2011-11-11T10:06:38-06:00 2010-12-31 ERNST & YOUNG LLP 925 EUCLID AVENUE 1300 CLEVELAND OH 44115 990 2010-01-01 340714585 THE CLEVELAND CLINIC FOUNDATION CLEV 2164442200 9500 EUCLID AVENUE NO H-18 CLEVELAND OH 44195 STEVEN C GLASS 2164442200 2011-11-11 1 2168615000 2010 2016-02-24 21:20:13Z DELOS M COSGROVE 9500 EUCLID AVENUE NO H-18 CLEVELAND OH 44195 4408258700 0 X WWW.CLEVELANDCLINIC.ORG X 1921 OH PATIENT CARE, RESEARCH & EDUCATION 22 14 26606 2063 17344779 -5907187 227727415 232934775 3378118935 3609359804 -24228350 88244669 146706302 27252439 3728324302 3957791687 90155988 58174238 0 0 1957493505 2194121846 1579913 1856723 12837390 1404674564 1474369080 3453903970 3728521887 274420332 229269800 5517187140 5996125874 3593219966 3628650609 1923967174 2367475265 X TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION INTO THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 0 0 3328117836 58174238 3609359804 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 3328117836 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 0 1 0 1 1 1 1 1 1 0 1 0 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 3836 0 1 26606 1 1 1 1 CA CJ GR KS 0 0 0 1 1 1 6 0 0 0 X 22 14 1 0 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 AK AZ CA CO FL GA HI IL KS KY LA MA MD MI MN MS NC ND NH NJ NY OH OK OR PA SC TN UT WA WI X X ROBERT F WAITKUS 2164452526 6801 BRECKSVILLE ROAD RK-85 INDEPENDENCE OH 44131 AULETTA PATRICK V 3.00 X 0 0 0 BRADLEY LINDA 50.00 X 344477 0 38312 CATHCART MARTHA 50.00 X 186996 0 32319 COMMES THOMAS A 3.00 X 0 0 0 COSGROVE DELOS M 50.00 X X 2279364 0 34778 FALCONE TOMMASO 50.00 X 722445 0 40312 FEDELI UMBERTO P 3.00 X 0 0 0 HAHN JOSEPH F 50.00 X X 1120388 0 34887 HARDIS STEPHEN R 3.00 X 0 0 0 HESSLER DAVID J 3.00 X 0 0 0 KEMPER JOHN W 3.00 X 0 0 0 LERNER NORMA 3.00 X 0 0 0 MACDONALD WILLIAM EIII 3.00 X 0 0 0 MCCARTAN PATRICK 3.00 X 0 0 0 MILLER SAMUEL 3.00 X 0 0 0 MIXON MALACHI III 3.00 X X 0 0 0 MOONEY BETH E 3.00 X 0 0 0 MOORE III DAN 3.00 X 0 0 0 POLLOCK LARRY 3.00 X 0 0 0 RICH ROBERT E JR 3.00 X 0 0 0 ROSS RONALD J 3.00 X 0 0 0 SANFORD BILL R 3.00 X 0 0 0 SCAMINACE JOSEPH M 3.00 X 0 0 0 SHEWMAKER JACK C 3.00 X 0 0 0 TIMKEN WILLIAM AMB 3.00 X 0 0 0 TOMSICH ROBERT 3.00 X 0 0 0 WEISS MORRY 3.00 X 0 0 0 DICORLETO PAUL E 50.00 X 415971 0 36822 GLASS STEVEN C 50.00 X 880990 0 38312 HARRINGTON MICHAEL 50.00 X 491398 0 38930 MCHUGH LINDA 50.00 X 319838 0 38312 MEEHAN MICHAEL 50.00 X 282277 0 34778 MURRAY JAN 50.00 X 501367 0 29199 PEACOCK WILLIAM 50.00 X 667229 0 40502 ROWAN DAVID W 50.00 X 613337 0 42207 LYTLE BRUCE W 50.00 X 1583872 0 34778 COSTIN JOHN 50.00 X 1165899 0 35998 FAZIO VICTOR 50.00 X 1166844 0 34778 FISHLEDER ANDREW W 50.00 X 1177877 0 35126 MAVROUDIS CONSTANTINE 50.00 X 1333976 0 38132 PETRE JOHN H 50.00 X 1342697 0 36387 STRAND DAVID 0.00 X 1266758 0 36969 FUNG JOHN J 50.00 X 849797 0 38812 MATSEN PAUL 50.00 X 847273 0 38312 MODIC MICHAEL 50.00 X 848332 0 38967 GOLDFARB JAMES 50.00 X 957050 0 35957 LAHORRA JOSEPH 50.00 X 697028 0 40871 MARTIN DANIEL 50.00 X 488259 0 38162 MIHALJEVIC TOMISLAV 50.00 X 890343 0 41086 PETTERSSON GOSTA 50.00 X 941722 0 52951 SCHAUER PHILIP 50.00 X 1112714 0 38312 WYSZYNSKI RICHARD 50.00 X 977566 0 42532 26474084 0 1137800 1796 1 1 0 SIEMENS MEDICAL SOLUTIONS INC PO BOX 12110 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SOLUTIONS 18552543 SODEXHO 1669 PHOENIX PARKWAY 210 COLLEGE PARK GA 30349 LAUNDRY & FOOD SERVICE 9853051 STRATEGIC INVESTMENT GROUP 1001 19TH ST NORTH 16TH FLOOR ARLINGTON VA 22209 INVESTMENT MANAGEMENT 8918318 ADWORKS INC 1225 19TH STREET NW 500 WASHINGTON DC DC 20036 ADVERTISING 7359344 XEROX CORPORATION 350 S NORTHWEST HWY PARK RIDGE IL 60068 PRINTING, EQUIP MAINT & ADMIN 6279841 465 44648215 1671053 18772926 104949311 62893270 5472790 232934775 NET PATIENT SERVICES 621990 2563299345 2563299345 MEDICARE/MEDICAID PAYM 921990 883745657 883745657 OTHER PROGRAM SERVICES 900099 111844088 110337329 1506759 PARKING, PHONE & OTHER 812930 16510263 16510263 MANAGEMENT FEES 561000 15730211 7501568 8228643 18230240 9147063 9083177 3609359804 35805349 35805349 203070 203070 15163622 15163622 9733366 9733366 9733366 9733366 501371077 325944 445134340 4326431 56236737 -4000487 52236250 52236250 515300 1671053 1006242 -490942 -490942 INCOME (LOSS) ON INVES 523000 54359133 -1473800 55832933 FOREIGN CURRENCY 525990 857301 857301 DERIVATIVE INCOME 525990 -52370041 -52370041 2846393 3957791687 3574030962 17344779 133481171 24863177 24863177 33275721 33275721 35340 35340 10924397 2978221 7946176 5178223 2544607 2633616 1738215095 1547827728 184190819 6196548 90699396 80810181 9611006 278209 259747254 231572436 27524246 650572 89357481 79464392 9468809 424280 3529676 3152156 374024 3496 8972471 7974513 950772 47186 1948644 1948644 700529 700529 1856723 1856723 7391258 7391258 44341905 37669229 4698712 1973964 30075716 26862529 3186988 26199 603422184 539067869 63941929 412386 56988041 50836233 6038766 113042 83090094 74247463 8804683 37948 15510109 13469776 1643536 396797 7250466 6275973 768299 206194 71719076 64119329 7599747 213788064 191095914 22654158 37992 56499838 50512805 5987033 BAD DEBT EXPENSE 131710772 131710772 EQUIPMENT RENTAL & MAIN 76763987 68581538 8134334 48115 RESEARCH EXPENSE 25143027 25143027 STATE FRANCHISE FEE 15997005 15997005 TELEPHONE/INTERNET 12775401 11303845 1353752 117804 6750817 6025528 715354 9935 3728521887 3328117836 387566661 12837390 79145488 59822337 6112233 16139868 256894650 241276995 450254004 515447460 12592628 16499483 76047596 54983209 48209780 54365455 16032301 19000271 3819998141 1777749661 1931529526 2042248480 1828431565 1797908706 680760760 1018983834 12000000 12000000 119176609 147449776 5517187140 5996125874 504844500 552665231 1636843 480149 70042066 70978376 1950657739 1983906633 5329138 2042047 27094983 43883074 1033614697 974695099 3593219966 3628650609 X 1446887606 1879344625 325835015 324435404 151244553 163695236 1923967174 2367475265 5517187140 5996125874 X 229269800 214238291 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 111935 1 588594 0 0 700529 0 135618081 12450683 15709374 2784450 160993688 111304092 7288623 17025366 135618081 149408756 12061766 -45588927 4577503 111304092 1.00000 0 0 176096005 176096005 2136564940 905604022 1230960918 60763967 38045342 22718625 1189414800 804131472 385283328 257158429 29968825 227189604 2042248480 VENTURE CAPITAL 37284630 F HEDGE FUNDS 707417295 F PRIVATE EQUITY 177785533 F REAL ESTATE 96496376 F 1018983834 ACCRUED PENSION 557079832 OTHER LIABILITIES 117675570 ACCRUED BENEFITS 115068298 FUTURE GIFT ANNUITY PAYMENTS 7637846 DEFERRED ANNUITY TRUST 1559791 INTEREST RATE SWAPS 86438307 UNAMORTIZED BOND PREMIUM 11314518 SECURITIES LENDING 157919 DUE TO AFFILIATES 77763018 974695099 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 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 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 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 45688637 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENT 63017285 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 57096 MIDDLE EAST AND NORTH AFRICA 0 11 UNRELATED BUSINESS 4428986 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 158478 NORTH AMERICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 5070 SOUTH AMERICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 40750 CENTRAL AMERICA AND THE CARIBBEAN - 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 7789 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 4573 RUSSIA AND THE NEWLY INDEPENDENT STATES 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 6937 MIDDLE EAST AND NORTH AFRICA 0 0 FUNDRAISING 32000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 FUNDRAISING 80000 11 0 11 113404091 123510 113527601 X MIDDLE EAST AND NORTH AFRICA - RESEARCH 278528 WIRE MIDDLE EAST AND NORTH AFRICA - RESEARCH 134836 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 70674 WIRE EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 16275 CHECK EAST ASIA AND THE PACIFIC - RESEARCH 57462 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 5261 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 14070 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 13000 CHECK SOUTH ASIA - AFGHANISTAN, BANGLADESH, RESEARCH 10000 WIRE 9 RESEARCH EUROPE (INCLUDING ICELAND & GREENLAND) 3 26340 CHECK RESEARCH NORTH AMERICA 1 9000 CHECK 1 0 1 1 1 1 X X X X X X X 1 HARRIS CONNECT 1511 ROUTE 22 STE C-25 BREWSTER NY 10509 PHONE SOLICITATION 0 969561 942590 26971 RR DONNELLEY 111 SOUTH WACKER DRIVE CHICAGO IL 60606 DIRECT MAIL 0 946573 688815 257758 CONVIO 11501 DOMAIN DR STE 200 AUSTIN TX 78758 INTERNET 0 143317 225318 -82001 2059451 1856723 202728 AK AZ CA CO FL GA HI IL KS KY LA MA MD MI MN MS NC ND NH NJ NY OH OK OR PA SC TN UT WA WI AL AR CT ME MO RI VA WV NM SCOTT HAMILTON ICE SHOW & GALA 1322978 1222028 100950 0 0 105457 120975 135146 242043 HEARTTHROB BALL 863375 449025 414350 0 0 25755 149299 88350 139217 2186353 1671053 515300 131212 270274 223496 381260 1006242 -490942 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 76761906 63000 76698906 0.02130 215701208 159636051 56065157 0.01560 292463114 159699051 132764063 0.03690 19082238 12414 19069824 0.00530 208420318 50746829 157673489 0.04380 5892581 3175099 2717482 0.00080 194332975 194332975 0.05400 6842265 18965 6823300 0.00190 434570377 53953307 380617070 0.10580 727033491 213652358 513381133 0.14270 8260 8260 0.00000 1651101 1651101 0.00050 53948 53948 0.00000 24688 24688 0.00000 2249 2249 0.00000 103520 103520 0.00000 144586 144586 0.00000 1483078 1483078 0.00040 3471430 3471430 0.00090 1 41306393 0 450079324 496907659 -46828335 X 1 1 1 1 CLEVELAND CLINIC FOUNDATION

