY CITY BLVD BLACKSBURG,VA24061	54-6001805	STATE OF VA	87,542	0	SUPPORT RESEARCH PROGRAM
(111) MISSOURI BAPTIST MEDICAL CENTER 3015 N BALLAS ROAD ST LOUIS,MO63131	43-0652656	501(C)(3)	85,791	0	SUPPORT CHARITABLE PROGRAMS
(112) CARLE FOUNDATION HOSPITAL 611 WEST PARK ST URBANA,IL61801	37-1119538	501(C)(3)	83,160	0	SUPPORT CHARITABLE PROGRAMS
(113) RAPID CITY REGIONAL HOSPITAL 353 FAIRMONT BLVD RAPID CITY,SD57709	46-0319070	501(C)(3)	80,398	0	SUPPORT CHARITABLE PROGRAMS
(114) DYSLEXIA INSTITUTE OF MINNESOTA INC 847 5TH ST NW ROCHESTER,MN55901	41-1633734	501(C)(3)	80,000	0	SUPPORT CHARITABLE PROGRAMS
(115) ZUMBRO VALLEY MENTAL HEALTH CENTER INC 343 WOOD LAKE DRIVE SE ROCHESTER,MN55904	41-6052022	501(C)(3)	75,000	0	SUPPORT CHARITABLE PROGRAMS
(116) MINNESOTA HEALTHSOLUTIONS CORPORATION 976 SUMMIT AVE ST PAUL,MN55105	20-4428357	-	73,552	0	SUPPORT RESEARCH PROGRAM
(117) BOYS AND GIRLS CLUB OF ROCHESTER 1026 EAST CENTER STREET ROCHESTER,MN55904	41-1945875	501(C)(3)	70,000	0	SUPPORT CHARITABLE PROGRAMS
(118) AMBIENT CLINICAL ANALYTICS 221 1ST AVE SW STE 202 ROCHESTER,MN55902	80-0928405	-	70,000	0	SUPPORT RESEARCH PROGRAM
(119) ST CLOUD HOSPITAL 1406 6TH AVE N ST CLOUD,MN56303	41-0695596	501(C)(3)	69,566	0	SUPPORT CHARITABLE PROGRAMS
(120) HEBREW HOME FOR THE AGED AT RIVERDALE 5901 PALISADE AVE BRONX,NY10471	13-1739971	501(C)(3)	69,230	0	SUPPORT CHARITABLE PROGRAMS
(121) RED LAKE COMPREHENSIVE HEALTH SERVICES PO BOX 249 RED LAKE,MN56671	41-0991295	-	67,125	0	SUPPORT RESEARCH PROGRAM
(122) UNIVERSITY OF VERMONT 128 LAKESIDE AVE SUITE 100 BURLINGTON,VT05401	03-0179440	STATE OF VT	67,078	0	SUPPORT RESEARCH PROGRAM
(123) UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 WEST MARKHAM 812 LITTLE ROCK,AR722017101	71-6046242	STATE OF AR	67,005	0	SUPPORT RESEARCH PROGRAM
(124) CANCER CENTER OF KANSAS PA PO BOX 1458 WICHITA,KS672011458	48-1181579	-	66,901	0	SUPPORT RESEARCH PROGRAM
(125) LEGAL ASSISTANCE OF OLMSTED COUNTY 1136 7TH ST NW ROCHESTER,MN55901	41-0992471	501(C)(3)	65,000	0	SUPPORT CHARITABLE PROGRAMS
(126) AURORA HEALTH CARE 960 N 12TH ST STE 4120 MILWAUKEE,WI53233	39-1595302	501(C)(3)	63,663	0	SUPPORT CHARITABLE PROGRAMS
(127) UTHSCSA-DEPT OF SURGERY 7703 FLOYD CURL DR SAN ANTONIO,TX782293900	74-1586031	STATE OF TX	63,630	0	SUPPORT RESEARCH PROGRAM
(128) ISD 535 EDUCATIONAL SERVICES CENTER 334 16TH ST SE ROCHESTER,MN55904	41-6002803	STATE OF MN	56,047	6,471	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(129) BIOLOGICS INC 120 WESTON OAKS CT CARY,NC27513	56-1861614	-	62,467	0	SUPPORT RESEARCH PROGRAM
(130) MOUNTAIN PARK HEALTH CENTER 2702 N THIRD ST STE 4020 PHOENIX,AZ85004	86-0498020	501(C)(3)	61,915	0	SUPPORT CHARITABLE PROGRAMS
(131) MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION 501 N ELAM AVE GREENSBORO,NC27403	58-1588823	501(C)(3)	61,850	0	SUPPORT CHARITABLE PROGRAMS
(132) NEW HAMPSHIRE ONCOLOGY 200 TECHNOLOGY DR HOOKSETT,NH031062505	02-0335060	-	60,619	0	SUPPORT RESEARCH PROGRAM
(133) TRANSLATIONAL GENOMICS RESEARCH INSTITUTE 445 N FIFTH STREET SUITE 600 PHOENIX,AZ85004	75-3065445	501(C)(3)	58,124	0	SUPPORT CHARITABLE PROGRAMS
(134) WILLIAM SANSUM DIABETES CENTER 2219 BATH ST SANTA BARBARA,CA93105	95-1684086	501(C)(3)	57,007	0	SUPPORT CHARITABLE PROGRAMS
(135) NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINING 535 EAST 70TH STREET NEW YORK,NY10021	13-1624135	501(C)(3)	53,230	0	SUPPORT CHARITABLE PROGRAMS
(136) USAGAINSTALZHEIMERS NETWORK INC 1101 K STREET NW NO 400 WASHINGTON,DC20005	45-0672514	501(C)(3)	53,178	0	SUPPORT CHARITABLE PROGRAMS
(137) UNIVERSITY OF FLORIDA 33 TIGERT HALL GAINESVILLE,FL32611	59-6002052	STATE OF FL	52,452	0	SUPPORT RESEARCH PROGRAM
(138) FIRSTHEALTH OF THE CAROLINAS INC DBA MOORE REGIONAL HOSPITAL 155 MEMORIAL DR PO BOX 3000 PINEHURST,NC28374	56-1936354	501(C)(3)	52,106	0	SUPPORT CHARITABLE PROGRAMS
(139) FRIENDS OF QUARRY HILL NATURE CENTER INC 701 SILVER CREEK RD NE ROCHESTER,MN55906	36-3416399	501(C)(3)	50,000	0	SUPPORT CHARITABLE PROGRAMS
(140) ROCHESTER ART CENTER 40 CIVIC DRIVE SE ROCHESTER,MN55904	41-0799310	501(C)(3)	50,000	0	SUPPORT CHARITABLE PROGRAMS
(141) LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR-UCLA MEDICAL CENTER 1124 W CARSON ST BLDG N-14 TORRANCE,CA90502	95-2138184	501(C)(3)	47,000	0	SUPPORT CHARITABLE PROGRAMS
(142) ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS PC 8940 N WOOD SAGE RD PEORIA,IL61615	37-1331017	-	46,204	0	SUPPORT RESEARCH PROGRAM
(143) REGENSTRIEF INSTITUTE INC 1101 WEST 10TH STREET INDIANAPOLIS,IN46202	30-0007730	501(C)(3)	44,963	0	SUPPORT CHARITABLE PROGRAMS
(144) MEDICAL COLLEGE OF WISCONSIN FROEDTERT HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE,WI53226	39-0806261	501(C)(3)	43,463	0	SUPPORT CHARITABLE PROGRAMS
(145) HOAG MEMORIAL HOSPITAL PRESBYTERIAN ONE HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92658	95-1643327	501(C)(3)	43,354	0	SUPPORT CHARITABLE PROGRAMS
(146) CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BOULEVARD LOS ANGELES,CA90027	95-1690977	501(C)(3)	41,500	0	SUPPORT CHARITABLE PROGRAMS
(147) MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 E 28TH ST STE 100 MINNEAPOLIS,MN55407	41-1426406	501(C)(3)	40,500	0	SUPPORT CHARITABLE PROGRAMS
(148) NAMI SOUTHEAST MINNESOTA 2200 2ND ST SW 203 ROCHESTER,MN55902	36-3504277	501(C)(3)	40,000	0	SUPPORT CHARITABLE PROGRAMS
(149) OLMSTED OUTREACH PO BOX 882 ROCHESTER,MN55901	41-1941871	501(C)(3)	40,000	0	SUPPORT CHARITABLE PROGRAMS
(150) INDIANA UNIVERSITY 575 RILEY HOSPITAL DR INDIANAPOLIS,IN46202	35-6001673	STATE OF IN	39,708	0	SUPPORT RESEARCH PROGRAM
(151) NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE 750 N KALE SHORE DR CHICAGO,IL606113008	36-2167817	501(C)(3)	39,706	0	SUPPORT CHARITABLE PROGRAMS
(152) THE SALVATION ARMY 10 WEST ALGONQUIN ROAD DES PLAINES,IL600166006	36-2167910	501(C)(3)	0	37,746	SUPPORT CHARITABLE PROGRAMS
(153) ST ELIZABETH MEDICAL CENTER INC DBA ST ELIZABETH HEALTHCARE 1 MEDICAL VILLAGE DRIVE EDGEWOOD,KY41017	61-0445850	501(C)(3)	37,135	0	SUPPORT CHARITABLE PROGRAMS
(154) SEATTLE CHILDRENS HOSPITAL AND REGIONAL MEDICAL CENTER 4800 SAND POINT WAY NE SEATTLE,WA98105	91-0564748	501(C)(3)	36,381	0	SUPPORT CHARITABLE PROGRAMS
(155) SIOUXLAND HEMATOLOGY ONCOLOGY ASSOCIATES LLP 230 NEBRASKA STREET SIOUX CITY,IA51101	42-1320886	-	36,300	0	SUPPORT RESEARCH PROGRAM
(156) POSSIBILITIES OF SOUTHERN MINNESOTA INC 1808 3RD AVE SE ROCHESTER,MN55904	41-0853397	501(C)(3)	36,000	0	SUPPORT CHARITABLE PROGRAMS
(157) EASTERN MAINE HEALTHCARE SYSTEMS PO BOX 404 489 STATE STREET BANGOR,ME04402	01-0211501	501(C)(3)	36,000	0	SUPPORT CHARITABLE PROGRAMS
(158) THE MIRIAM HOSPITAL 164 SUMMIT AVE PROVIDENCE,RI029034970	05-0258905	501(C)(3)	36,000	0	SUPPORT CHARITABLE PROGRAMS
(159) LOYOLA UNIVERSITY OF CHICAGO 820 N MICHIGAN AVENUE CHICAGO,IL60611	36-1408475	501(C)(3)	35,850	0	SUPPORT CHARITABLE PROGRAMS
(160) WOMEN'S SHELTER INC PO BOX 457 ROCHESTER,MN55903	41-1316614	501(C)(3)	35,000	0	SUPPORT CHARITABLE PROGRAMS
(161) QUALTEK MOLECULAR LABORATORIES 6483 CALLE REAL STE A GOLETA,CA93117	77-0446167	-	33,632	0	SUPPORT RESEARCH PROGRAM
(162) MINNESOTA CHILDRENS MUSEUM 10 WEST SEVENTH STREET ST PAUL,MN55102	41-1354181	501(C)(3)	30,600	0	SUPPORT CHARITABLE PROGRAMS
(163) APPLE TREE DENTAL 8960 SPRINGBROOK DRIVE NW MINNEAPOLIS,MN55433	36-3411437	501(C)(3)	30,000	0	SUPPORT CHARITABLE PROGRAMS
(164) ELDER NETWORK 1130 1/2 7TH ST NW SUITE 205 ROCHESTER,MN55901	41-1704390	501(C)(3)	30,000	0	SUPPORT CHARITABLE PROGRAMS
(165) INSTITUTE FOR CANCER RESEARCH 333 COTTMAN AVE PHILADELPHIA,PA19111	23-6296135	501(C)(3)	29,947	0	SUPPORT CHARITABLE PROGRAMS
(166) ALBANY MEDICAL COLLEGE 47 NEW SCOTLAND AVE ALBANY,NY12208	14-1338310	501(C)(3)	29,059	0	SUPPORT CHARITABLE PROGRAMS
(167) GIRL SCOUTS OF MINNESOTA AND WISCONSIN RIVER VALLEYS INC 400 ROBERT STREET SOUTH ST PAUL,MN55107	41-0693910	501(C)(3)	28,000	0	SUPPORT CHARITABLE PROGRAMS
(168) GIFT OF LIFE INC 705 2ND STREET SW ROCHESTER,MN55901	41-1495845	501(C)(3)	28,000	0	SUPPORT CHARITABLE PROGRAMS
(169) FISHER CLINICAL SERVICES 7554 SCHANTZ ROAD ALLENTOWN,PA181069032	23-2544260	-	27,729	0	SUPPORT RESEARCH PROGRAM
(170) TRUSTEES OF TUFTS COLLEGE 419 BOSTON AVE MEDFORD,MA02155	04-2103634	501(C)(3)	26,939	0	SUPPORT CHARITABLE PROGRAMS
(171) ST VINCENT HOSPITAL 835 S VAN BUREN ST GREEN BAY,WI54307	39-0817529	501(C)(3)	26,878	0	SUPPORT CHARITABLE PROGRAMS
(172) AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW ATLANTA,GA30303	13-1788491	501(C)(3)	25,000	0	SUPPORT CHARITABLE PROGRAMS
(173) GAMEHAVEN COUNCIL INC BOY SCOUTS OF AMERICA 1124 SE 11TH ST ROCHESTER,MN559044097	41-0698309	501(C)(3)	25,000	0	SUPPORT CHARITABLE PROGRAMS
(174) INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION 2500 VALLEYHIGH DR NW ROCHESTER,MN559012739	41-1497753	501(C)(3)	25,000	0	SUPPORT CHARITABLE PROGRAMS
(175) JEREMIAH PROGRAM 615 FIRST AVENUE NE MINNEAPOLIS,MN55413	41-1801834	501(C)(3)	25,000	0	SUPPORT CHARITABLE PROGRAMS
(176) MARSHFIELD CLINIC HEALTH SYSTEM INC 1000 N OAK AVE MARSHFIELD,WI54449	46-1495343	501(C)(3)	24,000	0	SUPPORT CHARITABLE PROGRAMS
(177) ORLANDO HEALTH INC 1414 KUHL AVENUE MP8 ORLANDO,FL32806	59-1726273	501(C)(3)	23,654	0	SUPPORT CHARITABLE PROGRAMS
(178) CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI,OH452293039	31-0833936	501(C)(3)	22,907	0	SUPPORT CHARITABLE PROGRAMS
(179) CHANNEL ONE INC 131 35TH ST SE ROCHESTER,MN55904	41-1379713	501(C)(3)	22,500	0	SUPPORT CHARITABLE PROGRAMS
(180) MIDWEST BIOMEDICAL RESEARCH FOUNDATION PO BOX 300662 KANSAS CITY,MO641300662	43-1496422	501(C)(3)	22,488	0	SUPPORT CHARITABLE PROGRAMS
(181) ST JUDE CHILDRENS RESEARCH HOSPITAL INC 262 DANNY THOMAS PLACE MEMPHIS,TN381053678	62-0646012	501(C)(3)	22,181	0	SUPPORT CHARITABLE PROGRAMS
(182) OLMSTED COUNTY 151 4TH ST SE ROCHESTER,MN55904	41-6005859	CT OF OLMSTED	21,280	0	SUPPORT RESEARCH PROGRAM
(183) THOUGHT LEADERSHIP & INNOVATION FOUNDATION 16775 WHIRLAWAY COURT LEESBURG,VA20176	45-3090698	501(C)(3)	20,968	0	SUPPORT CHARITABLE PROGRAMS
(184) UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 301 PETERSON SERVICE BUILDING LEXINGTON,KY40506	61-6033693	501(C)(3)	20,673	0	SUPPORT CHARITABLE PROGRAMS
(185) CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY 4828 AIRPORT CENTER PKWY CHARLOTTE,NC282601979	56-0529945	STATE OF NC	20,638	0	SUPPORT RESEARCH PROGRAM
(186) SOUTHEAST CLINICAL ONCOLOGY RESEARCH CONSORTIUM INC 2150 COUNTRY CLUB RD STE 200 WINSTONSALEM,NC27104	62-1306159	501(C)(3)	20,500	0	SUPPORT CHARITABLE PROGRAMS
(187) DIVERSITY COUNCIL 1130 1/2 7TH ST NW ROCHESTER,MN55901	41-1709139	501(C)(3)	20,000	0	SUPPORT CHARITABLE PROGRAMS
(188) CHILDREN OF DESTINY 3270 19TH STREET NW SUITE 208 ROCHESTER,MN55901	06-1777757	501(C)(3)	20,000	0	SUPPORT CHARITABLE PROGRAMS
(189) CHILDREN'S DENTAL HEALTH SERVICES 903 WEST CENTER RM 8 ROCHESTER,MN55902	20-3677586	501(C)(3)	20,000	0	SUPPORT CHARITABLE PROGRAMS
(190) FAMILY SERVICE ROCHESTER INC 1110 SIXTH STREET NW ROCHESTER,MN559011839	41-0883453	501(C)(3)	20,000	0	SUPPORT CHARITABLE PROGRAMS
(191) OLMSTED MEDICAL CENTER PO BOX 4300 ROCHESTER,MN559034300	41-0855367	501(C)(3)	20,000	0	SUPPORT CHARITABLE PROGRAMS
(192) INTERFAITH HOSPITALITY NETWORK OF GREATER ROCHESTER 811 7TH STREET NW ROCHESTER,MN55901	41-1953191	501(C)(3)	18,500	0	SUPPORT CHARITABLE PROGRAMS
(193) CAL POLY CORPORATION 1 GRAND AVE BUILDING 15 SAN LUIS OBISPO,CA934070707	95-1648180	501(C)(3)	17,930	0	SUPPORT CHARITABLE PROGRAMS
(194) CITY OF ROCHESTER 201 4TH STREET SE ROCHESTER,MN55904	41-6005494	CTY OF ROCHESTER	17,500	0	SUPPORT COMMUNITY PROGRAMS
(195) VIDANT MEDICAL GROUP LLC 2100 STANTONSBURG RD GREENVILLE,NC278358423	38-3740839	501(C)(3)	16,875	0	SUPPORT CHARITABLE PROGRAMS
(196) UNIVERSITY OF MISSISSIPPI MEDICAL CENTER HOSPITAL 2500 N STATE ST JACKSON,MS392164505	64-6008520	STATE OF MS	16,450	0	SUPPORT RESEARCH PROGRAM
(197) SPECTRUM HEALTH HOSPITALS DBA GRAND RAPIDS CLINICAL ONCOLOGY 100 MICHIGAN NE GRAND RAPIDS,MI49503	38-1360529	501(C)(3)	16,428	0	SUPPORT CHARITABLE PROGRAMS
(198) UNIVERSITY OF NOTRE DAME DU LAC 5914 SHAWNEE COURT APT 2A MISHAWAKA,IN46545	35-0868188	-	16,032	0	SUPPORT RESEARCH PROGRAM
(199) TOLEDO CLINIC INC 4235 SECOR RD TOLEDO,OH436234299	34-0936207	-	15,878	0	SUPPORT RESEARCH PROGRAM
(200) VANDERBILT UNIVERSITY 1285 MRB IV NASHVILLE,TN372320575	62-0476822	501(C)(3)	15,575	0	SUPPORT CHARITABLE PROGRAMS
(201) SOUTHEASTERN MINNESOTA CENTER FOR INDEPENDENT LIVING INC (SEMCIL) 2200 2ND STREET SW ROCHESTER,MN55902	41-1387414	501(C)(3)	15,000	0	SUPPORT CHARITABLE PROGRAMS
(202) BLACK DATA PROCESSING ASSOCIATION SE MN CHAPTER 423 MANOR BROOK LANE NW ROCHESTER,MN55901	41-1929150	501(C)(3)	15,000	0	SUPPORT CHARITABLE PROGRAMS
(203) SOMALIA REBUILD ORGANIZATION 707 6TH AVENUE NW ROCHESTER,MN55901	46-1751962	501(C)(3)	15,000	0	SUPPORT CHARITABLE PROGRAMS
(204) CHORAL ARTS ENSEMBLE OF ROCHESTER 1001 14TH STREET NW ROOM/STE 900 ROCHESTER,MN55901	36-3465792	501(C)(3)	13,750	0	SUPPORT CHARITABLE PROGRAMS
(205) CARDIOLOGY ASSOCIATES OF SCHENECTADY 2546 BALLTOWN RD STE 300 SCHENECTADY,NY12309	14-1729272	-	13,500	0	SUPPORT RESEARCH PROGRAM
(206) UNIVERSITY OF ALABAMA AT BIRMINGHAM 1665 UNIVERSITY BLVD STE 327 BIRMINGHAM,AL352940022	63-6005396	STATE OF AL	13,481	0	SUPPORT RESEARCH PROGRAM
(207) WINTHROP UNIVERSITY HOSPITAL ASSOCIATION 259 FIRST ST MINEOLA,NY11501	11-1633486	501(C)(3)	13,332	0	SUPPORT CHARITABLE PROGRAMS
(208) CHILD CARE RESOURCE & REFERRAL INC 126 WOODLAKE DR SE ROCHESTER,MN55904	41-0987753	501(C)(3)	13,240	0	SUPPORT CHARITABLE PROGRAMS
(209) ABILITY BUILDING CENTER INC PO BOX 6938 ROCHESTER,MN55903	41-0829178	501(C)(3)	13,200	0	SUPPORT CHARITABLE PROGRAMS
(210) RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA PO BOX 400202 CHARLOTTESVILLE,VA229044202	54-6001796	STATE OF VA	12,899	0	SUPPORT RESEARCH PROGRAM
(211) HONORS CHOIRS OF SOUTHEAST MINNESOTA 1001 14TH STREET NW ROCHESTER,MN559012534	41-1747145	501(C)(3)	12,500	0	SUPPORT CHARITABLE PROGRAMS
(212) UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON 301 UNIVERSITY BLVD GALVESTON,TX775550144	74-6000949	STATE OF TX	12,083	0	SUPPORT RESEARCH PROGRAM
(213) MINNESOTA COUNCIL OF NONPROFITS INC 2314 UNIVERSITY AVE W STE 20 ST PAUL,MN55114	36-3501477	501(C)(3)	12,000	0	SUPPORT CHARITABLE PROGRAMS
(214) CONSUMERS FOR DENTAL CHOICE INC 316 F STREET NE SUITE 212 WASHINGTON,DC20002	52-2257385	501(C)(3)	12,000	0	SUPPORT CHARITABLE PROGRAMS
(215) MOUNTAIN STATES TUMOR INSTITUTE INC 100 E IDAHO BOISE,ID83712	82-0295026	501(C)(3)	11,226	0	SUPPORT CHARITABLE PROGRAMS
(216) TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOX 468 BOSTON,MA02111	04-3400617	501(C)(3)	11,221	0	SUPPORT CHARITABLE PROGRAMS
(217) MCGUFF PHARMACEUTICALS INC 2921 W MACARTHUR BLVD SUITE 141 SANTA ANA,CA92704	71-0878810	-	10,000	0	SUPPORT RESEARCH PROGRAM
(218) PROJECT GET OUTDOORS INC PO BOX 414 PRESTON,MN55965	26-1837441	501(C)(3)	10,000	0	SUPPORT CHARITABLE PROGRAMS
(219) ROCHESTER CIVIC THEATRE INC 20 CIVIC CENTER DR SE ROCHESTER,MN55904	41-0829271	501(C)(3)	10,000	0	SUPPORT CHARITABLE PROGRAMS
(220) SOUTHEAST SERVICE COOPERATIVE 210 WOOD LAKE DR SE ROCHESTER,MN55904	41-1333904	STATE OF MN	10,000	0	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(221) COMMUNITY FOOD RESPONSE 810 3RD AVE SE ROCHESTER,MN55904	41-1757102	501(C)(3)	10,000	0	SUPPORT CHARITABLE PROGRAMS
(222) GIRLS ON THE RUN TWIN CITIES INC 393 NORTH DUNLAP STREET 750 SAINT PAUL,MN55104	45-2845928	501(C)(3)	10,000	0	SUPPORT CHARITABLE PROGRAMS
(223) EXERCISABILITIES INC 5335 EAST FRONTAGE RD NW ROCHESTER,MN559015931	45-5214117	501(C)(3)	10,000	0	SUPPORT CHARITABLE PROGRAMS
(224) TRUSTEES OF PURDUE UNIVERSITY 401 S GRANT ST WEST LAFAYETTE,IN47907	35-6002041	STATE OF IN	9,637	0	SUPPORT RESEARCH PROGRAM
(225) CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA 345 NORTH SMITH AVE MS 70-103 ST PAUL,MN55102	41-1754276	501(C)(3)	9,175	0	SUPPORT CHARITABLE PROGRAMS
(226) GREENVILLE HEALTH SYSTEM 701 GROVE RD GREENVILLE,SC29605	57-6007863	501(C)(3)	8,900	0	SUPPORT CHARITABLE PROGRAMS
(227) OKLAHOMA MEDICAL RESEARCH FOUNDATION 825 NE 13TH ST OKLAHOMA CITY,OK73104	73-0580274	501(C)(3)	8,562	0	SUPPORT CHARITABLE PROGRAMS
(228) HEMATOLOGYONCOLOGY ASSOCIATES OF CNY CCOP 5008 BRITTONFIELD PKWY EAST SYRACUSE,NY13057	16-1184100	-	8,500	0	SUPPORT RESEARCH PROGRAM
(229) UNIVERSITY OF MASSACHUSETTS 55 LAKE AVE NORTH WORCESTER,MA01655	04-3167352	STATE OF MA	8,348	0	SUPPORT RESEARCH PROGRAM
(230) TRM ONCOLOGY LLC 2 CONCOURSE PARKWAY SUITE 260 ATLANTA,GA30328	26-1273338	-	7,751	0	SUPPORT RESEARCH PROGRAM
(231) MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE,SC295010551	57-0370242	501(C)(3)	7,700	0	SUPPORT CHARITABLE PROGRAMS
(232) CEDAR RAPIDS ONCOLOGY PROJECT 525 10TH ST SE CEDAR RAPIDS,IA524031206	42-1280144	501(C)(3)	7,648	0	SUPPORT CHARITABLE PROGRAMS
(233) GUTHRIE THEATER FOUNDATION 818 S 2ND ST MINNEAPOLIS,MN55415	41-0854160	501(C)(3)	7,500	0	SUPPORT CHARITABLE PROGRAMS
(234) BOLDER OPTIONS 2100 STEVENS AVENUE SOUTH MINNEAPOLIS,MN55404	41-1909408	501(C)(3)	7,500	0	SUPPORT CHARITABLE PROGRAMS
(235) RENSSELAER POLYTECHNIC INSTITUTE 110 EIGHTH STREET TROY,NY12180	14-1340095	501(C)(3)	7,131	0	SUPPORT CHARITABLE PROGRAMS
(236) WAVERLY HEMATOLOGY ONCOLOGY 300 ASHVILLE AVE STE 310 CARY,NC27518	20-5815295	-	7,000	0	SUPPORT RESEARCH PROGRAM
(237) YMCA CAMP OLSON 4160 LITTLE BOY RD NE LONGVILLE,MN56655	41-0967781	501(C)(3)	7,000	0	SUPPORT CHARITABLE PROGRAMS
(238) MINNESOTA ZOO FOUNDATION 13000 ZOO BOULEVARD APPLE VALLEY,MN55124	51-0147653	501(C)(3)	7,000	0	SUPPORT CHARITABLE PROGRAMS
(239) CHILDRENS MEMORIAL HOSPITAL 2300 CHILDRENS PLAZA CHICAGO,IL60614	36-2170833	501(C)(3)	6,683	0	SUPPORT CHARITABLE PROGRAMS
(240) CHARTERHOUSE INC 211 SECOND STREET NW ROCHESTER,MN55901	41-1405254	501(C)(3)	168,924	0	SUPPORT CHARITABLE PROGRAMS
(241) GREATER ROCHESTER AREA UNIVERSITY CENTER BOARD OF DIRECTORS INC 310 BROADWAY AVE S SUITE 300 ROCHESTER,MN55904	36-3517407	501(C)(3)	6,000	0	SUPPORT CHARITABLE PROGRAMS
(242) BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE,WA981012795	91-0653422	501(C)(3)	5,588	0	SUPPORT CHARITABLE PROGRAMS
(243) MAYO CLINIC HOSPITAL-- ROCHESTER 1216 SECOND STREET SW ROCHESTER,MN55902	41-0944601	501(C)(3)	51,858	0	SUPPORT CHARITABLE PROGRAMS
(244) POVERELLO FOUNDATION 1216 SECOND STREET SW ROCHESTER,MN55902	41-1494881	501(C)(3)	1,476,030	0	SUPPORT CHARITABLE PROGRAMS
(245) MAYO CLINIC FLORIDA 4201 BELFORT ROAD JACKSONVILLE,FL32216	59-0714831	501(C)(3)	49,288	0	SUPPORT CHARITABLE PROGRAMS
(246) MAYO CLINIC HEALTH SYSTEM--LAKE CITY 904 LAKESHORE DRIVE SOUTH LAKE CITY,MN55041	41-1906820	501(C)(3)	90,603	0	SUPPORT CHARITABLE PROGRAMS
(247) MAYO CLINIC HEALTH SYSTEM--ST JAMES 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES,MN56081	41-0797368	501(C)(3)	125,760	0	SUPPORT CHARITABLE PROGRAMS

