2013-10-04T13:04:21-05:00 2012-12-31 346565596 ERNST & YOUNG LLP 950 MAIN AVE 1800 CLEVELAND OH 44113 990 2012-01-01 912153073 THE CLEVELAND CLINIC FOUNDATION GROUP RETURN CLEV 2164442200 9500 EUCLID AVENUE NO JJ19 CLEVELAND OH 44195 STEVEN C GLASS 2164442200 2013-10-04 1 P00089502 2168615000 2012 2016-02-24 21:20:13Z DELOS M COSGROVE 9500 EUCLID AVENUE NO JJ19 CLEVELAND OH 44195 7256545732 1 1 3641 X WWW.CLEVELANDCLINIC.ORG X PATIENT CARE, RESEARCH AND EDUCATION 292 152 49779 5380 48584124 461672 297003284 284096603 6020996916 6451431127 135561736 154505019 -90210129 121239347 6363351807 7011272096 107162895 104329822 0 0 3345237890 3565160404 1235540 1301479 12242970 2664127458 2888843256 6117763783 6559634961 245588024 451637135 9063594010 10222859807 4688024222 5204048925 4375569788 5018810882 X TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION INTO THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 0 0 5833990776 104329822 6451431127 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 5833990776 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 X 5819 0 1 49779 1 1 1 1 CA CJ GR PL TH 0 0 0 1 1 1 1 0 0 0 X 292 152 1 1 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 OH X X ROBERT F WAITKUS 2164452526 6801 BRECKSVILLE ROAD RK-85 INDEPENDENCE OH 44131 BANKS JOHN H 3.00 X X 0 0 0 BRONSON DAVID L 50.00 X X 802832 0 414392 BRYZTWA ELLEN 3.00 X X 0 0 0 CHACK DENNIS M 3.00 X X 0 0 0 COSGROVE DELOS M 50.00 X X 2551727 0 618934 DUNN LISA A 3.00 X X 0 0 0 EBERT ROBERT 3.00 X X 0 0 0 FERNANDEZ BERNARDO 50.00 X X 704202 0 511910 FUNK JONATHAN R 50.00 X X 237038 0 38657 GABLE THOMAS 3.00 X X 0 0 0 GLASS STEVEN C 50.00 X X 988004 0 55186 HAHN JOSEPH F 50.00 X X 1195765 0 164419 HARRINGTON MICHAEL 50.00 X X 555769 0 46924 HUGHES KEITH 3.00 X X 0 0 0 KEMPER JOHN W 3.00 X X 0 0 0 LEE SHAWN 3.00 X X 0 0 0 MCHUGH MICHAEL 50.00 X X 331527 0 31356 MILLER PAMELA 3.00 X X 0 0 0 MODIC MICHAEL 50.00 X X 873163 0 78940 MORRIS JAMES 3.00 X X 0 0 0 NEVILLE JAMES R 3.00 X X 0 0 0 NOGUERAS JUAN 50.00 X X 560208 0 319568 O'BRIEN TIMOTHY 3.00 X X 0 0 0 PALKER JEFFREY J 3.00 X X 0 0 0 PAYDO RONALD H JR 3.00 X X 0 0 0 PEACOCK WILLIAM 50.00 X X 836640 0 51252 PHILLIPS TIMOTHY E 3.00 X X 0 0 0 PIEDIMONTE GIOVANNI 50.00 X X 271048 0 29730 REIDY WILLIAM J 3.00 X X 0 0 0 RICH ROBERT E JR 3.00 X X 0 0 0 RODRIGUEZ RICARDO 50.00 X X 402887 0 37660 ROSS RONALD J 3.00 X X 0 0 0 ROWAN DAVID 50.00 X X 2678099 0 42742 SALVATORE ALBERT N 3.00 X X 0 0 0 SCAMINACE JOSEPH M 3.00 X X 0 0 0 STEINKE THOMAS 3.00 X X 0 0 0 STEVENS MARK 3.00 X X 0 0 0 TULISIAK THOMAS 50.00 X X 390618 0 41013 ARUM LOVEE 3.00 X 0 0 0 AUBURN HUBERT 3.00 X 0 0 0 AULETTA PATRICK V 3.00 X 0 0 0 BAKER WILLIAM 3.00 X 0 0 0 BALAGUER JAMES 3.00 X 0 0 0 BERNICK CHARLES 50.00 X 277162 0 41294 BOTROS KARIM 50.00 X 200580 0 16717 BROSKY CURTIS M 3.00 X 0 0 0 BROWN STEPHEN 3.00 X 0 0 0 BUEGLER DAVID 3.00 X 0 0 0 BULLOCK THOMAS 3.00 X 0 0 0 BUX ROBERT J 3.00 X 0 0 0 CHARDIET ARMANDO 50.00 X 635362 0 42544 COMMES THOMAS A 3.00 X 0 0 0 CONNELL CHARLENE 3.00 X 0 0 0 COURY THOMAS J 3.00 X 0 0 0 CRACIUN A ROMEO 50.00 X 314651 0 36535 CULLEY CARL A JR 50.00 X 211639 0 37059 CUMMINGS JEFFREY 50.00 X 452667 0 42192 DAUGHERTY KENT 3.00 X 0 0 0 DEGRANDIS FRED M 50.00 X 970113 0 59373 DEYLING CYNTHIA 50.00 X 539615 0 41842 DOLAN MICHAEL 3.00 X 0 0 0 DOMBROWIAK DAVID T 3.00 X 259645 0 35200 ELSAWY TAREK 50.00 X 376142 0 71465 FALCONE TOMMASO 50.00 X 762501 0 47460 FANCHER JON M 3.00 X 0 0 0 FECHT WILLIAM G 3.00 X 0 0 0 FEDELI UMBERTO P 3.00 X 0 0 0 FRANKEL MARK 50.00 X 130127 0 35827 FREEMAN RICHARD B 50.00 X 391764 0 40918 GIBBONS JOSEPH P 3.00 X 0 0 0 GORTON WILLIAM R 3.00 X 0 0 0 GUTWALD DENNIS 3.00 X 0 0 0 HABER KENNETH 3.00 X 0 0 0 HADLEY CORINNE P 3.00 X 0 0 0 HARRINGTON CHRISTOPHER 3.00 X 0 0 0 HESSLER DAVID J 3.00 X 0 0 0 HESSLER NATHAN 3.00 X 0 0 0 HOOVER CAROLE 3.00 X 0 0 0 HOUK GAIL R 3.00 X 0 0 0 HORWOOD RAYMOND 3.00 X 31050 0 0 HWANG GEORGE 3.00 X 0 0 0 JAROSZ MARY ALICE 3.00 X 0 0 0 KAY HARVEY 3.00 X 0 0 0 KEANE MARTIN 3.00 X 0 0 0 KILLORAN SISTER CAROL 3.00 X 0 0 0 KNIGHT LENA 3.00 X 0 0 0 KORAN WILLIAM 3.00 X 0 0 0 KOVACH RONALD A 3.00 X 0 0 0 KURTZ GREGORY P 3.00 X 0 0 0 LEECH JOHN D 3.00 X 0 0 0 LERNER NORMA 3.00 X 0 0 0 LESJAK DAVID M 3.00 X 0 0 0 LINTZ ROBERT L 3.00 X 0 0 0 LITTEN JOHN 3.00 X 0 0 0 LONGVILLE TIMOTHY 50.00 X 229935 0 68234 LUND MELISSA 3.00 X 0 0 0 MACDONALD WILLIAM III 3.00 X 0 0 0 MADIGAN MARY LOUISE 3.00 X 0 0 0 MAGISANO JAMES 3.00 X 0 0 0 MANDELL BRIAN 50.00 X 297450 0 149736 MARCHANT KANDICE 50.00 X 624484 0 443510 MAROO PRAFUL 50.00 X 63379 0 8323 MASARYK THOMAS 50.00 X 611380 0 326477 MATTHEWS T J 3.00 X 0 0 0 MCCANDLESS DREW 3.00 X 0 0 0 MCCARTAN PATRICK F 3.00 X 0 0 0 MCGORRAY KATHLEEN T 3.00 X 0 0 0 MCNEEL RICHARD 3.00 X 0 0 0 MILLER JOSHUA 50.00 X 221117 0 38452 MILLER SAMUEL H 3.00 X 0 0 0 MOODLEY S JULES 50.00 X 752784 0 55980 MOONEY BETH E 3.00 X 0 0 0 MORINO MARIO 3.00 X 0 0 0 NANCE FREDERICK 3.00 X 0 0 0 NICHOLS ELAINE F 3.00 X 0 0 0 NICHOLS JENNIE E 3.00 X 0 0 0 OATEY WILLIAM R 3.00 X 0 0 0 O'NEILL JOHN 3.00 X 0 0 0 PARAS ANTONIO 3.00 X 0 0 0 PATTON EILEEN A 3.00 X 0 0 0 PATTON REBECCA 3.00 X 0 0 0 POHL PAUL M 3.00 X 0 0 0 POLLOCK LARRY 3.00 X 0 0 0 PRICE LAURIE 3.00 X 0 0 0 PRITCHARD DAVID 3.00 X 0 0 0 PRITTS GARY 3.00 X 0 0 0 RAMANAVARAPU SAMPATH 3.00 X 0 0 0 RICE RONALD 3.00 X 0 0 0 RIEBEL WILLIAM J 50.00 X 83336 0 22456 RINI CHARLES A 3.00 X 0 0 0 ROCHE DENNIS J 3.00 X 0 0 0 ROGICH SIGMOND 3.00 X 0 0 0 ROME ELLEN 50.00 X 167304 0 36744 ROOT BRAD 3.00 X 0 0 0 RUVO LARRY 3.00 X 0 0 0 RUVO CAMILLE 3.00 X 0 0 0 SANFORD BILL R 3.00 X 0 0 0 SEITZ WILLIAM H JR 50.00 X 644051 0 54184 SEVERINO MICHAEL 3.00 X 0 0 0 SHEWBRIDGE RICHARD 50.00 X 226369 0 41744 SMITH NEIL 50.00 X 184540 0 5525 SNYDER VICKY 50.00 X 197150 0 32084 SNYDER JEROME F 3.00 X 0 0 0 SPIRO TIMOTHY 50.00 X 550421 0 38380 STARCK REBECCA 50.00 X 558466 0 52293 STEELMAN PAUL 3.00 X 0 0 0 STEINBERG DAVID 3.00 X 0 0 0 STURM ROLAND 3.00 X 0 0 0 SUMMERS MICHAEL 3.00 X 0 0 0 SUTHERLAND DEBORAH L 3.00 X 0 0 0 TABBAA MOUSAB 3.00 X 4550 0 0 TIMKEN WILLIAM AMB 3.00 X 0 0 0 TUCKER BRIAN 3.00 X 0 0 0 VEGA LORRAINE 3.00 X 0 0 0 WARREN ROBERT JR 3.00 X 0 0 0 WEISS MORRY 3.00 X 0 0 0 WEXLER NANCY 3.00 X 0 0 0 WINTER TODD 3.00 X 0 0 0 WOODBURN IAN C 3.00 X 0 0 0 WYLLIE ROBERT 50.00 X 548991 0 301310 YAROMA ROBERT J 3.00 X 0 0 0 ZEROSKE JOANNE 50.00 X 361408 0 49786 ZILLI HARRY A 3.00 X 0 0 0 CAPASSO BEVERLY 50.00 X 311613 0 24955 DEL CASTILLO BARBARA 50.00 X 331561 0 40776 DICORLETO PAUL E 50.00 X 452011 0 146007 FUNG JOHN 50.00 X 923507 0 42544 JONES JEFFREY J 50.00 X 490179 0 46841 MCHUGH LINDA 50.00 X 355762 0 62268 MEEHAN MICHAEL J 50.00 X 297283 0 59824 NILSSON KEITH 50.00 X 331934 0 50028 SLIFKO JESSICA 50.00 X 225613 0 24710 STOLLER JAMES 50.00 X 470306 0 373339 ZHONG XUE 50.00 X 234797 0 30828 MANNING LISA 50.00 X 178413 0 17188 ROSENTHAL RAUL 50.00 X 759777 0 40254 BLANDON RODOLFO 50.00 X 606060 0 52063 MAJOR KERRY 50.00 X 153785 0 31240 HARRISON MARC A 50.00 X 1511309 0 39137 CARROLL DONALD A 50.00 X 157032 0 35992 GLASS IAN S 50.00 X 371162 0 47946 JOHNSON JUDITH E 50.00 X 211413 0 17390 KENNEDY MARY 50.00 X 183730 0 87337 LEA RICHARD 50.00 X 220642 0 130825 MILLS JOHN C 50.00 X 221911 0 25239 RITCHIE SHANNAN 50.00 X 207327 0 27070 BAILEY DAWN 50.00 X 164332 0 55801 BENNETT KRIS 50.00 X 154613 0 16990 COLLIER SUSAN 50.00 X 202724 0 135387 MILLER SHEILA 50.00 X 165172 0 25815 SAUER MARY 50.00 X 150789 0 38506 SMALL DEBORAH 50.00 X 222846 0 18935 COBURN CHRISTOPHER 50.00 X 2031682 0 41779 COSTIN JOHN 50.00 X 1753220 0 36224 LYTLE BRUCE W MD 50.00 X 1694293 0 231094 MIHALJEVICTOMISLAV 50.00 X 1528148 0 111853 RYCKMAN J VICTOR 50.00 X 1222525 0 5463 BELL GORDON R MD 50.00 X 741843 0 64247 KECKAN WILLIAM D 50.00 X 294376 0 105607 KENNEY CAROL A 50.00 X 178758 0 107584 KIDERMAN SAM 50.00 X 245341 0 48443 KIOUS A GUS MD 50.00 X 199700 0 27179 SINKO DONALD 50.00 X 417018 0 46084 STALL ROBERT 50.00 X 379882 0 71560 WALSH T DECLAN MD 50.00 X 1920015 0 45082 BADDOUR WILLIAM 50.00 X 193889 0 47661 BURNS SONDA 50.00 X 133998 0 16115 LANDERS MAXINE 50.00 X 201234 0 27662 MATSEN PAUL 50.00 X 894921 0 42544 SCHAFER MAUREEN 50.00 X 267614 0 22966 SESTO MARK E 50.00 X 585269 0 310825 TOPALSKY GEORGE 50.00 X 123685 0 19121 50534674 0 7930655 4472 1 1 0 TURNER CONSTRUCTION COMPANY 5430 WARNER RD CLEVELAND OH 44125 CONSTRUCTION SERVICES 40881486 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SOLUTIONS 23266959 AVI FOOD SYSTEMS INC 2590 ELM RD NE WARREN OH 44483 CAFETERIA/CATERING SERVICE 16263128 WHITING-TURNER CONTRACTING COMPANY 5875 LANDERBROOK STE 100 CLEVELAND OH 44124 CONSTRUCTION SERVICES 15571825 ADCOM COMMUNICATIONS INC 1370 WEST 6TH ST 3RD FLOOR CLEVELAND OH 44113 MARKETING 15487433 685 45035956 9682853 91806 109353943 119932045 10423688 284096603 NET PATIENT SERVICES 621990 4159962062 4159962062 MEDICARE/MEDICAID PAYM 921990 1968141472 1968141472 OTHER PROGRAM SERVICES 900099 205921957 198364887 7557070 PARKING, PHONE & OTHER 812930 64435092 64435092 UNRELATED HOTEL REVENU 711110 16253228 16253228 36717316 12364209 24353107 6451431127 64473403 64473403 -1721 -1721 20165969 20165969 21533248 0 21533248 21533248 21533248 326733061 3272483 232848486 7123721 93884575 -3851238 90033337 90033337 5888233 9682853 5301429 586804 586804 INCOME/LOSS ON INVESTM 523000 110777488 420719 110356769 FOREIGN CURRENCY 525990 77628 77628 CANCELLATION OF DEBT 900099 -6906473 -6906473 -24995317 -24995317 78953326 7011272096 6338832630 48584124 339758739 13193778 13193778 90130987 90130987 1005057 1005057 42028828 16373891 25654937 7780221 2172801 5607420 2751282730 2373422963 371258160 6601607 148975092 128529572 20102703 342817 430545920 371799888 58097877 648155 184547613 159194714 24902859 450040 6065868 5246311 818529 1028 10807997 9349566 1458431 1525075 1525075 461300 461300 1301479 1301479 11144425 11144425 324950079 279684829 43848772 1416478 38005294 32822755 5128435 54104 108781779 93611859 14679016 490904 72150201 62233423 9735950 180828 142387821 123174005 19213816 25599735 21800178 3454429 345128 12768020 10914305 1722917 130798 104495411 90394798 14100613 365149611 315748727 49273298 127586 58466432 50576970 7889462 MEDICAL SUPPLIES 972778424 972778424 BAD DEBT EXPENSE 377987356 377987356 EQUIPMENT RENTAL & MAIN 142060326 122864645 19169624 26057 STATE FRANCHISE FEE 52004947 52004947 61253155 56512727 4614467 125961 6559634961 5833990776 713401215 12242970 71954443 119398464 12441710 17695087 244459025 224972767 782153395 888644361 5962621 4680118 93573930 32307707 86059465 94985760 26763379 34042302 6673999935 3194297289 3398934360 3479702646 2835987967 3384317254 1234419535 1583726510 12070787 12067789 12600617 12682300 246212776 333636742 9063594010 10222859807 776081808 782136722 696377 438188 89723770 93464502 2518505000 2846045000 11854283 16854894 98918922 106627221 1192244062 1358482398 4688024222 5204048925 X 3737741260 4348817603 399908585 425234298 237919943 244758981 4375569788 5018810882 9063594010 10222859807 X 451637135 223043334 -2921 -31436454 X 0 1 X 1 1 1 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART I, PUBLIC CHARITY STATUS - WHILE THE LARGEST NUMBER OF ORGANIZATIONS ARE CLASSIFIED AS HOSPITALS UNDER IRS SECTION 509(A)(1) AND IRS SECTION 170(B)(1)(A)(III), ALL OF THE ORGANIZATIONS MAINTAIN PUBLIC CHARITY STATUS PURSUANT TO IRS SECTION 509(A). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 21146 0 1 304207 1 425129 1 14881 0 765363 0 PART IV, SUPPLEMENTAL INFORMATION: 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 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 - CO-ORGANIZED AND ATTENDED ADVOCACY DAY IN COLUMBUS, OH IN SUPPORT OF MEDICAID EXPANSION; AND PARTICIPATED IN MULTIPLE TRADE ASSOCIATION MEETINGS FOCUSED ON IMPLEMENTATION AND IMPACT OF THE AFFORDABLE CARE ACT WITHIN THE HEALTHCARE INDUSTRY 188024415 12894639 23317171 2470832 221765392 173540727 13246841 3344366 2107519 188024415 147234113 12502178 16842977 3038541 173540727 122142621 7727724 17363768 147234113 161657953 12282826 -46919879 4878279 122142621 1.00000 0 0 227721777 227721777 3939014374 1673220706 2265793668 122978546 81602876 41375670 2028892035 1366712590 662179445 355393203 72761117 282632086 3479702646 HEDGE FUNDS 1052682079 F PRIVATE EQUITY 352607513 F REAL ESTATE 178436918 F 1583726510 DEFERRED ANNUITY TRUST 997615 OTHER LIABILITIES 163087809 UNAMORTIZED BOND PREMIUM 60963286 SECURITIES LENDING 91322 FUTURE GIFT ANNUITY PAYMENTS 9973959 INTEREST RATE SWAPS 185445748 ACCRUED PENSION 721079692 ACCRUED BENEFITS 156986575 TAXABLE BONDS 1460000 DUE TO AFFILIATES 58396392 1358482398 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 FIN 48 LIABILITY RELATES. THE FIN 48 FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE CLEVELAND CLINIC HEALTH SYSTEM READS AS FOLLOWS: AT DECEMBER 31, 2012 AND 2011, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $14.4 MILLION AND $10.0 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 STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. PART V, LINE 4 - THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE. 0 CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 51775997 MIDDLE EAST & NORTH AFRICA 16 UNRELATED BUSINESS 5777197 MIDDLE EAST & NORTH AFRICA FUNDRAISING 39600 EUROPE FUNDRAISING 68276 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENT 158075991 NORTH AMERICA PROGRAM SERVICES ATTENDANCE @ MEDICAL EDUCATION SEMINARS/CONFERENCES 3854 MIDDLE EAST & NORTH AFRICA PROGRAM SERVICES ATTENDANCE @ MEDICAL EDUCATION SEMINARS/CONFERENCES 168917 EUROPE PROGRAM SERVICES ATTENDANCE @ MEDICAL EDUCATION SEMINARS/CONFERENCES 118472 CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES ATTENDANCE @ MEDICAL EDUCATION SEMINARS/CONFERENCES 6603 SOUTH AMERICA PROGRAM SERVICES ATTENDANCE @ MEDICAL EDUCATION SEMINARS/CONFERENCES 5010 EAST ASIA & PACIFIC PROGRAM SERVICES ATTENDANCE @ MEDICAL EDUCATION SEMINARS/CONFERENCES 67162 SOUTH ASIA PROGRAM SERVICES ATTENDANCE @ MEDICAL EDUCATION SEMINARS/CONFERENCES 20385 NORTH AMERICA 0 0 PROGRAM SERVICE WHOLLY-OWNED FOREIGN SUB THAT OPERATES A MEDICAL CLINIC IN TORONTO, CANADA 0 16 0 0 0 16 216028304 99160 216127464 NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 385032 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 109641 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - EDUCATION 75000 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 67038 CHECK CENTRAL AMERICA & CARIBBEAN PROGRAM REV 51930 CHECK EAST ASIA AND THE PACIFIC - RESEARCH 48189 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 29515 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 19950 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 17100 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 15040 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 14151 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 12530 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 11316 CHECK EAST ASIA AND THE PACIFIC - RESEARCH 7500 CHECK 14 RESEARCH EUROPE (INCLUDING ICELAND & GREENLAND) 5 70809 CHECK RESEARCH NORTH AMERICA 2 41477 CHECK RESEARCH SOUTH AMERCIA 2 46550 CHECK RESEARCH EAST ASIA & THE PACIFIC 2 12000 CHECK 1 0 1 1 1 1 METHOD USED TO ACCCOUNT FOR EXPENDITURES: SCHEDULE F, PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. X X X X X X X 1 RR DONNELLEY 111 S WACKER DR CHICAGO IL 60606 DIRECT MAIL 0 978050 850358 127692 HARRIS CONNECT 1511 RTE 22 STE C-25 BREWSTER NY 10509 PHONE SOLICITATION 0 442156 114643 327513 CONVIO 11501 DOMAIN DR STE 200 AUSTIN TX 78758 INTERNET 0 362963 312300 50663 GRENZEBACH GLIER 401 N MICHGAN2800 CHICAGO IL 60611 FUNDRAISING CONSULTANT 0 0 24178 -24178 1783169 1301479 481690 AK AL AR AZ CA CO CT FL GA HI IL KS KY LA MA MD ME MI MN MO MS NC ND NH NJ NM NY OH OK OR PA RI SC TN UT VA WA WI WV KEEP MEMORY ALIVE GALA 10884052 6122046 4762006 61330 494526 15000 2989251 CARES GALA 1434390 1113183 321207 102349 157368 197100 274844 6 3252644 2447624 805020 210 1475 56119 347390 177354 427113 15571086 9682853 5888233 210 1475 219798 999284 389454 3691208 5301429 586804 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 154574515 0 154574515 0.02500 429909372 324495375 105413997 0.01710 0 0 584483887 324495375 259988512 0.04210 34423723 240916 34182807 0.00550 273928346 49956384 223971962 0.03620 59173936 45453329 13720607 0.00220 206449043 0 206449043 0.03340 9431661 10 9431651 0.00150 583406709 95650639 487756070 0.07880 1167890596 420146014 747744582 0.12090 9494 0 9494 0.00000 51363 0 51363 0.00000 1896346 0 1896346 0.00030 18541 0 18541 0.00000 2230 0 2230 0.00000 3605474 0 3605474 0.00060 65098 0 65098 0.00000 735042 0 735042 0.00010 6383588 6383588 0.00100 1 378135906 0 911176346 996213080 -85036734 X 1 1 11 1 THE CLEVELAND CLINIC FOUNDATION

