2022-11-10T13:24:49-06:00 2021-12-31 346565596 ERNST & YOUNG LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2021-01-01 340714585 THE CLEVELAND CLINIC FOUNDATION CLEV 2164442200 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE OH 44131 ANTHONY HELTON INTERIM CFO 2164442200 2022-11-10 1 ANTHONY HELTON 999009999 LAUREN E BENNETT P01787029 2154485000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z TOMISLAV MIHALJEVIC MD 9500 EUCLID AVE CLEVELAND OH 44195 9405876914 0 X WWW.CLEVELANDCLINIC.ORG X 1921 OH CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. 29 21 44993 77 49188922 692814 529557140 444448837 5935539261 6845081523 229721135 210613557 337224959 555905882 7032042495 8056049799 112177648 123691865 0 0 3541803968 3888815052 1701157 2301099 14707352 2683217605 2838188433 6338900378 6852996449 693142117 1203053350 13701552445 15457099264 6620130520 6934332854 7081421925 8522766410 X CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. 0 0 6193318103 123691865 6845081523 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 6193318103 1 0 0 1 0 0 1 0 0 1 1 1 0 1 1 1 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 4606 1 1 44993 1 1 1 1 CA CJ CH DA IS JA SA LU NO PO SW UK 0 0 0 1 1 0 0 0 0 1 0 X 29 21 1 1 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 CA FL GA IL KS KY LA MA MD MN MS NH NJ NY OH OR PA SC TN UT WI X X TIMOTHY LONGVILLE 2166367416 6801 BRECKSVILLE ROAD RK1-45 INDEPENDENCE OH 44131 TUZCU MD E MURAT PHYSICIAN (2021 RETIREE) 50.00 0.00 X 7479862 0 75627 MIHALJEVIC MD TOMISLAV DIRECTOR, PRES & CEO 50.00 0.00 X X 6575754 0 46822 MALONE JR MD DONALD A PRES, OHIO HOSPS AND FHCS 50.00 0.00 X 1384794 0 4242740 WIEDEMANN MD HERBERT PHYSICIAN (2021 RETIREE) 50.00 0.00 X 4340485 0 488825 ERZURUM MD SERPIL CHIEF RESEARCH & ACAD OFF 50.00 0.00 X 1391201 0 3183548 DONLEY MD BRIAN FORMER OFFICER, CCL CEO 0.00 50.00 X 0 3546174 924125 KLEIN MD ERIC PHYSICIAN (2021 RETIREE) 50.00 0.00 X 4442533 0 -276186 SURI MD RAKESH CEO CCAD (PART YR) 50.00 0.00 X 2071264 0 1518229 GLASS STEVEN C CFO & TREASURER 50.00 0.00 X 2493924 0 47828 ROWAN DAVID SEC, CHIEF GOV OFF & CLO 50.00 0.00 X 2234621 0 48258 O'CONNOR MD MICHAEL PHYSICIAN (2021 RETIREE) 50.00 0.00 X 2272994 0 -143923 PEACOCK WILLIAM CHIEF OF OPERATIONS 50.00 0.00 X 2039052 0 46812 GOLDFARB MD DAVID PHYSICIAN (2021 RETIREE) 50.00 0.00 X 1836967 0 -20306 SVENSSON LARS FORMER KEY EMPLOYEE - CHAIR HVTI 50.00 0.00 X 1755858 0 48012 HANCOCK DNP RN NE-BC KELLY CHIEF CAREGIVER OFFICER 50.00 0.00 X 1562436 0 45414 GUZMAN MD JORGE CEO CCAD (PART YR) 50.00 0.00 X 1433203 0 135984 RIDGEWAY MD BERI DIRECTOR, CHIEF OF STAFF 50.00 0.00 X X 1484843 0 48332 MCHUGH LINDA FORMER OFFICER 50.00 0.00 X 1283978 0 43481 YOUNG MD JAMES P FORMER OFFICER 50.00 0.00 X 1126031 0 47586 SABANEGH MD EDMUND FORMER OFFICER 50.00 0.00 X 1051681 0 34882 RIM MD ALICE DIRECTOR, PHYSICIAN 50.00 0.00 X 652715 0 49166 DAVIS MARLEINA ASST. SECRETARY 50.00 0.00 X 613728 0 43180 LONGVILLE TIMOTHY CAO & CONTROLLER 50.00 0.00 X 525266 0 38464 HAMILTON THOMAS FORMER OFFICER 50.00 0.00 X 517094 0 1370 MAYS MD MARYANN DIRECTOR, PHYSICIAN 50.00 0.00 X 378530 0 49212 ANDERSON MD MICHAEL DIRECTOR, PHYSICIAN 50.00 0.00 X 358415 0 46086 MEEHAN MICHAEL J RECORDING SECRETARY 50.00 0.00 X 393413 0 -38132 OBLANDER JASON ASST. SECRETARY 50.00 0.00 X 256235 0 22773 COSGROVE MD DELOS FORMER OFF (RETIRED CEO) 0.00 0.00 X 202433 0 -167959 AULETTA PATRICK V DIRECTOR 5.00 0.00 X 0 0 0 BENZ MICHAEL DIRECTOR 5.00 0.00 X 0 0 0 CRAWFORD DEBORAH DIRECTOR 5.00 0.00 X 0 0 0 FEDELI UMBERTO P DIRECTOR 5.00 0.00 X 0 0 0 HOOVER CAROLE DIRECTOR 5.00 0.00 X 0 0 0 KEMPER RN BETTY DIRECTOR 5.00 0.00 X 0 0 0 KILBANE CATHERINE DIRECTOR 5.00 0.00 X 0 0 0 KOHL STEWART DIRECTOR 5.00 0.00 X 0 0 0 KRAMER RICHARD DIRECTOR 5.00 0.00 X 0 0 0 LERNER NORMA DIRECTOR 5.00 0.00 X 0 0 0 MACDONALD WILLIAM III DIRECTOR 5.00 0.00 X 0 0 0 MAROONE MICHAEL DIRECTOR 5.00 0.00 X 0 0 0 MORINO MARIO DIRECTOR 5.00 0.00 X 0 0 0 NANCE FREDERICK DIRECTOR 5.00 0.00 X 0 0 0 SCOTT HAROLD LEE DIRECTOR 5.00 0.00 X 0 0 0 STEVENS MARK DIRECTOR 5.00 0.00 X 0 0 0 WEBER ROBERT DIRECTOR 5.00 0.00 X 0 0 0 WEINBERG RONALD DIRECTOR 5.00 0.00 X 0 0 0 ISHRAK PHD OMAR DIRECTOR 5.00 0.00 X 0 0 0 VEGA LORRAINE DIRECTOR 5.00 0.00 X 0 0 0 RICH MELINDA DIRECTOR 5.00 0.00 X 0 0 0 WALDRON JOHN DIRECTOR 5.00 0.00 X 0 0 0 MOONEY BETH E DIRECTOR, BOARD CHAIR 5.00 0.00 X X 0 0 0 PETRAS JR MICHAEL J DIR, VICE CHAIR, FINANCE & BUS DEVELOPMENT 5.00 0.00 X X 0 0 0 POLLOCK LARRY DIR, VICE CHAIR, PHILANTHROPY & STEWARDSHIP 5.00 0.00 X X 0 0 0 52159310 3546174 10630250 7449 1 1 0 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SERVICES 22108461 IBM CORP 500 FIRST AVENUE PITTSBURGH PA 15219 INFORMATION TECHNOLOGY SYSTEMS SERVICES 17897586 ADCOM GROUP INC 1468 W 9TH ST STE 600 CLEVELAND OH 44113 ADVERTISING SERVICES 16601710 THE HCI GROUP PO BOX 734305 CHICAGO IL 60673 HEALTHCARE IT CONSULTING & TECH SOLUTION 15413478 EPIC SYSTEMS CORP PO BOX 88314 MILWUAKE WI 53288 HEALTHCARE IT CONSULTING & SOFTWARE SOLU 14767694 548 X 5145285 239868463 199435089 15278623 444448837 NET PATIENT SERVICES 620000 3618924433 3604119547 14804886 MEDICARE/MEDICAID PAYM 921990 2416360410 2416360410 OTHER PROGRAM SERVICES 900099 744002914 730631945 13370969 PARKING, PHONE, & OTHE 720000 45843310 0 12626592 33216718 MANAGEMENT FEES 561000 13223064 13223064 6727392 5887063 840329 6845081523 103348765 103348765 26943826 26943826 6783846 0 6783846 6783846 6783846 1455574611 21135 1349909401 -1578447 105665210 1599582 107264792 107264792 164142 5145285 1496161 -1332019 -1332019 INCOME IN INVESTMENTS 901101 493155470 7546146 485609324 DERIVATIVE INCOME 525990 22941199 22941199 INVESTMENT IN AFFILIAT 523000 6753656 6753656 659904 659904 523510229 8056049799 6770222029 49188922 792190011 33632457 33632457 88666593 88666593 1392815 1392815 35424111 9981193 25442918 5944448 2032025 3912423 3041600562 2666999268 365131299 9469995 193257017 169465457 23199688 591872 404771300 355127040 48591085 1053175 207817614 182216990 24947627 652997 4975461 4378178 597283 7711132 6785443 925689 4121645 4121530 115 991995 991995 2301099 2301099 20787102 20787102 188008357 165438748 22569609 38057692 33357185 4568665 131842 67137839 58927524 8059613 150702 142038858 124984758 17051165 2935 2638719 2321952 316767 99003549 87118591 11884958 7412979 6410826 889897 112256 4399492 3790468 528140 80884 90517475 79651235 10866240 276966678 243717998 33248680 56357503 49592023 6765480 MEDICAL SUPPLIES 1454947161 1454941762 5399 BAD DEBT EXPENSE 104711653 104711653 STATE FRANCHISE FEE 103370738 103370738 EQUIPMENT RENTAL & MAIN 75223245 66144183 9030233 48829 88809160 87169005 1534903 105252 6852996449 6193318103 644970994 14707352 870258062 498384430 71936633 7153308 167975327 179673788 780434375 902116044 127495522 180286471 151179705 152339876 58010452 83503134 6597471475 3861225448 2887585114 2736246027 1271587726 1290508941 5332374509 6598260675 307490284 280879313 65509453 138116773 1609715283 2409630484 13701552445 15457099264 949980841 871240899 643540 -1014299 76172764 58283283 3334038471 3350190802 273993098 326159025 1985301806 2329473144 6620130520 6934332854 X 6078549467 7325709216 1002872458 1197057194 7081421925 8522766410 13701552445 15457099264 X 1203053350 123476622 -1481 114815994 X 0 1 X 1 1 1 X 241311504 261657223 263593024 529557140 444448837 1740567728 241311504 261657223 263593024 529557140 444448837 1740567728 1740567728 115486620 74797729 107975685 104905019 137076437 540241490 692814 692814 72403603 94283514 166735941 360583149 515964083 1209970290 3491472322 29693530714 0.49850 0.55270 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INCOMELOSS ON INVESTMENTS - 2017 AMOUNT: $ 71,980,037. 2018 AMOUNT: $ 92,689,670. 2019 AMOUNT: $ 163,697,803. 2020 AMOUNT: $ 351,533,278. 2021 AMOUNT: $ 485,609,324. FOREIGN CURRENCY - 2017 AMOUNT: $ 273,145. 2019 AMOUNT: $ 286,195. 2020 AMOUNT: $ 92,893. 2021 AMOUNT: $ 365,082. DERIVATIVE INCOME - 2018 AMOUNT: $ 1,458,519. 2021 AMOUNT: $ 22,941,199. INVESTMENT IN AFFILIATES - 2019 AMOUNT: $ 2,737,082. 2020 AMOUNT: $ 8,956,978. 2021 AMOUNT: $ 6,753,656. LIFE INSURANCE TRUST - 2017 AMOUNT: $ 150,421. 2018 AMOUNT: $ 135,325. 2019 AMOUNT: $ 14,861. 2021 AMOUNT: $ 294,822. 0 1 0 1 48 0 1 794381 1 197384 1 182 0 991995 0 SCHEDULE C - PART II-B, LINES 1B-1I PART II-B, 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINES 1C-1I CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE PART II-B, 1D MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC - REPRESENTS LETTERS SENT TO LEGISLATORS AND ORGANIZATIONS ON VARIOUS HEALTHCARE RELATED TOPICS AND ISSUES PART II-B, 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B, 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B, 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY OTHER SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES X 3 54.01 1 1 71.00 11000 472718962 20423929 64802033 8188369 549756555 411313487 22565740 52756607 13916872 472718962 354560827 22718792 40731794 6697926 411313487 349678997 15111719 -5038774 5191115 354560827 296834800 20870889 36978305 5004997 349678997 1.00000 0 0 183983898 183983898 4056062438 2318192569 1737869869 110534298 83045165 27489133 1951128078 1400571737 550556341 295762763 59415977 236346786 2736246027 OTHER SECURITIES (HEDGE FUNDS) 3811537584 C OTHER SECURITIES (PRIVATE EQUITY) 2786723091 C 6598260675 DUE FROM AFFILIATES 939261485 PERPETUAL & BENEFICIAL TRUSTS 40771485 INVESTMENT IN AFFILIATES 944840734 OTHER ASSETS 106580921 DEFFERRED ANNUITIES 378175859 2409630484 -448377 DEFERRED ANNUITY TRUST 931629 OTHER LIABILITIES 77580199 FUTURE GIFT ANNUITY PAYMENTS 7347817 INTEREST RATE SWAP 115333199 ACCRUED PENSION 675188295 DUE TO AFFILIATES 1257125461 ACCRUED BENEFITS 196414921 2329473144 X PART II, LINE 9: THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO THREE WETLANDS LOCATED ON THE CLEVELAND CLINIC FOUNDATION'S PROPERTY IN TWINSBURG, OHIO; AKRON, OHIO; AND AVON, OHIO. THESE EASEMENTS ARE NOT REQUIRED TO BE REPORTED ON THE BALANCE SHEET SEPARATE FROM THE VALUE OF THE LAND. EXPENSES TO MONITOR, INSPECT, AND PROTECT THIS LAND ARE REFLECTED IN THE STATEMENT OF EXPENSES. PART V, LINE 4: THE ENDOWMENT FUNDS OF THE CLEVELAND CLINIC FOUNDATION ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE. PART X, LINE 2: THE CLEVELAND CLINIC HEALTH SYSTEM'S ("THE SYSTEM") AUDITED FINANCIAL STATEMENTS ARE REPORTED ON A CONSOLIDATED BASIS, INCLUDING EXEMPT, TAXABLE, AND FOREIGN ENTITIES TO WHICH THE ASC 740-10 LIABILITY RELATES. THE ASC 740-10 FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE CLEVELAND CLINIC HEALTH SYSTEM READS AS FOLLOWS: AT DECEMBER 31, 2021 AND 2020, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $2.0 MILLION AND $1.5 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. 