9500 EUCLID AVENUE CLEVELAND OH 44195

X X X X X X CLEVELAND CLINIC FOUNDATION 1 74 BEACHWOOD FAMILY HEALTH & SURGERY CENTER

26900 CEDAR ROAD BEACHWOOD OH 44122

FAMILY HEALTH CENTER STRONGSVILLE FAMILY HEALTH & SURGERY CEN

16761 SOUTH PARK CENTER STRONGSVILLE OH 44136

FAMILY HEALTH CENTER LORAIN FAMILY HEALTH CENTER & SURGERY CE

5700 COOPER FOSTER PARK ROAD LORAIN OH 44053

FAMILY HEALTH CENTER WILLOUGHBY HILLS FAMILY HEALTH CENTER

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 WESTLAKE FAMILY HEALTH CENTER

30033 CLEMENS ROAD WESTLAKE OH 44145

FAMILY HEALTH CENTER SOLON FAMILY HEALTH CENTER

29800 BAINBRIDGE ROAD SOLON OH 44139

FAMILY HEALTH CENTER INDEPENDENCE CANCER CENTER

6100 WEST CREEK ROAD INDEPENDENCE OH 44131

OUTPATIENT PHYSICIAN CLINIC ELYRIA FAMILY HEALTH & SURGERY CENTER

303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035

FAMILY HEALTH CENTER BRUNSWICK FAMILY HEALTH CENTER

3574 CENTER ROAD BRUNSWICK OH 44212

FAMILY HEALTH CENTER CHAGRIN FALLS FAMILY HEALTH CENTER

551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022

FAMILY HEALTH CENTER AVON LAKE FAMILY HEALTH CENTER

450 AVON-BELDEN ROAD AVON LAKE OH 44012

FAMILY HEALTH CENTER OHIO RENAL CARE GROUP EAST

10205 CARNEGIE AVENUE CLEVELAND OH 44106

DIALYSIS CENTER SPORTS HEALTH AT THE JEWISH COMMUNITY CE

26001 SOUTH WOODLAND ROAD BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC NORTH OLMSTED PATIENT TESTING CENTER

24700 LORAIN ROAD NORTH OLMSTED OH 44070

OUTPATIENT PHYSICIAN CLINIC AVON FAMILY HEALTH CENTER

36901 AMERICAN WAY AVON OH 44011

FAMILY HEALTH CENTER ASHLAND OPHTHALMOLOGY

21 SUGARBUSH COURT ASHLAND OH 44805

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD FAMILY HEALTH CENTER

16215 MADISON AVENUE LAKEWOOD OH 44107

FAMILY HEALTH CENTER 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 MADISON SQUARE BUILDING

15644 MADISON AVENUE SUITE 108 LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC OHIO RENAL CARE GROUP OF NORTH RANDALL

4750 NORTHFIELD ROAD NORTH RANDALL OH 44128

DIALYSIS CENTER OHIO RENAL CARE GROUP PDHOME DIALYSIS P

11203 STOKES BOULEVARD CLEVELAND OH 44104

DIALYSIS CENTER OHIO RENAL CARE GROUPSOLON

6020 ENTERPRISE PARKWAY SOLON OH 44139

DIALYSIS CENTER LORAIN KOLCZUN ORTHOPAEDICS

5800 COOPER FOSTER PARK ROAD LORAIN OH 44053

OUTPATIENT PHYSICIAN CLINIC MIDDLEBURG HEIGHTS ORTHOPAEDICS

7010 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130

OUTPATIENT PHYSICIAN CLINIC LORAIN ORTHOPAEDICS

5275 NORTH ABBE ROAD ELYRIA OH 44035

OUTPATIENT PHYSICIAN CLINIC SUGARBUSH EYE AND LASER CENTER

1456 PARK AVENUE WEST SUITE P MANSFIELD OH 44906

OUTPATIENT PHYSICIAN CLINIC OBERLIN OPHTHALMOLOGYLAKELAND EYE

309 WEST LORAIN STREET OBERLIN OH 44074

OUTPATIENT PHYSICIAN CLINIC WESTGATE PATIENT TESTING CENTER

20800 ADDINGTON BOULEVARD FAIRVIEW PARK OH 44126

OUTPATIENT PHYSICIAN CLINIC CANFIELD ORTHOPAEDICS AND REHABILITATION

3736 BOARDMAN CANFIELD RD CANFIELD OH 44406

OUTPATIENT PHYSICIAN CLINIC SLEEP DISORDERS CENTER

11203 STOKES BOULEVARD CLEVELAND OH 44104

DIAGNOSTIC CENTER 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 NILES STAR IMAGING

