2024-11-14T09:04:26-06:00 2023-12-31 346565596 ERNST & YOUNG LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2023-01-01 340714585 THE CLEVELAND CLINIC FOUNDATION CLEV 2164442200 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE OH 44131 DENNIS L LARAWAY EVP/CHIEF FINANCIAL OFFICER 2164442200 2024-11-14 0 0 LAUREN E BENNETT P01787029 2154485000 2023 2024-10-15 13:58:12Z TOMISLAV MIHALJEVIC MD 9500 EUCLID AVE CLEVELAND OH 44195 9969666511 0 X WWW.CLEVELANDCLINIC.ORG X 1921 OH CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. 26 22 48824 430 58365078 0 325429961 431017785 7330742260 8115749217 29380610 95656390 -101945782 315873692 7583607049 8958297084 138878583 141164972 0 0 4338264562 4860199970 1936471 1834012 23353343 3192549659 3515291245 7671629275 8518490199 -88022226 439806885 15354669845 15892710603 7217745829 7575057911 8136924016 8317652692 X CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. 0 0 7624932615 141164972 8115749217 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 7624932615 1 1 0 1 0 0 1 0 0 1 1 1 0 1 1 1 0 1 0 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 3542 1 1 48824 1 1 1 1 CA CJ CH DA IS LU NO PO SA SW UK 0 0 0 1 1 0 0 0 0 0 1 0 X 26 22 1 1 1 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 CA FL GA IL KS KY MA MD MN MS NH NJ NY OH OR PA SC TN UT WI X X TIMOTHY LONGVILLE 2163125625 6801 BRECKSVILLE ROAD RK1-45 INDEPENDENCE OH 44131 MIHALJEVIC MD TOMISLAV DIRECTOR, PRESIDENT & CEO 50.00 0.00 X X 6966584 0 55218 RIDGEWAY MD BERI DIR, EXEC VP, CHIEF OF STAFF 50.00 0.00 X X 1712183 0 52833 AULETTA PATRICK V DIRECTOR 5.00 0.00 X 0 0 0 BENZ K MICHAEL DIRECTOR 5.00 0.00 X 0 0 0 CRAWFORD DEBORAH A DIRECTOR 5.00 0.00 X 0 0 0 FEDELI UMBERTO P DIRECTOR 5.00 0.00 X 0 0 0 GWIN BONNIE W DIRECTOR 5.00 0.00 X 0 0 0 HOOVER CAROLE DIRECTOR 5.00 0.00 X 0 0 0 ISHRAK PHD OMAR DIRECTOR 5.00 0.00 X 0 0 0 KEMPER RN BETTY DIRECTOR 5.00 0.00 X 0 0 0 KILBANE ESQ CATHERINE M DIRECTOR 5.00 0.00 X 0 0 0 KOHL STEWART DIRECTOR 5.00 0.00 X 0 0 0 KRAMER RICHARD DIRECTOR 5.00 0.00 X 0 0 0 MAROONE MICHAEL DIRECTOR 5.00 0.00 X 0 0 0 MORINO MARIO DIRECTOR 5.00 0.00 X 0 0 0 NANCE ESQ FREDERICK R DIRECTOR 5.00 0.00 X 0 0 0 RICH MELINDA R DIRECTOR 5.00 0.00 X 0 0 0 ROSS MARK DIRECTOR 5.00 0.00 X 0 0 0 SCHULMAN DAN DIRECTOR 5.00 0.00 X 0 0 0 SCOTT JR HAROLD LEE DIRECTOR 5.00 0.00 X 0 0 0 STEVENS MARK DIRECTOR (PART YR) 5.00 0.00 X 0 0 0 VEGA LORRAINE DIRECTOR 5.00 0.00 X 0 0 0 WALDRON JOHN DIRECTOR 5.00 0.00 X 0 0 0 WEBER ESQ ROBERT C DIRECTOR (PART YR) 5.00 0.00 X 0 0 0 WEINBERG RONALD DIRECTOR 5.00 0.00 X 0 0 0 MOONEY BETH E DIRECTOR, BOARD CHAIR 5.00 0.00 X X 0 0 0 PETRAS JR MICHAEL DIR, V. CHAIR, FINANCE & BUS DEV 5.00 0.00 X X 0 0 0 POLLOCK LARRY DIR, V. CHAIR, PHILAN & STEWARDSHIP 5.00 0.00 X X 0 0 0 FALCONE MD TOMMASO INTERIM CEO CC LONDON (PART YR) 0.00 50.00 X 0 2504315 57102 ROWAN DAVID SEC, EXEC VP, CHIEF LEGAL OFF 50.00 0.00 X 2402885 0 51446 LARAWAY DENNIS EXEC VP, CFO & TREASURER (PART YR) 50.00 0.00 X 2285205 0 44424 CHANDRA PHD ROHIT CHIEF DIGITAL OFFICER 50.00 0.00 X 2170811 0 48184 PEACOCK WILLIAM EXEC VP, CHIEF OF OPERATIONS 50.00 0.00 X 2148691 0 52167 MALONE JR MD DONALD EXEC VP, PRES OF NEO MARKET 50.00 0.00 X 1451184 0 672846 HANCOCK DNP RN NE-BC KELLY EXEC VP, CHIEF CAREGIVER OFFICER 50.00 0.00 X 1927793 0 63222 ERZURUM MD SERPIL EXEC VP, CHIEF RESEARCH & ACADEMIC 50.00 0.00 X 1496956 0 358841 DELANEY MD PHD CONOR EXEC VP, PRESIDENT OF FLA MKT 0.00 50.00 X 0 1714711 47750 GUZMAN MD JORGE CEO CCAD; EXEC VP, PRES NEO MKT 50.00 0.00 X 1658345 0 51452 LORENZ MD ROBERT PRES, CC LONDON (PART YR) 0.00 50.00 X 0 1583789 53730 MERLINO MD JAMES CHIEF CLINICAL TRANSFORMATION OFFICER 50.00 0.00 X 1349005 0 33875 DAVIS MARLEINA T ASST. SECRETARY 50.00 0.00 X 787881 0 57019 LONGVILLE TIMOTHY VP CHIEF ACCOUNTING OFFICER 50.00 0.00 X 598378 0 73975 HELTON ANTHONY INTERIM CFO (PART YR) 50.00 0.00 X 534169 0 40955 MEEHAN ESQ MICHAEL J RECORDING SECRETARY 50.00 0.00 X 490656 0 37859 OBLANDER JASON ASST. SECRETARY 50.00 0.00 X 263397 0 27490 BOLWELL MD BRIAN PHYSICIAN (2023 RETIREE) 50.00 0.00 X 4384158 0 -126231 VIDIMOS MD ALLISON PHYSICIAN (2023 RETIREE) 50.00 0.00 X 3027736 0 82911 SVENSSON MD LARS INSTITUTE CHIEF - HVTI 50.00 0.00 X 2284287 0 55511 STREIN STEFAN CHIEF INVESTMENT OFFICER 50.00 0.00 X 2163476 0 53501 DEYLING MD CYNTHIA RETIRED PHYSICIAN 0.00 0.00 X 2043898 0 137968 DONLEY MD BRIAN FORMER OFFICER 0.00 0.00 X 0 1406418 0 WIEDEMANN MD HERBERT FORMER OFFICER (RETIRED) 0.00 0.00 X 210113 0 -12930 GLASS STEVEN C FORMER OFFICER 0.00 0.00 X 135862 0 6514 SURI MD RAKESH FORMER KEY EMPLOYEE (RETIRED) 0.00 0.00 X 562170 0 7025 43055823 7209233 2084657 10059 1 1 0 QUALIVIS LLC PO BOX 674913 DALLAS TX 75267 PERSONNEL SERVICES 115425612 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SERVICES 27741803 MEDIA STORM LLC PO BOX 321 NORWALK CT 06856 ADVERTISING AND MARKETING SERVICES 20488595 TOWNE PARK LLC 555 E N LANE STE 5020 CONSHOHOCKEN PA 19428 PARKING SERVICES 19757599 GILBANE BUILDING CO 950 MAIN AVE 1410 CLEVELAND OH 44113 CONSTRUCTION SERVICES 14170826 619 8963521 122 209877008 212177134 10469234 431017785 NET PATIENT SERVICES 620000 4164253272 4152094196 12159076 MEDICARE/MEDICAID PAYM 921990 2840899797 2840899797 OTHER PROGRAM SERVICES 900099 1037787369 1014346970 23440399 PARKING, PHONE & OTHER 720000 58575864 21956526 36619338 MANAGEMENT FEES 561000 10854460 10854460 3378455 2569378 809077 8115749217 76791553 76791553 44280840 44280840 9712418 0 9712418 9712418 9712418 1027232896 1008338881 29178 18894015 -29178 18864837 18864837 250096 8963521 3001368 -2751272 -2751272 INCOME ON HEDGE FUNDS 901101 244432456 244432456 INVESTMENT IN AFFILIAT 523000 17890028 17890028 DERIVATIVE INCOME 525990 2252093 2252093 57129 57129 264631706 8958297084 8020764801 58365078 448149420 40822056 40822056 97790424 97790424 2552492 2552492 30981083 4926336 26054747 908754 766378 142376 3866644203 3332324579 520540645 13778979 247813312 213582261 33361461 869590 457349127 394257417 61569877 1521833 256503491 221035666 34531363 936462 4687229 4056218 631011 6326468 5474778 851690 2850814 2850814 1466885 1466885 1834012 1834012 21427998 21427998 215830646 184809055 29055847 1965744 34790387 29449297 4683599 657491 80706776 69147090 10865018 694668 226614543 196096379 30507612 10552 9073816 7852268 1221548 101242864 87612749 13629655 460 27303749 22967697 3675723 660329 11288241 9472474 1519661 296106 110888487 95960306 14928181 234277562 202738110 31539233 219 68149284 58974798 9174486 MEDICAL SUPPLIES 1904665927 1904661647 4280 BAD DEBT EXPENSE 162243546 162243546 STATE FRANCHISE FEE 109225991 109225991 EQUIPMENT RENTAL 87981179 76109314 11844322 27543 94248853 88556404 5597374 95075 8518490199 7624932615 870204241 23353343 273957294 241659399 554427938 486517843 256102721 216632994 1052654289 1082626026 314099563 111967362 165271912 174985539 112946287 115259560 7269450380 4223205669 2834281748 3046244711 78386405 3157884408 6456936880 3488268687 419977896 463109031 148839203 147209199 2686787709 3160345844 15354669845 15892710603 1057506342 1034028426 2419921 66850015 70433576 3287410144 3437375689 344832803 261289239 2458726604 2771930981 7217745829 7575057911 X 7280501987 6241699040 856422029 2075953652 8136924016 8317652692 15354669845 15892710603 X 439806885 -184533674 466986350 -541530885 X 0 1 X 1 1 1 X 263593024 529557140 444448837 325429961 431017785 1994046747 263593024 529557140 444448837 325429961 431017785 1994046747 1994046747 107975685 104905019 137076437 49537538 130784811 530279490 692814 692814 166735941 360583149 515964083 77092808 264631706 1385007687 3910026738 34010457379 0.51000 0.51920 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INCOMELOSS ON INVESTMENTS - 2019 AMOUNT: $ 163,697,803. 2020 AMOUNT: $ 351,533,278. 2021 AMOUNT: $ 485,609,324. 2023 AMOUNT: $ 244,432,456. FOREIGN CURRENCY - 2019 AMOUNT: $ 286,195. 2020 AMOUNT: $ 92,893. 2021 AMOUNT: $ 365,082. 2023 AMOUNT: $ 57,129. DERIVATIVE INCOME - 2021 AMOUNT: $ 22,941,199. 2022 AMOUNT: $ 69,244,484. 2023 AMOUNT: $ 2,252,093. INVESTMENT IN AFFILIATES - 2019 AMOUNT: $ 2,737,082. 2020 AMOUNT: $ 8,956,978. 2021 AMOUNT: $ 6,753,656. 2022 AMOUNT: $ 7,689,997. 2023 AMOUNT: $ 17,890,028. LIFE INSURANCE TRUST - 2019 AMOUNT: $ 14,861. 2021 AMOUNT: $ 294,822. 2022 AMOUNT: $ 158,327. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 966190 1 500695 0 0 1466885 0 SCHEDULE C CLEVELAND CLINIC ENGAGES IN HEALTH CARE RELATED LOBBYING ACTIVITIES IN FURTHERANCE OF ITS EXEMPT PURPOSE AND IN SUPPORT OF ITS MISSION OF CARING FOR LIFE, RESEARCHING FOR HEALTH, AND EDUCATING THOSE WHO SERVE. FUTHER DETAIL ON THE TYPES OF ACTIVITIES IS PROVIDED BELOW. PART II-B, 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINE 1G CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE. PART II-B, 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES. PART II-B, 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS. X 3 54.01 1 1 87.00 38585 541665952 3521110524 182574046 100585264 4144765258 549756555 35502175 6879613 36453463 14018928 541665952 472718962 20423929 64802033 8188369 549756555 411313487 22565740 52756607 13916872 472718962 354560827 22718792 40731794 6697926 411313487 1.00000 0 0 183961863 183961863 4189139372 2563533291 1625606081 111724528 90122791 21601737 2143787022 1453952866 689834156 640837595 115596721 525240874 3046244711 OTHER SECURITIES (HEDGE FUNDS) 1779668176 C OTHER SECURITIES (PRIVATE EQUITY) 1708600511 C 3488268687 DUE FROM AFFILIATES 1397320243 PERPETUAL & BENEFICIAL TRUSTS 35148313 INVESTMENT IN AFFILIATES 1157739897 OTHER ASSETS 151476683 DEFERRED ANNUITIES 418652728 FEDERAL INCOME TAXES 7980 3160345844 DEFERRED ANNUITY TRUST 4396647 OTHER LIABILITIES 60775829 FUTURE GIFT ANNUITY PAYMENTS 11437617 INTEREST RATE SWAP 30459036 ACCRUED PENSION 660862447 DUE TO AFFILIATES 1768257344 ACCRUED BENEFITS 235742061 2771930981 X PART II, LINE 9: THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO THREE WETLANDS LOCATED ON THE CLEVELAND CLINIC FOUNDATION'S PROPERTY IN TWINSBURG, OHIO; COPLEY, OHIO; AND AVON, OHIO. THESE EASEMENTS ARE NOT REQUIRED TO BE REPORTED ON THE BALANCE SHEET SEPARATE FROM THE VALUE OF THE LAND. EXPENSES TO MONITOR, INSPECT, AND PROTECT THIS LAND ARE REFLECTED IN THE STATEMENT OF EXPENSES. PART V, LINE 4: THE ENDOWMENT FUNDS OF THE CLEVELAND CLINIC FOUNDATION ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE. PART X, LINE 2: THE CLEVELAND CLINIC HEALTH SYSTEM'S ("THE SYSTEM") AUDITED FINANCIAL STATEMENTS ARE REPORTED ON A CONSOLIDATED BASIS, INCLUDING EXEMPT, TAXABLE, AND FOREIGN ENTITIES TO WHICH THE ASC 740-10 LIABILITY RELATES. THE ASC 740-10 FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE SYSTEM READS AS FOLLOWS: UNCERTAIN INCOME TAX POSITIONS WERE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2023 AND 2022. