TY 2019 Form 990

- TIN:

Form990

Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter social security numbers on this form as it may be made public.

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

OMB No. 1545-0047

2019

Open to Public Inspection

A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019

BCheck if applicable: Address change Name change Initial return Final return/terminated Amended return Application pending

CName of organization
MAYO CLINIC

Doing business as

Number and street (or P.O. box if mail is not delivered to street address)
200 FIRST STREET SW NO TAX

Room/suite

City or town, state or province, country, and ZIP or foreign postal code
ROCHESTER, MN55905

D Employer identification number

41-6011702

E Telephone number

G Gross receipts $ 9,745,884,969

F Name and address of principal officer:
GIANRICO FARRUGIA MD
200 FIRST STREET SW NO TAX
ROCHESTER,MN55905

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

WWW.MAYOCLINIC.ORG

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

5983

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1919

M State of legal domicile: MN

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: PATIENT CARE, RESEARCH AND EDUCATION
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 2019 (Part V, line 2a) ......	5	26,211
6	Total number of volunteers (estimate if necessary) .............	6	1,601
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	763,141,498
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	117,334,059

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,975,507,156	2,194,234,892
9	Program service revenue (Part VIII, line 2g) .........	4,050,035,431	4,015,535,000
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	323,162,453	523,751,881
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	74,654,454	85,901,148
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	6,423,359,494	6,819,422,921
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	204,564,712	469,941,762
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)	2,805,440,917	2,716,211,079
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	941,836	1,028,755
b	Total fundraising expenses (Part IX, column (D), line 25) 44,680,185
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,616,840,186	2,497,578,933
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,627,787,651	5,684,760,529
19	Revenue less expenses. Subtract line 18 from line 12.......	795,571,843	1,134,662,392
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	12,305,407,265	13,128,051,185
21	Total liabilities (Part X, line 26).............	9,273,937,859	9,359,845,452
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,031,469,406	3,768,205,733

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ..........YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y Form 990 (2019)

Form 990 (2019)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response or note to any line in this Part III..............

Briefly describe the organization’s mission: 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.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ..................... Yes No

If "Yes," describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ........................... Yes No

If "Yes," describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 3,642,552,459 including grants of $ 406,063,773 ) (Revenue $ 3,995,172,085 )
	PATIENT CARE (SEE SCHEDULE O FOR DESCRIPTION)PATIENT CARE:MAYO CLINIC IS AN INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE. ITS STANDARD OF CARE BRINGS TOGETHER TEAMS OF EXPERTS TO PROVIDE HIGH-QUALITY, AFFORDABLE AND COMPASSIONATE CARE TO EACH PATIENT CONSISTENT WITH MAYO CLINIC'S PRIMARY VALUE - THE NEEDS OF THE PATIENT COME FIRST. MAYO CLINIC'S MISSION IS TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH. MAYO CLINIC'S HERITAGE OF COLLABORATIVE MEDICAL EXPERTISE IS COMBINED WITH CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS, RESULTING IN A THOROUGH AND PERSONAL APPROACH TO HEALTH CARE.PATIENT CARE ADVANCED THROUGH EDUCATION AND RESEARCH IS THE FOUNDATION OF MAYO CLINIC'S MISSION. TO ACCOMPLISH ITS MISSION, MAYO CLINIC NOT ONLY PROVIDES A VARIETY OF PROGRAMS IN DIRECT PATIENT CARE, MEDICAL EDUCATION AND RESEARCH, BUT ALSO SERVES AS THE PARENT ORGANIZATION OF A MULTI-ENTITY ORGANIZATION 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 APPROXIMATELY 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. IN 2019, THE ORGANIZATION REINFORCED ITS LEADERSHIP IN PATIENT CARE, RESEARCH AND EDUCATION TO DRIVE FORWARD THE TRANSFORMATION OF HEALTH CARE OVER THE NEXT DECADE. WITH DIGITAL INNOVATIONS AND NEW TECHNOLOGIES, MAYO CLINIC IS MOVING QUICKLY TO EXTEND ITS COMPASSIONATE CARE, EXPERTISE AND RESEARCH, AND IS REINVESTING IN PEOPLE AND FACILITIES IN THE COMMUNITIES IT SERVES. MAYO CLINIC HAS ACCELERATED ITS INVESTMENT IN THE DIGITAL TRANSFORMATION OF HEALTH CARE, AS PART OF ITS 2030 STRATEGY TO TRANSFORM PATIENT AND CLINICIAN EXPERIENCES AND SOLVE HUMANITY'S MOST COMPLEX MEDICAL CHALLENGES. MAYO CLINIC REMAINS TOP-RANKED IN QUALITY MORE THAN ANY OTHER HEALTH CARE ORGANIZATION BY INDEPENDENT GROUPS, SUCH AS THE NURSING MAGNET RECOGNITION PROGRAM, PRESS GANEY PATIENT EXPERIENCE AWARDS, THE CENTERS FOR MEDICARE & MEDICAID SERVICES OVERALL HOSPITAL QUALITY STAR RATINGS, LEAPFROG HOSPITAL SAFETY SURVEY AND THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM. IN 2019, MAYO CLINIC IN ROCHESTER, MINNESOTA, AGAIN WAS RANKED THE NO. 1 HOSPITAL IN THE NATION AND NO. 1 IN MORE SPECIALTIES THAN ANY OTHER HOSPITAL BY U.S. NEWS & WORLD REPORT.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.THROUGH MAYO CLINIC'S CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE, MAYO CLINIC COLLABORATES WITH DIVERSE COMMUNITY MEMBERS TO HELP COMMUNITY MEDICAL PROVIDERS INCORPORATE PRACTICE-BASED AND RESEARCH-BASED KNOWLEDGE TO IMPROVE OVERALL COMMUNITY HEALTH OUTCOMES AND ELIMINATE HEALTH DISPARITIES. EACH YEAR, PEOPLE FROM ALL 50 STATES AND APPROXIMATELY 135 COUNTRIES COME TO MAYO CLINIC FOR CARE. DURING 2019, MAYO CLINIC PROVIDED SERVICES TO APPROXIMATELY 413,000 OUTPATIENT VISITORS. TOTAL PATIENT VISITS FOR MAYO CLINIC AND ITS AFFILIATES DURING 2019 WERE APPROXIMATELY 1.2 MILLION. MAYO CLINIC PROVIDES CARE TO PEOPLE COVERED BY GOVERNMENTAL PROGRAMS SUCH AS MEDICARE AND MEDICAID, AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. IN 2019, THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICAID AND MINNESOTA CARE (A PROGRAM THAT PROVIDES MEDICAL ASSISTANCE FOR LOW INCOME POPULATIONS) WAS APPROXIMATELY $212,234,000. THIS AMOUNT INCLUDES APPROXIMATELY $44,105,000 PAID TO MINNESOTACARE. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $999,066,000 AND THE COST OF CHARITY CARE PROVIDED IN 2019 WAS APPROXIMATELY $28,395,000.IN 2019, WITH SYSTEM-WIDE REVENUES OF $13.8 BILLION, MAYO CLINIC AND ITS AFFILIATES PROVIDED $590 MILLION IN CARE TO PEOPLE IN NEED. THIS TOTAL INCLUDES $96 MILLION IN CHARITY CARE AND $494 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. APPROXIMATELY 55 PERCENT OF MAYO'S TOTAL MEDICAL SERVICES PROVIDED ARE FOR MEDICARE AND MEDICAID PATIENTS. MAYO CLINIC AND ITS AFFILIATES CONTRIBUTED MORE THAN $7 MILLION IN CASH AND IN-KIND DONATIONS TO LOCAL COMMUNITIES. THE MAYO CLINIC CARE NETWORK CONSISTS OF INDEPENDENT HEALTH-CARE ORGANIZATIONS THAT SHARE A COMMON GOAL OF IMPROVING DELIVERY OF HEALTH CARE IN THEIR COMMUNITIES THROUGH HIGH-QUALITY, DATA DRIVEN AND EVIDENCE BASED MEDICAL CARE. MEMBERS OF THE NETWORK HAVE ACCESS TO MAYO CLINIC KNOWLEDGE, COLLABORATION TOOLS, DISEASE MANAGEMENT PROTOCOLS, CLINICAL CARE GUIDELINES, TREATMENT RECOMMENDATIONS, PATIENT EDUCATION MATERIALS AND CONTINUING MEDICAL EDUCATION OPPORTUNITIES. THE MAIN GOAL OF THE NETWORK IS TO HELP PEOPLE GAIN THE BENEFITS OF MAYO CLINIC EXPERTISE WITHOUT HAVING TO TRAVEL TO A MAYO CLINIC FACILITY. FOR 2019, THE MAYO CLINIC CARE NETWORK CONSISTED OF APPROXIMATELY 45 MEMBERS LOCATED IN THE UNITED STATES, CHINA, EGYPT, INDIA, MEXICO, SAUDI ARABIA, SOUTH KOREA, SINGAPORE AND THE UNITED ARAB EMIRATES. THROUGH THE MAYO CLINIC CARE NETWORK, MORE THAN 15 MILLION PATIENTS AND CARE TEAMS HAVE ACCESS TO MAYO CLINIC KNOWLEDGE, CLINICAL PROTOCOLS AND CONSULTATIONS VIA MAYO'S CONNECTED CARE PLATFORM.HEALTH INFORMATION IS VIEWED AS AN IMPORTANT PART OF MAYO CLINIC'S PATIENT CARE MISSION. MAYO CLINIC, IN CONJUNCTION WITH ITS AFFILIATES, PROVIDES A VARIETY OF HEALTH INFORMATION RESOURCES (BOOKS, NEWSLETTER, ON-LINE CONTENT, ETC.) TO PATIENTS, CONSUMERS AND THE GENERAL PUBLIC.MAYO CLINIC'S SOCIAL MEDIA NETWORK IS A NETWORK OF HEALTH CARE ORGANIZATIONS, HOSPITALS AND MEDICAL PROFESSIONALS COMMITTED TO BROADER AND DEEPER ENGAGEMENT IN SOCIAL MEDIA TO HELP IMPROVE HEALTH CARE LITERACY, HEALTH CARE DELIVERY AND POPULATION HEALTH WORLDWIDE.MAYO CLINIC LIBRARIES REFLECT AN INTEGRATED SYSTEM OF LIBRARIES, KNOWLEDGE CENTERS AND ARCHIVES. THE BREADTH OF THESE RESOURCES AND THEIR INTEGRATION MAKES THE MAYO CLINIC LIBRARIES AMONG THE MOST COMPREHENSIVE IN NORTH AMERICA. THE LIBRARIES SUPPORT HOSPITALIZED PATIENTS AND THEIR FAMILIES, ALONG WITH SUPPORTING EMPLOYEES, RESEARCHERS, FACULTY AND STUDENTS IN THEIR CARE OF PATIENTS AND MEDICAL RESEARCH.COMMUNITY GIVING AND INVOLVEMENT IS A VALUE-DRIVEN PRIORITY AT MAYO CLINIC. QUALITY PATIENT CARE IS BEST ADVANCED WITHIN A VIBRANT LOCAL COMMUNITY, WITH STRONG SOCIETAL FOUNDATIONS, SUCH AS EDUCATION, HEALTH, INCLUSIVITY, A DIVERSE ECONOMY, SUPPORTIVE SOCIAL SERVICES, AND AMENITIES THAT MAKE ROCHESTER A DESIRABLE PLACE TO LIVE AND SUPPORT SOCIAL DETERMINANTS OF HEALTH. MAYO CLINIC'S COMMUNITY CONTRIBUTIONS PROGRAM PROVIDES FINANCIAL AND IN-KIND SUPPORT TO NON-PROFIT ORGANIZATIONS IN SUPPORT OF THESE EFFORTS.

4b	(Code: ) (Expenses $ 709,959,642 including grants of $ 44,905,291 ) (Revenue $ 5,700,835 )
	MEDICAL RESEARCH (SEE SCHEDULE O FOR DESCRIPTION)MEDICAL RESEARCH:MAYO CLINIC IS ONE OF THE PREMIER MEDICAL RESEARCH ORGANIZATIONS IN THE WORLD. INNOVATION AND IMPROVEMENT OF SCIENCE AND THE DELIVERY OF HEALTH CARE ARE ENHANCED THROUGH MAYO CLINIC'S RESEARCH PROGRAMS. CLINICAL PRACTICE OBSERVATIONS BECOME THE BASIS FOR RESEARCH STUDIES AND THE FINDINGS FROM RESEARCH FLOW BACK INTO THE PRACTICE TO IMPROVE PATIENT CARE AND OUTCOMES. PHYSICIAN/RESEARCHERS AND CAREER SCIENTISTS' WORK IN TANDEM TO ADVANCE MEDICINE AND TO IMPROVE THE HEALTH AND WELLBEING OF NOT JUST MAYO CLINIC PATIENTS, BUT ALSO THE PUBLIC AT LARGE, AS THESE FINDINGS ARE DISSEMINATED WORLDWIDE.RESEARCH AT MAYO CLINIC INVOLVES MEDICAL PROFESSIONALS COMMITTED TO SEARCHING FOR ANSWERS TO COMPLEX MEDICAL PROBLEMS WITH THE GOAL OF BRINGING NEW SOLUTIONS AND ADVANCED CARE RAPIDLY TO PATIENTS THROUGHOUT THE WORLD. RESEARCH ACTIVITIES INCLUDE BASIC SCIENCE RESEARCH, CLINICAL TRIALS, TRANSLATIONAL RESEARCH AND HUMAN RESEARCH STUDIES. DURING 2019, MAYO CLINIC, IN CONJUNCTION WITH ITS AFFILIATES, HAD OVER 4,200 RESEARCH PERSONNEL, 23 CORE LABORATORIES, OVER 11,600 ACTIVE INSTITUTIONAL REVIEW BOARD-APPROVED STUDIES, OVER 3,100 NEW HUMAN RESEARCH STUDIES APPROVED BY THE INSTITUTIONAL REVIEW BOARD AND MORE THAN 8,700 RESEARCH AND REVIEW ARTICLES PUBLISHED IN PEER-REVIEWED JOURNALS. MANY OF THESE PERSONNEL, LABORATORIES, STUDIES AND ARTICLES ARE LOCATED OR PERFORMED BY MAYO CLINIC IN ROCHESTER, MINNESOTA. FUNDING OF RESEARCH ACTIVITIES AT MAYO CLINIC COMES FROM GRANTS AND CONTRACTS AS WELL AS FROM MAYO FUNDS AND GIFTS FROM GENEROUS BENEFACTORS.

4c	(Code: ) (Expenses $ 266,462,342 including grants of $ 18,972,697 ) (Revenue $ 58,060,521 )
	MEDICAL EDUCATION (SEE SCHEDULE O FOR DESCRIPTION)MEDICAL EDUCATION:MEDICAL EDUCATION, RESEARCH TRAINING, CONTINUOUS MEDICAL LIFE-LONG LEARNING AND A COMMITTED QUEST FOR NEW KNOWLEDGE ARE INTEGRAL FUNCTIONS OF MAYO CLINIC. OUR WORLD-RENOWNED EDUCATIONAL PROGRAMS INFORM, INSTRUCT, AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS AND OUR COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING. THESE PROGRAMS SPAN THE CONTINUUM OF HEALTH CARE AND ENSURE THE MAYO MODEL OF CARE IS PERPETUATED AND SHARED BROADLY. MAYO CLINIC IS COMMITTED TO PROVIDING USEFUL, TIMELY KNOWLEDGE AND SKILLS THAT REFLECT ITS STANDARDS OF EXCELLENCE AND ITS DEDICATION TO FINDING ANSWERS FOR UNMET PATIENT NEEDS: EDUCATING THE NEXT GENERATION OF PHYSICIANS, MEDICAL RESEARCHERS AND HEALTH PROFESSIONALS WITH TRANSFORMATIVE CURRICULA THAT FOCUSES NOT ONLY ON HELPING THE PATIENT, BUT ALSO IMPROVING THE HEALTH CARE SYSTEM;SHARING KNOWLEDGE AND INNOVATIVE BEST PRACTICES FREELY IN THE SPIRIT OF COLLABORATION TO ADVANCE THE SCIENCE OF MEDICINE AND THE ART OF COMPASSIONATE, PATIENT-CENTERED CARE;EMPOWERING PEOPLE TO MANAGE THEIR HEALTH THROUGH PATIENT EDUCATION AND SHARED DECISION-MAKING MEDICAL TRAINING;SPREADING MAYO'S MEDICAL EXPERTISE, EDUCATION AND RESEARCH FINDINGS THROUGHOUT THE WORLD TO IMPROVE HEALTH CARE FOR ALL.WORKING COLLABORATIVELY AT A NATIONAL LEVEL TO MODERNIZE AND TRANSFORM MEDICAL EDUCATION TO ADDRESS AREAS SUCH AS IMPROVING HEALTH CARE DELIVERY, PHYSICIAN BURN-OUT, POPULATION HEALTH ISSUES, AND TEAM-BASED CARE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE'S FIVE SCHOOLS: 1. MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION IS ONE OF THE NATION'S LARGEST SCHOOLS OF GRADUATE MEDICAL EDUCATION WITH ANNUAL ENROLLMENT OF APPROXIMATELY 1,790 RESIDENT AND FELLOW PHYSICIANS IN TRAINING. THE SCHOOL TRAINS DOCTORS IN APPROXIMATELY 300 RESIDENCY AND FELLOWSHIP PROGRAMS, REPRESENTING VIRTUALLY EVERY MEDICAL SPECIALTY. IN ADDITION, MANY GRADUATES COMPLETE MAYO CLINIC QUALITY ACADEMY TRAINING - A CONCERTED EFFORT TO EDUCATE AND PREPARE TRAINEES TO CONTINUOUSLY EXPLORE WAYS TO IMPROVE PATIENT SAFETY, QUALITY CARE AND ELIMINATE HEALTH DISPARITIES. 2. MAYO CLINIC ALIX SCHOOL OF MEDICINE PROVIDES A FOUR-YEAR MEDICAL EDUCATION PROGRAM LEADING TO DOCTOR OF MEDICINE DEGREES AND JOINT MD/PH.D. DEGREES. FOR 2019 THE SCHOOL HAD APPROXIMATELY 400 STUDENTS ENROLLED ON THE ROCHESTER, MINNESOTA AND SCOTTSDALE, ARIZONA 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 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 IS A PIONEER IN EXPANDING RESEARCH TRAINING OPPORTUNITIES FOR STUDENTS FROM BACKGROUNDS UNDERREPRESENTED IN RESEARCH, INCLUDING VISITING PRE-DOCTORAL AND SUMMER UNDERGRADUATE RESEARCH PROGRAMS WHERE DIVERSE STUDENTS HAVE THE OPPORTUNITY TO WORK WITH WORLD-RENOWNED RESEARCHERS AT MAYO CLINIC CAMPUSES IN ARIZONA, FLORIDA AND MINNESOTA. THE MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES HAS AN ANNUAL ENROLLMENT OF APPROXIMATELY 340 STUDENTS.4. MAYO CLINIC SCHOOL OF HEALTH SCIENCES PREPARES THE ALLIED HEALTH CARE WORKFORCE OF THE FUTURE IN PROGRAMS RANGING FROM A 10-MONTH PHLEBOTOMY CERTIFICATE PROGRAM TO A DOCTORATE IN PHYSICAL THERAPY OR NURSE ANESTHESIA. THE MAYO CLINIC SCHOOL OF HEALTH SCIENCES HAS AN ANNUAL ENROLLMENT OF APPROXIMATELY 1,800 STUDENTS. WITH CAMPUSES IN MINNESOTA, FLORIDA AND ARIZONA, THE SCHOOL PREPARES STUDENTS IN APPROXIMATELY 180 PROGRAMS REPRESENTING APPROXIMATELY 55 HEALTH SCIENCE CAREERS. THE SCHOOL ALSO PROVIDES CLINICAL INTERNSHIPS FOR HUNDREDS OF AFFILIATED SCHOOLS. APPROXIMATELY 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. THE SCHOOL ANNUALLY PROVIDES CONTINUING EDUCATION ACTIVITIES TO APPROXIMATELY 84,000 PARTICIPANTS. PARTICIPANTS INCLUDE MAYO AND NON-MAYO ATTENDEES. MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE ALSO HAS INITIATED MAYO CLINIC EDUCATION PLATFORMS TO DEVELOP AND DELIVER ONLINE EDUCATIONAL OPPORTUNITIES FOR BROAD DISTRIBUTION OF CONTINUING MEDICAL EDUCATION, FACULTY DEVELOPMENT, STUDENT EDUCATION AND FUTURE PATIENT EDUCATION. VIDEO SEMINARS AND ONLINE LEARNING MODULES PROVIDE CONSISTENT KNOWLEDGE DELIVERY ACROSS MULTI-SPECIALTIES AND ALLOW FOR MORE INTERACTIVE FACULTY/STUDENT PARTICIPATION IN THE CLASSROOM SETTING. ONLINE LEARNING ALSO FACILITATES THE ABILITY FOR MAYO CLINIC TO SHARE AND EXPAND THE LATEST MEDICAL KNOWLEDGE AND INNOVATIVE LEARNING OPPORTUNITIES WITH OTHERS OUTSIDE MAYO CLINIC.ANOTHER INITIATIVE IMPLEMENTED THROUGH MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE IS THE OFFICE OF APPLIED SCHOLARSHIP AND EDUCATION SCIENCE (OASES). THIS INNOVATIVE OFFICE PROVIDES EXPERTISE AND SUPPORT IN FACULTY DEVELOPMENT, EDUCATION EVALUATION AND PRINCIPLES AND PRACTICES OF EDUCATION SCIENCE TO ENSURE THE HIGHEST QUALITY OF EDUCATION DELIVERY WITHIN EACH OF THE SCHOOLS WITHIN THE COLLEGE. THE COLLEGE HAS ALSO IMPLEMENTED AN ACADEMY OF EDUCATIONAL EXCELLENCE TO DEVELOP AND RECOGNIZE EDUCATORS TO BETTER PREPARE LEARNERS TO ADVANCE SCIENCE, MEET PATIENTS' NEEDS AND SERVE AS TRANSFORMATIVE LEADERS IN HEALTH CARE.AS PART OF ITS MEDICAL EDUCATION MISSION, MAYO CLINIC SPONSORS MAYO CLINIC PROCEEDINGS, A MONTHLY JOURNAL FOR PHYSICIANS AND OTHER MEDICAL PERSONNEL. THE JOURNAL IS PUBLISHED TO PROMOTE THE BEST INTERESTS OF PATIENTS BY ADVANCING THE KNOWLEDGE AND PROFESSIONALISM OF THE PHYSICIAN COMMUNITY. MAYO CLINIC PROCEEDINGS IS A PEER-REVIEWED CLINICAL JOURNAL IN GENERAL AND INTERNAL MEDICINE AND AMONG THE MOST WIDELY READ AND HIGHLY CITED SCIENTIFIC PUBLICATIONS FOR PHYSICIANS. MAYO CLINIC PROCEEDINGS HAS A CIRCULATION OF APPROXIMATELY 127,000 AND HAS BEEN CONTINUOUSLY PUBLISHED SINCE 1926. MAYO CLINIC PROCEEDINGS' CONTENT FOCUSES ON CLINICAL AND LABORATORY MEDICINE, HEALTH CARE POLICY AND ECONOMICS, MEDICAL EDUCATION AND ETHICS, AND RELATED TOPICS. ALL OF THESE EDUCATIONAL EFFORTS TO DISCOVER, DELIVER, EXPAND AND SHARE MEDICAL KNOWLEDGE PROMOTE MAYO'S CLINIC'S ABILITY TO PERPETUATE THE HIGHEST QUALITY AND SAFETY IN PATIENT CARE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses4,618,974,443

