THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-13
IRS object ID: 202343179349306024
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-13T12:29:22-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2005 MARKET ST STE 700	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714585	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE CLEVELAND CLINIC FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CLEV	BusinessNameControlTxt
Phone	2164442200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 BRECKSVILLE RD RK1-85	AddressLine1Txt
City	INDEPENDENCE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44131	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DENNIS L LARAWAY	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2164442200	PhoneNum
Signature	2023-11-13	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DENNIS	PersonFirstNm
Person Last	LARAWAY	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAUREN E BENNETT	PreparerPersonNm
PTIN	P01787029	PTIN
Phone	2154485000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TOMISLAV MIHALJEVIC MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9500 EUCLID AVE	AddressLine1Txt
City	CLEVELAND	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44195	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$8,847,577,085	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLEVELANDCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	30	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	47067	TotalEmployeeCnt
Total Volunteers	391	TotalVolunteersCnt
Total Gross UBI	$49,936,678	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$444,448,837	PYContributionsGrantsAmt
CY Contributions Grants	$325,429,961	CYContributionsGrantsAmt
PY Program Service Revenue	$6,845,081,523	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,330,742,260	CYProgramServiceRevenueAmt
PY Investment Income	$210,613,557	PYInvestmentIncomeAmt
CY Investment Income	$29,380,610	CYInvestmentIncomeAmt
PY Other Revenue	$555,905,882	PYOtherRevenueAmt
CY Other Revenue	-$101,945,782	CYOtherRevenueAmt
PY Total Revenue	$8,056,049,799	PYTotalRevenueAmt
CY Total Revenue	$7,583,607,049	CYTotalRevenueAmt
PY Grants And Similar Paid	$123,691,865	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$138,878,583	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,888,815,052	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,338,264,562	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$2,301,099	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,936,471	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$22,898,444	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,838,188,433	PYOtherExpensesAmt
CY Other Expenses	$3,192,549,659	CYOtherExpensesAmt
PY Total Expenses	$6,852,996,449	PYTotalExpensesAmt
CY Total Expenses	$7,671,629,275	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,203,053,350	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$88,022,226	CYRevenuesLessExpensesAmt
Total Assets BOY	$15,457,099,264	TotalAssetsBOYAmt
Total Assets EOY	$15,354,669,845	TotalAssetsEOYAmt
Total Liabilities BOY	$6,934,332,854	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$7,217,745,829	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$8,522,766,410	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$8,136,924,016	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$6,856,784,552	ExpenseAmt
Grant	$138,878,583	GrantAmt
Revenue	$7,330,742,260	RevenueAmt
Desc	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Desc
Total Program Service Expenses	$6,856,784,552	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	Yes (1)	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (1)	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	4980	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	47067	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CA	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	CH	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	JA	ForeignCountryCd
Foreign Country	LU	ForeignCountryCd
Foreign Country	NO	ForeignCountryCd
Foreign Country	PO	ForeignCountryCd
Foreign Country	SA	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	UK	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (1)	Form8282PropertyDisposedOfInd
Form8282 Filed	1	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	30	GoverningBodyVotingMembersCnt
Independent Voting Member	23	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	LA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TIMOTHY LONGVILLE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2163125625	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 BRECKSVILLE ROAD RK1-45	AddressLine1Txt
City	INDEPENDENCE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44131	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (58 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRESIDENT & CEO	50.00	0.00	Yes (X)	Yes (X)	$6,205,435	$0	$51,315
BROOKS MD PETER
PHYSICIAN (2022 RETIREE)	0.00	0.00			$7,464,421	$0	-$1,632,555	Yes (X)
DONLEY MD BRIAN
CEO, CC LONDON (PART YR)	0.00	50.00		Yes (X)	$0	$4,424,918	$54,256
ROWAN DAVID
SECRETARY, CHIEF GOV OFF & CLO	50.00	0.00		Yes (X)	$2,288,096	$0	$47,905
FALCONE MD TOMMASO
INTERIM CEO, CCL (PART YR)	0.00	50.00		Yes (X)	$0	$2,213,927	$54,256
KOTTKE-MARCHANT MD KANDICE
PHYSICIAN (2022 RETIREE)	0.00	0.00			$2,926,750	$0	-$682,117	Yes (X)
STREIN STEFAN
CHIEF INVESTMENT OFFICER	50.00	0.00			$2,010,744	$0	$49,264	Yes (X)
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00	0.00		Yes (X)	$1,945,605	$0	$45,694
SVENSSON MD LARS
CHAIR OF HVTI	50.00	0.00			$1,840,715	$0	$51,696	Yes (X)
CHANDRA PHD ROHIT
CHIEF DIGITAL OFFICER	50.00	0.00		Yes (X)	$1,828,036	$0	$51,118
RUGGIERI MD PAUL
PHYSICIAN (2022 RETIREE)	0.00	0.00			$2,444,796	$0	-$667,687	Yes (X)
DELANEY MD PHD CONOR
CEO AND PRESIDENT, CC FLORIDA	0.00	50.00		Yes (X)	$0	$1,685,384	$44,753
GLASS STEVEN C
CFO & TREASURER (PART YR)	50.00	0.00		Yes (X)	$1,668,558	$0	$22,859
SURI MD RAKESH
FORMER KEY EMP - CEO CCAD	50.00	0.00			$1,629,406	$0	$45,301		Yes (X)
HANCOCK DNP RN NE-BC KELLY
CHIEF CAREGIVER OFFICER	50.00	0.00		Yes (X)	$1,586,716	$0	$6,058
MERLINO MD JAMES
CHIEF CLINICAL TRANSFORMATION OFF	50.00	0.00		Yes (X)	$1,560,488	$0	$32,000
GUZMAN MD JORGE
CEO CCAD	50.00	0.00		Yes (X)	$1,518,914	$0	$47,714
RIDGEWAY MD BERI
DIRECTOR, CHIEF OF STAFF	50.00	0.00	Yes (X)	Yes (X)	$1,419,527	$0	$50,640
SMEDIRA MD MBA NICHOLAS
DIRECTOR, PHYSICIAN	50.00	0.00	Yes (X)		$1,302,287	$0	$49,271
HELTON ANTHONY
INTERIM CFO	50.00	0.00		Yes (X)	$999,198	$0	$37,617
SINGH MD RISHI
DIRECTOR, PHYSICIAN	50.00	0.00	Yes (X)		$790,189	$0	$45,147
YOUNG MD JAMES P
FORMER OFFICER	50.00	0.00			$724,436	$0	$39,181		Yes (X)
DAVIS MARLEINA
ASST. SECRETARY	50.00	0.00		Yes (X)	$649,318	$0	$11,816
KALAYCIO MD MATT
DIRECTOR, PHYSICIAN	50.00	0.00	Yes (X)		$573,098	$0	$47,233
LONGVILLE TIMOTHY
CAO & CONTROLLER	50.00	0.00		Yes (X)	$597,039	$0	-$87,983
OBLANDER JASON
ASST. SECRETARY	50.00	0.00		Yes (X)	$281,148	$0	$21,729
SABANEGH MD EDMUND
FORMER OFFICER (RETIRED)	0.00	0.00			$162,548	$0	$2,821		Yes (X)
COSGROVE MD DELOS
FORMER OFFICER (RETIRED CEO)	0.00	0.00			$717,864	$0	-$565,228		Yes (X)
MEEHAN MICHAEL J
RECORDING SECRETARY	50.00	0.00		Yes (X)	$365,706	$0	-$244,844
MALONE JR MD DONALD
PRES, OHIO HOSPITALS & FHCS	50.00	0.00		Yes (X)	$1,338,197	$0	-$1,495,693
ERZURUM MD SERPIL
CHIEF RESEARCH AND ACADEMIC OFFICER	50.00	0.00		Yes (X)	$1,349,667	$0	-$1,571,191
WIEDEMANN MD HERBERT
FORMER OFFICER (RETIRED)	0.00	0.00			$210,113	$0	-$796,066		Yes (X)
AULETTA PATRICK V
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
BENZ MICHAEL
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
CRAWFORD DEBORAH
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
FEDELI UMBERTO P
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
HOOVER CAROLE
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
ISHRAK PHD OMAR
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
KEMPER RN BETTY
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
KILBANE CATHERINE
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
KOHL STEWART
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
KRAMER RICHARD
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
MACDONALD WILLIAM III
DIRECTOR (PART YR)	5.00	0.00	Yes (X)		$0	$0	$0
MAROONE MICHAEL
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
MORINO MARIO
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
NANCE FREDERICK
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
RICH MELINDA
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
ROSS MARK
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
SCHULMAN DAN
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
SCOTT HAROLD LEE
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
STEVENS MARK
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
VEGA LORRAINE
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
WALDRON JOHN
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
WEBER ROBERT
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
WEINBERG RONALD
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
MOONEY BETH E
DIRECTOR, BOARD CHAIR	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
PETRAS JR MICHAEL J
DIR, VICE CHAIR, FINANCE & BUS DEV	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
POLLOCK LARRY
DIR, V. CHAIR, PHILANTHRPY & STEWARDSHP	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$48,399,015	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,324,229	TotReportableCompRltdOrgAmt
Total Other Compensation	-$6,833,720	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9008	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUALIVIS LLC
PO BOX 123847	DALLAS	TX	75312	PERSONNEL SERVICES	$55,814,804
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 12102	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SERVICES	$22,551,835
KYNDRYL INC
PO BOX 735919	DALLAS	TX	75373	INFORMATION TECHNOLOGY SERVICES	$22,140,756
ACCENTURE LLP
PO BOX 70629	CHICAGO	IL	60673	MANAGEMENT CONSULTING & PROFESSIONAL SER	$18,458,390
EPIC SYSTEMS CORP
PO BOX 88314	MILWUAKE	WI	53288	HEALTHCARE IT CONSULTING & SOFTWARE SOLU	$15,691,226

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	596	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$5,239,750	FundraisingAmt
Related Organizations	$4,065	RelatedOrganizationsAmt
Government Grants	$178,259,375	GovernmentGrantsAmt
All Other Contributions	$141,926,771	AllOtherContributionsAmt
Noncash Contributions	$15,385,581	NoncashContributionsAmt
Total Contributions	$325,429,961	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	620000	$3,777,270,861	$3,764,896,789	$12,374,072
MEDICARE/MEDICAID PAYM	921990	$2,648,041,943	$2,648,041,943
OTHER PROGRAM SERVICES	900099	$834,801,217	$817,052,669	$17,748,548
PARKING, PHONE & OTHER	720000	$53,919,787		$18,839,525	$35,080,262
MANAGEMENT FEES	561000	$14,476,263	$14,476,263

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,232,189	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,257,656	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$974,533	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,330,742,260	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,054,939	TotalRevenueColumnAmt
Exclusion	$19,054,939	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,731,874	TotalRevenueColumnAmt
Exclusion	$22,731,874	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,750,725	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$7,750,725	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,750,725	TotalRevenueColumnAmt
Exclusion	$7,750,725	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,271,694,581	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,260,588,290	SecuritiesAmt
Other	$780,620	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,106,291	SecuritiesAmt
Other	-$780,620	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,325,671	TotalRevenueColumnAmt
Exclusion	$10,325,671	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$2,311,469	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$5,239,750	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$2,601,126	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$289,657	TotalRevenueColumnAmt
Exclusion	-$289,657	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
DERIVATIVE INCOME	525990	$69,244,484	$69,244,484
INVESTMENT IN AFFILIAT	523000	$7,689,997	$7,689,997
LIFE INSURANCE TRUST	525990	$158,327	$158,327

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$209,231,532	TotalRevenueColumnAmt
Exclusion	-$209,231,532	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$132,138,724	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,583,607,049	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,245,725,320	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$49,936,678	UnrelatedBusinessRevenueAmt
Exclusion	-$37,484,910	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$44,328,668	TotalAmt
Program Services	$44,328,668	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$92,111,065	TotalAmt
Program Services	$92,111,065	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$2,438,850	TotalAmt
Program Services	$2,438,850	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$25,435,624	TotalAmt
Program Services	$4,932,355	ProgramServicesAmt
Management And General	$20,503,269	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,170,376	TotalAmt
Program Services	$1,008,870	ProgramServicesAmt
Management And General	$1,161,506	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,455,202,034	TotalAmt
Program Services	$2,979,039,591	ProgramServicesAmt
Management And General	$463,221,730	ManagementAndGeneralAmt
Fundraising	$12,940,713	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$218,023,345	TotalAmt
Program Services	$187,998,275	ProgramServicesAmt
Management And General	$29,229,304	ManagementAndGeneralAmt
Fundraising	$795,766	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$411,332,356	TotalAmt
Program Services	$354,820,286	ProgramServicesAmt
Management And General	$55,145,280	ManagementAndGeneralAmt
Fundraising	$1,366,790	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$226,100,827	TotalAmt
Program Services	$194,895,181	ProgramServicesAmt
Management And General	$30,312,212	ManagementAndGeneralAmt
Fundraising	$893,434	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,113,453	TotalAmt
Program Services	$3,561,983	ProgramServicesAmt
Management And General	$551,470	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,664,168	TotalAmt
Program Services	$5,770,736	ProgramServicesAmt
Management And General	$893,432	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,929,998	TotalAmt
Management And General	$2,929,998	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,263,236	TotalAmt
Program Services	$1,263,236	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,936,471	TotalAmt
Fundraising	$1,936,471	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$24,019,734	TotalAmt
Management And General	$24,019,734	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$247,018,778	TotalAmt
Program Services	$210,944,176	ProgramServicesAmt
Management And General	$33,116,577	ManagementAndGeneralAmt
Fundraising	$2,958,025	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$31,703,244	TotalAmt
Program Services	$26,851,559	ProgramServicesAmt
Management And General	$4,250,296	ManagementAndGeneralAmt
Fundraising	$601,389	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$81,975,972	TotalAmt
Program Services	$70,325,799	ProgramServicesAmt
Management And General	$10,990,111	ManagementAndGeneralAmt
Fundraising	$660,062	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$177,757,664	TotalAmt
Program Services	$153,916,852	ProgramServicesAmt
Management And General	$23,831,085	ManagementAndGeneralAmt
Fundraising	$9,727	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$3,699,988	TotalAmt
Program Services	$3,203,949	ProgramServicesAmt
Management And General	$496,039	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$113,669,052	TotalAmt
Program Services	$98,430,008	ProgramServicesAmt
Management And General	$15,239,044	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$19,711,698	TotalAmt
Program Services	$16,701,960	ProgramServicesAmt
Management And General	$2,642,649	ManagementAndGeneralAmt
Fundraising	$367,089	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,792,976	TotalAmt
Program Services	$8,272,969	ProgramServicesAmt
Management And General	$1,312,895	ManagementAndGeneralAmt
Fundraising	$207,112	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$92,503,923	TotalAmt
Program Services	$80,102,383	ProgramServicesAmt
Management And General	$12,401,540	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$278,503,935	TotalAmt
Program Services	$241,165,334	ProgramServicesAmt
Management And General	$37,337,636	ManagementAndGeneralAmt
Fundraising	$965	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$55,304,104	TotalAmt
Program Services	$47,889,758	ProgramServicesAmt
Management And General	$7,414,346	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,618,341,064	$1,618,330,673	$10,391
BAD DEBT EXPENSE	$154,656,718	$154,656,718
STATE FRANCHISE FEE	$107,932,926	$107,932,926
EQUIPMENT RENTAL & MAIN	$77,890,986	$67,372,872	$75,657	$10,442,457