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES ACCRUED INTEREST AND PENALTIES RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. 1 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 52120000 NORTH AMERICA 2 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 49235000 EUROPE 4 27 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 1062764000 MIDDLE EAST & NORTH AFRICA 2 98 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 5650000 EAST ASIA AND THE PACIFIC 1 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNNED FOREIGN ENTITY 25000 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 10000 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 117000 EUROPE 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 696000 MIDDLE EAST & NORTH AFRICA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 6813000 NORTH AMERICA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 416000 SOUTH AMERICA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 21000 SOUTH ASIA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 47000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES TRAVEL FOR EDUCATION/PATIENT CARE 1000 MIDDLE EAST & NORTH AFRICA 0 0 FUNDRAISING EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING SOUTH AMERICA 0 0 FUNDRAISING CENTRAL AMERICA & THE CARIBBEAN 0 0 FUNDRAISING NORTH AMERICA 0 0 FUNDRAISING SOUTH ASIA 0 0 FUNDRAISING EUROPE 0 0 FUNDRAISING EUROPE 0 0 INVESTING 82836000 SUB-SAHARAN AFRICA 0 0 INVESTING 102160000 MIDDLE EAST & NORTH AFRICA 0 0 INVESTING 2419000 NORTH AMERICA 0 0 INVESTING 41132000 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTING 3761112000 9 125 0 0 9 125 1170617000 3996957000 5167574000 SOUTH AMERICA RESEARCH 21781 CHECK AND/OR WIRE 0 EUROPE RESEARCH 208425 CHECK AND/OR WIRE 0 EUROPE RESEARCH 56208 CHECK AND/OR WIRE 0 EUROPE RESEARCH 6888 CHECK AND/OR WIRE 0 EAST ASIA & THE PACIFIC RESEARCH 324000 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 50817 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 19838 CHECK AND/OR WIRE 0 SOUTH AMERICA RESEARCH 64576 CHECK AND/OR WIRE 0 MIDDLE EAST & NORTH AFRICA RESEARCH 77235 CHECK AND/OR WIRE 0 CENTRAL AMERICA & THE CARIBBEAN RESEARCH 44125 CHECK AND/OR WIRE 0 EAST ASIA & THE PACIFIC RESEARCH 54000 CHECK AND/OR WIRE 0 EUROPE RESEARCH 7188 CHECK AND/OR WIRE 0 EUROPE RESEARCH 5836 CHECK AND/OR WIRE 0 EUROPE RESEARCH 257164 CHECK AND/OR WIRE 0 EAST ASIA & THE PACIFIC RESEARCH 33000 CHECK AND/OR WIRE 0 EUROPE RESEARCH 74130 CHECK AND/OR WIRE 0 EAST ASIA & THE PACIFIC RESEARCH 502588 CHECK AND/OR WIRE 0 EAST ASIA & THE PACIFIC RESEARCH 15600 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 13898 CHECK AND/OR WIRE 0 EAST ASIA & THE PACIFIC RESEARCH 62754 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 39912 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 32873 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 170170 CHECK AND/OR WIRE 0 NORTH AMERICA RESEARCH 219423 CHECK AND/OR WIRE 0 EUROPE RESEARCH 187007 CHECK AND/OR WIRE 0 EUROPE RESEARCH 7030 CHECK AND/OR WIRE 0 CENTRAL AMERICA & THE CARIBBEAN RESEARCH 6900 CHECK AND/OR WIRE 0 19 8 1 0 1 1 1 1 PART I, LINE 2: A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS. PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. X X X X X X X 1 CLASSY 350 TENTH AVE STE 1300 SAN DIEGO CA 92101 ONLINE FUNDRAISING 0 6108240 264933 5843307 RR DONNELLEY 35 WEST WACKER DR CHICAGO IL 60601 DIRECT MAIL 0 1714891 1351566 363325 TSM DONOR ENGAGEMENT TEAM 155 COMMERCE DR FREEDOM PA 15042 PHONE SOLICITATION 0 49858 217513 -167655 7872989 1834012 6038977 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY VELOSANO 7594939 7477944 116995 0 0 325028 209721 18535 1496830 CHILDREN'S DERBY DAY SOIREE 1317540 1252800 64740 0 179 49663 151411 14861 651214 1 301138 232777 68361 3700 0 35100 34772 0 10354 9213617 8963521 250096 3700 179 409791 395904 33396 2158398 3001368 -2751272 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 92419889 0 92419889 0.01110 1068267384 667439688 400827696 0.04800 0 0 1160687273 667439688 493247585 0.05910 18351065 3146878 15204187 0.00180 294802940 37766370 257036570 0.03080 29728087 23816100 5911987 0.00070 358830674 227911422 130919252 0.01570 18572503 0 18572503 0.00220 720285269 292640770 427644499 0.05120 1880972542 960080458 920892084 0.11030 724 0 724 0.00000 23573 0 23573 0.00000 170707 0 170707 0.00000 0 0 0.00000 13174 300 12874 0.00000 95946 0 95946 0.00000 28576 0 28576 0.00000 1054658 0 1054658 0.00010 0 1387358 300 1387058 0.00010 1 162243546 0 774376734 835565375 -61188641 X 1 1 7 1 THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR X X X X X X 2 SELECT SPECIALTY - FAIRHILL 11900 FAIRHILL ROAD CLEVELAND OH 44120 WWW.SELECTMEDICAL.COM OH STATE ID 1468 X A 3 CLEVELAND CLINIC REHAB - BEACHWOOD 3025 SCIENCE PARK DRIVE BEACHWOOD OH 44122 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1906 X A 4 CLEVELAND CLINIC REHABILITATION-AVON 33355 HEALTH CAMPUS BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1522AHR X A 5 CLEVELAND CLINIC REHAB - EDWIN SHAW 4389 MEDINA ROAD COPLEY OH 44321 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1905 X A 6 SELECT SPECIALTY - REGENCY WEST 6990 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130 WWW.SELECTMEDICAL.COM OH STATE ID 1478 X A 7 SELECT SPECIALTY - REGENCY EAST 4200 INTERCHANGE CORPORATE CENTER RD WARRENSVILLE HEIGHTS OH 44128 WWW.SELECTMEDICAL.COM OH STATE ID 1479 X A THE CLEVELAND CLINIC FOUNDATION 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 REPORTING GROUP A 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 0 X X 0 0 THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS ("CAC"). CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6A: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS CONDUCTED ITS CHNA WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, AVON HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, MERCY HOSPITAL, SOUTH POINTE HOSPITAL, AND UNION HOSPITAL. COLLABORATIONS WERE ALSO DONE WITH CLEVELAND CLINIC REHAB HOSPITALS - SELECT CLEVELAND HOSPITALS, STATE AND COUNTY HEALTH DEPARTMENTS, AND COMMUNITY BASED ORGANIZATIONS (CBOS). THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WERE THE FOLLOWING: ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC ISSUES. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. IN ADDITION TO THE PRIORITIZED HEALTH NEEDS, THE CHNA IDENTIFIED THREE ADDITIONAL COMMUNITY HEALTH ISSUES PREVALENT IN CONSIDERING COMMUNITY HEALTH: HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL EDUCATION AND RESEARCH. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY THE CLEVELAND CLINIC FOUNDATION. UNINSURED PATIENTS THAT THE CLEVELAND CLINIC FOUNDATION DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCF, INCLUDING IN PATIENT REGISTRATION AREAS, AND ONLINE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, THE CLEVELAND CLINIC FOUNDATION NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 6: SELECT SPECIALTY - REGENCY WEST, - FACILITY 7: SELECT SPECIALTY - REGENCY EAST, - FACILITY 2: SELECT SPECIALTY - FAIRHILL, - FACILITY 4: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 3: CLEVELAND CLINIC REHAB - BEACHWOOD, - FACILITY 5: CLEVELAND CLINIC REHAB - EDWIN SHAW GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS ("CAC"). CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY WEST CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. SELECT SPECIALTY - WEST ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR SELECT SPECIALTY - REGENCY WEST WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS ("CAC"). CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY EAST CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. SELECT SPECIALTY - EAST ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR SELECT SPECIALTY - REGENCY EAST WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 2 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS ("CAC"). CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 2 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A: SELECT SPECIALTY - FAIRHILL CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. SELECT SPECIALTY - FAIRHILL ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 2 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS ("CAC"). CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - AVON CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. CC