Form 990 (2019)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A Click to see attachment

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

Yes

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment

...

Yes

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I Click to see attachment

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

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II Click to see attachment

.........

Yes

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III Click to see attachment

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I Click to see attachment

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

Yes

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II Click to see attachment

....

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III Click to see attachment

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

Yes

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV Click to see attachment

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

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......

Yes

If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment

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

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII Click to see attachment

.......

11b

Yes

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII Click to see attachment

.......

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX Click to see attachment

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

11d

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X Click to see attachment

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X Click to see attachment

11f

Yes

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII Click to see attachment

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

12a

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment

12b

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E Click to see attachment

Yes

14a

Did the organization maintain an office, employees, or agents outside of the United States? .....

14a

Yes

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment

14b

Yes

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV..... Click to see attachment

Yes

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment

Yes

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) .... Click to see attachment

Yes

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment

20a

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....

20a

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..... Click to see attachment

Yes

Form 990 (2019)

Page 4

Part IV

Checklist of Required Schedules (continued)

Yes

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment

Yes

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment

Yes

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a............... Click to see list of attachments

24a

Yes

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............

24c

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I....................... Click to see attachment

25b

Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II Click to see attachment

...........

Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?

If "Yes," complete

Schedule L, Part III Click to see attachment

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

Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV...................... Click to see attachment

28a

A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV..... Click to see attachment

28b

Yes

A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................

28c

Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M.. Click to see attachment

Yes

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M ................. Click to see attachment

Yes

Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............ Click to see attachment

Yes

Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1......................... Click to see attachment

Yes

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

Yes

If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ... Click to see attachment

35b

Yes

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI Click to see attachment

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Part V

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........

Yes

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..

1,102

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Form 990 (2019)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance (continued)

Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................

26,211

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...

Yes

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..

Yes

If "Yes," enter the name of the foreign country: MediumBullet

GM , CJ , EI , MX , UK
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................

If "Yes," did the organization notify the donor of the value of the goods or services provided? .....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................

Yes

If "Yes," indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................

Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........

Sponsoring organizations maintaining donor advised funds.

Did the sponsoring organization make any taxable distributions under section 4966?........

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If "Yes," enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..

14b

Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.

Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.

Form 990 (2019)

Page 6

Part VI

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response or note to any line in this Part VI..............

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Yes

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .

Yes

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .

Yes

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .......................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

Yes

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

Yes

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Yes

Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If "No," go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Other officers or key employees of the organization ................

15b

Yes

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

Yes

If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Yes

Section C. Disclosure

List the states with which a copy of this Form 990 is required to be filed MediumBullet

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

Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBullet

CORPORATE TAX200 FIRST STREET SW ROCHESTER,MN55905 (507) 538-1297

Form 990 (2019)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response or note to any line in this Part VII..............

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

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

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

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

See instructions for the order in which to list the persons above.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) FARRUGIA MD GIANRICO...................................................................... PRESIDENT/CEO/TRUSTEE	1.00 ................. 40.00	X	X				0	2,685,375	89,785
(2) GOSTOUT MD BOBBIE S...................................................................... TRUSTEE/VP	1.00 ................. 40.00	X	X				0	1,755,460	101,504
(3) BOLTON JEFFREY W...................................................................... TRUSTEE/VP	1.00 ................. 40.00	X	X				0	1,644,114	90,268
(4) HOFFMAN III HARRY N...................................................................... TREASURER	1.00 ................. 40.00		X				0	1,550,323	79,952
(5) KRAUSS MD WILLIAM E...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,392,074	0	91,017
(6) HARPER JR MD CHARLES M...................................................................... TRUSTEE	1.00 ................. 40.00	X					0	1,463,746	36,088
(7) LANZINO MD GIUSEPPE...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,322,691	0	82,559
(8) THIELEN MD KENT R...................................................................... TRUSTEE/VP	1.00 ................. 40.00	X	X				0	1,327,476	88,761
(9) MARSH MD W RICHARD...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,310,323	0	35,725
(10) CLARKE MD MICHELLE J...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,261,446	0	63,018
(11) SPINNER MD ROBERT J...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,257,066	0	65,890
(12) MEYER MD FREDRIC B...................................................................... FORMER KEY EMPLOYEE	0.00 ................. 40.00					X	0	1,308,005	46,558
(13) GORMAN PAUL A...................................................................... ASST TREASURER	1.00 ................. 40.00		X				0	1,257,031	90,450
(14) DAHLEN DENNIS E...................................................................... CFO	1.00 ................. 40.00		X				0	1,229,810	88,659
(15) OTLEY MD CLARK C...................................................................... PHYSICIAN	40.00 ................. 0.00			X			1,088,159	0	86,570
(16) GORES MD GREGORY J...................................................................... PHYSICIAN	40.00 ................. 0.00			X			1,134,741	0	38,037
(17) MURPHY JOSHUA B...................................................................... SECY	1.00 ................. 40.00		X				0	1,075,237	84,069

Form 990 (2019)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) GRAY MD RICHARD J........................................................................ TRUSTEE/VP	1.00 .......................40.00	X	X			0	951,672	74,057
(19) WILLIAMSON MARY J........................................................................ TRUSTEE	40.00 .......................0.00	X				920,644	0	87,097
(20) BERRY MD DANIEL J........................................................................ TRUSTEE	40.00 .......................0.00	X				852,949	0	97,833
(21) DIASIO MD ROBERT B........................................................................ PHYSICIAN	40.00 .......................0.00			X		907,663	0	31,848
(22) CALLSTROM MD MATTHEW R........................................................................ PHYSICIAN	40.00 .......................0.00			X		827,567	0	79,176
(23) MENKOSKY PAULA E........................................................................ TRUSTEE/ASST SECY	1.00 .......................40.00	X	X			0	844,268	87,502
(24) RIHAL MD CHARANJIT S........................................................................ PHYSICIAN	40.00 .......................0.00			X		793,467	0	92,087
(25) NESSE MD ROBERT E........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	873,160	36,748
(26) LUETMER MD PATRICK H........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	767,832	0	98,089
(27) CAMILLERI MD MICHAEL........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	807,468	0	37,175
(28) WALD MD JOHN T........................................................................ PHYSICIAN	40.00 .......................0.00			X		753,201	0	89,087
(29) HEBL MD JAMES R........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	750,750	0	79,054
(30) HAYES MD DAVID L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	784,577	0	40,282
(31) ROGER MD VERONIQUE L........................................................................ TRUSTEE	40.00 .......................0.00	X				732,390	0	85,516
(32) ZORN CHRISTINA K........................................................................ TRUSTEE/ASST SECY	1.00 .......................40.00	X	X			0	752,952	72,793
(33) NOSEWORTHY MD JOHN H........................................................................ FORMER CEO/PRESIDENT	0.00 .......................40.00				X	0	776,844	2,425
(34) AMMASH MD NASER M........................................................................ PHYSICIAN	40.00 .......................0.00			X		693,570	0	81,896
(35) BUSKIRK MD STEVEN J........................................................................ TRUSTEE	1.00 .......................40.00	X				0	752,740	36,879
(36) FOOTE MD ROBERT L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	728,913	0	34,372
(37) LOFTUS MD CONOR G........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	686,991	0	72,191
(38) HAEFLINGER RICKY J........................................................................ ASST TREASURER	40.00 .......................0.00		X			664,908	0	81,832
(39) WILLIAMS MD AMY W........................................................................ TRUSTEE	40.00 .......................0.00	X				653,960	0	73,626
(40) MORICE MD WILLIAM G........................................................................ PHYSICIAN	40.00 .......................0.00			X		636,216	0	79,992
(41) GERTZ MD MORIE A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	658,913	0	34,079
(42) OKUNO MD SCOTT H........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	594,897	0	87,466
(43) WHITED MD BRIAN L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	597,586	0	84,307
(44) FRANK MD IGOR........................................................................ PHYSICIAN	40.00 .......................0.00			X		601,260	0	73,933
(45) KENDRICK MD MICHAEL L........................................................................ PHYSICIAN	40.00 .......................0.00			X		587,352	0	77,426
(46) CIMA MD ROBERT R........................................................................ PHYSICIAN	40.00 .......................0.00			X		578,953	0	77,444
(47) HADAWAY CHERYL J........................................................................ CHAIR-DEPT OF DEVELOPMENT	40.00 .......................0.00			X		622,716	0	33,422
(48) KHAN MD AMIR R........................................................................ PHYSICIAN	40.00 .......................0.00			X		574,053	0	80,093
(49) HAYES MD SHARONNE N........................................................................ PHYSICIAN	40.00 .......................0.00			X		586,102	0	59,827
(50) BROWN MD MICHAEL J........................................................................ PHYSICIAN	40.00 .......................0.00			X		554,918	0	79,010
(51) PETERS MD STEVE G........................................................................ PHYSICIAN	40.00 .......................0.00			X		584,199	0	36,486
(52) HORLOCKER MD TERESE T........................................................................ PHYSICIAN	40.00 .......................0.00			X		567,395	0	33,446
(53) CLARK LEON G........................................................................ CHAIR-DEPT OF RESEARCH ADMIN	40.00 .......................0.00			X		510,134	0	84,013
(54) GAZELKA MD HALENA M........................................................................ PHYSICIAN	40.00 .......................0.00			X		512,211	0	73,119
(55) NARR MD BRADLY J........................................................................ PHYSICIAN	40.00 .......................0.00			X		539,557	0	36,387
(56) SANTRACH MD PAULA J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	516,384	0	57,185
(57) KRAHN MD LOIS E........................................................................ TRUSTEE	1.00 .......................40.00	X				0	499,154	90,745
(58) WARNER MD MARK A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	524,850	0	33,759
(59) FRANCIS JAMES R........................................................................ ASST TREASURER	1.00 .......................40.00		X			0	485,420	94,242
(60) DECKER MD WYATT W........................................................................ FORMER VICE PRESIDENT	0.00 .......................40.00				X	0	494,915	54,855
(61) BLACK MD JOHN L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	498,241	0	30,864
(62) LUCCHINETTI MD CLAUDIA F........................................................................ TRUSTEE	40.00 .......................0.00	X				435,069	0	87,224
(63) DIDEHBAN ROSHANAK........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	457,350	0	45,592
(64) GREENE MD EDDIE L........................................................................ TRUSTEE	40.00 .......................0.00	X				409,064	0	84,779
(65) AGERTER MD DAVID C........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	458,665	0	33,609
(66) NELSON MD HEIDI........................................................................ TRUSTEE	40.00 .......................0.00	X				428,926	0	18,994
(67) WEBER JOAN A........................................................................ ASST TREASURER	1.00 .......................40.00		X			0	389,591	31,292
(68) UHLENKAMP SUSAN M........................................................................ ASST TREASURER	1.00 .......................40.00		X			0	343,428	73,079
(69) HUBERT SHERRY L........................................................................ ASST SECY	1.00 .......................40.00		X			0	307,147	89,516
(70) FROISLAND JEFFREY R........................................................................ ASST TREASURER	1.00 .......................40.00		X			0	338,845	22,381
(71) LOCKETT KEVIN M........................................................................ ASST TREASURER	1.00 .......................40.00		X			0	274,156	79,700
(72) NORBY MARK L........................................................................ ASST TREASURER	1.00 .......................40.00		X			0	281,357	56,904
(73) BROWN WILLIAM A........................................................................ ASST TREASURER	1.00 .......................40.00		X			0	247,577	34,018
(74) PAIGE SR KEVIN A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	153,825	0	69,269
(75) PERETSMAN NANCY B........................................................................ TRUSTEE	5.00 .......................0.00	X				0	65,400	0
(76) ALIX JAY........................................................................ TRUSTEE	5.00 .......................0.00	X				0	24,241	0
(77) POWELL MICHAEL K........................................................................ TRUSTEE	5.00 .......................0.00	X				0	8,909	0
(78) GEORGE WILLIAM W........................................................................ TRUSTEE	5.00 .......................0.00	X				0	7,583	0
(79) STEER MD RANDOLPH C........................................................................ TRUSTEE	5.00 .......................0.00	X				0	4,975	0
(80) SWEENEY ANNE M........................................................................ TRUSTEE	5.00 .......................0.00	X				0	3,405	0
(81) COLEMAN MARY SUE........................................................................ TRUSTEE	5.00 .......................0.00	X				0	3,156	0
(82) DI PIAZZA JR SAMUEL A........................................................................ TRUSTEE/CHAIR	5.00 .......................0.00	X	X			0	2,788	0
(83) BILICIC GEORGE W........................................................................ TRUSTEE	5.00 .......................0.00	X				0	2,551	0
(84) ALVARADO LINDA G........................................................................ TRUSTEE	5.00 .......................0.00	X				0	1,986	0
(85) BAICKER KATHERINE........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0
(86) BURNS URSULA M........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0
(87) DAVIS RICHARD K........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0
(88) HALVORSON GEORGE C........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0
(89) MULALLY ALAN R........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0
(90) ROBERTS CORINNE........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0
(91) SALAZAR KENNETH L........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0
(92) SCHMIDT ERIC E........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0
(93) TOMM CHARLES B........................................................................ TRUSTEE	5.00 .......................0.00	X				0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	34,282,186	24,034,797	4,848,932

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

5,344

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............

Yes

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................

Yes

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........

Yes

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation
MAYO FOUNDATION FOR MEDICAL EDUCATION & 200 FIRST STREET SW ROCHESTER,MN55905	PROCUREMENT & MED SUPPORT SERVICES	489,372,754
MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE,FL32224	MEDICAL SUPPORT SERVICES	3,247,799



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 2

Form 990 (2019)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response or note to any line in this Part VIII.............

(A)
Total revenue

(B)
Related or
exempt
function
revenue

(D)
Revenue
excluded from
tax under sections
512 - 514

1a	Federated campaigns..		1a	23,272
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,223,269,987
e	Government grants (contributions)		1e	304,500,669

f	All other contributions, gifts, grants, and similar amounts not included above		1f	666,440,964

g	Noncash contributions included in lines 1a - 1f:$		1g	70,082,597

h Total. Add lines 1a-1f.......		2,194,234,892

		Business Code
2a	NET PATIENT CARE	621110	3,947,442,645	3,214,494,184	732,948,461
b	EDUCATION REVENUE	611600	58,060,521	58,060,521
c	RESEARCH REVENUE	541700	5,700,835	3,598,953	2,101,882
d	MEDICAL PRODUCT SALES	446199	4,330,999	4,330,999
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		4,015,535,000

3 Investment income (including dividends, interest, and othersimilar amounts) ......			229,857,978		2,686,033	227,171,945
4 Income from investment of tax-exempt bond proceeds			1,219,751			1,219,751
5 Royalties...........			27,774,261	27,774,261
		(ii) Personal	(i) Real
6a	Gross rents		1,868,159	6a
b	Less: rental expenses		2,106,723	6b
c	Rental income or (loss)		-238,564	6c
d	Net rental income or (loss).......			-238,564	-244,564	6,000
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	15,530,684	3,201,448,589	7a
b	Less: cost or other basis and sales expenses	17,804,124	2,906,500,997	7b
c	Gain or (loss)	-2,273,440	294,947,592	7c
d	Net gain or (loss).........			292,674,152			292,674,152
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	123,356
b	Less: cost of goods sold ..		10b	50,204
c	Net income or (loss) from sales of inventory..			73,152		73,152
Business Code			Miscellaneous Revenue
11a	MISC CONSULTING		541610	36,373,325	5,254,583	24,285,216	6,833,526
b	MISC REVENUE		900099	9,494,401	3,253,363	1,040,754	5,200,284
c	CAFETERIA/VENDING		722514	6,784,244	6,784,244
d	All other revenue ....			5,640,329	576,554		5,063,775
e	Total. Add lines 11a–11d ......			58,292,299
12	Total revenue. See instructions.....			6,819,422,921	3,323,883,098	763,141,498	538,163,433

Form 990 (2019)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	448,712,727	448,712,727
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	19,085,333	19,085,333
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	2,143,702	2,143,702
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	20,691,539	18,153,156	1,875,614	662,769
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	24,451,463	22,153,993	2,290,839	6,631
7	Other salaries and wages........	1,984,791,652	1,897,382,026	63,767,199	23,642,427
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	171,747,407	59,387,659	110,831,769	1,527,979
9	Other employee benefits .......	376,024,197	359,812,045	13,268,017	2,944,135
10	Payroll taxes ...........	138,504,821	131,858,241	5,212,687	1,433,893
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,473,030	1,673,736	445,526	353,768
c	Accounting ...........	318,476	80,569	237,907
d	Lobbying ...........	179,481	179,481
e	Professional fundraising services. See Part IV, line 17	1,028,755			1,028,755
f	Investment management fees ......	3,530,388	3,477,888	52,500
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,111,633,684	453,094,284	652,253,491	6,285,909
12	Advertising and promotion ....	15,679,239	14,910,997	652,053	116,189
13	Office expenses .......	215,468,764	201,125,930	11,965,150	2,377,684
14	Information technology ......	155,354,727	47,676,407	107,384,208	294,112
15	Royalties ..	4,768,564	4,767,814	750
16	Occupancy ...........	75,501,730	35,855,722	38,281,147	1,364,861
17	Travel ............	65,308,551	61,261,560	2,109,436	1,937,555
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	5,601,805	5,528,216	70,016	3,573
20	Interest ...........	102,795,951	99,128,462	3,667,489
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	192,189,279	190,292,148	1,819,037	78,094
23	Insurance ...	12,282,363	12,282,363
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	399,183,612	399,183,612
b	UBIT	21,810,497	21,810,497
c	MN CARE TAX	44,105,062	44,105,062
d	BAD DEBT	31,158,843	31,148,843	10,000
e	All other expenses	38,234,887	32,701,970	4,911,066	621,851
25	Total functional expenses. Add lines 1 through 24e	5,684,760,529	4,618,974,443	1,021,105,901	44,680,185
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).

