Civic Intelligence

Mayo Clinic

990 • Fiscal year 2020 • EIN 41-6011702

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 15, 2021

200 First Street SW No TaxRochester, MN 55905

(507) 538-1297

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

82nd percentile

0.67x

Higher debt load relative to assets than 82% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Liabilities / Revenue

80th percentile

1.64x

Higher debt load relative to revenue than 80% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Net Margin

78th percentile

17%

Higher net margin than 78% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Top Officer Pay

72nd percentile

$2,742,062

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Asset Growth

86th percentile

26%

Faster asset growth than 86% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Revenue Growth

31st percentile

-1.7%

Faster revenue growth than 31% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Assets

Up

$16,528,218,881

Up $3,400,167,696 (+26%) from 2019

Net Assets

Up

$5,536,537,598

Up $1,768,331,865 (+47%) from 2019

Liabilities

Up

$10,991,681,283

Up $1,631,835,831 (+17%) from 2019

Revenue

Down

$6,700,100,651

Down $119,322,270 (-1.7%) from 2019

Expenses

Down

$5,537,812,686

Down $146,947,843 (-2.6%) from 2019

Net Income

Up

$1,162,287,965

Up $27,625,573 (+2.4%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30B$20B$10B$0Assets 2010: $6,946,835,499Liabilities 2010: $4,764,492,468Net Assets 2010: $2,182,343,0312010Assets 2011: $7,570,727,549Liabilities 2011: $5,783,939,326Net Assets 2011: $1,786,788,2232011Assets 2012: $8,532,788,121Liabilities 2012: $7,081,916,066Net Assets 2012: $1,450,872,0552012Assets 2013: $9,966,983,729Liabilities 2013: $6,286,541,987Net Assets 2013: $3,680,441,7422013Assets 2014: $9,872,787,913Liabilities 2014: $7,277,028,415Net Assets 2014: $2,595,759,4982014Assets 2015: $10,051,482,383Liabilities 2015: $7,411,886,917Net Assets 2015: $2,639,595,4662015Assets 2016: $10,567,276,989Liabilities 2016: $8,574,507,726Net Assets 2016: $1,992,769,2632016Assets 2017: $11,310,805,903Liabilities 2017: $9,203,875,285Net Assets 2017: $2,106,930,6182017Assets 2018: $12,305,407,265Liabilities 2018: $9,273,937,859Net Assets 2018: $3,031,469,4062018Assets 2019: $13,128,051,185Liabilities 2019: $9,359,845,452Net Assets 2019: $3,768,205,7332019Assets 2020: $16,528,218,881Liabilities 2020: $10,991,681,283Net Assets 2020: $5,536,537,5982020Assets 2021: $20,543,802,362Liabilities 2021: $10,166,049,837Net Assets 2021: $10,377,752,5252021Assets 2022: $22,107,639,425Liabilities 2022: $9,578,170,747Net Assets 2022: $12,529,468,6782022Assets 2024: $26,682,635,058Liabilities 2024: $10,173,199,106Net Assets 2024: $16,509,435,9522024

Highlighted filing

2020

Assets$16,528,218,881
Liabilities$10,991,681,283
Net Assets$5,536,537,598

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$8.0B$6.0B$4.0B$2.0B$0Expenses 2010: $2,962,261,6262010Expenses 2011: $3,413,595,3792011Expenses 2012: $3,653,597,7042012Revenue 2013: $4,560,196,033Expenses 2013: $4,176,701,522Net Income 2013: $383,494,5112013Revenue 2014: $3,919,688,726Expenses 2014: $3,723,702,641Net Income 2014: $195,986,0852014Revenue 2015: $4,716,398,592Expenses 2015: $4,445,052,878Net Income 2015: $271,345,7142015Revenue 2016: $5,152,134,383Expenses 2016: $4,894,713,095Net Income 2016: $257,421,2882016Revenue 2017: $6,142,231,316Expenses 2017: $5,829,645,761Net Income 2017: $312,585,5552017Revenue 2018: $6,423,359,494Expenses 2018: $5,627,787,651Net Income 2018: $795,571,8432018Revenue 2019: $6,819,422,921Expenses 2019: $5,684,760,529Net Income 2019: $1,134,662,3922019Revenue 2020: $6,700,100,651Expenses 2020: $5,537,812,686Net Income 2020: $1,162,287,9652020Revenue 2021: $7,993,241,004Expenses 2021: $5,773,119,389Net Income 2021: $2,220,121,6152021Revenue 2022: $7,075,354,210Expenses 2022: $5,677,955,626Net Income 2022: $1,397,398,5842022Revenue 2024: $7,929,118,794Expenses 2024: $6,313,480,074Net Income 2024: $1,615,638,7202024

Highlighted filing

2020

Revenue$6,700,100,651
Expenses$5,537,812,686
Net Income$1,162,287,965
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 15, 2021
Return Version
2020v4.1
Gross Receipts
$11,438,727,113
Mission and Program Overview

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.

Patient care, research and education

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$9,776,652,970$11,795,440,598▲ $2,018,787,628
Land, Buildings, and Equipment, Net$1,455,126,613$1,446,595,885▼ $8,530,728
Accounts Receivable$475,448,207$529,412,102▲ $53,963,895
Pledges and Grants Receivable$461,417,804$483,543,530▲ $22,125,726
Investments in Publicly Traded Securities$405,470,594$482,550,370▲ $77,079,776
Prepaid Expenses and Deferred Charges$18,380,706$15,054,253▼ $3,326,453
Inventories for Sale or Use$6,933,859$6,912,594▼ $21,265
Savings and Temporary Cash Investments$2,707,657$3,043,150▲ $335,493
Other Notes and Loans Receivable, Net$2,714,555$2,407,889▼ $306,666
Cash and Non-Interest-Bearing Accounts$1,961,577$1,875,254▼ $86,323
Total Assets$13,128,051,185$16,528,218,881▲ $3,400,167,696
Other Assets Total$521,236,643$1,761,383,256▲ $1,240,146,613
Liabilities
Accounts Payable and Accrued Expenses$3,075,133,623$4,016,023,524▲ $940,889,901
Other Liabilities$3,213,742,904$3,316,332,263▲ $102,589,359
Mortgage Notes Payable Secured by Investment Property$1,361,009,267$1,992,192,259▲ $631,182,992
Tax Exempt Bond Liabilities$1,681,244,005$1,546,708,763▼ $134,535,242
Deferred Revenue$28,715,653$120,424,474▲ $91,708,821
Total Liabilities$9,359,845,452$10,991,681,283▲ $1,631,835,831
Net Assets / Fund Balance
Net Assets With Donor Restrictions$3,083,489,373$3,559,199,963▲ $475,710,590
Net Assets Without Donor Restrictions$684,716,360$1,977,337,635▲ $1,292,621,275
Total Net Assets Fund Balance$3,768,205,733$5,536,537,598▲ $1,768,331,865
Total Liabilities and Net Assets / Fund Balance$13,128,051,185$16,528,218,881▲ $3,400,167,696

