PART I, LINES 4A-C |
IN CONJUNCTION WITH SEPARATION OF EMPLOYMENT, JOAN A. WEBER RECEIVED SEVERANCE OF $182,873 AND A HEALTH CARE SUPPLEMENT OF $7,176. BOTH AMOUNTS ARE TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). LEGAL FEES WERE PAID TO THE EMPLOYEE'S ATTORNEY AND REPORTED ON A 1099. THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). AGERTER M.D., DAVID C. $ 30,509 AMMASH M.D., NASER M. $ 89,600 BERRY M.D., DANIEL J. $124,730 BOLTON, JEFFREY W. $298,130 BROWN M.D., MICHAEL J. $ 63,560 BUSKIRK M.D., STEVEN J. $ 95,216 CALLSTROM M.D., MATTHEW R. $121,078 CAMILLERI M.D., MICHAEL $112,803 CIMA M.D., ROBERT R. $ 69,981 CLARK, LEON G. $ 51,367 CLARKE M.D., MICHELLE J. $120,060 DAHLEN, DENNIS E. $123,517 DIASIO M.D., ROBERT B. $131,376 DIDEHBAN, ROSHANAK $ 21,874 DOWDY M.D., SEAN C. $ 61,100 FARRUGIA M.D., GIANRICO $539,974 FRANCIS, JAMES R. $ 45,768 FRANK M.D., IGOR $ 55,994 FROISLAND, JEFFREY R. $ 12,238 GAZELKA M.D., HALENA M. $ 21,500 GERTZ M.D., MORIE A. $ 83,294 GORES M.D., GREGORY J. $190,038 GORMAN, PAUL A. $ 98,574 GOSTOUT M.D., BOBBIE S. $331,443 GRAY M.D., RICHARD J. $172,924 GREENE M.D., EDDIE L. $ 28,232 HADAWAY, CHERYL J. $ 73,809 HAEFLINGER, RICKY J. $ 23,618 HARPER JR., M.D., CHARLES M. $263,668 HAYES M.D., DAVID L. $107,159 HAYES M.D., SHARONNE N. $ 78,790 HEBL M.D., JAMES R. $112,146 HOFFMAN III, HARRY N. $130,740 HORLOCKER M.D., TERESE T. $ 61,042 HUBERT, SHERRY L. $ 6,224 KENDRICK M.D., MICHAEL L. $ 53,116 KHAN M.D., AMIR R. $ 63,908 KHAN, RITA G. $ 0 KRAHN M.D., LOIS E. $ 43,512 KRAUSS M.D., WILLIAM E. $241,241 LANZINO M.D., GIUSEPPE $180,091 LEIBOVICH M.D., BRADLEY C. $ 81,183 LOFTUS M.D., CONOR G. $ 70,452 LUCCHINETTI M.D., CLAUDIA F. $ 33,496 LUETMER M.D., PATRICK H. $105,468 MARSH M.D., W. RICHARD $220,079 MCLAUGHLIN M.D., SARAH A. $ 36,811 MENKOSKY, PAULA E. $127,314 MEYER M.D., FREDRIC B. $222,688 MORICE M.D., WILLIAM G. $ 77,298 MURPHY, JOSHUA B. $179,399 NARR M.D., BRADLY J. $ 64,466 NESSE M.D., ROBERT E. $138,743 OKUNO M.D., SCOTT H. $ 63,134 OTLEY M.D., CLARK C. $149,944 PETERS M.D., STEVE G. $ 64,512 PICHELMANN M.D., MARK A. $117,186 RIHAL M.D., CHARANJIT S. $111,499 SANTRACH M.D., PAULA J. $ 50,200 SHAH M.D., VIJAY $103,595 THIELEN M.D., KENT R. $229,602 UHLENKAMP, SUSAN M. $ 13,705 WALD M.D., JOHN T. $102,668 WARNER M.D., MARK A. $ 69,487 WEBER, JOAN A. $ 23,210 WHITED M.D., BRIAN L. $ 54,821 WILLIAMS M.D., AMY W. $ 79,766 WILLIAMSON, MARY J. $144,641 ZORN, CHRISTINA K. $ 83,531 UNDER MAYO CLINIC'S ROYALTY SHARING POLICY, INVENTORS, INCLUDING LISTED PERSONS, ARE ENTITLED TO SHARE IN A PORTION OF ROYALTIES RECEIVED BY MAYO INCLUDING INSTANCES WHERE SUCH ROYALTIES ARE IN THE FORM OF EQUITY-BASED INSTRUMENTS SUCH AS STOCK, WARRANTS, OR PARTNERSHIP INTERESTS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN EQUITY-BASED COMPENSATION ARRANGEMENT: CAMILLERI M.D., MICHAEL FARRUGIA M.D., GIANRICO MEYER M.D., FREDRIC B. PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. |