SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
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OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
MAYO CLINIC GROUP RETURN
 
Employer identification number

38-3952644
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS, WHO ARE LISTED IN PART VII AS A CURRENT OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE, HAVE A BUSINESS RELATIONSHIP WITH ONE OR MORE OF THE OTHER INDIVIDUALS HERE LISTED BECAUSE ONE IS EMPLOYED BY A RELATED TAX EXEMPT ORGANIZATION FOR WHICH THE OTHER SERVES AS AN OFFICER, DIRECTOR, OR TRUSTEE. ALBRIGHT JR., D.O., ROBERT C., ANIL M.D., GOKHAN, BAKKUM-GAMEZ, M.D., JAMIE N., BELILES, GREGORY R., BERGERON-BOWE, MELISSA, BHAGRA M.D., SUMIT, BOLTON, JEFFREY W., BORTNEM, MARK A., BRANDT, TERRY L., BROWN M.D., MICHAEL J., BROWN, WILLIAM A., BRUCE M.D., CHARLES J., BYRD M.D., JANE D., CASLER M.D., JOHN D., CIMA M.D., ROBERT R., CIOTA M.D., MARK R., COOPER M.D., LESLIE T., CRAIG, JASON E., CRANE M.D., SARAH J., CROCKETT, ERIC D., CULLINAN M.D., SUSAN M., DAHLEN, DENNIS E., DALBELLO JR., ALBERT, DEVAULT M.D., KENNETH R., DOWDY M.D., SEAN C., DRONCA M.D., ROXANA S., DUNN, AJANI N., EBERLE, MICHELE R., EIDE, DEAN B., FAMUYIDE M.B.B.S., ABIMBOLA O., FARRUGIA M.D., GIANRICO, FAUBION M.D., STEPHANIE S., FISHER D.O., LAURA A., FLATTUM, BETHANIE L., FRANCIS, JAMES R., GALINDEZ JR., PETER, GORES M.D., GREGORY J., GORMAN, PAUL A., GOSTOUT M.D., BOBBIE S., GRAY M.D., RICHARD J., GROSS, TERA L., GULDEN, CHRISTOPHER R., HAKAIM M.D., ALBERT G., HANSEN, JULIE S., HARPER JR., M.D., CHARLES M., HEBL M.D., JAMES R., HELMERS M.D., RICHARD A., HICKSON M.D., LATONYA J., HORST, ADAM M., HUBERT, SHERRY L., JOHNSON M.D., MARGARET M., JOHNSON, CARLA J., JOHNSON, RYAN R., KASPER, JOHN, KELLEY, SHARON M., KENDRICK M.D., MICHAEL L., KRUMM, TARA L., KUEHL M.D., MARY J., LEIBOVICH M.D., BRADLEY C., LIMPER M.D., ANDREW H., LINDBERG, STEVEN J., LONG, AMY K., MCLAUGHLIN M.D., SARAH A., MEKALA, PRAVEEN, MELVIN, KEVIN B., MENKOSKY, PAULA E., MEYER M.D., FREDRIC B., MORICE M.D., WILLIAM G., MORREY, MICHAEL A., MORRIS M.D., MARIE E., MUELLER M.D., PAUL S., MURPHY, JOSHUA B., ODENIGBO M.D., CELESTINE, OTLEY M.D., CLARK C., PATEL M.B., TUSHAR C., PAUL, TRAVIS C., QUINONES-HINOJOSA M.D., ALFREDO, RIGDON, ALICE W., RIHAL M.D., CHARANJIT S., SHAH M.D., VIJAY, SHARMA M.B.B.S., MANISH S., SHERRILL, TODD E., SKAAR M.D., PHILLIP J., TANER M.D., BURCIN C., THIEL M.D., DAVID D., THIELEN M.D., KENT R., TING M.D., HENRY H., VARKEY M.B.B.S., PRATHIBHA, VIRAMONTES, ALLISON L., WHITED M.D., BRIAN L., WILLIAMS M.D., AMY W., WILLIAMSON, MARY J., WILLMAN M.D., CHERYL L., ZORN, CHRISTINA K., THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR TRUSTEES OF MCHS-FRANCISCAN MEDICAL CENTER AND HAVE A BUSINESS RELATIONSHIP: BORSHEIM, PAUL MATHY, SCOTT THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR KEY EMPLOYEES OF MCHS-FRANCISCAN