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$704,446,322$1,097,730,054$1,802,176,376
Equipment$548,338,551$972,784,398$1,521,122,949
Land$101,987,033-$101,987,033
Leasehold Improvements$30,313,719$36,976,295$67,290,014
Other Land Buildings$61,510,260-$61,510,260
Other Assets Org$504,756--
Other Securities$11,795,440,598--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$4,427,091,907$171,083,411▲ $647,792,722$184,305,055$5,061,662,985
2019$3,852,237,495$155,829,477▲ $461,221,455$42,196,520$4,427,091,907
2018$3,649,041,615$232,064,809▲ $59,629,160$88,498,089$3,852,237,495
2017$3,166,765,991$207,453,772▲ $430,687,700$155,865,847$3,649,041,616
2016$2,949,847,568$97,648,438▲ $167,579,144$48,309,159$3,166,765,991
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Harper Jr Md Charles MTrusteeFT$1,054,104$455,840$1,509,944
Krauss Md William EPhysicianFT$1,128,954$370,171$1,499,125
Lanzino Md GiuseppePhysicianFT$1,124,954$290,312$1,415,266
Pichelmann Md Mark aPhysicianFT$1,126,634$221,299$1,347,933
Clarke Md Michelle JPhysicianFT$1,127,414$220,229$1,347,643
Marsh Md W RichardPhysicianFT$1,055,222$284,937$1,340,159
Gores Md Gregory JPhysicianFT$954,158$266,347$1,220,505
Otley Md Clark CPhysicianFT$828,005$289,164$1,117,169
Williamson Mary JVice Chair/CAOFT$791,971$271,568$1,063,539
Callstrom Md Matthew RPhysicianFT$724,281$243,660$967,941
Shah Md VijayPhysicianFT$731,103$207,050$938,153
Hebl Md James RFormer Key EmployeeFT$698,923$210,299$909,222
Rihal Md Charanjit SPhysicianFT$622,075$272,726$894,801
Berry Md Daniel JTrusteeFT$693,959$195,224$889,183
Wald Md John TPhysicianFT$636,321$217,688$854,009
Khan Rita GChief Digital OfficerFT$619,865$228,822$848,687
Camilleri Md MichaelFormer Key EmployeeFT$595,238$249,328$844,566
Diasio Md Robert BPhysicianFT$636,282$190,452$826,734
Luetmer Md Patrick HFormer Key EmployeeFT$635,121$170,927$806,048
Loftus Md Conor GFormer Key EmployeeFT$606,978$160,455$767,433
Leibovich Md Bradley CPhysicianFT$557,937$180,469$738,406
Kendrick Md Michael LPhysicianFT$582,080$155,610$737,690
Morice Md William GPhysicianFT$540,522$184,983$725,505
Dowdy Md Sean CPhysicianFT$554,787$157,943$712,730
Gertz Md Morie aFormer Key EmployeeFT$470,936$230,050$700,986
Cima Md Robert RPhysicianFT$528,591$169,446$698,037
Whited Md Brian LFormer Key EmployeeFT$533,469$154,165$687,634
Frank Md IgorPhysicianFT$532,737$151,754$684,491
Okuno Md Scott HFormer Key EmployeeFT$497,680$172,543$670,223
Hadaway Cheryl JChief Development OfficerFT$539,698$129,637$669,335
Khan Md Amir RPhysicianFT$500,469$164,062$664,531
Hayes Md Sharonne NFormer Key EmployeeFT$479,067$179,706$658,773
Brown Md Michael JPhysicianFT$482,753$172,203$654,956
Peters Md Steve GPhysicianFT$497,703$117,568$615,271
Haeflinger Ricky JAsst TreasurerFT$372,970$241,584$614,554
Horlocker Md Terese TFormer Key EmployeeFT$490,766$107,307$598,073
Gazelka Md Halena MFormer Key EmployeeFT$484,913$110,432$595,345
Lucchinetti Md Claudia FTrusteeFT$403,093$142,790$545,883
Didehban RoshanakTrusteeFT$454,827$89,207$544,034
Santrach Md Paula JFormer Key EmployeeFT$427,426$107,819$535,245
Narr Md Bradly JFormer Key EmployeeFT$385,845$146,161$532,006
Greene Md Eddie LTrusteeFT$374,938$128,542$503,480
Warner Md Mark aFormer Key EmployeeFT$289,236$193,225$482,461
Agerter Md David CFormer Key EmployeeFT$288,539$117,530$406,069
Ammash Md Naser MCEO Smmc-$182,384$148,571$330,955
Clark Leon GFormer Key EmployeeFT$114,560$132,300$246,860
Hayes Md David LFormer Key EmployeeFT$49,369$126,386$175,755
Roberts Robin RTrusteePT-$103,962$103,962
Baker Jr Douglas MTrusteePT-$100,594$100,594
Baicker KatherineTrusteePT-$98,043$98,043
Di Piazza Jr Samuel aTrustee/chairPT-$3,301$3,301
Halvorson George CTrusteePT-$2,066$2,066
Powell Michael KTrusteePT-$1,720$1,720
Coleman Mary SueTrusteePT-$1,202$1,202

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Mayo Foundation For Medical Education &Procurement & Med Support Services200 FIRST STREET SW, Rochester, MN 55905$418,921,395
Mayo Clinic JacksonvilleMedical Support Services4500 SAN PABLO ROAD, Jacksonville, FL 32224$11,544,701
Mayo Clinic ArizonaMedical Support Services13400 EAST SHEA BLVD, Scottsdale, AZ 85259$939,819
Mchs - Northwest Wisconsin Region INCMedical Support Services1221 WHIPPLE STREET, Eau Claire, WI 54703$153,327
Revenue and Support

Revenue Composition

Contributions and Grants
$2,422,520,612
Program Service Revenue
$3,743,006,635
Investment Income
$494,073,596
Other Revenue
$40,499,808
All Other Contributions
$703,210,364
Change in Net Assets
$1,162,287,965

