2016-11-14T10:26:54-06:00 2015-12-31 346565596 ERNST & YOUNG LLP 950 MAIN AVENUE 1800 CLEVELAND OH 44113 990 2015-01-01 340714585 THE CLEVELAND CLINIC FOUNDATION CLEV 2164442200 6801 BRECKSVILLE RD NO RK1-85 INDEPENDENCE OH 44131 STEVEN C GLASS CHIEF FINANCIAL OFFICER 2164442200 2016-11-14 1 P00089502 2168615000 2015 2017-02-10 21:41:12Z X DELOS M COSGROVE 6801 BRECKSVILLE RD NO RK1-85 INDEPENDENCE OH 44131 6416366036 0 X WWW.CLEVELANDCLINIC.ORG X 1921 OH PATIENT CARE, RESEARCH & EDUCATION 22 17 34893 1729 50270331 67175 247936164 226230648 4683757213 4869018511 135154628 147764428 23546266 86627710 5090394271 5329641297 114854396 118808523 0 0 2646541111 2661500472 1495997 1683301 13479216 1934588220 2012647016 4697479724 4794639312 392914547 535001985 8846770261 9069861870 4769253388 4691944158 4077516873 4377917712 X TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 0 0 4298006991 118808523 4869018511 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 4298006991 1 1 0 1 0 0 1 0 0 1 1 1 0 1 1 1 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 6939 1 1 34893 1 1 1 1 CA CJ GR TU LU KS UK 0 0 0 1 1 1 0 0 0 0 0 X 22 17 1 1 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 AK CA CO FL GA IL KS KY LA MA MD MN MS NC ND NH NJ NM OH OK OR PA SC TN UT WA WI NY NV X X ROBERT F WAITKUS 2164452526 6801 BRECKSVILLE ROAD RK1-85 INDEPENDENCE OH 44131 COSGROVE DELOS M MD DIRECTOR, PRESIDENT, CEO 50.00 X X 4851077 0 -2492123 DONLEY BRIAN G MD DIRECTOR & CHIEF OF STAFF 50.00 X X 1081588 0 44969 RICH ROBERT E JR DIRECTOR/BOARD CHAIR 5.00 X X 0 0 0 SCAMINACE JOSEPH M DIRECTOR/BOARD VICE CHAIR 5.00 X X 0 0 0 ABELSON ABBY DEP CHR-RHEUMATIC & IMMUN, DIR 50.00 X 346805 0 27760 AULETTA PATRICK V DIRECTOR - CCF 5.00 X 0 0 0 DWEIK RAED MD PHYSICIAN, DIRECTOR - CCF 50.00 X 429232 0 43309 FEDELI UMBERTO P DIRECTOR - CCF 5.00 X 0 0 0 HOOVER CAROLE DIRECTOR - CCF 5.00 X 0 0 0 KOMINSKY ALAN MD PHYSICIAN, DIRECTOR - CCF 50.00 X 407831 0 45809 LERNER NORMA DIRECTOR - CCF 5.00 X 0 0 0 LONZER DEBORAH MD VICE CHR - PEDS STRAT OPS, DIR -CCF 50.00 X 273939 0 43309 MACDONALD WILLIAM EIII DIRECTOR - CCF 5.00 X 0 0 0 MILLER PAMELA DIRECTOR - CCF 5.00 X 0 0 0 MILLER SAMUEL DIRECTOR - CCF 5.00 X 0 0 0 MOONEY BETH E DIRECTOR - CCF 5.00 X 0 0 0 MORINO MARIO DIRECTOR - CCF 5.00 X 0 0 0 NANCE FREDERICK DIRECTOR - CCF 5.00 X 0 0 0 POLLOCK LARRY DIRECTOR - CCF 5.00 X 0 0 0 REIDY WILLIAM DIRECTOR - CCF 5.00 X 0 0 0 ROSS RONALD J DIRECTOR - CCF 5.00 X 0 0 0 SABANEGH EDMUND MD DEPT CHR - UROLOGY, DIRECTOR 50.00 X 680581 0 42913 WEISS MORRY DIRECTOR - CCF 5.00 X 0 0 0 WEINBERG RONALD DIRECTOR - CCF 5.00 X 0 0 0 DICORLETO PAUL E PHD CHR - RESEARCH INST (RETIREE) 50.00 X 1882272 0 40772 GLASS STEVEN C CFO & TREASURER 50.00 X 1327447 0 41202 HARRINGTON MICHAEL CAO & CONTROLLER 50.00 X 649717 0 45757 MCHUGH LINDA ASSISTANT SECRETARY 50.00 X 398183 0 42449 MEEHAN MICHAEL RECORDING SECRETARY 50.00 X 326607 0 -25810 PEACOCK WILLIAM CHIEF OF OPERATIONS 50.00 X 1186421 0 47990 ROWAN DAVID W CHIEF LEGAL OFFICER 50.00 X 1195877 0 45764 HARRISON A MARC CHIEF INTL BUS DEVELOPMENT 50.00 X 1619393 0 135895 MIHALJEVIC TOMISLAV CHIEF EXEC OFFICER - CCAD 50.00 X 2049437 0 151228 COULTON ROBERT EXEC DIR - OPSA (2015 RETIREE) 50.00 X 2336382 0 -46039 SAVAGE ROBERT PHYSICIAN (2015 RETIREE) 50.00 X 1632840 0 223896 BELL GORDON PHYSICIAN (2015 RETIREE) 50.00 X 1831660 0 -130770 HAHN JOSEPH PHYSICIAN (RETIREE) 50.00 X 1688110 0 -145598 COSTIN JOHN INSTITUTE CHAIRMAN 50.00 X 1461702 0 43885 27657101 0 -1773433 4560 0 1 0 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SERVICES 23010527 STRATEGIC INVESTMENT GROUP 1001 19TH ST N 16TH FLR ARLINGTON VA 22209 INVESTMENT MANAGEMENT 11065942 ADCOM GROUP INC 1370 WEST 6TH ST3RD FLR CLEVELAND OH 44113 MARKETING 10762577 DONLEYS INC 11000 EUCLID AVE CLEVELAND OH 44106 CONSTRUCTION SERVICES 9258408 SODEXO 1669 PHOENIX PARKWAY 210 COLLEGE PARK GA 30349 LAUNDRY & FOOD SERVICE 8333241 450 55881233 6720308 1736 103147251 60480120 60532195 226230648 NET PATIENT SERVICES 621990 2988177218 2988177218 MEDICARE/MEDICAID PAYM 921990 1544687378 1544687378 OTHER PROGRAM SERVICES 900099 227534095 221408355 6125740 PARKING, PHONE & OTHER 812930 52152374 52152374 MANAGEMENT FEES 561000 20962281 8052292 12909989 35505165 3496037 32009128 4869018511 58898440 58898440 14741461 14741461 8936522 0 8936522 8936522 8936522 1171527026 69303 1080137942 2592399 91389084 -2523096 88865988 88865988 567935 6720308 3994398 -3426463 -3426463 INCOME (LOSS) ON INVES 523000 44378305 -774526 45152831 INVESTMENT IN AFFILIAT 523000 43529075 43529075 FOREIGN CURRENCY 525990 610292 610292 -22141482 -22141482 66376190 5329641297 4765821280 50270331 287319038 27798011 27798011 90155726 90155726 854786 854786 16987599 4882742 12104857 2103158400 1827520772 268356617 7281011 101336035 87986521 12930170 419344 297754265 258934692 37992539 827034 142264173 123614571 18152476 497126 3330485 2905525 424960 5699360 4972139 727221 1355081 1355081 626025 626025 1683301 1683301 12048813 12048813 163115960 140833972 20813101 1468887 29077629 25313174 3710217 54238 50146071 43417507 6398486 330078 66704564 58088563 8511300 104701 4898090 4273109 624981 95543485 83352427 12191058 18116819 15436683 2311651 368485 6699088 5607236 854783 237069 94172114 82156039 12016075 248259178 216545321 31677116 36741 42502350 37079179 5423171 MEDICAL SUPPLIES 865512700 865512700 BAD DEBT EXPENSE 129492012 129492012 EQUIPMENT RENTAL & MAIN 77641280 67706407 9906791 28082 STATE FRANCHISE FEE 39923043 39923043 57782869 53018109 4621641 143119 4794639312 4298006991 483153105 13479216 166965561 286518858 17158815 11247454 188417278 185192090 607448000 682297457 5559617 6056685 10578038 10779355 77523678 80964447 27929428 38333021 5361794450 2823041900 2452476661 2538752550 2534524488 2291976054 2147730157 2256212917 12000000 12000000 40954051 56571825 557504489 612959157 8846770261 9069861870 631326929 701145678 179000 203000 95949754 97122689 2482496424 2446272503 90013960 36471901 97503999 108360527 1371783322 1302367860 4769253388 4691944158 X 3451744024 3666994974 385941764 447595723 239831085 263327015 4077516873 4377917712 8846770261 9069861870 X 535001985 -197137378 650000 -38113768 X 0 1 X 1 1 1 X 230990120 231877777 217746821 247936164 226230648 1154781530 230990120 231877777 217746821 247936164 226230648 1154781530 9094705 1145686825 69661664 73634612 81291626 78908086 82576423 