1 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 2680000 NORTH AMERICA 2 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 46559000 EUROPE 3 32 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 818825000 MIDDLE EAST & NORTH AFRICA 2 71 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 5488000 EAST ASIA AND THE PACIFIC 0 1 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNNED FOREIGN ENTITY 25000 EUROPE 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 410000 MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS/CONFERENCES 3698000 MIDDLE EAST & NORTH AFRICA 0 0 FUNDRAISING EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING CENTRAL AMERICA & THE CARIBBEAN 0 0 FUNDRAISING NORTH AMERICA 0 0 FUNDRAISING SOUTH ASIA 0 0 FUNDRAISING EUROPE 0 0 FUNDRAISING 1000 EUROPE 0 0 INVESTING 103623000 SUB-SAHARAN AFRICA 0 0 INVESTING 100421000 MIDDLE EAST & NORTH AFRICA 0 0 INVESTING 2419000 NORTH AMERICA 0 0 INVESTING 8645000 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTING 3925854000 7 104 0 0 7 104 877685000 4140963000 5018648000 NORTH AMERICA RESEARCH 231000 CHECK AND/OR WIRE 0 EUROPE RESEARCH 5360 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 64465 CHECK AND/OR WIRE 0 EUROPE RESEARCH 133670 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 40480 CHECK AND/OR WIRE 0 EUROPE RESEARCH 16307 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 141772 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 45425 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 8664 CHECK AND/OR WIRE 0 EUROPE RESEARCH 28080 CHECK AND/OR WIRE 0 EUROPE RESEARCH 384536 CHECK AND/OR WIRE 0 EAST ASIA & THE PACIFIC RESEARCH 83400 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 18143 CHECK AND/OR WIRE 0 EUROPE RESEARCH 13000 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 27070 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 23800 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 64770 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 32873 CHECK AND/OR WIRE 0 14 4 RESEARCH EUROPE 1 15000 CHECK AND/OR WIRE 0 RESEARCH EUROPE 1 15000 CHECK AND/OR WIRE 0 1 0 1 1 1 1 PART I, LINE 2: A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS. PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. PART III ACCOUNTING METHOD: X X X X X X X 1 CLASSY 350 TENTH AVE STE 1300 SAN DIEGO CA 92101 ONLINE FUNDRAISING 0 4649468 265737 4383731 RR DONNELLEY 35 WEST WACKER DR CHICAGO IL 60601 DIRECT MAIL 0 2089717 1127404 962313 TSM DONOR ENGAGEMENT TEAM 155 COMMERCE DR FREEDOM PA 15042 PHONE SOLICITATION 0 230570 907958 -677388 6969755 2301099 4668656 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY VELOSANO 5058171 4963609 94562 0 0 207535 93752 0 1130775 CHILDREN'S GOLF OUTING 251256 181676 69580 0 0 3000 56506 0 4593 0 0 0 0 0 0 0 0 0 5309427 5145285 164142 210535 150258 1135368 1496161 -1332019 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 75370249 0 75370249 0.01110 915007326 522690710 392316616 0.05790 0 0 0.00000 990377575 522690710 467686865 0.06900 72229996 4500629 67729367 0.01000 268894645 27368821 241525824 0.03570 43741228 36498194 7243034 0.00100 259336241 160068036 99268205 0.01460 7112775 229 7112546 0.00110 651314885 228435909 422878976 0.06240 1641692460 751126619 890565841 0.13140 0 0 0.00000 0 0 0.00000 3057 0 3057 0.00000 0 0 0.00000 0 0 0.00000 404 0 404 0.00000 2437 0 2437 0.00000 221649 400 221249 0.00000 0 0 0.00000 227547 400 227147 0.00000 1 104711653 703852319 738826516 -34974197 X 1 1 8 1 THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR X X X X X X 2 CLEVELAND CLINIC REHAB - BEACHWOOD 3025 SCIENCE PARK DRIVE BEACHWOOD OH 44122 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1906 X A 3 CLEVELAND CLINIC REHABILITATION-AVON 33355 HEALTH CAMPUS BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1522AHR X A 4 CLEVELAND CLINIC REHAB - EDWIN SHAW 4389 MEDINA ROAD COPLEY OH 44321 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1905 X A 5 SELECT SPECIALTY - FAIRHILL 11900 FAIRHILL ROAD CLEVELAND OH 44120 WWW.SELECTMEDICAL.COM OH STATE ID 1468 X A 6 SELECT SPECIALTY - REGENCY EAST 4200 INTERCHANGE CORPORATE CENTER RD WARRENSVILLE HEIGHTS OH 44128 WWW.SELECTMEDICAL.COM OH STATE ID 1479 X A 7 SELECT SPECIALTY - REGENCY WEST 6990 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130 WWW.SELECTMEDICAL.COM OH STATE ID 1478 X A 8 SELECT SPECIALTY - GATEWAY 2351 E 22ND ST 7TH FL CLEVELAND OH 44115 WWW.SELECTMEDICAL.COM OH STATE ID 1431 X A THE CLEVELAND CLINIC FOUNDATION 1 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE PART V, SECTION C X 1 20 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 REPORTING GROUP A 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE PART V, SECTION C X 1 20 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 0 X X 0 0 THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX H OF THE HOSPITAL FACILITY'S CHNA. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6A: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY THE CLEVELAND CLINIC FOUNDATION. UNINSURED PATIENTS THAT THE CLEVELAND CLINIC FOUNDATION DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCF, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS WITH FINANCIAL COUNSELORS. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, THE CLEVELAND CLINIC FOUNDATION NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 7: SELECT SPECIALTY - REGENCY WEST, - FACILITY 6: SELECT SPECIALTY - REGENCY EAST, - FACILITY 5: SELECT SPECIALTY - FAIRHILL, - FACILITY 8: SELECT SPECIALTY - GATEWAY, - FACILITY 3: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 2: CLEVELAND CLINIC REHAB - BEACHWOOD, - FACILITY 4: CLEVELAND CLINIC REHAB - EDWIN SHAW GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY WEST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - REGENCY WEST WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY WEST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - REGENCY WEST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY WEST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY EAST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - REGENCY EAST WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE; CHRONIC DISEASE PREVENTION AND MANAGEMENT; AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY EAST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - REGENCY EAST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY EAST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 5 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 5 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A: SELECT SPECIALTY - FAIRHILL COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP A-FACILITY 5 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - FAIRHILL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - FAIRHILL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - FAIRHILL IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - FAIRHILL SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A: SELECT SPECIALTY - GATEWAY COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - GATEWAY WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - GATEWAY CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - GATEWAY IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - GATEWAY SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - AVON COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - AVON WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - AVON CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION -AVON IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - AVON SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN AUGUST AND DECEMBER 2018, AND SUPPLEMENTAL INTERVIEWS IN MARCH 2019. KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - EDWIN SHAW COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - EDWIN SHAW WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION - EDWIN SHAW IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION -EDWIN SHAW SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 2 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN AUGUST AND DECEMBER 2018, AND SUPPLEMENTAL INTERVIEWS IN MARCH 2019. KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 2 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - BEACHWOOD COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. GROUP A-FACILITY 2 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - BEACHWOOD WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE REHABILITATION HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION -BEACHWOOD IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - BEACHWOOD SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. PART V, SECTION B, LINES 7A, 10A, 16A-16C THE URL LINK TO VIEW THE CHNA, IMPLEMENTATION STRATEGY, FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND ON THESE RESPECTIVE DIRECT URLS:HTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#2021-CHNAS-TABHTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#OVERVIEW-TABHTTPS://MY.CLEVELANDCLINIC.ORG/PATIENTS/BILLING-FINANCE/FINANCIAL-ASSISTANCE 114 1 - TWINSBURG FAMILY HEALTH & SURGERY CENTER 8701 DARROW ROAD TWINSBURG OH 44087 FAMILY HEALTH CENTER 2 - STRONGSVILLE FAMILY HEALTH & SURGERY CEN 16761 SOUTH PARK CENTER STRONGSVILLE OH 44136 FAMILY HEALTH CENTER 3 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER 26900 CEDAR ROAD BEACHWOOD OH 44122 FAMILY HEALTH CENTER 4 - RICHARD E JACOBS HEALTH CENTER 33100 CLEVELAND CLINIC BOULEVARD AVON OH 44011 FAMILY HEALTH CENTER 5 - INDEPENDENCE FAMILY HEALTH CENTER 5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE OH 44131 FAMILY HEALTH CENTER 6 - WILLOUGHBY HILLS FAMILY HEALTH CENTER 2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 FAMILY HEALTH CENTER 7 - LORAIN FAMILY HEALTH & SURGERY CENTER 5700 COOPER FOSTER PARK ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 8 - CLEVELAND CLINIC CANCER CENTERS 417 QUARRY LAKES DRIVE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 9 - WOOSTER FAMILY HEALTH CENTER 1740 CLEVELAND ROAD WOOSTER OH 44691 FAMILY HEALTH CENTER 10 - BRUNSWICK FAMILY HEALTH CENTER 3574 CENTER ROAD BRUNSWICK OH 44212 FAMILY HEALTH CENTER 11 - LAKEWOOD FAMILY HEALTH CENTER 14601 DETROIT AVENUE LAKEWOOD OH 44107 FAMILY HEALTH CENTER 12 - CLEVELAND CLINIC CANCER CENTERS 1125 ASPIRA COURT MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 13 - SOLON FAMILY HEALTH CENTER 29800 BAINBRIDGE ROAD SOLON OH 44139 FAMILY HEALTH CENTER 14 - ELYRIA FAMILY HEALTH & SURGERY CENTER 303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035 FAMILY HEALTH CENTER 15 - MENTOR MEDICAL OFFICE 7060 WAYSIDE DRIVE MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 16 - NORTH OHIO GASTROENTEROLOGY 30701 CLEMENS ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 17 - CHAGRIN FALLS FAMILY HEALTH CENTER 551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022 FAMILY HEALTH CENTER 18 - SHEFFIELD FAMILY HEALTH CENTER 5334 MEADOW LANE CT SHEFFIELD VILLAGE OH 44035 FAMILY HEALTH CENTER 19 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER 5900 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 20 - SUMMIT GASTROENTEROLOGY ASSOCIATES 3939 S CLEVELAND MASSILLON ROAD BARBERTON OH 44203 OUTPATIENT PHYSICIAN CLINIC 21 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY 1 PARK WEST BOULEVARD STE 150 AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 22 - AVON POINTE FAMILY HEALTH CENTER 36901 AMERICAN WAY AVON OH 44011 FAMILY HEALTH CENTER 23 - CCF CONSULTANTS IN GASTROENTEROLOGY 7530 FREDLE DRIVE CONCORD OH 44077 OUTPATIENT PHYSICIAN CLINIC 24 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS 3275 SCIENCE PARK DRIVE BLDG 5 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 25 - AMHERST FAMILY HEALTH CENTER 5172 LEAVITT ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 26 - AVON LAKE FAMILY HEALTH CENTER 450 AVON BELDEN ROAD AVON LAKE OH 44012 FAMILY HEALTH CENTER 27 - STEPHANIE TUBBS JONES HEALTH CENTER 13944 EUCLID AVENUE EAST CLEVELAND OH 44112 FAMILY HEALTH CENTER 28 - COLUMBUS STAR IMAGING 921 JASONWAY AVENUE COLUMBUS OH 43214 DIAGNOSTIC CENTER 29 - MIDDLEBURG HEIGHTS ORTHOPAEDICS 7010 ENGLE ROAD STE 105 MIDDLEBURG HEIGHTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 30 - COMMUNITY PEDIATRICS 8254 MAYFIELD ROAD CHESTERLAND OH 44026 OUTPATIENT PHYSICIAN CLINIC 31 - MADISON MEDICAL OFFICE 2999 MCMACKIN ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 32 - NILES STAR IMAGING 650 YOUNGSTOWN-WARREN ROAD NILES OH 44446 DIAGNOSTIC CENTER 33 - MENTOR REHABILITATION AND SPORTS THERAPY 7533 CENTER STREET MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 34 - OLMSTED TOWNSHIP PRIMARY CARE 27089 BAGLEY ROAD OLMSTED TOWNSHIP OH 44138 OUTPATIENT PHYSICIAN CLINIC 35 - MARYMOUNT REHABILITATION AND SPORTS THER 2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 36 - CLEVELAND CLINIC COLE EYE OF STREETSBORO 9424 STATE ROUTE 14 STREETSBORO OH 44241 OUTPATIENT PHYSICIAN CLINIC 37 - CLEVELAND CLINIC STAR IMAGING 1449 BOARDMAN-CANFIELD ROAD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 38 - OHIO RENAL CARE CLEVELAND EAST 2429 MARTIN LUTHER KING JR DR CLEVELAND OH 44104 DIALYSIS CENTER 39 - CLEVELAND CLINIC CHILDRENS STOW 3925 DARROW ROAD STOW OH 44224 OUTPATIENT PHYSICIAN CLINIC 40 - NEW FAMILY PHYSICIANS LYNDHURST 5187 MAYFIELD ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 41 - SUMMIT OPHTHALMOLOGY 1587 BOETTLER ROAD UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 42 - CLEVELAND CLINIC FAMILY MEDICINE 19300 DETROIT AVENUE ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 43 - MACEDONIA EXPRESS AND OUTPATIENT CARE 8210 MACEDONIA COMMONS BOULEVARD MACEDONIA OH 44056 OUTPATIENT PHYSICIAN CLINIC 44 - SOUTH RUSSELL FAMILY PRACTICE 5192 CHILLICOTHE ROAD SOUTH RUSSELL OH 44022 OUTPATIENT PHYSICIAN CLINIC 45 - OHIO RENAL CARE GROUP WEST 14670 SNOW ROAD BROOKPARK OH 44142 DIALYSIS CENTER 46 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND 21 SUGARBUSH COURT ASHLAND OH 44805 OUTPATIENT PHYSICIAN CLINIC 47 - BRECKSVILLE EXPRESS CARE 8805 BRECKSVILLE ROAD BRECKSVILLE OH 44141 OUTPATIENT PHYSICIAN CLINIC 48 - OHIO RENAL CARE GROUP WESTLAKE 26024 DETROIT AVENUE WESTLAKE OH 44145 DIALYSIS CENTER 49 - WADSWORTH PRIMARY CARE ONE PARK CENTER DRIVE WADSWORTH OH 44281 OUTPATIENT PHYSICIAN CLINIC 50 - CANFIELD ORTHOPAEDICS AND REHABILITATION 3736 BOARDMAN CANFIELD ROAD CANFIELD OH 44406 OUTPATIENT PHYSICIAN CLINIC 51 - SLEEP DISORDERS CENTER 3122 EASTPOINTE DRIVE MEDINA OH 44256 DIAGNOSTIC CENTER 52 - MAYFIELD VILLAGE PEDIATRICS 6559 WILSON MILLS RD STE101-D MAYFIELD VILLAGE OH 44143 OUTPATIENT PHYSICIAN CLINIC 53 - DAYTON STAR IMAGING 5529 FAR HILLS AVENUE DAYTON OH 45429 DIAGNOSTIC CENTER 54 - CLEVELAND CLINIC LYNDHURST CAMPUS 1950 RICHMOND ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 55 - OHIO RENAL CARE GROUP HERITAGE 1160 E BROAD ST ELYRIA OH 44035 DIALYSIS CENTER 56 - CLEVELAND CLINIC URGENT CARE ROCKY RIVE 19895 DETROIT ROAD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 57 - NORTH RIDGEVILLE MEDICAL OFFICE 35105 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 58 - OHIO RENAL CARE GROUP LTAC ACUTEWHITE 690 WHITE POND DR AKRON OH 44320 DIALYSIS CENTER 59 - COMMUNITY PEDIATRICS 2001 CROCKER ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 60 - CHARDON REHABILITATION AND SPORTS THERAP 325 CENTER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 61 - OHIO RENAL CARE GROUP AMHERST 100 COPPER FOSTER PARK RD AMHERST OH 44001 DIALYSIS CENTER 62 - VALLEY CITY FAMILY MEDICINE 6605 CENTER ROAD VALLEY CITY OH 44280 OUTPATIENT PHYSICIAN CLINIC 63 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS 9729 GRANGER RD GARFIELD HTS OH 44125 DIALYSIS CENTER 64 - OHIO RENAL CARE GROUP FARNSWORTH 3280 W 25TH ST CLEVELAND OH 44109 DIALYSIS CENTER 65 - OHIO RENAL CARE GROUP EUCLID 26450 EUCLID AVENUE EUCLID OH 44132 DIALYSIS CENTER 66 - OHIO RENAL CARE GROUP OHIO ACUTES 2500 METROHEALTH DRIVE CLEVELAND OH 44109 DIALYSIS CENTER 67 - DOWNTOWN EXPRESS CARE 315 EUCLID AVENUE STE 2 CLEVELAND OH 44114 OUTPATIENT PHYSICIAN CLINIC 68 - OHIO RENAL CARE GROUP MENTOR 8840 TYLER BLVD MENTOR OH 44060 DIALYSIS CENTER 69 - OHIO RENAL CARE GROUP SOLON 6020 ENTERPRISE PARKWAY SOLON OH 44139 DIALYSIS CENTER 70 - OHIO RENAL CARE NORTH RANDALL 5035 RICHMOND ROAD BEDFORD HEIGHTS OH 44146 DIALYSIS CENTER 71 - MOHICAN EYE CENTER 484 PARK AVENUE WEST MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 72 - MADISON REHABILITATION AND SPORTS THERAP 2622 HUBBARD ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 73 - OHIO RENAL CARE GROUP ELYRIA 5316 HOAG DR SHEFFILED OH 44035 DIALYSIS CENTER 74 - OHIO RENAL CARE GROUP WADSWORTH 1160 WILLIAMS RESERVE BLVD WADSWORTH OH 44281 DIALYSIS CENTER 75 - OHIO RENAL CARE GROUP CUYAHOGA FALLS 320 BROADWAY ST E E CUYAHOGA FALLS OH 44221 DIALYSIS CENTER 76 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYS 4200 WARRENSVILLE CENTER RD STE 100 WARRENSVILLE HTS OH 44122 DIALYSIS CENTER 77 - OBERLIN OPHTHALMOLOGY 309 WEST LORAIN STREET OBERLIN OH 44074 OUTPATIENT PHYSICIAN CLINIC 78 - CLEVELAND CLINIC EXPRESS CARE 7580 NORTHCLIFF AVENUE BROOKLYN OH 44144 OUTPATIENT PHYSICIAN CLINIC 79 - BELDEN CENTER 4677 FULTON DRIVE NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 80 - MOHICAN EYE CENTER 637 NORTH UNION STREET LOUDONVILLE OH 44842 OUTPATIENT PHYSICIAN CLINIC 81 - OHIO RENAL CARE GROUP ASHTABULA 2117 LAKE AVENUE ASHTABULA OH 44004 DIALYSIS CENTER 82 - OHIO RENAL CARE GROUP LAKEWOOD 13900 DETROIT RD LAKEWOOD OH 44107 DIALYSIS CENTER 83 - THE LANGSTON HUGHES CENTER CLEVELAND CLI 2390 E 79TH ST CLEVELAND OH 44104 OUTPATIENT PHYSICIAN CLINIC 84 - ACCESS TO CARE 29000 AURORA ROAD SOLON OH 44139 OUTPATIENT PHYSICIAN CLINIC 85 - ADVANCED CARDIOVASCULAR CONSULTANTS 531 FIFTH AVENUE CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 86 - ASHTABULA COUNTY MEDICAL CENTER 2422 LAKE AVENUE ASHTABULA OH 44004 OUTPATIENT PHYSICIAN CLINIC 87 - BOARDMAN STAR IMAGING 7067 TIFFANY BOULEVARD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 88 - CENTER FOR ARTHRITIS 1716 NORTH ROAD SE WARREN OH 44484 OUTPATIENT PHYSICIAN CLINIC 89 - CHARDON PLAZA MEDICAL OUTPATIENT CENTER 425 WATER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 90 - CHARLESTON AREA MEDICAL CENTER 1201 WASHINGTON STREET EAST STE 100 CHARLESTON WV 25301 OUTPATIENT PHYSICIAN CLINIC 91 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL 3733 PARK EAST DRIVE STE 105 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 92 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE 1959 COOPER FOSTER PARK ROAD AMHERST OH 44053 DIAGNOSTIC