l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493304011531

Form990 Return of Organization Exempt From Income Tax OMB No 1545-0047

Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung201

0

benefit trust or private foundation)

Department of the Treasury • .

Internal Revenue Service 0- The organization may have to use a copy of this return to satisfy state reporting requirements

A For the 2010 calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010

B Check if applicableC Name of organization D Employer identification number

MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCHF Address change 41-1506440

Doing Business AsF Name change E Tele hone numberp

fl Initial return N b d P 0 b f l d l d dd Rum er an street (or ox i mai is not e ivere to street a ress ) oom/ suite (507)538-1297

(Terminated200 FIRST STREET SW

1 Amended return City or town, state or country, and ZIP + 4G Gross receipts $ 743,391,122

1Application pendingROCHESTER, MN 55905

F Name and address of principal officer

JEFFREY W BO LTO N

200 FIRST STREET SW

ROCHESTER ,MN 55905

I Tax - exempt status F 501(c)(3) 1 501( c) ( ) I (insert no ) 1 4947(a)(1) or F_ 527

3 Website : 1- WWW MAYO EDU

H(a) Is this a group return for aff liates7 I Yes I' No

H(b) Are all affiliates included? F Yes F_ No

If "IN o," attach a list (see instructions)

H(c) Group exemption number 0-

K Form of organization F Corporation 1 Trust F_ Association 1 Other 1- L Year of formation 1915 M State of legal domicileMN

Summary

1 Briefly describe the organization's mission or most significant activitiesTO ASSIST IN CARRYING OUT THE CHARITABLE PURPOSES OF MAYO CLIN IC

2 Check this box Of- if the organization discontinued its operations or disposed of more than 25% of its net assets

3 Number of voting members of the governing body (Part VI, line 1a) . 3 5

r;} 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 0

5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) 5 5,762

6 Total number of volunteers (estimate if necessary) . 6 0

7a Total unrelated business revenue from Part VIII, column (C), line 12 . 7a 17,587,561

b Net unrelated business taxable income from Form 990-T, line 34 7b 1,225,483

Prior Year Current Year

8 Contributions and grants (Part VIII, line 1h) 0 2,770,435

9 Program service revenue (Part VIII, line 2g) . 612,319,772 735,708,932

13-10 Investment income (Part VIII, column (A), lines 3, 4, and 7d . . . . 3,031,484 -674,843

11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 24,217,693 3,239,593

12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line12) . . . . . . . . . . . . . . . . . . 639,568,949 741,044,117

13 Grants and similar amounts paid (Part IX, column (A), lines 1-3 . 16,841 13,076,941

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) 265,881,095 430,960,096

i 16a Professional fundraising fees (Part IX, column (A), line 11e) . 0 0

b Total fundraising expenses (Part IX, column (D), line 25) 0-0

17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24f) . 393,767,069 348,383,679

18 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 659,665,005 792,420,716

19 Revenue less expenses Subtract line 18 from line 12 -20,096,056 -51,376,599

Beginning of CurrentEnd of Year

YeaYear

'M 20 Total assets (Part X, line 16) . 1,299,366,862 1,408,642,075

21 Total l i a b i l i t i e s (Part X, l i n e 26) . . . . . . . . . . 1,211,174,134 1,318,449,106

ZLL 22 Net assets or fund balances Subtract line 21 from line 20 88,192,728 90,192,969

lifij= Signature Block

Under penalties of perjury, I declare that I have examined this return , including accoknowl edge and belief, it is true, correct, and complete . Declaration of preparer (otheknowledge.

Sign Signature of officer

Here JEFFREY W BOLTON CFOType or print name and title

Print/Type Preparer's signaturepreparer's name

Paid Firm's name

Preparer'Firm s address

Use Only

May the IRS discuss this return with the preparer shown above? (see instructs

Form 990 ( 2010) Page 2

1:M-600 Statement of Program Service AccomplishmentsCheck if Schedule 0 contains a response to any question in this Part III .F

1 Briefly describe the organization 's mission

TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES EXCLUSIVELY FOR THE BENEFIT OF,

TO PERFORM THE FUNCTIONS OF, AND TO ASSIST IN CARRYING OUT THE CHARITABLE PURPOSES OF MAYO CLINIC,

INCLUDING, BUT NOT LIMITED TO, MEDICAL EDUCATION AND RESEARCH, MEDICAL PRACTICE ACTIVITIES, AND CLINICAL

OUTREACH ACTIVITIES IN FURTHERANCE OF SUCH MEDICAL EDUCATION AND RESEARCH AND PROMOTION OF HEALTH

2 Did the organization undertake any significant program services during the year which were not listed onthe prior Form 990 or 990 -EZ'' . . . . . . . . . . . . . . . . . . . . fl Yes F No

If "Yes," describe these new services on Schedule 0

3 Did the organization cease conducting , or make significant changes in how it conducts , any program

services ? . . . . . . . . . . . . . . . . . . . . . . . . . . F Yes F No

If "Yes," describe these changes on Schedule 0

4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses

Section 501(c)(3) and 501 ( c)(4) organizations and section 4947( a)(1) trusts 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 $ 604,108,297 including grants of $ 13,065,950 ) (Revenue $ 512,751,406

SUPPORT SERVICES (SEE SCHEDULE O)MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER ) PARTICIPATES IN THE DIRECTION AND GUIDANCEOF MEDICAL CLINICS ESTABLISHED BY MAYO CLINIC THESE INCLUDE MAYO CLINIC, LOCATED IN ROCHESTER, MINNESOTA, AS WELL AS SEPARATE, NONPROFITMEDICAL CLINICS ESTABLISHED BY MAYO CLINIC IN JACKSONVILLE, FLORIDA, SCOTTSDALE, ARIZONA, EAU CLAIRE, LACROSSE AND MENOMONIE , WISCONSIN,ALBERT LEA, AUSTIN, CANNON FALLS, FAIRMONT, FARIBAULT, LAKE CITY, MANKATO, OWATONNA, ST JAMES, SPRINGFIELD, WABASHA, AND WASECA, MINNESOTA,AND DECORAH, IOWA MFMER'S RELATIONSHIP WITH THESE CLINICS IS TO ENSURE THE HIGHEST QUALITY STANDARDS OF PATIENT CARE AND PATIENT DATAESTABLISHED AT MAYO CLINIC ARE CONSISTENT THROUGHOUT THE MAYO CLINIC SYSTEM SO THAT THE RESEARCH AND EDUCATIONAL PURPOSES OF MAYOCLINIC CAN BE ACCOMPLISHED THE EXTENSION OF THE RESEARCH, EDUCATION AND PATIENT CARE LEADERSHIP ROLE ASSOCIATED WITH MAYO CLINIC INTOAREAS OUTSIDE OF ROCHESTER CREATES USEFUL AND OTHERWISE UNAVAILABLE COMPARATIVE RESEARCH AND EDUCATIONAL OPPORTUNITIES TO FURTHERMAYO'S EXEMPT PURPOSE MFMER ALSO PROVIDES PAYROLL, PURCHASING, SALARY & BENEFIT ADMINISTRATION AND OTHER MISCELLANEOUS SUPPORT SERVICESFOR MAYO CLINIC AND AFFILIATES IN 2010 SEVERAL SHARED SERVICE PROGRAMS CONSOLIDATED INTO MFMER WHICH CAUSED AN INCREASE IN REVENUE ANDEXPENSES

4b (Code ) ( Expenses $ 82,039,824 including grants of $ ) (Revenue $ 141,600,442

PHARMACIES AND MEDICAL PRODUCTS (SEE SCHEDULE O)IN ORDER TO CONVENIENTLY ACCOMMODATE THE NEEDS OF PATIENTS AND EMPLOYEES OF MAYOCLINIC, MFMER OPERATES PHARMACIES AND A MEDICAL PRODUCTS STORE AT THE MAYO CLINIC SITES THESE OPERATIONS ARE NOT INTENDED TO SERVE THEGENERAL PUBLIC THE STAFF AT THESE PHARMACIES ALSO ASSIST MAYO CLINIC SCIENTISTS IN DRUG PROTOCOLS FOR RESEARCH

4c (Code ) ( Expenses $ 65,782,589 including grants of $ ) (Revenue $ 62,091,815

HEALTH INFORMATION (SEE SCHEDULE O)MFMER IS USED AS A MEANS OF MAKING AVAILABLE TO THE MEDICAL COMMUNITY AND TO THE GENERAL PUBLIC THERESULTS OF MAYO'S RESEARCH AND EDUCATION PROGRAMS DURING 2010, MFMER SOLD 460,497 COPIES OF THE MAYO CLINIC HEALTH LETTER THE HEALTHLETTER IS A MONTHLY NEWSLETTER CONTAINING USEFUL HEALTH INFORMATION FOR THE GENERAL PUBLIC MFMER ALSO SOLD 121,768 COPIES OF WOMEN'SHEALTHSOURCE, A MONTHLY NEWSLETTER ON WOMEN'S HEALTH MFMER SOLD 4,451,158 COPIES OF THE MAYO CLINIC EMBODYHEALTH NEWSLETTER THISINCLUDES 4, 111,638 COPIES SOLD TO EMPLOYERS AND MEMBER ORGANIZATIONS AS PART OF MFMER'S CORPORATE WELLNESS PROGRAM THIS PROGRAM ISDESIGNED TO MEET THE SPECIFIC POPULATION HEALTH MANAGEMENT NEEDS OF EMPLOYERS AND MEMBER ORGANIZATIONS THE EMBODYHEALTH NEWSLETTERPROVIDES HEALTH INFORMATION TO THE SUBCRIBING ORGANIZATION'S EMPLOYEES AND MEMBERS IN ADDITION, THE FOLLOWING BOOKLETS WERE SOLD TOEMPLOYERS AND MEMBER ORGANIZATIONS UNDER THE CORPORATE WELLNESS PROGRAM 50 HEAD-TO-TOE HEALTH TIPS - 1,575 COPIES 8 WAYS TO LOWERYOUR RISK OF A HEART ATTACK OR STROKE - 401 COPIES DISEASE-FIGHTING FOODS SMART EATING CHOICES - 125 COPIES EATING OUT YOUR POCKET GUIDETO HEALTH DINING - 550 COPIES YOUR GUIDE TO VITAMIN & MINERAL SUPPLEMENTS - 150 COPIES HEALTHFUL SOLUTIONS FOR MANAGING STRESS - 2,275COPIES HEALTHY EATING FOR HURRIED LIVES - 150 COPIES HEALTH WEIGHT FOR LIFE - 1,501 COPIES HIGH BLOOD PRESSURE & YOUR HEART - 1,455 COPIESLIVE LONGER, LIVE BETTER - 8,025 COPIES COMPLENTARY & ALTERNATIVE MEDICINE - 51 COPIES WALK YOUR WAY TO FITNESS - 2,201 COPIES YOUR HEART-HEALTHY EATING GUIDE - 3,150 COPIES MFMER ALSO SELLS NUMEROUS BOOKS ON HEALTH RELATED TOPICS DURING 2010, MFMER SOLD 7,385 COPIES OF MAYOCLINIC FAMILY HEALTH BOOK, AN ILLUSTRATED COMPREHENSIVE HOME MEDICAL REFERENCE WITH DETAILED, CURRENT INFORMATION ON HUNDREDS OFMEDICAL CONDITIONS DURING 2010, MFMER ALSO SOLD THE FOLLOWING BOOKS, WHICH ARE ALL PART OF A SERIES OF EASY TO UNDERSTAND, YETCOMPREHENSIVE BOOKS THAT PROVIDE ANSWERS TO QUESTIONS ABOUT EACH HEALTH CONCERN MAYO CLINIC 5 STEPS TO CONTROLLING HIGH BLOODPRESSURE - 5,328 COPIES MAYO CLINIC GUIDE TO A HEALTY PREGANCY - 16,974 COPIES MAYO CLINIC ON MANAGING INCONTINENCE - 11,020 COPIES MAYOCLINIC FITNESS FOR EVERYBODY - 3,733 COPIES MAYO CLINIC HOME REMEDIES - 7,727 COPIES MAYO CLINIC GUIDE TO PAIN RELIEF - 6,398 COPIES MAYOCLINIC ON PROSTRATE HEALTH - 10,273 COPIES MAYO CLINIC HEALTHY WEIGHT FOR EVERYBODY - 1,417 COPIES MAYO CLINIC ON DIGESTIVE HEALTH - 9,070COPIES MAYO CLINIC PLAN ON HEALTHY AGING - 9,138 COPIES MAYO CLINIC THE ESSENTIALS DIABETES BOOK - 4,931 COPIES MAYO CLINIC ON MANAGINGDIABETES - 69 COPIES MAYO CLINIC PLAN 10 STEPS TO A BETTER BODY & HEALTHIER LIFE - 5,297 COPIES MAYO CLINIC GUIDE TO ALZHEIMER'S DISEASE - 10,087COPIES MAYO CLINIC GUIDE TO BETTER VISION - 5,781 COPIES MAYO CLINIC GUIDE TO MANAGING ARTHRITIS - 6,336 COPIES MAYO CLINIC GUIDE TO SELF CARE- 54,563 COPIES MAYO CLINIC ON BETTER HEARING AND BALANCE - 11,196 COPIES MAYO CLINIC GUIDE ON PREVENTING & TREATING OSTEOPOROSIS - 6,234COPIES MAYO CLINIC BOOK OF ALTERNATIVE MEDICINE - 20,445 COPIESIN COLLABORATION WITH GAIAM, INC , "WELLNESS SOLUTIONS", A DVD SERIES OFFERINGINTEGRATIVE HEALTH SOLUTIONS FOR 10 COMMON CONDITIONS, WAS ORIGINALLY PUBLISHED IN 2008 SELLING 2,859 COPIES IN 2010 IN 2010 31,826 COPIES OFTHE MAYO CLINIC DIET BOOK AND 8,355 COPIES OF THE DIET JOURNAL WERE SOLD IN THE BOOK AND THE JOURNAL, MAYO CLINIC HAS BOILED THE RESEARCHDOWN TO FIVE SIMPLE HABITS TO HELP TAKE OFF EXTRA WEIGHT AND FIVE HABITS TO BREAK SO THAT WEIGHT DOES NOT COME BACK FIX IT AND ENJOY ITCOOKBOOKS SOLD 9,486 COPIES AND THE MAYO CLINIC NEW COOKBOOK SOLD 3,736 COPIES MFMER ALSO OPERATES MAYO'S INFORMATIONAL CONSUMERWEBSITE, MAYOCLINIC COM, WHICH HAS THOUSANDS OF VISITORS DAILY ASK MAYO CLINIC, A TELEPHONIC HEALTH RESOURCE ADMINISTERED BY MFMER IS ASTRATEGIC RESOURCE AVAILABLE TO EMPLOYERS TO OFFER TO THEIR EMPLOYEES THIS 24-HOUR NURSE LINE AND HEALTH ADVOCACY SERVICE IS STAFFED BYEXPERIENCED REGISTERED NURSES WHO DRAW ON THE RESOURCES OF MAYO CLINIC TO HELP PEOPLE CHOOSE THE RIGHT LEVEL OF CARE FOR ILLNESSES ANDINJURIES, AND ACCESS APPROPRIATE RESOURCES FOR THEIR PERSONAL HEALTH NEEDS

4d Other program services (Describe in Schedule 0 ) See also Additional Data for Description

(Expenses $ 17,118,443 including grants of$ 10,991 ) (Revenue $ 20,942,515 )

4e Total program service expenses $ 769,049,153

Form 990 (2010)

Form 990 (2010) Page 3

Li^ Checklist of Required Schedules

Yes No

1 Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes,"

^

Yes

complete Schedule As . . . . . . . . . . . . . . . . . . . . . 1

2 Is the organization required to complete Schedule B, Schedule of Contributors (see instruction)? 2 Yes

3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to No

candidates for public office? If "Yes,"complete Schedule C, Part Is . . . . . . . . . 3

4 Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h) Yes

election in effect during the tax year? If "Yes,"complete Schedule C, Part II9

5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,

assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes, "complete Schedule C, Part

III . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Did the organization maintain any donor advised funds or any similar funds or accounts where donors have theright to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"complete

Schedule D, Part Is . . . . . . . . . . . . . . . . . . . . . 6N o

7 Did the organization receive or hold a conservation easement, including easements to preserve open space,No

the environment, historic land areas or historic structures? If "Yes,"complete Schedule D, Part II^ 7

8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"

complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . 8 N o

9 Did the organization report an amount in Part X, line 21, 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 IVlg^ 9 N o

10 Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi- 10 Yes

endowments? If "Yes,"complete Schedule D, Part 1D

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, linelO? If "Yes,"complete

Schedule D, Part VI.19 11a Yes

b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more of

its total assets reported in Part X, line 16? If "Yes,"complete Schedule D, Part VII. llb No

c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of

its total assets reported in Part X, line 16? If "Yes,"complete Schedule D, Part VIII. 11c No

d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets

reported in Part X, line 16? If "Yes,"complete Schedule D, Part IXI^ lld Yes

e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes,"complete Schedule D, PartX.95lie Yes

f Did the organization's separate or consolidated financial statements for the tax year include a footnote thataddresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes,"complete 11f YesSchedule D, Part X.95

12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"

complete Schedule D, Parts XI, XII, and XIII 12a N o

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, XII, and XIII is optional 12b Yes

13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes, "complete Schedule E13 No

14a Did the organization maintain an office, employees, or agents outside of the United States? . 14a Yes

b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program

service activities outside the United States? If "Yes," complete Schedule F, Parts I and IV ID 14b Yes

15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any

organization or entity located outside the U S ? If "Yes, "complete Schedule F, Parts II and IV . . 95 15 No

16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to

individuals located outside the U S ? If "Yes,"complete Schedule F, Parts III and IV ^ 16 No

17 Did the organization report a total of more than $15,000, of expenses for professional fundraising services on 17 No

Part IX, column (A), lines 6 and 11e? If "Yes,"complete Schedule G, Part I (see instructions)

18 Did the organization report more than $15,000 total offundraising event gross income and contributions on Part

VIII, lines 1c and 8a? If "Yes, "complete Schedule G, Part II . . . . . . . . . 18 No

19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If 19 No

"Yes," complete Schedule G, Part III . . . . . . . . . . . . . . . . . . .