REHAB - AVON ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR CLEVELAND CLINIC REHABILITATION HOSPITAL, AVON WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 5 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS ("CAC"). CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 5 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. CC REHAB - EDWIN SHAW ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 5 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR CLEVELAND CLINIC REHABILITATION HOSPITAL, EDWIN SHAW WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 5: DURING 2022, INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AS WELL AS COMMUNITY ENGAGEMENT SESSIONS WITH COMMUNITY ADVISORY COMMITTEE MEMBERS ("CAC"). CONDUENT HEALTHY COMMUNITIES INSTITUTE INTERVIEWED 20 KEY STAKEHOLDERS FROM A DIVERSE SPECTRUM OF COMMUNITY -BASED ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. TO PROVIDE ADDITIONAL SUPPORT AND CORROBORATION OF VITAL COMMUNITY INPUT, THE CLEVELAND CLINIC FOUNDATION AND CONDUENT HEALTHY COMMUNITIES INSTITUTE FACILITATED A COMMUNITY ENGAGEMENT SESSION FEATURING COMMUNITY ADVISORY COUNCIL MEMBERS. DURING THE SESSION, CAC MEMBERS OFFERED PERSPECTIVES ON THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY, BARRIERS AND CHALLENGES TO IMPROVING HEALTH, IDENTIFIED THE MOST UNDERSERVED POPULATIONS, DISCUSSED POTENTIAL SOLUTIONS TO HEALTH CHALLENGES FACED, AND OFFERED SUCCESS STORIES FROM EXISTING PROGRAM IMPLEMENTATION. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - BEACHWOOD CONDUCTED ITS CHNA WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. CC REHAB - BEACHWOOD ALSO COLLABORATED WITH: STATE AND COUNTY HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS). GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED FOR CLEVELAND CLINIC REHAB - BEACHWOOD WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT. PART V, SECTION B, LINES 7A, 10A, 16A-16C THE URL LINK TO VIEW THE CHNA CAN BE FOUND DIRECTLY AT: HTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#2022-CHNAS-TABTHE URL LINK TO VIEW THE IMPLEMENTATION STRATEGY CAN BE FOUND DIRECTLY AT: HTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#OVERVIEW-TABTHE URL LINK TO VIEW THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND DIRECTLY AT: HTTPS://MY.CLEVELANDCLINIC.ORG/PATIENTS/BILLING-FINANCE/FINANCIAL-ASSISTANCE 124 1 - TWINSBURG FAMILY HEALTH & SURGERY CENTER 8701 DARROW ROAD TWINSBURG OH 44087 FAMILY HEALTH CENTER 2 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER 26900 CEDAR ROAD BEACHWOOD OH 44122 FAMILY HEALTH CENTER 3 - STRONGSVILLE FAMILY HEALTH & SURGERY CENTE 16761 SOUTH PARK CENTER STRONGSVILLE OH 44136 FAMILY HEALTH CENTER 4 - RICHARD E JACOBS HEALTH CENTER 33100 CLEVELAND CLINIC BOULEVARD AVON OH 44011 FAMILY HEALTH CENTER 5 - INDEPENDENCE FAMILY HEALTH CENTER 5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE OH 44131 FAMILY HEALTH CENTER 6 - LORAIN FAMILY HEALTH & SURGERY CENTER 5700 COOPER FOSTER PARK ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 7 - WILLOUGHBY HILLS FAMILY HEALTH CENTER 2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 FAMILY HEALTH CENTER 8 - CLEVELAND CLINIC CANCER CENTERS 417 QUARRY LAKES DRIVE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 9 - WOOSTER FAMILY HEALTH CENTER 1740 CLEVELAND ROAD WOOSTER OH 44691 FAMILY HEALTH CENTER 10 - BRUNSWICK FAMILY HEALTH CENTER 3574 CENTER ROAD BRUNSWICK OH 44212 FAMILY HEALTH CENTER 11 - LAKEWOOD FAMILY HEALTH CENTER 14601 DETROIT AVENUE LAKEWOOD OH 44107 FAMILY HEALTH CENTER 12 - CLEVELAND CLINIC CANCER CENTERS 1125 ASPIRA COURT MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 13 - SOLON FAMILY HEALTH CENTER 29800 BAINBRIDGE ROAD SOLON OH 44139 FAMILY HEALTH CENTER 14 - ELYRIA FAMILY HEALTH & SURGERY CENTER 303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035 FAMILY HEALTH CENTER 15 - AMHERST FAMILY HEALTH CENTER 5172 LEAVITT ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 16 - CHAGRIN FALLS FAMILY HEALTH CENTER 551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022 FAMILY HEALTH CENTER 17 - NORTH OHIO GASTROENTEROLOGY 30701 CLEMENS ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 18 - WEST VALLEY MEDICAL 20455 LORAIN ROAD 301 FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 19 - SHEFFIELD FAMILY HEALTH CENTER 5334 MEADOW LANE CT SHEFFIELD VILLAGE OH 44035 FAMILY HEALTH CENTER 20 - SUMMIT GASTROENTEROLOGY ASSOCIATES 3939 S CLEVELAND MASSILLON ROAD BARBERTON OH 44203 OUTPATIENT PHYSICIAN CLINIC 21 - STOW-FALLS MEDICAL OUTPATIENT CENTER 857 GRAHAM RD STOW OH 44221 OUTPATIENT PHYSICIAN CLINIC 22 - AVON POINTE FAMILY HEALTH CENTER 36901 AMERICAN WAY AVON OH 44011 FAMILY HEALTH CENTER 23 - MENTOR MEDICAL OFFICE 7060 WAYSIDE DRIVE MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 24 - CONCORD MEDICAL OUTPATIENT CENTER 7519 FREDLE DRIVE CONCORD OH 44077 OUTPATIENT PHYSICIAN CLINIC 25 - MIDDLEBURG HEIGHTS FAMILY HEALTH CENTER 17840 BAGLEY ROAD MIDDLEBURG HEIGHTS OH 44130 FAMILY HEALTH CENTER 26 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS 3275 SCIENCE PARK DRIVE BLDG 5 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 27 - SUMMIT OPHTHALMOLOGY 1587 BOETTLER ROAD UNIONTOWN OH 44685 OUTPATIENT PHYSICIAN CLINIC 28 - STEPHANIE TUBBS JONES HEALTH CENTER 13944 EUCLID AVENUE EAST CLEVELAND OH 44112 FAMILY HEALTH CENTER 29 - AVON LAKE FAMILY HEALTH CENTER 450 AVON BELDEN ROAD AVON LAKE OH 44012 FAMILY HEALTH CENTER 30 - MADISON MEDICAL OFFICE 2999 MCMACKIN ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 31 - OLMSTED TOWNSHIP PRIMARY CARE 27089 BAGLEY ROAD OLMSTED TOWNSHIP OH 44138 OUTPATIENT PHYSICIAN CLINIC 32 - COMMUNITY PEDIATRICS 8254 MAYFIELD ROAD CHESTERLAND OH 44026 OUTPATIENT PHYSICIAN CLINIC 33 - COLUMBUS STAR IMAGING 921 JASONWAY AVENUE COLUMBUS OH 43214 DIAGNOSTIC CENTER 34 - MIDDLEBURG HEIGHTS ORTHOPAEDICS 7010 ENGLE ROAD STE 105 MIDDLEBURG HEIGHTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 35 - WADSWORTH PRIMARY CARE ONE PARK CENTER DRIVE WADSWORTH OH 44281 OUTPATIENT PHYSICIAN CLINIC 36 - NILES STAR IMAGING 650 YOUNGSTOWN-WARREN ROAD NILES OH 44446 DIAGNOSTIC CENTER 37 - BOARDMAN STAR IMAGING 7067 TIFFANY BOULEVARD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 38 - CLEVELAND CLINIC COLE EYE OF STREETSBORO ( 9424 STATE ROUTE 14 STREETSBORO OH 44241 OUTPATIENT PHYSICIAN CLINIC 39 - OHIO RENAL CARE CLEVELAND EAST 2429 MARTIN LUTHER KING JR DR CLEVELAND OH 44104 DIALYSIS CENTER 40 - CLEVELAND CLINIC URGENT CARE ROCKY RIVER 19895 DETROIT ROAD ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 41 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND LA 21 SUGARBUSH COURT ASHLAND OH 44805 OUTPATIENT PHYSICIAN CLINIC 42 - MACEDONIA EXPRESS AND OUTPATIENT CARE 8210 MACEDONIA COMMONS BOULEVARD MACEDONIA OH 44056 OUTPATIENT PHYSICIAN CLINIC 43 - MARYMOUNT REHABILITATION AND SPORTS THERAP 2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 44 - LAKEWOOD MEDICAL OFFICE 16215 MADISON AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 45 - CLEVELAND CLINIC FAMILY MEDICINE 19300 DETROIT AVENUE ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 46 - WILLOUGHBY HILLS BEHAVIORAL HEALTH 2785 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 47 - BRECKSVILLE EXPRESS CARE 8805 BRECKSVILLE ROAD BRECKSVILLE OH 44141 OUTPATIENT PHYSICIAN CLINIC 48 - SOUTH RUSSELL FAMILY PRACTICE 5192 CHILLICOTHE ROAD SOUTH RUSSELL OH 44022 OUTPATIENT PHYSICIAN CLINIC 49 - OHIO RENAL CARE GROUP WESTLAKE 26024 DETROIT AVENUE WESTLAKE OH 44145 DIALYSIS CENTER 50 - NEW FAMILY PHYSICIANS WILLOUGHBY HILLS 34500 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 51 - SLEEP DISORDERS CENTER 3122 EASTPOINTE DRIVE MEDINA OH 44256 DIAGNOSTIC CENTER 52 - LAKEWOOD FAMILY MEDICINE - ROCKPORT 11851 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 53 - CLEVELAND CLINIC CHILDRENS STOW 3925 DARROW ROAD STOW OH 44224 OUTPATIENT PHYSICIAN CLINIC 54 - DAYTON STAR IMAGING 5529 FAR HILLS AVENUE DAYTON OH 45429 DIAGNOSTIC CENTER 55 - NORTH RIDGEVILLE MEDICAL OUTPATIENT CENTER 34960 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 56 - NORTH RIDGEVILLE MEDICAL OFFICE 35105 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 57 - CHARDON REHABILITATION AND SPORTS THERAPY 325 CENTER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 58 - OHIO RENAL CARE GROUP HERITAGE 1160 E BROAD ST ELYRIA OH 44035 DIALYSIS CENTER 59 - CLEVELAND CLINIC EXPRESS CARE 7580 NORTHCLIFF AVENUE BROOKLYN OH 44144 OUTPATIENT PHYSICIAN CLINIC 60 - OHIO RENAL CARE GROUP LTAC ACUTEWHITE PO 690 WHITE POND DR AKRON OH 44320 DIALYSIS CENTER 61 - CANFIELD ORTHOPAEDICS AND REHABILITATION 3736 BOARDMAN CANFIELD ROAD CANFIELD OH 44406 OUTPATIENT PHYSICIAN CLINIC 62 - WEST END PEDIATRICS (CLEVELAND CLINIC CHIL 14701 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 63 - CROSSROADS SLEEP DISORDER CENTER 721 BOARDMAN POLAND ROAD YOUNGSTOWN OH 44512 OUTPATIENT PHYSICIAN CLINIC 64 - OHIO RENAL CARE GROUP AMHERST 100 COPPER FOSTER PARK RD AMHERST OH 44001 DIALYSIS CENTER 65 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE 1959 COOPER FOSTER PARK ROAD AMHERST OH 44053 DIAGNOSTIC CENTER 66 - OHIO RENAL CARE GROUP FARNSWORTH 3280 W 25TH ST CLEVELAND OH 44109 DIALYSIS CENTER 67 - CHARDON PLAZA MEDICAL OUTPATIENT CENTER 425 WATER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 68 - VALLEY CITY FAMILY MEDICINE 6605 CENTER ROAD VALLEY CITY OH 44280 OUTPATIENT PHYSICIAN CLINIC 69 - OHIO RENAL CARE GROUP WEST 14670 SNOW ROAD BROOKPARK OH 44142 DIALYSIS CENTER 70 - OHIO RENAL CARE GROUP EUCLID 26450 EUCLID AVENUE EUCLID