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

222

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE SCHOLARSHIPS	193	6,081,819
(2) FINANCIAL HARDSHIP	28	66,800
(3) MEDICAL STUDENT STIPENDS	491	7,825,326
(4) RESEARCH GRANT SUBAWARDS	3	17,815
(4)
(5)
(6)
(7)

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:

AS A PRIVATE TRUST FOR THE PUBLIC GOOD, MAYO IS DEDICATED TO GIVING BACK TO THE COMMUNITIES IN WHICH ITS EMPLOYEES LIVE AND WORK. MAYO INVESTS RESOURCES RESPONSIBLY TO PRODUCE THE BEST OUTCOMES FOR PATIENT CARE, EDUCATION, RESEARCH, COMMUNITY ENRICHMENT AND SUSTAINABILITY. GRANT APPLICATIONS ARE REVIEWED AND PRIORITIZED IN HOW THEY: - ADDRESS SIGNIFICANT AND EMERGENT COMMUNITY NEEDS - ALIGN WITH MAYO'S MISSION - IMPROVE HEALTH OF INDIVIDUALS IN THE COMMUNITY - DEMONSTRATE PARTNERSHIP AND COLLABORATION BUILDING - ENABLE LONG TERM CAPACITY BUILDING AND SUSTAINABILITY MONITORING OF GRANTS GIVEN IS DEPENDENT ON TYPE. LARGER MULTI-YEAR AND CAPITAL GRANTS ARE MONITORED FOR ACHIEVEMENT OF STATED GOALS WITHIN THE GRANT AGREEMENT. SINGLE-YEAR OPERATIONAL AND PROGRAMMATIC GRANTS ARE NOT MONITORED AFTER THE FUNDS HAVE BEEN DISBURSED; HOWEVER, ADDITIONAL FUNDING REQUESTS ARE CONSIDERED BASED ON USE AND OUTCOMES OF PREVIOUSLY AWARDED GRANTS. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS AND/OR AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY MAYO AS PRESCRIBED IN OMB SINGLE AUDIT (FKA CIRCULAR A-133). MAYO PROVIDES SHORT-TERM FINANCIAL ASSISTANCE TO EMPLOYEES EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. MEDICAL STUDENT STIPENDS ARE MOSTLY PAID TO THE STUDENTS OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE TO HELP OFFSET THE COST OF THE STUDENT'S LIVING EXPENSES AND ARE NOT MONITORED. MAYO CLINIC'S SCHOOLS OFFER BOTH MERIT-BASED AND NEEDS-BASED SCHOLARSHIPS AND GRANTS THAT ARE CONTINGENT UPON ON-GOING SATISFACTORY ACADEMIC PROGRESS.

Schedule I (Form 990) 2018

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

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 on 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 on 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? .........

Yes

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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on 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" on 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) 2018