9500 EUCLID AVENUE CLEVELAND OH 44195

WWW.CLEVELANDCLINIC.ORG X X X X X X A 2 FAIRVIEW HOSPITAL

18101 LORAIN AVENUE CLEVELAND OH 44111

WWW.CLEVELANDCLINIC.ORG X X X X X A 3 HILLCREST HOSPITAL

6780 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124

WWW.CLEVELANDCLINIC.ORG X X X X X A 4 CLEVELAND CLINIC FLORIDA

2950 CLEVELAND CLINIC BLVD WESTON FL 33331

WWW.CLEVELANDCLINIC.ORG X X X X X A 5 MARYMOUNT HOSPITAL

12300 MCCRACKEN GARFIELD HEIGHTS OH 44125

WWW.CLEVELANDCLINIC.ORG X X X X X A 6 LAKEWOOD HOSPITAL

14519 DETROIT ROAD LAKEWOOD OH 44107

WWW.CLEVELANDCLINIC.ORG X X X X X A 7 SOUTH POINTE HOSPITAL

20000 HARVARD ROAD WARRENSVILLE HTS OH 44122

WWW.CLEVELANDCLINIC.ORG X X X X X A 8 EUCLID HOSPITAL

18901 LAKESHORE BOULVARD EUCLID OH 44119

WWW.CLEVELANDCLINIC.ORG X X X X X A 9 LUTHERAN HOSPITAL

1730 WEST 25TH STREET CLEVELAND OH 44113

WWW.CLEVELANDCLINIC.ORG X X X X A 10 MEDINA HOSPITAL

1000 E WASHINGTON STREET MEDINA OH 44256

WWW.CLEVELANDCLINIC.ORG X X X X X A 11 CLEV CLINIC CHILDREN'S HOSP FOR REHAB

2801 MARTIN LUTHER KING DRIVE CLEVELAND OH 44104

WWW.CLEVELANDCLINIC.ORG X X X X A FACILITY REPORTING GROUP - A 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X 1 0 X X X X 1 X 0 0 147 WESTON FAMILY HEALTH CENTER

1825 N CORPORATE LAKES BLVD WESTON FL 33326

FAMILY HEALTH CENTER BEACHWOOD FAMILY HEALTH & SURGERY CENTER

26900 CEDAR ROAD BEACHWOOD OH 44122

FAMILY HEALTH CENTER AVON POINTE FAMILY HEALTH CENTER

36901 AMERICAN WAY AVON OH 44011

FAMILY HEALTH CENTER STRONGSVILLE FAMILY HEALTH & SURGERY CEN

16761 SOUTH PARK CENTER STRONGSVILLE OH 44136

FAMILY HEALTH CENTER CLEVELAND CLINIC HOME CARE SERVICES

6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131

HOME CARE SERVICES TWINSBURG FAMILY HEALTH & SURGERY CENTER

8701 DARROW ROAD TWINSBURG OH 44087

FAMILY HEALTH CENTER LORAIN FAMILY HEALTH & SURGERY CENTER

5700 COOPER FOSTER PARK ROAD LORAIN OH 44053

FAMILY HEALTH CENTER WILLOUGHBY HILLS FAMILY HEALTH CENTER

2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094

FAMILY HEALTH CENTER WOOSTER FAMILY HEALTH CENTER

1740 CLEVELAND ROAD WOOSTER OH 44691

FAMILY HEALTH CENTER INDEPENDENCE FAMILY HEALTH CENTER

5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE OH 44131

FAMILY HEALTH CENTER CLEVELAND CLINIC CANCER CENTERS SANDUSK

417 QUARRY LAKES DRIVE SANDUSKY OH 44870

OUTPATIENT PHYSICIAN CLINIC HILLCREST MEDICAL OFFICE BUILDINGS

6801 6803 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124

OUTPATIENT PHYSICIAN CLINIC SOLON FAMILY HEALTH CENTER

29800 BAINBRIDGE ROAD SOLON OH 44139

FAMILY HEALTH CENTER ELYRIA FAMILY HEALTH & SURGERY CENTER

303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035

FAMILY HEALTH CENTER INDEPENDENCE CANCER CENTER

6100 WEST CREEK ROAD SUITES 15 16 INDEPENDENCE OH 44131

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC FLORIDA - WEST PALM BEA

525 OKEECHOBEE BLVD WEST PALM BEACH FL 33401

FAMILY HEALTH CENTER PHARMACY CENTRAL FILL

8400 SWEET VALLEY DRIVE VALLEY VIEW OH 44125

PHARMACY BRUNSWICK FAMILY HEALTH CENTER

3574 CENTER ROAD BRUNSWICK OH 44212

FAMILY HEALTH CENTER MARYMOUNT MEDICAL CENTER (BROADVIEW HTS

2001 E ROYALTON ROAD BROADVIEW HTS OH 44147

OUTPATIENT PHYSICIAN CLINIC CHAGRIN FALLS FAMILY HEALTH CENTER

551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022

FAMILY HEALTH CENTER CLEVELAND CLINIC LOU RUVO CENTER FOR BRA

888 W BONNEVILLE AVE LAS VEGAS NV 89106

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC CHILDREN'S HOSPITAL CO

805 COLUMBIA ROAD WESTLAKE OH 44145

OUTPATIENT PHYSICIAN CLINIC STEPHANIE TUBBS JONES HEALTH CENTER

13944 EUCLID AVENUE EAST CLEVELAND OH 44112

FAMILY HEALTH CENTER SAGAMORE HILLS MEDICAL CENTER

863 WEST AURORA ROAD SAGAMORE HILLS OH 44067

OUTPATIENT PHYSICIAN CLINIC SPORTS HEALTH AT THE JEWISH COMMUNITY CE

26001 SOUTH WOODLAND ROAD BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC WESTLAKE MEDICAL CAMPUS

850 COLUMBIA ROAD WESTLAKE OH 44145

OUTPATIENT PHYSICIAN CLINIC & DIAGNOSTIC CTR NORTH OLMSTED PATIENT TESTING CENTER

24700 LORAIN AVENUE NORTH OLMSTED OH 44070

OUTPATIENT PHYSICIAN CLINIC SUGARBUSH EYE AND LASER CENTER

21 SUGARBUSH COURT ASHLAND OH 44805

OUTPATIENT PHYSICIAN CLINIC OHIO RENAL CARE GROUP EAST

10205 CARNEGIE AVENUE CLEVELAND OH 44106

DIALYSIS CENTER SPORTS HEALTH CENTER

5595 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125

OUTPATIENT PHYSICIAN CLINIC - PREVIOUSLY LISTED AS SOUTHSIDE BUSINESS CENTER AVON LAKE FAMILY HEALTH CENTER

450 AVON-BELDEN ROAD AVON LAKE OH 44012

FAMILY HEALTH CENTER RICHARD E JACOBS HEALTH CENTER

33100 CLEVELAND CLINIC BOULEVARD AVON OH 44011

FAMILY HEALTH CENTER CLEVELAND CLINIC OB GYN CROCKER ROAD

2001 CROCKER ROAD 520 WESTLAKE OH 44145

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD FAMILY HEALTH CENTER

16215 MADISON AVENUE LAKEWOOD OH 44107

FAMILY HEALTH CENTER MENTOR REHABILITATION AND SPORTS THERAPY

7533 CENTER STREET MENTOR OH 44060

OUTPATIENT PHYSICIAN CLINIC MIDDLEBURG HEIGHTS ORTHOPAEDICS

7010 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130

OUTPATIENT PHYSICIAN CLINIC MADISON MEDICAL OFFICE BUILDING

2999 MCMACKIN ROAD MADISON OH 44057

OUTPATIENT PHYSICIAN CLINIC SOUTH POINTE HOSPITAL CHARLES B MINER ME

20050 HARVARD ROAD WARRENSVILLE HEIGHTS OH 44122

OUTPATIENT PHYSICIAN CLINIC OHIO RENAL CARE GROUP WEST

14670 SNOW ROAD BROOKPARK OH 44142

DIALYSIS CENTER OHIO RENAL CARE GROUP FARNSWORTH

3764 WEST 25TH STREET CLEVELAND OH 44109

DIALYSIS CENTER CLEVELAND CLINIC ENT

6707 POWERS BLVD STE 202 202A PARMA OH 44129

OUTPATIENT PHYSICIAN CLINIC COMMUNITY PEDIATRICS

8254 MAYFIELD ROAD SUITE 1 CHESTERLAND OH 44026

OUTPATIENT PHYSICIAN CLINIC OHIO RENAL CARE GROUP OF NORTH RANDALL

4750 NORTHFIELD ROAD NORTH RANDALL OH 44128

DIALYSIS CENTER OHIO RENAL CARE GROUPSOLON

6020 ENTERPRISE PARKWAY SOLON OH 44139

DIALYSIS CENTER MADISON SQUARE BUILDING

15644 MADISON AVENUE SUITE 108 LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC OHIO RENAL CARE GROUP PDHOME DIALYSIS P