OH 44132 DIALYSIS CENTER 71 - OHIO RENAL CARE GROUP MENTOR 8840 TYLER BLVD MENTOR OH 44060 DIALYSIS CENTER 72 - CLEVELAND CLINIC LYNDHURST CAMPUS 1950 RICHMOND ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 73 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS HO 9729 GRANGER RD GARFIELD HTS OH 44125 DIALYSIS CENTER 74 - OHIO RENAL CARE GROUP STREETSBORO 9200 STAPLES DR STREETSBORO OH 44241 DIALYSIS CENTER 75 - LORAIN ORTHOPAEDICS 5800 COOPER FOSTER PARK ROAD LORAIN OH 44053 OUTPATIENT PHYSICIAN CLINIC 76 - OHIO RENAL CARE GROUP SOLON 6020 ENTERPRISE PARKWAY SOLON OH 44139 DIALYSIS CENTER 77 - OHIO RENAL CARE GROUP OHIO ACUTES 2500 METROHEALTH DRIVE CLEVELAND OH 44109 DIALYSIS CENTER 78 - BELDEN CENTER 4677 FULTON DRIVE NW CANTON OH 44718 OUTPATIENT PHYSICIAN CLINIC 79 - OHIO RENAL CARE NORTH RANDALL 5035 RICHMOND ROAD BEDFORD HEIGHTS OH 44146 DIALYSIS CENTER 80 - OHIO RENAL CARE GROUP ELYRIA 5316 HOAG DR SHEFFILED OH 44035 DIALYSIS CENTER 81 - MOHICAN EYE CENTER 484 PARK AVENUE WEST MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 82 - MOHICAN EYE CENTER 637 NORTH UNION STREET LOUDONVILLE OH 44842 OUTPATIENT PHYSICIAN CLINIC 83 - OHIO RENAL CARE GROUP KENT 401 DEVON PL 100 KENT OH 44240 DIALYSIS CENTER 84 - MADISON REHABILITATION AND SPORTS THERAPY 2622 HUBBARD ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 85 - OHIO RENAL CARE GROUP CUYAHOGA FALLS 320 BROADWAY ST E E CUYAHOGA FALLS OH 44221 DIALYSIS CENTER 86 - CLEVELAND CLINIC FAMILY MEDICINE - NORDONI 2055 ALEXANDRIA WAY MACEDONIA OH 44056 OUTPATIENT PHYSICIAN CLINIC 87 - OHIO RENAL CARE GROUP WADSWORTH 1160 WILLIAMS RESERVE BLVD WADSWORTH OH 44281 DIALYSIS CENTER 88 - MEDINA COMMUNITY RECREATION CENTER 855 WEYMOUTH ROAD MEDINA OH 44256 OUTPATIENT PHYSICIAN CLINIC 89 - WOOSTER MILLTOWN SPECIALTY & SURGERY CENTE 721 EAST MILLTOWN ROAD WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC 90 - THE LANGSTON HUGHES CENTER CLEVELAND CLINI 2390 E 79TH ST CLEVELAND OH 44104 OUTPATIENT PHYSICIAN CLINIC 91 - OHIO RENAL CARE GROUP HINCKLEY 2583 CENTER RD HINCKLEY OH 44233 DIALYSIS CENTER 92 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYSIS 4200 WARRENSVILLE CENTER RD STE 100 WARRENSVILLE HTS OH 44122 DIALYSIS CENTER 93 - OHIO RENAL CARE GROUP MEDINA 3995 MEDINA RD STE 150 MEDINA OH 44256 DIALYSIS CENTER 94 - OBERLIN OPHTHALMOLOGY 309 WEST LORAIN STREET OBERLIN OH 44074 OUTPATIENT PHYSICIAN CLINIC 95 - HEALTH SPOT LAKEWOOD HIGH SCHOOL 14100 FRANKLIN BOULEVARD LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 96 - OHIO RENAL CARE GROUP MARYMOUNT 12532 ROCKSIDE RD GARFIELD HEIGHTS OH 44125 DIALYSIS CENTER 97 - LORAIN COUNTY LONG-TERM CARE 1130 TOWER BOULEVARD LORAIN OH 44052 OUTPATIENT PHYSICIAN CLINIC 98 - PARMA ROCKSIDE LABORATORY SERVICE CENTER 1440 ROCKSIDE ROAD PARMA OH 44134 OUTPATIENT PHYSICIAN CLINIC 99 - OHIO RENAL CARE GROUP LAKEWOOD 13900 DETROIT RD LAKEWOOD OH 44107 DIALYSIS CENTER 100 - OHIO RENAL CARE GROUP ASHTABULA 2117 LAKE AVENUE ASHTABULA OH 44004 DIALYSIS CENTER 101 - ADVANCED CARDIOVASCULAR CONSULTANTS 531 FIFTH AVENUE CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 102 - ASHTABULA COUNTY MEDICAL CENTER 2422 LAKE AVENUE ASHTABULA OH 44004 OUTPATIENT PHYSICIAN CLINIC 103 - CHARLESTON AREA MEDICAL CENTER 1201 WASHINGTON STREET EAST STE 100 CHARLESTON WV 25301 OUTPATIENT PHYSICIAN CLINIC 104 - CLEVELAND CLINIC DIABETES AND ENDOCRINOLOG 3733 PARK EAST DRIVE STE 105 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 105 - CLEVELAND CLINIC STAR IMAGING 1449 BOARDMAN-CANFIELD ROAD YOUNGSTOWN OH 44512 DIAGNOSTIC CENTER 106 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY 1 PARK WEST BOULEVARD STE 150 AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 107 - COLE EYE INSTITUTE 2000 AUBURN DRIVE STE 100 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 108 - COMMUNITY PEDIATRICS 2001 CROCKER ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 109 - DOWNTOWN EXPRESS CARE 315 EUCLID AVENUE STE 2 CLEVELAND OH 44114 OUTPATIENT PHYSICIAN CLINIC 110 - EL CENTRO COMMUNITY CENTER PRIMARY CARE CL 2800 PEARL AVENUE LORAIN OH 44055 OUTPATIENT PHYSICIAN CLINIC 111 - GREAT LAKES CARE INC 29001 CEDAR ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 112 - LAKEWOOD CITY SCHOOL DISTRICT 13701 LAKE AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 113 - LAKEWOOD LAKE POINTE LAB DRAW SITE 15800 DETROIT AVENUE LAKEWOOD OH 44107 DIAGNOSTIC CENTER 114 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER 5900 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 115 - MENTOR REHABILITATION AND SPORTS THERAPY 7533 CENTER STREET MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 116 - NEW FAMILY PHYSICIANS LYNDHURST 5187 MAYFIELD ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 117 - NOMS AMBULATORY ENDOSCOPY CENTER 5319 HOAG DRIVE ELYRIA OH 44035 OUTPATIENT PHYSICIAN CLINIC 118 - PREMIER LAB CARE 37121 EUCLID AVENUE WILLOUGHBY OH 44094 OUTPATIENT PHYSICIAN CLINIC 119 - SLEEP DISORDERS CENTER 24901 COUNTRY CLUB BOULEVARD NORTH OLMSTED OH 44070 DIAGNOSTIC CENTER 120 - SLEEP DISORDERS CENTER 8971 WILCOX DRIVE TWINSBURG OH 44087 DIAGNOSTIC CENTER 121 - SLEEP DISORDERS CENTER 5051 WEST CREEK ROAD INDEPENDENCE OH 44131 DIAGNOSTIC CENTER 122 - STAR IMAGING DUBLIN 333 W BRIDGE STREET DUBLIN OH 43017 DIAGNOSTIC CENTER 123 - THERAPY SERVICES WEST - BLDG 11 800 WESTPOINT PARKWAY WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 124 - WILLOUGHBY HILLS REHABILITATION AND SPORTS 29017 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: CCF PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. CCF HAS A FINANCIAL ASSISTANCE POLICY THAT IS AMONG THE MOST GENEROUS IN NORTHEAST OHIO. THIS POLICY APPLIES TO ALL CCF FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, CCF PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS ADDITIONAL WAYS TO QUALIFY BASED ON FINANCIAL OR MEDICAL NEED. UNLIKE THE FINANCIAL ASSISTANCE POLICIES OF MOST HOSPITALS, THE CCF POLICY APPLIES TO BOTH HOSPITAL CHARGES AND CERTAIN PROFESSIONAL FEES FOR SERVICES PROVIDED BY CCF EMPLOYED PHYSICIANS. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY. PART I, LINE 7G: CCF EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I. PART I, LN 7 COL(F): THE PROPORTIONATE SHARE OF TOTAL JV EXPENSES AND BAD DEBT EXPENSES ARE FACTORED IN FOR PURPOSES OF CALCULATING THE PERCENTAGES. PART I, LINE 6A SCH H PART I LINE 6A - AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE, WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES. PART I, LINE 7 THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS INCLUSIVE OF CCF'S HCAP ASSESSMENT OF $9,920,086. PART I, LINE 7 NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $920,892,085 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE COMMUNITY BENEFIT REPORT AS THIS FIGURE REPRESENTS ONLY THE CLEVELAND CLINIC FOUNDATION'S COMMUNITY BENEFIT WHEREAS THE COMMUNITY BENEFIT REPORT REPRESENTS COMMUNITY BENEFIT FOR THE HEALTH SYSTEM. PART I, LINE 2 CLEVELAND CLINIC REHABILITATION AND SELECT FACILITIES HAVE THEIR OWN FINANCIAL ASSISTANCE POLICIES, WHICH COMPLY WITH ALL 501(R) REGULATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DEVOTES EMPLOYEE TIME AND TALENT TO PARTICIPATE IN COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. PART III, LINE 2: ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS, NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 4: SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #2 ON PG. 21 OF THE AUDITED FINANCIAL STATEMENTS, WHICH ARE ATTACHED TO THE FORM 990. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCF HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT. PART III, LINE 9B: YES, CLEVELAND CLINIC HAS A WRITTEN DEBT COLLECTION POLICY. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS OR BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO MAKE SUCH DETERMINATION. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. ADDITIONALLY, OUR EXTERNAL THIRD-PARTY (COLLECTION) AGENCIES ARE TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE. PART III, LINE 5, 6, & 7 IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCF INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $1,431,313,561 AND $1,865,606,781 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $434,293,220 WHICH, ADDED TO THE SHORTFALL OF $61,188,642 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $495,481,861. PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS, CCF'S INSTITUTES AND DEPARTMENTS MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THE COMMUNITY FOR THAT PARTICULAR FACILITY'S COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCF MAY PROVIDE TO PARTICULAR GROUPS OF PATIENTS WITHIN THE COMMUNITIES IT SERVES. PART VI, LINE 3: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. ALL PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCF, INCLUDING IN PATIENT REGISTRATION AREAS AND ONLINE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS. PART VI, LINE 4: THE CLEVELAND CLINIC'S COMMUNITY IS DEFINED BY BOTH MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL FACILITY'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS THE BROADER SURROUNDING COUNTIES/REGIONS FROM WHICH THE MAJORITY OF DISCHARGED INPATIENTS RESIDE. DEMOGRAPHIC DATA BY ZIP CODE WAS ANALYZED TO ENSURE THAT MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH THE HOSPITAL DRAWS PATIENTS WERE NOT EXCLUDED FROM THE DEFINED COMMUNITY. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF THE CLEVELAND CLINIC. THE COMMUNITY FOR MEDICAL RESEARCH AND EDUCATION IS THE PUBLIC AT LARGE. ADDITIONAL DETAIL DESCRIBING THE COMMUNITY THE ORGANIZATION SERVES CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. 