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
Yes

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded353$69,448,203Mean Market Value
Real Estate Other3$4,222,888Experts
Other Non Cash Contri Table2$2,487,692Experts
Real Estate Commercial1$1,250,000Experts
Real Estate Residential1$365,000Experts
Other Non Cash Contri Table2$118,320Experts
Securities Closely Held Stock2$74,400Experts
Securities Miscellaneous2$3,856Experts
Total Noncash Contributions366$77,970,359-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,713,116,544
Other Expenses$2,306,475,790
Grants and Similar Amounts Paid$517,707,005
Total Fundraising Expense$44,274,517
Professional Fundraising Fees$513,347

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,980,779,167$66,702,942$26,419,690$2,073,901,799
Fees for Services Other$288,132,896$696,756,168$6,464,407$991,353,471
Grants to Domestic Orgs$494,111,225--$494,111,225
Other Employee Benefits$394,866,100$12,974,081$3,323,545$411,163,726
Office Expenses$226,752,469$16,678,294$800,504$244,231,267
Depreciation Depletion$180,968,958$1,394,193$79,579$182,442,730
Payroll Taxes$129,436,604$4,610,865$1,508,524$135,555,993
Interest$99,787,215$3,589,397-$103,376,612
Occupancy$48,835,398$32,381,920$837,190$82,054,508
Pension Plan Contributions$43,505,789$7,418,031$2,430,717$53,354,537
Information Technology$47,313,123$427,277$286,058$48,026,458
All Other Expenses$29,795,718$5,123,064$187,542$35,106,324
Other Expenses$26,255,177$509,996-$26,765,173
Grants to Domestic Individuals$21,794,633--$21,794,633
Current Officers, Directors, Trustees, and Key Employees$17,348,106$2,553,082$669,335$20,570,523
Comp Disqual Persons$17,023,347$1,546,619-$18,569,966
Insurance$17,730,633$1,890-$17,732,523
Advertising$12,831,976$33,179$79,316$12,944,471
Travel$7,103,824$426,904$500,515$8,031,243
Fees for Service Investment Mgmnt Fees$4,782,260$52,500-$4,834,760
Royalties$4,104,525--$4,104,525
Conferences and Meetings$1,812,325$28,536$1,035$1,841,896
Foreign Grants$1,801,147--$1,801,147
Fees for Services Legal$611,595$149,588$173,213$934,396
Fees for Services Professional Fundraising--$513,347$513,347
Fees for Services Accounting-$171,818-$171,818
Fees for Services Lobbying$110,733$252-$110,985
Total Functional Expenses$4,640,007,438$853,530,731$44,274,517$5,537,812,686
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mayo Clinic ArizonaScottsdale, AZ501(c)(3)Support Charitable Programs$163,131,290
Mayo Clinic JacksonvilleJacksonville, FL501(c)(3)Support Charitable Programs$113,565,627
Mchs--southeast Minnesota RegionAustin, MN501(c)(3)Support Charitable Programs$49,856,233
Mchs--southwest Minnesota RegionMankato, MN501(c)(3)Support Charitable Programs$47,880,962
Mchs--franciscan Medical Center IncLa Crosse, WI501(c)(3)Support Charitable Programs$32,641,832
Mchs--northwest Wisconsin Region IncEau Claire, WI501(c)(3)Support Charitable Programs$29,211,093
Mchs--fairmontFairmont, MN501(c)(3)Support Charitable Programs$10,535,956
Regen Theranostics IncRochester, MN-Support Research Program$4,142,806
Duke UniversityDurham, NC501(c)(3)Support Charitable Programs$2,424,476
Regents of the University of California San FranciscoSan Francisco, CAState of CASupport Research Program$2,224,952
Regents of the Univ of Mn Dba University of MnMinneapolis, MNState of MnSupport Research Program$1,908,668
Boston Scientific CorporationMarlborough, MA-Support Research Program$1,680,772
Emory University School of MedicineAtlanta, GA501(c)(3)Support Charitable Programs$1,456,509
University of ChicagoChicago, IL501(c)(3)Support Charitable Programs$1,451,551
Trustees of the University of PennsylvaniaPhiladelphia, PA501(c)(3)Support Charitable Programs$1,306,463
The University of Texas M D Anderson Cancer CenterHouston, TXState of TXSupport Research Program$1,259,648
Rochester Downtown AllianceRochester, MN501(c)(6)Support Exempt Purpose$1,257,500
The Trustees of Columbia UniversityNew York, NY501(c)(3)Support Charitable Programs$960,702
NexusPlymouth, MN501(c)(3)Support Charitable Programs$910,000
Mayo Foundation for Medical Education and ResearchRochester, MN501(c)(3)Support Charitable Programs$740,006
Brigham and Womens HospitalBoston, MA501(c)(3)Support Charitable Programs$720,701
The University of Texas Health Science Center at HoustonHouston, TXState of TXSupport Research Program$678,029
The University of Texas at AustinAustin, TXState of TXSupport Research Program$666,279
Sanford Burnham Prebys Medical Discovery InstituteLa Jolla, CA501(c)(3)Support Charitable Programs$613,114
University of Wisconsin Medical SchoolMadison, WIState of WiSupport Research Program$577,990
The Rockefeller UniversityNew York, NY501(c)(3)Support Charitable Programs$525,735
United Way of Olmsted County IncRochester, MN501(c)(3)Support Charitable Programs$520,500
Duke University Health System IncCharlotte, NC501(c)(3)Support Charitable Programs$501,149
Weill Cornell Medical CollegeNew York, NY501(c)(3)Support Charitable Programs$498,855
Yale UniversityNew Haven, CT501(c)(3)Support Charitable Programs$460,508
The Regents of the University of MichiganAnn Arbor, MIState of MiSupport Research Program$444,538
University of FloridaGainesville, FLState of FlSupport Research Program$429,683
Optum Labs IncMinnetonka, MN-Support Research Program$429,500
Dana-farber Cancer Institute IncBoston, MA501(c)(3)Support Charitable Programs$380,756
University of North Carolina at Chapel HillChapel Hill, NCState of NcSupport Research Program$368,407
Kaiser Foundation Research InstituteOakland, CA501(c)(3)Support Charitable Programs$358,913
The University of Texas Health Science Center at San AntonioSan Antonio, TXState of TXSupport Research Program$346,729
General Hospital CorporationBoston, MA501(c)(3)Support Charitable Programs$332,537
Ge Precision Healthcare LLCWaukesha, WI-Support Research Program$330,199
University of IowaIowa City, IAState of IaSupport Research Program$313,696
Rochester Area FoundationRochester, MN501(c)(3)Support Charitable Programs$306,000
Washington UniversitySt Louis, MO501(c)(3)Support Charitable Programs$294,656
Indiana UniversityIndianapolis, INState of inSupport Research Program$284,268
University of Nebraska Dba Univ of Nebraska Medical CenterOmaha, NEState of NeSupport Research Program$281,390
Sloan-kettering Institute for Cancer ResearchNew York, NY501(c)(3)Support Charitable Programs$278,519
