2011-11-11T10:06:38-06:00 2010-12-31 ERNST & YOUNG LLP 925 EUCLID AVENUE 1300 CLEVELAND OH 44115 990 2010-01-01 880515534 KEEP MEMORY ALIVE KEEP 7022639797 888 W BONNEVILLE AVE LAS VEGAS NV 89106 MICHAEL P HARRINGTON 7022639797 2011-11-11 2168615000 2010 2016-03-07 17:11:31Z MICHAEL MODIC MD 9500 EUCLID AVE CLEVELAND OH 44195 38929972 0 X WWW.KEEPMEMORYALIVE.ORG X 2001 NV SUPPORTS TREATMENT, RESEARCH & SOCIAL SERVICES FOR NEUROCOGNITIVE DISEASE PATIENTS. 21 14 14 200 345283 -24854 2300653 13622523 0 429642 24665 1397033 0 -4593794 2325318 10855404 0 0 0 0 277399 1358412 0 0 371065 801515 7809073 1078914 9167485 1246404 1687919 141673651 148731426 85930108 73842479 55743543 74888947 KEEP MEMORY ALIVE SUPPORTS THE MISSION OF THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH WHICH PROVIDES TREATMENT, RESEARCH, AND SOCIAL SERVICES TO THOSE AFFLICATED WITH NEUROCOGNITIVE DISEASES. 0 0 7247131 429642 THE ORGANIZATION RAISES FUNDS TO BUILD AND OPERATE THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH WHICH IS A HIGHLY SPECIALIZED CLINICAL CENTER TO ADVANCE THE RESEARCH AND TREATMENT OF PATIENTS WITH NEUROCOGNITIVE DISORDERS THAT RESULT FROM NEUROLOGICAL DISEASES INCLUDING ALZHEIMER'S, HUNTINGTON'S, PARKINSON'S, AND AMYTROPHIC LATERIAL SCLEROSIS (ALS). 7247131 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 0 0 1 14 1 1 1 0 0 0 0 1 1 0 0 0 0 X 21 14 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X ROBERT F WAITKUS 2164452526 6801 BRECKSVILLE ROAD RK-85 INDEPENDENCE OH 44131 X MICHAEL HARRINGTON 5.00 X X 0 491398 38930 DAVID W ROWAN 5.00 X X 0 613337 42207 MICHAEL MODIC 5.00 X X 0 848332 38967 KARIM BOTROS 5.00 X 0 304621 14211 WILLIAM PEACOCK 5.00 X 0 667229 40502 LOVEE ARUM 5.00 X 0 0 0 CHARLES BERNICK 5.00 X 0 257761 23650 JEFFEY CUMMINGS 5.00 X 0 300983 17093 KENNY EPSTEIN 5.00 X 0 0 0 TERESA FERTITTA 5.00 X 0 0 0 MADISON GRAVES 5.00 X 0 0 0 DENNIS GUTWALD 5.00 X 0 0 0 DAN OTTER 5.00 X 0 0 0 LARRY RUVO 5.00 X 0 0 0 CAMILLE RUVO 5.00 X 0 0 0 MICHAEL SEVERINO 5.00 X 0 0 0 JEROME F SNYDER 5.00 X 0 0 0 PAUL STEELMAN 5.00 X 0 0 0 DAVID STEINBERG 5.00 X 0 0 0 ROLAND STURM 5.00 X 0 0 0 NANCY WEXLER 5.00 X 0 0 0 JAN MURRAY 5.00 X 0 501367 29199 MAUREEN PECKMAN 50.00 X 249147 0 16224 LISA MANNING 50.00 X 165273 0 9595 414420 3985028 270578 2 0 1 0 WHITING-TURNER CONSTRUCTION COMPANY 5875 LANDERBROOK DRIVE SUITE 100 CLEVELAND OH 44124 CONSTRUCTION 1796744 ALLIED BARTON SECURITY PO BOX 828854 PHILADELPHIA PA 19182 SECURITY 104486 2 3760125 9862398 935391 13622523 OTHER PROGRAM SERVICES 900099 429642 84359 345283 429642 236969 236969 27294046 26040905 93077 1253141 -93077 1160064 1160064 2633886 3760125 1940586 693300 693300 DERIVATIVE INCOME 525990 -5287094 -5287094 -5287094 10855404 84359 345283 -3196761 1166124 1125119 41005 46962 45311 1651 80962 78115 2847 64364 62101 2263 67135 67135 10716 10716 803434 479146 94018 230270 93029 93029 1914157 1855266 58891 2768 2768 211070 211070 37515 37515 15641 15641 1048863 1048863 2967772 2967772 5115 5115 EQUIPMENT RENTAL & MAIN 314585 314585 BAD DEBT EXPENSE 270000 270000 TELEPHONE/INTERNET 36251 36251 DUES & LICENSES 6631 6631 RESEARCH