Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2022
Open to Public Inspection
A For the 2022 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022
BCheck if applicable:
CName 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, MN55905
D Employer identification number

41-6011702
E Telephone number

(507) 538-1297
G Gross receipts $ 14,473,593,274
F Name and address of principal officer:
GIANRICO FARRUGIA MD
200 FIRST STREET SW TAX
ROCHESTER,MN55905
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:right arrow
WWW.MAYOCLINIC.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number right arrow5983
K Form of organization:  
L Year of formation: 1919
M State of legal domicile: MN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: PATIENT CARE, RESEARCH AND EDUCATION
2 Check this box right arrow
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 2022 (Part V, line 2a) ...... 5 29,136
6 Total number of volunteers (estimate if necessary) ............. 6 928
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 916,217,531
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 122,337,721
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,825,326,266 2,389,724,888
9 Program service revenue (Part VIII, line 2g) ......... 4,089,305,003 4,050,774,292
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,021,883,730 592,500,111
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 56,726,005 42,354,919
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 7,993,241,004 7,075,354,210
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 540,559,805 323,566,414
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) 2,842,196,781 3,087,079,075
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 617,878 902,800
b Total fundraising expenses (Part IX, column (D), line 25) right arrow51,238,052    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,389,744,925 2,266,407,337
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 5,773,119,389 5,677,955,626
19 Revenue less expenses. Subtract line 18 from line 12....... 2,220,121,615 1,397,398,584
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 20,543,802,362 22,107,639,425
21 Total liabilities (Part X, line 26)............. 10,166,049,837 9,578,170,747
22 Net assets or fund balances. Subtract line 21 from line 20..... 10,377,752,525 12,529,468,678
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet 2023-11-14
Signature of officer Date
JumboBullet DENNIS E DAHLENCFO
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
 
PTIN
Firm's name right arrow
 
 
Firm's EIN right arrow
Firm's address right arrow
 
 

Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2022)
Page 2
Form 990 (2022)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 4,231,360,455 including grants of $ 253,195,203 ) (Revenue $ 4,023,668,447 )
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 2022-2023 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 130 COUNTRIES COME TO MAYO CLINIC FOR CARE. DURING 2022, APPROXIMATELY 455,000 PATIENT VISITS WERE RECORDED BY MAYO CLINIC AND ITS AFFILIATED HOSPITAL IN ROCHESTER, MN. TOTAL PATIENT VISITS FOR MAYO CLINIC AND ITS AFFILIATES DURING 2022 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 2022, THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICAID AND MINNESOTA CARE (A PROGRAM THAT PROVIDES MEDICAL ASSISTANCE FOR LOW INCOME POPULATIONS) WAS APPROXIMATELY $249,600,000. THIS AMOUNT INCLUDES APPROXIMATELY $39,900,000 PAID TO MINNESOTACARE. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $1,067,100,000 AND THE COST OF CHARITY CARE PROVIDED IN 2022 WAS APPROXIMATELY $13,400,000.IN 2022, WITH SYSTEM-WIDE REVENUES OF $16.3 BILLION, MAYO CLINIC AND ITS AFFILIATES PROVIDED $666 MILLION IN CARE TO PEOPLE IN NEED. THIS TOTAL INCLUDES $53 MILLION IN CHARITY CARE AND $613 MILLION IN UNPAID PORTIONS OF MEDICAID AND OTHER INDIGENT CARE PROGRAMS FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED. MAYO ALSO PROVIDED $2.9 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 APPROXIMATELY $9 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 2022, THE MAYO CLINIC CARE NETWORK CONSISTED OF APPROXIMATELY 46 MEMBERS LOCATED IN THE UNITED STATES, CHINA, EGYPT, INDIA, INDONESIA, MEXICO, SAUDI ARABIA, AND THE UNITED ARAB EMIRATES. THROUGH THE MAYO CLINIC CARE NETWORK, MILLIONS OF PATIENTS AND THEIR 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 $ 827,331,781 including grants of $ 41,977,512 ) (Revenue $ 8,006,602 )
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 2022, MAYO CLINIC, IN CONJUNCTION WITH ITS AFFILIATES, HAD OVER 5,000 RESEARCH PERSONNEL, 22 CORE LABORATORIES, NEARLY 10,000 ACTIVE INSTITUTIONAL REVIEW BOARD-APPROVED HUMAN RESEARCH STUDIES, APPROXIMATELY 1,184 NEW HUMAN RESEARCH STUDIES APPROVED BY THE INSTITUTIONAL REVIEW BOARD AND OVER 10,600 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.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 $ 299,283,508 including grants of $ 28,393,698 ) (Revenue $ 45,139,476 )
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. 14 IN THE NATION FOR THE BEST MEDICAL SCHOOL FOR RESEARCH FOR THE 2022-2023 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 SEVERAL 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 150 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 OVER 300 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. THE SCHOOL PROVIDES APPROXIMATELY 95,000 LEANER EDUCATIONAL TOUCHPOINTS ANNUALLY. 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 BEEN CONTINUOUSLY PUBLISHED SINCE 1926 AND HAS AN IMPACT FACTOR OF 8.9, RANKING IT #20 OUT OF 167 JOURNALS IN THE MEDICINE, GENERAL AND INTERNAL CATEGORY. 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 expensesright arrow5,357,975,744
Form 990 (2022)
Page 3
Form 990 (2022)
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 AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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 IClick to see attachment
List of Attached Documents:
