THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201633199349303603
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T10:26:54-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	950 MAIN AVENUE 1800	AddressLine1Txt
City	CLEVELAND	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44113	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714585	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE CLEVELAND CLINIC FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CLEV	BusinessNameControlTxt
Phone	2164442200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 BRECKSVILLE RD NO RK1-85	AddressLine1Txt
City	INDEPENDENCE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44131	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVEN C GLASS	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2164442200	PhoneNum
Signature	2016-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
PTIN	P00089502	PTIN
Phone	2168615000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	DELOS M COSGROVE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 BRECKSVILLE RD NO RK1-85	AddressLine1Txt
City	INDEPENDENCE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44131	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,416,366,036	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLEVELANDCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	PATIENT CARE, RESEARCH & EDUCATION	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	34893	TotalEmployeeCnt
Total Volunteers	1729	TotalVolunteersCnt
Total Gross UBI	$50,270,331	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$67,175	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$247,936,164	PYContributionsGrantsAmt
CY Contributions Grants	$226,230,648	CYContributionsGrantsAmt
PY Program Service Revenue	$4,683,757,213	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,869,018,511	CYProgramServiceRevenueAmt
PY Investment Income	$135,154,628	PYInvestmentIncomeAmt
CY Investment Income	$147,764,428	CYInvestmentIncomeAmt
PY Other Revenue	$23,546,266	PYOtherRevenueAmt
CY Other Revenue	$86,627,710	CYOtherRevenueAmt
PY Total Revenue	$5,090,394,271	PYTotalRevenueAmt
CY Total Revenue	$5,329,641,297	CYTotalRevenueAmt
PY Grants And Similar Paid	$114,854,396	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$118,808,523	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,646,541,111	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,661,500,472	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,495,997	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,683,301	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$13,479,216	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,934,588,220	PYOtherExpensesAmt
CY Other Expenses	$2,012,647,016	CYOtherExpensesAmt
PY Total Expenses	$4,697,479,724	PYTotalExpensesAmt
CY Total Expenses	$4,794,639,312	CYTotalExpensesAmt
PY Revenues Less Expenses	$392,914,547	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$535,001,985	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,846,770,261	TotalAssetsBOYAmt
Total Assets EOY	$9,069,861,870	TotalAssetsEOYAmt
Total Liabilities BOY	$4,769,253,388	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,691,944,158	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,077,516,873	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,377,917,712	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$4,298,006,991	ExpenseAmt
Grant	$118,808,523	GrantAmt
Revenue	$4,869,018,511	RevenueAmt
Desc	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Desc
Total Program Service Expenses	$4,298,006,991	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	Yes (1)	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (1)	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	6939	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	34893	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CA	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	GR	ForeignCountryCd
Foreign Country	TU	ForeignCountryCd
Foreign Country	LU	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	UK	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (1)	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	0	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	LA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROBERT F WAITKUS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2164452526	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 BRECKSVILLE ROAD RK1-85	AddressLine1Txt
City	INDEPENDENCE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44131	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
COSGROVE DELOS M MD
DIRECTOR, PRESIDENT, CEO	50.00	Yes (X)	Yes (X)	$4,851,077	$0	-$2,492,123
DONLEY BRIAN G MD
DIRECTOR & CHIEF OF STAFF	50.00	Yes (X)	Yes (X)	$1,081,588	$0	$44,969
RICH ROBERT E JR
DIRECTOR/BOARD CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
SCAMINACE JOSEPH M
DIRECTOR/BOARD VICE CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
ABELSON ABBY
DEP CHR-RHEUMATIC & IMMUN, DIR	50.00	Yes (X)		$346,805	$0	$27,760
AULETTA PATRICK V
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
DWEIK RAED MD
PHYSICIAN, DIRECTOR - CCF	50.00	Yes (X)		$429,232	$0	$43,309
FEDELI UMBERTO P
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
HOOVER CAROLE
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
KOMINSKY ALAN MD
PHYSICIAN, DIRECTOR - CCF	50.00	Yes (X)		$407,831	$0	$45,809
LERNER NORMA
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
LONZER DEBORAH MD
VICE CHR - PEDS STRAT OPS, DIR -CCF	50.00	Yes (X)		$273,939	$0	$43,309
MACDONALD WILLIAM EIII
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MILLER PAMELA
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MILLER SAMUEL
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MOONEY BETH E
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MORINO MARIO
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
NANCE FREDERICK
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
POLLOCK LARRY
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
REIDY WILLIAM
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
ROSS RONALD J
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
SABANEGH EDMUND MD
DEPT CHR - UROLOGY, DIRECTOR	50.00	Yes (X)		$680,581	$0	$42,913
WEISS MORRY
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
WEINBERG RONALD
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
DICORLETO PAUL E PHD
CHR - RESEARCH INST (RETIREE)	50.00		Yes (X)	$1,882,272	$0	$40,772
GLASS STEVEN C
CFO & TREASURER	50.00		Yes (X)	$1,327,447	$0	$41,202
HARRINGTON MICHAEL
CAO & CONTROLLER	50.00		Yes (X)	$649,717	$0	$45,757
MCHUGH LINDA
ASSISTANT SECRETARY	50.00		Yes (X)	$398,183	$0	$42,449
MEEHAN MICHAEL
RECORDING SECRETARY	50.00		Yes (X)	$326,607	$0	-$25,810
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00		Yes (X)	$1,186,421	$0	$47,990
ROWAN DAVID W
CHIEF LEGAL OFFICER	50.00		Yes (X)	$1,195,877	$0	$45,764
HARRISON A MARC
CHIEF INTL BUS DEVELOPMENT	50.00			$1,619,393	$0	$135,895	Yes (X)
MIHALJEVIC TOMISLAV
CHIEF EXEC OFFICER - CCAD	50.00			$2,049,437	$0	$151,228	Yes (X)
COULTON ROBERT
EXEC DIR - OPSA (2015 RETIREE)	50.00			$2,336,382	$0	-$46,039		Yes (X)
SAVAGE ROBERT
PHYSICIAN (2015 RETIREE)	50.00			$1,632,840	$0	$223,896		Yes (X)
BELL GORDON
PHYSICIAN (2015 RETIREE)	50.00			$1,831,660	$0	-$130,770		Yes (X)
HAHN JOSEPH
PHYSICIAN (RETIREE)	50.00			$1,688,110	$0	-$145,598		Yes (X)
COSTIN JOHN
INSTITUTE CHAIRMAN	50.00			$1,461,702	$0	$43,885		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$27,657,101	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	-$1,773,433	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4560	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 121102	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SERVICES	$23,010,527
STRATEGIC INVESTMENT GROUP
1001 19TH ST N 16TH FLR	ARLINGTON	VA	22209	INVESTMENT MANAGEMENT	$11,065,942
ADCOM GROUP INC
1370 WEST 6TH ST3RD FLR	CLEVELAND	OH	44113	MARKETING	$10,762,577
DONLEYS INC
11000 EUCLID AVE	CLEVELAND	OH	44106	CONSTRUCTION SERVICES	$9,258,408
SODEXO
1669 PHOENIX PARKWAY 210	COLLEGE PARK	GA	30349	LAUNDRY & FOOD SERVICE	$8,333,241

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	450	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$55,881,233	FederatedCampaignsAmt
Fundraising	$6,720,308	FundraisingAmt
Related Organizations	$1,736	RelatedOrganizationsAmt
Government Grants	$103,147,251	GovernmentGrantsAmt
All Other Contributions	$60,480,120	AllOtherContributionsAmt
Noncash Contributions	$60,532,195	NoncashContributionsAmt
Total Contributions	$226,230,648	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	621990	$2,988,177,218	$2,988,177,218
MEDICARE/MEDICAID PAYM	921990	$1,544,687,378	$1,544,687,378
OTHER PROGRAM SERVICES	900099	$227,534,095	$221,408,355	$6,125,740
PARKING, PHONE & OTHER	812930	$52,152,374			$52,152,374
MANAGEMENT FEES	561000	$20,962,281	$8,052,292	$12,909,989

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,505,165	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,496,037	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$32,009,128	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,869,018,511	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,898,440	TotalRevenueColumnAmt
Exclusion	$58,898,440	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,741,461	TotalRevenueColumnAmt
Exclusion	$14,741,461	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,936,522	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$8,936,522	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,936,522	TotalRevenueColumnAmt
Exclusion	$8,936,522	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,171,527,026	SecuritiesAmt
Other	$69,303	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,080,137,942	SecuritiesAmt
Other	$2,592,399	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$91,389,084	SecuritiesAmt
Other	-$2,523,096	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,865,988	TotalRevenueColumnAmt
Exclusion	$88,865,988	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$567,935	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$6,720,308	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$3,994,398	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,426,463	TotalRevenueColumnAmt
Exclusion	-$3,426,463	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INCOME (LOSS) ON INVES	523000	$44,378,305	-$774,526	$45,152,831
INVESTMENT IN AFFILIAT	523000	$43,529,075		$43,529,075
FOREIGN CURRENCY	525990	$610,292		$610,292

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$22,141,482	TotalRevenueColumnAmt
Exclusion	-$22,141,482	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$66,376,190	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,329,641,297	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,765,821,280	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$50,270,331	UnrelatedBusinessRevenueAmt
Exclusion	$287,319,038	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,798,011	TotalAmt
Program Services	$27,798,011	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$90,155,726	TotalAmt
Program Services	$90,155,726	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$854,786	TotalAmt
Program Services	$854,786	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$16,987,599	TotalAmt
Program Services	$4,882,742	ProgramServicesAmt
Management And General	$12,104,857	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,103,158,400	TotalAmt
Program Services	$1,827,520,772	ProgramServicesAmt
Management And General	$268,356,617	ManagementAndGeneralAmt
Fundraising	$7,281,011	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$101,336,035	TotalAmt
Program Services	$87,986,521	ProgramServicesAmt
Management And General	$12,930,170	ManagementAndGeneralAmt
Fundraising	$419,344	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$297,754,265	TotalAmt
Program Services	$258,934,692	ProgramServicesAmt
Management And General	$37,992,539	ManagementAndGeneralAmt
Fundraising	$827,034	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$142,264,173	TotalAmt
Program Services	$123,614,571	ProgramServicesAmt
Management And General	$18,152,476	ManagementAndGeneralAmt
Fundraising	$497,126	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,330,485	TotalAmt
Program Services	$2,905,525	ProgramServicesAmt
Management And General	$424,960	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,699,360	TotalAmt
Program Services	$4,972,139	ProgramServicesAmt
Management And General	$727,221	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,355,081	TotalAmt
Management And General	$1,355,081	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$626,025	TotalAmt
Program Services	$626,025	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,683,301	TotalAmt
Fundraising	$1,683,301	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$12,048,813	TotalAmt
Management And General	$12,048,813	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$163,115,960	TotalAmt
Program Services	$140,833,972	ProgramServicesAmt
Management And General	$20,813,101	ManagementAndGeneralAmt
Fundraising	$1,468,887	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$29,077,629	TotalAmt
Program Services	$25,313,174	ProgramServicesAmt
Management And General	$3,710,217	ManagementAndGeneralAmt
Fundraising	$54,238	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$50,146,071	TotalAmt
Program Services	$43,417,507	ProgramServicesAmt
Management And General	$6,398,486	ManagementAndGeneralAmt
Fundraising	$330,078	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$66,704,564	TotalAmt
Program Services	$58,088,563	ProgramServicesAmt
Management And General	$8,511,300	ManagementAndGeneralAmt
Fundraising	$104,701	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$4,898,090	TotalAmt
Program Services	$4,273,109	ProgramServicesAmt
Management And General	$624,981	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$95,543,485	TotalAmt
Program Services	$83,352,427	ProgramServicesAmt
Management And General	$12,191,058	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$18,116,819	TotalAmt
Program Services	$15,436,683	ProgramServicesAmt
Management And General	$2,311,651	ManagementAndGeneralAmt
Fundraising	$368,485	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,699,088	TotalAmt
Program Services	$5,607,236	ProgramServicesAmt
Management And General	$854,783	ManagementAndGeneralAmt
Fundraising	$237,069	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$94,172,114	TotalAmt
Program Services	$82,156,039	ProgramServicesAmt
Management And General	$12,016,075	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$248,259,178	TotalAmt
Program Services	$216,545,321	ProgramServicesAmt
Management And General	$31,677,116	ManagementAndGeneralAmt
Fundraising	$36,741	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$42,502,350	TotalAmt
Program Services	$37,079,179	ProgramServicesAmt
Management And General	$5,423,171	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$865,512,700	$865,512,700
BAD DEBT EXPENSE	$129,492,012	$129,492,012
EQUIPMENT RENTAL & MAIN	$77,641,280	$67,706,407	$9,906,791	$28,082
STATE FRANCHISE FEE	$39,923,043	$39,923,043