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$83,096,042	TotalAmt
Program Services	$78,517,520	ProgramServicesAmt
Management And General	$4,503,669	ManagementAndGeneralAmt
Fundraising	$74,853	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,671,629,275	TotalAmt
Program Services	$6,856,784,552	ProgramServicesAmt
Management And General	$791,946,279	ManagementAndGeneralAmt
Fundraising	$22,898,444	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$498,384,430	BOYAmt
EOY	$273,957,294	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,153,308	BOYAmt
EOY	$554,427,938	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$179,673,788	BOYAmt
EOY	$256,102,721	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$902,116,044	BOYAmt
EOY	$1,052,654,289	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$180,286,471	BOYAmt
EOY	$314,099,563	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$152,339,876	BOYAmt
EOY	$165,271,912	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$83,503,134	BOYAmt
EOY	$112,946,287	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,925,402,221	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,091,120,473	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,736,246,027	BOYAmt
EOY	$2,834,281,748	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,290,508,941	BOYAmt
EOY	$78,386,405	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,598,260,675	BOYAmt
EOY	$6,456,936,880	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$280,879,313	BOYAmt
EOY	$419,977,896	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$138,116,773	BOYAmt
EOY	$148,839,203	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,409,630,484	BOYAmt
EOY	$2,686,787,709	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,457,099,264	BOYAmt
EOY	$15,354,669,845	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$871,240,899	BOYAmt
EOY	$1,057,506,342	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	-$1,014,299	BOYAmt
EOY	$2,419,921	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$58,283,283	BOYAmt
EOY	$66,850,015	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,350,190,802	BOYAmt
EOY	$3,287,410,144	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$326,159,025	BOYAmt
EOY	$344,832,803	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,329,473,144	BOYAmt
EOY	$2,458,726,604	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,934,332,854	BOYAmt
EOY	$7,217,745,829	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,325,709,216	BOYAmt
EOY	$7,280,501,987	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,197,057,194	BOYAmt
EOY	$856,422,029	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,522,766,410	BOYAmt
EOY	$8,136,924,016	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,457,099,264	BOYAmt
EOY	$15,354,669,845	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$88,022,226	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$417,099,784	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$42,923,401	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$162,203,017	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$261,657,223	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$263,593,024	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$529,557,140	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$444,448,837	CurrentTaxYearMinus1YearAmt
Current Tax Year	$325,429,961	CurrentTaxYearAmt
Total	$1,824,686,185	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$261,657,223	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$263,593,024	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$529,557,140	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$444,448,837	CurrentTaxYearMinus1YearAmt
Current Tax Year	$325,429,961	CurrentTaxYearAmt
Total	$1,824,686,185	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$1,824,686,185	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$74,797,729	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$107,975,685	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$104,905,019	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$137,076,437	CurrentTaxYearMinus1YearAmt
Current Tax Year	$49,537,538	CurrentTaxYearAmt
Total	$474,292,408	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$692,814	CurrentTaxYearMinus1YearAmt
Total	$692,814	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$94,283,514	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$166,735,941	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$360,583,149	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$515,964,083	CurrentTaxYearMinus1YearAmt
Current Tax Year	$77,092,808	CurrentTaxYearAmt
Total	$1,214,659,495	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$3,514,330,902	TotalSupportAmt
Gross Receipts Rltd Activities	$31,607,790,388	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.51920	PublicSupportCY170Pct
Public Support PY170	0.49850	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	INCOMELOSS ON INVESTMENTS - 2018 AMOUNT: $ 92,689,670. 2019 AMOUNT: $ 163,697,803. 2020 AMOUNT: $ 351,533,278. 2021 AMOUNT: $ 485,609,324. FOREIGN CURRENCY - 2019 AMOUNT: $ 286,195. 2020 AMOUNT: $ 92,893. 2021 AMOUNT: $ 365,082. DERIVATIVE INCOME - 2018 AMOUNT: $ 1,458,519. 2021 AMOUNT: $ 22,941,199. 2022 AMOUNT: $ 69,244,484. INVESTMENT IN AFFILIATES - 2019 AMOUNT: $ 2,737,082. 2020 AMOUNT: $ 8,956,978. 2021 AMOUNT: $ 6,753,656. 2022 AMOUNT: $ 7,689,997. LIFE INSURANCE TRUST - 2018 AMOUNT: $ 135,325. 2019 AMOUNT: $ 14,861. 2021 AMOUNT: $ 294,822. 2022 AMOUNT: $ 158,327.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$812,720	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$450,516	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$1,263,236	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C	FormAndLineReferenceDesc
Explanation	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 EDUCATON FOR 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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Total Easements	3	TotalEasementsCnt
Total Acreage	54.01	TotalAcreageCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	Yes (1)	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	71.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$2,867	ExpensesIncurredEnforcementAmt

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$549,756,555	BeginningYearBalanceAmt
Contributions	$35,502,175	ContributionsAmt
Investment Earnings Or Losses	$6,879,613	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$36,453,463	GrantsOrScholarshipsAmt
Other Expenditures	$14,018,928	OtherExpendituresAmt
End Year Balance	$541,665,952	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$472,718,962	BeginningYearBalanceAmt
Contributions	$20,423,929	ContributionsAmt
Investment Earnings Or Losses	$64,802,033	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,188,369	OtherExpendituresAmt
End Year Balance	$549,756,555	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$411,313,487	BeginningYearBalanceAmt
Contributions	$22,565,740	ContributionsAmt
Investment Earnings Or Losses	$52,756,607	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,916,872	OtherExpendituresAmt
End Year Balance	$472,718,962	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$354,560,827	BeginningYearBalanceAmt
Contributions	$22,718,792	ContributionsAmt
Investment Earnings Or Losses	$40,731,794	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,697,926	OtherExpendituresAmt
End Year Balance	$411,313,487	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$349,678,997	BeginningYearBalanceAmt
Contributions	$15,111,719	ContributionsAmt
Investment Earnings Or Losses	-$5,038,774	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,191,115	OtherExpendituresAmt
End Year Balance	$354,560,827	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$182,610,983	OtherCostOrOtherBasisAmt
Book Value	$182,610,983	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,064,249,309	OtherCostOrOtherBasisAmt
Depreciation	$2,465,368,481	DepreciationAmt
Book Value	$1,598,880,828	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$110,771,080	OtherCostOrOtherBasisAmt
Depreciation	$86,705,251	DepreciationAmt
Book Value	$24,065,829	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,049,653,622	OtherCostOrOtherBasisAmt
Depreciation	$1,419,039,518	DepreciationAmt
Book Value	$630,614,104	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$518,117,227	OtherCostOrOtherBasisAmt
Depreciation	$120,007,223	DepreciationAmt
Book Value	$398,110,004	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,834,281,748	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
OTHER SECURITIES (HEDGE FUNDS)	$3,469,561,896	C
OTHER SECURITIES (PRIVATE EQUITY)	$2,987,374,984	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$6,456,936,880	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$1,239,176,377
PERPETUAL & BENEFICIAL TRUSTS	$57,765,657
INVESTMENT IN AFFILIATES	$946,399,208
OTHER ASSETS	$109,722,499
DEFFERRED ANNUITIES	$333,723,968

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,686,787,709	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$539,364	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DEFERRED ANNUITY TRUST	$861,143
OTHER LIABILITIES	$34,625,318
FUTURE GIFT ANNUITY PAYMENTS	$9,279,675
INTEREST RATE SWAP	$32,209,835
ACCRUED PENSION	$575,598,345
DUE TO AFFILIATES	$1,592,635,648
ACCRUED BENEFITS	$212,977,276

Field	Value	IRS element (for citing)
Total Liability	$2,458,726,604	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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; AKRON, 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: AT DECEMBER 31, 2022 AND 2021, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $2.4 MILLION AND $2.0 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (22 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA & THE CARIBBEAN	0	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$24,120,000
NORTH AMERICA	2	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$49,235,000
EUROPE	2	33	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$902,205,000
MIDDLE EAST & NORTH AFRICA	2	73	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$5,652,000
EAST ASIA AND THE PACIFIC	1	1	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNNED FOREIGN ENTITY	$25,000
EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	TRAVEL FOR EDUCATION/PATIENT CARE	$46,000
EUROPE	0	0	PROGRAM SERVICES	TRAVEL FOR EDUCATION/PATIENT CARE	$2,052,000
MIDDLE EAST & NORTH AFRICA	0	0	PROGRAM SERVICES	TRAVEL FOR EDUCATION/PATIENT CARE	$6,723,000
NORTH AMERICA	0	0	PROGRAM SERVICES	TRAVEL FOR EDUCATION/PATIENT CARE	$74,000
SOUTH ASIA	0	0	PROGRAM SERVICES	TRAVEL FOR EDUCATION/PATIENT CARE	$3,000
SOUTH AMERICA	0	0	PROGRAM SERVICES	TRAVEL FOR EDUCATION/PATIENT CARE	$18,000
MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING
EAST ASIA AND THE PACIFIC	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		$67,525,000
SUB SAHARAN AFRICA	0	0	INVESTING		$101,886,000
MIDDLE EAST & NORTH AFRICA	0	0	INVESTING		$2,419,000
NORTH AMERICA	0	0	INVESTING		$28,426,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	INVESTING		$3,539,268,000

Field	Value	IRS element (for citing)
Subtotal Offices	7	SubtotalOfficesCnt
Subtotal Employees	107	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	7	TotalOfficeCnt
Total Employee	107	TotalEmployeeCnt
Subtotal Spent	$990,058,000	SubtotalSpentAmt
Continuation Spent	$3,739,619,000	ContinuationSpentAmt
Total Spent	$4,729,677,000	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (22 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
NORTH AMERICA	RESEARCH	$90,000	CHECK AND/OR WIRE	$0
NORTH AMERICA	RESEARCH	$37,340	CHECK AND/OR WIRE	$0
EAST ASIA & THE PACIFIC	RESEARCH	$594,000	CHECK AND/OR WIRE	$0
EUROPE	RESEARCH	$9,437	CHECK AND/OR WIRE	$0
EUROPE	RESEARCH	$6,625	CHECK AND/OR WIRE	$0
MIDDLE EAST & NORTH AFRICA	RESEARCH	$45,943	CHECK AND/OR WIRE	$0
EUROPE	RESEARCH	$18,952	CHECK AND/OR WIRE	$0
CENTRAL AMERICA & THE CARIBBEAN	RESEARCH	$64,800	CHECK AND/OR WIRE	$0
EUROPE	RESEARCH	$8,290	CHECK AND/OR WIRE	$0
EUROPE	RESEARCH	$395,260	CHECK AND/OR WIRE	$0
EUROPE	RESEARCH	$43,890	CHECK AND/OR WIRE	$0
NORTH AMERICA	RESEARCH	$11,010	CHECK AND/OR WIRE	$0
EAST ASIA & THE PACIFIC	RESEARCH	$398,753	CHECK AND/OR WIRE	$0
EAST ASIA & THE PACIFIC	RESEARCH	$39,800	CHECK AND/OR WIRE	$0
NORTH AMERICA	RESEARCH	$22,048	CHECK AND/OR WIRE	$0
NORTH AMERICA	RESEARCH	$7,449	CHECK AND/OR WIRE	$0
SOUTH AMERICA	RESEARCH	$34,500	CHECK AND/OR WIRE	$0
NORTH AMERICA	RESEARCH	$21,247	CHECK AND/OR WIRE	$0
EAST ASIA & THE PACIFIC	RESEARCH	$95,028	CHECK AND/OR WIRE	$0
NORTH AMERICA	RESEARCH	$434,310	CHECK AND/OR WIRE	$0
SOUTH AMERICA	RESEARCH	$37,770	CHECK AND/OR WIRE	$0
NORTH AMERICA	RESEARCH	$16,398	CHECK AND/OR WIRE	$0

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	11	TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp

Field	Value	IRS element (for citing)
Type Of Assistance	RESEARCH	TypeOfAssistanceTxt
Region	EAST ASIA & THE PACIFIC	RegionTxt
Recipient	1	RecipientCnt
Cash Grant	$6,000	CashGrantAmt
Manner Of Cash Disbursement	CHECK AND/OR WIRE	MannerOfCashDisbursementTxt
Non Cash Assistance	$0	NonCashAssistanceAmt

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
PART III ACCOUNTING METHOD:

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
CLASSY
350 TENTH AVE STE 1300	SAN DIEGO	CA	92101	ONLINE FUNDRAISING	0	$5,140,998	$231,592	$4,909,406
RR DONNELLEY
35 WEST WACKER DR	CHICAGO	IL	60601	DIRECT MAIL	0	$1,936,038	$1,348,180	$587,858
TSM DONOR ENGAGEMENT TEAM
155 COMMERCE DR	FREEDOM	PA	15042	PHONE SOLICITATION	0	$108,788	$356,699	-$247,911