// Content
.............
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 IIClick to see attachment
List of Attached Documents:
// Content
.........
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 IIIClick to see attachment
List of Attached Documents:
// Content
..
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 IClick to see attachment
List of Attached Documents:
// Content
.........................
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 IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
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 IVClick to see attachment
List of Attached Documents:
// Content
..............
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. Click to see attachment
List of Attached Documents:
// Content
...................
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 VIIClick to see attachment
List of Attached Documents:
// Content
.......
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 VIIIClick to see attachment
List of Attached Documents:
// Content
.......
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 IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
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 XClick to see attachment
List of Attached Documents:
// Content
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
Click to see attachment
List of Attached Documents:
// Content
......................
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 Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule EClick to see attachment
List of Attached Documents:
// Content
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.........Click to see attachment
List of Attached Documents:
// Content
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.....Click to see attachment
List of Attached Documents:
// Content
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...Click to see attachment
List of Attached Documents:
// Content
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. ....Click to see attachment
List of Attached Documents:
// Content
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............ Click to see attachment
List of Attached Documents:
// Content
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...................Click to see attachment
List of Attached Documents:
// Content
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.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2022)
Page 4
Form 990 (2022)
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........Click to see attachment
List of Attached Documents:
// Content
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....................... Click to see attachment
List of Attached Documents:
// Content
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...............Click to see list of attachments
List of Attached Documents:
// Content
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 .... Click to see attachment
List of Attached Documents:
// Content
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.......................Click to see attachment
List of Attached Documents:
// Content
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 IIClick to see attachment
List of Attached Documents:
// Content
...........
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 IIIClick to see attachment
List of Attached Documents:
// Content
.........................
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......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
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
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
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 .................Click to see attachment
List of Attached Documents:
// Content
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............Click to see attachment
List of Attached Documents:
// Content
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.........................Click to see attachment
List of Attached Documents:
// Content
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 ...Click to see attachment
List of Attached Documents:
// Content
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............. Click to see attachment
List of Attached Documents:
// Content
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 VIClick to see attachment
List of Attached Documents:
// Content
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
1,286
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 (2022)
Page 5
Form 990 (2022)
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
29,136
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
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: right arrowGM , 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, or any disqualified or other person 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 (2022)
Page 6
Form 990 (2022)
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
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
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 filedright arrow
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.
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:
right arrowCORPORATE TAX200 FIRST STREET SW   ROCHESTER,MN55905 (507) 538-1297
Form 990 (2022)
Page 7
Form 990 (2022)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

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

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

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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) FARRUGIA MD GIANRICO......................................................................
TRUSTEE/PRESIDENT/CEO
1.00
.................
40.00
X   X       0 3,636,091 84,251
(2) GRAY MD RICHARD J......................................................................
TRUSTEE/VP
1.00
.................
40.00
X   X       0 1,999,424 73,274
(3) THIELEN MD KENT R......................................................................
