Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
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OMB No. 1545-0047
2017
Open to Public Inspection
A For the 2018 calendar year, or tax year beginning 01-01-2017 , and ending 12-31-2017
BCheck if applicable:
CName of organization
MAYO CLINIC GROUP RETURN
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
200 FIRST STREET SW
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ROCHESTER, MN55905
D Employer identification number

38-3952644
E Telephone number

G Gross receipts $ 11,072,335,710
F Name and address of principal officer:
JOHN H NOSEWORTHY MD
200 FIRST STREET SW
ROCHESTER,MN55905
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MAYOCLINIC.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5983
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PATIENT CARE, MEDICAL RESEARCH AND MEDICAL EDUCATION.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 330
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 111
5 Total number of individuals employed in calendar year 2017 (Part V, line 2a) ...... 5 51,523
6 Total number of volunteers (estimate if necessary) ............. 6 5,732
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 28,598,564
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 1,905,600
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 279,780,263 1,158,822,850
9 Program service revenue (Part VIII, line 2g) ......... 8,956,088,054 9,724,836,204
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 59,091,304 118,531,031
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 52,139,091 52,252,980
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 9,347,098,712 11,054,443,065
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 621,187,421 1,466,914,621
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 3,921,094,127 4,181,001,599
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,186,082    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 4,487,589,175 4,812,837,952
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 9,029,870,723 10,460,754,172
19 Revenue less expenses. Subtract line 18 from line 12....... 317,227,989 593,688,893
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,874,591,767 10,805,288,112
21 Total liabilities (Part X, line 26)............. 4,216,436,392 4,490,636,275
22 Net assets or fund balances. Subtract line 21 from line 20..... 5,658,155,375 6,314,651,837
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2017)
Form 990 (2017)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 88,524,854 including grants of $ 1,522,692 ) (Revenue $ 21,135,930 )
MEDICAL EDUCATION (SEE SCHEDULE O)HEALTH PROFESSIONAL EDUCATION:MAYO CLINIC INVESTMENTS IN EDUCATION INFORM AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS AND COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING, ALONG WITH PREPARING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS TO PROVIDE OUTSTANDING, COMPASSIONATE CARE TO PATIENTS WORLDWIDE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE WHICH CONSISTS OF FIVE SCHOOLS:- MAYO CLINIC SCHOOL OF MEDICINE- MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION- MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES- MAYO CLINIC SCHOOL OF HEALTH SCIENCES- MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENTMAYO CLINIC, AS AN AFFILIATED GROUP, OFFERS EDUCATIONAL PROGRAMS AND TRAINING OPPORTUNITIES ON ITS CAMPUSES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; AND JACKSONVILLE, FLORIDA. IN AFFILIATION WITH THE MAYO CLINIC COLLEGE OF MEDICINE, THE SUBORDINATES OFFER PHYSICIAN RESIDENCY PROGRAMS AND FELLOWSHIPS IN MANY MEDICAL AND SURGICAL SPECIALTIES, TRAINING PROGRAMS FOR ALLIED HEALTH PERSONNEL AND ON-GOING EDUCATION FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.FOR 2017, THERE WERE 4,143 STUDENTS EDUCATED THROUGH THE MAYO CLINIC COLLEGE OF MEDICINE PROGRAM TO SUSTAIN MAYO'S UNIQUE STYLE OF CARE AND PREPARE THE NEXT GENERATION OF CAREGIVERS. OF THESE STUDENTS, MANY WOULD HAVE RECEIVED SOME OR ALL OF THEIR EDUCATION AT THE SUBORDINATE'S LOCATIONS IN PHOENIX/SCOTTSDALE, ARIZONA AND JACKSONVILLE, FLORIDA.IN ADDITION, MANY OF THE SUBORDINATES HAVE AGREEMENTS WITH UNIVERSITIES, COLLEGES AND OTHER EDUCATIONAL ORGANIZATIONS TO PROVIDE FORMAL EDUCATION AND EXPERIENCE FOR STUDENTS STUDYING TO BECOME HEALTHCARE PROFESSIONALS.FOR 2017, THE SUBORDINATES AWARDED APPROXIMATELY $236,400 OF SCHOLARSHIPS TO STUDENTS PURSUING CAREERS IN A HEALTH-RELATED FIELD.
4b (Code:   ) (Expenses $ 147,170,594 including grants of $ 8,998,574 ) (Revenue $ 1,338,946 )
MEDICAL RESEARCH (SEE SCHEDULE O)MEDICAL RESEARCH:MAYO CLINIC, AS AN AFFILIATED GROUP, CONDUCTS BASIC, TRANSLATIONAL, CLINICAL AND EPIDEMIOLOGICAL RESEARCH AT ITS CAMPUSES IN MINNESOTA, ARIZONA AND FLORIDA AND THROUGHOUT THE MAYO CLINIC HEALTH SYSTEM. THE NEEDS OF PATIENTS DRIVE RESEARCH AT MAYO CLINIC. AS DOCTORS TREAT PATIENTS AND SEE OPPORTUNITIES FOR ADVANCING PATIENT CARE, THEY WORK TOGETHER WITH MAYO SCIENTISTS AND RESEARCH TEAMS TO DEVELOP NEW AND IMPROVED DIAGNOSTIC TOOLS, MEDICATIONS, DEVICES, TREATMENT PROTOCOLS AND MORE.MAYO CLINIC'S UNIQUE CULTURE OF COLLABORATION AND TEAMWORK, AND ITS EXTENSIVE FACILITIES AND RESOURCES, MAKE IT POSSIBLE FOR RESEARCHERS TO UNRAVEL AND SOLVE COMPLEX RESEARCH QUESTIONS. ANSWERING THESE QUESTIONS REQUIRES A TEAM OF PHYSICIANS WHO CARE FOR PATIENTS WITH A DISEASE, BASIC SCIENTISTS WHO INVESTIGATE THE CONDITION'S MOLECULAR BASIS AND EPIDEMIOLOGISTS WHO STUDY ITS EFFECT ON POPULATIONS. THIS CLOSE INTEGRATION MAKES IT POSSIBLE TO QUICKLY BRING PROVEN DIAGNOSTICS AND THERAPEUTICS TO PATIENTS AND SHARE THIS KNOWLEDGE WITH THE NEXT GENERATION OF DOCTORS AND SCIENTISTS.THE RESEARCH ACTIVITIES CONDUCTED BY THE SUBORDINATES ARE MOSTLY CONDUCTED AT THE ARIZONA AND FLORIDA LOCATIONS AND CONCENTRATED IN THE AREAS OF CANCER, METABOLISM, NEUROSCIENCES, NEURODEGENERATIVE DISEASES, CARDIOVASCULAR DISEASES AND GI DISORDERS/TRANSPLANTATION. DURING 2017, THE ARIZONA AND FLORIDA LOCATION'S COMBINED RESEARCH PROGRAMS GENERATED:- APPROXIMATELY 644 NEW RESEARCH PROTOCOLS.- APPROXIMATELY 2,208 ACTIVE HUMAN RESEARCH STUDIES.- APPROXIMATELY 2,413 PEER-REVIEWED RESEARCH PUBLICATIONS/ARTICLES.