Minneapolis Medical Research Foundation Hennepin CtyMinneapolis, MN501(c)(3)Support Charitable Programs$278,315
Ohio State UniversityColumbus, OHState of OhSupport Research Program$276,341
American Academy of Orthopaedic SurgeonsRosemont, IL-Support Research Program$269,770
The Henry M Jackson Foundation for the Advancement of Military Medicine IncBethesda, MD501(c)(3)Support Charitable Programs$269,738
The Salvation Army Northern Division - Serving Mn & NdRoseville, MN501(c)(3)Support Charitable Programs$266,624
Benchmark Electronics IncTempe, AZ-Support Research Program$259,571
University of WashingtonSeattle, WAState of WaSupport Research Program$247,595
Johns Hopkins UniversityBaltimore, MD501(c)(3)Support Charitable Programs$243,940
University of MiamiCoral Gables, FL501(c)(3)Support Charitable Programs$243,064
Healthpartners Institute for Education and ResearchMinneapolis, MN501(c)(3)Support Charitable Programs$235,984
Mchs--lake CityLake City, MN501(c)(3)Support Charitable Programs$235,123
Georgia Tech Research CorporationAtlanta, GA501(c)(3)Support Charitable Programs$233,587
University of Southern CaliforniaLos Angeles, CA501(c)(3)Support Charitable Programs$219,846
Washington State UniversityPullman, WAState of WaSupport Research Program$213,467
Rutgers the State University of NjNew Brunswick, NJState of NjSupport Research Program$201,546
Mountain Park Health CenterPhoenix, AZ501(c)(3)Support Charitable Programs$193,227
The University of Texas Southwestern Medical Center at DallasDallas, TXState of TXSupport Research Program$192,800
American College of SurgeonsChicago, IL501(c)(3)Support Charitable Programs$190,684
Thought Leadership & Innovation FoundationLeesburg, VA501(c)(3)Support Charitable Programs$189,281
Texas A&m UniversityCollege Station, TXState of TXSupport Research Program$187,918
Case Western Reserve UniversityCleveland, OH501(c)(3)Support Charitable Programs$183,433
Regents of the University of California at Los AngelesLos Angeles, CAState of CASupport Research Program$182,169
Biokier IncChapel Hill, NC-Support Research Program$167,145
The Cleveland Clinic FoundationIndependence, OH501(c)(3)Support Charitable Programs$162,023
Alaska Native Tribal Health ConsortiumAnchorage, AK501(c)(3)Support Charitable Programs$159,914
Northshore UniversityEvanston, IL501(c)(3)Support Charitable Programs$156,265
Scripps Research InstituteLa Jolla, CA501(c)(3)Support Charitable Programs$152,072
Ge Medical Systems Information Technologies IncMilwaukee, WI-Support Research Program$144,864
Stanford UniversityStanford, CA501(c)(3)Support Charitable Programs$140,879
University of UtahSalt Lake City, UTState of UtSupport Research Program$140,759
Cincinnati Childrens Hospital Medical CenterCincinnati, OH501(c)(3)Support Charitable Programs$140,404
Minnesota Childrens MuseumSt Paul, MN501(c)(3)Support Charitable Programs$140,000
Young Mens Christian Association of the Greater Twin CitiesMinneapolis, MN501(c)(3)Support Charitable Programs$140,000
Integrative Medicine ServiceNew York, NY501(c)(3)Support Charitable Programs$139,903
University of PittsburghPittsburgh, PA501(c)(3)Support Charitable Programs$139,166
Boston University School of MedicineBoston, MA501(c)(3)Support Charitable Programs$137,714
Marshfield Clinic Health System IncMarshfield, WI501(c)(3)Support Charitable Programs$136,039
Sage BionetworksSeattle, WA501(c)(3)Support Charitable Programs$133,773
Northwestern University Feinberg School of MedicineChicago, IL501(c)(3)Support Charitable Programs$133,279
University of RochesterRochester, NY501(c)(3)Support Charitable Programs$131,864
Vanderbilt UniversityNashville, TN501(c)(3)Support Charitable Programs$131,250
George Mason UniversityFairfax, VAState of VaSupport Research Program$126,073
Roswell Park Cancer InstituteBuffalo, NYState of NySupport Research Program$125,395
The Geneva FoundationLakewood, WA501(c)(3)Support Charitable Programs$118,522
Banner Health Research InstitutePhoenix, AZ501(c)(3)Support Charitable Programs$117,819
University of Notre Dame Du LacMishawaka, IN501(c)(3)Support Charitable Programs$116,153
Ohio State University Research FoundationColumbus, OH501(c)(3)Support Charitable Programs$113,440
Childrens Hospital BostonBoston, MA501(c)(3)Support Charitable Programs$104,046
Carnegie Institution of WashingtonWashington, DC501(c)(3)Support Charitable Programs$101,865
Thomas Jefferson University Hospital-nursing ServicePhiladelphia, PA501(c)(3)Support Charitable Programs$98,770
The Ftd Disorders RegistrySan Francisco, CA501(c)(3)Support Charitable Programs$95,719
Retina Foundation of the SouthwestDallas, TX501(c)(3)Support Charitable Programs$94,211
Cancer Center of Kansas PaWichita, KS-Support Research Program$91,754
The Board of Trustees of the University of IllinoisUrbana, ILState of IlSupport Research Program$90,622
Novo Engineering IncVista, CA-Support Research Program$90,333
Forresthunt IncAustin, TX-Support Research Program$88,982
University of MarylandBaltimore, MAState of MdSupport Research Program$88,394
Yukon-kuskokwim Health CorporationBethel, AKState of AkSupport Research Program$84,598
Minnesota Healthsolutions CorporationSt Paul, MN-Support Research Program$83,741
Docs Global IncNorth Wales, PA-Support Research Program$81,008
Zumbro Valley Mental Health Center IncRochester, MN501(c)(3)Support Charitable Programs$80,000
THE CHILDREN'S HOSPITAL OF PHILADELPHIAPhiladelphia, PA501(c)(3)Support Charitable Programs$76,572
Orlando Health IncOrlando, FL501(c)(3)Support Charitable Programs$74,260
University of ColoradoDenver, COState of CoSupport Research Program$73,289
Prometheus Research LLCNew Haven, CT-Support Research Program$72,416
Arizona State UniversityPhoenix, AZState of AzSupport Research Program$69,711
University of Arkansas for Medical SciencesLittle Rock, ARState of ArSupport Research Program$69,191
Olmsted OutreachRochester, MN501(c)(3)Support Charitable Programs$68,500
Boys and Girls Club of RochesterRochester, MN501(c)(3)Support Charitable Programs$67,180
Avera MckennanSioux Falls, SD501(c)(3)Support Charitable Programs$65,138
St Vincent HospitalGreen Bay, WI501(c)(3)Support Charitable Programs$65,117
Northeastern UniversityBoston, MA501(c)(3)Support Charitable Programs$64,214
Rush University Medical CenterChicago, IL501(c)(3)Support Charitable Programs$63,640
American National Red CrossWashington, DC501(c)(3)Support Charitable Programs$63,200