20a Did the organization operate one or more hospitals? If "Yes,"complete ScheduleH . 20a No

b If "Yes" to line 20a, did the organization attach its audited financial statement to this return? Note . Some Form 20b990 filers that operate one or more hospitals must attach audited financial statements (see instructions)

Form 990 (2010)

Form 990 (2010) Page 4

Li^ Checklist of Required Schedules (continued)

21 Did the organization report more than $5,000 of grants and other assistance to governments and organizations in 21 Yes

the United States on Part IX, column (A), line 1'' If "Yes,"complete Schedule I, Parts I and II .

22 Did the organization report more than $5,000 of grants and other assistance to individuals in the United States 22on Part IX, column (A), line 2'' If "Yes, "complete Schedule I, Parts I and III . 19

Yes

23 Did the organization answer "Yes" to Part V II, Section A, questions 3, 4, or 5, about compensation of the

organization's current and former officers, directors, trustees, key employees, and highest compensated 23 Yes

employees? If "Yes,"complete Schedule J . . . . . . . . . . . . . . .

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, 20027 If "Yes," answer lines 24b-24d andcomplete Schedule K. If "No,"go to line 25 . . . . . . . . . . . . . . . 24a

N o

b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . 24b

c Did the organization maintain an escrow account other than a refunding escrow at any time during the yearto defease any tax-exempt bonds? . 24c

d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? 24d

25a Section 501(c )( 3) and 501 ( c)(4) organizations . Did the organization engage in an excess benefit transaction with

a disqualified person during the year? If "Yes,"complete Schedule L, Part I 15 25a No

b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prioryear, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ7 If 25b No

"Yes,"complete Schedule L, Part I . . . . . . . . . . . . . . . . 95

26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, ordisqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, 26 NoPart II . . . . . . . . . . . . . . . . . . . . . . . . . . .

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantialcontributor, or a grant selection committee member, or to a person related to such an individual? If "Yes," 27 No

complete Schedule L, Part III . 19

28 Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV

instructions for applicable filing thresholds, conditions, and exceptions)

a A current or former officer, director, trustee, or key employee? If "Yes,"complete Schedule L, Part

IV ID 28a No

b A family member of a current or former officer, director, trustee, or key employee? If "Yes,"

complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . t 28b Yes

c A n entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was

an officer, director, trustee, or direct or indirect owner? If "Yes,"complete Schedule L, Part IV S 28c Yes

29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M 29 No

30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualifiedconservation contributions? If "Yes,"complete Schedule M . . . . . . . . . . . 30 No

31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes,"complete Schedule N,PartI . 31 No

32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"completeSchedule N, Part II . 32 N o

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, PartI . . . . . . . GS 33 No

34 Was the organization related to any tax-exempt or taxable entity? If "Yes,"complete Schedule R, Parts II, III, IV,

and V, line 1 . . 34 Yes

35 Is any related organization a controlled entity within the meaning of section 512(b)(13)7 .35 Yes

a 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 . . . 99 FYes F_No

36 Section 501(c)(3) organizations . Did the organization make any transfers to an exempt non-charitable relatedNo

organization? If "Yes,"complete Schedule R, Part V, line 2 . 36

37 Did the organization conduct more than 5% of its activities through an entity that is not a related organizationNo

and that is treated as a partnership for federal income tax purposes? If "Yes,"complete Schedule R, Part VI I^D 37

38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 197

Note . All Form 990 filers are required to complete Schedule 0 38 Yes

Form 990 (2010)

Form 990 (2010) Page 5

Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule 0 contains a response to any question in this Part V

Yes I No

la Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicablela 4,557

b Enter the number of Forms W-2G included in line la Enter-0- if not applicablelb 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

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 thisreturn . . . . . . . . . . . . . . . . . . . . 2a 5,762

b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?2b Yes

Note . If the sum of lines la and 2a is greater than 250, you may be required to e-file (see instructions)

3a Did the organization have unrelated business gross income of $1,000 or more during theyear? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a Yes

b If "Yes," has it filed a Form 990-T for this year? If "No,"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 financialaccount)? . 4a Yes

b If"Yes," enter the name of the foreign country .MX , AE

See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts

5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . .

b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

c If "Yes" to line 5a or 5b, did the organization file Form 8886-T''

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?

b If "Yes," did the organization include with every solicitation an express statement that such contributions or giftswere not tax deductible? .

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 payor7 .

b If "Yes," did the organization notify the donor of the value of the goods or services provided?

c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to

file Form 82827 .

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 benefitcontract? .

f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 asrequired?

h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a

Form 1098-C7

8 Sponsoring organizations maintaining donor advised funds and section 509(a )( 3) supporting organizations. Did

the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess

business holdings at any time during the year?

9 Sponsoring organizations maintaining donor advised funds.

a Did the organization make any taxable distributions under section 49667 .

b Did the organization make a distribution to a donor, donor advisor, or related person?

10 Section 501(c )( 7) organizations. Enter

a Initiation fees and capital contributions included on Part VIII, line 12

b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club

facilities

11 Section 501(c)(12) organizations. Enter

a Gross income from members or shareholders

10a

10b

11a

b Gross income from other sources (Do not net amounts due or paid to other sourcesagainst 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'

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 0

5a N o

5b N o

Sc

6a N o

6b

7a N o

7b

7c N o

7e N o

7f N o

7g

7h

8

9a

9b

12a

13a

b Enter the amount of reserves the organization is required to maintain by the statesin which the organization is licensed to issue qualified health plans 13b

c Enter the amount of reserves on hand13c

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 0 . 14b

Form 990 (2010)

Form 990 ( 2010) Page 6

Lamm Governance , Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and fora "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule0. See instructions.Check if Schedule 0 contains a response to any question in this Part VI .F

Section A . Governin g Bod y and Mana gement

Yes No

la Enter the number of voting members of the governing body at the end of the taxyear . . . . . . . . . . . . . la 5

b Enter the number of voting members included in line la, above, who areindependent . . . . . . . . . . . . . . . . lb 0

2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with anyother officer, director, trustee, or key employee? 2 Yes

3 Did the organization delegate control over management duties customarily performed by or under the directsupervision of officers, directors or trustees, or key employees to a management company or other person? 3 Yes

4 Did the organization make any significant changes to its governing documents since the prior Form 990 was

filed? 4 No

5 Did the organization become aware during the year of a significant diversion of the organization's assets? 5 No

6 Does the organization have members or stockholders? 6 Yes

7a Does the organization have members, stockholders, or other persons who may elect one or more members of thegoverning body? . . . . . . . . . . . . . . . . . . . . . . . . 7a Yes

b Are any decisions of the governing body subject to approval by members, stockholders, or other persons? 7b Yes

8 Did the organization contemporaneously document the meetings held or written actions undertaken during theyear 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 theorganization's mailing address? If"Yes," provide the names and addresses in Schedule 0 9 No

Section B. Policies (This Section B requests information about policies not required by the InternalRevenue Code. )

Yes No

10a Does the organization have local chapters, branches, or affiliates? 10a No

b If "Yes," does the organization have written policies and procedures governing the activities of such chapters,affiliates, and branches to ensure their operations are consistent with those of the organization? . 10b

11a Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?11a Yes

b Describe in Schedule 0 the process, if any, used by the organization to review this Form 990

12a Does the organization have a written conflict of interest policy? If "No,"go to line 13 . 12a Yes

b Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise

to conflicts? 12b Yes

c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"

describe in Schedule 0 how this is done 12c Yes

13 Does the organization have a written whistleblower policy? 13 Yes

14 Does 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 Yes

b Other officers or key employees of the organization 15b Yes

If "Yes" to line 15a or 15b, describe the process in Schedule 0 (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," has the organization adopted a written policy or procedure requiring the organization to evaluate its

participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard theorganization's exempt status with respect to such arrangements? 16b Yes

Section C. Disclosure

17 List the States with which a copy of this Form 990 is required to be filed-MN , CA , KY

18 Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990 -T (50 1(c)

(3)s only) available for public inspection Indicate how you make these available Check all that apply

fl O wn website fi A nother' s website F Upon request

19 Describe in Schedule 0 whether ( and if so, how ), the organization makes its governing documents , conflict ofinterest policy , and financial statements available to the public See Additional Data Table

20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization 0-

CORPORATE TAX UNIT

200 FIRST STREET SW

ROCHESTER, MN 55905

(507) 538-1297

Form 990 (2010)

Form 990 (2010) Page 7

1:M.lkvh$ Compensation of Officers , Directors,Trustees, Key Employees , Highest Compensated

Employees, and Independent ContractorsCheck if Schedule 0 contains a response to any question in this Part VII .F

Section A. Officers, Directors, Trustees, Kev Employees, and Highest Compensated Employees

la Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organization's

tax year

* List all of the organization' s current officers, directors, trustees (whether individuals or organizations), regardless of amount

of compensation, and current key employees Enter -0- in columns (D), (E), and (F) if no compensation was paid

* List all of the organization 's current key employees, if any See instructions for definition of "key employee "

* List the organization's five current highest compensated employees (other than an officer, director, trustee or key employee)

who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the

organization and any related organizations

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

6 List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of the

organization, more than $10,000 of reportable compensation from the organization and any related organizations

List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highestcompensated employees , and former such persons

fl 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

(C)

Position (check all

that apply)

(D )

Reportable

compensation

( E)

Reportable

compensation

(F)

Estimated

amount of other

perweek

(describe

hoursfor

relatedorganizations

in

Schedule0)

1 <0c

mm

2ca

`a

5

fD

M

-

fD=

(5D

+0 4

m

T0

a,

from the

organization (W-

2/1099-MISC)

from related

organizations

(W- 2/1099-

MISC)

compensation

from the

organization and

related

organizations

See Additional Data Table

Form 990 (2010)

Form 990 (2010) Page 8

Ulj= Section A. Officers, Directors , Trustees , Key Employees, and Highest Compensated Employees (continued)

(A)

Name and Title

(B)

Average

hours

(C)

Position (check all

that apply)

(D)

Reportable

compensation

(E)

Reportable

compensation

(F)

Estimated

amount of other

perweek

(describe

hoursfor

relatedorganizations

in

Schedule0)

C6 r'

m

-

2ca-

`a,

5

m-

-0

-D=

(5

`++0 4

-0m

V

T0

¢,

from the

organization (W-

2/1099-MISC)

from related

organizations

(W- 2/1099-

MISC)

compensation

from the

organization and

related

organizations

See Additional Data Table

lb Sub-Total . . . . . . . . . . . . . . . . . . 0-

c Total from continuation sheets to Part VII , Section A . . . .

d Total ( add lines lb and 1c ) . . . . . . . . . . . . 0- 14,350,117 15,003,791 4,940,273

Total number of individuals (including but not limited to those listed above) who received more than

$100,000 in reportable compensation from the organization-774

Yes I No

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee

on l i n e la 's If "Yes,"complete ScheduleI forsuch individual . . . . . . . . . . . . 3 Yes

For any individual listed on line la, is the sum of reportable compensation and other compensation from the

organization and related organizations greater than $150,000' If"Yes,"complete Schedule] forsuch

individual . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Yes

Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for

services rendered to the organization ? If "Yes, "complete ScheduleI 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

(A) (B) (C)Name and business address Description of services Compensation

BOLDT CONSTRUCTION2525 N ROEMER RD CONSTRUCTION 55,593,982APPLETON, WI 549120419

PEOPLECLICK INCTWO HANNOVER SQUARE 7TH FLOOR HR SERVICES 29,126,241RALEIGH, NC 27601

SODEXHO SERVICES INCPO BOX 70060 FOOD SERVICES 19,738,122CHICAGO, IL 60673

IBM CORPORATIONTWO LINCOLN CENTRE TECHNOLOGY SERVICES 14,357,267OAK BROOK TERRACE, IL 60181

CERNER CORPORATION2800 ROCKCREEK PARKWAY TECHNOLOGY SERVICES 10,554,152KANSAS CITY, MO 64117

2 Total number of independent contractors ( including but not limited to those listed above) who received more than$100,000 in compensation from the organization 0-727

Form 990 (2010)

Form 990 (2010) Page 9

1:M.WJ004 Statement of Revenue

(A) (B) (C) (D)

Total revenue Related or Unrelated Revenueexempt businessfunction revenue excludedrevenue from

taxunder

sections

512,

513, or

514

la Federated campaigns . la

b Membership dues . . . . lbE

c Fundraising events . 1c

C_ d Related organizations . ld 2,768,435

e Government grants ( contributions) le

f All other contributions, gifts, grants , and if 2,000similar amounts not included above

g Noncash contributions included in lines la-If $

h Total . Add lines la -1f . 2,770,435

Business Code91

2a 3,800,000 560,158SUPPORT SERVICES 561000 510,907,899 506,547,741

b 644,501PHARMACY REVENUE 446110 131,221,865 130,577,364

Uc HEALTH INFORMATION 511190 61,454,401 51,594,216 9,258,381 601,804

d ROYALTY REVENUE 541900 21,694,632 20,451,885 1,242,747

e MEDICAL PRODUCTS 446199 10,378,577 9,011,945 1,366,632

f All other program service revenue 51,55851,558

g Total . Add lines 2a -2f . 735,708,932

3 Investment income (including dividends , interest

and other similar amounts ) 1,670,909 1,670,909

4 Income from investment of tax- exempt bond proceeds

5 Royalties . .

(i) Real (ii) Personal

6a Gross Rents

b Less rentalexpenses

c Rental incomeor (loss)

d Net rental income or ( loss) . .

(i) Securities (ii) Other

7a Gross amount 1,253from sales ofassets otherthan inventory

b Less cost or 2,347,005other basis andsales expenses

c Gain or (loss) -2,345,752

d Net gain or ( loss) -2,345,752 -2,345,752

q} 8a Gross income from fundraising events( not including

of contributions reported on line 1c)See Part IV , line 18

a

b Less direct expenses . b

c Net income or (loss) from fundraising events . .

9a Gross income from gaming activities See Part IV, line 19 . a

b Less direct expenses . b

c Net income or (loss ) from gaming activities

10aGross sales of inventory, less

returns and allowances .

a

b Less cost of goods sold . b

c Net income or (loss ) from sales of inventory . 0-

Miscellaneous Revenue Business Code

11aMAYO MEDICAL TRANSPORT 621990 1,611,618 360,788 1,250,830

bMISCELLANEOUS 900099 903,767 607,674 9,046 287,047

c CONSULTING SERVICES 541610 586,284 586,284

dAll other revenue 137,924 122,500 15,424

e Total . A dd l i n e s h a-11 d3,239,593

12 Total revenue . See Instructions . . .741, 044,117 774,166

719, 911, 955 17,587,561

Form 990 (2010)

Form 990 (2010) Page 10

Statement of Functional Expenses

Section 501 ( c)(3) and 501 ( c)(4) organizations must complete all columns.

All other organizations must complete column ( A) but are not required to complete columns (B), (C), and (D).

