THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-11
IRS object ID: 202143159349301799
Schema version: 2020v4.1
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
Affiliated Group Attachment

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-11T09:14:01-06:00	ReturnTs
Tax Period End	2020-12-31	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	950 MAIN AVENUE 1800	AddressLine1Txt
City	CLEVELAND	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44113	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	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	STEVEN C GLASS	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2164442200	PhoneNum
Signature	2021-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	STEVEN	PersonFirstNm
Person Last	GLASS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAMES L ZIESCHE	PreparerPersonNm
PTIN	P01264584	PTIN
Phone	2168615000	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	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TOMISLAV MIHALJEVIC	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	$9,683,673,989	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	27	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	42469	TotalEmployeeCnt
Total Volunteers	654	TotalVolunteersCnt
Total Gross UBI	$48,466,609	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$263,593,024	PYContributionsGrantsAmt
CY Contributions Grants	$529,557,140	CYContributionsGrantsAmt
PY Program Service Revenue	$6,207,489,737	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,935,539,261	CYProgramServiceRevenueAmt
PY Investment Income	$185,811,169	PYInvestmentIncomeAmt
CY Investment Income	$229,721,135	CYInvestmentIncomeAmt
PY Other Revenue	$173,519,078	PYOtherRevenueAmt
CY Other Revenue	$337,224,959	CYOtherRevenueAmt
PY Total Revenue	$6,830,413,008	PYTotalRevenueAmt
CY Total Revenue	$7,032,042,495	CYTotalRevenueAmt
PY Grants And Similar Paid	$110,094,217	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$112,177,648	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,410,816,900	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,541,803,968	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,770,231	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,701,157	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$16,105,198	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,710,215,412	PYOtherExpensesAmt
CY Other Expenses	$2,683,217,605	CYOtherExpensesAmt
PY Total Expenses	$6,232,896,760	PYTotalExpensesAmt
CY Total Expenses	$6,338,900,378	CYTotalExpensesAmt
PY Revenues Less Expenses	$597,516,248	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$693,142,117	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,446,161,990	TotalAssetsBOYAmt
Total Assets EOY	$13,701,552,445	TotalAssetsEOYAmt
Total Liabilities BOY	$6,172,018,991	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,620,130,520	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,274,142,999	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,081,421,925	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	$5,706,348,796	ExpenseAmt
Grant	$112,177,648	GrantAmt
Revenue	$5,935,539,261	RevenueAmt
Desc	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Desc
Total Program Service Expenses	$5,706,348,796	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	0	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	4497	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	42469	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	UK	ForeignCountryCd
Foreign Country	LU	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	CA	ForeignCountryCd
Foreign Country	SA	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	PO	ForeignCountryCd
Foreign Country	BR	ForeignCountryCd
Foreign Country	HK	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Foreign Country	NO	ForeignCountryCd
Foreign Country	SW	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	0	Form8282PropertyDisposedOfInd
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	27	GoverningBodyVotingMembersCnt
Independent Voting Member	20	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	2166367416	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 (54 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
COSGROVE MD DELOS
FORMER CEO (RETIRED)	0.00	0.00	Yes (X)	$9,986,209	$0	$59,604
DONLEY MD BRIAN
FORMER OFF, CC LONDON - CEO	0.00	50.00	Yes (X)	$0	$2,936,841	$855,615
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRESIDENT & CEO	50.00	0.00		$3,577,697	$0	$46,525	Yes (X)	Yes (X)
MASARYK MD THOMAS
PHYSICIAN (2020 RETIREE)	50.00	0.00		$2,553,165	$0	$297,201			Yes (X)
MCHUGH LINDA
FORMER OFFICER	50.00	0.00	Yes (X)	$1,021,074	$0	$1,483,266
PIRAINO MD DAVID
PHYSICIAN (2020 RETIREE)	50.00	0.00		$2,324,727	$0	$137,740			Yes (X)
TUZCU MD E MURAT
PHYSICIAN	50.00	0.00		$1,756,390	$0	$633,112			Yes (X)
SURI MD RAKESH
CEO CCAD	50.00	0.00		$2,119,920	$0	$167,948				Yes (X)
SABANEGH MD EDMUND
PRES, CC MAIN CAMPUS, REG HOSPS, FHCS	50.00	0.00		$1,130,542	$0	$1,096,668		Yes (X)
SCHILS MD JEAN
PHYSICIAN (2020 RETIREE)	50.00	0.00		$1,849,911	$0	$102,628			Yes (X)
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00	0.00		$1,899,581	$0	$48,278		Yes (X)
WIEDEMANN MD HERBERT
DIRECTOR, CHIEF OF STAFF	50.00	0.00		$1,126,632	$0	$789,310	Yes (X)	Yes (X)
GLASS STEVEN C
CFO & TREASURER	50.00	0.00		$1,802,848	$0	$57,962		Yes (X)
NAJM MD HANI
PHYSICIAN	50.00	0.00		$1,761,770	$0	$47,400			Yes (X)
SVENSSON MD LARS
FORMER KEY EMPLOYEE - CHAIR HVI	50.00	0.00	Yes (X)	$1,743,675	$0	$47,075
ROWAN DAVID
SECRETARY, CHIEF LEGAL OFF	50.00	0.00		$1,757,821	$0	$27,386		Yes (X)
ERZURUM MD SERPIL
CHIEF RESEARCH & ACADEMIC OFFICER	50.00	0.00		$774,662	$0	$441,091		Yes (X)
HULL MD TRACY
DIRECTOR, PHYSICIAN	50.00	0.00		$653,740	$0	$451,252	Yes (X)
HANCOCK DNP KELLY
CHIEF CAREGIVER OFFICER	50.00	0.00		$1,031,397	$0	$69,871		Yes (X)
YOUNG MD JAMES P
CHIEF ACADEMIC OFFICER	50.00	0.00		$989,595	$0	$46,664		Yes (X)
MALONE JR MD DONALD
PRES, OHIO HOSPITALS & FHCS	50.00	0.00		$541,996	$0	$373,735		Yes (X)
HAMILTON THOMAS
FORMER OFFICER	50.00	0.00	Yes (X)	$494,441	$0	$195,349
DAVIS MARLEINA
ASST. SECRETARY	50.00	0.00		$581,429	$0	$62,832		Yes (X)
LONGVILLE TIMOTHY
CAO & CONTROLLER	50.00	0.00		$497,264	$0	$117,294		Yes (X)
MODLIN MD CHARLES
DIRECTOR (PART YR), PHYSICIAN	50.00	0.00		$432,225	$0	$47,222	Yes (X)
FOLDVARY-SCHAEFER MD NANCY
DIRECTOR, PHYSICIAN	50.00	0.00		$434,287	$0	$39,534	Yes (X)
MEEHAN MICHAEL J
RECORDING SECRETARY	50.00	0.00		$391,580	$0	$59,240		Yes (X)
OBLANDER JASON
ASST. SECRETARY	50.00	0.00		$247,713	$0	$25,635		Yes (X)
AULETTA PATRICK V
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
BENZ MICHAEL
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
CHACK DENNIS
DIRECTOR (PART YR)	5.00	0.00		$0	$0	$0	Yes (X)
CRAWFORD DEBORAH
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
FEDELI UMBERTO P
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
HOOVER CAROLE
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
KEMPER BETTY RN
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
KILBANE CATHERINE
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
KOHL STEWART
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
KRAMER RICHARD
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
LERNER MARK
DIRECTOR (PART YR)	5.00	0.00		$0	$0	$0	Yes (X)
LERNER NORMA
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
MACDONALD WILLIAM III
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
MAROONE MICHAEL
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
MORINO MARIO
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
NANCE FREDERICK
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
SCOTT HAROLD LEE
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
STEVENS MARK
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
WEBER ROBERT
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
WEINBERG RONALD
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
WEISS MORRY
DIRECTOR (PART YR)	5.00	0.00		$0	$0	$0	Yes (X)
ISHRAK PHD OMAR
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
VEGA LORRAINE
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
MOONEY BETH E
DIRECTOR, BOARD CHAIR	5.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
PETRAS JR MICHAEL
DIR, VICE CHAIR, FINANCE & BUS DEV	5.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
POLLOCK LARRY
DIR, VICE CHAIR, PHILANTHROPY & STEWARDSHP	5.00	0.00		$0	$0	$0	Yes (X)	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$43,482,291	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,936,841	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,827,437	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6821	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
THE HCI GROUP
PO BOX 734305	CHICAGO	IL	60673	HEALTHCARE IT CONSULTING & TECH SOLUTION	$27,480,401
IBM CORP
500 FIRST AVENUE	PITTSBURGH	PA	15219	INFORMATION TECHNOLOGY SYSTEMS SERVICES	$25,446,300
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 121102	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SERVICES	$18,849,500
TOWNE PARK LLC
PO BOX 79349	BALTIMORE	MD	21279	PARKING SERVICES	$11,499,606
CARDINAL HEALTH
PO BOX 70539	CHICAGO	IL	60673	INTEGRATED HEALTHCARE SOLUTIONS	$11,194,019

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	478	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$3,460,786	FundraisingAmt
Government Grants	$397,042,239	GovernmentGrantsAmt
All Other Contributions	$129,054,115	AllOtherContributionsAmt
Noncash Contributions	$38,678,223	NoncashContributionsAmt
Total Contributions	$529,557,140	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	621990	$3,207,557,097	$3,185,297,509	$22,259,588
MEDICARE/MEDICAID PAYM	921990	$2,067,317,475	$2,067,317,475
OTHER PROGRAM SERVICES	900099	$596,580,740	$580,965,334	$15,615,406
PARKING, PHONE & OTHER	900099	$34,432,534	$0	$6,251,150	$28,181,384
MANAGEMENT FEES	561000	$26,246,174	$26,246,174

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,405,241	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,541,095	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$135,854	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,935,539,261	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,129,374	TotalRevenueColumnAmt
Exclusion	$69,129,374	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,279,445	TotalRevenueColumnAmt
Exclusion	$29,279,445	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,496,200	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	$6,496,200	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,496,200	TotalRevenueColumnAmt
Exclusion	$6,496,200	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,811,303,922	SecuritiesAmt
Other	$163,462	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,648,027,839	SecuritiesAmt
Other	$2,847,784	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$163,276,083	SecuritiesAmt
Other	-$2,684,322	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$160,591,761	TotalRevenueColumnAmt
Exclusion	$160,591,761	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$68,405	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$3,460,786	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$755,871	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$687,466	TotalRevenueColumnAmt
Exclusion	-$687,466	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INCOME ON INVESTMENTS	523000	$351,533,278	$4,476,319	$347,056,959
INVESTMENT IN AFFILIAT	523000	$8,956,978		$8,956,978
FOREIGN CURRENCY	525990	$92,893		$92,893

