Civic Intelligence

Mayo Clinic

990 • Fiscal year 2023 • EIN 41-6011702

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 15, 2024

200 First Street SW TaxRochester, MN 55905

(507) 538-1297

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.43x

Higher debt load relative to assets than 62% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Liabilities / Revenue

79th percentile

1.34x

Higher debt load relative to revenue than 79% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Net Margin

81st percentile

17%

Higher net margin than 81% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Top Officer Pay

80th percentile

$4,309,705

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Asset Growth

54th percentile

5.6%

Faster asset growth than 54% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Revenue Growth

52nd percentile

4.9%

Faster revenue growth than 52% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Assets

Up

$23,339,620,165

Up $1,231,980,740 (+5.6%) from 2022

Net Assets

Up

$13,384,226,634

Up $854,757,956 (+6.8%) from 2022

Liabilities

Up

$9,955,393,531

Up $377,222,784 (+3.9%) from 2022

Revenue

Up

$7,424,970,925

Up $349,616,715 (+4.9%) from 2022

Expenses

Up

$6,179,398,335

Up $501,442,709 (+8.8%) from 2022

Net Income

Down

$1,245,572,590

Down $151,825,994 (-11%) from 2022

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 2023: $23,339,620,165Liabilities 2023: $9,955,393,531Net Assets 2023: $13,384,226,6342023Assets 2024: $26,682,635,058Liabilities 2024: $10,173,199,106Net Assets 2024: $16,509,435,9522024

Highlighted filing

2023

Assets$23,339,620,165
Liabilities$9,955,393,531
Net Assets$13,384,226,634

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 2023: $7,424,970,925Expenses 2023: $6,179,398,335Net Income 2023: $1,245,572,5902023Revenue 2024: $7,929,118,794Expenses 2024: $6,313,480,074Net Income 2024: $1,615,638,7202024

Highlighted filing

2023

Revenue$7,424,970,925
Expenses$6,179,398,335
Net Income$1,245,572,590
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 15, 2024
Return Version
2023v5.1
Gross Receipts
$17,736,970,092
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$16,069,269,429$17,096,491,435▲ $1,027,222,006
Land, Buildings, and Equipment, Net$1,512,972,243$1,584,242,624▲ $71,270,381
Savings and Temporary Cash Investments$1,296,847,969$1,174,006,293▼ $122,841,676
Investments in Publicly Traded Securities$509,632,934$703,702,998▲ $194,070,064
Pledges and Grants Receivable$552,606,481$545,368,699▼ $7,237,782
Accounts Receivable$512,569,768$389,838,910▼ $122,730,858
Prepaid Expenses and Deferred Charges$55,435,863$79,071,287▲ $23,635,424
Other Notes and Loans Receivable, Net$1,850,548$20,134,099▲ $18,283,551
Inventories for Sale or Use$10,787,335$13,606,001▲ $2,818,666
Cash and Non-Interest-Bearing Accounts$7,612,763$10,197,868▲ $2,585,105
Intangible Assets-$5,000,000-
Total Assets$22,107,639,425$23,339,620,165▲ $1,231,980,740
Other Assets Total$1,578,054,092$1,717,959,951▲ $139,905,859
Liabilities
Other Liabilities$3,175,406,333$3,619,531,801▲ $444,125,468
Mortgage Notes Payable Secured by Investment Property$2,691,172,955$2,693,616,997▲ $2,444,042
Accounts Payable and Accrued Expenses$2,064,798,992$2,049,813,354▼ $14,985,638
Tax Exempt Bond Liabilities$1,474,194,291$1,438,317,105▼ $35,877,186
Deferred Revenue$172,598,176$154,114,274▼ $18,483,902
Total Liabilities$9,578,170,747$9,955,393,531▲ $377,222,784
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,306,935,513$8,832,320,576▲ $525,385,063
Net Assets With Donor Restrictions$4,222,533,165$4,551,906,058▲ $329,372,893
Total Net Assets Fund Balance$12,529,468,678$13,384,226,634▲ $854,757,956
Total Liabilities and Net Assets / Fund Balance$22,107,639,425$23,339,620,165▲ $1,231,980,740