11203 STOKES BOULEVARD CLEVELAND OH 44104

DIALYSIS CENTER LORAIN ORTHOPAEDICS

5275 NORTH ABBE ROAD ELYRIA OH 44035

OUTPATIENT PHYSICIAN CLINIC CITY OF FAIRVIEW-GEMINI

21225 LORAIN ROAD FAIRVIEW PARK OH 44126

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC CHARDON

325 CENTER STREET CHARDON OH 44024

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD PROFESSIONAL BUILDING

14601 DETROIT AVENUE LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC BAINBRIDGE URGENT CARE

17747 CHILLICOTHE ROAD CHAGRIN FALLS OH 44023

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC ENT

5400 TRANSPORTATION BLVD STE 8 GARFIELD HEIGHTS OH 44125

OUTPATIENT PHYSICIAN CLINIC LORAIN KOLCZUN ORTHOPAEDICS

5800 COOPER FOSTER PARK ROAD LORAIN OH 44053

OUTPATIENT PHYSICIAN CLINIC BROOKPARK MEDICAL CENTER

14401 SNOW ROAD BROOKPARK OH 44142

OUTPATIENT PHYSICIAN CLINIC BEACHWOOD OPHTHALMOLOGY

25101 CHAGRIN BOULEVARD BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC WELLINGTON PLACE

4800 CLAGUE ROAD NORTH OLMSTED OH 44070

OUTPATIENT PHYSICIAN CLINIC CANFIELD ORTHOPAEDICS AND REHABILITATION

3736 BOARDMAN CANFIELD ROAD CANFIELD OH 44406

OUTPATIENT PHYSICIAN CLINIC WESTGATE PATIENT TESTING CENTER

20800 ADDINGTON BOULEVARD FAIRVIEW PARK OH 44126

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD MEDICAL BUILDING

1450 BELLE AVENUE LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC EUCLID MEDICAL OFFICE BUILDING

99 NORTHLINE CIRCLE EUCLID OH 44119

OUTPATIENT PHYSICIAN CLINIC OBERLIN OPHTHALMOLOGYLAKELAND EYE

309 WEST LORAIN STREET OBERLIN OH 44074

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC PEDIATRIC CARDIOLOGY

4848 HIGBEE AVENUE NW CANTON OH 44718

OUTPATIENT PHYSICIAN CLINIC SLEEP DISORDERS CENTER

11203 STOKES BOULEVARD CLEVELAND OH 44104

DIAGNOSTIC CENTER WESTOWN PHYSICIAN CENTER

10654 LORAIN AVENUE CLEVELAND OH 44111

OUTPATIENT PHYSICIAN CLINIC FAIRVIEW HOSPITAL WELLNESS CENTER

3035 WOOSTER ROAD ROCKY RIVER OH 44116

OUTPATIENT PHYSICIAN CLINIC SUGARBUSH EYE AND LASER CENTER

1456 PARK AVENUE WEST SUITE P MANSFIELD OH 44906

OUTPATIENT PHYSICIAN CLINIC MOHICAN EYE CENTER - MANSFIELD - PARK AV

484 PARK AVENUE WEST MANSFIELD OH 44906

OUTPATIENT PHYSICIAN CLINIC ALLOGEN LABORATORIES

415 MORRIS STREET CHARLESTON WV 25301

DIAGNOSTIC CENTER KRUPA CENTER

3250 MERIDIAN PARKWAY WESTON FL 33331

OUTPATIENT PHYSICIAN CLINIC MENTOR MEDICAL OFFICE BUILDING

7060 WAYSIDE DRIVE MENTOR OH 44060

OUTPATIENT PHYSICIAN CLINIC NORTH RIDGEVILLE MEDICAL OFFICE

35105 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039

OUTPATIENT PHYSICIAN CLINIC MOHICAN EYE CENTER - LOUDONVILLE

637 NORTH UNION STREET LOUDONVILLE OH 44842

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC NEUROSURGERY WILLOUGHB

2785 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094

OUTPATIENT PHYSICIAN CLINIC WILLOUGHBY HILLS REHABILITATION AND SPOR

29017 CHARDON ROAD WILLOUGHBY HILLS OH 44092

OUTPATIENT PHYSICIAN CLINIC SUGARBUSH EYE & LASER CENTER

140 HILL STREET BUCYRUS OH 44820

OUTPATIENT PHYSICIAN CLINIC COLUMBUS STAR IMAGING

1550 KENNY ROAD COLUMBUS OH 43212

DIAGNOSTIC CENTER LORAIN KOLBE ORTHOPAEDICS

3600 KOLBE ROAD SUITE 100 LORAIN OH 44053

OUTPATIENT PHYSICIAN CLINIC SALOMONE PRACTICE

9500 MENTOR AVENUE MENTOR OH 44060

OUTPATIENT PHYSICIAN CLINIC SPORTS HEALTH CENTER

5555 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125

OUTPATIENT PHYSICIAN CLINIC ROCKSIDE MEDICAL CENTER

6701 ROCKSIDE ROAD SUITE 260 INDEPENDENCE OH 44131

OUTPATIENT PHYSICIAN CLINIC OUTPATIENT PEDIATRIC PHYSIATRY CLINIC

1912 HAYES AVENUE SANDUSKY OH 44870

OUTPATIENT PHYSICIAN CLINIC NILES STAR IMAGING

652 YOUNGSTOWN WARREN ROAD NILES OH 44446

DIAGNOSTIC CENTER COMMUNITY PEDIATRICS

1 MEMORY LANE GARRETTSVILLE OH 44231

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC UROLOGICAL INSTITUTE

20997 LORAIN FAIRVIEW PARK OH 44126

OUTPATIENT PHYSICIAN CLINIC TWINSBURG MEDICAL OFFICE

2365 EDISON BOULEVARD TWINSBURG OH 44087

OUTPATIENT PHYSICIAN CLINIC THORACIC & CARDIOVASCULAR SURGERY

36100 EUCLID AVENUE SUITE 280 WILLOUGHBY OH 44094

OUTPATIENT PHYSICIAN CLINIC ACCESS TO CARE

29000 AURORA ROAD SOLON OH 44139

OUTPATIENT PHYSICIAN CLINIC AVON LAKE SPECIALTY SERVICES OFFICE

445 AVON BELDEN ROAD UNIT B4 AVON LAKE OH 44012

OUTPATIENT PHYSICIAN CLINIC BOARDMAN STAR IMAGING

7067 TIFFANY BOULEVARD BOARDMAN OH 44512

DIAGNOSTIC CENTER BROADVIEW HEIGHTS REHABILITATION SERVICE

2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS OH 44147

OUTPATIENT PHYSICIAN CLINIC BROOKLYN CORPORATE CENTER

7580 NORTHCLIFF AVENUE BROOKLYN OH 44144

OUTPATIENT PHYSICIAN CLINIC BRUNSWICK URGENT CARE

3724 CENTER ROAD BRUNSWICK OH 44212

OUTPATIENT PHYSICIAN CLINIC CENTER FOR INTEGRATED MEDICINE & PEAK PE

1950 RICHMOND ROAD LYNDHURST OH 44124

OUTPATIENT PHYSICIAN CLINIC CHARDON ROAD MEDICAL OFFICE BUILDING

34500 CHARDON ROAD WILLOUGHBY HILLS OH 44094

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC CANCER CENTER

509 W MCPHERSON HIGHWAY CLYDE OH 43410

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC FAMILY MEDICINE

11709 LORAIN AVENUE CLEVELAND OH 44111

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC FAMILY MEDICINE BEACHC

19324 DETROIT AVENUE ROCKY RIVER OH 44116

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC FAMILY MEDICINE ROCKPO

11851 DETROIT AVENUE LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC FAMILY MEDICINE VALLEY

6605 CENTER ROAD VALLEY CITY OH 44280

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC LOU RUVO CENTER FOR BRA

890 MILL STREET SUITE 102 RENO NV 89502

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC LOU RUVO CENTER FOR BRA

380 COURT STREET ELKO NV 89803

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC OB GYN

34055 SOLON ROAD 106 SOLON OH 44139

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC OB GYN BROOKLYN

7575 NORTHCLIFF AVENUE 302 BROOKLYN OH 44144

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC STAR IMAGING

1449 BOARDMAN-CANFIELD ROAD YOUNGSTOWN OH 44510

DIAGNOSTIC CENTER CLEVELAND CLINIC UROLOGICAL INSTITUTE

14701 DETROIT RD LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC COLE EYE INSTITUTE

2000 AUBURN DRIVE SUITE 100 BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC COLUMBUS STAR IMAGING

921 JASONWAY AVENUE COLUMBUS OH 43214

DIAGNOSTIC CENTER COLUMBUS STAR IMAGING

6096 EAST MAIN STREET COLUMBUS OH 44213

DIAGNOSTIC CENTER COMMUNITY HEALTH & WELLNESS CENTER

2390 E 79TH ST CLEVELAND OH 44104

OUTPATIENT PHYSICIAN CLINIC COMMUNITY PEDIATRICS

26250 EUCLID AVENUE SUITE 611 EUCLID OH 44132

OUTPATIENT PHYSICIAN CLINIC COMMUNITY PEDIATRICS

7200 CENTER STREET SUITE 200 MENTOR OH 44060

OUTPATIENT PHYSICIAN CLINIC ERADIOLOGY (WESTON TOWN CENTER)

1792 BELL TOWER LANE WESTON FL 33326

OUTPATIENT PHYSICIAN CLINIC FLORIDA SLEEP STUDIES PROGRAM

COURTYARD BY MARRIOTT 2000 N COMMERCE WESTON FL 33331

DIAGNOSTIC CENTER GATES MEDICAL CENTER

125 EAST BROAD STREET ELYRIA OH 44035

OUTPATIENT PHYSICIAN CLINIC GRADISEK FAMILY VISION CARE

1142 W 37TH STREET LORAIN OH 44052

OUTPATIENT PHYSICIAN CLINIC HACKETT MEDICAL

8300 TYLER BOULEVARD MENTOR OH 44060

OUTPATIENT PHYSICIAN CLINIC HIGHLAND OFFICE CENTER

2646 HIGHWAY AVENUE HIGHLAND IN 46322

DIAGNOSTIC CENTER HILLCREST HOSPITAL OUTPATIENT REHABILITA

5187 MAYFIELD ROAD SUITES 10 30 LYNDHURST OH 44124

OUTPATIENT PHYSICIAN CLINIC KINDRED HEALTH CARE CLEVELAND

11900 FAIRHILL ROAD CLEVELAND OH 44120

OUTPATIENT PHYSICIAN CLINIC LAKE HEALTH (REGIONAL NEUROSCIENCES)

36001 EUCLID AVENUE WILLOUGHBY OH 44094

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD MEDICAL OFFICE

12409 LORAIN AVENUE CLEVELAND OH 44111

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD PHYSICAL THERAPY AT THE YMCA

