TY 2021 Form 990 Schedule F

Instrumentl eFile RenderObject ID: 202213189349304741 - Rendered 2024-04-29 TIN: 41-6011702

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
MAYO CLINIC

Employer identification number

41-6011702

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	1	TRAVEL		4,004
	EAST ASIA AND THE PACIFIC	0	1	TRAVEL		180
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	16	TRAVEL		56,292
	MIDDLE EAST AND NORTH AFRICA	0	10	TRAVEL		72,184
	NORTH AMERICA	0	7	TRAVEL		29,196
	RUSSIA AND THE NEIGHBORING STATES	0	0	TRAVEL
	SOUTH AMERICA	0	4	TRAVEL		12,048
	SOUTH ASIA	0	1	TRAVEL		2,200
	SUB-SAHARAN AFRICA	0	1	TRAVEL		681
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	PATIENT CARE
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	5	PROGRAM SERVICES	PATIENT CARE	109,998
	MIDDLE EAST AND NORTH AFRICA	0	4	PROGRAM SERVICES	PATIENT CARE	553,366
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	2	PROGRAM SERVICES	RESEARCH	186,766
	NORTH AMERICA	0	0	PROGRAM SERVICES	EDUCATION CONFERENCE - MAYO SPONSOR
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		969,346,159
	EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS		1,343,845,528
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS EXPENSE		14,423,325
	EUROPE (INCLUDING ICELAND AND GREENLAND)	1	0	INVESTMENTS		753,013,160
	MIDDLE EAST AND NORTH AFRICA	0	0	INVESTMENTS		119,173,074
	NORTH AMERICA	0	0	INVESTMENTS		105,337,256
	RUSSIA AND THE NEIGHBORING STATES	0	0	INVESTMENTS		3,420,706
	SOUTH AMERICA	0	0	INVESTMENTS		6,400,110
	SOUTH ASIA	0	0	INVESTMENTS		66,308,371
	SUB-SAHARAN AFRICA	0	0	INVESTMENTS		2,967,516
	EAST ASIA AND THE PACIFIC	1	6	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB SALES & MARKETING	792,623
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	1	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB SALES & MARKETING
	MIDDLE EAST AND NORTH AFRICA	0	4	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB SALES & MARKETING	1,001,328
	NORTH AMERICA	0	8	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB SALES & MARKETING	1,204,330
	SOUTH AMERICA	0	4	UNRELATED BUSINESS ACTIVITY	REFERENCE LAB SALES & MARKETING	37,837
3a	Sub-total ....	0	40			176,104
b	Total from continuation sheets to Part I ...	2	35			3,388,122,134
c	Totals (add lines 3a and 3b)	2	75			3,388,298,238

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)
			EAST ASIA AND THE PACIFIC		140		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		101,216		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		40,446		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		57,778		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		265,316		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		85,904		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		90,856		0
			EAST ASIA AND THE PACIFIC		29,400		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		91,638		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		86,980		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		21,355		0
			NORTH AMERICA		7,500		0
			SOUTH ASIA		55,944		0
			NORTH AMERICA		700		0
			EAST ASIA AND THE PACIFIC		124,871		0
			EAST ASIA AND THE PACIFIC		23,822		0
			NORTH AMERICA		200		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		150,000		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		192,384		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		288,798		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		84,000		0
			NORTH AMERICA		50,243		0
			NORTH AMERICA		203,097		0
			NORTH AMERICA		5,040		0
			EUROPE (INCLUDING ICELAND & GREENLAND)		92,233		0

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	0
3	Enter total number of other organizations or entities .......................	25

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART I, LINE 2:	FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE REGULARLY MONITORED BY THE FILING ORGANIZATION FOR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS AND/OR THE CONTRACT PROVISIONS. SEE ALSO SCHEDULE I, PART IV FOR ADDITIONAL INFORMATION ON MAYO CLINIC'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS AS THE SAME PROCEDURES APPLY TO DOMESTIC AND FOREIGN GRANTS. GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES IS REPORTED BASED ON WHERE PAYMENTS WERE REMITTED. OUR CURRENT REPORTING SYSTEM DOES NOT TRACK ACTIVITIES OUTSIDE THE UNITED STATES BY LOCATION OF SERVICE.
PART I, LINE 3:	ACCRUAL METHOD
PART III ACCOUNTING METHOD:
PART IV - FILING OF CERTAIN FOREIGN FORMS	DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) MAYO CLINIC HEALTH SYSTEM - NORTHWEST WISCONSIN REGION, INC. (EIN: 39-0813418) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 4 AND 5 FILER WITH RESPECT TO THE CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH FORMS 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT TAXPAYER NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH FORMS 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS (CFPS), AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH FORMS 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT

Schedule F (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No