652 YOUNGSTOWN WARREN ROAD NILES OH 44446

DIAGNOSTIC CENTER AVON LAKE SPECIALTY SERVICES OFFICE

445 AVON BELDEN ROAD UNIT B4 AVON LAKE OH 44012

OUTPATIENT PHYSICIAN CLINIC BEACHWOOD OPHTHALMOLOGY

25101 CHAGRIN BOULEVARD BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC BROADVIEW HEIGHTS REHABILITATION SERVICE

2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS OH 44147

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 ORTHOPAEDICS AVON

38530 CHESTER ROAD AVON OH 44011

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC SPORTS HEALTH & ORTHOPA

26001 SOUTH WOODLAND BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC COMMUNITY HEALTH AND WELLNESS CENTER

2390 E 79TH ST CLEVELAND OH 44104

OUTPATIENT PHYSICIAN CLINIC HILLCREST HOSPITAL OUTPATIENT REHABILITA

5187 MAYFIELD ROAD SUITES 10 30 LYNDHURST OH 44124

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 RD LORAIN OH 44052

OUTPATIENT PHYSICIAN CLINIC MENTOR SPORTS HEALTH & REHABILITATION

7533 CENTER STREET MENTOR OH 44060

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 REHABILITATION INSTITUTE

10524 STOKES BLVD CLEVELAND OH 44195

OUTPATIENT PHYSICIAN CLINIC ROCKY RIVER RECREATION CENTER REHAB MEDI

21012 HILLIARD BOULEVARD ROCKY RIVER OH 44116

OUTPATIENT PHYSICIAN CLINIC SPORTS HEALTH

29017 CHARDON ROAD WILLOUGHBY HILLS OH 44092

OUTPATIENT PHYSICIAN CLINIC THORACIC & CARDIOVASCULAR SURGERY

36100 EUCLID AVENUE SUITE 280 WILLOUGHBY OH 44094

OUTPATIENT PHYSICIAN CLINIC THORACIC & CARDIOVASCULAR SURGERY-PARMA

MACI 6681 RIDGE RD SUITE 410 PARMA OH 44129

OUTPATIENT PHYSICIAN CLINIC UROLOGICAL INSTITUTE AT CHARLESTON

1201 WASHINGTON STREET EAST CHARLESTON WV 25301

OUTPATIENT PHYSICIAN CLINIC UROLOGICAL INSTITUTE AT ELYRIA

125 E BROAD STREET SUITE 208 ELYRIA OH 44035

OUTPATIENT PHYSICIAN CLINIC UROLOGICAL INSTITUTE AT PARMA

6115 POWERS BOULEVARD SUITE 201 PARMA OH 44129

OUTPATIENT PHYSICIAN CLINIC VASCULAR SURGERY AT HILLCREST

6801 MAYFIELD ROAD SUITE 146 MAYFIELD HEIGHTS OH 44124

OUTPATIENT PHYSICIAN CLINIC VASCULAR SURGERY AT MARYMOUNT

12000 MCCRACKEN ROAD SUITE 351 CLEVELAND OH 44125

OUTPATIENT PHYSICIAN CLINIC WELLINGTON PLACE

4800 CLAGUE ROAD NORTH OLMSTED OH 44070

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 BOARDMAN STAR IMAGING

7067 TIFFANY BOULEVARD BOARDMAN OH 44512

DIAGNOSTIC CENTER COLUMBUS STAR IMAGING

921 JASONWAY AVENUE COLUMBUS OH 43214

DIAGNOSTIC CENTER FLORIDA SLEEP STUDIES PROGRAM

COURTYARD BY MARRIOTT 2000 N COMMERCE WESTON FL 33331

DIAGNOSTIC CENTER TWINSBURG STAR IMAGING

8900 DARROW ROAD SUITE H102 TWINSBURG OH 44087

DIAGNOSTIC CENTER 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 PART I, LINE 3C: CCF PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. CCF HAS A CHARITY CARE POLICY THAT IS AMONG THE MOST GENEROUS IN THE REGION. THIS POLICY APPLIES TO ALL CCF FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, CCF WILL PROVIDE 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 WHERE MEDICAL COSTS WILL EXCEED 25% OF ANNUAL FAMILY INCOME. UNLIKE THE CHARITY CARE POLICIES OF MOST HOSPITALS, THE CCF POLICY APPLIES TO HOSPITAL CHARGES AND PROFESSIONAL FEES FOR SERVICES PROVIDED BY CCF EMPLOYED PHYSICIANS PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY. PART I, LINE 7G: CCF EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I. PART I, L7 COL(F): BAD DEBT EXPENSE REPORTED ON FORM 990, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IS $131,710,772. 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: THE COST OF BAD DEBT AS REFLECTED IN PART III, LINE 2 WAS CALCULATED USING A COST TO CHARGE RATIO. 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 PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCF HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT. PART III, LINE 9B: IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. 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.SCH H PART III, LINES 5, 6, & 7 - MEDICARE SHORTFALL - IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCF INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $408,506,211 AND $602,567,487 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $ 194,061,276 WHICH, ADDED TO THE SHORTFALL OF $46,828,335 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $240,889,611.SCH H PART V - FACILITIES - IN ADDITION TO THE LICENSED AND/OR REGISTERED FACILITIES LISTED IN PART V, CLEVELAND CLINIC HAS SEVEN ADMINISTRATIVE LOCATIONS.SCH H PART I, LINE 7B - UNREIMBURSED MEDICAID - THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID INCLUDES HCAP EXPENSE OF $523,727.SCH H PART I, LINE 7 - NOTE THAT THE TOTAL AMOUNT OF CHARITY CARE AND OTHER COMMUNITY BENEFITS OF $513,381,133 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC AS REPORTED AS A COMPONENT OF THE OVERALL SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN THREE RESPECTS: 1) RESEARCH DIRECT OFFSETTING REVENUE OF $133,474,511 IS NOT REPORTED AS A COMPONENT OF COMMUNITY BENEFIT PER IRS INSTRUCTION BUT IS INCLUDED AS AN OFFSET TO COMMUNITY BENEFIT PER CHA GUIDELINES 2) 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 3) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7. PART VI, LINE 2: CCF MEETS THE NEEDS OF THE COMMUNITY THROUGH ITS EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS. CCF ALSO CONDUCTS A BROAD SPECTRUM OF OUTREACH PROGRAMS AND SERVICES IN THE COMMUNITIES IT SERVES. CCF SPONSORS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL AND FAMILY HEALTH CENTER ADVISORY COUNCILS, NEIGHBORHOOD FOCUS GROUPS, AND THROUGH COMMUNITY NEEDS ASSESSMENTS THAT IDENTIFIED HEALTH PROBLEMS IN THE COMMUNITIES SERVED BY THE HOSPITALS. PART VI, LINE 3: INFORMING THE PUBLIC THAT CHARITY CARE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR CHARITY CARE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF CHARITY CARE. INFORMATION ABOUT THE CHARITY CARE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. ALL PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE CHARITY CARE POLICY AND AN INSERT DESCRIBING THE CHARITY CARE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A SUMMARY DESCRIPTION OF THE CHARITY CARE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND AT ALL FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND CHARITY CARE. PART VI, LINE 4: CCF DEFINES THE COMMUNITY IT SERVES BROADLY TO INCLUDE THE LOCAL CLEVELAND METROPOLITAN AREA, THE NORTHEAST OHIO SEVEN COUNTY AREA, THE STATE OF OHIO AND THE ENTIRE MIDWEST REGION, THE COUNTRY, AND THE INTERNATIONAL COMMUNITY. CCF RESEARCH ACTIVITIES HAVE RESULTED IN NUMEROUS ADVANCES IN MEDICAL CARE THAT BENEFIT THE PUBLIC AT LARGE. CCF MEDICAL EDUCATION ACTIVITIES ATTRACT MEDICAL STUDENTS AND FELLOWS FROM ACROSS THE U.S. AND AROUND THE WORLD. PART VI, LINE 6: 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 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 7: CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS. 1 A CULTURAL EXCHANGE 12624 LARCHMERE CLEVELAND OH 44120 341346752 501(C)(3) 10000 COMMUNITY SUPPORT ALS ASSOCIATION 2500 E 22ND ST STE 101 CLEVELAND OH 44115 341810545 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION AMER CANCER SOCIETY 10501 EUCLID AVE CLEVELAND OH 44106 131788491 501(C)(3) 11050 HEALTHCARE RESEARCH & EDUCATION AMER DIABETES ASSOC 1701 N BEAUREGARD ST ALEXANDRIA VA 22311 131623888 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION AMER HEART ASSOC 7272 GREENVILLE AVE DALLAS TX 75231 590637852 501(C)(3) 268000 HEALTHCARE RESEARCH & EDUCATION AMER MUSIC THERAPY ASSOC 8455 COLESVILLE RD STE 1000 SILVER SPRING MD 20910 486107868 501(C)(3) 5000 COMMUNITY SUPPORT AMER RED CROSS 3747 EUCLID AVE CLEVELAND OH 44115 340714622 