4c (Code:   ) (Expenses $ 7,179,983,524 including grants of $ 10,394,538 ) (Revenue $ 7,637,770,796 )
PATIENT CARE & COMMUNITY BENEFIT (SEE SCHEDULE O)PATIENT CARE & COMMUNITY BENEFIT:MAYO CLINIC, AS AN AFFILIATED GROUP OF HEALTHCARE ENTITIES, IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD AND HAS APPROXIMATELY 4,700 PHYSICIANS AND SCIENTISTS AND APPROXIMATELY 58,400 ALLIED HEALTH STAFF. MAYO CLINIC, AS AN AFFILIATED GROUP, HAS SITES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; JACKSONVILLE, FLORIDA AND ALSO SERVES MORE THAN 60 COMMUNITIES IN THE UPPER MIDWEST THROUGH THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC IS DRIVEN BY ITS MISSION OF PROVIDING THE BEST PATIENT CARE TO EVERY PATIENT EVERY DAY THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS AND ARE JOINED BY COMMON SYSTEMS AND A PHILOSOPHY THAT THE NEEDS OF THE PATIENT COME FIRST. THE SUBORDINATE ORGANIZATIONS FROM THE MAYO CLINIC AFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN (THE SUBORDINATES) INCLUDE 19 HOSPITAL ORGANIZATIONS (WHICH INCLUDES THESE ORGANIZATION'S CLINICAL PRACTICES, 4 NURSING HOMES, 4 ELDERLY/ASSISTED LIVING FACILITIES AND 8 CHEMICAL DEPENDENCY TREATMENT CENTERS), 2 SEPARATE CLINIC ORGANIZATIONS, 2 SEPARATE ELDERLY/ASSISTED LIVING ORGANIZATIONS, AN AMBULANCE SERVICE ORGANIZATION, 4 FOUNDATION-TYPE ORGANIZATIONS AND 2 ORGANIZATIONS THAT PROVIDE SUPPORT SERVICES (SHARED SERVICES) TO MAYO CLINIC, ITS AFFILIATES AND PATIENTS.GEOGRAPHICALLY, THE SUBORDINATES ARE LOCATED IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA; SOUTHERN MINNESOTA; AND WESTERN WISCONSIN. FOR PURPOSES OF THIS STATEMENT, PATIENT CARE ENCOMPASSES PATIENT SERVICES (HOSPITALS, CLINICS & AMBULANCES), HOUSING FOR THE ELDERLY (NURSING HOMES & ELDERLY HOUSING FACILITIES) AND THE SALE OF MEDICAL PRODUCTS AND HEALTH INFORMATION. ON AN AGGREGATE BASIS, THE HOSPITAL SUBORDINATES HAD 4,100 LICENSED BEDS. FOR THE SUBORDINATE HOSPITAL AND CLINICAL PRACTICES, THE ANNUAL PATIENT COUNT (A DISTINCT COUNT OF THE MEDICAL RECORD NUMBERS THAT RECEIVED BILLABLE MEDICAL SERVICES) FOR 2017 EXCEEDED 912,000 PATIENTS. DURING 2017, THE SUBORDINATE AMBULANCE SERVICE PROVIDED MEDICAL TRANSPORTATION FOR APPROXIMATELY 69,700 PATIENTS AND RESPONDED TO APPROXIMATELY 22,600 EMERGENT REQUESTS THAT DID NOT RESULT IN THE TRANSPORTATION OF A PATIENT. THE SUBORDINATES THAT OPERATE NURSING HOMES AND ELDERLY HOUSING FACILITIES HAD 194 SKILLED NURSING/SUPPORTIVE CARE BEDS AND 491 RESIDENTIAL UNITS FOR THE PROVISION OF HOUSING AND CARE FOR THE ELDERLY. THE SUBORDINATES PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. FOR 2017, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $245,082,300. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $568,868,100. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2017 ON A COMBINED BASIS WAS APPROXIMATELY $47,178,300.THE SUBORDINATES, BY THEMSELVES AND AS PART OF THE MAYO CLINIC AFFILIATED GROUP, ARE COMMITTED TO GIVING BACK TO THE COMMUNITY - BOTH ITS LOCAL COMMUNITIES AND THE BROADER COMMUNITY. THE SUBORDINATES CONTRIBUTE BY DONATING TIME AND RESOURCES TO COMMUNITY IMPROVEMENT, EDUCATION, PUBLIC HEALTH AND OTHER INITIATIVES. THROUGH ITS MISSION, THE MAYO CLINIC AFFILIATED GROUP, INCLUDING THE FILING SUBORDINATES, ENRICHES THE COMMUNITIES IN WHICH IT OPERATES AS WELL AS THE BROADER COMMUNITY BY IMPROVING MEDICINE THROUGH RESEARCH; EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS; AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED, ALL OF WHICH BENEFIT PEOPLE EVERYWHERE. THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 5,700 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 486,600 HOURS OF SERVICE IN 2017, VALUED AT APPROXIMATELY $12,014,000 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES FOR 2017.
(Code:   ) (Expenses $ 1,445,998,818 including grants of $ 1,445,998,818 ) (Revenue $ 2,102,559,824 )
OTHER PROGRAM SERVICES:SOME SUBORDINATES WITHIN THE GROUP MAKE THE RESEARCH AND TECHNOLOGY DEVELOPED THROUGHOUT MAYO CLINIC AVAILABLE TO THE PUBLIC. THIS IS ACCOMPLISHED THROUGH LICENSING ARRANGEMENTS WITH OTHERS HAVING THE CAPABILITY TO DISTRIBUTE THE TECHNOLOGY TO THE MEDICAL COMMUNITY AND THE GENERAL PUBLIC. IN EXCHANGE FOR THESE LICENSES, THE SUBORDINATES RECEIVE ROYALTIES BASED ON GROSS REVENUES GENERATED FROM THE PRODUCTS DEVELOPED FROM THE LICENSED TECHNOLOGY OR INVENTION.THE SUBORDINATES ALSO LEASED SPACE AND PROVIDED SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF PROVIDING PATIENT CARE. THESE SUPPORT OR SHARED SERVICES INCLUDE PAYROLL, PURCHASING, SALARY & BENEFIT ADMINISTRATION, FINANCE, LEGAL AND OTHER MISCELLANEOUS SUPPORT SERVICES.
4d Other program services (Describe in Schedule O.)
(Expenses $ 1,445,998,818 including grants of $ 1,445,998,818 ) (Revenue $ 2,102,559,824 )
4e Total program service expensesMediumBullet8,861,677,790
Form 990 (2017)
Form 990 (2017)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III.............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI....................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
Yes
 
Form 990 (2017)
Form 990 (2017)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J.......................
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
Yes
 
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
7,321
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2017)
Form 990 (2017)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
51,523
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletMX , GM
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
 
Form 990 (2017)
Form 990 (2017)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
330
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
111
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AZ , FL , CA , KY , MN , WI , AL , WA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletCORPORATE TAX200 FIRST STREET SW   ROCHESTER,MN55905 (507) 538-1297
Form 990 (2017)
Form 990 (2017)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ABENSTEIN MD JOHN P......................................................................
DIRECTOR
 1.00
.................
40.00 		X           0 531,413 78,304
(2) ACKERMAN FRANKLIN K......................................................................
DIR/ASSOC ADMINISTRATOR/FORMER KEY
 40.00
.................
0.00 		X     X     277,644 0 71,062
(3) ADKINS JR KEDRICK D......................................................................
DIRECTOR/VICE PRESIDENT
 40.00
.................
0.00 		X   X       941,124 0 85,468
(4) ADLEMAN BREEANN M......................................................................
DIRECTOR/ASSISTANT SECRETARY
 40.00
.................
0.00 		X   X       223,080 0 56,671
(5) AGERTER MD DAVID C......................................................................
DIRECTOR/REGIONAL CEO
 1.00
.................
40.00 		X   X       0 625,543 30,698
(6) ALLEN SHERI......................................................................
DIRECTOR
 1.00
.................
0.00 		X           0 0 0
(7) ALTRICHTER MD PAUL M......................................................................
DIRECTOR/VICE CHAIR
 1.00
.................
40.00 		X   X       0 337,101 74,271
(8) ANDERST DONNA......................................................................
DIRECTOR
 1.00
.................
0.00 		X           0 0 0
(9) ANDREWS MD PAUL E......................................................................
DIRECTOR
 40.00
.................
0.00 		X           640,754 0 80,731
(10) ANIL MD GOKHAN......................................................................
DIRECTOR
 40.00
.................
0.00 		X           661,108 0 67,838
(11) BAKER SALLY CHASE......................................................................
DIRECTOR/VICE PRESIDENT
 1.00
.................
0.00 		X   X       0 0 0
(12) BAKKUM-GAMEZ MD JAMIE N......................................................................
DIRECTOR
 1.00
.................
40.00 		X           0 550,147 58,172
(13) BASTIAN ANGIE......................................................................
DIRECTOR
 1.00
.................
0.00 		X           0 0 0
(14) BEAR KURTIS......................................................................
DIRECTOR/CHAIR
 1.00
.................