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$759,549,999$1,338,615,653$2,098,165,652
Equipment$412,148,467$1,196,131,127$1,608,279,594
Other Land Buildings$300,765,192-$300,765,192
Land$111,778,966-$111,778,966
Other Assets Org$817,984,079--
Other Securities$1,799,828,987--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$5,488,591,144$94,948,287▲ $445,895,067$215,366,854$5,814,067,644
2022$6,117,351,716$113,233,718▼ $545,428,302$196,565,988$5,488,591,144
2021$5,061,662,985$90,896,164▲ $1,143,091,782$178,299,215$6,117,351,716
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lanzino Md GiuseppePhysicianFT$1,255,810$346,573$1,602,383
Krauss Md William EPhysicianFT$1,260,954$331,628$1,592,582
Gores Md Gregory JPhysicianFT$1,258,261$282,165$1,540,426
Marsh Md W RichardDirector spine CenterFT$1,172,896$306,378$1,479,274
Spinner Md Robert JChair-neuro SurgeryFT$1,137,006$331,474$1,468,480
Clarke Md Michelle JPhysicianFT$1,230,971$193,875$1,424,846
Williamson Mary JCAO-mcsFT$950,612$258,477$1,209,089
Otley Md Clark CFormer Key EmployeeFT$919,991$286,527$1,206,518
Rihal Md Charanjit STrusteeFT$788,282$280,422$1,068,704
Morice Md William GCEO-mcsFT$849,552$218,462$1,068,014
Arnett Jennifer PChief Development OfficerFT$906,305$142,580$1,048,885
Shah Md VijayExecutive Dean of ResearchFT$791,107$250,027$1,041,134
Callstrom Md Matthew RTrusteeFT$780,137$253,313$1,033,450
Noseworthy Md Peter aDiv Chair-heart RhythmFT$807,731$188,707$996,438
Pagnano Md Mark WPhysicianFT$681,505$232,989$914,494
Wald Md John TFormer Key EmployeeFT$694,838$207,326$902,164
Kendrick Md Michael LChair-surgeryFT$694,822$203,277$898,099
Dowdy Md Sean CChief Value OfficerFT$684,276$188,274$872,550
Leibovich Md Bradley CPhysicianFT$647,644$201,935$849,579
Galanis Md EvanthiaExecutive Dean of DevelopmentFT$659,144$187,886$847,030
Loftus Md Conor GFormer Key EmployeeFT$676,135$148,155$824,290
Cima Md Robert RFormer Key EmployeeFT$577,317$214,030$791,347
Brown Md Michael JPhysicianFT$584,882$172,184$757,066
Frank Md IgorPhysicianFT$594,792$138,528$733,320
Khan Md Amir RPhysicianFT$558,372$149,874$708,246
Peters Md Steve GPhysicianFT$562,610$121,962$684,572
Famuyide Mbbs Abimbola OTrusteeFT$477,477$184,786$662,263
Horlocker Md Terese TPhysicianFT$537,672$118,034$655,706
Caine Natalie aCAO-rochesterFT$546,572$72,031$618,603
Luetmer Md Patrick HFormer Key EmployeeFT$468,996$146,110$615,106
Hayes Md Sharonne NFormer Key EmployeeFT$431,026$179,346$610,372
Dieter Heidi LChair-research AdminFT$493,984$98,518$592,502
Amstutz Gwendolyn JChair-practice AdminFT$400,188$98,665$498,853
Holtan Douglas JChair-facilitiesFT$428,051$67,762$495,813
Narr Md Bradly JFormer Key EmployeeFT$317,382$133,467$450,849
Diasio Md Robert BFormer Key EmployeeFT$126,700$38,062$164,762
Remy Donald MTrusteePT-$140,483$140,483
Gerberding Md Julie LTrusteePT-$110,892$110,892
Rothblatt a MartineTrusteePT-$105,805$105,805
Alix JayTrusteePT-$20,511$20,511
Baker Jr Douglas MTrusteePT-$13,595$13,595
Roberts Robin RTrusteePT-$9,688$9,688
Peretsman Nancy BTrusteePT-$6,521$6,521
Powell Michael KTrustee/chairPT-$5,978$5,978
Steer Md Randolph CTrusteePT-$5,118$5,118
Baicker KatherineTrusteePT-$1,445$1,445

Board Members and Trustees

NameTitle
Farrugia Md GianricoTrustee/president/CEO
Bilicic George WTrustee
Burns Ursula MTrustee
Davis Jed VTrustee
Davis Richard KTrustee
Fonseca Md RafaelTrustee
Halvorson George CTrustee
Hara Md Amy KTrustee
Mclaughlin Md Sarah aTrustee
Peck KristinTrustee
Sweeney Anne MTrustee
Tomm Charles BTrustee
Williams Md Amy WTrustee
Didehban RoshanakTrustee/asst Secy
Dunn Ajani NTrustee/asst Secy
Gray Md Richard JTrustee/VP
Thielen Md Kent RTrustee/VP
Zorn Christina KTrustee/VP
Hubert Sherry LAsst Secy
Menkosky Paula EAsst Secy
Brown William aAsst Treasurer
Francis James RAsst Treasurer
Dahlen Dennis ECFO
Schmidt Eric EExecutive Dean of Research
Ammash Md Naser MFormer Key Employee
Gazelka Md Halena MFormer Key Employee
Khan Rita GFormer Key Employee
Poe John DFormer Key Employee
Norby Susan MFormer Officer
Murphy Joshua BSecy
Gorman Paul aTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Mayo Foundation For Medical Education &Procurement & Med Support Services200 FIRST STREET SW, Rochester, MN 55905$593,397,260
Mayo Collaborative Services INCReference Lab Services200 FIRST STREET SW, Rochester, MN 55905$12,565,480
Revenue and Support

Revenue Composition

Contributions and Grants
$3,328,764,626
Program Service Revenue
$3,356,722,496
Investment Income
$649,564,702
Other Revenue
$89,919,101
All Other Contributions
$758,640,742
Change in Net Assets
$1,245,572,590

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 Miscellaneous8$33,533,187Experts
Securities Publicly Traded311$23,314,305Mean Market Value
Real Estate Other1$9,655,276Experts
Real Estate Commercial2$2,183,600Experts
Total Noncash Contributions322$68,686,368-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,600,682,164
Other Expenses$1,639,557,695
Grants and Similar Amounts Paid$937,924,597
Total Fundraising Expense$49,451,955
Professional Fundraising Fees$1,233,879