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 on 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 on 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)
1BERRY MD DANIEL J TRUSTEE	(i) (ii)	679,895 ------------- 0	0 ------------- 0	164,465 ------------- 0	52,769 ------------- 0	27,790 ------------- 0	924,919 ------------- 0	0 ------------- 0
2BOLTON JEFFREY W VP/TRUSTEE	(i) (ii)	0 ------------- 1,288,474	0 ------------- 0	0 ------------- 252,575	0 ------------- 57,376	0 ------------- 22,661	0 ------------- 1,621,086	0 ------------- 0
3BUSKIRK MD STEVEN J TRUSTEE	(i) (ii)	0 ------------- 625,669	0 ------------- 0	0 ------------- 99,049	0 ------------- 11,005	0 ------------- 23,235	0 ------------- 758,958	0 ------------- 0
4DECKER MD WYATT W VP/TRUSTEE	(i) (ii)	0 ------------- 1,688,971	0 ------------- 0	0 ------------- 347,495	0 ------------- 47,541	0 ------------- 31,679	0 ------------- 2,115,686	0 ------------- 0
5FARRUGIA MD GIANRICO VP/TRUSTEE	(i) (ii)	0 ------------- 1,568,238	0 ------------- 0	0 ------------- 267,900	0 ------------- 44,554	0 ------------- 30,267	0 ------------- 1,910,959	0 ------------- 0
6GOSTOUT MD BOBBIE S VP/TRUSTEE	(i) (ii)	0 ------------- 1,264,558	0 ------------- 0	0 ------------- 207,719	0 ------------- 63,032	0 ------------- 29,396	0 ------------- 1,564,705	0 ------------- 0
7GREENE MD EDDIE L TRUSTEE	(i) (ii)	373,582 ------------- 0	0 ------------- 0	26,499 ------------- 0	53,386 ------------- 0	21,259 ------------- 0	474,726 ------------- 0	0 ------------- 0
8HARPER JR MD CHARLES M TRUSTEE	(i) (ii)	0 ------------- 1,190,939	0 ------------- 0	0 ------------- 249,763	0 ------------- 11,005	0 ------------- 22,366	0 ------------- 1,474,073	0 ------------- 0
9KRAHN MD LOIS E TRUSTEE	(i) (ii)	0 ------------- 412,526	0 ------------- 50,000	0 ------------- 62,647	0 ------------- 47,996	0 ------------- 25,434	0 ------------- 598,603	0 ------------- 0
10MENKOSKY PAULA E ASST SECY/TRUSTEE	(i) (ii)	0 ------------- 658,784	0 ------------- 0	0 ------------- 76,374	0 ------------- 47,346	0 ------------- 27,589	0 ------------- 810,093	0 ------------- 0
11NELSON MD HEIDI TRUSTEE	(i) (ii)	645,296 ------------- 0	0 ------------- 0	115,864 ------------- 0	68,509 ------------- 0	19,416 ------------- 0	849,085 ------------- 0	0 ------------- 0
12NOSEWORTHY MD JOHN H CEO/PRESIDENT/TRUSTEE	(i) (ii)	0 ------------- 2,733,672	0 ------------- 0	0 ------------- 683,104	0 ------------- 8,938	0 ------------- 26,923	0 ------------- 3,452,637	0 ------------- 0
13ROGER MD VERONIQUE L TRUSTEE	(i) (ii)	555,783 ------------- 0	0 ------------- 0	157,037 ------------- 0	57,429 ------------- 0	7,119 ------------- 0	777,368 ------------- 0	0 ------------- 0
14WILLIAMSON MARY J TRUSTEE	(i) (ii)	718,318 ------------- 0	0 ------------- 0	79,194 ------------- 0	38,148 ------------- 0	27,769 ------------- 0	863,429 ------------- 0	0 ------------- 0
15BROWN WILLIAM A ASST TREASURER	(i) (ii)	0 ------------- 246,260	0 ------------- 0	0 ------------- 4,870	0 ------------- 10,046	0 ------------- 22,095	0 ------------- 283,271	0 ------------- 0
16DAHLEN DENNIS E CFO	(i) (ii)	0 ------------- 1,057,642	0 ------------- 0	0 ------------- 8,679	0 ------------- 5,500	0 ------------- 28,318	0 ------------- 1,100,139	0 ------------- 0
17FRANCIS JAMES R ASST TREASURER	(i) (ii)	0 ------------- 417,853	0 ------------- 0	0 ------------- 35,591	0 ------------- 52,285	0 ------------- 29,689	0 ------------- 535,418	0 ------------- 0
18FROISLAND JEFFREY R ASST TREASURER	(i) (ii)	0 ------------- 325,617	0 ------------- 0	0 ------------- 11,959	0 ------------- 32,911	0 ------------- 10,513	0 ------------- 381,000	0 ------------- 0
19GORMAN PAUL A ASST TREASURER	(i) (ii)	0 ------------- 589,401	0 ------------- 470,400	0 ------------- 74,769	0 ------------- 47,956	0 ------------- 29,365	0 ------------- 1,211,891	0 ------------- 470,400
20HAEFLINGER RICKY J ASST TREASURER	(i) (ii)	369,008 ------------- 0	165,955 ------------- 0	27,149 ------------- 0	59,190 ------------- 0	20,409 ------------- 0	641,711 ------------- 0	165,955 ------------- 0
21HOFFMAN III HARRY N TREASURER	(i) (ii)	0 ------------- 743,706	0 ------------- 384,767	0 ------------- 123,662	0 ------------- 60,655	0 ------------- 22,633	0 ------------- 1,335,423	0 ------------- 384,767
22HUBERT SHERRY L ASST SECY	(i) (ii)	0 ------------- 304,845	0 ------------- 0	0 ------------- 8,171	0 ------------- 48,230	0 ------------- 26,522	0 ------------- 387,768	0 ------------- 0
23LOCKETT KEVIN M ASST TREASURER	(i) (ii)	0 ------------- 274,422	0 ------------- 0	0 ------------- 1,556	0 ------------- 42,213	0 ------------- 26,412	0 ------------- 344,603	0 ------------- 0
24MURPHY JOSHUA B SECY	(i) (ii)	0 ------------- 819,403	0 ------------- 0	0 ------------- 86,227	0 ------------- 42,427	0 ------------- 31,074	0 ------------- 979,131	0 ------------- 0
25NORBY MARK L ASST TREASURER	(i) (ii)	0 ------------- 279,993	0 ------------- 0	0 ------------- 616	0 ------------- 34,393	0 ------------- 15,844	0 ------------- 330,846	0 ------------- 0
26UHLENKAMP SUSAN M ASST TREASURER	(i) (ii)	0 ------------- 328,719	0 ------------- 0	0 ------------- 11,085	0 ------------- 43,743	0 ------------- 17,764	0 ------------- 401,311	0 ------------- 0
27WEBER JOAN A ASST TREASURER	(i) (ii)	0 ------------- 365,017	0 ------------- 0	0 ------------- 23,226	0 ------------- 49,559	0 ------------- 18,540	0 ------------- 456,342	0 ------------- 0
28ZORN CHRISTINA K ASST SECY	(i) (ii)	0 ------------- 630,573	0 ------------- 0	0 ------------- 56,557	0 ------------- 36,070	0 ------------- 27,504	0 ------------- 750,704	0 ------------- 0
29CIMA MD ROBERT R PHYSICIAN	(i) (ii)	506,155 ------------- 0	0 ------------- 0	53,118 ------------- 0	43,248 ------------- 0	25,670 ------------- 0	628,191 ------------- 0	0 ------------- 0
30CLARK LEON G CHAIR - DEPT OF RESEARCH ADMIN	(i) (ii)	442,044 ------------- 0	0 ------------- 0	44,466 ------------- 0	45,558 ------------- 0	26,936 ------------- 0	559,004 ------------- 0	0 ------------- 0
31DIASIO MD ROBERT B PHYSICIAN	(i) (ii)	734,842 ------------- 0	0 ------------- 0	150,937 ------------- 0	5,615 ------------- 0	23,511 ------------- 0	914,905 ------------- 0	0 ------------- 0
32DIDEHBAN ROSHANAK CHAIR - DEPT OF PRACTICE ADMIN	(i) (ii)	377,384 ------------- 15,587	15,000 ------------- 0	40,128 ------------- 21	26,018 ------------- 313	8,837 ------------- 754	467,367 ------------- 16,675	0 ------------- 0
33FRANK MD IGOR PHYSICIAN	(i) (ii)	547,235 ------------- 0	0 ------------- 0	39,871 ------------- 0	35,504 ------------- 0	27,263 ------------- 0	649,873 ------------- 0	0 ------------- 0
34GORES MD GREGORY J PHYSICIAN	(i) (ii)	872,578 ------------- 0	0 ------------- 0	145,054 ------------- 0	11,019 ------------- 0	24,035 ------------- 0	1,052,686 ------------- 0	0 ------------- 0
35HADAWAY CHERYL J CHAIR - DEPT OF DEVELOPMENT	(i) (ii)	535,248 ------------- 0	0 ------------- 0	59,877 ------------- 0	11,005 ------------- 0	19,741 ------------- 0	625,871 ------------- 0	0 ------------- 0
36HAYES MD DAVID L PHYSICIAN	(i) (ii)	616,296 ------------- 0	0 ------------- 0	162,263 ------------- 0	11,000 ------------- 0	27,624 ------------- 0	817,183 ------------- 0	0 ------------- 0
37HORLOCKER MD TERESE T PHYSICIAN	(i) (ii)	510,641 ------------- 0	0 ------------- 0	62,153 ------------- 0	54,275 ------------- 0	20,338 ------------- 0	647,407 ------------- 0	0 ------------- 0
38KHAN MD AMIR R PHYSICIAN	(i) (ii)	511,663 ------------- 0	0 ------------- 0	63,349 ------------- 0	41,894 ------------- 0	27,146 ------------- 0	644,052 ------------- 0	0 ------------- 0
39LOFTUS MD CONOR G PHYSICIAN	(i) (ii)	595,488 ------------- 0	0 ------------- 0	44,372 ------------- 0	35,770 ------------- 0	27,453 ------------- 0	703,083 ------------- 0	0 ------------- 0
40LUETMER MD PATRICK H PHYSICIAN	(i) (ii)	649,400 ------------- 0	0 ------------- 0	113,824 ------------- 0	50,981 ------------- 0	30,150 ------------- 0	844,355 ------------- 0	0 ------------- 0
41MORICE MD WILLIAM G PHYSICIAN	(i) (ii)	553,990 ------------- 0	0 ------------- 0	63,897 ------------- 0	42,579 ------------- 0	27,298 ------------- 0	687,764 ------------- 0	0 ------------- 0
42NARR MD BRADLY J PHYSICIAN	(i) (ii)	487,997 ------------- 0	0 ------------- 0	111,669 ------------- 0	11,005 ------------- 0	22,977 ------------- 0	633,648 ------------- 0	0 ------------- 0
43THIELEN MD KENT R PHYSICIAN	(i) (ii)	757,178 ------------- 0	0 ------------- 0	137,242 ------------- 0	44,839 ------------- 0	29,900 ------------- 0	969,159 ------------- 0	0 ------------- 0
44WALD MD JOHN T PHYSICIAN	(i) (ii)	651,950 ------------- 0	0 ------------- 0	99,980 ------------- 0	50,369 ------------- 0	27,548 ------------- 0	829,847 ------------- 0	0 ------------- 0
45WILLIAMS MD AMY W PHYSICIAN	(i) (ii)	553,413 ------------- 0	0 ------------- 0	95,708 ------------- 0	58,358 ------------- 0	6,888 ------------- 0	714,367 ------------- 0	0 ------------- 0
46KRAUSS MD WILLIAM E PHYSICIAN	(i) (ii)	1,153,612 ------------- 0	0 ------------- 0	228,728 ------------- 0	47,927 ------------- 0	29,082 ------------- 0	1,459,349 ------------- 0	0 ------------- 0
47LANZINO MD GIUSEPPE PHYSICIAN	(i) (ii)	1,149,458 ------------- 0	0 ------------- 0	169,786 ------------- 0	44,531 ------------- 0	29,049 ------------- 0	1,392,824 ------------- 0	0 ------------- 0
48MARSH MD W RICHARD PHYSICIAN	(i) (ii)	1,079,141 ------------- 0	0 ------------- 0	223,603 ------------- 0	11,000 ------------- 0	22,050 ------------- 0	1,335,794 ------------- 0	0 ------------- 0
49SPINNER MD ROBERT J PHYSICIAN	(i) (ii)	1,048,190 ------------- 0	0 ------------- 0	202,923 ------------- 0	47,402 ------------- 0	8,339 ------------- 0	1,306,854 ------------- 0	0 ------------- 0
50VAN DEURSEN JAN CHAIR BIOCHEM/MOL	(i) (ii)	298,432 ------------- 0	0 ------------- 0	1,123,892 ------------- 0	43,851 ------------- 0	29,482 ------------- 0	1,495,657 ------------- 0	0 ------------- 0
51ADKINS JR KEDRICK D FORMER OFFICER	(i) (ii)	0 ------------- 42,408	0 ------------- 0	0 ------------- 543,392	0 ------------- 1,321	0 ------------- 869	0 ------------- 587,990	0 ------------- 0
52SANDEEN DARRELL L FORMER OFFICER	(i) (ii)	0 ------------- 337,714	0 ------------- 0	0 ------------- 30,575	0 ------------- 50,502	0 ------------- 10,485	0 ------------- 429,276	0 ------------- 0
53AGERTER MD DAVID C FORMER KEY EMPLOYEE	(i) (ii)	454,016 ------------- 0	0 ------------- 0	132,000 ------------- 0	11,000 ------------- 0	20,310 ------------- 0	617,326 ------------- 0	0 ------------- 0
54BLACK MD JOHN L FORMER KEY EMPLOYEE	(i) (ii)	429,901 ------------- 0	0 ------------- 0	62,116 ------------- 0	11,005 ------------- 0	18,790 ------------- 0	521,812 ------------- 0	0 ------------- 0
55CAMILLERI MD MICHAEL FORMER KEY EMPLOYEE	(i) (ii)	609,674 ------------- 0	0 ------------- 0	200,448 ------------- 0	11,000 ------------- 0	20,867 ------------- 0	841,989 ------------- 0	0 ------------- 0
56FOOTE MD ROBERT L FORMER KEY EMPLOYEE	(i) (ii)	634,423 ------------- 0	0 ------------- 0	99,331 ------------- 0	33,102 ------------- 0	20,709 ------------- 0	787,565 ------------- 0	0 ------------- 0
57GERTZ MD MORIE A FORMER KEY EMPLOYEE	(i) (ii)	481,508 ------------- 0	0 ------------- 0	195,646 ------------- 0	11,000 ------------- 0	20,560 ------------- 0	708,714 ------------- 0	0 ------------- 0
58HEBL MD JAMES R FORMER KEY EMPLOYEE	(i) (ii)	603,301 ------------- 0	0 ------------- 0	84,299 ------------- 0	37,634 ------------- 0	27,418 ------------- 0	752,652 ------------- 0	0 ------------- 0
59KOCH MARK B FORMER KEY EMPLOYEE	(i) (ii)	530,237 ------------- 0	0 ------------- 0	120,321 ------------- 0	11,071 ------------- 0	10,461 ------------- 0	672,090 ------------- 0	0 ------------- 0
60MEYER MD FREDRIC B FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 1,076,112	0 ------------- 0	0 ------------- 217,626	0 ------------- 11,019	0 ------------- 31,827	0 ------------- 1,336,584	0 ------------- 0
61NESSE MD ROBERT E FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 928,068	0 ------------- 0	0 ------------- 181,583	0 ------------- 11,000	0 ------------- 23,400	0 ------------- 1,144,051	0 ------------- 0
62OKUNO MD SCOTT H FORMER KEY EMPLOYEE	(i) (ii)	507,505 ------------- 0	0 ------------- 0	80,392 ------------- 0	46,313 ------------- 0	29,118 ------------- 0	663,328 ------------- 0	0 ------------- 0
63PAIGE SR KEVIN A FORMER KEY EMPLOYEE	(i) (ii)	434,985 ------------- 0	0 ------------- 0	53,518 ------------- 0	62,477 ------------- 0	20,077 ------------- 0	571,057 ------------- 0	0 ------------- 0
64ROCK MD MICHAEL G FORMER KEY EMPLOYEE	(i) (ii)	189,471 ------------- 0	0 ------------- 0	110,073 ------------- 0	5,794 ------------- 0	6,761 ------------- 0	312,099 ------------- 0	0 ------------- 0
65SANTRACH MD PAULA J FORMER KEY EMPLOYEE	(i) (ii)	463,412 ------------- 0	0 ------------- 0	48,476 ------------- 0	65,289 ------------- 0	11,104 ------------- 0	588,281 ------------- 0	0 ------------- 0
66WARNER MD MARK A FORMER KEY EMPLOYEE	(i) (ii)	402,537 ------------- 0	0 ------------- 0	170,088 ------------- 0	11,000 ------------- 0	19,621 ------------- 0	603,246 ------------- 0	0 ------------- 0
67WHITED MD BRIAN L FORMER KEY EMPLOYEE	(i) (ii)	542,170 ------------- 0	0 ------------- 0	52,792 ------------- 0	53,025 ------------- 0	23,072 ------------- 0	671,059 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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

EXTERNAL TRUSTEES MAY BE REIMBURSED FOR TRAVEL EXPENSES. THE FILING ORGANIZATION REIMBURSES TRUSTEES FOR ACTUAL TRAVEL EXPENSES (WHICH COULD INCLUDE FIRST CLASS OR CHARTER TRAVEL) UP TO THE MAXIMUM COST OF FIRST CLASS TRAVEL. IN 2018, TRUSTEE DANIEL J. BERRY M.D., FORMER KEY EMPLOYEES JOHN L. BLACK M.D. AND MORIE A. GERTZ M.D., AND KEY EMPLOYEES ROSHANAK DIDEHBAN AND DAVID L. HAYES M.D., WERE PROVIDED FIRST-CLASS AND/OR CHARTER TRAVEL JUSTIFIED BY BUSINESS NEED. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. FIRST-CLASS AND CHARTER TRAVEL IS AVAILABLE BASED ON DEMONSTRATED BUSINESS NEED AND NOT BASED ON POSITION OR TO ANY SPECIFIC INDIVIDUALS. IN ADDITION TO ALL REGULAR TRAVEL APPROVAL AND DOCUMENTATION PROCESSES, FIRST-CLASS AND CHARTER TRAVEL REQUIRE SEPARATE DOCUMENTATION OF BUSINESS NEED, APPROVAL BY A SENIOR OFFICER, AND OVERSIGHT REVIEW BY THE TRIP AND TRAVEL COMMITTEE. TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS. IN ADDITION, SEVERAL LISTED PERSONS ALSO RECEIVED TRAVEL FOR COMPANIONS SO THAT SPOUSES COULD ACCOMPANY THEM TO FUNDRAISING FUNCTIONS. IN 2018, JAY ALIX, MARY SUE COLEMAN, SAMUEL A. DI PIAZZA JR., DR. EDDIE L. GREENE, CHERYL J. HADAWAY, MICHAEL K. POWELL, AND DR. RANDOLPH C. STEER RECEIVED SPOUSAL TRAVEL, WHICH WAS GROSSED UP AND TREATED AS TAXABLE INCOME. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2018, KEVIN A. PAIGE SR. AND DR. SCOTT H. OKUNO RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME. EMPLOYEES PERFORMING WORK OUTSIDE THEIR HOME STATE RECEIVE A SUPPLEMENTAL PAYMENT TO HELP OFFSET THE COST OF THE STATE INCOME TAXES INCURRED AS A RESULT OF HAVING TO WORK IN A DIFFERENT STATE. IN 2018, KEVIN A. PAIGE SR. RECEIVED THIS SUPPLEMENTAL PAYMENT WHICH IS GROSSED UP. SEVERAL OF THE LISTED PERSONS RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN SUCH AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. A HOME RELOCATION CASH PAYMENT OPTION IS PROVIDED TO MAYO CLINIC VOTING/CONSULTING STAFF WHEN JUSTIFIED BY BUSINESS NEED. IN 2018, ROSHANAK DIDEHBAN RECEIVED A CASH PAYMENT OPTION THAT WAS TREATED AS TAXABLE INCOME. THIS PAYMENT WAS ISSUED AFTER THE RELOCATION AND WAS GROSSED UP TO COVER THE INCREASED STATE TAXES. MOVING EXPENSE REIMBURSEMENT IS PROVIDED TO QUALIFYING EMPLOYEES WHEN JUSTIFIED BY BUSINESS NEED. IN 2018, TWO LISTED PERSONS RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. 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-C

THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT (TOTAL INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III)): ADKINS JR., KEDRICK D. $ 432,700 THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ADKINS JR., KEDRICK D. $ 86,718 AGERTER M.D., DAVID C. $ 76,510 BERRY M.D., DANIEL J. $ 117,549 BLACK M.D., JOHN L. $ 38,333 BOLTON, JEFFREY W. $ 236,363 BUSKIRK M.D., STEVEN J. $ 89,538 CAMILLERI M.D., MICHAEL $ 108,899 CIMA M.D., ROBERT R. $ 46,206 CLARK, LEON G. $ 41,497 DAHLEN, DENNIS E. $ 0 DECKER M.D., WYATT W. $ 335,935 DIASIO M.D., ROBERT B. $ 119,485 DIDEHBAN, ROSHANAK $ 0 FARRUGIA M.D., GIANRICO $ 231,323 FOOTE M.D., ROBERT L. $ 91,638 FRANCIS, JAMES R. $ 30,966 FRANK M.D., IGOR $ 34,854 FROISLAND, JEFFREY R. $ 10,089 GERTZ M.D., MORIE A. $ 79,264 GORES M.D., GREGORY J. $ 134,002 GORMAN, PAUL A. $ 71,400 GOSTOUT M.D., BOBBIE S. $ 192,963 GREENE M.D., EDDIE L. $ 20,812 HADAWAY, CHERYL J. $ 50,947 HAEFLINGER, RICKY J. $ 22,848 HARPER JR., M.D., CHARLES M. $ 234,791 HAYES M.D., DAVID L. $ 98,067 HEBL M.D., JAMES R. $ 57,892 HOFFMAN III, HARRY N. $ 114,744 HORLOCKER M.D., TERESE T. $ 59,236 HUBERT, SHERRY L. $ 5,850 KHAN M.D., AMIR R. $ 59,516 KOCH, MARK B. $ 72,991 KRAHN M.D., LOIS E. $ 38,995 KRAUSS M.D., WILLIAM E. $ 221,569 LANZINO M.D., GIUSEPPE $ 165,337 LOCKETT, KEVIN M. $ 0 LOFTUS M.D., CONOR G. $ 42,575 LUETMER M.D., PATRICK H. $ 99,063 MARSH M.D., W. RICHARD $ 202,693 MENKOSKY, PAULA E. $ 73,560 MEYER M.D., FREDRIC B. $ 204,917 MORICE M.D., WILLIAM G. $ 53,100 MURPHY, JOSHUA B. $ 82,716 NARR M.D., BRADLY J. $ 67,539 NELSON M.D., HEIDI $ 97,550 NESSE M.D., ROBERT E. $ 162,219 NORBY, MARK L. $ 0 NOSEWORTHY M.D., JOHN H. $ 634,835 OKUNO M.D., SCOTT H. $ 52,234 PAIGE SR., KEVIN A. $ 36,779 ROCK M.D., MICHAEL G. $ 103,442 ROGER M.D., VERONIQUE L. $ 92,877 SANDEEN, DARRELL L. $ 17,799 SANTRACH M.D., PAULA J. $ 42,393 SPINNER M.D., ROBERT J. $ 194,293 THIELEN M.D., KENT R. $ 121,814 UHLENKAMP, SUSAN M. $ 9,981 VAN DEURSEN, JAN $ 4,997 WALD M.D., JOHN T. $ 96,264 WARNER M.D., MARK A. $ 77,262 WEBER, JOAN A. $ 20,463 WHITED M.D., BRIAN L. $ 48,987 WILLIAMS M.D., AMY W. $ 73,924 WILLIAMSON, MARY J. $ 76,791 ZORN, CHRISTINA K. $ 55,170 UNDER MAYO CLINIC'S ROYALTY SHARING POLICY, INVENTORS, INCLUDING LISTED PERSONS, ARE ENTITLED TO SHARE IN A PORTION OF ROYALTIES RECEIVED BY MAYO INCLUDING INSTANCES WHERE SUCH ROYALTIES ARE IN THE FORM OF EQUITY-BASED INSTRUMENTS SUCH AS STOCK, WARRANTS, OR PARTNERSHIP INTERESTS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN EQUITY-BASED COMPENSATION ARRANGEMENT: BLACK M.D., JOHN L. CAMILLERI M.D., MICHAEL FARRUGIA M.D., GIANRICO MARSH M.D., W. RICHARD VAN DEURSEN, JAN PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.

Schedule J (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MAYO CLINIC

Employer identification number
41-6011702

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF ROCHESTER MINNESOTA	41-6005494	771902FE8	04-10-2008	330,000,000	CONSTRUCTION OF HEALTH CARE FACILITIES & REFUND 1998 BONDS		X		X		X
B	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GA5	05-05-2011	293,208,150	REFUND 1992 AND 2001 BONDS		X		X		X
C	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GD9	04-04-2012	192,662,250	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
D	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GW7	05-08-2014	120,000,000	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GB3	12-31-2015	494,267	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GD9	12-31-2015	44,266,950	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GY3	05-03-2016	75,000,000	REFUND 2006 BONDS		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902HE6	10-13-2016	293,825,280	REFUND 2000 BONDS		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902HF3	10-15-2018	200,152,000	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................			494,267		44,266,950
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	325,948,187		293,208,150		195,311,300		120,012,445
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	8,864,264				12,134,007		310,855
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,230,808		2,088,829		1,523,766		400,343
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	87,603,115		44,266,950		181,653,527		119,301,247
11 Other spent proceeds .............	227,250,000		291,119,321		75,000,000		290,000,000
12 Other unspent proceeds .............							140
13 Year of substantial completion .............	2010		2011		2013		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X	X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?						X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.870 %		0.020 %		1.040 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.010 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.880 %		0.020 %		1.040 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X	X			X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..			24.000 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............			X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

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

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 03/05/2013 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/05/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/12/2019
SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3	THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUES IS INVESTMENT EARNINGS OR LOSSES.

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MAYO CLINIC

Employer identification number
41-6011702

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF ROCHESTER MINNESOTA	41-6005494	771902FE8	04-10-2008	330,000,000	CONSTRUCTION OF HEALTH CARE FACILITIES & REFUND 1998 BONDS		X		X		X
B	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GA5	05-05-2011	293,208,150	REFUND 1992 AND 2001 BONDS		X		X		X
C	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GD9	04-04-2012	192,662,250	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
D	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GW7	05-08-2014	120,000,000	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GB3	12-31-2015	494,267	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GD9	12-31-2015	44,266,950	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GY3	05-03-2016	75,000,000	REFUND 2006 BONDS		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902HE6	10-13-2016	293,825,280	REFUND 2000 BONDS		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902HF3	10-15-2018	200,152,000	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................			494,267		44,266,950
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	325,948,187		293,208,150		195,311,300		120,012,445
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	8,864,264				12,134,007		310,855
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,230,808		2,088,829		1,523,766		400,343
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	87,603,115		44,266,950		181,653,527		119,301,247
11 Other spent proceeds .............	227,250,000		291,119,321		75,000,000		290,000,000
12 Other unspent proceeds .............							140
13 Year of substantial completion .............	2010		2011		2013		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X	X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?						X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.870 %		0.020 %		1.040 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.010 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.880 %		0.020 %		1.040 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X	X			X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..			24.000 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............			X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

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

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 03/05/2013 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/05/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/12/2019
SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3	THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUES IS INVESTMENT EARNINGS OR LOSSES.

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MAYO CLINIC

Employer identification number
41-6011702

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF ROCHESTER MINNESOTA	41-6005494	771902FE8	04-10-2008	330,000,000	CONSTRUCTION OF HEALTH CARE FACILITIES & REFUND 1998 BONDS		X		X		X
B	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GA5	05-05-2011	293,208,150	REFUND 1992 AND 2001 BONDS		X		X		X
C	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GD9	04-04-2012	192,662,250	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
D	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GW7	05-08-2014	120,000,000	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GB3	12-31-2015	494,267	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GD9	12-31-2015	44,266,950	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902GY3	05-03-2016	75,000,000	REFUND 2006 BONDS		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902HE6	10-13-2016	293,825,280	REFUND 2000 BONDS		X		X		X
	CITY OF ROCHESTER MINNESOTA	41-6005494	771902HF3	10-15-2018	200,152,000	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................			494,267		44,266,950
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	325,948,187		293,208,150		195,311,300		120,012,445
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	8,864,264				12,134,007		310,855
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,230,808		2,088,829		1,523,766		400,343
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	87,603,115		44,266,950		181,653,527		119,301,247
11 Other spent proceeds .............	227,250,000		291,119,321		75,000,000		290,000,000
12 Other unspent proceeds .............							140
13 Year of substantial completion .............	2010		2011		2013		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X	X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?						X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.870 %		0.020 %		1.040 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.010 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.880 %		0.020 %		1.040 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X	X			X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..			24.000 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............			X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

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

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 03/05/2013 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/05/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/12/2019
SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3	THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUES IS INVESTMENT EARNINGS OR LOSSES.

Schedule K (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

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) 2018

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) BOIS MD JOHN P	FAMILY MEMBER OF TRUSTEE BUSKIRK M.D., STEVEN J.	183,130	EMPLOYMENT		No
(2) BOIS MD MELANIE C	FAMILY MEMBER OF TRUSTEE BUSKIRK M.D., STEVEN J.	476,644	EMPLOYMENT		No
(3) EMANUEL ELZABETH M	FAMILY MEMBER OF OFFICER UHLENKAMP, SUSAN M.	53,839	EMPLOYMENT		No
(4) FARRELL ANN M	FAMILY MEMBER OF OFFICER WEBER, JOAN A.	10,755	EMPLOYMENT		No
(5) FOOTE PATRICK H	FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L.	77,898	EMPLOYMENT		No
(6) FOOTE ROBERT T	FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L.	95,451	EMPLOYMENT		No
(7) GOSTOUT MD CHRISTOPHER J	FAMILY MEMBER OF TRUSTEE GOSTOUT M.D., BOBBIE S.	72,199	EMPLOYMENT		No
(8) HARPER SARAH B	FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M.	60,367	EMPLOYMENT		No
(9) HAYES MD SHARONNE N	FAMILY MEMBER OF KEY EMPLOYEE HAYES M.D., DAVID L.	635,794	EMPLOYMENT		No
(10) KAPURCH MD CAITLIN J	FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M.	74,807	EMPLOYMENT		No
(11) KAPURCH MD JOSEPH R	FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M.	71,190	EMPLOYMENT		No
(12) LARSON MD MARK V	FAMILY MEMBER OF KEY EMPLOYEE WILLIAMS M.D., AMY W.	783,182	EMPLOYMENT		No
(13) LUETMER MD MARIANNE T	FAMILY MEMBER OF KEY EMPLOYEE LUETMER M.D., PATRICK H.	66,822	EMPLOYMENT		No
(14) MEISSNER MD IRENE	FAMILY MEMBER OF FKE MEYER M.D., FREDRIC B.	328,995	EMPLOYMENT		No
(15) MIDTHUN MD DAVID E	FAMILY MEMBER OF KEY EMPLOYEE WILLIAMS M.D., AMY W.	634,457	EMPLOYMENT		No
(16) NEAL MD LONZETTA	FAMILY MEMBER OF TRUSTEE GREENE M.D., EDDIE L.	261,912	EMPLOYMENT		No
(17) NORBY MD SUZANNE M	FAMILY MEMBER OF OFFICER NORBY, MARK L.	390,604	EMPLOYMENT		No
(18) NOSEWORTHY MD PETER A	FAMILY MEMBER OF TRUSTEE NOSEWORTHY M.D., JOHN H.	713,846	EMPLOYMENT		No
(19) OKUNO MADISON N	FAMILY MEMBER OF FKE OKUNO M.D., SCOTT H.	12,776	EMPLOYMENT		No
(20) ROSS JARED M	FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L.	110,077	EMPLOYMENT		No
(21) RUDDY MD KATHRYN J	FAMILY MEMBER OF TRUSTEE NOSEWORTHY M.D., JOHN H.	533,264	EMPLOYMENT		No
(22) SAITO LOFTUS MD YURI A	FAMILY MEMBER OF KEY EMPLOYEE LOFTUS M.D., CONOR G.	444,951	EMPLOYMENT		No
(23) SARANO MD MAURICE E	FAMILY MEMBER OF TRUSTEE ROGER M.D., VERONIQUE L.	586,265	EMPLOYMENT		No
(24) THIELEN MD JACQUELINE M	FAMILY MEMBER OF KEY EMPLOYEE THIELEN M.D., KENT R.	218,533	EMPLOYMENT		No
(25) WALD MICHELLE K	FAMILY MEMBER OF KEY EMPLOYEE WALD M.D., JOHN T.	64,344	EMPLOYMENT		No
(26) WARNER MD LINDSAY L	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	66,504	EMPLOYMENT		No
(27) WARNER MD MARY E	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	407,930	EMPLOYMENT		No
(28) WARNER MD MATTHEW A	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	486,976	EMPLOYMENT		No
(29) WARNER MD NAFISSEH S	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	226,972	EMPLOYMENT		No
(30) WARNER MD PAUL A	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	498,798	EMPLOYMENT		No
(31) WILLIAMSON MD ERIC E	FAMILY MEMBER OF TRUSTEE WILLIAMSON, MARY J.	783,194	EMPLOYMENT		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) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	8	0
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		0
5 Clothing and household goods .......	X		0
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	263	14,295,735	MEAN MARKET VALUE
10 Securities—Closely held stock .	X	1	0
11 Securities—Partnership, LLC, or trust interests ....	X	2	4,482,700	MEAN MARKET VALUE
12 Securities—Miscellaneous ..	X	4	11,414	EXPERTS
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .	X	3	460,534	EXPERTS
16 Real estate—Commercial ..	X	1	0
17 Real estate—Other ...	X	1	1,120,000	EXPERTS
18 Collectibles .....
19 Food inventory ...	X	1	0
20 Drugs and medical supplies .	X	3	0
21 Taxidermy ......
22 Historical artifacts ....	X	2	0
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( OTHER MISC )	X	2	170,364	EXPERTS
26 Other ( OTHER MISC )	X	78	0
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2018)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	FOR PURPOSES OF SCHEDULE M, MAYO CLINIC IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B).
PART I, LINE 32B:	MAYO CLINIC (MAYO) UTILIZES SEVERAL THIRD PARTIES TO SELL NON-CASH CONTRIBUTIONS. FOR REAL ESTATE GIFTS, MAYO CONTRACTS WITH REALTORS AND BROKERS; FOR STOCK AND SECURITY GIFTS MAYO UTILIZES SEVERAL DIFFERENT BROKERS AND BROKERAGE FIRMS; FOR TANGIBLE PERSONAL PROPERTY, MAYO USES VARIOUS AUCTION OUTLETS DEPENDING ON THE VALUE (I.E. BONHAMS, CHRISTIE'S, SOTHEBY'S, ETC). THESE ARRANGEMENTS ARE ALL FEE AND COMMISSION-BASED.
PART I, LINE 33:	MAYO CLINIC RECEIVED CONTRIBUTIONS OF WORKS OF ART DURING THE YEAR WHERE NO REVENUE WAS RECORDED. AS PERMITTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (SFAS 116), MAYO CLINIC DID NOT RECOGNIZE REVENUE OR CAPITALIZE THE WORKS OF ART. MAYO CLINIC RECEIVED IN-KIND GIFTS (BOOKS/PUBLICATIONS, CLOTHING/HOUSEHOLD GOODS, SUPPLIES, ETC.) THROUGHOUT THE YEAR WHERE NO REVENUE WAS RECORDED AND NO DESCRIPTIVE RECEIPTS WERE ISSUED. REVENUE IS RECOGNIZED ON GIFTS IN-KIND WHEN THE FAIR MARKET VALUE MEETS CAPITALIZATION THRESHOLDS OR WHEN TANGIBLE PERSONAL PROPERTY IS SOLD. DURING THE YEAR MAYO CLINIC RECEIVED SECURITIES OF CLOSELY HELD STOCK WHERE NO REVENUE WAS RECORDED FOR THE YEAR. REVENUE IS RECOGNIZED ON THESE GIFTS WHEN THE FAIR MARKET VALUE MEETS CAPITALIZATION THRESHOLDS OR WHEN THE PROPERTY IS SOLD. SCHEDULE M PART II DURING THE YEAR MAYO CLINIC RECEIVED NON-CASH GIFTS (REAL ESTATE AND SECURITIES) VALUED AT $27,360,625 WHICH WERE IN FULFILLMENT OF PLEDGES RECEIVED AND RECOGNIZED AS REVENUE IN A PRIOR YEAR. AS SUCH, THESE NON-CASH GIFTS ARE NOT REPORTED ON SCHEDULE M, PART I.