Field	Value	IRS element (for citing)
Total Gross Receipts	$7,185,824	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,936,471	TotalRetainedByContractorsAmt
Total Net To Organization	$5,249,353	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	VELOSANO	Event1Nm
Gross Receipts Event1	$5,595,869	GrossReceiptsEvent1Amt
Charitable Contri Event1	$4,722,965	CharitableContriEvent1Amt
Gross Revenue Event1	$872,904	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$294,332	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$185,166	FoodAndBeverageEvent1Amt
Entertainment Event1	$2,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$1,272,611	OtherDirectExpensesEvent1Amt
Event2	CHILDREN'S DERBY DAY SOIREE	Event2Nm
Gross Receipts Event2	$1,675,585	GrossReceiptsEvent2Amt
Charitable Contri Event2	$498,785	CharitableContriEvent2Amt
Gross Revenue Event2	$1,176,800	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$49,190	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$140,899	FoodAndBeverageEvent2Amt
Entertainment Event2	$2,498	EntertainmentEvent2Amt
Other Direct Expenses Event2	$566,374	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$279,765	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$18,000	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$261,765	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$15,375	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$62,500	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$3,140	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$7,041	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$7,551,219	GrossReceiptsTotalAmt
Charitable Contributions Tot	$5,239,750	CharitableContributionsTotAmt
Gross Revenue Total Events	$2,311,469	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$15,375	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$406,022	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$326,065	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$7,638	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$1,846,026	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$2,601,126	DirectExpenseSummaryEventsAmt
Net Income Summary	-$289,657	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,638,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$87,638,725	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,012,885,308	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$624,787,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$388,098,240	NetCommunityBenefitExpnsAmt
Total Expense	0.05160	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,100,524,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$624,787,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$475,736,965	NetCommunityBenefitExpnsAmt
Total Expense	0.06330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,564,404	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$847,930	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,716,474	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$296,333,249	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,525,621	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$258,807,628	NetCommunityBenefitExpnsAmt
Total Expense	0.03440	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,117,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,693,227	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,424,544	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$341,500,386	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$210,395,842	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$131,104,544	NetCommunityBenefitExpnsAmt
Total Expense	0.01740	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,682,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,107	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,669,975	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$723,197,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$272,474,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$450,723,165	NetCommunityBenefitExpnsAmt
Total Expense	0.05990	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,823,721,925	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$897,261,795	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$926,460,130	NetCommunityBenefitExpnsAmt
Total Expense	0.12320	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$573,912	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$573,912	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,393	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,445	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,445	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$586,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$586,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$154,656,718	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$719,318,559	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$768,456,453	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$49,137,894	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	8	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Address Line2USAddress/AddressLine2Txt
THE CLEVELAND CLINIC FOUNDATION
1	9500 EUCLID AVENUE	CLEVELAND	OH	44195	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1151AHR	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
CLEVELAND CLINIC REHAB - BEACHWOOD
2	3025 SCIENCE PARK DRIVE	BEACHWOOD	OH	44122	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1906	Yes (X)						A
CLEVELAND CLINIC REHABILITATION-AVON
3	33355 HEALTH CAMPUS BOULEVARD	AVON	OH	44011	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1522AHR	Yes (X)						A
CLEVELAND CLINIC REHAB - EDWIN SHAW
4	4389 MEDINA ROAD	COPLEY	OH	44321	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1905	Yes (X)						A
SELECT SPECIALTY - FAIRHILL
5	11900 FAIRHILL ROAD	CLEVELAND	OH	44120	WWW.SELECTMEDICAL.COM	OH STATE ID 1468	Yes (X)						A
SELECT SPECIALTY - REGENCY EAST
6	4200 INTERCHANGE CORPORATE CENTER	WARRENSVILLE HEIGHTS	OH	44128	WWW.SELECTMEDICAL.COM	OH STATE ID 1479	Yes (X)						A	RD
SELECT SPECIALTY - REGENCY WEST
7	6990 ENGLE ROAD	MIDDLEBURG HEIGHTS	OH	44130	WWW.SELECTMEDICAL.COM	OH STATE ID 1478	Yes (X)						A
SELECT SPECIALTY - GATEWAY
8	2351 E 22ND ST 7TH FL	CLEVELAND	OH	44115	WWW.SELECTMEDICAL.COM	OH STATE ID 1431	Yes (X)						A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd	Look Back MedicareLookBackMedicareInd
THE CLEVELAND CLINIC FOUNDATION
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	22	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
REPORTING GROUP A
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	22	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		0		0	0	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (32 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. 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, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS WITH FINANCIAL COUNSELORS.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, 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 7: SELECT SPECIALTY - REGENCY WEST, - FACILITY 6: SELECT SPECIALTY - REGENCY EAST, - FACILITY 5: SELECT SPECIALTY - FAIRHILL, - FACILITY 8: SELECT SPECIALTY - GATEWAY, - FACILITY 3: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 2: CLEVELAND CLINIC REHAB - BEACHWOOD, - FACILITY 4: CLEVELAND CLINIC REHAB - EDWIN SHAW
GROUP A-FACILITY 7 -- 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. 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 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 7 -- 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 6 -- 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. 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 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 6 -- 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 5 -- 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. 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 -- 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 5 -- 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 8 -- SELECT SPECIALTY - GATEWAY 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. SELECT SPECIALTY - GATEWAY BEGAN THE PROCESS OF CONDUCTING A CHNA DURING 2022 UNTIL THE LOCATION CLOSED IN OCTOBER 2022.
GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - GATEWAY BEGAN TO CONDUCT ITS CHNA PROCESS IN 2022 WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW. A CHNA WAS NOT COMPLETED AS SELECT SPECIALTY - GATEWAY CLOSED ITS LOCATION IN OCTOBER 2022.
GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED FOR SELECT SPECIALTY HOSPITAL - GATEWAY WERE THE FOLLOWING: ACCESS TO HEALTHCARE, ADULT HEALTH, AND COMMUNITY SAFETY. SELECT SPECIALTY - GATEWAY CLOSED ITS LOCATION IN OCTOBER 2022, THEREFORE AN IMPLEMENTATION STRATEGY WAS NOT ADOPTED.
GROUP A-FACILITY 3 -- 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. 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 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 3 -- 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 4 -- 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. 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 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, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, 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 4 -- 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 2 -- 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. 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 -- 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 2 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED FOR CLEVELAND CLINIC REHABILITATION HOSPITAL, BEACHWOOD WERE THE FOLLOWING: ACCESS TO HEALTH AND SOCIAL SERVICES, BEHAVIORAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, MATERNAL AND CHILD HEALTH, AND SOCIOECONOMIC CONCERNS. 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, IMPLEMENTATION STRATEGY, FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND ON THESE RESPECTIVE DIRECT URLS:HTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#2022-CHNAS-TABHTTPS://MY.CLEVELANDCLINIC.ORG/ABOUT/COMMUNITY/REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS#OVERVIEW-TABHTTPS://MY.CLEVELANDCLINIC.ORG/PATIENTS/BILLING-FINANCE/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINES 4, 9	SELECT SPECIALTY - GATEWAY HOSPITAL SHUT DOWN OPERATIONS IN OCTOBER 2022. DUE TO THE CLOSURE, THE HOSPITAL FACILITY DID NOT COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022, NOR DID IT ADOPT AN IMPLEMENTATION STRATEGY.