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,599,505,547$91,247,827$25,734,469$2,716,487,843
Grants to Domestic Orgs$903,222,488--$903,222,488
Other Employee Benefits$492,787,357$16,607,961$3,896,261$513,291,579
Fees for Services Other$245,328,996$19,191,756$8,048,143$272,568,895
Office Expenses$169,875,968$9,005,261$1,779,894$180,661,123
Depreciation Depletion$176,971,490$777,073$70,641$177,819,204
Payroll Taxes$168,993,332$6,404,497$1,822,685$177,220,514
Pension Plan Contributions$153,808,694$6,116,158$2,026,297$161,951,149
Interest$376,986$136,583,374-$136,960,360
Travel$50,804,062$1,646,939$1,518,082$53,969,083
Information Technology$50,026,035$1,431,517$262$51,457,814
Occupancy$17,069,069$33,006,705$1,093,463$51,169,237
All Other Expenses$44,616,054$2,293,113$19,310$46,928,477
Other Expenses$39,922,172$1,565$423,042$39,923,737
Grants to Domestic Individuals$31,964,586--$31,964,586
Insurance$23,945,786--$23,945,786
Current Officers, Directors, Trustees, and Key Employees$15,887,241$2,523,394$1,384,201$19,794,836
Comp Disqual Persons$10,891,730$948,552$95,961$11,936,243
Conferences and Meetings$6,243,965$37,674$53,986$6,335,625
Royalties$4,665,153$250-$4,665,403
Fees for Service Investment Mgmnt Fees-$3,420,227-$3,420,227
Foreign Grants$2,737,523--$2,737,523
Fees for Services Accounting-$2,089,800-$2,089,800
Advertising$1,194,005$77,590$50,567$1,322,162
Fees for Services Professional Fundraising--$1,233,879$1,233,879
Fees for Services Legal$382,667$162,331$200,812$745,810
Fees for Services Lobbying$184,160--$184,160
Total Functional Expenses$5,793,072,088$336,874,292$49,451,955$6,179,398,335
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mayo Clinic JacksonvilleJacksonville, FL501(c)(3)Support Charitable Programs$346,091,887
Mayo Foundation for Medical Education and ResearchRochester, MN501(c)(3)Support Charitable Programs$266,042,435
Mayo Clinic ArizonaScottsdale, AZ501(c)(3)Support Charitable Programs$113,448,437
Mchs--southwest Minnesota RegionMankato, MN501(c)(3)Support Charitable Programs$73,837,259
Mchs--southeast Minnesota RegionAustin, MN501(c)(3)Support Charitable Programs$33,379,033
Mchs--franciscan Medical Center IncLa Crosse, WI501(c)(3)Support Charitable Programs$26,865,064
Mchs--northwest Wisconsin Region IncEau Claire, WI501(c)(3)Support Charitable Programs$3,144,920
University of California San FranciscoSan Francisco, CAState of CASupport Research Program$2,581,038
Regents of the University of MinnesotaMinneapolis, MNState of MnSupport Research Program$1,960,832
The Trustees of Columbia University in the City of New YorkNew York, NY501(c)(3)Support Charitable Programs$1,619,785
Mchs--fairmontFairmont, MN501(c)(3)Support Charitable Programs$1,219,954
Indiana UniversityBloomington, INState of inSupport Research Program$1,034,890
The Ohio State UniversityColumbus, OHState of OhSupport Research Program$948,903
Emory UniversityAtlanta, GA501(c)(3)Support Charitable Programs$847,202
Washington UniversitySaint Louis, MO501(c)(3)Support Charitable Programs$815,339
Trustees of the University of PennsylvaniaPhiladelphia, PA501(c)(3)Support Charitable Programs$814,378
Carnegie Mellon UniversityPittsburgh, PA501(c)(3)Support Research Program$762,571
Hazelden Betty Ford FoundationCenter City, MN501(c)(3)Support Charitable Programs$750,371
University of Mississippi Medical Center HospitalJackson, MSState of MsSupport Research Program$745,389
Duke UniversityDurham, NC501(c)(3)Support Charitable Programs$712,936
Yale UniversityNew Haven, CT501(c)(3)Support Charitable Programs$648,676
Thought Leadership & Innovation FoundationMclean, VA501(c)(3)Support Charitable Programs$639,618
University of MiamiCoral Gables, FL501(c)(3)Support Charitable Programs$583,566
The University of Texas M D Anderson Cancer CenterHouston, TXState of TXSupport Research Program$577,252
University of WashingtonSeattle, WAState of WaSupport Research Program$515,987
MainehealthPortland, ME501(c)(3)Support Charitable Programs$478,038
Rincon Research CorporationTucson, AZ-Support Research Program$473,287
Mayo Clinic Hospital-- RochesterRochester, MN501(c)(3)Support Charitable Programs$436,192
Wake Forest University Health SciencesWinston Salem, NC501(c)(3)Support Charitable Programs$434,388
The Rockefeller UniversityNew York, NY501(c)(3)Support Charitable Programs$434,094
Mayo Clinic FloridaJacksonville, FL501(c)(3)Support Charitable Programs$433,705
United Way of Olmsted County IncRochester, MN501(c)(3)Support Charitable Programs$425,000
University of FloridaGainesville, FLState of FlSupport Research Program$421,008
Arizona State UniversityTempe, AZState of AzSupport Research Program$419,619
Hennepin Healthcare Research InstituteMinneapolis, MN501(c)(3)Support Charitable Programs$379,438
Regents of the University of MichiganAnn Arbor, MIState of MiSupport Research Program$377,542
The Methodist Hospital Research InstituteHouston, TX501(c)(3)Support Charitable Purpose$373,238
Weill Medical College of Cornell UniversityNew York, NY501(c)(3)Support Charitable Purpose$372,040
The University of IowaIowa City, IAState of IaSupport Research Program$346,469