Form 990 (2019)

Page 11

Part X

Balance Sheet

Check if Schedule O contains a response or note to any line in this Part IX..............

				(A) Beginning of year		(B) End of year

1	Cash–non-interest-bearing ........			2,513,119	1	1,961,577
2	Savings and temporary cash investments .........			462	2	2,707,657
3	Pledges and grants receivable, net ......			402,817,614	3	461,417,804
4	Accounts receivable, net .............			432,211,923	4	475,448,207
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			219,206,137	7	2,714,555
8	Inventories for sale or use ............			6,669,532	8	6,933,859
9	Prepaid expenses and deferred charges ......			6,456,807	9	18,380,706
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,573,217,226
b	Less: accumulated depreciation	10b	2,118,090,613	1,505,252,762	10c	1,455,126,613
11	Investments—publicly traded securities .			322,107,196	11	405,470,594
12	Investments—other securities. See Part IV, line 11 .....			8,266,135,991	12	9,776,652,970
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			1,142,035,722	15	521,236,643
16	Total assets. Add lines 1 through 15 (must equal line 33)...			12,305,407,265	16	13,128,051,185

17	Accounts payable and accrued expenses .....	2,200,959,666	17	3,075,133,623
18	Grants payable ...		18
19	Deferred revenue .........	50,905,241	19	28,715,653
20	Tax-exempt bond liabilities .........	1,685,324,936	20	1,681,244,005
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	1,363,981,822	23	1,361,009,267
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	3,972,766,194	25	3,213,742,904
26	Total liabilities. Add lines 17 through 25..	9,273,937,859	26	9,359,845,452

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	393,444,475	27	684,716,360
28	Net assets with donor restrictions ...........	2,638,024,931	28	3,083,489,373
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,031,469,406	32	3,768,205,733
33	Total liabilities and net assets/fund balances ........	12,305,407,265	33	13,128,051,185

Form 990 (2019)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response or note to any line in this Part XI..............

Total revenue (must equal Part VIII, column (A), line 12) ............

6,819,422,921

Total expenses (must equal Part IX, column (A), line 25) ............

5,684,760,529

Revenue less expenses. Subtract line 2 from line 1 ..............

1,134,662,392

Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..

3,031,469,406

Net unrealized gains (losses) on investments ...............

722,862,137

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

-1,120,788,202

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))

3,768,205,733

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XII.............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?

Yes

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Yes

Form 990 (2019)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- 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 instructions and the latest information.

OMB No. 1545-0047

2019

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) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	1,010,332,924	1,180,799,873	1,722,852,961	1,975,507,156	2,194,234,892	8,083,727,806
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	2,890,288,119	3,122,923,742	3,359,185,346	3,390,245,417	3,325,989,821	16,088,632,445
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....	4,433,234	4,664,443	4,697,015	17,480,366	17,097,585	48,372,643
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	3,905,054,277	4,308,388,058	5,086,735,322	5,383,232,939	5,537,322,298	24,220,732,894
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.)						24,220,732,894

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...	3,905,054,277	4,308,388,058	5,086,735,322	5,383,232,939	5,537,322,298	24,220,732,894
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	67,235,999	73,514,343	104,141,866	54,704,231	228,391,696	527,988,135
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.	34,562,859	42,801,655	63,998,037	78,762,106	114,491,776	334,616,433
c	Add lines 10a and 10b.	101,798,858	116,315,998	168,139,903	133,466,337	342,883,472	862,604,568
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.) ..	1,382,377	8,627,843	10,722,804	5,805,837		26,538,861
13	Total support. (Add lines 9, 10c, 11, and 12.)..	4,008,235,512	4,433,331,899	5,265,598,029	5,522,505,113	5,880,205,770	25,109,876,323

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 2019 (line 8, column (f) divided by line 13, column (f)) .........

96.460 %

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

96.920 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

3.440 %

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

2.960 %

19a

331/3% support tests—2019. 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—2018. 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) 2019

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) 2019

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) 2019

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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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 - 2015 AMOUNT: $ 1,382,377. 2016 AMOUNT: $ 8,627,843. 2017 AMOUNT: $ 10,722,804. 2018 AMOUNT: $ 5,805,837. 2019 AMOUNT: $ 0.
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 - 2015 AMOUNT: $ 1,382,377. 2016 AMOUNT: $ 8,627,843. 2017 AMOUNT: $ 10,722,804. 2018 AMOUNT: $ 5,805,837. 2019 AMOUNT: $ 0.

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) 2019

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

2019

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization MAYO CLINIC

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

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

2019

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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

179,481

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

179,481

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 2019, 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 2019, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH. IN ADDITION TO CORRESPONDENCE, MAYO EXPRESSES ITS PERSPECTIVE ON POLICY ISSUES VIA EDITORIALS AND IN RESPONSES TO MEDIA INQUIRIES. ON OCCASION, MAYO'S POLICY PERSPECTIVE MAY BE INCLUDED IN THE SPEECH CONTENT OF MAYO LEADERS. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2019, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES THAT ARE REPORTED ON THE 2019 MAYO CLINIC GROUP FEDERAL FORM 990 TOTALED $1,257,203.
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 2019, 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 2019, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH. IN ADDITION TO CORRESPONDENCE, MAYO EXPRESSES ITS PERSPECTIVE ON POLICY ISSUES VIA EDITORIALS AND IN RESPONSES TO MEDIA INQUIRIES. ON OCCASION, MAYO'S POLICY PERSPECTIVE MAY BE INCLUDED IN THE SPEECH CONTENT OF MAYO LEADERS. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2019, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES THAT ARE REPORTED ON THE 2019 MAYO CLINIC GROUP FEDERAL FORM 990 TOTALED $1,257,203.

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) 2019

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 instructions and the latest information.

OMB No. 1545-0047

2019

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 .........	6
2	Aggregate value of contributions to (during year)	835,650
3	Aggregate value of grants from (during year)	535,000
4	Aggregate value at end of year ........	3,166,662

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 FASB 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 FASB 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 FASB 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) 2019

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 ....	3,852,237,495	3,649,041,615	3,166,765,991	2,949,847,568	2,925,727,513
b	Contributions ...	155,829,477	232,064,809	207,453,772	97,648,438	116,977,304
c	Net investment earnings, gains, and losses	461,221,455	59,629,160	430,687,700	167,579,144	33,069,061
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	42,196,520	88,498,089	155,865,847	48,309,159	125,926,310
f	Administrative expenses ....
g	End of year balance ......	4,427,091,907	3,852,237,495	3,649,041,616	3,166,765,991	2,949,847,568

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

Board designated or quasi-endowment SchDMd Bullet

46.450 %

Permanent endowment SchDMd Bullet

34.500 %

Term endowment SchDMd Bullet

19.050 %

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 .....	86,958,196		86,958,196
b	Buildings ....	1,718,728,625	1,043,891,521	674,837,104
c	Leasehold improvements	66,083,877	32,959,931	33,123,946
d	Equipment ....	1,630,950,732	1,041,239,161	589,711,571
e	Other .....	70,495,796		70,495,796
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,455,126,613

Schedule D (Form 990) 2019

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	9,749,386,769	F
(B) BOND-RELATED TRUSTEE HELD INVESTMENTS	15,583,173	F
(C) TECH BASED VENTURES	11,683,028	C
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	9,776,652,970

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,213,742,904
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) 2019

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 FINANCIAL STATEMENTS: MOST OF THE INCOME RECEIVED BY THE CLINIC AND ITS SUBSIDIARIES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). THE CLINIC AND ITS SUBSIDIARIES FILE INCOME TAX RETURNS IN THE U.S., INCLUDING FEDERAL AND VARIOUS STATE RETURNS, AS WELL AS CERTAIN FOREIGN JURISDICTIONS. THE STATUTES OF LIMITATIONS FOR TAX YEARS 2016 THROUGH 2018 REMAIN OPEN IN MAJOR U.S. TAXING JURISDICTIONS IN WHICH THE CLINIC AND SUBSIDIARIES ARE SUBJECT TO TAXATION. THE INTERNAL REVENUE SERVICE (IRS) PERFORMED AN EXAMINATION OF THE TAX AND INFORMATION RETURNS OF THE CLINIC AND TWO SUBSIDIARIES AND ULTIMATELY ASSESSED $12 MILLION IN TAXES FOR YEARS 2003-2012. THE RESULTS OF THIS AUDIT WERE ULTIMATELY LITIGATED IN U.S. DISTRICT COURT. ON AUGUST 6,2019, THE COURT ISSUED A SUMMARY JUDGMENT IN FAVOR OF THE CLINIC. THE IRS HAS APPEALED THIS DECISION. THIS RULING HAS BEEN TAKEN INTO CONSIDERATION DURING THE CLINIC'S DETERMINATION OF UNRECOGNIZED TAX BENEFITS. THE CLINIC'S RESERVE FOR UNCERTAIN TAX POSITIONS, INCLUDING INTEREST AND PENALTIES, DID NOT CHANGE SIGNIFICANTLY DURING THE YEAR ENDED DECEMBER 31,2019. AS OF DECEMBER 31,2019 AND 2018, THE RESERVE TOTALED $14 MILLION. 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) 2019

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 the latest information.

OMB No. 1545-0047 2019Open 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. . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) (2019)

Schedule E (Form 990 or 990EZ) (2019)

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 MEDICAL SCHOOL 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) (2019)

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

2019

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" on 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 the region	(d) Activities conducted in region (by type) (such as, 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 the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	257	TRAVEL		340,990
	EAST ASIA AND THE PACIFIC	0	924	TRAVEL		2,002,763
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	2,043	TRAVEL		4,610,901
	MIDDLE EAST AND NORTH AFRICA	0	396	TRAVEL		2,160,280
	NORTH AMERICA	0	1,325	TRAVEL		1,646,658
	RUSSIA AND THE NEIGHBORING STATES	0	50	TRAVEL		70,075
	SOUTH AMERICA	0	335	TRAVEL		473,645
	SOUTH ASIA	0	190	TRAVEL		356,750
	SUB-SAHARAN AFRICA	0	105	TRAVEL		171,394
	EAST ASIA AND THE PACIFIC	0	2	PROGRAM SERVICES	PATIENT CARE	30,178
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	5	PROGRAM SERVICES	PATIENT CARE	123,990
	MIDDLE EAST AND NORTH AFRICA	0	8	PROGRAM SERVICES	PATIENT CARE	99,843
	SOUTH AMERICA	0	1	PROGRAM SERVICES	CONSULTING	11,060
	NORTH AMERICA	0	2	PROGRAM SERVICES	EDUCATION CONFERENCE - MAYO SPONSOR	201,988
	MIDDLE EAST AND NORTH AFRICA	0	1	PROGRAM SERVICES	EDUCATION CONFERENCE - MAYO SPONSOR	115,960
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	12	FUNDRAISING		746,088
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		1,337,896,557
	EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS EXPENSE
	EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS		696,872,256
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS EXPENSE		11,176,924
	EUROPE (INCLUDING ICELAND AND GREENLAND)	1	0	INVESTMENTS		898,809,671
	MIDDLE EAST AND NORTH AFRICA	0	0	INVESTMENTS		362,954
	NORTH AMERICA	0	0	INVESTMENTS		101,641,050
	RUSSIA AND THE NEIGHBORING STATES	0	0	INVESTMENTS		3,227,626
	SOUTH AMERICA	0	0	INVESTMENTS		8,535,667
	SOUTH ASIA	0	0	INVESTMENTS		129,704,013
	SUB-SAHARAN AFRICA	0	0	INVESTMENTS		19,892,805
	EAST ASIA AND THE PACIFIC	1	10	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB	295,567
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	4	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB	373
	MIDDLE EAST AND NORTH AFRICA	0	14	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB	311,141
	NORTH AMERICA	0	79	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB	744,132
	SOUTH AMERICA	0	3	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB	24,365
3a	Sub-total ....	0	5,520			11,662,062
b	Total from continuation sheets to Part I ...	2	246			3,210,995,602
c	Totals (add lines 3a and 3b)	2	5,766			3,222,657,664

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)
			EAST ASIA AND THE PACIFIC		11,300		0
			EAST ASIA AND THE PACIFIC		22,755		0
			EAST ASIA AND THE PACIFIC		29,400		0
			EAST ASIA AND THE PACIFIC		145,000		0
			EAST ASIA AND THE PACIFIC		19,995		0
			EAST ASIA AND THE PACIFIC		655,821		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		48,000		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		30,000		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		86,917		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		318,156		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		17,976		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		14,228		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		77,839		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		56,129		0
			NORTH AMERICA		38,500		0
			NORTH AMERICA		92,925		0
			NORTH AMERICA		7,900		0
			NORTH AMERICA		150,000		0
			NORTH AMERICA		166,563		0
			NORTH AMERICA		22,025		0
			NORTH AMERICA		67,202		0
			NORTH AMERICA		7,750		0
			NORTH AMERICA		55,022		0
			SOUTH ASIA		63,720		0

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 .......................	24

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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	9,393	CHECK, ELECTRONIC FUND, OR WIRE TRANSFER	FMV

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

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 III ACCOUNTING 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. IS 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 $37,330,038 FOR BAIN CAPITAL CREDIT CLO 2017-2, LTD.

Schedule F (Form 990) 2019

Additional Data

Software ID:
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

2019

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 10 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	82,469	0
	MAUREEN OTIS 4850 WRIGHT RD STE 168 STAFFORD, TX77477	CONSULTS ON LEGAL ISSUES		No	0	12,900	0
	TRUESENSE MARKETING 155 COMMERCE DRIVE FREEDOM, PA15042	CONSULTING		No	0	524,640	0
	TARGET MARKETEAM INC 600 NORTHPARK TOWN CTR1200 ABERNAT ATLANTA, GA30328	CONSULTING		No	0	64,505	0
	FOLEY AND LARDNER ONE INDEPENDENT DR SUITE 1300 JACKSONVILLE, FL32202	CONSULTS ON LEGAL ISSUES		No	0	223,349	0
	THE STELTER COMPANY 10435 NEW YORK AVE DES MOINES, IA50322	DIRECT MAIL SERVICES		No	0	120,892	0




Total . . . . . . . . . . . . . . . . . . . .						1,028,755

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) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

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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

