THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-10-30
IRS object ID: 202013049349301301
Schema version: 2019v5.1
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	2020-10-30T08:45:52-05:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	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	2020-10-30	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TERENCE M KENNEDY	PreparerPersonNm
PTIN	P00089502	PTIN
Phone	2168615000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	139.137.128.63	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-10-30	IPDt
IP Tm	09:40:04	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	344DAD6184B0AEB29D92C9305E46EE692C727723	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A1524C4345D7695420D9C40E99DCD2C6533A7ED4	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	6801 BRECKSVILLE RD RK1-85	AddressLine1Txt
City	INDEPENDENCE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44131	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$9,240,497,142	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	PATIENT CARE, RESEARCH AND EDUCATION	ActivityOrMissionDesc
Voting Members Governing Body	28	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	41815	TotalEmployeeCnt
Total Volunteers	1154	TotalVolunteersCnt
Total Gross UBI	$58,238,593	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$261,657,223	PYContributionsGrantsAmt
CY Contributions Grants	$263,593,024	CYContributionsGrantsAmt
PY Program Service Revenue	$5,723,660,688	PYProgramServiceRevenueAmt
CY Program Service Revenue	$6,207,489,737	CYProgramServiceRevenueAmt
PY Investment Income	$148,849,599	PYInvestmentIncomeAmt
CY Investment Income	$185,811,169	CYInvestmentIncomeAmt
PY Other Revenue	$119,937,216	PYOtherRevenueAmt
CY Other Revenue	$173,519,078	CYOtherRevenueAmt
PY Total Revenue	$6,254,104,726	PYTotalRevenueAmt
CY Total Revenue	$6,830,413,008	CYTotalRevenueAmt
PY Grants And Similar Paid	$106,912,553	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$110,094,217	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,217,788,553	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,410,816,900	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,625,085	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,770,231	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$14,666,956	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,557,209,646	PYOtherExpensesAmt
CY Other Expenses	$2,710,215,412	CYOtherExpensesAmt
PY Total Expenses	$5,883,535,837	PYTotalExpensesAmt
CY Total Expenses	$6,232,896,760	CYTotalExpensesAmt
PY Revenues Less Expenses	$370,568,889	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$597,516,248	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,990,906,558	TotalAssetsBOYAmt
Total Assets EOY	$12,446,161,990	TotalAssetsEOYAmt
Total Liabilities BOY	$5,561,105,105	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,172,018,991	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,429,801,453	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,274,142,999	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$5,596,433,521	ExpenseAmt
Grant	$110,094,217	GrantAmt
Revenue	$6,207,489,737	RevenueAmt
Desc	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Desc
Total Program Service Expenses	$5,596,433,521	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	Yes (1)	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	5748	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	41815	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	HK	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	CA	ForeignCountryCd
Foreign Country	SA	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	NO	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	BR	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Foreign Country	PO	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	28	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	ROBERT F WAITKUS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2164452526	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (55 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
DONLEY MD BRIAN
FORMER OFFICER, CC LONDON - CEO	0.00	50.00	Yes (X)	$0	$2,909,811	$812,727
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRESIDENT & CEO	50.00	0.00		$3,263,418	$0	$45,449	Yes (X)	Yes (X)
KRANYAK MD MARGARET
RETIRED PHYSICIAN (PART YR)	50.00	0.00		$1,926,172	$0	$783,511			Yes (X)
BROOKS MD PETER
PHYSICIAN	50.00	0.00		$1,468,472	$0	$827,538			Yes (X)
SURI MD RAKESH
CEO CCAD	50.00	0.00		$1,933,075	$0	$161,121				Yes (X)
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00	0.00		$1,827,678	$0	$47,946		Yes (X)
TUZCU MD E MURAT
CHIEF ACADEMIC OFFICER - CCAD	50.00	0.00		$1,660,634	$0	$149,972			Yes (X)
GLASS STEVEN C
CFO & TREASURER	50.00	0.00		$1,733,491	$0	$58,941		Yes (X)
NAJM MD HANI
PHYSICIAN	50.00	0.00		$1,707,134	$0	$46,572			Yes (X)
ROWAN DAVID
SECRETARY, CHIEF LEGAL OFFICER	50.00	0.00		$1,684,851	$0	$47,508		Yes (X)
SVENSSON MD LARS
CHAIR OF HEART & VASCULAR INST	50.00	0.00		$1,682,256	$0	$46,247				Yes (X)
MARTIN MD DANIEL
CHAIR COLE EYE INST	50.00	0.00		$1,441,943	$0	$46,247			Yes (X)
WIEDEMANN MD HERBERT
DIRECTOR, CHIEF OF STAFF	50.00	0.00		$1,081,037	$0	$601,881	Yes (X)	Yes (X)
ERZURUM MD SERPIL
FORMER OFFICER	50.00	0.00	Yes (X)	$715,951	$0	$753,059
GUTIERREZ MD JAMES
DIRECTOR, PHYSICIAN	50.00	0.00		$1,168,948	$0	$223,061	Yes (X)
SABANEGH MD EDMUND
PRESIDENT, CC MAIN CAMPUS	50.00	0.00		$1,087,264	$0	$45,938		Yes (X)
COSGROVE MD DELOS
FORMER CEO, EXECUTIVE ADVISOR	15.00	0.00	Yes (X)	$823,428	$0	$118,937
YOUNG MD JAMES P
CHIEF ACADEMIC OFFICER	50.00	0.00		$987,138	$0	$46,394		Yes (X)
MCHUGH LINDA
FORMER OFFICER	50.00	0.00	Yes (X)	$954,611	$0	$61,384
ISAACSON MD J HARRY
DIRECTOR, PHYSICIAN	50.00	0.00		$358,127	$0	$367,527	Yes (X)
HAMILTON THOMAS
FORMER OFFICER	50.00	0.00	Yes (X)	$485,866	$0	$213,656
LONGVILLE TIMOTHY
CAO & CONTROLLER (PART YR)	50.00	0.00		$478,836	$0	$119,941		Yes (X)
MCKENZIE MD MARGARET
DIRECTOR, PHYSICIAN	50.00	0.00		$502,394	$0	$46,572	Yes (X)