Sanford Burnham Prebys Medical Discovery InstituteLa Jolla, CA501(c)(3)Support Charitable Programs$317,446
The Regents of the University of ColoradoBoulder, COState of CoSupport Research Program$310,752
University of Texas Medical Branch at GalvestonGalveston, TXState of TXSupport Research Program$295,225
Rochester Downtown AllianceRochester, MN501(c)(6)Support Exempt Purpose$292,877
THE CHILDREN'S HOSPITAL OF PHILADELPHIAPhiladelphia, PA501(c)(3)Support Charitable Programs$275,349
Texas A&m UniversityCollege Station, TXState of TXSupport Research Program$272,813
University of Connecticut Health CenterFarmington, CTState of CtSupport Research Program$268,139
University of California Los AngelesLos Angeles, CAState of CASupport Research Program$259,258
University of RochesterRochester, NY501(c)(3)Support Charitable Programs$255,445
Georgia Tech Research CorporationAtlanta, GA501(c)(3)Support Charitable Programs$248,775
University of North Carolina at Chapel HillChapel Hill, NCState of NcSupport Research Program$243,538
Mountain Park Health CenterPhoenix, AZ501(c)(3)Support Charitable Programs$243,224
Montana State UniversityBozeman, MTState of MtSupport Research Program$242,163
University of Southern CaliforniaLos Angeles, CA501(c)(3)Support Charitable Programs$241,641
Case Western Reserve UniversityCleveland, OH501(c)(3)Support Charitable Programs$237,490
Oregon Health & Science UniversityPortland, ORState of orSupport Research Program$235,232
The University of Texas Health Science Center at San AntonioSan Antonio, TXState of TXSupport Research Program$234,555
THE BRIGHAM AND WOMEN'S HOSPITAL INCSomerville, MA501(c)(3)Support Charitable Programs$232,749
Portland State UniversityPortland, ORState of orSupport Research Program$225,000
The University of Texas Health Science Center at HoustonDallas, TXState of TXSupport Research Program$218,878
The University of Texas Southwestern Medical Center at DallasDallas, TXState of TXSupport Research Program$217,109
Washington State UniversityPullman, WAState of WaSupport Research Program$212,094
George Mason UniversityFairfax, VAState of VaSupport Research Program$207,825
Rochester Area FoundationRochester, MN501(c)(3)Support Charitable Programs$206,000
The General Hospital CorporationSomerville, MA501(c)(3)Support Charitable Programs$205,756
Johns Hopkins UniversityBaltimore, MD501(c)(3)Support Charitable Programs$205,592
Charlotte-mecklenburg Hospital AuthorityCharlotte, NCState of NcSupport Research Program$205,149
University of Alabama at BirminghamBirmingham, ALState of AlSupport Research Program$197,505
Alaska Native Tribal Health ConsortiumAnchorage, AK501(c)(3)Support Charitable Programs$192,648
Rochester Area Economic Development IncRochester, MN501(c)(6)Support Exempt Purpose$186,000
Massachusetts General Physicians Organization IncSomerville, MA501(c)(3)Support Research Program$184,432
The Ftd Disorders Registry LLCKing of Prussia, PA501(c)(3)Support Charitable Programs$174,895
Healthpartners InstituteMinneapolis, MN501(c)(3)Support Charitable Programs$174,866
Research Institute at Nationwide Childrens HospitalColumbus, OH501(c)(3)Support Research Program$173,143
University of California San DiegoLa Jolla, CAState of CASupport Research Program$156,067
University of ChicagoChicago, IL501(c)(3)Support Charitable Programs$152,212
American Academy of Orthopaedic SurgeonsRosemont, IL501(c)(3)Support Charitable Programs$152,091
Northwestern UniversityEvanston, IL501(c)(3)Support Charitable Programs$143,774
Dana-farber Cancer Institute IncBoston, MA501(c)(3)Support Charitable Programs$142,645
Ronald Mcdonald House of Rochester Minnesota IncRochester, MN501(c)(3)Support Charitable Programs$140,400
BdataEdina, MN-Support Research Program$139,550
Possabilities of Southern MinnesotaRochester, MN501(c)(3)Support Charitable Purpose$137,900
Indesign LLCIndianapolis, IN-Support Research Program$130,000
Trustees of Boston UniversityBoston, MA501(c)(3)Support Charitable Programs$127,688
Boys and Girls Club of RochesterRochester, MN501(c)(3)Support Charitable Programs$125,400
Vanderbilt UniversityNashville, TN501(c)(3)Support Charitable Programs$121,989
The Salvation ArmyHoffman Estates, IL501(c)(3)Support Charitable Programs$120,000
Brigham Young UniversityProvo, UT501(c)(3)Support Research Program$119,905
Craig and Frances Lindner Center of HopeMason, OH501(c)(3)Support Charitable Programs$119,580
CHILDREN'S HOSPITAL CORPORATIONBoston, MA501(c)(3)Support Charitable Programs$119,535
Vanderbilt University Medical CenterNashville, TN501(c)(3)Support Charitable Programs$117,057
Wellstar Health System IncMarietta, GA501(c)(3)Support Charitable Programs$114,498
Memorial Hospital for Cancer and Allied DiseasesNew York, NY501(c)(3)Support Charitable Programs$111,126
Olmsted CountyRochester, MNCty of OlmstedSupport Research Program$105,000
Arizona Board of Regents University of ArizonaTucson, AZState of AzSupport Research Program$104,956
Jeremiah ProgramMinneapolis, MN501(c)(3)Support Charitable Programs$104,100
Law Enforcement Memorial Foundation of Southeast MnStewartville, MN501(c)(3)Support Charitable Programs$101,000