16915 DETROIT AVENUE LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC LORAIN COUNTY LONG TERM CARE

1130 TOWER ROAD LORAIN OH 44052

OUTPATIENT PHYSICIAN CLINIC LUTHERAN HOSPITAL MEDICAL OFFICES

6412 FRANKLIN BOULEVARD CLEVELAND OH 44102

OUTPATIENT PHYSICIAN CLINIC MARYMOUNT MEDICAL CENTER

9543 BROADVIEW ROAD BROADVIEW HEIGHTS OH 44147

OUTPATIENT PHYSICIAN CLINIC MARYMOUNTCCF PAIN MANAGEMENT CENTER

12000 MCCRACKEN RD GARFIELD HEIGHTS OH 44125

OUTPATIENT PHYSICIAN CLINIC MEDINA MEDICAL OFFICE BUILDING

970 E WASHINGTON MEDINA OH 44256

OUTPATIENT PHYSICIAN CLINIC MERCY MEDICAL CENTER

1320 MERCY DRIVE NW CANTON OH 44708

OUTPATIENT PHYSICIAN CLINIC PARMA CANCER CENTER

6525 POWERS BOULEVARD PARMA OH 44129

OUTPATIENT PHYSICIAN CLINIC PARMA MEDICAL CENTER

7007 POWERS BOULEVARD PARMA OH 44129

OUTPATIENT PHYSICIAN CLINIC SAGAMORE HILLS MEDICAL OFFICE BUILDING I

885 WEST AURORA RD NORTHFIELD OH 44067

OUTPATIENT PHYSICIAN CLINIC SEVERANCE MEDICAL CENTER

5 SEVERANCE CIRCLE CLEVELAND HEIGHTS OH 44118

OUTPATIENT PHYSICIAN CLINIC SHEWBRIDGE PRACTICE

4087 MEDINA ROAD MEDINA OH 44256

OUTPATIENT PHYSICIAN CLINIC SLEEP DISORDERS CENTER

24901 COUNTRY CLUB BOULEVARD NORTH OLMSTED OH 44070

DIAGNOSTIC CENTER SLEEP DISORDERS CENTER

3750 ORANGE PLACE BEACHWOOD OH 44122

DIAGNOSTIC CENTER SLEEP DISORDERS CENTER

8971 WILCOX DRIVE TWINSBURG OH 44087

DIAGNOSTIC CENTER SLEEP DISORDERS CENTER

35103 MAPLEGROVE ROAD WILLOUGHBY HILLS OH 44094

DIAGNOSTIC CENTER SLEEP DISORDERS CENTER

1825 LORAIN BOULEVARD ELYRIA OH 44035

DIAGNOSTIC CENTER SLEEP DISORDERS CENTER

13201 GRANGER ROAD GARFIELD HEIGHTS OH 44125

DIAGNOSTIC CENTER THERAPY SERVICES EAST

3355 RICHMOND ROAD SUITE 101A BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC THERAPY SERVICES SOUTH

17800 JEFFERSON PARK DRIVE SUITE 101 MIDDLEBURG HTS OH 44130

OUTPATIENT PHYSICIAN CLINIC THERAPY SERVICES WEST

826 WESTPOINT PKWY SUITE 1200 WESTLAKE OH 44145

OUTPATIENT PHYSICIAN CLINIC THORACIC & CARDIOVASCULAR SURGERY-PARMA

MACI 6681 RIDGE RD SUITE 410 PARMA OH 44129

OUTPATIENT PHYSICIAN CLINIC WELLINGTON MEDICAL OFFICE BUILDING

805 PATRIOT DRIVE UNIT E WELLINGTON OH 44090

OUTPATIENT PHYSICIAN CLINIC WOOSTER MILLTOWN SPECIALTY CENTER

721 EAST MILLTOWN ROAD WOOSTER OH 44691

OUTPATIENT PHYSICIAN CLINIC WOOSTER WOMEN'S HEALTH CENTER

1739 CLEVELAND ROAD WOOSTER OH 44691

OUTPATIENT PHYSICIAN CLINIC YOUNGSTOWN FERTILITY CENTER

3660 STUTZ DRIVE SUITE 202 CANFIELD OH 44406

OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: CCHS 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. CCHS HAS A FINANCIAL ASSISTANCE POLICY THAT IS AMONG THE MOST GENEROUS IN NORTHEAST OHIO. THIS POLICY APPLIES TO ALL CCHS 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, CCHS 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 CCHS POLICY APPLIES TO BOTH HOSPITAL CHARGES AND CERTAIN PROFESSIONAL FEES FOR SERVICES PROVIDED BY CCHS 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: CCHS 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, L7 COL(F): ADDITIONAL BAD DEBT EXPENSE ADDED FOR PURPOSES OF CALCULATING THE PERCENTAGE, BUT NOT REPORTED ON FORM 990, IS $148,550. 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. UNREIMBURSED MEDICAID PART I, LINE 7B THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS NET OF CCHS' HCAP BENEFIT OF $ 16,569,147. PART I, LINE 7 NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $ 747,744,582 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC HEALTH SYSTEM AS REPORTED IN THE 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 AND 2) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7. PART II: CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DIRECTS EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. PART III, LINE 4: 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.TEXT OF FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS: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.CCHS 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: 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 POLICIES AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE. MEDICARE SHORTFALL PART III, LINES 5, 6, & 7 IN ADDITION TO THE MEDICARE PROGRAMS REFELCTED IN THE COST REPORTS, CCHS INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVCIES ARE $ 767,226,049 AND $ 1,098,573,864 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $ 331,347,815 WHICH ADDED TO THE SHORTFALL OF $ 85,036,734 AS REPORTED ON THE COST REPORTS, BRINGS THE TOTAL MEDICARE SHORTFALL TO $ 416,384,549. PART VI, LINE 2: MEMBERS OF SENIOR LEADERSHIP OF THE ORGANIZATION AND EACH HOSPITAL FACILITY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA RELATING TO THE CHARACTERISTICS OF THE PATIENTS AND THE COMMUNITY FOR THAT PARTICULAR HOSPITAL FACILITY. IN ADDITION, INPUT FROM PERSONS WHO REPRESENTS BROAD INTERESTS OF THE COMMUNITY IS SOLICITED THROUGH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUPS DISCUSSIONS CONDUCTED WITH COMMUNITY RESIDENTS. THE TOP COMMUNITIES' NEEDS ARE IDENTIFIED FROM EACH OF THESE DATA SOURCES. 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 AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE AVAILABLE ONLINE AND IN HARDDOPY, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND AT ALL OHIO FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. PART VI, LINE 4: THE COMMUNITY FOR EACH OF THE HOSPITAL FACILITIES IN THE CLEVELAND CLINIC HEALTH SYSTEM IS DEFINED BOTH BY 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 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 USED IN CARRYING OUT THE EXEMPT MISSION -- PATIENT CARE, RESEARCH, AND EDUCATION. PART VI, LINE 6: CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS. PART V, LINE 8 FACILITY REPORTING GROUP A SEE BELOW FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND ALL OHIO FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS AT OUR OHIO FACILITIES WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 2 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 3 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 4 -- CLEVELAND CLINIC FLORIDA PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT THE CLEVELAND CLINIC HOSPITAL FLORIDA CAMPUS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 5 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 6 -- LAKEWOOD HOSPITAL PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 7 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 8 -- EUCLID HOSPITAL PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 9 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 10 -- MEDINA HOSPITAL PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. FACILITY 11 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 14G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. 1 A CULTURAL EXCHANGE 12624 LARCHMERE CLEVELAND OH 44120 341759189 501(C)(3) 5000 COMMUNITY SUPPORT ALS ASSOCIATION 2500 E 22ND STREET SUITE 101 CLEVELAND OH 44115 341595148 501(C)(3) 9000 HEALTHCARE RESEARCH & EDUCATION ALZHEIMERS ASSOCIATION 12200 FAIRHILL ROAD CLEVELAND OH 44120 341311175 501(C)(3) 6666 HEALTHCARE RESEARCH & EDUCATION AMERICAN CANCER SOCIETY 10501 EUCLID AVENUE CLEVELAND OH 441062204 131788491 501(C)(3) 34700 HEALTHCARE RESEARCH & EDUCATION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 590637852 501(C)(3) 208923 HEALTHCARE RESEARCH & EDUCATION AMERICAN LUNG ASSOCIATION 1740 BROADWAY NEW YORK NY 10019 131632524 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION AMERICAN RED CROSS 3747 EUCLID AVENUE CLEVELAND OH 44115 340714622 501(C)(3) 20500 HEALTHCARE RESEARCH & EDUCATION ANTIOCH BAPTIST CHURCH 8869 CEDAR AVENUE CLEVELAND OH 44106 364497121 501(C)(3) 33000 COMMUNITY SUPPORT ARTHRITIS FOUNDATION 1330 WEST PEACHTREE STREET NW ATLANTA GA 30309 581341679 501(C)(3) 21000 HEALTHCARE RESEARCH & EDUCATION ASSOCIATION OF FUNDRAISING PROFESSIONALS 1101 KING STREET SUITE 700 ALEXANDRIA VA 223142967 132590764 501(C)(3) 5000 COMMUNITY SUPPORT ASSOCIATION OF INDIAN PHYSICIANS OF NORTHEAST OHIO 3249 ROCKY RIVER ROCKY RIVER OH 44111 341407746 501(C)(3) 10000 COMMUNITY SUPPORT AUTISM SPEAKS 4700 ROCKSIDE ROAD SUITE 420 INDEPENDENCE OH 44131 202329938 501(C)(3) 20000 HEALTHCARE RESEARCH & EDUCATION BEACHWOOD SCHOOLS FOUNDATION 24001 FAIRMOUNT BOULEVARD BEACHWOOD OH 44122 346000212 501(C)(3) 6500 SUPPORT EDUCATIONAL ACTIVITIES BENEDICTINE HIGH SCHOOL 2900 MARTIN LUTHER KING JR DRIVE CLEVELAND OH 44704 341619790 501(C)(3) 5750 SUPPORT EDUCATIONAL ACTIVITIES BLACK PROFESSIONALS ASSOCIATION CHARITABLE FOUNDATION PO BOX 5783 CLEVELAND OH 441010783 341496786 501(C)(3) 10000 COMMUNITY SUPPORT BOY SCOUTS OF AMERICA 2241 WOODLAND AVENUE CLEVELAND OH 441153295 340714322 501(C)(3) 12500 COMMUNITY SUPPORT BOYS & GIRLS CLUBS OF CLEVELAND 6114 BROADWAY AVENUE CLEVELAND OH 44127 340770686 501(C)(3) 18000 65600 ESTIMATED VALUE ADMINISTRATIVE SUPPORT FOR EVENT COMMUNITY SUPPORT BUSINESS VOLUNTEERS UNLIMITED 200 PUBLIC SQUARE SUITE 2650 CLEVELAND OH 44114 341724581 501(C)(3) 25000 COMMUNITY SUPPORT CARE ALLIANCE 1795 W 25TH STREET CLEVELAND OH 44113 341748776 501(C)(3) 10000 COMMUNITY SUPPORT CARMELLA ROSE WOMENS HEALTH FOUNDATION 1226 HURON ROAD CLEVELAND OH 44115 202815662 501(C)(3) 7100 HEALTHCARE RESEARCH & EDUCATION CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT ROAD CLEVELAND OH 44106 341018992 501(C)(3) 38292 SUPPORT EDUCATIONAL ACTIVITIES CENTER FOR FAMILIES AND CHILDREN 4500 EUCLID AVENUE CLEVELAND OH 44103 237084455 501(C)(3) 35956 HEALTHCARE RESEARCH & EDUCATION CITIZENS FOR OUR CHILDREN'S FUTURE 1240 EAST HURON ROAD CLEVELAND OH 44115 460574993 501(C)(3) 50000 COMMUNITY SUPPORT CITY MUSIC CLEVELAND PO BOX 1930 CLEVELAND OH 44106 421639490 501(C)(3) 9000 COMMUNITY SUPPORT CITY OF EAST CLEVELAND 14340 EUCLID AVENUE EAST CLEVELAND OH 44112 999999999 501(C)(1) 3000000 1500000 FAIR MARKET VALUE LAND COMMUNITY SUPPORT CITY OF INDEPENDENCE 6800 BRECKSVILLE ROAD INDEPENDENCE OH 44131 346001474 501(C)(1) 10000 COMMUNITY SUPPORT CITY OF LAKEWOOD PO BOX 931321 CLEVELAND OH 44193 346001633 501(C)(1) 18000 COMMUNITY SUPPORT CITY OF TWINSBURG 10075 RAVENNA ROAD TWINSBURG OH 44087 346004070 501(C)(1) 7250 COMMUNITY SUPPORT CITY OF WILLOWICK 30302 FERN DRIVE WILLOWICK OH 44095 341829079 501(C)(1) 5000 COMMUNITY SUPPORT CLEVELAND BOTANICAL GARDEN 11030 EAST BOULEVARD CLEVELAND OH 44106 340239538 501(C)(3) 10000 COMMUNITY SUPPORT CLEVELAND BRANCH DEVELOPMENT FUND INC 614 SUPERIOR AVENUE SUITE 700 CLEVELAND OH 44113 341786675 501(C)(3) 10000 COMMUNITY SUPPORT CLEVELAND CLINIC CHILDREN'S HOSPITAL PO BOX 931393 CLEVELAND OH 441930496 340714570 501(C)(3) 6500 SUPPORT TO RELATED CHARITY CLEVELAND CLINIC FOUNDATION 17325 EUCLID AVENUE CL-23 CLEVELAND OH 441955265 340714585 501(C)(3) 14000 SUPPORT TO RELATED CHARITY CLEVELAND FOOD BANK 1557 E 27TH STREET CLEVELAND OH 44114 341292848 501(C)(3) 16398 COMMUNITY SUPPORT CLEVELAND LEADERSHIP CENTER 1422 EUCLID AVENUE SUITE 940 CLEVELAND OH 44115 341927317 501(C)(3) 10500 COMMUNITY SUPPORT CLEVELAND MOTTEP 18720 CHAGRIN BOULEVARD SHAKER HTS OH 44122 341900839 501(C)(3) 5000 COMMUNITY SUPPORT CLEVELAND MUSEUM OF ART 11150 EAST BOULEVARD CLEVELAND OH 44106 340714336 501(C)(3) 10000 COMMUNITY SUPPORT CLEVELAND ORCHESTRA 11001 EUCLID AVENUE CLEVELAND OH 44106 340714468 501(C)(3) 10000 COMMUNITY SUPPORT CLEVELAND PLAYHOUSE PO BOX 1989 CLEVELAND OH 44106 340895516 501(C)(3) 10000 COMMUNITY SUPPORT CLEVELAND POLICE FOUNDATION 1300 ONTARIO STREET CLEVELAND OH 441131648 830509855 501(C)(3) 12500 COMMUNITY SUPPORT CLEVELAND PUBLIC LIBRARY 325 SUPERIOR AVENUE CLEVELAND OH 441141271 346000711 501(C)(3) 5000 COMMUNITY SUPPORT CLEVELAND PUBLIC THEATRE 6415 DETROIT AVENUE CLEVELAND OH 44102 341359225 501(C)(3) 5000 COMMUNITY SUPPORT CLEVELAND RAPE CRISIS CENTER 1370 ONTARIO STREET SUITE 420 CLEVELAND OH 44112 510164315 501(C)(3) 5000 COMMUNITY SUPPORT CLEVELAND STATE UNIVERSITY 2121 EUCLID AVENUE CLEVELAND OH 441152214 340966056 501(C)(3) 43050 SUPPORT EDUCATIONAL ACTIVITIES COALITION TO PROTECT AMERICA'S HEALTH CARE PO BOX 30211 BETHESDA MD 208240211 522253225 501(C)(3) 48750 HEALTHCARE RESEARCH & EDUCATION COMMUNITY WEST FOUNDATION 20545 CENTER RIDGE ROAD CLEVELAND OH 44116 341456398 501(C)(3) 133028 SUPPORT TO RELATED CHARITY CONSERVANCY FOR CUYAHOGA VALLEY NATIONAL PARK 1403 W HINES HILL ROAD PENINSULA OH 44264 341917257 501(C)(3) 5000 COMMUNITY SUPPORT CORNERSTONE OF HOPE 6600 DAISY AVENUE INDEPENDENCE OH 44131 341945499 501(C)(3) 18000 COMMUNITY SUPPORT COUNCIL FOR HEALTH & HUMAN SERVICE MINISTRIES 700 PROSPECT AVENUE CLEVELAND OH 44115 133118966 501(C)(3) 20000 COMMUNITY SUPPORT COUNCIL FOR OHIO HEALTH CARE ADVOCACY 65 E STATE STREET SUITE 2100 COLUMBUS OH 43215 453357992 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION CUYAHOGA COMMUNITY COLLEGE PO BOX 92928 CLEVELAND OH 441942928 340896630 501(C)(1) 12000 SUPPORT EDUCATIONAL ACTIVITIES CUYAHOGA HEALTH ACCESS PARTNERSHIP 75 ERIE VIEW PLAZA 2ND FLOOR CLEVELAND OH 44114 271217221 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION DANCING CLASSROOMS NORTHEAST OHIO 10143 ROYALTON ROAD SUITE D NORTH ROYALTON OH 44133 262300532 501(C)(3) 15500 COMMUNITY SUPPORT DIVERSITY CENTER OF NORTHEAST OHIO 3645 WARRENSVILLE CENTER ROAD CLEVELAND OH 44122 201968761 501(C)(3) 13000 COMMUNITY SUPPORT DOWNTOWN CLEVELAND ALLIANCE 50 PUBLIC SQUARE CLEVELAND OH 44113 341775903 501(C)(3) 10000 COMMUNITY SUPPORT EAST CLEVELAND NEIGHBORHOOD CENTER 2490 LEE BOULEVARD SUITE 322 CLEVELAND HEIGHTS OH 44118 341541345 501(C)(3) 53560 COMMUNITY SUPPORT EMORY SCHOOL OF MEDICINE 100 WOODRUFF CIRCLE ATLANTA GA 30322 580566256 501(C)(3) 250000 SUPPORT EDUCATIONAL ACTIVITIES ESPERANZA INC 4115 BRIDGE AVENUE SUITE 108 CLEVELAND OH 44113 341403492 501(C)(3) 20000 COMMUNITY SUPPORT FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVENUE SUITE 100 CLEVELAND OH 44104 341706856 501(C)(3) 127813 COMMUNITY SUPPORT FAMILY MEDICINE EDUCATION CONSORTIUM INC 7795 RAINTREE ROAD DAYTON OH 45459 311436038 501(C)(3) 6000 HEALTHCARE RESEARCH & EDUCATION FES INSTITUTE 2273 PROFESSOR AVENUE CLEVELAND OH 44113 341854326 501(C)(3) 32000 HEALTHCARE RESEARCH & EDUCATION FLYING HORSE FARMS 3 EASTON OVAL COLUMBUS OH 43219 203498125 501(C)(3) 20000 COMMUNITY SUPPORT FORCES4QUALITY NORTHEAST OHIO 2500 METROHEALTH DRIVE R-222 CLEVELAND OH 44109 261725657 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION FOUNDATION FIGHTING BLINDNESS INC 11435 CRONHILL DRIVE OWINGS MILLS MD 21117 237135845 501(C)(3) 5000 COMMUNITY SUPPORT FUND FOR ECONOMIC FUTURE OF NORTHEAST OHIO 1360 E 9TH STREET SUITE 210 CLEVELAND OH 44114 270606927 501(C)(3) 66667 COMMUNITY SUPPORT GATHERING PLACE 3365 RICHMOND ROAD BEACHWOOD OH 44122 341879035 501(C)(3) 21550 COMMUNITY SUPPORT GENERATION FOUNDATION 3375 HOLLISTER ROAD CLEVELAND OH 44118 311564642 501(C)(3) 6000 COMMUNITY SUPPORT GIRL SCOUTS 19201 VILLAVIEW ROAD CLEVELAND OH 441193074 340714415 501(C)(3) 5000 COMMUNITY SUPPORT GREATER CLEVELAND PARTNERSHIP 50 PUBLIC SQUARE SUITE 200 CLEVELAND OH 44113 340149250 501(C)(3) 5000 COMMUNITY SUPPORT GREATER CLEVELAND SPORTS