DAVIS MARLEINA
ASST. SECRETARY	50.00	0.00		$416,912	$0	$62,679		Yes (X)
HARRINGTON MICHAEL
CAO, CONTROLLER & ASSOC CFO(PART YR)	50.00	0.00		$369,216	$0	$37,474		Yes (X)
MEEHAN MICHAEL J
RECORDING SECRETARY	50.00	0.00		$379,775	$0	$13,320		Yes (X)
OBLANDER JASON
ASST. SECRETARY	50.00	0.00		$220,413	$0	$23,119		Yes (X)
LYTLE MD BRUCE
FORMER KEY EMPLOYEE (RETIRED)	0.00	0.00	Yes (X)	$118,200	$0	$44,110
HAHN MD JOSEPH
FORMER OFFICER (RETIRED)	0.00	0.00	Yes (X)	$148,394	$0	-$375
MOONEY BETH E
DIRECTOR, BOARD CHAIR (PART YEAR)	5.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
RICH ROBERT E JR
DIRECTOR, BOARD CHAIR (PART YEAR)	5.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
SCAMINACE JOSEPH M
DIRECTOR, BOARD VICE CHAIR	5.00	0.00		$0	$0	$0	Yes (X)	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	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)
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	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)
MILLER SAMUEL H
DIRECTOR (PART YR)	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)
PETRAS JR MICHAEL
DIRECTOR	5.00	0.00		$0	$0	$0	Yes (X)
POLLOCK LARRY
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	5.00	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$30,625,634	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,909,811	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,852,456	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6556	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
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 121102	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SERVICES	$23,111,289
IBM CORP
500 FIRST AVENUE	PITTSBURGH	PA	15219	INFORMATION TECHNOLOGY SYSTEMS SERVICES	$22,683,542
THE HCI GROUP
PO BOX 734305	CHICAGO	IL	60673	HEALTHCARE IT CONSULTING & TECH SOLUTION	$11,790,127
TOWNE PARK LLC
PO BOX 79349	BALTIMORE	MD	21279	PARKING SERVICES	$10,472,068
CARDINAL HEALTH
PO BOX 70539	CHICAGO	IL	60673	INTEGRATED HEALTHCARE SOLUTIONS	$9,518,451

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	493	CntrctRcvdGreaterThan100KCnt
Fundraising	$5,873,562	FundraisingAmt
Related Organizations	$983	RelatedOrganizationsAmt
Government Grants	$120,856,366	GovernmentGrantsAmt
All Other Contributions	$136,862,113	AllOtherContributionsAmt
Noncash Contributions	$11,756,921	NoncashContributionsAmt
Total Contributions	$263,593,024	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	612990	$3,490,559,681	$3,465,577,407	$24,982,274
MEDICARE/MEDICAID PAYM	921990	$2,121,875,236	$2,121,875,236
OTHER PROGRAM SERVICES	900099	$505,828,539	$490,821,423	$15,007,116
PARKING, PHONE & OTHER	900099	$54,286,992		$17,571,594	$36,715,398
MANAGEMENT FEES	561000	$30,424,748	$30,424,748

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,514,541	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,629,208	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$114,667	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$6,207,489,737	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,932,993	TotalRevenueColumnAmt
Exclusion	$65,932,993	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,332,351	TotalRevenueColumnAmt
Exclusion	$33,332,351	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,710,341	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	$8,710,341	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,710,341	TotalRevenueColumnAmt
Exclusion	$8,710,341	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,525,780,146	SecuritiesAmt
Other	$2,083,410	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,403,270,997	SecuritiesAmt
Other	$4,714,383	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$122,509,149	SecuritiesAmt
Other	-$2,630,973	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$119,878,176	TotalRevenueColumnAmt
Exclusion	$119,878,176	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$264,074	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$5,873,562	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$2,098,754	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,834,680	TotalRevenueColumnAmt
Exclusion	-$1,834,680	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INCOME (LOSS) ON INVES	523000	$163,697,803	$163,697,803
INVESTMENT IN AFFILIAT	523000	$2,737,082	$1,944,806	$792,276
FOREIGN CURRENCY	525990	$286,195	$286,195

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$33,410,014	TotalRevenueColumnAmt
Exclusion	-$33,410,014	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$133,311,066	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,830,413,008	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,113,328,022	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$58,238,593	UnrelatedBusinessRevenueAmt
Exclusion	$395,253,369	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$26,751,071	TotalAmt
Program Services	$26,751,071	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$82,233,245	TotalAmt
Program Services	$82,233,245	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$1,109,901	TotalAmt
Program Services	$1,109,901	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$21,169,952	TotalAmt
Program Services	$6,228,323	ProgramServicesAmt
Management And General	$14,941,629	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$4,437,221	TotalAmt
Program Services	$889,670	ProgramServicesAmt
Management And General	$3,547,551	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,725,966,635	TotalAmt
Program Services	$2,363,656,136	ProgramServicesAmt
Management And General	$354,764,760	ManagementAndGeneralAmt
Fundraising	$7,545,739	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$172,045,817	TotalAmt
Program Services	$149,130,964	ProgramServicesAmt
Management And General	$22,382,303	ManagementAndGeneralAmt
Fundraising	$532,550	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$305,776,289	TotalAmt
Program Services	$265,054,216	ProgramServicesAmt
Management And General	$39,779,971	ManagementAndGeneralAmt