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$58,446,369	TotalRevenueColumnAmt
Exclusion	-$58,446,369	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$302,136,780	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,032,042,495	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,863,367,587	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$48,466,609	UnrelatedBusinessRevenueAmt
Exclusion	$590,651,159	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$26,150,361	TotalAmt
Program Services	$26,150,361	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$84,561,847	TotalAmt
Program Services	$84,561,847	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$1,465,440	TotalAmt
Program Services	$1,465,440	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$23,959,378	TotalAmt
Program Services	$6,857,642	ProgramServicesAmt
Management And General	$17,101,736	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$15,030,693	TotalAmt
Program Services	$895,375	ProgramServicesAmt
Management And General	$14,135,318	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,819,975,424	TotalAmt
Program Services	$2,459,948,813	ProgramServicesAmt
Management And General	$350,667,983	ManagementAndGeneralAmt
Fundraising	$9,358,628	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$180,536,272	TotalAmt
Program Services	$157,533,755	ProgramServicesAmt
Management And General	$22,449,944	ManagementAndGeneralAmt
Fundraising	$552,573	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$310,174,887	TotalAmt
Program Services	$270,569,865	ProgramServicesAmt
Management And General	$38,570,691	ManagementAndGeneralAmt
Fundraising	$1,034,331	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$192,127,314	TotalAmt
Program Services	$167,615,333	ProgramServicesAmt
Management And General	$23,891,307	ManagementAndGeneralAmt
Fundraising	$620,674	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,830,381	TotalAmt
Program Services	$5,105,365	ProgramServicesAmt
Management And General	$725,016	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,256,791	TotalAmt
Program Services	$6,354,399	ProgramServicesAmt
Management And General	$902,392	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,817,422	TotalAmt
Management And General	$3,814,234	ManagementAndGeneralAmt
Fundraising	$3,188	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$603,035	TotalAmt
Program Services	$603,035	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,701,157	TotalAmt
Fundraising	$1,701,157	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$17,211,260	TotalAmt
Management And General	$17,211,260	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$187,350,188	TotalAmt
Program Services	$162,101,147	ProgramServicesAmt
Management And General	$23,297,264	ManagementAndGeneralAmt
Fundraising	$1,951,777	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$34,823,615	TotalAmt
Program Services	$30,249,161	ProgramServicesAmt
Management And General	$4,330,366	ManagementAndGeneralAmt
Fundraising	$244,088	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,731,197	TotalAmt
Program Services	$59,177,177	ProgramServicesAmt
Management And General	$8,422,471	ManagementAndGeneralAmt
Fundraising	$131,549	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$123,496,695	TotalAmt
Program Services	$108,096,821	ProgramServicesAmt
Management And General	$15,356,991	ManagementAndGeneralAmt
Fundraising	$42,883	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$2,495,169	TotalAmt
Program Services	$2,184,891	ProgramServicesAmt
Management And General	$310,278	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$77,602,049	TotalAmt
Program Services	$67,952,122	ProgramServicesAmt
Management And General	$9,649,927	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,153,367	TotalAmt
Program Services	$5,219,637	ProgramServicesAmt
Management And General	$765,180	ManagementAndGeneralAmt
Fundraising	$168,550	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,839,840	TotalAmt
Program Services	$2,320,034	ProgramServicesAmt
Management And General	$353,138	ManagementAndGeneralAmt
Fundraising	$166,668	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$98,292,719	TotalAmt
Program Services	$86,069,879	ProgramServicesAmt
Management And General	$12,222,840	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$271,698,705	TotalAmt
Program Services	$237,897,484	ProgramServicesAmt
Management And General	$33,786,123	ManagementAndGeneralAmt
Fundraising	$15,098	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$41,856,123	TotalAmt
Program Services	$36,651,254	ProgramServicesAmt
Management And General	$5,204,869	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,384,135,053	$1,384,130,271	$4,782
BAD DEBT EXPENSE	$145,958,214	$145,958,214
EQUIPMENT RENTAL & MAIN	$76,512,054	$66,976,735	$20,935	$9,514,384
STATE FRANCHISE FEE	$65,900,736	$65,900,736

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$61,652,992	TotalAmt
Program Services	$57,802,003	ProgramServicesAmt
Management And General	$3,762,672	ManagementAndGeneralAmt
Fundraising	$88,317	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,338,900,378	TotalAmt
Program Services	$5,706,348,796	ProgramServicesAmt
Management And General	$616,446,384	ManagementAndGeneralAmt
Fundraising	$16,105,198	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$264,919,685	BOYAmt
EOY	$870,258,062	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$204,791,195	BOYAmt
EOY	$71,936,633	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$188,539,252	BOYAmt
EOY	$167,975,327	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$840,015,988	BOYAmt
EOY	$780,434,375	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$7,756,160	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$84,921,757	BOYAmt
EOY	$127,495,522	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$106,140,561	BOYAmt
EOY	$151,179,705	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$62,053,674	BOYAmt
EOY	$58,010,452	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,630,999,861	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,743,414,747	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,989,813,650	BOYAmt
EOY	$2,887,585,114	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,554,061,404	BOYAmt
EOY	$1,271,587,726	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,577,321,949	BOYAmt
EOY	$5,332,374,509	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$298,566,215	BOYAmt
EOY	$307,490,284	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$62,104,311	BOYAmt
EOY	$65,509,453	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,205,156,189	BOYAmt
EOY	$1,609,715,283	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,446,161,990	BOYAmt
EOY	$13,701,552,445	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$894,162,002	BOYAmt
EOY	$949,980,841	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$443,987	BOYAmt
EOY	$643,540	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$64,497,759	BOYAmt
EOY	$76,172,764	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,390,360,034	BOYAmt
EOY	$3,334,038,471	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$185,730,372	BOYAmt
EOY	$273,993,098	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,636,824,837	BOYAmt
EOY	$1,985,301,806	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,172,018,991	BOYAmt
EOY	$6,620,130,520	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	$5,369,427,785	BOYAmt
EOY	$6,078,549,467	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$904,715,214	BOYAmt
EOY	$1,002,872,458	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,274,142,999	BOYAmt
EOY	$7,081,421,925	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,446,161,990	BOYAmt
EOY	$13,701,552,445	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$693,142,117	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$20,208,868	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$93,927,941	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	$245,922,291	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$241,311,504	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$261,657,223	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$263,593,024	CurrentTaxYearMinus1YearAmt
Current Tax Year	$529,557,140	CurrentTaxYearAmt
Total	$1,542,041,182	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$245,922,291	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$241,311,504	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$261,657,223	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$263,593,024	CurrentTaxYearMinus1YearAmt
Current Tax Year	$529,557,140	CurrentTaxYearAmt
Total	$1,542,041,182	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$1,542,041,182	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$85,887,195	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$115,486,620	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$74,797,729	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$107,975,685	CurrentTaxYearMinus1YearAmt
Current Tax Year	$104,905,019	CurrentTaxYearAmt
Total	$489,052,248	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$64,845,310	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$72,403,603	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$94,283,514	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$166,735,941	CurrentTaxYearMinus1YearAmt
Current Tax Year	$360,583,149	CurrentTaxYearAmt
Total	$758,851,517	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,789,944,947	TotalSupportAmt
Gross Receipts Rltd Activities	$27,993,169,379	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.55270	PublicSupportCY170Pct
Public Support PY170	0.56070	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 - 2016 AMOUNT: $ 64,640,923. 2017 AMOUNT: $ 71,980,037. 2018 AMOUNT: $ 92,689,670. 2019 AMOUNT: $ 163,697,803. 2020 AMOUNT: $ 351,533,278. FOREIGN CURRENCY - 2016 AMOUNT: $ 73,310. 2017 AMOUNT: $ 273,145. 2019 AMOUNT: $ 286,195. 2020 AMOUNT: $ 92,893. DERIVATIVE INCOME - 2018 AMOUNT: $ 1,458,519. INVESTMENT IN AFFILIATES - 2019 AMOUNT: $ 2,737,082. 2020 AMOUNT: $ 8,956,978. LIFE INSURANCE TRUST - 2016 AMOUNT: $ 131,077. 2017 AMOUNT: $ 150,421. 2018 AMOUNT: $ 135,325. 2019 AMOUNT: $ 14,861.	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)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$603,035	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$603,035	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$10,901,319,364	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$10,901,922,399	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$2,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$3,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus1	$630,216	CurrentYearMinus1Amt
Current Year	$603,035	CurrentYearAmt
Total	$1,233,251	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$500,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$750,000	GrassrootsCeilingAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C - PART II-A	FormAndLineReferenceDesc
Explanation	THE TAXPAYER ACQUIRED MARTIN MEMORIAL MEDICAL CENTER, INC., EIN 59-0637874, IN 2019. MARTIN MEMORIAL MEDICAL CENTER, INC. IS A 501(C)(3) ORGANIZATION WHICH HAD A 501(H) ELECTION PREVIOUSLY IN PLACE WHICH WAS REVOKED AS OF 12/31/2020.	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
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	0	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	Yes (1)	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	71.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$11,000	ExpensesIncurredEnforcementAmt

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$296,834,800	BeginningYearBalanceAmt
Contributions	$20,870,889	ContributionsAmt
Investment Earnings Or Losses	$36,978,305	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,004,997	OtherExpendituresAmt
End Year Balance	$349,678,997	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$274,060,795	BeginningYearBalanceAmt
Contributions	$14,886,901	ContributionsAmt
Investment Earnings Or Losses	$14,552,559	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,665,455	OtherExpendituresAmt
End Year Balance	$296,834,800	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	$185,154,135	OtherCostOrOtherBasisAmt
Book Value	$185,154,135	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,166,030,469	OtherCostOrOtherBasisAmt
Depreciation	$2,195,264,888	DepreciationAmt
Book Value	$1,970,765,581	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$106,884,210	OtherCostOrOtherBasisAmt
Depreciation	$75,375,853	DepreciationAmt
Book Value	$31,508,357	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,989,685,351	OtherCostOrOtherBasisAmt
Depreciation	$1,421,879,534	DepreciationAmt
Book Value	$567,805,817	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$183,245,696	OtherCostOrOtherBasisAmt
Depreciation	$50,894,472	DepreciationAmt
Book Value	$132,351,224	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,887,585,114	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
OTHER SECURITIES (HEDGE FUNDS)	$3,271,301,069	C
OTHER SECURITIES (PRIVATE EQUITY)	$2,061,073,440	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$5,332,374,509	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$659,012,260
PERPETUAL & BENEFICIAL TRUSTS	$35,597,711
INVESTMENT IN AFFILIATES	$490,747,739
OTHER ASSETS	$12,056,185
DEFFERRED ANNUITIES	$312,702,345
OPERATING LEASE ASSETS	$99,599,043

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,609,715,283	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	-$1,172,099	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DEFERRED ANNUITY TRUST	$1,009,930
OTHER LIABILITIES	$17,567,936
FUTURE GIFT ANNUITY PAYMENTS	$8,670,313
INTEREST RATE SWAP	$157,336,453
ACCRUED PENSION	$618,437,009
DUE TO AFFILIATES	$892,744,472
ACCRUED BENEFITS	$184,675,494
FICA RECEIVABLE	$106,032,298

Field	Value	IRS element (for citing)
Total Liability	$1,985,301,806	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 CLEVELAND CLINIC HEALTH SYSTEM READS AS FOLLOWS: AT DECEMBER 31, 2020 AND 2019, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $1.5 MILLION AND $1.0 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	$2,120,000
NORTH AMERICA	2	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$46,559,000
EUROPE	2	12	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$477,674,000
MIDDLE EAST & NORTH AFRICA	2	89	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$5,488,000
EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$9,000
EUROPE	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$326,000
MIDDLE EAST & NORTH AFRICA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$445,000
NORTH AMERICA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$61,000
SOUTH AMERICA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$13,000
SOUTH ASIA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$47,000
SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$2,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	FUNDRAISING
EAST ASIA AND THE PACIFIC	0	0	FUNDRAISING
EUROPE	0	0	FUNDRAISING		$37,000
MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING		$24,000
NORTH AMERICA	0	0	FUNDRAISING		$1,000
SOUTH AMERICA	0	0	FUNDRAISING
SUB-SAHARAN AFRICA	0	0	FUNDRAISING
EUROPE	0	0	INVESTING		$101,755,000
SUB-SAHARAN AFRICA	0	0	INVESTING		$46,222,000
MIDDLE EAST & NORTH AFRICA	0	0	INVESTING		$2,419,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	INVESTING		$3,436,258,000

Field	Value	IRS element (for citing)
Subtotal Offices	6	SubtotalOfficesCnt
Subtotal Employees	101	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	6	TotalOfficeCnt
Total Employee	101	TotalEmployeeCnt
Subtotal Spent	$532,682,000	SubtotalSpentAmt
Continuation Spent	$3,586,778,000	ContinuationSpentAmt
Total Spent	$4,119,460,000	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (20 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
EUROPE	RESEARCH	$5,550	CHECK AND/OR WIRE
NORTH AMERICA	RESEARCH	$9,657	CHECK AND/OR WIRE
EUROPE	RESEARCH	$5,820	CHECK AND/OR WIRE
EUROPE	RESEARCH	$6,670	CHECK AND/OR WIRE
NORTH AMERICA	RESEARCH	$6,148	CHECK AND/OR WIRE
EUROPE	RESEARCH	$8,955	CHECK AND/OR WIRE
EUROPE	RESEARCH	$10,700	CHECK AND/OR WIRE
CENTRAL AMERICA & THE CARIBBEAN	RESEARCH	$33,900	CHECK AND/OR WIRE
NORTH AMERICA	RESEARCH	$10,000	CHECK AND/OR WIRE
EAST ASIA & THE PACIFIC	RESEARCH	$37,200	CHECK AND/OR WIRE
EUROPE	RESEARCH	$407,225	CHECK AND/OR WIRE
EUROPE	RESEARCH	$6,225	CHECK AND/OR WIRE
EAST ASIA & THE PACIFIC	RESEARCH	$43,200	CHECK AND/OR WIRE
EAST ASIA & THE PACIFIC	RESEARCH	$5,800	CHECK AND/OR WIRE
EAST ASIA & THE PACIFIC	RESEARCH	$72,846	CHECK AND/OR WIRE
NORTH AMERICA	RESEARCH	$559,647	CHECK AND/OR WIRE
SOUTH AMERICA	RESEARCH	$107,892	CHECK AND/OR WIRE
SUB-SAHARAN AFRICA	RESEARCH	$5,400	CHECK AND/OR WIRE
EUROPE	RESEARCH	$7,100	CHECK AND/OR WIRE
NORTH AMERICA	RESEARCH	$32,520	CHECK AND/OR WIRE