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 andgeneral expenses

(D)Fundraisingexpenses

1 Grants and other assistance to governments and organizations

in the U S See Part IV, line 2113,060,950 13,060,950

2 Grants and other assistance to individuals in the

U S See Part IV, line 2215,991 15,991

3 Grants and other assistance to governments,

organizations, and individuals outside the U S See

Part IV, lines 15 and 16

4 Benefits paid to or for members

5 Compensation of current officers, directors , trustees, and

key employees 13,632,685 13,632,685

6 Compensation not included above, to disqualified persons

(as defined under section 4958 ( f)(1)) and persons

described in section 4958 (c)(3)(B) 37,357 37,357

7 Other salaries and wages 321,220,543 321,220,543

8 Pension plan contributions ( include section 401(k) and section

40 3(b) employer contributions ) 54,519,198 54,519,198

9 Other employee benefits 17 ,089,655 17,089,655

10 Payroll taxes 24,460,658 24,460,658

a Fees for services ( non-employees)

Management 282,061 282,061

b Legal 5,228 ,431 5,228,431

c Accounting 1,436,524 1,436,524

d Lobbying 705,000 705,000

e Professional fundraising services See Part IV, line 17

f Investment management fees 522 522

g Other 16 ,420,180 16,420,180

12 Advertising and promotion 890,052 890,052

13 Office expenses 147,462,952 147,462,952

14 Information technology 55,975,822 55,975,822

15 Royalties 8,303,881 8,303,881

16 Occupancy 39,525,088 39,525,088

17 Travel 5,764,117 5,764,117

18 Payments of travel or entertainment expenses for any federal,state, or local public officials

19 Conferences , conventions, and meetings 172,164 172,164

20 Interest 551 551

21 Payments to affiliates

22 Depreciation , depletion, and amortization 62,609,685 62,609,685

23 Insurance 6,495 6,495

24 Other expenses Itemize expenses not covered above (List

miscellaneous expenses in line 24f If line 24f amount exceeds 10% of

line 25, column ( A) amount, list line 24f expenses on Schedule 0

a SUPPORT M&G ALLOCATION 0 -23,371,563 23,371,563

b EMPLOYEE EXPENSE S 1,833,394 1,833,394

c BAD DEBT 1,436,246 1,436,246

d DUES, LICENSES , ETC 345,155 345,155

e MISCELLANEOUS 126,383 126,383

f All other expenses -141,024 -141,024

25 Total functional expenses . Add lines 1 through 24f 792,420,716 769,049,153 23,371,563 0

26 Joint costs. Check here F- if following

SOP 98-2 (ASC 958-720) Complete this line only if the

organization reported in column ( B) joint costs from a

combined educational campaign and fundraising solicitation

Form 990 (2010)

Form 990 (2010) Page 11

IMEM Balance Sheet

(A) (B)Beginning of year End of year

1 Cash-non-interest-bearing 21,449,942 1 50,741,411

2 Savings and temporary cash investments 2

3 Pledges and grants receivable, net 3

4 Accounts receivable, net 34,085,258 4 38,766,339

5 Receivables from current and former officers, directors, trustees, key employees, andhighest compensated employees Complete Part II of

Schedule L 5

6 Receivables from other disqualified persons (as defined under section 4958(f)(1)),persons described in section 4958(c)(3)(B), and contributing employers, and

sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary

organizations (see instructions)

Schedule L 6

0 7 Notes and loans receivable, net 201,819,543 7 196,560,821

8 Inventories for sale or use 30,667,704 8 30,073,430

9 Prepaid expenses and deferred charges 27,450,996 9 29,949,943

10a Land, buildings, and equipment cost or other basis Complete 579,529,694

Part VI of Schedule D 10a

b Less accumulated depreciation 10b 406,473,783 130,298,690 10c 173,055,911

11 Investments-publicly traded securities 1,594,351 11 2,224,997

12 Investments-other securities See Part IV, line 11 40,738,291 12 31,267,623

13 Investments-program-related See Part IV, line 11 13

14 Intangible assets 3,884 14

15 Other assets See Part IV, line 11 811,258,203 15 856,001,600

16 Total assets . Add lines 1 through 15 (must equal line 34) . 1,299,366,862 16 1,408,642,075

17 Accounts payable and accrued expenses 579,136,937 17 624,310,270

18 Grants payable 18

19 Deferred revenue 17,471,677 19 15,409,498

20 Tax-exempt bond liabilities 20

} 21 Escrow or custodial account liability Complete Part IVof Schedule D . 21

22 Payables to current and former officers, directors, trustees, keyemployees, highest compensated employees, and disqualified

persons Complete Part II of Schedule L . 22

23 Secured mortgages and notes payable to unrelated third parties 23

24 Unsecured notes and loans payable to unrelated third parties 24

25 Other liabilities Complete Part X of Schedule D 614,565,520 25 678,729,338

26 Total liabilities . Add lines 17 through 25 . 1,211,174,134 26 1,318,449,106

Organizations that follow SFAS 117, check here - 7 and complete lines 27

through 29, and lines 33 and 34.

27 Unrestricted net assets 80,621,011 27 82,657,140

M 28 Temporarily restricted net assets 5,174,539 28 5,166,021

29 Permanently restricted net assets 2,397,178 29 2,369,808

Organizations that do not follow SFAS 117 check here F- and completeW_ ,

lines 30 through 34.

30 Capital stock or trust principal, or current funds 30

31 Paid-in or capital surplus, or land, building or equipment fund 31

32 Retained earnings, endowment, accumulated income, or other funds 32

33 Total net assets or fund balances 88,192,728 33 90,192,969z

34 Total liabilities and net assets/fund balances 1,299,366,862 34 1,408,642,075

Form 990 (2010)

Form 990 (2010) Page 12

1 :M.WO Reconcilliation of Net AssetsCheck if Schedule 0 contains a response to any question in this Part XI F

1 Total revenue (must equal Part VIII, column (A), line 12)

2 Total expenses (must equal Part IX, column (A), line 25)

3 Revenue less expenses Subtract line 2 from line 1

4 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))

5 Other changes in net assets or fund balances (explain in Schedule 0)

6 Net assets or fund balances at end of year Combine lines 3, 4, and 5 (must equal Part X, line 33, column

(B))

741,044,117

792,420,716

-51,376,599

88,192,728

53,376,840

90,192,969

Financial Statements and Reporting

Check if Schedule 0 contains a response to any question in this Part XII

1 Accounting method used to prepare the Form 990 p Cash F Accrual F-Other

If the organization changed its method of accounting from a prior year or checked " Other," explain inSchedule 0

2a Were the organization 's financial statements compiled or reviewed by an independent accountant's 2a

b Were the organization's financial statements audited by an independent accountant ? . 2b

c If "Yes, " to 2a or 2b , does the organization have a committee that assumes responsibility for oversight of theaudit, review, or compilation of its financial statements and selection of an independent accountant?If the organization changed either its oversight process or selection process during the tax year, explain inSchedule 0 2c

d If "Yes " to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issuedon a separate basis, consolidated basis, or both

fl Separate basis F Consolidated basis fl Both consolidated and separated basis

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in theSingle Audit Act and 0MB Circular A-133? . . . . . . . . . . . . . . . 3a

b If "Yes, " did the organization undergo the required audit or audits? If the organization did not undergo the required 3b

audit or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits .

F

Yes No

No

Yes

Yes

No

Form 990 (2010)

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493304011531

SCHEDULE A Public Charity Status and Public SupportOMB No 1545-0047

(Form 990 or 990EZ) 201 0Complete if the organization is a section 501(c)(3) organization or a section

Department of the Treasury 4947( a) (1) nonexempt charitable trust.

Internal Revenue Service► Attach to Form 990 or Form 990-EZ. ► See separate instructions.

Name of the organization Employer identification numberMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

41-1506440

Reason for Public Charity Status (All organizations must complete this part.) See Instructions

The organization is not a private foundation because it is (For lines 1 through 11, check only one box )

1 1 A church, convention of churches, or association of churches described in section 170 ( b)(1)(A)(i).

2 1 A school described in section 170 (b)(1)(A)(ii). (Attach Schedule E )

3 1 A hospital or a cooperative hospital service organization described in section 170 ( b)(1)(A)(iii).

4 1 A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(A)(iii). Enter the

hospital's name, city, and state

5 1 A n organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170 ( b)(1)(A)(iv ). (Complete Part II )

6 1 A federal, state, or local government or governmental unit described in section 170 ( b)(1)(A)(v).

7 1 An organization that normally receives a substantial part of its support from a governmental unit or from the general publicdescribed insection 170 ( b)(1)(A)(vi ) (Complete Part II )

8 1 A community trust described in section 170 ( b)(1)(A)(vi ) (Complete Part II )

9 F An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975 See section 509(a)(2). (Complete Part III )

10 1 An organization organized and operated exclusively to test for public safety Seesection 509(a)(4).

11 1 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of

one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). Check

the box that describes the type of supporting organization and complete lines 11e through 11h

a 1 Type I b 1 Type II c 1 Type III - Functionally integrated d 1 Type III - Other

e F By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons

other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or

section 509(a)(2)

f If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization,

check this box F

g Since August 17, 2006, has the organization accepted any gift or contribution from any of the

following persons?(i) a person who directly or indirectly controls, either alone or together with persons described in (ii) Yes No

and (iii) below, the governing body of the the supported organization? 11g(i)

(ii) a family member of a person described in (i) above? 11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above ?11

g(g(iii)

h Provide the following information about the supported organization(s)

)Name ofsupported

organization

ii)EIN

(iii)Type of

organization

(described onlines 1- 9 above

or IRC section

(see

I ( nIs th eorganization in

col (i) listed inyour governing

document?

(v)

Didyou noti fy the

organization incol (i) of your

su pp ort?

(vi)

Is theorganization in

col (i) organized

in the U S 7

ii

Amount ofsupport

instructions)) Yes No Yes No Yes No

Total

For Paperwork Red uchonAct Notice, seethe In structons for Form 990 Cat No 11285F Schedule A (Form 990 or 990 -EZ) 2010

Schedule A (Form 990 or 990-EZ) 2010 Page 2

Support Schedule for Organizations Described in Sections 170(b )( 1)(A)(iv) and 170(b)(1)

(A)(vi)

(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualifyunder Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A . Public Su pportCalendar year (or fiscal year beginning (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total

in) ►1 Gifts, grants, contributions, and

membership fees received (Do notinclude any "unusualgrants ")

2 Tax revenues levied for theorganization's benefit and eitherpaid to or expended on itsbehalf

3 The value of services or facilitiesfurnished by a governmental unit tothe organization without charge

4 Total . Add lines 1 through 3

5 The portion of total contributions byeach person (other than agovernmental unit or publiclysupported organization) included online 1 that exceeds 2% of theamount shown on line 11, column

(f)6 Public Support . Subtract line 5 from

line 4

Section B. Total Su pportCalendar year (or fiscal year beginning (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total

in) lik^

7 Amounts from line 4

8 Gross income from interest,

dividends, payments received on

securities loans, rents, royalties

and income from similar

10

11

12

13

sourcesNet income from unrelatedbusiness activities, whether ornot the business is regularlycarried onOther income Do not include gain

or loss from the sale of capital

assets (Explain in Part IV

Total support (Add lines 7

through 10)

Gross receipts from related activities, etc (See instructions 12

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,

check this box and stop here

Section C. Com p utation of Public Su pport Percenta g e14 Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) 14

15 Public Support Percentage for 2009 Schedule A, Part II, line 14 15

16a 33 1 / 3% support test - 2010 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box

and stop here . The organization qualifies as a publicly supported organization lik^F-b 33 1/3% support test -2009 . If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this

box and stop here . The organization qualifies as a publicly supported organization Ok-F-17a 10%-facts-and-circumstances test - 2010 . If the organization did not check a box on line 13, 16a, or 16b and line 14

is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here . Explainin Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly supported

organization lik^F-b 10%-facts -and-circumstances test - 2009 . If the organization did not check a box on line 13, 16a, 16b, or 17a and line

15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.

Explain in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly

supported organization Ok-F-18 Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see

instructions lik^F-

Schedule A (Form 990 or 990-EZ) 2010

Schedule A (Form 990 or 990-EZ) 2010 Page 3

IMMOTM Support Schedule for Organizations Described in Section 509(a)(2)

(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify underPart II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public SupportCalendar year ( or fiscal year beginning ( a) 2006 ( b) 2007 (c) 2008 (d) 2009 ( e) 2010 (f) Total

in) Ok-i Gifts, grants , contributions, and

membership fees received (Do 4,030,000 1,031,520 2,770,435 7,831,955not include any "unusualgrants ")

2 Gross receipts from admissions,

merchandise sold or servicesperformed , or facilities furnished 252,781,839 260,528,678 258,925,047 617,391,814 719,508,061 2,109,135,439in any activity that is related tothe organization ' s tax-exempt

purpose

3 Gross receipts from activities

that are not an unrelated trade orbusiness under section 513

4 Tax revenues levied for theorganization ' s benefit and eitherpaid to or expended on itsbehalf

5 The value of services or facilitiesfurnished by a governmental unitto the organization withoutcharge

6 Total . Add lines 1 through 5 252,781,839 264,558,678 259,956,567 617,391,814 722,278,496 2,116,967,394

7a Amounts included on lines 1, 2,and 3 received from disqualified 0persons

b Amounts included on lines 2 and3 received from other thandisqualified persons that exceed 0the greater of $5,000 or 1% of

the amount on line 13 for theyear

c Add lines 7a and 7b 0

8 Public Support ( Subtract line 7c2,116, 967, 394

from line 6 )

Section B. Total Support

Calendar year (or fiscal yearbeginning in)

9 Amounts from line 6

10a Gross income from interest,

dividends, payments received

on securities loans, rents,

royalties and income from

similar sources

b Unrelated business taxable

income (less section 511

taxes) from businesses

acquired after June 30, 1975

c Add lines 10a and 10b

11 Net income from unrelatedbusiness activities notincluded in line 10b, whether ornot the business is regularlycarried on

12 Other income Do not include

gain or loss from the sale of

capital assets (Explain in Part

IV )

13 Total support (Add lines 9,

10c,11and12)

14 First Five Years If the Form 990

check this box and stop here

(a) 2006 ( b) 2007 ( c) 2008 ( d) 2009 ( e) 2010 ( f) Total

252,781,839 264,558,678 259,956,567 617,391,814 722,278,496 2,116,967,394

10,627,282 7,662,473 11,794,270 3,731,267 1,670,909 35,486,201

104,217 967,146 1,282,675 2,354,038

10,627,282 7,766,690 11,794,270 4,698,413 2,953,584 37,840,239

2,733,304 3,100,085 3,570,624 4,435,698 1,449,009 15,288,720

266,142,425 275,425,453 275,321,461 626,525,925 726,681,089 2,170,096,353

is for the organization's first, second , third, fourth , or fifth tax year as a section501 ( c)(3) organization,

Section C. Com p utation of Public Su pport Percenta g e15 Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) 15 97 550 %

16 Public support percentage from 2009 Schedule A, Part III, line 15 16 96 750 %

Section D . Com p utation of Investment Income Percenta g e17 Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) 17 1 740 %

18 Investment income percentage from 2009 Schedule A, Part III, line 17 18 2 230 %

19a 33 1 / 3% support tests-2010 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not

more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supportedorganization

b 33 1 / 3%support tests-2009 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line

18 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization20 Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions

Schedule A (Form 990 or 990-EZ) 2010

Schedule A (Form 990 or 990-EZ) 2010 Page 4

MOW^ Supplemental Information . Supplemental Information. Complete this part to provide the explanations

required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for anyadditional information. (See instructions).

Facts And Circumstances Test

Schedule A (Form 990 or 990-EZ) 2010

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493304011531

SCHEDULE C Political Campaign and Lobbying Activities OMB No 1545-0047

(Form 990 or 990-EZ)For Organizations Exempt From Income Tax Under section 501(c) and section 527 201 0

Department of the Treasury 1- Complete if the organization is described below.

Internal Revenue Service0- Attach to Form 990 or Form 990-EZ. 0- See separate instructions . Open

If the organization answered " Yes," to Form 990, Part IV, Line 3 , or Form 990-EZ , Part V, line 46 ( Political Campaign Activities),then• Section 501(c)(3) organizations Complete Parts I-A and B Do not complete Part I-C• Section 501(c) (other than section 501(c)(3)) organizations Complete Parts I-A and C below Do not complete Part I-B• Section 527 organizations Complete Part I-A onlyIf the organization answered " Yes," to Form 990, Part IV , Line 4 , or Form 990-EZ , Part VI, line 47 ( Lobbying Activities), then• Section 501(c)(3) organizations that have filed Form5768 (election under section 501(h)) Complete Part II-A Do not complete Part II-B• Section 501(c)(3) organizations that have NOT filed Form5768 (election under section 501(h)) Complete Part II-B Do not complete Part II-AIf the organization answered "Yes," to Form 990, Part IV , Line 5 (Proxy Tax) or Form 990-EZ , Part V, line 35a ( Proxy Tax), then* Section 501(c)(4), (5), or ( 6) organizations Complete Part IIIName of the organization Employer identification numberMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

41-1506440

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1 Provide a description of the organization 's direct and indirect political campaign activities in Part IV

2 Political expenditures - $

3 Volunteer hours

Complete if the organization is exempt under section 501(c)(3).

1 Enter the amount of any excise tax incurred by the organization under section 4955 - $

2 Enter the amount of any excise tax incurred by organization managers under section 4955 - $

3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year? 1 Yes (- No

4a Was a correction made? fl Yes fl No

b If "Yes," describe in Part IV

UTMET-Complete if the organization is exempt under section 501 ( c) except section 501 ( c)(3).

1 Enter the amount directly expended by the filing organization for section 527 exempt function activities - $

2 Enter the amount of the filing organization's funds contributed to other organizations for section 527exempt funtion activities - $

3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-PO L, line 17b - $

4 Did the filing organization file Form 1120-POL for this year? 1 Yes 1 No

5 Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filingorganization made payments For each organization listed, enter the amount paid from the filing organization's funds A Iso enter theamount of political contributions received that were promptly and directly delivered to a separate political organization, such as aseparate segregated fund or a political action committee (PAC) If additional space is needed, provide information in Part IV

(a) Name (b) Address (c) EIN (d) Amount paid fromfiling organization's

funds If none, enter -0-

(e) Amount of political

contributions received

and promptly and

directly delivered to a

separate political

organization If none,

enter -0-

For Paperwork Reauction Act Notice, see the instructions for Form 990 or 990 -EZ. Cat No 50084S Schedule C ( Form 990 or 990 - EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010 Page 2

Complete if the organization is exempt under section 501 ( c)(3) and filed Form 5768 ( electionunder section 501(h)).

A Check 1 if the filing organization belongs to an affiliated groupB Check 1 if the filing organization checked box A and "limited control" provisions apply

Limits on Lobbying Expenditures(a) Filing (b) Affiliated

Organizations Group(The term "expenditures" means amounts paid or incurred .) Totals Totals

la Total lobbying expenditures to influence public opinion (grass roots lobbying)

b Total lobbying expenditures to influence a legislative body (direct lobbying)

c Total lobbying expenditures (add lines la and 1b)

d Other exempt purpose expenditures

e Total exempt purpose expenditures (add lines 1c and 1d)

f Lobbying nontaxable amount Enter the amount from the following table in bothcolumns

If the amount on line le, column ( a) or (b ) is:

Not over $500,000

The lobbying nontaxable amount is:

20% of the amount on line le

Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000

Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000

Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000

Over $17,000,000 $1,000,000

g Grassroots nontaxable amount (enter 25% of line 1f)

h Subtract line 1g from line la If zero or less, enter -0-

i Subtract line lffrom line 1c If zero or less, enter -0-

i If there is an amount other than zero on either line 1 h or line 11, did the organization file Form 4720 reportingsection 4911 tax for this year's Yes No

4-Year Averaging Period Under Section 501(h)

(Some organizations that made a section 501 ( h) election do not have to complete all of the fivecolumns below. See the instructions for lines 2a through 2f on page 4.)