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$57,782,869	TotalAmt
Program Services	$53,018,109	ProgramServicesAmt
Management And General	$4,621,641	ManagementAndGeneralAmt
Fundraising	$143,119	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,794,639,312	TotalAmt
Program Services	$4,298,006,991	ProgramServicesAmt
Management And General	$483,153,105	ManagementAndGeneralAmt
Fundraising	$13,479,216	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$166,965,561	BOYAmt
EOY	$286,518,858	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,158,815	BOYAmt
EOY	$11,247,454	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$188,417,278	BOYAmt
EOY	$185,192,090	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$607,448,000	BOYAmt
EOY	$682,297,457	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$5,559,617	BOYAmt
EOY	$6,056,685	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,578,038	BOYAmt
EOY	$10,779,355	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$77,523,678	BOYAmt
EOY	$80,964,447	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$27,929,428	BOYAmt
EOY	$38,333,021	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,361,794,450	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,823,041,900	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,452,476,661	BOYAmt
EOY	$2,538,752,550	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,534,524,488	BOYAmt
EOY	$2,291,976,054	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,147,730,157	BOYAmt
EOY	$2,256,212,917	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$12,000,000	BOYAmt
EOY	$12,000,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,954,051	BOYAmt
EOY	$56,571,825	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$557,504,489	BOYAmt
EOY	$612,959,157	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,846,770,261	BOYAmt
EOY	$9,069,861,870	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$631,326,929	BOYAmt
EOY	$701,145,678	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$179,000	BOYAmt
EOY	$203,000	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$95,949,754	BOYAmt
EOY	$97,122,689	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,482,496,424	BOYAmt
EOY	$2,446,272,503	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$90,013,960	BOYAmt
EOY	$36,471,901	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$97,503,999	BOYAmt
EOY	$108,360,527	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,371,783,322	BOYAmt
EOY	$1,302,367,860	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,769,253,388	BOYAmt
EOY	$4,691,944,158	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,451,744,024	BOYAmt
EOY	$3,666,994,974	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$385,941,764	BOYAmt
EOY	$447,595,723	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$239,831,085	BOYAmt
EOY	$263,327,015	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,077,516,873	BOYAmt
EOY	$4,377,917,712	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,846,770,261	BOYAmt
EOY	$9,069,861,870	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$535,001,985	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$197,137,378	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$650,000	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$38,113,768	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$230,990,120	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$231,877,777	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$217,746,821	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$247,936,164	CurrentTaxYearMinus1YearAmt
Current Tax Year	$226,230,648	CurrentTaxYearAmt
Total	$1,154,781,530	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$230,990,120	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$231,877,777	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$217,746,821	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$247,936,164	CurrentTaxYearMinus1YearAmt
Current Tax Year	$226,230,648	CurrentTaxYearAmt
Total	$1,154,781,530	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$9,094,705	SubstantialContributorsTotAmt
Public Support Total170	$1,145,686,825	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$69,661,664	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$73,634,612	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$81,291,626	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$78,908,086	CurrentTaxYearMinus1YearAmt
Current Tax Year	$82,576,423	CurrentTaxYearAmt
Total	$386,072,411	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$17,682,076	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$73,659,562	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$169,623,102	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$66,618,979	CurrentTaxYearMinus1YearAmt
Current Tax Year	$88,700,962	CurrentTaxYearAmt
Total	$416,284,681	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,957,138,622	TotalSupportAmt
Gross Receipts Rltd Activities	$21,882,595,978	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.58540	PublicSupportCY170Pct
Public Support PY170	0.60850	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	INCOMELOSS ON INVESTMENTS - 2011 AMOUNT: $ 17,682,031. 2012 AMOUNT: $ 73,581,934. 2013 AMOUNT: $ 105,143,245. 2014 AMOUNT: $ 66,455,024. 2015 AMOUNT: $ 44,378,305. FOREIGN CURRENCY - 2012 AMOUNT: $ 77,628. 2015 AMOUNT: $ 610,292. MISCELLANEOUS INCOME - 2011 AMOUNT: $ 45. 2014 AMOUNT: $ 17,623. GROSS INCOME FROM GAMING - 2013 AMOUNT: $ 19,855. 2014 AMOUNT: $ 146,332. DERIVATIVE INCOME - 2013 AMOUNT: $ 64,077,165. CANCELLATION OF DEBT - 2013 AMOUNT: $ 382,837. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,290.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$9,180	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$508,865	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$73,247	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$34,733	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$626,025	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C - PART II-B, LINES 1B-1I	FormAndLineReferenceDesc
Explanation	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 SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Total Easements	2	TotalEasementsCnt
Total Acreage	50.05	TotalAcreageCnt
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	0	HistoricStrctrEasementsAftrCnt
Modified Easements	1	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	Yes (1)	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	71.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$11,000	ExpensesIncurredEnforcementAmt

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$258,255,184	BeginningYearBalanceAmt
Contributions	$23,968,927	ContributionsAmt
Investment Earnings Or Losses	-$918,904	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,244,412	OtherExpendituresAmt
End Year Balance	$274,060,795	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$243,662,812	BeginningYearBalanceAmt
Contributions	$8,934,335	ContributionsAmt
Investment Earnings Or Losses	$14,503,200	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,670,162	OtherExpendituresAmt
End Year Balance	$258,255,184	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,890,438	BeginningYearBalanceAmt
Contributions	$18,444,444	ContributionsAmt
Investment Earnings Or Losses	$24,356,278	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,028,347	OtherExpendituresAmt
End Year Balance	$243,662,812	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$174,481,177	BeginningYearBalanceAmt
Contributions	$12,707,046	ContributionsAmt
Investment Earnings Or Losses	$21,848,808	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,146,594	OtherExpendituresAmt
End Year Balance	$206,890,438	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$160,993,688	BeginningYearBalanceAmt
Contributions	$11,644,587	ContributionsAmt
Investment Earnings Or Losses	$3,337,378	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,494,476	OtherExpendituresAmt
End Year Balance	$174,481,177	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$233,662,829	OtherCostOrOtherBasisAmt
Book Value	$233,662,829	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,933,807,235	OtherCostOrOtherBasisAmt
Depreciation	$1,505,321,569	DepreciationAmt
Book Value	$1,428,485,666	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,093,876	OtherCostOrOtherBasisAmt
Depreciation	$57,256,917	DepreciationAmt
Book Value	$19,836,959	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,712,662,773	OtherCostOrOtherBasisAmt
Depreciation	$1,193,461,662	DepreciationAmt
Book Value	$519,201,111	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$404,567,737	OtherCostOrOtherBasisAmt
Depreciation	$67,001,752	DepreciationAmt
Book Value	$337,565,985	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,538,752,550	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$1,310,456,257	F
PRIVATE EQUITY	$541,008,903	F
REAL ESTATE	$404,747,757	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,256,212,917	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
UNAMORTIZED FINANCING COSTS	$22,924,259
OTHER ASSETS	$149,327,705
PERPETUAL & BENEFICIAL TRUSTS	$54,601,620
INVESTMENT IN AFFILIATES	$137,313,703
DUE FROM AFFILIATES	$248,791,870

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$612,959,157	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$96,770	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
ACCRUED PENSION	$564,347,785
OTHER LIABILITIES	$57,957,014
ACCRUED BENEFITS	$160,752,121
FUTURE GIFT ANNUITY PAYMENTS	$8,078,258
DEFERRED ANNUITY TRUST	$575,227
INTEREST RATE SWAPS	$152,451,994
UNAMORTIZED BOND PREMIUM	$53,874,725
DUE TO AFFILIATES	$304,233,966

Field	Value	IRS element (for citing)
Total Liability	$1,302,367,860	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE CLEVELAND CLINIC HEALTH SYSTEM'S 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, 2015 AND 2014, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $4.1 MILLION AND $9.7 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.
PART V, LINE 4	THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE.
PART II, LINE 9	THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO TWO WETLANDS LOCATED ON THE CLEVELAND CLINIC FOUNDATION'S PROPERTY IN TWINSBURG, 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.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (16 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA & THE CARRIBEAN	0	0	PROGRAM SERVICES	WHOLLY-OWNED FOREIGN INSURANCE COMPANY	$37,089,007
NORTH AMERICA	0	0	PROGRAM SERVICES	WHOLLY-OWNED FOREIGN SUBSIDIARY THAT OPERATES A MEDICAL CLINIC IN TORONTO, CANADA	$29,647,142
EUROPE	1	1	PROGRAM SERVICES	PROMOTION OF HEALTHCARE	$358,702
MIDDLE EAST & NORTH AFRICA	1	14	PROGRAM SERVICES	PROMOTION OF HEALTHCARE	$2,472,917
MIDDLE EAST & NORTH AFRICA	1	6	UNRELATED BUSINESS		$3,691,157
CENTRAL AMERICA & CARRIBEAN	0	0	FUNDRAISING
EAST ASIA & PACIFIC	0	0	FUNDRAISING
EUROPE	0	0	FUNDRAISING		$8,997
MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING		$74,912
NORTH AMERICA	0	0	FUNDRAISING		$1,490
SOUTH AMERICA	0	0	FUNDRAISING
SOUTH ASIA	0	0	FUNDRAISING
SUB-SAHARAN AFRICA	0	0	FUNDRAISING
EUROPE	0	0	INVESTING		$285,758,163
CENTRAL AMERICA & CARRIBEAN	0	0	INVESTING		$643,417,303
NORTH AMERICA	0	0	INVESTING		$52,690,819

Field	Value	IRS element (for citing)
Subtotal Offices	3	SubtotalOfficesCnt
Subtotal Employees	21	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	3	TotalOfficeCnt
Total Employee	21	TotalEmployeeCnt
Subtotal Spent	$73,267,922	SubtotalSpentAmt
Continuation Spent	$981,942,687	ContinuationSpentAmt
Total Spent	$1,055,210,609	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (16 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
EUROPE	RESEARCH	$101,607	CHECK
EUROPE	RESEARCH	$55,070	CHECK
EUROPE	RESEARCH	$29,002	CHECK
EUROPE	RESEARCH	$38,564	CHECK
EUROPE	RESEARCH	$56,271	CHECK
SOUTH ASIA	RESEARCH	$52,537	CHECK
NORTH AMERICA	RESEARCH	$10,000	CHECK
SOUTH AMERICA	RESEARCH	$7,140	CHECK
EUROPE	RESEARCH	$58,109	CHECK
NORTH AMERICA	RESEARCH	$38,243	CHECK
SOUTH ASIA	RESEARCH	$8,500	CHECK
EAST ASIA & PACIFIC	RESEARCH	$20,000	CHECK
EAST ASIA & PACIFIC	RESEARCH	$10,000	CHECK
NORTH AMERICA	RESEARCH	$26,467	CHECK
EAST ASIA & PACIFIC	RESEARCH	$11,422	CHECK
NORTH AMERICA	RESEARCH	$278,144	CHECK

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	5	TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (3 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
RESEARCH	EAST ASIA & PACIFIC	1	$10,000	CHECK
RESEARCH	NORTH AMERICA	1	$6,298	CHECK
RESEARCH	EUROPE	1	$7,500	CHECK

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
BLACKBAUD
2000 DANIEL ISLAND DR	CHARLESTON	SC	29492	ONLINE GIVING	0	$2,608,101	$275,418	$2,332,683
RR DONNELLEY
111 SOUTH WACKER DRIVE	CHICAGO	IL	60606	DIRECT MAIL	0	$862,649	$1,042,329	-$179,680
HARRIS CONNECT LLC
1511 ROUTE 22 STE C-25	BREWSTER	NY	10509	PHONE SOLICITATION	0	$269,711	$365,554	-$95,843