0.00 		X   X       0 0 0
(15) BECK JENNIFER......................................................................
DIRECTOR
 1.00
.................
0.00 		X           0 0 0
(16) BECKER JOHN......................................................................
DIRECTOR
 1.00
.................
0.00 		X           0 0 0
(17) BENIKE JOHN......................................................................
DIRECTOR/TREASURER
 1.00
.................
0.00 		X   X       0 0 0
Form 990 (2017)
Form 990 (2017)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) BERG DAVID W........................................................................
DIR/SECY/ASSOCIATE ADMINISTRATOR
 40.00
.......................0.00 		X   X X     257,617 0 85,008
(19) BERGERON-BOWE MELISSA........................................................................
DIRECTOR/SECRETARY
 1.00
.......................0.00 		X   X       0 0 0
(20) BERNARD MD MATTHEW E........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 394,806 72,240
(21) BEUNING MD ALEX J........................................................................
DIRECTOR/CHAIR/PRESIDENT
 40.00
.......................0.00 		X   X       458,416 0 88,873
(22) BINN MD MARTHA C........................................................................
DIRECTOR
 40.00
.......................0.00 		X           297,977 0 58,967
(23) BODENSTEINER RICHARD........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(24) BOEHNE DEAN........................................................................
DIRECTOR/TREASURER
 1.00
.......................0.00 		X   X       0 0 0
(25) BOLTON JEFFREY W........................................................................
DIRECTOR/MAYO CLINIC CAO
 40.00
.......................0.00 		X     X     1,339,768 0 79,202
(26) BOROWSKI THOMAS J........................................................................
DIRECTOR/FORMER KEY EMPLOYEE
 40.00
.......................0.00 		X           215,854 0 59,498
(27) BORSHEIM PAUL........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(28) BOWMAN LAURA E........................................................................
DIRECTOR/SECRETARY/TREASURER
 40.00
.......................0.00 		X   X       120,848 0 25,479
(29) BRANDT TERRY L........................................................................
DIR/SECY/REGIONAL CHAIR-ADMIN SWMN
 1.00
.......................40.00 		X   X       0 336,353 30,045
(30) BREKKEN KATHLEEN A........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(31) BROLSMA GREG........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(32) BROWN MD DANIEL R........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 580,513 75,925
(33) BUHLER PHIL........................................................................
DIRECTOR/CHAIR
 1.00
.......................0.00 		X   X       0 0 0
(34) BUNKERS MD BRIAN E........................................................................
DIRECTOR/CEO/PRESIDENT
 40.00
.......................0.00 		X   X       412,766 0 83,107
(35) BUSKIRK MD STEVEN J........................................................................
DIRECTOR/VICE CHAIR
 40.00
.......................0.00 		X   X       681,368 0 33,410
(36) BYRD MD JANE D........................................................................
DIRECTOR/VICE CHAIR
 40.00
.......................0.00 		X   X       230,417 0 74,648
(37) CADMAN BERWYN........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(38) CANGEMI MD JOHN R........................................................................
DIRECTOR
 40.00
.......................0.00 		X           670,124 0 32,299
(39) CARLSON ELDON........................................................................
DIRECTOR/TREASURER
 1.00
.......................0.00 		X   X       0 0 0
(40) CARPENTER MARK........................................................................
DIRECTOR/TREASURER
 1.00
.......................0.00 		X   X       0 0 0
(41) CASLER MD JOHN D........................................................................
DIRECTOR
 40.00
.......................0.00 		X           545,172 0 82,043
(42) CAVINESS MD JOHN N........................................................................
DIRECTOR
 40.00
.......................0.00 		X           344,553 0 79,311
(43) CHAPITAL MD ALYSSA B........................................................................
DIRECTOR
 40.00
.......................0.00 		X           530,620 0 67,230
(44) CHESLEY CARLA........................................................................
DIRECTOR/CHAIR
 1.00
.......................0.00 		X   X       0 0 0
(45) CHRISTENSEN SISTER GEORGIA........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(46) CIMA MD ROBERT R........................................................................
DIRECTOR/CHAIR
 1.00
.......................40.00 		X   X       0 535,050 72,363
(47) CIOTA MD MARK R........................................................................
DIRECTOR/CHAIR/CEO
 40.00
.......................0.00 		X   X       855,523 0 84,652
(48) CLARK DIANE........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(49) COFFEY MARK........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(50) CONNOLLY TERESA L........................................................................
DIRECTOR
 40.00
.......................0.00 		X           231,022 0 57,427
(51) COOK FATHER ROBERT J........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(52) COOPER MD LESLIE T........................................................................
DIRECTOR
 40.00
.......................0.00 		X           670,412 0 78,501
(53) COSTAKOS MD DENNIS T........................................................................
DIRECTOR
 40.00
.......................0.00 		X           457,010 0 79,831
(54) CRAGUN MD KEVIN T........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 631,839 77,603
(55) CRAIG JASON E........................................................................
DIR/VP/SECY/VICE CHAIR - ADMIN
 40.00
.......................0.00 		X   X X     183,441 0 41,464
(56) CRANDALL DAVID........................................................................
DIRECTOR/TREASURER
 1.00
.......................0.00 		X   X       0 0 0
(57) CRANE MD SARAH J........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 332,485 67,104
(58) CROCKETT ERIC D........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 220,429 57,614
(59) CRUZ-LARES LINDA A........................................................................
DIRECTOR/SECRETARY
 1.00
.......................0.00 		X   X       0 0 0
(60) CULLINAN MD SUSAN M........................................................................
DIRECTOR/CHAIR
 40.00
.......................0.00 		X   X       445,225 0 92,915
(61) DAY THOMAS R........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(62) DECKER MD WYATT W........................................................................
DIRECTOR/CHAIR/CEO
 40.00
.......................0.00 		X   X       1,711,996 0 77,031
(63) DEGEN SUSANNE C........................................................................
DIRECTOR/VICE CHAIR - ADMINISTRATION
 40.00
.......................0.00 		X     X     186,734 0 46,573
(64) DEJONG MD AMY A........................................................................
DIRECTOR
 40.00
.......................0.00 		X           274,411 0 75,624
(65) DEVAULT MD KENNETH R........................................................................
DIRECTOR
 40.00
.......................0.00 		X           713,107 0 78,431
(66) DIETER HEIDI L........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 205,911 49,673
(67) DITTBERNER JANE........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(68) DOWNEY MD WALTER G........................................................................
DIRECTOR/SECRETARY
 40.00
.......................0.00 		X   X       319,052 0 86,022
(69) DRUCKER PAUL E........................................................................
DIRECTOR/VICE PRESIDENT
 1.00
.......................40.00 		X   X       0 168,430 47,597
(70) EBERLE MICHELE R........................................................................
DIRECTOR/VICE CHAIR - ADMINISTRATION
 40.00
.......................0.00 		X     X     164,717 0 31,794
(71) EIDE DEAN B........................................................................
DIRECTOR/SITE VP/VICE CHAIR-ADMIN
 40.00
.......................0.00 		X   X X     194,725 0 39,914
(72) ELSBERND SISTER HELEN........................................................................
DIRECTOR/VICE CHAIR/SECRETARY
 1.00
.......................0.00 		X   X       0 0 0
(73) ENQUIST MARK A........................................................................
DIRECTOR/SECRETARY/TREASURER
 1.00
.......................40.00 		X   X       0 184,213 26,177
(74) ERICKSON ERIC B........................................................................
DIRECTOR
 40.00
.......................0.00 		X           247,344 0 50,901
(75) EZENAGU MD LEONARD C........................................................................
DIRECTOR/SECRETARY
 40.00
.......................0.00 		X   X       419,520 0 92,152
(76) FARRUGIA MD GIANRICO........................................................................
DIRECTOR/CHAIR
 40.00
.......................0.00 		X   X       1,292,395 0 73,174
(77) FITZGERALD MD KEVIN........................................................................
DIRECTOR
 40.00
.......................0.00 		X           302,491 0 60,576
(78) FONSECA MD RAFAEL........................................................................
DIRECTOR
 40.00
.......................0.00 		X           593,469 0 71,071
(79) FOOT III SILAS B........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(80) FOSS MD RANDY M........................................................................