COMMISSION 50 PUBLIC SQUARE SUITE 950 CLEVELAND OH 44113 311381131 501(C)(3) 10000 COMMUNITY SUPPORT HEALTH LEGACY OF CLEVELAND INC 2475 E 22ND STREET SUITE 210 CLEVELAND OH 44115 341509482 501(C)(3) 25000 HEALTHCARE RESEARCH & EDUCATION HEALTH NETWORK FOUNDATION 33 RIVER STREET CHAGRIN FALLS OH 44022 043804600 501(C)(3) 50000 HEALTHCARE RESEARCH & EDUCATION HEROES RUN 3886 ROCKY RIVER DRIVE CLEVELAND OH 44111 141838579 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION HOLDEN ARBORETUM 9500 SPERRY ROAD KIRTLAND OH 440945172 340750346 501(C)(3) 5000 COMMUNITY SUPPORT HOSPICE OF THE WESTERN RESERVE 17876 SAINT CLAIR AVENUE CLEVELAND OH 441102602 341256377 501(C)(3) 0 55108 ESTIMATED VALUE ARTWORK HEALTHCARE RESEARCH & EDUCATION INNER CITY TENNIS CLINIC PO BOX 32551 CLEVELAND OH 44132 271789893 501(C)(3) 40000 COMMUNITY SUPPORT JUVENILE DIABETES FOUNDATION 4500 ROCKSIDE ROAD SUITE 420 INDEPENDENCE OH 44131 231907729 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION KAPLAN CONTINUING EDUCATION 6301 KAPLAN UNIVERSITY AVENUE FORT LAUDERDALE FL 33309 371377789 501(C)(3) 11700 SUPPORT EDUCATIONAL ACTIVITIES KARAMU HOUSE INC 2355 EAST 89TH STREET CLEVELAND OH 44106 340714448 501(C)(3) 12975 COMMUNITY SUPPORT KEEP MEMORY ALIVE 888 W BONNEVILLE AVENUE LAS VEGAS NV 89106 880515534 501(C)(3) 20750 SUPPORT TO RELATED CHARITY KIDNEY FOUNDATION OF OHIO INC 2831 PROSPECT AVENUE CLEVELAND OH 44115 340827748 501(C)(3) 17500 HEALTHCARE RESEARCH & EDUCATION LAKEWOOD ALIVE MEMBERSHIP PO BOX 770364 LAKEWOOD OH 44107 203433930 501(C)(3) 35000 COMMUNITY SUPPORT LAKEWOOD CATHOLIC ACADEMY 14808 LAKE AVENUE LAKEWOOD OH 44107 202143142 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES LAKEWOOD HOSPITAL 14519 DETROIT AVENUE LAKEWOOD OH 441079989 346519834 501(C)(3) 27500 SUPPORT TO RELATED CHARITY LEUKEMIA & LYMPHOMA SOCIETY 902 WESTPOINT PARKWAY SUITE 3300 CLEVELAND OH 44145 135644916 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION LIFEBANC 20600 CHAGRIN BOULEVARD CLEVELAND OH 441225343 341525159 501(C)(3) 8000 HEALTHCARE RESEARCH & EDUCATION MAIN STREET MEDINA 23 PUBLIC SQUARE SUITE 220 MEDINA OH 44256 261802645 501(C)(3) 5000 COMMUNITY SUPPORT MALTZ MUSEUM OF JEWISH HERITAGE 2929 RICHMOND ROAD BEACHWOOD OH 44122 043684531 501(C)(3) 5150 COMMUNITY SUPPORT MARCH OF DIMES 614 SUPERIOR AVENUE CLEVELAND OH 44113 131846366 501(C)(3) 20000 HEALTHCARE RESEARCH & EDUCATION MAYO SOCIETY OF GREATER CLEVELAND PO BOX 19185 CLEVELAND OH 44119 830423217 501(C)(3) 25000 COMMUNITY SUPPORT MEDINA HEALTH MINISTRY PO BOX 30 MEDINA OH 44258 300092944 501(C)(3) 20000 HEALTHCARE RESEARCH & EDUCATION MEDINA HOSPITAL FOUNDATION 1000 EAST WASHINGTON STREET MEDINA OH 44256 341657989 501(C)(3) 11550 SUPPORT TO RELATED CHARITY MEDWISH INTERNATIONAL PO BOX 181484 CLEVELAND OH 44118 341903712 501(C)(3) 50300 3379512 THIRD PARTY APPRAISAL EQUIPMENT DONATION & MEETING SPACE HEALTHCARE RESEARCH & EDUCATION MEDWORKS 19910 MALVERN ROAD SHAKER HTS OH 44122 263858369 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION METRO HEALTH SYSTEM PO BOX 931475 CLEVELAND OH 441930497 346004382 501(C)(1) 313646 HEALTHCARE RESEARCH & EDUCATION MIDTOWN CLEVELAND 4019 PROSPECT AVENUE SUITE 200 CLEVELAND OH 44103 341381334 501(C)(3) 15000 COMMUNITY SUPPORT MUHAMMAD ALI MUSEUM AND EDUCATION CENTER INC 144 N 6TH STREET LOUISVILLE KY 40202 611323046 501(C)(3) 750000 COMMUNITY SUPPORT MUSICAL ARTS ASSOCIATION 11001 EUCLID AVENUE CLEVELAND OH 44106 340714468 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES NAMI GREATER CLEVELAND 1400 W 25TH STREET 4TH FLOOR CLEVELAND OH 44113 202254268 501(C)(3) 10600 COMMUNITY SUPPORT NATIONAL KIDNEY FOUNDATION 30 E 33RD STREET NEW YORK NY 10016 131673104 501(C)(3) 8750 HEALTHCARE RESEARCH & EDUCATION NATIONAL MEDICAL FELLOWSHIPS INC 347 FIFTH AVENUE SUITE 510 NEW YORK NY 10016 010963657 501(C)(3) 6500 HEALTHCARE RESEARCH & EDUCATION NATIONAL MULTIPLE SCLEROSIS SOCIETY 1422 EUCLID AVENUE CLEVELAND OH 441151901 340801307 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION NEIGHBORHOOD FAMILY PRACTICE 3569 RIDGE ROAD CLEVELAND OH 44102 341300581 501(C)(3) 160000 HEALTHCARE RESEARCH & EDUCATION NEWBRIDGE CLEVELAND CENTER FOR ARTS AND TECHNOLOGY 3634 EUCLID AVENUE SUITE 100 CLEVELAND OH 44115 271193704 501(C)(3) 333333 SUPPORT EDUCATIONAL ACTIVITIES NORTH COAST CANCER FOUNDATION 417 QUARRY LAKES DRIVE SANDUSKY OH 44870 341224416 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION NORTH COAST HEALTH MINISTRY 15644 MADISON AVENUE SUITE 204 LAKEWOOD OH 44107 341536257 501(C)(3) 7000 HEALTHCARE RESEARCH & EDUCATION NORTH UNION FARMERS MARKET 13212 SHAKER SQUARE SUITE 302 CLEVELAND OH 44120 341812026 501(C)(3) 28500 COMMUNITY SUPPORT NORTHERN OHIO MINORITY BUSINESS COUNCIL 200 TOWER CITY CENTER CLEVELAND OH 44114 341880180 501(C)(3) 5000 COMMUNITY SUPPORT OHIO CITY NEAR WEST DEVELOPMENT CORPORATION 2525 MARKET AVENUE SUITE A CLEVELAND OH 44113 341372076 501(C)(3) 65000 COMMUNITY SUPPORT PROJECT LOVE 23611 CHAGRIN BOULEVARD SUITE 380 BEACHWOOD OH 44122 341795459 501(C)(3) 5000 COMMUNITY SUPPORT PROVIDENCE HOUSE INC 2037 WEST 32ND STREET CLEVELAND OH 44113 341336325 501(C)(3) 5000 COMMUNITY SUPPORT RAINEY INSTITUTE 1523 EAST 55TH STREET CLEVELAND OH 44144 346555952 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES REBUILDING TOGETHER PO BOX 14274 CLEVELAND OH 441140274 311493982 501(C)(3) 5000 COMMUNITY SUPPORT RECOVERY RESOURCES 3950 CHESTER AVENUE CLEVELAND OH 44114 341211116 501(C)(3) 18000 COMMUNITY SUPPORT REGIONAL TRANSIT AUTHORITY PO BOX 6566 CLEVELAND OH 441019931 341170830 501(C)(3) 125000 COMMUNITY SUPPORT RONALD MC DONALD HOUSE 10415 EUCLID AVENUE CLEVELAND OH 44106 341269123 501(C)(3) 375600 HEALTHCARE RESEARCH & EDUCATION SALVATION ARMY PO BOX 15 LORAIN OH 44052 240714378 501(C)(3) 10000 COMMUNITY SUPPORT SCHOLARSHIP AMERICA INC PO BOX 240 ST PETER MN 56082 042296967 501(C)(3) 22300 SUPPORT EDUCATIONAL ACTIVITIES SHOES AND CLOTHES FOR KIDS 3311 PERKINS AVENUE CLEVELAND OH 44114 341554285 501(C)(3) 5500 COMMUNITY SUPPORT SING FOR HOPE 575 EIGHTH AVENUE SUITE 1812 NEW YORK NY 10018 010856384 501(C)(3) 10000 COMMUNITY SUPPORT SLOWIK MUSIC INSTITUTE 65 E COLLEGE STREET SUITE 7 OBERLIN OH 44074 201125494 501(C)(3) 5000 COMMUNITY SUPPORT ST JOSEPH ACADEMY 3430 ROCKY RIVER DRIVE CLEVELAND OH 44111 341618516 501(C)(3) 9000 SUPPORT EDUCATIONAL ACTIVITIES ST MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVENUE CLEVELAND OH 44103 522401852 501(C)(3) 86672 SUPPORT EDUCATIONAL ACTIVITIES SUSAN G KOMEN FOR THE CURE 26210 EMERY ROAD SUITE 307 CLEVELAND OH 44128 341793460 501(C)(3) 45100 HEALTHCARE RESEARCH & EDUCATION TEAM RIVERSIDE PO BOX 247 PAINESVILLE OH 44077 341257250 501(C)(3) 7500 COMMUNITY SUPPORT THE CITY CLUB OF CLEVELAND 850 EUCLID AVENUE CLEVELAND OH 44114 340144897 501(C)(3) 31510 COMMUNITY SUPPORT TRINITY SUPPORT SERVICES 12425 GRANGER ROAD GARFIELD HEIGHTS OH 44125 263804435 501(C)(3) 25000 COMMUNITY SUPPORT UNITED CEREBRAL PALSY ASSOCIATION 2141 OVERLOOK ROAD CLEVELAND OH 44106 340753561 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION UNITED NEGRO COLLEGE FUND 2000 AUBURN DRIVE SUITE 200 CLEVELAND OH 44122 131624241 501(C)(3) 10000 COMMUNITY SUPPORT UNITED WAY OF GREATER CLEVELAND 1331 EUCLID AVENUE CLEVELAND OH 441151854 346516654 501(C)(3) 19070 COMMUNITY SUPPORT UNIVERSITY AT BUFFALO FOUNDATION INC 270 NORTHPOINTE PARKWAY AMHERST NY 14228 161372561 501(C)(3) 17172 SUPPORT EDUCATIONAL ACTIVITIES UNIVERSITY CIRCLE INC 10831 MAGNOLIA DRIVE CLEVELAND OH 44106 340823464 501(C)(3) 5000 COMMUNITY SUPPORT UNIVERSITY SETTLEMENT 4800 BROADWAY AVENUE CLEVELAND OH 44127 340714776 501(C)(3) 5000 COMMUNITY SUPPORT URBAN LEAGUE OF GREATER CLEVELAND 12001 SHAKER BOULEVARD CLEVELAND OH 44120 340720563 501(C)(3) 5000 COMMUNITY SUPPORT VILLAGE AT MARYMOUNT 5200 MARYMOUNT VILLAGE DRIVE GARFIELD HTS OH 44125 205652595 501(C)(3) 28500 HEALTHCARE RESEARCH & EDUCATION WEST PARK MEALS ON WHEELS INC 15460 TRISKETT ROAD CLEVELAND OH 44111 341174972 501(C)(3) 5000 COMMUNITY SUPPORT WEST SIDE CATHOLIC CENTER 3135 LORAIN AVENUE CLEVELAND OH 44113 341244687 501(C)(3) 6250 HEALTHCARE RESEARCH & EDUCATION WOMEN OF COLOR FOUNDATION 1667 EAST 40TH STREET CLEVELAND OH 441033746 020743542 501(C)(3) 25000 COMMUNITY SUPPORT YMCA CLEVELAND 2200 PROSPECT AVENUE CLEVELAND OH 44115 340714728 501(C)(3) 7190 COMMUNITY SUPPORT YOUTH OPPORTUNITIES UNLIMITED 3750 PROSPECT AVENUE CLEVELAND OH 44115 341381135 501(C)(3) 10000 COMMUNITY SUPPORT YWCA OF CLEVELAND 3101 EUCLID AVENUE SUITE 711 CLEVELAND OH 44115 340718098 501(C)(3) 15000 COMMUNITY SUPPORT 134 7 SCHOLARSHIPS 248 6648340 FELLOWSHIPS 2115 83202436 LODGING FOR INDIGENT 773 280211 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES CONTRIBUTE CASH DONATIONS TO VARIOUS TAX EXEMPT ORGANIZATIONS WITHIN THEIR COMMUNITY AND THE UNITED STATES. IN GENERAL, THE CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES DO NOT RESTRICT THE USE OF THESE DONATIONS. THE RECEIVING EXEMPT ORGANIZATIONS MAY USE THE DONATIONS AT WILL TO FURTHER THEIR EXEMPT PURPOSES. THE GRANTS LISTED IN SCHEDULE I, PART II INCLUDE AMOUNTS PAID AS PART OF THE $6 MILLION PLEDGE MADE IN 2011 TO THE CITY OF EAST CLEVELAND. THE FELLOWSHIPS AND SCHOLARSHIPS LISTED IN SCHEDULE I, PART III ARE IN FURTHERANCE OF CLEVELAND CLINIC FOUNDATION AND AFFLIATES' MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. INDIGENT AID LISTED IN SCHEDULE I, PART III IS PERFORMED IN FURTHERANCE OF 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 1 1 0 0 0 0 0 1 0 BRONSON DAVID L 723623 0 0 0 79209 0 401480 0 12912 0 1217224 0 0 0 COSGROVE DELOS M 2278440 0 0 0 273287 0 605731 0 13203 0 3170661 0 0 0 FERNANDEZ BERNARDO 643000 0 0 0 61202 0 492651 0 19259 0 1216112 0 0 0 FUNK JONATHAN R 221589 0 0 0 15449 0 22175 0 16482 0 275695 0 0 0 GLASS STEVEN C 901579 0 0 0 86425 0 37642 0 17544 0 1043190 0 0 0 HAHN JOSEPH F 1090623 0 0 0 105142 0 151099 0 13320 0 1360184 0 0 0 HARRINGTON MICHAEL 509403 0 0 0 46366 0 25000 0 21924 0 602693 0 0 0 MCHUGH MICHAEL 318575 0 0 0 12952 0 12408 0 18948 0 362883 0 0 0 MODIC MICHAEL 790682 0 0 0 82481 0 59603 0 19337 0 952103 0 0 0 NOGUERAS JUAN 507520 0 0 0 52688 0 294388 0 25180 0 879776 0 0 0 PEACOCK WILLIAM 780279 0 0 0 56361 0 28758 0 22494 0 887892 0 0 0 PIEDIMONTE GIOVANNI 270337 0 0 0 711 0 23187 0 6543 0 300778 0 0 0 RODRIGUEZ RICARDO 386375 0 0 0 16512 0 25000 0 12660 0 440547 0 0 0 ROWAN DAVID 641323 0 0 0 2036776 0 25000 0 17742 0 2720841 0 0 0 TULISIAK THOMAS 371839 0 0 0 18779 0 24453 0 16560 0 431631 0 0 0 BERNICK CHARLES 270839 0 0 0 6323 0 25000 0 16294 0 318456 0 0 0 BOTROS KARIM 95958 0 0 0 104622 0 9142 0 7575 0 217297 0 0 0 CHARDIET ARMANDO 611579 0 0 0 23783 0 25000 0 17544 0 677906 0 0 0 CRACIUN A ROMEO 287000 0 0 0 27651 0 25000 0 11535 0 351186 0 0 0 CULLEY CARL A JR 207589 0 0 0 4050 0 20775 0 16284 0 248698 0 0 0 CUMMINGS JEFFREY 443622 0 0 0 9045 0 25000 0 17192 0 494859 0 0 0 DEGRANDIS FRED M 842131 0 30000 0 97982 0 33398 0 25975 0 1029486 0 0 0 DEYLING CYNTHIA 492839 0 0 0 46776 0 25000 0 16842 0 581457 0 0 0 DOMBROWIAK DAVID T 231707 0 15000 0 12938 0 20497 0 14703 0 294845 0 0 0 ELSAWY TAREK 342614 0 0 0 33528 0 54285 0 17180 0 447607 0 0 0 FALCONE TOMMASO 705021 0 0 0 57480 0 25000 0 22460 0 809961 0 0 0 FRANKEL MARK 123381 0 0 0 6746 0 20448 0 15379 0 165954 0 0 0 FREEMAN RICHARD B 354383 0 0 0 37381 0 25000 0 15918 0 432682 0 0 0 LONGVILLE TIMOTHY 223741 0 0 0 6194 0 54955 0 13279 0 298169 0 0 0 MANDELL BRIAN 289404 0 0 0 8046 0 128684 0 21052 0 447186 0 0 0 MARCHANT KANDICE 569240 0 0 0 55244 0 430323 0 13187 0 1067994 0 0 0 MASARYK THOMAS 556579 0 0 0 54801 0 308933 0 17544 0 937857 0 0 0 MILLER JOSHUA 220500 0 0 0 617 0 22329 0 16123 0 259569 0 0 0 MOODLEY S JULES 679839 0 0 0 72945 0 36550 0 19430 0 808764 0 0 0 ROME ELLEN 166079 0 0 0 1225 0 16962 0 19782 0 204048 0 0 0 SEITZ WILLIAM H JR 582839 0 0 0 61212 0 37900 0 16284 0 698235 0 0 0 SHEWBRIDGE RICHARD 225451 0 0 0 918 0 22761 0 18983 0 268113 0 0 0 SMITH NEIL 184167 0 0 0 373 0 5525 0 0 0 190065 0 0 0 SNYDER VICKY 192161 0 0 0 4989 0 19545 0 12539 0 229234 0 0 0 SPIRO TIMOTHY 498883 0 0 0 51538 0 25000 0 13380 0 588801 0 0 0 STARCK REBECCA 511739 0 0 0 46727 0 33677 0 18616 0 610759 0 0 0 WYLLIE ROBERT 513623 0 0 0 35368 0 287740 0 13570 0 850301 0 0 0 ZEROSKE JOANNE 327879 0 0 0 33529 0 43915 0 5871 0 411194 0 0 0 CAPASSO BEVERLY 307089 0 0 0 4524 0 17802 0 7153 0 336568 0 0 0 DEL CASTILLO BARBARA 322774 0 0 0 8787 0 25296 0 15480 0 372337 0 0 0 DICORLETO PAUL E 416523 0 0 0 35488 0 131043 0 14964 0 598018 0 0 0 FUNG JOHN 857329 0 0 0 66178 0 25000 0 17544 0 966051 0 0 0 JONES JEFFREY J 415599 0 0 0 74580 0 25000 0 21841 0 537020 0 0 0 MCHUGH LINDA 330810 0 0 0 24952 0 44724 0 17544 0 418030 0 0 0 MEEHAN MICHAEL J 270740 0 0 0 26543 0 47029 0 12795 0 357107 0 0 0 NILSSON KEITH 325477 0 0 0 6457 0 34707 0 15321 0 381962 0 0 0 SLIFKO JESSICA 221078 0 0 0 4535 0 11867 0 12843 0 250323 0 0 0 STOLLER JAMES 444790 0 0 0 25516 0 354908 0 18431 0 843645 0 0 0 ZHONG XUE 233942 0 0 0 855 0 23755 0 7073 0 265625 0 0 0 MANNING LISA 173267 0 0 0 5146 0 5313 0 11875 0 195601 0 0 0 ROSENTHAL RAUL 710000 0 0 0 49777 0 25000 0 15254 0 800031 0 0 0 BLANDON RODOLFO 548624 0 0 0 57436 0 25000 0 27063 0 658123 0 0 0 MAJOR KERRY 153061 0 0 0 724 0 8661 0 22579 0 185025 0 0 0 HARRISON MARC A 876000 0 0 0 635309 0 25000 0 14137 0 1550446 0 0 0 CARROLL DONALD A 152667 0 0 0 4365 0 22757 0 13235 0 193024 0 0 0 GLASS IAN S 357967 0 0 0 13195 0 32125 0 15821 0 419108 0 0 0 JOHNSON JUDITH E 93568 0 0 0 117845 0 6363 0 11027 0 228803 0 0 0 KENNEDY MARY 177796 0 0 0 5934 0 71538 0 15799 0 271067 0 0 0 LEA RICHARD 215019 0 0 0 5623 0 112200 0 18625 0 351467 0 0 0 MILLS JOHN C 221416 0 0 0 495 0 10279 0 14960 0 247150 0 0 0 RITCHIE SHANNAN 204670 0 0 0 2657 0 13869 0 13201 0 234397 0 0 0 BAILEY DAWN 161750 0 0 0 2582 0 41638 0 14163 0 220133 0 0 0 BENNETT KRIS 153816 0 0 0 797 0 4615 0 12375 0 171603 0 0 0 COLLIER SUSAN 196138 0 0 0 6586 0 118981 0 16406 0 338111 0 0 0 MILLER SHEILA 164852 0 0 0 320 0 13188 0 12627 0 190987 0 0 0 SAUER MARY 145248 0 0 0 5541 0 22780 0 15726 0 189295 0 0 0 SMALL DEBORAH 221943 0 0 0 903 0 7644 0 11291 0 241781 0 0 0 COBURN CHRISTOPHER 510000 0 0 0 1521682 0 25000 0 16779 0 2073461 0 0 0 COSTIN JOHN 1588083 0 0 0 165137 0 25000 0 11224 0 1789444 0 0 0 LYTLE BRUCE W MD 1549136 0 0 0 145157 0 218695 0 12399 0 1925387 0 0 0 MIHALJEVICTOMISLAV 1094557 0 0 0 433591 0 25000 0 86853 0 1640001 0 0 0 RYCKMAN J VICTOR 132036 0 0 0 1090489 0 0 0 5463 0 1227988 0 0 0 BELL GORDON R MD 671519 0 0 0 70324 0 51231 0 13016 0 806090 0 0 0 KECKAN WILLIAM D 280334 0 0 0 14042 0 91086 0 14521 0 399983 0 0 0 KENNEY CAROL A 77085 0 0 0 101673 0 94594 0 12990 0 286342 0 0 0 KIDERMAN SAM 231528 0 0 0 13813 0 25928 0 22515 0 293784 0 0 0 KIOUS A GUS MD 184322 0 0 0 15378 0 19411 0 7768 0 226879 0 0 0 SINKO DONALD 397751 0 0 0 19267 0 25000 0 21084 0 463102 0 0 0 STALL ROBERT 347524 0 0 0 32358 0 50950 0 20610 0 451442 0 0 0 WALSH T DECLAN MD 367344 0 0 0 1552671 0 17683 0 27399 0 1965097 0 0 0 BADDOUR WILLIAM 187919 0 0 0 5970 0 34704 0 12957 0 241550 0 0 0 BURNS SONDA 55895 0 0 0 78103 0 11494 0 4621 0 150113 0 0 0 LANDERS MAXINE 28967 0 10000 0 162267 0 16518 0 11144 0 228896 0 0 0 MATSEN PAUL 832579 0 0 0 62342 0 25000 0 17544 0 937465 0 0 0 SCHAFER MAUREEN 161459 0 0 0 106155 0 6489 0 16477 0 290580 0 0 0 SESTO MARK E 533000 0 0 0 52269 0 292484 0 18341 0 896094 0 0 0 TOPALSKY GEORGE 123464 0 0 0 221 0 3787 0 15334 0 142806 0 0 0 PART I, LINE 7 IN ADDITION TO BASE SALARY, AN ISOLATED NUMBER OF EMPLOYEES RECEIVED BONUSES, NONE OF WHICH WERE CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. SUPPLEMENTAL INFORMATION PART III 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. SUPPLEMENTAL INFORMATION PART III PART I, LINE 4A - SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: CAROL KENNEY $ 100,643 MAUREEN SCHAFER $ 103,000 MAXINE LANDERS $ 161,127 SONDA BURNS $ 75,592 JUDITH JOHNSON $ 115,407 KARIM BOTROS $ 104,092 SUPPLEMENTAL INFORMATION PART III PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DAVID ROWAN - COMPENSATION INCLUDES RECOGNITION OF $1,953,603 OF TAXABLE INCOME RESULTING FROM THE TERMINATION OF HIS PARTICIPATION IN A SPLIT DOLLAR LIFE INSURANCE PLAN. J. VICTOR RYCKMAN - PARTICIPATED IN AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,083,165 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS AMOUNT VESTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. A PAYMENT OF $69,330 WAS RECEIVED FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THIS AMOUNT IS NOT REFLECTED IN THE COMPENSATION REPORTED IN PART VII AND SCHEDULE J. T. DECLAN WALSH - PARTICIPATED IN AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,516,791 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS AMOUNT VESTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. A PAYMENT OF $8,853 WAS RECEIVED FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THIS AMOUNT IS NOT REFLECTED IN THE COMPENSATION REPORTED IN PART VII AND SCHEDULE J. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFED 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 - $26,231 INCREASE, DAVID L. BRONSON - $376,480 INCREASE, DELOS M. COSGROVE - $580,731 INCREASE, CYNTHIA DEYLING - $397,930 INCREASE, PAUL E. DICORLETO - $106,043 INCREASE, BERNARDO FERNANDEZ - $467,651 INCREASE, JOSEPH F. HAHN - $126,099 INCREASE, BRUCE LYTLE - $193,695 INCREASE, BRIAN MANDELL - $103,684 INCREASE, KANDICE MARCHANT - $405,323 INCREASE, THOMAS MASARYK - $283,933 INCREASE, MICHAEL MCHUGH - $12,592 DECREASE, MICHAEL J. MEEHAN - $22,029 INCREASE, MICHAEL MODIC -$34,603 INCREASE, JUAN NOGUERAS - $269,388 INCREASE, MARK SESTO - $276,484, JAMES STOLLER - $329,908 INCREASE, T. DECLAN WALSH - $7,317 DECREASE, AND ROBERT WYLLIE - $262,740 INCREASE. THE FOLLOWING INDIVIDUAL PARTICIPATES IN A SPLIT DOLLAR LIFE INSURANCE PLAN FROM WHICH NO CASH PAYMENTS WERE RECEIVED: DELOS M. COSGROVE. SUPPLEMENTAL INFORMATION PART III 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: WILLIAM BADDOUR - $28,674, DAWN BAILEY - $36,595 INCREASE, KARIM BOTROS - $3,058 INCREASE, SONDA BURNS - $4,159 INCREASE, DONALD CARROLL - $18,111 INCREASE, BEVERLY CAPASSO - $10,302 INCREASE, SUSAN COLLIER - $115,225 INCREASE, FRED M. DEGRANDIS - $8,398 INCREASE, BARBARA DEL CASTILLO - $296 INCREASE, DAVID DOMBROWIAK - $13,671 INCREASE, TAREK ELSAWY - $29,285 INCREASE, MARK FRANKEL - $16,750 INCREASE, STEVEN C. GLASS -$12,642 INCREASE, IAN GLASS - $24,625 INCREASE, WILLIAM KECKAN - $85,105 INCREASE, MARY KENNEDY - $65,970 INCREASE, CAROL KENNEY - $88,962 INCREASE, SAM KIDERMAN - $18,544 INCREASE, MAXINE LANDERS - $10,417 INCREASE, RICHARD LEA- $104,789 INCREASE, TIMOTHY LONGVILLE - $52,224 INCREASE, KERRY MAJOR - $3,661 INCREASE, PRAFUL MAROO - $6,523 INCREASE, LINDA MCHUGH - $19,724 INCREASE, SHEILA MILLER - $7,625 INCREASE, JOHN MILLS - $2,928 INCREASE, S. JULES MOODLEY - $11,550 INCREASE, KEITH NILSSON - $27,207 INCREASE, WILLIAM PEACOCK - $3,758 INCREASE, WILLIAM J. RIEBEL - $3,000 ICNREASE, SHANNAN RITCHIE - $7,583 INCREASE, MARY SAUER - $18,187 INCREASE, WILLIAM H. SEITZ, JR. - $12,900 INCREASE, JESSICA SLIFKO - $4,999 INCREASE, DEBORAH SMALL - $368, VICKY SNYDER - $13,444 INCREASE, ROBERT STALL - $25,950 INCREASE, REBECCA STARCK - $8,677 INCREASE, GEORGE TOPALSKY - $3,787 INCREASE, JOANNE ZEROSKE - $18,915 INCREASE. SUPPLEMENTAL INFORMATION PART III PART I, LINE7 CHRISTOPHER COBURN - AS EXECUTIVE DIRECTOR OF INNOVATIONS, CHRISTOPHER COBURN RECEIVED COMPENSATION PAYMENTS WHICH WERE TIED TO LONG TERM RECEIPT OF ROYALTIES OR LICENSING PAYMENTS FROM TECHNOLOGY STARTUPS. DURING 2012, THIS COMPENSATION FORMULA WAS RENEGOTIATED RESULTING IN A ONE-TIME COMPENSATORY PAYMENT OF $973,573. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561HU9 2011-11-02 208951439 REFUND 2003A SERIES 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NOTAPPLIC 2011-11-02 41120000 REFUND 1992A & B AND 1989 SERIES 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561FV9 2009-08-25 807007320 BONDS 2009: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AG22 2008-10-15 451686386 BOND 2008A: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 A 4571323 208951439 198466281 2003385 8481773 2011 0 1 1 1 B 41120000 2302465 735249 38082286 2011 1 0 1 1 C 79546676 807007320 1099225 501164781 304743315 2011 1 0 1 1 D 451686386 800000 218639952 251263651 2008 1 0 1 1 A 0 1 1 1 1 1 0.00370 0.00030 0.00400 0 0 1 B 0 1 1 1 1 1 0 0 1 C 0 1 1 1 1 1 0.01070 0.01070 0 0 1 D 0 1 1 1 1 1 0.00890 0.00020 0.00910 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 1 D 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 B CITY OF LAS VEGAS NEVADA 886000198 51770PAD7 2007-05-03 68600000 BOND 2007: FINANCE CONSTRUCTION OF A MEDICAL FACILITY 0 0 0 C COUNTY OF CUYAHOGA OHIO 346000817 232286BH6 2004-12-22 200000000 BOND 2004B: FINANCE OF MILLER PAVILION & TOWER AT HILLCREST 0 0 0 D COUNTY OF CUYAHOGA OHIO 346000817 232286BC7 2003-04-16 527761127 BOND 2003A: REFUND 1998A AND 1998B 0 0 0 A 300750000 670000000 1200000 324315217 372706929 2008 1 0 1 1 B 68600000 68600000 2009 0 0 1 1 C 200000000 582707 2321611 186544171 10551511 2008 1 0 1 1 D 426523206 527761127 1449418 60762275 465549434 2003 1 0 1 1 A 0 1 1 1 1 1 0.00890 0.00020 0.00910 0 0 1 B 0 0 1 1 1 1 0.00090 0.01000 0.01090 0 0 1 C 0 1 1 1 1 1 0.00890 0.00060 0.00950 0 0 1 D 0 1 1 1 1 1 0.00370 0.00030 0.00400 0 0 1 A 0 0 0 0 1 0 0 0 1 B 1 1 0 0 0 1 C 0 0 0 0 1 0 0 1 1 D 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A COLLIER COUNTY HEALTH FACILITIES AUTHORITY 592351395 19463LAB9 2003-04-16 118200000 BOND 2003B: REFUND FL SERIES 1999; FINANCING WESTON CLINIC 0 0 0 B CITY OF LAKEWOOD OHIO 346001633 512632DB3 2003-11-25 29503349 BOND 2003 LKWD: REFUND LKWD SERIES ONE & TWO; CONST OF HOSPITAL FACILITIES 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756A3Z3 2012-05-06 519383182 REFUND 2009, 2003A AND FACILITY IMPROVEMENTS 0 0 0 A 76295000 118200000 412525 13520714 104266761 1 1 1 1 B 18549640 29503349 463309 3014501 26025538 1 1 1 1 C 519383182 51244058 3825815 393652422 53012779 17648108 2012 0 1 0 1 A 0 1 1 1 1 1 0.00370 0.00030 0.00400 0 0 1 B 0 1 1 1 1 1 0.00370 0.00300 0.00670 0 0 1 C 0 1 1 1 1 1 0.00580 0.00060 0.00640 0 0 1 A 1 1 0 0 1 1 B 0 0 0 0 0 1 0 0 0 1 1 C 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D COSGROVE CEO/PRES INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN X 229247 4617751 0 1 1 J CUMMINGS DIRECTOR - KMA EMPLOYEE LOAN X 100000 62367 0 0 1 4680118 CINTAS CORPORATION ENTITY IN WHICH CCF DIRECTOR, JOSEPH SCAMINANCE, IS A DIRECTOR 239599 SUPPLY VENDOR 0 CLEVELAND BROWNS ENTITY IN WHICH FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, WAS OWNER 2793089 SPONSORSHIP AGREEMENT 0 CLEVELAND BROWNS ENTITY IN WHICH FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, WAS OWNER 575180 MEDICAL SERVICES AGREEMENT 0 FIRST MERIT ENTITY IN WHICH RON PAYDO, MEDINA DIRECTOR, IS EXECUTIVE VICE PRESIDENT 4062990 BANKING SERVICES AND LOAN 0 GREAT LAKES INTEGRATED ENTITY IN WHICH PATRICK AULETTA,CCF DIRECTOR, IS A DIRECTOR 304091 MARKETING SERVICES 0 KEYBANK NATIONAL CORPORATION ENTITY IN WHICH CCF DIRECTORS ARE CHAIRMAN AND CEO AND DIRECTOR 439849 BANKING SERVICES -ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, IS CHAIRMAN AND CEO AND BILL SANFORD, CCF DIRECTOR, IS DIRECTOR. 0 KEYBANK NATIONAL CORPORATION ENTITY IN WHICH CCF DIRECTORS ARE CHAIRMAN AND CEO AND DIRECTOR 44700 LEASE AGREEMENT -ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, IS CHAIRMAN AND CEO AND BILL SANFORD, CCF DIRECTOR, IS DIRECTOR. 0 MCCRACKEN ROAD LIMITED PARTNERSHIP FAMILY MEMBER OF C DEYLING, MYMT DR, IS AN OFFICER OF ENTITY THAT IS A PTNR 311086 ENTITY IN WHICH FAMILY MEMBER OF CYNTHIA DEYLING, MARYMOUNT DIRECTOR, IS AN OFFICER OF AN ENTITY THAT IS A PARTNER IN MRLP. DESCRIPTION OF TRANSACTION: MARYMOUNT LEASES SPACE IN MEDICAL OFFICE BUILDING 0 NORTHSHORE GASTROENTEROLOGY ENTITY IN WHICH MOUSAB TABBAA, LAKEWOOD & WR TRUSTEE, IS AN OFFICER 388787 LEASE AGREEMENT FOR PHYSICIAN OFFICES 0 ORTHOPAEDIC ASSOCIATES ENTITY IN WHICH RAYMOND HORWOOD, FAIRVIEW/LUTHERAN TRUSTEE, IS A PARTNER 128100 MEDICAL SERVICES 0 LAURA HAHN BRANDON FAMILY MEMBER OF JOSEPH HAHN, CCF DIRECTOR 79592 EMPLOYMENT AGREEMENT WITH CCF 0 LOREEN KOBILARCSIK FAMILY MEMBER OF LINDA MCHUGH, CCF OFFICER 36515 EMPLOYMENT AGREEMENT WITH CCF 0 LAUREN PATTON FAMILY MEMBER OF EILEEN PATTON, FAIRVIEW/LUTHERAN TRUSTEE 16127 EMPLOYMENT AGREEMENT WITH FAIRVIEW 0 X 11 248500 APPRAISAL X 163 SALE COMPARABLE GOODS X 828721 SALE COMPARABLE GOODS X 2 212999 SALE COMPARABLE GOODS X 71 6557211 AVERAGE HIGH/LOW X 2 575000 APPRAISAL X 8 508930 APPRAISAL X 7 16445 COST X 1 1500 COST X EQUIPMENT 9 502210 SALE OF COMPARABLE GOODS X EVENTS/TICKETS 57 972009 COST 2 0 1 1 THIRD PARTY USE: PART I, LINE 32B: CLEVELAND CLINIC HEALTH SYSTEM WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PART III CLEVELAND CLINIC, LOCATED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. 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 HEALTH SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2012 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $754.2 MILLION IN BENEFITS TO THE COMMUNITIES IT SERVES. 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. CLEVELAND CLINIC'S CURRENT EDITION OF ITS COMMUNITY BENEFIT REPORT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO OUR 2012 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE O FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE IN 2012, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDED AN ACADEMIC MEDICAL CENTER AND 9 COMMUNITY HOSPITALS (EUCLID, FAIRVIEW, HILLCREST, LAKEWOOD, LUTHERAN, MARYMOUNT, MEDINA AND SOUTH POINTE HOSPITALS, AND CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION) IN NORTHEAST OHIO; ONE HOSPITAL AND ONE HEALTH AND WELLNESS CENTER IN FLORIDA; A CENTER FOR BRAIN HEALTH IN LAS VEGAS, NEVADA; AND ONE HEALTH AND WELLNESS CENTER IN TORONTO, CANADA. CLEVELAND CLINIC HEALTH SYSTEM IS DEDICATED TO THE COMMUNITIES WE SERVE, STRIVES TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT AND SUPPORTS 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. IN 2012, THE CLEVELAND CLINIC HEALTH SYSTEM RECORDED 3,572 TOTAL STAFFED BEDS, 456,613 EMERGENCY VISITS, 200,800 SURGICAL CASES, 157,474 ADMISSIONS, AND MORE THAN 5 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC HEALTH SYSTEM TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR RACE, CREED, OR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM OR DISEASE. THE INSTITUTES FACILITATE A MULTIDISCIPLINARY APPROACH, AND ARE DESIGNED TO ENHANCE CONVENIENCE FOR PATIENTS AND THE EXCHANGE OF KNOWLEDGE, RESEARCH AND EDUCATIONAL COLLABORATION FOR BETTER PATIENT OUTCOMES. SOME OF THE INSTITUTES ARE: ANESTHESIOLOGY, 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. CLEVELAND CLINIC FLORIDA HEALTH SYSTEM INCLUDES A 155-BED HOSPITAL, DIAGNOSTIC CENTERS, OUTPATIENT SURGERY AND A 24-HOUR EMERGENCY DEPARTMENT IN WESTON, FLORIDA. THE CLEVELAND CLINIC FLORIDA HEALTH AND WELLNESS CENTER IN WEST PALM BEACH OFFERS SUBSPECIALTY MEDICAL AND RADIOLOGY SERVICES. IN 2012, CLEVELAND CLINIC FLORIDA HAD 362,000 PATIENT VISITS 9,566 INTERNATIONAL PATIENT VISITS, AND MORE THAN 215 STAFF PHYSICIANS AND 78 RESIDENTS AND FELLOWS IN 10 ACCREDITED TRAINING PROGRAMS . THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS A MULTIDISCIPLINARY CENTER, CO-LOCATED IN LAS VEGAS AND CLEVELAND PROVIDING DIAGNOSIS AND TREATMENT FOR PATIENTS WITH COGNITIVE DISORDERS AND SUPPORT FOR THEIR FAMILIES. PHYSICIANS AND STAFF FOCUS ON EARLY INTERVENTION FOR MILD COGNITIVE DISORDERS THROUGH PHYSICAL EXERCISE, COGNITIVE REHABILITATION AND MEDICATION. THE CENTER ALSO ENGAGES IN EDUCATION AND RESEARCH ACTIVITIES. KEEP MEMORY ALIVE ("KMA") RAISES FUNDS TO BUILD AND OPERATE THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH TO ADVANCE THE RESEARCH AND TREATMENT OF PATIENTS WITH NEURO-COGNITIVE DISORDERS THAT RESULT FROM NEUROLOGICAL DISEASES INCLUDING ALZHEIMER'S, HUNTINGTON'S, PARKINSON'S, AND AMYOTROPHIC LATERAL SCLEROSIS (ALS). KMA STRIVES TO CREATE GREATER AWARENESS OF NEURO-COGNITIVE DISORDERS; EDUCATE FAMILIES ABOUT TREATMENTS, FUNDS RESEARCH EFFORTS AND AVAILABLE CAREGIVER SERVICES; AND PROMOTES LIFESTYLE CHANGES TO ENCOURAGE HEALTHY BRAIN AGING. ALL OF OUR HOSPITALS, OUTPATIENT CLINICS AND HOME HEALTHCARE PROGRAMS ARE ACCREDITED BY THE JOINT COMMISSION UNDER ITS HOSPITAL ACCREDITATION PROGRAM. (SEE FORM 990, SCHEDULE H, PART V FOR A LISTING OF FACILITIES.) U.S. NEWS & WORLD REPORT RANKED HOSPITALS BY REGION IN 2012, AND SEVEN OF OUR COMMUNITY HOSPITALS WERE ON THE REGIONAL HONOR ROLL IN MULTIPLE SPECIALTIES: FAIRVIEW (4), HILLCREST (5), SOUTH POINTE (6), MARYMOUNT (8), LUTHERAN (9), EUCLID (10) AND LAKEWOOD (10). 