Field	Value	IRS element (for citing)
Total Gross Receipts	$3,740,461	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,683,301	TotalRetainedByContractorsAmt
Total Net To Organization	$2,057,160	TotalNetToOrganizationAmt
Licensed States	AK	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WY	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	WV	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CARES GALA	Event1Nm
Gross Receipts Event1	$1,315,294	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,045,809	CharitableContriEvent1Amt
Gross Revenue Event1	$269,485	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$150,152	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$168,734	FoodAndBeverageEvent1Amt
Entertainment Event1	$285,965	EntertainmentEvent1Amt
Other Direct Expenses Event1	$141,653	OtherDirectExpensesEvent1Amt
Event2	VELOSANO	Event2Nm
Gross Receipts Event2	$4,479,826	GrossReceiptsEvent2Amt
Charitable Contri Event2	$4,305,507	CharitableContriEvent2Amt
Gross Revenue Event2	$174,319	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$128,760	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$109,564	FoodAndBeverageEvent2Amt
Entertainment Event2	$46,933	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,194,569	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$1,493,123	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,368,992	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$124,131	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$78,516	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$180,785	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$35,537	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$1,473,230	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$7,288,243	GrossReceiptsTotalAmt
Charitable Contributions Tot	$6,720,308	CharitableContributionsTotAmt
Gross Revenue Total Events	$567,935	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$357,428	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$459,083	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$368,435	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$2,809,452	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$3,994,398	DirectExpenseSummaryEventsAmt
Net Income Summary	-$3,426,463	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,429,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,429,505	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$510,734,156	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,532,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$153,202,093	NetCommunityBenefitExpnsAmt
Total Expense	0.03290	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$549,163,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,532,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$191,631,598	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,468,415	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,454,865	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$217,851,453	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,455,954	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$190,395,499	NetCommunityBenefitExpnsAmt
Total Expense	0.04080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,166,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,115,507	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,050,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$199,139,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$133,743,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,396,279	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,607,389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$425,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,181,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$453,233,304	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$165,753,901	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$287,479,403	NetCommunityBenefitExpnsAmt
Total Expense	0.06170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,002,396,965	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$523,285,964	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$479,111,001	NetCommunityBenefitExpnsAmt
Total Expense	0.10280	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$198	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$198	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$193,582	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$193,582	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,896	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,896	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,283	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,283	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,601	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,601	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,987	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,987	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,701	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,701	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$297,666	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$297,666	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$130,272,350	BadDebtExpenseAmt
Reimbursed By Medicare	$522,702,113	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$540,275,654	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,573,541	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE CLEVELAND CLINIC FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9500 EUCLID AVENUE	AddressLine1Txt
City	CLEVELAND	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44195	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CLEVELANDCLINIC.ORG	WebsiteAddressTxt
State License	OH STATE ID 1151AHR	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE CLEVELAND CLINIC FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CLEVELANDCLINIC.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CLEVELANDCLINIC.ORG	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CLEVELANDCLINIC.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CLEVELANDCLINIC.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CLEVELANDCLINIC.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. 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, SUCH AS A REPRESENTATIVE FROM THE RELEVANT COUNTY HEALTH DEPARTMENT, CITY GOVERNMENT, AND/OR OR STATE GOVERNMENT. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, TRIPP UMBACH, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT (SEE APPENDIX C ). A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE RELEVANT HOSPITAL FACILITY'S CHNA. FOCUS GROUPS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS TWO OR THREE GROUPS THAT WERE OF SPECIAL IMPORTANCE IN THAT HOSPITAL FACILITY'S COMMUNITY, INCLUDING SUCH GROUPS AS THE ELDERLY, THOSE WITH LIMITED ENGLISH PROFICIENCY, THOSE WITH CERTAIN CHRONIC HEALTH CONDITIONS, AND THOSE WITH ACCESS ISSUES. FOCUS GROUP DISCUSSIONS WERE FACILITATED BY TRIPP UMBACH. A LIST OF THE FOCUS GROUPS CONDUCTED BY EACH HOSPITAL FACILITY IS IDENTIFIED IN THE SECTION OF THE RELEVANT FACILITY'S CHNA ENTITLED "FOCUS GROUPS WITH COMMUNITY RESIDENTS, AND A DETAILED SUMMARY OF THE RESULTS IS LOCATED IN APPENDIX D AND SUBSEQUENT APPENDICES OF THE RELEVANT 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: CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LAKEWOOD HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC HOSPITAL FACILITIES WERE THE FOLLOWING: CHRONIC DISEASES AND HEALTH CONDITIONS, WELLNESS, ACCESS TO HEALTH SERVICES, RESEARCH AND EDUCATION, ACCESS TO COMMUNITY SERVICES AND ECONOMIC AND COMMUNITY DEVELOPMENT. IN ALL CASES, THE NEEDS THAT CLEVELAND CLINIC HOSPITAL FACILITIES WILL NOT ADDRESS ARE ACCESS TO COMMUNITY SERVICES ( THE AVAILABILITY AND AWARENESS OF COMMUNITY SERVICES OFFERED BY GOVERNMENTAL AND NONPROFIT ORGANIZATIONS) AND ECONOMIC AND COMMUNITY DEVELOPMENT (NEED FOR MORE HOUSING OPTIONS, READILY ACCESSIBLE TRANSPORTATION AND GROCERY STORES, AND BETTER EMPLOYMENT). CLEVELAND CLINIC HOSPITAL FACILITIES CANNOT DIRECTLY ADDRESS THOSE NEEDS THAT DO NOT RELATE TO THEIR MISSION OF TO DELIVER HEALTH CARE. THESE ARE NEEDS FOR WHICH GOVERNMENTAL AND OTHER AGENCIES HAVE THE MORE APPROPRIATE EXPERTISE AND RESOURCES. HOWEVER, THE HOSPITAL FACILITIES DO AND WILL CONTINUE TO COLLABORATE WITH COMMUNITY ORGANIZATIONS. IN ADDITION, THE HOSPITAL FACILITIES DO AND WILL CONTINUE TO SUPPORT LOCAL CHAMBERS OF COMMERCE AND COMMUNITY DEVELOPMENT ORGANIZATIONS, COLLABORATE WITH LEADERS OF REGIONAL ECONOMIC IMPROVEMENT AND PROVIDE IN-KIND DONATION OF TIME, SKILL AND/OR SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS. HOW EACH FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORTS.THE CLEVELAND CLINIC FOUNDATION IDENTIFIED THE FOLLOWING NEEDS IN THE CHNA THAT HAVE NOT BEEN ADDRESSED: ACCESS TO COMMUNITY SERVICES - THIS NEED RELATES TO THE AVAILABILITY AND AWARENESS OF COMMUNITY SERVICES COVERED BY GOVERNMENTAL AND NON-PROFIT ORGANIZATIONS UNRELATED TO THE CLEVELAND CLINIC. ALTHOUGH IMPORTANT AND MAY IMPACT A PERSON'S HEALTH STATUS, THIS NEED DOES NOT RELATE DIRECTLY TO THE DELIVERY OF HEALTH CARE AND/OR IS A NEED GOVERNMENTAL OR OTHER AGENCIES HAVE THE EXPERTISE NECESSARY TO ADDRESS.ECONOMIC AND COMMUNITY DEVELOPMENT - THIS NEED INCLUDES MORE HOUSING OPTIONS, READILY ACCESSIBLE TRANSPORTATION AND GROCERY STORES, AND BETTER EMPLOYMENT AND CRIME RATES. CLEVELAND CLINIC CANNOT FOCUS OR OTHERWISE ADDRESS THE NEED FOR TRANSPORTATION OR OTHER COMMUNITY SERVICE UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CLEVELAND CLINIC IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY, IT DOES AND WILL CONTINUE TO SUPPORT LOCAL CHAMBERS OF COMMERCE AND COMMUNITY DEVELOPMENT ORGANIZATIONS, COLLABORATE WITH LEADERS OF REGIONAL ECONOMIC IMPROVEMENT AND PROVIDE IN-KIND DONATION OF TIME, SKILL AND/OR SPONSORSHIP TO SUPPORT EFFORTS IN THESE AREAS.
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 25% 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 CCHS. UNINSURED PATIENTS THAT CCHS 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 16I: 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, CCHS 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.