CENTER 93 - COLE EYE INSTITUTE 2000 AUBURN DRIVE STE 100 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 94 - EL CENTRO COMMUNITY CENTER PRIMARY CARE 2800 PEARL AVENUE LORAIN OH 44055 OUTPATIENT PHYSICIAN CLINIC 95 - HEALTH SPOT LAKEWOOD HIGH SCHOOL 14100 FRANKLIN BOULEVARD LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 96 - LAKEWOOD FAMILY MEDICINE - ROCKPORT 11851 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 97 - LAKEWOOD LAKE POINTE LAB DRAW SITE 15800 DETROIT AVENUE LAKEWOOD OH 44107 DIAGNOSTIC CENTER 98 - LAKEWOOD MEDICAL OFFICE 16215 MADISON AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 99 - LORAIN ORTHOPAEDICS 5800 COOPER FOSTER PARK ROAD LORAIN OH 44053 OUTPATIENT PHYSICIAN CLINIC 100 - LORAIN COUNTY LONG-TERM CARE 1130 TOWER BOULEVARD LORAIN OH 44052 OUTPATIENT PHYSICIAN CLINIC 101 - MEDINA COMMUNITY RECREATION CENTER 855 WEYMOUTH RD MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 102 - NEW FAMILY PHYSICIANS WILLOUGHBY HILLS 34500 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 103 - NORTH RIDGEVILLE MEDICAL OUTPATIENT CEN 34960 CENTER RIDGE RD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 104 - PREMIER LAB CARE 37121 EUCLID AVENUE WILLOUGHBY OH 44094 OUTPATIENT PHYSICIAN CLINIC 105 - ROCKSIDE MEDICAL CENTER 6701 ROCKSIDE ROAD INDEPENDENCE OH 44131 OUTPATIENT PHYSICIAN CLINIC 106 - SLEEP DISORDERS CENTER 24901 COUNTRY CLUB BOULEVARD NORTH OLMSTED OH 44070 DIAGNOSTIC CENTER 107 - SLEEP DISORDERS CENTER 8971 WILCOX DRIVE TWINSBURG OH 44087 DIAGNOSTIC CENTER 108 - SLEEP DISORDERS CENTER 5051 WEST CREEK ROAD INDEPENDENCE OH 44131 DIAGNOSTIC CENTER 109 - STAR IMAGING DUBLIN 333 W BRIDGE STREET DUBLIN OH 43017 DIAGNOSTIC CENTER 110 - STOW-FALLS MEDICAL OUTPATIENT CENTER 857 GRAHAM RD STOW OH 44221 OUTPATIENT PHYSICIAN CLINIC 111 - WEST VALLEY MEDICAL 20455 LORAIN ROAD 301 FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 112 - WILLOUGHBY HILLS BEHAVIORAL HEALTH 2785 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 113 - WILLOUGHBY HILLS REHABILITATION AND SPOR 29017 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 114 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN 721 EAST MILLTOWN ROAD WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: CCF PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. CCF HAS A FINANCIAL ASSISTANCE POLICY THAT IS AMONG THE MOST GENEROUS IN NORTHEAST OHIO. THIS POLICY APPLIES TO ALL CCF FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, CCF PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS ADDITIONAL WAYS TO QUALIFY BASED ON FINANCIAL OR MEDICAL NEED. UNLIKE THE FINANCIAL ASSISTANCE POLICIES OF MOST HOSPITALS, THE CCF POLICY APPLIES TO BOTH HOSPITAL CHARGES AND CERTAIN PROFESSIONAL FEES FOR SERVICES PROVIDED BY CCF EMPLOYED PHYSICIANS. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY. PART I, LINE 7G: CCF EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I. PART I, LN 7 COL(F): THE PROPORTIONATE SHARE OF TOTAL JV EXPENSES AND BAD DEBT EXPENSES ARE FACTORED IN FOR PURPOSES OF CALCULATING THE PERCENTAGES. PART I, LINE 6A SCH H PART I LINE 6A - AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE, WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES. PART I, LINE 7 THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS INCLUSIVE OF CCF'S HCAP ASSESSMENT OF $18,780,629. PART I, LINE 7 NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $890,565,841 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE COMMUNITY BENEFIT REPORT AS THIS FIGURE REPRESENTS ONLY THE CLEVELAND CLINIC FOUNDATION'S COMMUNITY BENEFIT WHEREAS THE COMMUNITY BENEFIT REPORT REPRESENTS COMMUNITY BENEFIT FOR THE HEALTH SYSTEM. LINE 2 CLEVELAND CLINIC REHABILITATION AND SELECT FACILITIES HAVE THEIR OWN FINANCIAL ASSISTANCE POLICIES, WHICH COMPLY WITH ALL 501(R) REGULATIONS. PART I, LINE 7 CLEVELAND CLINIC INCURRED COSTS IN SUPPORT OF ITS INITIAL AND ON-GOING RESPONSE TO THE COVID-19 PANDEMIC. CERTAIN OF THESE COSTS ARE REFLECTED IN THE COMMUNITY BENEFIT AMOUNTS REPORTED ON PART I, LINE 7. SPECIFICALLY, COMMUNITY-BASED CLINICAL SERVICES WERE PROVIDED CONSISTING OF: COVID-19 CLINICS AND SCREENINGS, PUBLIC EDUCATION RELATED TO COVID-19, AND VARIOUS COVID-19 PUBLIC ASSISTANCE PROGRAMS. ADDITIONALLY, CLEVELAND CLINIC INVESTED IN CAPITAL AND EQUIPMENT TO PREPARE FOR THE ANTICIPATED SURGE OF PATIENTS REQUIRING TREATMENT AND HOSPITALIZATION. TO PARTIALLY DEFRAY ITS COVID-19 COSTS, CLEVELAND CLINIC APPLIED FOR AND RECEIVED REIMBURSEMENT OF FUNDS FROM THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA). TO THE EXTENT THE COVID-19 COSTS REPORTED AS COMMUNITY BENEFIT EXPENSE WERE REIMBURSED BY FEMA, THE REIMBURSEMENT IS REFLECTED AS DIRECT OFFSETTING REVENUE. OVERALL FOR 2021, $87 MILLION OF COVID-19 EXPENSES ARE REPORT IN PART I, LINE 7 REPRESENTING $94 MILLION OF COMMUNITY BENEFIT EXPENSE NET OF $7 MILLION OF DIRECT OFFSETTING REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DEVOTES EMPLOYEE TIME AND TALENT TO PARTICIPATE IN COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. PART III, LINE 2: ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS, NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 4: SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #3 ON PG. 11 OF THE AUDITED FINANCIAL STATEMENTS, WHICH ARE ATTACHED TO THE FORM 990. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCF HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT. PART III, LINE 9B: YES, CLEVELAND CLINIC HAS A WRITTEN DEBT COLLECTION POLICY. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS OR BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO MAKE SUCH DETERMINATION. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. ADDITIONALLY, OUR EXTERNAL THIRD-PARTY (COLLECTION) AGENCIES ARE TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE. PART III, LINE 5, 6, & 7 IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCF INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $1,141,915,559 AND $1,441,237,995 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $299,322,436 WHICH, ADDED TO THE SHORTFALL OF $34,974,197 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $334,296,632. PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS, CCF'S INSTITUTES AND DEPARTMENTS MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THE COMMUNITY FOR THAT PARTICULAR FACILITY'S COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCF MAY PROVIDE TO PARTICULAR GROUPS OF PATIENTS WITHIN THE COMMUNITIES IT SERVES. PART VI, LINE 3: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. ALL PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCF, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. PART VI, LINE 4: THE CLEVELAND CLINIC'S COMMUNITY IS DEFINED BY BOTH MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL FACILITY'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS THE BROADER SURROUNDING COUNTIES/REGIONS FROM WHICH THE MAJORITY OF DISCHARGED INPATIENTS RESIDE. DEMOGRAPHIC DATA BY ZIP CODE WAS ANALYZED TO ENSURE THAT MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH THE HOSPITAL DRAWS PATIENTS WERE NOT EXCLUDED FROM THE DEFINED COMMUNITY. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF THE CLEVELAND CLINIC. THE COMMUNITY FOR MEDICAL RESEARCH AND EDUCATION IS THE PUBLIC AT LARGE. ADDITIONAL DETAIL DESCRIBING THE COMMUNITY THE ORGANIZATION SERVES CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 5: ONE OF THE HALLMARKS OF A CHARITABLE ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS LEADERSHIP BY BOARDS COMPRISED OF INDEPENDENT COMMUNITY LEADERS. CCF AND ITS NORTHEAST OHIO REGIONAL HOSPITAL GOVERNING BOARDS ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF CCF AND ITS SUBORDINATES. TRUSTEES/DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE CLEVELAND CLINIC AND THE HEALTH SYSTEM AND ARE NOT COMPENSATED FOR THEIR SERVICES.ANOTHER HALLMARK OF A CHARITABLE ORGANIZATION IS THAT SURPLUS FUNDS ARE USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR CCF AND ITS SUBORDINATES ARE REINVESTED AND USED TO CARRY OUT THE ORGANIZATION'S EXEMPT MISSION -- PATIENT CARE, RESEARCH, AND EDUCATION. PART VI, LINE 6: CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS. PART VI, LINE 7 THE STATE OF OHIO COLLECTS SCHEDULE H DATA, HOWEVER, NO COMMUNITY BENEFIT REPORT IS FILED IN ANY STATE. 