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	8	TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (8 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
RESEARCH	EUROPE	1	$15,000	CHECK AND/OR WIRE
RESEARCH	EUROPE	1	$8,000	CHECK AND/OR WIRE
RESEARCH	EUROPE	1	$6,240	CHECK AND/OR WIRE
RESEARCH	NORTH AMERICA	1	$10,849	CHECK AND/OR WIRE
RESEARCH	RUSSIA & NEIGHBORING STATES	1	$5,908	CHECK AND/OR WIRE
RESEARCH	EUROPE	1	$20,000	CHECK AND/OR WIRE
RESEARCH	EAST ASIA & THE PACIFIC	1	$8,988	CHECK AND/OR WIRE
RESEARCH	EAST ASIA & THE PACIFIC	1	$8,000	CHECK AND/OR WIRE

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
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
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	$3,169,181	$335,776	$2,833,405
RR DONNELLEY
35 WEST WACKER DR	CHICAGO	IL	60601	DIRECT MAIL	0	$1,174,563	$837,213	$337,350
TSM DONOR ENGAGEMENT TEAM
155 COMMERCE DR	FREEDOM	PA	15042	PHONE SOLICITATION	0	$372,075	$528,168	-$156,093

Field	Value	IRS element (for citing)
Total Gross Receipts	$4,715,819	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,701,157	TotalRetainedByContractorsAmt
Total Net To Organization	$3,014,662	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	$3,529,191	GrossReceiptsEvent1Amt
Charitable Contri Event1	$3,460,786	CharitableContriEvent1Amt
Gross Revenue Event1	$68,405	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$66,966	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$3,696	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$685,209	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$3,529,191	GrossReceiptsTotalAmt
Charitable Contributions Tot	$3,460,786	CharitableContributionsTotAmt
Gross Revenue Total Events	$68,405	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$66,966	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$3,696	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$685,209	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$755,871	DirectExpenseSummaryEventsAmt
Net Income Summary	-$687,466	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	$83,386,976	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,386,976	NetCommunityBenefitExpnsAmt
Total Expense	0.01330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$788,726,011	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$450,322,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$338,403,289	NetCommunityBenefitExpnsAmt
Total Expense	0.05400	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	$872,112,987	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$450,322,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$421,790,265	NetCommunityBenefitExpnsAmt
Total Expense	0.06730	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,289,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,630,352	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,658,997	NetCommunityBenefitExpnsAmt
Total Expense	0.01180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,277,274	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,329,693	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$235,947,581	NetCommunityBenefitExpnsAmt
Total Expense	0.03770	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,845,531	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,276,704	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,568,827	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$253,703,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$154,002,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$99,701,560	NetCommunityBenefitExpnsAmt
Total Expense	0.01590	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,506,527	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$410,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,096,527	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$643,622,396	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$221,648,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$421,973,492	NetCommunityBenefitExpnsAmt
Total Expense	0.06740	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,515,735,383	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$671,971,626	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$843,763,757	NetCommunityBenefitExpnsAmt
Total Expense	0.13470	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$133	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$133	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,316	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,083,862	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,686,289	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,397,573	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	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	$154	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$154	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,217	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
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	$33,096,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,686,289	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,410,393	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$147,714,261	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$660,320,890	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$721,986,046	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$61,665,156	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)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (1)	20	Yes (1)	WWW.CLEVELANDCLINIC.ORG	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)	MY.CLEVELANDCLINIC.ORG/PATIENTS	Yes (X)	MY.CLEVELANDCLINIC.ORG/PATIENTS	Yes (X)	MY.CLEVELANDCLINIC.ORG/PATIENTS	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)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (1)	20	Yes (1)	WWW.CLEVELANDCLINIC.ORG	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)	MY.CLEVELANDCLINIC.ORG/PATIENTS	Yes (X)	MY.CLEVELANDCLINIC.ORG/PATIENTS	Yes (X)	MY.CLEVELANDCLINIC.ORG/PATIENTS	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)			0		0	0	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (38 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE AUGUST 2018 THROUGH DECEMBER 2018. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX H OF THE HOSPITAL FACILITY'S CHNA.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 6A: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, UNION HOSPITAL, AND CLEVELAND CLINIC WESTON HOSPITAL. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 6B: CLEVELAND CLINIC HEALTH SYSTEM COLLABORATES WITH THE STATE'S DEPARTMENT OF HEALTH, LOCAL COUNTIES' BOARDS OF PUBLIC HEALTH, AND NONPROFIT ORGANIZATIONS SUCH AS UNITED WAY AND ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES TO DEVELOP AND SHARE DATA IN PRIORITIZING HEALTH NEEDS AND IDENTIFYING STRATEGIES TO FURTHER IMPROVE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 11: THE KEY NEEDS IDENTIFIED WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, ADDICTION AND MENTAL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT, INFANT MORTALITY, MEDICAL RESEARCH AND HEALTH PROFESSIONS EDUCATION, AND SOCIOECONOMIC CONCERNS. ALL KEY NEEDS IDENTIFIED ARE ADDRESSED. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.
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:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - REGENCY WEST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW.
GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - REGENCY WEST WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY WEST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - REGENCY WEST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY WEST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP A-FACILITY 7 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - REGENCY EAST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW.
GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - REGENCY EAST WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE; CHRONIC DISEASE PREVENTION AND MANAGEMENT; AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY EAST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - REGENCY EAST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY EAST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP A-FACILITY 5 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 5 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - FAIRHILL COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, CLEVELAND CLINIC REHABILITATION - AVON, CLEVELAND CLINIC REHABILITATION - BEACHWOOD, CLEVELAND CLINIC REHABILITATION - EDWIN SHAW.
GROUP A-FACILITY 5 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - FAIRHILL WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - FAIRHILL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - FAIRHILL IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - FAIRHILL SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP A-FACILITY 5 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - GATEWAY COLLABORATED 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.
GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED BY SELECT SPECIALTY - GATEWAY WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - GATEWAY CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH SELECT SPECIALTY - GATEWAY IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - GATEWAY SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP A-FACILITY 8 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017. SUPPLEMENTAL INTERVIEWS WERE CONDUCTED AUGUST THROUGH DECEMBER 2018.KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC REHABILITATION - AVON COLLABORATED 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, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST.
GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - AVON WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - AVON CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION -AVON IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - AVON SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP A-FACILITY 3 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN AUGUST AND DECEMBER 2018, AND SUPPLEMENTAL INTERVIEWS IN MARCH 2019. KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C 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 COLLABORATED 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.
GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - EDWIN SHAW WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - EDWIN SHAW CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION - EDWIN SHAW IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION -EDWIN SHAW SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP A-FACILITY 4 -- CLEVELAND CLINIC REHAB - EDWIN SHAW PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP A-FACILITY 2 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN AUGUST AND DECEMBER 2018, AND SUPPLEMENTAL INTERVIEWS IN MARCH 2019. KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 2 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC REHABILITATION - BEACHWOOD COLLABORATED 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, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST.
GROUP A-FACILITY 2 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 11:	THE KEY NEEDS IDENTIFIED BY CLEVELAND CLINIC REHABILITATION - BEACHWOOD WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTH CARE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SOCIOECONOMIC CONCERNS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE REHABILITATION HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - BEACHWOOD CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIOECONOMIC CONCERNS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES). ALTHOUGH CLEVELAND CLINIC REHABILITATION -BEACHWOOD IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - BEACHWOOD SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP A-FACILITY 2 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.