DIRECTOR/VICE CHAIR
 40.00
.......................0.00 		X   X       297,920 0 58,022
(81) FRANZWA PAUL........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(82) FRATZKE JASON J........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 214,116 51,741
(83) FREDERICK BARBARA L........................................................................
DIRECTOR/SECRETARY
 1.00
.......................0.00 		X   X       0 0 0
(84) FREDERICK RYANNON K........................................................................
DIRECTOR/FORMER KEY EMPLOYEE
 40.00
.......................0.00 		X           225,287 0 54,277
(85) FROISLAND JEFFREY R........................................................................
DIRECTOR/TREASURER/ASST TREASURER
 40.00
.......................0.00 		X   X       313,719 0 56,272
(86) FUNK MICHAEL S........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(87) GAALSWYK MARK........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(88) GARTNER PHILLIP A........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(89) GASTERLAND RITA........................................................................
DIRECTOR/TREASURER
 1.00
.......................0.00 		X   X       0 0 0
(90) GAYTKO BERNIE........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(91) GIORGI MD MICHAEL J........................................................................
DIRECTOR
 40.00
.......................0.00 		X           526,250 0 84,325
(92) GLENN SEAN W........................................................................
DIRECTOR/ASSISTANT SECRETARY
 40.00
.......................0.00 		X   X       226,911 0 57,545
(93) GORES MD GREGORY J........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 884,399 33,910
(94) GOSTOUT MD BOBBIE S........................................................................
DIRECTOR/VICE CHAIR/VP OPERATIONS
 1.00
.......................40.00 		X   X       0 1,120,319 93,267
(95) GRAU MD THOMAS J........................................................................
DIRECTOR
 40.00
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(96) GREEN MD JEFFREY P........................................................................
DIRECTOR/VICE CHAIR
 40.00
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(97) GRENISEN MD MARGARET M........................................................................
DIRECTOR
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(98) GROTBERG ANGIE........................................................................
DIRECTOR
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(99) GRUBER JOHN........................................................................
DIRECTOR
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(100) HAGER NICKIJO L........................................................................
DIRECTOR
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(101) HAKAIM MD ALBERT G........................................................................
DIRECTOR
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(102) HALOM MARTIN........................................................................
DIRECTOR
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DIR/VICE CHAIR ADMIN/FORMER KEY
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DIR/TREAS/CFO WI/FORMER OFFICER
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(105) HARA MD AMY K........................................................................
DIRECTOR
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(106) HARPER JR MD CHARLES M........................................................................
DIRECTOR/VICE CHAIR
 1.00
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(107) HAYS MD J TAYLOR........................................................................
DIRECTOR
 1.00
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(108) HEBL MD JAMES R........................................................................
DIR/CEO/PRES/CHAIR/REGIONAL VP-SWMN
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(109) HEILMAN MD RAYMOND L........................................................................
DIRECTOR
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(110) HELMERS MD RICHARD A........................................................................
DIR/PRES/CHAIR/REGIONAL VP-NWWI
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(111) HERRICK DDS JAMES V........................................................................
DIRECTOR
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(112) HERRMANN MD MARTIN J........................................................................
DIRECTOR/CHAIR
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(113) HERZOG JAMES........................................................................
DIRECTOR
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DIRECTOR
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(115) HOLMAY DIANE K........................................................................
DIRECTOR
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(116) HOLST TANNER T........................................................................
DIRECTOR
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(117) HOLTAN DOUGLAS J........................................................................
DIRECTOR/CHAIR
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(118) HOLTZ MD CAROL P........................................................................
DIRECTOR/SECRETARY/TREASURER
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(119) HORSTMAN JENNIFER........................................................................
DIRECTOR
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(120) HOWELL MD THOMAS G........................................................................
DIRECTOR
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(121) HUDDLESTON MD PAUL M........................................................................
DIRECTOR
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(122) HUGHES PETER R........................................................................
DIRECTOR
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(123) HURLEY TRACY........................................................................
DIRECTOR/VICE CHAIR
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(124) IMSANDE KRISTIN........................................................................
DIRECTOR
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(125) JACOBSON ROSEMARY........................................................................
DIRECTOR
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(126) JELINEK DIANE F........................................................................
DIRECTOR
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(127) JOHNSON MD MARGARET M........................................................................
DIRECTOR
 40.00
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(128) JOHNSON MD TIMOTHY J........................................................................
DIRECTOR/CHAIR/PRES/CEO/REG VP-SWWI
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(129) JOHNSON PAMELA O........................................................................
DIRECTOR
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(130) JOHNSON TOM........................................................................
DIRECTOR
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(131) KEARNEY MD MICHAEL M........................................................................
DIRECTOR
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(132) KENIRY SISTER MARGARET J........................................................................
DIRECTOR/SECRETARY/PRESIDENT
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(133) KIND JOHN........................................................................
DIRECTOR
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(134) KLEIS DO KEITH R........................................................................
DIRECTOR
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(135) KNUDSON STEVE L........................................................................
DIRECTOR
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(136) KOCH MARK B........................................................................
DIRECTOR/ASSISTANT SECRETARY
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(137) KORDUCKI MD JANE M........................................................................
DIRECTOR/FORMER OFFICER
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(138) KOTNOUR DDS JOSEPH L........................................................................
DIRECTOR/VICE CHAIR
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(139) KRAHN MD LOIS E........................................................................
DIRECTOR/VICE CHAIR
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(140) KRIEN MD JOSEPH S........................................................................
DIRECTOR
 40.00
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(141) KRUSE JOSEPH J........................................................................
DIR/CAO/V CHAIR/SEC/RG CHAIR-AD SWWI
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(142) KRYSHAK WILLIAM........................................................................
DIRECTOR/TREASURER
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(143) KUEHL MD MARY J........................................................................
DIRECTOR
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(144) KUEHN JEFF........................................................................
DIRECTOR/TREASURER
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(145) LANGBEHN DO JENNIFER M........................................................................
DIRECTOR/SECRETARY/TREASURER
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(146) LANZ APRIL D........................................................................
DIRECTOR
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(147) LANZEL TRICIA G........................................................................
DIRECTOR/VICE CHAIR
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(148) LANZER LORI........................................................................
DIRECTOR
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(149) LARDYTRACI........................................................................
DIRECTOR
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(150) LEBRASSEUR NATHAN K........................................................................
DIRECTOR
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(151) LEGARE GREG........................................................................
DIRECTOR/VICE CHAIR
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(152) LEIGHTON MD JONATHAN A........................................................................
DIRECTOR
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(153) LIENAU MARTY A........................................................................
DIRECTOR
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(154) LIMBURG MD PAUL J........................................................................
DIRECTOR
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(155) LINDAHL ROGER A........................................................................
DIRECTOR/ASST SECY/ASST TREAS
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(156) LINDBERG STEVEN J........................................................................
DIRECTOR/VICE CHAIR-ADMINISTRATION
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(157) LINTON MD RANDALL L........................................................................
DIR/PRES/CHAIR/REGIONAL CEO
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(158) LOCKETT KEVIN M........................................................................
DIRECTOR/TREASURER
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(159) MAHN DAVID........................................................................
DIRECTOR
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(160) MARTIN DOUG........................................................................
DIRECTOR
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(161) MATHY TAYLOR........................................................................
DIRECTOR
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(162) MATTHIAS MARK A........................................................................
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(163) MAXFIELD TEDD........................................................................
DIRECTOR
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(164) MCCARTHY JERRY C........................................................................
DIRECTOR/PRESIDENT
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(165) MCGRAW COLLEEN........................................................................
DIRECTOR/TREASURER/VICE CHAIR
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(166) MCHUGH JOHN........................................................................
DIRECTOR
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(167) MCLAUGHLIN MD SARAH A........................................................................
DIRECTOR
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(168) MCTAGGART ERIKA........................................................................
DIRECTOR
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(169) MENKOSKY PAULA E........................................................................
DIRECTOR/SECRETARY/ASST TREASURER
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(170) MEYER MD FREDRIC B........................................................................
DIRECTOR
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(171) MEYERS ANN M........................................................................