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION AMER RED CROSS BLOOD SERVICE PO BOX 73013 CHICAGO IL 60673 530196605 501(C)(3) 11680 HEALTHCARE RESEARCH & EDUCATION ARTHRITIS FOUNDATION 1330 WEST PEACHTREE ST NW ATLANTA GA 30309 581341679 501(C)(3) 26620 HEALTHCARE RESEARCH & EDUCATION ASSOC OF INDIAN PHYSICIANS OF NORTHERN OHIO 3249 ROCKY RIVER ROCKY RIVER OH 44111 341407746 501(C)(3) 13800 COMMUNITY SUPPORT BET FOUNDATION 1235 W ST NW WASHINGTON DC DC 20018 300205752 501(C)(3) 25000 COMMUNITY SUPPORT BLACK PROFESSIONALS ASSOC INC CHARITABLE FOUNDATION P O BOX 5783 CLEVELAND OH 44101 341496786 501(C)(3) 40000 COMMUNITY SUPPORT BNAI JESHURUN CONGREGATION 27501 FAIRMOUNT BLVD PEPPER PIKE OH 44124 340714675 501(C)(3) 5000 COMMUNITY SUPPORT BNAI ZION FOUNDATION 136 EAST 39TH ST NEW YORK NY 10016 340764144 501(C)(3) 6250 COMMUNITY SUPPORT BOYS & GIRLS CLUBS OF CLEVE 3340 TROWBRIDGE AVE CLEVELAND OH 44109 340770686 501(C)(3) 25000 COMMUNITY SUPPORT BUSINESS VOLUNTEERS UNLIMITED 200 PUBLIC SQUARE 2650 CLEVELAND OH 44114 341815680 501(C)(3) 21500 COMMUNITY SUPPORT CARE ALLIANCE 1795 W 25TH STREET STE 251 CLEVELAND OH 44113 341629768 501(C)(3) 10000 COMMUNITY SUPPORT CENTER FOR FAMILIES AND CHILDR 4500 EUCLID AVE CLEVELAND OH 44103 237084455 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION CHIP 205 W 25TH ST STE 265 LORAIN OH 44052 203653522 501(C)(3) 5000 COMMUNITY SUPPORT CITY CLUB FORUM FOUNDATION 850 EUCLID AVE 2ND FLOOR CLEVELAND OH 44114 340144897 501(C)(3) 11560 COMMUNITY SUPPORT CITY OF INDEPENDENCE 6800 BRECKSVILLE RD INDEPENDENCE OH 44131 346001474 501(C)(1) 20000 COMMUNITY SUPPORT CLEVE BOTANICAL GARDEN 11030 EAST BLVD CLEVELAND OH 44106 340239538 501(C)(3) 10000 COMMUNITY SUPPORT CLEVE CLINIC FLORIDA 3000 W CYPRESS CREEK FORT LAUDERDALE FL 33309 650003177 501(C)(3) 15000 SUPPORT TO RELATED CHARITY CLEVE FOOD BANK 1557 EAST 27TH ST CLEVELAND OH 44114 341292848 501(C)(3) 6500 COMMUNITY SUPPORT CLEVE LEADERSHIP CTR 1422 EUCLID AVE STE 940 CLEVELAND OH 44115 341927317 501(C)(3) 11000 COMMUNITY SUPPORT CLEVE MOTTEP 18720 CHAGRIN BLVD SHAKER HTS OH 44122 522401852 501(C)(3) 10000 COMMUNITY SUPPORT CLEVE MUSEUM OF ART 11150 EAST BLVD CLEVELAND OH 44106 340714336 501(C)(3) 50000 COMMUNITY SUPPORT CLEVE MUSEUM OF NATURAL HISTOR 1 WADE OVAL DR CLEVELAND OH 44106 340714338 501(C)(3) 5500 COMMUNITY SUPPORT CLEVE MUSIC SCHOOL SETTLEMENT 11125 MAGNOLIA DR CLEVELAND OH 44106 340714339 501(C)(3) 15000 COMMUNITY SUPPORT CLEVE PLAYHOUSE P O BOX 1989 CLEVELAND OH 44106 340895516 501(C)(3) 5000 COMMUNITY SUPPORT CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44106 340714553 501(C)(3) 18728884 SUPPORT TO RELATED CHARITY CLEVELAND FOUNDATION 1422 EUCLID AVE 1300 CLEVELAND OH 44115 340714588 501(C)(3) 1200000 COMMUNITY SUPPORT CLEVELAND METROPARKS ZOO 3900 WILDLIFE WAY CLEVELAND OH 44109 346000704 501(C)(1) 20000 COMMUNITY SUPPORT CLEVELAND MUNICIPAL SCHOOL DISTRICT 1380 EAST 6TH ST CLEVELAND OH 44114 346000662 501(C)(1) 274137 SUPPORT EDUCATIONAL ACTIVITIES COMMUNITY WEST FOUNDATION 20545 CENTER RIDGE RD ROCKY RIVER OH 44116 341456398 501(C)(3) 9375 SUPPORT TO RELATED CHARITY CONSORTIUM OF AFRICAN AMER 4415 EUCLID AVE STE 201 CLEVLAND OH 44103 141838579 501(C)(3) 5000 COMMUNITY SUPPORT CUYAHOGA COMMUNITY COLLEGE 700 CARNEGIE AVE CLEVELAND OH 44115 346003691 501(C)(1) 12000 SUPPORT EDUCATIONAL ACTIVITIES DANCING CLASSROOMS NORTHEAST PO BOX 304 HINCKLEY OH 44233 262300532 501(C)(3) 6900 SUPPORT EDUCATIONAL ACTIVITIES DIABETES ASSOC OF GREATER CLEV 3601 SOUTH GREEN RD STE 100 CLEVELAND OH 44122 341590061 501(C)(3) 4300 HEALTHCARE RESEARCH & EDUCATION DIVERSITY CTR OF NE OHIO INC 3645 WARRENSVILLE CTR RD STE 328 CLEVELAND OH 44122 341759189 501(C)(3) 20000 COMMUNITY SUPPORT DOWNTOWN CLEVELAND ALLIANCE 50 PUBLIC SQUARE STE 825 CLEVELAND OH 44113 341775903 501(C)(3) 10000 COMMUNITY SUPPORT ECONOMIC GROWTH FOUNDATION 50 PUBLIC SQ 200 CLEVELAND OH 44113 340933033 501(C)(3) 66000 COMMUNITY SUPPORT ENTREPRENEURS FOR SUSTAINABILITY 540 E 105TH ST STE 213 CLEVELAND OH 44108 941081436 501(C)(3) 5000 COMMUNITY SUPPORT EPILEPSY ASSOC 2831 PROSPECT AVE CLEVELAND OH 44115 237198807 501(C)(3) 27120 HEALTHCARE RESEARCH & EDUCATION ESPERANZA INC 4115 BRIDGE AVE STE 108 CLEVELAND OH 44113 289949965 501(C)(3) 10000 COMMUNITY SUPPORT FAIRFAX RENAISSANCE DEVELOPMNT 8111 QUINCY AVE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 54709 COMMUNITY SUPPORT FIBROMUSCULAR DYSPLASIA SOCIETY OF AMERICA 20325 CENTER RIDGE RD ROCKY RIVER OH 44116 010771966 501(C)(3) 9000 HEALTHCARE RESEARCH & EDUCATION FRIENDS OF CLEVE SCHL OF ARTS PO BOX 18265 CLEVELAND OH 44118 341410357 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES GATHERING PLACE 3365 RICHMOND RD BEACHWOOD OH 44122 341595148 501(C)(3) 5000 COMMUNITY SUPPORT GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY 1240 WEST 6TH ST CLEVELAND OH 44113 341170830 501(C)(1) 125000 COMMUNITY SUPPORT GREATER CLEVELAND SPORTS COMMISSION 50 PUBLIC SQUARE STE 950 CLEVELAND OH 44113 311381131 501(C)(3) 10000 COMMUNITY SUPPORT HEALTH LEGACY OF CLEVELAND INC 2475 E 22ND ST 210 CLEVELAND OH 44115 295449821 501(C)(3) 30000 HEALTHCARE RESEARCH & EDUCATION HEALTHCORPS 191 SEVENTH AVE 4N NEW YORK NY 10011 251915054 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION HISPANIC ROUNDTABLE COMM 1900 E 9TH ST STE 3200 CLEVELAND OH 44114 200932464 501(C)(3) 10000 COMMUNITY SUPPORT HOSPICE OF THE WESTERN RESERVE 300 EAST 185TH CLEVELAND OH 44119 341256377 501(C)(3) 10500 HEALTHCARE RESEARCH & EDUCATION INITIATIVE FOR A COMPETITIVE INNER CITY INC 200 HIGH ST THIRD FLOOR BOSTON MA 02110 133772904 501(C)(3) 26000 COMMUNITY SUPPORT INNER CITY TENNIS CLINIC PO BOX 32551 CLEVELAND OH 44132 341346752 501(C)(3) 30000 COMMUNITY SUPPORT JULIA DE BURGOS CULTURAL ARTS 5209 DETROIT AVE CLEVELAND OH 44102 341676967 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES JUVENILE DIABETES FOUNDATION 4500 ROCKSIDE RD STE 420 INDEPENDENCE OH 44131 131837418 501(C)(3) 8000 HEALTHCARE RESEARCH & EDUCATION KARAMU HOUSE INC 2355 EAST 89TH ST CLEVELAND OH 44106 340714448 501(C)(3) 5000 COMMUNITY SUPPORT LAKEWOOD HOSPITAL 14519 DETROIT AVE LAKEWOOD OH 44107 346519834 501(C)(3) 6000 SUPPORT TO RELATED CHARITY LEUKEMIA & LYMPHOMA SOCIETY 23297 COMMERCE PARK CLEVELAND OH 44122 135644916 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION LIFEBANC 20600 CHAGRIN BLVD STE 350 CLEVELAND OH 44122 341456398 501(C)(3) 7000 HEALTHCARE RESEARCH & EDUCATION LUPUS FOUNDATION OF AMERICA 12930 CHIPPEWA RD 6 BRECKSVILLE OH 44141 341229407 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION MAKE A WISH FOUNDATION OF EAST 4949 GALAXY PARKWAY STE E CLEVLAND OH 44128 371471131 501(C)(3) 6000 HEALTHCARE RESEARCH & EDUCATION MEDWISH INTERNATIONAL-SPRING PO BOX 181484 CLEVELAND OH 44118 341903712 501(C)(3) 25000 2308848 ESTIMATED VALUE MEDICAL EQUIPMENT & SUPPLIES HEALTHCARE RESEARCH & EDUCATION MEREDITH COWDEN FOUNDATION 1369 WEBB RD LAKEWOOD OH 44107 208666402 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION METROHEALTH SYSTEM 2500 METROHEALTH DRIVE CLEVELAND OH 44109 346004382 501(C)(1) 75000 HEALTHCARE RESEARCH & EDUCATION MIDTOWN CLEVELAND 4019 PROSPECT AVE 200 CLEVELAND OH 44103 269981437 501(C)(3) 40000 COMMUNITY SUPPORT NAACP 614 SUPERIOR AVE NW 700 CLEVELAND OH 44113 256876059 501(C)(3) 10000 COMMUNITY SUPPORT NAMI GREATER CLEVELAND 1400 W 25TH STREET 4TH FLOOR CLEVELAND OH 44113 202254268 501(C)(3) 8200 COMMUNITY SUPPORT NATL ASSOC OF FREE CLINICS 1800 DIAGONAL RD STE 600 ALEXANDRIA VA 22314 562273242 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION NATL KIDNEY FOUNDATION 30 E 33RD ST 11TH FL NEW YORK NY 10016 131673104 501(C)(3) 6000 HEALTHCARE RESEARCH & EDUCATION NATL MULTIPLE SCLEROSIS SOC 1422 EUCLID