Channel One IncRochester, MN501(c)(3)Support Charitable Purpose$100,800
Ge Precision Healthcare LLCWaukesha, WI-Support Research Program$100,741
Legal Assistance of Olmsted CountyRochester, MN501(c)(3)Support Charitable Programs$100,000
Altru Health SystemGrand Forks, ND501(c)(3)Support Charitable Programs$98,527
Virginia Hospital CenterArlington, VA-Support Research Program$92,169
St Cloud HospitalSt Cloud, MN501(c)(3)Support Charitable Programs$89,422
Mchs--lake CityLake City, MN501(c)(3)Support Charitable Programs$88,652
The Regents of the University of California DavisDavis, CAState of CASupport Research Program$87,717
The Board of Trustees of the Leland Stanford Junior UniversityRedwood City, CA501(c)(3)Support Charitable Programs$86,775
University of Arkansas for Medical SciencesLittle Rock, ARState of ArSupport Research Program$84,561
National Association for the Advancement of Colored PeopleRochester, MN501(c)(4)Support Exempt Purpose$80,000
University of PennsylvaniaPhiladelphia, PAState of PaSupport Research Program$78,215
The University of Texas at AustinAustin, TXState of TXSupport Research Program$77,543
Roswell Park Cancer Institute CorporationBuffalo, NYState of NySupport Research Program$76,266
The Landing Mn IncRochester, MN501(c)(3)Support Charitable Purpose$74,633
University of PittsburghPittsburgh, PA501(c)(3)Support Charitable Programs$73,554
New York UniversityNew York, NY501(c)(3)Support Charitable Purpose$73,081
University of Oklahoma Health Sciences CenterOklahoma City, OKState of OkSupport Research Program$72,222
University of UtahSalt Lake City, UTState of UtSupport Research Program$72,045
Childrens Museum of Rochester IncRochester, MN501(c)(3)Support Charitable Programs$71,000
Northern California Institute for Research and Education IncSan Francisco, CA501(c)(3)Support Charitable Programs$67,219
The Lundquist InstituteTorrance, CA501(c)(3)Support Charitable Programs$60,253
Nami Southeast MinnesotaRochester, MN501(c)(3)Support Charitable Programs$60,000
University of South FloridaTampa, FLState of FlSupport Research Program$59,305
Mchs--austin FoundationAustin, MN501(c)(3)Support Charitable Programs$56,526
Fred Hutchinson Cancer Research CenterSeattle, WA501(c)(3)Support Charitable Programs$56,358
Regents of the University of CaliforniaSanta Cruz, CAState of CASupport Research Program$53,532
Archinoetics LLCHonolulu, HI-Support Research Program$53,004
The Salvation Army Northern DivisionRoseville, MN501(c)(3)Support Charitable Programs$52,800
The Moses H Cone Memorial Hospital Operating CorporationGreensboro, NC501(c)(3)Support Research Program$52,500
Family Promise RochesterRochester, MN501(c)(3)Support Charitable Purpose$52,000
Tufts Medical Center IncBoston, MA501(c)(3)Support Charitable Programs$50,273
Coalition of Blacks Against Breast CancerScottsdale, AZ501(c)(3)Support Charitable Programs$50,000
Collider FoundationRochester, MN501(c)(3)Support Charitable Purpose$50,000
Elder NetworkRochester, MN501(c)(3)Support Charitable Programs$50,000
Friends of OxbowRochester, MN501(c)(3)Support Charitable Purpose$50,000
Friends of Quarry Hill Nature Center IncRochester, MN501(c)(3)Support Charitable Programs$50,000
Mankato Youth Place IncMankato, MN501(c)(3)Support Charitable Programs$50,000
Minnesota USA ExpoBloomington, MN501(c)(6)Support Exempt Purpose$50,000
Olmsted OutreachRochester, MN501(c)(3)Support Charitable Programs$50,000
Rochester Sports FoundationRochester, MN501(c)(3)Support Research Program$50,000
Science Museum of MinnesotaSt Paul, MN501(c)(3)Support Charitable Programs$50,000
University of MarylandBaltimore, MDState of MdSupport Research Program$49,833
Hebrew Rehabilitation CenterBoston, MA501(c)(3)Support Charitable Programs$48,254
SEATTLE CHILDREN'S HOSPITALSeattle, WA501(c)(3)Support Charitable Programs$47,980
Sloan-kettering Institute for Cancer ResearchNew York, NY501(c)(3)Support Charitable Purpose$47,559
City of RochesterRochester, MNCity of RochesterSupport Research Program$46,765
Wayne State UniversityDetroit, MIState of MiSupport Research Program$46,254
Toledo Clinic IncToledo, OH-Support Research Program$46,166
Trinity Health MichiganLivonia, MI501(c)(3)Support Charitable Purpose$45,227
American National Red CrossWashington, DC501(c)(3)Support Charitable Programs$45,000
Docs Recovery HouseRochester, MN501(c)(3)Support Charitable Programs$45,000
Medstar Health Research InstituteWashington, DC501(c)(3)Support Research Program$44,750
The Toledo HospitalToledo, OH501(c)(3)Support Charitable Programs$42,816
Research Triangle InstituteResearch Triangle Park, NC501(c)(3)Support Research Program$42,733
USAGAINSTALZHEIMER'SWashington, DC501(c)(3)Support Charitable Programs$42,286
The Cleveland Clinic FoundationIndependence, OH501(c)(3)Support Charitable Programs$41,980
The Board of Trustees of the University of IllinoisUrbana, ILState of IlSupport Research Program$41,805
Duke University Health System IncDurham, NC501(c)(3)Support Charitable Programs$41,395
Rutgers the State University of New JerseyCamden, NJState of NjSupport Research Program$41,000