Field	Value	IRS element (for citing)
Facility	149	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (149 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - RICHARD E JACOBS HEALTH CENTER
33100 CLEVELAND CLINIC BOULEVARD	AVON	OH	44011	FAMILY HEALTH CENTER
2 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD	BEACHWOOD	OH	44122	FAMILY HEALTH CENTER
3 - INDEPENDENCE FAMILY HEALTH CENTER
5001 ROCKSIDE RD CROWN CENTRE II	INDEPENDENCE	OH	44131	FAMILY HEALTH CENTER
4 - LORAIN FAMILY HEALTH & SURGERY CENTER
5700 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
5 - WILLOUGHBY HILLS FAMILY HEALTH CENTER
2550 2570 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
6 - WOOSTER FAMILY HEALTH CENTER
1740 CLEVELAND ROAD	WOOSTER	OH	44691	FAMILY HEALTH CENTER
7 - CLEVELAND CLINIC CANCER CENTERS
417 QUARRY LAKES DRIVE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
8 - HILLCREST MEDICAL OFFICE I & II
6803 MAYFIELD ROAD	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
9 - BRUNSWICK FAMILY HEALTH CENTER
3574 CENTER ROAD	BRUNSWICK	OH	44212	FAMILY HEALTH CENTER
10 - CLEVELAND CLINIC CANCER CENTERS
1125 ASPIRA COURT	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
11 - SOLON FAMILY HEALTH CENTER
29800 BAINBRIDGE ROAD	SOLON	OH	44139	FAMILY HEALTH CENTER
12 - ELYRIA FAMILY HEALTH & SURGERY CENTER
303 CHESTNUT COMMONS DRIVE	ELYRIA	OH	44035	FAMILY HEALTH CENTER
13 - SUPERIOR MEDICAL SHEFFIELD FAMILY HEALTH
5334 MEADOW LANE CT	SHEFFIELD VILLAGE	OH	44035	OUTPATIENT PHYSICIAN CLINIC
14 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER
5900 LANDERBROOK DRIVE	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
15 - CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON STREET	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
16 - AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
17 - STEPHANIE TUBBS JONES HEALTH CENTER
13944 EUCLID AVENUE	EAST CLEVELAND	OH	44112	FAMILY HEALTH CENTER
18 - CLEVELAND CLINIC UROLOGICAL INSTITUTE
20997 LORAIN	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
19 - CLEVELAND CLINIC LYNDHURST CAMPUS
1950 RICHMOND ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
20 - SUPERIOR MEDICAL AMHERST FAMILY HEALTH C
5172 LEAVITT ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
21 - OHIO RENAL CARE GROUP PDHOME DIALYSIS P
11203 STOKES BOULEVARD	CLEVELAND	OH	44104	DIALYSIS CENTER & DIAGNOSTIC CENTER
22 - SAGAMORE HILLS MEDICAL CENTER I
863 WEST AURORA ROAD	SAGAMORE HILLS	OH	44067	OUTPATIENT PHYSICIAN CLINIC
23 - SPORTS HEALTH CENTER
5595 TRANSPORTATION BOULEVARD	GARFIELD HEIGHTS	OH	44125	OUTPATIENT PHYSICIAN CLINIC
24 - MENTOR MEDICAL OFFICE
7060 WAYSIDE DRIVE	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
25 - CCF GASTROENTEROLOGY
7530 FREDLE DRIVE	CONCORD	OH	44077	OUTPATIENT PHYSICIAN CLINIC
26 - COMMUNITY PEDIATRICS
8254 MAYFIELD ROAD	CHESTERLAND	OH	44026	OUTPATIENT PHYSICIAN CLINIC
27 - MADISON MEDICAL OFFICE
2999 MCMACKIN ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
28 - MENTOR REHABILITATION AND SPORTS THERAPY
7533 CENTER STREET	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
29 - NORTH RIDGEVILLE MEDICAL OFFICE
35105 CENTER RIDGE ROAD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
30 - CLEVELAND CLINIC SUPERIOR MEDICAL SLEEP
1959 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	DIAGNOSTIC CENTER
31 - GEMINI RECREATION CENTER
21225 LORAIN ROAD	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
32 - OHIO RENAL CARE GROUP WESTLAKE
26024 DETROIT AVENUE	WESTLAKE	OH	44145	DIALYSIS CENTER
33 - WILLOUGHBY HILLS BEHAVIORAL HEALTH
2785 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
34 - WESTLAKE MEDICAL CAMPUS B
805 COLUMBIA ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
35 - LORAIN ORTHOPAEDICS
5275 NORTH ABBE ROAD	ELYRIA	OH	44035	OUTPATIENT PHYSICIAN CLINIC
36 - EUCLID MEDICAL OFFICE
99 NORTHLINE CIRCLE	EUCLID	OH	44119	OUTPATIENT PHYSICIAN CLINIC
37 - BRUNSWICK EMERGENCY CARE
3724 CENTER ROAD	BRUNSWICK	OH	44212	OUTPATIENT PHYSICIAN CLINIC
38 - SOUTH RUSSELL FAMILY PRACTICE
5192 CHILLICOTHE ROAD	SOUTH RUSSELL	OH	44022	OUTPATIENT PHYSICIAN CLINIC
39 - BROOKLYN CORPORATE CENTER
7580 NORTHCLIFF AVENUE	BROOKLYN	OH	44144	OUTPATIENT PHYSICIAN CLINIC
40 - MARYMOUNT REHABILITATION AND SPORTS THER
2525 EAST ROYALTON ROAD	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
41 - OHIO RENAL CARE GROUP SOLON
6020 ENTERPRISE PARKWAY	SOLON	OH	44139	DIALYSIS CENTER
42 - OHIO RENAL CARE GROUP FARNSWORTH
3764 PEARL RD	CLEVELAND	OH	44109	DIALYSIS CENTER
43 - LAKEWOOD TEEN HEALTH CENTER
15644 MADISON AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
44 - BAINBRIDGE URGENT CARE
17747 CHILLICOTHE ROAD STE 100	BAINBRIDGE	OH	44023	OUTPATIENT PHYSICIAN CLINIC
45 - CHARDON REHABILITATION AND SPORTS THERAP
325 CENTER STREET	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
46 - CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD ROAD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
47 - LAKEWOOD PROFESSIONAL BUILDING
14601 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
48 - OHIO RENAL CARE GROUP OF NORTH RANDALL
4750 NORTHFIELD ROAD	NORTH RANDALL	OH	44128	DIALYSIS CENTER
49 - OHIO RENAL CARE GROUP EUCLID
26450 EUCLID AVENUE	EUCLID	OH	44132	DIALYSIS CENTER
50 - LORAIN KOLCZUN ORTHOPAEDICS
5800 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
51 - THERAPY SERVICES CUYAHOGA FALLS
63 GRAHAM ROAD	CUYAHOGA FALLS	OH	44223	OUTPATIENT PHYSICIAN CLINIC
52 - OHIO RENAL CARE GROUP OHIO ACUTES
2500 METROHEALTH DRIVE	CLEVELAND	OH	44109	DIALYSIS CENTER
53 - SEVERANCE MEDICAL ARTS
5 SEVERANCE CIRCLE	CLEVELAND HEIGHTS	OH	44118	OUTPATIENT PHYSICIAN CLINIC
54 - OHIO RENAL CARE GROUP WADSWORTH
1160 WILLIAMS RESERVE BLVD	WADSWORTH	OH	44281	DIALYSIS CENTER
55 - OBERLIN OPHTHALMOLOGYLAKELAND EYE
309 WEST LORAIN STREET	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
56 - LAKEWOOD MEDICAL BUILDING
1450 BELLE AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
57 - OHIO RENAL CARE GROUP LAKEWOOD
13900 DETROIT RD	LAKEWOOD	OH	44109	DIALYSIS CENTER
58 - OHIO RENAL CARE GROUP MENTOR
8840 TYLER BLVD	MENTOR	OH	44060	DIALYSIS CENTER
59 - WESTOWN PHYSICIAN CENTER
10654 LORAIN AVENUE	CLEVELAND	OH	44111	OUTPATIENT PHYSICIAN CLINIC
60 - MOHICAN EYE CENTER
637 NORTH UNION STREET	LOUDONVILLE	OH	44842	OUTPATIENT PHYSICIAN CLINIC
61 - SUGARBUSH EYE AND LASER CENTER
1456 PARK AVENUE WEST STE P	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
62 - SAGAMORE HILLS MEDICAL OFFICE II
885 WEST AURORA RD	NORTHFIELD	OH	44067	OUTPATIENT PHYSICIAN CLINIC
63 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY
3838 MASSILLON ROAD STE 370	UNIONTOWN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
64 - NPCS - CANAL PLACE
520 SOUTH MAIN STREET	AKRON	OH	44311	OUTPATIENT PHYSICIAN CLINIC
65 - BROOKPARK COMPREHENSIVE FAMILY CARE
14401 SNOW ROAD	BROOKPARK	OH	44142	OUTPATIENT PHYSICIAN CLINIC
66 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL
3733 PARK EAST DRIVE STE 105	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
67 - THE LANGSTON HUGHES CENTER CLEVELAND CLI
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
68 - NPCS - AGMC HEALTH & WELLNESS NORTH
4302 ALLEN ROAD	STOW	OH	44224	OUTPATIENT PHYSICIAN CLINIC
69 - SALOMONE PRACTICE
9500 MENTOR AVENUE	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
70 - NPCS - KENT
401 DEVON PLACE	KENT	OH	44240	OUTPATIENT PHYSICIAN CLINIC
71 - SPORTS HEALTH AT THE JEWISH COMMUNITY CE
26001 SOUTH WOODLAND ROAD	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
72 - INDEPENDENCE CANCER CENTER
6100 WEST CREEK ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
73 - CLEVELAND EAR NOSE THROAT & ALLERGY CE
6707 POWERS BLVD STE 202 202A	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
74 - THERAPY SERVICES WEST
826 WESTPOINT PKWY STE 1200	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
75 - CLEVELAND CLINIC PEDIATRIC CARDIOLOGY
4848 HIGBEE AVENUE NW	CANTON	OH	44718	OUTPATIENT PHYSICIAN CLINIC
76 - COMMUNITY PEDIATRICS
1 MEMORY LANE	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
77 - RECOVERY RESOURCES
4269 PEARL ROAD	CLEVELAND	OH	44109	OUTPATIENT PHYSICIAN CLINIC
78 - ACCESS TO CARE
29000 AURORA ROAD	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
79 - ASHTABULA COUNTY MEDICAL CENTER
2422 LAKE AVENUE	ASHTABULA	OH	44004	OUTPATIENT PHYSICIAN CLINIC
80 - AVON HEALTH AND WELLNESS
38530 CHESTER ROAD	AVON	OH	44011	OUTPATIENT PHYSICIAN CLINIC
81 - AVON LAKE SPECIALTY SERVICES OFFICE
445 AVON BELDEN ROAD	AVON LAKE	OH	44012	OUTPATIENT PHYSICIAN CLINIC
82 - BOARDMAN STAR IMAGING
7067 TIFFANY BOULEVARD	BOARDMAN	OH	44512	DIAGNOSTIC CENTER
83 - BROOKPARK PHYSICIAN CENTER
15900 SNOW ROAD	BROOKPARK	OH	44142	OUTPATIENT PHYSICIAN CLINIC
84 - CARDIOTHORACIC SURGERY
6681 RIDGE ROAD	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
85 - CCF GASTROENTEROLOGY
3700 PARK EAST DRIVE	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
86 - CCF RESPIRATORY INSTITUTE
4494 STATE ROUTE 43	KENT	OH	44240	OUTPATIENT PHYSICIAN CLINIC
87 - CENTER FOR INTEGRATED MEDICINE AND PEAK
1 EAGLE VALLEY COURT	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
88 - CHARDON ROAD MEDICAL OFFICE BUILDING
34500 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
89 - CHILDRENS THERAPY SERVICES - SOUTH
7043 PEARL ROAD	MIDDLEBURG HEIGHTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
90 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS
3275 SCIENCE PARK DRIVE BLDG 5	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
91 - CLEVELAND CLINIC CHILDREN'S HOSPITAL
981 WOOSTER ROAD	MILLERSBURG	OH	44654	OUTPATIENT PHYSICIAN CLINIC
92 - CLEVELAND CLINIC CHILDREN'S HOSPITAL
7007 POWERS BOULEVARD STE 201	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
93 - CLEVELAND CLINIC CHILDREN'S HOSPITAL
1753 EAST MARKET STREET	WARREN	OH	44483	OUTPATIENT PHYSICIAN CLINIC
94 - CLEVELAND CLINIC EYE CARE
21245 LORAIN ROAD	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
95 - CLEVELAND CLINIC FAMILY MEDICINE
11709 LORAIN AVENUE	CLEVELAND	OH	44111	OUTPATIENT PHYSICIAN CLINIC
96 - CLEVELAND CLINIC FAMILY MEDICINE
19300 DETROIT AVENUE	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
97 - CLEVELAND CLINIC STAR IMAGING
1449 BOARDMAN-CANFIELD ROAD	BOARDMAN	OH	44512	DIAGNOSTIC CENTER
98 - COLE EYE INSTITUTE
2000 AUBURN DRIVE STE 100	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
99 - COLUMBUS STAR IMAGING
1550 KENNY ROAD	COLUMBUS	OH	43212	DIAGNOSTIC CENTER
100 - COLUMBUS STAR IMAGING
921 JASONWAY AVENUE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
101 - COLUMBUS STAR IMAGING
975 985 BETHEL ROAD	COLUMBUS	OH	43214	OUTPATIENT PHYSICIAN CLINIC
102 - COMMUNITY PEDIATRICS EUCLID
26250 EUCLID AVENUE	EUCLID	OH	44132	OUTPATIENT PHYSICIAN CLINIC
103 - DR RICHARD LORBER
1330 MERCY DRIVE NW	CANTON	OH	44708	OUTPATIENT PHYSICIAN CLINIC
104 - ENVISION ICARE OPTIMETRIC BULIDING
111 PROGRESS DRIVE	BELLEVUE	OH	44811	OUTPATIENT PHYSICIAN CLINIC
105 - FRANKLIN BOULEVARD NURSING HOME
3600 FRANKLIN BOULEVARD	CLEVELAND	OH	44113	OUTPATIENT PHYSICIAN CLINIC
106 - GATES MEDICAL CENTER
125 EAST BROAD STREET	ELYRIA	OH	44035	OUTPATIENT PHYSICIAN CLINIC
107 - GHENT ROAD FAMILY MEDICINE PRACTICE
3535 GRANGER ROAD	AKRON	OH	44333	OUTPATIENT PHYSICIAN CLINIC
108 - GLICKMAN UROLOGICAL INSTITUTE - INA BUIL
14701 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
109 - HACKETT MEDICAL
8300 TYLER BOULEVARD	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
110 - HIGHLAND OFFICE CENTER
2646 HIGHWAY AVENUE	HIGHLAND	IN	46322	OUTPATIENT PHYSICIAN CLINIC
111 - KINDRED HEALTH CARE CLEVELAND
11900 FAIRHILL ROAD	CLEVELAND	OH	44120	OUTPATIENT PHYSICIAN CLINIC
112 - LAKEWEST MEDICAL BUILDING
36100 EUCLID AVENUE STE 280	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
113 - LAKEWOOD CENTER NORTH
14600 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
114 - LAKEWOOD FAMILY MEDICINE - ROCKPORT
11851 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
115 - LIFELINE SLEEP CENTERS GREEN
4880 S MAIN STREET	AKRON	OH	44319	OUTPATIENT PHYSICIAN CLINIC
116 - LORAIN ORTHOPAEDICS
3600 KOLBE ROAD STE 100	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
117 - MAYFIELD OUT PATIENT SATELLITE
5187 MAYFIELD ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
118 - MEDINA ENDOCRINOLOGY
4087 MEDINA ROAD	MEDINA	OH	44256	OUTPATIENT PHYSICIAN CLINIC
119 - NILES STAR IMAGING
652 YOUNGSTOWN WARREN ROAD	NILES	OH	44446	DIAGNOSTIC CENTER
120 - NILES STAR IMAGING
650 YOUNGSTOWN-WARREN ROAD	NILES	OH	44446	OUTPATIENT PHYSICIAN CLINIC
121 - OHIO CANCER SPECIALISTS
31 E MAIN STREET	SHELBY	OH	44875	OUTPATIENT PHYSICIAN CLINIC
122 - OUTPATIENT PEDIATRIC PHYSIATRY CLINIC
1912 HAYES AVENUE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
123 - PARMA MEDICAL ARTS CENTER 4
6115 POWERS BOULEVARD	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
124 - PEDIATRICENTER OF GREATER CLEVELAND
13201 GRANGER ROAD	GARFIELD HEIGHTS	OH	44125	OUTPATIENT PHYSICIAN CLINIC
125 - ROCKSIDE MEDICAL CENTER
6701 ROCKSIDE ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
126 - ROCKY RIVER CIVIC CENTER
21016 HILLIARD BOULEVARD	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
127 - SLEEP DISORDERS CENTER
24901 COUNTRY CLUB BOULEVARD	NORTH OLMSTED	OH	44070	DIAGNOSTIC CENTER
128 - SLEEP DISORDERS CENTER
8971 WILCOX DRIVE	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
129 - SLEEP DISORDERS CENTER
1825 LORAIN BOULEVARD	ELYRIA	OH	44035	DIAGNOSTIC CENTER
130 - SLEEP DISORDERS CENTER
5051 WEST CREEK ROAD	INDEPENDENCE	OH	44131	DIAGNOSTIC CENTER
131 - SLEEP DISORDERS CENTER
5785 HEISLEY ROAD	MENTOR	OH	44060	DIAGNOSTIC CENTER
132 - SPORTS HEALTH CENTER
5555 TRANSPORTATION BOULEVARD	GARFIELD HEIGHTS	OH	44125	OUTPATIENT PHYSICIAN CLINIC
133 - SUMMIT OPHTHALMOLOGY
1587 BOETTLER ROAD	GREEN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
134 - THERAPY SERVICES EAST
3355 RICHMOND ROAD	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
135 - THERAPY SERVICES SOUTH
17800 JEFFERSON PARK DRIVE STE 101	MIDDLEBURG HTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
136 - TWINSBURG MEDICAL OFFICE
2365 EDISON BOULEVARD	TWINSBURG	OH	44087	OUTPATIENT PHYSICIAN CLINIC
137 - VALLEY CITY FAMILY MEDICINE
6605 CENTER ROAD	VALLEY CITY	OH	44280	OUTPATIENT PHYSICIAN CLINIC
138 - WARRENSVILLE MEDICAL OFFICE
4180 WARRENSVILLE CENTER ROAD	WARRENSVILLE HEIGHTS	OH	44122	OUTPATIENT PHYSICIAN CLINIC
139 - WELLINGTON PLACE
4800 CLAGUE ROAD	NORTH OLMSTED	OH	44070	OUTPATIENT PHYSICIAN CLINIC
140 - WEST PARK LEARNING CENTER
15531 LORAIN AVENUE	CLEVELAND	OH	44111	OUTPATIENT PHYSICIAN CLINIC
141 - WEST VALLEY MEDICAL
20455 LORAIN ROAD 301	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
142 - WESTGATE PROFESSIONAL BUILDING
20800 ADDINGTON BOULEVARD	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
143 - WILLOUGHBY HILLS REHABILITATION AND SPOR
29017 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
144 - WOOSTER GENERAL SURGERY
546 WINTER STREET	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
145 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN
721 EAST MILLTOWN ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
146 - WOOSTER WOMEN'S HEALTH CENTER
1739 CLEVELAND ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
147 - YOUNGSTOWN FERTILITY CENTER
3660 STUTZ DRIVE	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
148 - YOUNGSTOWN FERTILITY CENTER
6674 TIPPECANOE ROAD STE 3	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
149 - YOUNGSTOWN FERTILITY CENTER
8900 DARROW ROAD	TWINSBURG	OH	44087	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ON A SLIDING SCALE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS A MEDICAL INDIGENCE PROVISION, WHICH PROVIDES ASSISTANCE REGARDLESS OF INCOME LEVEL OR INSURANCE STATUS WHERE MEDICAL COSTS WILL EXCEED 25% OF ANNUAL FAMILY INCOME. 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):	ADDITIONAL BAD DEBT EXPENSE ADDED FOR PURPOSES OF CALCULATING THE PERCENTAGES BUT NOT REPORTED ON FORM 990 IS $780,338.
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	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $479,111,001 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC AS REPORTED AS A COMPONENT OF THE OVERALL SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN TWO RESPECTS: 1) IRS DOES NOT CONSIDER COMMUNITY BUILDING ACTIVITIES AS REPORTED IN PART II TO BE COMMUNITY BENEFIT WHERE THESE ACTIVITIES ARE INCLUDED IN COMMUNITY BENEFIT PER CHA GUIDELINES,2) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7, AND3) AKRON GENERAL HEALTH SYSTEM INFORMATION IS INCLUDED IN THE COMMUNITY HEALTH BENEFIT REPORT BUT IS EXCLUDED FOR SCHEDULE H
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:	TEXT OF FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS:PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, MAJOR PAYOR SOURCES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM.
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 $639,115,856 AND 925,883,879 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $286,768,023 WHICH, ADDED TO THE SHORTFALL OF $17,573,541 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $304,341,564.
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 FACILITIES 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. 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.
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 CONTROL OF THE ORGANIZATION BY 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 CARRIED OUT BY 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (79 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
AKRON GENERAL MEDICAL CENTER
400 WABASH AVE	AKRON	OH	44307	340714478	501(C)(3)	$14,500	HEALTHCARE RESEARCH & EDUCATION
ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC
24179 AMBOUR DR	NORTH OLMSTED	OH	44070	470974372	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
ALZHEIMERS ASSOCIATION
12200 FAIRHILL RD	CLEVELAND	OH	44120	341311175	501(C)(3)	$13,750	HEALTHCARE RESEARCH & EDUCATION
AMERICAN CANCER SOCIETY
10501 EUCLID AVE	CLEVELAND	OH	44106	131788491	501(C)(3)	$43,044	HEALTHCARE RESEARCH & EDUCATION
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	590637852	501(C)(3)	$239,000	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LIVER FOUNDATION
PO BOX 36085	INDIANAPOLIS	IN	46236	362883000	501(C)(3)	$5,500	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LUNG ASSOCIATION
1740 BROADWAY	NEW YORK	NY	10019	131632524	501(C)(3)	$17,500	HEALTHCARE RESEARCH & EDUCATION
ANTIOCH BAPTIST CHURCH
8869 CEDAR AVE	CLEVELAND	OH	44106	364497121	501(C)(3)	$6,000	COMMUNITY SUPPORT
ARTHRITIS FOUNDATION
1330 WEST PEACHTREE ST NW	ATLANTA	GA	30309	581341679	501(C)(3)	$9,000	HEALTHCARE RESEARCH & EDUCATION
ASSOCIATION OF AFRICAN AMERICAN CULTURAL GARDENS INC
PO BOX 20237	CLEVELAND	OH	44120	900791590	501(C)(3)	$10,000	COMMUNITY SUPPORT
ASSOCIATION OF INDIAN PHYSICIANS OF NORTHERN OHIO
3249 ROCKY RIVER DR	ROCKY RIVER	OH	44111	341407746	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
BEACHWOOD CHAMBER OF COMMERCE
25550 CHAGRIN BLVD	BEACHWOOD	OH	44122	341684237	501(C)(6)	$7,750	COMMUNITY SUPPORT
BLACK PROFESSIONAL ASSOCIATION CHARITABLE FOUNDATION INC
PO BOX 5783	CLEVELAND	OH	44101	341496786	501(C)(3)	$15,000	COMMUNITY SUPPORT
BOYS AND GIRLS CLUBS OF CLEVELAND
6114 BROADWAY AVE	CLEVELAND	OH	44127	340770686	501(C)(3)	$27,500	COMMUNITY SUPPORT
BURTEN BELL CARR DEVELOPMENT INC
7201 KINSMAN RD	CLEVELAND	OH	44104	341657533	501(C)(3)	$10,000	COMMUNITY SUPPORT
BUSINESS VOLUNTEERS UNLIMITED
1300 E 9TH ST STE 1805	CLEVELAND	OH	44114	341724581	501(C)(3)	$10,000	COMMUNITY SUPPORT
CANCER SERVICES OF ERIE COUNTY
505 E PERKINS AVE	SANDUSKY	OH	44870	340877577	501(C)(3)	$8,280	HEALTHCARE RESEARCH & EDUCATION
CARE ALLIANCE
1795 W 25TH ST	CLEVELAND	OH	44113	341748776	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
CASE WESTERN RESERVE UNIVERSITY
2040 ADELBERT RD	CLEVELAND	OH	44106	341018992	501(C)(3)	$10,200	SUPPORT EDUCATIONAL ACTIVITIES
CITY OF MAPLE HEIGHTS
5353 LEE RD	MAPLE HTS	OH	44137	346001809	501(C)(1)	$10,000	COMMUNITY SUPPORT
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44195	340714553	501(C)(3)	$21,845,588	HEALTHCARE RESEARCH & EDUCATION
CLEVELAND LEADERSHIP CENTER
1375 E 9TH ST	CLEVELAND	OH	44114	341927317	501(C)(3)	$5,500	COMMUNITY SUPPORT
CLEVELAND MUSEUM OF NATURAL HISTORY
1 WADE OVAL DR	CLEVELAND	OH	44106	340714338	501(C)(3)	$13,200	COMMUNITY SUPPORT
CLEVELAND STATE UNIVERSITY
2121 EUCLID AVE	CLEVELAND	OH	44115	340966056	501(C)(3)	$19,632	SUPPORT EDUCATIONAL ACTIVITIES
COLLEGE NOW GREATER CLEVELAND INC
200 PUBLIC SQUARE STE 3820	CLEVELAND	OH	44114	346580096	501(C)(3)	$12,000	SUPPORT EDUCATIONAL ACTIVITIES
COLON CANCER ALLIANCE
1025 VERMONT AVE NW STE 1066	WASHINGTON	DC	20005	860947831	501(C)(3)	$12,500	HEALTHCARE RESEARCH & EDUCATION
COMMUNITY WEST FOUNDATION
20545 CENTER RIDGE RD STE 448	CLEVELAND	OH	44116	341456398	501(C)(3)	$34,500	COMMUNITY SUPPORT
CORNERSTONE OF HOPE
6600 DAISY AVE	INDEPENDENCE	OH	44131	341945499	501(C)(3)	$26,500	COMMUNITY SUPPORT
COUNCIL FOR ECONOMIC OPPORTUNITIES IN GREATER CLEVELAND
1228 EUCLID AVE STE 700	CLEVELAND	OH	44115	340965350	501(C)(3)	$25,000	COMMUNITY SUPPORT
CROHNS & COLITIS FOUNDATION OF AMERICA
23366 COMMERCE PARK RD	BEACHWOOD	OH	44122	136193105	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
CUYAHOGA COMMUNITY COLLEGE
PO BOX 92928	CLEVELAND	OH	44194	340896630	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
DANCING CLASSROOMS NORTHEAST OHIO
1085 ROCKSIDE RD STE 6	PARMA	OH	44134	262300532	501(C)(3)	$47,000	COMMUNITY SUPPORT
DANCING WHEELS COMPANY & SCHOOL
3615 EUCLID AVE	CLEVELAND	OH	44115	341623342	501(C)(3)	$12,500	COMMUNITY SUPPORT
DOWNTOWN CLEVELAND ALLIANCE
1010 EUCLID AVE	CLEVELAND	OH	44114	341775903	501(C)(3)	$6,500	COMMUNITY SUPPORT
ESPERANZA INC
4115 BRIDGE AVE	CLEVELAND	OH	44113	341403492	501(C)(3)	$20,000	SUPPORT EDUCATIONAL ACTIVITIES
EUCLID AVENUE CONGREGATIONAL CHURCH
4217 BLUESTONE RD	CLEVELAND	OH	44121	346505904	501(C)(3)	$291,667	COMMUNITY SUPPORT
FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION
8111 QUINCY AVE STE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	$284,162	COMMUNITY SUPPORT
FAMICOS FOUNDATION INC
1325 ANSEL RD	CLEVELAND	OH	44106	341053534	501(C)(3)	$17,900	COMMUNITY SUPPORT
FATIMA FAMILY CENTER
6600 LEXINGTON AVE	CLEVELAND	OH	44103	261323950	501(C)(3)	$10,000	COMMUNITY SUPPORT
FLASHES OF HOPE INC
6009 LANDERHAVEN DR	MAYFIELD HTS	OH	44124	043648694	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
FORCES4QUALITY NORTHEAST OHIO
PO BOX 609655	CLEVELAND	OH	44109	261725657	501(C)(3)	$87,000	HEALTHCARE RESEARCH & EDUCATION
FRIENDS OF BREAKTHROUGH SCHOOLS
3615 SUPERIOR AVE	CLEVELAND	OH	44114	204948838	501(C)(3)	$5,500	SUPPORT EDUCATIONAL ACTIVITIES
GATHERING PLACE
23300 COMMERCE PARK	BEACHWOOD	OH	44122	341879035	501(C)(3)	$30,000	COMMUNITY SUPPORT
GOODWILL INDUSTRIES OF GREATER CLEVELAND INC
408 9TH ST SW	CANTON	OH	44707	340909974	501(C)(3)	$0	COMMUNITY SUPPORT	$12,500	ESTIMATED VALUE	ARTWORK
GREATER CLEVELAND HABITAT FOR HUMANITY
2110 W 110TH ST	CLEVELAND	OH	44102	311209423	501(C)(3)	$10,000	COMMUNITY SUPPORT
INNER CITY TENNIS CLINICS INCORPORATED
PO BOX 32551	CLEVELAND	OH	44132	271789893	501(C)(3)	$10,000	COMMUNITY SUPPORT
KARAMU HOUSE
2355 E 89TH ST	CLEVELAND	OH	44106	340714448	501(C)(3)	$15,000	COMMUNITY SUPPORT
KEEP MEMORY ALIVE
888 W BONNEVILLE AVE	LAS VEGAS	NV	89106	880515534	501(C)(3)	$64,775	HEALTHCARE RESEARCH & EDUCATION
KIDNEY FOUNDATION OF OHIO INC
2831 PROSPECT AVE	CLEVELAND	OH	44115	340827748	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
LEUKEMIA & LYMPHOMA SOCIETY
5700 BRECKSVILLE RD	INDEPENDENCE	OH	44131	135644916	501(C)(3)	$22,000	HEALTHCARE RESEARCH & EDUCATION
MALTZ MUSEUM OF JEWISH HERITAGE
2929 RICHMOND RD	BEACHWOOD	OH	44122	043684531	501(C)(3)	$15,000	COMMUNITY SUPPORT
MARCH OF DIMES FOUNDATION
614 SUPERIOR AVE NW	CLEVELAND	OH	44113	131846366	501(C)(3)	$28,500	HEALTHCARE RESEARCH & EDUCATION
MEDINA HOSPITAL FOUNDATION
1000 E WASHINGTON ST	MEDINA	OH	44256	341657989	501(C)(3)	$6,100	HEALTHCARE RESEARCH & EDUCATION
MEDWISH INTERNATIONAL
17325 EUCLID AVE	CLEVELAND	OH	44112	341903712	501(C)(3)	$35,000	HEALTHCARE RESEARCH & EDUCATION	$2,690,606	ESTIMATED VALUE	IN-KIND MEDICAL EQUIPMENT
MEDWORKS
1950 RICHMOND RD	LYNDHURST	OH	44124	263858369	501(C)(3)	$12,000	HEALTHCARE RESEARCH & EDUCATION
METROHEALTH SYSTEM
2500 METROHEALTH DR	CLEVELAND	OH	44109	346004382	501(C)(3)	$293,391	HEALTHCARE RESEARCH & EDUCATION
MIDTOWN CLEVELAND
5000 EUCLID AVE	CLEVELAND	OH	44103	341381334	501(C)(3)	$10,000	COMMUNITY SUPPORT
NAMI GREATER CLEVELAND
2012 W 25TH ST	CLEVELAND	OH	44113	202254268	501(C)(3)	$25,000	COMMUNITY SUPPORT
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1422 EUCLID AVE	CLEVELAND	OH	44115	340801307	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
NORTH COAST CANCER FOUNDATION
417 QUARRY LAKES DR	SANDUSKY	OH	44870	341224416	501(C)(3)	$100,000	HEALTHCARE RESEARCH & EDUCATION
NORTH UNION FARMERS MARKET
13212 SHAKER SQUARE STE 302	CLEVELAND	OH	44120	341812026	501(C)(3)	$45,000	COMMUNITY SUPPORT
OHIO STATE MEDICAL ASSOCIATION
3401 MILL RUN DR	HILLARD	OH	43026	314364893	501(C)(6)	$10,000	HEALTHCARE RESEARCH & EDUCATION
OPEN DOORS INC
3311 PERKINS AVE	CLEVELAND	OH	44114	043697716	501(C)(3)	$20,000	COMMUNITY SUPPORT
RAINEY INSTITUTE
1523 E 55TH ST	CLEVELAND	OH	44144	346555952	501(C)(3)	$17,500	COMMUNITY SUPPORT
RECOVERY RESOURCES
3950 CHESTER AVE	CLEVELAND	OH	44114	341211116	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
REGIONAL TRANSIT AUTHORITY
PO BOX 6566	CLEVELAND	OH	44101	341170830	GOV. ENTITY	$125,000	COMMUNITY SUPPORT
RESEARCH AMERICA
1101 KING ST	ALEXANDRIA	VA	22314	521609875	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
RONALD MCDONALD HOUSE OF CLEVELAND INC
10415 EUCLID AVE	CLEVELAND	OH	44106	341269123	501(C)(3)	$207,750	HEALTHCARE RESEARCH & EDUCATION
SAINT MARTIN DE PORRES HIGH SCHOOL
6111 LAUSCHE AVE	CLEVELAND	OH	44103	522401852	501(C)(3)	$111,869	SUPPORT EDUCATIONAL ACTIVITIES
SENIOR TRANSPORTATION CONNECTION OF CUYAHOGA COUNTY
4735 W 150TH	CLEVELAND	OH	44135	300319480	501(C)(3)	$15,000	COMMUNITY SUPPORT
SUSAN G KOMEN NORTHWEST OHIO
3100 W CENTRAL AVE STE 235	TOLEDO	OH	43606	752845063	501(C)(3)	$17,500	HEALTHCARE RESEARCH & EDUCATION
THE FREE CLINIC OF GREATER CLEVELAND
12201 EUCLID AVE	CLEVELAND	OH	44106	237078501	501(C)(3)	$7,500	HEALTHCARE RESEARCH & EDUCATION
THE MUSICAL ARTS ASSOCIATION
11001 EUCLID AVE	CLEVELAND	OH	44106	340714468	501(C)(3)	$10,000	COMMUNITY SUPPORT
THE VILLAGE AT MARYMOUNT
5200 MARYMOUNT VILLAGE DR	GARFIELD HTS	OH	44125	205652595	501(C)(3)	$30,000	HEALTHCARE RESEARCH & EDUCATION
THE WORD CHURCH
18909 S MILES RD	WARRENSVILLE HTS	OH	44128	030415420	501(C)(3)	$7,500	COMMUNITY SUPPORT
TOWARDS EMPLOYMENT INCORPORATED
1255 EUCLID AVE	CLEVELAND	OH	44115	341578831	501(C)(3)	$18,100	COMMUNITY SUPPORT
TRINITY HIGH SCHOOL
12425 GRANGER RD	GARFIELD HTS	OH	44125	340943303	501(C)(3)	$12,501	SUPPORT EDUCATIONAL ACTIVITIES
UNITED WAY OF GREATER CLEVELAND
1331 EUCLID AVE	CLEVELAND	OH	44115	346516654	501(C)(3)	$0	COMMUNITY SUPPORT	$5,021	ESTIMATED VALUE	ARTWORK
WOMEN OF COLOR FOUNDATION
1667 E 40TH ST	CLEVELAND	OH	44103	020743542	501(C)(3)	$10,000	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	76	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	219	$7,596,800
FELLOWSHIPS	1806	$82,462,336
LODGING FOR INDIGENT	175	$96,590