MEDICAL CENTER AND HAVE A FAMILY RELATIONSHIP: MATHY, SCOTT MERFELD M.D., JOHN *********************************************** ADLEMAN, BREEANN M., VIRAMONTES, ALLISON L., MENKOSKY, PAULA E., 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., JANSSEN, JAMES J., SHERRILL, TODD E., HUBERT, SHERRY L., MURPHY, JOSHUA B., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. BOLTON, JEFFREY W., ROGERS, JAMES A., WILLIAMSON, MARY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC, A RELATED TAXABLE ENTITY. JANSSEN, JAMES J., SHERRILL, TODD E., GOLDMAN, DANIEL S., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MC ALLIANCE, LTD, A RELATED TAXABLE ENTITY. JANSSEN, JAMES J., SHERRILL, TODD E., GOLDMAN, DANIEL S., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC (UK), LTD, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., GORMAN, PAUL A., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. SHERRILL, TODD E., GORMAN, PAUL A., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF LATIGO PETROLEUM, A RELATED TAXABLE ENTITY.
FORM 990, PART VI, SECTION A, LINE 3 MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED.
FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS FOR MCHS-FRANCISCAN MEDICAL CENTER WERE AMENDED JANUARY 2021 TO UPDATE THE NAMES OF VARIOUS DIRECTORS AND TO CHANGE THE NUMBER OF BOARD MEETINGS TO BE AT LEAST FOUR TIMES PER YEAR. THE BYLAWS FOR MCHS-FRANCISCAN MEDICAL CENTER WERE AMENDED OCTOBER 2021 TO TO CHANGE THE TITLE OF "VICE PRESIDENT OF MAYO CLINIC" TO "PRESIDENT OF MAYO CLINIC HEALTH SYSTEM" THROUGHOUT THE DOCUMENT, UPDATE THE NAMES AND TERM EXPIRATION DATES OF THE DIRECTORS, AND AMEND THE EXECUTION OF DOCUMENT CLAUSE TO ELIMINATE THE REQUIREMENT OF TWO OFFICER SIGNATURES ON CERTAIN DOCUMENT TYPES. THE BYLAWS FOR MCHS-NORTHWEST WISCONSIN REGION WERE AMENDED OCTOBER 2021 TO CHANGE THE TITLE OF "VICE PRESIDENT OF MAYO CLINIC" TO "PRESIDENT OF MAYO CLINIC HEALTH SYSTEM" THROUGHOUT THE DOCUMENT, UPDATE THE NAMES AND TERM EXPIRATION DATES OF THE DIRECTORS, AND AMEND THE EXECUTION OF DOCUMENT CLAUSE TO ELIMINATE THE REQUIREMENT OF TWO OFFICER SIGNATURES ON CERTAIN DOCUMENT TYPES. THE BYLAWS FOR MCHS-SOUTHEAST MINNESOTA REGION WERE AMENDED OCTOBER 2021 TO CHANGE THE TITLE OF "VICE PRESIDENT OF MAYO CLINIC" TO "PRESIDENT OF MAYO CLINIC HEALTH SYSTEM" THROUGHOUT THE DOCUMENT, UPDATE THE NAMES AND TERM EXPIRATION DATES OF THE DIRECTORS, AND AMEND THE EXECUTION OF DOCUMENT CLAUSE TO ELIMINATE THE REQUIREMENT OF TWO OFFICER SIGNATURES ON CERTAIN DOCUMENT TYPES. THE BYLAWS FOR MCHS-SOUTHWEST MINNESOTA REGION WERE AMENDED OCTOBER 2021 TO CHANGE THE TITLE OF "VICE PRESIDENT OF MAYO CLINIC" TO "PRESIDENT OF MAYO CLINIC HEALTH SYSTEM" THROUGHOUT THE DOCUMENT, UPDATE THE NAMES AND TERM EXPIRATION DATES OF THE DIRECTORS, AND AMEND THE EXECUTION OF DOCUMENT CLAUSE TO ELIMINATE THE REQUIREMENT OF TWO OFFICER SIGNATURES ON CERTAIN DOCUMENT TYPES.
FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF EACH SUBORDINATE IN THE MAYO CLINIC GROUP RETURN IS MAYO CLINIC OR A SUBORDINATE OF MAYO CLINIC. THE ONE EXCEPTION IS BLOOMER LAKEVIEW, INC. WHICH DOES NOT HAVE ANY MEMBERS PER THEIR ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A THE SUBORDINATE'S GOVERNING BODIES ARE ELECTED, NOMINATED, DESIGNATED, APPOINTED, APPROVED AND/OR CONFIRMED BY MAYO CLINIC AND/OR A SUBORDINATE OF MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7B THE ARTICLES AND/OR BYLAWS PROVIDE THE CORPORATE MEMBER POWER IN AREAS SUCH AS COMPENSATION, CAPITAL, BUDGET, DEBT, AND APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS. THE ONE EXCEPTION IS BLOOMER LAKEVIEW, INC. WHICH DOES NOT HAVE ANY MEMBERS PER THEIR ARTICLES OF INCORPORATION. IN THE CASE OF BLOOMER LAKEVEIW, INC, SUCH DECISIONS WOULD ULTIMATELY BE SUBJECT TO THE APPROVAL OF MAYO CLINIC HEALTH SYSTEM-NORHTWEST WISCONSIN REGION, INC. WHICH ELECTS THE GOVERNING BODY OF BLOOMER LAKEVIEW, INC.
FORM 990, PART VI, SECTION A, LINE 8B THE FILING ORGANIZATION HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD.
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 DIVISION CHAIR-ACCOUNTING, CHAIR-FINANCIAL AND ACCOUNTING SERVICES, CHAIR-REVENUE CYCLE, CHIEF INVESTMENT OFFICER, CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
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.
FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR EXECUTIVE LEADERSHIP, CONSULTING STAFF AND SENIOR ADMINISTRATIVE LEADERSHIP, ALONG WITH ALLIED HEALTH STAFF. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY OR REGIONAL LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY PRIOR TO IMPLEMENTATION OF THE RESPECTIVE COMPENSATION INCREASE. THE COMPENSATION AND BENEFITS OF 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 FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS FOR THE SUBORDINATES WITHIN THIS RETURN ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. SOME OF THE SUBORDINATES WITHIN THIS GROUP RETURN ARE HOSPITALS AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
FORM 990, PART IX, LINE 11G I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 514,813,923. MANAGEMENT AND GENERAL EXPENSES 24,485,959. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 539,299,882. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 419,372,989. MANAGEMENT AND GENERAL EXPENSES 284,850,024. FUNDRAISING EXPENSES 5,207. TOTAL EXPENSES 704,228,220.
FORM 990, PART XI, LINE 9: PENSION-POST RETIREMENT (PER FASB A 18,545,304.
FORM 990, PART XII, LINE 2C, AUDIT PROCESS THE OVERSIGHT OF THE AUDIT PROCESS OR THE PROCESS FOR SELECTING AN AUDITOR HAS NOT CHANGED.
SCHEDULE B CONTRIBUTIONS REPORTED ON SCHEDULE B ARE ON A GROUP BASIS WITH THE DOLLAR AND PERCENTAGE THRESHOLDS APPLIED AT THE SUBORDINATE LEVEL. THESE THRESHOLDS INCLUDE THE GREATER OF $5,000 OR 2% OF TOTAL CONTRIBUTIONS FOR SECTION 501(C)(3) ORGANIZATIONS DESCRIBED IN SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). FOR PURPOSES OF SCHEDULE B, MAYO CLINIC JACKSONVILLE AND MAYO CLINIC ARIZONA REPORTED CONTRIBUTIONS USING THE 2% THRESHOLD. CONTRIBUTIONS FOR ALL OTHER SUBORDINATES WERE DETERMINED USING THE $5,000 THRESHOLD.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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