Mchs--austin FoundationAustin, MN501(c)(3)Support Charitable Programs$62,371
High Point UniversityHigh Point, NC501(c)(3)Support Charitable Programs$62,079
Portland State UniversityPortland, ORState of orSupport Research Program$59,760
Elite Technical Services Inc Dba Elite TechnicalRonkonkoma, NY-Support Research Program$59,750
University of Alabama at BirminghamBirmingham, ALState of AlSupport Research Program$59,591
New York Society for the Relief of the Ruptured and Crippled MaintainingNew York, NY501(c)(3)Support Charitable Programs$57,018
Harvard Medical SchoolBoston, MA501(c)(3)Support Charitable Programs$56,474
Minneapolis Heart Institute FoundationMinneapolis, MN501(c)(3)Support Charitable Programs$55,825
Jeremiah ProgramMinneapolis, MN501(c)(3)Support Charitable Programs$55,000
Georgetown UniversityWashington, DC501(c)(3)Support Charitable Programs$54,397
Legal Assistance of Olmsted CountyRochester, MN501(c)(3)Support Charitable Programs$54,000
Blood Systems IncPhoenix, AZ501(c)(3)Support Charitable Programs$51,001
Advarra Inc Dba Schulman IrbColumbia, MD-Support Research Program$50,640
Hemophilia Foundation of Mn DMendota Heights, MN501(c)(3)Support Charitable Programs$50,150
Beckman Research Institute of the City of HopeDuarte, CA501(c)(3)Support Charitable Programs$50,000
Eisenhower Medical CenterRancho Mirage, CA501(c)(3)Support Charitable Programs$50,000
Nami Southeast MinnesotaRochester, MN501(c)(3)Support Charitable Programs$50,000
Science Museum of MinnesotaSt Paul, MN501(c)(3)Support Charitable Programs$50,000
Massachusetts Institute of TechnologyCambridge, MA501(c)(3)Support Charitable Programs$49,403
Seattle Childrens Hospital and Regional Medical CenterSeattle, WA501(c)(3)Support Charitable Programs$49,134
The Methodist Hospital Research InstituteHouston, TX501(c)(3)Support Charitable Programs$48,323
Cleveland Clinic Florida (a Nonprofit Corporation)Weston, FL501(c)(3)Support Charitable Programs$47,250
North Carolina State UniversityRaleigh, NCState of NcSupport Research Program$45,628
Mayo Clinic FloridaJacksonville, FL501(c)(3)Support Charitable Programs$44,672
Hackensack University Medical CenterHackensack, NJ501(c)(3)Support Charitable Programs$43,500
Hazelden Betty Ford FoundationCenter City, MN501(c)(3)Support Charitable Programs$43,021
Trustees of Dartmouth CollegeHanover, NH501(c)(3)Support Charitable Programs$42,163
Central American Medical Outreach IncOrrville, OH501(c)(3)Support Charitable Programs$41,338
Diversity CouncilRochester, MN501(c)(3)Support Charitable Programs$40,000
Docs Recovery HouseRochester, MN501(c)(3)Support Charitable Programs$40,000
Dyslexia Institute of Minnesota IncRochester, MN501(c)(3)Support Charitable Programs$40,000
Trustees of Tufts CollegeMedford, MA501(c)(3)Support Charitable Programs$39,131
Charlotte-mecklenburg Hospital AuthorityCharlotte, NCState of NcSupport Research Program$39,130
Tempus Health IncChicago, IL-Support Research Program$36,400
Wake Forest University Health Sciences-ultrasoundWinstonsalem, NC501(c)(3)Support Charitable Programs$36,155
University of VermontBurlington, VTState of VtSupport Research Program$36,143
University of ArizonaTucson, AZ501(c)(3)Support Charitable Programs$35,962
Carle Foundation HospitalUrbana, IL501(c)(3)Support Charitable Programs$35,108
Wayne State UniversityDetroit, MIState of MiSupport Research Program$34,958
Dean Health Systems IncMadison, WI-Support Research Program$34,850
Intercultural Mutual Assistance AssociationRochester, MN501(c)(3)Support Charitable Programs$34,780
Nyu Department of RadiologyNew York, NYState of NySupport Research Program$34,575
Montefiore Medical CenterBronx, NY501(c)(3)Support Charitable Programs$34,510
University of Mississippi Medical Center HospitalJackson, MSState of MsSupport Research Program$34,072
Rector and Visitors of the University of VirginiaCharlottesville, VAState of VaSupport Research Program$32,238
Toledo Clinic IncToledo, OH-Support Research Program$31,943
University of Central FloridaOrlando, FLState of FlSupport Research Program$30,661
Siouxland Regional Cancer CenterSioux City, IA501(c)(3)Support Charitable Programs$30,500
Firsthealth of the Carolinas Inc Dba Moore Regional HospitalPinehurst, NC501(c)(3)Support Charitable Programs$30,275
American Cancer Society IncAtlanta, GA501(c)(3)Support Charitable Programs$30,000
Elder NetworkRochester, MN501(c)(3)Support Charitable Programs$30,000
Gamehaven Council Inc Boy Scouts of AmericaRochester, MN501(c)(3)Support Charitable Programs$30,000
Rochester Olmsted County Safety CouncilRochester, MN501(c)(3)Support Charitable Programs$30,000
WOMEN'S SHELTER INCRochester, MN501(c)(3)Support Charitable Programs$30,000
Lindner Center of HopeMason, OH501(c)(3)Support Charitable Programs$29,895
Hebrew Rehabilitation Center Dba Hebrew Senior LifeBoston, MA501(c)(3)Support Charitable Programs$28,119
Medical College of Wisconsin Froedtert HospitalMilwaukee, WI501(c)(3)Support Charitable Programs$28,079
Gift of Life IncRochester, MN501(c)(3)Support Charitable Programs$28,000
Girl Scouts of Minnesota and Wisconsin River Valleys IncSt Paul, MN501(c)(3)Support Charitable Programs$28,000
New Hampshire OncologyHooksett, NH-Support Research Program$27,350
Guardant Health IncRedwood City, CA-Support Research Program$26,100
Ronald Mcdonald House of Rochester Minnesota IncRochester, MN501(c)(3)Support Charitable Programs$25,600
Apple Tree DentalMounds View, MN501(c)(3)Support Charitable Programs$25,000
Austin Community Growth VenturesAustin, MN501(c)(3)Support Charitable Programs$25,000
Catholic Charities of the Diocese of Winona-rochesterWinona, MN501(c)(3)Support Charitable Programs$25,000
Hope FuseRochester, MN501(c)(3)Support Charitable Programs$25,000
The Minneapolis FoundationMinneapolis, MN501(c)(3)Support Charitable Programs$25,000
Dartmouth-hitchcock Medical CenterLebanon, NH501(c)(3)Support Charitable Programs$23,977
Aurora Health CareMilwaukee, WI501(c)(3)Support Charitable Programs$23,675
Fisher Clinical ServicesAllentown, PA-Support Research Program$23,291
University of California RegentsDavis, CAState of CASupport Research Program$22,335
Ability Building Center IncRochester, MN501(c)(3)Support Charitable Programs$22,200
Ochsner Clinic FoundationNew Orleans, LA501(c)(3)Support Charitable Programs$22,000