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. THE INDIGENT AID LISTED IS PERFORMED IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO PROVIDE BETTER CARE OF THE SICK AND THE INVESTIGATION INTO THEIR PROBLEMS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
COSGROVE DELOS M MD
DIRECTOR, PRESIDENT, CEO	$4,480,740	$0	$0	$0	$370,337	$0	-$2,508,768	$0	$16,645	$0	$2,358,954	$0	$0	$0
DONLEY BRIAN G MD
DIRECTOR & CHIEF OF STAFF	$986,366	$0	$0	$0	$95,222	$0	$26,500	$0	$18,469	$0	$1,126,557	$0	$0	$0
ABELSON ABBY
DEP CHR-RHEUMATIC & IMMUN, DIR	$335,740	$0	$0	$0	$11,065	$0	$26,500	$0	$1,260	$0	$374,565	$0	$0	$0
DWEIK RAED MD
PHYSICIAN, DIRECTOR - CCF	$394,576	$0	$0	$0	$34,656	$0	$26,500	$0	$16,809	$0	$472,541	$0	$0	$0
KOMINSKY ALAN MD
PHYSICIAN, DIRECTOR - CCF	$392,076	$0	$0	$0	$15,755	$0	$26,500	$0	$19,309	$0	$453,640	$0	$0	$0
LONZER DEBORAH MD
VICE CHR - PEDS STRAT OPS, DIR -CCF	$271,503	$0	$0	$0	$2,436	$0	$26,500	$0	$16,809	$0	$317,248	$0	$0	$0
SABANEGH EDMUND MD
DEPT CHR - UROLOGY, DIRECTOR	$620,972	$0	$0	$0	$59,609	$0	$26,500	$0	$16,413	$0	$723,494	$0	$0	$0
DICORLETO PAUL E PHD
CHR - RESEARCH INST (RETIREE)	$423,336	$0	$0	$0	$1,458,936	$0	$28,740	$0	$12,032	$0	$1,923,044	$0	$0	$0
GLASS STEVEN C
CFO & TREASURER	$1,210,311	$0	$0	$0	$117,136	$0	$24,393	$0	$16,809	$0	$1,368,649	$0	$0	$0
HARRINGTON MICHAEL
CAO & CONTROLLER	$595,021	$0	$0	$0	$54,696	$0	$26,500	$0	$19,257	$0	$695,474	$0	$0	$0
MCHUGH LINDA
ASSISTANT SECRETARY	$365,205	$0	$0	$0	$32,978	$0	$25,744	$0	$16,705	$0	$440,632	$0	$0	$0
MEEHAN MICHAEL
RECORDING SECRETARY	$296,621	$0	$0	$0	$29,986	$0	-$42,574	$0	$16,764	$0	$300,797	$0	$0	$0
PEACOCK WILLIAM
CHIEF OF OPERATIONS	$1,098,576	$0	$0	$0	$87,845	$0	$26,467	$0	$21,523	$0	$1,234,411	$0	$0	$0
ROWAN DAVID W
CHIEF LEGAL OFFICER	$1,086,096	$0	$0	$0	$109,781	$0	$26,500	$0	$19,264	$0	$1,241,641	$0	$0	$0
HARRISON A MARC
CHIEF INTL BUS DEVELOPMENT	$936,959	$0	$0	$0	$682,434	$0	$26,500	$0	$109,395	$0	$1,755,288	$0	$0	$0
MIHALJEVIC TOMISLAV
CHIEF EXEC OFFICER - CCAD	$1,181,626	$0	$0	$0	$867,811	$0	$26,500	$0	$124,728	$0	$2,200,665	$0	$0	$0
COULTON ROBERT
EXEC DIR - OPSA (2015 RETIREE)	$587,764	$0	$0	$0	$1,748,618	$0	-$62,631	$0	$16,592	$0	$2,290,343	$0	$0	$0
SAVAGE ROBERT
PHYSICIAN (2015 RETIREE)	$319,914	$0	$0	$0	$1,312,926	$0	$212,632	$0	$11,264	$0	$1,856,736	$0	$0	$0
BELL GORDON
PHYSICIAN (2015 RETIREE)	$160,129	$0	$0	$0	$1,671,531	$0	-$134,862	$0	$4,092	$0	$1,700,890	$0	$0	$0
HAHN JOSEPH
PHYSICIAN (RETIREE)	$1,688,110	$0	$0	$0	$0	$0	-$145,598	$0	$0	$0	$1,542,512	$0	$0	$0
COSTIN JOHN
INSTITUTE CHAIRMAN	$1,324,145	$0	$0	$0	$137,557	$0	$26,500	$0	$17,385	$0	$1,505,587	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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, LINE 4B

SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: GORDON BELL - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,665,146 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. ROBERT COULTON - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,687,402 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. PAUL DICORLETO - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,418,781 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. ROBERT SAVAGE - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,294,554 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. DELOS M. COSGROVE - PARTICIPATES IN A SPLIT DOLLAR LIFE INSURANCE PLAN FROM WHICH NO CASH PAYMENTS WERE RECEIVED. DR COSGROVE'S 2015 BASE SALARY INCLUDES A SINGLE, FIXED ANNUAL PAYMENT WHICH IS INTENDED TO OFFSET THE DILUTION IN THE ACTUARIAL VALUE OF HIS SUPPLEMENTAL RETIREMENT PLAN. THIS DILUTION IS A RESULT OF DR COSGROVE WORKING BEYOND HIS EXPECTED RETIREMENT AGE AS DEFINED BY THE PLAN. JOSEPH HAHN'S BASE SALARY INCLUDES A SINGLE, FIXED PAYMENT WHICH IS INTENDED TO OFFSET THE DILUTION IN THE ACTUARIAL VALUE OF HIS SUPPLEMENTAL RETIREMENT PLAN. THIS DILUTION IS A RESULT OF DR. HAHN WORKING BEYOND HIS EXPECTED RETIREMENT AGE AS DEFINED BY THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT 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: GORDON BELL - $151,316 DECREASE, DELOS M. COSGROVE - $2,535,268 DECREASE, ROBERT COULTON - $86,265 DECREASE, PAUL E. DICORLETO - $2,240 INCREASE, JOSEPH F. HAHN - $145,598 DECREASE, MICHAEL J. MEEHAN - $69,074 DECREASE, AND ROBERT SAVAGE $186,132 INCREASE. THE FOLLOWING INDIVIDUALS PARTICIPATE IN 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: ROBERT COULTON - $2,866 DECREASE, STEVEN C. GLASS - $2,107 DECREASE, LINDA MCHUGH - $756 DECREASE AND WILLIAM PEACOCK - $33 DECREASE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	67756DAY2	2013-05-29	$309,434,914	BOND 2013: REFUND 2004A, 2003A AND FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	67756A3Z3	2012-05-09	$519,383,182	BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	677561HU9	2011-11-02	$208,951,439	BOND 2011A: REFUND 2003A SERIES	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	NOTAPPLIC	2011-11-02	$41,120,000	BOND 2011B: REFUND 1992A & B AND 1989 SERIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt
A	$24,475,765	$309,434,914	$2,129,301	$20,001,498	$287,304,115	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$9,737,437	$519,383,182	$3,825,815	$411,300,530	$104,256,837	2012	0	Yes (1)	Yes (1)	Yes (1)
C	$17,261,868	$208,951,439	$2,003,385		$206,948,054	2011	0	Yes (1)	Yes (1)	Yes (1)
D	$9,870,000	$41,120,000	$735,249		$38,082,286	2011	Yes (1)	0	Yes (1)	Yes (1)	$2,302,465

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01040	0.00000	0.01040	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00870	0.00080	0.00950	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01390	0.00010	0.01400	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)
D	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/25/2014 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2013 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2013	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	677561FV9	2009-08-25	$807,007,320	BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	67756AG22	2008-10-15	$451,686,386	BOND 2008A: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	67756AJ37	2008-10-15	$670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$119,936,174	$70,000	$807,007,320	$1,099,225	$501,164,780	$304,743,315	2011	Yes (1)	Yes (1)	Yes (1)
B	$32,077,272	$435,000	$451,686,386	$800,000	$218,639,952	$251,263,651	2008	Yes (1)	Yes (1)	Yes (1)
C	$300,750,000		$670,000,000	$1,200,000	$324,315,217	$372,706,929	2008	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01490	0.00030	0.01520	Yes (1)	0.00050	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00880	0.00020	0.00900	Yes (1)	0.00550	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00880	0.00020	0.00900	0			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	D COSGROVE	PersonNm
Relationship With Org	CEO/PRESIDENT	RelationshipWithOrgTxt
Loan Purpose	INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$229,247	OriginalPrincipalAmt
Balance Due	$6,056,685	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$6,056,685	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
TOM ABELSON
FAMILY MEMBER OF ABBY ABELSON, CCF DIRECTOR	$404,905	EMPLOYMENT AGREEMENT WITH CCF	0
BENJAMIN ABELSON
FAMILY MEMBER OF ABBY ABELSON, CCF DIRECTOR	$50,454	EMPLOYMENT AGREEMENT WITH CCF	0
ALEXANDER HARRISON
FAMILY MEMBER OF MARC HARRISON, CCF KEY EMPLOYEE	$12,044	EMPLOYMENT AGREEMENT WITH CCF	0
KATHERINE MCHUGH
FAMILY MEMBER OF LINDA MCHUGH, CCF OFFICER	$34,022	EMPLOYMENT AGREEMENT WITH CCF	0
IVA FATTORINI
FAMILY MEMBER OF TOMISLAV MIHALJEVIC, CCF KEY EMPLOYEE	$208,080	EMPLOYMENT AGREEMENT WITH CCF	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	23	ContributionCnt
Noncash Contributions Rpt F990	$48,326,377	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$5,817	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$203,557	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	130	ContributionCnt
Noncash Contributions Rpt F990	$11,830,160	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVERAGE HIGH/LOW	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	13	ContributionCnt
Noncash Contributions Rpt F990	$94,600	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MEDICAL EQUIPMENT	2	$67,300	SALE COMPARABLE GOOD
Yes (X)	EVENT TICKETS	5	$4,384	COST