NATIONWIDE CHILDREN'S HOSPITALColumbus, OH501(c)(3)Support Charitable Programs$40,901
American Cancer Society IncAtlanta, GA501(c)(3)Support Charitable Programs$40,000
Rochester Art CenterRochester, MN501(c)(3)Support Charitable Purpose$40,000
Sports Mentorship AcademyRochester, MN501(c)(3)Support Charitable Purpose$40,000
WOMEN'S SHELTER INCRochester, MN501(c)(3)Support Charitable Programs$40,000
North Carolina State UniversityRaleigh, NCState of NcSupport Research Program$39,475
Monument Health Rapid City Hospital IncRapid City, SD501(c)(3)Support Charitable Programs$39,000
Sofi Research LLCEnglewood, CO-Support Research Program$37,969
Carnegie Institution of WashingtonWashington, DC501(c)(3)Support Charitable Programs$37,294
Fulcrum Health IncPlymouth, MN-Support Research Program$36,831
Intermountain Health Care IncSalt Lake City, UT501(c)(3)Support Charitable Programs$36,500
University of Notre Dame Du LacNotre Dame, IN501(c)(3)Support Charitable Programs$36,167
Apple Tree DentalMounds View, MN501(c)(3)Support Charitable Programs$35,000
Minnesota Private College FundSt Paul, MN501(c)(3)Support Charitable Programs$35,000
St Vincent Hospital-hospital Sisters-third Order of St FrancisGreen Bay, WI501(c)(3)Support Charitable Programs$35,000
The Feinstein Institute for Medical ResearchWestbury, NY501(c)(3)Support Charitable Programs$33,755
Rochester Clinic PlcRochester, MN-Support Research Program$32,700
Redline Emergency Voice IncPhoenix, AZ-Support Research Program$32,175
Thorne Research IncSummerville, SC-Support Research Program$31,944
Mikros Technologies LLCClaremont, NH-Support Research Program$31,850
Avera MckennanSioux Falls, SD501(c)(3)Support Charitable Programs$30,500
Family Service Rochester IncRochester, MN501(c)(3)Support Charitable Purpose$30,400
Exercisabilities IncRochester, MN501(c)(3)Support Charitable Programs$30,000
Ability Building Center IncRochester, MN501(c)(3)Support Charitable Programs$29,975
The Carle Foundation HospitalUrbana, IL501(c)(3)Support Charitable Programs$29,332
Girl Scouts of Mn and Wi River Valleys IncSt Paul, MN501(c)(3)Support Charitable Programs$29,000
Baylor College of MedicineHouston, TX501(c)(3)Support Charitable Programs$28,417
Marshfield Clinic Health System IncMarshfield, WI501(c)(3)Support Charitable Programs$28,135
Gift of Life IncRochester, MN501(c)(3)Support Charitable Programs$28,000
The Rector and Visitors of the University of VirginiaCharlottesville, VAState of VaSupport Research Program$27,508
Middlesex HospitalMiddletown, CT501(c)(3)Support Charitable Programs$27,500
Independent School District 535Rochester, MNState of MnSupport Exempt Purpose$27,000
Barbershop & Social ServicesRochester, MN501(c)(3)Support Charitable Programs$25,000
Catholic Charities of the Diocese of Winona-rochesterWinona, MN501(c)(3)Support Charitable Programs$25,000
Community Food ResponseRochester, MN501(c)(3)Support Charitable Programs$25,000
Community Foundation for Northeast Florida IncJacksonville, FL501(c)(3)Support Charitable Programs$25,000
Gamehaven Council Inc Boy Scouts of AmericaRochester, MN501(c)(3)Support Charitable Programs$25,000
Somali American Social Service AssociationRochester, MN501(c)(3)Support Charitable Purpose$25,000
Truetrials IncGainesville, FL501(c)(3)Support Charitable Programs$25,000
University of South CarolinaColumbia, SC501(c)(3)Support Research Program$24,157
The Research Foundation for the State University of New YorkAlbany, NY501(c)(3)Support Charitable Programs$23,558
Dignity HealthSan Francisco, CA501(c)(3)Support Charitable Programs$22,188
The Administrators of the Tulane Educational FundNew Orleans, LA501(c)(3)Support Charitable Programs$22,035
Southeast Service CooperativeRochester, MNState of MnSupport Research Program$21,500
Institute for Systems BiologyRenton, WA501(c)(3)Support Charitable Purpose$21,100
Trustees of Tufts CollegeSomerville, MA501(c)(3)Support Charitable Programs$20,841
University of New MexicoAlbuquerque, NMState of NmSupport Research Program$20,206
Charterhouse IncRochester, MN501(c)(3)Support Charitable Programs$20,165
Bolder OptionsMinneapolis, MN501(c)(3)Support Charitable Purpose$20,000
Childrens Dental Health ServicesRochester, MN501(c)(3)Support Charitable Programs$20,000
Community Dental CareMaplewood, MN501(c)(3)Support Charitable Programs$20,000
Dyslexia Institute of Mn IncRochester, MN501(c)(3)Support Charitable Programs$20,000
Rochester Parks FoundationRochester, MN501(c)(3)Support Research Program$20,000
Somali Community Resettlement of Olmsted CountyRochester, MN501(c)(3)Support Charitable Programs$20,000
Icahn School of Medicine at Mount SinaiNew York, NY501(c)(3)Support Charitable Programs$19,500
Oklahoma Heart Research and Education Foundation IncTulsa, OK501(c)(3)Support Charitable Programs$19,500
Lexington Health IncWest Columbia, SC501(c)(3)Support Research Program$18,500
Cedars-sinai Medical CenterLos Angeles, CA501(c)(3)Support Charitable Programs$18,252
Thomas Jefferson UniversityPhiladelphia, PA501(c)(3)Support Charitable Programs$18,188
SemcacRushford, MN501(c)(3)Support Charitable Programs$17,800