EXPENSE 4391 4391 9167485 7247131 1549289 371065 52213704 53096150 4231484 11790163 3780437 151395 87401408 5116293 78095048 82285115 937709 2415269 1408603 141673651 148731426 1864157 555229 532250 68600000 68600000 15465951 4155000 85930108 73842479 X 48025261 61571284 7718282 13317663 55743543 74888947 141673651 148731426 X 1687919 17457485 X 0 1 1 X 0 X 19250161 1650504 9956363 2300653 13622523 46780204 19250161 1650504 9956363 2300653 13622523 46780204 23482085 23298119 2900722 2948103 584911 24665 236969 6695370 429642 429642 53905216 0.43220 0.75370 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART III SECTION B LINE 10 - OTHER INCOME REPRESENTS RECEIPTS FROM THE USE OF FACILITIES FOR FUNDRAISING EVENTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3105000 3105000 62808843 2908676 59900167 2244653 532287 1712366 19242912 1675330 17567582 82285115 OTHER LIABILITIES 4155000 4155000 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, 2010 AND 2009 THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $12.4 MILLION AND $10.1 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT TWELVE MONTHS. THE SYSTEM RECOGNIZED INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. GALA 5632486 3409600 2222886 391895 450493 325404 74562 572737 TAHOE WEEKEND 761525 350525 411000 30649 17031 25000 52815 6394011 3760125 2633886 391895 481142 342435 99562 625552 1940586 693300 X X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL HARRINGTON 0 424611 0 0 0 66787 0 24500 0 14430 0 530328 0 0 DAVID W ROWAN 0 537291 0 0 0 76046 0 24500 0 17707 0 655544 0 0 MICHAEL MODIC 0 768915 0 0 0 79417 0 24500 0 14467 0 887299 0 0 KARIM BOTROS 0 245841 0 57998 0 782 0 5188 0 9023 0 318832 0 0 WILLIAM PEACOCK 0 626070 0 0 0 41159 0 24500 0 16002 0 707731 0 0 CHARLES BERNICK 0 254875 0 0 0 2886 0 23525 0 125 0 281411 0 0 JEFFEY CUMMINGS 0 299679 0 0 0 1304 0 15031 0 2062 0 318076 0 0 JAN MURRAY 0 433945 0 0 0 67422 0 24500 0 4699 0 530566 0 0 MAUREEN PECKMAN 248051 0 0 0 1096 0 0 6370 0 9854 249147 16224 0 0 LISA MANNING 164944 0 0 0 329 0 0 2300 0 7295 165273 9595 0 0 PART I, LINE 7 IN ADDITION TO BASE SALARY, CERTAIN EMPLOYEES WERE ENTITLED TO RECEIVE A PERFORMANCE BONUS. THE EXACT AMOUNT OF THE BONUS WAS DEPENDENT UPON MANAGEMENT'S EVALUATION OF WHETHER AND TO WHAT EXTENT THE EMPLOYEE MET CERTAIN PERFORMANCE METRICS. SUPPLEMENTAL INFORMATION PART III PART I LINE 3 - THE SOURCES LISTED ARE USED TO DETERMINE COMPENSATION PAID TO THE PRINCIPAL OFFICER WHO IS PAID BY A RELATED ORGANIZATION AND NOT BY KEEP MEMORY ALIVE. CITY OF LAS VEGAS NEVADA 886000198 51770PAD7 2007-05-03 68600000 FINANCE CONSTRUCTION OF A MEDICAL FACILITY 0 0 0 68600000 826396 69426396 2010 0 0 1 1 0 0 1 1 1 0.02630 0.01000 0.03630 1 0 1 0 0 0 0 X 11 202330 SALE OF COMPARABLE GOODS X 1 4000 SALE OF COMPARABLE GOODS X 25000 SALE OF COMPARABLE GOODS X 159892 SALE OF COMPARABLE GOODS X 42 159405 SALE OF COMPARABLE GOODS X 19 72933 COST X EVENT/TICKET 117 311831 COST 0 1 1 THIRD PARTY USE: PART I, LINE 32B: KEEP MEMORY ALIVE WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS. FORM 990, PART VI, SECTION A, LINE 2 LARRY