Lobbying Expenditures During 4- Year Averaging Period

Calendar year ( or fiscal year

beginning in)(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total

2a Lobbying non-taxable amount

b Lobbying ceiling amount

(150% of line 2a, column(e))

c Total lobbying expenditures

d Grassroots non-taxable amount

e Grassroots ceiling amount

(150% of line 2d, column (e))

f Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010 Page 3

Complete if the organization is exempt under section 501 ( c)(3) and has NOT filed Form 5768election under section 501 ( h )) .

(a) (b)

Yes No A mount

1 During the year, did the filing organization attempt to influence foreign, national, state or local

legislation, including any attempt to influence public opinion on a legislative matter or referendum,through the use of

a Volunteers? No

b Paid staff or management (include compensation in expenses reported on lines 1c through 1i)7 Yes

c Media advertisements? No

d Mailings to members, legislators, or the public? Yes 175

e Publications, or published or broadcast statements? Yes 2,150

f Grants to other organizations for lobbying purposes? No

g Direct contact with legislators, their staffs, government officials, or a legislative body? Yes 1,170,890

h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? No

i Other activities? If "Yes," describe in Part IV Yes 1,475

j Total lines 1c through 11 1,174,690

2a Did the activities in line 1 cause the organization to be not described in section 501(c)(3)7 No

b If "Yes," enter the amount of any tax incurred under section 4912

c If "Yes," enter the amount of any tax incurred by organization managers under section 4912

d If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? FComplete if the organization is exempt under section 501 ( c)(4), section 501(c )( 5), or section501 ( c )( 6 ) .

Yes No

1 Were substantially all (90% or more) dues received nondeductible by members? 1

2 Did the organization make only in-house lobbying expenditures of $2,000 or less? 2

3 Did the organization agree to carryover lobbying and political expenditures from the prior year? 3

Complete if the organization is exempt under section 501 ( c)(4), section 501(c )( 5), or section

501(c )( 6) if BOTH Part III-A , lines 1 and 2 are answered "No" OR if Part III - A, line 3 isanswered "Yes".

1 Dues, assessments and similar amounts from members 1

2 Section 162(e) non-deductible lobbying and political expenditures ( do not include amounts of politicalexpenses for which the section 527 ( f) tax was paid).

a Current year 2a

b Carryover from last year 2b

c Total 2c

3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues 3

4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess

does the organization agree to carryover to the reasonable estimate of nondeductible lobbying andpolitical expenditure next year? 4

5 Taxable amount of lobbvinq and political expenditures (see instructions) 5

Supplemental Information

Complete this part to provide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, and Part II-B, line 1i

A Iso. complete this Dart for any additional information

Identifier I Return Reference Explanation

Explanation of Other Lobbying (Part II-B, Line 1i DUES

Activities

Schedule C (Form 990 or 990EZ) 2010

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493304011531

SCHEDULE D OMB No 1545-0047

(Form 990) Supplemental Financial Statements 2010- Complete if the organization answered "Yes," to Form 990,

Department of the Treasury Part IV, line 6, 7, 8, 9, 10, 11, or 12. • ' ' 'Internal Revenue Service Attach to Form 990 . 1- See separate instructions.

Name of the organization Employer identification numberMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

1 41-1506440

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if the

org anization answered "Yes" to Form 990 Part IV , line 6.

(a) Donor advised funds (b) Funds and other accounts

1 Total number at end of year

2 Aggregate contributions to (during year)

3 Aggregate grants from ( during year)

4 Aggregate value at end of year

5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advisedfunds are the organization ' s property , subject to the organization ' s exclusive legal control ? 1 Yes 1 No

6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may beused only for charitable purposes and not for the benefit of the donor or donor advisor , or for any other purposeconferring impermissible private benefit 1 Yes 1 No

WNW-Conservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

1 Purpose ( s) of conservation easements held by the organization ( check all that apply)

1 Preservation of land for public use ( e g , recreation or pleasure ) 1 Preservation of an historically importantly land area

1 Protection of natural habitat 1 Preservation of a certified historic structure

1 Preservation of open space

2 Complete lines 2a-2d if the organization held a qualified conservation contribution in the form of a conservationeasement on the last day of the tax year

Held at the End of the Year

a Total number of conservation easements 2a

b Total acreage restricted by conservation easements 2b

c Number of conservation easements on a certified historic structure included in (a) 2c

d N umber of conservation easements included in (c) acquired after 8/17/06 2d

3 N umber of conservation easements modified, transferred, released, extinguished, or terminated by the organization during

the taxable year 0-

4 Number of states where property subject to conservation easement is located 0-

5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, andenforcement of the conservation easements it holds? F Yes 1 No

6 Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year 0-

7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year -$

8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section170(h)(4)(B)(i) and 170(h)(4)(B)(ii)'' fl Yes fl No

9 In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and

balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describesthe organization's accounting for conservation easements

EMBEff Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets.ComDlete if the oraanization answered "Yes" to Form 990. Part IV. line 8.

la If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works ofart, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,provide, in Part XIV, the text of the footnote to its financial statements that describes these items

b If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,provide the following amounts relating to these items

(i) Revenues included in Form 990, Part VIII, line 1 -$

2

00 Assets included in Form 990, Part X -$

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the

following amounts required to be reported under SFAS 116 relating to these items

a Revenues included in Form 990, Part VIII, line 1

b Assets included in Form 990, Part X

0- $

For Privacy Act and Paperwork Reduction Act Notice , see the Intructions for Form 990 Cat No 52283D Schedule D (Form 990) 2010

Schedule D (Form 990) 2010 Page 2

Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)

3 Using the organization's accession and other records, check any of the following that are a significant use of its collectionitems (check all that apply)

a F_ Public exhibition d 1 Loan or exchange programs

b 1 Scholarly research e F Other

c F Preservation for future generations

4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in

Part XIV

5 During the year, did the organization solicit or receive donations of art, historical treasures or other similarassets to be sold to raise funds rather than to be maintained as part of the organization's collection? 1 Yes 1 No

Escrow and Custodial Arrangements . Complete if the organization answered "Yes" to Form 990,

Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

la Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets notincluded on Form 990, Part X'' 1 Yes fl No

b If "Yes," explain the arrangement in Part XIV and complete the following table

c Beginning balance

d Additions during the year

e Distributions during the year

f Ending balance

2a Did the organization include an amount on Form 990, Part X, line 21''

b If "Yes, " explain the arrangement in Part XIV

MrIM-Endowment Funds . Com p lete If the org anization answered "Yes" to Form 990, Part IV , line 10.

la Beginning of year balance .

b Contributions

c Investment earnings or losses

d Grants or scholarships

e Other expenditures for facilities

and programs

f Administrative expenses .

g End of year balance

(a)Current Year ( b)Prior Year (c)Two Years Back ( d)Three Years Back ( e)Four Years Back

2,397,178 2,312,185 2,227,967

-27,370 84,993 84,218

2,369,808 2,397,178 2,312,185

2 Provide the estimated percentage of the year end balance held as

a Board designated or quasi-endowment 0-

b Permanent endowment 0- 100 000 %

c Term endowment 0-

3a Are there endowment funds not in the possession of the organization that are held and administered for theorganization by Yes No

(i) unrelated organizations . . . . . . . . . . . . . . . . . . . . . . . . 3a(i) No

(ii) related organizations . . . . . . . . . . . . . . . . . . . . . . 3a(ii) Yes

b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R'' . . I 3b I Yes

4 Describe in Part XIV the intended uses of the organization's endowment funds

1:M-4VJ@ Investments- Land . Buildinas . and Eauioment . See Form 990. Part X. line 10.

Description of investment(a) Cost or otherbasis (investment)

(b)Cost or otherbasis (other)

(c) Accumulateddepreciation (d) Book value

la Land

b Buildings

c Leasehold improvements

d Equipment 570,632,130 406,469,899 164,162,231

e Other 8,897,564 3,884 8,893,680

Total . Add lines la-1e (Column (d) should equal Form 990, Part X, column (B), line 10(c).) . . 0- 173,055,911

Schedule D (Form 990) 2010

fl Yes l No

Schedule D (Form 990) 2010 Page 3

Investments -Other Securities . See Form 990 , Part X , line 12.

(a) Description of security or category(b)Book value

(c) Method of valuation(including name of security) Cost or end-of-year market value

(1)Financial derivatives

(2)Closely-held equity interests

Other

Total . (Column (b) should equal Form 990, Part X, col (B) line 12 ) 011

Investments - Program Related . See Form 990, Part X, line 13.

(a) Description of investment type I (b) Book value(c) Method of valuation

Cost or end-of-vear market value

Total . (Column (b) should equal Form 990, Part X, col (B) line 13) 01

Other Assets . See Form 990. Part X. line 15.

(a) Description ( b) Book value

(1) DUE FROM AFFILIATES 751,648,195

(2) OTHER LONG TERM ASSETS 22,000

(3) GIFT ANNUITIES 90,585,772

(4) THIRD PARTY TRUSTS 6,449,026

(5) RELOCATION HOUSES 6,195,801

(6) MISC CONTRIBUTED ASSETS 1,100,806

Total . (Column (b) should equal Form 990, Part X, col.(B) line 15.) . 0. 856,001,600

Other Liabilities . See Form 990 , Part X line 25.1 (a) Description of Liability ( b) Amount

Federal Income Taxes

DUE TO AFFILIATES 676,504,341

DEFERRED COMPENSATION LIABILITY 2,224,997

Total . (Column (b) should equal Form 990, Part X, col (B) line 25) P. I 678,729,338

2. Fin 48 (ASC 740) Footnote In Part XIV, provide the text of the footnote to the organization's financial statements that reports the

organization's liability for uncertain tax positions under FIN 48 (ASC740)

Schedule D ( Form 990) 2010

Schedule D (Form 990) 2010 Page 4

Reconciliation of Chan g e in Net Assets from Form 990 to Financial Statements

1 Total revenue (Form 990, Part VIII, column (A), line 12) 1

2 Total expenses (Form 990, Part IX, column (A), line 25) 2

3 Excess or (deficit) for the year Subtract line 2 from line 1 3

4 Net unrealized gains (losses) on investments 4

5 Donated services and use of facilities 5

6 Investment expenses 6

7 Prior period adjustments 7

8 Other (Describe in Part XIV) 8

9 Total adjustments (net) Add lines 4 - 8 9

10 Excess or (deficit) for the year per financial statements Combine lines 3 and 9 10

Reconciliation of Revenue per Audited Financial Statements With Revenue per Re turn

1 Total revenue, gains, and other support per audited financial statements . 1

2 Amounts included on line 1 but not on Form 990, Part VIII, line 12

a Net unrealized gains on investments . 2a

b Donated services and use of facilities . 2b

c Recoveries of prior year grants 2c

d Other (Describe in Part XIV) 2d

e Add lines 2a through 2d 2e

3 Subtract line 2e from line 1 . 3

4 Amounts included on Form 990, Part VIII, line 12, but not on line 1

a Investment expenses not included on Form 990, Part VIII, line 7b 4a

b Other (Describe in Part XIV) 4b

c Add lines 4a and 4b . c

5 Total Revenue Add lines 3 and 4c. (This should equal Form 990, Part I, line 12 . 5

Reconciliation of Ex penses per Audited Financial Statements With Ex penses per Return

1 Total expenses and losses per audited financial

statements 1

2 Amounts included on line 1 but not on Form 990, Part IX, line 25

a Donated services and use of facilities . 2a

b Prior year adjustments 2b

c Other losses 2c

d Other (Describe in Part XIV) 2d

e Add lines 2a through 2d . e

3 Subtract line 2e from line 1 . 3

4 Amounts included on Form 990, Part IX, line 25, but not on line 1:

a Investment expenses not included on Form 990, Part VIII, line 7b 4a

b Other (Describe in Part XIV) 4b

c Add lines 4a and 4b . c

5 Total expenses Add lines 3 and 4c. (This should equal Form 990, Part I, line 18 . 5

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b,

Part V, line 4, Part X, Part XI, line 8, Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b Also complete this part to provide any

additional information

Identifier Return Reference Explanation

Description of Intended Use of Part V, Line 4 THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING

Endowment Funds SOURCE FOR RESEARCH AND EDUCATION PROGRAMS

Description of Uncertain Tax Part X AT DECEMBER 31, 2010 AND 2009, THE LIABILITY FO R

Positions Under FIN 48 UNRECOGNIZED TAX BENEFITS FOR THE FILING

ORGANIZATION WAS $50,130 AND $1,415,803

RESPECTIVELY FIN 48 FOOTNOTE FROM MAYO CLINIC

("THE CLINIC") CONSOLIDATED AUDIT WHICH IS

DENOMINATED IN $MILLIONS MOST OFTHE INCOME

RECEIVED BY THE CLINIC AND ITS SUBSIDIARIES IS

EXEMPT FROM TAXATION UNDER SECTION 501(A) OFTHE

INTERNAL REVENUE CODE SOME OF ITS SUBSIDIARIES

ARE TAXABLE ENTITIES,AND SOME OFTHE INCOME

RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT

TO TAXATION AS UNRELATED BUSINESS INCOME (U BI)

THE CLINIC OR ITS SUBSIDIARIES FILE INCOME TAX

RETURNS IN THE U S FEDERAL, VARIOUS STATE, AND A

FEW FOREIGN JURISDICTIONS THE STATUTES OF

LIMITATIONS FORTAX YEARS 2007 THROUGH 2009

REMAINS OPEN IN THE MAJOR U S TAXING

JURISDICTIONS IN WHICH THE CLINIC AND

SUBSIDIARIES ARE SUBJECT TO TAXATION IN ADDITION,

FOR ALL TAX YEARS PRIOR TO 2007 GENERATING OR

UTILIZING A NET OPERATING LOSS (NOL), TAX

AUTHORITIES CAN ADJUST THE AMOUNT OF NOL

CARRYFORWARD TO SUBSEQUENT YEARS THE INTERNAL

REVENUE SERVICE (IRS) IS PERFORMING AN

EXAMINATION OF THE TAX AND INFORMATION RETURNS

OF THE CLINIC AND TWO SUBSIDIARIES FOR 2005 AND

2006 AS A RESULT OF THE AUDIT BY THE IRS, TWO

REMAINING ENTITIES HAVE EXTENDED THE STATUTES OF

LIMITATIONS FOR 2005 AND 2006 UNTIL JUNE 30, 2011

AS OF DECEMBER 31, 2010, ONE AUDIT REMAINS OPEN,

AND THE IRS HAS PROPOSED ONE ADJUSTMENT THAT

MANAGEMENT HAS TAKEN INTO CONSIDERATION DURING

ITS DETERMINATION OF UNRECOGNIZED TAX BENEFITS

SINCE THE PROPOSED ISSUE HAS NOT BEEN SETTLED AT

DECEMBER 31, 2010 AND 2009, THE LIABILITY FOR

UNRECOGNIZED TAX BENEFITS WAS $0 2 AND $16 3,

RESPECTIVELY THE 2010 DECREASE WAS PRIMARILY

RELATED TO INTERCOMPANY TRANSFER PRICING

METHODOLOGY CHALLENGED BY THE IRS AND SETTLED,

WHICH ALSO RESULTED IN A DECREASE TO AN

OFFSETTING DEFERRED TAX ASSET IT IS REASONABLY

POSSIBLE THAT UNRECOGNIZED BENEFITS WILL

DECREASE BY APPROXIMATELY $0 2 IN THE NEXT 12

MONTHS DUE TO EXPIRING STATUTES OF LIMITATIONS

OR SETTLEMENT WITH THE IRS THE CLINIC'S PRACTICE

IS TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED

TO INCOME TAX MATTERS IN INCOME TAX EXPENSE THE

COMPONENTS OF TAX EXPENSE ARE NOT SIGNIFICANT

TO THE CONSOLIDATED FINANCIAL STATEMENTS THE

CLINIC RECORDS DEFERRED INCOME TAXES DUE TO

TEMPORARY DIFFERENCES BETWEEN FINANCIAL

REPORTING AND TAX REPORTING FOR CERTAIN ASSETS

AND LIABILITIES OF ITS TAXABLE ACTIVITIES AT

DECEMBER 31, 2010, THE CLINIC HAS NET OPERATING

LOSS CARRYFORWARDS OF $35 8 FOR FEDERAL INCOME

TAX PURPOSES, WHICH ARE EXPECTED TO EXPIRE

BEGINNING 2011 THROUGH 2029

Schedule D (Form 990) 2010

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493304011531

SCHEDULE F Statement of Activities Outside the United StatesO M B N o 1545-0047

(Form 990)

2010n Complete if the organization answered "Yes" to Form 990,

Part IV, line 14b, 15, or 16.

Department of the Treasury n Attach to Form 990. ► See separate instructions.Open to Public

Internal Revenue Service Inspect ion

Name ortne organization

MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

Employer identification number

41-1506440

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

1 For grantmakers . Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fl Yes fl No

2 Forgrantmakers . Describe in Part V the organization's procedures for monitoring the use of grant funds outside the

United States

3 Activites per Region (Use Part V if additional space is needed )

(a) Region (b) Number ofoffices in the

region

(c) Number ofemployees or

agents in region orindependentcontractors

(d) Activities conducted inregion (by type) (e g ,fundraising, program

services, investments, grantsto recipients located in the

region)

(e) If activity listed in (d) isa program service, describe

specific type ofservice(s) in region

(f) Totalexpenditures for

region/ investmentsin region

See Add'I Data

3a Sub-total 83 122,349

b Total from continuation sheets

to Part I 893

15,361,286

c Totals (add lines 3a and 3b) 976 15,483,635

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 . Cat N o 50082W Schedule F (Form 990) 2010

Schedule F (Form 990) 2010 Page 2

Grants and Other Assistance to Organizations or Entities Outside the United States . Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 . . . . . . . . ► F

Use Part V 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

of non-cash

assistance

(h) Description

of non-cash

assistance

(i) Method of

valuation

(book, FMV,

appraisal, other)

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

Enter total number of other organizations or entities . 11111.