The Medical College of Wisconsin IncMilwaukee, WI501(c)(3)Support Charitable Programs$17,477
University of Missouri SystemColumbia, MOState of MoSupport Research Program$16,598
Purdue UniversityWest Lafayette, INState of inSupport Research Program$15,428
180 Degrees IncMinneapolis, MN501(c)(3)Support Charitable Programs$15,000
Achla Alianza Chicana Hisp Lat Amer AllianceRochester, MN501(c)(3)Support Charitable Purpose$15,000
Advocates for Human RightsMinneapolis, MN501(c)(3)Support Charitable Programs$15,000
Consumers for Dental Choice IncWashington, DC501(c)(3)Support Charitable Programs$15,000
Olmsted County Historical SocietyRochester, MN501(c)(3)Support Charitable Purpose$15,000
Rochester RepertoryRochester, MN501(c)(3)Support Charitable Purpose$15,000
Rochester Symphony Orchestra & ChoraleRochester, MN501(c)(3)Support Charitable Programs$15,000
The Center Clinic IncDodge Center, MN501(c)(3)Support Charitable Purpose$15,000
Wellness in the Woods IncVerndale, MN501(c)(3)Support Charitable Programs$15,000
Georgetown UniversityWashington, DC501(c)(3)Support Charitable Programs$12,972
Med City Arts Festival IncRochester, MN501(c)(3)Support Charitable Purpose$12,800
Oncology Hematology Associates of Central Illinois PcPeoria, IL-Support Research Program$12,572
Black Data Processing Associates Southern Mn ChapterRochester, MN501(c)(3)Support Charitable Programs$12,500
Onejax IncJacksonville, FL501(c)(3)Support Charitable Programs$12,500
Pace Center for Girls IncJacksonville, FL501(c)(3)Support Charitable Programs$12,500
St Clare Health Mission IncLa Crosse, WI501(c)(3)Support Charitable Programs$12,500
St Clare Health Mission of Monroe County IncSparta, WI501(c)(3)Support Charitable Programs$12,500
University of AlaskaFairbanks, AK501(c)(3)Support Research Program$12,277
Sutter West Bay HospitalsSacramento, CA501(c)(3)Support Charitable Programs$11,500
Marshfield Clinic IncMarshfield, WI501(c)(3)Support Research Program$11,000
Baylor Research InstituteDallas, TX501(c)(3)Support Charitable Programs$10,883
Paws and Claws IncRochester, MN501(c)(3)Support Charitable Programs$10,690
Sanford ResearchSioux Falls, SD501(c)(3)Support Charitable Programs$10,313
Girls on the Run Twin Cities IncMinneapolis, MN501(c)(3)Support Charitable Programs$10,000
Health Occupations Students of AmericaSouthlake, TX501(c)(3)Support Charitable Programs$10,000
Honors Choirs of Southeast MinnesotaRochester, MN501(c)(3)Support Charitable Programs$10,000
Minneapolis Society of Fine ArtsMinneapolis, MN501(c)(3)Support Charitable Programs$10,000
Minnesota Council of Nonprofits IncSt Paul, MN501(c)(3)Support Charitable Programs$10,000
National Medical AssociationSilver Spring, MD501(c)(3)Support Charitable Programs$10,000
Philoxenia CharitiesRochester, MN501(c)(3)Support Charitable Programs$10,000
Project Get OutdoorsWabasha, MN501(c)(3)Support Charitable Programs$10,000
Rochester Active Sports ClubRochester, MN501(c)(3)Support Charitable Programs$10,000
Rochester Civic TheatreRochester, MN501(c)(3)Support Charitable Programs$10,000
ServeminnesotaMinneapolis, MN501(c)(3)Support Charitable Purpose$10,000
Sing Out LoudRochester, MN501(c)(3)Support Charitable Programs$10,000
Stewartville Elementary PtaStewartville, MN501(c)(3)Support Charitable Programs$10,000
Augusta University Research Institute IncAugusta, GA501(c)(3)Support Research Program$9,577
University of California IrvineIrvine, CAState of CASupport Research Program$9,367
Goodwill Industries IncSt Paul, MN501(c)(3)Support Charitable Programs$9,000
Southeastern Minnesota Youth Orchestra IncRochester, MN501(c)(3)Support Charitable Programs$9,000
Montefiore Medical CenterBronx, NY501(c)(3)Support Charitable Programs$8,692
Cleveland Clinic Florida (a Nonprofit Corporation)Weston, FL501(c)(3)Support Charitable Programs$8,200
Minnesota Healthsolutions CorporationMinneapolis, MN-Support Research Program$8,054
Minnesota Assistance Council for VeteransSaint Paul, MN501(c)(3)Support Charitable Programs$8,000
Minnesota Orchestral AssociationMinneapolis, MN501(c)(3)Support Charitable Programs$7,500
Beckman Research Institute of the City of HopeDuarte, CA501(c)(3)Support Charitable Programs$7,497
Power of Perception IncEau Claire, WI501(c)(3)Support Charitable Programs$7,000
Sentara HospitalsNorfolk, VA501(c)(3)Support Research Program$7,000
Rochester PrideRochester, MN501(c)(3)Support Charitable Programs$6,900
Yale New Haven Health Services CorporationNew Haven, CT501(c)(3)Support Charitable Programs$6,536
Board of Trustees of the Minnesota State Colleges and UniversitiesSt Paul, MNState of MnSupport Research Program$6,500
C a R E ClinicRed Wing, MN501(c)(3)Support Charitable Programs$6,250
City of ScottsdaleScottsdale, AZCity of ScottsdaleSupport Exempt Purpose$6,000
Mary Hitchcock Memorial HospitalLebanon, NH501(c)(3)Support Charitable Programs$5,979
Spectrum Health HospitalsGrand Rapids, MI501(c)(3)Support Charitable Programs$5,853
Tmc HealthcareTucson, AZ501(c)(3)Support Charitable Purpose$5,750
Chabad-lubavitch of Rochester Jewish Educ & Hospitality CenterRochester, MN501(c)(3)Support Charitable Programs$5,400