Schedule M (Form 990) (2018)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

Return Reference	Explanation
FORM 990 LINE H	MAYO CLINIC IS INCLUDED IN A GROUP EXEMPTION. THE GROUP EXEMPTION COVERS MAYO CLINIC (THE CENTRAL ORGANIZATION) AND MAYO CLINIC'S AFFILIATED SUBSIDIARIES (THE SUBORDINATE ORGANIZATIONS). FOR 2018, A GROUP RETURN (MAYO CLINIC GROUP RETURN - EIN: 38-3952644) WAS FILED THAT INCLUDED EIGHTEEN OF MAYO CLINIC'S SUBORDINATE ORGANIZATIONS. IN ACCORDANCE WITH REG. 1.6033-2(D)(5), WITH RESPECT TO THE CENTRAL ORGANIZATION, MAYO CLINIC HAS REPORTED THE INFORMATION REQUIRED BY REG. 1.6033-2(A)(2)(II)(F), (G) AND (H) ON ITS FORM 990 FOR THE 2018 TAX YEAR. THIS IS IN LIEU OF CONSOLIDATING SUCH INFORMATION WITH ITS SUBORDINATE ORGANIZATIONS AND REPORTING SUCH INFORMATION ON THE 2018 MAYO CLINIC GROUP RETURN.
FORM 990, PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS	MEDICAL EDUCATION: MEDICAL EDUCATION, RESEARCH TRAINING, CONTINUOUS MEDICAL LIFE-LONG LEARNING AND A COMMITTED QUEST FOR NEW KNOWLEDGE ARE INTEGRAL FUNCTIONS OF MAYO CLINIC. OUR WORLD-RENOWNED EDUCATIONAL PROGRAMS INFORM, INSTRUCT, AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS AND OUR COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING. THESE PROGRAMS SPAN THE CONTINUUM OF HEALTH CARE AND ENSURE THE MAYO MODEL OF CARE IS PERPETUATED AND SHARED BROADLY. MAYO CLINIC IS COMMITTED TO PROVIDING USEFUL, TIMELY KNOWLEDGE AND SKILLS THAT REFLECT ITS STANDARDS OF EXCELLENCE AND ITS DEDICATION TO FINDING ANSWERS FOR UNMET PATIENT NEEDS: EDUCATING THE NEXT GENERATION OF PHYSICIANS, MEDICAL RESEARCHERS AND HEALTH PROFESSIONALS WITH TRANSFORMATIVE CURRICULA THAT FOCUSES NOT ONLY ON HELPING THE PATIENT, BUT ALSO IMPROVING THE HEALTH CARE SYSTEM. SHARING KNOWLEDGE AND INNOVATIVE BEST PRACTICES FREELY IN THE SPIRIT OF COLLABORATION TO ADVANCE THE SCIENCE OF MEDICINE AND THE ART OF COMPASSIONATE, PATIENT-CENTERED CARE. EMPOWERING PEOPLE TO MANAGE THEIR HEALTH THROUGH PATIENT EDUCATION AND SHARED DECISION-MAKING MEDICAL TRAINING. SPREADING MAYO'S MEDICAL EXPERTISE, EDUCATION AND RESEARCH FINDINGS THROUGHOUT THE WORLD TO IMPROVE HEALTH CARE FOR ALL. *WORKING COLLABORATIVELY AT A NATIONAL LEVEL TO MODERNIZE AND TRANSFORM MEDICAL EDUCATION TO ADDRESS AREAS SUCH AS IMPROVING HEALTH CARE DELIVERY, PHYSICIAN BURN-OUT, POPULATION HEALTH ISSUES, AND TEAM-BASED CARE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE'S FIVE SCHOOLS: 1. MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION IS ONE OF THE NATION'S LARGEST SCHOOLS OF GRADUATE MEDICAL EDUCATION WITH A TOTAL ENROLLMENT OF MORE THAN 1,770 RESIDENT AND FELLOW PHYSICIANS IN TRAINING. MORE THAN 23,500 ALUMNI HAVE BEEN TRAINED SINCE ITS INCEPTION IN 1915. THE SCHOOL TRAINS DOCTORS IN 293 RESIDENCY AND FELLOWSHIP PROGRAMS, REPRESENTING VIRTUALLY EVERY MEDICAL SPECIALTY. NINETY-FOUR PERCENT OF 2017-18 GRADUATES COMPLETED MAYO CLINIC QUALITY ACADEMY TRAINING - A CONCERTED EFFORT TO EDUCATE AND PREPARE TRAINEES TO CONTINUOUSLY EXPLORE WAYS TO IMPROVE PATIENT SAFETY, QUALITY CARE AND ELIMINATE HEALTH DISPARITIES. 2. MAYO CLINIC ALIX SCHOOL OF MEDICINE PROVIDES A FOUR-YEAR MEDICAL EDUCATION PROGRAM LEADING TO DOCTOR OF MEDICINE DEGREES AND JOINT MD/PH.D. DEGREES. AS A NATIONAL MEDICAL SCHOOL, THE SCHOOL HAS APPROXIMATELY 293 M.D. STUDENTS AND 48 M.D.-PH.D. STUDENTS ENROLLED ON THE ROCHESTER, MINNESOTA AND SCOTTSDALE, ARIZONA CAMPUSES. BY 2020, THE SCHOOL WILL DOUBLE IN SIZE WITH A TOTAL OF OVER 400 M.D. STUDENTS ACROSS CAMPUSES. THE INNOVATIVE AND TRANSFORMATIVE CURRICULUM OF MAYO CLINIC ALIX SCHOOL OF MEDICINE FOCUSES ON EDUCATING FUTURE PHYSICIAN LEADERS IN PATIENT-CENTERED, SCIENCE-DRIVEN, TEAM-BASED, HIGH VALUE HEALTH CARE. STUDENTS ACROSS ALL CAMPUSES ARE SOME OF THE FIRST NATIONWIDE TO TRAIN AND FIRST NATIONWIDE TO RECEIVE A SCIENCE OF HEALTH CARE DELIVERY CERTIFICATE IN ADDITION TO A MEDICAL DEGREE. THE INTEGRATED, TRANSFORMATIVE CURRICULUM IS PART OF AN INITIATIVE TO BETTER PREPARE STUDENTS FOR THE CHALLENGES OF DELIVERING PATIENT CARE IN A COMPLEX HEALTH CARE ENVIRONMENT. ADDITIONAL OFFERINGS AT THE SCHOOL INCLUDE VISITING MEDICAL STUDENT CLERKSHIP PROGRAMS AND SUMMER MINORITY MEDICAL STUDENT PROGRAMS. THE SCHOOL, WHICH IS RANKED NO. 9 IN THE NATION FOR BEST MEDICAL SCHOOLS IN RESEARCH TRAINING, CULTIVATES STUDENTS TO CONTINUALLY PURSUE NEW KNOWLEDGE THROUGH DISCOVERY, TRANSLATION AND CLINICAL APPLICATION TO MEET THE NEEDS OF THEIR PATIENTS. MAYO CLINIC ALIX SCHOOL OF MEDICINE STUDENTS PARTICIPATE IN UNDERSERVED AND OUTREACH CARE PROGRAMS, ALONG WITH PRIMARY CARE AND COMMUNITY CARE EXPERIENTIAL LEARNING OPPORTUNITIES NEAR THEIR CAMPUSES AND AT MAYO CLINIC HEALTH SYSTEM SITES. 3. MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES HAS A DISTINGUISHED HISTORY OF PREPARING STUDENTS FOR CAREERS AS COMPETITIVE, BASIC AND BIOMEDICAL RESEARCH INVESTIGATORS. THE SCHOOL OFFERS MASTER'S AND DOCTORAL DEGREE PROGRAMS FOCUSING ON SEVEN BIOMEDICAL SPECIALTIES, AS WELL AS ONE OF THE FIRST INTERDISCIPLINARY PROGRAMS IN REGENERATIVE MEDICAL RESEARCH. THE SCHOOL HAS BEEN A PIONEER IN EXPANDING RESEARCH TRAINING OPPORTUNITIES FOR STUDENTS FROM BACKGROUNDS UNDERREPRESENTED IN RESEARCH, INCLUDING VISITING PRE-DOCTORAL AND SUMMER UNDERGRADUATE RESEARCH PROGRAMS WHERE DIVERSE STUDENTS HAVE THE OPPORTUNITY TO WORK WITH WORLD-RENOWNED RESEARCHERS AT MAYO CLINIC CAMPUSES IN ARIZONA, FLORIDA AND MINNESOTA. IN 2018, 309 STUDENTS WERE ENROLLED IN MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES. 4. MAYO CLINIC SCHOOL OF HEALTH SCIENCES PREPARES THE ALLIED HEALTH CARE WORKFORCE OF THE FUTURE IN PROGRAMS RANGING FROM A 10-MONTH PHLEBOTOMY CERTIFICATE PROGRAM TO A DOCTORATE IN PHYSICAL THERAPY OR NURSE ANESTHESIA. MORE THAN 1,852 STUDENTS WERE ENROLLED IN THE SCHOOL IN 2018. WITH CAMPUSES IN MINNESOTA, FLORIDA AND ARIZONA, THE SCHOOL PREPARES STUDENTS IN 145 PROGRAMS REPRESENTING OVER 60 HEALTH SCIENCE CAREERS. THE SCHOOL ALSO PROVIDES CLINICAL INTERNSHIPS FOR HUNDREDS OF AFFILIATED SCHOOLS. NEARLY 500 FACULTY MEMBERS ENSURE EVERY STUDENT RECEIVES EXTENSIVE PERSONALIZED TRAINING. 5. MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT PROVIDES A COMPREHENSIVE SELECTION OF CLINICAL, SURGICAL, ALLIED HEALTH AND RESEARCH COURSES, AS WELL AS PROGRAMS ON HEALTH CARE ISSUES, PRACTICE MANAGEMENT AND LEADERSHIP, TO HEALTH CARE PROFESSIONALS THROUGHOUT THE WORLD. IN 2018, THE SCHOOL PROVIDED CONTINUING EDUCATION ACTIVITIES TO MORE THAN 127,000 PARTICIPANTS. OF THOSE, APPROXIMATELY 70 PERCENT OF TOTAL PARTICIPANTS WERE NON-MAYO ATTENDEES. IN ADDITION TO ITS FORMAL PROGRAMS IN EDUCATION, SEVERAL INITIATIVES ENABLE MAYO CLINIC TO IMPROVE QUALITY AND PATIENT SAFETY, SHARE KNOWLEDGE, AND ENHANCE THE AVAILABILITY OF MEDICAL INFORMATION. THESE INCLUDE MAYO CLINIC'S "ASK MAYO EXPERT," AN ELECTRONIC DATABASE THAT ALLOWS MAYO CLINIC PHYSICIANS TO SHARE THEIR MOST UP-TO-DATE MEDICAL KNOWLEDGE. PHYSICIANS CAN SEARCH FOR DISEASES, TREATMENTS AND CLINICAL TRIAL INFORMATION QUICKLY AND EASILY. NEW CARE PROCESS MODELS WITHIN "ASK MAYO EXPERT" PROVIDE INTERACTIVE ALGORITHMS THAT DEMONSTRATE BEST PRACTICE FOR PHYSICIANS AND PROVIDE PHYSICIANS WITH A LIST OF COLLEAGUE EXPERTS SPECIFIC TO THEIR QUERY. A MOBILE VERSION IS AVAILABLE FOR APPLE IPHONE, IPAD AND IPOD TOUCH. MAYO CLINIC ALSO HAS A QUALITY ACADEMY THAT OFFERS INDIVIDUAL AND TEAM-BASED CLASSES FOR MAYO CLINIC STAFF TO LEARN QUALITY IMPROVEMENT TOOLS AND THEIR APPLICATION. THE SCIENCE OF QUALITY IMPROVEMENT IS EMBEDDED WITHIN THE CURRICULUM AND INCLUDES LEARNING HOW TO IDENTIFY AND MEASURE HEALTH CARE QUALITY, PINPOINT, IDENTIFY, AND REDUCE WASTE OR REDUNDANCIES AND IMPROVE WORK FLOW, EFFICIENCY, AND PATIENT SAFETY. THROUGHOUT MAYO CLINIC, FROM FRONT-LINE STAFF TO CEO, STAFF ARE ENCOURAGED AND EMPOWERED TO APPLY THIS TRAINING AND IMPLEMENT QUALITY PROJECTS TO IMPROVE THEIR WORK, PATIENT CARE, AND STAFF OR PATIENT SAFETY. ALL MAYO CLINIC LEADERS, MANAGERS, AND SUPERVISORS ARE CHARGED WITH COMPLETING BRONZE CERTIFICATION IN THE MAYO QUALITY FELLOWS PROGRAM AND ARE HIGHLY ENCOURAGED TO REACH SILVER CERTIFICATION IN THAT PROGRAM. TO DATE, MORE THAN 38,000 OF MAYO'S 65,000 EMPLOYEES ARE BRONZE QUALITY FELLOWS AND OVER 7,150 ARE SILVER QUALITY FELLOWS. MAYO CLINIC'S MULTIDISCIPLINARY SIMULATION CENTERS IN ARIZONA, FLORIDA, AND MINNESOTA ENABLE STATE-OF-THE-ART SIMULATION TRAINING FOR REAL-LIFE PATIENT CARE SITUATIONS, GIVING HEALTH CARE PROFESSIONALS, RESIDENTS, FELLOWS, AND STUDENTS AN UNPRECEDENTED OPPORTUNITY TO REFINE AND PERFECT SKILLS AND TEAM INTERACTIONS ON PATIENT ACTORS AND TECHNICALLY-ADVANCED MANNEQUINS THAT CAN IMITATE ALL THE CHALLENGES OF REAL PATIENTS. OUTSIDE ORGANIZATIONS AND COMMUNITY GROUPS, SUCH AS MILITARY, FIRST RESPONDERS, FIREFIGHTERS AND DISASTER RESPONSE TEAMS ARE GIVEN THE OPPORTUNITY TO TRAIN AT MAYO CLINIC'S SIMULATION CENTERS. MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE ALSO HAS INITIATED MAYO CLINIC EDUCATION PLATFORMS TO DEVELOP AND DELIVER ONLINE EDUCATIONAL OPPORTUNITIES FOR BROAD DISTRIBUTION OF CONTINUING MEDICAL EDUCATION, FACULTY DEVELOPMENT, STUDENT EDUCATION AND FUTURE PATIENT EDUCATION. VIDEO SEMINARS AND ONLINE LEARNING MODULES PROVIDE CONSISTENT KNOWLEDGE DELIVERY ACROSS MULTI-SPECIALTIES AND ALLOW FOR MORE INTERACTIVE FACULTY/STUDENT PARTICIPATION IN THE CLASSROOM SETTING. ONLINE LEARNING ALSO FACILITATES THE ABILITY FOR MAYO CLINIC TO SHARE AND EXPAND THE LATEST MEDICAL KNOWLEDGE AND INNOVATIVE LEARNING OPPORTUNITIES WITH OTHERS OUTSIDE MAYO CLINIC.
FORM 990, PART III, LINE 4A	ANOTHER INITIATIVE IMPLEMENTED THROUGH MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE IS THE OFFICE OF APPLIED SCHOLARSHIP AND EDUCATION SCIENCE (OASES). THIS INNOVATIVE OFFICE PROVIDES EXPERTISE AND SUPPORT IN FACULTY DEVELOPMENT, EDUCATION EVALUATION AND PRINCIPLES AND PRACTICES OF EDUCATION SCIENCE TO ENSURE THE HIGHEST QUALITY OF EDUCATION DELIVERY WITHIN EACH OF THE SCHOOLS WITHIN THE COLLEGE. THE COLLEGE HAS ALSO IMPLEMENTED AN ACADEMY OF EDUCATIONAL EXCELLENCE TO DEVELOP AND RECOGNIZE EDUCATORS TO BETTER PREPARE LEARNERS TO ADVANCE SCIENCE, MEET PATIENTS' NEEDS AND SERVE AS TRANSFORMATIVE LEADERS IN HEALTH CARE. MAYO CLINIC'S SOCIAL MEDIA NETWORK - THE FIRST OF ITS KIND FOCUSED ON HEALTH CARE - IS A NETWORK OF HEALTH CARE ORGANIZATIONS, HOSPITALS AND MEDICAL PROFESSIONALS COMMITTED TO BROADER AND DEEPER ENGAGEMENT IN SOCIAL MEDIA TO HELP IMPROVE HEALTH CARE LITERACY, HEALTH CARE DELIVERY AND POPULATION HEALTH WORLDWIDE. IN 2018 MAYO CLINIC ENGAGED WITH MORE THAN 20 MILLION PEOPLE THROUGH SOCIAL MEDIA CHANNELS. MAYO CLINIC LIBRARIES REFLECT AN INTEGRATED SYSTEM OF LIBRARIES, KNOWLEDGE CENTERS AND ARCHIVES INCLUDING EXTENSIVE ONLINE RESOURCES AND EFFICIENT DELIVERY SYSTEMS. THE BREADTH AND DEPTH OF THESE RESOURCES AND THEIR INTEGRATION USING COMMON ONLINE MANAGEMENT SYSTEMS AND A KNOWLEDGE PORTAL MAKES THE MAYO CLINIC LIBRARIES AMONG THE MOST COMPREHENSIVE IN NORTH AMERICA. SPECIAL COLLECTIONS INCLUDE HOSPITAL-BASED PATIENT LIBRARIES SUPPORTING THE NEEDS OF HOSPITALIZED PATIENTS AND THEIR FAMILIES. MAYO CLINIC LIBRARIES SUPPORT EMPLOYEES, RESEARCHERS, FACULTY AND STUDENTS IN THEIR CARE OF PATIENTS AND BIOMEDICAL RESEARCH WITH A NETWORK OF ONLINE AND PRINT RESOURCES. MAYO LIBRARIES PARTICIPATE IN REGIONAL AND NATIONAL INTERLIBRARY LOAN NETWORKS INCLUDING THE NATIONAL NETWORK OF LIBRARIES OF MEDICINE. ALL OF THESE EDUCATIONAL EFFORTS TO DISCOVER, DELIVER, EXPAND AND SHARE MEDICAL KNOWLEDGE PROMOTE MAYO'S CLINIC'S ABILITY TO PERPETUATE THE HIGHEST QUALITY AND SAFETY IN PATIENT CARE.