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 2012. OVERALL, CLEVELAND CLINIC WAS RANKED 4TH AMONG THE NATION'S NEARLY 5,000 HOSPITALS. CLEVELAND CLINIC WAS RANKED AMERICA'S NUMBER ONE CENTER FOR CARDIAC CARE FOR THE 18TH YEAR IN A ROW, AND ITS UROLOGY AND NEPHROLOGY PROGRAMS WERE RANKED NO. 1 FOR THE FIRST TIME. DIABETES & ENDOCRINOLOGY, EAR, NOSE & THROAT, GASTROENTEROLOGY AND RHEUMATOLOGY PROGRAMS WERE ALL RANKED SECOND IN THE NATION . EUCLID HOSPITAL IS HOME TO ONE OF THE REGION'S LEADING ORTHOPAEDIC AND REHABILITATION CENTERS CERTIFIED BY THE THE JOINT COMMISSION IN KNEE REPLACEMENT AND HIP REPLACEMENT AND IS DESIGNATED A BLUE DISTINCTION CENTER(R) FOR KNEE AND HIPS REPLACEMENT BY THE BLUE CROSS BLUE SHIELD ASSOCIATION. IN 2012, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION RECOGNIZED EUCLID HOSPITAL FOR ACHIEVING AT LEAST 90 CONSECUTIVE DAYS OF 85% OR HIGHER ADHERENCE TO ALL GET WITH THE GUIDELINES(R) PROGRAM QUALITY INDICATORS TO IMPROVE QUALITY OF PATIENT CARE AND OUTCOMES. AS A RESULT, EUCLID RECEIVED A BRONZE AWARD FOR THE ACHIEVEMENT. FAIRVIEW HOSPITAL, A MAGNET HOSPITAL FOR NURSING EXCELLENCE, CONTINUED TO WORK ON AN $83 MILLION RENOVATION PROJECT (OPENING IN 2013) TO BUILD A NEW EMERGENCY DEPARTMENT AND INTENSIVE CARE UNIT TO MEET THE GROWING NEEDS OF THE COMMUNITY . IN 2012, THE HEART PROGRAM AT FAIRVIEW HOSPITAL RECEIVED THE PLATINUM PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S NCDR ACTION REGISTRY FOR SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. HILLCREST HOSPITAL CONTINUES TO BE A LEADER IN PATIENT CARE, IS NATIONALLY RANKED AS ONE OF THE NATION'S TOP 100 HOSPITALS, AND IS RENOWNED IN CARDIAC MEDICINE. RENOVATION OF THE LABOR, DELIVERY AND POSTPARTUM AREAS BEGAN IN 2011 AND IS SCHEDULED TO BE COMPLETE IN 2014. HILLCREST HOSPITAL EARNED BABY-FRIENDLY DESIGNATION IN 2012, MAKING IT THE FIRST HOSPITAL ON CLEVELAND'S EAST SIDE TO RECEIVE SUCH DESIGNATION. THE BABY-FRIENDLY HOSPITAL INITIATIVE IS A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF) TO ENCOURAGE AND RECOGNIZE HOSPITALS AND BIRTHING CENTERS THAT OFFER AN OPTIMAL LEVEL OF CARE FOR INFANTS. IN 2012, HILLCREST HOSPITAL DELIVERED MORE THAN 4,000 BABIES. IN ADDITION, HILLCREST IS HOME OF THE LEVEL III NEONATAL INTENSIVE CARE UNIT WHICH CARES FOR CRITICALLY ILL BABIES. PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T) LAKEWOOD HOSPITAL, A PATHWAY TO EXCELLENCE(R) HOSPITAL FOR NURSING EXCELLENCE, IS AN ACUTE CARE COMMUNITY HOSPITAL CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. STROKE CARE AT LAKEWOOD HOSPITAL ALSO RECEIVED THE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR STROKE CARE FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. IT ALSO HAS STRONG CLINICAL CENTERS OF EXCELLENCE THAT INCLUDE NEUROLOGICAL SERVICES, SENIOR CARE, ORTHOPAEDICS, AND DIABETES AND ENDOCRINE SERVICES. LUTHERAN HOSPITAL IS AN AREA LEADER IN GERIATRIC AND ADULT BEHAVIORAL HEALTH, SPINE CARE, ORTHOPAEDICS AND WOUND CARE. THE NEUROLOGICAL INSTITUTE'S CENTER FOR BEHAVIORAL HEALTH ALCOHOL AND DRUG RECOVERY CENTER (ADRC) RELOCATED FROM CLEVELAND CLINIC'S MAIN CAMPUS TO A NEW, LARGER SPACE AT LUTHERAN HOSPITAL. THE ADRC OFFERS THE HIGHEST-QUALITY EVALUATION AND TREATMENT OF PEOPLE WITH ALCOHOL AND/OR DRUG DEPENDENCY PROBLEMS. THE PROGRAM SERVES MORE THAN 7,000 CHEMICALLY DEPENDENT PATIENTS PER YEAR. MARYMOUNT HOSPITAL, A PATHWAY TO EXCELLENCE(R) HOSPITAL FOR NURSING EXCELLENCE, IS CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. IT ALSO HAS STRONG CLINICAL CENTERS OF EXCELLENCE FOR NEUROLOGICAL SERVICES, SENIOR CARE, ORTHOPAEDICS, AND DIABETES AND ENDOCRINE SERVICES . THE NEW MARYMOUNT HOSPITAL SURGERY CENTER WHICH OPENED IN MARCH 2012, IS PART OF A 45,000 SQUARE FOOT HOSPITAL EXPANSION. THE FOCUS OF THE NEW, STATE-OF-THE-ART FACILITY AND HIGH TECH SURGICAL SUITES IS TO IMPROVE PATIENT OUTCOMES. MEDINA HOSPITAL, A 157-BED HOSPITAL FACILITY, IS CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER AND SPECIALIZES IN WOMEN'S HEALTH, ORTHOPAEDICS AND EMERGENCY CARE. MEDINA HOSPITAL WAS ALSO HONORED BY THE ROBERT WOOD JOHNSON FOUNDATION'S "ALIGNING FORCES FOR QUALITY" HOSPITAL QUALITY NETWORK IN REDUCING HEART FAILURE READMISSIONS BETWEEN OCTOBER 2010 AND MARCH 2012. SOUTH POINTE HOSPITAL, A PATHWAY TO EXCELLENCE (R) HOSPITAL FOR NURSING EXCELLENCE, IS ONE OF OHIO'S LARGEST OSTEOPATHIC TEACHING HOSPITALS AND IS THE SITE OF THE OHIO UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE CENTER FOR OSTEOPATHIC REGIONAL EDUCATION IN NORTHEAST OHIO. SOUTH POINTE HOSPITAL RECEIVED CERTIFICATION AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION IN JULY, 2012. THE CERTIFICATION MEANS THE HOSPITAL'S STROKE PROGRAM FOLLOWS NATIONAL STANDARDS AND GUIDELINES THAT WILL SIGNIFICANTLY IMPROVE OUTCOMES FOR STROKE PATIENTS. THE CERTIFICATION PROCESS IS DESIGNED TO HELP ORGANIZATIONS CONTINUOUSLY PROVIDE SAFE, HIGH-QUALITY CARE, TREATMENT, AND SERVICES BY IDENTIFYING OPPORTUNITIES FOR IMPROVEMENT IN PROCESSES. SOUTH POINTE IS CLEVELAND CLINIC HEALTH SYSTEM'S EIGHTH PRIMARY STROKE CENTER IN NORTHEAST OHIO THAT PROVIDES CONSISTENT, HIGH-QUALITY STROKE CARE AND TREATMENT. CLEVELAND CLINIC FLORIDA HAS BEEN DESIGNATED AS ONE OF AMERICA'S TOP 100 HOSPITALS BY THOMPSON REUTERS AND IS A LEADING SOURCE OF GRADUATE MEDICAL EDUCATION IN SOUTH FLORIDA. THE GENERAL SURGERY RESIDENCY PROGRAM STARTED IN 2012, BRINGING CLEVELAND CLINIC FLORIDA'S ACCREDITED RESIDENCY PROGRAMS TO 10 MEDICAL SPECIALTIES . THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS ESTABLISHING A UNIQUE CLINICAL TRIALS NETWORK TO ADVANCE THE DEVELOPMENT OF NEW THERAPIES FOR ALZHEIMER'S DISEASE AND OTHER COGNITIVE DISORDERS. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE POLICY NOT ONLY ASSISTS THE POOREST OF THE POOR BY PROVIDING FREE CARE FOR MEDICALLY NECESSARY SERVICES TO UNINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL BUT 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 $154.6 MILLION IN 2012. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. 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 178 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CELL BIOLOGY, CELLULAR AND MOLECULAR MEDICINE, GENOMIC MEDICINE, IMMUNOLOGY, MOLECULAR CARDIOLOGY, MOLECULAR GENETICS, 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 2,000 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES MORE THAN 210 POSTDOCTORAL FELLOWS, NEARLY 170 GRADUATE STUDENTS AND 197 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC , ITS AFFILIATES AND EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2012, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 1,000 CLINICAL TRIALS. 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 2012, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $206.4 MILLION, WHICH INCLUDES EXTERNALLY SPONSORED FUNDING OF $143.6 MILLION. THE CLEVELAND CLINIC HEALTH SYSTEM'S RESEARCH ACTIVITIES ARE INTENDED TO IMPROVE PATIENT CARE AND THE HEALTH OF THE PUBLIC AT LARGE, BY PROVIDING THE LATEST ADVANCES IN MEDICINE DIRECTLY TO PATIENTS AND BY REFINING THE PRACTICE OF MEDICINE THROUGH THE DEVELOPMENT AND PROMULGATION OF NEW TECHNIQUES, DEVICES AND TREATMENT PROTOCOLS. 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 THROUGHOUT THE HEALTH SYSTEM INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, AND, IN 2012, PROVIDED A COMMUNITY BENEFIT OF $224 MILLION THROUGH SUBSIDY OF MEDICAL EDUCATION PROGRAMS. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC HEALTH SYSTEM'S COMMUNITIES ARE RECEIVING THE HIGHEST STANDARD OF MEDICAL CARE AND HAVE TRAINED HEALTH PROFESSIONALS TO CARE FOR THEM IN THE FUTURE. SOME OF THESE EDUCATION PROGRAMS ARE: GRADUATE MEDICAL EDUCATION. CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2012, 1,164 RESIDENTS AND FELLOWS TRAINED IN 67 ACCREDITED RESIDENCY TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 164 ADVANCED FELLOWS IN 80 FELLOWSHIP PROGRAMS . 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 1,719 APPLICANTS FOR 32 POSITIONS IN 2012. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 99 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE, AND 116 STUDENTS PARTICIPATED IN PRESENTATIONS AND/OR POSTERS AT LOCATION AND NATIONAL MEETINGS. PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T) VISITING MEDICAL STUDENTS. VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2012, 335 MEDICAL STUDENTS FROM CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE WERE AMONG THE 596 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 2012, THE CENTER FOR CONTINUING EDUCATION OFFERED 1,519 CME PROGRAMS TO 229,678 PARTICIPANTS. OF THAT NUMBER, 739 WERE LIVE COURSES, INCLUDING INTERNATIONAL SUMMITS FOCUSED ON KEY AREAS OF TRANSLATIONAL RESEARCH. ACCORDING TO DATA FROM THE SOCIETY FOR ACADEMIC CONTINUING MEDICAL EDUCATION, CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 381 ACTIVITIES THAT ATTRACTED 114,882 ACTIVITY VIEWERS. IN 2012, THE CENTER ISSUED MORE THAN 217,000 CERTIFICATES FOR LIVE AND ONLINE PROGRAMS COMBINED. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, WITH THE CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS RECEIVING MORE THAN 111,500 CERTIFICATES. THE CCJM ENJOYED A CIRCULATION OF MORE THAN 105,000 AND RANKED SECOND IN READERSHIP AMONG JOURNALS DIRECTED TO INTERNISTS AND CARDIOLOGISTS. IN 2012 THE CCJM WEB SITE HAD 2.3 MILLION VISITS FROM 1.9 MILLION UNIQUE VISITORS. CENTER FOR HEALTH SCIENCES EDUCATION. CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF ALLIED HEALTH STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 16 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 49 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2012, CLEVELAND CLINIC HEALTH SYSTEM HOSTED NEARLY 2,000 CLINICAL ROTATIONS FOR HEALTH SCIENCE STUDENTS. CENTER FOR INTERNATIONAL MEDICAL EDUCATION. THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IN 2012, 700 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 200 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC IN PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, UROLOGY, PEDIATRICS, BREAST CANCER AND OBESITY; AND OUR OWN STAFF TRAVELED TO MORE THAN 15 COUNTRIES TO SHARE CLINICAL AND SURGICAL INNOVATIONS. HEALTHCARE EXECUTIVE EDUCATION. IN 2011, CLEVELAND CLINIC LAUNCHED TWO HEALTHCARE EXECUTIVE EDUCATION PROGRAMS THAT GIVE PARTICIPANTS FROM AROUND THE WORLD A REALITY-BASED, HANDS-ON LEADERSHIP EXPERIENCE. TO DATE, CLEVELAND CLINIC HAS TRAINED NEARLY 250 HEALTHCARE EXECUTIVES FROM AROUND THE WORLD. IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC HEALTH SYSTEM ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF OUR COMMUNITY BENEFIT ARE: COMMUNITY EDUCATION EDUCATING THE COMMUNITY HAS ALSO BEEN A PRIORITY OF CLEVELAND CLINIC HEALTH SYSTEM. OUR CENTER FOR CONSUMER HEALTH INFORMATION IS EXPANDING KNOWLEDGE THROUGH A VARIETY OF MEDIA WHILE MAKING INFORMATION AVAILABLE TO PATIENTS AND THE NORTHEAST OHIO COMMUNITY. FOLLOWING ARE SOME OF THE PROGRAMS OFFERED IN 2012: HEALTH INFORMATION RESOURCE CENTER: THE PATIENT AND FAMILY HEALTH AND EDUCATION CENTER ON MAIN CAMPUS IS A PLACE WHERE PATIENTS, VISITORS AND EMPLOYEES CAN TAKE ADVANTAGE OF HEALTH INFORMATION RESOURCES PREPARED FOR THE GENERAL PUBLIC. THE CONSUMER HEALTH INFORMATION STAFF ALSO FULFILLS REQUESTS FOR HEALTH INFORMATION MADE IN WRITING, BY EMAIL OR BY PHONE. IN 2012, THE CENTER FULFILLED 4,701 REQUESTS AND SERVED 11,436 PEOPLE WHO CAME INTO THE CENTER FOR INFORMATION. HEALTH TALKS/HEALTH EXCHANGE AND CCTV: THE CENTER FOR CONSUMER HEALTH INFORMATION HOSTED 33 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS MANAGED 3,087 SCHEDULED CLOSED-CIRCUIT TELEVISION WEEKLY PROGRAMS AND APPROXIMATELY 256 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 10 AM TO 1:30 PM. BY THE END OF 2012, WE HELD 3,782 WEBCHATS. LIBRARY/CABLE VIDEO: CLEVELAND CLINIC HAS PRODUCED A SERIES OF VIDEOS COVERING MANY HEALTH TOPICS THAT ARE AVAILABLE THROUGH PUBLIC LIBRARIES IN GREATER CLEVELAND AND APPEAR ON A NUMBER OF PUBLIC ACCESS CABLE STATIONS. 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 2012, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $105.5 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $16.6 MILLION ). SUBSIDIZED HEALTH SERVICES IN ADDITION TO FINANCIAL ASSISTANCE AND COSTS NOT COVERED BY MEDICAID PAYMENTS, ANOTHER CLINICAL COMMUNITY BENEFIT CATEGORY IS "SUBSIDIZED HEALTH SERVICES". THESE SERVICES YIELD LOW OR NEGATIVE MARGINS BUT ARE NEEDED IN THE COMMUNITY. CLEVELAND CLINIC PROVIDED SUBSIDIZED HEALTH SERVICES IN 2012 AT A COST OF $13.7 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 2012 FOR A TOTAL NET COMMUNITY BENEFIT OF $50.0 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. COMMUNITY OUTREACH PROGRAMS FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2012, SOME HIGHLIGHTS INCLUDED: -CLEVELAND CLINIC HEALTH SYSTEM PROVIDED NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT VARIOUS SITES IN THE COMMUNITIES IT SERVES. EXAMPLES INCLUDE: -IN THE FAIRFAX NEIGHBORHOOD, THE LANGSTON HUGHES HEALTH AND EDUCATION CENTER PROVIDED MULTI-GENERATIONAL PREVENTION AND WELLNESS SERVICES. -IN AUGUST 2012, LUTHERAN HOSPITAL, IN COLLABORATION WITH THE NEIGHBORHOOD FAMILY PRACTICE, OPENED A HEALTH CLINIC IN CLEVELAND SERVING SEVERAL WESTSIDE COMMUNITIES. THIS CLINIC IMPROVES ACCESS TO PRIMARY CARE SERVICES AND CONTRIBUTES TO THE OVERALL HEALTH OF THE COMMUNITY. THE STAFF MEMBERS INCLUDE PHYSICIANS, NURSE PRACTITIONERS, MEDICAL ASSISTANTS, NURSES AND MENTAL HEALTH PROFESSIONALS. MANY OF THE STAFF MEMBERS ARE BILINGUAL IN ENGLISH AND SPANISH. -HEALTH FAIRS PROVIDED THOUSANDS OF PEOPLE WITH FREE SCREENING FOR DIABETES, CHOLESTEROL, HEART DISEASE, AND PROSTATE AND OTHER CANCERS. THE MINORITY MEN'S HEALTH FAIR, SPEAKING OF WOMEN'S HEALTH AND DOZENS OF COMMUNITY HEALTH FAIRS HIGHLIGHTED THE EFFORTS OF PREVENTATIVE CARE. -COMMUNITY EDUCATION CLASSES PROVIDED EDUCATION ON CHRONIC DISEASE ISSUES SUCH AS HEART DISEASE, STROKE, DIABETES AND BRAIN HEALTH. FOR A FULL LIST OF MONTHLY EVENTS, GO TO WWW.CLEVELANDCLINIC.ORG AND SEARCH FOR COMMUNITY EVENTS. -WELLNESS INITIATIVES AND HEALTH LECTURES WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS AND COMMUNITY CENTERS ON PREVENTION AND BEHAVIORAL CHANGE, INCLUDING SMOKING CESSATION, WEIGHT MANAGEMENT, TEEN PARENTING, FAMILY VIOLENCE AND CHILD SAFETY. -CLEVELAND CLINIC OFFERED THE "5 TO GO!TM" CHILDHOOD OBESITY PREVENTION PROGRAM TO THOUSANDS OF LOCAL ELEMENTARY AND MIDDLE SCHOOL STUDENTS THROUGHOUT NORTHEAST OHIO. -COMMUNITY FARMERS MARKETS, URBAN GARDENS AND NUTRITION SEMINARS WERE PROVIDED TO PROMOTE DISEASE PREVENTION AND HEALTHY LIFESTYLES. -CLEVELAND CLINIC'S TOMSICH PATHOLOGY & LABORATORY MEDICINE INSTITUTE DONATED SERVICES TO CLEVELAND AREA SAFETY-NET PROVIDERS THE FREE CLINIC AND CARE ALLIANCE. -THE OFFICE OF CIVIC EDUCATION INITIATIVES PROMOTED K-12 EDUCATION THROUGHOUT NORTHEAST OHIO IN PARTNERSHIP WITH AREA SCHOOLS, LOCAL BUSINESSES AND FELLOW NONPROFIT ORGANIZATIONS . V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC HEALTH SYSTEM IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION. FORM 990, PART VI, SECTION A, LINE 2 WILLIAM MACDONALD III, CCF ,CCEF, AND CCHS-EAST REGION TRUSTEE, AND MORRY WEISS, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE - BUSINESS BILL SANFORD, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE, AND LARRY POLLOCK, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE - BUSINESS BETH MOONEY, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE, AND BILL SANFORD, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE - BUSINESS LARRY RUVO, KMA DIRECTOR, AND CAMILLE RUVO, KMA DIRECTOR - FAMILY LARRY RUVO, KMA AND LRBI DIRECTOR, AND MICHAEL SEVERINO, KMA AND LRBI DIRECTOR - BUSINESS JEFFREY CUMMINGS, KMA DIRECTOR, ALSO CC NEVADA KEY EMPLOYEE, AND XUE ZHONG, CC NEVADA KEY EMPLOYEE - FAMILY FORM 990, PART VI, SECTION A, LINE 3 CCF HOTEL SERVICES INC. HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE THREE HOTELS OWNED BY CCF HOTEL SERVICES INC. 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/DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE. 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 TRUSTEES. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE AND THAT MEMBER ELECTS THE BOARD OF THE RESPECTIVE SUBORDINATE. 