2019

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	(h) Purpose of grant or assistance
(1) MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE,FL32224	59-3337028	501(C)(3)	152,161,560	SUPPORT CHARITABLE PROGRAMS
(2) MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259	86-0800150	501(C)(3)	205,210,473	SUPPORT CHARITABLE PROGRAMS
(3) REGEN THERANOSTICS INC 3033 41ST ST NW STE 301 ROCHESTER,MN55901	27-1652200	-	3,288,557	SUPPORT RESEARCH PROGRAM
(4) REGENTS OF THE UNIV OF MN DBA UNIVERSITY OF MN 2221 UNIV AVE SE STE 111 MINNEAPOLIS,MN55414	41-6007513	STATE OF MN	2,523,210	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(5) REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO 1855 FOLSOM ST BOX 0812 SAN FRANCISCO,CA94143	94-6036493	STATE OF CA	1,643,771	SUPPORT RESEARCH PROGRAM
(6) UT MD ANDERSON CANCER CENTER PO BOX 301439 HOUSTON,TX772301439	74-6001118	STATE OF TX	1,390,979	SUPPORT RESEARCH PROGRAM
(7) MCKESSON SPECIALTY PHARMACY ONE POST STREET SAN FRANCISCO,CA94104	20-4085284	-	1,334,151	SUPPORT RESEARCH PROGRAM
(8) DUKE UNIVERSITY DUMC 3934 DURHAM,NC27710	56-0532129	501(C)(3)	1,332,642	SUPPORT CHARITABLE PROGRAMS
(9) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER,MN55905	41-1506440	501(C)(3)	1,304,736	SUPPORT CHARITABLE PROGRAMS
(10) EMORY UNIVERSITY SCHOOL OF MEDICINE 1365-B CLIFTON RD ATLANTA,GA30322	58-0566256	501(C)(3)	1,247,311	SUPPORT CHARITABLE PROGRAMS
(11) SANFORD-BURNHAM MEDICAL RESEARCH INSTITUTE 10901 N TORREY PINES RD LA JOLLA,CA92037	51-0197108	501(C)(3)	1,241,398	SUPPORT CHARITABLE PROGRAMS
(12) TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ONE COLLEGE HALL PHILADELPHIA,PA191046303	23-1352685	501(C)(3)	1,184,355	SUPPORT CHARITABLE PROGRAMS
(13) UNIVERSITY OF CHICAGO 5747 S ELLIS AVE 122 CHICAGO,IL606371043	36-2177139	501(C)(3)	906,015	SUPPORT CHARITABLE PROGRAMS
(14) COLUMBIA UNIVERSITY 630 W 168TH ST UNIT 39 NEW YORK,NY10032	13-5598093	501(C)(3)	792,353	SUPPORT CHARITABLE PROGRAMS
(15) THE REGENTS OF THE UNIVERSITY OF MICHIGAN 1500 E MEDICAL CENTER DR ANN ARBOR,MI481090201	38-6006309	STATE OF MI	650,316	SUPPORT RESEARCH PROGRAM
(16) BRIGHAM AND WOMENS HOSPITAL 75 FRANCIS ST BOSTON,MA02115	04-2312909	501(C)(3)	643,527	SUPPORT CHARITABLE PROGRAMS
(17) MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE,WI54601	39-0806374	501(C)(3)	633,392	SUPPORT CHARITABLE PROGRAMS
(18) THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON PO BOX 301418 DALLAS,TX753031418	74-1761309	501(C)(3)	630,339	SUPPORT CHARITABLE PROGRAMS
(19) WEILL CORNELL MEDICAL COLLEGE 1315 YORK AVENUE NEW YORK,NY10021	13-1623978	501(C)(3)	602,717	SUPPORT CHARITABLE PROGRAMS
(20) MCHS--NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE,WI54702	39-0813418	501(C)(3)	1,072,424	SUPPORT CHARITABLE PROGRAMS
(21) DANA-FARBER CANCER INSTITUTE INC 450 BROOKLINE AVE BOSTON,MA02215	04-2263040	501(C)(3)	565,698	SUPPORT CHARITABLE PROGRAMS
(22) DUKE UNIVERSITY HEALTH SYSTEM INC 3400 WAKE FOREST RD CHARLOTTE,NC282751274	56-2070036	501(C)(3)	516,604	SUPPORT CHARITABLE PROGRAMS
(23) THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS 506 S WRIGHT 209 HAB MC-339 URBANA,IL61801	37-6000511	501(C)(3)	503,179	SUPPORT CHARITABLE PROGRAMS
(24) RUTGERS THE STATE UNIVERSITY OF NJ 57 US HIGHWAY 1 NEW BRUNSWICK,NJ089018554	22-6001086	STATE OF NJ	447,946	SUPPORT RESEARCH PROGRAM
(25) GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES INC 9900 W INNOVATION DR MILWAUKEE,WI532264856	39-1046671	-	444,362	SUPPORT RESEARCH PROGRAM
(26) UTHSCSA-DEPT OF SURGERY 7703 FLOYD CURL DR SAN ANTONIO,TX782293900	74-1586031	STATE OF TX	425,890	SUPPORT RESEARCH PROGRAM
(27) UNIVERSITY OF UTAH 110 S FORT DOUGLAS BLVD SALT LAKE CITY,UT84113	87-6000525	STATE OF UT	424,373	SUPPORT RESEARCH PROGRAM
(28) THE ROCKEFELLER UNIVERSITY 1230 YORK AVENUE NEW YORK,NY10065	13-1624158	501(C)(3)	416,521	SUPPORT CHARITABLE PROGRAMS
(29) MINNEAPOLIS MEDICAL RESEARCH FOUNDATION HENNEPIN CTY 530 CHICAGO AVE MINNEAPOLIS,MN55415	41-1677920	501(C)(3)	413,590	SUPPORT CHARITABLE PROGRAMS
(30) UNITED WAY OF OLMSTED COUNTY INC 903 WEST CENTER STREET ROCHESTER,MN55902	41-0695594	501(C)(3)	410,000	SUPPORT CHARITABLE PROGRAMS
(31) HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH PO BOX 1524 MINNEAPOLIS,MN554401524	41-1670163	501(C)(3)	389,232	SUPPORT CHARITABLE PROGRAMS
(32) UNIVERSITY OF WISCONSIN MEDICAL SCHOOL 600 HIGHLAND AVE MADISON,WI53792	39-6006492	STATE OF WI	328,511	SUPPORT RESEARCH PROGRAM
(33) MCHS--SOUTHWEST MINNESOTA REGION 1025 MARSH STREET MANKATO,MN56001	41-1236756	501(C)(3)	360,388	SUPPORT CHARITABLE PROGRAMS
(34) AMERICAN COLLEGE OF SURGEONS 633 N SAINT CLAIR ST CHICAGO,IL606115005	36-2192800	501(C)(3)	305,150	SUPPORT CHARITABLE PROGRAMS
(35) WASHINGTON UNIVERSITY CAMPUS BOX 8063 660 S EUCLID AVE ST LOUIS,MO63110	43-0653611	501(C)(3)	294,349	SUPPORT CHARITABLE PROGRAMS
(36) MCHS--AUSTIN FOUNDATION 300 EIGHTH AVE NW AUSTIN,MN55912	30-0107471	501(C)(3)	291,725	SUPPORT CHARITABLE PROGRAMS
(37) UNIVERSITY OF SOUTHERN CALIFORNIA 1510 SAN PABLO HCC 514 LOS ANGELES,CA90033	95-1642394	501(C)(3)	291,391	SUPPORT CHARITABLE PROGRAMS
(38) 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)	269,745	SUPPORT CHARITABLE PROGRAMS
(39) UNIVERSITY OF MIAMI PO BOX 248106 CORAL GABLES,FL331242912	59-0624458	501(C)(3)	263,673	SUPPORT CHARITABLE PROGRAMS
(40) CLEVELAND CLINIC EDUCATIONAL FOUNDATION PO BOX 931653 CLEVELAND,OH44193	34-0714585	501(C)(3)	258,135	SUPPORT CHARITABLE PROGRAMS
(41) UNIVERSITY OF FLORIDA 33 TIGERT HALL GAINESVILLE,FL32611	59-6002052	STATE OF FL	255,529	SUPPORT RESEARCH PROGRAM
(42) THE SALVATION ARMY NORTHERN DIVISION - SERVING MN & ND 2445 PRIOR AVE N ROSEVILLE,MN55113	41-0698597	501(C)(3)	250,547	SUPPORT CHARITABLE PROGRAMS
(43) UNIVERSITY OF ST THOMAS 2115 SUMMIT AVENUE ST PAUL,MN55105	41-0693970	501(C)(3)	250,000	SUPPORT CHARITABLE PROGRAMS
(44) ROCHESTER DOWNTOWN ALLIANCE 311 SOUTH BROADWAY SUITE A2 ROCHESTER,MN55904	20-2435646	501(C)(6)	250,000	SUPPORT EXEMPT PURPOSE
(45) UNIVERSITY OF IOWA 105 JESSUP HALL IOWA CITY,IA52242	42-6004813	STATE OF IA	249,949	SUPPORT RESEARCH PROGRAM
(46) MCHS--SOUTHEAST MINNESOTA REGION 1000 FIRST DRIVE NW AUSTIN,MN55912	41-1404075	501(C)(3)	247,169	SUPPORT CHARITABLE PROGRAMS
(47) OHIO STATE UNIVERSITY RESEARCH FOUNDATION 1010 LINCOLN TOWER 1800 CANNON DR COLUMBUS,OH432101230	31-6401599	501(C)(3)	245,620	SUPPORT CHARITABLE PROGRAMS
(48) THOUGHT LEADERSHIP & INNOVATION FOUNDATION 16775 WHIRLAWAY COURT LEESBURG,VA20176	45-3090698	501(C)(3)	244,820	SUPPORT CHARITABLE PROGRAMS
(49) 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)	243,520	SUPPORT CHARITABLE PROGRAMS
(50) CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVE CLEVELAND,OH441067037	34-1018992	501(C)(3)	242,790	SUPPORT CHARITABLE PROGRAMS
(51) AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS 9400 WEST HIGGINS RD ROSEMONT,IL600184974	36-2110592	-	228,072	SUPPORT RESEARCH PROGRAM
(52) BIOMERICS ATL LLC DBA THOMAS MEDICAL INC 6102 VICTORY WAY INDIANAPOLIS,IN46278	82-5174695	-	218,850	SUPPORT RESEARCH PROGRAM
(53) PORTLAND STATE UNIVERSITY 1825 SW BROADWAY PORTLAND,OR97232	36-4776757	115(1)	218,571	SUPPORT RESEARCH PROGRAM
(54) OREGON HEALTH & SCIENCES UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND,OR97239	93-1176109	STATE OF OR	205,659	SUPPORT RESEARCH PROGRAM
(55) ORLANDO HEALTH INC 1414 KUHL AVENUE MP8 ORLANDO,FL32806	59-1726273	501(C)(3)	205,162	SUPPORT CHARITABLE PROGRAMS
(56) STANFORD UNIVERSITY 1450 PAGE MILL RD STANFORD,CA94304	94-1156365	501(C)(3)	199,580	SUPPORT CHARITABLE PROGRAMS
(57) YALE UNIVERSITY PO BOX 7619 NEW HAVEN,CT06519	06-0646973	501(C)(3)	188,792	SUPPORT CHARITABLE PROGRAMS
(58) BENCHMARK ELECTRONICS INC 56 SOUTH ROCKFORD DRIVE TEMPE,AZ852816070	74-2211011	-	187,328	SUPPORT RESEARCH PROGRAM
(59) JOHNS HOPKINS UNIVERSITY 1101 E 33RD ST STE D200 BALTIMORE,MD21218	52-0595110	501(C)(3)	186,694	SUPPORT CHARITABLE PROGRAMS
(60) UNIVERSITY OF ROCHESTER 518 HYLAN BUILDING BOX 270140 ROCHESTER,NY14627	16-0743209	501(C)(3)	186,144	SUPPORT CHARITABLE PROGRAMS
(61) SCRIPPS RESEARCH INSTITUTE 10550 NORTH TORREY PINES RD TPC 2 LA JOLLA,CA92037	33-0435954	501(C)(3)	182,435	SUPPORT CHARITABLE PROGRAMS
(62) UNIVERSITY OF PUERTO RICO MEDICAL SCIENCES CAMPUS PO BOX 365067 SAN JUAN,PR009365067	66-0433762	COMM OF PR	181,322	SUPPORT RESEARCH PROGRAM
(63) THOMAS JEFFERSON UNIVERSITY HOSPITAL-NURSING SERVICE 111 SOUTH 11TH STREET 1940 GIBBON PHILADELPHIA,PA19107	23-1352651	501(C)(3)	180,793	SUPPORT CHARITABLE PROGRAMS
(64) MCHS--ST JAMES 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES,MN56081	41-0797368	501(C)(3)	179,920	SUPPORT CHARITABLE PROGRAMS
(65) AVERA MCKENNAN 740 S HILL SIOUX FALLS,SD570588760	46-0224743	501(C)(3)	176,539	SUPPORT CHARITABLE PROGRAMS
(66) HENRY FORD HEALTH SYSTEM 2799 W GRAND BLVD DETROIT,MI48202	38-1357020	501(C)(3)	173,967	SUPPORT CHARITABLE PROGRAMS
(67) CORINDUS INC 309 WAVERLEY OAKS ROAD SUITE 105 WALTHAM,MA02452	68-0673201	-	173,776	SUPPORT RESEARCH PROGRAM
(68) RETINA FOUNDATION OF THE SOUTHWEST 9600 N CENTRAL EXPRESSWAY STE 200 DALLAS,TX75231	51-0151514	501(C)(3)	172,719	SUPPORT CHARITABLE PROGRAMS
(69) INTERMOUNTAIN HEALTH CARE 36 S STATE ST STE 2200 SALT LAKE CITY,UT84111	87-0269232	501(C)(3)	172,005	SUPPORT CHARITABLE PROGRAMS
(70) UNIVERSITY OF PITTSBURGH 4200 5TH AVE PITTSBURGH,PA15260	25-0965591	501(C)(3)	170,784	SUPPORT CHARITABLE PROGRAMS
(71) UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD DALLAS,TX753900860	75-6002868	STATE OF TX	168,401	SUPPORT RESEARCH PROGRAM
(72) THE FTD DISORDERS REGISTRY 637 CAROLINA ST SAN FRANCISCO,CA941072725	47-3601782	501(C)(3)	165,156	SUPPORT RESEARCH PROGRAM
(73) CITY OF HOPE NATIONAL MEDICAL CENTER 1500 E DUARTE RD DUARTE,CA910100269	95-1683875	501(C)(3)	162,500	SUPPORT CHARITABLE PROGRAMS
(74) BOSTON UNIVERSITY SCHOOL OF MEDICINE 715 ALBANY STREET A-305 BOSTON,MA021182526	04-2103547	501(C)(3)	162,078	SUPPORT CHARITABLE PROGRAMS
(75) TEXAS A&M UNIVERSITY 1250 TAMU KENNY KIMBAL KNY K COLLEGE STATION,TX77843	74-6000531	STATE OF TX	160,859	SUPPORT RESEARCH PROGRAM
(76) THE GENEVA FOUNDATION PO BOX 98687 LAKEWOOD,WA98496	91-1593913	501(C)(3)	160,101	SUPPORT CHARITABLE PROGRAMS
(77) ENSCO INC 5400 PORT ROYAL RD SPRINGFIELD,VA221512301	54-1250229	-	158,251	SUPPORT RESEARCH PROGRAM
(78) FORRESTHUNT INC 2106 RINGTAIL RIDGE AUSTIN,TX787466224	74-2881528	-	152,025	SUPPORT RESEARCH PROGRAM
(79) GEORGIA TECH RESEARCH CORPORATION 505 10TH STREET NW ATLANTA,GA30332	58-0603146	501(C)(3)	151,937	SUPPORT CHARITABLE PROGRAMS
(80) MCHS--FAIRMONT 800 CLINIC CIRCLE FAIRMONT,MN56031	41-0760836	501(C)(3)	927,923	SUPPORT CHARITABLE PROGRAMS
(81) 3D GLASS SOLUTIONS 5201 VENICE AVE NE STE D ALBUQUERQUE,NM871132337	20-4940418	-	149,999	SUPPORT RESEARCH PROGRAM
(82) OHIO STATE UNIVERSITY 558 DOAN HALL 410 W 10TH AVENUE COLUMBUS,OH43210	31-6025986	STATE OF OH	147,702	SUPPORT RESEARCH PROGRAM
(83) UNIVERSITY OF WASHINGTON 325 9TH AVE SEATTLE,WA98195	91-6001537	STATE OF WA	145,908	SUPPORT RESEARCH PROGRAM
(84) ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS PC 8940 N WOOD SAGE RD PEORIA,IL61615	37-1331017	-	145,509	SUPPORT RESEARCH PROGRAM
(85) PROMETHEUS RESEARCH LLC 1 AUDUBON ST NEW HAVEN,CT065116433	56-2464583	-	145,000	SUPPORT RESEARCH PROGRAM
(86) MINNESOTA CHILDRENS MUSEUM 10 WEST SEVENTH STREET ST PAUL,MN55102	41-1354181	501(C)(3)	132,500	SUPPORT CHARITABLE PROGRAMS
(87) POSSIBILITIES OF SOUTHERN MINNESOTA INC 1808 3RD AVE SE ROCHESTER,MN55904	41-0853397	501(C)(3)	125,000	SUPPORT CHARITABLE PROGRAMS
(88) ROSWELL PARK CANCER INSTITUTE ELM AND CARLTON STREETS BUFFALO,NY14263	16-1552370	115(1)	122,595	SUPPORT RESEARCH PROGRAM
(89) GENERAL ELECTRIC COMPANY 41 FARNSWORTH STREET BOSTON,MA02210	14-0689340	-	122,576	SUPPORT RESEARCH PROGRAM
(90) ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE,AK99508	92-0162721	501(C)(3)	117,017	SUPPORT CHARITABLE PROGRAMS
(91) BLOOD SYSTEMS INC PO BOX 53022 PHOENIX,AZ850723022	86-0098929	501(C)(3)	115,930	SUPPORT CHARITABLE PROGRAMS
(92) SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH 1275 YORK AVE NEW YORK,NY10065	13-1624182	501(C)(3)	115,371	SUPPORT CHARITABLE PROGRAMS
(93) TREASURER VIRGINIA TECH CE 702 UNIVERSITY CITY BLVD BLACKSBURG,VA24061	54-6001805	STATE OF VA	114,609	SUPPORT RESEARCH PROGRAM
(94) GEORGE MASON UNIVERSITY 4400 UNIVERSITY DR FAIRFAX,VA22030	54-0836354	STATE OF VA	114,380	SUPPORT RESEARCH PROGRAM
(95) UNIVERSITY OF COLORADO 4200 E 9TH AVE BOX 8188 DENVER,CO802660001	84-6000555	STATE OF CO	108,351	SUPPORT RESEARCH PROGRAM
(96) MONTEFIORE MEDICAL CENTER 111 E 210TH ST BRONX,NY10467	13-1740114	501(C)(3)	108,091	SUPPORT CHARITABLE PROGRAMS
(97) ROCHESTER AREA FOUNDATION 400 SOUTH BROADWAY SUITE 300 ROCHESTER,MN55904	41-6017740	501(C)(3)	108,000	SUPPORT CHARITABLE PROGRAMS
(98) SAGE BIONETWORKS 1100 FAIRVIEW AVE N SEATTLE,WA981091024	26-4489946	501(C)(3)	104,399	SUPPORT CHARITABLE PROGRAMS
(99) NYU DEPARTMENT OF RADIOLOGY 560 1ST AVE NEW YORK,NY100164998	13-5562309	STATE OF NY	101,934	SUPPORT RESEARCH PROGRAM
(100) GENERAL HOSPITAL CORPORATION 55 FRUIT BOSTON,MA02114	04-2697983	501(C)(3)	100,101	SUPPORT CHARITABLE PROGRAMS
(101) GEORGETOWN UNIVERSITY 255 BASIC SCIENCE BLDG 3900 RESERVOIR RD NW WASHINGTON,DC20057	53-0196603	501(C)(3)	99,565	SUPPORT CHARITABLE PROGRAMS
(102) ALLINA HEALTH SYSTEM PO BOX 43 MINNEAPOLIS,MN55440	36-3261413	501(C)(3)	99,032	SUPPORT CHARITABLE PROGRAMS
(103) MINNESOTA HEALTHSOLUTIONS CORPORATION 976 SUMMIT AVE ST PAUL,MN55105	20-4428357	-	98,327	SUPPORT RESEARCH PROGRAM
(104) MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVE CAMBRIDGE,MA021394307	04-2103594	501(C)(3)	96,615	SUPPORT CHARITABLE PROGRAMS
(105) HARVARD MEDICAL SCHOOL 260 LONGWOOD RM 262 BOSTON,MA021155720	04-2103580	501(C)(3)	92,427	SUPPORT CHARITABLE PROGRAMS
(106) UNIVERSITY OF MISSISSIPPI MEDICAL CENTER HOSPITAL 2500 N STATE ST JACKSON,MS392164505	64-6008520	STATE OF MS	90,208	SUPPORT RESEARCH PROGRAM
(107) DYSLEXIA INSTITUTE OF MINNESOTA INC 847 5TH ST NW ROCHESTER,MN55901	41-1633734	501(C)(3)	90,000	SUPPORT CHARITABLE PROGRAMS
(108) TRANSLATIONAL GENOMICS RESEARCH INSTITUTE 445 N FIFTH STREET SUITE 600 PHOENIX,AZ85004	75-3065445	501(C)(3)	89,027	SUPPORT CHARITABLE PROGRAMS
(109) UNIVERSITY OF MISSOURI KANSAS DBA UNIVERSITY OF MISSOURI COLUMBIA COLLEGE O 4011 DISCOVERY DR COLUMBIA,MO65201	43-6003859	STATE OF MO	86,786	SUPPORT RESEARCH PROGRAM
(110) CANCER CENTER OF KANSAS PA PO BOX 1458 WICHITA,KS672011458	48-1181579	-	84,104	SUPPORT RESEARCH PROGRAM
(111) AURORA HEALTH CARE 960 N 12TH ST STE 4120 MILWAUKEE,WI53233	39-1595302	501(C)(3)	83,650	SUPPORT CHARITABLE PROGRAMS
(112) RED LAKE COMPREHENSIVE HEALTH SERVICES PO BOX 249 RED LAKE,MN56671	41-0991295	-	82,926	SUPPORT RESEARCH PROGRAM
(113) NORTHSHORE UNIVERSITY 2650 RIDGE AVENUE EVANSTON,IL60201	36-2167060	501(C)(3)	80,304	SUPPORT CHARITABLE PROGRAMS
(114) MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC 55 FRUIT ST BLDG RM 205 BOSTON,MA021142622	04-2807148	501(C)(3)	80,000	SUPPORT CHARITABLE PROGRAMS
(115) YOUNG MENS CHRISTIAN ASSOCIATION OF THE GREATER TWIN CITIES 2125 EAST HENNEPIN AVENUE MINNEAPOLIS,MN55413	45-2563299	501(C)(3)	79,490	SUPPORT CHARITABLE PROGRAMS
(116) CARLE FOUNDATION HOSPITAL 611 WEST PARK ST URBANA,IL61801	37-1119538	501(C)(3)	78,986	SUPPORT CHARITABLE PROGRAMS
(117) ESSENTIA INSTITUTE OF RURAL 502 E SECOND ST DULUTH,MN55805	27-1291124	501(C)(3)	77,544	SUPPORT CHARITABLE PROGRAMS
(118) FIRSTHEALTH OF THE CAROLINAS INC DBA MOORE REGIONAL HOSPITAL 155 MEMORIAL DR PO BOX 3000 PINEHURST,NC28374	56-1936354	501(C)(3)	77,446	SUPPORT CHARITABLE PROGRAMS
(119) MCHS--LAKE CITY 904 LAKESHORE DRIVE SOUTH LAKE CITY,MN55041	41-1906820	501(C)(3)	76,360	SUPPORT CHARITABLE PROGRAMS
(120) SOUTH DAKOTA HEALTH RESEARCH FOUNDATION 1400 W 22ND ST SIOUX FALLS,SD57105	46-0450378	501(C)(3)	76,214	SUPPORT CHARITABLE PROGRAMS
(121) CATHOLIC CHARITIES OF THE DIOCESE OF WINONA-ROCHESTER 111 MARKET STREET WINONA,MN55987	41-0721636	501(C)(3)	75,000	SUPPORT CHARITABLE PROGRAMS
(122) UNIVERSITY OF ALABAMA AT BIRMINGHAM 1665 UNIVERSITY BLVD STE 327 BIRMINGHAM,AL352940022	63-6005396	STATE OF AL	74,247	SUPPORT RESEARCH PROGRAM
(123) MOUNTAIN PARK HEALTH CENTER 2702 N THIRD ST STE 4020 PHOENIX,AZ85004	86-0498020	501(C)(3)	72,640	SUPPORT CHARITABLE PROGRAMS
(124) YUKON-KUSKOKWIM HEALTH CORPORATION PO BOX 528 BETHEL,AK995590528	92-0041414	501(C)(3)	71,541	SUPPORT CHARITABLE PROGRAMS
(125) NORTHEASTERN UNIVERSITY 360 HUNTINGTON AVE BOSTON,MA021150195	04-1679980	501(C)(3)	70,728	SUPPORT CHARITABLE PROGRAMS
(126) HAZELDEN BETTY FORD FOUNDATION 15251 PLEASEANT VALLEY RD CENTER CITY,MN55012	41-0682405	501(C)(3)	70,634	SUPPORT RESEARCH PROGRAM
(127) GE PRECISION HEALTHCARE LLC 3000 N GRANDVIEW BLVD WAUKESHA,WI531881615	83-0849145	-	66,191	SUPPORT RESEARCH PROGRAM
(128) REGENSTRIEF INSTITUTE INC 1101 WEST 10TH STREET INDIANAPOLIS,IN46202	30-0007730	501(C)(3)	65,725	SUPPORT CHARITABLE PROGRAMS
(129) CENTRAL AMERICAN MEDICAL OUTREACH INC 322 WESTWOOD AVE ORRVILLE,OH446671762	34-1740695	501(C)(3)	62,324	SUPPORT RESEARCH PROGRAM
(130) ST ELIZABETH MEDICAL CENTER INC DBA ST ELIZABETH HEALTHCARE 1 MEDICAL VILLAGE DRIVE EDGEWOOD,KY41017	61-0445850	501(C)(3)	62,030	SUPPORT CHARITABLE PROGRAMS
(131) UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 WEST MARKHAM 812 LITTLE ROCK,AR722017101	71-6046242	STATE OF AR	61,769	SUPPORT RESEARCH PROGRAM
(132) NOVO ENGINEERING INC 1350 SPECIALTY DR STE A VISTA,CA92081	88-0519771	-	60,004	SUPPORT RESEARCH PROGRAM
(133) MIDDLESEX HOSPITAL 28 CRESCENT ST MIDDLETOWN,CT064573654	06-0646718	501(C)(3)	60,000	SUPPORT RESEARCH PROGRAM
(134) REGENTS OF THE UNIVERSITY OF CALIFORNIA AT LOS ANGELES 10945 LE CONTE AVE STE 2339 BOX 951687 LOS ANGELES,CA90095	95-6006143	STATE OF CA	59,981	SUPPORT RESEARCH PROGRAM
(135) WASHINGTON STATE UNIVERSITY 240 FRENCH ADMINISTRATION BLDG PO BOX 641025 PULLMAN,WA991641025	91-6001108	STATE OF WA	59,267	SUPPORT RESEARCH PROGRAM
(136) CARNEGIE INSTITUTION OF WASHINGTON 1530 P STREET NW WASHINGTON,DC20005	53-0196523	501(C)(3)	59,219	SUPPORT CHARITABLE PROGRAMS
(137) UNIVERSITY OF CALIFORNIA REGENTS 1200 DUTTON HALL ONE SHIELDS AVE DAVIS,CA956168549	94-6036494	STATE OF CA	57,997	SUPPORT RESEARCH PROGRAM
(138) NORTH CAROLINA STATE UNIVERSITY 2711 SULLIVAN DR CAMPUS BOX 7205 RALEIGH,NC276950001	56-6000756	STATE OF NC	57,178	SUPPORT RESEARCH PROGRAM