Field	Value	IRS element (for citing)
Facility	112	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (112 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 - RICHARD E JACOBS HEALTH CENTER
33100 CLEVELAND CLINIC BOULEVARD	AVON	OH	44011	FAMILY HEALTH CENTER
4 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD	BEACHWOOD	OH	44122	FAMILY HEALTH CENTER
5 - INDEPENDENCE FAMILY HEALTH CENTER
5001 ROCKSIDE RD CROWN CENTRE II	INDEPENDENCE	OH	44131	FAMILY HEALTH CENTER
6 - LORAIN FAMILY HEALTH & SURGERY CENTER
5700 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
7 - WILLOUGHBY HILLS FAMILY HEALTH CENTER
2550 2570 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
8 - CLEVELAND CLINIC CANCER CENTERS
417 QUARRY LAKES DRIVE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
9 - WOOSTER FAMILY HEALTH CENTER
1740 CLEVELAND ROAD	WOOSTER	OH	44691	FAMILY HEALTH CENTER
10 - BRUNSWICK FAMILY HEALTH CENTER
3574 CENTER ROAD	BRUNSWICK	OH	44212	FAMILY HEALTH CENTER
11 - LAKEWOOD FAMILY HEALTH CENTER
14601 DETROIT AVENUE	LAKEWOOD	OH	44107	FAMILY HEALTH CENTER
12 - CLEVELAND CLINIC CANCER CENTERS
1125 ASPIRA COURT	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
13 - SOLON FAMILY HEALTH CENTER
29800 BAINBRIDGE ROAD	SOLON	OH	44139	FAMILY HEALTH CENTER
14 - ELYRIA FAMILY HEALTH & SURGERY CENTER
303 CHESTNUT COMMONS DRIVE	ELYRIA	OH	44035	FAMILY HEALTH CENTER
15 - NORTH OHIO GASTROENTEROLOGY
30701 CLEMENS ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
16 - CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON STREET	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
17 - SHEFFIELD FAMILY HEALTH CENTER
5334 MEADOW LANE CT	SHEFFIELD VILLAGE	OH	44035	FAMILY HEALTH CENTER
18 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER
5900 LANDERBROOK DRIVE	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
19 - AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
20 - SUMMIT GASTROENTEROLOGY ASSOCIATES
3939 S CLEVELAND MASSILLON ROAD	BARBERTON	OH	44203	OUTPATIENT PHYSICIAN CLINIC
21 - CCF CONSULTANTS IN GASTROENTEROLOGY
7530 FREDLE DRIVE	CONCORD	OH	44077	OUTPATIENT PHYSICIAN CLINIC
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 - AMHERST FAMILY HEALTH CENTER
5172 LEAVITT ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
25 - AVON LAKE FAMILY HEALTH CENTER
450 AVON BELDEN ROAD	AVON LAKE	OH	44012	FAMILY HEALTH CENTER
26 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS
3275 SCIENCE PARK DRIVE BLDG 5	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
27 - MENTOR MEDICAL OFFICE
7060 WAYSIDE DRIVE	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
28 - MIDDLEBURG HEIGHTS ORTHOPAEDICS
7010 ENGLE ROAD STE 105	MIDDLEBURG HEIGHTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
29 - COMMUNITY PEDIATRICS
8254 MAYFIELD ROAD	CHESTERLAND	OH	44026	OUTPATIENT PHYSICIAN CLINIC
30 - MENTOR REHABILITATION AND SPORTS THERAPY
7533 CENTER STREET	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
31 - MADISON MEDICAL OFFICE
2999 MCMACKIN ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
32 - OHIO RENAL CARE CLEVELAND EAST
2429 MARTIN LUTHER KING JR DR	CLEVELAND	OH	44104	DIALYSIS CENTER
33 - OLMSTED TOWNSHIP PRIMARY CARE
27089 BAGLEY ROAD	OLMSTED TOWNSHIP	OH	44138	OUTPATIENT PHYSICIAN CLINIC
34 - OHIO RENAL CARE GROUP WEST
14670 SNOW ROAD	BROOKPARK	OH	44142	DIALYSIS CENTER
35 - CLEVELAND CLINIC COLE EYE OF STREETSBORO (
9424 STATE ROUTE 14	STREETSBORO	OH	44241	OUTPATIENT PHYSICIAN CLINIC
36 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND LA
21 SUGARBUSH COURT	ASHLAND	OH	44805	OUTPATIENT PHYSICIAN CLINIC
37 - OHIO RENAL CARE GROUP WESTLAKE
26024 DETROIT AVENUE	WESTLAKE	OH	44145	DIALYSIS CENTER
38 - MARYMOUNT REHABILITATION AND SPORTS THERAP
2525 EAST ROYALTON ROAD	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
39 - NEW FAMILY PHYSICIANS LYNDHURST
5187 MAYFIELD ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
40 - MAYFIELD VILLAGE PEDIATRICS
6559 WILSON MILLS RD STE101-D	MAYFIELD VILLAGE	OH	44143	OUTPATIENT PHYSICIAN CLINIC
41 - SOUTH RUSSELL FAMILY PRACTICE
5192 CHILLICOTHE ROAD	SOUTH RUSSELL	OH	44022	OUTPATIENT PHYSICIAN CLINIC
42 - SUMMIT OPHTHALMOLOGY
1587 BOETTLER ROAD	UNIONTOWN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
43 - OHIO RENAL CARE GROUP HERITAGE
1160 E BROAD ST	ELYRIA	OH	44035	DIALYSIS CENTER
44 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS HO
9729 GRANGER RD	GARFIELD HTS	OH	44125	DIALYSIS CENTER
45 - COMMUNITY PEDIATRICS
2001 CROCKER ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
46 - OHIO RENAL CARE GROUP LTAC ACUTEWHITE PO
690 WHITE POND DR	AKRON	OH	44320	DIALYSIS CENTER
47 - WADSWORTH PRIMARY CARE
ONE PARK CENTER DRIVE	WADSWORTH	OH	44281	OUTPATIENT PHYSICIAN CLINIC
48 - NEW FAMILY PHYSICIANS WILLOUGHBY HILLS
34500 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
49 - WILLOUGHBY HILLS BEHAVIORAL HEALTH
2785 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
50 - NORTH RIDGEVILLE MEDICAL OFFICE
35105 CENTER RIDGE ROAD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
51 - BRECKSVILLE EXPRESS CARE
8805 BRECKSVILLE ROAD	BRECKSVILLE	OH	44141	OUTPATIENT PHYSICIAN CLINIC
52 - OHIO RENAL CARE GROUP EUCLID
26450 EUCLID AVENUE	EUCLID	OH	44132	DIALYSIS CENTER
53 - OHIO RENAL CARE GROUP FARNSWORTH
3280 W 25TH ST	CLEVELAND	OH	44109	DIALYSIS CENTER
54 - OHIO RENAL CARE GROUP AMHERST
100 COPPER FOSTER PARK RD	AMHERST	OH	44001	DIALYSIS CENTER
55 - CHARDON REHABILITATION AND SPORTS THERAPY
325 CENTER STREET	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
56 - OHIO RENAL CARE NORTH RANDALL
5035 RICHMOND ROAD	BEDFORD HEIGHTS	OH	44146	DIALYSIS CENTER
57 - OHIO RENAL CARE GROUP SOLON
6020 ENTERPRISE PARKWAY	SOLON	OH	44139	DIALYSIS CENTER
58 - CLEVELAND CLINIC DIABETES AND ENDOCRINOLOG
3733 PARK EAST DRIVE STE 105	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
59 - MACEDONIA EXPRESS AND OUTPATIENT CARE
8210 MACEDONIA COMMONS BOULEVARD	MACEDONIA	OH	44056	OUTPATIENT PHYSICIAN CLINIC
60 - CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD ROAD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
61 - OHIO RENAL CARE GROUP MENTOR
8840 TYLER BLVD	MENTOR	OH	44060	DIALYSIS CENTER
62 - OHIO RENAL CARE GROUP OHIO ACUTES
2500 METROHEALTH DRIVE	CLEVELAND	OH	44109	DIALYSIS CENTER
63 - OHIO RENAL CARE GROUP ELYRIA
5316 HOAG DR	SHEFFILED	OH	44035	DIALYSIS CENTER
64 - CLEVELAND CLINIC LYNDHURST CAMPUS
1950 RICHMOND ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
65 - CLEVELAND CLINIC URGENT CARE ROCKY RIVER
19895 DETROIT ROAD	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
66 - OHIO RENAL CARE GROUP WADSWORTH
1160 WILLIAMS RESERVE BLVD	WADSWORTH	OH	44281	DIALYSIS CENTER
67 - DOWNTOWN EXPRESS CARE
315 EUCLID AVENUE STE 2	CLEVELAND	OH	44114	OUTPATIENT PHYSICIAN CLINIC
68 - MOHICAN EYE CENTER
484 PARK AVENUE WEST	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
69 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYSIS
4200 WARRENSVILLE CENTER RD STE 100	WARRENSVILLE HTS	OH	44122	DIALYSIS CENTER
70 - MADISON REHABILITATION AND SPORTS THERAPY
2622 HUBBARD ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
71 - CLEVELAND CLINIC CHILDRENS STOW
3925 DARROW ROAD	STOW	OH	44224	OUTPATIENT PHYSICIAN CLINIC
72 - OHIO RENAL CARE GROUP CUYAHOGA FALLS
320 BROADWAY ST E	E CUYAHOGA FALLS	OH	44221	DIALYSIS CENTER
73 - OHIO RENAL CARE GROUP LAKEWOOD
13900 DETROIT RD	LAKEWOOD	OH	44107	DIALYSIS CENTER
74 - OBERLIN OPHTHALMOLOGY
309 WEST LORAIN STREET	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
75 - MOHICAN EYE CENTER
637 NORTH UNION STREET	LOUDONVILLE	OH	44842	OUTPATIENT PHYSICIAN CLINIC
76 - CLEVELAND CLINIC EXPRESS CARE
7580 NORTHCLIFF AVENUE	BROOKLYN	OH	44144	OUTPATIENT PHYSICIAN CLINIC
77 - BELDEN CENTER
4677 FULTON DRIVE NW	CANTON	OH	44718	OUTPATIENT PHYSICIAN CLINIC
78 - STOW-FALLS MEDICAL OUTPATIENT CENTER
857 GRAHAM RD	STOW	OH	44221	OUTPATIENT PHYSICIAN CLINIC
79 - OHIO RENAL CARE GROUP ASHTABULA
2117 LAKE AVENUE	ASHTABULA	OH	44004	DIALYSIS CENTER
80 - CLEVELAND CLINIC CANCER CENTERS
509 W MCPHERSON HIGHWAY	CLYDE	OH	43410	OUTPATIENT PHYSICIAN CLINIC
81 - THE LANGSTON HUGHES CENTER CLEVELAND CLINI
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
82 - ACCESS TO CARE
29000 AURORA ROAD	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
83 - ASHTABULA COUNTY MEDICAL CENTER
2422 LAKE AVENUE	ASHTABULA	OH	44004	OUTPATIENT PHYSICIAN CLINIC
84 - BOARDMAN STAR IMAGING
7067 TIFFANY BOULEVARD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
85 - CCF GASTROENTEROLOGY
3700 PARK EAST DRIVE	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
86 - CENTER FOR ARTHRITIS
1716 NORTH ROAD SE	WARREN	OH	44484	OUTPATIENT PHYSICIAN CLINIC
87 - CHARLESTON AREA MEDICAL CENTER
1201 WASHINGTON STREET EAST STE 100	CHARLESTON	WV	25301	OUTPATIENT PHYSICIAN CLINIC
88 - CLEVELAND CLINIC FAMILY MEDICINE
19300 DETROIT AVENUE	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
89 - CLEVELAND CLINIC STAR IMAGING
1449 BOARDMAN-CANFIELD ROAD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
90 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE
1959 COOPER FOSTER PARK ROAD	AMHERST	OH	44053	DIAGNOSTIC CENTER
91 - COLE EYE INSTITUTE
2000 AUBURN DRIVE STE 100	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
92 - COLUMBUS STAR IMAGING
921 JASONWAY AVENUE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
93 - COLUMBUS STAR IMAGING BEECHER
425 BEECHER ROAD	COLUMBUS	OH	43230	DIAGNOSTIC CENTER
94 - DAYTON STAR IMAGING
5529 FAR HILLS AVENUE	DAYTON	OH	45429	DIAGNOSTIC CENTER
95 - HEALTH SPOT LAKEWOOD HIGH SCHOOL
14100 FRANKLIN BOULEVARD	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
96 - LAKEWOOD FAMILY MEDICINE - ROCKPORT
11851 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
97 - LAKEWOOD LAKE POINTE LAB DRAW SITE
15800 DETROIT AVENUE	LAKEWOOD	OH	44107	DIAGNOSTIC CENTER
98 - LAKEWOOD MEDICAL OFFICE
16215 MADISON AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
99 - LORAIN ORTHOPAEDICS
5800 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
100 - LORAIN COUNTY LONG-TERM CARE
1130 TOWER BOULEVARD	LORAIN	OH	44052	OUTPATIENT PHYSICIAN CLINIC
101 - NILES STAR IMAGING
650 YOUNGSTOWN-WARREN ROAD	NILES	OH	44446	DIAGNOSTIC CENTER
102 - ROCKSIDE I
6100 WEST CREEK ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
103 - ROCKSIDE MEDICAL CENTER
6701 ROCKSIDE ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
104 - SLEEP DISORDERS CENTER
24901 COUNTRY CLUB BOULEVARD	NORTH OLMSTED	OH	44070	DIAGNOSTIC CENTER
105 - SLEEP DISORDERS CENTER
8971 WILCOX DRIVE	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
106 - SLEEP DISORDERS CENTER
5051 WEST CREEK ROAD	INDEPENDENCE	OH	44131	DIAGNOSTIC CENTER
107 - SLEEP DISORDERS CENTER
3122 EASTPOINTE DRIVE	MEDINA	OH	44256	DIAGNOSTIC CENTER
108 - STAR IMAGING DUBLIN
333 W BRIDGE STREET	DUBLIN	OH	43017	DIAGNOSTIC CENTER
109 - VALLEY CITY FAMILY MEDICINE
6605 CENTER ROAD	VALLEY CITY	OH	44280	OUTPATIENT PHYSICIAN CLINIC
110 - WEST VALLEY MEDICAL
20455 LORAIN ROAD 301	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
111 - WILLOUGHBY HILLS REHABILITATION AND SPORTS
29017 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
112 - WOOSTER MILLTOWN SPECIALTY & SURGERY CENTE
721 EAST MILLTOWN ROAD	WOOSTER	OH	44691	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 $3,079,463.
PART I, LINE 7	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $843,763,757 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. TO PARTIALLY DEFRAY ITS COVID-19 COSTS, CLEVELAND CLINIC APPLIED FOR AND RECEIVED REIMBURSEMENT OF FUNDS FROM THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA). TO THE EXTENT THE COVID-19 COSTS REPORTED AS COMMUNITY BENEFIT EXPENSE WERE REIMBURSED BY FEMA, THE REIMBURSEMENT IS REFLECTED AS DIRECT OFFSETTING REVENUE. OVERALL FOR 2020, $101 MILLION OF COVID-19 EXPENSES ARE REPORT IN PART I, LINE 7 REPRESENTING $168 MILLION OF COMMUNITY BENEFIT EXPENSE NET OF $67 MILLION OF DIRECT OFFSETTING REVENUE.
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 $935,327,109 AND $1,311,254,433 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $375,927,324 WHICH, ADDED TO THE SHORTFALL OF $61,665,156 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $437,592,480.
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 CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. CCF AND ITS NORTHEAST OHIO REGIONAL HOSPITAL GOVERNING BOARDS ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF CCF AND ITS SUBORDINATES. TRUSTEES/DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE CLEVELAND CLINIC AND THE HEALTH SYSTEM AND ARE NOT COMPENSATED FOR THEIR SERVICES.ANOTHER HALLMARK OF A CHARITABLE ORGANIZATION IS THAT SURPLUS FUNDS ARE USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR CCF AND ITS SUBORDINATES ARE REINVESTED AND USED 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 (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$6,000	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LIVER FOUNDATION
39 BROADWAY 27TH FL	NEW YORK	NY	10006	362883000	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
BEAUMONT SCHOOL
3301 N PARK BLVD	CLEVELAND	OH	44118	340714540	501(C)(6)	$7,500	SUPPORT EDUCATIONAL ACTIVITIES
BURTEN BELL CARR DEVELOPMENT INC
7201 KINSMAN RD	CLEVELAND	OH	44104	341657533	501(C)(3)	$10,000	COMMUNITY SUPPORT
CASE WESTERN RESERVE UNIVERSITY
2040 ADELBERT RD	CLEVELAND	OH	44106	341018992	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
CLEVELAND METROPARKS ASSOCIATION
9701 BROOKPARK RD	PARMA	OH	44129	341485350	501(C)(5)	$99,200	COMMUNITY SUPPORT
CLEVELAND RAPE CRISIS CENTER
2937 W 25TH ST 2ND FL	CLEVELAND	OH	44113	510164315	501(C)(3)	$10,000	COMMUNITY SUPPORT
CLEVELAND SCHOOL OF SCIENCE & MEDICINE
2075 STOKES BLVD	CLEVELAND	OH	44106	343740643	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
COLLEGE NOW GREATER CLEVELAND INC
50 PUBLIC SQUARE STE 1800	CLEVELAND	OH	44113	346580096	501(C)(3)	$15,000	SUPPORT EDUCATIONAL ACTIVITIES
COMMUNITY WEST FOUNDATION
800 SHARON DR STE C	WESTLAKE	OH	44145	341456398	501(C)(3)	$10,000	COMMUNITY SUPPORT
CROHNS & COLITIS FOUNDATION OF AMERICA
23366 COMMERCE PARK RD	BEACHWOOD	OH	44122	136193105	501(C)(3)	$18,500	HEALTHCARE RESEARCH & EDUCATION
DANCING CLASSROOMS NORTHEAST OHIO
1085 ROCKSIDE RD STE 6	PARMA	OH	44134	262300532	501(C)(3)	$21,250	COMMUNITY SUPPORT
DEMOCRACY COLLABORATIVE FOUNDATION INC
1422 EUCLID AVE STE 1652	CLEVELAND	OH	44115	200387511	501(C)(3)	$17,500	COMMUNITY SUPPORT
DOMESTIC VIOLENCE & CHILD ADVOCACY CENTER
2806 PAYNE AVE	CLEVELAND	OH	44114	341278377	501(C)(3)	$21,500	COMMUNITY SUPPORT
FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION
8111 QUINCY AVE STE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	$173,068	COMMUNITY SUPPORT
FRIENDS OF BREAKTHROUGH SCHOOL
3615 SUPERIOR AVE STE 3103A	CLEVELAND	OH	44114	204948838	501(C)(3)	$15,000	SUPPORT EDUCATIONAL ACTIVITIES
GREATER CLEVELAND SPORTS COMMISSION
334 EUCLID AVE STE 100	CLEVELAND	OH	44114	311381131	501(C)(3)	$62,500	COMMUNITY SUPPORT
LEGAL AID SOCIETY OF CLEVELAND
1223 W 6TH ST	CLEVELAND	OH	44113	340866026	501(C)(3)	$6,000	COMMUNITY SUPPORT
MEDINA COMMUNITY RECREATION CENTER
855 WEYMOUTH RD	MEDINA	OH	44256	346001856	501(C)(6)	$18,600	COMMUNITY SUPPORT
MEDWISH INTERNATIONAL
17325 EUCLID AVE	CLEVELAND	OH	44112	341903712	501(C)(3)	$10,000	COMMUNITY SUPPORT	$3,385,242	ESTIMATED VALUE	MEDICAL SUPPLIES
NAMI GREATER CLEVELAND
2012 W 25TH ST STE 600	CLEVELAND	OH	44113	202254268	501(C)(3)	$10,000	COMMUNITY SUPPORT
NORTH UNION FARMERS MARKET
13212 SHAKER SQUARE STE 302	CLEVELAND	OH	44120	341812026	501(C)(3)	$30,000	COMMUNITY SUPPORT
NORTHEAST OHIO COALITION FOR THE HOMELESS
3631 PERKINS AVE STE 3A-3	CLEVELAND	OH	44114	341590112	501(C)(3)	$10,000	COMMUNITY SUPPORT
RONALD MCDONALD HOUSE OF CLEVELAND INC
10415 EUCLID AVE	CLEVELAND	OH	44106	341269123	501(C)(3)	$5,250	COMMUNITY SUPPORT
SAINT MARTIN DE PORRES HIGH SCHOOL
6111 LAUSCHE AVE	CLEVELAND	OH	44103	522401852	501(C)(3)	$57,159	SUPPORT EDUCATIONAL ACTIVITIES
SEEDS OF LITERACY
3104 W 25TH ST 3RD FL	CLEVELAND	OH	44109	200884284	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
SOCIETY OF GYNECOLOGIC SURGEONS
1061 EAST MAIN STREET STE 300	EAST DUNDEE	IL	60118	742307811	501(C)(3)	$15,000	COMMUNITY SUPPORT
SOUTHERN HILLS ATHLETIC CONFERENCE
13335 US HIGHWAY 62	WINCHESTER	OH	45697	310676865	501(C)(3)	$20,000	COMMUNITY SUPPORT
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44195	340714553	501(C)(3)	$21,524,268	HEALTHCARE RESEARCH & EDUCATION
THE CLEVELAND FOUNDATION
1422 EUCLID AVE STE 1300	CLEVELAND	OH	44115	340714588	501(C)(3)	$250,000	COMMUNITY SUPPORT
THE COLORECTAL CANCER ALLIANCE
1025 VERMONT AVE STE 1066	WASHINGTON	DC	20005	860947831	501(C)(3)	$12,500	COMMUNITY SUPPORT
THE METROHEALTH SYSTEM
2500 METROHEALTH DR	CLEVELAND	OH	44109	346004382	501(C)(3)	$121,445	COMMUNITY SUPPORT
THE SALVATION ARMY
440 W NYACK RD	WEST NYACK	NY	10994	135562351	501(C)(3)	$10,000	COMMUNITY SUPPORT
TOWARDS EMPLOYMENT INC
1255 EUCLID AVE STE 300	CLEVELAND	OH	44115	341578831	501(C)(3)	$10,000	COMMUNITY SUPPORT
TRANSPLANT HOUSE OF CLEVELAND
2029 E 115TH ST	CLEVELAND	OH	44106	272834616	501(C)(3)	$15,000	COMMUNITY SUPPORT
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER CLEVELAND INC
10011 EUCLID AVE	CLEVELAND	OH	44106	340753561	501(C)(3)	$102,879	COMMUNITY SUPPORT
URBAN LEAGUE OF GREATER CLEVELAND
2930 PROSPECT AVE	CLEVELAND	OH	44115	340720563	501(C)(3)	$10,000	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	34	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	199	$8,685,666
FELLOWSHIPS	1482	$75,876,181