AVE 333 HANNA BLDG CLEVELAND OH 44115 340801307 501(C)(3) 10100 HEALTHCARE RESEARCH & EDUCATION NATL SOCIETY OF HISPANIC MBAS 1303 WALNUT HILL LANE STE 100 IRVING TX 75038 340760593 501(C)(3) 6000 COMMUNITY SUPPORT NOIA FOUNDATION 1140 TEREX RD HUDSON OH 44236 341618516 501(C)(3) 5000 COMMUNITY SUPPORT NORTH UNION FARMERS MARKET 13212 SHAKER SQUARE STE 302 CLEVELAND OH 44120 341812026 501(C)(3) 26750 COMMUNITY SUPPORT NORTHEAST OHIO HISPANIC CHAMBER OF COMMERCE 2511 CLARK AVE CLEVELAND OH 44102 341805510 501(C)(6) 5000 COMMUNITY SUPPORT NORTHERN OHIO MINORITY BUSINESS COUNCIL 200 TOWER CITY CENTER 50 PUBLIC SQUARE CLEVELAND OH 44114 341880180 501(C)(6) 5000 COMMUNITY SUPPORT NUEVA LUZ URBAN RESOURCE CTR 2226 W 89TH ST CLEVELAND OH 44102 341972937 501(C)(3) 5000 COMMUNITY SUPPORT OLD WHITE CHARITIES INC 300 WEST MAIN ST WHITE SULPHUR SPRINGS WV 24986 261269358 501(C)(3) 60000 COMMUNITY SUPPORT OPEN DOORS INC 2460 FAIRMOUNT BLVD 202 CLEVELAND HTS OH 44106 941081436 501(C)(3) 5000 COMMUNITY SUPPORT OSTEOPOROSIS WALK FOUNDATION 4450 TIMBERIDGE DR INDEPENDENCE OH 44131 341855292 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION OUTRUN OVARIAN CANCER PO BOX 40332 BAY VILLAGE OH 44140 800093560 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION PLAYHOUSE SQUARE CENTER 1501 EUCLID AVE STE 200 CLEVELAND OH 44115 237304942 501(C)(3) 5000 COMMUNITY SUPPORT PLEXUS PO BOX 91697 CLEVELAND OH 44101 342064724 501(C)(3) 5000 COMMUNITY SUPPORT POSITIVELY CLEVELAND 100 PUBLIC SQUARE STE 100 CLEVELAND OH 44113 341509482 501(C)(3) 5000 COMMUNITY SUPPORT PROJECT LOVE 23611 CHAGRIN BLVD 380 BEACHWOOD OH 44122 341629768 501(C)(3) 10000 COMMUNITY SUPPORT RAINEY INSTITUTE 1523 EAST 55TH ST CLEVELAND OH 44144 510168651 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES REBUILDING TOGETHER PO BOX 14274 CLEVELAND OH 44114 311493982 501(C)(3) 25072 COMMUNITY SUPPORT RECOVERY RESOURCES 3950 CHESTER AVE CLEVELAND OH 44114 341211116 501(C)(3) 5000 COMMUNITY SUPPORT RONALD MC DONALD HOUSE 10415 EUCLID AVE CLEVELAND OH 44106 341269123 501(C)(3) 25000 HEALTHCARE RESEARCH & EDUCATION SANKOFA FINE ART PLUS 540 EAST 105TH ST STE 208 CLEVELAND OH 44108 341890314 501(C)(3) 12500 SUPPORT EDUCATIONAL ACTIVITIES SEG - EVERGREEN COOPERATIVE 540 EAST 105TH ST CLEVELAND OH 44108 270326577 501(C)(3) 250000 COMMUNITY SUPPORT SENIOR OUTREACH SERVICES INC 100000 CEDAR AVE CLEVELAND OH 44106 341629768 501(C)(3) 21428 HEALTHCARE RESEARCH & EDUCATION ST IGNATIUS HIGH SCHOOL 1911 WEST 30TH ST CLEVELAND OH 44113 340714500 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES STRAIGHT FROM THE HEART 20545 CENTER RIDGE RD 448 ROCKY RIVER OH 44116 341456398 501(C)(3) 10500 COMMUNITY SUPPORT TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 7000 HEALTHCARE RESEARCH & EDUCATION THEDACARE INC 820 E GRANT ST APPLETON WI 54911 269987508 501(C)(3) 20000 HEALTHCARE RESEARCH & EDUCATION TUBEROUS SCLEROSIS ALLIANCE OH 17413 DEER CREEK CIRCLE STRONGSVILLE OH 44136 953018799 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION UNITED FOR JOBS & OHIOS FUTURE 100 E BRD ST STE 2330 COLUMBUS OH 43215 271836359 501(C)(3) 100000 COMMUNITY SUPPORT UNITED WAY OF GREATER CLEVE 1331 EUCLID AVE CLEVELAND OH 44115 346516654 501(C)(3) 17275 COMMUNITY SUPPORT URBAN LEAGUE OF GREATER CLEVEL 12001 SHAKER BLVD CLEVELAND OH 44120 340720563 501(C)(3) 10000 COMMUNITY SUPPORT VOCATIONAL GUIDANCE SERVICES 2239 E 55TH ST CLEVELAND OH 44103 340714650 501(C)(3) 10000 COMMUNITY SUPPORT WOMEN OF COLOR FOUNDATION 1667 EAST 40TH ST STE 1G CLEVELAND OH 44103 020743542 501(C)(3) 25000 COMMUNITY SUPPORT Y M C A - CLEVELAND 2200 PROSPECT AVE CLEVELAND OH 44115 161654650 501(C)(3) 11000 COMMUNITY SUPPORT YOUR HOME TOWN - CHAGRIN FALLS 57 EAST WASHINGTON ST CHAGRIN FALLS OH 44022 311564112 501(C)(3) 6000 COMMUNITY SUPPORT YOUTH OPPORTUNITIES UNLIMITED 3750 PROSPECT AVE CLEVELAND OH 44115 237135845 501(C)(3) 7500 COMMUNITY SUPPORT 106 2 FELLOWSHIPS 1454 33275721 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE CLEVELAND CLINIC FOUNDATION CONTRIBUTES CASH DONATIONS TO VARIOUS TAX EXEMPT ORGANIZATIONS WITHIN ITS COMMUNITY AND THE UNITED STATES. IN GENERAL, THE CLEVELAND CLINIC FOUNDATION DOES NOT RESTRICT THE USE OF THESE DONATIONS. THE RECEIVING EXEMPT ORGANIZATIONS MAY USE THE DONATIONS AT WILL TO FURTHER THEIR EXEMPT PURPOSES. OTHER INFORMATION: PART IV: THE GRANTS LISTED IN SCHEDULE I, PART II INCLUDE AMOUNTS PAID AS PART OF THE $10 MILLION PLEDGE MADE IN 2005 TO THE CLEVELAND METROPOLITAN SCHOOL DISTRICT. FELLOWSHIPS LISTED IN SCHEDULE I, PART III ARE IN FURTHERANCE OF CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X X 1 1 X X X X X 1 0 0 0 0 0 0 1 0 BRADLEY LINDA 332463 0 0 0 12014 0 24500 0 13812 0 382789 0 0 0 CATHCART MARTHA 184145 0 0 0 2851 0 18507 0 13812 0 219315 0 0 0 COSGROVE DELOS M 2032720 0 0 0 246644 0 24500 0 10278 0 2314142 0 0 0 FALCONE TOMMASO 673570 0 0 0 48875 0 24500 0 15812 0 762757 0 0 0 HAHN JOSEPH F 1025224 0 0 0 95164 0 24500 0 10387 0 1155275 0 0 0 DICORLETO PAUL E 395361 0 0 0 20610 0 24500 0 12322 0 452793 0 0 0 GLASS STEVEN C 804600 0 0 0 76390 0 24500 0 13812 0 919302 0 0 0 HARRINGTON MICHAEL 424611 0 0 0 66787 0 24500 0 14430 0 530328 0 0 0 MCHUGH LINDA 303826 0 0 0 16012 0 24500 0 13812 0 358150 0 0 0 MEEHAN MICHAEL 257820 0 0 0 24457 0 24500 0 10278 0 317055 0 0 0 MURRAY JAN 433945 0 0 0 67422 0 24500 0 4699 0 530566 0 0 0 PEACOCK WILLIAM 626070 0 0 0 41159 0 24500 0 16002 0 707731 0 0 0 ROWAN DAVID W 537291 0 0 0 76046 0 24500 0 17707 0 655544 0 0 0 LYTLE BRUCE W 1449220 0 0 0 134652 0 24500 0 10278 0 1618650 0 0 0 COSTIN JOHN 1056500 0 0 0 109399 0 24500 0 11498 0 1201897 0 0 0 FAZIO VICTOR 1060720 0 0 0 106124 0 24500 0 10278 0 1201622 0 0 0 FISHLEDER ANDREW W 923305 0 0 0 254572 0 24500 0 10626 0 1213003 0 0 0 MAVROUDIS CONSTANTINE 1219412 0 0 0 114564 0 24500 0 13632 0 1372108 0 0 0 PETRE JOHN H 1279292 0 40000 0 23405 0 24500 0 11887 0 1379084 0 0 0 STRAND DAVID 0 0 0 0 1266758 0 24500 0 12469 0 1303727 0 0 0 FUNG JOHN J 790570 0 0 0 59227 0 24500 0 14312 0 888609 0 0 0 MATSEN PAUL 789080 0 0 0 58193 0 24500 0 13812 0 885585 0 0 0 MODIC MICHAEL 768915 0 0 0 79417 0 24500 0 14467 0 887299 0 0 0 GOLDFARB JAMES 817996 0 0 0 139054 0 24500 0 11457 0 993007 0 0 0 LAHORRA JOSEPH 637299 0 0 0 59729 0 24500 0 16371 0 737899 0 0 0 MARTIN DANIEL 443174 0 0 0 45085 0 24500 0 13662 0 526421 0 0 0 MIHALJEVIC TOMISLAV 812611 0 0 0 77732 0 24500 0 16586 0 931429 0 0 0 PETTERSSON GOSTA 848454 0 0 0 93268 0 24500 0 28451 0 994673 0 0 0 SCHAUER PHILIP 1013820 0 0 0 98894 0 24500 0 13812 0 1151026 0 0 0 WYSZYNSKI RICHARD 901396 0 0 0 76170 0 24500 0 18032 0 1020098 0 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 1A - LISTED BENEFITS WHILE NOT PART OF CCF'S REIMBURSMENT POLICY, THE LISTED BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A. THE ITEMS INDICATED ARE APPROVED ON AN EXCEPTION BASIS ONLY IF THERE IS AN APPROPRIATE BUSINESS PURPOSE AND THE REIMBURSEMENT OF THE EXPENSE MEETS ALL OTHER IRS REQUIREMENTS. SUPPLEMENTAL INFORMATION PART III PART I, LINE 4A - SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS: DAVID STRAND - $1,050,000 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561FV9 2009-08-25 807007320 REFUND 2009B, FACILITY CONSTRUCTION, EQUIPPING, AND IMPROVING 0 0 0 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AG22 2008-10-15 451686386 REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS 0 0 0 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS 0 0 0 COUNTY OF CUYAHOGA OHIO 346000817 232286BH6 2004-12-22 200000000 FINANCING OF THE MILLER PAVILION & TOWER AT HILLCREST 0 0 0 807007320 961908 1099225 309347250 304743315 192779438 1 0 0 1 452340000 800000 218639952 251263651 