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Object ID: 202213189349304741 - Rendered 2024-04-29
TIN: 41-6011702
Form
990
Department of the Treasury
Internal 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)
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
A
For the 2021 calendar year, or tax year beginning
01-01-2021
, and ending
12-31-2021
B
Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C
Name of organization
MAYO CLINIC
Doing business as
Number and street (or P.O. box if mail is not delivered to street address)
200 FIRST STREET SW TAX
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ROCHESTER
,
MN
55905
D Employer identification number
41-6011702
E Telephone number
G
Gross receipts $
13,663,012,552
F
Name and address of principal officer:
GIANRICO FARRUGIA MD
200 FIRST STREET SW TAX
ROCHESTER
,
MN
55905
I
Tax-exempt status:
501(c)(3)
501(c)
(
)
(insert no.)
4947(a)(1)
or
527
J
Website:
WWW.MAYOCLINIC.ORG
H(a)
Is this a group return for
subordinates?
Yes
No
H(b)
Are all subordinates
included?
Yes
No
If "No," attach a list. See instructions.
H(c)
Group exemption number
5983
K
Form of organization:
Corporation
Trust
Association
Other
L
Year of formation:
1919
M
State of legal domicile:
MN
Part I
Summary
1
Briefly describe the organization’s mission or most significant activities:
PATIENT CARE, RESEARCH AND EDUCATION
2
Check this box
3
Number of voting members of the governing body (
Part VI
, line 1a)
........
3
28
4
Number of independent voting members of the governing body (
Part VI
, line 1b)
.....
4
16
5
Total number of individuals employed in calendar year 2021 (
Part V
, line 2a)
......
5
27,619
6
Total number of volunteers (estimate if necessary)
.............
6
653
7a
Total unrelated business revenue from
Part VIII
, column (C), line 12
........
7a
950,291,461
b
Net unrelated business taxable income from Form 990-T, Part I, line 11
.........
7b
162,044,886
Prior Year
Current Year
8
Contributions and grants (
Part VIII
, line 1h)
.........
2,422,520,612
2,825,326,266
9
Program service revenue (
Part VIII
, line 2g)
.........
3,743,006,635
4,089,305,003
10
Investment income (
Part VIII
, column (A), lines 3, 4, and 7d )
....
494,073,596
1,021,883,730
11
Other revenue (
Part VIII
, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
40,499,808
56,726,005
12
Total revenue—add lines 8 through 11 (must equal
Part VIII
, column (A), line 12)
6,700,100,651
7,993,241,004
13
Grants and similar amounts paid (
Part IX
, column (A), lines 1–3 )
...
517,707,005
540,559,805
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)
2,713,116,544
2,842,196,781
16a
Professional fundraising fees (
Part IX
, column (A), line 11e)
.....
513,347
617,878
b
Total fundraising expenses (
Part IX
, column (D), line 25)
45,604,347
17
Other expenses (
Part IX
, column (A), lines 11a–11d, 11f–24e)
....
2,306,475,790
2,389,744,925
18
Total expenses. Add lines 13–17 (must equal
Part IX
, column (A), line 25)
5,537,812,686
5,773,119,389
19
Revenue less expenses. Subtract line 18 from line 12
.......
1,162,287,965
2,220,121,615
Beginning of Current Year
End of Year
20
Total assets (
Part X
, line 16)
.............
16,528,218,881
20,543,802,362
21
Total liabilities (
Part X
, line 26)
.............
10,991,681,283
10,166,049,837
22
Net assets or fund balances. Subtract line 21 from line 20
.....
5,536,537,598
10,377,752,525
Part II
Signature Block
Sign Here
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.
Signature of officer
Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
Check
if
self-employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions)
..........
Yes
No
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form
990
(2021)
Form 990 (2021)
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?
.....................
Yes
No
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?
...........................
Yes
No
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 $
3,609,939,156
including grants of $
473,885,845
) (Revenue $
4,092,205,968
)
PATIENT CARE (SEE SCHEDULE O FOR DESCRIPTION)PATIENT CARE:MAYO CLINIC IS AN INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE. ITS STANDARD OF CARE BRINGS TOGETHER TEAMS OF EXPERTS TO PROVIDE HIGH-QUALITY, AFFORDABLE AND COMPASSIONATE CARE TO EACH PATIENT CONSISTENT WITH MAYO CLINIC'S PRIMARY VALUE - THE NEEDS OF THE PATIENT COME FIRST. MAYO CLINIC'S MISSION IS 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. MAYO CLINIC'S HERITAGE OF COLLABORATIVE MEDICAL EXPERTISE IS COMBINED WITH CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS, RESULTING IN A THOROUGH AND PERSONAL APPROACH TO HEALTH CARE.PATIENT CARE ADVANCED THROUGH EDUCATION AND RESEARCH IS THE FOUNDATION OF MAYO CLINIC'S MISSION. TO ACCOMPLISH ITS MISSION, MAYO CLINIC NOT ONLY