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
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 (28 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
COSGROVE MD DELOS
FORMER CEO (RETIRED)	$193,998	$0	$0	$0	$9,792,211	$0	$59,604	$0	$0	$0	$10,045,813	$0	$2,178,355	$0
DONLEY MD BRIAN
FORMER OFF, CC LONDON - CEO	$0	$955,720	$0	$0	$0	$1,981,121	$0	$28,500	$0	$827,115	$0	$3,792,456	$0	$0
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRESIDENT & CEO	$3,253,529	$0	$0	$0	$324,168	$0	$28,500	$0	$18,025	$0	$3,624,222	$0	$0	$0
MASARYK MD THOMAS
PHYSICIAN (2020 RETIREE)	$658,404	$0	$0	$0	$1,894,761	$0	$278,301	$0	$18,900	$0	$2,850,366	$0	$0	$0
MCHUGH LINDA
FORMER OFFICER	$929,274	$0	$0	$0	$91,800	$0	$1,465,841	$0	$17,425	$0	$2,504,340	$0	$0	$0
PIRAINO MD DAVID
PHYSICIAN (2020 RETIREE)	$613,579	$0	$0	$0	$1,711,148	$0	$117,265	$0	$20,475	$0	$2,462,467	$0	$0	$0
TUZCU MD E MURAT
PHYSICIAN	$1,183,506	$0	$0	$0	$572,884	$0	$506,564	$0	$126,548	$0	$2,389,502	$0	$0	$0
SURI MD RAKESH
CEO CCAD	$1,343,387	$0	$0	$0	$776,533	$0	$28,500	$0	$139,448	$0	$2,287,868	$0	$0	$0
SABANEGH MD EDMUND
PRES, CC MAIN CAMPUS, REG HOSPS, FHC	$1,028,398	$0	$0	$0	$102,144	$0	$1,078,500	$0	$18,168	$0	$2,227,210	$0	$0	$0
SCHILS MD JEAN
PHYSICIAN (2020 RETIREE)	$351,723	$0	$0	$0	$1,498,188	$0	$93,258	$0	$9,370	$0	$1,952,539	$0	$0	$0
PEACOCK WILLIAM
CHIEF OF OPERATIONS	$1,729,990	$0	$0	$0	$169,591	$0	$30,704	$0	$17,574	$0	$1,947,859	$0	$0	$0
WIEDEMANN MD HERBERT
DIRECTOR, CHIEF OF STAFF	$1,038,369	$0	$0	$0	$88,263	$0	$769,625	$0	$19,685	$0	$1,915,942	$0	$0	$0
GLASS STEVEN C
CFO & TREASURER	$1,642,654	$0	$0	$0	$160,194	$0	$39,062	$0	$18,900	$0	$1,860,810	$0	$0	$0
NAJM MD HANI
PHYSICIAN	$1,604,054	$0	$0	$0	$157,716	$0	$28,500	$0	$18,900	$0	$1,809,170	$0	$0	$0
SVENSSON MD LARS
FORMER KEY EMPLOYEE - CHAIR HVI	$1,583,229	$0	$0	$0	$160,446	$0	$28,500	$0	$18,575	$0	$1,790,750	$0	$0	$0
ROWAN DAVID
SECRETARY, CHIEF LEGAL OFF	$1,587,718	$0	$0	$0	$170,103	$0	$8,550	$0	$18,836	$0	$1,785,207	$0	$0	$0
ERZURUM MD SERPIL
CHIEF RESEARCH & ACADEMIC OFFICER	$724,519	$0	$0	$0	$50,143	$0	$439,841	$0	$1,250	$0	$1,215,753	$0	$0	$0
HULL MD TRACY
DIRECTOR, PHYSICIAN	$614,586	$0	$0	$0	$39,154	$0	$430,259	$0	$20,993	$0	$1,104,992	$0	$0	$0
HANCOCK DNP KELLY
CHIEF CAREGIVER OFFICER	$940,571	$0	$0	$0	$90,826	$0	$50,971	$0	$18,900	$0	$1,101,268	$0	$0	$0
YOUNG MD JAMES P
CHIEF ACADEMIC OFFICER	$886,890	$0	$0	$0	$102,705	$0	$28,500	$0	$18,164	$0	$1,036,259	$0	$0	$0
MALONE JR MD DONALD
PRES, OHIO HOSPITALS & FHCS	$495,008	$0	$0	$0	$46,988	$0	$355,410	$0	$18,325	$0	$915,731	$0	$0	$0
HAMILTON THOMAS
FORMER OFFICER	$461,225	$0	$0	$0	$33,216	$0	$175,520	$0	$19,829	$0	$689,790	$0	$0	$0
DAVIS MARLEINA
ASST. SECRETARY	$553,404	$0	$0	$0	$28,025	$0	$45,182	$0	$17,650	$0	$644,261	$0	$0	$0
LONGVILLE TIMOTHY
CAO & CONTROLLER	$475,361	$0	$0	$0	$21,903	$0	$97,516	$0	$19,778	$0	$614,558	$0	$0	$0
MODLIN MD CHARLES
DIRECTOR (PART YR), PHYSICIAN	$414,832	$0	$0	$0	$17,393	$0	$28,500	$0	$18,722	$0	$479,447	$0	$0	$0
FOLDVARY-SCHAEFER MD NANCY
DIRECTOR, PHYSICIAN	$420,882	$0	$0	$0	$13,405	$0	$22,062	$0	$17,472	$0	$473,821	$0	$0	$0
MEEHAN MICHAEL J
RECORDING SECRETARY	$350,061	$0	$0	$0	$41,519	$0	$40,947	$0	$18,293	$0	$450,820	$0	$0	$0
OBLANDER JASON
ASST. SECRETARY	$240,828	$0	$0	$0	$6,885	$0	$9,094	$0	$16,541	$0	$273,348	$0	$0	$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: SEVERANCE PAYMENTS ACCRUED IN 2020 BUT NOT YET PAID ARE REPORTED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS: LINDA MCHUGH - $1,425,000 EDMUND SABANEGH, MD - $1,050,000 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THOMAS MASARYK, MD - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,848,215 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. DAVID PIRAINO, MD - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,646,814 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. JEAN SCHILS, MD - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,475,988 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: DELOS COSGROVE, MD - $2,178,355 JEAN SCHILS, MD - $44,622 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: DELOS M. COSGROVE, MD - $59,604 INCREASE, MARLEINA DAVIS - $17,032 INCREASE, SERPIL ERZURUM, MD - $411,341 INCREASE, STEVEN GLASS - $10,562 INCREASE, THOMAS HAMILTON - $147,020 INCREASE, KELLY HANCOCK - $22,471 INCREASE, TRACY HULL, MD - $401,759 INCREASE, TIMOTHY LONGVILLE - $64,948 INCREASE, DONALD MALONE, MD - $326,910 INCREASE, THOMAS MASARYK - 249,801 INCREASE, LINDA MCHUGH - $12,341 INCREASE, MICHAEL J. MEEHAN - $12,447 INCREASE, E. MURAT TUZCU, MD - $478,064 INCREASE, JASON OBLANDER - $1,664 INCREASE, WILLIAM PEACOCK $2,204 INCREASE, DAVID PIRAINO, MD - $88,765 INCREASE, JEAN SCHILS, MD - $65,508 INCREASE AND HERBERT WIEDEMANN, MD - $741,125 INCREASE. FORM 990, PART VII, SECTION A AND SCHEDULE J THE COMPENSATION OF DR. BRIAN DONLEY AND DR. E. MURAT TUZCU AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES REGULAR WAGES AND TAXABLE EXPATRIATE BENEFITS. DR. DELOS COSGROVE'S COMPENSATION AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES AN AMOUNT RELATED TO THE FORGIVENESS OF A LOAN ON A SPLIT DOLLAR LIFE INSURANCE PLAN, AS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.