Field	Value	IRS element (for citing)
Facility	120	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (120 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - TWINSBURG FAMILY HEALTH & SURGERY CENTER
8701 DARROW ROAD	TWINSBURG	OH	44087	FAMILY HEALTH CENTER
2 - STRONGSVILLE FAMILY HEALTH & SURGERY CENTE
16761 SOUTH PARK CENTER	STRONGSVILLE	OH	44136	FAMILY HEALTH CENTER
3 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD	BEACHWOOD	OH	44122	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 - WILLOUGHBY HILLS FAMILY HEALTH CENTER
2550 2570 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
7 - CLEVELAND CLINIC CANCER CENTERS
417 QUARRY LAKES DRIVE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
8 - LORAIN FAMILY HEALTH & SURGERY CENTER
5700 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
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 - CLEVELAND CLINIC CANCER CENTERS
1125 ASPIRA COURT	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
12 - LAKEWOOD FAMILY HEALTH CENTER
14601 DETROIT AVENUE	LAKEWOOD	OH	44107	FAMILY HEALTH CENTER
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 - MENTOR MEDICAL OFFICE
7060 WAYSIDE DRIVE	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
16 - AMHERST FAMILY HEALTH CENTER
5172 LEAVITT ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
17 - NORTH OHIO GASTROENTEROLOGY
30701 CLEMENS ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
18 - CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON STREET	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
19 - SUMMIT GASTROENTEROLOGY ASSOCIATES
3939 S CLEVELAND MASSILLON ROAD	BARBERTON	OH	44203	OUTPATIENT PHYSICIAN CLINIC
20 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER
5900 LANDERBROOK DRIVE	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
21 - SHEFFIELD FAMILY HEALTH CENTER
5334 MEADOW LANE CT	SHEFFIELD VILLAGE	OH	44035	FAMILY HEALTH CENTER
22 - STEPHANIE TUBBS JONES HEALTH CENTER
13944 EUCLID AVENUE	EAST CLEVELAND	OH	44112	FAMILY HEALTH CENTER
23 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY
1 PARK WEST BOULEVARD STE 150	AKRON	OH	44320	OUTPATIENT PHYSICIAN CLINIC
24 - AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
25 - CONCORD MEDICAL OUTPATIENT CENTER
7519 FREDLE DRIVE	CONCORD	OH	44077	OUTPATIENT PHYSICIAN CLINIC
26 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS
3275 SCIENCE PARK DRIVE BLDG 5	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
27 - AVON LAKE FAMILY HEALTH CENTER
450 AVON BELDEN ROAD	AVON LAKE	OH	44012	FAMILY HEALTH CENTER
28 - NILES STAR IMAGING
650 YOUNGSTOWN-WARREN ROAD	NILES	OH	44446	DIAGNOSTIC CENTER
29 - CLEVELAND CLINIC FAMILY MEDICINE
19300 DETROIT AVENUE	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
30 - CLEVELAND CLINIC LYNDHURST CAMPUS
1950 RICHMOND ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
31 - COLUMBUS STAR IMAGING
921 JASONWAY AVENUE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
32 - COMMUNITY PEDIATRICS
8254 MAYFIELD ROAD	CHESTERLAND	OH	44026	OUTPATIENT PHYSICIAN CLINIC
33 - MIDDLEBURG HEIGHTS ORTHOPAEDICS
7010 ENGLE ROAD STE 105	MIDDLEBURG HEIGHTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
34 - MADISON MEDICAL OFFICE
2999 MCMACKIN ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
35 - MENTOR REHABILITATION AND SPORTS THERAPY
7533 CENTER STREET	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
36 - CLEVELAND CLINIC COLE EYE OF STREETSBORO (
9424 STATE ROUTE 14	STREETSBORO	OH	44241	OUTPATIENT PHYSICIAN CLINIC
37 - OLMSTED TOWNSHIP PRIMARY CARE
27089 BAGLEY ROAD	OLMSTED TOWNSHIP	OH	44138	OUTPATIENT PHYSICIAN CLINIC
38 - WADSWORTH PRIMARY CARE
ONE PARK CENTER DRIVE	WADSWORTH	OH	44281	OUTPATIENT PHYSICIAN CLINIC
39 - OHIO RENAL CARE CLEVELAND EAST
2429 MARTIN LUTHER KING JR DR	CLEVELAND	OH	44104	DIALYSIS CENTER
40 - CLEVELAND CLINIC STAR IMAGING
1449 BOARDMAN-CANFIELD ROAD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
41 - MACEDONIA EXPRESS AND OUTPATIENT CARE
8210 MACEDONIA COMMONS BOULEVARD	MACEDONIA	OH	44056	OUTPATIENT PHYSICIAN CLINIC
42 - MARYMOUNT REHABILITATION AND SPORTS THERAP
2525 EAST ROYALTON ROAD	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
43 - NORTH RIDGEVILLE MEDICAL OFFICE
35105 CENTER RIDGE ROAD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
44 - CLEVELAND CLINIC URGENT CARE ROCKY RIVER
19895 DETROIT ROAD	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
45 - SUMMIT OPHTHALMOLOGY
1587 BOETTLER ROAD	UNIONTOWN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
46 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND LA
21 SUGARBUSH COURT	ASHLAND	OH	44805	OUTPATIENT PHYSICIAN CLINIC
47 - NEW FAMILY PHYSICIANS LYNDHURST
5187 MAYFIELD ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
48 - BRECKSVILLE EXPRESS CARE
8805 BRECKSVILLE ROAD	BRECKSVILLE	OH	44141	OUTPATIENT PHYSICIAN CLINIC
49 - COMMUNITY PEDIATRICS
2001 CROCKER ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
50 - OHIO RENAL CARE GROUP WESTLAKE
26024 DETROIT AVENUE	WESTLAKE	OH	44145	DIALYSIS CENTER
51 - SLEEP DISORDERS CENTER
3122 EASTPOINTE DRIVE	MEDINA	OH	44256	DIAGNOSTIC CENTER
52 - SOUTH RUSSELL FAMILY PRACTICE
5192 CHILLICOTHE ROAD	SOUTH RUSSELL	OH	44022	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 - CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD ROAD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
56 - OHIO RENAL CARE GROUP HERITAGE
1160 E BROAD ST	ELYRIA	OH	44035	DIALYSIS CENTER
57 - OHIO RENAL CARE GROUP LTAC ACUTEWHITE PO
690 WHITE POND DR	AKRON	OH	44320	DIALYSIS CENTER
58 - CHARDON REHABILITATION AND SPORTS THERAPY
325 CENTER STREET	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
59 - OHIO RENAL CARE GROUP AMHERST
100 COPPER FOSTER PARK RD	AMHERST	OH	44001	DIALYSIS CENTER
60 - MOHICAN EYE CENTER
484 PARK AVENUE WEST	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
61 - OHIO RENAL CARE GROUP FARNSWORTH
3280 W 25TH ST	CLEVELAND	OH	44109	DIALYSIS CENTER
62 - VALLEY CITY FAMILY MEDICINE
6605 CENTER ROAD	VALLEY CITY	OH	44280	OUTPATIENT PHYSICIAN CLINIC
63 - OHIO RENAL CARE GROUP SOLON
6020 ENTERPRISE PARKWAY	SOLON	OH	44139	DIALYSIS CENTER
64 - OHIO RENAL CARE GROUP WEST
14670 SNOW ROAD	BROOKPARK	OH	44142	DIALYSIS CENTER
65 - OHIO RENAL CARE GROUP STREETSBORO
9200 STAPLES DR	STREETSBORO	OH	44241	DIALYSIS CENTER
66 - OHIO RENAL CARE GROUP EUCLID
26450 EUCLID AVENUE	EUCLID	OH	44132	DIALYSIS CENTER
67 - DOWNTOWN EXPRESS CARE
315 EUCLID AVENUE STE 2	CLEVELAND	OH	44114	OUTPATIENT PHYSICIAN CLINIC
68 - OHIO RENAL CARE GROUP MENTOR
8840 TYLER BLVD	MENTOR	OH	44060	DIALYSIS CENTER
69 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS HO
9729 GRANGER RD	GARFIELD HTS	OH	44125	DIALYSIS CENTER
70 - OHIO RENAL CARE GROUP OHIO ACUTES
2500 METROHEALTH DRIVE	CLEVELAND	OH	44109	DIALYSIS CENTER
71 - OHIO RENAL CARE NORTH RANDALL
5035 RICHMOND ROAD	BEDFORD HEIGHTS	OH	44146	DIALYSIS CENTER
72 - CLEVELAND CLINIC EXPRESS CARE
7580 NORTHCLIFF AVENUE	BROOKLYN	OH	44144	OUTPATIENT PHYSICIAN CLINIC
73 - OBERLIN OPHTHALMOLOGY
309 WEST LORAIN STREET	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
74 - BELDEN CENTER
4677 FULTON DRIVE NW	CANTON	OH	44718	OUTPATIENT PHYSICIAN CLINIC
75 - MADISON REHABILITATION AND SPORTS THERAPY
2622 HUBBARD ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
76 - OHIO RENAL CARE GROUP HINCKLEY
2583 CENTER RD	HINCKLEY	OH	44233	DIALYSIS CENTER
77 - OHIO RENAL CARE GROUP KENT
401 DEVON PL 100	KENT	OH	44240	DIALYSIS CENTER
78 - OHIO RENAL CARE GROUP ELYRIA
5316 HOAG DR	SHEFFILED	OH	44035	DIALYSIS CENTER
79 - OHIO RENAL CARE GROUP CUYAHOGA FALLS
320 BROADWAY ST E	E CUYAHOGA FALLS	OH	44221	DIALYSIS CENTER
80 - OHIO RENAL CARE GROUP WADSWORTH
1160 WILLIAMS RESERVE BLVD	WADSWORTH	OH	44281	DIALYSIS CENTER
81 - MOHICAN EYE CENTER
637 NORTH UNION STREET	LOUDONVILLE	OH	44842	OUTPATIENT PHYSICIAN CLINIC
82 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYSIS
4200 WARRENSVILLE CENTER RD STE 100	WARRENSVILLE HTS	OH	44122	DIALYSIS CENTER
83 - OHIO RENAL CARE GROUP MEDINA
3995 MEDINA RD STE 150	MEDINA	OH	44256	DIALYSIS CENTER
84 - OHIO RENAL CARE GROUP ASHTABULA
2117 LAKE AVENUE	ASHTABULA	OH	44004	DIALYSIS CENTER
85 - OHIO RENAL CARE GROUP LAKEWOOD
13900 DETROIT RD	LAKEWOOD	OH	44107	DIALYSIS CENTER
86 - OHIO RENAL CARE GROUP MARYMOUNT
12532 ROCKSIDE RD	GARFIELD HEIGHTS	OH	44125	DIALYSIS CENTER
87 - THE LANGSTON HUGHES CENTER CLEVELAND CLINI
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
88 - NEW FAMILY PHYSICIANS WILLOUGHBY HILLS
34500 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
89 - WILLOUGHBY HILLS BEHAVIORAL HEALTH
2785 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
90 - CLEVELAND CLINIC DIABETES AND ENDOCRINOLOG
3733 PARK EAST DRIVE STE 105	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
91 - STOW-FALLS MEDICAL OUTPATIENT CENTER
857 GRAHAM RD	STOW	OH	44221	OUTPATIENT PHYSICIAN CLINIC
92 - LAKEWOOD MEDICAL OFFICE
16215 MADISON AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
93 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE
1959 COOPER FOSTER PARK ROAD	AMHERST	OH	44053	DIAGNOSTIC CENTER
94 - COLE EYE INSTITUTE
2000 AUBURN DRIVE STE 100	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
95 - ACCESS TO CARE
29000 AURORA ROAD	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
96 - ASHTABULA COUNTY MEDICAL CENTER
2422 LAKE AVENUE	ASHTABULA	OH	44004	OUTPATIENT PHYSICIAN CLINIC
97 - BOARDMAN STAR IMAGING
7067 TIFFANY BOULEVARD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
98 - CHARLESTON AREA MEDICAL CENTER
1201 WASHINGTON STREET EAST STE 100	CHARLESTON	WV	25301	OUTPATIENT PHYSICIAN CLINIC
99 - LAKEWOOD FAMILY MEDICINE - ROCKPORT
11851 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
100 - LAKEWOOD LAKE POINTE LAB DRAW SITE
15800 DETROIT AVENUE	LAKEWOOD	OH	44107	DIAGNOSTIC CENTER
101 - LORAIN ORTHOPAEDICS
5800 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
102 - SLEEP DISORDERS CENTER
24901 COUNTRY CLUB BOULEVARD	NORTH OLMSTED	OH	44070	DIAGNOSTIC CENTER
103 - SLEEP DISORDERS CENTER
8971 WILCOX DRIVE	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
104 - SLEEP DISORDERS CENTER
5051 WEST CREEK ROAD	INDEPENDENCE	OH	44131	DIAGNOSTIC CENTER
105 - STAR IMAGING DUBLIN
333 W BRIDGE STREET	DUBLIN	OH	43017	DIAGNOSTIC CENTER
106 - WEST VALLEY MEDICAL
20455 LORAIN ROAD 301	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
107 - WILLOUGHBY HILLS REHABILITATION AND SPORTS
29017 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
108 - WOOSTER MILLTOWN SPECIALTY & SURGERY CENTE
721 EAST MILLTOWN ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
109 - HEALTH SPOT LAKEWOOD HIGH SCHOOL
14100 FRANKLIN BOULEVARD	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
110 - LORAIN COUNTY LONG-TERM CARE
1130 TOWER BOULEVARD	LORAIN	OH	44052	OUTPATIENT PHYSICIAN CLINIC
111 - ADVANCED CARDIOVASCULAR CONSULTANTS
531 FIFTH AVENUE	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
112 - CHARDON PLAZA MEDICAL OUTPATIENT CENTER
425 WATER STREET	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
113 - EL CENTRO COMMUNITY CENTER PRIMARY CARE CL
2800 PEARL AVENUE	LORAIN	OH	44055	OUTPATIENT PHYSICIAN CLINIC