2008 1 0 1 1 670000000 1200000 324315217 372706929 2008 1 0 1 1 200000000 10407762 582707 196951932 17702369 2008 1 0 1 1 0 1 1 1 1 0.00280 0.00000 0.00280 1 0 1 1 1 1 0.00280 0.00030 0.00310 1 0 1 1 1 1 0.00280 0.00030 0.00310 1 0 1 1 1 1 0.00150 0.00020 0.00170 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 SCH K, PART II A PORTION OF THE 2006 SERIES WAS REISSUED AS PART OF THE 2008 BOND. COUNTY OF CUYAHOGA OHIO 346000817 232286BC7 2003-04-16 527761127 REFUND 1998A AND 1998B 0 0 0 13791127 527761127 1449418 68939213 465549434 1 0 1 1 0 1 1 1 1 0.00500 0.00060 0.00560 1 0 0 0 0 0 0 DELOS M COSGROVE MD INSURANCE POLICY TREATED AS A LOAN X 229247 3740117 0 1 1 JOHN A COSTIN MD INSURANCE POLICY TREATED AS A LOAN X 0 2514792 0 1 1 FLOYD D LOOP MD INSURANCE POLICY TREATED AS A LOAN X 785000 8554334 0 1 1 FRANK L LORDEMAN INSURANCE POLICY TREATED AS A LOAN X 25000 264778 0 1 1 DAVID W ROWAN INSURANCE POLICY TREATED AS A LOAN X 100000 1425462 0 1 1 16499483 CINTAS CORPORATION JOSEPH SCAMINANCE, CCF DIRECTOR, IS A DIRECTOR 307438 VENDOR OF SUPPLIES 0 CLEVELAND BROWNS FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, IS THE OWNER 663679 CC IS THE PROVIDER OF SPORTS MEDICINE AND EQUIPMENT FOR THE CLEVELAND BROWNS 0 CLEVELAND BROWNS FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, IS THE OWNER 2633450 SPONSORSHIP AGREEMENT 0 KEYCORP ENTITY IN WHICH CCF DIRECTORS SERVE AS VICE CHAIR AND AS A DIRECTOR 681431 ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, SERVES AS VICE CHAIR AND BILL SANFORD, CCF DIRECTOR, SERVES AS A DIRECTOR. DESCRIPTION OF TRANSACTION: BANKING SERVICES 0 KEYCORP ENTITY IN WHICH CCF DIRECTORS SERVE AS VICE CHAIR AND AS A DIRECTOR 57757 ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, SERVES AS VICE CHAIR AND BILL SANFORD, CCF DIRECTOR SERVES AS A DIRECTOR. DESCRIPTION OF TRANSACTION: LEASE AGREEMENT 0 MARSH & MCLENNAN S. HARDIS, CCF DIRECTOR, IS NON-EXECUTIVE CHAIRMAN AND DIRECTOR 533672 FEES FOR PROPERTY AND CASUALTY SERVICES 0 DANIEL CULVER FAMILY MEMBER OF STEVEN HARDIS, CCF DIRECTOR 223829 EMPLOYMENT AGREEMENT WITH CCF 0 LAURA HAHN BRANDON FAMILY MEMBER OF JOSEPH HAHN, CCF DIRECTOR AND CHIEF OF STAFF 53191 EMPLOYMENT AGREEMENT WITH CCF 0 MICHAEL FALCONE FAMILY MEMBER OF TOMMASO FALCONE, CCF DIRECTOR 52792 EMPLOYMENT AGREEMENT WITH CCF 0 X 8 60750 APPRAISAL X 32605 SALE COMPARABLE GOODS X 14238 SALE COMPARABLE GOODS X 58 3933375 SELLING PRICE X 1 100000 ESTIMATE X 1 50000 FACE VALUE X 1 1100000 APPRAISAL X 1 200 SALE COMPARABLE GOODS X 1 24705 COST X 6 142334 COST X EVENTS/TICKETS 5 7068 COST X TOYS 73 7515 SALE COMPARABLE GOODS 6 0 1 1 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE ORGANIZATION IS REPORTING A COMBINATION OF THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. PUBLICLY TRADED SECURITY DONATIONS ARE REPORTED AS NUMBER OF ITEMS RECEIVED. ALL OTHER NONCASH CONTRIBUTIONS ARE REPORTED AS NUMBER OF CONTRIBUTIONS. THIRD PARTY USE: PART I, LINE 32B: CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. PROGRAM SERVICE STATEMENT PART III - PROGRAM SERVICE STATEMENT 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. THE 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. 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. CLEVELAND CLINIC'S MAIN CAMPUS IS LOCATED NEAR CLEVELAND'S HISTORIC UNIVERSITY CIRCLE AND INCLUDES A TERTIARY CARE HOSPITAL, A CHILDREN'S HOSPITAL, A MEDICAL SCHOOL, A RESEARCH INSTITUTE, AN OUTPATIENT CLINIC, 26 SPECIALTY INSTITUTES INCLUDING FACILITIES FOR HEART CARE, DIGESTIVE DISEASE, CANCER, AND EYE CARE, AND SUPPORTING LABS AND FACILITIES ON A 162 ACRE CAMPUS. CLEVELAND CLINIC ALSO OPERATES 16 FAMILY HEALTH CENTERS THROUGHOUT NORTHEAST OHIO THAT ARE STAFFED WITH CLEVELAND CLINIC PRIMARY CARE PHYSICIANS, AS WELL AS MANY OF ITS MEDICAL AND SURGICAL SPECIALISTS. CONSISTENT WITH ITS TRIPARTITE MISSION, THE 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. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC REPORTS COMMUNITY BENEFIT ON A SYSTEM-WIDE BASIS, SO THE COMMUNITY BENEFIT NUMBERS REPORTED HERE ARE FOR THE HEALTH SYSTEM. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES AND COMMUNITY OUTREACH PROGRAMS. I. PATIENT CARE CLEVELAND CLINIC IS DEDICATED TO THE COMMUNITIES WE SERVE. EACH OF OUR HOSPITALS AND FAMILY HEALTH CENTERS STRIVES TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT, AND SUPPORT PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR NEIGHBORS AND OUR NEIGHBORHOODS. THROUGH OUR CHARITY CARE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN THE STATE OF OHIO, WE PROVIDE HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. DURING 2010, CLEVELAND CLINIC RECORDED 1,239 TOTAL STAFFED BEDS, 54,138 EMERGENCY ROOM VISITS, 80,687 SURGICAL CASES, 53,410 ADMISSIONS, AND MORE THAN 3.8 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM, DISEASE SYSTEM, AND LEADERSHIP. 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. THE 26 INSTITUTES ARE: ANESTHESIOLOGY, ARTS & MEDICINE, CLEVELAND CLINIC LORAIN, COLE EYE, DERMATOLOGY & PLASTIC SURGERY, DIGESTIVE DISEASE, EDUCATION, EMERGENCY SERVICES, ENDOCRINOLOGY & METABOLISM, GENOMIC MEDICINE, GLICKMAN UROLOGICAL & KIDNEY, HEAD & NECK, MILLER FAMILY HEART & VASCULAR, IMAGING, LERNER RESEARCH, MEDICINE, NEUROLOGICAL, ZIELONY NURSING, OB/GYN & WOMEN'S HEALTH, ORTHOPAEDIC & RHEUMATOLOGY, PATHOLOGY & LABORATORY MEDICINE, PEDIATRIC & CHILDREN'S HOSPITAL, QUALITY & PATIENT SAFETY, RESPIRATORY, TAUSSIG CANCER AND WELLNESS. 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 2010. OVERALL, CLEVELAND CLINIC WAS RANKED 4TH AMONG THE NATION'S 4,861 HOSPITALS. CLEVELAND CLINIC WAS RANKED AMERICA'S NUMBER ONE CENTER FOR CARDIAC CARE FOR THE SIXTEENTH YEAR IN A ROW, AND ITS DIGESTIVE DISEASE, RHEUMATOLOGY AND UROLOGY PROGRAMS WERE RANKED SECOND IN THE NATION. OTHER CLEVELAND CLINIC SPECIALTIES RANKED AMONG THE TOP 10 IN AMERICA WERE CANCER; EAR, NOSE AND THROAT; ENDOCRINOLOGY; GERIATRIC CARE; GYNECOLOGY; KIDNEY DISORDERS; NEUROLOGY AND NEUROSURGERY; OPHTHALMOLOGY, ORTHOPEDICS; PEDIATRIC NEUROLOGY AND NEUROSURGERY; AND RESPIRATORY DISORDERS. ALSO NAMED AMONG THE NATION'S BEST WERE CLEVELAND CLINIC'S SERVICES IN PSYCHIATRY, AND THE FOLLOWING PEDIATRIC AREAS OF HEART AND HEART SURGERY, ORTHOPEDICS, UROLOGY, KIDNEY DISORDERS, DIABETES AND ENDOCRINE DISORDERS, AND DIGESTIVE DISORDERS. CLEVELAND CLINIC IS THE FIRST HEALTH SYSTEM IN NORTHEAST OHIO ACCREDITED BY THE JOINT COMMISSION, THE NATION'S LARGEST ACCREDITOR OF HEALTHCARE ORGANIZATIONS. ALL OF OUR HOSPITALS, OUTPATIENT CLINICS AND HOME HEALTHCARE PROGRAMS ARE ALSO ACCREDITED BY THE JOINT COMMISSION UNDER ITS HOSPITAL ACCREDITATION PROGRAM. (SEE FORM 990, SCHEDULE H, PART V FOR A LISTING OF FACILITIES.) A NUMBER OF INSTITUTES HAD NOTABLE ACHIEVEMENTS IN 2010: THE NEUROLOGICAL INSTITUTE LAUNCHED MAJOR INITIATIVES TO TREAT AND PREVENT TRAUMATIC BRAIN INJURY AND CONCUSSION. THE OBJECTIVE IS TO REDUCE THE HUMAN AND ECONOMIC COSTS OF THESE DEBILITATING INJURIES AMONG ACCIDENT VICTIMS, BOXERS, FOOTBALL PLAYERS, AND SOLDIERS. RESEARCHERS HAVE DEVELOPED A NEW MOUTHGUARD FOR CONTACT SPORTS THAT MEASURES HEAD IMPACT AND CAN HELP TEAM PHYSICIANS BETTER DIAGNOSE CONCUSSIONS AND DETERMINE THE TIMING OF RETURN-TO-PLAY. NEUROLOGICAL INSTITUTE SCIENTISTS ALSO WORKED ON DEVELOPING SAFER HELMETS FOR THE CONTACT SPORTS AND MILITARY USE. THE HEART & VASCULAR INSTITUTE IS IMPROVING THE CARE AND TREATMENT OF CARDIOVASCULAR DISEASE - THE LEADING CAUSE OF DEATH IN THE U.S. RESEARCHERS DEVISED A COMPREHENSIVE HEMATOLOGIC RISK PROFILE (CHRP) TO ACCURATELY PREDICT A PATIENT'S ONE-YEAR RISK OF MYOCARDIAL INFARCTION AND DEATH. DERIVED FROM HEMATOLOGIC RISK FACTORS, THE PROFILE ENABLES CARDIOLOGISTS TO APPLY