Henry Ford Health SystemDetroit, MI501(c)(3)Support Charitable Programs$20,500
The Toledo HospitalToledo, OH501(c)(3)Support Charitable Programs$20,497
CHILDREN'S DENTAL HEALTH SERVICESRochester, MN501(c)(3)Support Charitable Programs$20,000
Community Dental Care IncMaplewood, MN501(c)(3)Support Charitable Programs$20,000
Exercisabilities IncRochester, MN501(c)(3)Support Charitable Programs$20,000
Ladder for AmericaRobbinsdale, MN501(c)(3)Support Charitable Programs$20,000
Minnesota Council of Nonprofits IncSt Paul, MN501(c)(3)Support Charitable Programs$20,000
Rochester Swimming IncRochester, MN501(c)(3)Support Charitable Programs$20,000
Olmsted Medical CenterRochester, MN501(c)(3)Support Charitable Programs$19,998
St Elizabeth Medical Center Inc Dba St Elizabeth HealthcareEdgewood, KY501(c)(3)Support Charitable Programs$19,925
South Dakota Health Research FoundationSioux Falls, SD501(c)(3)Support Charitable Programs$19,797
Childrens Research InstituteWashington Dc, WA501(c)(3)Support Charitable Programs$19,210
William Sansum Diabetes CenterSanta Barbara, CA501(c)(3)Support Charitable Programs$18,484
Tufts Medical Center IncBoston, MA501(c)(3)Support Charitable Programs$18,435
Vassar CollegePoughkeepsie, NY501(c)(3)Support Charitable Programs$18,379
Olmsted CountyRochester, MNCt of OlmstedSupport Research Program$18,314
Missouri Baptist Medical CenterSt Louis, MO501(c)(3)Support Charitable Programs$18,050
Mayo Clinic Hospital-- RochesterRochester, MN501(c)(3)Support Charitable Programs$17,794
University of Missouri Kansas Dba University of Missouri Columbia College OColumbia, MOState of MoSupport Research Program$17,273
Onegevity Health LLCNew York, NY-Support Research Program$17,225
Customzinescom IncWheaton, IL-Support Research Program$17,000
Uc Regents Univ of California-sdLa Jolla, CAState of CASupport Research Program$16,696
Vanderbilt University Medical CenterNashville, TN501(c)(3)Support Charitable Programs$16,409
Hebrew Home for the Aged at RiverdaleBronx, NY501(c)(3)Support Charitable Programs$15,500
Orthocarolina Research Institute IncCharlotte, NC501(c)(3)Support Charitable Programs$15,141
Child Care Resource & Referral IncRochester, MN501(c)(3)Support Charitable Programs$15,000
Consumers for Dental Choice IncWashington, DC501(c)(3)Support Charitable Programs$15,000
Isd 535Rochester, MNState of MnSupport Research Program$15,000
Minnesota Teen Challenge IncMinneapolis, MN501(c)(3)Support Charitable Programs$15,000
Rochester Parks FoundationRochester, MN501(c)(3)Support Charitable Programs$15,000
Rochester Sports FoundationRochester, MN501(c)(3)Support Charitable Programs$15,000
Rochester Symphony Orchestra & ChoraleRochester, MN501(c)(3)Support Charitable Programs$15,000
Regional Oncology Center SunyAlbany, NY501(c)(3)Support Charitable Programs$14,692
Baylor College of MedicineHouston, TX501(c)(3)Support Charitable Programs$13,272
The Miriam HospitalProvidence, RI501(c)(3)Support Charitable Programs$13,000
Rhode Island HospitalProvidence, RI501(c)(3)Support Charitable Programs$12,550
Community Food ResponseRochester, MN501(c)(3)Support Charitable Programs$12,500
Eagles Fifth District Cancer TelethonRochester, MN501(c)(3)Support Charitable Programs$12,500
Spectrum Health Hospitals Dba Grand Rapids Clinical OncologyGrand Rapids, MI501(c)(3)Support Charitable Programs$12,089
Middlesex HospitalMiddletown, CT501(c)(3)Support Charitable Programs$12,050
Qualtek Molecular LaboratoriesGoleta, CA-Support Research Program$11,104
Oklahoma Medical Research FoundationOklahoma City, OK501(c)(3)Support Charitable Programs$10,981
Oncology Hematology Associates of Central Illinois PcPeoria, IL-Support Research Program$10,918
Minnesota State Colleges and UniversitiesMankato, MNState of MnSupport Research Program$10,500
Black Data Processing Association Se Mn ChapterRochester, MN501(c)(3)Support Charitable Programs$10,000
Girls on the Run Twin Cities IncSt Paul, MN501(c)(3)Support Charitable Programs$10,000
Greater Rochester Area Dakota SupportersRochester, MN501(c)(3)Support Charitable Programs$10,000
Honors Choirs of Southeast MinnesotaRochester, MN501(c)(3)Support Charitable Programs$10,000
Human Factors & Ergonomics SocietyWashington, DC501(c)(3)Support Charitable Programs$10,000
Life Work Planning Center Board IncMankato, MN501(c)(3)Support Charitable Programs$10,000
SemcacRushford, MN501(c)(3)Support Charitable Programs$10,000
Aptitude Health LLCAtlanta, GA-Support Research Program$9,795
Trustees of Purdue UniversityWest Lafayette, INState of inSupport Research Program$9,527
Altru Health SystemGrand Forks, ND501(c)(3)Support Charitable Programs$9,250
Loyola University of ChicagoChicago, IL501(c)(3)Support Charitable Programs$9,050
Young Womens Christian Association of La CrosseLa Crosse, WI501(c)(3)Support Charitable Programs$9,000
Mchs--st JamesSt James, MN501(c)(3)Support Charitable Programs$8,713
Gateway Pharmacy LLCBismarck, ND-Support Research Program$8,660
Southeastern Minnesota Youth Orchestra IncRochester, MN501(c)(3)Support Charitable Programs$8,500
St Cloud HospitalSt Cloud, MN501(c)(3)Support Charitable Programs$8,481
Charterhouse IncRochester, MN501(c)(3)Support Charitable Programs$8,368
Mount Sinai School of Medicine Ctr to Advance Palliative CareNew York, NY501(c)(3)Support Charitable Programs$8,014
Hoag Memorial Hospital PresbyterianNewport Beach, CA501(c)(3)Support Charitable Programs$8,000
Minnesota Assistance Council for VeteransSt Paul, MN501(c)(3)Support Charitable Programs$8,000
City of Hope National Medical CenterDuarte, CA501(c)(3)Support Charitable Programs$7,500
City of RochesterRochester, MNCty of RochesterSupport Community Programs$7,500
Albany Medical CollegeAlbany, NY501(c)(3)Support Charitable Programs$7,116
904ward IncJacksonville, FL501(c)(3)Support Charitable Programs$6,500
Center for Childrens RightsJacksonville, FL501(c)(3)Support Charitable Programs$6,500
Dbwpc IncJacksonville, FL501(c)(3)Support Charitable Programs$6,500
Greenville Health SystemGreenville, SC501(c)(3)Support Charitable Programs$6,300
Rapid City Regional HospitalRapid City, SD501(c)(3)Support Charitable Programs$6,250
Westat IncRockville, MD-Support Research Program$6,048
Dayton Clinical Oncology ProgramKettering, OH501(c)(3)Support Charitable Programs$5,977
New England Cancer SpecialistsScarborough, ME-Support Research Program$5,863
Couleecap IncWestby, WI501(c)(3)Support Charitable Programs$5,500