TRUSTEE/VP
1.00
.................
40.00
X   X       0 2,006,672 82,342
(4) GORMAN PAUL A......................................................................
TREASURER
1.00
.................
40.00
    X       0 1,715,056 86,692
(5) ZORN CHRISTINA K......................................................................
TRUSTEE/VP
1.00
.................
40.00
X   X       0 1,530,674 71,810
(6) DAHLEN DENNIS E......................................................................
CFO
1.00
.................
40.00
    X       0 1,481,402 92,474
(7) KRAUSS MD WILLIAM E......................................................................
PHYSICIAN
40.00
.................
0.00
        X   1,463,000 0 76,257
(8) LANZINO MD GIUSEPPE......................................................................
PHYSICIAN
40.00
.................
0.00
        X   1,452,631 0 78,463
(9) MURPHY JOSHUA B......................................................................
SECY
1.00
.................
40.00
    X       0 1,402,046 83,935
(10) PICHELMANN MD MARK A......................................................................
CHAIR-NWWI NEUROSURGERY
40.00
.................
0.00
        X   1,405,818 0 64,961
(11) WILLIAMS MD AMY W......................................................................
TRUSTEE
1.00
.................
40.00
X           0 1,397,374 72,259
(12) MARSH MD W RICHARD......................................................................
DIR-SPINE CENTER
40.00
.................
0.00
        X   1,378,411 0 39,627
(13) CLARKE MD MICHELLE J......................................................................
PHYSICIAN
40.00
.................
0.00
        X   1,327,940 0 53,586
(14) GORES MD GREGORY J......................................................................
EXECUTIVE DEAN OF RESEARCH
40.00
.................
0.00
      X     1,301,223 0 39,974
(15) WILLIAMSON MARY J......................................................................
CAO-MCS
40.00
.................
0.00
      X     1,096,580 0 78,248
(16) OTLEY MD CLARK C......................................................................
PHYSICIAN
40.00
.................
0.00
      X     1,078,010 0 81,918
(17) AMMASH MD NASER M......................................................................
FORMER KEY EMPLOYEE
0.00
.................
40.00
          X 0 1,036,062 75,598
Form 990 (2022)
Page 8
Form 990 (2022)
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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MENKOSKY PAULA E........................................................................
ASST SECY
1.00
.......................40.00
    X       0 1,011,448 81,544
(19) HARPER JR MD CHARLES M........................................................................
TRUSTEE
40.00
.......................0.00
X           1,042,860 0 38,634
(20) PAGNANO MD MARK W........................................................................
CHAIR-ORTHOPEDICS
40.00
.......................0.00
      X     923,369 0 81,668
(21) SHAH MD VIJAY........................................................................
CHAIR-ROCH INTERN MED
40.00
.......................0.00
      X     930,719 0 73,536
(22) CALLSTROM MD MATTHEW R........................................................................
TRUSTEE
40.00
.......................0.00
X           920,062 0 78,978
(23) RIHAL MD CHARANJIT S........................................................................
TRUSTEE
40.00
.......................0.00
X           901,460 0 84,702
(24) MORICE MD WILLIAM G........................................................................
CHAIR-LAB MED & PATH
40.00
.......................0.00
      X     866,742 0 78,296
(25) ARNETT JENNIFER P........................................................................
CHIEF DEVELOPMENT OFFICER
40.00
.......................0.00
      X     877,526 0 36,563
(26) HARA MD AMY K........................................................................
TRUSTEE
1.00
.......................40.00
X           0 817,162 74,377
(27) CAMILLERI MD MICHAEL........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 841,962 0 41,116
(28) WALD MD JOHN T........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 777,809 0 88,222
(29) KENDRICK MD MICHAEL L........................................................................
CHAIR-SURGERY
40.00
.......................0.00
      X     787,711 0 73,225
(30) KHAN RITA G........................................................................
FORMER KEY EMPLOYEE
0.00
.......................40.00
          X 0 758,025 58,776
(31) FONSECA MD RAFAEL........................................................................
TRUSTEE
1.00
.......................40.00
X           0 734,769 78,773
(32) LEIBOVICH MD BRADLEY C........................................................................