386072411 17682076 73659562 169623102 66618979 88700962 416284681 1957138622 21882595978 0.58540 0.60850 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 9180 0 1 508865 1 73247 1 34733 0 626025 0 SCHEDULE C - PART II-B, LINES 1B-1I PART II-B 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINES 1C-1I CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE PART II-B 1D MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC - REPRESENTS LETTERS SENT TO LEGISLATORS AND ORGANIZATIONS ON VARIOUS HEALTHCARE RELATED TOPICS AND ISSUES PART II-B 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES X 2 50.05 0 0 1 1 1 71.00 11000 258255184 23968927 -918904 7244412 274060795 243662812 8934335 14503200 7670162 258255184 206890438 18444444 24356278 6028347 243662812 174481177 12707046 21848808 2146594 206890438 160993688 11644587 3337378 1494476 174481177 1.00000 0 0 233662829 233662829 2933807235 1505321569 1428485666 77093876 57256917 19836959 1712662773 1193461662 519201111 404567737 67001752 337565985 2538752550 HEDGE FUNDS 1310456257 F PRIVATE EQUITY 541008903 F REAL ESTATE 404747757 F 2256212917 UNAMORTIZED FINANCING COSTS 22924259 OTHER ASSETS 149327705 PERPETUAL & BENEFICIAL TRUSTS 54601620 INVESTMENT IN AFFILIATES 137313703 DUE FROM AFFILIATES 248791870 612959157 96770 ACCRUED PENSION 564347785 OTHER LIABILITIES 57957014 ACCRUED BENEFITS 160752121 FUTURE GIFT ANNUITY PAYMENTS 8078258 DEFERRED ANNUITY TRUST 575227 INTEREST RATE SWAPS 152451994 UNAMORTIZED BOND PREMIUM 53874725 DUE TO AFFILIATES 304233966 1302367860 X 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. 1 CENTRAL AMERICA & THE CARRIBEAN 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 37089007 NORTH AMERICA 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN SUBSIDIARY THAT OPERATES A MEDICAL CLINIC IN TORONTO, CANADA 29647142 EUROPE 1 1 PROGRAM SERVICES PROMOTION OF HEALTHCARE 358702 MIDDLE EAST & NORTH AFRICA 1 14 PROGRAM SERVICES PROMOTION OF HEALTHCARE 2472917 MIDDLE EAST & NORTH AFRICA 1 6 UNRELATED BUSINESS 3691157 CENTRAL AMERICA & CARRIBEAN 0 0 FUNDRAISING EAST ASIA & PACIFIC 0 0 FUNDRAISING EUROPE 0 0 FUNDRAISING 8997 MIDDLE EAST & NORTH AFRICA 0 0 FUNDRAISING 74912 NORTH AMERICA 0 0 FUNDRAISING 1490 SOUTH AMERICA 0 0 FUNDRAISING SOUTH ASIA 0 0 FUNDRAISING SUB-SAHARAN AFRICA 0 0 FUNDRAISING EUROPE 0 0 INVESTING 285758163 CENTRAL AMERICA & CARRIBEAN 0 0 INVESTING 643417303 NORTH AMERICA 0 0 INVESTING 52690819 3 21 0 0 3 21 73267922 981942687 1055210609 EUROPE RESEARCH 101607 CHECK EUROPE RESEARCH 55070 CHECK EUROPE RESEARCH 29002 CHECK EUROPE RESEARCH 38564 CHECK EUROPE RESEARCH 56271 CHECK SOUTH ASIA RESEARCH 52537 CHECK NORTH AMERICA RESEARCH 10000 CHECK SOUTH AMERICA RESEARCH 7140 CHECK EUROPE RESEARCH 58109 CHECK NORTH AMERICA RESEARCH 38243 CHECK SOUTH ASIA RESEARCH 8500 CHECK EAST ASIA & PACIFIC RESEARCH 20000 CHECK EAST ASIA & PACIFIC RESEARCH 10000 CHECK NORTH AMERICA RESEARCH 26467 CHECK EAST ASIA & PACIFIC RESEARCH 11422 CHECK NORTH AMERICA RESEARCH 278144 CHECK 11 5 RESEARCH EAST ASIA & PACIFIC 1 10000 CHECK RESEARCH NORTH AMERICA 1 6298 CHECK RESEARCH EUROPE 1 7500 CHECK 1 0 1 1 1 1 PART I, LINE 2: A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS. PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. X X X X X X X 1 BLACKBAUD 2000 DANIEL ISLAND DR CHARLESTON SC 29492 ONLINE GIVING 0 2608101 275418 2332683 RR DONNELLEY 111 SOUTH WACKER DRIVE CHICAGO IL 60606 DIRECT MAIL 0 862649 1042329 -179680 HARRIS CONNECT LLC 1511 ROUTE 22 STE C-25 BREWSTER NY 10509 PHONE SOLICITATION 0 269711 365554 -95843 3740461 1683301 2057160 AK AL AR AZ CA CO CT FL GA HI ID KS KY LA MA MD ME MI MN MO MS NC ND NH NJ NM NY OH OK OR PA RI SC TN VA WA WI WY DE IA IL IN MT NE NV SD TX VT WV CARES GALA 1315294 1045809 269485 150152 168734 285965 141653 VELOSANO 4479826 4305507 174319 128760 109564 46933 1194569 3 1493123 1368992 124131 78516 180785 35537 1473230 7288243 6720308 567935 357428 459083 368435 2809452 3994398 -3426463 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 38429505 0 38429505 0.00820 510734156 357532063 153202093 0.03290 0 0 549163661 357532063 191631598 0.04110 19468415 13550 19454865 0.00420 217851453 27455954 190395499 0.04080 7166439 4115507 3050932 0.00070 199139608 133743329 65396279 0.01400 9607389 425561 9181828 0.00200 453233304 165753901 287479403 0.06170 1002396965 523285964 479111001 0.10280 198 198 0.00000 5418 5418 0.00000 193582 193582 0.00000 22896 22896 0.00000 2283 2283 0.00000 50601 50601 0.00000 14987 14987 0.00000 7701 7701 0.00000 0.00000 297666 297666 1 130272350 522702113 540275654 -17573541 X 1 1 1 1 THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR X X X X X X THE CLEVELAND CLINIC FOUNDATION 1 0 0 1 X X X X X X X X 13 1 1 0 1 X WWW.CLEVELANDCLINIC.ORG X 1 13 1 WWW.CLEVELANDCLINIC.ORG 0 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X 1 X 0 X X X X X 1 X 0 0 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. 149 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 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. 1 AKRON GENERAL MEDICAL CENTER 400 WABASH AVE AKRON OH 44307 340714478 501(C)(3) 14500 HEALTHCARE RESEARCH & EDUCATION ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED OH 44070 470974372 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES ALZHEIMERS ASSOCIATION 12200 FAIRHILL RD CLEVELAND OH 44120 341311175 501(C)(3) 13750 HEALTHCARE RESEARCH & EDUCATION AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND OH 44106 131788491 501(C)(3) 43044 HEALTHCARE RESEARCH & EDUCATION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 590637852 501(C)(3) 239000 HEALTHCARE RESEARCH & EDUCATION AMERICAN LIVER FOUNDATION PO BOX 36085 INDIANAPOLIS IN 46236 362883000 501(C)(3) 5500 HEALTHCARE RESEARCH & EDUCATION AMERICAN LUNG ASSOCIATION 1740 BROADWAY NEW YORK NY 10019 131632524 501(C)(3) 17500 HEALTHCARE RESEARCH & EDUCATION ANTIOCH BAPTIST CHURCH 8869 CEDAR AVE CLEVELAND OH 44106 364497121 501(C)(3) 6000 COMMUNITY SUPPORT ARTHRITIS FOUNDATION 1330 WEST PEACHTREE ST NW ATLANTA GA 30309 581341679 501(C)(3) 9000 HEALTHCARE RESEARCH & EDUCATION ASSOCIATION OF AFRICAN AMERICAN CULTURAL GARDENS INC PO BOX 20237 CLEVELAND OH 44120 900791590 501(C)(3) 10000 COMMUNITY SUPPORT ASSOCIATION OF INDIAN PHYSICIANS OF NORTHERN OHIO 3249 ROCKY RIVER DR ROCKY RIVER OH 44111 341407746 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES BEACHWOOD