Schedule F (Form 990) 2010

Schedule F (Form 990) 2010 Page 3

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

Use Part V if additional s pace is needed.

(a) Type of grant or (b) Region (c) Number of (d) A mount of (e) Manner of cash (f) A mount ofassistance recipients cash grant disbursement non-cash

assistance

(g) Description (h) Method of

of non-cash valuation

assistance (book, FMV,

appraisal, other)

Schedule F (Form 990) 2010

Schedule F (Form 990) 2010 Page 4

MEW Foreign Forms

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 (see instructions for Form 926)

2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be

required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)

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)

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, Return by a

Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)

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)

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 file Form 5713, International Boycott Report (see instructions for Form

5713).

F Yes F- No

F- Yes F No

F Yes F- No

F- Yes F No

F- Yes F No

F Yes F- No

Schedule F (Form 990) 2010

Schedule F (Form 990) 2010 Page 5

Supplemental InformationComplete this part to provide the information (see instructions) required in Part I, line 2, and any additionalinformation.Identifier ReturnReference Explanation

Procedure for Monitoring Grants Schedule F, Part I, Line 2 SUPPLIES & SERVICES PURCHASED

Outside the U S - AS THE PROCUREMENT COMPANY FOR MAYO CLINIC AND

AFFILIATES, THE FILING ORGANIZATION PURCHASES

SUPPLIES AND SERVICES FROM AROUND THE WORLD THE

MOUNTS AND REGIONS REFLECTED IN SCHEDULE FAS

"SUPPLIES &SERVICES PURCHASED" ARE BASED ON

ADDRESSES PROVIDED AT TIME OF INVOICING AND IS A

CONSOLIDATED NUMBER FOR ALL THE ENTITIES WHO

PURCHASE THROUGH THE FILING ORGANIZATION

Schedule F (Form 990) 2010

Additional Data

Software ID:

Software Version:

EIN: 41 -1506440

Name : MAYO FOUNDATION FOR MEDICAL EDUCATION ANDRESEARCH

Form 990 Schedule F Part I - Activit ies Outside T he United States

(a) Region ( b) Number of ( c) Number of (d) Activities conducted ( e) If activity listed in ( f) Total expendituresoffices in the employees or in region (by type) ( i e , (d) is a program service, for region

region agents in fundraising , program describe specific type of

region services , grants to service ( s) in region

recipients located in theregion)

CENTRAL AMERICA AND 0 0 TRAVEL- 0

THE CARIBBEAN INTERNATIONAL

CONFERENCE

EAST ASIA AND THE 0 11 TRAVEL- 8,311

PACIFIC INTERNATIONAL

CONFERENCE

EUROPE (INCLUDING 0 25 TRAVEL- 13,826

ICELAND AND INTERNATIONAL

GREENLAND) CONFERENCE

MIDDLE EAST AND NORTH 0 0 TRAVEL- 0

AFRICA INTERNATIONAL

CONFERENCE

NORTH AMERICA 0 20 TRAVEL- 24,562

INTERNATIONAL

CONFERENCE

RUSSIA AND THE NEWLY 0 0 TRAVEL- 0

INDEPENDENT STATES INTERNATIONAL

CONFERENCE

SOUTH AMERICA 0 13 TRAVEL- 13,060

INTERNATIONAL

CONFERENCE

SOUTH ASIA 0 14 TRAVEL- 62,590

INTERNATIONAL

CONFERENCE

SUB-SAHARAN AFRICA 0 0 TRAVEL- 0

INTERNATIONAL

CONFERENCE

CENTRAL AMERICA AND 1 1 PATIENT SERVICES ARRANGE 47,565

THE CARIBBEAN APPOINTMENTS,

TRAVEL, ETC

SOUTH AMERICA 1 1 PATIENT SERVICES ARRANGE 18,640

APPOINTMENTS,

TRAVEL, ETC

NORTH AMERICA 1 2 PATIENT SERVICES ARRANGE 170,000

APPOINTMENTS,

TRAVEL, ETC

NORTH AMERICA 0 1 PATIENT SERVICES ARRANGE 13,329

APPOINTMENTS,

TRAVEL, ETC

CENTRAL AMERICA AND 0 12 SUPPLIES & SERVICES 47,230

THE CARIBBEAN PURCHASED

EAST ASIA AND THE 0 88 SUPPLIES & SERVICES 862,237

PACIFIC PURCHASED

EUROPE (INCLUDING 0 368 SUPPLIES &SERVICES 7,336,180

ICELAND AND PURCHASED

GREENLAND)

MIDDLE EAST AND NORTH 0 47 SUPPLIES &SERVICES 584,367

AFRICA PURCHASED

NORTH AMERICA 0 310 SUPPLIES &SERVICES 5,815,678

PURCHASED

RUSSIA AND THE NEWLY 0 4 SUPPLIES & SERVICES 6,753

INDEPENDENT STATES PURCHASED

SOUTH AMERICA 0 31 SUPPLIES &SERVICES 232,130

PURCHASED

SOUTH ASIA 0 18 SUPPLIES &SERVICES 59,025

PURCHASED

SUB-SAHARAN AFRICA 0 9 SUPPLIES &SERVICES 78,944

PURCHASED

MIDDLE EAST AND NORTH 0 1 PROGRAM SERVICES MANAGEMENT 750

AFRICA CONSULTING

EAST ASIA AND THE 0 0 ROYALTIES 14,076

PACIFIC

EUROPE (INCLUDING 0 0 ROYALTIES 47,928

ICELAND AND

GREENLAND)

MIDDLE EAST AND NORTH 0 0 ROYALTIES 0

AFRICA

NORTH AMERICA 0 0 ROYALTIES 26,454

efile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: 93493304011531

Schedule I OMB No 1545-0047

(Form 990 ) Grants and Other Assistance to Organizations,20 1 0Governments and Individuals in the United States

Complete if the organization answered " Yes," to Form 990, Part IV, line 21 or 22.Department of the Treasury

Attach to Form 9901111Internal Revenue Service

Name of the organization Employer identification number

MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH41-1506440

General Information on Grants and Assistance

1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, andthe selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F Yes 1 No

2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the U nited States

Grants and Other Assistance to Governments and Organizations in the United States . Complete if the organization answered "Yes" toForm 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part II can beduplicated if additional space is needed. . . . . . . . . . . . . . . . . . . . . . . . . . F

1 (a) Name and address of

organization

or government

( b) EIN (c) IRC Code section

if applicable

( d) Amount of cash

grant

(e) Amount of non-

cash

assistance

(f ) Method of

valuation

( book, FMV, appraisal,

other)

(g) Description of

non - cash assistance

(h) Purpose of grant

or assistance

(1) GIFT OF LIFE

TRANSPLANT HOUSE705

SECOND STREET SW

ROCHESTER, MN 55902

41-1495845 501(c)(3) 6,625 SUPPORT

OPERATIONS

(2) MAYO CLINIC200

FIRST STREET SW

ROCHESTER, MN 55905

41-6011702 501(c)(3) 13,045,000 SUPPORT

OPERATIONS

2 Enter total number of section 501( c)(3) and government organizations. . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Enter total number of other organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 0

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 . Cat No 50055P Schedule I (Form 990) 2010

Schedule I (Form 990) 2010 Page 2

Grants and Other Assistance to Individuals in the United States . Complete if the organization answered "Yes" to Form 990, Part IV, line 22.

Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance ( b)N umber ofrecipients

( c)A mount ofcash grant

( d)A mount ofnon-cash assistance

(e)Method of valuation

(book,

FMV, appraisal, other)

(f)Description of non-cash assistance

(1) FINANCIAL ASSISTANCE - SPIRIT

OF CARING AWARDS2 5,000

(2) SCHOLARSHIPS - MAYO SCHOOL

OF GRADUATE MEDICAL EDUCATION

CLERKSHIP PROGRAM

13 10,991

n Supplemental Information . Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier Return Reference Explanation

Procedure for Monitoring Part I, Line 2 Schedule I, Part I, Line 2 THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND

Grants in the U S SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE

FILING ORGANIZATION THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND

SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY

NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY

FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY THE FILING

ORGANIZATION AS PRESCRIBED IN OMB CIRCULAR A-133 NO ADDITIONAL MONITORING IS PERFORMED

TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND

PROCEDURES OFTHE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OFTHE GRANTEE

ORGANIZATIONS BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE

BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS NO ADDITIONAL MONITORING IS PERFORMED

TRANSFERS OR GRANTS TO AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE

POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF

THE GRANTEE ORGANIZATIONS BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION

MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS NO ADDITIONAL MONITORING IS

PERFORMED

Schedule I (Form 990) 2010

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493304011531

Schedule J Compensation Information OMB No 1545-0047

(Form 990)For certain Officers , Directors, Trustees , Key Employees, and Highest

20 1 0Compensated Employees

- Complete if the organization answered "Yes" to Form 990,Department of the Treasury Part IV, question 23. ' to Pu b lic

Internal Revenue Service Attach to Form 990 . 1- See separate instructions. Insp ecti o n

Name of the organizationMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

Employer identification number

41-1506440

llll^ Questions Regarding Compensation

la Check the appropiate box(es ) if the organization provided any of the following to or for a person listed in Form

990, Part VII, Section A, line la Complete Part III to provide any relevant information regarding these items

1 First-class or charter travel 1 Housing allowance or residence for personal use

F Travel for companions fl Payments for business use of personal residence

F Tax idemnification and gross - up payments fl Health or social club dues or initiation fees

fl Discretionary spending account F Personal services ( e g , maid, chauffeur, chef)

Yes I No

b If any of the boxes in line la are checked, did the organization follow a written policy regarding payment orreimbursement orprovision of all the expenses described above? If "No," complete Part III to explain lb Yes

2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by allofficers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? 2 Yes

3 Indicate which, if any, of the following the organization uses to establish the compensation of the

organization 's CEO/ Executive Director Check all that apply

fl Compensation committee fl Written employment contract

fl Independent compensation consultant fl Compensation survey or study

fl Form 990 of other organizations fl Approval by the board or compensation committee

4 During the year, did any person listed in Form 990, Part VII, Section A, line la with respect to the filing organization

or a related organization

a Receive a severance payment or change-of-control payment from the organization or a related organization? 4a No

b Participate in, or receive payment from, a supplemental nonqualified retirement plan? 4b Yes

c Participate in, or receive payment from, an equity-based compensation arrangement? 4c No

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III

Only 501 ( c)(3) and 501 ( c)(4) organizations only must complete lines 5-9.

5 For persons listed in form 990, Part VII, Section A, line la, did the organization pay or accrue any

compensation contingent on the revenues of

a The organization? 5a No

b Any related organization? 5b No

If "Yes," to line 5a or 5b, describe in Part III

6 For persons listed in form 990, Part VII, Section A, line la, did the organization pay or accrue any

compensation contingent on the net earnings of

a The organization? 6a No

b Any related organization? 6b No

If "Yes," to line 6a or 6b, describe in Part III

7 For persons listed in Form 990, Part VII, Section A, line la, did the organization provide any non-fixed

payments not described in lines 5 and 67 If "Yes," describe in Part III 7 No

8 Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was

subject to the initial contract exception described in Regs section 53 4958-4(a)(3)7 If "Yes," describe

in Part III 8 No

9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations

section 53 4958-6(c)' 9

For Privacy Act and Paperwork Reduction Act Notice , see the Intructions for Form 990 Cat No 50053T Schedule 3 ( Form 990) 2010

Schedule J (Form 990) 2010 Page 2

VVITFI-Officers , Directors , Trustees , Key Employees , and Highest Compensated Employees . Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the

instructions on row (ii) Do not list any individuals that are not listed on Form 990, Part VII

Note . The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line la

(A) Name (B) Breakdown of W-2 and / or 1099-MISC compensation (C) Retirement and (D) Nontaxable ( E) Total of columns (F) Compensation

(i) Basecompensation

(ii) Bonus &incentive

compensation

( iii) Otherreportable

compensation

other deferred

compensation

benefits (B)(i)-(D) reported in prior

Form 990 or

Form 990-EZ

See Additional Data Table

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

( 10

( 11

( 12

( 13

14

( 15

( 16

Schedule 3 (Form 990) 2010

Schedule J (Form 990) 2010 Page 3

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines la, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8 Also complete this part for any additional information

Identifier Return Explanation

Reference

Part I, Line la SOME OFTHE CURRENT AND FORMER OFFICERS, DIRECTORS, AND KEY EMPLOYEES LISTED ON THIS RETURN SERVED ON THE BOARD OF

TRUSTEES FOR MAYO CLINIC (THE PARENT COMPANY OFTHE FILING ORGANIZATION) AND WERE PROVIDED TRAVEL FOR COMPANIONS SO

THEIR SPOUSES COULD ACCOMPANY THEM TO THE SITE OF THE MAYO CLINIC BOARD OF TRUSTEE MEETINGS IN ADDITION, SOME THESE

LISTED PERSONS MAY HAVE ALSO RECEIVED TRAVEL FOR COMPANIONS SO THAT SPOUSES COULD ACCOMPANY THEM TO FUNDRAISING

FUNCTIONS ON BEHALF OF MAYO CLINIC COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS RECEIVING

THIS BENEFIT MAYO CLINIC AND AFFILIATES HAVE A NON-QUALIFIED DEFERRED COMPENSATION PLAN (SEE SCHEDULE J, PART I, LINE 4b)

THAT INCLUDES A PARTIAL TAX ADJUSTMENT FOR PAYMENTS FROM THE PLAN OTHER THAN THE CURRENT COMPENSATION COMPONENT THE

PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT ARE AVAILABLE TO ALL VOTING STAFF OF MAYO

CLINIC SEVERAL OFTHE CURRENT AND FORMER OFFICERS, DIRECTORS, AND KEY EMPLOYEES LISTED ON THIS RETURN RECEIVED THIS

SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS THE SUBMISSION OFA RECEIPT IS NOT REQUIRED AS THE

BENEFIT IS PAID DIRECTLY TO THE VENDOR

Part I, Line 4b THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE

BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(a)(17)

IN 2010, THE COMPONENT OF THIS SRP BENEFIT THAT WAS DEFERRED COMPENSATION SUBJECT TO SECTIONS 409A AND 457(f)OFTHE

INTERNAL REVENUE CODE WAS TERMINATED THIS PLAN TERMINATION TRIGGERED THE IMMEDIATE TAXATION OF THE ENTIRE SRP BENEFIT

THAT HAS BEEN ACCRUED AND DEFERRED OVER EACH PARTICIPANT'S CAREER AT MAYO STARTING JANUARY 1, 2011, ALL FUTURE SRP BENEFIT

WILL BE PAID AS AN ANNUAL TAXABLE CASH PAYMENT THAT HAS NO SUBSTANTIAL RISK OF FORFEITURE THE FOLLOWING INDIVIDUALS

RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN EITHER AS A RESULT OF THE NORMAL OPERATION OF PLAN TERMS OR

BECAUSE OFTHE TERMINATION OFTHE PLAN AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) A PORTION OF THE AMOUNT

MAY BE INCLUDED IN SCHEDULE J, PART II, COLUMN (F) IF DISCLOSED ON A PRIOR YEARS FORM 990 THESE AMOUNTS HAVE BEEN ACCRUED

OVER THE SPAN OF THE INDIVIDUAL'S CAREER AT MAYO JAMES G ANDERSON $ 1,249,610 ABDUL R BENGALI $ 622,517 JEFFREY W BOLTON $

221,227 ROBERT F BRIGHAM $ 341,469 WILLIAM A BROWN $ 4,763 CHARLES R CAGIN $ 281,705 JOHN P CRANMER $ 4,226 BROOKS S EDWARDS

M D $ 497,805 JAMES R FRANCIS $ 6,293 JESSICA A GROSSET $ 4,082 HARRY N HOFFMAN $ 986,601 MARY J HOFFMAN $ 119,315 BRUCE M

KELLY $ 38,256 JOHN M LA FORGIA $ 50,390 SALVATORE C LETTIERI M D $ 201,351 WILLIAM J LITCHY M D $ 17,866 MICHAEL J MCMANARA $

128,264 STEVEN L MCNEILL $ 7,154 PAULA E MENKOSKY $ 4,196 MICHAEL S MEYERS M D $ 276,944 BRIAN D NASS $ 44 ROBERT E NESSE M D

$ 1,055,162 JOHN H NOSEWORTHY M D $ 701,661 MARY I O'CONNOR M D $ 828,849 JONATHAN J OVIATT $ 284,303 KRISHNA M PAMULAPATI

$ 169,132 JILL M RAGSDALE $ 3,001 NAN B SAWYER $ 180,734 ALAN R SCHILMOELLER $ 1,252,668 BRADLEY D SCHMIDT $ 3,104 MANDEEP

SINGH $ 342,260 TAHIRTAK $ 30,288 GREGORY J THOMAS $ 530,305 ROBERT M WALTERS $ 561,858 SHIRLEY A WEIS $ 623,849

Supplemental Part III Part I, Line 3 THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S

Information COMPENSATION SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED

Supplemental Part III Part II COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS,

Information OR EMPLOYEES OF THE ORGANIZATION

Schedule 3 (Form 990) 2010

Additional Data

Software ID:

Software Version:

EIN: 41 -1506440

Name : MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

Return to Form

Form 990 , Schedule J Part II - Officers Directors Trustees Ke y Em p lo y ees, and Hi g hest Com pensated Em p lo y ees

(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Deferred (D) Nontaxable (E) Total of columns (F) Compensation