PROVIDES A VARIETY OF PROGRAMS IN DIRECT PATIENT CARE, MEDICAL EDUCATION AND RESEARCH, BUT ALSO SERVES AS THE PARENT ORGANIZATION OF A MULTI-ENTITY ORGANIZATION CONSISTING OF HOSPITALS, CLINICS, HEALTH CARE PROVIDERS AND OTHER ENTITIES PROVIDING HEALTH CARE-RELATED SERVICES AND KNOWLEDGE DELIVERY TO THE PUBLIC THROUGHOUT THE WORLD. IN ROCHESTER, MAYO CLINIC WORKS COLLABORATIVELY WITH MAYO CLINIC HOSPITAL - ROCHESTER, AN AFFILIATED ENTITY COMPRISED OF SAINT MARYS CAMPUS AND METHODIST CAMPUS TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY.MAYO CLINIC IS ALSO THE SOLE MEMBER OF MAYO CLINIC ARIZONA AND MAYO CLINIC JACKSONVILLE WHICH PROVIDE SERVICES TO PATIENTS IN THE SOUTHWEST AND SOUTHEAST REGIONS OF THE UNITED STATES. IN THE MIDWEST, MAYO CLINIC HEALTH SYSTEM SERVES COMMUNITIES IN MINNESOTA, WISCONSIN, AND IOWA THROUGH A NETWORK OF COMMUNITY-BASED PHYSICIANS TO PROVIDE QUALITY HEALTH CARE CLOSE TO HOME, AND ALSO SUPPORTED BY THE HIGHLY SPECIALIZED EXPERTISE AND RESOURCES OF MAYO CLINIC.UTILIZING COMMON GOVERNANCE, SHARED SYSTEMS AND STANDARDIZED POLICIES AND PROCEDURES WHENEVER POSSIBLE, MAYO CLINIC STRIVES TO PROVIDE CONSISTENT, HIGH QUALITY HEALTH CARE SERVICES AND KNOWLEDGE DELIVERY WITHIN EVERY ASPECT OF CARE. A 31-MEMBER BOARD OF TRUSTEES COMPRISED OF A MAJORITY OF PUBLIC MEMBERS ALONG WITH MAYO PHYSICIANS AND ADMINISTRATORS ENSURE THE ENTIRE ORGANIZATION REMAINS TRUE TO ITS MISSION AND CULTURE OF PROVIDING FOR THE HEALTH CARE NEEDS OF THE PUBLIC RATHER THAN FOR PRIVATE BENEFIT. MAYO CLINIC HAS REINFORCED ITS LEADERSHIP IN PATIENT CARE, RESEARCH AND EDUCATION TO DRIVE FORWARD THE TRANSFORMATION OF HEALTH CARE OVER THE NEXT DECADE. WITH DIGITAL INNOVATIONS AND NEW TECHNOLOGIES, MAYO CLINIC IS MOVING QUICKLY TO EXTEND ITS COMPASSIONATE CARE, EXPERTISE AND RESEARCH, AND IS REINVESTING IN PEOPLE AND FACILITIES IN THE COMMUNITIES IT SERVES. MAYO CLINIC HAS ACCELERATED ITS INVESTMENT IN THE DIGITAL TRANSFORMATION OF HEALTH CARE, AS PART OF ITS 2030 STRATEGY TO TRANSFORM PATIENT AND CLINICIAN EXPERIENCES AND SOLVE HUMANITY'S MOST COMPLEX MEDICAL CHALLENGES. MAYO CLINIC REMAINS TOP-RANKED IN QUALITY MORE THAN ANY OTHER HEALTH CARE ORGANIZATION BY INDEPENDENT GROUPS, SUCH AS THE NURSING MAGNET RECOGNITION PROGRAM, PRESS GANEY PATIENT EXPERIENCE AWARDS, THE CENTERS FOR MEDICARE & MEDICAID SERVICES OVERALL HOSPITAL QUALITY STAR RATINGS, LEAPFROG HOSPITAL SAFETY SURVEY AND THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM. FOR THE 2021-2022 PERIOD, MAYO CLINIC WAS AGAIN RANKED AS HAVING THE NO. 1 HOSPITAL IN THE NATION (MAYO CLINIC HOSPITAL-ROCHESTER) AND TOP-RANKED IN 14 SPECIALTIES BY U.S. NEWS & WORLD REPORT.MAYO CLINIC OFFERS BOTH SPECIALTY AND PRIMARY CARE IN ITS COMMUNITY PRACTICES AND MAINTAINS A POPULATION HEALTH OFFICE. IT IS THE CHARGE OF MAYO'S POPULATION HEALTH COMMITTEE TO TRANSFORM THE WAY COMMUNITY CARE IS DELIVERED AND IMPROVE PATIENT OUTCOMES WHILE REDUCING THE OVERALL TOTAL COST OF CARE. POPULATION HEALTH AT MAYO COORDINATES EXISTING PRACTICE MODELS WITH TRANSFORMATIONAL INITIATIVES TO BETTER ENGAGE PATIENTS, KEEP THEM HEALTHY, SUPPORT PATIENT WELLNESS GOALS AND HELP PATIENTS TO BETTER MANAGE CHRONIC ILLNESSES. THE PRACTICE CHANGE INITIATIVES DEVELOPED, TESTED AND IMPLEMENTED THROUGH THE MAYO MODEL OF COMMUNITY CARE (MMOCC) ARE AIMED AT IMPROVING THE QUALITY OF LIFE FOR PATIENTS, REDUCING OVERALL HEALTH CARE COSTS AND BUILDING A SUSTAINABLE PRACTICE MODEL THAT TRULY SUPPORTS THE NEEDS OF COMMUNITY PATIENTS.THROUGH MAYO CLINIC'S CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE, MAYO CLINIC COLLABORATES WITH DIVERSE COMMUNITY MEMBERS TO HELP COMMUNITY MEDICAL PROVIDERS INCORPORATE PRACTICE-BASED AND RESEARCH-BASED KNOWLEDGE TO IMPROVE OVERALL COMMUNITY HEALTH OUTCOMES AND ELIMINATE HEALTH DISPARITIES. EACH YEAR, PEOPLE FROM ALL 50 STATES AND APPROXIMATELY 139 COUNTRIES COME TO MAYO CLINIC FOR CARE. DURING 2021, MAYO CLINIC PROVIDED SERVICES TO APPROXIMATELY 473,000 OUTPATIENT VISITORS. TOTAL PATIENT VISITS FOR MAYO CLINIC AND ITS AFFILIATES DURING 2021 WERE APPROXIMATELY 1.4 MILLION. MAYO CLINIC PROVIDES CARE TO PEOPLE COVERED BY GOVERNMENTAL PROGRAMS SUCH AS MEDICARE AND MEDICAID, AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. IN 2021, THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICAID AND MINNESOTA CARE (A PROGRAM THAT PROVIDES MEDICAL ASSISTANCE FOR LOW INCOME POPULATIONS) WAS APPROXIMATELY $262,500,000. THIS AMOUNT INCLUDES APPROXIMATELY $41,900,000 PAID TO MINNESOTACARE. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $1,122,400,000 AND THE COST OF CHARITY CARE PROVIDED IN 2021 WAS APPROXIMATELY $13,500,000.IN 2021, WITH SYSTEM-WIDE REVENUES OF $15.7 BILLION, MAYO CLINIC AND ITS AFFILIATES PROVIDED $650 MILLION IN CARE TO PEOPLE IN NEED. THIS TOTAL INCLUDES $49 MILLION IN CHARITY CARE AND $601 MILLION IN UNPAID PORTIONS OF MEDICAID AND OTHER INDIGENT CARE PROGRAMS FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED. MAYO ALSO PROVIDED $2.6 BILLION IN UNPAID PORTIONS OF MEDICARE AND OTHER SENIOR PROGRAMS. APPROXIMATELY 56 PERCENT OF MAYO'S TOTAL MEDICAL SERVICES PROVIDED ARE FOR MEDICARE AND MEDICAID PATIENTS. MAYO CLINIC AND ITS AFFILIATES CONTRIBUTED MORE THAN $13 MILLION IN CASH AND IN-KIND DONATIONS TO LOCAL COMMUNITIES. THE MAYO CLINIC CARE NETWORK CONSISTS OF INDEPENDENT HEALTH-CARE ORGANIZATIONS THAT SHARE A COMMON GOAL OF IMPROVING DELIVERY OF HEALTH CARE IN THEIR COMMUNITIES THROUGH HIGH-QUALITY, DATA DRIVEN AND EVIDENCE BASED MEDICAL CARE. MEMBERS OF THE NETWORK HAVE ACCESS TO MAYO CLINIC KNOWLEDGE, COLLABORATION TOOLS, DISEASE MANAGEMENT PROTOCOLS, CLINICAL CARE GUIDELINES, TREATMENT RECOMMENDATIONS, PATIENT EDUCATION MATERIALS AND CONTINUING MEDICAL EDUCATION OPPORTUNITIES. THE MAIN GOAL OF THE NETWORK IS TO HELP PEOPLE GAIN THE BENEFITS OF MAYO CLINIC EXPERTISE WITHOUT HAVING TO TRAVEL TO A MAYO CLINIC FACILITY. FOR 2021, THE MAYO CLINIC CARE NETWORK CONSISTED OF APPROXIMATELY 46 MEMBERS LOCATED IN THE UNITED STATES, CHINA, EGYPT, INDIA, MEXICO, SAUDI ARABIA, AND THE UNITED ARAB EMIRATES. THROUGH THE MAYO CLINIC CARE NETWORK, MORE THAN 15 MILLION PATIENTS AND CARE TEAMS HAVE ACCESS TO MAYO CLINIC KNOWLEDGE, CLINICAL PROTOCOLS AND CONSULTATIONS VIA MAYO'S CONNECTED CARE PLATFORM.HEALTH INFORMATION IS VIEWED AS AN IMPORTANT PART OF MAYO CLINIC'S PATIENT CARE MISSION. MAYO CLINIC, IN CONJUNCTION WITH ITS AFFILIATES, PROVIDES A VARIETY OF HEALTH INFORMATION RESOURCES (BOOKS, NEWSLETTER, ON-LINE CONTENT, ETC.) TO PATIENTS, CONSUMERS AND THE GENERAL PUBLIC.MAYO CLINIC'S SOCIAL MEDIA NETWORK IS A NETWORK OF HEALTH CARE ORGANIZATIONS, HOSPITALS AND MEDICAL PROFESSIONALS COMMITTED TO BROADER AND DEEPER ENGAGEMENT IN SOCIAL MEDIA TO HELP IMPROVE HEALTH CARE LITERACY, HEALTH CARE DELIVERY AND POPULATION HEALTH WORLDWIDE.MAYO CLINIC LIBRARIES REFLECT AN INTEGRATED SYSTEM OF LIBRARIES, KNOWLEDGE CENTERS AND ARCHIVES. THE BREADTH OF THESE RESOURCES AND THEIR INTEGRATION MAKES THE MAYO CLINIC LIBRARIES AMONG THE MOST COMPREHENSIVE IN NORTH AMERICA. THE LIBRARIES SUPPORT HOSPITALIZED PATIENTS AND THEIR FAMILIES, ALONG WITH SUPPORTING EMPLOYEES, RESEARCHERS, FACULTY AND STUDENTS IN THEIR CARE OF PATIENTS AND MEDICAL RESEARCH.COMMUNITY GIVING AND INVOLVEMENT IS A VALUE-DRIVEN PRIORITY AT MAYO CLINIC. QUALITY PATIENT CARE IS BEST ADVANCED WITHIN A VIBRANT LOCAL COMMUNITY, WITH STRONG SOCIETAL FOUNDATIONS, SUCH AS EDUCATION, HEALTH, INCLUSIVITY, A DIVERSE ECONOMY, SUPPORTIVE SOCIAL SERVICES, AND AMENITIES THAT MAKE ROCHESTER A DESIRABLE PLACE TO LIVE AND SUPPORT SOCIAL DETERMINANTS OF HEALTH. MAYO CLINIC'S COMMUNITY CONTRIBUTIONS PROGRAM PROVIDES FINANCIAL AND IN-KIND SUPPORT TO NON-PROFIT ORGANIZATIONS IN SUPPORT OF THESE EFFORTS.
4b
(Code:
) (Expenses $
794,252,067
including grants of $
41,207,067
) (Revenue $
26,082,394
)
MEDICAL RESEARCH (SEE SCHEDULE O FOR DESCRIPTION)MEDICAL RESEARCH:MAYO CLINIC IS ONE OF THE PREMIER MEDICAL RESEARCH ORGANIZATIONS IN THE WORLD. INNOVATION AND IMPROVEMENT OF SCIENCE AND THE DELIVERY OF HEALTH CARE ARE ENHANCED THROUGH MAYO CLINIC'S RESEARCH PROGRAMS. CLINICAL PRACTICE OBSERVATIONS BECOME THE BASIS FOR RESEARCH STUDIES AND THE FINDINGS FROM RESEARCH FLOW BACK INTO THE PRACTICE TO IMPROVE PATIENT CARE AND OUTCOMES. PHYSICIAN/RESEARCHERS AND CAREER SCIENTISTS' WORK IN TANDEM TO ADVANCE MEDICINE AND TO IMPROVE THE HEALTH AND WELLBEING OF NOT JUST MAYO CLINIC PATIENTS, BUT ALSO THE PUBLIC AT LARGE, AS THESE FINDINGS ARE DISSEMINATED WORLDWIDE.RESEARCH AT MAYO CLINIC INVOLVES MEDICAL PROFESSIONALS COMMITTED TO SEARCHING FOR ANSWERS TO COMPLEX MEDICAL PROBLEMS WITH THE GOAL OF BRINGING NEW SOLUTIONS AND ADVANCED CARE RAPIDLY TO PATIENTS THROUGHOUT THE WORLD. RESEARCH ACTIVITIES INCLUDE BASIC SCIENCE RESEARCH, CLINICAL TRIALS, TRANSLATIONAL RESEARCH AND HUMAN RESEARCH STUDIES. DURING 2021, MAYO CLINIC, IN CONJUNCTION WITH ITS AFFILIATES, HAD OVER 4,550 RESEARCH PERSONNEL, 22 CORE LABORATORIES, OVER 9,300 ACTIVE INSTITUTIONAL REVIEW BOARD-APPROVED HUMAN RESEARCH STUDIES, OVER 5,380 NEW HUMAN RESEARCH STUDIES APPROVED BY THE INSTITUTIONAL REVIEW BOARD AND MORE THAN 13,690 RESEARCH AND REVIEW ARTICLES PUBLISHED IN PEER-REVIEWED JOURNALS. MANY OF THESE PERSONNEL, LABORATORIES, STUDIES AND ARTICLES ARE LOCATED OR PERFORMED BY MAYO CLINIC IN ROCHESTER, MINNESOTA.DURING 2021, DUE TO THE COVID-19 PANDEMIC, MAYO CLINIC CONTINUTED TO REFOCUS MUCH OF ITS RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.FUNDING OF RESEARCH ACTIVITIES AT MAYO CLINIC COMES FROM GRANTS AND CONTRACTS AS WELL AS FROM MAYO FUNDS AND GIFTS FROM GENEROUS BENEFACTORS.