PHYSICIAN
40.00
.......................0.00
      X     734,499 0 75,874
(33) DOWDY MD SEAN C........................................................................
CHIEF VALUE OFFICER
40.00
.......................0.00
      X     732,595 0 70,342
(34) LOFTUS MD CONOR G........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 720,718 0 65,795
(35) DIDEHBAN ROSHANAK........................................................................
TRUSTEE
1.00
.......................40.00
X           489,841 246,295 36,358
(36) GALANIS MD EVANTHIA........................................................................
EXECUTIVE DEAN OF DEVELOPMENT
40.00
.......................0.00
      X     696,670 0 70,863
(37) GERTZ MD MORIE A........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 726,233 0 38,084
(38) MCLAUGHLIN MD SARAH A........................................................................
TRUSTEE
1.00
.......................40.00
X           0 682,925 35,344
(39) BROWN MD MICHAEL J........................................................................
PHYSICIAN
40.00
.......................0.00
      X     644,181 0 73,027
(40) CIMA MD ROBERT R........................................................................
PHYSICIAN
40.00
.......................0.00
      X     640,358 0 74,102
(41) OKUNO MD SCOTT H........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 632,334 0 75,447
(42) LUETMER MD PATRICK H........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 661,260 0 45,164
(43) FRANK MD IGOR........................................................................
PHYSICIAN
40.00
.......................0.00
      X     631,768 0 67,305
(44) KHAN MD AMIR R........................................................................
PHYSICIAN
40.00
.......................0.00
      X     603,303 0 73,915
(45) PETERS MD STEVE G........................................................................
PHYSICIAN
40.00
.......................0.00
      X     614,018 0 40,312
(46) GAZELKA MD HALENA M........................................................................
FORMER KEY EMPLOYEE
1.00
.......................40.00
          X 584,084 21,184 56,096
(47) FAMUYIDE MBBS ABIMBOLA O........................................................................
TRUSTEE
40.00
.......................0.00
X           565,818 0 74,824
(48) FRANCIS JAMES R........................................................................
ASST TREASURER
1.00
.......................40.00
    X       0 547,728 89,905
(49) HORLOCKER MD TERESE T........................................................................
PHYSICIAN
40.00
.......................0.00
      X     593,169 0 38,669
(50) DUNN AJANI N........................................................................
ASST SECY
1.00
.......................40.00
    X       0 535,956 64,190
(51) HAYES MD SHARONNE N........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 510,672 0 64,856
(52) LUCCHINETTI MD CLAUDIA F........................................................................
TRUSTEE
40.00
.......................0.00
X           490,858 0 77,982
(53) DIETER HEIDI L........................................................................
CHAIR-RESEARCH ADMIN
40.00
.......................0.00
      X     490,358 0 50,076
(54) POE JOHN D........................................................................
CHAIR-EDUCATION ADMIN
1.00
.......................40.00
      X     53,273 408,559 61,725
(55) DIASIO MD ROBERT B........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 453,641 0 34,018
(56) HUBERT SHERRY L........................................................................
ASST SECY
1.00
.......................40.00
    X       0 386,410 83,003
(57) NARR MD BRADLY J........................................................................
FORMER KEY EMPLOYEE
40.00
.......................0.00
          X 411,331 0 39,916
(58) NORBY SUSAN M........................................................................
FORMER OFFICER
0.00
.......................40.00
          X 0 364,249 72,191
(59) BOLTON JEFFREY W........................................................................
FORMER OFFICER
0.00
.......................40.00
          X 0 406,549 0
(60) CAINE NATALIE A........................................................................
CAO-ROCHESTER
40.00
.......................0.00
      X     343,552 0 57,644
(61) GREENE MD EDDIE L........................................................................
TRUSTEE
40.00
.......................0.00
X           315,382 0 66,907
(62) BROWN WILLIAM A........................................................................
ASST TREASURER
1.00
.......................40.00
    X       0 270,854 37,597
(63) HAEFLINGER RICKY J........................................................................
FORMER OFFICER
40.00
.......................0.00
          X 175,431 0 0
(64) ALIX JAY........................................................................
TRUSTEE
5.00
.......................0.00
X           0 13,491 0
(65) POWELL MICHAEL K........................................................................