RUVO, DIRECTOR, AND CAMILLE RUVO, DIRECTOR, ARE HUSBAND AND WIFE. FORM 990, PART VI, SECTION A, LINE 6 CLEVELAND CLINIC FOUNDATION IS THE SOLE MEMBER OF KEEP MEMORY ALIVE. FORM 990, PART VI, SECTION A, LINE 7A CLEVELAND CLINIC FOUNDATION AS THE SOLE MEMBER APPOINTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MEMBER APPROVAL IS REQUIRED FOR THE FOLLOWING: (1) AMENDMENTS TO THE ARTICLES OR BYLAWS; (2) ELECTION OR REMOVAL OF MEMBERS OF THE BOARD (SUBJECT TO CERTAIN EXCEPTIONS); (3) APPROVAL OF CERTAIN SIGNIFICANT TRANSACTIONS; (4) APPROVAL OF THE INCURRENCE OF DEBT; (5) APPOINTMENT OF AUDITORS; (6) APPROVAL OF ANNUAL BUDGETS AND STRATEGIC PLANS (AND DEVIATIONS THEREFROM); AND (7) APPOINTMENT OR REMOVAL OF OFFICERS. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM IS REVIEWED BY A BIG 4 PUBLIC ACCOUNTING FIRM AS WELL AS EXPERIENCED AND QUALIFIED MEMBERS OF THE CCF TAX DEPARTMENT. ALSO, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE CCF LAW DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 12C ONCE NOTIFIED OF A POTENTIAL CONFLICT, IT IS REVIEWED AGAINST THE POLICY AND THE POLICY IS ENFORCED, IF APPLICABLE. FORM 990, PART VI, SECTION B, LINE 15 KMA RELIES ON CCF'S GUIDELINES TO ESTABLISH COMPENSATION FOR OFFICERS AND KEY EMPLOYEE POSITIONS. THESE GUIDELINES APPLY TO THE TOP MANAGEMENT OFFICIAL AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. CCF USES ALL OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, QUESTION 3 TO ESTABLISH COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. FOR THE 12 MONTHS ENDED 12/31/2010, KEEP MEMORY ALIVE IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CLEVELAND CLINIC HEALTH SYSTEM, WHICH ARE AVAILABLE AT WWW.CLEVELANDCLINIC.ORG. HOURS FOR RELATED ORGANIZATIONS PART VII SECTION A COLUMN (B) THE FOLLOWING INDIVIDUALS DEVOTE AN AVERAGE OF 50 HOURS PER WEEK TO KEEP MEMORY ALIVE AS WELL AS OTHER RELATED ORGANIZATIONS WITHIN THE CLEVELAND CLINIC HEALTH SYSTEM: MICHAEL HARRINGTON, DAVID ROWAN, MICHAEL MODIC, KARIM BOTROS, WILLIAM PEACOCK, CHARLES BERNICK, JEFFREY CUMMINGS, AND JAN MURRAY CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 6,140. GIFTS AND BEQUESTS 8,699,195. TRANSFER OF NET ASSETS 11,851,963. NET INVESTMENT INCOME 1,113. NET ASSETS RELEASE FROM RESTRICTIONS USED FOR OPERATIONS -3,101,128. OTHER CHANGE IN NET ASSETS 202. TOTAL TO FORM 990, PART XI, LINE 5: 17,457,485. LOU RUVO BRAIN INSTITUTE 888 W BONNEVILLE LAS VEGAS NV 89106 208077691 SUPPORT CLEVELAND CLINIC FOUNDATION NV 501(C)(3) LINE 11C, III-FI CLEVELAND CLINIC FOUNDATION 0 CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 340714585 HEALTH CARE SERVICES OH 501(C)(3) LINE 3 N/A 0 BUCKEYE OCULAR LLC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 262689395 MEDICAL SERVICES OH N/A RELATED 0 0 CCFMHS RENAL CARE COMPANY LTD 9500 EUCLID AVENUE CLEVELAND OH 44195 341863789 MEDICAL SERVICES OH N/A RELATED 0 0 CCHS WESTLAKE IMAGING CENTER LLC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 341914277 MEDICAL SERVICES OH N/A RELATED 0 0 CLEVELAND HEARTLAB LLC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 271117058 MEDICAL SERVICES OH N/A