1 ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED OH 44070 470974372 501(C)(3) 10000 0 COMMUNITY SUPPORT ALZHEIMERS ASSOCIATION 12200 FAIRHILL RD CLEVELAND OH 44120 133039601 501(C)(3) 20000 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND OH 44106 131788491 501(C)(3) 529500 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 110000 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN HOSPITAL ASSOCIATION 155 N WACKER DR STE 400 CHICAGO IL 60606 360726140 501(C)(3) 25000 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN LUNG ASSOCIATION 55 WEST WACKER DRIVE CHICAGO IL 60601 131632524 501(C)(3) 15000 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)(3) 12500 0 HEALTHCARE RESEARCH & EDUCATION BIG BROTHERS BIG SISTERS 4610 PROSPECT AVE STE 410 CLEVELAND OH 44103 341039700 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES BIRTHING BEAUTIFUL COMMUNITIES 1416 EAST 105TH ST CLEVELAND OH 44106 474453278 501(C)(3) 15000 0 COMMUNITY SUPPORT BOYS AND GIRLS CLUBS OF CLEVELAND 6114 BROADWAY AVE CLEVELAND OH 44127 341856214 501(C)(3) 15000 0 SUPPORT EDUCATIONAL ACTIVITIES BUSINESS COUNCIL FOR INTERNATIONAL UNDERSTANDING 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 136161195 501(C)(3) 25000 0 SUPPORT EDUCATIONAL ACTIVITIES CANINE ASSISTANTS INC 3160 FRANCIS RD MILTON GA 30004 581974410 501(C)(3) 25000 0 COMMUNITY SUPPORT CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT RD CLEVELAND OH 44106 341018992 501(C)(3) 45000 0 SUPPORT EDUCATIONAL ACTIVITIES CATHOLIC CHARITIES CORPORATION 7911 DETROIT AVE CLEVELAND OH 44102 341908590 501(C)(3) 20800 0 COMMUNITY SUPPORT CITY OF AKRON 166 S HIGH ST AKRON OH 44308 346000020 501(C)(1) 20000 0 COMMUNITY SUPPORT CITY OF CLEVELAND 601 LAKESIDE AVE CLEVELAND OH 44114 346000646 501(C)(1) 10461 0 COMMUNITY SUPPORT CITY OF STOW 1819 GRAHAM RD STOW OH 44224 346002740 501(C)(1) 10000 0 COMMUNITY SUPPORT CLEVELAND LEADERSHIP CENTER 1375 EAST 9TH ST STE 1100 CLEVELAND OH 44114 341927317 501(C)(4) 7000 0 COMMUNITY SUPPORT CLEVELAND SCHOOL OF SCIENCE & MEDICINE 2075 STOKES BLVD CLEVELAND OH 44106 343740643 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES COMMUNITY PARTNERSHIP ON AGING 1370 VICTORY DR SOUTH EUCLID OH 44121 341261538 501(C)(3) 6630 0 HEALTHCARE RESEARCH & EDUCATION CROHNS & COLITIS FOUNDATION OF AMERICA 23366 COMMERCE PARK RD BEACHWOOD OH 44122 136193105 501(C)(3) 18500 0 HEALTHCARE RESEARCH & EDUCATION CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(C)(3) 29500 0 SUPPORT EDUCATIONAL ACTIVITIES CUYAHOGA COUNTY 2079 EAST 9TH ST CLEVELAND OH 44115 346000817 501(C)(1) 70000 0 COMMUNITY SUPPORT DIAPER BANK OF GREATER CLEVELAND 12200 FAIRHILL RD CLEVELAND OH 44120 841957545 501(C)(3) 15000 0 COMMUNITY SUPPORT ESPERANZA INC 4115 BRIDGE AVE CLEVELAND OH 44113 341403492 501(C)(3) 10000 0 COMMUNITY SUPPORT FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 526603 0 COMMUNITY SUPPORT FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND OH 44106 341053534 501(C)(3) 28000 0 COMMUNITY SUPPORT FRIENDS OF BREAKTHROUGH SCHOOL 3615 SUPERIOR AVE STE 3103A CLEVELAND OH 44114 204948838 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD OH 44122 341879035 501(C)(3) 10000 0 COMMUNITY SUPPORT GLOBAL CLEVELAND 1422 EUCLID AVE STE 1652 CLEVELAND OH 44115 275245539 501(C)(3) 25000 0 COMMUNITY SUPPORT GREATER CLEVELAND FOOD BANK INC 15500 S WATERLOO RD CLEVELAND OH 44110 341292848 501(C)(3) 10810 0 COMMUNITY SUPPORT I'M IN MINISTRY 10608 PENFIELD AVE GARFIELD HEIGHTS OH 44125 364872043 501(C)(3) 10000 0 COMMUNITY SUPPORT INTERNATIONAL SOCIETY FOR GENETIC EYE DISEASE AND RETINOBLASTOMA 33350 PEPPER PIKE SHAKER HEIGHTS OH 44122 300065906 501(C)(3) 107794 0 HEALTHCARE RESEARCH & EDUCATION JOSEPH'S HOME 2412 COMMUNITY COLLEGE AVE CLEVELAND OH 44115 341901676 501(C)(3) 10000 0 COMMUNITY SUPPORT JOURNEY CENTER FOR SAFETY AND HEALING PO BOX 5466 CLEVELAND OH 44101 341278377 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION KARAMU HOUSE 2355 E 89TH ST CLEVELAND OH 44106 340714448 501(C)(3) 39248 0 COMMUNITY SUPPORT KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS NV 89106 880515534 501(C)(3) 18000 0 COMMUNITY SUPPORT LAKE COUNTY FREE CLINIC 125 E ERIE ST PAINESVILLE OH 44077 341081191 501(C)(3) 10000 0 COMMUNITY SUPPORT LBGT COMMUNITY CENTER OF GREATER CLEVELAND 6705 DETROIT AVE CLEVELAND OH 44102 341190920 501(C)(3) 10000 0 COMMUNITY SUPPORT LEAD SAFE CLEVELAND COALITION 4600 EUCLID AVE CLEVELAND OH 44103 346516654 501(C)(3) 500000 0 HEALTHCARE RESEARCH & EDUCATION LEGAL AID SOCIETY OF CLEVELAND 1223 W 6TH ST CLEVELAND OH 44113 340866026 501(C)(3) 6000 0 COMMUNITY SUPPORT LEUKEMIA & LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK NY 10573 135644916 501(C)(3) 58598 0 HEALTHCARE RESEARCH & EDUCATION MAHONING VALLEY SECOND HARVEST 2805 SALT SPRINGS RD YOUNGSTOWN OH 44509 341446685 501(C)(3) 10000 0 COMMUNITY SUPPORT MAKE-A-WISH FOUNDATION OF OHIO KENTUCKY AND INDIANA INC 2545 FARMERS DRIVE STE 300 COLUMBUS OH 43235 341471131 501(C)(3) 10000 0 COMMUNITY SUPPORT MEDWISH INTERNATIONAL 17325 EUCLID AVE CLEVELAND OH 44112 341903712 501(C)(3) 10000 3266351 ESTIMATED VALUE MEDICAL SUPPLIES HEALTHCARE RESEARCH & EDUCATION METRO HEALTH SYSTEM 2500 METROHEALTH DR CLEVELAND OH 44109 346004382 501(C)(3) 166984 0 HEALTHCARE RESEARCH & EDUCATION NAMI GREATER CLEVELAND 2012 W 25TH ST STE 600 CLEVELAND OH 44113 202254268 501(C)(3) 10840 0 COMMUNITY SUPPORT NEIGHBORHOOD FAMILY PRACTICE 3569 RIDGE RD CLEVELAND OH 44102 341300581 501(C)(3) 12000 0 HEALTHCARE RESEARCH & EDUCATION NEW IMAGE LIFE SKILLS ACADEMY INC 19425 VAN AKEN BLVD STE 205 SHAKER HEIGHTS OH 44122 810545479 501(C)(3) 15000 0 SUPPORT EDUCATIONAL ACTIVITIES NORTHEAST OHIO COALITION FOR THE HOMELESS 3631 PERKINS AVE STE 3A-3 CLEVELAND OH 44114 341590112 501(C)(3) 37425 0 COMMUNITY SUPPORT OROC PO BOX 40332 BAY VILLAGE OH 44140 800093560 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION PREGNANT WITH POSSIBILITIES RESOUCE CENTER 16004 BROADWAY AVE STE 203 MAPLE HEIGHTS OH 44137 472882533 501(C)(3) 25000 0 HEALTHCARE RESEARCH & EDUCATION REACH OUT AND READ GREATER CLEVELAND 4340 STATE ROAD STE 5 CLEVELAND OH 44109 341931851 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES REGIONAL TRANSIT AUTHORITY ART PO BOX 6566 CLEVELAND OH 44101 421133312 501(C)(3) 125000 0 COMMUNITY SUPPORT SOS STRENGTHING OUR STUDENTS 2214 MT VERNON BLVD EAST CLEVELAND OH 44112 341710719 501(C)(3) 20000 0 SUPPORT EDUCATIONAL ACTIVITIES SAINT MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVE CLEVELAND OH 44103 522401852 501(C)(3) 43669 0 SUPPORT EDUCATIONAL ACTIVITIES SHEPHERD HIGHER EDUCATION CONSORTIUM ON POVERTY 204 W WASHINGTON ST LEXINGTON VA 24450 455507122 501(C)(3) 6500 0 SUPPORT EDUCATIONAL ACTIVITIES THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714553 501(C)(3) 21971306 0 HEALTHCARE RESEARCH & EDUCATION THE CLEVELAND CLINIC FOUNDATION 14604 DETROIT AVE LAKEWOOD OH 44107 340714585 501(C)(3) 500000 0 COMMUNITY SUPPORT THE CLEVELAND FOUNDATION 325 SUPERIOR AVE STE 38 CLEVELAND OH 44114 340714588 501(C)(3) 100000 0 COMMUNITY SUPPORT THE COLORECTAL CANCER ALLIANCE 1025 VERMONT AVE STE 1066 WASHINGTON DC 20005 860947831 501(C)(3) 16667 0 HEALTHCARE RESEARCH & EDUCATION THE LAKEWOOD FOUNDATION 16024 MADISON AVE LAKEWOOD OH 44107 311529669 501(C)(3) 4100000 0 COMMUNITY SUPPORT THE NATIONAL ASSOCIATION OF THE ADVANCEMENT OF COLORED PEOPLE 4805 MT HOPE DR BALTIMORE MD 21215 340846628 501(C)(4) 10000 0 COMMUNITY SUPPORT THE SALVATION ARMY 440 W NYACK RD WEST NYACK NY 10994 135562351 501(C)(3) 10000 0 COMMUNITY SUPPORT THE THORACIC SURGERY FOUNDATION 633 N ST CLAIR ST CHICAGO IL 60611 363635910 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION UNITE US 217 BROADWAY FL 8 NEW YORK NY 10007 461914165 501(C)(3) 260000 0 COMMUNITY SUPPORT UNITED CEREBRAL PALSY OF GREATER CLEVELAND 10011 EUCLID AVE CLEVELAND OH 44106 340753561 501(C)(3) 93617 0 HEALTHCARE RESEARCH & EDUCATION UNITED WAY OF GREATER CLEVELAND 1331 EUCLID AVE CLEVELAND OH 44115 341011104 501(C)(3) 12058 0 COMMUNITY SUPPORT UNIVERSITY SETTLEMENT 4800 BROADWAY AVE CLEVELAND OH 44105 340714776 501(C)(3) 12000 0 COMMUNITY SUPPORT URBAN LEAGUE OF GREATER CLEVELAND 2930 PROSPECT AVE CLEVELAND OH 44115 340720563 501(C)(3) 10000 0 SUPPORT EDUCATIONAL ACTIVITIES VILLAGE OF MARYMOUNT 5200 MARYMOUNT VILLAGE DR GARFIELD HEIGHTS OH 44125 205652595 501(C)(3) 15000 0 COMMUNITY SUPPORT WOMEN'S ALZHEIMER'S MOVEMENT 888 W BONNEVILLE AVE LAS VEGAS NV 89106 451837864 501(C)(3) 218096 0 HEALTHCARE RESEARCH & EDUCATION YMCA OF GREATER CLEVELAND 1801 SUPERIOR AVE STE 130 CLEVELAND OH 44114 340714728 501(C)(3) 15000 0 SUPPORT EDUCATIONAL ACTIVITIES YOUTH OPPORTUNITIES UNLIMITED 1361 EUCLID AVE CLEVELAND OH 44115 341381135 501(C)(3) 15000 0 SUPPORT EDUCATIONAL ACTIVITIES ZELIE'S HOME 13643 ROCKSIDE RD GARFIELD HEIGHTS OH 44125 851358110 501(C)(3) 10000 0 COMMUNITY SUPPORT 69 6 SCHOLARSHIPS 196 8822490 FELLOWSHIPS 1540 79844103 PART I, LINE 2: CCF CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCF MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. SCHEDULE I, PART III THE SCHOLARSHIPS AND FELLOWSHIPS LISTED ARE IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 TUZCU MD E MURAT PHYSICIAN (2021 RETIREE) 1185011 0 0 0 6294851 0 -49588 0 125215 0 7555489 0 0 0 MIHALJEVIC MD TOMISLAV DIRECTOR, PRES & CEO 5978904 0 0 0 596850 0 29000 0 17822 0 6622576 0 0 0 MALONE JR MD DONALD A PRES, OHIO HOSPS AND FHCS 1254879 0 0 0 129915 0 4224893 0 17847 0 5627534 0 0 0 WIEDEMANN MD HERBERT PHYSICIAN (2021 RETIREE) 904957 0 0 0 3435528 0 476849 0 11976 0 4829310 0 0 0 ERZURUM MD SERPIL CHIEF RESEARCH & ACAD OFF 1264030 0 0 0 127171 0 3182048 0 1500 0 4574749 0 0 0 DONLEY MD BRIAN FORMER OFFICER, CCL CEO 0 1010550 0 0 0 2535624 0 29000 0 895125 0 4470299 0 0 KLEIN MD ERIC PHYSICIAN (2021 RETIREE) 848554 0 0 0 3593979 0 -295183 0 18997 0 4166347 0 0 0 SURI MD RAKESH CEO CCAD (PART YR) 1569437 0 0 0 501827 0 1484708 0 33521 0 3589493 0 0 0 GLASS STEVEN C CFO & TREASURER 2269404 0 0 0 224520 0 28506 0 19322 0 2541752 0 0 0 ROWAN DAVID SEC, CHIEF GOV OFF & CLO 2005468 0 0 0 229153 0 29000 0 19258 0 2282879 0 0 0 O'CONNOR MD MICHAEL PHYSICIAN (2021 RETIREE) 490305 0 0 0 1782689 0 -161858 0 17935 0 2129071 0 0 0 PEACOCK WILLIAM CHIEF OF OPERATIONS 1853511 0 0 0 185541 0 29597 0 17215 0 2085864 0 0 0 GOLDFARB MD DAVID PHYSICIAN (2021 RETIREE) 451229 0 0 0 1385738 0 -39303 0 18997 0 1816661 0 0 0 SVENSSON LARS FORMER KEY EMPLOYEE - CHAIR HVTI 1592804 0 0 0 163054 0 29000 0 19012 0 1803870 0 0 0 HANCOCK DNP RN NE-BC KELLY CHIEF CAREGIVER OFFICER 1423434 0 0 0 139002 0 26092 0 19322 0 1607850 0 0 0 GUZMAN MD JORGE CEO CCAD (PART YR) 992545 0 0 0 440658 0 29000 0 106984 0 1569187 0 0 0 RIDGEWAY MD BERI DIRECTOR, CHIEF OF STAFF 1353394 0 0 0 131449 0 29000 0 19332 0 1533175 0 0 0 MCHUGH LINDA FORMER OFFICER 244129 0 0 0 1039849 0 26384 0 17097 0 1327459 0 950000 0 YOUNG MD JAMES P FORMER OFFICER 1010890 0 0 0 115141 0 29000 0 18586 0 1173617 0 0 0 SABANEGH MD EDMUND FORMER OFFICER 168014 0 0 0 883667 0 17238 0 17644 0 1086563 0 875000 0 RIM MD ALICE DIRECTOR, PHYSICIAN 596560 0 0 0 56155 0 29000 0 20166 0 701881 0 0 0 DAVIS MARLEINA ASST. SECRETARY 581529 0 0 0 32199 0 25358 0 17822 0 656908 0 0 0 LONGVILLE TIMOTHY CAO & CONTROLLER 495501 0 0 0 29765 0 