Mayo Clinic Group Return

“The following individuals, who are listed in part vii as a current officer, director, trustee or key employee, have a business relationship with one or more of the other individuals here listed because one is employed by a related tax exempt organization for which the other serves as an officer, director, or trustee. Abdel m.d., matthew p., abildgaard, scott s., ackerman, franklin k., albright jr., d.o., robert c., ammash m.d., naser m., anil m.d., gokhan becker, john bergeron-bowe, melissa, bhagra m.d., sumit, bikkani, abhi, bortnem, mark a., brown m.d., daniel r., brown, william a., bruce m.d., charles j., caine, natalie a. Cooper m.d., leslie t., crockett, eric d. Cullinan m.d., susan m., dahlen, dennis e., degen, susanne c., didehban, roshanak, dronca m.d., roxana s., dunn, ajani n., eberle, michele r., eide, dean b., famuyide m.b.b.s., abimbola o., farrugia m.d., gianrico, faubion m.d., stephanie s., fisher d.o., laura a., flattum, bethanie l., forster m.d., jeremy s., francis, james r., gorman, paul a., gross, tera l., gulden, christopher r., hasse, christopher h., hebl m.d., james r. Helmers m.d., richard a., hickson m.d., latonya j., holst, tanner t., horst, adam m., hsi m.d., eric d., hubert, sherry l., janus m.d., jeffrey r., johnson m.d., margaret m., kasper, john kendrick m.d., michael l., krumm, tara l., kuehl m.d., mary j., long, amy k. Mabry m.d., tad m., maniaci m.d., michael j., mclaughlin m.d., sarah a., meschia m.d., james f., meyer m.d., fredric b., miller, rick r. Murphy, joshua b., nassar m.d., aziza, noseworthy m.d., peter a., nowicki, jessica h., odenigbo m.d., celestine, osuebi m.d., okechukwu n., paul, travis c. Quinones-hinojosa m.d., alfredo, raffals m.d., laura e., rigdon, alice w., shah m.d., vijay, sherrill, todd e., skaar m.d., phillip j., smith, chuck j. Taner m.d., burcin c., thiel m.d., david d., thielen m.d., kent r., vallow m.d., laura a., varkey m.b.b.s., prathibha , viramontes, allison l., watson m.d., james c., williams m.d., amy w., willman m.d., cheryl l., wilson, james d., zorn, christina k., the following individuals serve as current directors or trustees of mchs-southwest wisconsin region inc and have a business relationship: borsheim, paul molling d.o., paul e. Walter, dale the following individuals serve as current directors or trustees of mchs-southwest wisconsin region inc and have a business relationship: binsfeld, matt borsheim, paul mathy, scott ****************** horst, adam m., poe, john d., have a business relationship as they serve as an officer, director, or trustee of rochester airport company, a related taxable entity. Janssen, james j., sherrill, todd e., dahlen, dennis e., murphy, joshua b., hubert, sherry l., have a business relationship as they serve as an officer, director, or trustee of mayo holding company, a related taxable entity. Dahlen, dennis e., gorman, paul a., have a business relationship as they serve as an officer, director, or trustee of mayo insurance company, ltd, a related taxable entity. Sherrill, todd e., gorman, paul a., have a business relationship as they serve as an officer, director, or trustee of latigo petroleum, a related taxable entity. Janssen, james j., sherrill, todd e., goldman, daniel s., have a business relationship as they serve as an officer, director, or trustee of mc alliance, ltd., a related taxable entity. Janssen, james j., sherrill, todd e., goldman, daniel s., have a business relationship as they serve as an officer, director, or trustee of mayo clinic (uk), ltd., a related taxable entity. Janssen, james j., sherrill, todd e., goldman, daniel s., have a business relationship as they serve as an officer, director, or trustee of mayo clinic (uk) 2, ltd., a related taxable entity. Williamson, mary j., holtan, douglas j., have a business relationship as they serve as an officer, director, or trustee of rochester airport company, a related taxable entity. Viramontes, allison l., didehban, roshanak, have a business relationship”

“Mayo clinic, mayo foundation for medical education and research and other related companies provide management services to the entire system of entities. Since the entities are related organizations, compensation for the officers, directors, key employees, and highest compensated employees has been disclosed in part vii and schedule j as required.”

“Amendment to articles of incorporation for mayo clinic health system-franciscan medical center, inc. Were filed with the state of wisconsin during 2023 to change the corporation's legal name to mayo clinic health system-southwest wisconsin region, inc. To be effective january 1, 2024. The amended articles of incorporation along with a separate letter were previously provided to the internal revenue service to document the change in legal name. The corporation's bylaws were also amended to update for the name change. In addition, the bylaws for below subordinates were amended and effective december 9. 2024. - mchs-southwest minnesota region - mchs-southeast minnesota region - mchs-northwest wisconsin region - mchs-southwest wisconsin region changes to the bylaws for the above subordinates are listed below. Composition of the board of directors for each of the subordinates is to be a board between 7 and 17 members. The board for each of the subordinates are to be comprised of the vice president and the administrative chair for mayo clinic health system-minnesota (for mchs-swmn and mchs-semn) and mayo clinic health system-wisconsin (for mchs-nwwi and mchs-swwi); the mchs-minnesota executive operations team (for mchs-swmn and mchs-semn) and the mchs-wisconsin executive operations team (for mchs-swmn and mchs-semn); and any at-large directors. Establishment of authority for the board of directors for each of the subordinates to create advisory councils. Elimination of any super majority approval requirements.”