(ii) Bonus & compensation benefits (B)(i)-(D) r 0r in prior Form

(i) Base (iii) Other

990

oor

rFoorm

999090 -EZ99

Compensationincentive

compensationcompensation

BO LTO N JEFFREY W (i) 589,094 0 226,728 112,952 23,612 952,386 170,506

(^^) 0 0 0 0 0 0 0

LINDAHLROGER A (i) 222,940 0 1,251 23,326 32,383 279,900 0

(^^) 0 0 0 0 0 0 0

LITCHY MD WILLIAM J (i) 0 0 0 0 0 0 0(ii) 261,491 0 22,654 44,318 20,224 348,687 437

MATTHIAS MARK A (i) 199,709 0 704 16,275 23,722 240,410 0

(^^) 0 0 0 0 0 0 0

SCHILMOELLERALAN (i) 364,808 0 1,262,623 0 15,653 1,643,084 395,202R (ii) 0 0 0 0 0 0 0

BRIGHAM ROBERT F (i) 0 0 0 0 0 0 0(ii) 396,045 0 345,137 1,455 23,428 766,065 179,161

BROWN MICHAEL E (i) 0 0 0 0 0 0 0(ii) 196,833 0 691 16,024 8,174 221,722 0

BROWN WILLIAM A (i) 202,397 0 6,712 31,260 23,078 263,447 0

(^^) 0 0 0 0 0 0 0

FRANCIS JAMES R (i) 287,495 0 8,482 45,423 24,734 366,134 8,933

(^^) 0 0 0 0 0 0 0

FROISLAND JEFFREY (i) 0 0 0 0 0 0 0R (ii) 227,672 0 799 14,763 12,677 255,911 0

GOLDMAN DANIEL S (i) 193,942 0 1,291 15,919 25,834 236,986 0

(^^) 0 0 0 0 0 0 0

HOFFMAN HARRY N (i) 0 0 0 0 0 0 0(ii) 513,243 250,000 991,346 672,449 26,539 2,453,577 353,091

HOFFMAN MARY J (i) 0 0 0 0 0 0 0(ii) 239,357 0 120,644 23,372 25,909 409,282 51,850

HUBERT SHERRY L (i) 234,961 0 871 18,984 25,741 280,557 0

(^^) 0 0 0 0 0 0 0

KOCH MARK B (i) 0 0 0 0 0 0 0(ii) 256,302 0 1,405 12,550 22,079 292,336 0

LOHKAMP CHRISTIE (i) 205,633 0 472 12,116 11,961 230,182 0A (ii) 0 0 0 0 0 0 0

NASS BRIAN D (i) 201,166 0 1,148 20,563 20,955 243,832 7

(^^) 0 0 0 0 0 0 0

OVIATT JONATHAN J (i) 448,008 0 289,483 144,702 27,006 909,199 146,270

(^^) 0 0 0 0 0 0 0

SAWYER NAN B (i) 0 0 0 0 0 0 0(ii) 318,929 0 184,270 54,549 8,455 566,203 53,929

SCHMIDT BRADLEY D (i) 0 0 0 0 0 0 0(ii) 294,409 0 5,823 93,661 15,442 409,335 7,122

THOMAS GREGORY J (i) 0 0 0 0 0 0 0(ii) 351,009 0 534,144 893 8,166 894,212 190,978

VAN NURDEN STEVEN (i) 225,927 0 1,334 18,373 26,607 272,241 0P (ii) 0 0 0 0 0 0 0

WARNER GREGORY J (i) 229,807 0 4,452 415 9,554 244,228 0

(^^) 0 0 0 0 0 0 0

WEIS SHIRLEY A (i) 724,309 0 631,137 305,748 17,625 1,678,819 233,413

(^^) 0 0 0 0 0 0 0

BENGALI ABDUL R (i) 345,517 0 628,782 670 16,902 991,871 163,491

(^^) 0 0 0 0 0 0 0

LA FORGIA JOHN M (i) 273,969 0 53,536 39,617 19,725 386,847 11,761

(^^) 0 0 0 0 0 0 0

LANGSTRAAT (i) 219,175 0 2,644 26,983 18,937 267,739 0HARLAN J (ii) 0 0 0 0 0 0 0

MCNAMARA MICHAEL (i) 288,502 0 134,187 36,163 24,640 483,492 25,366J (ii) 0 0 0 0 0 0 0

MCNEILL STEVEN L (i) 271,617 0 8,112 42,513 26,084 348,326 0

(^^) 0 0 0 0 0 0 0

MENKOSKY PAULA E (i) 260,380 0 5,109 24,438 28,757 318,684 2,173

(^^) 0 0 0 0 0 0 0

NOSEWORTHY MD (i) 923,109 0 714,279 787,806 14,371 2,439,565 135,942JOHN H (ii) 0 0 0 0 0 0 0

RAGSDALE JILL M (i) 379,904 0 4,485 22,486 34,335 441,210 0

(^^) 0 0 0 0 0 0 0

CRANMER JOHN P (i) 240,820 0 10,431 38,419 14,415 304,085 0

(^^) 0 0 0 0 0 0 0

GROSSET JESSICA A (i) 249,289 0 6,404 48,914 25,790 330,397 509

(^^) 0 0 0 0 0 0 0

KELLY BRUCE M (i) 260,268 0 42,984 38,175 16,988 358,415 0

(^^) 0 0 0 0 0 0 0

LETTIERI MD (i) 454,307 0 203,548 50,383 25,322 733,560 21,222SALVATORE C (ii) 0 0 0 0 0 0 0

MURPHY JOSHUA B (i) 234,961 0 1,431 15,158 21,383 272,933 0

(^^) 0 0 0 0 0 0 0

O'CONNOR MD MARY (i) 0 0 0 0 0 0 0I (ii) 507,865 0 832,627 75,892 26,863 1,443,247 273,300

ANDERSON JAMES G (i) 0 0 0 0 0 0 0(ii) 268,993 0 1,258,873 0 14,370 1,542,236 621,592

CUMMINGS NANCY J (i) 0 0 0 0 0 0 0(ii) 153,427 0 849 16,548 27,973 198,797 0

EDWARDS MD (i) 0 0 0 0 0 0 0BROOKS S (ii) 382,844 0 500,523 72,680 38,868 994,915 58,009

WALTERS ROBERT M (i) 286,610 0 564,437 38,219 24,353 913,619 88,103

(^^) 0 0 0 0 0 0 0

COLLINS CRAIG C (i) 214,905 0 1,199 19,846 27,896 263,846 0

(^^) 0 0 0 0 0 0 0

NESSE MD ROBERT E (i) 0 0 0 0 0 0 0(ii) 448,868 0 1,120,429 193,896 17,848 1,781,041 370,682

ROTTY BRIAN W (i) 202,665 0 0 17,149 26,431 246,245 0

(^^) 0 0 0 0 0 0 0

CAGIN CHARLES R (i) 0 0 0 0 0 0 0(ii) 616,975 0 292,003 84,061 14,910 1,007,949 59,156

MEYERS MD MICHAEL (i) 0 0 0 0 0 0 0S (ii) 495,845 0 279,212 24,464 21,250 820,771 55,199

PA MU LA PATI (i) 0 0 0 0 0 0 0KRISHNA M (ii) 495,545 0 173,699 73,671 20,421 763,336 56,059

SINGH MANDEEP (i) 0 0 0 0 0 0 0(ii) 655,103 0 344,754 52,958 22,132 1,074,947 96,727

TAK TAHIR (i) 0 0 0 0 0 0 0(u) 516,387 0 34,923 266,261 28,698 846,269 27,610

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493304011531

Schedule L Transactions with Interested Persons OMB No 1545-0047

(Form 990 or 990-EZ ) - Complete if the organization answered

20 1 0"Yes" on Form 990, Part IV, lines 25a , 25b, 26, 27, 28a, 28b, or 28c,

or Form 990 -EZ, Part V lines 38a or 40b.

Department of the Treasury 1- Attach to Form 990 or Form 990-EZ. 1-See separate instructions . Open

Internal Revenue Service Insvection

Name of the organizationMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

Employer identification number

2 Enter the amount of tax imposed on the organization managers or disqualified persons during the year under

section 4958 . . . . . . . . . . . . . . . . . . . . . . . . . ► $

3 Enter the amount of tax, if any, on line 2, above, reimbursed by the organization . ► $

1 41-1506440

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).

Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b

1 (a) Name of disqualified person (b) Description of transaction(c) Corrected?

Yes No

Loans to and / or From Interested Persons.Cmmnlete ifthe ornanvatinn answered "Yes" on Form 990. Part TV _ line 26. or Form 990-F7. Part V _ line 38a

(a) Name of interested person andpurpose

(b) Loan to

or from the?

organization

(c)O riginalprincipal amount

(d)Balance due

(e) In

default7

Appfoved

by board or

committee'?

(g)Written

agreement?

To From Yes No Yes No Yes No

Total $

Grants or Assistance Benefitting Interested Persons.ComDlete if the oraanization answered "Yes" on Form 990. Part IV. line 27.

I

(b)Relationship between interested person(c)Amount of grant or type of assistance(a) Name of interested person

and the organization

For Privacy Act and Paperwork Reduction Act Notice, see the Cat No 50056A Schedule L (Form 990 or 990-EZ) 2010Instructions for Form 990 or 990-EZ.

Schedule L (Form 990 or 990-EZ) 2010 Page 2

Business Transactions Involving Interested Persons.

Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person

(b) Relationshipbetween interestedperson and the

(c) Amount oftransaction

escription of transaction(d) Description

(e) Sharing of

revenues?

organization Yes No

See Additional Data Table

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions)

Identifier Return Reference Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:

Software Version:

EIN: 41 -1506440

Name : MAYO FOUNDATION FOR MEDICAL EDUCATION ANDRESEARCH

Form 990, Schedule L, Part IV - Business Transactions Involving Interested Persons

(a) Name of interested person ( b) Relationship (c) Amount of (d) Description of transaction (e) Sharing ofbetween interested transaction $ organization'sperson and the revenues?organization

Yes No

MAYO COLLABORATIVE SERVICES COMMON BOARD 2,404,473 EMPLOYEE BENEFIT No

INC MEMBER ALLOCATION

MMSI INC COMMON BOARD 2,631,001 EMPLOYEE BENEFIT No

MEMBER ALLOCATION, EXPENSE

REIMBURSEMENT, SERVICES

NORTHWEST HEALTH VENTURES INC COMMON BOARD 6,467,759 PROCUREMENT SERVICES No

MEMBER

MAYO REGIONAL PRACTICES OF COMMON BOARD 107,625 EMPLOYEE BENEFIT No

ARIZONA MEMBER ALLOCATION

ANEXON COMMON BOARD 129,274 EXPENSE REIMBURSEMENT & No

MEMBER ROYALTIES

PAMELA ROTTY FAMILY 10,001 EMPLOYMENT No

RELATIONSHIP COMPENSATION

ANDREW BRIGHAM FAMILY 26,358 EMPLOYMENT No

RELATIONSHIP COMPENSATION

JILL SMITH FAMILY 223,328 EMPLOYMENT No

RELATIONSHIP COMPENSATION

CAROLCRANMER FAMILY 27,022 EMPLOYMENT No

RELATIONSHIP COMPENSATION

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493304011531

SCHEDULE 0OMB No 1545-0047

(Form 990 or 990-EZ) Supplemental Information to Form 990 or 990-EZ201

0

Department of the TreasuryComplete to provide information for responses to specific questions on

Form 990 or to provide any additional information . OpenInternal Revenue Service

0- Attach to Form 990 or 990-EZ. Inspection

Name of the organizationMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

Employer identification number

41-1506440

Identifier ReturnReference

Explanation

Form 990, DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWINGPart VI, INDIVIDUALS MICHAEL E BROWN JEFFREY R FROISLAND GREGORY J THOMAS HAVE A BUSINESSSection A, RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS MICHAEL E BROWN JEFFREY R FROISLAND GREGORY Jline 2 THOMAS DUE TO OVERLAP OF BOARD MEMBERSHIPAND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE

FOLLOWING INDIVIDUALS ROBERT F BRIGHAM MARY J HOFFMAN HAVEA BUSINESS RELATIONSHIP WITH THEFOLLOWING INDIVIDUALS ROBERT F BRIGHAM MARY J HOFFMAN DUE TO OVERLAP OF BOARD MEMBERSHIPAND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS JEFFREY W BOLTON ROBERTF BRIGHAM WILLIAM A BROWN JAMES R FRANCIS JEFFREY R FROISLAND HARRY N HOFFMAN SHERRY LHUBERT JONATHAN J OV IATT GREGORY J THOMAS SHIRLEY A WEIS HAVE A BUSINESS RELATIONSHIP WITHTHE FOLLOWING INDIVIDUALS HARRY N HOFFMAN MARK B KOCH WILLIAM J LITCHY M D KEVIN B MELVINHARLAN J LANGSTRAAT AND STEVEN P VAN NURDEN ALSO SERVE ON THE BOARD OF FIOS, INC JEFFREY RFROISLAND AND GREGORY J THOMAS ALSO SERVE ON THE BOARD OF SUPERBLOCK 3 PROPERTY OWNERSASSOCIATION JEFFREY W BOLTON, MARK B KOCH, JONATHAN J OVIATT, NAN B SAWYER, AND BRADLEY D

SCHMIDT ALSO SERVE ON THE BOARD OF MAYO COLLABORATIVE SERVICES INC JEFFREY W BOLTON,DANIEL S GOLDMAN, MARY J HOFFMAN, MARK B KOCH, ROGER A LINDAHL, MARK A MATTHIAS, JONATHANJ OVIATT, NAN B SAWYER, ALAN R SCHILMOELLER, AND BRADLEY D SCHMIDT ALSO SERVE ON THE BOARDOF MAYO HOLDING COMPANY JEFFREY W BOLTON, JONATHAN J OVIATT, BRIAN W ROTTY, AND ALAN RSCHILMOELLER ALSO SERVE ON THE BOARD OF MMSI, INC ROBERT F BRIGHAM AND MARY J HOFFMAN ALSOSERVE ON THE BOARD OF PHYSICIAN AND HOSPITAL PRACTICES, INC ROBERT E NESSE, MARK B KOCH ANDJONATHAN J OV IATT ALSO SERVE ON THE BOARD OF MHS SERVICES, INC

Identifier Return ExplanationReference

Form 990, Part V I, Section MAYO-AFFILIATED ENTITIES ROUTINELY DELEGATE VARIOUS MANAGEMENT AND SUPPORTA, line 3 FUNCTIONS TO RELATED ENTITIES

Identifier Return Reference Explanation

Form 990, Part V I, Section A, line 6 THE SOLE CORPORATE MEMBER IS MAYO CLINIC

Identifier Return ExplanationReference

Form 990, Part V I, Section DIRECTORS OF MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH AREA, line 7a DESIGNATED BY THE SOLE MEMBER

Identifier Return ExplanationReference

Form 990, Part VI, CERTAIN TRANSACTIONS REQUIRE APPROVAL BY THE MEMBER BEFORE ACTION CAN BETAKENSection A, line 7b SUCH AS AMENDMENT TO THE ARTICLES AND BYLAWS, MERGER, OR OTHER RESTRUCTURING, AND

INCURRENCE OF DEBT

Identifier ReturnReference

Explanation

Form 990, THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX PRIOR TO ITS REV IEW AND APPROVAL BY THEPart VI, BOARD MEMBERS, THE FORM 990 IS REVIEWED BY THE TAX DIRECTOR OF MAYO CLINIC, AN EXTERNAL TAXSection B, ADVISOR, THE CFO OF MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER) AND THEline 11 CFO OF MAYO CLINIC HEALTH SOLUTIONS, A DIVISION OF MFMER A COPY OF THE FORM 990 IS THEN

PROVIDED TO EACH MEMBER OF MFMER'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT ABOARD MEETING HIGHLIGHTS ARE PRESENTED TO BOARD MEMBERS, AND THE REVIEW IS DOCUMENTED INMEETING MINUTES ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990

Identifier ReturnReference

Explanation

Form 990, MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TOPart V I, ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIESSection B, ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATEDline 12c EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX

AND COMPLIANCE DISCLOSURE' FORM THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAXDEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW ALL DISCLOSURES OF CURRENT ORPROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW ANDACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEWBOARD INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION MANY TYPES OF RELATIONSHIPSTHAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED OTHER TYPES OF RELATIONSHIPS AREPERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OFINTEREST REVIEW BOARD A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIREBILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/ORAFFILIATE) AND THE OUTSIDE ENTITY ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXISTFOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS

Identifier ReturnReference

Explanation

Form 990, THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC MAYO CLINIC AND ITS AFFILIATES HAVEAPart VI, COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANSSection B, AND ADMINISTRATIVE LEADERSHIP THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLYline 15 THE SALARIES OF THE PRESIDENT AND V ICE PRESIDENT/CFO WERE REVIEWED BY THE MAYO CLINIC SALARY

AND BENEFITS COMMITTEE AND/OR THE MAYO CLINIC GOVERNANCE COMMITTEE PURSUANT TO THE PROCESSDESCRIBED BELOW FOR MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH THE MAYO CLINICSALARY AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS ANDADMINISTRATIVE LEADERSHIP FOR THE ARIZONA, FLORIDA, AND ROCHESTER, MINNESOTA CAMPUSES THECOMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FORTHE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE) FOR THOSEINDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIRCOMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW) THESALARY AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKINGSURVEYS) IN ITS REVIEWAND DOCUMENTS DECISIONS IN ITS MINUTES THE MAYO CLINIC COMMITTEE ONOFFICER SUCCESSION, COMPENSATION, AND GOVERNANCE (GOVERNANCE COMMITTEE) IS COMPRISED OFSEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES THIS GROUPREVIEWS THE COMPENSATION AND BENEFITS FOR PHYSICIANS FROM ALL CAMPUSES, INCLUDING THE MAYOHEALTH SYSTEM LOCATIONS, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP(INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS AS DEFINED FOR PURPOSES OF IRC SECTION4958) THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, ANDSPECIALTIES THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKINGSURVEYS) IN ITS REVIEWAND DOCUMENTS DECISIONS IN ITS MINUTES IN ADDITION, THE GOVERNANCECOMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDERELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF SENIOR PHYSICIAN,ADMINISTRATIVE, AND EXECUTIVE LEADERSHIP POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEWANDRECOMMENDATION IS MADE

Identifier Return Reference Explanation

Form 990, Part V I, THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC THESection C, line 19 CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC ORG

WEBSITE THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST

Identifier ReturnReference

Explanation

Form 990, Part VII, Section A, Average Hours Per Week Devoted to Position with Related Organizations JAMES GANDERSON 40 0 ROBERT F BRIGHAM 40 0 MICHAEL E BROWN 40 0 CHARLES R CAGIN 40 0 NANCY JCUMMINGS 40 0 BROOKS S EDWARDS M D 40 0 JEFFREY R FROISLAND 40 0 HARRY N HOFFMAN 40 0 MARYJ HOFFMAN 40 0 MARK B KOCH 40 0 WILLIAM J LITCHY M D 40 0 KEVIN B MELVIN 40 0 MICHAEL S MEYERSM D 40 0 ROBERT E NESSE M D 40 0 MARY I O'CONNOR M D 40 0 KRISHNA M PAMULAPATI 40 0 NAN BSAWYER 40 0 BRADLEY D SCHMIDT 40 0 MANDEEP SINGH 40 0 TAHIR TAK 40 0 GREGORY J THOMAS 40 0

Identifier Return ExplanationReference

Changes in Net Assets or Form 990, Part XI, NET UNREALIZED GAINS ON INVESTMENTS 8,686,615 PRIOR PERIOD ADJUSTMENTFund Balances line 5 44,690,225 Total to Form 990, Part XI, Line 5 53,376,840

Identifier Return Reference Explanation

Form 990, Part XII, Line 2c THERE WAS NO CHANGE IN THE PROCESS DURING THE Y EAR

jefile GRAPHIC print - DO NOT PROCESS

SCHEDULE R(Form 990)

Department of the Treasury

Internal Revenue Service

As Filed Data -

Related Organizations and Unrelated Partnerships

1- Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.