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	677561HU9	2011-11-02	$208,951,439	BOND 2011A: REFUND 2003A SERIES	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	NONEAVAIL	2011-11-02	$41,120,000	BOND 2011B: REFUND 1992A & B AND 1989 SERIES	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	67756A3Z3	2012-05-09	$519,383,182	BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS	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	$124,656,428	$208,951,439	$2,003,385		$206,948,054	2011	0	Yes (1)	Yes (1)	Yes (1)
C	$17,775,000	$41,120,000	$735,249		$38,082,286	2011	Yes (1)	0	Yes (1)	Yes (1)	$2,302,465
D	$233,236,327	$519,383,182	$3,825,815	$411,300,530	$104,256,837	2012	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)	0.00200	0.00010	0.00210	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00090	0.00000	0.00090	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00600	0.00040	0.00640	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	0	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: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/09/2017 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2018	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	67756DAY2	2013-05-29	$309,434,914	BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	NONEAVAIL	2017-12-21	$9,305,000	REFUND SERIES 2002	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	677561KS0	2017-08-29	$939,576,748	REFUND 2008A, 2008B, 2009A, 2009B, 2012A	0	0	0
MARTIN COUNTY HEALTH FACILITIES AUTHORITY
D	596000743	573903FZ9	2019-05-09	$259,345,371	REFINANCE 2012, 2012B & 2015 MHS BONDS & ACQUIRE MEMBERSHIP IN MHS	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
A	$72,159,971	$309,434,914	$2,129,301	$20,001,498	$287,304,115	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$1,170,000	$9,305,000			$9,305,000	2017	0	Yes (1)	Yes (1)	Yes (1)
C	$42,374,215	$939,576,748			$939,576,748	2017	0	Yes (1)	Yes (1)	Yes (1)
D	$768,773	$259,345,371	$822,172	$257,297,825	$1,225,374	2019	0	0	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)	0.00120	0.00000	0.00120	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01540	0.00010	0.01550	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	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	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	0	Yes (1)	Yes (1)
C	Yes (1)	0	0	0	Yes (1)
D	Yes (1)	0	0	0	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	67756CDN5	2019-05-09	$351,450,108	FUND CAPITAL PROJECTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	677561KZ4	2019-05-09	$380,150,000	FUND CAPITAL PROJECTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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
A	$758,132	$351,450,108	$1,125,388	$348,905,103	$1,419,617	2019	0	0	Yes (1)	Yes (1)
B		$380,150,000	$1,262,472	$378,404,897	$482,631	2019	0	0	Yes (1)	Yes (1)

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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00200	0.00010	0.00210	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00220	0.00010	0.00230	0	0	Yes (1)

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	Yes (1)	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 (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KAREN R COOPER
FAMILY MEMBER OF STEWART KOHL, CCF DIRECTOR	$158,103	EMPLOYMENT AGREEMENT WITH CCF	0
RYAN OAKLEY
FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER	$51,019	EMPLOYMENT AGREEMENT WITH CCF	0
KATHERINE MCHUGH
FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER	$45,938	EMPLOYMENT AGREEMENT WITH CCF	0
JOANNE MCDONALD KILBANE
FAMILY MEMBER OF CATHERINE KILBANE, CCF DIRECTOR	$85,572	EMPLOYMENT AGREEMENT WITH CCF	0
LAURA SWEENEY
FAMILY MEMBER OF TIMOTHY LONGVILLE, CCF OFFICER	$86,264	EMPLOYMENT AGREEMENT WITH CCF	0
MICHAEL PETRAS
FAMILY MEMBER OF MICHAEL PETRAS, JR., CCF DIRECTOR	$82,928	EMPLOYMENT AGREEMENT WITH CCF	0
VICTORIA JAVOR
FAMILY MEMBER OF KELLY HANCOCK, CCF OFFICER	$94,668	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	5	ContributionCnt
Noncash Contributions Rpt F990	$8,600	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$25,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$52,852	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	109	ContributionCnt
Noncash Contributions Rpt F990	$23,974,248	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVERAGE HIGH/LOW	MethodOfDeterminingRevenuesTxt

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$8,212,265	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	12	ContributionCnt
Noncash Contributions Rpt F990	$23,687	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MEDICAL EQUIPMENT	100	$6,372,196	SALE COMPARABLE GOOD
Yes (X)	EVENT TICKETS	1	$9,375	COST