4c
(Code:
) (Expenses $
285,871,347
including grants of $
25,466,892
) (Revenue $
9,035,989
)
MEDICAL EDUCATION (SEE SCHEDULE O FOR DESCRIPTION)MEDICAL EDUCATION:MEDICAL EDUCATION, RESEARCH TRAINING, CONTINUOUS MEDICAL LIFE-LONG LEARNING AND A COMMITTED QUEST FOR NEW KNOWLEDGE ARE INTEGRAL FUNCTIONS OF MAYO CLINIC. OUR WORLD-RENOWNED EDUCATIONAL PROGRAMS INFORM, INSTRUCT, AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS AND OUR COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING. THESE PROGRAMS SPAN THE CONTINUUM OF HEALTH CARE AND ENSURE THE MAYO MODEL OF CARE IS PERPETUATED AND SHARED BROADLY. MAYO CLINIC IS COMMITTED TO PROVIDING USEFUL, TIMELY KNOWLEDGE AND SKILLS THAT REFLECT ITS STANDARDS OF EXCELLENCE AND ITS DEDICATION TO FINDING ANSWERS FOR UNMET PATIENT NEEDS: EDUCATING THE NEXT GENERATION OF PHYSICIANS, MEDICAL RESEARCHERS AND HEALTH PROFESSIONALS WITH TRANSFORMATIVE CURRICULA THAT FOCUSES NOT ONLY ON HELPING THE PATIENT, BUT ALSO IMPROVING THE HEALTH CARE SYSTEM;SHARING KNOWLEDGE AND INNOVATIVE BEST PRACTICES FREELY IN THE SPIRIT OF COLLABORATION TO ADVANCE THE SCIENCE OF MEDICINE AND THE ART OF COMPASSIONATE, PATIENT-CENTERED CARE;EMPOWERING PEOPLE TO MANAGE THEIR HEALTH THROUGH PATIENT EDUCATION AND SHARED DECISION-MAKING MEDICAL TRAINING;SPREADING MAYO'S MEDICAL EXPERTISE, EDUCATION AND RESEARCH FINDINGS THROUGHOUT THE WORLD TO IMPROVE HEALTH CARE FOR ALL.WORKING COLLABORATIVELY AT A NATIONAL LEVEL TO MODERNIZE AND TRANSFORM MEDICAL EDUCATION TO ADDRESS AREAS SUCH AS IMPROVING HEALTH CARE DELIVERY, PHYSICIAN BURN-OUT, POPULATION HEALTH ISSUES, AND TEAM-BASED CARE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE'S FIVE SCHOOLS: 1. MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION IS ONE OF THE NATION'S OLDEST AND LARGEST SCHOOLS OF GRADUATE MEDICAL EDUCATION WITH ANNUAL ENROLLMENT OF APPROXIMATELY 1,800 RESIDENT AND FELLOW PHYSICIANS IN TRAINING. THE SCHOOL TRAINS DOCTORS IN OVER 300 RESIDENCY AND FELLOWSHIP PROGRAMS, REPRESENTING VIRTUALLY EVERY MEDICAL SPECIALTY. IN ADDITION, MANY GRADUATES COMPLETE MAYO CLINIC QUALITY ACADEMY TRAINING - A CONCERTED EFFORT TO EDUCATE AND PREPARE TRAINEES TO CONTINUOUSLY EXPLORE WAYS TO IMPROVE PATIENT SAFETY, QUALITY CARE AND ELIMINATE HEALTH DISPARITIES. 2. MAYO CLINIC ALIX SCHOOL OF MEDICINE PROVIDES A FOUR-YEAR MEDICAL EDUCATION PROGRAM LEADING TO DOCTOR OF MEDICINE DEGREES AND JOINT MD/PH.D. DEGREES. THE SCHOOL HAS ANNUAL ENROLLMENT OF APPROXIMATELY 460 STUDENTS ON THE ROCHESTER, MINNESOTA; SCOTTSDALE, ARIZONA; AND JACKSONVILLE, FLORIDA CAMPUSES.THE INNOVATIVE AND TRANSFORMATIVE CURRICULUM OF MAYO CLINIC ALIX SCHOOL OF MEDICINE FOCUSES ON EDUCATING FUTURE PHYSICIAN LEADERS IN PATIENT-CENTERED, SCIENCE-DRIVEN, TEAM-BASED, HIGH VALUE HEALTH CARE. STUDENTS ACROSS ALL CAMPUSES ARE SOME OF THE FIRST NATIONWIDE TO TRAIN AND FIRST NATIONWIDE TO RECEIVE A SCIENCE OF HEALTH CARE DELIVERY CERTIFICATE IN ADDITION TO A MEDICAL DEGREE. THE INTEGRATED, TRANSFORMATIVE CURRICULUM IS PART OF AN INITIATIVE TO BETTER PREPARE STUDENTS FOR THE CHALLENGES OF DELIVERING PATIENT CARE IN A COMPLEX HEALTH CARE ENVIRONMENT. ADDITIONAL OFFERINGS AT THE SCHOOL INCLUDE VISITING MEDICAL STUDENT CLERKSHIP PROGRAMS AND SUMMER MINORITY MEDICAL STUDENT PROGRAMS. THE SCHOOL CULTIVATES STUDENTS TO CONTINUALLY PURSUE NEW KNOWLEDGE THROUGH DISCOVERY, TRANSLATION AND CLINICAL APPLICATION TO MEET THE NEEDS OF THEIR PATIENTS.THE MAYO CLINIC ALIX SCHOOL OF MEDICINE STUDENTS WAS RANKED NO. 11 IN THE NATION FOR THE BEST MEDICAL SCHOOL FOR RESEARCH FOR THE 2021-2022 PERIOD BY U.S. NEWS & WORLD REPORT. 3. MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES HAS A DISTINGUISHED HISTORY OF PREPARING STUDENTS FOR CAREERS AS COMPETITIVE BIOMEDICAL RESEARCH INVESTIGATORS. THE SCHOOL OFFERS MASTER'S AND DOCTORAL DEGREE PROGRAMS FOCUSING ON EIGHT BIOMEDICAL SPECIALTIES, AS WELL AS ONE OF THE FIRST INTERDISCIPLINARY PROGRAMS IN REGENERATIVE MEDICAL RESEARCH. THE SCHOOL IS A PIONEER IN EXPANDING RESEARCH TRAINING OPPORTUNITIES FOR STUDENTS FROM BACKGROUNDS UNDERREPRESENTED IN RESEARCH, INCLUDING VISITING PRE-DOCTORAL AND SUMMER UNDERGRADUATE RESEARCH PROGRAMS WHERE DIVERSE STUDENTS HAVE THE OPPORTUNITY TO WORK WITH WORLD-RENOWNED RESEARCHERS AT MAYO CLINIC CAMPUSES IN ARIZONA, FLORIDA AND MINNESOTA. THE MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES HAS AN ANNUAL ENROLLMENT OF APPROXIMATELY 350 STUDENTS.4. MAYO CLINIC SCHOOL OF HEALTH SCIENCES PREPARES THE ALLIED HEALTH CARE WORKFORCE OF THE FUTURE IN PROGRAMS RANGING FROM A 10-MONTH PHLEBOTOMY CERTIFICATE PROGRAM TO A DOCTORATE IN PHYSICAL THERAPY OR NURSE ANESTHESIA. THE MAYO CLINIC SCHOOL OF HEALTH SCIENCES HAS AN ANNUAL ENROLLMENT OF APPROXIMATELY 1,600 STUDENTS. WITH CAMPUSES IN MINNESOTA, FLORIDA AND ARIZONA, THE SCHOOL PREPARES STUDENTS IN OVER 140 PROGRAMS REPRESENTING 50 HEALTH SCIENCE AREAS. THE SCHOOL ALSO PROVIDES CLINICAL INTERNSHIPS FOR HUNDREDS OF AFFILIATED SCHOOLS. APPROXIMATELY 480 FACULTY MEMBERS ENSURE EVERY STUDENT RECEIVES EXTENSIVE PERSONALIZED TRAINING. 5. MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT PROVIDES A COMPREHENSIVE SELECTION OF APPROXIMATELY 540 CLINICAL, SURGICAL, ALLIED HEALTH AND RESEARCH COURSES, AS WELL AS PROGRAMS ON HEALTH CARE ISSUES, PRACTICE MANAGEMENT AND LEADERSHIP, TO HEALTH CARE PROFESSIONALS THROUGHOUT THE WORLD. PARTICIPANTS INCLUDE MAYO AND NON-MAYO ATTENDEES. MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE ALSO HAS INITIATED MAYO CLINIC EDUCATION PLATFORMS TO DEVELOP AND DELIVER ONLINE EDUCATIONAL OPPORTUNITIES FOR BROAD DISTRIBUTION OF CONTINUING MEDICAL EDUCATION, FACULTY DEVELOPMENT, STUDENT EDUCATION AND FUTURE PATIENT EDUCATION. VIDEO SEMINARS AND ONLINE LEARNING MODULES PROVIDE CONSISTENT KNOWLEDGE DELIVERY ACROSS MULTI-SPECIALTIES AND ALLOW FOR MORE INTERACTIVE FACULTY/STUDENT PARTICIPATION IN THE CLASSROOM SETTING. ONLINE LEARNING ALSO FACILITATES THE ABILITY FOR MAYO CLINIC TO SHARE AND EXPAND THE LATEST MEDICAL KNOWLEDGE AND INNOVATIVE LEARNING OPPORTUNITIES WITH OTHERS OUTSIDE MAYO CLINIC.ANOTHER INITIATIVE IMPLEMENTED THROUGH MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE IS THE OFFICE OF APPLIED SCHOLARSHIP AND EDUCATION SCIENCE (OASES). THIS INNOVATIVE OFFICE PROVIDES EXPERTISE AND SUPPORT IN FACULTY DEVELOPMENT, EDUCATION EVALUATION AND PRINCIPLES AND PRACTICES OF EDUCATION SCIENCE TO ENSURE THE HIGHEST QUALITY OF EDUCATION DELIVERY WITHIN EACH OF THE SCHOOLS WITHIN THE COLLEGE. THE COLLEGE HAS ALSO IMPLEMENTED AN ACADEMY OF EDUCATIONAL EXCELLENCE TO DEVELOP AND RECOGNIZE EDUCATORS TO BETTER PREPARE LEARNERS TO ADVANCE SCIENCE, MEET PATIENTS' NEEDS AND SERVE AS TRANSFORMATIVE LEADERS IN HEALTH CARE.AS PART OF ITS MEDICAL EDUCATION MISSION, MAYO CLINIC SPONSORS MAYO CLINIC PROCEEDINGS, A MONTHLY JOURNAL FOR PHYSICIANS AND OTHER MEDICAL PERSONNEL. THE JOURNAL IS PUBLISHED TO PROMOTE THE BEST INTERESTS OF PATIENTS BY ADVANCING THE KNOWLEDGE AND PROFESSIONALISM OF THE PHYSICIAN COMMUNITY. MAYO CLINIC PROCEEDINGS IS A PEER-REVIEWED CLINICAL JOURNAL IN GENERAL AND INTERNAL MEDICINE AND AMONG THE MOST WIDELY READ AND HIGHLY CITED SCIENTIFIC PUBLICATIONS FOR PHYSICIANS. MAYO CLINIC PROCEEDINGS HAS A CIRCULATION OF APPROXIMATELY 127,000 AND HAS BEEN CONTINUOUSLY PUBLISHED SINCE 1926. MAYO CLINIC PROCEEDINGS' CONTENT FOCUSES ON CLINICAL AND LABORATORY MEDICINE, HEALTH CARE POLICY AND ECONOMICS, MEDICAL EDUCATION AND ETHICS, AND RELATED TOPICS. ALL OF THESE EDUCATIONAL EFFORTS TO DISCOVER, DELIVER, EXPAND AND SHARE MEDICAL KNOWLEDGE PROMOTE MAYO'S CLINIC'S ABILITY TO PERPETUATE THE HIGHEST QUALITY AND SAFETY IN PATIENT CARE.
4d
Other program services (Describe in Schedule O.)
(Expenses $
including grants of $
) (Revenue $
)
4e
Total program service expenses
4,690,062,570
Form
990
(2021)
Form 990 (2021)
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 Rev. Proc. 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
Yes
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
No
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
Yes
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
Yes
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
No
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
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
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
Form
990
(2021)
Form 990 (2021)
Page
4
Part IV
Checklist of Required Schedules
(continued)
Yes
No
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
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons?
If "Yes," complete Schedule L,
Part II
...........
26
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L,
Part III
.........................
27
Yes
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L,
Part IV
instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor?
If "Yes," complete Schedule L,
Part IV
......................
28a
No
b
A family member of any individual described in line 28a?
If "Yes," complete Schedule L,
Part IV
.....
28b
Yes
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b?
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
Yes
31
Did the organization liquidate, terminate, or dissolve and cease operations?
If "Yes," complete Schedule N,
Part I
31
No
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
Yes
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 on 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
1,223
b
Enter the number of Forms W-2G included on 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
(2021)
Form 990 (2021)
Page
5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
(continued)
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
27,619
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:
GM
,
CJ
,
EI
,
MX
,
UK
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
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
..........................
7h
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
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?
........
9a
No
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?
...
9b
No
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 the instructions and file Form 4720, Schedule N.
15
Yes
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
No
17
Section 501(c)(21) organizations.
Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953?
..
If "Yes," complete Form 6069.