- Attach to Form 990 . - See separate instructions.

DLN:93493304011531

OMB No 1545-0047

2010

Name of the organization Employer identification numberMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

41-1506440

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a)Name, address, and EIN of disregarded entity

(b)Primary activity

(c)Legal domicile (stateor foreign country)

(d )Total income

( e)End-of-year assets

(f)Direct controlling

entity

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had oneor more related tax-exempt organizations during the tax year.)

(a)Name, address, and EIN of related organization

(b)Primary activity

(c)Legal domicile (stateor foreign country)

(d )Exempt Code section

(e)Public charity status

(if section 501(c)(3))

(f)Direct controlling

entity

Section 512(b)(13)controlled

organization

Yes No

See Additional Data Table

For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 . Cat No 50135Y Schedule R (Form 990) 2010

Schedule R (Form 990) 2010 Page 2

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34because it had one or more related organizations treated as a partnership during the tax year.)

(c) (h) (I) U)(a) (b) Legal (d) (e) (f) (g) Disproprtionate Code V-UBI General or

Name, address, and EIN of Primary activity domicile Direct controllingPredominant income

of total income Share of end-of-year allocations7 amount in box 20 of managing (k)

related organization (state or entity, unrelated,(related,

assets Schedule K-1 part ner? Percentage

foreignexcluded fromm

taxtax (Form 1065) ownership

country)under sections 512-

514)

Yes No Yes No

(1) FRANKLIN HEATINGSTATION

119 THIRD ST SWUTILITY MN N/A

ROCHESTER, MN5590241-0264830

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV,line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

( a)Name, address, and EIN of related organization

(b)Primary activity

(c)Legal domicile

(state orforeigncountry)

(d)Direct controlling

entity

(e)Type of entity(C corp, S corp,

or trust)

(f)Share of total income

(g)Share of

end-of-yearassets

(h)Percentageownership

See Additional Data Table

Schedule R (Form 990) 2010

Schedule R (Form 990) 2010 Page 3

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note . Complete line 1 if any entity is listed in Parts II, III or IV Yes No

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity la Yes

b Gift, grant, or capital contribution to other organization( s) lb Yes

c Gift, grant, or capital contribution from other organization(s) lc Yes

d Loans or loan guarantees to or for other organization( s) ld No

e Loans or loan guarantees by other organization( s) le No

f Sale of assets to other organization( s) it Yes

g Purchase of assets from other organization( s) 1g No

h Exchange of assets 1.h No

i Lease of facilities, equipment, or other assets to other organization (s) li No

j Lease of facilities, equipment, or other assets from other organization( s) lj No

k Performance of services or membership or fundraising solicitations for other organization (s) lk Yes

I Performance of services or membership or fundraising solicitations by other organization (s) 11 Yes

m Sharing of facilities, equipment, mailing lists, or other assets lm No

n Sharing of paid employees In Yes

o Reimbursement paid to other organization for expenses

p Reimbursement paid by other organization for expenses

q Other transfer of cash or property to other organization(s)

r Other transfer of cash or property from other organization(s)

2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds

(b) (d)(a) Transaction (c) Method of determining amountName of other organization

type(a-r)Amount involved

involved

(1)

See Additional Data Table

(2)

(3)

(4)

(5)

(6)

Schedule R (Form 990) 2010

Schedule R (Form 990) 2010 Page 4

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or grossrevenue) that was not a related organization See instructions regarding exclusion for certain investment partnerships

(a)Name, address, and EIN of entity

(b)Primary activity

(c)Legal domicile

(state or foreigncountry)

(d)Are allpartnerssection

501(c)(3)organizations?

(e)Share of

end-of-yearassets

(f)Disproprtionateallocations?

(g)Code V-UBIamount in box

20 of Schedule K-1(Form 1065)

(h)General ormanagingpart ner?

Yes No Yes No Yes No

Schedule R (Form 990) 2010

Schedule R (Form 990) 2010 Page 5

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions)

Identifier Return Reference Explanation

Schedule R (Form 990) 2010

Additional Data

Software ID:

Software Version:

EIN: 41 -1506440

Name : MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH

Form 990, Schedule R, Part II - Identification of Related Tax-Exempt Organizations

Return to Form

C (g)

(a) (b) Legal domicile (d) Public charity (f) Section 512

Name, address, and EIN of related organization Primary activity (stateCodeExempt

status Direct controlling (b)(13)

or foreignsection

(if section 501(c) entity controlled

country) (3)) organization

Yes No

ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM

HOSPITAL AND MAYO CLINIC404 WEST FOUNTAIN STREET MN 501(c)(3) 3 Yes

CLINICALBERT LEA, MN56007

41-1404075

AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM

HOSPITAL AND MAYO CLINIC1000 FIRST DRIVE NW MN 501(c)(3) 3 Yes

CLINICAUSTIN, MN55912

41-0695606

AUSTIN MEDICAL CENTER FOUNDATIONAUSTIN MEDICAL

FUNDRAISING CENTER--MAYO1000 FIRST DRIVE NW MN 501(c)(3) 7 Yes

FOUNDATION HEALTH SYSTEMAUSTIN, MN55912

30-0107471

BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH

SYSTEM

HOSPITAL AND LUTHER HOSPITALWI 501(c)(3) 3 Yes

1222 EAST WOODLAND AVE CLINIC

BARRON, W154812

39-0920634

BLOOMER LAKEVIEW INC BLOOMER MEMORIAL

MEDICAL CENTER INCLOW INCOME

2110 DUNCAN ROAD WI 501(c)(3) 7 -- MAYO HEALTH YesHOUSING

BLOOMER, WI54724 SYSTEM

39-1450617

BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO

HEALTH SYSTEM

HOSPITAL AND LUTHER HOSPITALWI 501(c)(3) 3 Yes

1501 THOMPSON STREET CLINIC

BLOOMER, W154724

39-0980343

CANNON FALLS MEDICAL CENTER -- MAYO HEALTH

SYSTEM

HOSPITAL AND MAYO CLINICMN 501(c)(3) 3 Yes

1116 WEST MILL STREET CLINIC

CANNON FALLS, MN55009

20-4156428

CHARTERHOUSE INC

RETIREMENT LIVING MAYO CLINIC200 FIRST STREET SW MN 501(c)(3)

9Yes

CENTERROCHESTER, MN55905

41-1405254

FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM

HOSPITAL AND MAYO CLINIC800 MEDICAL CENTER DRIVE PO BOX 800 MN 501(c)(3) 3 Yes

CLINICFAIRMONT, MN56031

41-0760836

FOUNTAIN LAKE TREATMENT CENTERALBERT LEA MEDICAL

CHEMICALCENTER--MAYO

404 WEST FOUNTAIN STREET DEPENDENCY MN 501(c)(3) 3 YesHEALTH SYSTEM

ALBERT LEA, MN56007 TREATMENT

41-1404076

FRANCISCAN SKEMP FOUNDATION OFARCADIA INC

FRANCISCAN SKEMPFUNDRAISING

464 SOUTH JOHNSON STREET WI 501(c)(3) 9 HEALTHCARE INC YesFOUNDATION

ARCADIA, W154612

39-1322480

FRANCISCAN SKEMP FOUNDATION OFSPARTA INC

FRANCISCAN SKEMPFUNDRAISING

310 WEST MAIN STREET WI 501(c)(3) 9 HEALTHCARE INC YesFOUNDATION

SPARTA, W154656

39-1423234

Form 990, Schedule R, Part II - Identification of Related Tax-Exempt Organizations

c (g)

(a) (b) Legal domicile (d) Publiceharity (f) Section 512

Name, address, and EIN of related organization Primary activity (stateCodeExempt

status Direct controlling (b)(13)

or foreignsection

(if section 501(c) entity controlled

country) (3)) organization

Yes No

FRANCISCAN SKEMP FOUNDATION INC

FRANCISCAN SKEMPFUNDRAISING

700 WEST AVE SOUTH WI 501(c)(3) 11-II HEALTHCARE INC YesFOUNDATION

LA CROSSE, W154601

39-1186647

FRANCISCAN SKEMP HEALTHCARE INC

HEALTHCARE SYSTEM MAYO CLINIC700 WEST AVE SOUTH WI 501(c)(3) 11-I Yes

PARENTLA CROSSE, W154601

39-1411999

FRANCISCAN SKEMP MEDICAL CENTER INC

FRANCISCAN SKEMPHOSPITAL AND CLINIC

700 WEST AVE SOUTH WI 501(c)(3) 3 HEALTHCARE INC Yes

LA CROSSE, W154601

39-0806374

GCAS MAYO FOUNDATION

FOR MEDICAL

200 FIRST STREET SW AMBULANCE SERVICE MN 501(c)(3) 9 EDUCATION AND Yes

ROCHESTER, MN55905 RESEARCH

41-1917517

GOLD CROSS AMBULANCE SERVICE MAYO FOUNDATION

FOR MEDICAL

200 FIRST STREET SW AMBULANCE SERVICE MN 501(c)(3) 9 EDUCATION AND Yes

ROCHESTER, MN55905 RESEARCH

41-1917516

GOLD CROSS AMBULANCE INC MAYO FOUNDATION

FOR MEDICAL

200 FIRST STREET SW AMBULANCE SERVICE MN 501(c)(3) 9 EDUCATION AND Yes

ROCHESTER, MN55905 RESEARCH

39-1942957

IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM

HOSPITAL AND CLINIC MAYO CLINIC1025 MARSH STREET MN 501(c)(3) 3 Yes

MANKATO, MN56002

41-1236756

IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH

SYSTEM IMMANUEL-ST

FUNDRAISING JOSEPH'S -- MAYOMN 501(c)(3) 7 Yes

1025 MARSH STREET FOUNDATION HEALTH SYSTEM

MANKATO, MN56002

41-1663357

LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM

MAYO CLINIC500 WEST GRANT STREET HOSPITAL MN 501(c)(3) 3 Yes

LAKE CITY, MN55041

41-1906820

LUTHER HOSPITAL

MAYO CLINIC1221 WHIPPLE STREET HOSPITAL WI 501(c)(3) 3 Yes

EAU CLAIRE, W154703

39-0813418

LUTHER LAKESIDE APARTMENTS INC

LOW INCOME HOUSING LUTHER HOSPITAL714 SOUTH BARSTOW STREET WI 501(c)(3)

9Yes

EAU CLAIRE, W154701

39-1409024

LUTHER MIDELFORT FOUNDATION INCMIDELFORT CLINIC

GRANTMAKING LTD -- MAYO HEALTH733 W CLAIREMONT AVE PO BOX 1510 WI 501(c)(3) PF No

FOUNDATION SYSTEMEAU CLAIRE, W154702

39-1633407

Form 990, Schedule R, Part II - Identification of Related Tax-Exempt Organizations

c (g)

(a) (b) Legal domicile (d) Public charity (f) Section 512

Name, address, and EIN of related organization Primary activity (stateCodeExempt

status Direct controlling (b)(13)

or foreignsection

(if section 501 entity controlled

country) (c)(3)) organization

Yes No

MAYO CLINIC ARIZONA

HOSPITAL AND CLINIC MAYO CLINIC13400 EAST SHEA BLVD AZ 501(c)(3) 3 Yes

SCOTTSDALE, AZ85259

86-0800150

MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)

MAYO CLINIC

4500 SAN PABLO ROAD HOSPITAL FL 501(c)(3) 3 JACKSONVILLE Yes

JACKSONVILLE, FL32224

59-0714831

MAYO CLINIC JACKSONVILLE

PATIENT CARE MAYO CLINIC4500 SAN PABLO ROAD FL 501(c)(3) 7 Yes

CLINICJACKSONVILLE, FL32224

59-3337028

MAYO CLINIC -- METHODIST HOSPITAL

MAYO CLINIC200 FIRST STREET SW HOSPITAL MN 501(c)(3) 3 Yes

ROCHESTER, MN55905

41-0739106

MAYO CLINIC

PATIENT CARE MAYO CLINIC200 FIRST STREET SW MN 501(c)(3)

9Yes

CLINICROCHESTER, MN55905

41-6011702

MAYO CLINIC -- SAINT MARYS HOSPITAL

MAYO CLINIC200 FIRST STREET SW HOSPITAL MN 501(c)(3) 3 Yes

ROCHESTER, MN55905

41-0944601

MAYO FOUNDATION FOR MEDICAL EDUCATION AND

RESEARCH CHARITABLE,

EDUCATIONAL& MAYO CLINICMN 501(c)(3)

9Yes

200 FIRST STREET SW SCIENTIFIC

ROCHESTER, MN55905 ACTIVITIES

41-1506440

MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM

PATIENT CARE - MAYO CLINICPO BOX 1510 WI 501(c)(3) 3 No

CLINICEAU CLAIRE, W154702

39-1735831

MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR

DIGESTIVE DISEASESSUPPORT RESEARCH,

MAYO CLINICPRACTICE & MN 501(c)(3) 11-I Yes

200 FIRST STREET SWEDUCATION

ROCHESTER, MN55905

41-2020392

NORTHWEST WISCONSIN HOMECARE INC

HOME HEALTH AND LUTHER HOSPITALPO BOX 2060 WI 501(c)(3)

9Yes

HOSPICE CAREEAU CLAIRE, W154702

39-1491516

NORTHWEST WISCONSIN SUPPORTIVE HOMECARE INC

LUTHER HOSPITALPO BOX 2060 HOME HEALTH CARE WI 501(c)(3)

9Yes

EAU CLAIRE, W154702

39-1686673

OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM

HOSPITAL AND CLINIC LUTHER HOSPITALPO BOX 70 / 13025 EIGHTH STREET WI 501(c)(3) 3 Yes

OSSEO, W154758

39-1029430

Form 990, Schedule R, Part II - Identification of Related Tax-Exempt Organizations

c (g)

(a) (b) Legal domicile (d) Publiceharity (f) Section 512

Name, address, and EIN of related organization Primary activity (stateCodeExempt

status Direct controlling (b)(13)

or foreignsection

(if section 501(c) entity controlled

country) (3)) organization

Yes No

POVERELLO FOUNDATIONMAYO CLINIC --

FUNDRAISING SAINT MARYS200 FIRST STREET SW MN 501(c)(3) 11-I Yes

FOUNDATION HOSPITALROCHESTER, MN55905

41-1494881

RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH

SYSTEM

HOSPITAL AND MAYO CLINICWI 501(c)(3) 3 Yes

2321 STOUT ROAD CLINIC

MENOMONIE, W154751

51-0190875

SPRINGFIELD MEDICAL CENTER-- MAYO HEALTH SYSTEMIMMANUEL-ST

HOSPITAL AND JOSEPH'S -- MAYO625 NORTH JACKSON AVENUE MN 501(c)(3) 3 Yes

CLINIC HEALTH SYSTEMSPRINGFIELD, MN56087

41-1893827

ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEMIMMANUEL-ST

HOSPITAL AND JOSEPH'S -- MAYO1101 MOULTON PARSONS DR PO BOX 460 MN 501(c)(3) 3 Yes

CLINIC HEALTH SYSTEMST JAMES, MN56081

41-0797368

ST JAMES MEDICAL CENTER FOUNDATION INCST JAMES MEDICAL

FUNDRAISING CENTER--MAYO1101 MOULTON PARSONS DR PO BOX 460 MN 501(c)(3) 7 Yes

FOUNDATION HEALTH SYSTEMST JAMES, MN56081

41-1444129

WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEMIMMANUEL-ST

HOSPITAL AND JOSEPH'S -- MAYO501 NORTH STATE STREET MN 501(c)(3) 3 Yes

CLINIC HEALTH SYSTEMWASECA, MN56093

36-3606405

MAYO KLINIK STIFTUNGMAYO FOUNDATION

FOR MEDICAL60486 FRANKFURT AM MAIN FUNDRAISING

GM EDUCATION AND YesFRANKFURT FOUNDATION

RESEARCHGM

Form 990, Schedule R, Part IV - Identification of Rela ted Organizations Taxable as a Corporation or Trust