FORM 990, PART III, LINE 4B	PATIENT CARE: MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE IN THE WORLD. ITS STANDARD OF CARE BRINGS TOGETHER TEAMS OF EXPERTS TO PROVIDE HIGH-QUALITY, AFFORDABLE AND COMPASSIONATE CARE TO EACH PATIENT CONSISTENT WITH MAYO CLINIC'S PRIMARY VALUE - "THE NEEDS OF THE PATIENT COME FIRST." MAYO CLINIC'S MISSION IS "TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH." MAYO CLINIC'S HERITAGE OF COLLABORATIVE MEDICAL EXPERTISE IS COMBINED WITH CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS, RESULTING IN A THOROUGH AND PERSONAL APPROACH TO HEALTH CARE. TO ACCOMPLISH ITS MISSION, MAYO CLINIC NOT ONLY PROVIDES A VARIETY OF PROGRAMS IN DIRECT PATIENT CARE, MEDICAL EDUCATION AND RESEARCH, BUT ALSO SERVES AS THE PARENT ORGANIZATION OF A MULTI-ENTITY ORGANIZATION CONSISTING OF HOSPITALS, CLINICS, HEALTH CARE PROVIDERS AND OTHER ENTITIES PROVIDING HEALTH CARE-RELATED SERVICES AND KNOWLEDGE DELIVERY TO THE PUBLIC THROUGHOUT THE WORLD. IN ROCHESTER, MAYO CLINIC WORKS COLLABORATIVELY WITH MAYO CLINIC HOSPITAL - ROCHESTER, AN AFFILIATED ENTITY COMPRISED OF SAINT MARYS CAMPUS AND METHODIST CAMPUS TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. MAYO CLINIC IS ALSO THE SOLE MEMBER OF MAYO CLINIC ARIZONA AND MAYO CLINIC JACKSONVILLE WHICH PROVIDE SERVICES TO PATIENTS IN THE SOUTHWEST AND SOUTHEAST REGIONS OF THE UNITED STATES. IN THE MIDWEST, MAYO CLINIC HEALTH SYSTEM SERVES MORE THAN 60 COMMUNITIES IN MINNESOTA, WISCONSIN, AND IOWA THROUGH A NETWORK OF COMMUNITY-BASED PHYSICIANS TO PROVIDE QUALITY HEALTH CARE CLOSE TO HOME, AND ALSO SUPPORTED BY THE HIGHLY SPECIALIZED EXPERTISE AND RESOURCES OF MAYO CLINIC. UTILIZING COMMON GOVERNANCE, SHARED SYSTEMS AND STANDARDIZED POLICIES AND PROCEDURES WHENEVER POSSIBLE, MAYO CLINIC STRIVES TO PROVIDE CONSISTENT, HIGH QUALITY HEALTH CARE SERVICES AND KNOWLEDGE DELIVERY WITHIN EVERY ASPECT OF CARE. A 31 MEMBER BOARD OF TRUSTEES COMPRISED OF A MAJORITY OF PUBLIC MEMBERS ALONG WITH MAYO PHYSICIANS AND ADMINISTRATORS ENSURE THE ENTIRE ORGANIZATION REMAINS TRUE TO ITS MISSION AND CULTURE OF PROVIDING FOR THE HEALTH CARE NEEDS OF THE PUBLIC RATHER THAN FOR PRIVATE BENEFIT. PATIENT CARE ADVANCED THROUGH EDUCATION AND RESEARCH IS THE FOUNDATION OF MAYO CLINIC'S MISSION. EACH YEAR, PEOPLE FROM ALL 50 STATES AND MORE THAN 135 COUNTRIES COME TO MAYO CLINIC FOR CARE. IN ROCHESTER, OVER 35,000 PATIENT CARE PHYSICIANS, RESIDENTS AND ALLIED HEALTH STAFF PROVIDED SERVICES FOR MORE THAN 1.2 MILLION OUTPATIENT VISITS IN 2018. MAYO CLINIC PROVIDES CARE TO PEOPLE COVERED BY GOVERNMENTAL PROGRAMS SUCH AS MEDICARE AND MEDICAID, AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. IN 2018, THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICAID AND MINNESOTA CARE (A PROGRAM THAT PROVIDES MEDICAL ASSISTANCE FOR LOW INCOME POPULATIONS) WAS APPROXIMATELY $218,517,000. THIS AMOUNT INCLUDES $43,907,000 PAID TO MINNESOTACARE. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $1,182,643,000 AND THE COST OF CHARITY CARE PROVIDED IN 2018 WAS APPROXIMATELY $22,974,000. IN 2018, WITH SYSTEM-WIDE REVENUES OF $12.6 BILLION, MAYO CLINIC AND ITS AFFILIATES PROVIDED $589 MILLION IN CARE TO PEOPLE IN NEED. THIS TOTAL INCLUDES $78 MILLION IN CHARITY CARE AND $511 MILLION IN UNPAID PORTIONS OF MEDICAID AND OTHER INDIGENT CARE PROGRAMS FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED. MAYO ALSO PROVIDED $2.2 BILLION IN UNPAID PORTIONS OF MEDICARE AND OTHER SENIOR PROGRAMS. MORE THAN 54 PERCENT OF MAYO'S TOTAL MEDICAL SERVICES PROVIDED ARE FOR MEDICARE AND MEDICAID PATIENTS. MAYO CLINIC AND ITS AFFILIATES CONTRIBUTED MORE THAN $6 MILLION IN CASH AND IN-KIND DONATIONS TO LOCAL COMMUNITIES. MAYO CLINIC IS RECOGNIZED FOR HIGH-QUALITY PATIENT CARE MORE OFTEN THAN ANY OTHER ACADEMIC MEDICAL CENTER IN THE NATION. THESE ENDORSEMENTS REINFORCE ITS CENTURY-OLD COMMITMENT TO PROVIDE THE HIGHEST QUALITY CARE TO EACH PATIENT EVERY DAY. ALTHOUGH NO SINGLE SET OF MEASURES CAN PERFECTLY REPRESENT HEALTH CARE QUALITY, MAYO CLINIC IS PROUD TO BE RECOGNIZED. THE FOLLOWING ORGANIZATIONS RECOGNIZE MAYO CLINIC FOR HIGH LEVELS OF QUALITY AND SAFETY: * U.S. NEWS & WORLD REPORT BEST HOSPITAL IN THE NATION AND NO. 1 IN MORE SPECIALTIES THAN ANY OTHER HOSPITAL * 2018 BERNARD A. BIRNBAUM, M.D. QUALITY LEADERSHIP AWARD NO. 1 RANKING AMONG 99 ACADEMIC MEDICAL CENTERS * CENTERS FOR MEDICARE AND MEDICAID SERVICES AWARDED 14 MAYO CLINIC HOSPITALS WITH 5 STARS (THEIR HIGHEST SCORE) FOR OVERALL HOSPITAL QUALITY * FOUR MAYO CLINIC HOSPITALS WERE RECOGNIZED WITH PRESS GANEY'S 2018 GUARDIAN OF EXCELLENCE AND PINNACLE OF EXCELLENCE AWARDS FOR EXTRAORDINARY ACHIEVEMENTS IN PATIENT EXPERIENCE. * FORTUNE'S "100 BEST COMPANIES TO WORK FOR" * DIVERSITY INC TOP HOSPITAL AND HEALTH SYSTEM MAYO CLINIC OFFERS BOTH SPECIALTY AND PRIMARY CARE IN ITS COMMUNITY PRACTICES AND CREATED A POPULATION HEALTH OFFICE IN 2013. IT IS THE CHARGE OF MAYO'S POPULATION HEALTH COMMITTEE TO TRANSFORM THE WAY COMMUNITY CARE IS DELIVERED AND IMPROVE PATIENT OUTCOMES WHILE REDUCING THE OVERALL TOTAL COST OF CARE. POPULATION HEALTH AT MAYO COORDINATES EXISTING PRACTICE MODELS WITH TRANSFORMATIONAL INITIATIVES TO BETTER ENGAGE PATIENTS, KEEP THEM HEALTHY, SUPPORT PATIENT WELLNESS GOALS AND HELP PATIENTS TO BETTER MANAGE CHRONIC ILLNESSES. THE PRACTICE CHANGE INITIATIVES DEVELOPED, TESTED AND IMPLEMENTED THROUGH THE MAYO MODEL OF COMMUNITY CARE (MMOCC) ARE AIMED AT IMPROVING THE QUALITY OF LIFE FOR PATIENTS, REDUCING OVERALL HEALTH CARE COSTS AND BUILDING A SUSTAINABLE PRACTICE MODEL THAT TRULY SUPPORTS THE NEEDS OF COMMUNITY PATIENTS. THE MAYO CLINIC CARE NETWORK CONSISTS OF INDEPENDENT HEALTH-CARE ORGANIZATIONS THAT SHARE A COMMON GOAL OF IMPROVING DELIVERY OF HEALTH CARE IN THEIR COMMUNITIES THROUGH HIGH-QUALITY, DATA DRIVEN AND EVIDENCE BASED MEDICAL CARE. MEMBERS OF THE NETWORK HAVE ACCESS TO MAYO CLINIC KNOWLEDGE, COLLABORATION TOOLS, DISEASE MANAGEMENT PROTOCOLS, CLINICAL CARE GUIDELINES, TREATMENT RECOMMENDATIONS, PATIENT EDUCATION MATERIALS AND CONTINUING MEDICAL EDUCATION OPPORTUNITIES. THE MAIN GOAL OF THE NETWORK IS TO HELP PEOPLE GAIN THE BENEFITS OF MAYO CLINIC EXPERTISE WITHOUT HAVING TO TRAVEL TO A MAYO CLINIC FACILITY. BY THE END OF 2018, THE MAYO CLINIC CARE NETWORK CONSISTED OF MORE THAN 40 MEMBERS LOCATED ACROSS THE UNITED STATES AND IN PUERTO RICO, MEXICO, UNITED ARAB EMIRATES AND SINGAPORE.
FORM 990, PART III, LINE 4C	RESEARCH: MAYO CLINIC IS ONE OF THE PREMIER MEDICAL RESEARCH ORGANIZATIONS IN THE WORLD. INNOVATION AND IMPROVEMENT OF SCIENCE AND THE DELIVERY OF HEALTH CARE ARE ENHANCED THROUGH MAYO CLINIC'S RESEARCH PROGRAMS. CLINICAL PRACTICE OBSERVATIONS BECOME THE BASIS FOR RESEARCH STUDIES AND THE FINDINGS FROM RESEARCH FLOW BACK INTO THE PRACTICE TO IMPROVE PATIENT CARE AND OUTCOMES. PHYSICIAN/RESEARCHERS AND CAREER SCIENTISTS WORK IN TANDEM TO ADVANCE MEDICINE AND TO IMPROVE THE HEALTH AND WELLBEING OF NOT JUST MAYO CLINIC PATIENTS, BUT ALSO THE PUBLIC AT LARGE, AS THESE FINDINGS ARE DISSEMINATED WORLDWIDE. RESEARCH AT MAYO CLINIC INVOLVES THOUSANDS OF MEDICAL PROFESSIONALS COMMITTED TO SEARCHING FOR ANSWERS TO COMPLEX MEDICAL PROBLEMS WITH THE GOAL OF BRINGING NEW SOLUTIONS AND ADVANCED CARE RAPIDLY TO PATIENTS THROUGHOUT THE WORLD. IN 2018, 254 FULL-TIME SCIENTIFIC FACULTY MEMBERS, 766 PHYSICIANS AND 4,027 FULL-TIME RESEARCH PERSONNEL WERE ACTIVELY ENGAGED IN RESEARCH ACTIVITIES. THESE ACTIVITIES INCLUDE BASIC SCIENCE RESEARCH, CLINICAL TRIALS, TRANSLATIONAL RESEARCH AND HUMAN RESEARCH STUDIES. DURING 2018, MORE THAN 9,275 RESEARCH AND REVIEW ARTICLES BASED ON MAYO CLINIC RESEARCH WERE PUBLISHED IN PEER-REVIEWED JOURNALS. ALSO IN 2018 THERE WERE MORE THAN 12,760 ACTIVE HUMAN RESEARCH STUDIES AND 3,067 NEW HUMAN STUDIES WERE APPROVED BY THE INSTITUTIONAL REVIEW BOARD. THROUGH MAYO CLINIC'S CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE, MAYO CLINIC COLLABORATES WITH DIVERSE COMMUNITY MEMBERS TO HELP COMMUNITY MEDICAL PROVIDERS INCORPORATE PRACTICE-BASED AND RESEARCH-BASED KNOWLEDGE TO IMPROVE OVERALL COMMUNITY HEALTH OUTCOMES AND ELIMINATE HEALTH DISPARITIES. ONE CRITICAL COMPONENT OF MAYO CLINIC'S RESEARCH EFFORTS IS THE ROCHESTER EPIDEMIOLOGY PROJECT, A COLLABORATION THAT LINKS TOGETHER NEARLY ALL OF THE MEDICAL RECORDS OF THE RESIDENTS OF OLMSTED COUNTY IN MINNESOTA. THIS UNIQUE DATABASE PROVIDES AN EXTENSIVE DATA REPOSITORY OF MEDICAL CARE DELIVERED TO COMMUNITY RESIDENTS FOR OVER HALF A CENTURY AND IS VIRTUALLY UNPARALLELED IN THE UNITED STATES. MAYO CLINIC IS ALSO IMPROVING PATIENT CARE WITH THE ACTIVITIES OF ITS ROBERT D. AND PATRICIA E. KERN CENTER FOR THE SCIENCE OF HEALTH CARE DELIVERY, THE CENTER FOR INDIVIDUALIZED MEDICINE AND THE CENTER FOR REGENERATIVE MEDICINE. THESE STRATEGIC CENTERS ARE CHANGING HOW MEDICINE IS PRACTICED THROUGH DIRECT APPLICATION OF INNOVATIONS AND BEST PRACTICES. THE REGENERATIVE AND INDIVIDUALIZED MEDICINE CENTERS ARE ACTIVELY PURSUING ANSWERS TO COMPLEX CLINICAL PROBLEMS THROUGH CUTTING EDGE METHODOLOGIES. FUNDING OF RESEARCH ACTIVITIES AT MAYO CLINIC COMES FROM GRANTS AND CONTRACTS AS WELL AS FROM MAYO FUNDS AND GIFTS FROM GENEROUS BENEFACTORS.
FORM 990, PART VI, SECTION A, LINE 1	BETWEEN MEETINGS OF MAYO CLINIC'S BOARD OF TRUSTEES, MAYO CLINIC'S BYLAWS DELEGATE TO THE MAYO CLINIC BOARD OF GOVERNORS, AN EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, BROAD AUTHORITY TO EXERCISE THE POWERS OF THE BOARD OF TRUSTEES WITHIN CERTAIN LIMITATIONS OF TIME AND TOPIC.
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: DAHLEN, DENNIS E., UHLENKAMP, SUSAN M., NOSEWORTHY M.D., JOHN H., NORBY, MARK L., MURPHY, JOSHUA B., HUBERT, SHERRY L., HOFFMAN III, HARRY N., HARPER JR., M.D., CHARLES M., GOSTOUT M.D., BOBBIE S., GORMAN, PAUL A., FROISLAND, JEFFREY R., FRANCIS, JAMES R., FARRUGIA M.D., GIANRICO, DECKER M.D., WYATT W., BROWN, WILLIAM A., BOLTON, JEFFREY W., WEBER, JOAN A., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: ZORN, CHRISTINA K., MENKOSKY, PAULA E., MURPHY, JOSHUA B., HUBERT, SHERRY L., HOFFMAN III, HARRY N., FROISLAND, JEFFREY R., FRANCIS, JAMES R., BROWN, WILLIAM A., THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: MENKOSKY, PAULA E., KRAHN M.D., LOIS E., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: MENKOSKY, PAULA E., KRAHN M.D., LOIS E., DECKER M.D., WYATT W., FROISLAND, JEFFREY R., THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: ZORN, CHRISTINA K., LOCKETT, KEVIN M., BUSKIRK M.D., STEVEN J., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: ZORN, CHRISTINA K., LOCKETT, KEVIN M., FARRUGIA M.D., GIANRICO, BUSKIRK M.D., STEVEN J., ********************** HOFFMAN III, HARRY N., HAEFLINGER, RICKY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF BWL HOLDINGS, INC, A RELATED TAXABLE ENTITY. HUBERT, SHERRY L., HAYES M.D., DAVID L., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC SUPPORT SERVICES, TEXAS, A RELATED TAXABLE ENTITY. MENKOSKY, PAULA E., FROISLAND, JEFFREY R., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., MURPHY, JOSHUA B., HUBERT, SHERRY L., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., HOFFMAN III, HARRY N., FROISLAND, JEFFREY R., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. WILLIAMSON, MARY J., BOLTON, JEFFREY W., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC, A RELATED TAXABLE ENTITY. UHLENKAMP, SUSAN M., HOFFMAN III, HARRY N., HAEFLINGER, RICKY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF LATIGO PETROLEUM, A RELATED TAXABLE ENTITY. MULALLY, ALAN R. SCHMIDT, ERIC E. SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC AND HAVE A BUSINESS RELATIONSHIP WITH GOOGLE, INC./ALPHABET.
FORM 990, PART VI, SECTION A, LINE 3	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES WHICH WOULD INCLUDE THE FILING ORGANIZATION. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED.
FORM 990, PART VI, SECTION A, LINE 4	MAY 2018 AMENDMENT AMENDMENT IS SPECIFIC TO VARIOUS COMMITTEES CREATED BY THE BYLAWS. FINANCE AND INVESTMENT COMMITTEES WERE COMBINED AND WERE RENAMED THE FINANCE AND INVESTMENT COMMITTEE. BUSINESS DEVELOPMENT COMMITTEE WAS RENAMED AS THE BUSINESS DEVELOPMENT AND MARKETING COMMITTEE. ADDITIONAL DUTIES OF THE COMMITTEE INCLUDE REVIEWING AND MAKING RECOMMENDATIONS REGARDING MAYO CLINIC'S BRAND AND ENSURING THAT BRAND/MARKETING STRATEGIES ARE ALIGNED WITH BUSINESS/STRATEGIC GOALS. INFORMATION MANAGEMENT AND TECHNOLOGY OVERSIGHT COMMITTEE RENAMED INFORMATION MANAGEMENT AND TECHNOLOGY GOVERNANCE COMMITTEE. AUGUST 2018 AMENDMENT THE DESCRIPTION AND THRESHOLD REGARDING SUBSIDIARY EXPENDITURES OVER WHICH MAYO CLINIC HAS RESERVED POWER WERE MODIFIED.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT AND IS REVIEWED BY THE TAX DIRECTOR. IT IS THEN REVIEWED BY THE CHAIR OF FINANCE MAYO CLINIC IN THE MIDWEST, CHAIR OF FINANCIAL AND ACCOUNTING SERVICES, CHAIR AND VICE CHAIR OF FINANCIAL REPORTING, THE CHIEF FINANCIAL OFFICER, THE CHAIR OF DEVELOPMENT, GENERAL COUNSEL, THE CHIEF ADMINISTRATIVE OFFICER, AND THE CHIEF EXECUTIVE OFFICER. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF MAYO CLINIC'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. THIS POLICY APPLIES TO THE ORGANIZATION'S DISREGARDED ENTITIES.
FORM 990, PART VI, SECTION B, LINE 15B	MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE LEADERSHIP, ALONG WITH ALLIED HEALTH STAFF. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY OR REGIONAL LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY PRIOR TO IMPLEMENTATION OF THE RESPECTIVE COMPENSATION INCREASE. THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER (CEO) WAS REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR EXECUTIVE LEADERSHIP. THE COMPENSATION AND BENEFIT PROGRAM OF SEVERAL OTHER OFFICERS, KEY EMPLOYEES AND TRUSTEES WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE LEADERSHIP. THE COMPENSATION AND BENEFITS OF EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS AND CERTAIN SENIOR ADMINISTRATIVE LEADERSHIP FROM ALL CAMPUSES (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF EXECUTIVE LEADERSHIP AND SENIOR PHYSICIAN POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE.
FORM 990, PART VI, SECTION C, LINE 19	MAYO CLINIC'S ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE SECRETARY OF STATE'S OFFICE OR UPON REQUEST FROM MAYO CLINIC. BYLAWS AND OTHER GOVERNANCE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR PURPOSES THAT MAYO CLINIC DEEMS APPROPRIATE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON MAYO CLINIC'S WEBSITE OR UPON REQUEST. MAYO CLINIC'S CONSOLIDATED FINANCIAL STATEMENTS AND FEDERAL FORM 990 ARE AVAILABLE UPON REQUEST OR THROUGH THE MINNESOTA ATTORNEY GENERAL'S OFFICE.
FORM 990, PART IX, LINE 11G	I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 145,849,443. MANAGEMENT AND GENERAL EXPENSES 894,532,570. FUNDRAISING EXPENSES 4,954,430. TOTAL EXPENSES 1,045,336,443. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 255,914,769. MANAGEMENT AND GENERAL EXPENSES 12,171,114. FUNDRAISING EXPENSES 4,503,290. TOTAL EXPENSES 272,589,173.
FORM 990, PART XI, LINE 9:	RETURN OF CAPITAL FROM TAXABLE SUBSIDIARY 4,000,000. PENSION-POST RETIREMENT (PER FASB ASC 715) 459,438,496. LOSSES ON UNCOLLECTIBLE PLEDGES -1,574,181. REFUNDS OF CONTRIBUTIONS -35,259.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MAYO CLINIC