17
Form
990
(2021)
Form 990 (2021)
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
28
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
16
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
No
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
No
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
No
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
No
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 on 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 on 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
Yes
If "Yes" to line 15a or 15b, describe the process on 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 filed
AL
,
AK
,
AR
,
CA
,
CT
,
FL
,
GA
,
IL
,
IN
,
KS
,
KY
,
MD
,
MA
,
MI
,
MN
,
MS
,
NH
,
NJ
,
NY
,
NC
,
NM
,
OK
,
OR
,
PA
,
RI
,
TN
,
UT
,
VA
,
WV
,
WI
,
SD
,
SC
,
AZ
,
DE
,
HI
,
ID
,
IA
,
LA
,
ME
,
WA
,
WY
,
VT
,
TX
,
NE
,
NV
,
MO
,
MT
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
Own website
Another's website
Upon request
Other (explain in Schedule O)
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:
CORPORATE TAX
200 FIRST STREET SW
ROCHESTER
,
MN
55905
(507) 538-1297
Form
990
(2021)
Form 990 (2021)
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.
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.
List all of the organization’s
current
key employees, if any. See the instructions for definition of "key employee."
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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.
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.
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.
See the instructions for the order in which to list the persons above.
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
(1)
FARRUGIA MD GIANRICO
......................................................................
TRUSTEE/PRESIDENT/CEO
1.00
.................
40.00
X
X
0
3,388,660
96,514
(2)
BOLTON JEFFREY W
......................................................................
TRUSTEE/VP
1.00
.................
40.00
X
X
0
2,077,195
34,523
(3)
THIELEN MD KENT R
......................................................................
TRUSTEE/VP
1.00
.................
40.00
X
X
0
1,697,812
93,686
(4)
GRAY MD RICHARD J
......................................................................
TRUSTEE/VP
1.00
.................
40.00
X
X
0
1,694,419
86,298
(5)
KRAUSS MD WILLIAM E
......................................................................
PHYSICIAN
40.00
.................
0.00
X
1,423,636
0
89,486
(6)
DAHLEN DENNIS E
......................................................................
CFO
1.00
.................
40.00
X
0
1,378,621
92,038
(7)
LANZINO MD GIUSEPPE
......................................................................
PHYSICIAN
40.00
.................
0.00
X
1,352,629
0
86,036
(8)
PICHELMANN MD MARK A
......................................................................
CHAIR-NWWI NEUROSURGERY
40.00
.................
0.00
X
1,357,302
0
74,826
(9)
MURPHY JOSHUA B
......................................................................
SECY
1.00
.................
40.00
X
0
1,314,095
96,634
(10)
HARPER JR MD CHARLES M
......................................................................
TRUSTEE
40.00
.................
0.00
X
1,356,080
0
38,339
(11)
MEYER MD FREDRIC B
......................................................................
FORMER KEY EMPLOYEE
0.00
.................
40.00
X
0
1,341,683
48,992
(12)
CLARKE MD MICHELLE J
......................................................................
PHYSICIAN
40.00
.................
0.00
X
1,292,887
0
76,456
(13)
MARSH MD W RICHARD
......................................................................
DIR-SPINE CENTER
40.00
.................
0.00
X
1,329,674
0
38,378
(14)
GORMAN PAUL A
......................................................................
TREASURER/ASST TREASURER
1.00
.................
40.00
X
0
1,188,403
90,128
(15)
GORES MD GREGORY J
......................................................................
EXECUTIVE DEAN OF RESEARCH
40.00
.................
0.00
X
1,243,899
0
29,298
(16)
OTLEY MD CLARK C
......................................................................
PHYSICIAN
40.00
.................
0.00
X
1,051,074
0
93,056
(17)
AMMASH MD NASER M
......................................................................
FORMER KEY EMPLOYEE
0.00
.................
40.00
X
0
1,063,579
78,459
Form
990
(2021)
Form 990 (2021)
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
(18)
WILLIAMSON MARY J
........................................................................
VICE CHAIR/CAO-MCHS
40.00
.......................
0.00
X
1,037,578
0
79,382
(19)
WILLIAMS MD AMY W
........................................................................
TRUSTEE
1.00
.......................
40.00
X
0
1,030,707
82,319
(20)
ZORN CHRISTINA K
........................................................................
TRUSTEE/VP/ASST SECY
1.00
.......................
40.00
X
X
0
998,035
81,965
(21)
MENKOSKY PAULA E
........................................................................
ASST SECY
1.00
.......................
40.00
X
0
940,276
85,953
(22)
CALLSTROM MD MATTHEW R
........................................................................
CHAIR-DEPT OF RADIOLOGY
40.00
.......................
0.00
X
903,129
0
87,892
(23)
SHAH MD VIJAY
........................................................................
CHAIR-ROCH INTERN MED
40.00
.......................
0.00
X
900,838
0
88,139
(24)
HEBL MD JAMES R
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
879,599
0
76,270
(25)
RIHAL MD CHARANJIT S
........................................................................
TRUSTEE
40.00
.......................
0.00
X
847,888
0
95,939
(26)
KHAN RITA G
........................................................................
FORMER KEY EMPLOYEE
0.00
.......................
40.00
X
0
838,469
55,132
(27)
FONSECA MD RAFAEL
........................................................................
TRUSTEE
1.00
.......................
40.00
X
0
798,446
82,618
(28)
WALD MD JOHN T
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
760,380
0
99,539
(29)
CAMILLERI MD MICHAEL
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
821,114
0
28,307
(30)
MORICE MD WILLIAM G
........................................................................
CHAIR-LAB MED & PATH
40.00
.......................
0.00
X
751,613
0
90,945
(31)
LUETMER MD PATRICK H
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
774,849
0
62,512
(32)
KENDRICK MD MICHAEL L
........................................................................
CHIAR-SURGERY
40.00
.......................
0.00
X
738,477
0
81,300
(33)
LEIBOVICH MD BRADLEY C
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
700,131
0
86,597
(34)
LOFTUS MD CONOR G
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
701,690
0
80,980
(35)
HOFFMAN III HARRY N
........................................................................
FORMER OFFICER
0.00
.......................
40.00
X
0
751,736
20,638
(36)
DOWDY MD SEAN C
........................................................................
CHIEF VALUE OFFICER
40.00
.......................
0.00
X
669,062
0
84,789
(37)
GERTZ MD MORIE A
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
682,051
0
36,805
(38)
CIMA MD ROBERT R
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
629,337
0
80,655
(39)
BERRY MD DANIEL J
........................................................................
TRUSTEE
40.00
.......................
0.00
X
646,271
0
55,136
(40)
FRANK MD IGOR
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
616,095
0
80,613
(41)
GALANIS MD EVANTHIA
........................................................................
EXECUTIVE DEAN OF DEVELOPMENT
40.00
.......................
0.00
X
599,209
0
79,257
(42)
OKUNO MD SCOTT H
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
586,750
0
90,432
(43)
BROWN MD MICHAEL J
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
587,314
0
85,239
(44)
KHAN MD AMIR R
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
585,154
0
86,446
(45)
MCLAUGHLIN MD SARAH A
........................................................................
TRUSTEE
1.00
.......................
40.00
X
0
623,662
47,684
(46)
DIDEHBAN ROSHANAK
........................................................................
TRUSTEE
40.00
.......................
0.00
X
616,979
0
48,584
(47)
DIASIO MD ROBERT B
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
631,920
0
27,805
(48)
PETERS MD STEVE G
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
591,697
0
38,597
(49)
FRANCIS JAMES R
........................................................................