Field	Value	IRS element (for citing)
Form8283 Received	1	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	THE CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	CLEVELAND CLINIC WAS ESTABLISHED IN 1921 WITH THE SAME MISSION THAT CONTINUES TODAY: BETTER CARE FOR THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 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 FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. CLEVELAND CLINIC IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM AND REPORTS COMMUNITY BENEFIT ON A SYSTEM-WIDE BASIS, SO THE COMMUNITY BENEFIT NUMBERS REPORTED HERE ARE FOR THE HEALTH SYSTEM. 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 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 2015 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $692.8 MILLION IN BENEFITS TO THE COMMUNITIES WE SERVE. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO OUR 2015 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE CLEVELAND CLINIC IS DEDICATED TO THE COMMUNITIES WE SERVE, 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 OUR FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, WE PROVIDE HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. DURING 2015, CLEVELAND CLINIC RECORDED 1,274 TOTAL STAFFED BEDS, 126,991 EMERGENCY VISITS, 91,731 SURGICAL CASES, 53,887 ADMISSIONS, AND MORE THAN 5.6 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC 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, COLE EYE, DIGESTIVE DISEASE, EMERGENCY SERVICES, ENDOCRINOLOGY & METABOLISM, GLICKMAN UROLOGICAL & KIDNEY, HEAD & NECK, MILLER FAMILY HEART & VASCULAR, IMAGING, MEDICINE, NEUROLOGICAL, NURSING, OB/GYN & WOMEN'S HEALTH, ORTHOPAEDIC & RHEUMATOLOGY, PATHOLOGY & LABORATORY MEDICINE, PEDIATRIC & CHILDREN'S HOSPITAL, RESPIRATORY, TAUSSIG CANCER AND WELLNESS. 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 2015. OVERALL, CLEVELAND CLINIC WAS RANKED 5TH AMONG THE NATION'S MORE THAN 5,000 HOSPITALS. CLEVELAND CLINIC WAS RANKED AMERICA'S NUMBER ONE CENTER FOR CARDIAC CARE FOR THE 21ST YEAR IN A ROW. UROLOGY, NEPHROLOGY, DIABETES & ENDOCRINOLOGY, GASTROENTEROLOGY, AND RHEUMATOLOGY PROGRAMS WERE ALL RANKED SECOND IN THE NATION. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE POLICY ASSISTS POOR AND INDIGENT PATIENTS BY PROVIDING FREE CARE FOR MEDICALLY NECESSARY SERVICES TO UNINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL AND ALSO OFFERS DISCOUNTS ON MEDICALLY NECESSARY SERVICES FOR UNINSURED PATIENTS WHOSE INCOME IS UP TO 400 PERCENT OF THE POVERTY LEVEL. PATIENTS WITH EXCEPTIONAL CIRCUMSTANCES MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THIS 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 $69.3 MILLION IN 2015. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE TO ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. 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 172 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CELLULAR AND MOLECULAR MEDICINE, GENOMIC MEDICINE, IMMUNOLOGY, MOLECULAR CARDIOLOGY, NEUROSCIENCES, OPHTHALMIC RESEARCH, PATHOBIOLOGY, QUANTITATIVE HEALTH SCIENCES, STEM CELL BIOLOGY AND REGENERATIVE MEDICINE, 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 1,500 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 200 POSTDOCTORAL FELLOWS, 80 GRADUATE STUDENTS AND 200 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC AND ITS EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2015, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 4,420 ACTIVE 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 2015, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH OF $204.1 MILLION, WHICH INCLUDED EXTERNALLY-SPONSORED FUNDING OF $137.1 MILLION. THE CLEVELAND CLINIC'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. 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 THIS NATION'S FUTURE DOCTORS, CLEVELAND CLINIC SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION TRAINING THROUGH ITS EDUCATION INSTITUTE INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2015, PROVIDED A NET COMMUNITY BENEFIT OF $256.5 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC'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 2015, 1,126 RESIDENTS AND FELLOWS TRAINED IN 75 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 141 ADVANCED FELLOWS IN 54 FELLOWSHIP PROGRAMS.
PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T)	LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE MORE THAN 1,900 APPLICANTS FOR 32 POSITIONS FOR THE 2015-16 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 91 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 80 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 2015, 269 MEDICAL STUDENTS FROM 126 MEDICAL SCHOOLS AROUND THE WORLD WERE AMONG THE 611 MEDICAL STUDENTS ROTATING 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 2015, THE CENTER FOR CONTINUING EDUCATION OFFERED 1,782 CME ACTIVITIES TO 310,662 PARTICIPANTS. OF THAT NUMBER, 1,012 WERE LIVE COURSES THAT ATTRACTED 77,048 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 469 ACTIVITIES THAT ATTRACTED 184,867 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, WITH THE CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS RECEIVING MORE THAN 75,000 CERTIFICATES. IN 2015, THE CENTER ISSUED 288,933 CERTIFICATES FOR ALL ACTIVITIES COMBINED. THE CCJM ENJOYED A CIRCULATION OF MORE THAN 104,000 AND RANKED NO. 1 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 MILLION PEOPLE AROUND THE WORLD. IN 2015 THE CCJM WEBSITE RECORDED 2,325,937 PAGE VIEWS FROM NEARLY 2 MILLION UNIQUE VISITORS. CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF HEALTH SCIENCE STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 14 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 55 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2015, CLEVELAND CLINIC HOSTED MORE THAN 2,000 CLINICAL ROTATIONS FOR HEALTH SCIENCE STUDENTS. CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THIS CENTER 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. IN 2015, 849 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 398 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC ON PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, UROLOGY, PEDIATRICS, BREAST CANCER, AND OBESITY; AND OUR OWN STAFF TRAVELED TO MORE THAN 18 COUNTRIES TO SHARE CLINICAL AND SURGICAL INNOVATIONS. 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 ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF OUR COMMUNITY BENEFIT ARE: COMMUNITY EDUCATION EDUCATING THE COMMUNITY HAS ALSO BEEN A PRIORITY AT CLEVELAND CLINIC. OUR CENTER FOR CONSUMER HEALTH INFORMATION EXPANDS KNOWLEDGE THROUGH A VARIETY OF MEDIA TO PATIENTS AND THE NORTHEAST OHIO COMMUNITY. FOLLOWING ARE SOME OF THE PROGRAMS OFFERED DURING 2015: HEALTH INFORMATION RESOURCE CENTER: THE ON-CAMPUS PATIENT AND FAMILY HEALTH AND EDUCATION CENTER IS A PLACE WHERE PATIENTS, VISITORS, AND EMPLOYEES CAN TAKE ADVANTAGE OF HEALTH INFORMATION RESOURCES. THE CONSUMER HEALTH INFORMATION STAFF ALSO FULFILLS REQUESTS FOR HEALTH INFORMATION MADE IN WRITING, BY EMAIL, OR BY PHONE. IN 2015, THE CENTER FULFILLED 13,329 REQUESTS AND SERVED 13,301 PEOPLE WHO CAME INTO THE CENTER FOR INFORMATION. HEALTH TALKS AND CCTV: THE CENTER FOR CONSUMER HEALTH INFORMATION HOSTED 26 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS AND MANAGED 3,472 SCHEDULED CLOSED-CIRCUIT TELEVISION WEEKLY PROGRAMS AND 787 WEEKLY ON-DEMAND TELEVISED PROGRAMS. INTERNET SITE: THE CENTER FOR CONSUMER HEALTH INFORMATION WEBSITE (WWW.CLEVELANDCLINIC.ORG/HEALTH) CONTINUES TO BE A SOURCE OF INFORMATION FOR USERS AROUND THE WORLD. THE WEBSITE ALSO FEATURES LIVE WEBCHATS WITH A HEALTH EDUCATOR, ALLOWING THE PUBLIC TO POST QUESTIONS AND HAVE THEM ANSWERED IN REAL TIME. WEBCHATS TAKE PLACE MONDAY THROUGH FRIDAY, FROM 9 AM TO 3:00 PM. BY THE END OF 2015, WE HELD 10,055 WEBCHATS. 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 2015, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $242.7 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $12.3 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 HEALTH SYSTEM PROVIDED SUBSIDIZED HEALTH SERVICES IN 2015 AT A COST OF $18.6 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING OR CONTRIBUTING TO MORE THAN 300 SUCH PROGRAMS IN 2015 FOR A TOTAL NET COMMUNITY BENEFIT OF $38.7 MILLION. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS IN OUR COMMUNITIES. OUR WELL-ESTABLISHED OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES, AND EDUCATION TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. OUTREACH PROGRAMS ADDRESS DOCUMENTED HEALTH NEEDS OF OUR COMMUNITIES AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2015, SOME HIGHLIGHTS INCLUDED: -WELLNESS INITIATIVES IN THE AREAS OF DISEASE/INJURY PREVENTION AND BEHAVIORAL CHANGE, INCLUDING TOBACCO CESSATION, NUTRITION IMPROVEMENT, EXERCISE, HELP WITH SUBSTANCE ABUSE, CHILD SAFETY, TEEN PARENTING AND DOMESTIC VIOLENCE. PROGRAMS WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, COLLABORATING CITIES AND COUNTIES. -HEALTH FAIRS PROVIDED THOUSANDS OF PEOPLE WITH FREE SCREENINGS. THE CLEVELAND CLINIC MINORITY MEN'S HEALTH FAIR, CELEBRATING SISTERHOOD, AND NEIGHBORHOOD FAIRS EDUCATED COMMUNITY MEMBERS ON THE BENEFITS OF PREVENTATIVE CARE. -CLEVELAND CLINIC PROVIDED NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER AND THE PEDIATRIC MOBILE UNIT, WHICH PROVIDED WELLNESS SERVICES TO OUR COMMUNITIES. IN ADDITION, LABORATORY AND VISION SERVICES WERE DONATED TO CLEVELAND-AREA ORGANIZATIONS. -COMMUNITY CLASSES AND INTERACTIVE WEBCHATS OFFERED HEALTH EDUCATION IN THE AREAS OF HEART DISEASE, STROKE, CANCER, DIABETES, ASTHMA AND BRAIN HEALTH. OUR HOSPITALS AND FAMILY HEALTH CENTERS PROVIDED CLASSES FOR HEALTH SENIOR AND YOUTH LIFESTYLES. -LET'S MOVE IT INITIATIVE CONNECTED RESIDENTS WITH LOCAL RESOURCES IN A COLLABORATIVE EFFORT TO STRENGTHEN COMMUNITIES THROUGH WELLNESS ACTIVITIES, ACADEMIC ACHIEVEMENT AND CAREER PREPAREDNESS. -COMMUNITY FARMERS MARKETS, URBAN GARDENS, AND A MOBILE FOOD PANTRY PROVIDED ACCESS TO FRESH LOCAL PRODUCTS AND SUPPLEMENTAL FOOD PROGRAMS. V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC 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	RONALD WEINBERG AND WILLIAM PEACOCK - BUSINESS JOSEPH SCAMINACE AND WILLIAM REIDY - 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.
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 TRUSTEES. 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 (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 11	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, THE AUDIT COMMITTEE CHAIRPERSON AND THE AUDIT COMMITTEE VICE CHAIRPERSON. 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. IN ADDITION TO POSTING ON GUIDESTAR, 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	CCF HAS ADOPTED A CONFLICT OF INTEREST ("COI") POLICY CONSISTENT WITH THE MODEL IRS COI POLICY. IT APPLIES TO DIRECTORS, OFFICERS AND TRUSTEES OF CCF AND ALL ITS AFFILIATES, BOTH EXEMPT AND TAXABLE. UNDER THE BOARD OF DIRECTORS POLICY AND PROCEDURES FOR DEALING WITH CONFLICT OF INTEREST ISSUES (THE POLICY), A TRUSTEE OR DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT MUST REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION, OR ARRANGEMENT. IN ADDITION, THE TRUSTEES, DIRECTORS AND OFFICERS MUST ANNUALLY DISCLOSE ANY INTERESTS AS DEFINED IN THE POLICY THAT MAY BE CONSIDERED A POTENTIAL CONFLICT OF INTEREST. FAILURE TO TIMELY REPLY IS TO BE ADDRESSED BY THE COMMITTEE UNDER THE POLICY. THE TRUSTEES, OFFICERS AND DIRECTORS HAVE A CONTINUING OBLIGATION TO NOTIFY THE CHIEF GOVERNANCE OFFICER AT ANY TIME DURING THE YEAR IF ANY OF THEIR DISCLOSURES CHANGE OR IF A NEW DISCLOSURE IS REQUIRED UNDER THE POLICY. THE BOARD CONFLICT OF INTEREST COMMITTEE MEETS AT LEAST FOUR TIMES A YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS THEIR CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSONS 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 FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS.
FORM 990, PART VI, SECTION B, LINE 15	ALL CCF OFFICERS AND KEY EMPLOYEE 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 AND KEY EMPLOYEES, THE COMMITTEE USES A PROCESS WHICH 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 53.4958-6(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 KEY 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 MARKET-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 19	CCF MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" 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 VI, SECTION C, LINE 18:	THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST.
FORM 990, PART XI, LINE 9:	DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 45,741. GIFTS AND BEQUESTS 125,005,124. TRANSFER OF NET ASSETS -147,589,712. NET INVESTMENT INCOME -1,000,074. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS -34,239,609. RETIREMENT BENEFITS ADJUSTMENT 25,546,013. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS -4,946,537. EQUITY TRANSFERS -1,816,167. EQUITY ADJUSTMENT 231,455. COMBINED REPORTING ADJUSTMENT 650,000. ROUNDING -2.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTHCARE SERVICES	OH	$18,624,598	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC CARE COORDINATION LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	455282492	HEALTHCARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	311741150	HEALTHCARE SERVICES	FL	$0	$0	CLEVELAND CLINIC FLORIDA (A NON-PROFIT CORPORATION)
CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	263666730	LICENSING OF INTELLECTUAL PROPERTY	OH	$7,968,533	$20,674,957	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTHCARE SERVICES	OH	$6,959,890	$17,906	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
1950 RICHMOND ROAD	LYNDHURST	OH	44124	263859233	HEALTHCARE SERVICES	OH	$4,499,974	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTHCARE SERVICES	OH	$61,485,893	$441,661	THE CLEVELAND CLINIC FOUNDATION
CLINIC PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341907574	HEALTHCARE SERVICES	OH	$27,319,436	$32,757	THE CLEVELAND CLINIC FOUNDATION
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	HEALTHCARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON STREET	MEDINA	OH	44256		INACTIVE	OH	$0	$0	MEDINA HOSPITAL
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	INACTIVE	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTHCARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
3050 SCIENCE PARK DRIVE	BEACHWOOD	OH	44122	273245990	REAL ESTATE HOLDINGS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	201476092	HEALTHCARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTHCARE SERVICES	OH	$44,844,390	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC MEDICARE ACO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	471281189	HEALTHCARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
ADEO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	465704174	TECHNOLOGY SERVICES	OH	$3,421	$232,063	THE CLEVELAND CLINIC FOUNDATION
CCF HOTEL SERVICES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	340666034	HOTEL OPERATIONS	OH	$36,426,691	$148,035,343	THE CLEVELAND CLINIC FOUNDATION
INTELLIS EPM LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	270645368	MEDICAL TECHNOLOGY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CC WEB SOLUTIONS LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	263222020	MEDICAL TECHNOLOGY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
TATARA VASCULAR LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	474282964	MEDICAL TECHNOLOGY	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMUNITY WEST FOUNDATION
20545 CENTER RIDGE ROAD	ROCKY RIVER	OH	44116	341456398	ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY	OH	501(C)(3)	LINE 7	N/A	0
LAKEWOOD HOSPITAL FOUNDATION INC
14601 DETROIT AVENUE STE 240	LAKEWOOD	OH	44107	346519834	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 11C, III-FI	N/A	0
MEDINA COUNTY HEALTH CORPORATION
1000 E WASHINGTON ST	MEDINA	OH	44256	270756266	SUPPORT MEDINA HOSPITAL	OH	501(C)(3)	LINE 11C, III-FI		0	MEDINA HOSPITAL
NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP
2001 ROSS AVENUE	DALLAS	TX	75201	311707979	SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES	TX	501(C)(3)	LINE 11C, III-FI	N/A	0
WO WALKER CENTER INC
10700 EUCLID AVENUE	CLEVELAND	OH	44106	911818256	HEALTHCARE SERVICES	OH	501(C)(3)	LINE 11C, III-FI	N/A	0
AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE	CLEVELAND	OH	44111	237108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	LINE 11D, III-O	N/A	0
LAKEWOOD HOSPITAL GIFT AND BLOSSOM SHOPS INC
14519 DETROIT AVENUE	LAKEWOOD	OH	44107	340001633	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 11D, III-O	N/A	0
AKRON GENERAL HEALTH SYSTEM
1 AKRON GENERAL AVENUE	AKRON	OH	44307	351546466	HEALTHCARE SERVICES	OH	501(C)(3)	LINE 11C, III-FI		0	THE CLEVELAND CLINIC FOUNDATION