(139) ST VINCENT HOSPITAL 835 S VAN BUREN ST GREEN BAY,WI54307	39-0817529	501(C)(3)	57,154	SUPPORT CHARITABLE PROGRAMS
(140) UNIVERSITY OF MARYLAND 620 WEST LEXINGTON STREET BALTIMORE,MA21201	52-6002033	STATE OF MD	56,807	SUPPORT RESEARCH PROGRAM
(141) CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY 4828 AIRPORT CENTER PKWY CHARLOTTE,NC282601979	56-0529945	STATE OF NC	56,395	SUPPORT RESEARCH PROGRAM
(142) TRUSTEES OF DARTMOUTH COLLEGE DBA DARTMOUTH COLLEGE 37 DEWEY FIELD RD STE 6163 HANOVER,NH03755	02-0222111	501(C)(3)	56,306	SUPPORT CHARITABLE PROGRAMS
(143) ELITE TECHNICAL SERVICES INC DBA ELITE TECHNICAL 3281 VETERANS MEM HWY SUITE E-17 RONKONKOMA,NY117797675	11-3125782	-	56,259	SUPPORT RESEARCH PROGRAM
(144) DARTMOUTH-HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON,NH03756	02-0222140	501(C)(3)	55,745	SUPPORT CHARITABLE PROGRAMS
(145) TRUTH INITIATIVE FOUNDATION 900 G ST NW 4TH FLR WASHINGTON,DC20001	91-1956621	501(C)(3)	54,605	SUPPORT CHARITABLE PROGRAMS
(146) RXC AQUISITION COMPANY DBA RX CROSSROADS BY MCKESSON 10101 WOODLOCH FOREST THE WOODLANDS,TX773801975	20-3113620	-	54,090	SUPPORT RESEARCH PROGRAM
(147) CITY OF ROCHESTER 201 4TH STREET SE ROCHESTER,MN55904	41-6005494	CTY OF ROCHESTER	52,500	SUPPORT COMMUNITY PROGRAMS
(148) BOYS AND GIRLS CLUB OF ROCHESTER 1026 EAST CENTER STREET ROCHESTER,MN55904	41-1945875	501(C)(3)	51,700	SUPPORT CHARITABLE PROGRAMS
(149) CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BOULEVARD LOS ANGELES,CA90027	95-1690977	501(C)(3)	50,750	SUPPORT CHARITABLE PROGRAMS
(150) SCIENCE MUSEUM OF MINNESOTA 120 WEST KELLOGG BLVD ST PAUL,MN55102	41-0706172	501(C)(3)	50,000	SUPPORT CHARITABLE PROGRAMS
(151) HEMOPHILIA FOUNDATION OF MN D 750 SOUTH PLAZA DR STE 207 MENDOTA HEIGHTS,MN55120	41-6032276	501(C)(3)	50,000	SUPPORT CHARITABLE PROGRAMS
(152) ARIZONA STATE UNIVERSITY 411 N CENTRAL AVE PHOENIX,AZ85004	86-0196696	STATE OF AZ	49,348	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(153) ESSENTIA HEALTH 502 E SECOND ST DULUTH,MN55805	20-0360007	501(C)(3)	49,070	SUPPORT CHARITABLE PROGRAMS
(154) COLORADO STATE UNIVERSITY 8008 CAMPUS DELIVERY FORT COLLINS,CO805238008	84-6000545	STATE OF CO	46,771	SUPPORT RESEARCH PROGRAM
(155) MAYO CLINIC FLORIDA 4201 BELFORT ROAD JACKSONVILLE,FL32216	59-0714831	501(C)(3)	43,780,938	SUPPORT CHARITABLE PROGRAMS
(156) CHANNEL ONE INC 131 35TH ST SE ROCHESTER,MN55904	41-1379713	501(C)(3)	45,000	SUPPORT CHARITABLE PROGRAMS
(157) CHILDRENS HOSPITAL COLORADO 13123 EAST16TH AVE B120 AURORA,CO80045	84-0166760	501(C)(3)	44,500	SUPPORT RESEARCH PROGRAM
(158) INTEGRATIVE MEDICINE SERVICE BOX 303 1275 YORK AVE NEW YORK,NY10021	13-1624082	501(C)(3)	44,405	SUPPORT CHARITABLE PROGRAMS
(159) WILLIAM SANSUM DIABETES CENTER 2219 BATH ST SANTA BARBARA,CA93105	95-1684086	501(C)(3)	44,231	SUPPORT CHARITABLE PROGRAMS
(160) SEATTLE CHILDRENS HOSPITAL AND REGIONAL MEDICAL CENTER 4800 SAND POINT WAY NE SEATTLE,WA98105	91-0564748	501(C)(3)	43,188	SUPPORT CHARITABLE PROGRAMS
(161) MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE,SC295010551	57-0370242	501(C)(3)	42,250	SUPPORT CHARITABLE PROGRAMS
(162) MISSOURI BAPTIST MEDICAL CENTER 3015 N BALLAS ROAD ST LOUIS,MO63131	43-0652656	501(C)(3)	42,187	SUPPORT CHARITABLE PROGRAMS
(163) MAINE CENTRE FOR CANCER MEDICINE & BLOOD DISORDERS PA DBA NEW ENGLAND CANCE 51 US ROUTE 1 STE B SCARBOROUGH,ME040747145	01-0357684	-	41,215	SUPPORT RESEARCH PROGRAM
(164) UNIVERSITY OF NOTRE DAME DU LAC 5914 SHAWNEE COURT APT 2A MISHAWAKA,IN46545	35-0868188	501(C)(3)	41,132	SUPPORT RESEARCH PROGRAM
(165) OLMSTED OUTREACH PO BOX 882 ROCHESTER,MN55901	41-1941871	501(C)(3)	41,000	SUPPORT CHARITABLE PROGRAMS
(166) TRUSTEES OF TUFTS COLLEGE 419 BOSTON AVE MEDFORD,MA02155	04-2103634	501(C)(3)	40,709	SUPPORT CHARITABLE PROGRAMS
(167) HACKENSACK UNIVERSITY MEDICAL CENTER 30 PROSPECT AVE HACKENSACK,NJ07601	22-1487576	501(C)(3)	40,500	SUPPORT RESEARCH PROGRAM
(168) NAMI SOUTHEAST MINNESOTA 2200 2ND ST SW 203 ROCHESTER,MN55902	36-3504277	501(C)(3)	40,000	SUPPORT CHARITABLE PROGRAMS
(169) ELDER NETWORK 1130 1/2 7TH ST NW SUITE 205 ROCHESTER,MN55901	41-1704390	501(C)(3)	40,000	SUPPORT CHARITABLE PROGRAMS
(170) INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION 2500 VALLEYHIGH DR NW ROCHESTER,MN559012739	41-1497753	501(C)(3)	38,500	SUPPORT CHARITABLE PROGRAMS
(171) QUALTEK MOLECULAR LABORATORIES 6483 CALLE REAL STE A GOLETA,CA93117	77-0446167	-	38,061	SUPPORT RESEARCH PROGRAM
(172) RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA PO BOX 400202 CHARLOTTESVILLE,VA229044202	54-6001796	STATE OF VA	37,861	SUPPORT RESEARCH PROGRAM
(173) ST JUDE CHILDRENS RESEARCH HOSPITAL INC 262 DANNY THOMAS PLACE MEMPHIS,TN381053678	62-0646012	501(C)(3)	37,613	SUPPORT CHARITABLE PROGRAMS
(174) MAYO CLINIC HOSPITAL-- ROCHESTER 200 FIRST STREET SW ROCHESTER,MN55905	41-0944601	501(C)(3)	37,284	SUPPORT CHARITABLE PROGRAMS
(175) LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR-UCLA MEDICAL CENTER 1124 W CARSON ST BLDG N-14 TORRANCE,CA90502	95-2138184	501(C)(3)	36,000	SUPPORT CHARITABLE PROGRAMS
(176) VANDERBILT UNIVERSITY MEDICAL CENTER 1211 MEDICAL CENTER DR NASHVILLE,TN372320004	35-2528741	501(C)(3)	35,156	SUPPORT RESEARCH PROGRAM
(177) COMMUNITY DENTAL CARE INC 1670 BEAM AVE SUITE 204 MAPLEWOOD,MN55109	04-3692982	501(C)(3)	35,000	SUPPORT CHARITABLE PROGRAMS
(178) LEGAL ASSISTANCE OF OLMSTED COUNTY 1136 7TH ST NW ROCHESTER,MN55901	41-0992471	501(C)(3)	35,000	SUPPORT CHARITABLE PROGRAMS
(179) NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINING 535 EAST 70TH STREET NEW YORK,NY10021	13-1624135	501(C)(3)	34,234	SUPPORT CHARITABLE PROGRAMS
(180) MEDICAL COLLEGE OF WISCONSIN FROEDTERT HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE,WI53226	39-0806261	501(C)(3)	34,008	SUPPORT CHARITABLE PROGRAMS
(181) DIVERSITY COUNCIL 1130 1/2 7TH ST NW ROCHESTER,MN55901	41-1709139	501(C)(3)	33,500	SUPPORT CHARITABLE PROGRAMS
(182) RHODE ISLAND HOSPITAL 593 EDDY ST PROVIDENCE,RI029034970	05-0258954	501(C)(3)	32,450	SUPPORT CHARITABLE PROGRAMS
(183) WOMEN'S SHELTER INC PO BOX 457 ROCHESTER,MN55903	41-1316614	501(C)(3)	32,000	SUPPORT CHARITABLE PROGRAMS
(184) NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE 750 N KALE SHORE DR CHICAGO,IL606113008	36-2167817	501(C)(3)	30,534	SUPPORT CHARITABLE PROGRAMS
(185) AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW ATLANTA,GA30303	13-1788491	501(C)(3)	30,000	SUPPORT CHARITABLE PROGRAMS
(186) BEAR CREEK SERVICES INC 3108 HIGHWAY 52 NORTH ROCHESTER,MN55901	41-1390671	501(C)(3)	30,000	SUPPORT CHARITABLE PROGRAMS
(187) ROCHESTER ART CENTER 40 CIVIC DRIVE SE ROCHESTER,MN55904	41-0799310	501(C)(3)	30,000	SUPPORT CHARITABLE PROGRAMS
(188) CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES,CA90048	95-1644600	501(C)(3)	29,999	SUPPORT CHARITABLE PROGRAMS
(189) RAPID CITY REGIONAL HOSPITAL 353 FAIRMONT BLVD RAPID CITY,SD57709	46-0319070	501(C)(3)	29,690	SUPPORT CHARITABLE PROGRAMS
(190) HEBREW REHABILITATION CENTER DBA HEBREW SENIOR LIFE 1200 CENTRE STREET BOSTON,MA02131	04-2104298	501(C)(3)	29,498	SUPPORT RESEARCH PROGRAM
(191) GIRL SCOUTS OF MINNESOTA AND WISCONSIN RIVER VALLEYS INC 400 ROBERT STREET SOUTH ST PAUL,MN55107	41-0693910	501(C)(3)	28,000	SUPPORT CHARITABLE PROGRAMS
(192) JEREMIAH PROGRAM 615 FIRST AVENUE NE MINNEAPOLIS,MN55413	41-1801834	501(C)(3)	28,000	SUPPORT CHARITABLE PROGRAMS
(193) GIFT OF LIFE INC 705 2ND STREET SW ROCHESTER,MN55901	41-1495845	501(C)(3)	28,000	SUPPORT CHARITABLE PROGRAMS
(194) ST CLOUD HOSPITAL 1406 6TH AVE N ST CLOUD,MN56303	41-0695596	501(C)(3)	27,214	SUPPORT CHARITABLE PROGRAMS
(195) TEMPLE POSTGRADUATE TEMPLE UNIV MED SCHOOL CME OFC 3400 N BROAD ST PHILADELPHIA,PA19140	23-1365971	501(C)(3)	26,820	SUPPORT CHARITABLE PROGRAMS
(196) RONALD MCDONALD HOUSE OF ROCHESTER MINNESOTA INC 850 2ND STREET SW ROCHESTER,MN55902	41-1344744	501(C)(3)	25,500	SUPPORT CHARITABLE PROGRAMS
(197) APPLE TREE DENTAL 8960 SPRINGBROOK DRIVE NW MINNEAPOLIS,MN55433	36-3411437	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(198) RECOVERY IS HAPPENING 25 16TH STREET NE ROCHESTER,MN55906	45-1259706	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(199) DOCS RECOVERY HOUSE 14 4TH ST SW STE 203 ROCHESTER,MN55902	81-2012220	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(200) CHILDREN'S DENTAL HEALTH SERVICES 903 WEST CENTER RM 8 ROCHESTER,MN55902	20-3677586	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(201) TERASAKI FAMILY FOUNDATION DBA TERASAKI RESEARCH INSTITUT 1018 WESTWOOD BLVD LOS ANGELES,CA900242903	95-4249502	501(C)(3)	25,000	SUPPORT RESEARCH PROGRAM
(202) ROCHESTER CIVIC THEATRE INC 20 CIVIC CENTER DR SE ROCHESTER,MN55904	41-0829271	501(C)(3)	24,500	SUPPORT CHARITABLE PROGRAMS
(203) ALBANY MEDICAL COLLEGE 47 NEW SCOTLAND AVE ALBANY,NY12208	14-1338310	501(C)(3)	24,185	SUPPORT CHARITABLE PROGRAMS
(204) UNIVERSITY OF VERMONT 128 LAKESIDE AVE SUITE 100 BURLINGTON,VT05401	03-0179440	STATE OF VT	24,105	SUPPORT RESEARCH PROGRAM
(205) UNIVERSITY OF ARIZONA PO BOX 3520 TUCSON,AZ857223520	74-2652689	501(C)(3)	23,038	SUPPORT CHARITABLE PROGRAMS
(206) APTITUDE HEALTH LLC 5901-C PEACHTREE DUNWOODY RD STE C200 ATLANTA,GA303286160	82-3684999	-	22,957	SUPPORT RESEARCH PROGRAM
(207) MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION 501 N ELAM AVE GREENSBORO,NC27403	58-1588823	501(C)(3)	22,200	SUPPORT CHARITABLE PROGRAMS
(208) ALBERT EINSTEIN COLLEGE OF MEDICINE INC 111 E 210TH ST BRONX,NY10467	47-2209056	501(C)(3)	20,755	SUPPORT CHARITABLE PROGRAMS
(209) LOWELL GENERAL HOSPITAL CANCER CENTER 295 VARNUM AVE LOWELL,MA01854	04-2103590	501(C)(3)	20,500	SUPPORT RESEARCH PROGRAM
(210) HEBREW HOME FOR THE AGED AT RIVERDALE 5901 PALISADE AVE BRONX,NY10471	13-1739971	501(C)(3)	20,156	SUPPORT CHARITABLE PROGRAMS
(211) ISD 535 EDUCATIONAL SERVICES CENTER 334 16TH ST SE ROCHESTER,MN55904	41-6002803	STATE OF MN	20,123	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(212) GAMEHAVEN COUNCIL INC BOY SCOUTS OF AMERICA 1124 SE 11TH ST ROCHESTER,MN559044097	41-0698309	501(C)(3)	20,000	SUPPORT CHARITABLE PROGRAMS
(213) OLMSTED MEDICAL CENTER PO BOX 4300 ROCHESTER,MN559034300	41-0855367	501(C)(3)	20,000	SUPPORT CHARITABLE PROGRAMS
(214) OLMSTED COUNTY 151 4TH ST SE ROCHESTER,MN55904	41-6005859	CT OF OLMSTED	19,756	SUPPORT RESEARCH PROGRAM
(215) VANDERBILT UNIVERSITY 1285 MRB IV NASHVILLE,TN372320575	62-0476822	501(C)(3)	19,250	SUPPORT CHARITABLE PROGRAMS
(216) LOYOLA UNIVERSITY OF CHICAGO 820 N MICHIGAN AVENUE CHICAGO,IL60611	36-1408475	501(C)(3)	19,000	SUPPORT CHARITABLE PROGRAMS
(217) USAGAINSTALZHEIMERS NETWORK INC 1101 K STREET NW NO 400 WASHINGTON,DC20005	45-0672514	501(C)(3)	18,480	SUPPORT CHARITABLE PROGRAMS
(218) MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 E 28TH ST STE 100 MINNEAPOLIS,MN55407	41-1426406	501(C)(3)	18,170	SUPPORT CHARITABLE PROGRAMS
(219) WESTAT INC 1650 RESEARCH BLVD ROCKVILLE,MD208503195	84-0529566	-	16,846	SUPPORT RESEARCH PROGRAM
(220) SOUTHEASTERN MINNESOTA YOUTH ORCHESTRA INC 1001 14TH STREET NW ROCHESTER,MN55901	41-1427785	501(C)(3)	16,500	SUPPORT CHARITABLE PROGRAMS
(221) CHARTERHOUSE INC 211 SECOND STREET NW ROCHESTER,MN55901	41-1405254	501(C)(3)	19,854	SUPPORT CHARITABLE PROGRAMS
(222) THE MIRIAM HOSPITAL 164 SUMMIT AVE PROVIDENCE,RI029034970	05-0258905	501(C)(3)	15,175	SUPPORT CHARITABLE PROGRAMS
(223) INDIANA UNIVERSITY 575 RILEY HOSPITAL DR INDIANAPOLIS,IN46202	35-6001673	STATE OF IN	15,114	SUPPORT RESEARCH PROGRAM
(224) EXERCISABILITIES INC 5335 EAST FRONTAGE RD NW ROCHESTER,MN559015931	45-5214117	501(C)(3)	15,000	SUPPORT CHARITABLE PROGRAMS
(225) SOMALIA REBUILD ORGANIZATION 707 6TH AVENUE NW ROCHESTER,MN55901	46-1751962	501(C)(3)	15,000	SUPPORT CHARITABLE PROGRAMS
(226) CHILDREN OF DESTINY 3270 19TH STREET NW SUITE 208 ROCHESTER,MN55901	06-1777757	501(C)(3)	15,000	SUPPORT CHARITABLE PROGRAMS
(227) UNIVERSITY OF CONNECTICUT HEALTH CENTER 263 FARMINGTON AVE - MC 1507 FARMINGTON,CT060301507	52-1725543	STATE OF CT	14,989	SUPPORT RESEARCH PROGRAM
(228) FISHER CLINICAL SERVICES 7554 SCHANTZ ROAD ALLENTOWN,PA181069032	23-2544260	-	14,942	SUPPORT RESEARCH PROGRAM
(229) ADVARRA INC DBA SCHULMAN IRB 6940 COLUMBIA GATEWAY DR STE 110 COLUMBIA,MD210462878	31-1358981	-	14,454	SUPPORT RESEARCH PROGRAM
(230) CONSUMERS FOR DENTAL CHOICE INC 316 F STREET NE SUITE 212 WASHINGTON,DC20002	52-2257385	501(C)(3)	14,000	SUPPORT CHARITABLE PROGRAMS
(231) WINTHROP UNIVERSITY HOSPITAL ASSOCIATION 259 FIRST ST MINEOLA,NY11501	11-1633486	501(C)(3)	13,975	SUPPORT CHARITABLE PROGRAMS
(232) BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1500 E DUARTE RD DUARTE,CA91010	95-3432210	501(C)(3)	13,108	SUPPORT CHARITABLE PROGRAMS
(233) ABILITY BUILDING CENTER INC PO BOX 6938 ROCHESTER,MN55903	41-0829178	501(C)(3)	12,525	SUPPORT CHARITABLE PROGRAMS
(234) ROCHESTER REPERTORY PO BOX 608 ROCHESTER,MN55903	41-1540218	501(C)(3)	12,500	SUPPORT CHARITABLE PROGRAMS
(235) COMMUNITY FOOD RESPONSE 810 3RD AVE SE ROCHESTER,MN55904	41-1757102	501(C)(3)	12,500	SUPPORT CHARITABLE PROGRAMS
(236) MINNESOTA COUNCIL OF NONPROFITS INC 2314 UNIVERSITY AVE W STE 20 ST PAUL,MN55114	36-3501477	501(C)(3)	12,000	SUPPORT CHARITABLE PROGRAMS
(237) INSTITUTE FOR CANCER RESEARCH 333 COTTMAN AVE PHILADELPHIA,PA19111	23-6296135	501(C)(3)	11,647	SUPPORT CHARITABLE PROGRAMS
(238) IOWA ONCOLOGY RESEARCH 300 E LOCUST ST STE 350 DES MOINES,IA503091854	47-5634159	-	11,500	SUPPORT RESEARCH PROGRAM
(239) CHORAL ARTS ENSEMBLE OF ROCHESTER 1001 14TH STREET NW ROOM/STE 900 ROCHESTER,MN55901	36-3465792	501(C)(3)	10,750	SUPPORT CHARITABLE PROGRAMS
(240) BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE,WA981012795	91-0653422	501(C)(3)	10,611	SUPPORT CHARITABLE PROGRAMS
(241) OKLAHOMA MEDICAL RESEARCH FOUNDATION 825 NE 13TH ST OKLAHOMA CITY,OK73104	73-0580274	501(C)(3)	10,483	SUPPORT CHARITABLE PROGRAMS
(242) ROCHESTER DOWNTOWN FARMERS MARKET PO BOX 6554 ROCHESTER,MN55903	20-3177629	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(243) SOUTHEAST SERVICE COOPERATIVE 210 WOOD LAKE DR SE ROCHESTER,MN55904	41-1333904	STATE OF MN	10,000	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(244) HONORS CHOIRS OF SOUTHEAST MINNESOTA 1001 14TH STREET NW ROCHESTER,MN559012534	41-1747145	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(245) BLACK DATA PROCESSING ASSOCIATION SE MN CHAPTER 423 MANOR BROOK LANE NW ROCHESTER,MN55901	41-1929150	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(246) MINNESOTA OVARIAN CANCER ALLIANCE INC 4604 CHICAGO AVE S MINNEAPOLIS,MN55407	41-1960449	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(247) THE SAINT PAUL FOUNDATION 101 5TH ST E STE 2400 ST PAUL,MN551011800	41-6031510	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(248) GIRLS ON THE RUN TWIN CITIES INC 393 NORTH DUNLAP STREET 750 SAINT PAUL,MN55104	45-2845928	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(249) ROCHESTER SWIMMING INC 720 27TH STREET NW ROCHESTER,MN55901	47-3368655	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(250) RT AUTISM AWARENESS FOUNDATION INC 329 ELTON HILLS DRIVE NW ROCHESTER,MN55901	56-2328202	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(251) ROCHESTER ARTS COUNCIL 30 CIVIC CENTER DRIVE SE ROCHESTER,MN55904	20-4748879	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(252) MINNESOTA STATE COLLEGES AND UNIVERSITIES 236 WIGLEY ADMINISTRATION CENTER MANKATO,MN56001	41-1687554	STATE OF MN	10,000	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(253) MCGUFF PHARMACEUTICALS INC 2921 W MACARTHUR BLVD SUITE 141 SANTA ANA,CA92704	71-0878810	-	10,000	SUPPORT RESEARCH PROGRAM
(254) WAKE FOREST UNIVERSITY HEALTH SCIENCES-ULTRASOUND MEDICAL CENTER BLVD WINSTONSALEM,NC271571039	22-3849199	501(C)(3)	9,505	SUPPORT CHARITABLE PROGRAMS
(255) UNIVERSITY OF NEBRASKA DBA UNIV OF NEBRASKA MEDICAL CENTER 986800 NEBRASKA MEDICAL CENTER OMAHA,NE681985050	47-0049123	STATE OF NE	9,280	SUPPORT RESEARCH PROGRAM
(256) TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOX 468 BOSTON,MA02111	04-3400617	501(C)(3)	9,173	SUPPORT CHARITABLE PROGRAMS
(257) SPECTRUM HEALTH HOSPITALS DBA GRAND RAPIDS CLINICAL ONCOLOGY 100 MICHIGAN NE GRAND RAPIDS,MI49503	38-1360529	501(C)(3)	8,516	SUPPORT CHARITABLE PROGRAMS
(258) NEW HAMPSHIRE ONCOLOGY 200 TECHNOLOGY DR HOOKSETT,NH031062505	02-0335060	-	8,385	SUPPORT RESEARCH PROGRAM
(259) TRUSTEES OF PURDUE UNIVERSITY 401 S GRANT ST WEST LAFAYETTE,IN47907	35-6002041	STATE OF IN	8,241	SUPPORT RESEARCH PROGRAM
(260) FAMILY SERVICE ROCHESTER INC 1110 SIXTH STREET NW ROCHESTER,MN559011839	41-0883453	501(C)(3)	8,000	SUPPORT CHARITABLE PROGRAMS
(261) HOAG MEMORIAL HOSPITAL PRESBYTERIAN ONE HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92658	95-1643327	501(C)(3)	8,000	SUPPORT CHARITABLE PROGRAMS
(262) MISSOURI VALLEY CANCER CONSORTIUM 7070 SPRING ST OMAHA,NE68106	47-0773531	501(C)(3)	7,896	SUPPORT CHARITABLE PROGRAMS
(263) UNIVERSITY OF MASSACHUSETTS 55 LAKE AVE NORTH WORCESTER,MA01655	04-3167352	STATE OF MA	7,865	SUPPORT RESEARCH PROGRAM
(264) CARDIOLOGY ASSOCIATES OF SCHENECTADY 2546 BALLTOWN RD STE 300 SCHENECTADY,NY12309	14-1729272	-	7,725	SUPPORT RESEARCH PROGRAM
(265) SOUTHERN MINNESOTA INITIATIVE FOUNDATION 525 FLORENCE AVE OWATONNA,MN55060	36-3454285	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(266) BOLDER OPTIONS 2100 STEVENS AVENUE SOUTH MINNEAPOLIS,MN55404	41-1909408	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(267) MULTICARE HEALTH SYSTEMS PO BOX 5299 TACOMA,WA98415	91-1352172	501(C)(3)	7,191	SUPPORT CHARITABLE PROGRAMS
(268) YMCA CAMP OLSON 4160 LITTLE BOY RD NE LONGVILLE,MN56655	41-0967781	501(C)(3)	7,000	SUPPORT CHARITABLE PROGRAMS
(269) MINNESOTA ZOO FOUNDATION 13000 ZOO BOULEVARD APPLE VALLEY,MN55124	51-0147653	501(C)(3)	7,000	SUPPORT CHARITABLE PROGRAMS
(270) UC REGENTS UNIV OF CALIFORNIA-SD 9500 GILMAN DR MC 0617 LA JOLLA,CA920930617	95-6006144	STATE OF CA	6,913	SUPPORT RESEARCH PROGRAM
(271) ALTRU HEALTH SYSTEM 1200 S COLUMBIA RD GRAND FORKS,ND58206	45-0310462	501(C)(3)	6,500	SUPPORT RESEARCH PROGRAM
(272) TOLEDO CLINIC INC 4235 SECOR RD TOLEDO,OH436234299	34-0936207	-	6,404	SUPPORT RESEARCH PROGRAM
(273) BANNER HEALTH RESEARCH INSTITUTE 1441 NORTH 12TH STREET PHOENIX,AZ85006	45-0233470	501(C)(3)	6,095	SUPPORT CHARITABLE PROGRAMS