“The member of each subordinate in the mayo clinic group return is mayo clinic or a subordinate of mayo clinic. The one exception is bloomer lakeview, inc. Which does not have any members per their articles of incorporation.”

“The subordinate's governing bodies are elected, nominated, designated, appointed, approved and/or confirmed by mayo clinic and/or a subordinate of mayo clinic.”

“The articles and/or bylaws provide the corporate member power in areas such as compensation, capital, budget, debt, and approval of amendments to the articles and bylaws. The one exception is bloomer lakeview, inc. Which does not have any members per their articles of incorporation. In the case of bloomer lakeveiw, inc, such decisions would ultimately be subject to the approval of mayo clinic health system-norhtwest wisconsin region, inc. Which elects the governing body of bloomer lakeview, inc.”

“The filing organization has no committees with the authority to act on behalf of the board.”

“The form 990 is prepared by mayo corporate tax. The tax return goes through two levels of review within the corporate tax unit and is reviewed by the tax director. It is then reviewed by the division chair-accounting, chair-financial and accounting services, chair-revenue cycle, chief investment officer, chief financial officer and chief legal officer. A copy of the form 990 is then provided to each member of the governing body via us mail, e-mail, or distribution at a board meeting. All questions are addressed prior to filing the form 990.”

“Mayo clinic and its affiliates have a comprehensive conflict of interest policy applicable to all of the affiliated entities and to all directors, officers, and employees of those entities. All current and former officers, directors, trustees, key employees and highest compensated employees who we anticipate will be listed on a form 990 are asked to complete an "annual tax and compliance disclosure" form. This information is reviewed by both the corporate tax department and the office of conflict of interest review. All disclosures of current or proposed activity that require action under the policy are the subject of ongoing review and action through the office of conflict of interest review and the conflict of interest review board. Involved individuals are informed of all required action. Many types of relationships that could create conflicts of interest are prohibited. Other types of relationships are permitted subject to compliance with the management plan established by the conflict of interest review board. A common management strategy for permitted activities is to require bilateral recusal and appropriate documentation in the minutes of mayo clinic (and/or affiliate) and the outside entity. Additional conflict of interest policies and procedures exist for certain entities concerning research contracts and other types of potential conflicts.”

“The filing organization is an affiliate of mayo clinic. Mayo clinic and its affiliates have a coordinated process for reviewing and approving compensation and benefits for executive leadership, consulting staff and senior administrative leadership, along with allied health staff. In addition to any review and approval that may take place at the local entity or regional level, the following independent approval process occurs annually prior to implementation of the respective compensation increase. The compensation and benefits of executive leadership, consulting staff and senior administrative leadership for all campuses, including the mayo clinic health system locations, are reviewed and approved by the mayo clinic board of trustees governance and nominating committee. Specifically, 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 mayo clinic board of trustees governance and nominating committee is comprised of eight of the external independent members of the mayo clinic board of trustees. This group reviews and approves the compensation and benefit programs for executive leadership, consulting staff and certain senior administrative leadership from all campuses (including all persons believed to be disqualified persons). This process establishes acceptable ranges for various positions, levels, and specialties. The committee uses comparability data (including third-party benchmarking surveys) in its review and documents decisions in its minutes. In addition, the mayo clinic board of trustees governance and nominating committee directly retains an independent third-party compensation consultant to provide relevant, contemporaneous benchmark information for a small group of executive leadership and senior physician positions for which an individualized review and recommendation is made.”

“The governing documents for the subordinates within this return are not available to the public. The conflict of interest policy is available upon request and also on the mayoclinic.org website. Some of the subordinates within this group return are hospitals affiliated with mayo clinic. As such, mayo clinic's consolidated audited financial statements are attached to the filing organization's form 990 and would be available upon request of the form 990.”

“Pension-post retirement (per fasb a 15,638,039. Contributions-refund-fmv adjustment 40,000.”

“The oversight of the audit process or the process for selecting an auditor has not changed.”

“Contributions reported on schedule b are on a group basis with the dollar and percentage thresholds applied at the subordinate level. These thresholds include the greater of $5,000 or 2% of total contributions for section 501(c)(3) organizations described in sections 509(a)(1) and 170(b)(1)(a)(vi). For purposes of schedule b, mayo clinic jacksonville and mayo clinic arizona reported contributions using the 2% threshold. Contributions for all other subordinates were determined using the $5,000 threshold.”