CHAMBER OF COMMERCE 25550 CHAGRIN BLVD BEACHWOOD OH 44122 341684237 501(C)(6) 7750 COMMUNITY SUPPORT BLACK PROFESSIONAL ASSOCIATION CHARITABLE FOUNDATION INC PO BOX 5783 CLEVELAND OH 44101 341496786 501(C)(3) 15000 COMMUNITY SUPPORT BOYS AND GIRLS CLUBS OF CLEVELAND 6114 BROADWAY AVE CLEVELAND OH 44127 340770686 501(C)(3) 27500 COMMUNITY SUPPORT BURTEN BELL CARR DEVELOPMENT INC 7201 KINSMAN RD CLEVELAND OH 44104 341657533 501(C)(3) 10000 COMMUNITY SUPPORT BUSINESS VOLUNTEERS UNLIMITED 1300 E 9TH ST STE 1805 CLEVELAND OH 44114 341724581 501(C)(3) 10000 COMMUNITY SUPPORT CANCER SERVICES OF ERIE COUNTY 505 E PERKINS AVE SANDUSKY OH 44870 340877577 501(C)(3) 8280 HEALTHCARE RESEARCH & EDUCATION CARE ALLIANCE 1795 W 25TH ST CLEVELAND OH 44113 341748776 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT RD CLEVELAND OH 44106 341018992 501(C)(3) 10200 SUPPORT EDUCATIONAL ACTIVITIES CITY OF MAPLE HEIGHTS 5353 LEE RD MAPLE HTS OH 44137 346001809 501(C)(1) 10000 COMMUNITY SUPPORT CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714553 501(C)(3) 21845588 HEALTHCARE RESEARCH & EDUCATION CLEVELAND LEADERSHIP CENTER 1375 E 9TH ST CLEVELAND OH 44114 341927317 501(C)(3) 5500 COMMUNITY SUPPORT CLEVELAND MUSEUM OF NATURAL HISTORY 1 WADE OVAL DR CLEVELAND OH 44106 340714338 501(C)(3) 13200 COMMUNITY SUPPORT CLEVELAND STATE UNIVERSITY 2121 EUCLID AVE CLEVELAND OH 44115 340966056 501(C)(3) 19632 SUPPORT EDUCATIONAL ACTIVITIES COLLEGE NOW GREATER CLEVELAND INC 200 PUBLIC SQUARE STE 3820 CLEVELAND OH 44114 346580096 501(C)(3) 12000 SUPPORT EDUCATIONAL ACTIVITIES COLON CANCER ALLIANCE 1025 VERMONT AVE NW STE 1066 WASHINGTON DC 20005 860947831 501(C)(3) 12500 HEALTHCARE RESEARCH & EDUCATION COMMUNITY WEST FOUNDATION 20545 CENTER RIDGE RD STE 448 CLEVELAND OH 44116 341456398 501(C)(3) 34500 COMMUNITY SUPPORT CORNERSTONE OF HOPE 6600 DAISY AVE INDEPENDENCE OH 44131 341945499 501(C)(3) 26500 COMMUNITY SUPPORT COUNCIL FOR ECONOMIC OPPORTUNITIES IN GREATER CLEVELAND 1228 EUCLID AVE STE 700 CLEVELAND OH 44115 340965350 501(C)(3) 25000 COMMUNITY SUPPORT CROHNS & COLITIS FOUNDATION OF AMERICA 23366 COMMERCE PARK RD BEACHWOOD OH 44122 136193105 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION CUYAHOGA COMMUNITY COLLEGE PO BOX 92928 CLEVELAND OH 44194 340896630 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES DANCING CLASSROOMS NORTHEAST OHIO 1085 ROCKSIDE RD STE 6 PARMA OH 44134 262300532 501(C)(3) 47000 COMMUNITY SUPPORT DANCING WHEELS COMPANY & SCHOOL 3615 EUCLID AVE CLEVELAND OH 44115 341623342 501(C)(3) 12500 COMMUNITY SUPPORT DOWNTOWN CLEVELAND ALLIANCE 1010 EUCLID AVE CLEVELAND OH 44114 341775903 501(C)(3) 6500 COMMUNITY SUPPORT ESPERANZA INC 4115 BRIDGE AVE CLEVELAND OH 44113 341403492 501(C)(3) 20000 SUPPORT EDUCATIONAL ACTIVITIES EUCLID AVENUE CONGREGATIONAL CHURCH 4217 BLUESTONE RD CLEVELAND OH 44121 346505904 501(C)(3) 291667 COMMUNITY SUPPORT FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 284162 COMMUNITY SUPPORT FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND OH 44106 341053534 501(C)(3) 17900 COMMUNITY SUPPORT FATIMA FAMILY CENTER 6600 LEXINGTON AVE CLEVELAND OH 44103 261323950 501(C)(3) 10000 COMMUNITY SUPPORT FLASHES OF HOPE INC 6009 