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

241

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) 2019

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) SCHOLARSHIPS	678	10,303,114
(2) MEDICAL STUDENT STIPENDS	430	8,669,583
(3) CHARITABLE SUPPORT OF INDIVIDUALS	47	112,636
(3)
(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 INDIVIDUALS AND OTHER ORGANIZATIONS ARE MONITORED BY MAYO AS PRESCRIBED IN TITLE 2 U.S. CODE OF FEDERAL REGULATIONS PART 200, UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS (UNIFORM GUIDANCE), SUBPART D-SUBRECIPIENT MONITORING AND MANAGEMENT 200.331 REQUIREMENTS FOR PASS-THROUGH ENTITIES. SHORT-TERM FINANCIAL ASSISTANCE AND SUPPORT IS PROVIDED TO EMPLOYEES AND INDIVIDUALS EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. MEDICAL STUDENT STIPENDS ARE PAID TO THE STUDENTS OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE TO HELP OFFSET THE COST OF THE STUDENT'S LIVING EXPENSES AND ARE NOT MONITORED. MERIT-BASED AND NEEDS-BASED SCHOLARSHIPS AND GRANTS ARE AWARDED TO INDIVIDUALS PURSUING A DEGREE IN A HEALTHCARE FIELD AND ARE CONTINGENT UPON ON-GOING SATISFACTORY ACADEMIC PROGRESS.

Schedule I (Form 990) 2019

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

2019

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 on 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 on 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) 2019