Fundraising	$942,102	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$181,420,986	TotalAmt
Program Services	$157,234,388	ProgramServicesAmt
Management And General	$23,601,966	ManagementAndGeneralAmt
Fundraising	$584,632	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,900,676	TotalAmt
Program Services	$4,263,123	ProgramServicesAmt
Management And General	$637,553	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,127,378	TotalAmt
Program Services	$3,590,427	ProgramServicesAmt
Management And General	$536,951	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,604,690	TotalAmt
Management And General	$3,604,690	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$623,865	TotalAmt
Program Services	$623,865	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,770,231	TotalAmt
Fundraising	$1,770,231	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$19,556,620	TotalAmt
Management And General	$19,556,620	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$206,279,386	TotalAmt
Program Services	$177,579,908	ProgramServicesAmt
Management And General	$26,835,920	ManagementAndGeneralAmt
Fundraising	$1,863,558	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$30,244,039	TotalAmt
Program Services	$26,246,172	ProgramServicesAmt
Management And General	$3,934,599	ManagementAndGeneralAmt
Fundraising	$63,268	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$59,611,737	TotalAmt
Program Services	$51,485,461	ProgramServicesAmt
Management And General	$7,755,190	ManagementAndGeneralAmt
Fundraising	$371,086	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$104,663,709	TotalAmt
Program Services	$91,045,619	ProgramServicesAmt
Management And General	$13,616,227	ManagementAndGeneralAmt
Fundraising	$1,863	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$2,872,643	TotalAmt
Program Services	$2,498,926	ProgramServicesAmt
Management And General	$373,717	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$93,570,726	TotalAmt
Program Services	$81,395,553	ProgramServicesAmt
Management And General	$12,173,085	ManagementAndGeneralAmt
Fundraising	$2,088	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$21,036,746	TotalAmt
Program Services	$17,750,188	ProgramServicesAmt
Management And General	$2,736,776	ManagementAndGeneralAmt
Fundraising	$549,782	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,651,809	TotalAmt
Program Services	$8,115,570	ProgramServicesAmt
Management And General	$1,255,652	ManagementAndGeneralAmt
Fundraising	$280,587	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$98,779,169	TotalAmt
Program Services	$85,928,492	ProgramServicesAmt
Management And General	$12,850,677	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$279,455,969	TotalAmt
Program Services	$243,069,946	ProgramServicesAmt
Management And General	$36,355,828	ManagementAndGeneralAmt
Fundraising	$30,195	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$41,304,058	TotalAmt
Program Services	$35,930,606	ProgramServicesAmt
Management And General	$5,373,452	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,380,532,582	$1,380,521,743	$10,839
BAD DEBT EXPENSE	$148,529,069	$148,529,069
EQUIPMENT RENTAL & MAIN	$84,511,733	$73,610,672	$36,601	$10,864,460
STATE FRANCHISE FEE	$57,328,446	$57,328,446

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$59,030,362	TotalAmt
Program Services	$54,631,821	ProgramServicesAmt
Management And General	$4,316,706	ManagementAndGeneralAmt
Fundraising	$81,835	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,232,896,760	TotalAmt
Program Services	$5,596,433,521	ProgramServicesAmt
Management And General	$621,796,283	ManagementAndGeneralAmt
Fundraising	$14,666,956	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$481,200,626	BOYAmt
EOY	$264,919,685	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,741,538	BOYAmt
EOY	$204,791,195	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$208,748,883	BOYAmt
EOY	$188,539,252	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$763,655,344	BOYAmt
EOY	$840,015,988	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$7,444,253	BOYAmt
EOY	$7,756,160	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$21,957,604	BOYAmt
EOY	$84,921,757	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$97,643,634	BOYAmt
EOY	$106,140,561	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$56,370,802	BOYAmt
EOY	$62,053,674	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,577,589,509	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,587,775,859	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,826,929,606	BOYAmt
EOY	$2,989,813,650	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,515,396,435	BOYAmt
EOY	$2,554,061,404	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,699,313,234	BOYAmt
EOY	$3,577,321,949	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$258,142,930	BOYAmt
EOY	$298,566,215	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$62,134,669	BOYAmt
EOY	$62,104,311	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$983,227,000	BOYAmt
EOY	$1,205,156,189	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,990,906,558	BOYAmt
EOY	$12,446,161,990	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$852,651,056	BOYAmt
EOY	$894,162,002	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$453,264	BOYAmt
EOY	$443,987	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$77,384,613	BOYAmt
EOY	$64,497,759	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,794,852,235	BOYAmt
EOY	$3,390,360,034	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$105,000,000	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$123,457,997	BOYAmt
EOY	$185,730,372	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,607,305,940	BOYAmt
EOY	$1,636,824,837	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,561,105,105	BOYAmt
EOY	$6,172,018,991	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	$4,579,477,000	BOYAmt
EOY	$5,369,427,785	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$850,324,453	BOYAmt
EOY	$904,715,214	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,429,801,453	BOYAmt