18814 0 19650 0 563730 0 0 0 HAMILTON THOMAS FORMER OFFICER 479250 0 0 0 37844 0 -18381 0 19751 0 518464 0 0 0 MAYS MD MARYANN DIRECTOR, PHYSICIAN 368339 0 0 0 10191 0 29000 0 20212 0 427742 0 0 0 ANDERSON MD MICHAEL DIRECTOR, PHYSICIAN 326694 0 0 0 31721 0 29000 0 17086 0 404501 0 0 0 MEEHAN MICHAEL J RECORDING SECRETARY 349811 0 0 0 43602 0 -56847 0 18715 0 355281 0 0 0 OBLANDER JASON ASST. SECRETARY 247501 0 0 0 8734 0 7299 0 15474 0 279008 0 0 0 COSGROVE MD DELOS FORMER OFF (RETIRED CEO) 202433 0 0 0 0 0 -167959 0 0 0 34474 0 202433 0 PART I, LINE 1A LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A, SEVERANCE PAYMENTS: LINDA MCHUGH - $950,000 EDMUND SABANEGH, M.D. - $875,000 SEVERANCE PAYMENTS ACCRUED IN 2021 BUT NOT YET PAID ARE REPORTED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL: RAKESH SURI, M.D. - $1,455,708 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DAVID GOLDFARB, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,360,693 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. ERIC KLEIN, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $3,507,034 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. MICHAEL O'CONNOR, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,734,536 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. E. MURAT TUZCU, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $5,782,494 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. HERBERT WIEDEMANN, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $3,372,395 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: DELOS COSGROVE, M.D. - $202,432 HERBERT WIEDEMANN, M.D. - $87,547 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: DELOS M. COSGROVE, M.D.. - $167,959 DECREASE, MARLEINA DAVIS - $3,642 DECREASE, SERPIL ERZURUM, M.D. - $3,153,048 INCREASE, STEVEN C. GLASS - $494 DECREASE, DAVID GOLDFARB, M.D. - $68,303 DECREASE, THOMAS HAMILTON - $47,381 DECREASE, KELLY HANCOCK, DNP, R.N., NE-BC - $2,908 DECREASE, ERIC KLEIN, M.D. - $324,183 DECREASE, TIMOTHY LONGVILLE - $14,604 DECREASE, DONALD MALONE, M.D. - $4,195,893 INCREASE, LINDA MCHUGH - $2,634 INCREASE, MICHAEL J. MEEHAN - $85,847 DECREASE, JASON OBLANDER - $340 DECREASE, MICHAEL O'CONNOR, M.D. - $190,858 DECREASE, WILLIAM PEACOCK $597 INCREASE, E. MURAT TUZCU, M.D. - $78,588 DECREASE, AND HERBERT WIEDEMANN, M.D. - $447,849 INCREASE. FORM 990, PART VII, SECTION A AND SCHEDULE J THE COMPENSATION OF DR. BRIAN DONLEY, DR. RAKESH SURI, DR. JORGE GUZMAN AND DR. E. MURAT TUZCU AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES REGULAR WAGES AND TAXABLE EXPATRIATE BENEFITS. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2011-11-02 41120000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756A3Z3 2012-05-09 519383182 BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756DAY2 2013-05-29 309434914 BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS 0 0 0 A 342425000 670000000 1200000 324315217 372706929 2008 1 0 1 1 B 19410000 41120000 2302465 735249 38082286 2011 1 0 1 1 C 508583182 519383182 3825815 411300530 104256837 2012 0 1 1 1 D 72215281 309434914 2129301 20001498 287304115 2013 1 0 1 1 A 0 1 1 1 1 1 0.00200 0.00010 0.00210 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00600 0.00040 0.00640 0 0 1 D 0 1 1 1 1 1 0.00120 0.00000 0.00120 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/09/2017 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2018 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2017-12-21 9305000 REFUND SERIES 2002 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KS0 2017-08-29 939576748 REFUND 2008A, 2008B, 2009A, 2009B, 2012A 0 0 0 C MARTIN COUNTY HEALTH FACILITIES AUTHORITY 596000743 573903FZ9 2019-05-09 259345371 REFINANCE 2012, 2012B & 2015 MHS BONDS & ACQUIRE MEMBERSHIP IN MHS 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CDN5 2019-05-09 351450108 FUND CAPITAL PROJECTS 0 0 0 A 1625000 9305000 9305000 2017 0 1 1 1 B 69465239 939576748 939576748 2017 0 1 1 1 C 1230037 259345371 822172 257297825 1225374 2019 0 0 1 1 D 1213011 351450108 1125388 348905103 1419617 2019 0 0 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.01540 0.00010 0.01550 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00200 0.00010 0.00210 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KZ4 2019-05-09 380150000 FUND CAPITAL PROJECTS 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561LP5 2021-07-28 82791709 ACQUIRE MEMBERSHIP IN MERCY HOSPITAL 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561MG4 2021-10-05 249692662 BOND 2021B: REFUND SERIES 2011A 0 0 0 A 380150000 1262472 378404897 482631 2019 0 0 1 1 B -15476 82791709 82791709 2021 1 0 1 1 C 745111 246692662 2103785 247588877 2021 1 0 1 1 A 0 1 1 1 1 1 0.00220 0.00010 0.00230 0 0 1 B 0 1 1 1 1 1 0.00500 0.00000 0.00500 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 GRANT DILLON FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER 22847 EMPLOYMENT AGREEMENT WITH CCF 0 JOANNE MCDONALD KILBANE FAMILY MEMBER OF CATHERINE KILBANE, CCF DIRECTOR 89960 EMPLOYMENT AGREEMENT WITH CCF 0 KAREN R COOPER FAMILY MEMBER OF STEWART KOHL, CCF DIRECTOR 72734 EMPLOYMENT AGREEMENT WITH CCF 0 KATHERINE MCHUGH FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER 47854 EMPLOYMENT AGREEMENT WITH CCF 0 LAURA SWEENEY FAMILY MEMBER OF TIMOTHY LONGVILLE, CCF OFFICER 99183 EMPLOYMENT AGREEMENT WITH CCF 0 MARGARET T ANDERSON FAMILY MEMBER OF MICHAEL ANDERSON, M.D., CCF DIRECTOR 19940 EMPLOYMENT AGREEMENT WITH CCF 0 MICHAEL PETRAS FAMILY MEMBER OF MICHAEL J. PETRAS JR., CCF DIRECTOR 88652 EMPLOYMENT AGREEMENT WITH CCF 0 RYAN OAKLEY FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER 66058 EMPLOYMENT AGREEMENT WITH CCF 0 VICTORIA JAVOR FAMILY MEMBER OF KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER 99488 EMPLOYMENT AGREEMENT WITH CCF 0 ALEXANDER J RIM FAMILY MEMBER OF ALICE RIM, M.D., CCF DIRECTOR 522574 EMPLOYMENT AGREEMENT WITH CCF 0 EMMA G RICO FAMILY MEMBER OF ALICE RIM, M.D., CCF DIRECTOR 20179 EMPLOYMENT AGREEMENT WITH CCF 0 ROBERT SYTO FAMILY MEMBER OF BERI RIDGEWAY, M.D., CCF OFFICER & DIRECTOR 24589 EMPLOYMENT AGREEMENT WITH CCF 0 X 2 125900 APPRAISAL X 12345 SALE COMPARABLE GOODS X 130 14922928 AVERAGE HIGH/LOW X 2 117000 APPRAISAL X 8 8320 COST X 4 54630 COST X EVENT TICKETS 1 37500 COST 3 0 1 1 PART I, LINE 32B: THE CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. FORM 990, PART III, PROGRAM SERVICE STATEMENT CLEVELAND CLINIC, HEADQUARTERED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC FOUNDATION IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. CLEVELAND CLINIC WAS ESTABLISHED IN 1921. IN JANUARY 2021 AS THE CLINIC CELEBRATED ITS CENTENNIAL YEAR A NEW MISSION STATEMENT WAS UNVEILED: CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. THE NEW MISSION STATEMENT STAYS TRUE TO THE PAST, ENCOMPASSES THE PRESENT, AND OUTLINES THE FUTURE OF THE ORGANIZATION. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC HEALTH SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2021 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $1.41 BILLION IN BENEFITS TO THE COMMUNITIES SERVED. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY OUTREACH PROGRAMS. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO THE CLEVELAND CLINIC'S 2021 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) COVID-19 ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE NOVEL CORONAVIRUS DISEASE (COVID-19) OUTBREAK A GLOBAL PANDEMIC. THE GOVERNORS OF OHIO AND FLORIDA DECLARED A STATE OF EMERGENCY FOR THEIR RESPECTIVE STATES RELATED TO THE COVID-19 OUTBREAK ON MARCH 9, 2020, AND A NATIONAL STATE OF EMERGENCY IN THE U.S. WAS DECLARED ON MARCH 13, 2020. THE SYSTEM IS WORKING WITH PUBLIC HEALTH PARTNERS AT ALL LEVELS TO MAINTAIN THE HEALTH AND SAFETY OF PATIENTS, VISITORS AND CAREGIVERS TO PREVENT THE SPREAD OF COVID-19. THE SYSTEM IS ALSO PROVIDING EXTENSIVE EDUCATION TO PATIENTS ON THE PRECAUTIONS THAT HAVE BEEN IMPLEMENTED TO KEEP PATIENTS AND CAREGIVERS SAFE DURING THEIR APPOINTMENTS AND PROCEDURES. THROUGHOUT THE PANDEMIC THE SYSTEM HAS REMAINED FOCUSED ON CREATING A SAFE ENVIRONMENT FOR PATIENTS AND CAREGIVERS TO ENSURE THE AVAILABILITY OF CARE FOR EARLY IDENTIFICATION OF DISEASES AND HELPING PATIENTS IN MANAGING CHRONIC DISEASES. SINCE THE BEGINNING OF THE PANDEMIC, THE SYSTEM HAS PROVIDED CARE TO MORE THAN 40,000 COVID-19 PATIENTS ADMITTED TO ITS OHIO AND FLORIDA FACILITIES. IN OHIO, THE SYSTEM HAS CARED FOR APPROXIMATELY 25% OF ALL PATIENTS HOSPITALIZED WITH COVID-19. DURING THE EARLY PHASE OF THE PANDEMIC, THE SYSTEM ESTABLISHED TESTING SITES IN ITS COMMUNITIES TO HELP SLOW THE SPREAD OF COVID-19. THE SYSTEM WAS ONE OF THE FIRST HEALTH SYSTEMS TO OFFER COVID-19 TESTING WHEN THE PANDEMIC BEGAN AND HAS PERFORMED MORE THAN 1.3 MILLION TESTS IN ITS LABORATORIES IN OHIO AND FLORIDA. I. PATIENT CARE THE CLEVELAND CLINIC HEALTH SYSTEM (SYSTEM) IS A WORLD-RENOWNED PROVIDER OF HEALTHCARE SERVICES THAT ATTRACTED PATIENTS FROM ACROSS THE UNITED STATES AND FROM 131 OTHER COUNTRIES IN 2021. AS OF DECEMBER 31, 2021, THE SYSTEM OPERATES 19 HOSPITALS AND IS THE LEADING PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST OHIO. FOURTEEN OF THE HOSPITALS ARE OPERATED IN THE NORTHEAST OHIO AREA, ANCHORED BY THE CLEVELAND CLINIC FOUNDATION (CLINIC). THE SYSTEM OPERATES 21 OUTPATIENT FAMILY HEALTH CENTERS, 11 AMBULATORY SURGERY CENTERS, AS WELL AS NUMEROUS PHYSICIAN OFFICES, WHICH ARE LOCATED THROUGHOUT NORTHEAST OHIO, AND SPECIALIZED CANCER CENTERS IN SANDUSKY AND MANSFIELD, OHIO. IN FLORIDA, THE SYSTEM OPERATES FIVE HOSPITALS AND A CLINIC LOCATED THROUGHOUT SOUTHEAST FLORIDA, OUTPATIENT FAMILY HEALTH CENTERS IN PORT ST. LUCIE, STUART AND WEST PALM BEACH, AN OUTPATIENT FAMILY HEALTH AND AMBULATORY SURGERY CENTER IN CORAL SPRINGS AND NUMEROUS PHYSICIAN OFFICES LOCATED THROUGHOUT