International Summary

Offices
12
Employees
1,790
Spending
$3,361,150,951

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 PacificProgram Services-00$1,247,763,495
Middle East and North AfricaProgram Services-00$942,667,363
Middle East and North AfricaProgram Services-01$762,191,820
Central America and the CaribbeanInvestments-00$173,931,175
East Asia and the PacificInvestments Expense-00$97,468,877
Europe (including Iceland and Greenland)Investments Expense-00$83,106,489
East Asia and the PacificInvestments-00$21,632,461
North AmericaProgram Services-03$14,321,193
Europe (including Iceland and Greenland)Investments-00$9,395,275
Europe (including Iceland and Greenland)TravelArrange Appointments, Travel, Etc0759$2,793,575
East Asia and the PacificTravelArrange Appointments, Travel, Etc0228$1,287,338
North AmericaTravelArrange Appointments, Travel, Etc0408$598,795
South AmericaProgram Services-34$551,839
Central America and the CaribbeanProgram ServicesPatient Care55$526,589
Middle East and North AfricaTravelArrange Appointments, Travel, Etc094$487,695
North AmericaProgram ServicesEducation Conference - Mayo Sponsor12$373,318
East Asia and the PacificProgram Services-00$355,587
South AsiaTravelPatient Care041$316,088
East Asia and the PacificProgram ServicesConsulting11$259,251
Sub-saharan AfricaTravelPatient Care058$252,512
South AmericaTravelPatient Care- Ssmc079$222,321
South AsiaProgram Services-11$184,443
Central America and the CaribbeanTravelArrange Appointments, Travel, Etc097$172,958
Middle East and North AfricaProgram Services-03$100,985
Middle East and North AfricaProgram ServicesEducation Conference - Mayo Sponsor11$87,623
Europe (including Iceland and Greenland)Program Services-00$86,225
Russia and the Neighboring StatesTravelArrange Appointments, Travel, Etc05$15,661
Middle East and North AfricaInvestments-00-
North AmericaInvestments-00-
Russia and the Neighboring StatesInvestments-00-
South AmericaInvestments-00-
South AsiaInvestments-00-
Sub-saharan AfricaInvestments-00-
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$1,233,879
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$822,298
Larson Md Mark VFamily Member of Trustee Williams M.d., Amy W.EmploymentNo$770,317
Ruddy Kathryn JFamily Member of Key Employee Noseworthy M.d., Peter A.EmploymentNo$582,078
Midthun Md David EFamily Member of Trustee Williams M.d., Amy W.EmploymentNo$536,125
Saito Loftus Md Yuri aFamily Member of Former Key Employee Loftus M.d., Conor G.EmploymentNo$371,821
Peters Md Margot SFamily Member of Key Employee Peters M.d., Steve G.EmploymentNo$335,265
Luetmer Md Marianne TFamily Member of Former Key Employee Luetmer M.d., Patrick H.EmploymentNo$291,986
Poe Justin DFamily Member of Former Key Employee Poe, John D.EmploymentNo$80,311
Buschman Samantha RFamily Member of Officer Francis, James R.EmploymentNo$66,594
Wald Michelle KFamily Member of Former Key Employee Wald M.d., John T.EmploymentNo$64,896
Famuyide Omolola OFamily Member of Trustee Famuyide M.b.b.s., Abimbola O.EmploymentNo$64,127
Emanuel Elizabeth MFamily Member of Former Officer Norby, Susan M.EmploymentNo$61,058
Uhlenkamp Noah BFamily Member of Former Officer Norby, Susan M.EmploymentNo$56,945
Kendrick Conner DFamily Member of Key Employee Kendrick M.d., Michael L.EmploymentNo$54,324
Gorman Ellen KFamily Member of Officer Gorman, Paul A.EmploymentNo$11,244
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$3,619,531,801

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Rochester Minnesota2008-04-10$330,000,000Construction of health care facilities & refund 1998 bonds
ACity of Rochester Minnesota2022-04-12$305,570,347Refund 2012 and 2015 bonds and construction
BCity of Rochester Minnesota2016-10-13$293,825,280REFUND 2000 BONDS
BCity of Rochester Minnesota2011-05-05$293,208,150Refund 1992 and 2001 bonds
CCity of Rochester Minnesota2018-10-16$200,152,000Construction of health care facilities
DCity of Rochester Minnesota2020-05-15$130,000,000REFUND 2008 BONDS
CCity of Rochester Minnesota2014-05-08$120,000,000Construction of health care facilities
ACity of Rochester Minnesota2016-05-03$75,000,000REFUND 2006 BONDS
DCity 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
A$308,235,051---
B$293,828,470$130,000,000-$1,518,194
B$293,208,150$291,119,321$135,494,267$2,088,829
C$201,883,614$204,031,250--
D$130,000,000---
C$120,012,445$494,267-$400,343
A$75,000,000$290,000,000-$1,140,947
D$494,267$75,000,000-$1,467,010

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 1A

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: dahlen, dennis e., williams m.d., amy w., zorn, christina k., thielen m.d., kent r., murphy, joshua b., menkosky, paula e., 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., 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.

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 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.

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 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 TAX, ROCHESTER, MN 55905

Signing Officer

Name
James J Janssen Jr
Title
Tax Director
Phone
5075381297
Signed
2024-11-15

Organization Details

Principal Officer
Gianrico Farrugia Md
Formed
1919
Legal Domicile
Mn
Voting Board Members
31
Independent Board Members
18
Employees
29,044
Volunteers
374
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 2023, 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 2023 tax year. This is in lieu of consolidating such information with its subordinate organizations and reporting such information on the 2023 mayo clinic group return.

FORM 990, PART XI, LINE 9:

Mayo collaborative services (llc to c-corp) -176,858,824. Mayo holding company transfer -378,631,498. Pension-post retirement (per fasb a -601,986,275. Losses on uncollectible pledges -2,089,512. Contributions-refund-fmv adjustment -272,581.

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. 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 2020 through 2022 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 the u.s. District court. On august 6, 2019, the court issued a summary judgment in favor of the clinic. The irs appealed this decision and on may 13, 2021, the eight circuit court of appeals reversed the summary judgment and remanded the case to the u.s. District court for trial. The case was tried in 2022 and the u.s. District court issued a judgement in favor of the clinic on december 9, 2022. The irs disagreed with this ruling and filed an appeal with the eighth circuit court of appeals on september 1, 2023. A request for oral argument was filed with the court, but no date for the hearing has been assigned. No adjustment has been made to unrecognized tax benefits as the issue has not been definitively resolved at this time. The clinic has reduced the reserve for uncertain tax positions by $2 million, including interest and penalties, during the year ended december 31, 2023. As of december 31, 2023 and 2022, the reserve totaled $9 million and $11 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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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd0X
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1299740
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1365364
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1479237
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1587590
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1680108
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1791946
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1894582
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1988092
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2081398
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2184231
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2289358
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2373238
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2486008
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2590276

Document Assets

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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
2023Detailed filing. Detailed filing data is available for this year.$23,340$9,955$13,384$7,425$6,179$1,246
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
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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