LANDERHAVEN DR MAYFIELD HTS OH 44124 043648694 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION FORCES4QUALITY NORTHEAST OHIO PO BOX 609655 CLEVELAND OH 44109 261725657 501(C)(3) 87000 HEALTHCARE RESEARCH & EDUCATION FRIENDS OF BREAKTHROUGH SCHOOLS 3615 SUPERIOR AVE CLEVELAND OH 44114 204948838 501(C)(3) 5500 SUPPORT EDUCATIONAL ACTIVITIES GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD OH 44122 341879035 501(C)(3) 30000 COMMUNITY SUPPORT GOODWILL INDUSTRIES OF GREATER CLEVELAND INC 408 9TH ST SW CANTON OH 44707 340909974 501(C)(3) 0 12500 ESTIMATED VALUE ARTWORK COMMUNITY SUPPORT GREATER CLEVELAND HABITAT FOR HUMANITY 2110 W 110TH ST CLEVELAND OH 44102 311209423 501(C)(3) 10000 COMMUNITY SUPPORT INNER CITY TENNIS CLINICS INCORPORATED PO BOX 32551 CLEVELAND OH 44132 271789893 501(C)(3) 10000 COMMUNITY SUPPORT KARAMU HOUSE 2355 E 89TH ST CLEVELAND OH 44106 340714448 501(C)(3) 15000 COMMUNITY SUPPORT KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS NV 89106 880515534 501(C)(3) 64775 HEALTHCARE RESEARCH & EDUCATION KIDNEY FOUNDATION OF OHIO INC 2831 PROSPECT AVE CLEVELAND OH 44115 340827748 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION LEUKEMIA & LYMPHOMA SOCIETY 5700 BRECKSVILLE RD INDEPENDENCE OH 44131 135644916 501(C)(3) 22000 HEALTHCARE RESEARCH & EDUCATION MALTZ MUSEUM OF JEWISH HERITAGE 2929 RICHMOND RD BEACHWOOD OH 44122 043684531 501(C)(3) 15000 COMMUNITY SUPPORT MARCH OF DIMES FOUNDATION 614 SUPERIOR AVE NW CLEVELAND OH 44113 131846366 501(C)(3) 28500 HEALTHCARE RESEARCH & EDUCATION MEDINA HOSPITAL FOUNDATION 1000 E WASHINGTON ST MEDINA OH 44256 341657989 501(C)(3) 6100 HEALTHCARE RESEARCH & EDUCATION MEDWISH INTERNATIONAL 17325 EUCLID AVE CLEVELAND OH 44112 341903712 501(C)(3) 35000 2690606 ESTIMATED VALUE IN-KIND MEDICAL EQUIPMENT HEALTHCARE RESEARCH & EDUCATION MEDWORKS 1950 RICHMOND RD LYNDHURST OH 44124 263858369 501(C)(3) 12000 HEALTHCARE RESEARCH & EDUCATION METROHEALTH SYSTEM 2500 METROHEALTH DR CLEVELAND OH 44109 346004382 501(C)(3) 293391 HEALTHCARE RESEARCH & EDUCATION MIDTOWN CLEVELAND 5000 EUCLID AVE CLEVELAND OH 44103 341381334 501(C)(3) 10000 COMMUNITY SUPPORT NAMI GREATER CLEVELAND 2012 W 25TH ST CLEVELAND OH 44113 202254268 501(C)(3) 25000 COMMUNITY SUPPORT NATIONAL MULTIPLE SCLEROSIS SOCIETY 1422 EUCLID AVE CLEVELAND OH 44115 340801307 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION NORTH COAST CANCER FOUNDATION 417 QUARRY LAKES DR SANDUSKY OH 44870 341224416 501(C)(3) 100000 HEALTHCARE RESEARCH & EDUCATION NORTH UNION FARMERS MARKET 13212 SHAKER SQUARE STE 302 CLEVELAND OH 44120 341812026 501(C)(3) 45000 COMMUNITY SUPPORT OHIO STATE MEDICAL ASSOCIATION 3401 MILL RUN DR HILLARD OH 43026 314364893 501(C)(6) 10000 HEALTHCARE RESEARCH & EDUCATION OPEN DOORS INC 3311 PERKINS AVE CLEVELAND OH 44114 043697716 501(C)(3) 20000 COMMUNITY SUPPORT RAINEY INSTITUTE 1523 E 55TH ST CLEVELAND OH 44144 346555952 501(C)(3) 17500 COMMUNITY SUPPORT RECOVERY RESOURCES 3950 CHESTER AVE CLEVELAND OH 44114 341211116 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION REGIONAL TRANSIT AUTHORITY PO BOX 6566 CLEVELAND OH 44101 341170830 GOV. ENTITY 125000 COMMUNITY SUPPORT RESEARCH AMERICA 1101 KING ST