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 LEADERSHIP BY BOARDS COMPRISED OF 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 AFFILIATES. 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 AFFILIATES ARE REINVESTED AND USED TO CARRY OUT THE ORGANIZATION'S EXEMPT MISSION -- PATIENT CARE, RESEARCH, AND EDUCATION. PART VI, LINE 6: CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS. PART VI, LINE 7 THE STATE OF OHIO COLLECTS SCHEDULE H DATA, HOWEVER, NO COMMUNITY BENEFIT REPORT IS FILED IN ANY STATE. 1 AATS FOUNDATION 800 CUMMINGS CENTER 350-V BEVERLY MA 01915 237288866 501(C)(3) 20000 0 HEALTHCARE RESEARCH & EDUCATION AMERICAN CANCER SOCIETY 10501 EUCLID AVENUE CLEVELAND OH 44106 131788491 501(C)(3) 387000 0 COMMUNITY SUPPORT AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 225000 0 COMMUNITY SUPPORT AMERICAN LUNG ASSOCIATION 55 WEST WACKER DRIVE CHICAGO IL 60601 131632524 501(C)(3) 25000 0 COMMUNITY SUPPORT ASHBURY COMMUNITY SERVICE INC 11011 ASHBURY AVE CLEVELAND OH 44106 300100675 501(C)(3) 10000 0 COMMUNITY SUPPORT BELLAIRE-PURITAS DEVELOPMENT CORPORATION 14703 PURITAS AVENUE CLEVELAND OH 44135 341685259 501(C)(3) 15000 0 COMMUNITY SUPPORT BENJAMIN ROSE INSTITUTE ON AGING 11890 FAIRHILL ROAD CLEVELAND OH 44120 340714482 501(C)(3) 54000 0 COMMUNITY SUPPORT BESSIES ANGELS INC 17017 MILES ROAD CLEVELAND OH 44128 474200543 501(C)(3) 25000 0 COMMUNITY SUPPORT BIKE CLEVELAND 3000 BRIDGE AVENUE STE 1 CLEVELAND OH 44113 452556898 501(C)(3) 6000 0 COMMUNITY SUPPORT BIKUR CHOLIM OF CLEVELAND 1845 SOUTH TAYLOR ROAD CLEVELAND HEIGHTS OH 44118 341809885 501(C)(3) 15000 0 COMMUNITY SUPPORT BIRTHING BEAUTIFUL COMMUNITIES 1416 EAST 105TH STREET CLEVELAND OH 44106 474453278 501(C)(3) 150000 0 HEALTHCARE RESEARCH & EDUCATION BOYS & GIRLS CLUB OF MARTIN COUNTY INC PO BOX 910 HOBE SOUND FL 33475 650253002 501(C)(3) 43374 0 COMMUNITY SUPPORT BOYS & GIRLS CLUBS OF BROWARD COUNTY INC 877 NW 61ST STREET FORT LAUDERDALE FL 33309 591108790 501(C)(3) 15000 0 COMMUNITY SUPPORT CANOPY CHILD ADVOCACY CENTER PO BOX 5386 CLEVELAND OH 44101 843398528 501(C)(3) 25000 0 COMMUNITY SUPPORT CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT ROAD CLEVELAND OH 44106 341018992 501(C)(3) 22900 0 COMMUNITY SUPPORT CHILDREN'S HEART FOUNDATION 5 REVERE DRIVE STE 200 NORTHBROOK IL 60062 364077528 501(C)(3) 7500 0 COMMUNITY SUPPORT CHILDREN'S HUNGER ALLIANCE 1105 SCHROCK ROAD 505 COLUMBUS OH 43229 237303509 501(C)(3) 130000 0 COMMUNITY SUPPORT CHILDREN'S INSTITUTE INC 2121 W TEMPLE STREET LOS ANGELES CA 90026 951641424 501(C)(3) 12500 0 COMMUNITY SUPPORT CITY MISSION 84 W WHEELING STREET WASHINGTON PA 15301 340760586 501(C)(3) 107040 0 HEALTHCARE RESEARCH & EDUCATION CITY OF AKRON 166 S HIGH STREET AKRON OH 44308 346000020 501(C)(1) 5900 0 COMMUNITY SUPPORT CLEVELAND FURNITURE BANK 13360 SMITH ROAD MIDDLEBURG HEIGHTS OH 44130 562610534 501(C)(3) 9540 0 COMMUNITY SUPPORT CLEVELAND LEADERSHIP CENTER 1240 HURON ROAD E ST 450 CLEVELAND OH 44115 341927317 501(C)(3) 11000 0 COMMUNITY SUPPORT CLEVELAND METROPOLITAN SCHOOL DISTRICT 1111 SUPERIOR AVE E STE 1800 CLEVELAND OH 44114 343740643 501(C)(1) 10000 0 COMMUNITY SUPPORT COLLEGE NOW GREATER CLEVELAND INC 1500 W 3RD STREET STE 125 CLEVELAND OH 44113 346580096 501(C)(3) 120000 0 COMMUNITY SUPPORT COLORECTAL CANCER ALLIANCE 1025 VERMONT AVENUE NW STE 1066 WASHINGTON DC 20005 860947831 501(C)(3) 25000 0 COMMUNITY SUPPORT CROHNS & COLITIS FOUNDATION INC 733 THIRD AVENUE STE 510 NEW YORK NY 10017 136193105 501(C)(3) 73500 0 COMMUNITY SUPPORT CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVENUE CLEVELAND OH 44115 237320719 501(C)(3) 27000 0 COMMUNITY SUPPORT DIAPER BANK OF GREATER CLEVELAND 12200 FAIRHILL ROAD CLEVELAND OH 44120 841957545 501(C)(3) 25000 0 COMMUNITY SUPPORT DIGITALC 6815 EUCLID AVENUE CLEVELAND OH 44103 811731053 501(C)(3) 10000 0 COMMUNITY SUPPORT EL CENTRO DE SERVICIOS SOCIALES INC 2800 PEARL AVENUE LORAIN OH 44055 341165756 501(C)(3) 27500 0 COMMUNITY SUPPORT ENVIRONMENTAL HEALTH WATCH FOREMAN 4600 EUCLID AVENUE CLEVELAND OH 44103 341443935 501(C)(3) 11749 0 COMMUNITY SUPPORT FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVENUE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 410000 0 COMMUNITY SUPPORT FAMICOS FOUNDATION INC 1325 ANSEL ROAD CLEVELAND OH 44106 341053534 501(C)(3) 22500 0 COMMUNITY SUPPORT FEEDING MEDINA COUNTY 650 W SMITH ROAD STE C-8 MEDINA OH 44256 454049528 501(C)(3) 25000 0 COMMUNITY SUPPORT GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD OH 44122 341879035 501(C)(3) 10000 0 COMMUNITY SUPPORT GILDA'S CLUB OF SOUTH FLORIDA INC 4850 W PROSPECT ROAD FORT LAUDERDALE FL 33309 650528626 501(C)(3) 30000 0 COMMUNITY SUPPORT GIRLS ON THE RUN OF GREATER SUMMIT 8929 BRECKSVILLE ROAD BRECKSVILLE OH 44141 470991498 501(C)(3) 5460 0 COMMUNITY SUPPORT GREATER CLEVELAND FOOD BANK INC 15500 SOUTH WATERLOO ROAD CLEVELAND OH 44110 341292848 501(C)(3) 25736 0 COMMUNITY SUPPORT GREATER CLEVELAND PARTNERSHIP 1240 HURON ROAD E STE 300 CLEVELAND OH 44115 340149250 501(C)(6) 10000 0 COMMUNITY SUPPORT GREATER CLEVELAND SPORTS COMMISSION 334 EUCLID AVE STE 100 CLEVELAND OH 44114 311381131 501(C)(3) 163200 0 COMMUNITY SUPPORT HAUS OF TRANSCENDENT 908 HERRICK ROAD CLEVELAND OH 44108 921577766 501(C)(3) 10000 0 COMMUNITY SUPPORT HEALTHY LAKEWOOD FOUNDATION PO BOX 770230 LAKEWOOD OH 44107 832537125 501(C)(3) 500000 0 COMMUNITY SUPPORT HITCHCOCK CENTER FOR WOMEN INC 1227 ANSEL ROAD CLEVELAND OH 44108 341264097 501(C)(3) 2500000 0 COMMUNITY SUPPORT HOPE RECOVERY COMMUNITY 200 HIGHLAND DRIVE MEDINA OH 44256 832330980 501(C)(3) 15000 0 COMMUNITY SUPPORT HUNGER NETWORK OF GREATER CLEVELAND 4415 EUCLID AVENUE STE 110 CLEVELAND OH 44103 341810545 501(C)(3) 6500 0 COMMUNITY SUPPORT JOSETTE BEDDELL MEMORIAL FOUNDATION 2005 MARKET AVENUE N STE 3 CANTON OH 44714 272164164 501(C)(3) 10000 0 COMMUNITY SUPPORT JOURNEY CENTER FOR SAFETY AND HEALING PO BOX 5466 CLEVELAND OH 44101 341278377 501(C)(3) 25000 0 COMMUNITY SUPPORT LAKE COUNTY FREE CLINIC INC 89 CHESTER STREET PAINESVILLE OH 44077 341081191 501(C)(3) 15000 0 COMMUNITY SUPPORT LEGAL AID SOCIETY OF CLEVELAND 1223 WEST SIXTH STREET CLEVELAND OH 44113 340866026 501(C)(3) 384000 0 COMMUNITY SUPPORT LESBIAN GAY BISEXUAL TRANSGENDER COMMUNITY CENTER 6705 DETROIT AVENUE CLEVELAND OH 44102 341190920 501(C)(3) 25000 0 COMMUNITY SUPPORT LIFEACT 210 BELL STREET CHAGRIN FALLS OH 44022 341724365 501(C)(3) 10000 0 COMMUNITY SUPPORT LORAIN COUNTY FREE CLINIC INC 5040 OBERLIN AVENUE LORAIN OH 44053 341506180 501(C)(3) 15000 0 COMMUNITY SUPPORT MARCH OF DIMES INC 1550 CRYSTAL DRIVE STE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 30000 0 COMMUNITY SUPPORT MEDWISH INTERNATIONAL 17325 EUCLID AVENUE CLEVELAND OH 44112 341903712 501(C)(3) 0 7710008 FAIR MARKET VALUE MEDICAL SUPPLIES COMMUNITY SUPPORT MOBILE SCHOOL PANTRY INC SOUTH FLORIDA PO BOX 223126 HOLLYWOOD FL 33022 320420453 501(C)(3) 10000 0 COMMUNITY SUPPORT MUSICAL ARTS ASSOCIATION 11001 EUCLID AVENUE CLEVELAND OH 44106 340714468 501(C)(3) 25000 0 COMMUNITY SUPPORT NATIONAL ARBOR DAY FOUNDATION 211 N 12TH STREET STE 501 LINCOLN NE 68508 237169265 501(C)(3) 25025 0 COMMUNITY SUPPORT NATIONAL KIDNEY FOUNDATION INC 30 EAST 33RD STREET NEW YORK NY 10016 131673104 501(C)(3) 11000 0 HEALTHCARE RESEARCH & EDUCATION NATIONAL ORGANIZATION FOR ARTS IN HEALTH 3157 THIRD AVENUE SAN DIEGO CA 92103 820682604 501(C)(3) 7000 0 COMMUNITY SUPPORT NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 135661935 501(C)(3) 15000 0 COMMUNITY SUPPORT NEAR WESTSIDE MULTISERVICE CORPORATION 4115 BRIDGE AVENUE CLEVELAND OH 44113 237061949 501(C)(3) 20000 0 COMMUNITY SUPPORT NORTH UNION FARMERS MARKET 13111 SHAKER SQUARE STE 301 CLEVELAND OH 44120 341812026 501(C)(3) 18500 0 COMMUNITY SUPPORT OBERLIN COMMUNITY SERVICES COUNCIL 285 SOUTH PROFESSOR STREET OBERLIN OH 44074 340907948 501(C)(3) 15000 0 COMMUNITY SUPPORT OHIO MINORITY SUPPLIER DEVELOPMENT COUNCIL 100 EAST BROAD STREET STE 2460 COLUMBUS OH 43215 311022688 501(C)(3) 10000 0 COMMUNITY SUPPORT OHIOGUIDESTONE 343 WEST BAGLEY ROAD 4TH FLOOR BEREA OH 44017 340720558 501(C)(3) 10000 0 COMMUNITY SUPPORT OLD BROOKLYN COMMUNITY DEVELOPMENT CORPORATION 4274 PEARL ROAD CLEVELAND OH 44109 341177633 501(C)(3) 6500 0 COMMUNITY SUPPORT OUTRUN OVARIAN CANCER PO BOX 40332 BAY VILLAGE OH 44140 800093560 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION 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179505 0 COMMUNITY SUPPORT SAY YES CLEVELAND SCHOLARSHIP INC 1422 EUCLID AVE STE 1300 CLEVELAND OH 44115 833463932 501(C)(3) 100000 0 COMMUNITY SUPPORT SENIOR COLLABORATIVE OF INDIAN RIVER COUNTY INC 1836 14TH AVENUE STE 204 VERO BEACH FL 32962 831714542 501(C)(3) 5500 0 COMMUNITY SUPPORT SHAPE CLEVELAND 5193 CHELTENHAM BOULEVARD LYNDHURST OH 44124 822181305 501(C)(3) 23358 0 COMMUNITY SUPPORT SISTERS HAVEN 21330 AVALON DRIVE ROCKY RIVER OH 44116 882562122 501(C)(3) 25000 0 COMMUNITY SUPPORT SPECIAL OLYMPICS FLORIDA INC 1915 DON WICKHAM DRIVE CLERMONT FL 34711 237181560 501(C)(3) 10000 0 COMMUNITY SUPPORT ST EDWARD HIGH SCHOOL 13500 DETROIT AVENUE LAKEWOOD OH 44107 340737808 501(C)(3) 11000 0 COMMUNITY SUPPORT ST MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVENUE CLEVELAND OH 44103 522401852 501(C)(3) 108432 0 COMMUNITY SUPPORT THE CENTERS FOR FAMILIES AND CHILDREN 4500 EUCLID AVENUE CLEVELAND OH 44103 237084455 501(C)(3) 10000 0 COMMUNITY SUPPORT THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714553 501(C)(3) 25944669 0 HEALTHCARE RESEARCH & EDUCATION THE HAVEN HOME LLC 6114 FRANCIS