DIRECTOR/FORMER OFFICER
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(172) MICHALETZ SCOTT........................................................................
DIRECTOR/VICE CHAIR
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(173) MITTELSTAEDT RONDA........................................................................
DIRECTOR
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(174) MOGA MD C NIC........................................................................
DIRECTOR
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(175) MOHR SUE........................................................................
DIRECTOR
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(176) MOLLING DO PAUL E........................................................................
DIRECTOR
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(177) MOMMSEN HUGH........................................................................
DIRECTOR
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(178) MOORE SISTER JEAN........................................................................
DIRECTOR
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(179) MORICE MD WILLIAM G........................................................................
DIRECTOR
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(180) MORREY MICHAEL A........................................................................
DIRECTOR/REGIONAL CHAIR-ADMIN NWWI
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(181) MORRIS MD MARIE E........................................................................
DIRECTOR/CHAIR
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(182) MOUW JEROMY J........................................................................
DIRECTOR
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(183) MYHRE MD KAREN K........................................................................
DIRECTOR/VICE CHAIR
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(184) NAGLER MD RICHARD........................................................................
DIRECTOR
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(185) NARR MD BRADLY J........................................................................
DIRECTOR
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(186) NELSON MD CARRIE J........................................................................
DIRECTOR/VICE CHAIR
 40.00
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(187) NELSON MD HEIDI........................................................................
DIRECTOR
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(188) NIEMEIER RICK........................................................................
DIRECTOR
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(189) NOEL AMY J........................................................................
DIRECTOR
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(190) NOSEWORTHY MD JOHN H........................................................................
DIRECTOR/PRESIDENT/CEO
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(191) NYLANDER DO KELSEY........................................................................
DIRECTOR/VICE CHAIR
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(192) OLSON BENJAMIN........................................................................
DIRECTOR
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(193) O'NEILL JEANETTE E........................................................................
DIRECTOR
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(194) ORTIZ MD JOSE A........................................................................
DIRECTOR
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(195) OTLEY MD CLARK C........................................................................
DIRECTOR/PRESIDENT
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(196) PARKER PHD ALEXANDER S........................................................................
DIRECTOR
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(197) PARKER ANNETTE........................................................................
DIRECTOR
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(198) PARKS DOUGLAS A........................................................................
DIR/SECY/REG CHAIR-ADMIN SEMN
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(199) PASCUAL MD JORGE M........................................................................
DIRECTOR
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(200) PATEL MB TUSHAR C........................................................................
DIRECTOR
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(201) PECK MD ROBERT C........................................................................
DIRECTOR
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(202) PERDIKIS MD GALEN........................................................................
DIRECTOR
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(203) PEREIRA RUDY........................................................................
DIRECTOR/TREASURER
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(204) PERRY MICHAEL........................................................................
DIRECTOR
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(205) PETERS BRAD........................................................................
DIRECTOR
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(206) PETERS CHUCK........................................................................
DIRECTOR
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(207) PETERSON DONALD........................................................................
DIRECTOR/VICE CHAIR
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(208) PFEFFER JENNIFER........................................................................
DIRECTOR
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(209) PIESCHEL PAUL........................................................................
DIRECTOR/SECRETARY
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(210) PINZKA SISTER MARLENE........................................................................
DIRECTOR
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(211) PLATE MD REINOLD H........................................................................
DIRECTOR/FORMER OFFICER
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(212) POE JOHN D........................................................................
DIRECTOR
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(213) POWELL MD RALPH........................................................................
DIRECTOR/VICE CHAIR
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(214) POWERS NICHOLAS........................................................................
DIRECTOR
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(215) QUILLING CINDY........................................................................
DIRECTOR
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(216) RAZIM CHERYL........................................................................
DIRECTOR/TREASURER
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(217) RIEBE DANIEL........................................................................
DIRECTOR
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(218) REISNER MD PETER D........................................................................
DIRECTOR
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(219) RIEGELMAN ROBERT........................................................................
DIRECTOR
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(220) RIHAL MD CHARANJIT S........................................................................
DIRECTOR
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(221) ROGERS JAMES A........................................................................
DIRECTOR/ASSISTANT SECRETARY
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(222) ROUZER BRENDAN J........................................................................
DIRECTOR
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(223) RUSHLOW MD DAVID R........................................................................
DIRECTOR
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(224) RUSTAD CHRISTOPHER D........................................................................
DIRECTOR/SECRETARY
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(225) SADOSTY MD ANNIE T........................................................................
DIRECTOR/REGIONAL VP-SEMN
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(226) SAMPSON MD RICHARD R........................................................................
DIRECTOR/CHAIR/PRESIDENT
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(227) SANCHEZ DAISEY........................................................................
DIRECTOR
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(228) SANDGREN KENT A........................................................................
DIRECTOR
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(229) SANTRACH MD PAULA J........................................................................
DIRECTOR/VICE CHAIR
 1.00
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(230) SAUTER AMY........................................................................
DIRECTOR
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(231) SCHAAL MELISSA........................................................................
DIRECTOR
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(232) SCHAUFENBUEL KIM........................................................................
DIRECTOR
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(233) SCHIMMING MD CHRISTOPHER R........................................................................
DIRECTOR/CHAIR
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(234) SCHMIDT JAMES........................................................................
DIRECTOR
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(235) SCHNEIDER KENNETH J........................................................................
DIRECTOR/FORMER OFFICER
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(236) SCHOENBAUER BRAD........................................................................
DIRECTOR
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(237) SCHROEDER MARLENE F........................................................................
DIRECTOR
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(238) SCHULZ MD JOHN M........................................................................
DIRECTOR
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(239) SEINOLA SCOTT A........................................................................
DIRECTOR/CEO/PRESIDENT
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(240) SHANNON WENDY........................................................................
DIRECTOR
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(241) SHARMA MBBS MANISH S........................................................................
DIRECTOR
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(242) SIMPSON MD HENRY J........................................................................
DIRECTOR/CHAIR
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(243) SJOQUIST MARK E........................................................................
DIRECTOR
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(244) SKAAR MD PHILLIP J........................................................................
DIRECTOR
 40.00
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(245) SMOLDT CRAIG A........................................................................
DIRECTOR/FORMER KEY EMPLOYEE
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(246) SNEE TAMMY........................................................................
DIRECTOR
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(247) SOLBERG MD JEREMY J........................................................................
DIRECTOR
 40.00
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(248) SPINNER MD ROBERT J........................................................................
DIRECTOR
 1.00
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(249) STONE MD WILLIAM M........................................................................
DIRECTOR/VICE CHAIR
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(250) STOUGHTON MD RICK W........................................................................
DIRECTOR
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(251) STRUCK ALLEN W........................................................................
DIRECTOR/SECRETARY/TREASURER
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(252) SULLIVAN MAURITA A........................................................................
DIRECTOR/SITE VP/VICE CHAIR-ADMIN
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(253) SWANSON VANCE........................................................................
DIRECTOR
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(254) TAM MD MAJESTIC Y........................................................................
DIRECTOR
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(255) TANER MD BURCIN C........................................................................
DIRECTOR
 40.00
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(256) TARASOVITCH JAMES J........................................................................
DIR/SECY/TREAS/REGIONAL CFO
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(257) TAUER PAUL........................................................................
DIRECTOR
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(258) TIGGELAAR THOMAS H........................................................................
DIR/TREAS/CFO/FORMER OFFICER
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(259) TIGHE SISTER MOIRA........................................................................
DIRECTOR/VICE PRESIDENT
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(260) TONN BECKY........................................................................
DIRECTOR/CHAIR
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(261) TYDRICH SISTER JULIE........................................................................
DIRECTOR
 1.00
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(262) WALD MD JOHN T........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 706,845 79,999
(263) WALLNER MD DIANE E........................................................................
DIRECTOR
 40.00
.......................0.00 		X           376,191 0 83,490
(264) WALTER KEVIN........................................................................
DIRECTOR/SECRETARY/TREASURER
 1.00
.......................0.00 		X   X       0 0 0
(265) WEBER JOAN A........................................................................
DIRECTOR
 40.00
.......................0.00 		X           363,932 0 61,015
(266) WEIS CAROL........................................................................