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)
1FARRUGIA MD GIANRICO PRESIDENT/CEO/TRUSTEE	(i) (ii)	0 ------------- 2,205,438	0 ------------- 0	0 ------------- 479,937	0 ------------- 55,946	0 ------------- 33,839	0 ------------- 2,775,160	0 ------------- 0
2GOSTOUT MD BOBBIE S TRUSTEE/VP	(i) (ii)	0 ------------- 1,459,957	0 ------------- 0	0 ------------- 295,503	0 ------------- 69,945	0 ------------- 31,559	0 ------------- 1,856,964	0 ------------- 0
3BOLTON JEFFREY W TRUSTEE/VP	(i) (ii)	0 ------------- 1,341,942	0 ------------- 0	0 ------------- 302,172	0 ------------- 64,893	0 ------------- 25,375	0 ------------- 1,734,382	0 ------------- 0
4HOFFMAN III HARRY N TREASURER	(i) (ii)	0 ------------- 742,770	0 ------------- 666,002	0 ------------- 141,551	0 ------------- 55,087	0 ------------- 24,865	0 ------------- 1,630,275	0 ------------- 0
5KRAUSS MD WILLIAM E PHYSICIAN	(i) (ii)	1,137,807 ------------- 0	0 ------------- 0	254,267 ------------- 0	60,436 ------------- 0	30,581 ------------- 0	1,483,091 ------------- 0	0 ------------- 0
6HARPER JR MD CHARLES M TRUSTEE	(i) (ii)	0 ------------- 1,185,824	0 ------------- 0	0 ------------- 277,922	0 ------------- 11,200	0 ------------- 24,888	0 ------------- 1,499,834	0 ------------- 0
7LANZINO MD GIUSEPPE PHYSICIAN	(i) (ii)	1,133,806 ------------- 0	0 ------------- 0	188,885 ------------- 0	52,011 ------------- 0	30,548 ------------- 0	1,405,250 ------------- 0	0 ------------- 0
8THIELEN MD KENT R TRUSTEE/VP	(i) (ii)	0 ------------- 1,117,036	0 ------------- 0	0 ------------- 210,440	0 ------------- 55,308	0 ------------- 33,453	0 ------------- 1,416,237	0 ------------- 0
9MARSH MD W RICHARD PHYSICIAN	(i) (ii)	1,063,189 ------------- 0	0 ------------- 0	247,134 ------------- 0	11,200 ------------- 0	24,525 ------------- 0	1,346,048 ------------- 0	0 ------------- 0
10CLARKE MD MICHELLE J PHYSICIAN	(i) (ii)	1,136,206 ------------- 0	0 ------------- 0	125,240 ------------- 0	42,190 ------------- 0	20,828 ------------- 0	1,324,464 ------------- 0	0 ------------- 0
11SPINNER MD ROBERT J PHYSICIAN	(i) (ii)	1,031,299 ------------- 0	0 ------------- 0	225,767 ------------- 0	54,826 ------------- 0	11,064 ------------- 0	1,322,956 ------------- 0	0 ------------- 0
12MEYER MD FREDRIC B FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 1,069,547	0 ------------- 0	0 ------------- 238,458	0 ------------- 11,205	0 ------------- 35,353	0 ------------- 1,354,563	0 ------------- 0
13GORMAN PAUL A ASST TREASURER	(i) (ii)	0 ------------- 626,282	0 ------------- 537,002	0 ------------- 93,747	0 ------------- 59,487	0 ------------- 30,963	0 ------------- 1,347,481	0 ------------- 0
14DAHLEN DENNIS E CFO	(i) (ii)	0 ------------- 1,098,177	0 ------------- 0	0 ------------- 131,633	0 ------------- 56,724	0 ------------- 31,935	0 ------------- 1,318,469	0 ------------- 0
15OTLEY MD CLARK C PHYSICIAN	(i) (ii)	904,197 ------------- 0	0 ------------- 0	183,962 ------------- 0	54,359 ------------- 0	32,211 ------------- 0	1,174,729 ------------- 0	0 ------------- 0
16GORES MD GREGORY J PHYSICIAN	(i) (ii)	953,251 ------------- 0	0 ------------- 0	181,490 ------------- 0	11,204 ------------- 0	26,833 ------------- 0	1,172,778 ------------- 0	0 ------------- 0
17MURPHY JOSHUA B SECY	(i) (ii)	0 ------------- 916,944	0 ------------- 0	0 ------------- 158,293	0 ------------- 51,185	0 ------------- 32,884	0 ------------- 1,159,306	0 ------------- 0
18GRAY MD RICHARD J TRUSTEE/VP	(i) (ii)	0 ------------- 895,006	0 ------------- 0	0 ------------- 56,666	0 ------------- 45,713	0 ------------- 28,344	0 ------------- 1,025,729	0 ------------- 0
19WILLIAMSON MARY J TRUSTEE	(i) (ii)	792,806 ------------- 0	0 ------------- 0	127,838 ------------- 0	51,600 ------------- 0	35,497 ------------- 0	1,007,741 ------------- 0	0 ------------- 0
20BERRY MD DANIEL J TRUSTEE	(i) (ii)	682,831 ------------- 0	0 ------------- 0	170,118 ------------- 0	68,575 ------------- 0	29,258 ------------- 0	950,782 ------------- 0	0 ------------- 0
21DIASIO MD ROBERT B PHYSICIAN	(i) (ii)	743,742 ------------- 0	0 ------------- 0	163,921 ------------- 0	5,687 ------------- 0	26,161 ------------- 0	939,511 ------------- 0	0 ------------- 0
22CALLSTROM MD MATTHEW R PHYSICIAN	(i) (ii)	696,422 ------------- 0	0 ------------- 0	131,145 ------------- 0	56,428 ------------- 0	22,748 ------------- 0	906,743 ------------- 0	0 ------------- 0
23MENKOSKY PAULA E TRUSTEE/ASST SECY	(i) (ii)	0 ------------- 730,923	0 ------------- 0	0 ------------- 113,345	0 ------------- 58,198	0 ------------- 29,304	0 ------------- 931,770	0 ------------- 0
24RIHAL MD CHARANJIT S PHYSICIAN	(i) (ii)	624,056 ------------- 0	0 ------------- 0	169,411 ------------- 0	60,088 ------------- 0	31,999 ------------- 0	885,554 ------------- 0	0 ------------- 0
25NESSE MD ROBERT E FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 673,953	0 ------------- 0	0 ------------- 199,207	0 ------------- 11,200	0 ------------- 25,548	0 ------------- 909,908	0 ------------- 0
26LUETMER MD PATRICK H FORMER KEY EMPLOYEE	(i) (ii)	640,254 ------------- 0	0 ------------- 0	127,578 ------------- 0	66,376 ------------- 0	31,713 ------------- 0	865,921 ------------- 0	0 ------------- 0
27CAMILLERI MD MICHAEL FORMER KEY EMPLOYEE	(i) (ii)	596,409 ------------- 0	0 ------------- 0	211,059 ------------- 0	11,200 ------------- 0	25,975 ------------- 0	844,643 ------------- 0	0 ------------- 0
28WALD MD JOHN T PHYSICIAN	(i) (ii)	642,904 ------------- 0	0 ------------- 0	110,297 ------------- 0	60,075 ------------- 0	29,012 ------------- 0	842,288 ------------- 0	0 ------------- 0
29HEBL MD JAMES R FORMER KEY EMPLOYEE	(i) (ii)	676,754 ------------- 0	0 ------------- 0	73,996 ------------- 0	49,920 ------------- 0	29,134 ------------- 0	829,804 ------------- 0	0 ------------- 0
30HAYES MD DAVID L FORMER KEY EMPLOYEE	(i) (ii)	606,944 ------------- 0	0 ------------- 0	177,633 ------------- 0	11,200 ------------- 0	29,082 ------------- 0	824,859 ------------- 0	0 ------------- 0
31ROGER MD VERONIQUE L TRUSTEE	(i) (ii)	565,046 ------------- 0	0 ------------- 0	167,344 ------------- 0	72,843 ------------- 0	12,673 ------------- 0	817,906 ------------- 0	0 ------------- 0
32ZORN CHRISTINA K TRUSTEE/ASST SECY	(i) (ii)	0 ------------- 675,464	0 ------------- 0	0 ------------- 77,488	0 ------------- 43,666	0 ------------- 29,127	0 ------------- 825,745	0 ------------- 0
33NOSEWORTHY MD JOHN H FORMER CEO/PRESIDENT	(i) (ii)	0 ------------- 41,200	0 ------------- 0	0 ------------- 735,644	0 ------------- 2,425	0 ------------- 0	0 ------------- 779,269	0 ------------- 0
34AMMASH MD NASER M PHYSICIAN	(i) (ii)	585,174 ------------- 0	0 ------------- 0	108,396 ------------- 0	61,766 ------------- 0	20,130 ------------- 0	775,466 ------------- 0	0 ------------- 0
35BUSKIRK MD STEVEN J TRUSTEE	(i) (ii)	0 ------------- 641,533	0 ------------- 0	0 ------------- 111,207	0 ------------- 11,200	0 ------------- 25,679	0 ------------- 789,619	0 ------------- 0
36FOOTE MD ROBERT L FORMER KEY EMPLOYEE	(i) (ii)	603,498 ------------- 0	0 ------------- 0	125,415 ------------- 0	11,234 ------------- 0	23,138 ------------- 0	763,285 ------------- 0	0 ------------- 0
37LOFTUS MD CONOR G FORMER KEY EMPLOYEE	(i) (ii)	611,715 ------------- 0	0 ------------- 0	75,276 ------------- 0	43,277 ------------- 0	28,914 ------------- 0	759,182 ------------- 0	0 ------------- 0
38HAEFLINGER RICKY J ASST TREASURER	(i) (ii)	362,541 ------------- 0	270,972 ------------- 0	31,395 ------------- 0	67,727 ------------- 0	14,105 ------------- 0	746,740 ------------- 0	0 ------------- 0
39WILLIAMS MD AMY W TRUSTEE	(i) (ii)	549,831 ------------- 0	0 ------------- 0	104,129 ------------- 0	66,687 ------------- 0	6,939 ------------- 0	727,586 ------------- 0	0 ------------- 0
40MORICE MD WILLIAM G PHYSICIAN	(i) (ii)	544,296 ------------- 0	0 ------------- 0	91,920 ------------- 0	51,243 ------------- 0	28,749 ------------- 0	716,208 ------------- 0	0 ------------- 0
41GERTZ MD MORIE A FORMER KEY EMPLOYEE	(i) (ii)	456,626 ------------- 0	0 ------------- 0	202,287 ------------- 0	11,200 ------------- 0	22,879 ------------- 0	692,992 ------------- 0	0 ------------- 0
42OKUNO MD SCOTT H FORMER KEY EMPLOYEE	(i) (ii)	500,212 ------------- 0	0 ------------- 0	94,685 ------------- 0	57,396 ------------- 0	30,070 ------------- 0	682,363 ------------- 0	0 ------------- 0
43WHITED MD BRIAN L FORMER KEY EMPLOYEE	(i) (ii)	536,343 ------------- 0	0 ------------- 0	61,243 ------------- 0	60,426 ------------- 0	23,881 ------------- 0	681,893 ------------- 0	0 ------------- 0
44FRANK MD IGOR PHYSICIAN	(i) (ii)	537,672 ------------- 0	0 ------------- 0	63,588 ------------- 0	43,214 ------------- 0	30,719 ------------- 0	675,193 ------------- 0	0 ------------- 0
45KENDRICK MD MICHAEL L PHYSICIAN	(i) (ii)	529,165 ------------- 0	0 ------------- 0	58,187 ------------- 0	48,770 ------------- 0	28,656 ------------- 0	664,778 ------------- 0	0 ------------- 0
46CIMA MD ROBERT R PHYSICIAN	(i) (ii)	521,883 ------------- 0	0 ------------- 0	57,070 ------------- 0	50,457 ------------- 0	26,987 ------------- 0	656,397 ------------- 0	0 ------------- 0
47HADAWAY CHERYL J CHAIR-DEPT OF DEVELOPMENT	(i) (ii)	540,795 ------------- 0	0 ------------- 0	81,921 ------------- 0	11,201 ------------- 0	22,221 ------------- 0	656,138 ------------- 0	0 ------------- 0
48KHAN MD AMIR R PHYSICIAN	(i) (ii)	504,474 ------------- 0	0 ------------- 0	69,579 ------------- 0	51,494 ------------- 0	28,599 ------------- 0	654,146 ------------- 0	0 ------------- 0
49HAYES MD SHARONNE N PHYSICIAN	(i) (ii)	487,021 ------------- 0	0 ------------- 0	99,081 ------------- 0	53,087 ------------- 0	6,740 ------------- 0	645,929 ------------- 0	0 ------------- 0
50BROWN MD MICHAEL J PHYSICIAN	(i) (ii)	488,580 ------------- 0	0 ------------- 0	66,338 ------------- 0	47,765 ------------- 0	31,245 ------------- 0	633,928 ------------- 0	0 ------------- 0
51PETERS MD STEVE G PHYSICIAN	(i) (ii)	501,593 ------------- 0	0 ------------- 0	82,606 ------------- 0	11,200 ------------- 0	25,286 ------------- 0	620,685 ------------- 0	0 ------------- 0
52HORLOCKER MD TERESE T PHYSICIAN	(i) (ii)	494,298 ------------- 0	0 ------------- 0	73,097 ------------- 0	10,698 ------------- 0	22,748 ------------- 0	600,841 ------------- 0	0 ------------- 0
53CLARK LEON G CHAIR-DEPT OF RESEARCH ADMIN	(i) (ii)	459,686 ------------- 0	0 ------------- 0	50,448 ------------- 0	55,557 ------------- 0	28,456 ------------- 0	594,147 ------------- 0	0 ------------- 0
54GAZELKA MD HALENA M PHYSICIAN	(i) (ii)	487,392 ------------- 0	0 ------------- 0	24,819 ------------- 0	49,381 ------------- 0	23,738 ------------- 0	585,330 ------------- 0	0 ------------- 0
55NARR MD BRADLY J PHYSICIAN	(i) (ii)	421,000 ------------- 0	0 ------------- 0	118,557 ------------- 0	11,200 ------------- 0	25,187 ------------- 0	575,944 ------------- 0	0 ------------- 0
56SANTRACH MD PAULA J FORMER KEY EMPLOYEE	(i) (ii)	457,177 ------------- 0	0 ------------- 0	59,207 ------------- 0	45,579 ------------- 0	11,606 ------------- 0	573,569 ------------- 0	0 ------------- 0
57KRAHN MD LOIS E TRUSTEE	(i) (ii)	0 ------------- 430,543	0 ------------- 0	0 ------------- 68,611	0 ------------- 60,395	0 ------------- 30,350	0 ------------- 589,899	0 ------------- 0
58WARNER MD MARK A FORMER KEY EMPLOYEE	(i) (ii)	350,562 ------------- 0	0 ------------- 0	174,288 ------------- 0	11,200 ------------- 0	22,559 ------------- 0	558,609 ------------- 0	0 ------------- 0
59FRANCIS JAMES R ASST TREASURER	(i) (ii)	0 ------------- 436,750	0 ------------- 0	0 ------------- 48,670	0 ------------- 62,930	0 ------------- 31,312	0 ------------- 579,662	0 ------------- 0
60DECKER MD WYATT W FORMER VICE PRESIDENT	(i) (ii)	0 ------------- 39,101	0 ------------- 0	0 ------------- 455,814	0 ------------- 52,607	0 ------------- 2,248	0 ------------- 549,770	0 ------------- 0
61BLACK MD JOHN L FORMER KEY EMPLOYEE	(i) (ii)	424,957 ------------- 0	0 ------------- 0	73,284 ------------- 0	11,200 ------------- 0	19,664 ------------- 0	529,105 ------------- 0	0 ------------- 0
62LUCCHINETTI MD CLAUDIA F TRUSTEE	(i) (ii)	392,362 ------------- 0	0 ------------- 0	42,707 ------------- 0	58,965 ------------- 0	28,259 ------------- 0	522,293 ------------- 0	0 ------------- 0
63DIDEHBAN ROSHANAK FORMER KEY EMPLOYEE	(i) (ii)	435,477 ------------- 0	0 ------------- 0	21,873 ------------- 0	35,413 ------------- 0	10,179 ------------- 0	502,942 ------------- 0	0 ------------- 0
64GREENE MD EDDIE L TRUSTEE	(i) (ii)	375,371 ------------- 0	0 ------------- 0	33,693 ------------- 0	59,770 ------------- 0	25,009 ------------- 0	493,843 ------------- 0	0 ------------- 0
65AGERTER MD DAVID C FORMER KEY EMPLOYEE	(i) (ii)	339,145 ------------- 0	0 ------------- 0	119,520 ------------- 0	11,200 ------------- 0	22,409 ------------- 0	492,274 ------------- 0	0 ------------- 0
66NELSON MD HEIDI TRUSTEE	(i) (ii)	298,134 ------------- 0	0 ------------- 0	130,792 ------------- 0	8,400 ------------- 0	10,594 ------------- 0	447,920 ------------- 0	0 ------------- 0
67WEBER JOAN A ASST TREASURER	(i) (ii)	0 ------------- 361,285	0 ------------- 0	0 ------------- 28,306	0 ------------- 10,180	0 ------------- 21,112	0 ------------- 420,883	0 ------------- 0
68UHLENKAMP SUSAN M ASST TREASURER	(i) (ii)	0 ------------- 326,578	0 ------------- 0	0 ------------- 16,850	0 ------------- 53,761	0 ------------- 19,318	0 ------------- 416,507	0 ------------- 0
69HUBERT SHERRY L ASST SECY	(i) (ii)	0 ------------- 295,811	0 ------------- 0	0 ------------- 11,336	0 ------------- 58,912	0 ------------- 30,604	0 ------------- 396,663	0 ------------- 0
70FROISLAND JEFFREY R ASST TREASURER	(i) (ii)	0 ------------- 322,399	0 ------------- 0	0 ------------- 16,446	0 ------------- 11,372	0 ------------- 11,009	0 ------------- 361,226	0 ------------- 0
71LOCKETT KEVIN M ASST TREASURER	(i) (ii)	0 ------------- 271,475	0 ------------- 0	0 ------------- 2,681	0 ------------- 51,849	0 ------------- 27,851	0 ------------- 353,856	0 ------------- 0
72NORBY MARK L ASST TREASURER	(i) (ii)	0 ------------- 278,642	0 ------------- 0	0 ------------- 2,715	0 ------------- 43,564	0 ------------- 13,340	0 ------------- 338,261	0 ------------- 0
73BROWN WILLIAM A ASST TREASURER	(i) (ii)	0 ------------- 241,871	0 ------------- 0	0 ------------- 5,706	0 ------------- 9,506	0 ------------- 24,512	0 ------------- 281,595	0 ------------- 0
74PAIGE SR KEVIN A FORMER KEY EMPLOYEE	(i) (ii)	47,983 ------------- 0	0 ------------- 0	105,842 ------------- 0	65,576 ------------- 0	3,693 ------------- 0	223,094 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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 2019, NASER M. AMMASH M.D., DANIEL J.BERRY M.D., JOHN L. BLACK M.D., MATTHEW R. CALLSTROM M.D., ROSHANAK DIDEHBAN, IGOR FRANK M.D., CHERYL J. HADAWAY, DAVID L. HAYES M.D. AND CLARK C. OTLEY M.D. WERE PROVIDED BUSINESS/FIRST-CLASS AND/OR CHARTER TRAVEL JUSTIFIED BY BUSINESS NEED. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. BUSINESS/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, BUSINESS/FIRST-CLASS AND CHARTER TRAVEL REQUIRE SEPARATE DOCUMENTATION OF BUSINESS NEED, APPROVAL BY A SENIOR OFFICER, AND OVERSIGHT REVIEW BY TRIP ACCOUNTING MANAGER AS DELEGATED BY THE MAYO CLINIC TRIP AND TRAVEL COMMITTEE. TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES AND EX-OFFICIOS SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS. IN 2019, JAY ALIX, LINDA G. ALVARADO, MARY SUE COLEMAN, SAMUEL A. DI PIAZZA JR., WILLIAM W. GEORGE, GREGORY J. GORES, CHERYL J. HADAWAY, MICHAEL K. POWELL, VERONIQUE L. ROGER, RANDOLPH C. STEER AND ANNE M. SWEENEY 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 2019, DR. SCOTT H. OKUNO RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME. EMPLOYEES PERFORMING WORK OUTSIDE THEIR HOME STATE HAVE THEIR COMPENSATION GROSSED UP IN THE FORM OF 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 2019, ONE OR MORE LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. MOVING EXPENSE REIMBURSEMENT IS PROVIDED TO QUALIFYING EMPLOYEES WHEN JUSTIFIED BY BUSINESS NEED. IN 2019, ONE LISTED PERSON RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER TO NOT DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. ONE OR MORE LISTED PERSONS RECEIVED AN AWARD, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC VOTING/CONSULTING STAFF. ONE OR MORE LISTED PERSONS RECEIVED THIS SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS.
PART I, LINES 4A-C	THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). AGERTER M.D., DAVID C. $ 64,445 AMMASH M.D., NASER M. $ 91,789 BERRY M.D., DANIEL J. $ 129,009 BLACK M.D., JOHN L. $ 49,096 BOLTON, JEFFREY W. $ 284,425 BROWN M.D., MICHAEL J. $ 51,144 BUSKIRK M.D., STEVEN J. $ 99,109 CALLSTROM M.D., MATTHEW R. $ 113,188 CAMILLERI M.D., MICHAEL $ 116,168 CIMA M.D., ROBERT R. $ 50,235 CLARK, LEON G. $ 47,727 CLARKE M.D., MICHELLE J. $ 122,901 DAHLEN, DENNIS E. $ 117,841 DECKER M.D., WYATT W. $ 397,146 DIASIO M.D., ROBERT B. $ 131,272 DIDEHBAN, ROSHANAK $ 16,615 FARRUGIA M.D., GIANRICO $ 359,595 FOOTE M.D., ROBERT L. $ 101,290 FRANCIS, JAMES R. $ 41,748 FRANK M.D., IGOR $ 58,583 FROISLAND, JEFFREY R. $ 14,506 GAZELKA M.D., HALENA M. $ 23,108 GERTZ M.D., MORIE A. $ 87,551 GORES M.D., GREGORY J. $ 168,702 GORMAN, PAUL A. $ 89,547 GOSTOUT M.D., BOBBIE S. $ 278,030 GRAY M.D., RICHARD J. $ 53,562 GREENE M.D., EDDIE L. $ 28,815 HADAWAY, CHERYL J. $ 73,521 HAEFLINGER, RICKY J. $ 27,114 HARPER JR., M.D., CHARLES M. $ 257,115 HAYES M.D., DAVID L. $ 111,637 HAYES M.D., SHARONNE N. $ 85,275 HEBL M.D., JAMES R. $ 69,659 HOFFMAN III, HARRY N. $ 132,335 HORLOCKER M.D., TERESE T. $ 66,883 HUBERT, SHERRY L. $ 9,311 KENDRICK M.D., MICHAEL L. $ 55,742 KHAN M.D., AMIR R. $ 67,220 KRAHN M.D., LOIS E. $ 45,051 KRAUSS M.D., WILLIAM E. $ 246,966 LANZINO M.D., GIUSEPPE $ 184,352 LOCKETT, KEVIN M. $ 998 LOFTUS M.D., CONOR G. $ 73,279 LUCCHINETTI M.D., CLAUDIA F. $ 36,859 LUETMER M.D., PATRICK H. $ 109,408 MARSH M.D., W. RICHARD $ 225,811 MENKOSKY, PAULA E. $ 108,414 MEYER M.D., FREDRIC B. $ 225,266 MORICE M.D., WILLIAM G. $ 81,398 MURPHY, JOSHUA B. $ 153,387 NARR M.D., BRADLY J. $ 75,170 NELSON M.D., HEIDI $ 107,226 NESSE M.D., ROBERT E. $ 184,015 NORBY, MARK L. $ 1,731 NOSEWORTHY M.D., JOHN H. $ 689,080 OKUNO M.D., SCOTT H. $ 66,616 OTLEY M.D., CLARK C. $ 154,574 PAIGE SR., KEVIN A. $ 42,801 PETERS M.D., STEVE G. $ 67,972 RIHAL M.D., CHARANJIT S. $ 117,329 ROGER M.D., VERONIQUE L. $ 103,786 SANTRACH M.D., PAULA J. $ 53,312 SPINNER M.D., ROBERT J. $ 217,088 THIELEN M.D., KENT R. $ 139,012 UHLENKAMP, SUSAN M. $ 15,464 WALD M.D., JOHN T. $ 106,500 WARNER M.D., MARK A. $ 82,007 WEBER, JOAN A. $ 25,580 WHITED M.D., BRIAN L. $ 57,262 WILLIAMS M.D., AMY W. $ 82,331 WILLIAMSON, MARY J. $ 125,083 ZORN, CHRISTINA K. $ 75,350 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: FARRUGIA M.D., GIANRICO MARSH M.D., W. RICHARD PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.
PART I, LINE 4B	IN ADDITION TO THE ABOVE SUPPLEMENTAL RETIREMENT PLAN (SRP), THIS ENTITY OR ITS AFFILIATE ALSO HAVE A NONQUALIFIED DEFERRED COMPENSATION 457(B) PLAN. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM FIDELITY, AN UNRELATED ORGANIZATION, DURING THE TAX YEAR. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). PAIGE SR., KEVIN A. $ 53,718

Schedule J (Form 990) 2019

Additional Data

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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 instructions and the latest information.

OMB No. 1545-0047

2019

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 .............	14,844,913						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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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) 2019

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 %		0 %		1.000 %
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 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		1.000 %
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) 2019

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: 11/15/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/08/2019
SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3	THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR THE BOND ISSUES ARE INVESTMENT EARNINGS OR LOSSES.

Schedule K (Form 990) 2019

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 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 instructions and the latest information.

OMB No. 1545-0047

2019

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 .............	14,844,913						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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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) 2019

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 %		0 %		1.000 %
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 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		1.000 %
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) 2019

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: 11/15/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/08/2019
SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3	THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR THE BOND ISSUES ARE INVESTMENT EARNINGS OR LOSSES.

Schedule K (Form 990) 2019

Additional Data

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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 instructions and the latest information.

OMB No. 1545-0047

2019

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 .............	14,844,913						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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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) 2019

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 %		0 %		1.000 %
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 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		1.000 %
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) 2019

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: 11/15/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/08/2019
SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3	THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR THE BOND ISSUES ARE INVESTMENT EARNINGS OR LOSSES.

Schedule K (Form 990) 2019

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 instructions and the latest information.

OMB No. 1545-0047

2019

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 section 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 the 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) 2019

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.	338,605	EMPLOYMENT		No
(2) BOIS MD MELANIE C	FAMILY MEMBER OF TRUSTEE BUSKIRK M.D., STEVEN J.	618,422	EMPLOYMENT		No
(3) EMANUEL ELZABETH M	FAMILY MEMBER OF OFFICER UHLENKAMP, SUSAN M.	56,500	EMPLOYMENT		No
(4) ENRIQUEZ-SARANO MD MAURICE E	FAMILY MEMBER OF TRUSTEE ROGER M.D., VERONIQUE L.	477,152	EMPLOYMENT		No
(5) FOOTE PATRICK H	FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L.	77,390	EMPLOYMENT		No
(6) FOOTE ROBERT T	FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L.	118,085	EMPLOYMENT		No
(7) GOSTOUT MD CHRISTOPHER J	FAMILY MEMBER OF VP/TRUSTEE GOSTOUT M.D., BOBBIE S.	79,396	EMPLOYMENT		No
(8) HARPER SARAH B	FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M.	96,039	EMPLOYMENT		No
(9) HAYES MD DAVID L	FAMILY MEMBER OF KEY EMPLOYEE HAYES M.D., SHARONNE N.	824,860	EMPLOYMENT		No
(10) HAYES MD SHARONNE N	FAMILY MEMBER OF FKE HAYES M.D., DAVID L.	645,929	EMPLOYMENT		No
(11) KAPURCH MD CAITLIN J	FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M.	77,159	EMPLOYMENT		No
(12) LAMER MD TIM J	FAMILY MEMBER OF KEY EMPLOYEE GAZELKA M.D., HALENA M.	590,446	EMPLOYMENT		No
(13) LARSON MD MARK V	FAMILY MEMBER OF TRUSTEE WILLIAMS M.D., AMY W.	741,511	EMPLOYMENT		No
(14) LUETMER MD MARIANNE T	FAMILY MEMBER OF FKE LUETMER M.D., PATRICK H.	69,178	EMPLOYMENT		No
(15) MEISSNER MD IRENE	FAMILY MEMBER OF FKE MEYER M.D., FREDRIC B.	348,530	EMPLOYMENT		No
(16) MEYER ILANA E	FAMILY MEMBER OF FKE MEYER M.D., FREDRIC B.	69,504	EMPLOYMENT		No
(17) MIDTHUN MD DAVID E	FAMILY MEMBER OF TRUSTEE WILLIAMS M.D., AMY W.	656,087	EMPLOYMENT		No
(18) NEAL MD LONZETTA	FAMILY MEMBER OF TRUSTEE GREENE M.D., EDDIE L.	259,558	EMPLOYMENT		No
(19) NORBY SUZANNE M	FAMILY MEMBER OF ASST TREASURER NORBY, MARK	474,028	EMPLOYMENT		No
(20) NOSEWORTHY MD PETER A	FAMILY MEMBER OF FORMER OFFICER NOSEWORTHY M.D., JOHN H.	716,288	EMPLOYMENT		No
(21) PETERS MD MARGOT S	FAMILY MEMBER OF KEY EMPLOYEE PETERS M.D., STEVE G.	383,846	EMPLOYMENT		No
(22) ROSS JARED M	FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L.	126,023	EMPLOYMENT		No
(23) RUDDY MD KATHRYN J	FAMILY MEMBER OF FORMER OFFICER NOSEWORTHY M.D., JOHN H.	540,079	EMPLOYMENT		No
(24) SAITO LOFTUS MD YURI A	FAMILY MEMBER OF FKE LOFTUS M.D., CONOR G.	382,778	EMPLOYMENT		No
(25) THIELEN MD JACQUELINE M	FAMILY MEMBER OF VP/TRUSTEE THIELEN M.D., KENT R.	46,514	EMPLOYMENT		No
(26) WALD MICHELLE K	FAMILY MEMBER OF KEY EMPLOYEE WALD M.D., JOHN T.	61,229	EMPLOYMENT		No
(27) WARNER MD LINDSAY L	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	181,838	EMPLOYMENT		No
(28) WARNER MD MARY E	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	337,119	EMPLOYMENT		No
(29) WARNER MD MATTHEW A	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	512,493	EMPLOYMENT		No
(30) WARNER MD NAFISSEH S	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	385,268	EMPLOYMENT		No
(31) WARNER MD PAUL A	FAMILY MEMBER OF FKE WARNER M.D., MARK A.	517,977	EMPLOYMENT		No
(32) WILLIAMSON MD ERIC E	FAMILY MEMBER OF TRUSTEE WILLIAMSON, MARY J.	790,333	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) 2019

Additional Data

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Software Version:

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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

2019

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	5	0
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	327	29,566,670	MEAN MARKET VALUE
10 Securities—Closely held stock .	X	1	5,800	EXPERTS
11 Securities—Partnership, LLC, or trust interests ....	X	3	40,261,830	EXPERTS
12 Securities—Miscellaneous ..	X	3	11,483	EXPERTS
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..	X	1	110,000	EXPERTS
17 Real estate—Other ...	X	1	108,119	EXPERTS
18 Collectibles .....	X	3	0
19 Food inventory ...
20 Drugs and medical supplies .	X	2	0
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( JEWELRY )	X	3	18,695	EXPERTS
26 Other ( OTHER MISC )	X	71	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 isn't 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 didn't 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) (2019)

Page 2

Part IISupplemental 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, 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.