SOUTHEAST FLORIDA. IN ADDITION, THE SYSTEM OPERATES A HEALTH AND WELLNESS CENTER AND A SPORTS MEDICINE CLINIC IN TORONTO, CANADA AND A SPECIALIZED NEUROLOGICAL CLINICAL CENTER IN LAS VEGAS, NEVADA. CLEVELAND CLINIC LONDON COMPLETED CONSTRUCTION OF THE HOSPITAL AND BEGAN TO SERVICE PATIENTS ON MARCH 29, 2022. IN SEPTEMBER 2021, CLEVELAND CLINIC LONDON OPENED AN OUTPATIENT FACILITY LOCATED NEAR THE HOSPITAL. PURSUANT TO AGREEMENTS, THE SYSTEM ALSO PROVIDES MANAGEMENT SERVICES FOR ASHTABULA COUNTY MEDICAL CENTER, LOCATED IN ASHTABULA, OHIO, AND CLEVELAND CLINIC ABU DHABI, A MULTISPECIALTY HOSPITAL OFFERING CRITICAL AND ACUTE CARE SERVICES THAT IS PART OF MUBADALA DEVELOPMENT COMPANY'S NETWORK OF HEALTHCARE FACILITIES LOCATED IN ABU DHABI, UNITED ARAB EMIRATES. CLEVELAND CLINIC HEALTH SYSTEM IS DEDICATED TO THE COMMUNITIES IT SERVES STRIVING TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT; AND SUPPORTING PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. THROUGH ITS FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, CLEVELAND CLINIC PROVIDES HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. IN 2021, CLEVELAND CLINIC RECORDED 1,298 TOTAL STAFFED BEDS, 119,379 EMERGENCY VISITS, 78,896 SURGICAL CASES, 51,946 ADMISSIONS, AND MORE THAN 10.2 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC HEALTH SYSTEM TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR RACE, CREED, OR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM OR DISEASE. THE INSTITUTES FACILITATE A MULTIDISCIPLINARY APPROACH, AND ARE DESIGNED TO ENHANCE CONVENIENCE FOR PATIENTS AND THE EXCHANGE OF KNOWLEDGE, RESEARCH AND EDUCATIONAL COLLABORATION FOR BETTER PATIENT OUTCOMES. SOME OF THE INSTITUTES ARE: ANESTHESIOLOGY & PAIN MANAGEMENT; CANCER CENTER/TAUSSIG CANCER; CLEVELAND CLINIC CHILDREN'S AND PEDIATRIC INSTITUTE, COMMUNITY CARE; DERMATOLOGY & PLASTIC SURGERY INSTITUTE; DIGESTIVE DISEASE & SURGERY INSTITUTE; EMERGENCY SERVICES INSTITUTE; ENDOCRINOLOGY & METABOLISM INSTITUTE; OPHTHALMOLOGY INSTITUTE (COLE); GENOMICS; HEAD & NECK INSTITUTE; HEART, VASCULAR & THORACIC INSTITUTE (SYDELL AND ARNOLD MILLER FAMILY); IMAGING INSTITUTE; NEUROLOGICAL INSTITUTE; NURSING INSTITUTE (STANLEY SHALOM ZIELONY); OB/GYN & WOMEN'S HEALTH INSTITUTE; ORTHOPAEDIC & RHEUMATOLOGIC INSTITUTE; PATHOLOGY & LABORATORY MEDICINE; RESPIRATORY INSTITUTE; AND UROLOGY & KIDNEY INSTITUTE (GLICKMAN); RESEARCH; QUALITY & PATIENT SAFETY. NOTABLE ACHIEVEMENTS CLEVELAND CLINIC WAS AGAIN RECOGNIZED FOR ITS QUALITY OF CARE IN U.S. NEWS & WORLD REPORT'S PRESTIGIOUS ANNUAL AMERICA'S BEST HOSPITALS SURVEY IN 2021. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 2 RANKING. FOR THE 27TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. 11 CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. OF THESE, EIGHT PLACED IN THE TOP 5 INCLUDING: CARDIOLOGY & HEART SURGERY; UROLOGY; GASTROENTEROLOGY AND GASTROINTESTINAL SURGERY; RHEUMATOLOGY; PULMONOLOGY AND LUNG SURGERY; CANCER; GERIATRICS AND GYNECOLOGY. CLEVELAND CLINIC WAS NATIONALLY RANKED IN 13 ADULT SPECIALTIES AND 10 CHILDREN'S SPECIALTIES. CLEVELAND CLINIC WAS ALSO RATED HIGH PERFORMING IN NINE PROCEDURES AND CONDITIONS. CLEVELAND CLINIC HAS ACHIEVED THE DISTINGUISHED MAGNET RECOGNITION. MAGNET STATUS IS THE HIGHEST NATIONAL RECOGNITION AWARDED TO A HOSPITAL OR MEDICAL CENTER FOR EXCELLENCE IN NURSING. AMERICAN NURSES CREDENTIALING CENTER, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) FOR THE ELEVENTH TIME IN THE PAST 13 YEARS, CLEVELAND CLINIC HAS BEEN RECOGNIZED AS ONE OF THE WORLD'S MOST ETHICAL COMPANIES. CLEVELAND CLINIC IS ONE OF JUST FIVE HEALTHCARE PROVIDERS WORLDWIDE ON THE 2021 LIST BY THE ETHISPHERE INSTITUTE, WHICH DESCRIBES ITSELF AS "ADVANCING THE STANDARDS OF ETHICAL BUSINESS PRACTICES THAT FUEL CORPORATE CHARACTER, MARKETPLACE TRUST AND BUSINESS SUCCESS". CLEVELAND CLINIC RECEIVED THE ENVIRONMENTAL EXCELLENCE AWARD FROM PRACTICE GREENHEALTH. PRACTICE GREENHEALTH RECOGNIZES ORGANIZATIONS WITHIN THE HEALTHCARE SECTOR THAT SUPPORT AND CREATE BETTER, SAFER, AND GREENER WORKPLACES AND COMMUNITIES. IN 2021, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE ENVIRONMENTAL EXCELLENCE AWARD, WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY, COVERING A RANGE OF DIFFERENT SUSTAINABILITY PROGRAMS AND ACTIVITIES. WINNERS HAVE ALSO MADE SUBSTANTIVE PROGRESS ON MERCURY ELIMINATION. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE PROGRAM REPRESENTS THE COST OF PROVIDING FREE OR DISCOUNTED MEDICALLY NECESSARY CARE TO PATIENTS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS. THE SYSTEM'S FINANCIAL ASSISTANCE POLICY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED PATIENTS WITH INCOMES UP TO 400 PERCENT OF THE FEDERAL POVERTY LEVEL AND WHO MEET CERTAIN OTHER ELIGIBILITY CRITERIA BY STATE. THIS POLICY COVERS BOTH HOSPITAL CARE AND SERVICES PROVIDED BY THE SYSTEM'S EMPLOYED PHYSICIANS. PATIENTS WITH SPECIAL MEDICAL OR EXCEPTIONAL CIRCUMSTANCES MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY IS DESIGNED TO PREVENT MEDICAL BILLS FROM CAUSING A PATIENT OR FAMILY UNDUE FINANCIAL HARDSHIP. THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDED FINANCIAL ASSISTANCE AT A COST OF $179.1 MILLION IN 2021. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. THE CLEVELAND CLINIC HEALTH SYSTEM'S RESEARCH ACTIVITIES ARE INTENDED TO IMPROVE PATIENT CARE AND THE HEALTH OF THE PUBLIC AT LARGE, BY PROVIDING THE LATEST ADVANCES IN MEDICINE DIRECTLY TO PATIENTS AND BY REFINING THE PRACTICE OF MEDICINE THROUGH THE DEVELOPMENT AND PROMULGATION OF NEW TECHNIQUES, DEVICES, AND TREATMENT PROTOCOLS. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE ("LRI") IS ITS RESEARCH INSTITUTE LOCATED ON THE MAIN CAMPUS AND HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. LRI HAS APPROXIMATELY 210 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CARDIOVASCULAR AND METABOLIC SCIENCES, GENOMIC MEDICINE, IMMUNOTHERAPY & PRECISION IMMUNO-ONCOLOGY, INFECTION BIOLOGY, INFLAMMATION AND IMMUNITY, NEUROSCIENCES, OPHTHALMIC RESEARCH, QUANTITATIVE HEALTH SCIENCES, AND TRANSLATIONAL HEMATOLOGY AND ONCOLOGY RESEARCH. LRI IS ONE OF THE LEADING NIH-FUNDED RESEARCH INSTITUTES IN THE UNITED STATES AND HAS SPEARHEADED NUMEROUS ADVANCES IN THE DIAGNOSIS AND TREATMENT OF COMPLEX MEDICAL PROBLEMS. SCIENTISTS AND THEIR TEAMS ARE PURSUING A WIDE RANGE OF BIOMEDICAL QUESTIONS AT LRI, INCLUDING THOSE RELATED TO CARDIOVASCULAR, CANCER, NEUROLOGICAL, MUSCULOSKELETAL, AND METABOLIC DISEASES. ALTOGETHER, NEARLY 1,600 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 283 RESEARCH FELLOWS, 136 GRADUATE STUDENTS AND 131 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC, ITS AFFILIATES, AND EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2021, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 3,200 ACTIVE INSTITUTIONAL REVIEW BOARD APPROVED HUMAN SUBJECTS' RESEARCH STUDIES. THE ONGOING COLLABORATION BETWEEN PHYSICIAN INVESTIGATORS AND STUDY VOLUNTEERS IS CENTRAL TO TESTING THE SAFETY AND EFFECTIVENESS OF DRUGS AND MEDICAL PROCEDURES AND HELPS TO SET THE STANDARDS FOR PATIENT CARE. RESEARCH AT CLEVELAND CLINIC IS FUNDED BY EXTERNAL SOURCES, SUCH AS FEDERAL GRANTS, BUT IS ALSO SUBSTANTIALLY SUPPORTED BY THE CLINIC'S OWN INTERNAL RESOURCES. IN 2021, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $101 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $224.4 MILLION. III. EDUCATION ON ITS MAIN CAMPUS, CLEVELAND CLINIC OPERATES A MEDICAL SCHOOL AND RELATED RESEARCH INSTITUTE. THE PRIMARY FOCUS OF CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY (THE "LERNER COLLEGE OF MEDICINE") IS THE TEACHING AND TRAINING OF MEDICAL STUDENTS WHO HAVE A PARTICULAR INTEREST IN RESEARCH. MANY CLEVELAND CLINIC PHYSICIANS SERVE AS FACULTY FOR THE LERNER COLLEGE OF MEDICINE, FURTHERING THE INTEGRATION OF CLINICAL CARE WITH RESEARCH AND EDUCATION. THE LERNER COLLEGE OF MEDICINE CURRENTLY PROVIDES ALL STUDENTS WITH FULL TUITION SCHOLARSHIPS. IN ADDITION TO TRAINING THE NATION'S FUTURE DOCTORS, CLEVELAND CLINIC SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION TRAINING THROUGHOUT THE HEALTH SYSTEM INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2021, PROVIDED A NET COMMUNITY BENEFIT OF $322.2 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC HEALTH SYSTEM'S COMMUNITIES ARE RECEIVING THE HIGHEST STANDARD OF MEDICAL CARE AND HAVE TRAINED HEALTH PROFESSIONALS TO CARE FOR THEM IN THE FUTURE. SOME OF THESE EDUCATION PROGRAMS INCLUDE: -GRADUATE MEDICAL EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2021, 1,084 RESIDENTS AND FELLOWS TRAINED IN 84 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 132 ADVANCED FELLOWS IN 83 FELLOWSHIP PROGRAMS. -LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE LERNER COLLEGE OF MEDICINE HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE 2,099 APPLICANTS FOR 32 POSITIONS FOR THE 2021-22 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 139 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2021 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 39 STUDENTS PARTICIPATED IN LOCAL AND NATIONAL MEETINGS WITH PRESENTATIONS AND POSTERS. -VISITING MEDICAL STUDENTS: VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2021, 134 MEDICAL STUDENTS FROM 58 MEDICAL SCHOOLS AROUND THE WORLD ROTATED THROUGH CLEVELAND CLINIC. -CENTER FOR CONTINUING EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST CONTINUING MEDICAL EDUCATION (CME) PROGRAMS IN THE COUNTRY AND ENJOYS THE HIGHEST ACCME RANKING: ACCREDITATION WITH COMMENDATION. IN 2021, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,841 CME ACTIVITIES THAT OFFERED OVER 11,384 CME CREDITS TO 273,684 PARTICIPANTS. OF THAT NUMBER, 1,186 WERE LIVE COURSES THAT ATTRACTED 150,231 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 646 ACTIVITIES