International Summary

Offices
2
Employees
1,037
Spending
$2,899,999,290

International Compliance

Foreign grant records maintained
Yes
Activity in boycott countries
Yes
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
East Asia and the PacificInvestments Expense-00$1,125,509,770
Central America and the CaribbeanInvestments-00$891,135,648
Europe (including Iceland and Greenland)Investments Expense-00$647,214,523
Middle East and North AfricaInvestments-00$83,329,970
Europe (including Iceland and Greenland)Investments-10$72,918,130
South AmericaInvestments-00$45,834,714
East Asia and the PacificInvestments-00$12,083,862
South AsiaInvestments-00$7,474,152
Russia and the Neighboring StatesInvestments-00$6,278,724
North AmericaInvestments-00$2,995,082
Middle East and North AfricaUnrelated Business Activity-015$910,265
Sub-saharan AfricaInvestments-00$614,250
Europe (including Iceland and Greenland)Unrelated Business Activity-00$571,524
Middle East and North AfricaTravelResearch089$542,607
Europe (including Iceland and Greenland)TravelPatient Care0357$540,913
Middle East and North AfricaProgram Services-010$492,547
North AmericaTravelEducation Conference - Mayo Sponsor0232$301,805
North AmericaProgram Services-02$232,816
Europe (including Iceland and Greenland)Program ServicesReference Lab Sales & Marketing04$220,345
East Asia and the PacificProgram ServicesReference Lab Sales & Marketing02$208,766
Central America and the CaribbeanTravelPatient Care068$145,982
Europe (including Iceland and Greenland)Program Services-01$101,709
East Asia and the PacificTravelPatient Care092$94,269
South AmericaTravelReference Lab Sales & Marketing048$93,256
South AsiaTravelReference Lab Sales & Marketing040$64,256
Sub-saharan AfricaTravelReference Lab Sales & Marketing023$46,160
North AmericaUnrelated Business Activity-043$22,871
East Asia and the PacificUnrelated Business Activity-15$11,517
Europe (including Iceland and Greenland)Program Services-01$5,632
Russia and the Neighboring StatesTravelConsulting05$3,225
South AmericaUnrelated Business Activity-00-
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$513,347
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Williamson Md Eric EFamily Member of Key Employee Williamson, Mary J.EmploymentNo$808,756
Larson Md Mark VFamily Member of Trustee Williams M.d., Amy W.EmploymentNo$737,291
Bois Md Melanie CFamily Member of Trustee Buskirk M.d., Steven J.EmploymentNo$659,022
Hayes Md Sharonne NFamily Member of Former Key Hayes M.d., David L.EmploymentNo$658,773
Midthun Md David EFamily Member of Trustee Williams M.d., Amy W.EmploymentNo$588,971
Lamer Md Tim JFamily Member of Former Key Gazelka M.d., Halena M.EmploymentNo$584,065
Warner Md Paul aFamily Member of Former Key Warner M.d., Mark A.EmploymentNo$545,061
Warner Md Matthew aFamily Member of Former Key Warner M.d., Mark A.EmploymentNo$540,548
Warner Md Nafisseh SFamily Member of Former Key Warner M.d., Mark A.EmploymentNo$522,351
Bois Md John PFamily Member of Trustee Buskirk M.d., Steven J.EmploymentNo$419,285
Saito Loftus Md Yuri aFamily Member of Key Employee Loftus M.d., Conor G.EmploymentNo$374,521
Warner Md Mary EFamily Member of Former Key Warner M.d., Mark A.EmploymentNo$338,398
Meissner Md IreneFamily Member of Former Key Meyer M.d., Fredric B.EmploymentNo$336,967
Peters Margot SFamily Member of Key Employee Peters M.d., Steve G.EmploymentNo$311,043
Warner Md Lindsay LFamily Member of Former Key Warner M.d., Mark A.EmploymentNo$301,551
Neal Md LonzettaFamily Member of Trustee Greene M.d., Eddie L.EmploymentNo$204,547
Hayes Md David LFamily Member of Former Key Hayes M.d., Sharonne N.EmploymentNo$175,756
Harper Sarah BFamily Member of Trustee Harper Jr., M.d., Charles M.EmploymentNo$102,942
Meyer Ilana EFamily Member of Former Key Meyer M.d., Fredric B.EmploymentNo$69,973
Emanuel Elzabeth MFamily Member of Officer Uhlenkamp, Susan M.EmploymentNo$66,162
Wald Michelle KFamily Member of Key Employee Wald M.d., John T.EmploymentNo$61,635
Uhlenkamp NoahFamily Member of Officer Uhlenkamp, Susan M.EmploymentNo$37,159
Kapurch Md Caitlin JFamily Member of Trustee Harper Jr., M.d., Charles M.EmploymentNo$36,843
Luetmer Md Marianne TFamily Member of Former Key Luetmer M.d., Patrick H.EmploymentNo$36,838
Gostout Md Christopher JFamily Member of Trustee/vp Gostout M.d., Bobbie S.EmploymentNo$26,533
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$3,296,987,257