AVENUE CLEVELAND OH 44127 822847184 501(C)(3) 20000 0 COMMUNITY SUPPORT THE MALTZ MUSEUM OF JEWISH HERITAGE 2929 RICHMOND ROAD BEACHWOOD OH 44122 043684531 501(C)(3) 15000 0 COMMUNITY SUPPORT THE MARFAN FOUNDATION INC 22 MANHASSET AVENUE PORT WASHINGTON NY 11050 521265361 501(C)(3) 15000 0 HEALTHCARE RESEARCH & EDUCATION THE NORTHEAST OHIO HISPANIC CHAMBER OF COMMERCE 2511 CLARK AVENUE CLEVELAND OH 44109 341555659 501(C)(6) 85000 0 COMMUNITY SUPPORT THE SALVATION ARMY 440 WEST NYACK ROAD WEST NYACK NY 10994 135562351 501(C)(3) 20000 0 COMMUNITY SUPPORT THE WORD CHURCH 18909 S MILES ROAD WARRENSVILLE HEIGHTS OH 44128 030415420 501(C)(3) 15000 0 COMMUNITY SUPPORT TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET STE 305 PHILADELPHIA PA 19104 231352685 501(C)(3) 9188 0 COMMUNITY SUPPORT TYKES & TEENS INC 3577 SW CORPORATE PARKWAY PALM CITY FL 34990 650570899 501(C)(3) 15000 0 COMMUNITY SUPPORT UNITED AGAINST POVERTY INC 1400 27TH STREET VERO BEACH FL 32960 113697936 501(C)(3) 15000 0 COMMUNITY SUPPORT UNITED CEREBRAL PALSY ASSOCIATION OF GREATER CLEVELAND 10011 EUCLID AVENUE CLEVELAND OH 44106 340753561 501(C)(3) 121222 0 COMMUNITY SUPPORT UNITED WAY OF MARTIN COUNTY INC PO BOX 362 STUART FL 34995 237273540 501(C)(3) 16000 0 COMMUNITY SUPPORT UNITED WAY OF SUMMIT AND MEDINA 37 NORTH HIGH STREET STE A AKRON OH 44308 341169257 501(C)(3) 25000 0 COMMUNITY SUPPORT URBAN LEAGUE OF BROWARD COUNTY INC 560 NW 27TH AVENUE FORT LAUDERDALE FL 33311 591564384 501(C)(3) 22500 0 COMMUNITY SUPPORT USA WORLD CONGRESS OF PEDIATRIC CARDIOLOGY AND CARDIAC SURGERY 7301 2ND AVENUE SOUTH ST PETERSBURG FL 33707 821564296 501(C)(3) 10000 0 HEALTHCARE RESEARCH & EDUCATION VILLAGE PROJECT PO BOX 40023 BAY VILLAGE OH 44140 611705980 501(C)(3) 7000 0 COMMUNITY SUPPORT WEST PARK KAMMS NEIGHBORHOOD DEVELOPMENT 17407 LORAIN AVENUE CLEVELAND OH 44111 341254542 501(C)(3) 15000 0 COMMUNITY SUPPORT YOUNG LATINO NETWORK 3167 FULTON ROAD STE 305B CLEVELAND OH 44109 270554602 501(C)(3) 10000 0 COMMUNITY SUPPORT YOUNG MENS CHRISTIAN ASSOCIATION OF CLEVELAND 1301 EAST 9TH STREET CLEVELAND OH 44114 340714728 501(C)(3) 15000 0 COMMUNITY SUPPORT ZEEBEE'S HEARTSAVERS LLC 2490 LEE BOULEVARD CLEVELAND HEIGHTS OH 44118 883781671 501(C)(3) 15000 0 COMMUNITY SUPPORT ZELIE'S HOME PO BOX 25612 GARFIELD HEIGHTS OH 44125 851358110 501(C)(3) 10000 0 COMMUNITY SUPPORT 100 4 SCHOLARSHIPS 197 9048309 FELLOWSHIPS 1603 88742115 PART I, LINE 2: CCF CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCF MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. SCHEDULE I, PART III THE SCHOLARSHIPS AND FELLOWSHIPS LISTED ARE IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 MIHALJEVIC MD TOMISLAV DIRECTOR, PRESIDENT & CEO 5349125 0 0 0 1617459 0 33000 0 22218 0 7021802 0 0 0 BOLWELL MD BRIAN PHYSICIAN (2023 RETIREE) 1335356 0 0 0 3048802 0 -140451 0 14220 0 4257927 0 0 0 VIDIMOS MD ALLISON PHYSICIAN (2023 RETIREE) 753250 0 0 0 2274486 0 81411 0 1500 0 3110647 0 0 0 FALCONE MD TOMMASO INTERIM CEO CC LONDON (PART YR) 0 580016 0 0 0 1924299 0 33000 0 24102 0 2561417 0 0 ROWAN DAVID SEC, EXEC VP, CHIEF LEGAL OFF 2018906 0 0 0 383979 0 33000 0 18446 0 2454331 0 0 0 SVENSSON MD LARS INSTITUTE CHIEF - HVTI 2097270 0 0 0 187017 0 33000 0 22511 0 2339798 0 0 0 LARAWAY DENNIS EXEC VP, CFO & TREASURER (PART YR) 2242360 0 0 0 42845 0 28435 0 15989 0 2329629 0 0 0 CHANDRA PHD ROHIT CHIEF DIGITAL OFFICER 2043958 0 0 0 126853 0 33000 0 15184 0 2218995 0 0 0 STREIN STEFAN CHIEF INVESTMENT OFFICER 1925842 0 0 0 237634 0 33000 0 20501 0 2216977 0 0 0 PEACOCK WILLIAM EXEC VP, CHIEF OF OPERATIONS 1855324 0 0 0 293367 0 35148 0 17019 0 2200858 0 0 0 DEYLING MD CYNTHIA RETIRED PHYSICIAN 86108 0 0 0 1957790 0 137968 0 0 0 2181866 0 0 0 MALONE JR MD DONALD EXEC VP, PRES OF NEO MARKET 1285018 0 0 0 166166 0 655521 0 17325 0 2124030 0 0 0 HANCOCK DNP RN NE-BC KELLY EXEC VP, CHIEF CAREGIVER OFFICER 1649814 0 0 0 277979 0 44568 0 18654 0 1991015 0 0 0 ERZURUM MD SERPIL EXEC VP, CHIEF RESEARCH & ACADEMIC 1238000 0 0 0 258956 0 357341 0 1500 0 1855797 0 0 0 RIDGEWAY MD BERI DIR, EXEC VP, CHIEF OF STAFF 1400510 0 0 0 311673 0 33000 0 19833 0 1765016 0 0 0 DELANEY MD PHD CONOR EXEC VP, PRESIDENT OF FLA MKT 0 1483711 0 0 0 231000 0 33000 0 14750 0 1762461 0 0 GUZMAN MD JORGE CEO CCAD; EXEC VP, PRES NEO MKT 1018850 0 0 0 639495 0 33000 0 18452 0 1709797 0 0 0 LORENZ MD ROBERT PRES, CC LONDON (PART YR) 0 596791 0 0 0 986998 0 33000 0 20730 0 1637519 0 0 DONLEY MD BRIAN FORMER OFFICER 0 0 0 0 0 1406418 0 0 0 0 0 1406418 0 0 MERLINO MD JAMES CHIEF CLINICAL TRANSFORMATION OFFICE 1099554 0 0 0 249451 0 33000 0 875 0 1382880 0 0 0 DAVIS MARLEINA T ASST. SECRETARY 751620 0 0 0 36261 0 39865 0 17154 0 844900 0 0 0 LONGVILLE TIMOTHY VP CHIEF ACCOUNTING OFFICER 542583 0 0 0 55795 0 55119 0 18856 0 672353 0 0 0 HELTON ANTHONY INTERIM CFO (PART YR) 471163 0 0 0 63006 0 35936 0 5019 0 575124 0 0 0 SURI MD RAKESH FORMER KEY EMPLOYEE (RETIRED) 0 0 0 0 562170 0 0 0 7025 0 569195 0 564754 0 MEEHAN ESQ MICHAEL J RECORDING SECRETARY 450485 0 0 0 40171 0 31183 0 6676 0 528515 0 0 0 OBLANDER JASON ASST. SECRETARY 260647 0 0 0 2750 0 8719 0 18771 0 290887 0 0 0 WIEDEMANN MD HERBERT FORMER OFFICER (RETIRED) 210113 0 0 0 0 0 -12930 0 0 0 197183 0 210113 0 GLASS STEVEN C FORMER OFFICER 0 0 0 0 135862 0 6514 0 0 0 142376 0 0 0 PART I, LINE 1A LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A, SEVERANCE PAYMENTS: RAKESH SURI, M.D. - $564,754 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BRIAN BOLWELL, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $2,931,218 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. CYNTHIA DEYLING, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,957,790 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. ALLISON VIDIMOS, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $2,199,177 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: BRIAN BOLWELL, M.D. - $22,641 CYNTHIA DEYLING, M.D. - $86,108 HERBERT WIEDEMANN, M.D. - $210,113 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND/OR 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: BRIAN BOLWELL, M.D., $173,451 DECREASE, MARLEINA DAVIS - $6,865 INCREASE, CYNTHIA DEYLING, M.D., $137,968 INCREASE, SERPIL ERZURUM, M.D. - $325,758 INCREASE, STEVEN C. GLASS - $6,514 INCREASE, KELLY HANCOCK, DNP, R.N., NE-BC - $11,568 INCREASE, ANTHONY HELTON - $2,936 INCREASE, TIMOTHY LONGVILLE - $22,119 INCREASE, DONALD MALONE, M.D. - $622,521 INCREASE, JASON OBLANDER - $692 INCREASE, WILLIAM PEACOCK $2,148 INCREASE, ALLISON VIDIMOS, M.D. - $48,411 INCREASE, AND HERBERT WIEDEMANN, M.D. - $12,930 DECREASE. FORM 990, PART VII, SECTION A AND SCHEDULE J THE COMPENSATION OF DR. BRIAN DONLEY, DR. TOMMASO FALCONE, DR. JORGE GUZMAN AND DR. ROBERT LORENZ AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES REGULAR WAGES AND TAXABLE EXPATRIATE BENEFITS. 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 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2011-11-02 41120000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756DAY2 2013-05-29 309434915 BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2017-12-21 9305000 BOND 2017C: REFUND SERIES 2002 0 0 0 A 342425000 670000000 1200000 324315217 372706929 2008 1 0 1 1 B 22930000 41120000 2302465 735249 38082286 2011 1 0 1 1 C 72325902 309434915 2129301 20001498 287304115 2013 1 0 1 1 D 2645000 9305000 9305000 2017 0 1 1 1 A 0 1 1 1 1 1 0.00450 0.00010 0.00460 0 0 1 B 0 1 1 1 1 1 0 0 1 C 0 1 1 1 1 1 0.00120 0.00120 0 0 1 D 0 1 1 1 1 1 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 1 1 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2023 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2023 SCHEDULE K, PART I THE TOTAL BOND PROCEEDS OF BOND SERIES 2021A DOES NOT MATCH THE BOND ISSUANCE AMOUNT REPORTED IN PART I. THIS IS DUE TO INVESTMENT EARNINGS. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KS0 2017-08-29 939576748 BOND 2017A: REFUND 2008A, 2008B, 2009A, 2009B, 2012A 0 0 0 B MARTIN COUNTY HEALTH FACILITIES AUTHORITY 596000743 573903FZ9 2019-05-09 259345371 BOND 2019AREFINANCE 2012, 2012B & 2015 MHS BONDS & ACQUIRE MEMBERSHIP IN MHS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CDN5 2019-05-09 351450108 BOND 2019BC: FUND CAPITAL PROJECTS 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KZ4 2019-05-09 380150000 BOND 2019DEF: FUND CAPITAL PROJECTS 0 0 0 A 127172288 939576748 939576748 2017 0 1 1 1 B 2152565 259345371 822172 257297825 1225374 2019 0 0 1 1 C 2122769 351450108 1125388 348905103 1419617 2019 0 0 1 1 D 380150000 1262472 378404897 482631 2019 0 0 1 1 A 0 1 1 1 1 1 0.01630 0.00010 0.01640 0 0 1 B 0 1 1 1 1 1 0 0 1 C 0 1 1 1 1 1 0.01370 0.00010 0.01380 0 0 1 D 0 1 1 1 1 1 0.01480 0.00010 0.01490 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561LP5 2021-07-28 82791709 BOND 2021A: ACQUIRE MEMBERSHIP IN MERCY HOSPITAL 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561MG4 2021-10-05 249692662 BOND 2021B: REFUND SERIES 2011A 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561MH2 2023-09-26 300000000 BOND 2023: FUND VARIOUS CAPITAL PROJECTS OF THE SYSTEM 0 0 0 A 928533 83810000 82791709 2021 0 0 1 1 B 15801000 249692662 2103785 247588877 2021 1 0 1 1 C 300000000 300000000 2023 0 0 1 1 A 0 1 1 1 1 1 0.02250 0.02250 0 0 1 B 0 1 1 1 1 1 0.00060 0.00060 0.00120 0 0 1 C 0 1 1 1 1 1 0.00470 0.00030 0.00500 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 ADRIENNE JAROCKI FAMILY MEMBER OF CONOR DELANEY, M.D., PH.D., CCF OFFICER 62186 EMPLOYMENT AGREEMENT WITH CCF 0 AMANDA HANCOCK FAMILY MEMBER OF K. KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER 69097 EMPLOYMENT AGREEMENT