ASST TREASURER
1.00
.......................
40.00
X
0
526,219
99,268
(50)
GAZELKA MD HALENA M
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
537,523
0
77,299
(51)
WHITED MD BRIAN L
........................................................................
FORMER KEY EMPLOYEE
1.00
.......................
40.00
X
168,396
360,298
83,718
(52)
HORLOCKER MD TERESE T
........................................................................
PHYSICIAN
40.00
.......................
0.00
X
576,298
0
24,979
(53)
LUCCHINETTI MD CLAUDIA F
........................................................................
TRUSTEE
40.00
.......................
0.00
X
495,095
0
93,724
(54)
HAYES MD SHARONNE N
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
502,366
0
85,805
(55)
KRAHN MD LOIS E
........................................................................
TRUSTEE
1.00
.......................
40.00
X
0
478,121
95,711
(56)
NARR MD BRADLY J
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
508,202
0
27,439
(57)
DIETER HEIDI L
........................................................................
CHIEF RESEARCH OFFICER
40.00
.......................
0.00
X
449,771
0
59,666
(58)
WARNER MD MARK A
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
448,814
0
36,169
(59)
HAEFLINGER RICKY J
........................................................................
ASST TREASURER
40.00
.......................
0.00
X
439,935
0
4,798
(60)
HUBERT SHERRY L
........................................................................
ASST SECY
1.00
.......................
40.00
X
0
351,509
87,505
(61)
GOSTOUT MD BOBBIE S
........................................................................
TRUSTEE/VP
1.00
.......................
40.00
X
X
0
434,775
3,466
(62)
GREENE MD EDDIE L
........................................................................
TRUSTEE
40.00
.......................
0.00
X
342,290
0
89,571
(63)
NORBY SUSAN M
........................................................................
FORMER OFFICER
0.00
.......................
40.00
X
0
348,140
77,265
(64)
HADAWAY CHERYL J
........................................................................
FORMER KEY EMPLOYEE
40.00
.......................
0.00
X
391,885
0
22,102
(65)
LOCKETT KEVIN M
........................................................................
FORMER OFFICER
0.00
.......................
40.00
X
0
270,924
69,718
(66)
BROWN WILLIAM A
........................................................................
ASST TREASURER
1.00
.......................
40.00
X
0
256,862
26,916
(67)
NORBY MARK L
........................................................................
ASST TREASURER
1.00
.......................
40.00
X
0
99,451
43,431
(68)
BAKER JR DOUGLAS M
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
3,121
0
(69)
POWELL MICHAEL K
........................................................................
TRUSTEE/CHAIR
5.00
.......................
0.00
X
X
0
3,002
0
(70)
ROBERTS ROBIN R
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
1,239
0
(71)
BAICKER KATHERINE
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
1,063
0
(72)
ALIX JAY
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(73)
BILICIC GEORGE W
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(74)
BURNS URSULA M
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(75)
DAVIS RICHARD K
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(76)
DI PIAZZA JR SAMUEL A
........................................................................
TRUSTEE/CHAIR
5.00
.......................
0.00
X
X
0
0
0
(77)
HALVORSON GEORGE C
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(78)
MULALLY ALAN R
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(79)
PERETSMAN NANCY B
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(80)
SALAZAR KENNETH L
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(81)
SCHMIDT ERIC E
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(82)
STEER MD RANDOLPH C
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(83)
SWEENEY ANNE M
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
(84)
TOMM CHARLES B
........................................................................
TRUSTEE
5.00
.......................
0.00
X
0
0
0
1b
Sub-Total
................
c
Total from continuation sheets to
Part VII
, Section A
....
d
Total (add lines 1b and 1c)
...........
32,526,881
24,260,522
4,560,166
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
6,019
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 FOUNDATION FOR MEDICAL EDUCATION &
200 FIRST STREET SW
ROCHESTER
,
MN
55905
PROCUREMENT & MED SUPPORT SERVICES
528,674,221
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROAD
JACKSONVILLE
,
FL
32224
MEDICAL SUPPORT SERVICES
4,163,894
MCHS - SOUTHWEST MINNESOTA REGION
1025 MARSH STREET
MANKATO
,
MN
56001
MEDICAL SUPPORT SERVICES
399,784
MCHS - NORTHWEST WISCONSIN REGION INC
1221 WHIPPLE STREET
EAU CLAIRE
,
WI
54703
MEDICAL SUPPORT SERVICES
367,519
MAYO CLINIC ARIZONA
13400 EAST SHEA BLVD
SCOTTSDALE
,
AZ
85259
MEDICAL SUPPORT SERVICES
256,862
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
6
Form
990
(2021)
Form 990 (2021)
Page
9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this
Part VIII
.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
1a
Federated campaigns
..
1a
51,172
b
Membership dues
..
1b
c
Fundraising events
..
1c
d
Related organizations
1d
1,556,817,953
e
Government grants (contributions)
1e
340,691,384
f
All other contributions, gifts, grants, and similar amounts not included above
1f
927,765,757
g
Noncash contributions included in lines 1a - 1f:$
1g
117,255,400
h Total.
Add lines 1a-1f
.......
2,825,326,266
Business Code
2a
NET PATIENT CARE
621110
4,054,186,620
3,126,634,928
927,551,692
b
EDUCATION
611600
26,082,394
26,082,394
c
RESEARCH
541700
9,035,989
7,000,006
2,035,983
d
e
f
All other program service revenue.
g
Total.
Add lines 2a–2f
.....
4,089,305,003
3
Investment income (including dividends, interest, and other
similar amounts)
......
285,844,475
15,702,238
270,142,237
4
Income from investment of tax-exempt bond proceeds
135
135
5
Royalties
...........
21,849,386
21,849,386
(ii) Personal
(i) Real
6a
Gross rents
1,037,522
6a
b
Less: rental expenses
141,785
6b
c
Rental income or (loss)
895,737
6c
d
Net rental income or (loss)
.......
895,737
895,737
(ii) Other
(i) Securities
7a
Gross amount from sales of assets other than inventory
10,203,926
6,395,286,766
7a
b
Less: cost or other basis and sales expenses
7,539,918
5,661,911,654
7b
c
Gain or (loss)
2,664,008
733,375,112
7c
d
Net gain or (loss)
.........
736,039,120
736,039,120
8a
Gross income from fundraising events (not including $
of contributions reported on line 1c).
See
Part IV
, line 18
....
8a
b
Less: direct expenses
...
8b
c
Net income or (loss) from fundraising events
..
9a
Gross income from gaming activities.
See
Part IV
, line 19
...
9a
b
Less: direct expenses
...
9b
c
Net income or (loss) from gaming activities
..
10a
Gross sales of inventory, less
returns and allowances
..
10a
243,196
b
Less: cost of goods sold
..
10b
178,191
c
Net income or (loss) from sales of inventory
..