(a) (b) (c) (d) (e) (f) (g) (h)Name, address, and EIN of related organization Primary activity Legal Domicile Direct Controlling Type of entity Share of total income Share of Percentage

(State or Entity (C corp, S corp, ($) end - of- year ownership

Foreign or trust) assets

Country) ($)

CANNON VALLEY CLINIC -- MAYO HEALTH PATIENT CARE MN N/A C

SYSTEM - CLINIC

635 FIRST STREET SE

FARIBAULT, MN55021

41-1817179

DECORAH CLINIC -- MAYO HEALTH PATIENT CARE IA N/A C

SYSTEM - CLINIC

907 MONTGOMERY STREET

DECORAH, IA52101

41-1711329

FIOS THERAPEUTICS INC RESEARCH MN N/A C

200 FIRST STREET SW

ROCHESTER, MN55905

71-1029189

HEALTH TRADITION HEALTH PLAN MEDICAL WI N/A C

1808 EAST MAIN STREET SERVICES

ONALASKA, W154650 COMPANY

39-1545987

LOBSS NETWORK SUPPORT 2002 INC ADMINISTRATIVE MN N/A C

200 FIRST STREET SW SERVICES

ROCHESTER, MN55905

48-1276150

MAYO COLLABORATIVE SERVICES INC REFERENCE MN N/A C

200 FIRST STREET SW LAB SERVICES

ROCHESTER, MN55905

41-1346366

MAYO HOLDING COMPANY HOLDING MN N/A C

200 FIRST STREET SW COMPANY

ROCHESTER, MN55905

41-1578020

MAYO INSURANCE COMPANY LTD SELF CJ N/A C

200 FIRST STREET SW INSURANCE

ROCHESTER, MN55905 POOL

MAYO MEDICAL LABORATORIES NEW LABORATORY MA N/A C

ENGLAND INC SERVICES

265 BALLARDVALE STREET

WILMINGTON, MA01887

04-3323713

MAYO REGIONAL PRACTICES OF THIRD PARTY AZ N/A C

ARIZONA ADMINISTRATION

13400 EAST SHEA BOULEVARD SERVICES

SCOTTSDALE, AZ85259

06-1190278

MHS SERVICES INC EQUIPMENT & MN N/A C

200 FIRST STREET SW REAL ESTATE

ROCHESTER, MN55905 LEASING

41-1282517

MMSI INC THIRD PARTY MN N/A C

21 FIRST STREET SW ADMINISTRATION

ROCHESTER, MN55905 SERVICES

41-1547003

NORTHWEST HEALTH VENTURES INC PHARMACY WI N/A C

1221 WHIPPLE STREET SERVICES

EAU CLAIRE, W154703

39-1528920

OWATONNA CLINIC -- MAYO HEALTH PATIENT CARE MN N/A C

SYSTEM - CLINIC

134 SOUTHVIEW

OWATONNA, MN55060

41-1862132

PHYSICIAN AND HOSPITAL PRACTICES HEALTH FL N/A C

INC SERVICES

4500 SAN PABLO ROAD

JACKSONVILLE, FL32224

93-0926631

ROCHESTER AIRPORT COMPANY AIRPORT MN N/A C

ROUTE 2 MANAGEMENT

ROCHESTER, MN55902

41-0506870

SUPERBLOCK 3 PROPERTY OWNERS COMMERCIAL AZ N/A C

ASSOCIATION PROPERTY

13400 E SHEA BLVD OWNERS

SCOTTSDALE, AZ85259 ASSOCIATION

86-0870505

THE STABILE BUILDING OWNERS' COMMERCIAL MN N/A C

ASSOCIATION PROPERTY

200 FIRST STREET SW OWNERS

ROCHESTER, MN55905 ASSOCIATION

20-8994499

Form 990 , Schedule R, Part V - Transactions With Related Organizations

(a)Name of other organization

(b)Transactiontype(a r)

(c)Amount Involved

()

(d)

Method of determiningamount involved

(1) AUSTIN MEDICAL CENTER L 55,027 GAAP

(2) CHARTERHOUSE Q 639,561 GAAP

(3) FRANCISCAN SKEMP MEDICAL CENTER L 76,168 GAAP

(4) GOLD CROSS AMBULANCE SERVICE 0 730,136 GAAP

(5) LAKE CITY MEDICAL CENTER B 54,033 GAAP

(6) MAYO CLINIC Q 93,231,519 GAAP

(7) MAYO CLINIC B 13,045,000 GAAP

(8) MAYO CLINIC 0 26,036,690 GAAP

(9) MAYO CLINIC - METHODIST HOSPITAL Q 8,262,490 GAAP

(10) MAYO CLINIC - METHODIST HOSPITAL 0 2,147,095 GAAP

(11) MAYO CLINIC - SAINT MARYS HOSPITAL Q 19,341,109 GAAP

(12) MAYO CLINIC - SAINT MARYS HOSPITAL 0 2,670,476 GAAP

(13) MAYO CLINIC ARIZONA Q 24,389,921 GAAP

(14) MAYO CLINIC ARIZONA 0 1,110,495 GAAP

(15) MAYO CLINIC FLORIDA Q 4,431,827 GAAP

(16) MAYO CLINIC FLORIDA 0 177,244 GAAP

(17) MAYO CLINIC JACKSONVILLE Q 15,633,518 GAAP

(18) MAYO CLINIC JACKSONVILLE 0 939,173 GAAP

(19) MAY COLLABORATIVE SERVICE INC Q 2,404,473 GAAP

(20) MAYO MEDICAL LABORATORIES NEW ENGLAND INC Q 388,510 GAAP

(21) MAYO REGIONAL PRACTICE ARIZONA Q 107,625 GAAP

(22) MMSI Q 704,126 GAAP

(23) M M SI 0 1,640,441 GAA P

(24) BARRON MEMORIAL MEDICAL CENTER F 16,337,902 GAAP

(25) BLOOMER MEMORIAL MEDICAL CENTER F 8,629,708 GAAP

(26) CANNON VALLEY CLINIC F 207,332 GAAP

(27) CANNON VALLEY CLINIC N 12,785,867 GAAP

(28) CHARTERHOUSE F 9,460,516 GAAP

(29) CHARTERHOUSE N 8,171,522 GAAP

(30) FAIRMONT MEDICAL CENTER A 194,876 GAAP

(31) FAIRMONT MEDICAL CENTER N 34,191,142 GAAP

(32) FRANCISCAN SKEMP HEALTHCARE K 1,477,943 GAAP

(33) GCAS INC F 988,995 GAAP

(34) GCAS INC N 2,225,094 GAAP

(35) GOLD CROSS AMBULANCE SERVICE F 7,200,823 GAAP

(36) GOLD CROSS AMBULANCE SERVICE N 11,005,827 GAAP

(37) GOLD CROSS AMBULANCE INC F 158,195 GAAP

(38) GOLD CROSS AMBULANCE INC N 270,446 GAAP

(39) LAKE CITY MEDICAL CENTER K 282,846 GAAP

(40) LAKE CITY MEDICAL CENTER N 12,557,889 GAAP

(41) LUTHER HOSPITAL F 149,184,420 GAAP

(42) LUTHER MIDELFORT FOUNDATION F 174,515 GAAP

(43) MAYO CLINIC F 742,498,624 GAAP

(44) MAYO CLINIC K 9,490,353 GAAP

(45) MAYO CLINIC R 84,768,658 GAAP

(46) MAYO CLINIC P 1,089,963 GAAP

(47) MAYO CLINIC C 2,768,435 GAAP

(48) MAYO CLINIC N 1,673,977,312 GAAP

(49) MAYO CLINIC - METHODIST HOSPITAL F 156,903,306 GAAP

(50) MAYO CLINIC - METHODIST HOSPITAL N 133,570,815 GAAP

(51) MAYO CLINIC - SAINT MARYS HOSPITAL F 174,844,314 GAAP

(52) MAYO CLINIC - SAINT MARYS HOSPITAL N 312,070,509 GAAP

(53) MAYO CLINIC ARIZONA F 240,767,224 GAAP

(54) MAYO CLINIC ARIZONA K 544,940 GAAP

(55) MAYO CLINIC ARIZONA P 417,211 GAAP

(56) MAYO CLINIC ARIZONA N 360,929,065 GAAP

(57) MAYO CLINIC FLORIDA F 98,870,106 GAAP

(58) MAYO CLINIC FLORIDA N 60,793,538 GAAP

(59) MAYO CLINIC JACKSONVILLE F 127,920,388 GAAP

(60) MAYO CLINIC JACKSONVILLE K 446,893 GAAP

(61) MAYO CLINIC JACKSONVILLE P 127,534 GAAP

(62) MAYO CLINIC JACKSONVILLE N 236,254,937 GAAP

(63) MIDELFORT CLINIC F 41,863,836 GAAP

(64) MMSI K 286,434 GAAP

(65) NORTHWEST HEALTH VENTURES F 6,467,759 GAAP

(66) NW WISCONSIN HOMECARE F 1,929,729 GAAP

(67) OSSEO MEDICAL CENTER F 7,788,048 GAAP

Additional Data

Software ID:

Software Version:

EIN: 41 -1506440

Name : MAYO FOUNDATION FOR MEDICAL EDUCATION ANDRESEARCH

Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, HighestCompensated Employees, and Independent Contractors

(A) (B) (C) (D) (E) (F)

Name and Title Average Position ( check all Reportable Reportable Estimatedhours that apply ) compensation compensation amount of otherper = from the from related compensationweek 3 organization ( W- organizations from the=

2/1099-MISC) (W- 2/1099- organization and

0 C Q,D -n MISC ) related

Lc c 0 CD 0 °- organizations

mQ

m 3 Qfm ait,

BO LTO N JEFFREY W40 00 X X 815,822 0 136,564

VICE PRESIDENT/CFO

LIENAU MARTY A40 00 X 95,667 0 17,878

DIRECTOR

LINDAHL ROGER A40 00 X X 224,191 0 55,709

ASST SECRETARY

LITCHY MD WILLIAM J1 00 X X 0 284,145 64,542

PRESIDENT

MATTHIAS MARK A40 00 X X 200,413 0 39,997

ASST TREASURER

SCHILMOELLERALAN R40 00 X X 1,627,431 0 15,653

VICE PRESIDENT

BRIGHAM ROBERT F1 00 X 0 741,182 24,883

ASST SECRETARY

BROWN MICHAEL E1 00 X 0 197,524 24,198

ASST SECRETARY

BROWN WILLIAM A40 00 X 209,109 0 54,338

ASST TREASURER

FRANCIS JAMES R40 00 X 295,977 0 70,157

ASST TREASURER

FRO ISLAND JEFFREY R1 00 X 0 228,471 27,440

ASST TREASURER

GOLDMAN DANIEL S40 00 X 195,233 0 41,753

ASST SECRETARY

HOFFMAN HARRY N1 00 X 0 1,754, 589 698,988

TREASURER

HOFFMAN MARY 11 00 X 0 360,001 49,281

ASST SECRETARY

HUBERT SHERRY L40 00 X 235,832 0 44,725

ASST SECRETARY

KOCH MARK B1 00 X 0 257,707 34,629

ASST SECRETARY

LOHKAMP CHRISTIE A40 00 X 206,105 0 24,077

ASST TREASURER

MELVIN KEVIN B1 00 X 0 111,844 35,715

ASST SECRETARY

NASS BRIAN D40 00 X 202,314 0 41,518

ASST SECRETARY

OVIATT JONATHAN J40 00 X 737,491 0 171,708

SECRETARY

SAWYER NAN B1 00 X 0 503,199 63,004

ASST TREASURER

SCHMIDT BRADLEY D1 00 X 0 300,232 109,103

ASST TREASURER

THOMAS GREGORY J1 00 X 0 885,153 9,059

ASST SECRETARY

VAN NURDEN STEVEN P40 00 X 227,261 0 44,980

ASST TREASURER

WARNER GREGORY J40 00 X 234,259 0 9,969

ASST TREASURER

Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, HighestCompensated Employees, and Independent Contractors

(A) (B) (C) (D) (E) (F)

Name and Title Average Position (check all Reportable Reportable Estimatedhours that apply ) compensation compensation amount of otherper ,- = from the from related compensationweek organization (W- organizations from the=

0 2/1099-MISC) (W- 2/1099- organization and

,D -n MISC ) related

c c 0 a ° organizationsU^^-' co c} ^ 1 10 -0 a,m

Q -Dm 3 Q

¢, m

WEIS SHIRLEY A40 00 X 1,355,446 0 323,373

ASST TREASURER

BENGALI ABDUL R40 00 X 974,299 0 17,572

CHIEF INFORMATION OFFICER

LA FORGIA JOHN M40 00 X 327,505 0 59,342

CHIEF PUBLIC AFFAIRS OFFICER

LANGSTRAAT HARLAN J40 00 X 221,819 0 45,920

VICE CHAIR - MEDICAL PRODUCTS

MCNAMARA MICHAEL J40 00 X 422,689 0 60,803

PRINCIPAL GIFTS OFFICER

MCNEILL STEVEN L40 00 X 279,729 0 68,597

CHIEF PLANNING OFFICER

MENKOSKY PAULA E

CHAIR - EDUCATION 40 00 X 265,489 0 53,195

ADMINISTRATION

NOSEWORTHY MD JOHN H40 00 X 1,637,388 0 802,177

PRESIDENT/CEO - MAYO CLINIC

RAGSDALE JILL M40 00 X 384,389 0 56,821

CHIEF HUMAN RESOURCES OFFICER

CRANMER JOHN P40 00 X 251,251 0 52,834

CHAIR - INFORMATION TECHNOLOGY

GROSSET JESSICA A40 00 X 255,693 0 74,704

CHAIR - INFORMATION TECHNOLOGY

KELLY BRUCE M40 00 X 303,252 0 55,163

GOV'T RELATIONS OFFICER

LETTIERI MD SALVATORE C40 00 X 657,855 0 75,705

PHYSICIAN

MURPHY JOSHUA B40 00 X 236,392 0 36,541

LEGAL COUNSEL

O'CONNOR MD MARY IX 0 1,340,492 102,755

FORMER DIRECTOR

ANDERSON JAMES GX 0 1,527,866 14,370

FORMER ASST TREASURER

CUMMINGS NANCY JX 0 154,276 44,521

FORMER ASST SECRETARY

EDWARDS MD BROOKS SX 0 883,367 111,548

FORMER PRESIDENT

WALTERS ROBERT MX 851,047 0 62,572

FORMER ASST TREASURER

COLLINS CRAIG CX 216,104 0 47,742

FORMER KEY EMPLOYEE

NESSE MD ROBERT EX 0 1,569,297 211,744

FORMER KEY EMPLOYEE

ROTTY BRIAN WX 202,665 0 43,580

FORMER KEY EMPLOYEE

CAGIN CHARLES RX 0 908,978 98,971

FORMER HIGHEST PAID

MEYERS MD MICHAEL SX 0 775,057 45,714

FORMER HIGHEST PAID

PAMULAPATI KRISHNA MX 0 669,244 94,092

FORMER HIGHEST PAID

Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, HighestCompensated Employees, and Independent Contractors

(A) (B) (C) (D ) ( E) (F)

Name and Title Average Position (check all Reportable Reportable Estimatedhours that apply) compensation compensation amount of otherper from the from related compensationweek organization (W- organizations from the

0 'D 2/1099-MISC) (W- 2/1099- organization and

0 C (D,D -n MISC) related

Lc c c a ° organizations

m

m 3 (m

CD

SINGH MANDEEPX 0 999,857 75,090

FORMER HIGHEST PAID

TAK TAHIRX 0 551,310 294,959

FORMER HIGHEST PAID

Form 990, Part III - 4 Program Service Accomplishments (See the Instructions)

4d. Other program services

(Code ) (Expenses $ 17,118,443 including grants of $ 10,991 ) (Revenue $ 20,942,515

LICENSING OFTECHNOLOGY MAKING THE RESULTS OF RESEARCH AND TECHNOLOGY DEVELOPED THROUGHOUT MAYO

CLINIC AVAILABLE TO THE PUBLIC IS ANOTHER FUNCTION OF MFMER THIS IS ACCOMPLISHED THROUGH LICENSING

ARRANGEMENTS WITH OTHERS HAVING THE CAPABILITY TO DISTRIBUTE THE TECHNOLOGY TO THE MEDICAL COMMUNITY

AND THE GENERAL PUBLIC DURING 2010, MFMER SIGNED 73 LICENSES WITH COMPANIES TO DISTRIBUTE MAYO CLINIC

TECHNOLOGY AND INVENTIONS IN EXCHANGE FOR THESE LICENSES, MFMER RECEIVES ROYALTIES BASED ON GROSS

REVENUES GENERATED FROM THE PRODUCTS DEVELOPED FROM THE LICENSED TECHNOLOGY OR INVENTION THE REVENUES

FROM THESE ROYALTIES ARE USED TO FURTHER THE RESEARCH AND EDUCATIONAL ACTIVITIES OF MAYO

CLINIC EDUCATION MFMER SUPPORTS THE MAYO SCHOOL OF GRADUATE MEDICAL EDUCATION BY SUPPORTING THE

SCHOOL'S VISTING MEDICAL STUDENT CLERKSHIP PROGRAM THIS PROGRAM PROVIDES ELECTIVE CLINICAL ROTATIONS

FOR NEARLY 400 PARTICIPATING MEDICAL STUDENTS EACH YEAR THAT FOSTER GROWTH OF MEDICAL KNOWLEDGE

THROUGH DIRECT PATIENT CARE EXPERIENCES