WITH CCF 0 AMY MERLINO FAMILY MEMBER OF JAMES MERLINO, M.D., CCF OFFICER 628750 EMPLOYMENT AGREEMENT WITH CCF 0 GRANT DILLON FAMILY MEMBER OF WILLIAM M. PEACOCK, III, CCF OFFICER 19550 EMPLOYMENT AGREEMENT WITH CCF 0 JIM HALLORAN FAMILY MEMBER OF KELLY HANCOCK, CCF OFFICER 51493 EMPLOYMENT AGREEMENT WITH CCF 0 JOANNE MCDONALD KILBANE FAMILY MEMBER OF CATHERINE KILBANE, ESQ.,CCF DIRECTOR 92411 EMPLOYMENT AGREEMENT WITH CCF 0 LAURA SWEENEY FAMILY MEMBER OF TIMOTHY L. LONGVILLE, CCF OFFICER 95985 EMPLOYMENT AGREEMENT WITH CCF 0 ROBERT SYTO FAMILY MEMBER OF BERI RIDGEWAY, M.D., CCF OFFICER & DIRECTOR 61659 EMPLOYMENT AGREEMENT WITH CCF 0 RYAN OAKLEY FAMILY MEMBER OF WILLIAM M. PEACOCK, III, CCF OFFICER 82872 EMPLOYMENT AGREEMENT WITH CCF 0 VICTORIA JAVOR FAMILY MEMBER OF K. KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER 103365 EMPLOYMENT AGREEMENT WITH CCF 0 AYLIN OZDEMIR-LORENZ FAMILY MEMBER OF ROBERT LORENZ, M.D., CCF OFFICER 55135 EMPLOYMENT AGREEMENT WITH CCF 0 MICHELLE MILLER FAMILY MEMBER OF MARK ROSS, CCF DIRECTOR 27236 EMPLOYMENT AGREEMENT WITH CCF 0 PETER DELANEY FAMILY MEMBER OF CONOR DELANEY, M.D., PH.D., CCF OFFICER 33633 EMPLOYMENT AGREEMENT WITH CCF 0 X 2 32725 APPRAISAL X 152789 SALE COMPARABLE GOODS X 98 8487539 AVERAGE HIGH/LOW X 2 1601100 APPRAISAL X 1 2609 COST X 2 179722 COST X EVENT TICKETS 1 12750 COST 6 0 1 1 PART I, LINE 32B: THE CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. FORM 990, PART III, PROGRAM SERVICE STATEMENT CLEVELAND CLINIC, HEADQUARTERED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC FOUNDATION IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM (SYSTEM). CLEVELAND CLINIC WAS ESTABLISHED IN 1921. THE SYSTEM'S MISSION STATEMENT, UPDATED IN 2021 AS THE CLINIC CELEBRATED ITS CENTENNIAL YEAR, IS AS FOLLOWS: CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. THE MISSION STATEMENT STAYS TRUE TO THE PAST, ENCOMPASSES THE PRESENT, AND OUTLINES THE FUTURE OF THE ORGANIZATION. 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 THE SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING COMMUNITY BENEFIT ON A COST BASIS. USING THIS MODEL, IN 2023 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $1.48 BILLION IN BENEFITS TO THE COMMUNITIES SERVED. THE COMMUNITY BENEFIT THAT THE SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY OUTREACH PROGRAMS. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE AT WWW.CLEVELANDCLINIC.ORG. I. PATIENT CARE THE SYSTEM IS A WORLD-RENOWNED PROVIDER OF HEALTHCARE SERVICES THAT ATTRACTED PATIENTS FROM ACROSS THE UNITED STATES AND FROM 131 OTHER COUNTRIES IN 2023. AS OF DECEMBER 31, 2023, THE SYSTEM OPERATES 21 HOSPITALS AND IS THE LEADING PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST OHIO. FIFTEEN OF THE HOSPITALS ARE OPERATED IN THE NORTHEAST OHIO AREA, ANCHORED BY THE CLEVELAND CLINIC FOUNDATION. THE SYSTEM OPERATES 22 OUTPATIENT FAMILY HEALTH CENTERS, 9 AMBULATORY SURGERY CENTERS, AS WELL AS NUMEROUS PHYSICIAN OFFICES, WHICH ARE LOCATED THROUGHOUT NORTHEAST OHIO, AND SPECIALIZED CANCER CENTERS IN SANDUSKY AND MANSFIELD, OHIO. IN FLORIDA, THE SYSTEM OPERATES FIVE HOSPITALS AND A CLINIC LOCATED THROUGHOUT SOUTHEAST FLORIDA, OUTPATIENT FAMILY HEALTH CENTERS IN PORT ST. LUCIE, STUART AND WEST PALM BEACH, AN OUTPATIENT FAMILY HEALTH AND AMBULATORY SURGERY CENTER IN CORAL SPRINGS AND NUMEROUS PHYSICIAN OFFICES LOCATED THROUGHOUT SOUTHEAST FLORIDA. IN ADDITION, THE SYSTEM OPERATES A HEALTH AND WELLNESS CENTER AND A SPORTS MEDICINE CLINIC IN TORONTO, CANADA AND A SPECIALIZED NEUROLOGICAL CLINICAL CENTER IN LAS VEGAS, NEVADA. PURSUANT TO AGREEMENTS, THE SYSTEM ALSO PROVIDES MANAGEMENT SERVICES FOR ASHTABULA COUNTY MEDICAL CENTER, LOCATED IN ASHTABULA, OHIO, AND CLEVELAND CLINIC ABU DHABI, A MULTISPECIALTY HOSPITAL OFFERING CRITICAL AND ACUTE CARE SERVICES THAT IS PART OF MUBADALA DEVELOPMENT COMPANY'S NETWORK OF HEALTHCARE FACILITIES LOCATED IN ABU DHABI, UNITED ARAB EMIRATES. THE SYSTEM IS DEDICATED TO THE COMMUNITIES IT SERVES STRIVING TO PROVIDE COMPASSIONATE, HIGH-QUALITY HEALTHCARE TO ALL WHO NEED IT; AND SUPPORTING PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. THROUGH ITS FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, CLEVELAND CLINIC PROVIDES HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. IN 2023, CLEVELAND CLINIC RECORDED 1,273 TOTAL STAFFED BEDS, 124,200 EMERGENCY VISITS, 86,488 SURGICAL CASES, 53,933 ADMISSIONS, AND MORE THAN 13.6 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF THE SYSTEM TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR RACE, CREED, OR ABILITY TO PAY. AFTER YEARS OF PLANNING, IN 2023 THE SYSTEM IMPLEMENTED A NEW OPERATING MODEL THAT REDEFINES HOW CLEVELAND CLINIC ORGANIZES AND ADMINISTERS ITS CLINICAL SERVICES. THE SYSTEM IS A COMPLEX GLOBAL ORGANIZATION. THIS NEW FRAMEWORK PREPARES CLEVELAND CLINIC FOR FUTURE GROWTH BY SIMPLIFYING ITS STRUCTURE, MAKING IT REPRODUCIBLE AND ENSURING THAT CLEVELAND CLINIC OPERATES OPTIMALLY, EFFICIENTLY AND UNIFORMLY EVERYWHERE IT SERVES PATIENTS. THAT CREATES THE BEST ENVIRONMENT FOR ITS CAREGIVERS TO PROVIDE CARE. A KEY FEATURE OF THE OPERATING MODEL INCLUDES 11 CLINICAL INSTITUTES, WHICH OVERSEE SPECIFIC TYPES OF SPECIALIZED CARE. EACH INSTITUTE'S LEADERSHIP DIRECTS A GLOBAL COMMUNITY OF CAREGIVERS, ENSURING COLLABORATION, EXCELLENCE AND CONSISTENCY OF CARE ACROSS ALL LOCATIONS. 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 INSTITUTES ARE CANCER; HEART, VASCULAR AND THORACIC; MEDICAL SPECIALTY; DIGESTIVE DISEASE; PRIMARY CARE; INTEGRATED SURGICAL; INTEGRATED HOSPITAL BASED CARE; NEUROLOGICAL; DIAGNOSTICS; OBSTETRICS & GYNECOLOGY AND CHILDREN'S. 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 2023. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS. FOR THE 29TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. SEVEN CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. OF THESE, THREE PLACED IN THE TOP 5 INCLUDING: CARDIOLOGY & HEART SURGERY; UROLOGY; RHEUMATOLOGY. CLEVELAND CLINIC WAS NATIONALLY RANKED IN 12 ADULT SPECIALTIES AND 9 CHILDREN'S SPECIALTIES. CLEVELAND CLINIC WAS ALSO RATED HIGH PERFORMING IN TWENTY PROCEDURES AND CONDITIONS. CLEVELAND CLINIC HAS ACHIEVED THE DISTINGUISHED MAGNET RECOGNITION. MAGNET STATUS IS THE HIGHEST NATIONAL RECOGNITION AWARDED TO A HOSPITAL OR MEDICAL CENTER FOR EXCELLENCE IN NURSING. AMERICAN NURSES CREDENTIALING CENTER, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. FOR THE THIRTEENTH TIME IN FIFTEEN YEARS, CLEVELAND CLINIC HAS BEEN RECOGNIZED AS ONE OF THE WORLD'S MOST ETHICAL COMPANIES. CLEVELAND CLINIC IS ONE OF JUST FIVE HEALTHCARE PROVIDERS WORLDWIDE ON THE 2023 LIST BY THE ETHISPHERE INSTITUTE, WHICH DESCRIBES ITSELF AS "ADVANCING THE STANDARDS OF ETHICAL BUSINESS PRACTICES THAT FUEL CORPORATE CHARACTER, MARKETPLACE TRUST AND BUSINESS SUCCESS". CLEVELAND CLINIC RECEIVED THE ENVIRONMENTAL EXCELLENCE AWARD FROM PRACTICE GREENHEALTH. PRACTICE GREENHEALTH RECOGNIZES ORGANIZATIONS WITHIN THE HEALTHCARE SECTOR THAT SUPPORT AND CREATE BETTER, SAFER, AND GREENER WORKPLACES AND COMMUNITIES. IN 2023, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE TOP 25 ENVIRONMENTAL EXCELLENCE AWARD, THE CIRCLE OF EXCELLENCE AWARD AND THE GREENING THE OR RECOGNITION AWARD. THESE AWARDS RECOGNIZE SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY, COVERING A RANGE OF DIFFERENT SUSTAINABILITY PROGRAMS AND ACTIVITIES. WINNERS HAVE ALSO MADE SUBSTANTIVE PROGRESS ON MERCURY ELIMINATION. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE PROGRAM REPRESENTS THE COST OF PROVIDING FREE OR DISCOUNTED MEDICALLY NECESSARY OR EMERGENCY CARE TO PATIENTS UNABLE TO PAY SOME OR ALL THEIR MEDICAL BILLS. THE SYSTEM'S FINANCIAL ASSISTANCE POLICY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED PATIENTS WITH INCOMES UP TO 400 PERCENT OF THE FEDERAL POVERTY LEVEL AND WHO MEET CERTAIN OTHER ELIGIBILITY CRITERIA BY STATE. THIS POLICY COVERS BOTH HOSPITAL CARE AND SERVICES PROVIDED BY THE SYSTEM'S EMPLOYED PHYSICIANS. PATIENTS WITH SPECIAL MEDICAL OR EXCEPTIONAL CIRCUMSTANCES MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY IS DESIGNED TO PREVENT MEDICAL BILLS FROM CAUSING A PATIENT OR FAMILY UNDUE FINANCIAL HARDSHIP. THE SYSTEM PROVIDED FINANCIAL ASSISTANCE AT A COST OF $261.3 MILLION IN 2023. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) 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. THE 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. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE ("LRI") IS ITS RESEARCH INSTITUTE LOCATED ON THE MAIN CAMPUS AND HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. LRI HAS APPROXIMATELY 241 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CARDIOVASCULAR AND METABOLIC SCIENCES, COMPUTATIONAL LIFE SCIENCES, GENOMIC MEDICINE, IMMUNOTHERAPY & PRECISION IMMUNO-ONCOLOGY, INFECTION BIOLOGY, INFLAMMATION AND IMMUNITY, NEUROSCIENCES, OPHTHALMIC RESEARCH, QUANTITATIVE HEALTH SCIENCES, 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, 1,832 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 268 RESEARCH FELLOWS, 162 GRADUATE STUDENTS AND 146 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 2023, CLEVELAND CLINIC WAS INVOLVED IN 3,719 ACTIVE INSTITUTIONAL REVIEW BOARD APPROVED HUMAN SUBJECTS' RESEARCH STUDIES. THE ONGOING COLLABORATION BETWEEN PHYSICIAN INVESTIGATORS AND STUDY VOLUNTEERS IS CENTRAL TO TESTING THE SAFETY AND EFFECTIVENESS OF DRUGS AND MEDICAL PROCEDURES AND HELPS TO SET THE STANDARDS FOR PATIENT CARE. RESEARCH AT CLEVELAND CLINIC IS FUNDED BY EXTERNAL SOURCES, SUCH AS FEDERAL GRANTS, BUT IS ALSO SUBSTANTIALLY SUPPORTED BY THE CLINIC'S OWN INTERNAL RESOURCES. IN 2023, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $135.0 MILLION, WHICH IS NET OF GRANTS AND OTHER EXTERNAL FUNDING OF $231.7 MILLION. 