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. IN ADDITION, CERTAIN SUBORDINATES IN THE CCF GROUP EACH HAVE A "SPECIAL" MEMBER THAT ARE OTHER NONPROFIT TAX EXEMPT ENTITIES THAT HOLD SPECIAL RIGHTS TO APPROVE SIGNIFICANT TRANSACTIONS OR CHANGES SUCH AS MERGER, DISSOLUTION, SALE OF SUBSTANTIALLY ALL ASSETS, OR A MATERIAL CHANGE IN MISSION. 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 AUDIT COMMITTEE VICE CHAIRPERSON PRIOR TO FILING. 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 15A 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 EXPERT 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. A SMALL NUMBER OF EMPLOYEES HOLDING AFFILIATE OFFICER POSITIONS HAVE THEIR COMPENSATION REVIEWED AND APPROVED BY THEIR MANAGERS ANNUALLY WITHIN GUIDELINES PRESCRIBED BY THE ORGANIZATION'S HUMAN RESOURCE FUNCTION. THESE GUIDELINES TAKE INTO CONSIDERATION APPLICABLE COMPARABILITY DATA AND SIMILAR COMPENSATION METRICS. FORM 990, PART VI, SECTION C, LINE 19 CCF MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT, COMMUNITY BENEFIT REPORT, AND CORPORATE COMPLIANCE POLICIES ARE PUBLICLY AVAILABLE. CCF'S CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE ON ITS WEBSITE. IN ADDITION, CCF PROVIDES DETAILED FINANCIAL INFORMATION AS PART OF ITS TAX EXEMPT BOND OFFERINGS AS WELL AS ITS FORM 990 ON PUBLICLY ACCESSIBLE WEBSITES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: GIFTS AND BEQUESTS 59,760,156. NET INVESTMENT INCOME 30,315,503. NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -40,587,575. RETIREMENT BENEFITS ADJUSTMENT -90,804,854. NET CHANGE IN UNREALIZED GAINS ON NONTRADING INVESTMENTS -1,886,845. CHANGE IN INTERESTS IN FOUNDATIONS 5,574,991. DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 935,571. EQUITY TRANSFERS -5,868,399. TRANSFER OF NET ASSETS 11,124,998. 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 21868508 78758 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 7938079 14637995 THE CLEVELAND CLINIC FOUNDATION CLEVELAND CLINIC OBGYN SPECIALTIES LLC 9500 EUCLID AVENUE CLEVELAND OH 44195 341938153 HEALTHCARE SERVICES OH 7626923 7385 THE CLEVELAND CLINIC FOUNDATION CLEVELAND CLINIC WELLNESS ENTERPRISE LLC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 263859233 HEALTHCARE SERVICES OH 2276976 THE CLEVELAND CLINIC FOUNDATION CLINIC MEDICAL SERVICES COMPANY LLC 9500 EUCLID AVENUE CLEVELAND OH 44195 341932969 HEALTHCARE SERVICES OH 73966740 50000 THE CLEVELAND CLINIC FOUNDATION CLINIC PHYSICIAN SERVICES COMPANY LLC 9500 EUCLID AVENUE CLEVELAND OH 44195 341907574 HEALTHCARE SERVICES OH 37382275 68283 THE CLEVELAND CLINIC FOUNDATION CLINIC REGIONAL PHYSICIANS LLC 25875 SCIENCE PARK DR BEACHWOOD OH 44122 262636530 HEALTHCARE SERVICES OH 39470257 806540 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 73346 CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION OHIO STAR IMAGING LLC 9500 EUCLID AVENUE CLEVELAND OH 44195 HEALTHCARE SERVICES 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 9500 EUCLID AVENUE CLEVELAND OH 44195 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 10952 0 CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WOOSTER CLINIC LLC 9500 EUCLID AVENUE CLEVELAND OH 44195 341855775 HEALTHCARE SERVICES OH 48320734 202945 THE CLEVELAND CLINIC FOUNDATION 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 11A, I N/A 0 MEDINA COUNTY HEALTH CORPORATION 1000 E WASHINGTON ST MEDINA OH 44256 270756266 SUPPORT MEDINA HOSPITAL OH 501(C)(3) LINE 11A, I N/A 0 NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP 2001 ROSS AVENUE DALLAS TX 75201 311707979 SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES TX 501(C)(3) LINE 11A, I N/A 0 WO WALKER CENTER INC 10700 EUCLID AVENUE CLEVELAND OH 44106 911818256 HEALTHCARE SERVICES OH 501(C)(3) LINE 11A, I N/A 0 AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL 18101 LORAIN AVENUE CLEVELAND OH 44111 237108198 SUPPORT FAIRVIEW HOSPITAL OH 501(C)(3) LINE 11A, I N/A 0 JUNIOR BOARD OF LAKEWOOD HOSPITAL 14519 DETROIT AVENUE LAKEWOOD OH 44107 346533823 SUPPORT LAKEWOOD HOSPITAL ASSOCIATION OH 501(C)(3) LINE 11A, I 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 11A, I N/A 0 CCFMHS RENAL CARE COMPANY LTD 9500 EUCLID AVENUE CLEVELAND OH 44195 341863789 MEDICAL SERVICES OH THE CLEVELAND CLINIC FOUNDATION RELATED 3928895 14641163 0 1 0.60000 CCHS WESTLAKE IMAGING CENTER LLC 6801 BRECKSVILLE ROAD RK-85 INDEPENDENCE OH 44131 341914277 MEDICAL SERVICES OH FAIRVIEW HOSPITALLAKEWOOD HOSPITAL ASSN RELATED 457879 797289 0 1 1.00000 CLEVELAND HEALTH NETWORK MSO LLC 4700 ROCKSIDE ROAD STE 200 INDEPENDENCE OH 44131 311566180 MEDICAL SERVICES OH N/A RELATED 22027 0 1 0.79900 PROGNOSTIX LLC 10000 CEDAR AVENUE CLEVELAND OH 44106 300624422 MEDICAL SERVICES OH THE CLEVELAND CLINIC FOUNDATION RELATED -17387 149950 0 0 0.78000 BUCKEYE OCULAR LLC 10000 CEDAR AVENUE CLEVELAND OH 44106 262689395 MEDICAL SERVICES OH THE CLEVELAND CLINIC FOUNDATION RELATED 377 0 0 0.55000 EXCELERATE STRATEGIC HEALTH SOURCING LLC 9500 EUCLID AVENUE CLEVELAND OH 44195 461810992 HEALTH CARE OPS AND MGMT DE THE CLEVELAND CLINIC FOUNDATION RELATED 0 0 0.60000 ANGIOQUEST INC 10000 CEDAR AVENUE CLEVELAND OH 44106 320217945 MEDICAL TECHNOLOGY DE THE CLEVELAND CLINIC FOUNDATION C 865 1.00000 1 CARDIONOMIC INC 10000 CEDAR AVENUE CLEVELAND OH 44106 263662474 SCIENTIFIC RESEARCH DE N/A C 0.44730 0 CCF BOLTON INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 204596571 BUSINESS SERVICES OH CLINIC MEDICAL SOLUTIONS INC C 1 CC WEB SOLUTIONS INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 263222020 BUSINESS SERVICES OH CLINIC MEDICAL SOLUTIONS INC C 1.00000 1 CCF TENNESSEE MEDICAL SERVICES PC C/O 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 271442158 HEALTHCARE SERVICES TN THE CLEVELAND CLINIC FOUNDATION C 1 CCHS INDEMNITY CO LTD 23 LIME TREE BAY BOX 1051 GRAND CAYMAN CJ KY1-1102 980207086 INSURANCE COMPANY CJ THE CLEVELAND CLINIC FOUNDATION C 65892556 149205008 1.00000 1 CLEVELAND CLINIC CANADA-TORONTO INC 181 BAY STREET BOX818 TORONTO CA M5J 2T3 340714585 HEALTH CARE SERVICES CA THE CLEVELAND CLINIC FOUNDATION C 7557409 3466839 1.00000 1 CLEVELAND CLINIC EMR INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 204856025 MEDICAL SERVICES OH CLINIC MEDICAL SOLUTIONS INC C 23925 15395 1 CLEVELAND CLINIC FLORIDA HEALTH PLAN INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 650338016 BUSINESS SERVICES FL CLINIC MEDICAL SOLUTIONS INC C 1.00000 1 CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 341877409 MEDICAL SERVICES OH CLINIC MEDICAL SOLUTIONS INC C 3375721 11250187 1 CLEVELAND HEALTH NETWORK 6000 WEST CREEK ROAD STE 20 INDEPENDENCE OH 44131 341770780 MEDICAL SERVICES OH N/A C 696 1377848 1 CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION 6000 WEST CREEK ROAD STE 20 INDEPENDENCE OH 44131 341808138 HEALTHCARE SERVICES OH CLEVELAND HEALTH NETWORK INC C 5368521 2936804 1 CLINIC MEDICAL SOLUTIONS INC 18101 LORAIN AVENUE CLEVELAND OH 44111 341695388 HEALTH CARE SERVICES OH THE CLEVELAND CLINIC FOUNDATION C 17020716 4124948 1 CMCD INC 1000 E WASHINGTON STREET MEDINA OH 44256 341256599 REAL ESTATE OH MEDINA HOSPITAL C 311040 1.00000 1 CONGRUENT MEDICAL TECHNOLOGIES INC 10000 CEDAR AVENUE CLEVELAND OH 44106 263156393 SCIENTIFIC RESEARCH DE THE CLEVELAND CLINIC FOUNDATION C 1.00000 1 CSF THERAPEUTICS INC 10000 CEDAR AVENUE CLEVELAND OH 44106 203756660 MEDICAL RESEARCH DE N/A C 1 0 CUSTOM ARTHOPLASTY SOLUTIONS INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 274838743 MEDICAL TECHNOLOGY DE THE CLEVELAND CLINIC FOUNDATION C 1.00000 1 CUSTOM ORTHOPAEDIC SOLUTIONS INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 274838981 MEDICAL TECHNOLOGY DE THE CLEVELAND CLINIC FOUNDATION C 306157 33964 1.00000 1 I-COMET TECHNOLOGIES INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 452063841 INACTIVE DE THE CLEVELAND CLINIC FOUNDATION C 100 1.00000 1 I-LYTE INC 10000 CEDAR AVENUE CLEVELAND OH 44106 263880447 SCIENTIFIC RESEARCH DE THE CLEVELAND CLINIC FOUNDATION C 1.00000 1 IMAGEIQ INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 274427530 MEDICAL TECHNOLOGY DE THE CLEVELAND CLINIC FOUNDATION C 1545180 948383 0.92500 1 INFUSEON THERAPEUTICS INC 10000 CEDAR AVENUE CLEVELAND OH 44106 461776182 INACTIVE DE THE CLEVELAND CLINIC FOUNDATION C 1.00000 1 INTELLIS EPM INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 270645368 MEDICAL TECHNOLOGY DE THE CLEVELAND CLINIC FOUNDATION C 1.00000 1 ION-VAC INC 10000 CEDAR AVENUE CLEVELAND OH 44106 461560044 INACTIVE DE THE CLEVELAND CLINIC FOUNDATION C 1.00000 1 IPPC INC 10000 CEDAR AVENUE CLEVELAND OH 44106 454657767 INACTIVE OH THE CLEVELAND CLINIC FOUNDATION C 1.00000 1 IVHR INC 10000 CEDAR AVENUE CLEVELAND OH 44106 454657632 INACTIVE DE THE CLEVELAND CLINIC FOUNDATION C 125000 152037 1.00000 1 LAKEWOOD HEALTHCARE FOUNDATION 14519 DETROIT AVENUE LAKEWOOD OH 44107 341574608 HEALTHCARE SERVICES OH N/A C 1 MCZ INC 1000 E WASHINGTON STREET MEDINA OH 44256 341256598 LEASING OH MEDINA HOSPITAL C 18497 500 1.00000 1 MEDINVEST INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 203978297 HOLDING COMPANY OH CLINIC MEDICAL SOLUTIONS INC C 2372 1.00000 1 MERIDIA HEALTH VENTURES INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 341533871 HEALTH CARE SERVICES OH CLEVELAND CLINIC HOME CARE INC C 1.00000 1 MERLOT ORTHOPEDIX INC 10000 CEDAR AVENUE CLEVELAND OH 44106 113779414 MEDICAL DEVICE MANUFACTURING DE THE CLEVELAND CLINIC FOUNDATION C 137500 118865 0.55000 0 NEOMEDICS INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 020656818 BUSINESS SERVICES OH CLINIC MEDICAL SOLUTIONS INC C 1.00000 1 OPTOQUEST CORPORATION 10000 CEDAR AVENUE CLEVELAND OH 44106 263589643 SCIENTIFIC RESEARCH DE THE CLEVELAND CLINIC FOUNDATION C 1.00000 1 PINE FALLS CONDOMINIUM ASSOCIATES INC 6100 WEST CREEK SUITE 25 INDEPENDENCE OH 44131 341617589 CONDO RENTALS OH THE CLEVELAND CLINIC FOUNDATION C 0.75000 0 RENOVO NEURAL INC 10000 CEDAR AVENUE CLEVELAND OH 44106 800185146 SCIENTIFIC RESEARCH DE N/A C 716323 255780 0.49000 0 SIVAN INC 10000 CEDAR AVENUE CLEVELAND OH 44106 562505807 INACTIVE DE THE CLEVELAND CLINIC FOUNDATION C 0.51910 0 CHARITABLE REMAINDER TRUST (23) C/O 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 CHARITABLE TRUST OH THE CLEVELAND CLINIC FOUNDATION T 0 CHARITABLE LEAD TRUST C/O 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44132 CHARITABLE TRUST PA THE CLEVELAND CLINIC FOUNDATION T 0 1 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 CLEVELAND CLINIC CANADA - TORONTO INC A 100000 FMV CLEVELAND CLINIC EDUCATIONAL FOUNDATION B 19662699 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION B 17800837 FMV CLEVELAND HEALTH NETWORK INC B 190000 FMV CLINIC REGIONAL PHYSICIANS LLC B 1869116 FMV CLINIC REGIONAL PHYSICIANS LLC B 71968 FMV CLINIC REGIONAL PHYSICIANS LLC B 625832 FMV CLINIC REGIONAL PHYSICIANS LLC B 509679 FMV CLINIC REGIONAL PHYSICIANS LLC B 360910 FMV CLINIC REGIONAL PHYSICIANS LLC B 1191659 FMV CLINIC REGIONAL PHYSICIANS LLC B 480802 FMV INTELLIS EPM INC B 3531659 FMV MEDINA HOSPITAL B 15213135 FMV THE CLEVELAND CLINIC FOUNDATION B 200216 FMV THE CLEVELAND CLINIC FOUNDATION B 15000000 FMV CLEVELAND CLINIC CANADA - TORONTO INC C 200216 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION C 1869116 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION C 71968 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION C 625832 FMV CLEVELAND CLINIC HEALTH SYSTEM INDEMNITY COMPANY C 15000000 FMV FAIRVIEW HOSPITAL C 509679 FMV LAKEWOOD HOSPITAL ASSOCIATION C 1191659 FMV LUTHERAN HOSPITAL C 360910 FMV MARYMOUNT HOSPITAL INC C 480802 FMV THE CLEVELAND CLINIC FOUNDATION C 19662699 FMV THE CLEVELAND CLINIC FOUNDATION C 3531659 FMV THE CLEVELAND CLINIC FOUNDATION C 15213135 FMV THE CLEVELAND CLINIC FOUNDATION C 17800837 FMV CLEVELAND CLINIC EDUCATIONAL FOUNDATION J 2525578 FMV CLEVELAND CLINIC MEDICAL SERVICES INC J 439728 FMV THE CLEVELAND CLINIC FOUNDATION J 156000 FMV LAKEWOOD HOSPITAL ASSOCIATION K 156000 FMV THE CLEVELAND CLINIC FOUNDATION K 2525578 FMV THE CLEVELAND CLINIC FOUNDATION K 439728 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION L 131000 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION L 300000 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION L 52000 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION L 103000 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION L 4277000 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION L 641430 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION L 241699 FMV CLEVELAND HEALTH NETWORK INC L 2865000 FMV FAIRVIEW HOSPITAL L 132000 FMV FAIRVIEW HOSPITAL L 2890000 FMV FAIRVIEW HOSPITAL L 89000 FMV FAIRVIEW HOSPITAL L 100000 FMV LAKEWOOD HOSPITAL ASSOCIATION L 1492000 FMV LUTHERAN HOSPITAL L 311000 FMV MARYMOUNT HOSPITAL INC L 1583000 FMV MARYMOUNT HOSPITAL INC L 291871 FMV THE CLEVELAND CLINIC FOUNDATION L 9664000 FMV THE CLEVELAND CLINIC FOUNDATION L 525000 FMV THE CLEVELAND CLINIC FOUNDATION L 125000 FMV CLEVELAND CLINIC MEDICAL SERVICES INC M 9664000 FMV IMAGEIQ INC M 525000 FMV IVHR INC M 125000 FMV THE CLEVELAND CLINIC FOUNDATION M 131000 FMV THE CLEVELAND CLINIC FOUNDATION M 132000 FMV THE CLEVELAND CLINIC FOUNDATION M 300000 FMV THE CLEVELAND CLINIC FOUNDATION M 2890000 FMV THE CLEVELAND CLINIC FOUNDATION M 52000 FMV THE CLEVELAND CLINIC FOUNDATION M 103000 FMV THE CLEVELAND CLINIC FOUNDATION M 1492000 FMV THE CLEVELAND CLINIC FOUNDATION M 311000 FMV THE CLEVELAND CLINIC FOUNDATION M 1583000 FMV THE CLEVELAND CLINIC FOUNDATION M 4277000 FMV THE CLEVELAND CLINIC FOUNDATION M 89000 FMV THE CLEVELAND CLINIC FOUNDATION M 100000 FMV THE CLEVELAND CLINIC FOUNDATION M 641430 FMV THE CLEVELAND CLINIC FOUNDATION M 241699 FMV THE CLEVELAND CLINIC FOUNDATION M 291871 FMV CCF HOTEL SERVICES INC P 5189129 FMV CLEVELAND CLINIC HEALTH SYSTEM INDEMNITY COMPANY P 34327291 FMV THE CLEVELAND CLINIC FOUNDATION P 54000 FMV THE CLEVELAND CLINIC FOUNDATION P 2041728 FMV THE CLEVELAND CLINIC FOUNDATION P 10792656 FMV THE CLEVELAND CLINIC FOUNDATION P 7642524 FMV THE CLEVELAND CLINIC FOUNDATION P 71052528 FMV THE CLEVELAND CLINIC FOUNDATION P 40861176 FMV THE CLEVELAND CLINIC FOUNDATION P 12445368 FMV THE CLEVELAND CLINIC FOUNDATION P 17648652 FMV THE CLEVELAND CLINIC FOUNDATION P 20202888 FMV THE CLEVELAND CLINIC FOUNDATION P 10702488 FMV THE CLEVELAND CLINIC FOUNDATION P 5177544 FMV CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Q 2041728 FMV CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION) Q 10792656 FMV CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION Q 10702488 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Q 54000 FMV CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Q 71052528 FMV CLEVELAND CLINIC HOME CARE SERVICES Q 5177544 FMV FAIRVIEW HOSPITAL Q 40861176 FMV LAKEWOOD HOSPITAL ASSOCIATION Q 17648652 FMV LUTHERAN HOSPITAL Q 12445368 FMV MARYMOUNT HOSPITAL INC Q 20202888 FMV MEDINA HOSPITAL Q 7642524 FMV THE CLEVELAND CLINIC FOUNDATION Q 34327291 FMV THE CLEVELAND CLINIC FOUNDATION Q 5189129 FMV THE CLEVELAND CLINIC FOUNDATION R 135250 FMV CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION S 135250 FMV