114 - MEDINA COMMUNITY RECREATION CENTER
855 WEYMOUTH ROAD	MEDINA	OH	44256	OUTPATIENT PHYSICIAN CLINIC
115 - NORTH RIDGEVILLE MEDICAL OUTPATIENT CENTER
34960 CENTER RIDGE ROAD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
116 - PREMIER LAB CARE
37121 EUCLID AVENUE	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
117 - CANOPY CHILD ADVOCACY CENTER
1711 PAYNE AVENUE	CLEVELAND	OH	44114	OUTPATIENT PHYSICIAN CLINIC
118 - CROSSROADS SLEEP DISORDER CENTER
721 BOARDMAN POLAND ROAD	YOUNGSTOWN	OH	44512	OUTPATIENT PHYSICIAN CLINIC
119 - GREAT LAKES CARE INC
29001 CEDAR ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
120 - WEST END PEDIATRICS (CLEVELAND CLINIC CHIL
14701 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $8,938,778.
PART I, LINE 7	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $926,460,131 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.
LINE 2	CLEVELAND CLINIC REHABILITATION AND SELECT FACILITIES HAVE THEIR OWN FINANCIAL ASSISTANCE POLICIES, WHICH COMPLY WITH ALL 501(R) REGULATIONS.
PART I, LINE 7	CLEVELAND CLINIC INCURRED COSTS IN SUPPORT OF ITS INITIAL AND ON-GOING RESPONSE TO THE COVID-19 PANDEMIC. CERTAIN OF THESE COSTS ARE REFLECTED IN THE COMMUNITY BENEFIT AMOUNTS REPORTED ON PART I, LINE 7. SPECIFICALLY, COMMUNITY-BASED CLINICAL SERVICES WERE PROVIDED CONSISTING OF: COVID-19 CLINICS AND SCREENINGS, PUBLIC EDUCATION RELATED TO COVID-19, AND VARIOUS COVID-19 PUBLIC ASSISTANCE PROGRAMS. ADDITIONALLY, CLEVELAND CLINIC INVESTED IN CAPITAL AND EQUIPMENT TO PREPARE FOR THE ANTICIPATED SURGE OF PATIENTS REQUIRING TREATMENT AND HOSPITALIZATION. OVERALL FOR 2022, $31 MILLION OF COVID-19 EXPENSES ARE REPORT IN PART I, LINE 7.
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 #3 ON PG. 11 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 $1,242,196,715 AND $1,615,726,323 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $373,529,608 WHICH, ADDED TO THE SHORTFALL OF $49,137,894 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $422,667,502.
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, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS.
PART VI, LINE 4:	THE CLEVELAND CLINIC'S COMMUNITY IS DEFINED BY BOTH MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL FACILITY'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS THE BROADER SURROUNDING COUNTIES/REGIONS FROM WHICH THE MAJORITY OF DISCHARGED INPATIENTS RESIDE. 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (70 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
ASSOCIATION OF FUNDRAISING PROFESSIONALS GREATER CLEVELAND CHAPTER
3053 NATIONWIDE PKWY	BRUNSWICK	OH	44212	341575857	501(C)(3)	$5,600	$0	COMMUNITY SUPPORT
AKRON COMMUNITY SERVICE CENTER AND URBAN LEAGUE INC
440 VERNON ODOM BLVD	AKRON	OH	44307	340714520	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC
24179 AMBOUR DR	NORTH OLMSTED	OH	44070	470974372	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
ALZHEIMERS ASSOCIATION
12200 FAIRHILL RD	CLEVELAND	OH	44120	133039601	501(C)(3)	$25,000	$0	COMMUNITY SUPPORT
AMERICAN CANCER SOCIETY
10501 EUCLID AVE	CLEVELAND	OH	44106	131788491	501(C)(3)	$32,500	$0	COMMUNITY SUPPORT
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$165,000	$0	COMMUNITY SUPPORT
AMERICAN LUNG ASSOCIATION
55 WEST WACKER DRIVE	CHICAGO	IL	60601	131632524	501(C)(3)	$15,000	$0	COMMUNITY SUPPORT
AMERICAN NATIONAL RED CROSS
431 18TH ST NW	WASHINGTON	DC	20006	530196605	501(C)(3)	$35,000	$0	COMMUNITY SUPPORT
BESSIE ANGELS
17017 MILES RD	CLEVELAND	OH	44128	474200543	501(C)(3)	$15,000	$0	COMMUNITY SUPPORT
BIG BROTHERS BIG SISTERS
4610 PROSPECT AVE STE 410	CLEVELAND	OH	44103	341809153	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
BIRTHING BEAUTIFUL COMMUNITIES
1416 EAST 105TH ST	CLEVELAND	OH	44106	474453278	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
CASE WESTERN RESERVE UNIVERSITY
2040 ADELBERT RD	CLEVELAND	OH	44106	341018992	501(C)(3)	$112,750	$0	HEALTHCARE RESEARCH & EDUCATION
CATHOLIC CHARITIES CORPORATION
7911 DETROIT AVE	CLEVELAND	OH	44102	341908590	501(C)(3)	$42,000	$0	COMMUNITY SUPPORT
CATHY'S HOUSE INC
PO BOX 811	MEDINA	OH	44258	341876466	501(C)(3)	$20,000	$0	COMMUNITY SUPPORT
CITY MISSION
84 W WHEELING ST	WASHINGTON	PA	15301	340760586	501(C)(3)	$12,240	$0	COMMUNITY SUPPORT
CITY OF AKRON
166 S HIGH ST	AKRON	OH	44308	346000020	501(C)(1)	$32,300	$0	COMMUNITY SUPPORT
CITY OF MENTOR
8500 CIVIC CENTER BLVD	MENTOR	OH	44060	346001861	501(C)(1)	$22,320	$0	COMMUNITY SUPPORT
CLEVELAND LEADERSHIP CENTER
1375 EAST 9TH ST STE 1100	CLEVELAND	OH	44114	341927317	501(C)(4)	$10,000	$0	COMMUNITY SUPPORT
CLEVELAND METROPOLITAN SCHOOL DISTRICT
1111 SUPERIOR AVE E STE 1800	CLEVELAND	OH	44114	346000662	501(C)(1)	$13,000	$0	COMMUNITY SUPPORT
COLORECTAL CANCER ALLIANCE
1025 VERMONT AVE NW STE 1066	WASHINGTON	DC	20005	860947831	501(C)(3)	$33,333	$0	COMMUNITY SUPPORT
COMMUNITY PARTNERSHIP ON AGING
1370 VICTORY DR	SOUTH EUCLID	OH	44121	341261538	501(C)(3)	$6,838	$0	COMMUNITY SUPPORT
COMMUNITY SERVICE ALLIANCE
4001 TRENT AVE	CLEVELAND	OH	44109	201418132	501(C)(3)	$5,400	$0	COMMUNITY SUPPORT
CUYAHOGA COMMUNITY COLLEGE
700 CARNEGIE AVE	CLEVELAND	OH	44115	340896630	501(C)(1)	$10,000	$0	COMMUNITY SUPPORT
CUYAHOGA COMMUNITY COLLEGE FOUNDATION
700 CARNEGIE AVE	CLEVELAND	OH	44115	237320719	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
OHIO DEPARTMENT OF HEALTH
246 N HIGH ST	COLUMBUS	OH	43215	346000817	501(C)(1)	$35,000	$0	COMMUNITY SUPPORT
DIGITALC
6815 EUCLID AVE	CLEVELAND	OH	44103	811731053	501(C)(3)	$325,000	$0	COMMUNITY SUPPORT
ESPERANZA INC
4115 BRIDGE AVE	CLEVELAND	OH	44113	341403492	501(C)(3)	$20,000	$0	COMMUNITY SUPPORT
FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION
8111 QUINCY AVE STE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	$569,499	$0	COMMUNITY SUPPORT
FAMICOS FOUNDATION INC
1325 ANSEL RD	CLEVELAND	OH	44106	341053534	501(C)(3)	$28,606	$0	COMMUNITY SUPPORT
FIRST LADYS CHARITABLE FOUNDATION
PO BOX 340734	COLUMBUS	OH	43234	871678867	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
FRIENDS OF BREAKTHROUGH SCHOOL
3615 SUPERIOR AVE STE 3103A	CLEVELAND	OH	44114	204948838	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
GATHERING PLACE
23300 COMMERCE PARK	BEACHWOOD	OH	44122	341879035	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
GLOBAL CLEVELAND
1422 EUCLID AVE STE 1652	CLEVELAND	OH	44115	275245539	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
HEALTHCARE ANCHOR NETWORK INC
2202 18TH ST NW STE 317	WASHINGTON	DC	20009	862147253	501(C)(4)	$50,000	$0	COMMUNITY SUPPORT
KARAMU HOUSE
2355 E 89TH ST	CLEVELAND	OH	44106	340714448	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
KIDNEY FOUNDATION OF OHIO INC
2831 PROSPECT AVE	CLEVELAND	OH	44115	340827748	501(C)(3)	$7,500	$0	HEALTHCARE RESEARCH & EDUCATION
KOREAN AMERICAN MEDICAL ASSOCIATION OF USA INC
200 SYLVAN AVE STE 22	ENGLEWOOD CLIFFS	NJ	07632	823304552	501(C)(3)	$25,000	$0	COMMUNITY SUPPORT
LEGAL AID SOCIETY OF CLEVELAND
1223 W 6TH ST	CLEVELAND	OH	44113	340866026	501(C)(3)	$384,000	$0	COMMUNITY SUPPORT
LBGT COMMUNITY CENTER OF GREATER CLEVELAND
6705 DETROIT AVE	CLEVELAND	OH	44102	341190920	501(C)(3)	$15,000	$0	COMMUNITY SUPPORT
LEUKEMIA & LYMPHOMA SOCIETY
3 INTERNATIONAL DR STE 200	RYE BROOK	NY	10573	135644916	501(C)(3)	$125,000	$0	COMMUNITY SUPPORT
LORAIN COUNTY COMMUNITY COLLEGE FOUNDATION
1005 N ABBE RD	ELYRIA	OH	44035	510146485	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
LORAIN COUNTY FREE CLINIC INC
5040 OBERLIN AVE	LORAIN	OH	44053	341506180	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
MAKE-A-WISH FOUNDATION OF OHIO KENTUCKY AND INDIANA INC
2545 FARMERS DRIVE STE 300	COLUMBUS	OH	43235	341471131	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
MARCH OF DIMES INC
1550 CRYSTAL DRIVE STE 1300	ARLINGTON	VA	22202	131846366	501(C)(3)	$20,000	$0	COMMUNITY SUPPORT
MEDWISH INTERNATIONAL
17325 EUCLID AVE	CLEVELAND	OH	44112	341903712	501(C)(3)	$0	$4,845,192	COMMUNITY SUPPORT	ESTIMATED VALUE	MEDICAL SUPPLIES
METRO WEST COMMUNITY DEVELOPMENT ORGANIZATION
3167 FULTON RD 303	CLEVELAND	OH	44109	814534855	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
METRO HEALTH SYSTEM
2500 METROHEALTH DR	CLEVELAND	OH	44109	346004382	501(C)(3)	$207,920	$0	SUPPORT EDUCATIONAL ACTIVITIES
THE NATIONAL ASSOCIATION OF THE ADVANCEMENT OF COLORED PEOPLE
4805 MT HOPE DR	BALTIMORE	MD	21215	340846628	501(C)(4)	$10,000	$0	COMMUNITY SUPPORT
NEIGHBORHOOD ALLIANCE
1536 E 30TH ST	LORAIN	OH	44055	340714471	501(C)(3)	$20,410	$0	COMMUNITY SUPPORT
NEIGHBORHOOD FAMILY PRACTICE
3569 RIDGE RD	CLEVELAND	OH	44102	341300581	501(C)(3)	$37,000	$0	COMMUNITY SUPPORT
NORTH UNION FARMERS MARKET
13111 SHAKER SQUARE STE 301	CLEVELAND	OH	44120	341812026	501(C)(3)	$18,500	$0	COMMUNITY SUPPORT
NORTHEAST OHIO COALITION FOR THE HOMELESS
3631 PERKINS AVE STE 3A-3	CLEVELAND	OH	44114	341590112	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
OHIO MINORITY SUPPLIER DEVELOPMENT COUNCIL
100 E BROAD ST	COLUMBUS	OH	43215	311022688	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
URBAN LEAGUE OF GREATER SOUTHWESTERN OHIO INC
3458 READING RD	CINCINNATI	OH	45229	310565428	501(C)(3)	$6,500	$0	COMMUNITY SUPPORT
ONETEN COALITION INC
126 ATLANTIC ST	NORFOLK	VA	23514	861528485	501(C)(3)	$2,250,000	$0	COMMUNITY SUPPORT
OROC
PO BOX 40332	BAY VILLAGE	OH	44140	800093560	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
REGIONAL TRANSIT AUTHORITY ART
PO BOX 6566	CLEVELAND	OH	44101	341170830	501(C)(1)	$125,000	$0	COMMUNITY SUPPORT
BENJAMIN ROSE INSTITUTE OF AGING
11890 FAIRHILL RD	CLEVELAND	OH	44120	340714482	501(C)(3)	$30,000	$0	COMMUNITY SUPPORT
THE SALVATION ARMY
440 W NYACK RD	WEST NYACK	NY	10994	135562351	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
SAINT MARTIN DE PORRES HIGH SCHOOL
6111 LAUSCHE AVE	CLEVELAND	OH	44103	522401852	501(C)(3)	$40,268	$0	COMMUNITY SUPPORT
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44195	340714553	501(C)(3)	$24,141,960	$0	COMMUNITY SUPPORT
THE KHNEMU FOUNDATION
966 E 105TH ST	CLEVELAND	OH	44108	812766763	501(C)(3)	$17,250	$0	COMMUNITY SUPPORT
THE THORACIC SURGERY FOUNDATION
633 N ST CLAIR ST	CHICAGO	IL	60611	363635910	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
TIDES CENTER
PO BOX 29907	SAN FRANCISCO	CA	94129	943213100	501(C)(3)	$3,000,000	$0	HEALTHCARE RESEARCH & EDUCATION
TRANSPLANT HOUSE OF CLEVELAND
2029 E 115TH ST	CLEVELAND	OH	44106	272834616	501(C)(3)	$12,400	$0	COMMUNITY SUPPORT
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER CLEVELAND
10011 EUCLID AVE	CLEVELAND	OH	44106	340753561	501(C)(3)	$113,382	$0	COMMUNITY SUPPORT
LEAD SAFE CLEVELAND COALITION
4600 EUCLID AVE	CLEVELAND	OH	44103	346516654	501(C)(3)	$7,000,000	$0	COMMUNITY SUPPORT
UNITED WAY OF GREATER CLEVELAND
2930 PROSPECT AVE	CLEVELAND	OH	44115	341011104	501(C)(3)	$15,000	$0	COMMUNITY SUPPORT
VALUES-IN-ACTION FOUNDATION
6700 BETA DRIVE STE 120	MAYFIELD VILLAGE	OH	44143	341795459	501(C)(3)	$15,000	$0	COMMUNITY SUPPORT
YOUTH OPPORTUNITIES UNLIMITED
1361 EUCLID AVE	CLEVELAND	OH	44115	341381135	501(C)(3)	$15,000	$0	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	61	Total501c3OrgCnt
Total Other Org	9	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	200	$8,889,003
FELLOWSHIPS	1563	$83,222,062