EOY	$6,274,142,999	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,990,906,558	BOYAmt
EOY	$12,446,161,990	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$597,516,248	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$237,011,196	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$9,814,102	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	$226,230,648	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$245,922,291	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$241,311,504	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$261,657,223	CurrentTaxYearMinus1YearAmt
Current Tax Year	$263,593,024	CurrentTaxYearAmt
Total	$1,238,714,690	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$226,230,648	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$245,922,291	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$241,311,504	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$261,657,223	CurrentTaxYearMinus1YearAmt
Current Tax Year	$263,593,024	CurrentTaxYearAmt
Total	$1,238,714,690	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$9,498,955	SubstantialContributorsTotAmt
Public Support Total170	$1,229,215,735	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$82,576,423	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$85,887,195	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$115,486,620	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$74,797,729	CurrentTaxYearMinus1YearAmt
Current Tax Year	$107,975,685	CurrentTaxYearAmt
Total	$466,723,652	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$67,175	CurrentTaxYearMinus4YearsAmt
Total	$67,175	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$88,700,962	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$64,845,310	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$72,403,603	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$94,283,514	CurrentTaxYearMinus1YearAmt
Current Tax Year	$166,735,941	CurrentTaxYearAmt
Total	$486,969,330	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,192,474,847	TotalSupportAmt
Gross Receipts Rltd Activities	$6,113,328,022	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.56070	PublicSupportCY170Pct
Public Support PY170	0.59120	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 - 2015 AMOUNT: $ 44,378,305. 2016 AMOUNT: $ 64,640,923. 2017 AMOUNT: $ 71,980,037. 2018 AMOUNT: $ 92,689,670. 2019 AMOUNT: $ 163,697,803. FOREIGN CURRENCY - 2015 AMOUNT: $ 610,292. 2016 AMOUNT: $ 73,310. 2017 AMOUNT: $ 273,145. 2019 AMOUNT: $ 286,195. DERIVATIVE INCOME - 2018 AMOUNT: $ 1,458,519. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. 2019 AMOUNT: $ 2,737,082. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,290. 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	$630,216	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$630,216	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$10,294,617,093	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$10,295,247,309	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	$1,000,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$1,500,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year	$630,216	CurrentYearAmt
Total	$630,216	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

Field	Value	IRS element (for citing)
Grassroots Ceiling	$375,000	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. FILES A SEPARATE FORM 990, IS A 501(C)(3) ORGANIZATION AND FILED FORM 5768 (ELECTION UNDER 501(H)).	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$258,255,184	BeginningYearBalanceAmt
Contributions	$23,968,927	ContributionsAmt
Investment Earnings Or Losses	-$918,904	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,244,412	OtherExpendituresAmt
End Year Balance	$274,060,795	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	$179,488,287	OtherCostOrOtherBasisAmt
Book Value	$179,488,287	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,000,296,790	OtherCostOrOtherBasisAmt
Depreciation	$2,024,502,939	DepreciationAmt
Book Value	$1,975,793,851	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,919,347	OtherCostOrOtherBasisAmt
Depreciation	$71,748,755	DepreciationAmt
Book Value	$42,170,592	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,104,461,029	OtherCostOrOtherBasisAmt
Depreciation	$1,434,281,098	DepreciationAmt
Book Value	$670,179,931	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$179,424,056	OtherCostOrOtherBasisAmt
Depreciation	$57,243,067	DepreciationAmt
Book Value	$122,180,989	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,989,813,650	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$2,017,844,680	C
PRIVATE EQUITY	$1,259,139,712	C
REAL ESTATE	$300,337,557	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$3,577,321,949	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$600,730,687
PERPETUAL & BENEFICIAL TRUSTS	$41,234,998
INVESTMENT IN AFFILIATES	$231,733,537
OTHER ASSETS	$331,456,967

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,205,156,189	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DEFERRED ANNUITY TRUST	$1,082,837
OTHER LIABILITIES	$24,633,521
FUTURE GIFT ANNUITY PAYMENTS	$9,455,965
INTEREST RATE SWAPS	$129,880,019
ACCRUED PENSION	$596,333,946
ACCRUED BENEFITS	$183,764,533
DUE TO AFFILIATES	$691,674,016

Field	Value	IRS element (for citing)
Total Liability	$1,636,824,837	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, 2019 AND 2018, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $1.0 MILLION AND $0.9 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 (24 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	1	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$46,559,000
EUROPE	2	16	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$223,016,000
MIDDLE EAST & NORTH AFRICA	1	59	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$5,151,000
EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$237,000
EUROPE	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$1,163,000