DIRECTOR
 40.00
.......................0.00 		X           157,561 0 46,460
(267) WHITE MD JENNIFER D........................................................................
DIRECTOR
 40.00
.......................0.00 		X           217,177 0 50,871
(268) WHITE PAMELA K........................................................................
DIRECTOR/SECRETARY/CNO-SITE/REGION
 40.00
.......................0.00 		X   X X     230,755 0 55,570
(269) WHITED MD BRIAN L........................................................................
DIRECTOR/CHAIR/PRESIDENT/CEO
 1.00
.......................40.00 		X   X       0 533,944 90,221
(270) WILKINSON MD JOHN M........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 279,919 29,955
(271) WILLIAMS MD AMY W........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 536,765 60,042
(272) WILLIAMSON MARY J........................................................................
DIR/SECY/TREAS/CH ADM-MCHS/FORM KEY
 0.00
.......................40.00 		X   X       0 602,875 65,261
(273) WITT MD THOMAS J........................................................................
DIRECTOR/CHAIR/PRESIDENT/CEO
 40.00
.......................0.00 		X   X       469,390 0 81,218
(274) WOLF BRUCE........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(275) WORNSON RICHARD........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(276) WRAY-RAABOLLE MD JASON T........................................................................
DIRECTOR
 40.00
.......................0.00 		X           349,569 0 74,455
(277) WRIGHT-PETERSON VIRGINIA M........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(278) WULF GREG........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(279) YEAR PAMELA........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(280) YOUNG DDS RICHARD B........................................................................
DIRECTOR
 1.00
.......................0.00 		X           0 0 0
(281) YTTERBERG MD KAREN L........................................................................
DIRECTOR
 1.00
.......................40.00 		X           0 236,730 9,961
(282) ZIETLOW MD SCOTT P........................................................................
DIRECTOR/CHAIR
 1.00
.......................40.00 		X   X       0 561,460 84,553
(283) ZIMMERMAN MD RICHARD S........................................................................
DIRECTOR
 40.00
.......................0.00 		X           1,137,850 0 85,482
(284) ZORN CHRISTINA K........................................................................
DIRECTOR/SECRETARY/ASST TREASURER
 40.00
.......................0.00 		X   X       559,786 0 63,045
(285) BROWN MICHAEL E........................................................................
ASSISTANT SECRETARY
 40.00
.......................0.00 		    X       224,463 0 48,447
(286) BROWN WILLIAM A........................................................................
ASSISTANT TREASURER/FORMER OFFICER
 40.00
.......................0.00 		    X       234,272 0 30,905
(287) DICKEY JOHN M........................................................................
REGIONAL CAO
 40.00
.......................0.00 		    X       66,060 0 56,515
(288) ESTES DANIEL D........................................................................
ASSISTANT TREASURER
 40.00
.......................0.00 		    X       230,856 0 63,783
(289) FEHMI RASHID A........................................................................
TREASURER
 40.00
.......................0.00 		    X       129,203 0 34,870
(290) FENNELL THOMAS J........................................................................
ASSISTANT SECRETARY
 40.00
.......................0.00 		    X       118,945 0 31,644
(291) FRANCIS JAMES R........................................................................
ASSISTANT TREASURER
 40.00
.......................0.00 		    X       406,300 0 83,997
(292) GABRIELSON SHARON R........................................................................
ASSISTANT TREASURER
 40.00
.......................0.00 		    X       300,254 0 76,108
(293) GALINDEZ JR PETER........................................................................
ASSISTANT SECRETARY
 40.00
.......................0.00 		    X       239,879 0 65,874
(294) GOLDMAN DANIEL S........................................................................
ASSISTANT SECRETARY
 40.00
.......................0.00 		    X       216,032 0 68,382
(295) GUDGELL STEPHEN F........................................................................
TREASURER
 1.00
.......................40.00 		    X       0 217,184 30,265
(296) HAEFLINGER RICKY J........................................................................
FINANCIAL OFFICER
 1.00
.......................40.00 		    X       0 568,199 246,777
(297) HOFFMAN III HARRY N........................................................................
TREASURER
 1.00
.......................40.00 		    X       0 1,244,767 465,535
(298) HUBERT SHERRY L........................................................................
ASSISTANT SECRETARY
 40.00
.......................0.00 		    X       294,695 0 74,317
(299) JOHNSON CARLA J........................................................................
ASSISTANT SECRETARY
 40.00
.......................0.00 		    X       170,340 0 39,221
(300) LOHKAMP CHRISTIE A........................................................................
ASSISTANT TREASURER
 40.00
.......................0.00 		    X       233,517 0 55,052
(301) MELVIN KEVIN B........................................................................
ASSISTANT SECRETARY
 1.00
.......................40.00 		    X       0 218,646 60,119
(302) MURPHY JOSHUA B........................................................................
SECRETARY/ASSISTANT SECRETARY
 40.00
.......................0.00 		    X       723,105 0 71,995
(303) NORDRUM CHARLOTTE J........................................................................
CFO MN
 40.00
.......................0.00 		    X       226,114 0 52,584
(304) OTTE KIMBERLY K........................................................................
ASSISTANT SECRETARY
 40.00
.......................0.00 		    X       263,170 0 75,471
(305) PEREZ ROBERT E........................................................................
TREASURER
 40.00
.......................0.00 		    X       119,719 0 21,686
(306) PRIEST WILLIAM F........................................................................
SECRETARY
 40.00
.......................0.00 		    X       193,175 0 58,473
(307) SANDEEN DARRELL L........................................................................
ASSISTANT TREASURER/FORMER OFFICER
 40.00
.......................0.00 		    X       350,677 0 64,487
(308) SHERRILL TODD E........................................................................
CFO MCHS
 40.00
.......................0.00 		    X       89,220 0 3,200
(309) THORESON SCOTT D........................................................................
CAO/SITE ADMINISTRATION
 40.00
.......................0.00 		    X X     213,547 0 68,047
(310) BROWN MARK C........................................................................
ADMINISTRATION
 40.00
.......................0.00 		      X     163,638 0 48,946
(311) CHONG MD BRIAN W........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     688,901 0 80,392
(312) DAHLEN DENNIS E........................................................................
CFO
 40.00
.......................0.00 		      X     176,244 0 4,388
(313) EVENSON LAURA K........................................................................
CHIEF NURSING OFFICER
 40.00
.......................1.00 		      X     87,799 88,288 49,585
(314) FISCHER DEBORAH R........................................................................
VICE CHAIR - ADMINISTRATION
 40.00
.......................0.00 		      X     201,281 0 54,766
(315) HANSON VICTORIA M........................................................................
VICE CHAIR ADMINISTRATION
 40.00
.......................0.00 		      X     197,623 0 57,648
(316) JOHNSON MD C DANIEL........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     752,026 0 30,983
(317) KHOOR MD ANDRAS........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     497,673 0 75,456
(318) KLIMP MARY J........................................................................
VICE CHAIR ADMIN/FORMER OFFICER
 40.00
.......................0.00 		      X     227,448 0 63,921
(319) LARSON VIRGINIA........................................................................
ADMINISTRATOR
 40.00
.......................0.00 		      X     152,701 0 48,467
(320) LONG AMY K........................................................................
SITE ADMINISTRATION
 40.00
.......................0.00 		      X     165,000 0 33,119
(321) MARTIN DAVID L........................................................................
CHAIR CPPO
 40.00
.......................0.00 		      X     168,730 0 41,821
(322) MCKINNEY MD J MARK........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     667,969 0 83,254
(323) MOSS MD ADYR A........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     635,776 0 79,436
(324) NORBY MARK L........................................................................
CHAIR - ENTERPRISE REVENUE CYCLE
 40.00
.......................0.00 		      X     261,119 0 41,086
(325) PEARSON MD SUSAN E........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     651,252 0 82,337
(326) PETERSON MD JEFFREY J........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     692,886 0 46,282
(327) PRESUTTI DO RICHARD J........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     487,916 0 70,920
(328) ROSS CHRISTOPHER J........................................................................
CHIEF INFORMATION OFFICER
 40.00
.......................0.00 		      X     688,118 0 81,170
(329) RYAN MICHAEL J........................................................................