TRUSTEE/CHAIR
5.00
.......................0.00
X   X       0 9,137 0
(66) STEER MD RANDOLPH C........................................................................
TRUSTEE
5.00
.......................0.00
X           0 3,881 0
(67) ROBERTS ROBIN R........................................................................
TRUSTEE
5.00
.......................0.00
X           0 2,529 0
(68) BAKER JR DOUGLAS M........................................................................
TRUSTEE
5.00
.......................0.00
X           0 2,360 0
(69) BAICKER KATHERINE........................................................................
TRUSTEE
5.00
.......................0.00
X           0 711 0
(70) BILICIC GEORGE W........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(71) BURNS URSULA M........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(72) DAVIS RICHARD K........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(73) DI PIAZZA JR SAMUEL A........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(74) GERBERDING MD JULIE L........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(75) HALVORSON GEORGE C........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(76) MULALLY ALAN R........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(77) PERETSMAN NANCY B........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(78) ROTHBLATT A MARTINE........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(79) SCHMIDT ERIC E........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(80) SWEENEY ANNE M........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
(81) TOMM CHARLES B........................................................................
TRUSTEE
5.00
.......................0.00
X           0 0 0
1b Sub-Total..............right arrow
c Total from continuation sheets to Part VII, Section A..right arrow
d Total (add lines 1b and 1c).........right arrow 32,889,180 23,429,023 4,015,610
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 right arrow6,603
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,MN55905
PROCUREMENT & MED SUPPORT SERVICES 615,782,948
MAYO CLINIC JACKSONVILLE

4500 SAN PABLO ROAD
JACKSONVILLE,FL32224
MEDICAL SUPPORT SERVICES 3,766,309
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization right arrow2
Form 990 (2022)
Page 9
Form 990 (2022)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a 36,239
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 1,309,186,490
e Government grants (contributions)1e 343,975,717
f All other contributions, gifts, grants, and similar amounts not included above1f 736,526,442
g Noncash contributions included in lines 1a - 1f:$ 1g 35,388,697
h Total. Add lines 1a-1f.......right arrow 2,389,724,888
 Program Service RevenueAmt Business Code
2a NET PATIENT CARE 621110 3,997,628,214 3,115,612,537 882,015,677  
b EDUCATION 611600 45,139,476 45,139,476    
c RESEARCH 541700 8,006,602 4,731,275 3,275,327  
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....right arrow 4,050,774,292
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......right arrow 261,075,079   23,500,921 237,574,158
4 Income from investment of tax-exempt bond proceedsright arrow 810,555     810,555
5 Royalties...........right arrow 13,332,077 13,332,077    
(ii) Personal (i) Real
6a Gross rents   1,367,347 6a
b Less: rental expenses   600,065 6b
c Rental income or (loss)   767,282 6c
d Net rental income or (loss).......right arrow 767,282     767,282
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 14,684,314 7,713,291,379 7a
b Less: cost or other basis and sales expenses 18,808,874 7,378,552,342 7b
c Gain or (loss) -4,124,560 334,739,037 7c
d Net gain or (loss).........right arrow 330,614,477     330,614,477
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..right arrow      
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..right arrow        
10a Gross sales of inventory, less
returns and allowances ..