MIDDLE EAST & NORTH AFRICA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$1,008,000
NORTH AMERICA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$374,000
RUSSIA & NEIGHBORING STATES	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$1,000
SOUTH AMERICA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$85,000
SOUTH ASIA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$86,000
SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	TRAVEL FOR MEETINGS/CONFERENCES	$6,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	FUNDRAISING
EAST ASIA AND THE PACIFIC	0	0	FUNDRAISING
EUROPE	0	0	FUNDRAISING		$70,000
MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING		$17,000
NORTH AMERICA	0	0	FUNDRAISING		$5,000
SOUTH AMERICA	0	0	FUNDRAISING
SOUTH ASIA	0	0	FUNDRAISING		$22,000
SUB-SAHARAN AFRICA	0	0	FUNDRAISING
EUROPE	0	0	INVESTING		$283,862,000
SUB-SAHARAN AFRICA	0	0	INVESTING		$33,766,000
MIDDLE EAST & NORTH AFRICA	0	0	INVESTING		$2,419,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	INVESTING		$2,347,942,000

Field	Value	IRS element (for citing)
Subtotal Offices	5	SubtotalOfficesCnt
Subtotal Employees	76	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	5	TotalOfficeCnt
Total Employee	76	TotalEmployeeCnt
Subtotal Spent	$279,628,000	SubtotalSpentAmt
Continuation Spent	$2,668,281,000	ContinuationSpentAmt
Total Spent	$2,947,909,000	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (16 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
NORTH AMERICA	RESEARCH	$35,800	CHECK	$0
NORTH AMERICA	RESEARCH	$21,792	CHECK	$0
EUROPE	RESEARCH	$56,473	CHECK	$0
NORTH AMERICA	RESEARCH	$10,000	CHECK	$0
EUROPE	RESEARCH	$23,712	CHECK	$0
EUROPE	RESEARCH	$325,141	CHECK	$0
NORTH AMERICA	RESEARCH	$6,002	CHECK	$0
NORTH AMERICA	RESEARCH	$9,375	CHECK	$0
NORTH AMERICA	RESEARCH	$5,819	CHECK	$0
EAST ASIA AND THE PACIFIC	RESEARCH	$55,000	CHECK	$0
EAST ASIA AND THE PACIFIC	RESEARCH	$91,548	CHECK	$0
NORTH AMERICA	RESEARCH	$9,934	CHECK	$0
SOUTH AMERICA	RESEARCH	$45,912	CHECK	$0
SUB SAHARAN AFRICA	RESEARCH	$5,600	CHECK	$0
NORTH AMERICA	RESEARCH	$267,529	CHECK	$0
NORTH AMERICA	RESEARCH	$162,055	CHECK	$0

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	16	TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (10 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
RESEARCH	EUROPE	1	$12,500	CHECK	$0
RESEARCH	EAST ASIA AND THE PACIFIC	1	$6,000	CHECK	$0
RESEARCH	EAST ASIA AND THE PACIFIC	1	$5,115	CHECK	$0
RESEARCH	EUROPE	1	$34,000	CHECK	$0
RESEARCH	NORTH AMERICA	1	$11,991	CHECK	$0
RESEARCH	RUSSIA & NEIGHBORING STATES	1	$5,728	CHECK	$0
RESEARCH	EUROPE	1	$8,000	CHECK	$0
RESEARCH	EUROPE	1	$9,921	CHECK	$0
RESEARCH	EAST ASIA AND THE PACFIC	1	$8,025	CHECK	$0
RESEARCH	EAST ASIA AND THE PACFIC	1	$9,200	CHECK	$0

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	$3,981,607	$134,145	$3,847,462
RR DONNELLEY
35 WEST WACKER DR	CHICAGO	IL	60601	DIRECT MAIL	0	$963,300	$525,752	$437,548
TSM DONOR ENGAGEMENT TEAM INC
155 COMMERCE DR	FREEDOM	PA	15042	PHONE SOLICITATION	0	$378,078	$1,110,334	-$732,256

Field	Value	IRS element (for citing)
Total Gross Receipts	$5,322,985	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,770,231	TotalRetainedByContractorsAmt
Total Net To Organization	$3,552,754	TotalNetToOrganizationAmt
Licensed States	AK	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	AZ	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	IA	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NY	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	VA	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	VELOSANO	Event1Nm
Gross Receipts Event1	$4,987,548	GrossReceiptsEvent1Amt
Charitable Contri Event1	$4,873,569	CharitableContriEvent1Amt
Gross Revenue Event1	$113,979	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$142,163	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$138,116	FoodAndBeverageEvent1Amt
Entertainment Event1	$78,837	EntertainmentEvent1Amt
Other Direct Expenses Event1	$978,272	OtherDirectExpensesEvent1Amt
Event2	CHILDREN'S GALA	Event2Nm
Gross Receipts Event2	$752,120	GrossReceiptsEvent2Amt
Charitable Contri Event2	$693,400	CharitableContriEvent2Amt
Gross Revenue Event2	$58,720	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$3,907	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$173,872	FoodAndBeverageEvent2Amt
Entertainment Event2	$29,000	EntertainmentEvent2Amt
Other Direct Expenses Event2	$337,159	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$397,968	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$306,593	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$91,375	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$3,907	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$67,884	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$77,525	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$1,776	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$66,336	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$6,137,636	GrossReceiptsTotalAmt
Charitable Contributions Tot	$5,873,562	CharitableContributionsTotAmt
Gross Revenue Total Events	$264,074	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$7,814	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$210,047	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$389,513	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$109,613	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$1,381,767	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$2,098,754	DirectExpenseSummaryEventsAmt
Net Income Summary	-$1,834,680	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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$71,886,686	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,886,686	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$754,899,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$435,825,656	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$319,073,867	NetCommunityBenefitExpnsAmt