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Rochester Minnesota2008-04-10$330,000,000Construction of health care facilities & refund 1998 bonds
DCity of Rochester Minnesota2016-10-13$293,825,280REFUND 2000 BONDS
BCity of Rochester Minnesota2011-05-05$293,208,150Refund 1992 and 2001 bonds
ACity of Rochester Minnesota2018-10-15$200,152,000Construction of health care facilities
CCity of Rochester Minnesota2012-04-04$192,662,250Construction of health care facilities
BCity of Rochester Minnesota2020-05-15$130,000,000REFUND 2008 BONDS
DCity of Rochester Minnesota2014-05-08$120,000,000Construction of health care facilities
CCity of Rochester Minnesota2016-05-03$75,000,000REFUND 2006 BONDS
BCity of Rochester Minnesota2015-12-31$44,266,950Construction of health care facilities
ACity of Rochester Minnesota2015-12-31$494,267Construction of health care facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$325,948,187$227,250,000$130,000,000$2,230,808
D$293,828,611---
B$293,208,150$291,119,321$494,267$2,088,829
A$201,883,876---
C$195,311,300$494,267$44,266,950$1,523,766
B$130,000,000---
D$120,012,445$44,266,950-$400,343
C$75,000,000$130,000,000--
B$44,266,950$290,000,000-$1,140,947
A$494,267$75,000,000-$1,473,244

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

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. Ammash m.d., naser m. Dahlen, dennis e. Uhlenkamp, susan m. Williams m.d., amy w. Thielen m.d., kent r. Norby, mark l, murphy, joshua b. Lockett, kevin m. Hubert, sherry l. Hoffman iii, harry n. 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. Francis, james r. Brown, william a. The following individual(s) is/are employed by a related organization: menkosky, paula e. Krahn m.d., lois e. Resulting in a business relationship with the following individual(s) who is/are associated with the related organization as an officer, director, or trustee: menkosky, paula e. Krahn m.d., lois e. Gray m.d., richard j. Froisland, jeffrey r. The following individual(s) is/are employed by a related organization: mclaughlin m.d., sarah a. 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: mclaughlin m.d., sarah a. 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., 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. 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. Baker jr., douglas m., salazar, kenneth l., serve as an officer, director, or trustee of mayo clinic and have a business relationship with target corporation.

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 B, Line 11B

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 financial reporting and consolidation chair, financial and accounting services chair, revenue cycle chair, 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.

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, 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 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, 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. 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, 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 (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.

Filing and Contact Details

Filer

Filer Name
Mayo Clinic
EIN
41-6011702
Phone
5075381297
Address
200 FIRST STREET SW NO TAX, ROCHESTER, MN 55905

Signing Officer

Name
Dennis E Dahlen
Title
CFO
Phone
5075381297
Signed
2021-11-15

Organization Details

Principal Officer
Gianrico Farrugia Md
Formed
1919
Legal Domicile
Mn
Voting Board Members
31
Independent Board Members
17
Employees
26,380
Volunteers
1,090
Supplemental Narrative

Additional Explanations

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 2020, 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 2020 tax year. This is in lieu of consolidating such information with its subordinate organizations and reporting such information on the 2020 mayo clinic group return.

Form 990, Part IX, Line 11G

I/c purchased services: program service expenses 94,848,383. Management and general expenses 689,156,670. Fundraising expenses 1,178,019. Total expenses 785,183,072. Other purchased services: program service expenses 193,284,513. Management and general expenses 7,599,498. Fundraising expenses 5,286,388. Total expenses 206,170,399.

FORM 990, PART XI, LINE 9:

Refunds of contributions -949,295. Pension-post retirement (per fasb) -691,117,256. Losses on uncollectible pledges -1,315,696. Other comprehensive income taxes 1,578,686.

Form 990, Part XII, Line 2C, Audit Process

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

Financial Statement Notes

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 2017 through 2019 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 the 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 has recorded $6 million reserve for uncertain tax positions, including interest and penalties, did not change significantly during the year ended december 31, 2020. As of december 31, 2020 and 2019, the reserve totaled $20 million and $14 million, respectively. It is not anticipated that a significant change in the reserve will occur over the next 12 months. The clinic's practice is to recognize interest and/or penalties related to income tax matters in income tax expense.

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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$26,683$10,173$16,509$7,929$6,313$1,616
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$22,108$9,578$12,529$7,075$5,678$1,397
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20,544$10,166$10,378$7,993$5,773$2,220
2020Detailed filing. Detailed filing data is available for this year.$16,528$10,992$5,537$6,700$5,538$1,162
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$13,128$9,360$3,768$6,819$5,685$1,135
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12,305$9,274$3,031$6,423$5,628$796
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11,311$9,204$2,107$6,142$5,830$313
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$10,567$8,575$1,993$5,152$4,895$257
2015Facts available. Structured filing facts are available, but richer extracted sections are limited.$10,051$7,412$2,640$4,716$4,445$271
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9,873$7,277$2,596$3,920$3,724$196
2013Summary only. Only limited summary data is available for this year.$9,967$6,287$3,680$4,560$4,177$383
2012XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8,533$7,082$1,451$3,654
2011XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7,571$5,784$1,787$3,414
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6,947$4,764$2,182$2,962
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2020 filings • 501(c)3 • $1B+ nonprofits