Mayo Clinic

“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.”

“The following individual(s) is/are employed by a related organization: smith, chuck j., dahlen, dennis e., williams m.d., amy w., zorn, christina k., thielen m.d., kent r., murphy, joshua b., hubert, sherry l., gorman, paul a., francis, james r., farrugia m.d., gianrico, brown, william 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: dunn, ajani n., didehban, roshanak, noseworthy m.d., peter a., dahlen, dennis e., murphy, joshua b., hubert, sherry l., gorman, paul a., francis, james r., brown, william a., smith, chuck j. The following individual(s) is/are employed by a related organization: didehban, roshanak, gray m.d., richard j., hara m.d., amy k., fonseca m.d., rafael, resulting in a business relationship with the following individual(s) who is/are associated with the related organization as an officer, director, or trustee: didehban, roshanak, gray m.d., richard j., hara m.d., amy k., fonseca m.d., rafael the following individual(s) is/are employed by a related organization: dunn, ajani n., mclaughlin m.d., sarah 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: dunn, ajani n., mclaughlin m.d., sarah a., thielen m.d., kent r., ********************** 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. 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. Baker jr., douglas m. Gerberding m.d., julie l. Serve as an officer, director, or trustee of an unrelated taxable entity resulting in a business relationship. The following individuals are key employees of mayo clinic and have a family relationship: williamson m.d., eric e. Williamson, mary j.”

“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.”

“Article iii, section 1 of the bylaws having to do with meetings of trustees was amended to state that any action may be taken without a meeting if a unanimous vote of all trustees is made by authenticated writing, electronic communication or mail. Prior to amendment, a majority vote rather than a unanimous vote by all trustees was required.”

“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 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.”

“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.”

“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 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.”

“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.”

“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 2024, a group return (mayo clinic group return - ein: 38-3952644) was filed that included seventeen 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 2024 tax year. This is in lieu of consolidating such information with its subordinate organizations and reporting such information on the 2024 mayo clinic group return.”

“Pension-post retirement (per fasb a 919,905,645. Contributions-refund-fmv adjustment -11,768,190. Losses on uncollectible pledges -7,174,263. Ic transfer research funds -885,353.”

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