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 THE 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. THE SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2023, PROVIDED A NET COMMUNITY BENEFIT OF $350.8 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL THE 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 INCLUDE: -GRADUATE MEDICAL EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2023, 1,129 RESIDENTS AND FELLOWS TRAINED IN 87 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 148 ADVANCED FELLOWS IN 109 FELLOWSHIP PROGRAMS. -LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE LERNER COLLEGE OF MEDICINE HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE 1,690 APPLICANTS FOR 32 POSITIONS FOR THE 2023-24 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 88 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON THE 2023 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 55 STUDENTS PARTICIPATED IN LOCAL AND NATIONAL MEETINGS WITH PRESENTATIONS AND POSTERS. -VISITING MEDICAL STUDENTS: VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2023, 598 MEDICAL STUDENTS FROM 264 MEDICAL SCHOOLS AROUND THE WORLD ROTATED THROUGH CLEVELAND CLINIC. -CENTER FOR CONTINUING EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST CONTINUING MEDICAL EDUCATIONS (CME) PROGRAMS IN THE COUNTRY AND ENJOYS THE HIGHEST ACCME RANKING: ACCREDITATION WITH COMMENDATION. IN 2023, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 2,589 CME ACTIVITIES THAT OFFERED OVER 13,082 CME CREDITS TO 517,408 PARTICIPANTS. OF THAT NUMBER, 1,791 WERE LIVE COURSES THAT ATTRACTED 121,570 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 751 ACTIVITIES THAT ATTRACTED 2,374,097 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 27,149 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2023, THE CENTER ISSUED 517,408 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 129,647 COPIES AND RANKED NO. 3 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 3.7 MILLION PEOPLE AROUND THE WORLD. IN 2023, THE CCJM WEBSITE RECORDED 4,369,060 PAGE VIEWS AND 4,593,414 UNIQUE VISITORS TO ONLINE JOURNALS. -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 SYSTEM CURRENTLY OFFERS 15 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 42 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2023, SYSTEM HOSTED MORE THAN 374,481 CLINICAL ROTATION HOURS FOR OVER 997 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION 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. IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE SYSTEM ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF THE CLEVELAND CLINIC'S COMMUNITY BENEFIT ARE: MEDICAID SHORTFALL THE 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 2023, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $640.9 MILLION (THIS FIGURE INCLUDES AN HCAP ASSESSMENT OF $7.1 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 2023 AT A COST OF $21.5 MILLION. COMMUNITY OUTREACH PROGRAMS THE SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING OR CONTRIBUTING TO OUTREACH ACTIVITIES FOR A TOTAL NET COMMUNITY BENEFIT OF $43.4 MILLION, PARTIALLY OFFSET BY EXTERNAL FUNDING. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS, AS WELL AS THE BROADER POPULATION IN OUR COMMUNITIES. OUR RESPONSIVE OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES, EDUCATION, AND YOUTH WORKFORCE DEVELOPMENT TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED) OUTREACH PROGRAMS ADDRESS DOCUMENTED HEALTH NEEDS OF OUR COMMUNITIES, ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2023, SOME HIGHLIGHTS INCLUDED: -WELLNESS INITIATIVES TO RESIDENTS, SCHOOLS AND COMMUNITY-BASED ORGANIZATIONS IN THE AREAS OF DISEASE PREVENTION, PERSONAL SAFETY, BEHAVIORAL HEALTH, STRESS MANAGEMENT, NUTRITION IMPROVEMENT AND EXERCISE. -COMMUNITY FARMERS MARKETS, URBAN GARDENS AND A MOBILE FOOD PANTRY PROVIDED ACCESS TO FRESH LOCAL PRODUCTS AND SUPPLEMENTAL FOOD PROGRAMS TO ADDRESS FOOD INSECURITY ISSUES. -NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER IN THE FAIRFAX NEIGHBORHOOD. CARE INCLUDES MULTIGENERATIONAL WELLNESS CLASSES, CANCER SCREENING AND CHRONIC DISEASE MANAGEMENT SERVICES. -COLLABORATIVE INITIATIVES WITH COMMUNITY NONPROFIT ORGANIZATIONS AND LOCAL GOVERNMENTS ADDRESSED CRITICAL POPULATION ISSUES. TASKFORCE STRATEGIES FOCUSED ON DECREASING OPIOID PRESCRIPTIONS USE AND OVERDOSE DEATHS AND PROVIDED METHODS TO DECREASE INFANT MORTALITY INCLUDING PROACTIVE CENTERING PROGRAMS. -WORKFORCE DEVELOPMENT PROGRAMS CONDUCTED FOR MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS TO ENHANCE GRADUATION RATES, PURSUE SECONDARY EDUCATION AND OBTAIN EMPLOYMENT. -PARTNERSHIP WITH CITY OF CLEVELAND, MEIJER, FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION AND FAIRMOUNT PROPERTIES ON A $52.8 MILLION DEVELOPMENT THAT INCLUDE A NEW 40,000-SQUARE-FOOT GROCERY MARKET IN THE FAIRFAX NEIGHBORHOOD OF CLEVELAND. -AMONG 12 U.S. HEALTH SYSTEMS TO SIGN THE "IMPACT PURCHASING COMMITMENT," DESIGNED BY THE HEALTHCARE ANCHOR NETWORK. CLEVELAND CLINIC IDENTIFIES QUALIFIED DIVERSE SUPPLIERS, INCLUDING MINORITY- AND WOMEN-OWNED BUSINESSES, AS WELL AS LOCALLY OWNED, EMPLOYEE-OWNED, COOPERATIVELY OWNED OR NONPROFIT-OWNED ENTERPRISES. -CONNECTING PATIENTS WITH HEALTH AND SOCIAL ORGANIZATIONS TO REDUCE BARRIERS TO CARE THROUGH THE UNITE US PROGRAM. -EXPANDING ACCESS TO MENTAL HEALTH, VISION AND PRIMARY CARE SERVICES TO LOCAL YOUTH THROUGH SCHOOL-BASED PROGRAMS. V. CONCLUSION THE PURPOSE OF THE 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 M. PEACOCK III, CCF OFFICER & TIMOTHY L. LONGVILLE, CCF OFFICER - BUSINESS DEBORAH CRAWFORD, CCF OFFICER & PATRICK V. AULETTA, CCF DIRECTOR - BUSINESS WILLIAM M. PEACOCK III, CCF OFFICER & K. KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER - BUSINESS FORM 990, PART VI, SECTION A, LINE 3 CCF HOTEL SERVICES, LLC, A SINGLE MEMBER DISREGARDED ENTITY OF CCF HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE TWO HOTELS OWNED BY CCF HOTEL SERVICES, LLC. THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT WITH KESSLER REHABILITATION SERVICES, INC. AS PART OF A JOINT VENTURE WITH HOSPITAL HOLDINGS CORPORATION (SELECT MEDICAL") TO MANAGE AND OPERATE THREE INPATIENT REHABILITATION HOSPITAL FACILITIES. THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT WITH REGENCY HOSPITALS, LLC AS PART OF A JOINT VENTURE WITH SELECT UNIT MANAGEMENT, INC. (SELECT MEDICAL") TO MANAGE AND OPERATE FOUR LONG TERM ACUTE CARE FACILITIES. FORM 990, PART VI, SECTION A, LINE 4 CCF ADOPTED A NEW CODE OF REGULATIONS. SIGNIFICANT CHANGES INCLUDED: SPLIT OF BOARD OF GOVERNORS AND MEDICAL EXECUTIVE COMMITTEE; REMOVAL OF REPRESENTATIVES FROM BOARD OF GOVERNORS TO BOARD OF DIRECTORS OR BOARD OF TRUSTEES; COMPOSITION OF BOARD OF GOVERNORS; REMOVAL OF BOARD OF GOVERNORS RESPONSIBILITY TO BE INVOLVED IN SELECTION PROCESS FOR CEO OR CHIEF OF STAFF. 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 DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS OR BOARD OF TRUSTEES, AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B 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 MEMBERS OF THE AUDIT COMMITTEE. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS 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. 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 BOARD MEMBERS AND OFFICERS OF CCF AND ITS SUBSIDIARIES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE DISCLOSURES ARE REVIEWED BY STAFF REPORTING TO THE CHIEF GOVERNANCE OFFICER AND ANY ITEMS THAT MAY CREATE A CONFLICT ARE BROUGHT TO HIS ATTENTION. IF THERE ANY DISCLOSURE CHANGES DURING THE YEAR OR A NEW DISCLOSURE, THE POLICY REQUIRES THAT THOSE INDIVIDUALS INFORM THE CHIEF GOVERNANCE OFFICER. THE BOARD OF DIRECTORS CONFLICT OF INTEREST AND MANAGING INNOVATIONS COMMITTEE MEETS FOUR TIMES PER YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS ITS CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSON 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 THE FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15 ALL CCF OFFICERS AND SIGNIFICANT MANAGEMENT EXECUTIVE 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, THE COMMITTEE USES A PROCESS THAT 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 534958-9(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO EACH YEAR PROVIDES CCF WITH A CUSTOMIZED COMPENSATION REPORT REGARDING PHYSICIAN COMPENSATION. BY USING THIS DATA, CCF HAS BEEN ABLE TO DEVELOP MARKET-BASED COMPENSATION FOR PHYSICIAN SERVICES. IN ESTABLISHING COMPENSATION FOR OFFICERS AND SIGNIFICANT MANAGEMENT EXECUTIVE 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 MARKED-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 18 THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CCF MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE. FORM 990, PART XI, LINE 9: DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 1,218,394. GIFTS AND BEQUESTS 123,280,081. TRANSFERS OF NET ASSETS -643,112,543. NET INVESTMENT INCOME 80,081,781. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -105,576,001. RETIREMENT BENEFITS ADJUSTMENT 2,351,686. EQUITY TRANSFERS & OTHER TRANSFERS 225,717. FORM 990, PART XI, LINE 8 THE PRIOR PERIOD ADJUSTMENT IN THE AMOUNT OF $466,986,350 IS DUE TO VARIOUS ENTITIES THAT CONVERTED AND ARE NOW INCLUDED INTO THE CLEVELAND CLINIC FOUNDATION. 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