THAT ATTRACTED 490,894 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 33,300 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2021, THE CENTER ISSUED 256,766 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 128,716 COPIES AND RANKED NO. 2 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 3.6 MILLION PEOPLE AROUND THE WORLD. IN 2021, THE CCJM WEBSITE RECORDED 10,466,780 PAGE VIEWS FROM 7,843,172 UNIQUE VISITORS. -CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF ALLIED HEALTH STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 12 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 34 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2021, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 395,407 CLINICAL ROTATION HOURS FOR OVER 1,041 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC HEALTH SYSTEM ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF THE CLEVELAND CLINIC'S COMMUNITY BENEFIT ARE: MEDICAID SHORTFALL THE CLEVELAND CLINIC HEALTH SYSTEM IS A LEADING PROVIDER OF MEDICAID SERVICES IN OHIO. IN MANY STATES, INCLUDING OHIO, MEDICAID PAYMENTS HAVE NOT BEEN SUFFICIENT TO COVER THE COST OF TREATING MEDICAID BENEFICIARIES. IN 2021, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $652 MILLION (THIS FIGURE INCLUDES AS HCAP ASSESSMENT OF $14.8 MILLION). SUBSIDIZED HEALTH SERVICES IN ADDITION TO FINANCIAL ASSISTANCE AND COSTS NOT COVERED BY MEDICAID PAYMENTS, ANOTHER CLINICAL COMMUNITY BENEFIT CATEGORY IS "SUBSIDIZED HEALTH SERVICES." THESE SERVICES YIELD LOW OR NEGATIVE MARGINS BUT ARE NEEDED IN THE COMMUNITY. CLEVELAND CLINIC PROVIDED SUBSIDIZED HEALTH SERVICES IN 2021 AT A COST OF $33.4 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING OR CONTRIBUTING TO OUTREACH ACTIVITIES FOR A TOTAL NET COMMUNITY BENEFIT OF $130 MILLION, PARTIALLY OFFSET BY EXTERNAL FUNDING. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS, AS WELL AS BROADER POPULATION IN OUR COMMUNITIES. OUR RESPONSIVE OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES, EDUCATION, AND YOUTH WORKFORCE DEVELOPMENT TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. OUTREACH PROGRAMS ADDRESS DOCUMENTED HEALTH NEEDS OF OUR COMMUNITIES, ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2021, SOME HIGHLIGHTS INCLUDED: -HEALTH EDUCATION AND CLINICAL SERVICES FOR COMMUNITY RESIDENTS ON COVID-19 IMPACT AND TESTING. ESTABLISHED COVID-19 VACCINATION CLINIC TO HELP ENSURE THAT THOSE WHO ARE AT HIGHER RISK OF INFECTION AND DEATH FROM THE VIRUS INCLUDING BLACK, HISPANIC AND UNDERSERVED COMMUNITIES HAVE ACCESS TO THE VACCINE. INCLUDED PARTNERSHIPS WITH HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS. -FAITH BASED FORUMS FOR KEY COMMUNITY LEADERS ON COVID-19 EDUCATION AND ACCESS. -WELLNESS INITIATIVES TO RESIDENTS, SCHOOLS AND COMMUNITY BASED ORGANIZATIONS IN THE AREAS OF DISEASE PREVENTION, INCLUDING COVID-19 PROTOCOL, PERSONAL SAFETY, BEHAVIORAL HEALTH, STRESS MANAGEMENT, NUTRITION IMPROVEMENT AND EXERCISE. -COMMUNITY FARMERS MARKETS, URBAN GARDENS AND A MOBILE FOOD PANTRY PROVIDED ACCESS TO FRESH LOCAL PRODUCTS AND SUPPLEMENTAL FOOD PROGRAMS TO ADDRESS FOOD INSECURITY ISSUES. -NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER IN THE FAIRFAX NEIGHBORHOOD. CARE INCLUDES MULTIGENERATIONAL WELLNESS CLASSES, CANCER SCREENING AND CHRONIC DISEASE MANAGEMENT SERVICES. -COLLABORATIVE INITIATIVES WITH COMMUNITY NONPROFIT ORGANIZATIONS AND LOCAL GOVERNMENTS ADDRESSED CRITICAL POPULATION ISSUES. TASKFORCE STRATEGIES FOCUSED ON DECREASING OPIOID PRESCRIPTIONS USE AND OVERDOSE DEATHS. PROVIDED METHODS TO DECREASE INFANT MORTALITY INCLUDING PROACTIVE CENTERING PROGRAMS. -WORKFORCE DEVELOPMENT PROGRAMS TO MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS TO ENHANCE GRADUATION RATES, PURSUE SECONDARY EDUCATION AND OBTAIN EMPLOYMENT. -PARTNERSHIP WITH CITY OF CLEVELAND, MEIJER, FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION AND FAIRMOUNT PROPERTIES ON A $52.8 MILLION DEVELOPMENT THAT WILL INCLUDE A NEW 40,000-SQUARE-FOOT GROCERY MARKET AND 196 APARTMENT UNITS IN THE FAIRFAX NEIGHBORHOOD OF CLEVELAND. -AMONG 12 U.S. HEALTH SYSTEMS TO SIGN THE "IMPACT PURCHASING COMMITMENT," DESIGNED BY THE HEALTHCARE ANCHOR NETWORK. CLEVELAND CLINIC IDENTIFIES QUALIFIED DIVERSE SUPPLIERS, INCLUDING MINORITY- AND WOMEN-OWNED BUSINESSES, AS WELL AS LOCALLY OWNED, EMPLOYEE-OWNED, COOPERATIVELY OWNED OR NONPROFIT-OWNED ENTERPRISES. -COMMITTED $2.5 MILLION TO LEAD SAFE CLEVELAND COALITION TO ADVANCE LEAD POISONING PREVENTION EFFORTS WITH UNITED WAY. THE FIVE-YEAR FINANCIAL COMMITMENT WILL HELP SUPPORT THE COLLABORATION TO REMOVE HARMFUL SOURCES OF LEAD EXPOSURE FROM LOCAL HOMES. -CONNECTING PATIENTS WITH HEALTH AND SOCIAL ORGANIZATIONS TO REDUCE BARRIERS TO CARE THROUGH THE UNITE US PROGRAM. -EXPANDING ACCESS TO MENTAL HEALTH, VISION AND PRIMARY CARE SERVICES TO LOCAL YOUTH THROUGH SCHOOL-BASED PROGRAMS. V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC HEALTH SYSTEM IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION. FORM 990, PART VI, SECTION A, LINE 2 DEBORAH CRAWFORD, CCF DIRECTOR & PATRICK V. AULETTA, CCF DIRECTOR - BUSINESS FORM 990, PART VI, SECTION A, LINE 3 CCF HOTEL SERVICES, LLC, A SINGLE MEMBER DISREGARDED ENTITY OF CCF HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE TWO HOTELS OWNED BY CCF HOTEL SERVICES, LLC. THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT WITH KESSLER REHABILITATION SERVICES, INC. AS PART OF A JOINT VENTURE WITH HOSPITAL HOLDINGS CORPORATION (SELECT MEDICAL") TO MANAGE AND OPERATE THREE INPATIENT REHABILITATION HOSPITAL FACILITIES. THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT WITH REGENCY HOSPITALS, LLC AS PART OF A JOINT VENTURE WITH SELECT UNIT MANAGEMENT, INC. (SELECT MEDICAL") TO MANAGE AND OPERATE FOUR LONG TERM ACUTE CARE FACILITIES. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS OR BOARD OF TRUSTEES, AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. IN ADDITION, THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO, AND MEMBERS OF THE AUDIT COMMITTEE. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS REVIEWED AND DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS OF CCF AND ITS SUBSIDIARIES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE DISCLOSURES ARE REVIEWED BY STAFF REPORTING TO THE CHIEF GOVERNANCE OFFICER AND ANY ITEMS THAT MAY CREATE A CONFLICT ARE BROUGHT TO HIS ATTENTION. IF THERE ANY DISCLOSURE CHANGES DURING THE YEAR OR A NEW DISCLOSURE, THE POLICY REQUIRES THAT THOSE INDIVIDUALS INFORM THE CHIEF GOVERNANCE OFFICER. THE BOARD OF DIRECTORS CONFLICT OF INTEREST AND MANAGING INNOVATIONS COMMITTEE MEETS FOUR TIMES PER YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS ITS CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSON MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING THE FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15 ALL CCF OFFICERS AND SIGNIFICANT MANAGEMENT EXECUTIVE POSITIONS HAVE THEIR COMPENSATION REVIEWED IN ADVANCE ANNUALLY BY THE COMPENSATION COMMITTEE OF THE CCF BOARD OF DIRECTORS, WHICH IS VESTED WITH BOARD-DELEGATED POWERS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO COMPENSATION MATTERS. IN REVIEWING AND ESTABLISHING COMPENSATION FOR THESE OFFICERS, THE COMMITTEE USES A PROCESS THAT IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 534958-9(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO EACH YEAR PROVIDES CCF WITH A CUSTOMIZED COMPENSATION REPORT REGARDING PHYSICIAN COMPENSATION. BY USING THIS DATA, CCF HAS BEEN ABLE TO DEVELOP MARKET-BASED COMPENSATION FOR PHYSICIAN SERVICES. IN ESTABLISHING COMPENSATION FOR OFFICERS AND SIGNIFICANT MANAGEMENT EXECUTIVE EMPLOYEES PERFORMING NON-PHYSICIAN SERVICES, THE COMPENSATION COMMITTEE RETAINS AND CONSULTS WITH AN INDEPENDENT COMPENSATION CONSULTANT, WHO PREPARES A CUSTOMIZED REPORT FOR THE COMMITTEE REGARDING AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. THE COMMITTEE USES THE MARKET-BASED DATA PROVIDED BY THE CONSULTANT, AND, WHERE APPROPRIATE, PERFORMANCE REVIEWS AND COMPENSATION RECOMMENDATIONS BY THE CHIEF EXECUTIVE OFFICER AND CHIEF OF STAFF, TO ESTABLISH MARKED-BASED COMPENSATION. AFTER MAKING ITS COMPENSATION DECISIONS, THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS IN CCF'S WRITTEN OR ELECTRONIC BOOKS AND RECORDS. FORM 990, PART VI, SECTION C, LINE 18 THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CCF MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE. FORM 990, PART VIII, LINE 1E THE SYSTEM HAS RECEIVED SUPPORT UNDER THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, INCLUDING PROVIDER RELIEF FUNDS (PRF) AND THE EMPLOYEE RETENTION CREDIT (ERC). THE SYSTEM ACCOUNTED FOR BOTH THE PRF PAYMENTS AND ERC AS CONTRIBUTIONS THAT ARE RECOGNIZED AS REVENUE WHEN ANY RELATED CONDITIONS HAVE BEEN SUBSTANTIALLY MET. THE PRF PROVIDES FUNDING FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) TO HEALTHCARE PROVIDERS TO SUPPORT HEALTHCARE-RELATED EXPENSES OR LOST REVENUE ATTRIBUTABLE TO COVID-19. FUNDS RECEIVED FROM THE PRF REPRESENT PAYMENTS TO PROVIDERS AND DO NOT NEED TO BE REPAID AS LONG AS THE SYSTEM COMPLIES WITH CERTAIN TERMS AND CONDITIONS IMPOSED BY HHS, INCLUDING REPORTING AND COMPLIANCE REQUIREMENTS. IN 2021, THE SYSTEM RECEIVED $222 MILLION OF PRF PAYMENTS. THE SYSTEM RECOGNIZED $222 MILLION OF PRF PAYMENTS IN OTHER UNRESTRICTED REVENUEUS BASED ON THE TERMS AND CONDITIONS OF THE PAYMENTS. FORM 990, PART XI, LINE 9: DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 3,288,121. GIFTS AND BEQUESTS 176,344,635. TRANSFERS OF NET ASSETS -60,442,128. NET INVESTMENT INCOME 56,981,073. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -38,738,788. RETIREMENT BENEFITS ADJUSTMENT -26,873,715. EQUITY TRANSFERS & OTHER TRANSFERS 4,256,796. 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