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRESIDENT & CEO	$6,179,863	$0	$0	$0	$25,572	$0	$30,500	$0	$20,815	$0	$6,256,750	$0	$0	$0
BROOKS MD PETER
PHYSICIAN (2022 RETIREE)	$1,104,947	$0	$0	$0	$6,359,474	$0	-$1,640,391	$0	$7,836	$0	$5,831,866	$0	$0	$0
DONLEY MD BRIAN
CEO, CC LONDON (PART YR)	$0	$1,760,415	$0	$0	$0	$2,664,503	$0	$30,500	$0	$23,756	$0	$4,479,174	$0	$0
ROWAN DAVID
SECRETARY, CHIEF GOV OFF & CLO	$2,229,137	$0	$0	$0	$58,959	$0	$30,500	$0	$17,405	$0	$2,336,001	$0	$0	$0
FALCONE MD TOMMASO
INTERIM CEO, CCL (PART YR)	$0	$507,200	$0	$0	$0	$1,706,727	$0	$30,500	$0	$23,756	$0	$2,268,183	$0	$0
KOTTKE-MARCHANT MD KANDICE
PHYSICIAN (2022 RETIREE)	$219,857	$0	$0	$0	$2,706,893	$0	-$688,164	$0	$6,047	$0	$2,244,633	$0	$0	$0
STREIN STEFAN
CHIEF INVESTMENT OFFICER	$1,982,706	$0	$0	$0	$28,038	$0	$30,500	$0	$18,764	$0	$2,060,008	$0	$0	$0
PEACOCK WILLIAM
CHIEF OF OPERATIONS	$1,918,635	$0	$0	$0	$26,970	$0	$29,751	$0	$15,943	$0	$1,991,299	$0	$0	$0
SVENSSON MD LARS
CHAIR OF HVTI	$1,810,221	$0	$0	$0	$30,494	$0	$30,500	$0	$21,196	$0	$1,892,411	$0	$0	$0
CHANDRA PHD ROHIT
CHIEF DIGITAL OFFICER	$1,768,899	$0	$0	$0	$59,137	$0	$30,500	$0	$20,618	$0	$1,879,154	$0	$0	$0
RUGGIERI MD PAUL
PHYSICIAN (2022 RETIREE)	$617,215	$0	$0	$0	$1,827,581	$0	-$688,550	$0	$20,863	$0	$1,777,109	$0	$0	$0
DELANEY MD PHD CONOR
CEO AND PRESIDENT, CC FLORIDA	$0	$1,618,880	$0	$0	$0	$66,504	$0	$30,500	$0	$14,253	$0	$1,730,137	$0	$0
GLASS STEVEN C
CFO & TREASURER (PART YR)	$1,646,187	$0	$0	$0	$22,371	$0	$13,373	$0	$9,486	$0	$1,691,417	$0	$0	$0
SURI MD RAKESH
FORMER KEY EMP - CEO CCAD	$623,237	$0	$0	$0	$1,006,169	$0	$27,729	$0	$17,572	$0	$1,674,707	$0	$955,217	$0
HANCOCK DNP RN NE-BC KELLY
CHIEF CAREGIVER OFFICER	$1,563,798	$0	$0	$0	$22,918	$0	-$11,560	$0	$17,618	$0	$1,592,774	$0	$0	$0
MERLINO MD JAMES
CHIEF CLINICAL TRANSFORMATION OFF	$1,536,530	$0	$0	$0	$23,958	$0	$30,500	$0	$1,500	$0	$1,592,488	$0	$0	$0
GUZMAN MD JORGE
CEO CCAD	$1,120,893	$0	$0	$0	$398,021	$0	$30,500	$0	$17,214	$0	$1,566,628	$0	$0	$0
RIDGEWAY MD BERI
DIRECTOR, CHIEF OF STAFF	$1,397,213	$0	$0	$0	$22,314	$0	$30,500	$0	$20,140	$0	$1,470,167	$0	$0	$0
SMEDIRA MD MBA NICHOLAS
DIRECTOR, PHYSICIAN	$1,274,820	$0	$0	$0	$27,467	$0	$30,500	$0	$18,771	$0	$1,351,558	$0	$0	$0
HELTON ANTHONY
INTERIM CFO	$995,518	$0	$0	$0	$3,680	$0	$23,684	$0	$13,933	$0	$1,036,815	$0	$0	$0
SINGH MD RISHI
DIRECTOR, PHYSICIAN	$758,229	$0	$0	$0	$31,960	$0	$30,500	$0	$14,647	$0	$835,336	$0	$0	$0
YOUNG MD JAMES P
FORMER OFFICER	$701,810	$0	$0	$0	$22,626	$0	$29,734	$0	$9,447	$0	$763,617	$0	$0	$0
DAVIS MARLEINA
ASST. SECRETARY	$647,946	$0	$0	$0	$1,372	$0	-$4,287	$0	$16,103	$0	$661,134	$0	$0	$0
KALAYCIO MD MATT
DIRECTOR, PHYSICIAN	$547,445	$0	$0	$0	$25,653	$0	$30,500	$0	$16,733	$0	$620,331	$0	$0	$0
LONGVILLE TIMOTHY
CAO & CONTROLLER	$584,696	$0	$0	$0	$12,343	$0	-$106,473	$0	$18,490	$0	$509,056	$0	$0	$0
OBLANDER JASON
ASST. SECRETARY	$274,359	$0	$0	$0	$6,789	$0	$5,025	$0	$16,704	$0	$302,877	$0	$0	$0
SABANEGH MD EDMUND
FORMER OFFICER (RETIRED)	$0	$0	$0	$0	$162,548	$0	$0	$0	$2,821	$0	$165,369	$0	$162,548	$0
COSGROVE MD DELOS
FORMER OFFICER (RETIRED CEO)	$216,197	$0	$0	$0	$501,667	$0	-$565,228	$0	$0	$0	$152,636	$0	$202,433	$0
MEEHAN MICHAEL J
RECORDING SECRETARY	$329,426	$0	$0	$0	$36,280	$0	-$261,996	$0	$17,152	$0	$120,862	$0	$0	$0
MALONE JR MD DONALD
PRES, OHIO HOSPITALS & FHCS	$1,312,175	$0	$0	$0	$26,022	$0	-$1,511,737	$0	$16,044	$0	-$157,496	$0	$0	$0
ERZURUM MD SERPIL
CHIEF RESEARCH AND ACADEMIC OFFICER	$1,322,200	$0	$0	$0	$27,467	$0	-$1,572,691	$0	$1,500	$0	-$221,524	$0	$0	$0
WIEDEMANN MD HERBERT
FORMER OFFICER (RETIRED)	$210,113	$0	$0	$0	$0	$0	-$796,066	$0	$0	$0	-$585,953	$0	$210,113	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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: EDMUND SABANEGH, M.D. - $163,556 RAKESH SURI, M.D. - $955,217 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PETER BROOKS, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $6,333,810 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. KANDICE KOTTKE-MARCHANT, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $2,700,175 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. PETER RUGGIERI, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,818,287 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: PETER BROOKS, M.D. - $172,481 DELOS COSGROVE, M.D. - $202,433 KANDICE KOTTKE-MARCHANT, M.D. - $94,400 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: PETER BROOKS, M.D. - $1,670,891 DECREASE, DELOS M. COSGROVE, M.D. - $565,228 DECREASE, MARLEINA DAVIS - $34,787 DECREASE, SERPIL ERZURUM, M.D. - $1,603,191 DECREASE, STEVEN C. GLASS - $17,127 DECREASE, KELLY HANCOCK, DNP, R.N., NE-BC - $42,060 DECREASE, KANDICE KOTTKE-MARCHANT, M.D. - $701,357 DECREASE, TIMOTHY LONGVILLE - $136,973 DECREASE, DONALD MALONE, M.D. - $1,542,237 DECREASE, MICHAEL J. MEEHAN - $292,497 DECREASE, JASON OBLANDER - $3,375 DECREASE, WILLIAM PEACOCK $749 DECREASE, PAUL RUGGIERI, M.D. - $719,050 DECREASE, AND HERBERT WIEDEMANN, M.D. - $796,066 DECREASE. FORM 990, PART VII, SECTION A AND SCHEDULE J THE COMPENSATION OF DR. BRIAN DONLEY, DR. TOMMASO FALCONE, AND DR. JORGE GUZMAN AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES REGULAR WAGES AND TAXABLE EXPATRIATE BENEFITS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	67756AJ37	2008-10-15	$670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	NONEAVAIL	2011-11-02	$41,120,000	BOND 2011B: REFUND 1992A & B AND 1989 SERIES	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	67756DAY2	2013-05-29	$309,434,914	BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	NONEAVAIL	2017-12-21	$9,305,000	BOND 2017C: REFUND SERIES 2002	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt
A	$342,425,000	$670,000,000	$1,200,000	$324,315,217	$372,706,929	2008	Yes (1)	0	Yes (1)	Yes (1)
B	$21,125,000	$41,120,000	$735,249		$38,082,286	2011	Yes (1)	0	Yes (1)	Yes (1)	$2,302,465
C	$72,270,592	$309,434,914	$2,129,301	$20,001,498	$287,304,115	2013	Yes (1)	0	Yes (1)	Yes (1)
D	$2,115,000	$9,305,000			$9,305,000	2017	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00460	0.00010	0.00470	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)				Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00120		0.00120	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)				Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	Yes (1)	Yes (1)
B	0	0	Yes (1)	Yes (1)	Yes (1)
C	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	0	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2018 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: 05/29/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 12/21/2022 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/28/2022	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	677561KS0	2017-08-29	$939,576,748	BOND 2017A: REFUND 2008A, 2008B, 2009A, 2009B, 2012A	0	0	0
MARTIN COUNTY HEALTH FACILITIES AUTHORITY
B	596000743	573903FZ9	2019-05-09	$259,345,371	BOND 2019AREFINANCE 2012, 2012B & 2015 MHS BONDS & ACQUIRE MEMBERSHIP IN MHS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	67756CDN5	2019-05-09	$351,450,108	BOND 2019BC: FUND CAPITAL PROJECTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	677561KZ4	2019-05-09	$380,150,000	BOND 2019DEF: FUND CAPITAL PROJECTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt
A	$97,931,264	$939,576,748	$939,576,748	2017	Yes (1)	Yes (1)	Yes (1)
B	$1,691,301	$259,345,371	$1,225,374	2019	0	Yes (1)	Yes (1)	$822,172	$257,297,825
C	$1,667,890	$351,450,108	$1,419,617	2019	0	Yes (1)	Yes (1)	$1,125,388	$348,905,103
D		$380,150,000	$482,631	2019	0	Yes (1)	Yes (1)	$1,262,472	$378,404,897