Total Expense	0.05190	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$826,786,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$435,825,656	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$390,960,553	NetCommunityBenefitExpnsAmt
Total Expense	0.06360	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,430,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$108,401	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,322,339	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$256,153,548	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,876,567	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$231,276,981	NetCommunityBenefitExpnsAmt
Total Expense	0.03760	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,702,021	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,497,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,204,346	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,926,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$161,443,237	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,483,336	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,306,060	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$410,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,895,873	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$567,518,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$211,336,067	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$356,182,875	NetCommunityBenefitExpnsAmt
Total Expense	0.05790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,394,305,151	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$647,161,723	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$747,143,428	NetCommunityBenefitExpnsAmt
Total Expense	0.12150	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,405	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$249,024	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$249,024	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$920	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$920	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,797	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,013	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,013	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$264,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$264,159	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$149,069,862	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$714,300,141	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$749,324,338	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$35,024,197	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	44012	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1906	Yes (X)						A
SELECT SPECIALTY - FAIRHILL
3	11900 FAIRHILL ROAD	CLEVELAND	OH	44120	WWW.SELECTMEDICAL.COM	OH STATE ID 1468	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
CLEVELAND CLINIC REHABILITATION-AVON
5	33355 HEALTH CAMPUS BOULEVARD	AVON	OH	44011	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1522AHR	Yes (X)						A
SELECT SPECIALTY - REGENCY WEST
6	6990 ENGLE ROAD	MIDDLEBURG HEIGHTS	OH	44130	WWW.SELECTMEDICAL.COM	OH STATE ID 1478	Yes (X)						A
SELECT SPECIALTY - REGENCY EAST
7	4200 INTERCHANGE CORPORATE CENTER	WARRENSVILLE HEIGHTS	OH	44128	WWW.SELECTMEDICAL.COM	OH STATE ID 1479	Yes (X)						A	RD
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)	19	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)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	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)	19	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)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	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 (39 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: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES 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 CCHS. UNINSURED PATIENTS THAT CCHS 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, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 6: SELECT SPECIALTY - REGENCY WEST, - FACILITY 7: SELECT SPECIALTY - REGENCY EAST, - FACILITY 3: SELECT SPECIALTY - FAIRHILL, - FACILITY 8: SELECT SPECIALTY - GATEWAY, - FACILITY 5: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 2: CLEVELAND CLINIC REHAB - BEACHWOOD, - FACILITY 4: CLEVELAND CLINIC REHAB - EDWIN SHAW
GROUP A-FACILITY 6 -- 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 6 -- 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 6 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES 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 6 -- 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 7 -- 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 7 -- 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 7 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; 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 7 -- 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 3 -- 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 3 -- 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 3 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES 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 3 -- 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:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES 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 5 -- 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 5 -- 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 5 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES 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 5 -- 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:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES 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:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES 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.
PART V - SECTION B - LINE 9 - CCF AND REPORTING GROUP A	THE IMPLEMENTATION STRATEGY REPORT THAT CORRESPONDS WITH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED IN 2020. FOR PURPOSES OF THE 2019 FORM 990, THE MOST CURRENT IMPLEMENTATION STRATEGY REPORT ADOPTED AT THE TIME WAS 2017.