10a 347,813
b Less: cost of goods sold .. 10b 277,783
c Net income or (loss) from sales of inventory..right arrow 70,030   70,030  
 OtherRevenueMiscAmt
Business Code
11a MISC. CONSULTING 541610 10,413,998 1,781,089 7,355,576 1,277,333
b MISC. REVENUE 900099 7,110,562 4,787,333 0 2,323,229
c CAFETERIA/VENDING 722310 5,466,006 5,466,006    
d All other revenue .... 5,194,964 673,728   4,521,236
e Total. Add lines 11a–11d ...... right arrow 28,185,530
12 Total revenue. See instructions .... right arrow 7,075,354,210 3,191,523,521 916,217,531 577,888,270
Form 990 (2022)
Page 10
Form 990 (2022)
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 .... 292,818,127 292,818,127
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 28,497,500 28,497,500
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 2,250,787 2,250,787
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 21,062,793 19,554,258 287,913 1,220,622
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 11,849,805 11,583,053 175,406 91,346
7 Other salaries and wages........ 2,524,736,654 2,400,953,196 100,273,034 23,510,424
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 71,539,288 57,379,979 11,472,593 2,686,716
9 Other employee benefits ....... 295,220,414 274,123,604 17,778,228 3,318,582
10 Payroll taxes ........... 162,670,121 153,828,464 7,125,790 1,715,867
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,328,691 744,236 193,259 391,196
c Accounting ........... 2,528,829   2,528,829  
d Lobbying ........... 313,085 313,085    
e Professional fundraising services. See Part IV, line 17 902,800 902,800
f Investment management fees ...... 4,704,347   4,704,347  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 866,418,809 837,752,541 15,000,741 13,665,527
12 Advertising and promotion .... 17,664,227 17,495,215 66,742 102,270
13 Office expenses ....... 234,871,105 216,829,100 17,018,225 1,023,780
14 Information technology ...... 54,365,662 53,055,270 1,293,566 16,826
15 Royalties .. 4,322,175 4,319,675 2,500  
16 Occupancy ........... 67,747,300 36,814,200 29,475,664 1,457,436
17 Travel ............ 48,763,461 46,346,116 1,443,075 974,270
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 4,719,011 4,636,877 73,647 8,487
20 Interest ........... 133,230,969 80,189,416 53,041,553  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 188,378,789 186,333,436 1,975,893 69,460
23 Insurance ... 25,529,406 25,529,406    
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 473,293,285 473,293,285    
b UBIT 20,273,267 20,273,215 52  
c EMPLOYEE RELATED 40,245,561 37,267,122 2,918,976 59,463
d MN CARE TAX 39,909,938 39,908,563 1,375  
e All other expenses 37,799,420 35,886,018 1,890,422 22,980
25 Total functional expenses. Add lines 1 through 24e 5,677,955,626 5,357,975,744 268,741,830 51,238,052
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 right arrow if following SOP 98-2 (ASC 958-720).        
Form 990 (2022)
Page 11
Form 990 (2022)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 1,715,225 1 7,612,763
2 Savings and temporary cash investments ......... 88,122 2 1,296,847,969
3 Pledges and grants receivable, net ...... 496,652,443 3 552,606,481
4 Accounts receivable, net ............. 550,987,625 4 512,569,768
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 ........... 2,101,222 7 1,850,548
8 Inventories for sale or use ............ 9,188,537 8 10,787,335
9 Prepaid expenses and deferred charges ...... 40,641,706 9 55,435,863
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,994,895,209
b Less: accumulated depreciation 10b 2,481,922,966 1,467,091,871 10c 1,512,972,243
11 Investments—publicly traded securities . 577,599,401 11 509,632,934
12 Investments—other securities. See Part IV, line 11 ..... 14,825,293,684 12 16,069,269,429
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 2,572,442,526 15 1,578,054,092
16 Total assets. Add lines 1 through 15 (must equal line 33)... 20,543,802,362 16 22,107,639,425
Liabilities 17 Accounts payable and accrued expenses ..... 2,627,802,035 17 2,064,798,992
18 Grants payable ...   18  
19 Deferred revenue ......... 111,583,445 19 172,598,176
20 Tax-exempt bond liabilities ......... 1,406,307,809 20 1,474,194,291
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 .. 2,493,906,542 23 2,691,172,955
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 3,526,450,006 25 3,175,406,333
26 Total liabilities. Add lines 17 through 25.. 10,166,049,837 26 9,578,170,747
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here right arrow and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 5,989,293,754 27 8,306,935,513
28 Net assets with donor restrictions ........... 4,388,458,771 28 4,222,533,165
Organizations that do not follow FASB ASC 958, check here right arrow 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 ........... 10,377,752,525 32 12,529,468,678
33 Total liabilities and net assets/fund balances ........ 20,543,802,362 33 22,107,639,425
Form 990 (2022)
Page 12
Form 990 (2022)
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
7,075,354,210
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
5,677,955,626
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,397,398,584
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
10,377,752,525
5
Net unrealized gains (losses) on investments ...............
5
-1,840,274,638
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
2,594,592,207
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
12,529,468,678
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain 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:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
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 (2022)
Form 990 (2022)
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