CHAIR - IT
 40.00
.......................0.00 		      X     397,730 0 69,111
(330) SILVERS MD SCOTT M........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     409,555 0 72,094
(331) STEWART MD MICHAEL W........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     717,099 0 75,543
(332) TERKONDA MD SARVAM P........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     641,119 0 78,122
(333) THIEL MD DAVID D........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     563,259 0 64,867
(334) THIEMANN KAY M........................................................................
ASSOCIATE ADMINISTRATOR
 40.00
.......................0.00 		      X     208,395 0 57,456
(335) TRAUB MD STEPHEN J........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     402,735 0 78,660
(336) TRENTMAN MD TERRANCE L........................................................................
PHYSICIAN
 40.00
.......................0.00 		      X     548,999 0 77,871
(337) ZWYGART AMY M........................................................................
VICE CHAIR NURSING
 40.00
.......................0.00 		      X     236,108 0 29,360
(338) DE LEEUW DDS MD KAREL A........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,736,800 0 16,632
(339) PEREZ MD EDUARDO J........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,136,327 0 71,276
(340) QUINONES-HINOJOSA MD ALFREDO........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,150,492 0 76,457
(341) WHAREN MD ROBERT E........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,145,893 0 31,965
(342) WIECHMANN MD ROBERT J........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,245,134 0 92,341
(343) BANTLE DO CHARLES........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 212,841 0 70,549
(344) BLAIR MD DAVID........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 267,555 0 84,549
(345) BROWN MARIE E........................................................................
FORMER OFFICER
 0.00
.......................40.00 		          X 0 332,209 29,029
(346) CHRISTIAN GLENN P........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 186,921 0 51,891
(347) GRABOW PETER J........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 155,352 0 47,688
(348) HORECKI MD RICHARD J........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 313,281 0 86,548
(349) JOHNSON KRISTIN S........................................................................
FORMER OFFICER
 0.00
.......................40.00 		          X 0 196,894 52,302
(350) KETCHAM MD JEFFREY M........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 699,059 0 82,981
(351) KRATT LUANNE........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 118,879 0 28,252
(352) KUTCHER MD GREGORY R........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 544,695 0 77,870
(353) LANGE MD STEPHEN M........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 508,188 0 39,402
(354) LITCHY MD WILLIAM J........................................................................
FORMER OFFICER
 0.00
.......................40.00 		          X 0 358,865 27,111
(355) LUBINSKY JEANENNE M........................................................................
FORMER OFFICER
 0.00
.......................40.00 		          X 0 182,784 63,327
(356) MATHEWS HILARY G........................................................................
FORMER OFFICER
 0.00
.......................40.00 		          X 0 340,625 90,919
(357) MILLER MD ROBERT C........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 649,690 0 75,328
(358) MYERS MD DAVID A........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 242,476 0 88,384
(359) PAIGE SR KEVIN A........................................................................
FORMER OFFICER
 0.00
.......................40.00 		          X 0 474,853 83,001
(360) PASTERNACK MD MORRIS........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 292,837 0 35,746
(361) ROCK MD MICHAEL G........................................................................
FORMER OFFICER
 0.00
.......................40.00 		          X 0 649,590 27,977
(362) SAATHOFF BARBARA L........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 209,474 0 67,710
(363) STAHL MD DANIEL R........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 222,180 0 73,212
(364) STENSVOLD BEVERLY A........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 133,466 0 45,167
(365) WALDHOFF STEPHEN C........................................................................
FORMER OFFICER
 0.00
.......................40.00 		          X 0 296,885 30,302
(366) WEINDORFER MD JASON J........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 227,423 0 59,471
(367) ANGSTMAN MD GREGORY L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 262,561 0 67,115
(368) BARFKNECHT GLEN A........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 135,100 0 42,958
(369) BARNES MD DARRYL E........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 352,889 0 69,530
(370) BLOMQUIST MD KARL L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 248,812 0 84,931
(371) BYGD MARY R........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 176,604 0 32,878
(372) CALAMIA MD KENNETH T........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 215,797 0 56,224
(373) CASEY MICHAEL A........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................40.00 		          X 0 158,464 51,591
(374) COLLIER DPM ROBERT L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 298,782 0 80,283
(375) CROFT CHERYL R........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 227,461 0 69,593
(376) DEYO-SVENDSEN MD MARK E........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 309,636 0 76,219
(377) DILLON KEVIN R........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................40.00 		          X 0 230,603 68,788
(378) DOUGLAS MD DAVID D........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 654,472 0 80,580
(379) ECKSTROM MD MICHAEL T........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 1,104,371 0 81,473
(380) EVERSMAN MD WILLIAM G........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 738,490 0 51,909
(381) FOSKO MD SCOTT W........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 861,478 0 83,122
(382) FOWL MD RICHARD J........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 633,893 0 83,544
(383) FRASER CATHRYN H........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 762,051 0 79,927
(384) GADE CHRIS W........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 350,134 0 68,651
(385) GOINS MD JENNIFER L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 519,767 0 65,258
(386) GROSSET JESSICA A........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 347,280 0 36,506
(387) GROVER DO MICHAEL L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 273,529 0 74,310
(388) GRZYBOWSKI MD JOHN A........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 366,460 0 72,780
(389) HAROLD MD KRISTI L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 528,592 0 52,302
(390) HATTRUP MD STEVEN J........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 795,920 0 33,371
(391) HAYDEN MD RICHARD E........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 630,772 0 25,258
(392) HELLSTERN DAVID A........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 184,374 0 54,073
(393) HUANG MD ALLEN T........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 535,405 0 84,800
(394) IVANCE MD DAVID W........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 768,876 0 76,803
(395) KATTEL MD SHARMA B........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 200,178 0 54,026
(396) KEAVENY MD ANDREW P........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 627,155 0 74,484
(397) KOWAL DO GERALD K........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 319,483 0 75,753
(398) LOMBARDI MD JOSEPH M........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 355,821 0 80,644
(399) LYONS MD MARK K........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 1,114,266 0 79,243
(400) MAGTIBAY MD PAUL M........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 631,250 0 72,237
(401) MCNEILL STEVEN L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 437,958 0 36,938
(402) MESA MD RUBEN A........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 370,762 0 59,718
(403) MESCHIA MD JAMES F........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 343,967 0 68,906
(404) MONEY MD SAMUEL R........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 615,486 0 75,000
(405) MORRISSEY MD JOHN E........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 650,216 0 72,125
(406) MUELLER MD JEFF T........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 544,246 0 58,705
(407) MULET MD MIGUEL E........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 550,669 0 84,920
(408) NESSE MD ROBERT E........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 1,016,284 0 32,849
(409) NOLTE DO CHARLES P........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 873,755 0 66,639
(410) NORDAHL MD THOMAS W........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 517,219 0 79,338
(411) NORDENG RODNEY L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................1.00 		          X 135,380 70,455 55,644
(412) RADEMACHER MD DANA E........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 854,832 0 67,448
(413) REEVES MD ANDREW L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 271,389 0 81,207
(414) ROTTY BRIAN W........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 229,454 0 66,031
(415) SANDHOFER MD CHARLES R........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 299,328 0 80,902