Field	Value	IRS element (for citing)
Facility	115	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (115 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - TWINSBURG FAMILY HEALTH & SURGERY CENTER
8701 DARROW ROAD	TWINSBURG	OH	44087	FAMILY HEALTH CENTER
2 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD	BEACHWOOD	OH	44122	FAMILY HEALTH CENTER
3 - STRONGSVILLE FAMILY HEALTH & SURGERY CEN
16761 SOUTH PARK CENTER	STRONGSVILLE	OH	44136	FAMILY HEALTH CENTER
4 - RICHARD E JACOBS HEALTH CENTER
33100 CLEVELAND CLINIC BOULEVARD	AVON	OH	44011	FAMILY HEALTH CENTER
5 - INDEPENDENCE FAMILY HEALTH CENTER
5001 ROCKSIDE RD CROWN CENTRE II	INDEPENDENCE	OH	44131	FAMILY HEALTH CENTER
6 - LORAIN FAMILY HEALTH & SURGERY CENTER
5700 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
7 - WILLOUGHBY HILLS FAMILY HEALTH CENTER
2550 2570 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
8 - WOOSTER FAMILY HEALTH CENTER
1740 CLEVELAND ROAD	WOOSTER	OH	44691	FAMILY HEALTH CENTER
9 - CLEVELAND CLINIC CANCER CENTERS
417 QUARRY LAKES DRIVE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
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 - CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON STREET	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
16 - SHEFFIELD FAMILY HEALTH CENTER
5334 MEADOW LANE CT	SHEFFIELD VILLAGE	OH	44035	FAMILY HEALTH CENTER
17 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER
5900 LANDERBROOK DRIVE	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
18 - AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
19 - NORTH OHIO GASTROENTEROLOGY
30701 CLEMENS ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
20 - STEPHANIE TUBBS JONES HEALTH CENTER
13944 EUCLID AVENUE	EAST CLEVELAND	OH	44112	FAMILY HEALTH CENTER
21 - CCF CONSULTANTS IN GASTROENTEROLOGY
7530 FREDLE DRIVE	CONCORD	OH	44077	OUTPATIENT PHYSICIAN CLINIC
22 - AMHERST FAMILY HEALTH CENTER
5172 LEAVITT ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
23 - SUMMIT GASTROENTEROLOGY ASSOCIATES
3939 S CLEVELAND MASSILLON ROAD	BARBERTON	OH	44203	OUTPATIENT PHYSICIAN CLINIC
24 - AVON LAKE FAMILY HEALTH CENTER
450 AVON BELDEN ROAD	AVON LAKE	OH	44012	FAMILY HEALTH CENTER
25 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY
1 PARK WEST BOULEVARD STE 150	AKRON	OH	44320	OUTPATIENT PHYSICIAN CLINIC
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 - MENTOR REHABILITATION AND SPORTS THERAPY
7533 CENTER STREET	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
29 - OHIO RENAL CARE CLEVELAND EAST
2429 MARTIN LUTHER KING JR DR	CLEVELAND	OH	44104	DIALYSIS CENTER
30 - MIDDLEBURG HEIGHTS ORTHOPAEDICS
7010 ENGLE ROAD STE 105	MIDDLEBURG HEIGHTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
31 - COMMUNITY PEDIATRICS
8254 MAYFIELD ROAD	CHESTERLAND	OH	44026	OUTPATIENT PHYSICIAN CLINIC
32 - MADISON MEDICAL OFFICE
2999 MCMACKIN ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
33 - OLMSTED TOWNSHIP PRIMARY CARE
27089 BAGLEY ROAD	OLMSTED TOWNSHIP	OH	44138	OUTPATIENT PHYSICIAN CLINIC
34 - CLEVELAND CLINIC COLE EYE OF STREETSBORO
9424 STATE ROUTE 14	STREETSBORO	OH	44241	OUTPATIENT PHYSICIAN CLINIC
35 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND
21 SUGARBUSH COURT	ASHLAND	OH	44805	OUTPATIENT PHYSICIAN CLINIC
36 - COMMUNITY PEDIATRICS
2001 CROCKER ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
37 - SUMMIT OPHTHALMOLOGY
1587 BOETTLER ROAD	GREEN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
38 - OHIO RENAL CARE GROUP WESTLAKE
26024 DETROIT AVENUE	WESTLAKE	OH	44145	DIALYSIS CENTER
39 - MARYMOUNT REHABILITATION AND SPORTS THER
2525 EAST ROYALTON ROAD	BROADVIEW HEIGHTS	OH	44147	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 - WADSWORTH PRIMARY CARE
ONE PARK CENTER DRIVE	WADSWORTH	OH	44281	OUTPATIENT PHYSICIAN CLINIC
43 - WILLOUGHBY HILLS BEHAVIORAL HEALTH
2785 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