PREVENTIVE TREATMENTS TO PATIENTS WHO ARE AT THE HIGHEST RISK, STOPPING HEART ATTACKS AND SAVING LIVES. IN VASCULAR SURGERY, RESEARCHERS HAVE DESIGNED BRANCHED AORTIC STENT GRAFTS TO MEET THE SPECIFIC ANATOMIC CHALLENGES OF WOMEN AND ASIANS BEING TREATED FOR AORTIC ANEURYSMS. THESE BRANCHED AORTIC STENT GRAFTS ARE PART A DYNAMIC RESEARCH PROGRAM OF MINIMALLY INVASIVE AORTIC ANEURYSM REPAIR THAT IS PRODUCING A NEW GENERATION OF LIFE-SAVING DEVICES AND TECHNIQUES. THE DIGESTIVE DISEASE INSTITUTE IMPROVED MANAGEMENT OF INFLAMMATORY BOWEL DISEASE (IBD) BY REDUCING STRICTURES, ANASTOMOTIC LEAKS, SINUSES AND OTHER COMPLICATIONS OF SURGICAL TREATMENT. CLINICAL RESEARCHERS DEVELOPED NEW ENDOSCOPY THERAPIES TO TREAT THESE COMPLICATIONS AND PROVIDE "INTERNAL DRAINAGE" THROUGH A SIMPLE, SAFE OUTPATIENT PROCEDURE THAT LEAVES NO SCARS. ALSO IN THE DIGESTIVE DISEASE INSTITUTE, RESEARCHERS DEVELOPED AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY EXTRACTION BALLOON WITH ROTABLE FUNCTION. THIS DEVICE HELPS IN THE EXTRACTION OF STONES IN THE BILARY TRACT AND MAKES IT POSSIBLE TO PERFORM OTHER THERAPEUTICS IN THESE VESSELS. CHARITY CARE CLEVELAND CLINIC NOT ONLY ASSISTS THE POOREST OF THE POOR, BUT ALSO OFFERS DISCOUNTS ON MEDICALLY NECESSARY SERVICES FOR THOSE WHOSE INCOME IS UP TO 400 PERCENT OF THE FEDERAL GOVERNMENT'S DEFINITION OF POVERTY. CLEVELAND CLINIC PROVIDES FREE CARE FOR MEDICALLY NECESSARY SERVICES TO UNINSURED OR UNDERINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL. ALL PATIENTS, REGARDLESS OF INCOME, ARE ELIGIBLE FOR CHARITY CARE FOR MEDICALLY NECESSARY SERVICES; IF PAYMENT WOULD ADVERSELY AFFECT THE WELL-BEING OF THE PATIENT AND FAMILY OR RESULT IN UNDUE HARDSHIP; OR IF THE PATIENT HAS SUPPLIED INFORMATION REGARDING EXCEPTIONAL LIVING CIRCUMSTANCES. THIS POLICY IS DESIGNED TO PREVENT MEDICAL BILLS FROM CAUSING A PATIENT OR FAMILY UNDUE HARDSHIP. AS A NONPROFIT MULTISPECIALTY GROUP PRACTICE, CLEVELAND CLINIC DIRECTLY EMPLOYS MORE THAN 2,000 PHYSICIANS AND PHYSICIAN SCIENTISTS. THEREFORE, CLEVELAND CLINIC'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ALSO APPLY TO ALL HEALTHCARE SERVICES PROVIDED BY OUR EMPLOYED MEDICAL STAFF MEMBERS. THIS UNIQUE APPROACH DIFFERS FROM THE MODEL TYPICALLY UTILIZED BY MOST COMMUNITY HOSPITALS AND PHYSICIANS. CLEVELAND CLINIC HEALTH SYSTEM PROVIDED CHARITY CARE AT A COST OF $149.8 MILLION IN 2010. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE (LRI) IS HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. PART III - PROGRAM SERVICE STATEMENT LRI HAS MORE THAN 250 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CELL BIOLOGY, GENOMIC MEDICINE, IMMUNOLOGY, MOLECULAR CARDIOLOGY, MOLECULAR GENETICS, NEUROSCIENCES, PATHOBIOLOGY, QUANTITATIVE HEALTH SCIENCES, AND STEM CELL BIOLOGY AND REGENERATIVE MEDICINE, ALONG WITH THE CLINICAL DEPARTMENTS OF OPHTHALMIC RESEARCH 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, FOCUSING ON CARDIOVASCULAR, CANCER, NEUROLOGIC, MUSCULOSKELETAL, ALLERGIC AND IMMUNOLOGIC, EYE, METABOLIC AND INFECTIOUS DISEASES. ALTOGETHER, NEARLY 2,000 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES MORE THAN 270 POSTDOCTORAL FELLOWS, NEARLY 180 GRADUATE STUDENTS AND 169 UNDERGRADUATE STUDENTS. IN 2010, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $60.8 MILLION. III. EDUCATION CLEVELAND CLINIC DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS. IN 2010, WE PROVIDED A COMMUNITY BENEFIT OF $187.4 MILLION THROUGH SUBSIDY OF MEDICAL EDUCATION PROGRAMS. 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. IN ADDITION, CLEVELAND CLINIC'S EDUCATION INSTITUTE SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION EXPERIENCES INCLUDING ACCREDITED TRAINING PROGRAMS FOR RESIDENT PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS. IN 2010, CAPITAL WAS APPROVED TO BUILD A MULTIDISCIPLINARY SIMULATION CENTER ON OUR MAIN CAMPUS. THE NEW CENTER WILL ALLOW PHYSICIANS, NURSES AND ALLIED HEALTHCARE PROVIDERS TO ENGAGE IN INDIVIDUAL AND TEAM SKILL BUILDING. OUR COMMITMENT TO EDUCATION DIRECTLY BENEFITS PATIENTS AND PROVIDERS IN OHIO WHEN GRADUATES FROM HEALTH SYSTEM RESIDENCY PROGRAMS ESTABLISH AND OPERATE PRACTICES IN THE STATE. THOSE THAT MOVE TO OTHER PARTS OF THE NATION AND THE WORLD ARE ALSO TALENTED NEW PHYSICIANS TRAINED BY THE NATION'S LEADERS IN ACADEMIC MEDICINE. THE ULTIMATE BENEFICIARIES ARE MEMBERS OF A GREATER COMMUNITY - THE PUBLIC AT LARGE. EDUCATION PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: GRADUATE MEDICAL EDUCATION. CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2010, OVER 1,000 RESIDENTS AND FELLOWS TRAINED IN 60 ACCREDITED RESIDENCY TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 142 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. THE COLLEGE OF MEDICINE HAS SEEN THE NUMBER OF APPLICANTS MORE THAN DOUBLE OVER THE PAST FOUR YEARS, WITH MORE THAN 1,512 APPLICANTS FOR 32 POSITIONS IN 2010. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 55 SCIENTIFIC ARTICLES AND 69 PRESENTATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE IN 2010. VISITING MEDICAL STUDENTS. VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2010, 331 MEDICAL STUDENTS FROM CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE WERE AMONG THE 568 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 2010, THE CENTER FOR CONTINUING EDUCATION OFFERED 1,125 CME PROGRAMS TO 234,698 PARTICIPANTS. OF THAT NUMBER, 567 WERE LIVE ACTIVITIES, 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 352 ACTIVITIES THAT ATTRACTED 399,430 ACTIVITY VIEWERS. IN 2010, THE CENTER ISSUED MORE THAN 207,000 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 78,000 CERTIFICATES. THE CCJM ENJOYED A CIRCULATION OF MORE THAN 100,000 IN 2010 AND CONTINUED TO RANK SECOND IN READERSHIP AMONG JOURNALS DIRECTED TO INTERNISTS AND CARDIOLOGISTS. CENTER FOR ALLIED HEALTH 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, WHILE HAVING 49 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2010, CLEVELAND CLINIC HOSTED 757 ALLIED HEALTH STUDENT ROTATIONS AT THE MAIN CAMPUS HOSPITAL AND ANOTHER 947 STUDENT ROTATIONS AT OUR COMMUNITY HOSPITALS AND FAMILY HEALTH CENTERS. 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 2010, CIME ARRANGED 640 OBSERVERSHIPS FOR INTERNATIONAL PHYSICIANS WISHING TO VISIT CLEVELAND CLINIC, AND MORE THAN 150 PRACTICING PHYSICIANS FROM VARIOUS COUNTRIES ATTENDED SIX SYMPOSIA IN THE AREAS OF CARDIOVASCULAR MEDICINE, PULMONARY MEDICINE, DIGESTIVE DISEASE, PLASTIC SURGERY, GENITOURINARY CANCER AND GYNECOLOGY. CLEVELAND CLINIC ACADEMY. CLEVELAND CLINIC ACADEMY PROVIDES PROFESSIONAL DEVELOPMENT LEARNING OPPORTUNITIES, WITH A FOCUS ON LEADERSHIP AND MANAGEMENT SKILLS, TO CLEVELAND CLINIC EMPLOYEES. IN 2010, CLEVELAND CLINIC ACADEMY PROVIDED 51 COMPETENCY-BASED COURSES TO 1,265 EMPLOYEES. ALSO IN 2010, THE ACADEMY LAUNCHED TWO EXECUTIVE EDUCATION PROGRAMS DESIGNED FOR HEALTHCARE EXECUTIVES OUTSIDE OF CLEVELAND CLINIC. BOTH PROGRAMS PROVIDE HEALTHCARE EXECUTIVES INCLUDING PHYSICIANS, NURSES AND ADMINISTRATORS WITH AN INSIDE LOOK INTO LEADING A COMPLEX HEALTHCARE ORGANIZATION, AND IN THE CASE OF THE SAMSON GLOBAL LEADERSHIP ACADEMY, INVITES HEALTHCARE LEADERS FROM OTHER ORGANIZATIONS TO DEVELOP THEIR LEADERSHIP SKILLS HERE. COMMUNITY EDUCATION EDUCATING THE COMMUNITY HAS ALSO BEEN A PRIORITY AT CLEVELAND CLINIC. OUR CENTER FOR CONSUMER HEALTH INFORMATION PROVIDES THE LATEST HEALTH INFORMATION FROM CLEVELAND CLINIC EXPERTS AT NO CHARGE. THE CENTER'S WEBSITE, CLEVELANDCLINIC.ORG/HEALTH, RECORDED 10.1 MILLION PAGE VIEWS IN 2010. THE CENTER 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 2010: HEALTH INFORMATION SERVICE: THE ON-CAMPUS PATIENT AND FAMILY HEALTH AND EDUCATION CENTER IS A PLACE WHERE PATIENTS, VISITORS AND EMPLOYEES CAN TAKE ADVANTAGE OF HEALTH INFORMATION RESOURCES 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 2010, THE CENTER FULFILLED 9,172 REQUESTS AND SERVED 14,551 PEOPLE WHO CAME INTO THE CENTER FOR INFORMATION. HEALTH TALKS/HEALTH EXCHANGE AND CCTV: THE CENTER FOR CONSUMER HEALTH INFORMATION AGAIN ENJOYED STRONG ATTENDANCE AT 52 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS. THE CENTER MANAGED 3,087 SCHEDULED CLOSED-CIRCUIT TELEVISION PROGRAMS WEEKLY AT CLEVELAND CLINIC AND APPROXIMATELY 198 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 SITE IS ONE OF THE MOST ROBUST FOR HEALTH INFORMATION ON THE WEB, WITH 24,319 VISITS PER DAY. 