(416) SCHEFFEL JEFFREY G........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 185,442 0 26,492
(417) SCHILD MD STEVEN E........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 654,798 0 62,551
(418) SCHULZ MD JODI L........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 515,026 0 79,723
(419) SIRVEN MD JOSEPH I........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 358,854 0 74,214
(420) SLEGH KERI A........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 174,304 0 52,958
(421) SMITH MD A DON........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 107,595 0 33,848
(422) SNEIDERS MD ALEX........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 391,852 0 84,705
(423) STEVENS MD MARK K........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 1,021,910 0 84,850
(424) SWANSON MD SCOTT K........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 596,787 0 57,978
(425) TAZELAAR MD HENRY D........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 517,578 0 80,825
(426) TURNA MD TARLOCHAN S........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 238,407 0 89,822
(427) ULRICH MD MICHAEL D........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 329,895 0 82,779
(428) UY MD JONATHAN J........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 668,195 0 70,177
(429) WILLIAMS MD HUGH J........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 611,561 0 31,368
(430) YOUNG DO NATHAN P........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................40.00 		          X 0 319,081 74,035
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 112,652,574 29,867,312 20,689,093
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet7,117
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MAYO CLINIC

200 FIRST STREET SW
ROCHESTER,MN55905 		MEDICAL & SUPPORT SERVICES 105,826,855
RIGHT SOURCING INC

2 EXECUTIVE CIRCLE STE 210
IRVINE,CA92614 		WORKFORCE SUPPORT SERVICES 101,017,702
MORRISON MANAGEMENT SPECIALIST

400 NORTHRIDGE RD STE 600
SANDY SPRINGS,GA30350 		FOOD SERVICES 45,054,783
DELOITTE CONSULTING LLP

4022 SELLS DR
HERMITAGE,TN37076 		CONSULTING SERVICES 33,852,256
KNUTSON CONSTRUCTION CO INC

5500 WAYZATA BLVD STE 300
MINNEAPOLIS,MN55416 		CONSTRUCTION SERVICES 24,011,708
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1,112
Form 990 (2017)
Form 990 (2017)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 15,000
b Membership dues..1b 6,263
c Fundraising events..1c 48,716
d Related organizations1d 1,062,363,415
e Government grants (contributions)1e 61,452,536
f All other contributions, gifts, grants, and similar amounts not included above1f 34,936,920
g Noncash contributions included in lines 1a - 1f:$ 52,480
h Total.Add lines 1a-1f.......MediumBullet 1,158,822,850
Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 620000 7,599,801,504 7,581,711,026 18,090,478  
b SHARED SERVICES 561000 2,033,177,142 2,024,073,099 6,351,339 2,752,704
c ROYALTY REVENUE 541900 69,348,422 69,348,422    
d EDUCATION REVENUE 611600 21,135,930 21,135,930    
e RESEARCH REVENUE 541700 1,338,946 1,304,946 34,000  
f All other program service revenue . 34,260 34,260    
g Total.Add lines 2a–2f....MediumBullet 9,724,836,204
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 117,762,714   -1,861,508 119,624,222
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents 382,404 4,287,324
b Less: rental expenses 298,192 942,884
c Rental income or (loss) 84,212 3,344,440
d Net rental income or (loss)......MediumBullet 3,428,652   84,212 3,344,440
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 10,567,426 4,029,303
b Less: cost or other basis and sales expenses 10,640,356 3,188,056
c Gain or (loss) -72,930 841,247
d Net gain or (loss).....MediumBullet 768,317     768,317
8a Gross income from fundraising events (not including $ 48,716of contributions reported on line 1c). See Part IV, line 18 ....
a 156,593
b Less: direct expenses ...b 186,182
c Net income or (loss) from fundraising events..MediumBullet -29,589   -29,589
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 6,255
b Less: direct expenses ...b 5,592
c Net income or (loss) from gaming activities..MediumBullet 663     663
10a Gross sales of inventory, less
returns and allowances ..
a 6,203,247
b Less: cost of goods sold ..b 2,631,383
c Net income or (loss) from sales of inventory..MediumBullet 3,571,864   1,325,077 2,246,787
Business Code Miscellaneous Revenue
11a CAFETERIA/VENDING 722310 26,019,035 25,498,718 520,317  
b MISC. REVENUE 900099 12,886,211 11,467,749 307,806 1,110,656
c MISC. CONSULTING 541610 3,642,154 56,087 3,195,144 390,923
d All other revenue .... 2,733,990 946,738 551,699 1,235,553
e Total. Add lines 11a–11d ...... MediumBullet 45,281,390
12 Total revenue. See Instructions......MediumBullet 11,054,443,065 9,735,576,975 28,598,564 131,444,676
Form 990 (2017)
Form 990 (2017)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 1,464,808,043 1,464,808,043
2 Grants and other assistance to domestic individuals. See Part IV, line 22 1,975,510 1,975,510
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16. 131,068 131,068
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 82,715,184 51,507,243 31,207,941  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 48,216,122 40,292,852 7,702,961 220,309
7 Other salaries and wages 3,110,170,200 2,637,483,954 471,586,257 1,099,989
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 225,567,437 191,179,622 34,308,070 79,745
9 Other employee benefits ....... 487,876,484 413,806,536 73,897,266 172,682
10 Payroll taxes ........... 226,456,172 192,089,377 34,286,625 80,170
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 8,040,222 620,839 7,419,383  
c Accounting ........... 2,364,093 355,262 2,007,116 1,715
d Lobbying ........... 1,817,383 1,817,383    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 40,485   40,485  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 2,146,628,306 1,623,466,378 522,808,231 353,697
12 Advertising and promotion .... 12,657,946 1,508,989 11,148,957  
13 Office expenses ....... 529,183,806 482,517,620 46,505,357 160,829
14 Information technology ...... 180,374,674 27,870,493 152,504,181  
15 Royalties .. 17,330,994 428,632 16,901,797 565
16 Occupancy ........... 113,304,442 42,521,346 70,779,500 3,596
17 Travel ............ 43,003,069 34,359,990 8,635,417 7,662
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 3,377,889 2,920,395 456,528 966
20 Interest ........... 9,610,095 7,700,502 1,909,593  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 362,412,145 274,817,967 87,594,178  
23 Insurance ... 17,962,930 16,951,877 1,011,053  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 1,076,405,581 1,076,405,581    
b BAD DEBT EXPENSE 159,501,679 158,546,841 954,838  
c UNRELATED BUSINESS TAX 1,035,120 1,035,120    
d MEDICAID SURCHARGE 53,177,837 53,177,837    
e All other expenses 74,609,256 61,380,533 13,224,566 4,157
25 Total functional expenses. Add lines 1 through 24e 10,460,754,172 8,861,677,790 1,596,890,300 2,186,082
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2017)
Form 990 (2017)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 576,009,180 1 576,047,758
2 Savings and temporary cash investments ......... 2,340,231 2 2,484,603
3 Pledges and grants receivable, net ...... 90,754,738 3 122,856,651
4 Accounts receivable, net ............. 1,320,672,460 4 1,454,334,086
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6  
7 Notes and loans receivable, net .... 268,420,880 7 264,315,055
8 Inventories for sale or use ........ 119,353,811 8 111,812,905
9 Prepaid expenses and deferred charges ...... 55,632,292 9 52,331,870
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 6,580,519,844
b Less: accumulated depreciation 10b 3,527,564,821 2,986,565,159 10c 3,052,955,023
11 Investments—publicly traded securities . 160,674,051 11 205,455,555
12 Investments—other securities. See Part IV, line 11 ..... 1,705,971,116 12 1,868,929,565
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14 253,818
15 Other assets. See Part IV, line 11 ........... 2,588,197,849 15 3,093,511,223
16 Total assets. Add lines 1 through 15 (must equal line 34)... 9,874,591,767 16 10,805,288,112
Liabilities 17 Accounts payable and accrued expenses ..... 1,481,787,533 17 1,613,460,235
18 Grants payable ...   18  
19 Deferred revenue ......... 33,240,452 19 37,453,586
20 Tax-exempt bond liabilities ......... 374,030,206 20 370,411,048
21 Escrow or custodial account liability. Complete Part IV of Schedule D 32,123,948 21 30,422,207
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties .. 14,167,166 23 13,579,972
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 2,281,087,087 25 2,425,309,227
26 Total liabilities. Add lines 17 through 25.. 4,216,436,392 26 4,490,636,275
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 5,198,733,407 27 5,760,371,220
28 Temporarily restricted net assets ........... 210,942,094 28 296,801,922
29 Permanently restricted net assets 248,479,874 29 257,478,695
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 5,658,155,375 33 6,314,651,837
34 Total liabilities and net assets/fund balances ........ 9,874,591,767 34 10,805,288,112
Form 990 (2017)
Form 990 (2017)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
11,054,443,065
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
10,460,754,172
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
593,688,893
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
5,658,155,375
5
Net unrealized gains (losses) on investments ...............
5
78,613,128
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-15,805,559
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
6,314,651,837
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2017)
Form 990 (2017)
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