Schedule M (Form 990) (2019)

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

2019

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 2019, A GROUP RETURN (MAYO CLINIC GROUP RETURN - EIN: 38-3952644) WAS FILED THAT INCLUDED SIXTEEN 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 2019 TAX YEAR. THIS IS IN LIEU OF CONSOLIDATING SUCH INFORMATION WITH ITS SUBORDINATE ORGANIZATIONS AND REPORTING SUCH INFORMATION ON THE 2019 MAYO CLINIC GROUP RETURN.
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: GRAY M.D., RICHARD J., DAHLEN, DENNIS E., UHLENKAMP, SUSAN M., THIELEN M.D., KENT R., 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, 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., OTLEY M.D., CLARK C., DAHLEN, DENNIS 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: GRAY M.D., RICHARD J., 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: GRAY M.D., RICHARD J., MENKOSKY, PAULA E., KRAHN M.D., LOIS E., 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., BUSKIRK M.D., STEVEN J., THIELEN M.D., KENT R., ********************** 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. 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., GORMAN, PAUL A., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. 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	AMENDMENTS TO THE MAYO CLINIC BYLAWS INCLUDED: REMOVING REFERENCES TO INTERNAL DOCUMENT ENTITLED "MAYO CLINIC GOVERNANCE AND MANAGEMENT STRUCTURE". ADDING LANGUAGE SO THAT OFFICERS OF THE MAYO CLINIC BOARD OF TRUSTEES, EXCEPT FOR THE CHAIR, ARE NOMINATED BY THE MAYO CLINIC BOARD OF GOVERNORS. REVISING THE TERMS FOR THE MEMBERS OF THE MAYO CLINIC BOARD OF GOVERNORS (A COMMITTEE OF THE BOARD OF TRUSTEES) TO BE FOUR YEARS AND FOR THE MEMBERS TO BE ELECTED BY THE MAYO CLINIC BOARD OF TRUSTEES. ADDING LANGUAGE ALLOWING THE MAYO CLINIC MIDWEST EXECUTIVE OPERATIONS TEAM TO APPOINT COMMITTEES AND SUBCOMMITTEES AND TO ADOPT SUCH RULES AND REGULATIONS WITH RESPECT TO THE OPERATION OF COMMITTEES AND SUBCOMMITTEES. THE ADDED LANGUAGE INDICATES THAT THE COMMITTEES AND SUBCOMMITTEES SHALL BE SELECTED FROM SUCH PERSONS AND IN SUCH MANNER DETERMINED BY THE MAYO CLINIC MIDWEST EXECUTIVE OPERATIONS TEAM. REVISING LANGUAGE RELATED TO NOMINATIONS, MEMBERSHIP CRITERIA, ETC. FOR VOTING STAFF OF MAYO CLINIC.
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 ACCOUNTING OPERATIONS VICE CHAIR, FINANCIAL REPORTING AND CONSOLIDATION CHAIR, FINANCIAL AND ACCOUNTING SERVICES CHAIR, CHIEF FINANCIAL OFFICER, CHIEF FINANCIAL OFFICER ROCHESTER, CHIEF INVESTMENT OFFICER, CHIEF DEVELOPMENT OFFICER, CHIEF LEGAL OFFICER, 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 CEO AND SEVERAL OTHER OFFICERS AND KEY EMPLOYEES OF MAYO CLINIC AND MAYO CLINIC GROUP WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW. THE COMPENSATION AND BENEFITS OF EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE LEADERSHIP FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR EXECUTIVE LEADERSHIP, 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 (INCLUDING THE CEO) FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE.
FORM 990, PART VI, SECTION C, LINE 19	MAYO CLINIC'S ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE SECRETARY OF STATE'S OFFICE OR UPON REQUEST FROM MAYO CLINIC. BYLAWS AND OTHER GOVERNANCE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR PURPOSES THAT MAYO CLINIC DEEMS APPROPRIATE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON MAYO CLINIC'S WEBSITE OR UPON REQUEST. MAYO CLINIC'S CONSOLIDATED FINANCIAL STATEMENTS AND FEDERAL FORM 990 ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 222,732,733. MANAGEMENT AND GENERAL EXPENSES 622,974,481. FUNDRAISING EXPENSES 1,252,812. TOTAL EXPENSES 846,960,026. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 230,361,551. MANAGEMENT AND GENERAL EXPENSES 29,279,010. FUNDRAISING EXPENSES 5,033,097. TOTAL EXPENSES 264,673,658.
FORM 990, PART XI, LINE 9:	REFUNDS OF CONTRIBUTIONS -191,300. PENSION-POST RETIREMENT -1,114,699,350. LOSSES ON UNCOLLECTIBLE PLEDGES -5,555,916. CHANGE IN LEASE ACCOUNTING -341,636.
FORM 990, PART XII, LINE 2C, AUDIT PROCESS	THE OVERSIGHT OF THE AUDIT PROCESS OR THE PROCESS FOR SELECTING AN AUDITOR HAS NOT CHANGED.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

2019

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	1,286,017	7,719,852	MAYO CLINIC
(2) MAYO CLINIC COMMUNITY ACO LLC 200 FIRST STREET SW ROCHESTER,MN55905 83-0610557	ACCOUNTABLE CARE ORGANIZATION	MN	0	93,217	MAYO CLINIC
(3) MAYO COLLABORATIVE SERVICES LLC 200 FIRST STREET SW ROCHESTER,MN55905 41-1346366	REFERENCE LAB SERVICES	MN	777,413,495	196,183,998	MAYO CLINIC
(4) MC INTERNATIONAL LLC 200 FIRST STREET SW ROCHESTER,MN55905 83-2805059	CONTRACTING SERVICES	MN	0	0	MAYO CLINIC
(5) MC PROPERTY HOLDINGS LLC 200 FIRST STREET SW ROCHESTER,MN55905 84-3454849	REAL ESTATE	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)MAYO CLINIC AMBULANCE 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 MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE,WI54601 39-0806374	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC	Yes
(16)MCHS--LAKE CITY 500 WEST GRANT STREET LAKE CITY,MN55041 41-1906820	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	Yes
(17)MCHS--NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE,WI54703 39-0813418	HOSPITAL	WI	501(C)(3)	3	MAYO CLINIC	Yes
(18)MCHS--SOUTHEAST MINNESOTA REGION 1000 FIRST DRIVE NW AUSTIN,MN55912 41-1404075	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes
(19)MCHS--SOUTHWEST MINNESOTA REGION 1025 MARSH STREET MANKATO,MN56001 41-1236756	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes
(20)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
(21)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
(22)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
(23)HAZEL HUGHES CHARITABLE TRUST PO BOX 470 PETERSBURG,IL62675 80-0030922	CHARITABLE TRUST	IL	501(C)(3)	12-III-FI	N/A		No
(24)HORMEL FOUNDATION 329 N MAIN ST SUITE 102L AUSTIN,MN55912 41-0694716	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(25)J ORIN EDSON FOUNDATION PO BOX 14580 JACKSON,WY830024580 26-3002560	FUNDRAISING FOUNDATION	WY	501(C)(3)	12-I	N/A		No
(26)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
(27)THE HIRSH FAMILY FOUNDATION 108 NORTH MAIN STREET AUSTIN,MN55912 41-1749842	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(28)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) 2019

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	384	45,436,948		No		Yes		84.050 %
(2) LATIGO PETROLEUM LLC PO BOX 14230 ODESSA,TX79768 36-4767494	OIL & GAS EXPLORATION	DE	MAYO CLINIC	UNRELATED	9,878,248	112,606,295		No	5,375,475	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	103,436	2,725,710	100.000 %	Yes
(2) BAIN CAPITAL CREDIT CLO 2017-2 LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ	INVESTMENT ACTIVITIES	CJ	MAYO CLINIC	C	13,852,584	303,016,831	67.400 %	Yes
(3) MAYO CLINIC SUPPORT SERVICES TEXAS 200 FIRST STREET SW ROCHESTER,MN55905 47-1751102	HEALTH SERVICES	TX	MAYO CLINIC	C	150,313	67,796	100.000 %	Yes
(4) MAYO CLINIC UK LTD 3 MORE LONDON RIVERSIDE LONDON UK	INVESTMENT ACTIVITIES	UK	MAYO CLINIC	C	-2,705,152	18,076,530	100.000 %	Yes
(5) MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-1578020	HOLDING COMPANY	MN	MAYO CLINIC	C	4,751,565	59,450,971	100.000 %	Yes
(6) MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER,MN55905	SELF INSURANCE POOL	CJ	MAYO CLINIC	C	29,419,817	107,890,334	100.000 %	Yes
(7) MCHS--DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH,IA52101 41-1711329	PATIENT CARE - CLINIC	IA	MAYO HOLDING COMPANY	C				Yes
(8) MCHS--PHARMACY & HOME MEDICAL INC 1221 WHIPPLE STREET EAU CLAIRE,WI54703 39-1528920	PHARMACY SERVICES	WI	MAYO HOLDING COMPANY	C				Yes
(9) RESOUNDANT INC 421 1ST AVE SW SUITE 204W ROCHESTER,MN55902 46-1661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	MFMER	C				Yes
(10) ROCHESTER AIRPORT COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-0506870	AIRPORT MANAGEMENT	MN	MAYO HOLDING COMPANY	C				Yes
(11) SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE,AZ85259 86-0870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	MAYO CLINIC ARIZONA	C				Yes
(12) THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER,MN55905 20-8994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	MAYO CLINIC	C			85.000 %	Yes
(13) MC ALLIANCE LTD 200 FIRST STREET SW ROCHESTER,MN55905 98-1527769	HEALTHCARE AND ADMINISTRATIVE SERVICES	CJ	MC INTERNATIONAL LLC	C			100.000 %	Yes
(14) VIRGINIA BROADCASTING LLC 503 EAST MARKET STREET CHARLOTTESVILLE,VA22902 54-0906884	BROADCASTING	VA	MAYO CLINIC	C	16,389,379		100.000 %	Yes
(15) CHARITABLE LEAD TRUST	CHARITABLE TRUST	CA	MAYO CLINIC	T	1,044,805	10,536,743	89.000 %	Yes
(16) PERPETUAL TRUST	CHARITABLE TRUST	LA	MAYO CLINIC	T	115,126	2,182,701	100.000 %	Yes
(17) PERPETUAL TRUST (2)	CHARITABLE TRUST	MA	MAYO CLINIC	T				Yes
(18) PERPETUAL TRUST	CHARITABLE TRUST	MO	MAYO CLINIC	T	6,485	183,106	100.000 %	Yes
(19) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	AZ	MAYO CLINIC	T		156,479	60.000 %	Yes
(20) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	MAYO CLINIC	T		905,147	100.000 %	Yes
(21) CHARITABLE REMAINDER TRUST (8)	CHARITABLE TRUST	FL	MAYO CLINIC	T				Yes
(22) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MA	MAYO CLINIC	T		187,229	100.000 %	Yes
(23) CHARITABLE REMAINDER TRUST (87)	CHARITABLE TRUST	MN	MAYO CLINIC	T				Yes
(24) CHARITABLE REMAINDER TRUST (4)	CHARITABLE TRUST	NC	MAYO CLINIC	T				Yes
(25) CHARITABLE REMAINDER TRUST (2)	CHARITABLE TRUST	NV	MAYO CLINIC	T				Yes
(26) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	TX	MAYO CLINIC	T		710,617	100.000 %	Yes
(27) PERPETUAL TRUST	CHARITABLE TRUST	ND	MFMER	T				Yes
(28) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	MFMER	T				Yes
(29) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	FL	MFMER	T				Yes
(30) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	IL	MFMER	T				Yes
(31) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MI	MFMER	T				Yes
(32) CHARITABLE REMAINDER TRUST (49)	CHARITABLE TRUST	MN	MFMER	T				Yes
(33) CHARITABLE REMAINDER TRUST (6)	CHARITABLE TRUST	MN	MCHS--SOUTHWEST MINNESOTA REGION	T				Yes
(34) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	WI	MCHS--NORTHWEST WISCONSIN REGION INC	T				Yes

Schedule R (Form 990) 2019

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

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

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

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

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

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

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

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

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	63,083	GAAP
(2) CHARTERHOUSE INC	N	87,038	GAAP
(3) CHARTERHOUSE INC	P	1,232,858	GAAP
(4) CHARTERHOUSE INC	R	2,699,865	GAAP
(5) CHARTERHOUSE INC	S	2,574,964	GAAP
(6) FRANKLIN HEATING STATION	N	37,270,961	GAAP
(7) FRANKLIN HEATING STATION	S	789,584	GAAP
(8) GOLD CROSS AMBULANCE SERVICE	A	478,878	GAAP
(9) GOLD CROSS AMBULANCE SERVICE	P	7,198,282	GAAP
(10) GOLD CROSS AMBULANCE SERVICE	Q	481,164	GAAP
(11) GOLD CROSS AMBULANCE SERVICE	R	350,791	GAAP
(12) GOLD CROSS AMBULANCE SERVICE	S	6,469,621	GAAP
(13) MAYO CLINIC ARIZONA	A	21,036,205	GAAP
(14) MAYO CLINIC ARIZONA	B	187,471,112	GAAP
(15) MAYO CLINIC ARIZONA	C	48,896,469	GAAP
(16) MAYO CLINIC ARIZONA	N	2,910,763	GAAP
(17) MAYO CLINIC ARIZONA	P	100,424	GAAP
(18) MAYO CLINIC ARIZONA	Q	39,460,453	GAAP
(19) MAYO CLINIC ARIZONA	R	59,710,409	GAAP
(20) MAYO CLINIC FLORIDA	A	7,125,212	GAAP
(21) MAYO CLINIC FLORIDA	B	43,780,939	GAAP
(22) MAYO CLINIC FLORIDA	N	15,386,139	GAAP
(23) MAYO CLINIC FLORIDA	P	12,905,757	GAAP
(24) MAYO CLINIC FLORIDA	Q	275,908	GAAP
(25) MAYO CLINIC FLORIDA	R	52,180	GAAP
(26) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	A	3,260,510	GAAP
(27) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	B	81,075	GAAP
(28) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	C	241,755,979	GAAP
(29) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	N	3,724,987	GAAP
(30) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	Q	2,596,608	GAAP
(31) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	R	8,497,827	GAAP
(32) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	A	3,738,755	GAAP
(33) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	B	136,580	GAAP
(34) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	C	77,166,407	GAAP
(35) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	L	78,025	GAAP
(36) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	N	4,973,976	GAAP
(37) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	Q	2,767,121	GAAP
(38) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	R	2,063,042	GAAP
(39) MAYO CLINIC HOSPITAL - ROCHESTER	C	55,871	GAAP
(40) MAYO CLINIC HOSPITAL - ROCHESTER	N	3,909,299	GAAP
(41) MAYO CLINIC HOSPITAL - ROCHESTER	P	18,136,732	GAAP
(42) MAYO CLINIC HOSPITAL - ROCHESTER	Q	202,180,172	GAAP
(43) MAYO CLINIC HOSPITAL - ROCHESTER	R	1,892,961	GAAP
(44) MAYO CLINIC HOSPITAL - ROCHESTER	S	150,544,617	GAAP
(45) MAYO CLINIC JACKSONVILLE	A	6,040,035	GAAP
(46) MAYO CLINIC JACKSONVILLE	B	133,734,276	GAAP
(47) MAYO CLINIC JACKSONVILLE	C	80,833,161	GAAP
(48) MAYO CLINIC JACKSONVILLE	L	193,836	GAAP
(49) MAYO CLINIC JACKSONVILLE	M	3,247,799	GAAP
(50) MAYO CLINIC JACKSONVILLE	N	20,734,356	GAAP
(51) MAYO CLINIC JACKSONVILLE	P	59,157	GAAP
(52) MAYO CLINIC JACKSONVILLE	Q	11,423,845	GAAP
(53) MAYO CLINIC JACKSONVILLE	R	37,215,006	GAAP
(54) MAYO CLINIC SUPPORT SERVICES TEXAS	L	134,354	GAAP
(55) MAYO CLINIC UK LTD	P	286,302	GAAP
(56) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	L	106,042	GAAP
(57) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	N	41,934,093	GAAP
(58) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	P	4,703,968,040	GAAP
(59) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	Q	46,244,949	GAAP
(60) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	S	204,411,586	GAAP
(61) MAYO HOLDING COMPANY	R	873,552	GAAP
(62) MCHS-AUSTIN FOUNDATION	B	291,725	GAAP
(63) MCHS--DECORAH CLINIC PHYSICIANS	S	60,261	GAAP
(64) MCHS-FAIRMONT	A	770,466	GAAP
(65) MCHS-FAIRMONT	B	901,468	GAAP
(66) MCHS-FAIRMONT	N	776,291	GAAP
(67) MCHS-FAIRMONT	Q	233,768	GAAP
(68) MCHS-FAIRMONT	S	100,693	GAAP
(69) MCHS-FRANCISCAN MEDICAL CENTER INC	A	4,216,068	GAAP
(70) MCHS-FRANCISCAN MEDICAL CENTER INC	B	546,055	GAAP
(71) MCHS-FRANCISCAN MEDICAL CENTER INC	C	62,692,726	GAAP
(72) MCHS-FRANCISCAN MEDICAL CENTER INC	L	60,177	GAAP
(73) MCHS-FRANCISCAN MEDICAL CENTER INC	N	3,495,352	GAAP
(74) MCHS-FRANCISCAN MEDICAL CENTER INC	Q	2,248,786	GAAP
(75) MCHS-FRANCISCAN MEDICAL CENTER INC	R	543,432	GAAP
(76) MCHS-LAKE CITY	A	467,271	GAAP
(77) MCHS-LAKE CITY	B	76,200	GAAP
(78) MCHS-LAKE CITY	Q	153,427	GAAP
(79) MCHS-LAKE CITY	R	422,646	GAAP
(80) MCHS--NORTHWEST WISCONSIN REGION INC	A	7,740,409	GAAP
(81) MCHS--NORTHWEST WISCONSIN REGION INC	B	898,963	GAAP
(82) MCHS--NORTHWEST WISCONSIN REGION INC	C	686,239,209	GAAP
(83) MCHS--NORTHWEST WISCONSIN REGION INC	L	73,651	GAAP
(84) MCHS--NORTHWEST WISCONSIN REGION INC	N	4,422,628	GAAP
(85) MCHS--NORTHWEST WISCONSIN REGION INC	P	86,131	GAAP
(86) MCHS--NORTHWEST WISCONSIN REGION INC	Q	3,057,911	GAAP
(87) MCHS--NORTHWEST WISCONSIN REGION INC	R	22,550,575	GAAP
(88) MCHS-PHARMACY & HOME MEDICAL INC	N	359,815	GAAP
(89) MCHS-PHARMACY & HOME MEDICAL INC	R	96,226	GAAP
(90) MCHS-ST JAMES	B	179,040	GAAP
(91) MCHS-ST JAMES	C	46,676,617	GAAP
(92) MCHS-ST JAMES	N	550,829	GAAP
(93) MCHS-ST JAMES	R	461,610	GAAP
(94) RESOUNDANT INC	P	122,916	GAAP

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

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