RELATED 0 0 CLEVELAND HEALTH NETWORK MSO LLC 4700 ROCKSIDE ROAD INDEPENDENCE OH 44131 311566180 MEDICAL SERVICES OH N/A RELATED 0 0 PROGNOSTIX LLC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 300624422 MEDICAL SERVICES OH N/A RELATED 0 0 ANGIOQUEST INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 320217945 MEDICAL TECHNOLOGY OH N/A C CARDIONOMIC INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 263662474 SCIENTIFIC RESEARCH OH N/A C CC BOLTON INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 204596571 BUSINESS SERVICES OH N/A C CC WEB SOLUTIONS INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 263222020 BUSINESS SERVICES OH N/A C CCHS INDEMNITY CO LTD 23 LIME TREE BAY BOX 1051 GRAND CAYMAN CJ KY1-1102 980207086 INSURANCE COMPANY CJ N/A C CLEVELAND CLINIC CANADA-TORONTO INC 181 BAY STREET BOX 818 TORONTO ONTARIO CA M5J 2T3 HEALTH CARE SERVICES CA N/A C CLEVELAND CLINIC EMR INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 204856025 MEDICAL SERVICES OH N/A C CLEVELAND CLINIC FLORIDA HEALTH PLAN INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 650338016 BUSINESS SERVICES OH N/A C CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 341877409 MEDICAL SERVICES OH N/A C CLEVELAND HEARTLAB INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 270969436 MEDICAL TECHNOLOGY OH N/A C CLINIC MEDICAL SOLUTIONS INC 18101 LORAIN AVENUE CLEVELAND OH 44111 341695388 HEALTH CARE SERVICES OH N/A C CMCD INC 1000 E WASHINGTON STREET MEDINA OH 44256 341256599 REAL ESTATE OH N/A C CNEXUS HOLDCO INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 INACTIVE OH N/A C CONGRUENT MEDICAL TECHNOLOGIES INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 263156393 SCIENTIFIC RESEARCH OH N/A C CSF THERAPEUTICS INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 203756660 MEDICAL SERVICES OH N/A C I-LYTE INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 263880447 SCIENTIFIC RESEARCH OH N/A C IMAGEIQ INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 274427530 MEDICAL TECHNOLOGY OH N/A C INTELLIS EPM INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 270645368 MEDICAL TECHNOLOGY OH N/A C MCZ INC 1000 E WASHINGTON STREET MEDINA OH 44256 341256598 LEASING OH N/A C MEDINVEST INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 203978297 HOLDING COMPANY OH N/A C MERIDIA HEALTH VENTURES INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 341533871 HEALTH CARE SERVICES OH N/A C MERLOT ORTHOPEDIX INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 113779414 MEDICAL DEVICE MANUFACTURING OH N/A C NEOMEDICS INC 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 020656818 BUSINESS SERVICES OH N/A C OPTOQUEST CORPORATION 10265 CARNEGIE AVENUE CLEVELAND OH 44106 263589643 SCIENTIFIC RESEARCH OH N/A C PINE FALLS CONDOMINIUM ASSOCIATES INC 6100 WEST CREEK SUITE 25 INDEPENDENCE OH 44131 341617589 CONDO RENTALS OH N/A C RENOVO NEURAL INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 800185146 SCIENTIFIC RESEARCH OH N/A C SIVAN INC 10265 CARNEGIE AVENUE CLEVELAND OH 44106 562505807 INACTIVE OH N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0