ALEXANDRIA VA 22314 521609875 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES RONALD MCDONALD HOUSE OF CLEVELAND INC 10415 EUCLID AVE CLEVELAND OH 44106 341269123 501(C)(3) 207750 HEALTHCARE RESEARCH & EDUCATION SAINT MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVE CLEVELAND OH 44103 522401852 501(C)(3) 111869 SUPPORT EDUCATIONAL ACTIVITIES SENIOR TRANSPORTATION CONNECTION OF CUYAHOGA COUNTY 4735 W 150TH CLEVELAND OH 44135 300319480 501(C)(3) 15000 COMMUNITY SUPPORT SUSAN G KOMEN NORTHWEST OHIO 3100 W CENTRAL AVE STE 235 TOLEDO OH 43606 752845063 501(C)(3) 17500 HEALTHCARE RESEARCH & EDUCATION THE FREE CLINIC OF GREATER CLEVELAND 12201 EUCLID AVE CLEVELAND OH 44106 237078501 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION THE MUSICAL ARTS ASSOCIATION 11001 EUCLID AVE CLEVELAND OH 44106 340714468 501(C)(3) 10000 COMMUNITY SUPPORT THE VILLAGE AT MARYMOUNT 5200 MARYMOUNT VILLAGE DR GARFIELD HTS OH 44125 205652595 501(C)(3) 30000 HEALTHCARE RESEARCH & EDUCATION THE WORD CHURCH 18909 S MILES RD WARRENSVILLE HTS OH 44128 030415420 501(C)(3) 7500 COMMUNITY SUPPORT TOWARDS EMPLOYMENT INCORPORATED 1255 EUCLID AVE CLEVELAND OH 44115 341578831 501(C)(3) 18100 COMMUNITY SUPPORT TRINITY HIGH SCHOOL 12425 GRANGER RD GARFIELD HTS OH 44125 340943303 501(C)(3) 12501 SUPPORT EDUCATIONAL ACTIVITIES UNITED WAY OF GREATER CLEVELAND 1331 EUCLID AVE CLEVELAND OH 44115 346516654 501(C)(3) 0 5021 ESTIMATED VALUE ARTWORK COMMUNITY SUPPORT WOMEN OF COLOR FOUNDATION 1667 E 40TH ST CLEVELAND OH 44103 020743542 501(C)(3) 10000 COMMUNITY SUPPORT 76 3 SCHOLARSHIPS 219 7596800 FELLOWSHIPS 1806 82462336 LODGING FOR INDIGENT 175 96590 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. X X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 COSGROVE DELOS M MD DIRECTOR, PRESIDENT, CEO 4480740 0 0 0 370337 0 -2508768 0 16645 0 2358954 0 0 0 DONLEY BRIAN G MD DIRECTOR & CHIEF OF STAFF 986366 0 0 0 95222 0 26500 0 18469 0 1126557 0 0 0 ABELSON ABBY DEP CHR-RHEUMATIC & IMMUN, DIR 335740 0 0 0 11065 0 26500 0 1260 0 374565 0 0 0 DWEIK RAED MD PHYSICIAN, DIRECTOR - CCF 394576 0 0 0 34656 0 26500 0 16809 0 472541 0 0 0 KOMINSKY ALAN MD PHYSICIAN, DIRECTOR - CCF 392076 0 0 0 15755 0 26500 0 19309 0 453640 0 0 0 LONZER DEBORAH MD VICE CHR - PEDS STRAT OPS, DIR -CCF 271503 0 0 0 2436 0 26500 0 16809 0 317248 0 0 0 SABANEGH EDMUND MD DEPT CHR - UROLOGY, DIRECTOR 620972 0 0 0 59609 0 26500 0 16413 0 723494 0 0 0 DICORLETO PAUL E PHD CHR - RESEARCH INST (RETIREE) 423336 0 0 0 1458936 0 28740 0 12032 0 1923044 0 0 0 GLASS STEVEN C CFO & TREASURER 1210311 0 0 0 117136 0 24393 0 16809 0 1368649 0 0 0 HARRINGTON MICHAEL CAO & CONTROLLER 595021 0 0 0 54696 0 26500 0 19257 0 695474 0 0 0 MCHUGH LINDA ASSISTANT SECRETARY 365205 0 0 0 32978 0 25744 0 16705 0 440632 0 0 0 MEEHAN MICHAEL RECORDING SECRETARY 296621 0 0 0 29986 0 -42574 0 16764 0 300797 0 0 0 PEACOCK WILLIAM CHIEF OF OPERATIONS 1098576 0 0 0 87845 0 26467 0 21523 0 1234411 0 0 0 ROWAN DAVID W CHIEF LEGAL OFFICER 1086096 0 0 0 109781 0 26500 0 19264 0 1241641 0 0 0 HARRISON A MARC CHIEF INTL BUS DEVELOPMENT 936959 0 0 0 682434 0 26500 0 109395 0 1755288 0 0 0 MIHALJEVIC TOMISLAV CHIEF EXEC OFFICER - CCAD 1181626 0 0 0 