Employer identification number

41-6011702

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
(1) JOHN E HERMAN HOME AND TREATMENT FACILITY LLC 200 FIRST STREET SW ROCHESTER,MN55905 82-4183345	RESIDENTIAL RECOVERY AND TREATMENT FACILITY	MN	238,745	7,096,876	MAYO CLINIC
(2) MAYO CLINIC COMMUNITY ACO LLC 200 FIRST STREET SW ROCHESTER,MN55905 83-0610557	ACCOUNTABLE CARE ORGANIZATION	MN	0	-34,778	MAYO CLINIC
(3) MAYO COLLABORATIVE SERVICES LLC 200 FIRST STREET SW ROCHESTER,MN55905 41-1346366	REFERENCE LAB SERVICES	MN	735,064,690	181,055,885	MAYO CLINIC
(4) MC INTERNATIONAL LLC 200 FIRST STREET SW ROCHESTER,MN55905 83-2805059	CONTRACTING SERVICES	MN	0	0	MAYO CLINIC

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--NORTHWEST WISCONSIN REGION INC	Yes
(2)CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER,MN55905 41-1405254	RETIREMENT LIVING CENTER	MN	501(C)(3)	10	MAYO CLINIC	Yes
(3)DESTINATION MEDICAL CENTER EDA 50 SOUTH SIXTH STREET SUITE 1500 MINNEAPOLIS,MN554021498 46-4893585	ECONOMIC DEVELOPMENT	MN	501(C)(3)	12-I	MAYO CLINIC	Yes
(4)GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER,MN55905 41-1917516	AMBULANCE SERVICE	MN	501(C)(3)	10	MFMER	Yes
(5)LUTHER LAKESIDE APARTMENTS INC PO BOX 1510 EAU CLAIRE,WI54702 39-1409024	LOW INCOME HOUSING FOR ELDERLY	WI	501(C)(3)	10	MCHS--NORTHWEST WISCONSIN REGION INC	Yes
(6)MAYO CLINIC 200 FIRST STREET SW ROCHESTER,MN55905 41-6011702	PATIENT CARE - CLINIC	MN	501(C)(3)	10	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 CLINIC STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM	FUNDRAISING FOUNDATION	GM			MFMER	Yes
(12)MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER,MN55905 41-1506440	CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES	MN	501(C)(3)	10	MAYO CLINIC	Yes
(13)MCHS--AUSTIN FOUNDATION 1000 FIRST DRIVE NW AUSTIN,MN55912 30-0107471	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--SOUTHEAST MINNESOTA REGION	Yes
(14)MCHS--FAIRMONT 800 MEDICAL CENTER DRIVE PO BOX 800 FAIRMONT,MN56031 41-0760836	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--SOUTHWEST MINNESOTA REGION	Yes
(15)MCHS--FRANCISCAN HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE,WI54601 39-1411999	HEALTHCARE SYSTEM PARENT	WI	501(C)(3)	12-I	MAYO CLINIC	Yes
(16)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
(17)MCHS--LAKE CITY 500 WEST GRANT STREET LAKE CITY,MN55041 41-1906820	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	Yes
(18)MCHS--NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE,WI54703 39-0813418	HOSPITAL	WI	501(C)(3)	3	MAYO CLINIC	Yes
(19)MCHS--SOUTHEAST MINNESOTA REGION 1000 FIRST DRIVE NW AUSTIN,MN55912 41-1404075	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes
(20)MCHS--SOUTHWEST MINNESOTA REGION 1025 MARSH STREET MANKATO,MN56001 41-1236756	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes
(21)MCHS--ST JAMES 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES,MN56081 41-0797368	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--SOUTHWEST MINNESOTA REGION	Yes
(22)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)	12-I	MAYO CLINIC	Yes
(23)POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER,MN55905 41-1494881	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MAYO CLINIC HOSPITAL - ROCHESTER	Yes
(24)ENGEBRETSON FAMILY CHARITABLE TRUST 6325 S RAINBOW BLVD STE 300 LAS VEGAS,NV89118 41-6445383	CHARITABLE TRUST	MN	501(C)(3)	12-II	N/A		No
(25)HAZEL HUGHES CHARITABLE TRUST PO BOX 470 PETERSBURG,IL62675 80-0030922	CHARITABLE TRUST	IL	501(C)(3)	12-III-FI	N/A		No
(26)HORMEL FOUNDATION 329 N MAIN ST SUITE 102L AUSTIN,MN55912 41-0694716	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(27)J ORIN EDSON FOUNDATION PO BOX 14580 JACKSON,WY830024580 26-3002560	FUNDRAISING FOUNDATION	WY	501(C)(3)	12-I	N/A		No
(28)NAEVE HEALTH CARE FOUNDATION 404 WEST FOUNTAIN ST ALBERT LEA,MN56007 41-1989509	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-III-FI	N/A		No
(29)ROBERT AND ELEANOR FRANKE CHARITABLE FOUNDATION INC N2939 STATE RD 16 SUITE A LA CROSSE,WI54601 45-0998178	FUNDRAISING FOUNDATION	WI	501(C)(3)	12-I	N/A		No
(30)THE HIRSH FAMILY FOUNDATION 108 NORTH MAIN STREET AUSTIN,MN55912 41-1749842	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(31)THE WEM 2000 FOUNDATION PO BOX 5628 MINNEAPOLIS,MN554405628 41-1978254	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(32)DREW FOUNDATION PO BOX 2578 JACKSONVILLE,FL322032578 59-6669745	CHARITABLE TRUST	FL	501(C)(3)	12-I	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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 200 FIRST STREET SW ROCHESTER,MN55905 41-0264830	UTILITY	MN	MAYO CLINIC	EXCLUDED	547	44,237,698		No		Yes		84.050 %
(2) LATIGO PETROLEUM LLC PO BOX 14230 ODESSA,TX79768 36-4767494	OIL & GAS EXPLORATION	DE	MAYO CLINIC	UNRELATED	5,601,570	51,282,037		No	-7,261,738	Yes		65.000 %

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	(h) Percentage ownership	(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	MAYO CLINIC	C	253,654	2,786,546	100.000 %	Yes
(2) BAIN CAPITAL CREDIT CLO 2017-2 LTD (FKA CAVALRY CLO III LTD) PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ	INVESTMENT ACTIVITIES	CJ	MAYO CLINIC	C	15,751,714	313,877,993	70.930 %	Yes
(3) CAVALRY CLO IV LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ	INVESTMENT ACTIVITIES	CJ	MAYO CLINIC	C	1,560,325	2,621,487	74.040 %	Yes
(4) GMO GLOBAL BOND INVESTMENT FUND 78 SIR JOHN ROGERSONS QUAY DUBLIN EI	OTHER FINANCIAL INVESTMENT ACTIVITIES	EI	N/A	C				Yes
(5) HEALTH TRADITION HEALTH PLAN 1808 EAST MAIN STREET ONALASKA,WI54650 39-1545987	MEDICAL SERVICES COMPANY	WI	N/A	C				Yes
(6) MAYO CLINIC SUPPORT SERVICES TEXAS 200 FIRST STREET SW ROCHESTER,MN55905 47-1751102	HEALTH SERVICES	TX	MAYO CLINIC	C	193,538	66,236	100.000 %	Yes
(7) MAYO CLINIC UK LTD 3 MORE LONDON RIVERSIDE LONDON UK	INVESTMENT ACTIVITIES	UK	MAYO CLINIC	C	309,935	7,858,032	100.000 %	Yes
(8) MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-1578020	HOLDING COMPANY	MN	MAYO CLINIC	C	34,029,881	75,128,377	100.000 %	Yes
(9) MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER,MN55905	SELF INSURANCE POOL	CJ	MAYO CLINIC	C	17,918,216	94,812,606	100.000 %	Yes
(10) MCHS--DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH,IA52101 41-1711329	PATIENT CARE - CLINIC	IA	N/A	C				Yes
(11) MCHS--PHARMACY & HOME MEDICAL INC 1221 WHIPPLE STREET EAU CLAIRE,WI54703 39-1528920	PHARMACY SERVICES	WI	N/A	C				Yes
(12) RESOUNDANT INC 421 1ST AVE SW SUITE 204W ROCHESTER,MN55902 46-1661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	N/A	C				Yes
(13) ROCHESTER AIRPORT COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-0506870	AIRPORT MANAGEMENT	MN	MAYO CLINIC	C	3,764,980	3,643,821	100.000 %	Yes
(14) SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE,AZ85259 86-0870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	N/A	C				Yes
(15) THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER,MN55905 20-8994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	MAYO CLINIC	C			85.000 %	Yes
(16) CHARITABLE LEAD TRUST	CHARITABLE TRUST	CA	N/A	T				Yes
(17) PERPETUAL TRUST	CHARITABLE TRUST	ND	N/A	T				Yes
(18) PERPETUAL TRUST	CHARITABLE TRUST	LA	N/A	T				Yes
(19) PERPETUAL TRUST (2)	CHARITABLE TRUST	MA	N/A	T				Yes
(20) PERPETUAL TRUST	CHARITABLE TRUST	MO	N/A	T				Yes
(21) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	AZ	N/A	T				Yes
(22) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	N/A	T				Yes
(23) CHARITABLE REMAINDER TRUST (8)	CHARITABLE TRUST	FL	N/A	T				Yes
(24) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MA	N/A	T				Yes
(25) CHARITABLE REMAINDER TRUST (86)	CHARITABLE TRUST	MN	N/A	T				Yes
(26) CHARITABLE REMAINDER TRUST (3)	CHARITABLE TRUST	NC	N/A	T				Yes
(27) CHARITABLE REMAINDER TRUST (2)	CHARITABLE TRUST	NV	N/A	T				Yes
(28) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	TX	N/A	T				Yes
(29) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	N/A	T				Yes
(30) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	FL	N/A	T				Yes
(31) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	IL	N/A	T				Yes
(32) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MI	N/A	T				Yes
(33) CHARITABLE REMAINDER TRUST (50)	CHARITABLE TRUST	MN	N/A	T				Yes
(34) CHARITABLE REMAINDER TRUST (7)	CHARITABLE TRUST	MN	N/A	T				Yes
(35) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	WI	N/A	T				Yes

Schedule R (Form 990) 2018

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

Yes

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) ............................

Yes

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

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

Yes

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) ......................

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) CHARTERHOUSE INC	A	78,417	GAAP
(2) GOLD CROSS AMBULANCE SERVICE	A	14,604	GAAP
(3) MAYO CLINIC ARIZONA	A	6,316,844	GAAP
(4) MAYO CLINIC FLORIDA	A	2,260,821	GAAP
(5) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	A	1,579,688	GAAP
(6) MAYO CLINIC JACKSONVILLE	A	828,990	GAAP
(7) CHARTERHOUSE INC	B	168,924	GAAP
(8) MAYO CLINIC ARIZONA	B	64,733,170	GAAP
(9) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	B	706,663	GAAP
(10) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	B	464,610	GAAP
(11) MAYO CLINIC HOSPITAL - ROCHESTER	B	51,858	GAAP
(12) MAYO CLINIC JACKSONVILLE	B	74,395,470	GAAP
(13) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	B	851,504	GAAP
(14) MCHS--NORTHWEST WISCONSIN REGION INC	B	556,174	GAAP
(15) MCHS-AUSTIN FOUNDATION	B	51,770	GAAP
(16) MCHS-FAIRMONT	B	150,185	GAAP
(17) MCHS-FRANCISCAN MEDICAL CENTER INC	B	632,827	GAAP
(18) MCHS-LAKE CITY	B	90,603	GAAP
(19) MCHS-ST JAMES	B	125,760	GAAP
(20) POVERELLO FOUNDATION	B	1,476,030	GAAP
(21) MAYO CLINIC ARIZONA	C	297,656,921	GAAP
(22) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	C	384,692	GAAP
(23) MAYO CLINIC HOSPITAL - ROCHESTER	C	600,009,900	GAAP
(24) MAYO CLINIC JACKSONVILLE	C	114,569,945	GAAP
(25) POVERELLO FOUNDATION	C	44,564,602	GAAP
(26) MCHS--NORTHWEST WISCONSIN REGION INC	D	4,080,000	GAAP
(27) MAYO INSURANCE COMPANY LTD	F	4,000,000	GAAP
(28) CHARTERHOUSE INC	L	1,008,755	GAAP
(29) GOLD CROSS AMBULANCE SERVICE	L	5,370,907	GAAP
(30) MAYO CLINIC ARIZONA	L	25,581,691	GAAP
(31) MAYO CLINIC FLORIDA	L	2,451,998	GAAP
(32) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	L	7,608,711	GAAP
(33) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	L	7,759,109	GAAP
(34) MAYO CLINIC HOSPITAL - ROCHESTER	L	13,237,558	GAAP
(35) MAYO CLINIC JACKSONVILLE	L	14,078,235	GAAP
(36) MAYO CLINIC SUPPORT SERVICES TEXAS	L	174,323	GAAP
(37) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	L	6,204,117	GAAP
(38) MCHS--NORTHWEST WISCONSIN REGION INC	L	9,978,695	GAAP
(39) MCHS-FAIRMONT	L	53,721	GAAP
(40) MCHS-FRANCISCAN MEDICAL CENTER INC	L	6,158,704	GAAP
(41) MCHS-LAKE CITY	L	173,235	GAAP
(42) MCHS-PHARMACY & HOME MEDICAL INC	L	84,673	GAAP
(43) CHARTERHOUSE INC	M	59,801	GAAP
(44) GOLD CROSS AMBULANCE SERVICE	M	7,257,843	GAAP
(45) MAYO CLINIC ARIZONA	M	1,084,761	GAAP
(46) MAYO CLINIC HOSPITAL - ROCHESTER	M	7,045,728	GAAP
(47) MAYO CLINIC JACKSONVILLE	M	4,208,228	GAAP
(48) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	M	128,664,040	GAAP
(49) CHARTERHOUSE INC	N	84,094	GAAP
(50) MAYO CLINIC ARIZONA	N	3,093,498	GAAP
(51) MAYO CLINIC FLORIDA	N	10,934,462	GAAP
(52) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	N	4,251,013	GAAP
(53) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	N	4,225,232	GAAP
(54) MAYO CLINIC HOSPITAL - ROCHESTER	N	3,863,340	GAAP
(55) MAYO CLINIC JACKSONVILLE	N	16,010,822	GAAP
(56) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	N	39,394,067	GAAP
(57) MCHS--NORTHWEST WISCONSIN REGION INC	N	4,881,236	GAAP
(58) MCHS-FAIRMONT	N	673,974	GAAP
(59) MCHS-FRANCISCAN MEDICAL CENTER INC	N	3,599,913	GAAP
(60) MCHS-LAKE CITY	N	682,404	GAAP
(61) MCHS-PHARMACY & HOME MEDICAL INC	N	357,729	GAAP
(62) MCHS-ST JAMES	N	661,321	GAAP
(63) CHARTERHOUSE INC	P	52,955	GAAP
(64) FRANKLIN HEATING STATION	P	34,711,517	GAAP
(65) MAYO CLINIC ARIZONA	P	424,738	GAAP
(66) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	P	62,526	GAAP
(67) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	P	1,717,854	GAAP
(68) MAYO CLINIC HOSPITAL - ROCHESTER	P	6,928,085	GAAP
(69) MAYO CLINIC JACKSONVILLE	P	223,927	GAAP
(70) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	P	4,422,052,690	GAAP
(71) GOLD CROSS AMBULANCE SERVICE	Q	125,920	GAAP
(72) MAYO CLINIC ARIZONA	Q	4,867,023	GAAP
(73) MAYO CLINIC FLORIDA	Q	91,146	GAAP
(74) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	Q	2,897,845	GAAP
(75) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	Q	2,922,373	GAAP
(76) MAYO CLINIC HOSPITAL - ROCHESTER	Q	368,205,226	GAAP
(77) MAYO CLINIC JACKSONVILLE	Q	5,366,927	GAAP
(78) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	Q	4,434,446	GAAP
(79) MCHS--NORTHWEST WISCONSIN REGION INC	Q	2,286,964	GAAP
(80) MCHS-FAIRMONT	Q	181,003	GAAP
(81) MCHS-FRANCISCAN MEDICAL CENTER INC	Q	1,799,281	GAAP
(82) MCHS-LAKE CITY	Q	109,741	GAAP
(83) CHARTERHOUSE INC	R	602,791	GAAP
(84) GOLD CROSS AMBULANCE SERVICE	R	251,070	GAAP
(85) MAYO CLINIC ARIZONA	R	16,859,456	GAAP
(86) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	R	6,222,825	GAAP
(87) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	R	5,904,949	GAAP
(88) MAYO CLINIC HOSPITAL - ROCHESTER	R	466,048	GAAP
(89) MAYO CLINIC JACKSONVILLE	R	8,905,067	GAAP
(90) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	R	353,872	GAAP
(91) MAYO HOLDING COMPANY	R	811,054	GAAP
(92) MCHS--NORTHWEST WISCONSIN REGION INC	R	15,546,505	GAAP
(93) MCHS-FRANCISCAN MEDICAL CENTER INC	R	1,128,996	GAAP
(94) MCHS-LAKE CITY	R	251,841	GAAP
(95) MCHS-PHARMACY & HOME MEDICAL INC	R	59,151	GAAP
(96) MCHS-ST JAMES	R	317,829	GAAP
(97) CHARTERHOUSE INC	S	3,794,568	GAAP
(98) FRANKLIN HEATING STATION	S	1,059,390	GAAP
(99) GOLD CROSS AMBULANCE SERVICE	S	8,949,066	GAAP
(100) MAYO CLINIC ARIZONA	S	13,861,016	GAAP
(101) MAYO CLINIC FLORIDA	S	2,740,269	GAAP
(102) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	S	2,645,182	GAAP
(103) MAYO CLINIC HOSPITAL - ROCHESTER	S	201,323,722	GAAP
(104) MAYO CLINIC JACKSONVILLE	S	5,980,175	GAAP
(105) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	S	272,114,151	GAAP
(106) MCHS--DECORAH CLINIC PHYSICIANS	S	75,804	GAAP
(107) MCHS-FAIRMONT	S	449,501	GAAP

