Mayo Clinic Hospital - Rochester

“The following individuals are employed by a related organization: agerter m.d., david c. Ehman m.d., richard l. Gores m.d., gregory j. Harper jr., m.d., charles m. Hays m.d., j. Taylor narr m.d., bradly j. Nesse m.d., robert e. Rock m.d., michael g. Santrach m.d., paula j. Sawyer, nan b. Schmidt, bradley d. Simmons m.d., patricia s. Warner m.d., mark a. Weis, shirley a. Williams m.d., amy w. Ytterberg m.d., karen l. Resulting in a business relationship with the following individuals who are associated with the related organization as an officer, director, or trustee: gores m.d., gregory j. Harper jr., m.d., charles m. Narr m.d., bradly j. Nesse m.d., robert e. Rock m.d., michael g. Schmidt, bradley d. Warner m.d., mark a. Weis, shirley a. Bolton, jeffrey w. Hubert, sherry l. Noseworthy m.d., john h. Oviatt, jonathan j. Schmidt, bradley d. Weis, shirley a. The following individuals are employed by a related organization: bolton, jeffrey w. Brown, william a. Collins, craig c. Hubert, sherry l. Noseworthy m.d., john h. Oviatt, jonathan j. Schmidt, bradley d. Stellner, winston l. Weis, shirley a. Resulting in a business relationship with the following individuals who are associated with the related organization as an officer, director, or trustee: sawyer, nan b. Schmidt, bradley d. Weis, shirley a. Bolton, jeffrey w. Noseworthy m.d., john h. Schmidt, bradley d. Hubert, sherry l. Oviatt, jonathan j. Bolton, jeffrey w., and oviatt, jonathan j. Have a business relationship as they serve as an officer, director, or trustee of mayo holding company, a related taxable entity. Bolton, jeffrey w., collins, craig c., nesse m.d., robert e., and rock m.d., michael g. Have a business relationship as they serve as an officer, director, or trustee of mmsi, inc., a related taxable entity. Bolton, jeffrey w., and ehman m.d., richard l. Have a business relationship as they serve as an officer, director, or trustee of resoundant, inc., a related taxable entity.”

“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.”

“Mayo clinic - methodist hospital merged with and into mayo clinic hospital - rochester. Mayo clinic hospital - rochester, the surviving corporation, shall continue its corporate existence and organization under the laws of the state of minnesota, and the separate existence of mayo clinic - methodist hospital has ceased.”

“There is only one member of the corporation.”

“The member is responsible for appointing replacement directors for vacancies occurring before term expirations.”

“The member must approve management of property and assets, mergers and consolidations, and amendments to articles of incorporation and bylaws. Approval of the sponsor is necessary to amend certain articles.”

“The form 990 is prepared by mayo corporate tax with assistance from site accounting staff. The tax return goes through two levels of review within the corporate tax unit. It is then reviewed by finance staff. A copy of the form 990 is then provided to each member of the filing organization's governing body via us mail, e-mail, or distribution at a board meeting. All questions are addressed prior to filing the form 990.”

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

“The filing organization is an affiliate of mayo clinic. Mayo clinic and its affiliates have a coordinated process for reviewing and approving compensation and benefits for physicians and administrative leadership. In addition to any review and approval that may take place at the local entity level, the following independent approval process occurs annually in the fall for the next year's compensation. The salaries of the chief executive officer (ceo) and vice-chair which are paid by an affiliate were reviewed by the mayo clinic salary and benefit committee pursuant to the process described below. The mayo clinic salary and benefits committee initially reviews the compensation of physicians and administrative leadership for the arizona, florida, and rochester, minnesota campuses. The committee is comprised of mayo employees, but is independent for internal revenue code 4958 for the individuals whose salary is reviewed (with recusal where appropriate). For those individuals for which this committee can not serve as the independent review, their compensation and benefits are reviewed by the governance committee (described below). The salary and benefits committee uses comparability data (including third-party benchmarking surveys) in its review and documents decisions in its minutes. The mayo clinic committee on officer succession, compensation, and governance (governance committee) is comprised of seven of the external independent members of the mayo clinic board of trustees. This group reviews the compensation and benefits for physicians from all campuses, including the mayo clinic health system locations, as well as certain senior administrative and executive leadership (including all persons believed to be disqualified persons). This process establishes acceptable ranges for various positions, levels, and specialties. The committee uses comparability data (including third-party benchmarking surveys) in its review and documents decisions in its minutes. In addition, the governance committee directly retains an independent third-party compensation consultant to provide relevant, contemporaneous benchmark information for a small group of senior physician, administrative, and executive leadership positions for which an individualized review and recommendation is made.”

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

“Independent voting board members of the governing body - the board of trustees of mayo clinic, the parent entity of mayo clinic-affiliated entities, is comprised of more than 50% public trustees.”

“On december 31, 2013 mayo clinic - methodist hospital merged into mayo clinic hospital - rochester.”

“Ic purchased services : program service expenses 152,583,123. Management and general expenses 1,883,742. Fundraising expenses 0. Total expenses 154,466,865. Other purchased services: program service expenses 7,826,984. Management and general expenses 416,102. Fundraising expenses 0. Total expenses 8,243,086.”

“Pension-post retirement (per fasb a 17,273,332. Merger from methodist hospital 392,568,153.”

“Disclosure statement related to forms 5713: form 5713 has been filed by the following members of the controlled group: mayo clinic (ein: 41-6011702) mayo foundation for medical education and research (ein: 41-1506440) mayo clinic arizona (ein: 86-0800150) mayo clinic jacksonville (ein: 59-3337028) disclosure statement related to forms 5471: under the constructive ownership rules of irc sections 958(a) and (b), the taxpayer is required to file forms 5471, information return of u.s. Persons with respect to certain foreign corporations, as a category 4 and 5 filer with respect to certain controlled foreign corporations (cfcs). These filing requirements are or will be satisfied through the filing of forms 5471 for these cfcs by other u.s. Taxpayers identified below who have the same filing requirement. Taxpayer name: mayo clinic address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 5471 was filed: 41-6011702 irs service center where u.s. Tax return was or will be filed: e-filed taxpayer name: mayo foundation for medical education and research address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 5471 was filed: 41-1506440 irs service center where u.s. Tax return was or will be filed: e-filed disclosure statement related to forms 8865: under the constructive ownership rules of irc sections 958(a) and (b), the taxpayer is required to file forms 8865, information return of u.s. Persons with respect to certain foreign partnerships, as a category 2 and 3 filer. These filing requirements are or will be satisfied through the filing of forms 8865 for these partnerships by other u.s. Taxpayers identified below who have the same filing requirement. Taxpayer name: mayo clinic address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 8865 was filed: 41-6011702 irs service center where u.s. Tax return was or will be filed: e-filed”