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01630	0.00010	0.01640	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)				Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01390	0.00010	0.01400	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01500	0.00010	0.01510	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	0	Yes (1)
B	Yes (1)	0	0	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)
D	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	677561LP5	2021-07-28	$82,791,709	BOND 2021A: ACQUIRE MEMBERSHIP IN MERCY HOSPITAL	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	677561MG4	2021-10-05	$249,692,662	BOND 2021B: REFUND SERIES 2011A	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$82,791,709	$82,791,709	2021	Yes (1)	0	Yes (1)	Yes (1)
B	$246,692,662		2021	Yes (1)	0	Yes (1)	Yes (1)	$3,725,555	$2,103,785	$247,588,877

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.02770	0.02770	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00070	0.00130	0	0	Yes (1)	0.00060

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	Yes (1)	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (11 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GRANT DILLON
FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER	$10,408	EMPLOYMENT AGREEMENT WITH CCF	0
JOANNE MCDONALD KILBANE
FAMILY MEMBER OF CATHERINE KILBANE, CCF DIRECTOR	$89,874	EMPLOYMENT AGREEMENT WITH CCF	0
LAURA SWEENEY
FAMILY MEMBER OF TIMOTHY LONGVILLE, CCF OFFICER	$107,153	EMPLOYMENT AGREEMENT WITH CCF	0
MICHAEL PETRAS
FAMILY MEMBER OF MICHAEL PETRAS, JR., CCF DIRECTOR AND OFFICER	$48,501	EMPLOYMENT AGREEMENT WITH CCF	0
RYAN OAKEY
FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER	$78,072	EMPLOYMENT AGREEMENT WITH CCF	0
VICTORIA JAVOR
FAMILY MEMBER OF KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER	$99,996	EMPLOYMENT AGREEMENT WITH CCF	0
ROBERT SYTO
FAMILY MEMBER OF BERI RIDGEWAY, M.D., CCF OFFICER AND DIRECTOR	$58,774	EMPLOYMENT AGREEMENT WITH CCF	0
AMANDA HANCOCK
FAMILY MEMBER OF KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER	$34,197	EMPLOYMENT AGREEMENT WITH CCF	0
AMY MERLINO
FAMILY MEMBER OF JAMES MERLINO, M.D., CCF OFFICER	$582,917	EMPLOYMENT AGREEMENT WITH CCF	0
ADRIENNE DELANEY
FAMILY MEMBER OF CONOR DELANEY, M.D., PH.D.,CCF OFFICER	$32,156	EMPLOYMENT AGREEMENT WITH CCF	0
JIM HALLORAN
FAMILY MEMBER OF KELLY HANCOCK, DNP, RN, NE-BC, CCF OFFICER	$18,228	EMPLOYMENT AGREEMENT WITH CCF	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$30,970	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$73,056	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	104	ContributionCnt
Noncash Contributions Rpt F990	$14,743,496	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVERAGE HIGH/LOW	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$654	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$524,655	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EVENT TICKETS	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$12,750	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	2	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	THE CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. CLEVELAND CLINIC WAS ESTABLISHED IN 1921. WHEN THE CLINIC CELEBRATED ITS CENTENNIAL YEAR A NEW MISSION STATEMENT WAS UNVEILED: CARING FOR LIFE, RESEARCHING FOR HEALTH AND EDUCATING THOSE WHO SERVE. THE NEW 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 CLEVELAND CLINIC HEALTH SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2022 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $1.42 BILLION IN BENEFITS TO THE COMMUNITIES SERVED. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY OUTREACH PROGRAMS. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO THE CLEVELAND CLINIC'S 2022 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY.) COVID-19 ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE NOVEL CORONAVIRUS DISEASE (COVID-19) OUTBREAK A GLOBAL PANDEMIC. THE GOVERNORS OF OHIO AND FLORIDA DECLARED A STATE OF EMERGENCY FOR THEIR RESPECTIVE STATES RELATED TO THE COVID-19 OUTBREAK ON MARCH 9, 2020, AND A NATIONAL STATE OF EMERGENCY IN THE U.S. WAS DECLARED ON MARCH 13, 2020. THE SYSTEM HAS ENGAGED IN VARIOUS COMMUNITY HEALTH IMPROVEMENT INITIATIVES INCLUDING: HEALTH EDUCATION AND CLINICAL SERVICES FOR COMMUNITY RESIDENTS REGARDING VIRUS IMPACT, TESTING, AND VACCINE DISTRIBUTION IN NEIGHBORHOODS, WELLNESS INITIATIVES TO RESIDENTS, SCHOOLS, AND COMMUNITY BASED ORGANIZATIONS IN THE AREAS OF DISEASE PREVENTION, DONATIONS OF PERSONAL PROTECTIVE EQUIPMENT TO COMMUNITY BASED ORGANIZATIONS SUPPORTED SAFETY ISSUES, AND ADMINSTRATION OF COVID-19 VACCINES IN UNDERSERVED AREAS AND COMMUNITIES WITH MINORITY POPULATIONS AND LARGE NUMBERS OF RESIDENTS AGED 60 YEARS OR OLDER TO HELP ADDRESS HEALTH DISPARITIES. I. PATIENT CARE THE CLEVELAND CLINIC HEALTH SYSTEM (SYSTEM) IS A WORLD-RENOWNED PROVIDER OF HEALTHCARE SERVICES THAT ATTRACTED PATIENTS FROM ACROSS THE UNITED STATES AND FROM 131 OTHER COUNTRIES IN 2022. AS OF DECEMBER 31, 2022, THE SYSTEM OPERATES 20 HOSPITALS AND IS THE LEADING PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST OHIO. FOURTEEN OF THE HOSPITALS ARE OPERATED IN THE NORTHEAST OHIO AREA, ANCHORED BY THE CLEVELAND CLINIC FOUNDATION. THE SYSTEM OPERATES 21 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. IN MARCH 2022, CLEVELAND CLINIC LONDON HOSPITAL OPENED FOR PATIENTS. 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. CLEVELAND CLINIC HEALTH 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 2022, CLEVELAND CLINIC RECORDED 1,298 TOTAL STAFFED BEDS, 115,829 EMERGENCY VISITS, 81,924 SURGICAL CASES, 50,840 ADMISSIONS, AND MORE THAN 12.8 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC HEALTH SYSTEM TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR RACE, CREED, OR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM OR DISEASE. THE INSTITUTES FACILITATE A MULTIDISCIPLINARY APPROACH, AND ARE DESIGNED TO ENHANCE CONVENIENCE FOR PATIENTS AND THE EXCHANGE OF KNOWLEDGE, RESEARCH AND EDUCATIONAL COLLABORATION FOR BETTER PATIENT OUTCOMES. SOME OF THE INSTITUTES ARE: ANESTHESIOLOGY & PAIN MANAGEMENT; BARIATRIC & METABOLIC; CANCER CENTER/TAUSSIG CANCER; CLEVELAND CLINIC CHILDREN'S AND PEDIATRIC INSTITUTE, COMMUNITY CARE; DERMATOLOGY & PLASTIC SURGERY INSTITUTE; DIGESTIVE DISEASE & SURGERY INSTITUTE; EMERGENCY SERVICES INSTITUTE; ENDOCRINOLOGY & METABOLISM INSTITUTE; EYE INSTITUTE (COLE); GENOMICS; HEAD & NECK INSTITUTE; HEART, VASCULAR & THORACIC INSTITUTE (SYDELL AND ARNOLD MILLER FAMILY); IMAGING INSTITUTE; NEUROLOGICAL INSTITUTE; NURSING INSTITUTE (STANLEY SHALOM ZIELONY); OB/GYN & WOMEN'S HEALTH INSTITUTE; ORTHOPAEDIC & RHEUMATOLOGIC INSTITUTE; PATHOLOGY & LABORATORY MEDICINE; RESPIRATORY INSTITUTE; AND UROLOGY & KIDNEY INSTITUTE (GLICKMAN); WELLNESS & PREVENTIVE MEDICINE. 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 2022. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 4 RANKING. FOR THE 28TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. 11 CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. OF THESE, SIX PLACED IN THE TOP 5 INCLUDING: CARDIOLOGY & HEART SURGERY; UROLOGY; GASTROENTEROLOGY & GASTROINTESTINAL SURGERY; RHEUMATOLOGY; GERIATRICS & GYNECOLOGY. CLEVELAND CLINIC WAS NATIONALLY RANKED IN 13 ADULT SPECIALTIES AND 9 CHILDREN'S SPECIALTIES. CLEVELAND CLINIC WAS ALSO RATED HIGH PERFORMING IN EIGHTEEN 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 TWELFTH TIME IN THE PAST 14 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 2022 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".
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	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 2022, 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 OF 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 CLEVELAND CLINIC HEALTH SYSTEM PROVIDED FINANCIAL ASSISTANCE AT A COST OF $210.8 MILLION IN 2022. 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 CLEVELAND CLINIC HEALTH SYSTEM'S RESEARCH ACTIVITIES ARE INTENDED TO IMPROVE PATIENT CARE AND THE HEALTH OF THE PUBLIC AT LARGE, BY PROVIDING THE LATEST ADVANCES IN MEDICINE DIRECTLY TO PATIENTS AND BY REFINING THE PRACTICE OF MEDICINE THROUGH THE DEVELOPMENT AND PROMULGATION OF NEW TECHNIQUES, DEVICES, AND TREATMENT PROTOCOLS. 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 237 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, NEARLY 1,700 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 2022, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 3,600 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 2022, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $129 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $227.6 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. CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2022, PROVIDED A NET COMMUNITY BENEFIT OF $338.2 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC HEALTH SYSTEM'S COMMUNITIES ARE RECEIVING THE HIGHEST STANDARD OF MEDICAL CARE AND HAVE TRAINED HEALTH PROFESSIONALS TO CARE FOR THEM IN THE FUTURE. SOME OF THESE EDUCATION PROGRAMS INCLUDE: -GRADUATE MEDICAL EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2022, 1,101 RESIDENTS AND FELLOWS TRAINED IN 84 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 149 ADVANCED FELLOWS IN 90 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 1,687 APPLICANTS FOR 32 POSITIONS FOR THE 2022-23 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 143 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2022 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 30 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 2022, 230 MEDICAL STUDENTS FROM 118 MEDICAL SCHOOLS AROUND THE WORLD ROTATED THROUGH CLEVELAND CLINIC. -CENTER FOR CONTINUING EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST CONTINUING MEDICAL EDUCATION (CME) PROGRAMS IN THE COUNTRY AND ENJOYS THE HIGHEST ACCME RANKING: ACCREDITATION WITH COMMENDATION. IN 2022, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 2,327 CME ACTIVITIES THAT OFFERED OVER 12,986 CME CREDITS TO 394,938 PARTICIPANTS. OF THAT NUMBER, 1,561 WERE LIVE COURSES THAT ATTRACTED 124,447 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 718 ACTIVITIES THAT ATTRACTED 2,544,522 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 29,300 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2022, THE CENTER ISSUED 394,938 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 128,725 COPIES AND RANKED NO. 2 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 3.3 MILLION PEOPLE AROUND THE WORLD. IN 2022, THE CCJM WEBSITE RECORDED 4,675,274 PAGE VIEWS FROM 5,668,522 UNIQUE VISITORS. -CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF ALLIED HEALTH STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 15 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 39 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2022, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 368,702 CLINICAL ROTATION HOURS FOR OVER 952 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC HEALTH SYSTEM ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF THE CLEVELAND CLINIC'S COMMUNITY BENEFIT ARE:
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	MEDICAID SHORTFALL THE CLEVELAND CLINIC HEALTH SYSTEM IS A LEADING PROVIDER OF MEDICAID SERVICES IN OHIO. IN MANY STATES, INCLUDING OHIO, MEDICAID PAYMENTS HAVE NOT BEEN SUFFICIENT TO COVER THE COST OF TREATING MEDICAID BENEFICIARIES. IN 2022, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $615 MILLION (THIS FIGURE INCLUDES AS HCAP ASSESSMENT OF $6.7 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 2022 AT A COST OF $57.8 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH 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 $68.7 MILLION, PARTIALLY OFFSET BY EXTERNAL FUNDING. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS, AS WELL AS 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. 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 2022, SOME HIGHLIGHTS INCLUDED: -PLEDGED $50 MILLION IN JANUARY 2022 TO LEAD SAFE CLEVELAND COALITION, IN ADDITION TO THE PREVIOUSLY COMMITTED $2.5 MILLION TO ADVANCE LEAD POISONING PREVENTION EFFORTS WITH UNITED WAY. THE FIVE-YEAR FINANCIAL COMMITTMENT WILL HELP SUPPORT THE COLLABORATION TO REMOVE HARMFUL SOURCES OF LEAD EXPOSURE FROM LOCAL HOMES. -HEALTH EDUCATION AND CLINICAL SERVICES FOR COMMUNITY RESIDENTS ON COVID-19 IMPACT AND TESTING. ESTABLISHED COVID-19 VACCINATION CLINIC TO HELP ENSURE THAT THOSE WHO ARE AT HIGHER RISK OF INFECTION AND DEATH FROM THE VIRUS INCLUDING BLACK, HISPANIC AND UNDERSERVED COMMUNITIES HAVE ACCESS TO THE VACCINE. INCLUDED PARTNERSHIPS WITH HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS. -FAITH BASED FORUMS FOR KEY COMMUNITY LEADERS ON COVID-19 EDUCATION AND ACCESS. -WELLNESS INITIATIVES TO RESIDENTS, SCHOOLS AND COMMUNITY BASED ORGANIZATIONS IN THE AREAS OF DISEASE PREVENTION, INCLUDING COVID-19 PROTOCOL, 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. PROVIDED METHODS TO DECREASE INFANT MORTALITY INCLUDING PROACTIVE CENTERING PROGRAMS. -WORKFORCE DEVELOPMENT PROGRAMS TO 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 WILL INCLUDE A NEW 40,000-SQUARE-FOOT GROCERY MARKET AND 196 APARTMENT UNITS 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 CLEVELAND CLINIC HEALTH SYSTEM IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION.
FORM 990, PART VI, SECTION A, LINE 2	DEBORAH CRAWFORD, CCF DIRECTOR & PATRICK V. AULETTA, CCF DIRECTOR - BUSINESS STEVEN C. GLASS, CCF OFFICER & TIMOTHY LONGVILLE, CCF OFFICER - BUSINESS WILLIAM PEACOCK, CCF OFFICER & KELLY HANCOCK, CCF OFFICER - BUSINESS WILLIAM PEACOCK, CCF OFFICER & TIMOTHY LONGVILLE, 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 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 US" 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 -13,250,921. GIFTS AND BEQUESTS 282,494,498. TRANSFERS OF NET ASSETS -59,323,311. NET INVESTMENT INCOME -40,320,412. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -67,284,530. RETIREMENT BENEFITS ADJUSTMENT 62,091,872. EQUITY TRANSFERS & OTHER TRANSFERS -2,204,179.
FORM 990, PART XI, LINE 8	THE PRIOR PERIOD ADJUSTMENT IN THE AMOUNT OF $42,923,403 IS DUE TO THE ADDITION OF SINGLE MEMBER LIMITED LIABILITY COMPANIES (SMLLCS) TREATED AS DISREGARDED ENTITIES WITHIN THE CLEVELAND CLINIC FOUNDATION.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (52 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADVANCED INFUSION SERVICES LTD
1 HOME CARE PLACE	AKRON	OH	44320	341847339	INFUSION SERVICES	OH	-$215	$197,827	VISITING NURSE SERVICE INC
AKRON GENERAL MEDICAL CENTER OUTPATIENT PHARMACY LLC
1 AKRON GENERAL AVENUE	AKRON	OH	44307	842380272	HEALTH CARE SERVICES	OH	-$789,563	$2,537,614	AKRON GENERAL HEALTH SYSTEM
AUTISM EYES LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843070150	AUTISM DETECTION PLATFORM	DE	-$319,748	$1,234,213	THE CLEVELAND CLINIC FOUNDATION
CARNEGIE89TH GARAGE AND SERVICE CENTER
6801 BRECKSVILLE ROAD RK1-85	INDEPENDENCE	OH	44131	205693261	INACTIVE	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CARNEGIE96TH RESEARCH BUILDING LLC
6801 BRECKSVILLE ROAD RK1-85	INDEPENDENCE	OH	44131	113706542	INACTIVE	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CC WEB SOLUTIONS LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	263222020	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CCF HOTEL SERVICES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	340666034	HOTEL OPERATIONS	OH	-$2,889,193	$102,148,965	THE CLEVELAND CLINIC FOUNDATION
CHV HOME MEDICAL EQUIPMENT CO LLC
1 HOME CARE PLACE	AKRON	OH	44320	204760456	DURABLE MEDICAL EQUIPMENT	OH	$4,395	-$4,696,426	VISITING NURSE SERVICE INC
CLEVELAND CLINIC CARE COORDINATION LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	455282492	HEALTH CARE SERVICES	OH	$0	-$942,441	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC FLORIDA CONCIERGE MEDICINE LLC
1301 EAST BROWARD BLVD STE 330	FT LAUDERDALE	FL	33301	823186835	HEALTH CARE SERVICES	FL	$11,417	-$502,949	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
CLEVELAND CLINIC FLORIDA HOME HEALTHCARE LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	832250064	HEALTH CARE SERVICES	FL	$41	-$41	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	311741150	INACTIVE	FL	$0	$0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	263666730	HEALTH CARE SERVICES & IP LICENSING	OH	-$28,890	$17,043,222	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC GLOBAL SOLUTIONS II LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	871180623	HEALTH CARE SERVICES & IP LICENSING	OH	-$2,445,769	$2,543,274	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC MEDICARE ACO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	471281189	HEALTH CARE SERVICES	OH	$693,030	$2,393,206	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OHIO REGIONAL PHYSICIANS LLC
1330 MERCY DRIVE NW SUITE 506	CANTON	OH	44708	921359067	HEALTH CARE SERVICES	OH	$0	-$5,867	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC RISK RETENTION GROUP LLC
701 EAST BAY STREET SUITE 514	CHARLESTON	SC	29403	872395525	RISK RETENTION GROUP	SC	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
1950 RICHMOND ROAD	LYNDHURST	OH	44124	263859233	HEALTH CARE SERVICES	OH	$487,787	-$36,300,279	THE CLEVELAND CLINIC FOUNDATION
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTH CARE SERVICES	OH	$82,876,498	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	HEALTH CARE SERVICES	OH	$27,676	-$457,738	THE CLEVELAND CLINIC FOUNDATION
EDWIN SHAW REHAB LLC
330 BROADWAY STREET EAST	CUYAHOGA FALLS	OH	44221	270119182	REHABILITATION FACILITY	OH	-$18,405	$1,365,046	AKRON GENERAL MEDICAL CENTER
INTELLIS EPM LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	270645368	MEDICAL TECHNOLOGY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
IRMCF#1 LLC
1000 36TH STREET	VERO BEACH	FL	32960	590760215	REAL ESTATE HOLDINGS	FL	$0	$0	INDIAN RIVER HOSPITAL FOUNDATION INC
IVHR LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	454657632	MEDICAL TECHNOLOGY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
MARTIN SURGICAL VENTURES LLC
333 THIRD STREET N STE 200	ST PETERSBURG	FL	33701	320496475	SURGICAL VENTURE	FL	-$849,036	$1,745,722	MARTIN MEMORIAL MEDICAL CENTER INC
MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341533871	INACTIVE	OH	$0	$0	MEDINA HOSPITAL
MERCY PROFESSIONAL CARE CORPORATION
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341873008	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	INACTIVE	OH	$6,963	-$10,166	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
MITRIA MEDICAL LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843447663	MEDICAL TECHNOLOGY	DE	$1,113,383	$719,151	THE CLEVELAND CLINIC FOUNDATION
MONTROSE SLEEP CENTER LLC
4125 MEDINA ROAD	AKRON	OH	44333	200494491	HEALTH CARE SERVICES	OH	-$591,623	$3,013,969	AKRON GENERAL PARTNERS INC
NEUROOPERATIVE MONITORING LLC
1 AKRON GENERAL AVENUE	AKRON	OH	44307	300746215	INACTIVE	OH	$0	$0	AKRON GENERAL PARTNERS INC
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTH CARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
OBVF VII LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	861185460	MEDICAL TECHNOLOGY	OH	-$309,461	$25,512,327	THE CLEVELAND CLINIC FOUNDATION
OBVF VIII LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	871129899	MEDICAL TECHNOLOGY	OH	-$309,461	$25,512,327	THE CLEVELAND CLINIC FOUNDATION
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
OPTOQUEST LLC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	263589643	SCIENTIFIC RESEARCH	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
PSMA LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	834269973	COMMERCIALIZE TECHNOLOGY	DE	-$19,596	$191,896	THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
3050 SCIENCE PARK DRIVE	BEACHWOOD	OH	44122	273245990	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
SCIENCE PARK CLEVELAND LLC
6801 BRECKSVILLE ROAD RK1-85	INDEPENDENCE	OH	44131	208726513	INACTIVE	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
SPC BUILDINGS 1 & 3 LLC
6801 BRECKSVILLE ROAD RK1-85	INDEPENDENCE	OH	44131	261357176	INACTIVE	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
TATARA VASCULAR LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	474282964	MEDICAL TECHNOLOGY	DE	$540	$178	THE CLEVELAND CLINIC FOUNDATION
THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	201476092	HEALTH CARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
TREASURE COAST INTEGRATED HEALTHCARE LLC
PO BOX 9010	STUART	FL	34995	820708813	HEALTH CARE SERVICES	FL	$0	$0	MARTIN MEMORIAL MEDICAL CENTER INC
TUSCARAWAS AMBULATORY SURGERY CENTER LLC
659 BOULEVARD	DOVER	OH	44622	340000100	INACTIVE	OH	$170,542	$2,763,195	THE UNION HOSPITAL ASSOCIATION
UNION HOSPITAL MEDICAL SERVICES LLC
659 BOULEVARD	DOVER	OH	44622	270273520	HEALTH CARE SERVICES	OH	$11,929	-$3,308,517	THE UNION HOSPITAL ASSOCIATION
UNION PHYSICIAN SERVICES LLC
659 BOULEVARD	DOVER	OH	44622	264215547	HEALTH CARE SERVICES	OH	$10,417,520	-$140,797,685	THE UNION HOSPITAL ASSOCIATION
VERO RADIOLOGY SERVICES LLC
3725 11TH CIRCLE	VERO BEACH	FL	32960	592755370	RADIOLOGY SERVICES	FL	-$1,332,778	$14,786,200	INDIAN RIVER MEMORIAL HOSPITAL INC
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTH CARE SERVICES	OH	$58,060,394	$0	THE CLEVELAND CLINIC FOUNDATION