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd	UBI Code VUBICodeVAmt
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	$3,700,831	$12,877,420	0	Yes (1)	0.60000
CCHS WESTLAKE IMAGING CENTER LLC
6801 BRECKSVILLE ROAD RK-85	INDEPENDENCE	OH	44131	341914277	MEDICAL SERVICES	OH	FAIRVIEW HOSPITALLAKEWOOD HOSP ASSN	RELATED	-$525,175		0	Yes (1)
CLEVELAND HEALTH NETWORK MSO LLC
4700 ROCKSIDE ROAD STE 200	INDEPENDENCE	OH	44131	311566180	MEDICAL SERVICES	OH		RELATED		$22,014	0	Yes (1)	0.79900	N/A
PROGNOSTIX LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	300624422	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	-$413	$149,191	0	0	0.78000
EXCELERATE STRATEGIC HEALTH SOURCING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	461810992	HEALTHCARE OP & MGMT	DE	THE CLEVELAND CLINIC FOUNDATION	RELATED	-$395,661	$1,968,945	0	0	0.60000		-$483,368

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
CCF BOLTON INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204596571	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	Yes (1)
CCHS INDEMNITY CO LTD
				980207086	INSURANCE COMPANY		THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)	23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ	$53,110,698	$138,282,556	1.00000
CLEVELAND CLINIC CANADA-TORONTO INC
					HEALTH CARE SERVICES		THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)	181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	CA	$7,482,197	$1,825,981	1.00000
CLEVELAND CLINIC EMR INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	MEDICAL SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	Yes (1)						$2,137,747	$1,229,249
CLEVELAND CLINIC FLORIDA HEALTH PLAN INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	650338016	BUSINESS SERVICES	FL	CLINIC MEDICAL SOLUTIONS INC	C	Yes (1)								1.00000
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	MEDICAL SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	Yes (1)						$8,831,099	$18,273,417
CLEVELAND HEALTH NETWORK
6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341770780	MEDICAL SERVICES	OH		C	Yes (1)						$419	$1,379,148		N/A
CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION
6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341808138	HEALTHCARE SERVICES	OH	CLEVELAND HEALTH NETWORK INC	C	Yes (1)						$2,475,103	$4,263,121
CLINIC MEDICAL SOLUTIONS INC
18101 LORAIN AVENUE	CLEVELAND	OH	44111	341695388	HEALTH CARE SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)						$17,895,223	$5,965,691
CMCD INC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	REAL ESTATE	OH	MEDINA HOSPITAL	C	Yes (1)							$311,040	1.00000
CUSTOM ORTHOPAEDIC SOLUTIONS INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	274838981	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)						$960,231	$740,959	1.00000
I-COMET TECHNOLOGIES INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	452063841	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)						$20,089	$14,798	1.00000
IMAGEIQ INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	274427530	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)						$2,320,257	$914,254	0.92340
INFUSEON THERAPEUTICS INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	461776182	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)							$329,766	1.00000
ION-VAC INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	461560044	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)							$113,483	1.00000
IVHR INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	454657632	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)							$54,515	1.00000
LAKEWOOD HEALTHCARE FOUNDATION
14519 DETROIT AVENUE	LAKEWOOD	OH	44107	341574608	HEALTHCARE SERVICES	OH		C	Yes (1)									N/A
MCZ INC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341256598	LEASING	OH	MEDINA HOSPITAL	C	Yes (1)						$8,457	$500	1.00000
MEDINVEST INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	203978297	HOLDING COMPANY	OH	CLINIC MEDICAL SOLUTIONS INC	C	Yes (1)								1.00000
MERIDIA HEALTH VENTURES INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341533871	HEALTH CARE SERVICES	OH	CLEVELAND CLINIC HOME CARE	C	Yes (1)								1.00000
MERLOT ORTHOPEDIX INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	113779414	MEDICAL DEVICE MANUFACTURING	DE	THE CLEVELAND CLINIC FOUNDATION	C	0							$88,658	0.55000
NEOMEDICS INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	020656818	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	Yes (1)								1.00000
OPTOQUEST CORPORATION
10000 CEDAR AVENUE	CLEVELAND	OH	44106	263589643	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)						$179,744	$29,911	1.00000
PINE FALLS CONDOMINIUM ASSOCIATES INC
6100 WEST CREEK SUITE 25	INDEPENDENCE	OH	44131	341617589	CONDO RENTALS	OH	THE CLEVELAND CLINIC FOUNDATION	C	0								0.75000
SHIELD BIOTECH INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	462880975	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	0							$6,143,387	0.72000
CENTERLINE BIOMEDICAL INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	472238759	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C	0							$530,860	0.32900
PIVOT DRUG INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	472855062	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)								1.00000
NEUROTHERAPIA INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	473977513	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)							$784,689	1.00000
VIVERE PHARMA INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	475397125	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)								1.00000
CLEVELAND CLINIC UK HOLDINGS LTD
					HOLDING COMPANY		THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)	20-22 BEDFORD ROW	LONDON	UK	CW1R 4JS	UK	$720,199	$427,894,254	1.00000
CLEVELAND CLINIC LONDON LTD
					HOSPITAL OPERATING COMPANY		THE CLEVELAND CLINIC FOUNDATION	C	Yes (1)	20-22 BEDFORD ROW	LONDON	UK	CW1R 4JS	UK			1.00000
CHARITABLE REMAINDER TRUSTS (16)
C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131		CHARITABLE TRUST	OH	THE CLEVELAND CLINIC FOUNDATION	T	0
CHARITABLE LEAD TRUST (1)
C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44132		CHARITABLE TRUST	PA	THE CLEVELAND CLINIC FOUNDATION	T	0
33 GROSVENOR PLACE LTD
					LEASE HOLDING COMPANY			C	Yes (1)	1 WAVERLY PLACE UNION STREET	ST. HELIER	JE	JE1 1SG	JE	$59,161,943	$355,618,686	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (44 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLEVELAND CLINIC CANADA - TORONTO INC
A	$100,000	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
B	$21,845,588	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
B	$1,200,000	FMV
CLEVELAND CLINIC UK HOLDINGS LTD
B	$60,396,574	FMV
CLEVELAND CLINIC CANADA - TORONTO INC
C	$215,740	FMV
CCHS INDEMNITY COMPANY LTD
D	$831,000	FMV
CUSTOM ORTHOPAEDIC SOLUTIONS INC
D	$608,333	FMV
IVHR INC
D	$14,083,000	FMV
NEUROTHERAPIA INC
D	$1,020,833	FMV
SHIELD BIOTECH INC
D	$71,066	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
J	$3,003,814	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
J	$439,728	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
K	$2,672,608	FMV
CLINIC MEDICAL SOLUTIONS INC
K	$281,327	FMV
FAIRVIEW HOSPITAL
K	$330,879	FMV
LAKEWOOD HOSPITAL ASSOCIATION
K	$1,121,089	FMV
MARYMOUNT HOSPITAL INC
K	$671,461	FMV
CLEVELAND CLINIC NEVADA
L	$122,542	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	$5,005,466	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
L	$422,558	FMV
FAIRVIEW HOSPITAL
L	$2,934,000	FMV
LAKEWOOD HOSPITAL ASSOCIATION
L	$1,310,000	FMV
LUTHERAN HOSPITAL
L	$609,000	FMV
MARYMOUNT HOSPITAL INC
L	$2,031,130	FMV
MEDINA HOSPITAL
L	$212,862	FMV
SHIELD BIOTECH INC
L	$576,980	FMV
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
M	$1,600,000	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
M	$9,833,000	FMV
CCHS INDEMNITY COMPANY LTD
P	$37,147,935	FMV
CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
Q	$13,263,320	FMV
CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION
Q	$12,651,327	FMV
CLEVELAND CLINIC HOME CARE SERVICES
Q	$6,102,646	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Q	$2,799,733	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
Q	$1,132,611	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
Q	$71,963,596	FMV
CLINIC MEDICAL SOLUTIONS INC
Q	$65,633	FMV
FAIRVIEW HOSPITAL
Q	$44,725,036	FMV
LAKEWOOD HOSPITAL ASSOCIATION
Q	$16,424,935	FMV
LUTHERAN HOSPITAL
Q	$12,020,538	FMV
MARYMOUNT HOSPITAL INC
Q	$19,076,806	FMV
MEDINA HOSPITAL
Q	$13,859,835	FMV
AKRON GENERAL HEALTH SYSTEM
R	$64,862,469	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
S	$192,655	FMV
I-COMET TECHNOLOGIES INC
S	$976,890	FMV