Field	Value	IRS element (for citing)
Form8283 Received	5	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 (16 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. IN JANUARY 2021 AS 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 2020 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $1.3 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 2020 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) 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 IS WORKING WITH PUBLIC HEALTH PARTNERS AT ALL LEVELS TO MAINTAIN THE HEALTH AND SAFETY OF PATIENTS, VISITORS AND CAREGIVERS TO PREVENT THE SPREAD OF COVID-19. THE SYSTEM IS ALSO PROVIDING EXTENSIVE EDUCATION TO PATIENTS ON THE PRECAUTIONS THAT HAVE BEEN IMPLEMENTED TO KEEP PATIENTS AND CAREGIVERS SAFE DURING THEIR APPOINTMENTS AND PROCEDURES. THROUGHOUT THE PANDEMIC THE SYSTEM HAS REMAINED FOCUSED ON CREATING A SAFE ENVIRONMENT FOR PATIENTS AND CAREGIVERS TO ENSURE THE AVAILABILITY OF CARE FOR EARLY IDENTIFICATION OF DISEASES AND HELPING PATIENTS IN MANAGING CHRONIC DISEASES. SINCE THE BEGINNING OF THE PANDEMIC, THE SYSTEM HAS PROVIDED CARE TO MORE THAN 20,000 COVID-19 PATIENTS ADMITTED TO ITS OHIO AND FLORIDA FACILITIES. IN OHIO, THE SYSTEM HAS CARED FOR APPROXIMATELY 25% OF ALL PATIENTS HOSPITALIZED WITH COVID-19. DURING THE EARLY PHASE OF THE PANDEMIC, THE SYSTEM ESTABLISHED TESTING SITES IN ITS COMMUNITIES TO HELP SLOW THE SPREAD OF COVID-19. THE SYSTEM WAS ONE OF THE FIRST HEALTH SYSTEMS TO OFFER COVID-19 TESTING WHEN THE PANDEMIC BEGAN AND HAS PERFORMED MORE THAN ONE MILLION TESTS IN ITS LABORATORIES IN OHIO AND FLORIDA. I. PATIENT CARE IN 2020, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDES 18 HOSPITALS; THIRTEEN OF THE HOSPITALS ARE OPERATED IN THE NORTHEAST OHIO AREA, ANCHORED BY THE CLINIC. CLEVELAND CLINIC OPERATES 21 OUTPATIENT FAMILY HEALTH CENTERS, AND 11 AMBULATORY SURGERY CENTERS, AS WELL AS NUMEROUS PHYSICIAN OFFICES, WHICH ARE LOCATED THROUGHOUT NORTHEAST OHIO. IN FLORIDA, THE CLEVELAND CLINIC HEALTH SYSTEM OPERATES FIVE HOSPITALS AND A CLINIC LOCATED THROUGHOUT SOUTHEAST FLORIDA, OUTPATIENT FAMILY HEALTH CENTERS IN WEST PALM BEACH AND PORT ST. LUCIE, AN OUTPATIENT FAMILY HEALTH AND AMBULATORY SURGERY CENTER IN CORAL SPRINGS, AND NUMEROUS PHYSICIAN OFFICES LOCATED THROUGHOUT SOUTHEAST FLORIDA. IN ADDITION, THE CLEVELAND CLINIC HEALTH 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. THE CLEVELAND CLINIC HEALTH SYSTEM ALSO PROVIDES CARE AT 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 ABU DHABI'S CANCER TREATMENT IS MODELED AFTER THE CLINIC'S TAUSSIG CANCER CENTER AND EXPANDS THE RANGE OF CANCER TREATMENTS AVAILABLE WITH CENTRALIZED ONCOLOGY SERVICES PROVIDING DEDICATED CLINICAL PRACTICE AREAS FOR ADVANCED IMAGING, INFUSION, RADIATION, AND CHEMOTHERAPY, AS WELL AS A CONNECTION TO THE HOSPITAL'S SURGICAL AREAS. 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 2020, CLEVELAND CLINIC RECORDED 1,276 TOTAL STAFFED BEDS, 106,587 EMERGENCY VISITS, 68,590 SURGICAL CASES, 48,776 ADMISSIONS, AND MORE THAN 8.7 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; CANCER CENTER/TAUSSIG CANCER; CHILDREN'S & PEDIATRIC; COMMUNITY CARE; DERMATOLOGY & PLASTIC SURGERY; DIGESTIVE DISEASE & SURGERY; EMERGENCY SERVICES; ENDOCRINOLOGY & METABOLISM; COLE EYE; GENOMICS; HEAD & NECK; HEART, VASCULAR & THORACIC; IMAGING; NEUROLOGICAL; NURSING; OB/GYN & WOMEN'S HEALTH; ORTHOPAEDIC & RHEUMATOLOGIC; PATHOLOGY & LABORATORY MEDICINE; RESPIRATORY; AND UROLOGY & KIDNEY. 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 2020. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 2 RANKING. FOR THE 26TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. 13 CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. OF THESE, NINE PLACED IN THE TOP 5 INCLUDING: CARDIOLOGY & HEART SURGERY; UROLOGY; GASTROENTEROLOGY AND GASTROINTESTINAL SURGERY; NEPHROLOGY; RHEUMATOLOGY; PULMONOLOGY AND LUNG SURGERY; CANCER; GERIATRICS AND GYNECOLOGY. CLEVELAND CLINIC WAS NATIONALLY RANKED IN 14 ADULT SPECIALTIES AND 10 CHILDREN'S SPECIALTIES. CLEVELAND CLINIC WAS ALSO RATED HIGH PERFORMING IN NINE 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. ANCC, 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.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	FOR THE TENTH TIME IN THE PAST 12 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 2020 LIST BY THE ETHISPHERE INSTITUTE, WHICH DESCRIBES ITSELF AS "ADVANCING THE STANDARDS OF ETHICAL BUSINESS PRACTICES THAT FUEL CORPORATE CHARACTER, MARKETPLACE TRUST AND BUSINESS SUCCESS." CLEVELAND CLINIC RECEIVED SEVERAL AWARDS FROM PRACTICE GREENHEALTH. PRACTICE GREENHEALTH RECOGNIZES ORGANIZATIONS WITHIN THE HEALTHCARE SECTOR THAT SUPPORT AND CREATE BETTER, SAFER, AND GREENER WORKPLACES AND COMMUNITIES. IN 2020, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE ENVIRONMENTAL EXCELLENCE AWARD, GREENING THE OR AWARD, EEP (ENVIRONMENTALLY PREFERABLE PURCHASING) CIRCLE AWARD, CLIMATE CIRCLE AWARD, GREEN BUILDING CIRCLE AWARD, GREENHEALTH EMERALD AWARD, GREENHEALTH PARTNER FOR CHANGE AWARD, SYSTEM FOR CHANGE AWARD AND PARTNER RECOGNITION AWARD. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE POLICY ASSISTS POOR AND INDIGENT PATIENTS BY PROVIDING FREE CARE FOR EMERGENCY AND MEDICALLY NECESSARY SERVICES TO UNINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL AND ALSO OFFERS DISCOUNTS ON EMERGENCY AND MEDICALLY NECESSARY SERVICES FOR UNINSURED PATIENTS WHOSE INCOME IS UP TO 400 PERCENT OF THE POVERTY LEVEL. 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 $184.5 MILLION IN 2020. 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 200 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CARDIOVASCULAR AND METABOLIC SCIENCES, GENOMIC MEDICINE, IMMUNOTHERAPY & PRECISION IMMUNO-ONCOLOGY, 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 1,500 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 238 RESEARCH FELLOWS, 113 GRADUATE STUDENTS AND 18 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 2020, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 2,700 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 2020, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $261.8 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $159.8 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 2020, PROVIDED A NET COMMUNITY BENEFIT OF $309.7 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 2020, 1,045 RESIDENTS AND FELLOWS TRAINED IN 81 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 136 ADVANCED FELLOWS IN 80 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 1,849 APPLICANTS FOR 32 POSITIONS FOR THE 2020-21 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 173 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2020 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 46 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 2020, 51 MEDICAL STUDENTS FROM 22 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 2020, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,553 CME ACTIVITIES THAT OFFERED OVER 10,180 CME CREDITS TO 341,858 PARTICIPANTS. OF THAT NUMBER, 1,015 WERE LIVE COURSES THAT ATTRACTED 187,194 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 527 ACTIVITIES THAT ATTRACTED 198,751 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 63,291 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2020, THE CENTER ISSUED 324,793 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 128,583 COPIES AND RANKED NO. 3 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 7.1 MILLION PEOPLE AROUND THE WORLD. IN 2020 THE CCJM WEBSITE RECORDED 12,561,060 PAGE VIEWS FROM 9,554,530 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 8 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 35 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2020, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 318,848 CLINICAL ROTATION HOURS FOR OVER 892 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IN 2020, 103 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; AND STAFF TRAVELED TO 2 COUNTRIES TO SHARE CLINICAL AND SURGICAL INNOVATIONS.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	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: 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 2020, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $537.6 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $13.8 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 2020 AT A COST OF $34.4 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 $127.4 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 2020, SOME HIGHLIGHTS INCLUDED: -COMMUNITY HEALTH EDUCATION AND CLINICAL SERVICES FOR COMMUNITY RESIDENTS ON COVID-19 REGARDING VIRUS IMPACT, TESTING AND VACCINE DISTRIBUTION IN LOCAL NEIGHBORHOODS. 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. -HIGH-SPEED INTERNET ACCESS TO LOCAL COMMUNITY IN EFFORTS TO INCREASE RESIDENTS' ABILITY TO ATTEND VIRTUAL VISITS, SCHOOLS AND COMMUNITY FORUMS. -DONATIONS OF FOOD AND PERSONAL PROTECTIVE EQUIPMENT TO COMMUNITY BASED ORGANIZATIONS. -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. -CLEVELAND CLINIC PROVIDED NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER IN 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. HOSPITALS AND COUNTIES 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. 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 AULETTA, CCF DIRECTOR - 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 REVIEWED AND DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. 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 PERSONS MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING 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 WHICH IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 53.4958-6(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT 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 MARKET-BASED COMPENSATION. AFTER MAKING ITS COMPENSATION DECISIONS, THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS IN CCF'S WRITTEN OR ELECTRONIC BOOKS AND RECORDS.
FORM 990, PART VI, SECTION C, LINE 18	THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	CCF MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE.
FORM 990, PART VIII, LINE 1E	THE SYSTEM HAS RECEIVED SUPPORT UNDER THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, INCLUDING PROVIDER RELIEF FUNDS (PRF) AND THE EMPLOYEE RETENTION CREDIT (ERC). THE SYSTEM ACCOUNTED FOR BOTH THE PRF PAYMENTS AND ERC AS CONTRIBUTIONS THAT ARE RECOGNIZED AS REVENUE WHEN ANY RELATED CONDITIONS HAVE BEEN SUBSTANTIALLY MET. THE PRF PROVIDES FUNDING FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) TO HEALTHCARE PROVIDERS TO SUPPORT HEALTHCARE-RELATED EXPENSES OR LOST REVENUE ATTRIBUTABLE TO COVID-19. FUNDS RECEIVED FROM THE PRF REPRESENT PAYMENTS TO PROVIDERS AND DO NOT NEED TO BE REPAID AS LONG AS THE SYSTEM COMPLIES WITH CERTAIN TERMS AND CONDITIONS IMPOSED BY HHS, INCLUDING REPORTING AND COMPLIANCE REQUIREMENTS. IN 2020, THE SYSTEM RECOGNIZED $359.2 MILLION OF PRF PAYMENTS IN OTHER UNRESTRICTED REVENUES BASED ON THE TERMS AND CONDITIONS OF THE PAYMENTS. $355 MILLION OF THE 359.2 MILLIONS IS INCLUDED ON LINE 1E. THE REMAINING $4.2 MILLION ARE ON THE SYSTEMS TAXABLE ENTITIES.
FORM 990, PART X, LINE 15	ALL SPLIT LOANS WERE REPAID OR FORGIVEN AS OF FEBRUARY 2020.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS & OTHER TRANSFERS 610,211. GIFTS AND BEQUESTS 104,180,330. TRANSFERS OF NET ASSETS -29,809,173. NET INVESTMENT INCOME 72,478,725. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -45,956,097. RETIREMENT BENEFITS ADJUSTMENT -9,394,320. DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 1,818,265.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (50 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	INACTIVE	OH	$1,444	$0	VISITING NURSE SERVICE INC
AKRON GENERAL MEDICAL CENTER OUTPATIENT PHARMACY LLC
1 AKRON GENERAL AVENUE	AKRON	OH	44307	842380272	HEALTH CARE SERVICES	OH	$511,839	$0	AKRON GENERAL HEALTH SYSTEM
AUTISM EYES LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843070150	INACTIVE	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CARNEGIE89TH GARAGE AND SERVICE CENTER
6801 BRECKSVILLE ROAD RK1-85	INDEPENDENCE	OH	44131	205693261	LEASE PROPERTY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CARNEGIE96TH RESEARCH BUILDING LLC
6801 BRECKSVILLE ROAD RK1-85	INDEPENDENCE	OH	44131	113706542	LEASE PROPERTY	OH	$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	DOMAIN HOLDING COMPANY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTH CARE SERVICES	OH	$2,831,105	$0	THE CLEVELAND CLINIC FOUNDATION
CCF HOTEL SERVICES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	340666034	HOTEL OPERATIONS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CHV HOME MEDICAL EQUIPMENT CO LLC
1 HOME CARE PLACE	AKRON	OH	44320	204760456	INACTIVE	OH	$0	$0	VISITING NURSE SERVICE INC
CLEVELAND CLINIC CARE COORDINATION LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	455282492	HEALTH CARE SERVICES	OH	$0	$0	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	$51,585	$0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
CLEVELAND CLINIC FLORIDA HOME HEALTHCARE LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	832250064	HEALTH CARE SERVICES	FL	$0	$0	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	$1,429,706	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC MEDICARE ACO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	471281189	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTH CARE SERVICES	OH	$763,535	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
1950 RICHMOND ROAD	LYNDHURST	OH	44124	263859233	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
EDWIN SHAW REHAB LLC
330 BROADWAY STREET EAST	CUYAHOGA FALLS	OH	44221	270119182	INACTIVE	OH	$0	$0	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	HOLD LAND	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
MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341533871	INACTIVE	OH	$0	$0	MEDINA HOSPITAL
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	INACTIVE	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
MITRIA MEDICAL LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843447663	MEDICAL TECHNOLOGY	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
MONTROSE SLEEP CENTER LLC
4125 MEDINA ROAD	AKRON	OH	44333	200494491	HEALTH CARE SERVICES	OH	$305,665	$0	AKRON GENERAL PARTNERS
NEUROOPERATIVE MONITORING LLC
1 AKRON GENERAL AVENUE	AKRON	OH	44307	300746215	INACTIVE	OH	$0	$0	AKRON GENERAL PARTNERS
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTH CARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
PSMA LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	834269973	INACTIVE	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
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	LEASE PROPERTY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
SPC BUILDINGS 1 & 3 LLC
6801 BRECKSVILLE ROAD RK1-85	INDEPENDENCE	OH	44131	261357176	LEASE PROPERTY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
TATARA VASCULAR LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	474282964	MEDICAL TECHNOLOGY	DE	$0	$0	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
TUSCARAWAS AMBULATORY SURGERY CENTER LLC
659 BOULEVARD	DOVER	OH	44622	340000100	HEALTH CARE SERVICES	OH	$373,974	$0	THE UNION HOSPITAL ASSOCIATION
UNION HOSPITAL MEDICAL SERVICES LLC
659 BOULEVARD	DOVER	OH	44622	270273520	HEALTH CARE SERVICES	OH	$0	$0	THE UNION HOSPITAL ASSOCIATION
UNION PHYSICIAN SERVICES LLC
659 BOULEVARD	DOVER	OH	44622	264215547	HEALTH CARE SERVICES	OH	$0	$0	THE UNION HOSPITAL ASSOCIATION
VERO RADIOLOGY ASSOCIATES LLC
3725 11TH CIRCLE	VERO BEACH	FL	32960	592755370	RADIOLOGY SERVICES	FL	$686,893	$0	INDIAN RIVER MEMORIAL HOSPITAL INC
VISIONAIR SOLUTIONS LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843881050	INACTIVE	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
ZEHNA THERAPEUTICS LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843850618	INACTIVE	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
ADEO LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	465704174	TECHNOLOGY SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
BIALBERO MEDICAL LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	834278743	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CCS TELE-ICU LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	845145789	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC SIGNATURE LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	845132227	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
OBVF VII LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	861185460	MEDICAL TECHNOLOGY	OH	$0	$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	Province Or StateForeignAddress/ProvinceOrStateNm	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)	LINE 10	N/A	0
CLEVELAND CLINIC PHILANTHROPY (UK) LTD
					ADVANCEMENT OF PUBLIC HEALTH, MEDICAL EDUCATION, AND RESEARCH				N/A	0	STE 1 3RD FL 11-12TH ST JAMESS	LONDON	GREATER 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)	LINE 12A, I	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
THREE ARCHES FOUNDATION
14601 DETROIT AVENUE STE 240	LAKEWOOD	OH	44107	346519834	SUPPORT LAKEWOOD COMMUNITY	OH	501(C)(3)	LINE 12D, III-O	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)	LINE 12D, III-O	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 12D, III-O	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AKRON SURGICAL ASSOCIATES LLC
4125 MEDINA ROAD	AKRON	OH	44333	010672877	AMBULATORY SURGERY CENTER	OH	N/A	RELATED	$1,154,649	$1,386,188	0	0	0.51000
CCAW JV LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843867549	MEDICAL SERVICES & TELE HEALTH	DE		RELATED	-$2,032,744	$1,292,971	0	0	0.51000	THE CLEVELAND CLINIC FOUNDATION
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH		RELATED	$1,740,932	$12,578,357	0	0	0.60000	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND HEALTH NETWORK MSO LLC
4700 ROCKSIDE ROAD STE 200	INDEPENDENCE	OH	44131	311566180	MEDICAL SERVICES	OH	N/A	RELATED	-$171,111		0	Yes (1)
EXCELERATE STRATEGIC HEALTH SOURCING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	461810992	HEALTH CARE OP & MGMT	DE		RELATED	$380,136	$3,968,564	0	Yes (1)	0.51000	THE CLEVELAND CLINIC FOUNDATION
MARTIN SURGICAL VENTURES LLC
9131 ANSON WAY SUITE 304	RALEIGH	NC	27615	320496475	SURGICAL VENTURE	NC		N/A			0	0	0.62000	MARTIN MEMORIAL HEALTH SYSTEMS INC
MEDICAL CENTER AT HOBE SOUND LTD
PO BOX 9033	STUART	FL	34996	650748232	RENTAL OF MEDICAL OFFICES	FL		RELATED	$71,551	$1,902,001	0	0	1.00000	MARTIN MEMORIAL MEDICAL CENTER INC
MEDICAL CENTER AT ST LUCIE WEST LTD
PO BOX 9033	STUART	FL	34996	650504863	RENTAL OF MEDICAL OFFICES	FL		RELATED	$646,113	$7,463,071	0	0	1.00000	MARTIN MEMORIAL MEDICAL CENTER INC
MEDISTRY LLC
3029 PROSPECT AVENUE	CLEVELAND	OH	44115	454880352	DATA HOSTING & RELATED SVCS	DE		UNRELATED			0	Yes (1)	0.55000	THE CLEVELAND CLINIC FOUNDATION
PROGNOSTIX LLC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	300624422	MEDICAL SERVICES	OH		RELATED	-$1,014		0	0		THE CLEVELAND CLINIC FOUNDATION
TREASURE COAST INTEGRATED HEALTHCARE LLC
PO BOX 9010	STUART	FL	34995	820708813	CLINICALLY INTEGRATED NETWORK	FL		RELATED		$748,353	0	Yes (1)	1.00000	CC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (42 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	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	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
33 GROSVENOR PLACE LIMITED
33 GROSVENOR PLACE	LONDON	UK	SW1X 7HY	999999999	LEASE HOLDING COMPANY	JE	CLEVELAND CLINIC UK HOLDINGS LTD	C	-$15,810,694	$624,857,778	1.00000	Yes (1)
AKRON GENERAL MANAGED CARE ASSOCIATION INC
				341784985	SUPPORTING SERVICES			C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	OH	N/A
CASHEL NEURAL INC
				824625105	SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	-$214,569	$104,985	1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	DE
CCF BOLTON INC
				204596571	INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	OH
CCHS INDEMNITY CO LTD
23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	980207086	INSURANCE COMPANY	CJ	THE CLEVELAND CLINIC FOUNDATION	C	$98,423,856	$234,151,290	1.00000	Yes (1)
CLEVELAND CLINIC CANADA-TORONTO INC
181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	204856025	HEALTH CARE SERVICES	CA	THE CLEVELAND CLINIC FOUNDATION	C	-$3,118,731	$16,237,879	1.00000	Yes (1)
CLEVELAND CLINIC EMR INC
				204856025	INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C		$1,121,837	1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	OH
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
				341877409	CONTRACTING ORGANIZATION		CLINIC MEDICAL SOLUTIONS INC	C	$307,595	$16,002,161	1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	OH
CLEVELAND CLINIC LONDON LTD
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	999999999	HOSPITAL OPERATING COMPANY	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C	$64,257,711	$376,244,253	1.00000	Yes (1)
CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY)
PO BOX 340340	RIYADH	SA	11333	999999999	MEDICAL SERVICES	SA	THE CLEVELAND CLINIC FOUNDATION	C	$516,825	$38,757,285	1.00000	Yes (1)
CLEVELAND CLINIC UK FINANCING PLC
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	999999999	FINANCING ENTITY	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C			1.00000	Yes (1)
CLEVELAND CLINIC UK HOLDINGS LTD
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	341695388	HOLDING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C	$18,207,444	$1,313,375,680	1.00000	Yes (1)
CLEVELAND HEALTH NETWORK
				341770780	MEDICAL SERVICES			C				Yes (1)	6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	OH	N/A
CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION
				341808138	HEALTH CARE SERVICES		CLEVELAND HEALTH NETWORK	C				Yes (1)	6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	OH
CLINIC MEDICAL SOLUTIONS INC
				341695388	HEALTH CARE SERVICES		THE CLEVELAND CLINIC FOUNDATION	C	$3,491,517	$4,130,635	1.00000	Yes (1)	18101 LORAIN AVENUE	CLEVELAND	OH	44111	OH
CMCD INC
				341256599	REAL ESTATE		MEDINA HOSPITAL	C		$311,040	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	OH
CSC CONDOMINIUM ASSOCIATION INC
				592320501	CONDOMINIUM ASSOCIATION		MARTIN MEMORIAL MEDICAL CENTER	C		$274,549	1.00000	Yes (1)	PO BOX 9033	STUART	FL	34995	FL
INFUSEON THERAPEUTICS INC
				461776182	SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	-$180,295	$253,349	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
ION-VAC INC
				461560044	SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	-$152,987	$21,674	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
LAKEWOOD HEALTHCARE FOUNDATION
				341574608	HEALTH CARE SERVICES		LAKEWOOD HOSPITAL ASSOCIATION	C			1.00000	Yes (1)	14519 DETROIT AVENUE	LAKEWOOD	OH	44107	OH
MARTIN MEMORIAL PHYSICIAN CORPORATION INC
				650556041	PHYSICIAN OFFICES		MARTIN MEMORIAL HEALTH SYSTEM	C	-$25,965,923	$56,716,449	1.00000	Yes (1)	PO BOX 9010	STUART	FL	34995	FL
MCZ INC
				341256598	LEASING		MEDINA HOSPITAL	C	$8,539	$500	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	OH
MEDICAL & FINANCIAL MANAGEMENT INC
				592843163	BILLING AND COLLECTIONS		MARTIN MEMORIAL HEALTH SYSTEM	C	$586	$1,393,188	1.00000	Yes (1)	PO BOX 9033	STUART	FL	34995	FL
MEDICAL CAMPUS MANAGEMENT INC
				650605328	MANAGEMENT SERVICES		MEDICAL & FINANCIAL MANAGEMENT INC	C		$102,756	1.00000	Yes (1)	PO BOX 9033	STUART	FL	34995	FL
MEDINVEST INC
				203978297	INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	OH
MERIDIA HEALTH VENTURES INC
				341533871	INACTIVE		CLEVELAND CLINIC HOME CARE	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	OH
MERLOT ORTHOPEDIX INC
				113779414	MEDICAL DEVICE MANUFACTURING		THE CLEVELAND CLINIC FOUNDATION	C			0.55120	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
NEOMEDICS INC
				020656818	INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	OH
NEW COS INC
				824828042	SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	-$780,576	$193,584	1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	DE
PINE FALLS CONDOMINIUM ASSOCIATES INC
				341617589	PROPERTY MANAGEMENT		THE CLEVELAND CLINIC FOUNDATION	C			0.75000	Yes (1)	6100 WEST CREEK SUITE 25	INDEPENDENCE	OH	44131	OH
UNION CARE CORPORATION
				341556177	HEALTH CARE SERVICES		THE UNION HOSPITAL ASSOCIATION	C			1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	OH
UNION PHARMACEUTICAL CARE INC
				043588229	RETAIL PHARMACY SALES		THE UNION HOSPITAL ASSOCIATION	C	-$82,683	$24,576	1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	OH
OPTOQUEST CORPORATION
				263589643	SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	-$6,306	$7,307	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
CHARITABLE REMAINDER TRUSTS (14)
								T				0					OH
RENOVO BIOSCIENCES INC
				341956569	MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C	-$9,373	$23,374		Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
RENOVO NEURAL INC
				800185146	MEDICAL TECHNOLOGY		RENOVO BIOSCIENCES INC	C	-$50,284	$101,811		Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
ENHALE MEDICAL INC
				821613340	SLEEP APNEA TREATMENT		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
SHENNONG BIOTECH INC
				853703323	INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
TETONIC BIOTECH INC
				853689997	INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
AXONEURAL THERAPEUTICS INC
				851131595	INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	DE
CCF (SHANGHAI) CONSULTING CO LTD
LEVEL 40 ONE MUSEUM PLACE 669 ZINZ	SHANGHAI	CH	200041	999999999	INACTIVE	CH	THE CLEVELAND CLINIC FOUNDATION	C			1.00000	0
CCAW EMPLOYMENT CO LLC
				845164677	MANAGEMENT SERVICES		THE CLEVELAND CLINIC FOUNDATION	C	$823,141		0.51000	Yes (1)	10000 CEDAR AVE	CLEVELAND	OH	44106	DE