867811 0 26500 0 124728 0 2200665 0 0 0 COULTON ROBERT EXEC DIR - OPSA (2015 RETIREE) 587764 0 0 0 1748618 0 -62631 0 16592 0 2290343 0 0 0 SAVAGE ROBERT PHYSICIAN (2015 RETIREE) 319914 0 0 0 1312926 0 212632 0 11264 0 1856736 0 0 0 BELL GORDON PHYSICIAN (2015 RETIREE) 160129 0 0 0 1671531 0 -134862 0 4092 0 1700890 0 0 0 HAHN JOSEPH PHYSICIAN (RETIREE) 1688110 0 0 0 0 0 -145598 0 0 0 1542512 0 0 0 COSTIN JOHN INSTITUTE CHAIRMAN 1324145 0 0 0 137557 0 26500 0 17385 0 1505587 0 0 0 PART I, LINE 1A LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME. PART I, 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. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756DAY2 2013-05-29 309434914 BOND 2013: REFUND 2004A, 2003A AND FACILITY IMPROVEMENTS 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756A3Z3 2012-05-09 519383182 BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561HU9 2011-11-02 208951439 BOND 2011A: REFUND 2003A SERIES 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NOTAPPLIC 2011-11-02 41120000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES 0 0 0 A 24475765 309434914 2129301 20001498 287304115 2013 1 0 1 1 B 9737437 519383182 3825815 411300530 104256837 2012 0 1 1 1 C 17261868 208951439 2003385 206948054 2011 0 1 1 1 D 9870000 41120000 2302465 735249 38082286 2011 1 0 1 1 A 0 1 1 1 1 1 0.01040 0.00000 0.01040 0 0 1 B 0 1 1 1 1 1 0.00870 0.00080 0.00950 0 0 1 C 0 1 1 1 1 1 0.01390 0.00010 0.01400 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 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 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561FV9 2009-08-25 807007320 BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AG22 2008-10-15 451686386 BOND 2008A: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 A 119936174 70000 807007320 1099225 501164780 304743315 2011 1 0 1 1 B 32077272 435000 451686386 800000 218639952 251263651 2008 1 0 1 1 C 300750000 670000000 1200000 324315217 372706929 2008 1 0 1 1 A 0 1 1 1 1 1 0.01490 0.00030 0.01520 0 1 0.00050 1 1 B 0 1 1 1 1 1 0.00880 0.00020 0.00900 0 1 0.00550 1 1 C 0 1 1 1 1 1 0.00880 0.00020 0.00900 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D COSGROVE CEO/PRESIDENT INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN X 229247 6056685 0 1 1 6056685 TOM ABELSON FAMILY MEMBER OF ABBY ABELSON, CCF DIRECTOR 404905 EMPLOYMENT AGREEMENT WITH CCF 0 BENJAMIN ABELSON FAMILY MEMBER OF ABBY ABELSON, CCF DIRECTOR 50454 EMPLOYMENT AGREEMENT WITH CCF 0 ALEXANDER HARRISON FAMILY MEMBER OF MARC HARRISON, CCF KEY EMPLOYEE 12044 EMPLOYMENT AGREEMENT WITH CCF 0 KATHERINE MCHUGH FAMILY MEMBER OF LINDA MCHUGH, CCF OFFICER 34022 EMPLOYMENT AGREEMENT WITH CCF 0 IVA FATTORINI FAMILY MEMBER OF TOMISLAV MIHALJEVIC, CCF KEY EMPLOYEE 208080 EMPLOYMENT AGREEMENT WITH CCF 0 X 23 48326377 APPRAISAL X 5817 SALE COMPARABLE GOODS X 203557 SALE COMPARABLE GOODS X 130 11830160 AVERAGE HIGH/LOW X 13 94600 COST X MEDICAL EQUIPMENT 2 67300 SALE COMPARABLE GOOD X EVENT TICKETS 5 4384 COST 1 0 1 1 PART I, LINE 32B: THE CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. 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. 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