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 2010, WE HELD 2,525 WEBCHATS. PART III - PROGRAM SERVICE STATEMENT LIBRARY/CABLE VIDEOTAPES: CLEVELAND CLINIC HAS PRODUCED A SERIES OF VIDEOTAPES COVERING MANY HEALTH TOPICS AND MAKES THEM AVAILABLE THROUGH PUBLIC LIBRARIES IN GREATER CLEVELAND. THE VIDEOTAPES ALSO APPEAR ON A NUMBER OF PUBLIC ACCESS CABLE STATIONS. FIVE PROGRAMS WERE RECORDED IN 2010. HEALTH CENTER KIOSKS: CLEVELAND CLINIC MAINTAINS HEALTH INFORMATION KIOSKS FOR THE COMMUNITY AT THE MAIN CAMPUS AS WELL AS SOME FAMILY HEALTH CENTERS. THE KIOSKS PROVIDE COMPUTERIZED INFORMATION ON MORE THAN 100 TOPICS SUCH AS HYPERTENSION, DIABETES, TEEN PREGNANCY, AND DRUGS AND ALCOHOL. THE GOALS OF THIS PROJECT INCLUDE FACILITATING ACCESS TO HEALTH INFORMATION AND ENHANCING THE UNDERSTANDING OF HOW TO OBTAIN APPROPRIATE TREATMENT FOR VARIOUS CONDITIONS. IN 2010, THERE WERE 9 KIOSKS WITH A TOTAL OF 71,561 PAGE VIEWS FOR ALL 9 UNITS. IV. COMMUNITY BENEFIT THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFITS (INCLUDING CHARITY CARE) USING THE CHA COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING CHARITY CARE ON A COST BASIS. USING THIS MODEL, IN 2010 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $537.4 MILLION IN BENEFITS TO THE COMMUNITIES IT SERVES. CLEVELAND CLINIC'S 2010 EDITION OF ITS COMMUNITY CONNECTIONS REPORT ON COMMUNITY BENEFIT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THE PROGRAM SERVICE STATEMENT REFER TO OUR 2010 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. COMMUNITY BENEFIT FOR IRS REPORTING PURPOSES EXCLUDES COMMUNITY BUILDING ACTIVITIES AND RESEARCH GRANT REVENUE. SEE FORM 990, SCHEDULE O FOR A RECONCILIATION OF COMMUNITY BENEFIT PER IRS SCHEDULE H TO THE COMMUNITY CONNECTIONS REPORT.) PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF OUR COMMUNITY BENEFIT ARE: 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 2010, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $80.8 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $14 MILLION). SUBSIDIZED HEALTH SERVICES IN ADDITION TO CHARITY CARE 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 2010 AT A COST OF $15.0 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 2000 SUCH PROGRAMS IN 2010 FOR A TOTAL NET COMMUNITY BENEFIT OF $43.6 MILLION. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS IN OUR COMMUNITIES. OUR OUTREACH PROGRAMS RANGE FROM FREE BLOOD PRESSURE AND CHOLESTEROL SCREENINGS TO PROVIDING MEETING ROOMS FOR COMMUNITY GROUPS. MANY OF OUR COMMUNITY OUTREACH PROGRAMS ARE DESCRIBED IN OUR 2010 COMMUNITY BENEFIT REPORT. HERE ARE BRIEF HIGHLIGHTS OF SOME ADDITIONAL PROGRAMS: -COMMUNITY OUTREACH STAFF ACROSS THE SYSTEM PROVIDED NO-COST CLINICAL CARE AT DOZENS OF COMMUNITY SITES TO UNDER- AND UNINSURED FAMILIES, ASSISTING WITH ACCESS TO HEALTHCARE, NAVIGATION OF SAFETY-NET PROVIDERS AND IMPROVEMENT OF HEATH. IN ADDITION, WELLNESS INITIATIVES WERE PROVIDED AT SCHOOLS, FAITH-BASED ORGANIZATIONS AND COMMUNITY CENTERS WITH THE GOALS OF PREVENTION AND BEHAVIORAL CHANGE. -CLEVELAND CLINIC TAUSSIG CANCER INSTITUTE IMPLEMENTED PROGRAMS TO BRING PREVENTIVE CANCER EDUCATION INTO NEIGHBORHOODS AND THE HEART & VASCULAR INSTITUTE OFFERED EDUCATIONAL PROGRAMS TO THE COMMUNITY ON PREVENTING HEART DISEASE. -LANGSTON HUGHES, A REFURBISHED LIBRARY IN FAIRFAX NEIGHBORHOOD, HOUSED AN EDUCATION HEALTH RESOURCE CENTER STAFFED BY CLEVELAND CLINIC OFFERING HEALTH, WELLNESS AND CHRONIC DISEASE MANAGEMENT CLASSES. -CLEVELAND CLINIC'S PATHOLOGY & LABORATORY MEDICINE INSTITUTE DONATED SERVICES TO CLEVELAND AREA SAFETYNET PROVIDERS: THE FREE CLINIC AND CARE ALLIANCE. V. CONCLUSION THE SINGULAR PURPOSE OF THE CLEVELAND CLINIC IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION. FORM 990, PART VI, SECTION A, LINE 2 WILLIAM MACDONALD III AND MORRY WEISS - BUSINESS BILL SANFORD AND LARRY POLLOCK - BUSINESS A MALACHI MIXON, DAN MOORE, AND JOSEPH RICHEY II - BUSINESS BETH MOONEY AND BILL SANFORD - BUSINESS A MALACHI MIXON AND DAN MOORE - BUSINESS A MALACHI MIXON, PATRICK AULETTA, AND DAN MOORE - BUSINESS FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND TRUSTEES. IT DOES NOT HAVE STOCKHOLDERS. 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. 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 AND THE AUDIT COMMITTEE CHAIRPERSON. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS REVIEWED AND DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. IN ADDITION TO POSTING ON GUIDESTAR, THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG. FORM 990, PART VI, SECTION B, LINE 12C CCF HAS ADOPTED A 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 FIVE TIMES A YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENT THEIR CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSONS MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15 ALL CCF OFFICERS AND KEY EMPLOYEE POSITIONS HAVE THEIR COMPENSATION REVIEWED IN ADVANCE ANNUALLY BY THE COMPENSATION COMMITTEE OF THE CCF BOARD OF DIRECTORS, WHICH IS VESTED WITH BOARD-DELEGATED POWERS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO COMPENSATION MATTERS. IN REVIEWING AND ESTABLISHING COMPENSATION FOR THESE OFFICERS AND KEY EMPLOYEES, THE COMMITTEE USES A PROCESS WHICH IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 53.4958-6(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT EXPERT COMPENSATION CONSULTANT WHO EACH YEAR PROVIDES CCF WITH A CUSTOMIZED COMPENSATION REPORT REGARDING PHYSICIAN COMPENSATION. BY USING THESE DATA, CCF HAS BEEN ABLE TO DEVELOP MARKET-BASED COMPENSATION FOR PHYSICIAN SERVICES. IN ESTABLISHING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES PERFORMING NON-PHYSICIAN SERVICES, THE COMPENSATION COMMITTEE RETAINS AND CONSULTS WITH AN INDEPENDENT COMPENSATION CONSULTANT, WHO PREPARES A CUSTOMIZED REPORT FOR THE COMMITTEE REGARDING AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. THE COMMITTEE USES THE MARKET-BASED DATA PROVIDED BY THE CONSULTANT, AND WHERE APPROPRIATE, PERFORMANCE REVIEWS AND COMPENSATION RECOMMENDATIONS BY THE CHIEF EXECUTIVE OFFICER AND CHIEF OF STAFF, TO ESTABLISH MARKET-BASED COMPENSATION. AFTER MAKING ITS COMPENSATION DECISIONS, THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS IN CCF'S WRITTEN OR ELECTRONIC BOOKS AND RECORDS. FORM 990, PART VI, SECTION C, LINE 19 CCF MAKES CERTAIN OF ITS KEY DOCUMENTS, INCLUDING THE FORM 990, 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 5: NET UNREALIZED GAINS ON INVESTMENTS: 121,627,857. GIFTS AND BEQUESTS 94,237,703. NET INVESTMENT INCOME 21,525,864. NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -34,236,236. RETIREMENT BENEFITS ADJUSTMENT 15,974,072. NET CHANGE IN UNREALIZED GAINS ON NONTRADING INVESTMENTS 5,243,310. PROPORATIONATE SHARE OF JOINT VENTURE INCOME -5,896,986. OTHER CHANGE IN NET ASSETS -6,674,390. DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 2,437,097. TOTAL TO FORM 990, PART XI, LINE 5: 214,238,291. 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