65,005
65,005
Business Code
Miscellaneous Revenue
11a
MISC. CONSULTING
541610
14,762,826
3,452,714
4,936,543
6,373,569
b
MISC. REVENUE
900099
9,290,096
7,290,423
1,999,673
c
CAFETERIA/VENDING
722514
4,709,278
4,709,278
d
All other revenue
....
5,153,677
717,547
4,436,130
e
Total.
Add lines 11a–11d
......
33,915,877
12
Total revenue.
See instructions
.....
7,993,241,004
3,197,736,676
950,291,461
1,019,886,601
Form
990
(2021)
Form 990 (2021)
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
....
512,881,152
512,881,152
2
Grants and other assistance to domestic individuals. See
Part IV
, line 22
...........
25,526,647
25,526,647
3
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See
Part IV
, lines 15 and 16.
.............
2,152,006
2,152,006
4
Benefits paid to or for members
.......
5
Compensation of current officers, directors, trustees, and key employees
...........
21,192,620
19,154,570
1,744,681
293,369
6
Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
.........
14,337,044
12,911,514
1,076,630
348,900
7
Other salaries and wages
........
2,188,611,556
2,076,761,708
86,315,745
25,534,103
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
....
13,962,637
617,210
10,697,450
2,647,977
9
Other employee benefits
.......
451,845,518
431,541,206
17,146,001
3,158,311
10
Payroll taxes
...........
152,247,406
144,394,764
6,287,349
1,565,293
11
Fees for services (non-employees):
a
Management
......
b
Legal
.........
1,305,011
716,279
131,618
457,114
c
Accounting
...........
177,882
1
177,881
d
Lobbying
...........
192,699
192,699
e
Professional fundraising services.
See
Part IV
, line 17
617,878
617,878
f
Investment management fees
......
3,746,619
37,500
3,709,119
g
Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
1,080,646,813
269,988,616
802,618,590
8,039,607
12
Advertising and promotion
....
16,831,636
16,761,070
11,651
58,915
13
Office expenses
.......
222,968,019
207,547,674
14,743,599
676,746
14
Information technology
......
49,721,965
48,986,795
568,760
166,410
15
Royalties
..
3,928,499
3,928,499
16
Occupancy
...........
83,264,646
36,823,120
45,078,663
1,362,863
17
Travel
............
20,310,641
19,661,786
340,893
307,962
18
Payments of travel or entertainment expenses for any federal, state, or local public officials
.
19
Conferences, conventions, and meetings
....
1,694,434
1,670,572
16,495
7,367
20
Interest
...........
116,586,630
76,317,365
40,269,265
21
Payments to affiliates
.......
22
Depreciation, depletion, and amortization
..
188,910,481
186,790,030
2,050,023
70,428
23
Insurance
...
16,995,933
16,995,933
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
452,207,673
452,207,673
b
UBIT
21,093,570
21,063,708
29,862
c
MN CARE TAX
41,853,858
41,853,858
d
EMPLOYEE RELATED
30,235,991
27,597,472
2,367,814
270,705
e
All other expenses
37,071,925
34,981,143
2,070,383
20,399
25
Total functional expenses.
Add lines 1 through 24e
5,773,119,389
4,690,062,570
1,037,452,472
45,604,347
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
if following SOP 98-2 (ASC 958-720).
Form
990
(2021)
Form 990 (2021)
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
1
Cash–non-interest-bearing
........
1,875,254
1
1,715,225
2
Savings and temporary cash investments
.........
3,043,150
2
88,122
3
Pledges and grants receivable, net
......
483,543,530
3
496,652,443
4
Accounts receivable, net
.............
529,412,102
4
550,987,625
5
Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons
.......
5
6
Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
...
6
7
Notes and loans receivable, net
...........
2,407,889
7
2,101,222
8
Inventories for sale or use
............
6,912,594
8
9,188,537
9
Prepaid expenses and deferred charges
......
15,054,253
9
40,641,706
10a
Land, buildings, and equipment: cost or other basis. Complete
Part VI
of Schedule D
10a
3,804,949,967
b
Less: accumulated depreciation
10b
2,337,858,096
1,446,595,885
10c
1,467,091,871
11
Investments—publicly traded securities
.
482,550,370
11
577,599,401
12
Investments—other securities. See
Part IV
, line 11
.....
11,795,440,598
12
14,825,293,684
13
Investments—program-related. See
Part IV
, line 11
..
13
14
Intangible assets
...............
14
15
Other assets. See
Part IV
, line 11
...........
1,761,383,256
15
2,572,442,526
16
Total assets.
Add lines 1 through 15 (must equal line 33)
...
16,528,218,881
16
20,543,802,362
17
Accounts payable and accrued expenses
.....
4,016,023,524
17
2,627,802,035
18
Grants payable
...
18
19
Deferred revenue
.........
120,424,474
19
111,583,445
20
Tax-exempt bond liabilities
.........
1,546,708,763
20
1,406,307,809
21
Escrow or custodial account liability.
Complete
Part IV
of Schedule D
21
22
Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons
.........
22
23
Secured mortgages and notes payable to unrelated third parties
..
1,992,192,259
23
2,493,906,542
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
3,316,332,263
25
3,526,450,006
26
Total liabilities.
Add lines 17 through 25
..
10,991,681,283
26
10,166,049,837
Organizations that follow FASB ASC 958,
check here
and complete lines 27, 28, 32, and 33.
27
Net assets without donor restrictions
..........
1,977,337,635
27
5,989,293,754
28
Net assets with donor restrictions
...........
3,559,199,963
28
4,388,458,771
Organizations that do not follow FASB ASC 958,
check here
and complete lines 29 through 33.
29
Capital stock or trust principal, or current funds
.....
29
30
Paid-in or capital surplus, or land, building or equipment fund
...
30
31
Retained earnings, endowment, accumulated income, or other funds
31
32
Total net assets or fund balances
...........
5,536,537,598
32
10,377,752,525
33
Total liabilities and net assets/fund balances
........
16,528,218,881
33
20,543,802,362
Form
990
(2021)
Form 990 (2021)
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
7,993,241,004
2
Total expenses (must equal
Part IX
, column (A), line 25)
............
2
5,773,119,389
3
Revenue less expenses. Subtract line 2 from line 1
..............
3
2,220,121,615
4
Net assets or fund balances at beginning of year (must equal
Part X
, line 32, column (A))
..
4
5,536,537,598
5
Net unrealized gains (losses) on investments
...............
5
1,178,220,649
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
1,442,872,663
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal
Part X
, line 32, column (B))
10
10,377,752,525
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:
Cash
Accrual
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain on
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:
Separate basis
Consolidated basis
Both consolidated and separate basis
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:
Separate basis
Consolidated basis
Both consolidated and separate basis
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
(2021)
Form 990 (2021)
Additional Data
Software ID:
Software Version:
Form 990, Special Condition Description:
Special Condition Description