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE	CLEVELAND	OH	44111	237108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	TYPE III, OTHER	N/A	0
CLEVELAND CLINIC PHILANTHROPY (UK) LTD
				981571304	SUPPORT FOR HEALTHCARE EDUCATION AND RESEARCH IN THE UK		501(C)(3)	LINE 7	N/A	Yes (1)	SUITE 1 3RD FLOOR 11-12TH ST JAM	LONDON	UK	SW1Y4LB	UK
COMMUNITY WEST FOUNDATION
800 SHARON DRIVE STE C	WESTLAKE	OH	44145	341456398	ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY	OH	501(C)(3)	LINE 7	N/A	0
HOSPITAL AUXILIARY OF THE IRMH INC
1000 36TH STREET	VERO BEACH	FL	32960	591003707	SUPPORT THE INDIAN RIVER HOSPITAL	FL	501(C)(3)	TYPE III, FUNCTIONAL	N/A	0
MARTIN MEMORIAL HOSPITAL AUXILIARY INC
PO BOX 9033	STUART	FL	34995	237115443	PROMOTE QUALITY HEALTH CARE FOR MARTIN & ST. LUCIE COUNTIES	FL	501(C)(3)	LINE 10	N/A	0
THE UNIFY PROJECT
1151 NORTH MARGINAL ROAD	CLEVELAND	OH	44114	823605707	SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES	OH	501(C)(3)	LINE 3	N/A	0
THREE ARCHES FOUNDATION
14601 DETROIT AVENUE STE 240	LAKEWOOD	OH	44107	346519834	SUPPORT THE CLEVELAND CLINIC FOUNDATION	OH	501(C)(3)	TYPE III, OTHER	N/A	0
TUSCARAWAS VALLEY REGIONAL CANCER CENTER
659 BOULEVARD	DOVER	OH	44622	340000100	PHYSICIAN HOSPITAL AND ORGANIZATION	OH	501(C)(3)	LINE 3	N/A	0
UNION HOSPITAL AUXILIARY
659 BOULEVARD	DOVER	OH	44622	341204928	SUPPORT THE UNION HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 10	N/A	0
WO WALKER CENTER INC
10700 EUCLID AVENUE	CLEVELAND	OH	44106	911818256	HEALTH CARE SERVICES	OH	501(C)(3)	TYPE III, FUNCTIONAL	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
AACP INDIA VENTURE INVESTORS D LP
1 EMBARCADERO 16TH FL	SAN FRANCISCO	CA	94111	831009352	ALTERNATIVE INVESTMENT	CA	THE CLEVELAND CLINIC FOUNDATION	RELATED	-$6,367	$8,184,464	0	0	0.61690
AKRON SURGICAL ASSOCIATES LLC
4125 MEDINA ROAD	AKRON	OH	44333	010672877	AMBULATORY SURGERY CENTER	OH	AKRON GENERAL PARTNERS INC	RELATED	$846,198	$843,376	0	0	0.51000
ALTOS HYBRID CC LLC
2882 SAND HILL ROAD SUITE 100	MENLO PARK	CA	94025	853546949	ALTERNATIVE INVESTMENT	CA	THE CLEVELAND CLINIC FOUNDATION	RELATED	$4,039	$8,530,936	0	0	1.00000
BEXP II (PARALLEL) LP
5914 W COURTYARD DRIVE SUITE 340	AUSTIN	TX	78730	873188834	ALTERNATIVE INVESTMENT	TX	THE CLEVELAND CLINIC FOUNDATION	RELATED	$9,018,784	$52,100,322	0	0	0.29260
CCAW JV LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843867549	MEDICAL SERVICES & TELE HEALTH	DE	THE CLEVELAND CLINIC FOUNDATION	RELATED	-$966,500	$258,261	0	Yes (1)	0.51000
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	$1,116,592	$11,792,143	0	0	0.60000
EXCELERATE STRATEGIC HEALTH SOURCING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	461810992	HEALTH CARE OP & MGMT	DE	THE CLEVELAND CLINIC FOUNDATION	RELATED	$1,295,634	$500,866	0	Yes (1)	0.51000	$979,496
KEROGEN ENERGY FUND II CO-INVESTMENT FUND A LP
				981231373	ALTERNATIVE INVESTMENT		THE CLEVELAND CLINIC FOUNDATION	RELATED	$8,854	$3,190,815	0	0	0.58830		1 NEXUS WAY	CAMANA BAY	CJ	KY1-9005	CJ
MEDICAL CENTER AT HOBE SOUND LLC
PO BOX 9033	STUART	FL	34996	650748232	RENTAL OF MEDICAL OFFICES	FL	MARTIN MEMORIAL MEDICAL CENTER INC	RELATED	$55,325	$2,249,047	0	Yes (1)	0.99000
MEDICAL CENTER AT ST LUCIE WEST LLC
PO BOX 9033	STUART	FL	34996	650504863	RENTAL OF MEDICAL OFFICES	FL	MARTIN MEMORIAL MEDICAL CENTER INC	RELATED	$6,535	$135,810	0	Yes (1)	0.99000
MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC
1050 FORRER BLVD	KETTERING	OH	45420	810687167	SURGERY CENTER	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	-$53,101	$1,102,350	0	0	0.60000
PARAMETRIC GLOBAL LOW BETA VRP FUND LLC
3600 MINNESOTA DRIVE SUITE 325	MINNEAPOLIS	MN	55435	850959525	ALTERNATIVE INVESTMENT	MN	THE CLEVELAND CLINIC FOUNDATION	RELATED	$3,886,627	$188,495,811	0	0	0.95340
SPROTT PRIVATE RESOURCE STREAMING AND ROYALTY
				981654634	ALTERNATIVE INVESTMENT		THE CLEVELAND CLINIC FOUNDATION	RELATED	$13,803	$16,009,274	0	0	1.00000		200 BAY STREET SUITE 2600	TORONTO	CA	M5J-2J1	CA
STUART SURGERY CENTER LLC
2096 SE OCEAN BLVD	STUART	FL	34996	822542219	SURGERY CENTER	FL	MARTIN MEMORIAL MEDICAL CENTER INC	RELATED	$978,920	$1,223,323	0	Yes (1)	0.77630
TRADITION SURGERY CENTER LLC
10080 INNOVATION WAY SUITE 101	PORT ST LUCIE	FL	34987	364837780	SURGERY CENTER	FL	MARTIN MEMORIAL MEDICAL CENTER INC	RELATED	$368,026	-$274,470	0	Yes (1)	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (39 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
33 GROSVENOR PLACE LIMITED
33 GROSVENOR PLACE	LONDON	UK	SW1X 7HY	LEASE HOLDING COMPANY	JE	CLEVELAND CLINIC UK HOLDINGS LTD	C	-$12,864,110	$657,971,741	1.00000	Yes (1)
ABCON THERAPEUTICS INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	853703323	DE
AXONEURAL THERAPEUTICS INC
				THERAPEUTIC TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		$217,604	1.00000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	851131595	DE
BERING HEALTH INC
				BRIDGE VIRTUAL & IN-PERSON CARE		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	920570284	DE
CASHEL NEURAL INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$89,271	$92,338	1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824625105	DE
CCAW EMPLOYMENT CO LLC
				MANAGEMENT SERVICES		CCAW JV LLC	C	$2,033,043		0.51000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	845164677	DE
CCF (SHANGHAI) CONSULTING CO LTD
LEVEL 40 ONE MUSEUM PLACE 669 ZINZ	SHANGHAI	CH	200041	ADVISORY SERVICES	CH	CLEVELAND CLINIC GLOBAL SOLUTIONS LLC	C	$1,037	$2,231	1.00000	Yes (1)
CCF BOLTON INC
				INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C				0	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204596571	OH
CCHS INDEMNITY CO LTD
23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	INSURANCE COMPANY	CJ	THE CLEVELAND CLINIC FOUNDATION	C	-$35,862,047	$238,719,872	1.00000	Yes (1)					980207086
CERAXIS HEALTH INC
				STYLUS TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		$1,623,099	0.80000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	863324076	DE
CLEVELAND CLINIC CANADA-TORONTO INC
181 BAY STREET BOX 818	TORONTO	CA	M5J 2T3	HEALTH CARE SERVICES	CA	THE CLEVELAND CLINIC FOUNDATION	C	$437,859	$15,441,902	1.00000	Yes (1)
CLEVELAND CLINIC EMR INC
				INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C		$1,101,761		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	OH
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
				CONTRACTING ORGANIZATION		CLINIC MEDICAL SOLUTIONS INC	C	$11,321,768	$7,085,305		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	OH
CLEVELAND CLINIC LONDON LTD
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	HOSPITAL OPERATING COMPANY	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C	-$240,492,664	$596,090,612	1.00000	Yes (1)
CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY)
PO BOX 340340	RIYADH	SA	11333	MEDICAL SERVICES	SA	THE CLEVELAND CLINIC FOUNDATION	C	-$533	$609,029	1.00000	Yes (1)
CLEVELAND CLINIC UK FINANCING PLC
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	FINANCING ENTITY	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C	-$261,580	$941,904,507	1.00000	Yes (1)
CLEVELAND CLINIC UK HOLDINGS LTD
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	HOLDING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C	-$19,722,442	$1,888,786,682	1.00000	Yes (1)
CLINIC MEDICAL SOLUTIONS INC
				HEALTH CARE SERVICES		THE CLEVELAND CLINIC FOUNDATION	C	$9,812,931	$3,905,292		Yes (1)	18101 LORAIN AVENUE	CLEVELAND	OH	44111	341695388	OH
CMCD INC
				REAL ESTATE		MEDINA HOSPITAL	C		$311,040	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	OH
CSC CONDOMINIUM ASSOCIATION INC
				CONDOMINIUM ASSOCIATION		MARTIN MEMORIAL MEDICAL CENTER INC	C	$214,323	$395,413	0.83700	Yes (1)	PO BOX 9033	STUART	FL	34995	592320501	FL
INFUSEON THERAPEUTICS INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		$151,850	1.00000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	461776182	DE
ION-VAC INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		$20,799	1.00000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	461560044	DE
MARTIN MEMORIAL PHYSICIAN CORPORATION INC
				PHYSICIAN OFFICES		MARTIN MEMORIAL MEDICAL CENTER INC	C	$115,397,996	$85,023,435	1.00000	Yes (1)	PO BOX 9010	STUART	FL	34995	650556041	FL
MCZ INC
				LEASING		MEDINA HOSPITAL	C	$9,097	$500	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256598	OH
MEDICAL & FINANCIAL MANAGEMENT INC
				BILLING AND COLLECTIONS		MARTIN MEMORIAL MEDICAL CENTER INC	C	$4,168,475	$1,082,474	1.00000	Yes (1)	PO BOX 9033	STUART	FL	34995	592843163	FL
MEDICAL CAMPUS MANAGEMENT INC
				MANAGEMENT SERVICES		MEDICAL & FINANCIAL MANAGEMENT INC	C	$7,125	$124,360	1.00000	Yes (1)	PO BOX 9033	STUART	FL	34995	650605328	FL
MEDINVEST INC
				INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	203978297	OH
MERIDIA HEALTH VENTURES INC
				INACTIVE		CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341533871	OH
MERLOT ORTHOPEDIX INC
				MEDICAL DEVICE MANUFACTURING		THE CLEVELAND CLINIC FOUNDATION	C		$31,389	0.55000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	113779414	DE
METHOD AI INC
				ROBOTIC SURGERY TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		$515,838	0.53420	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	862997632	DE
MOBIUS CARE INC
				IBS TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		$399,775	1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	883418504	DE
NEOMEDICS INC
				INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	020656818	OH
NEW COS INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$450,522	$853,835	1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824828042	DE
PINE FALLS CONDOMINIUM ASSOCIATES INC
				CONDOMINIUM ASSOCIATION		THE CLEVELAND CLINIC FOUNDATION	C				Yes (1)	6100 WEST CREEK SUITE 25	INDEPENDENCE	OH	44131	341617589	OH
TETONIC BIOTECH INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	853689997	DE
UNION CARE CORPORATION
				HEALTH CARE SERVICES		THE UNION HOSPITAL ASSOCIATION	C			1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	341556177	OH
UNION PHARMACEUTICAL CARE INC
				RETAIL PHARMACY SALES		THE UNION HOSPITAL ASSOCIATION	C	$17,923	$68,300	1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	043588229	OH
ZEHNA THERAPEUTICS LLC
				MICROBIOME TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		$1,838,227	1.00000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	843850618	DE
CHARITABLE REMAINDER TRUST (13)
						THE CLEVELAND CLINIC FOUNDATION	T			1.00000	Yes (1)						OH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (41 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLEVELAND CLINIC CANADA - TORONTO INC
A	$100,000	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
B	$24,141,960	FMV
CCAW JV LLC
D	$426,773	FMV
CERAXIS HEALTH INC
D	$61,146	FMV
CLEVELAND CLINIC LONDON LTD
D	$1,881,000	FMV
CLEVELAND CLINIC PHILANTHROPY (UK) LTD
D	$151,000	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
D	$2,131,000	FMV
CCHS INDEMNITY CO LTD
E	$9,237,000	FMV
ION-VAC INC
E	$897,223	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
J	$451,488	FMV
FAIRVIEW HOSPITAL
J	$51,752	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
J	$1,718,859	FMV
AKRON GENERAL MEDICAL CENTER
K	$327,995	FMV
CLEVELAND CLINIC AVON HOSPITAL
K	$4,329,392	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
K	$2,441,187	FMV
FAIRVIEW HOSPITAL
K	$1,254,355	FMV
LUTHERAN HOSPITAL
K	$248,200	FMV
MARYMOUNT HOSPITAL INC
K	$1,308,055	FMV
MEDINA HOSPITAL
K	$1,370,563	FMV
AKRON GENERAL MEDICAL CENTER
L	$1,030,268	FMV
CLEVELAND CLINIC AVON HOSPITAL
L	$165,761	FMV
CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION
L	$554,598	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	$1,348,768	FMV
CLEVELAND CLINIC MERCY HOSPITAL
L	$55,881	FMV
FAIRVIEW HOSPITAL
L	$799,449	FMV
LUTHERAN HOSPITAL
L	$84,609	FMV
MARYMOUNT HOSPITAL INC
L	$203,331	FMV
AKRON GENERAL MEDICAL CENTER
M	$515,277	FMV
CLEVELAND CLINIC AVON HOSPITAL
M	$540,591	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
M	$10,967,000	FMV
CLEVELAND CLINIC MERCY HOSPITAL
M	$219,635	FMV
EUCLID HOSPITAL
M	$540,387	FMV
FAIRVIEW HOSPITAL
M	$668,242	FMV
HILLCREST HOSPITAL
M	$941,062	FMV
LODI COMMUNITY HOSPITAL
M	$127,532	FMV
LUTHERAN HOSPITAL
M	$250,892	FMV
MARYMOUNT HOSPITAL INC
M	$533,155	FMV
MEDINA HOSPITAL
M	$554,478	FMV
SOUTH POINTE HOSPITAL
M	$476,351	FMV
CCHS INDEMNITY CO LTD
P	$90,875,710	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
Q	$575,873	FMV