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	0	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 (37 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLEVELAND CLINIC CANADA - TORONTO INC
A	$100,000	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
B	$21,524,268	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
D	$817,064	FMV
CASHEL NEURAL INC
D	$319,429	FMV
INFUSEON THERAPEUTICS INC
D	$64,472	FMV
MEDISTRY LLC
D	$181,904	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
J	$290,218	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
J	$1,675,390	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
J	$443,372	FMV
FAIRVIEW HOSPITAL
J	$1,485,642	FMV
PARTNERS PHYSICIAN GROUP
J	$205,730	FMV
MARYMOUNT HOSPITAL INC
J	$1,497,220	FMV
MEDINA HOSPITAL
J	$1,393,680	FMV
AKRON GENERAL MEDICAL CENTER
J	$95,810	FMV
CLEVELAND CLINIC AVON HOSPITAL
J	$4,713,093	FMV
LUTHERAN HOSPITAL
J	$597,218	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
K	$3,521,499	FMV
AKRON GENERAL MEDICAL CENTER
L	$4,243,069	FMV
CLEVELAND CLINIC AVON HOSPITAL
L	$1,247,867	FMV
CLEVELAND CLINIC WESTON HOSPITAL NONPROFIT CORPORATION
L	$3,555,000	FMV
CLEVELAND CLINIC NEVADA
L	$222,051	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
L	$304,150	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	$6,423,022	FMV
CLEVELAND CLINIC SAUDI ARABIA LLC
L	$25,558,000	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
L	$9,784,000	FMV
FAIRVIEW HOSPITAL
L	$4,021,436	FMV
LUTHERAN HOSPITAL
L	$750,858	FMV
MARYMOUNT HOSPITAL INC
L	$1,230,703	FMV
MEDINA HOSPITAL
M	$1,318,172	FMV
AKRON GENERAL MEDICAL CENTER
M	$263,592	FMV
CLEVELAND CLINIC AVON HOSPITAL
M	$632,959	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
M	$1,552,380	FMV
LUTHERAN HOSPITAL
M	$228,172	FMV
MARYMOUNT HOSPITAL INC
M	$617,818	FMV
MEDINA HOSPITAL
M	$666,570	FMV
CCHS INDEMNITY COMPANY LTD
P	$36,146,077	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
Q	$62,918	FMV

Affiliated Group Attachment AffiliatedGroupAttachment

Field	Value	IRS element (for citing)
Meduim Explanation	NAME/EIN: THE CLEVELAND CLINIC FOUNDATION, 34-0714585 ADDRESS: 9500 EUCLID AVENUE, CLEVELAND, OH 44195 TOTAL LOBBYING EXPENSES: $579,166EXCESS EXPENSES: $0; SEC. 501(H) ELECTION: NO NAME/EIN: MARTIN MEMORIAL MEDICAL CENTER, INC. 59-0637874 ADDRESS: PO BOX 9010, STUART, FL 34995 TOTAL LOBBYING EXPENSES: $23,868EXCESS EXPENSES: $0; SEC. 501(H) ELECTION: YES NAME/EIN: OTHER EXEMPT AFFILIATES, 91-2153073 ADDRESS: 9500 EUCLID AVENUE, CLEVELAND, OH 44195 TOTAL LOBBYING EXPENSES: $0 EXCESS EXPENSES: $0; SEC. 501(H) ELECTION: NO	MeduimExplanationTxt