Schedule R (Form 990) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: EDUCATION, RESEARCH AND PATIENT CARE
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	31
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	25,479
6	Total number of volunteers (estimate if necessary) .............	6	741
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	689,856,985
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	117,909,802

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,722,852,961	1,975,507,156
9	Program service revenue (Part VIII, line 2g) .........	3,965,257,114	4,050,035,431
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	394,860,611	323,162,453
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	59,260,630	74,654,454
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	6,142,231,316	6,423,359,494
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	696,637,480	204,564,712
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)	2,605,554,531	2,805,440,917
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	700,510	941,836
b	Total fundraising expenses (Part IX, column (D), line 25) 41,541,364
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,526,753,240	2,616,840,186
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,829,645,761	5,627,787,651
19	Revenue less expenses. Subtract line 18 from line 12.......	312,585,555	795,571,843
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	11,310,805,903	12,305,407,265
21	Total liabilities (Part X, line 26).............	9,203,875,285	9,273,937,859
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,106,930,618	3,031,469,406

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 250,664,408 including grants of $ 13,907,145 ) (Revenue $ 57,478,291 )
	MEDICAL EDUCATION(SEE SCHEDULE O FOR DESCRIPTION):

4b	(Code: ) (Expenses $ 3,393,496,934 including grants of $ ) (Revenue $ 3,108,386,348 )
	PATIENT CARE (SEE SCHEDULE O FOR DESCRIPTION)

4c	(Code: ) (Expenses $ 648,809,218 including grants of $ 47,536,551 ) (Revenue $ 7,565,401 )
	RESEARCH (SEE SCHEDULE O FOR DESCRIPTION)

	(Code: ) (Expenses $ 143,121,015 including grants of $ 143,121,016 ) (Revenue $ 917,793,232 )
	COMMUNITY CONTRIBUTIONS:COMMUNITY GIVING AND INVOLVEMENT IS A VALUE-DRIVEN PRIORITY AT MAYO CLINIC. QUALITY PATIENT CARE, RESEARCH AND EDUCATION ARE BEST ADVANCED WITHIN A VIBRANT LOCAL COMMUNITY, WITH STRONG SOCIETAL FOUNDATIONS, SUCH AS EDUCATION, HEALTH, INCLUSIVITY, A DIVERSE ECONOMY, SUPPORTIVE SOCIAL SERVICES, AND AMENITIES THAT MAKE ROCHESTER A DESIRABLE PLACE TO LIVE AND SUPPORT SOCIAL DETERMINANTS OF HEALTH. A THRIVING COMMUNITY RELIES ON A VARIETY OF ORGANIZATIONS TO PROVIDE VITAL SERVICES AND PROGRAMS TO MEET COMMUNITY NEEDS. LIKE MOST CITIES, ROCHESTER FACES FUNDAMENTAL SOCIO-ECONOMIC CHALLENGES SUCH AS HUNGER, POVERTY, UNEQUAL ACCESS TO HEALTH CARE AND HEALTH DISPARITIES. ROCHESTER IS ALSO AN INCREASINGLY DIVERSE COMMUNITY, WITH NEWCOMERS WHO NEED HELP IN ASSIMILATING TO THEIR NEW ENVIRONMENT. MAYO CLINIC'S COMMUNITY ENGAGEMENT DIVISION WORKS TO BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL GOVERNMENTAL AGENCIES, COMMUNITY GROUPS, AND ORGANIZATIONS TO BUILD ADDITIONAL CAPACITY AND ENSURE SUSTAINABILITY TO MEET THESE EVER INCREASING NEEDS. MAYO CLINIC MAKES FINANCIAL AND IN-KIND CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS BASED ON IDENTIFIED COMMUNITY HEALTH NEEDS AND FOR A VARIETY OF INITIATIVES SUCH AS HEALTH AND WELLNESS, HUMAN SERVICES, CAPACITY BUILDING, DIVERSITY AND INCLUSION, HOUSING, EDUCATION-WORKFORCE DEVELOPMENT, YOUTH ENRICHMENT (ESPECIALLY AT-RISK YOUTH) AND THE ARTS AND CULTURE. MAYO CLINIC STRIVES TO MAINTAIN A CONTRIBUTIONS PROGRAM THAT IS FISCALLY RESPONSIBLE AND SOCIALLY ACCOUNTABLE THROUGH CONTINUOUS EVALUATION, AND ALIGNED WITH ITS MISSION AS A NON-PROFIT ORGANIZATION. IN 2018, MAYO CLINIC'S COMMUNITY CONTRIBUTIONS PROGRAM PROVIDED MORE THAN $2 MILLION TO MORE THAN 115 NON-PROFIT ORGANIZATIONS. HIGHLIGHTS OF COMMUNITY GIVING INCLUDE: FINANCIAL AND IN-KIND SUPPORT TO THE SALVATION ARMY GOOD SAMARITAN MEDICAL AND DENTAL CLINICS, THE ZUMBRO VALLEY MENTAL HEALTH CENTER AND SEVERAL LOCAL COMMUNITY DENTAL CLINICS TO SERVE LOCAL CITIZENS AND FAMILIES WHO CANNOT OTHERWISE AFFORD CARE AND INCREASE COMMUNITY HEALTH CARE ACCESS POINTS FOR ALL RESIDENTS.CAPITAL SUPPORT TO COMMUNITY DENTAL SERVICES, THE EMPOWERMENT CENTER, AND THE READING CENTER TO HELP LOCAL RESIDENTS GAIN ACCESS TO DENTAL CARE, LITERACY SERVICES AND HOUSING SUPPORT FOR SINGLE PARENT FAMILIES. * FINANCIAL SUPPORT TO "CRADLE-TO-CAREER," A DISTRICT-WIDE EFFORT TO IMPROVE EDUCATIONAL ATTAINMENT AMONG K-12 STUDENTS, AFTER-SCHOOL YOUTH ENRICHMENT PROGRAMS AND WORKFORCE DEVELOPMENT PROGRAMS TO SUPPORT LIFELONG LEARNING AND ECONOMIC STABILITY.MAYO CLINIC SUPPORTS HOSPITALITY HOUSES IN THE COMMUNITY SUCH AS THE RONALD MCDONALD HOUSE, THE HOPE LODGE, AND THE GIFT OF LIFE TRANSPLANT HOUSE. THESE FACILITIES PROVIDE MORE THAN 5,500 PATIENTS AND THEIR FAMILIES WITH SERIOUS AND COMPLICATED ILLNESSES WITH AN AFFORDABLE, WELCOMING RESIDENCE DURING THEIR LENGTHY VISITS TO ROCHESTER FOR EXTENDED CARE.MAYO CLINIC PARTICIPATES IN THE COALITION FOR COMMUNITY HEALTH ACCESS INTEGRATION (CCHI), WHICH IS A PARTNERSHIP OF LOCAL AND REGIONAL COMMUNITY HEALTH CARE AND HUMAN SERVICES ORGANIZATIONS. CCHI'S MISSION IS TO CREATE OPPORTUNITIES TO COORDINATE AND INTEGRATE EFFICIENT AND EFFECTIVE SERVICES ACROSS ORGANIZATIONS TO IMPROVE THE HEALTH AND WELL-BEING OF THE OLMSTED COUNTY COMMUNITY.MAYO CLINIC PARTNERS WITH THE OLMSTED COUNTY HEALTH DEPARTMENT, OLMSTED COUNTY MEDICAL CENTER AND OTHER AREA HEALTH PROVIDERS TO PREPARE FOR AND COORDINATE RESPONSES TO HEALTH RELATED EMERGENCIES SUCH AS EPIDEMICS AND NATURAL DISASTERS WITH THE THREAT OF MASS INJURIES/MORTALITIES.IN 2018 MAYO CLINIC CONTINUED TO HELP LEAD THE ROCHESTER AREA HOUSING COALITION, A COLLABORATIVE PROGRAM AMONG LOCAL COMMUNITY SERVICE PROVIDERS TO CREATE AND PRESERVE AFFORDABLE AND WORKFORCE PRICED HOUSING IN THE ROCHESTER AREA.HEALTH INFORMATION:MAYO CLINIC PUBLISHES A VARIETY OF HEALTH INFORMATION RESOURCES TO MAKE THE RESULTS OF ITS RESEARCH AND EDUCATION PROGRAMS AVAILABLE TO THE MEDICAL COMMUNITY AND TO THE GENERAL PUBLIC. MAYO CLINIC PROCEEDINGS (A MONTHLY JOURNAL FOR PHYSICIANS AND OTHER MEDICAL PERSONNEL), MAYO CLINIC HEALTH LETTER (A MONTHLY NEWSLETTER PROVIDING HEALTH INFORMATION FOR CONSUMERS), SPECIALTY SERVICES AND PRACTICE NEWSLETTERS AND NUMEROUS HEALTH-RELATED BOOKS FOR HEALTHCARE PROFESSIONALS AND CONSUMERS ARE PUBLISHED. FROM AN ONLINE PERSPECTIVE, MAYO CLINIC HOSTS BLOGS, PODCASTS AND A VARIETY OF ONLINE HEALTH INFORMATION FOR CONSUMERS, PATIENTS, HEALTH CARE PROFESSIONALS, PHYSICIANS AND OTHER SPECIALIZED GROUPS.GRANTS TO AFFILIATES: ADDITIONAL GRANTS ARE GRANTS BETWEEN MAYO CLINIC ENTITIES IN ORDER TO SUPPORT OUR EXEMPT PURPOSES OF EDUCATION, PATIENT CARE AND RESEARCH.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 143,121,015 including grants of $ 143,121,016 ) (Revenue $ 917,793,232 )
4e	Total program service expenses4,436,091,575

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	30,032,048	24,787,129	3,898,930

1a	Federated campaigns..		1a	96,565
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,062,290,899
e	Government grants (contributions)		1e	278,277,662

f	All other contributions, gifts, grants, and similar amounts not included above		1f	634,842,030

g	Noncash contributions included in lines 1a - 1f:$ 20,540,747
h Total. Add lines 1a-1f.......		1,975,507,156

		Business Code
2a	NET PATIENT CARE	621110	3,059,905,001	2,368,994,898	690,910,103
b	SHARED SERVICES	561000	917,793,232	910,569,734		7,223,498
c	EDUCATION	611600	57,478,292	57,478,292
d	RESEARCH	541700	7,565,401	4,721,147	2,844,254
e	MEDICAL PRODUCT SALES	446199	7,293,505	7,293,505
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		4,050,035,431

3 Investment income (including dividends, interest, and othersimilar amounts) ......			31,066,834		-21,138,298	52,205,132
4 Income from investment of tax-exempt bond proceeds			469,119			469,119
5 Royalties...........			28,337,197	28,337,197
		(ii) Personal	(i) Real
6a	Gross rents		2,029,980
b	Less: rental expenses		1,866,998
c	Rental income or (loss)		162,982
d	Net rental income or (loss)......			162,982			162,982
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	8,017,143	2,508,846,958
b	Less: cost or other basis and sales expenses	13,634,353	2,211,603,248
c	Gain or (loss)	-5,617,210	297,243,710
d	Net gain or (loss).....			291,626,500			291,626,500
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		132,713
b	Less: cost of goods sold ..b		84,408
c	Net income or (loss) from sales of inventory..			48,305		48,305
Business Code			Miscellaneous Revenue
11a	MISC CONSULTING		541610	26,433,377	4,599,340	16,377,739	5,456,298
b	MISC. REVENUE		900099	7,985,479	1,364,760	814,882	5,805,837
c	CAFETERIA/VENDING		722310	6,530,052	6,530,052
d	All other revenue ....			5,157,062	356,492		4,800,570
e	Total. Add lines 11a–11d ......			46,105,970
12	Total revenue. See Instructions......			6,423,359,494	3,390,245,417	689,856,985	367,749,936

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	189,070,068	189,070,068
2	Grants and other assistance to domestic individuals. See Part IV, line 22	13,991,760	13,991,760
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	1,502,884	1,502,884
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	17,097,188	14,321,622	2,149,695	625,871
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	21,571,997	18,375,741	3,196,256
7	Other salaries and wages	2,168,129,373	2,097,614,472	52,100,619	18,414,282
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	205,200,085	198,258,863	5,199,351	1,741,871
9	Other employee benefits .......	260,624,215	252,134,444	6,272,749	2,217,022
10	Payroll taxes ...........	132,818,059	128,493,330	3,195,367	1,129,362
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,032,512	618,025	47,852	366,635
c	Accounting ...........	390,368	390,368
d	Lobbying ...........	800,773	800,773
e	Professional fundraising services. See Part IV, line 17	941,836			941,836
f	Investment management fees ......	4,446,748	18,196	4,428,552
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,317,925,617	401,764,213	906,703,684	9,457,720
12	Advertising and promotion ....	15,704,952	14,682,401	941,528	81,023
13	Office expenses .......	201,890,460	194,267,125	4,866,751	2,756,584
14	Information technology ......	152,676,104	42,697,621	109,762,966	215,517
15	Royalties ..	2,373,731	2,367,728	2,230	3,773
16	Occupancy ...........	79,836,320	43,359,551	35,159,126	1,317,643
17	Travel ............	68,993,121	65,566,156	1,776,868	1,650,097
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	8,778,705	8,736,054	40,619	2,032
20	Interest ...........	93,623,265	86,389,171	7,234,094
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	187,516,413	185,286,941	2,153,976	75,496
23	Insurance ...	13,573,148	13,572,853	295
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	320,338,116	320,338,116
b	UBIT	23,997,935	23,997,935
c	MN CARE TAX	50,486,124	50,486,124
d	BAD DEBT EXPENSE	39,259,755	39,259,755
e	All other expenses	33,196,019	27,729,285	4,922,134	544,600
25	Total functional expenses. Add lines 1 through 24e	5,627,787,651	4,436,091,575	1,150,154,712	41,541,364
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).

1	Cash–non-interest-bearing ........			3,486,331	1	2,513,119
2	Savings and temporary cash investments .........			1,752,422	2	462
3	Pledges and grants receivable, net ......			281,238,827	3	402,817,614
4	Accounts receivable, net .............			493,105,847	4	432,211,923
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 ....			103,383,218	7	219,206,137
8	Inventories for sale or use ........			8,021,654	8	6,669,532
9	Prepaid expenses and deferred charges ......			18,871,844	9	6,456,807
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,543,810,219
b	Less: accumulated depreciation	10b	2,038,557,457	1,409,772,938	10c	1,505,252,762
11	Investments—publicly traded securities .			326,814,189	11	322,107,196
12	Investments—other securities. See Part IV, line 11 .....			7,519,473,738	12	8,266,135,991
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			1,245,417	14
15	Other assets. See Part IV, line 11 ...........			1,143,639,478	15	1,142,035,722
16	Total assets. Add lines 1 through 15 (must equal line 34)...			11,310,805,903	16	12,305,407,265

17	Accounts payable and accrued expenses .....	2,781,564,496	17	2,200,959,666
18	Grants payable ...		18
19	Deferred revenue .........	45,348,962	19	50,905,241
20	Tax-exempt bond liabilities .........	1,493,476,117	20	1,685,324,936
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 ..	1,164,228,880	23	1,363,981,822
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	3,719,256,830	25	3,972,766,194
26	Total liabilities. Add lines 17 through 25..	9,203,875,285	26	9,273,937,859

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-344,283,719	27	393,444,475
28	Temporarily restricted net assets ...........	1,332,585,206	28	1,310,703,655
29	Permanently restricted net assets	1,118,629,131	29	1,327,321,276
	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 ...........	2,106,930,618	33	3,031,469,406
34	Total liabilities and net assets/fund balances ........	11,310,805,903	34	12,305,407,265

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 separately 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; don't 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No