44 - OHIO RENAL CARE GROUP HERITAGE
1160 E BROAD ST	ELYRIA	OH	44035	DIALYSIS CENTER
45 - OHIO RENAL CARE GROUP WEST
14670 SNOW ROAD	BROOKPARK	OH	44142	DIALYSIS CENTER
46 - CLEVELAND CLINIC CANCER CENTERS
509 W MCPHERSON HIGHWAY	CLYDE	OH	43410	OUTPATIENT PHYSICIAN CLINIC
47 - CLEVELAND CLINIC LYNDHURST CAMPUS
1950 RICHMOND ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
48 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS
9729 GRANGER RD	GARFIELD HTS	OH	44125	DIALYSIS CENTER
49 - NORTH RIDGEVILLE MEDICAL OFFICE
35105 CENTER RIDGE ROAD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
50 - OHIO RENAL CARE GROUP EUCLID
26450 EUCLID AVENUE	EUCLID	OH	44132	DIALYSIS CENTER
51 - BRECKSVILLE EXPRESS CARE
8805 BRECKSVILLE ROAD	BRECKSVILLE	OH	44141	OUTPATIENT PHYSICIAN CLINIC
52 - CHARDON REHABILITATION AND SPORTS THERAP
325 CENTER STREET	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
53 - CLEVELAND CLINIC URGENT CARE ROCKY RIVE
19895 DETROIT ROAD	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
54 - MACEDONIA EXPRESS AND OUTPATIENT CARE
8210 MACEDONIA COMMONS BOULEVARD	MACEDONIA	OH	44056	OUTPATIENT PHYSICIAN CLINIC
55 - OHIO RENAL CARE GROUP SOLON
6020 ENTERPRISE PARKWAY	SOLON	OH	44139	DIALYSIS CENTER
56 - OHIO RENAL CARE GROUP AMHERST
1168 CLEVELAND AVE	AMHERST	OH	44001	DIALYSIS CENTER
57 - OHIO RENAL CARE GROUP OHIO ACUTES
2500 METROHEALTH DRIVE	CLEVELAND	OH	44109	DIALYSIS CENTER
58 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL
3733 PARK EAST DRIVE STE 105	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
59 - OHIO RENAL CARE GROUP FARNSWORTH
3764 PEARL RD	CLEVELAND	OH	44109	DIALYSIS CENTER
60 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE
1959 COOPER FOSTER PARK ROAD	AMHERST	OH	44053	DIAGNOSTIC CENTER
61 - CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD ROAD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
62 - OHIO RENAL CARE GROUP MENTOR
8840 TYLER BLVD	MENTOR	OH	44060	DIALYSIS CENTER
63 - BEDFORD DIALYSIS CENTER
5035 RICHMOND ROAD	BEDFORD HEIGHTS	OH	44146	DIALYSIS CENTER
64 - MOHICAN EYE CENTER
484 PARK AVENUE WEST	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
65 - OHIO RENAL CARE GROUP ELYRIA
5316 HOAG DR	SHEFFILED	OH	44035	DIALYSIS CENTER
66 - OHIO RENAL CARE GROUP LAKEWOOD
13900 DETROIT RD	LAKEWOOD	OH	44109	DIALYSIS CENTER
67 - OHIO RENAL CARE GROUP WHITE POND
690 WHITE POND DR	AKRON	OH	44320	DIALYSIS CENTER
68 - OHIO RENAL CARE GROUP WADSWORTH
1160 WILLIAMS RESERVE BLVD	WADSWORTH	OH	44281	DIALYSIS CENTER
69 - MADISON REHABILITATION AND SPORTS THERAP
2622 HUBBARD ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
70 - WELLINGTON MEDICAL OFFICE
805 PATRIOT DRIVE UNIT E	WELLINGTON	OH	44090	OUTPATIENT PHYSICIAN CLINIC
71 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYS
4200 WARRENSVILLE CENTER RD STE 100	WARRENSVILLE HTS	OH	44122	DIALYSIS CENTER
72 - CLEVELAND CLINIC EXPRESS CARE
7580 NORTHCLIFF AVENUE	BROOKLYN	OH	44144	OUTPATIENT PHYSICIAN CLINIC
73 - COLE EYE INSTITUTE
2000 AUBURN DRIVE STE 100	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
74 - COLE EYE SOLON
32901 STATION STREET	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
75 - OBERLIN OPHTHALMOLOGY
309 WEST LORAIN STREET	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
76 - MOHICAN EYE CENTER
637 NORTH UNION STREET	LOUDONVILLE	OH	44842	OUTPATIENT PHYSICIAN CLINIC
77 - OHIO RENAL CARE GROUP CUYAHOGA FALLS
320 BROADWAY ST E	E CUYAHOGA FALLS	OH	44221	DIALYSIS CENTER
78 - BELDEN CENTER
4677 FULTON DRIVE NW	CANTON	OH	44718	OUTPATIENT PHYSICIAN CLINIC
79 - LAKEWOOD MEDICAL OFFICE
16215 MADISON AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
80 - THE LANGSTON HUGHES CENTER CLEVELAND CLI
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
81 - STOW-FALLS MEDICAL OUTPATIENT CENTER
857 GRAHAM RD	STOW	OH	44221	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 HEART & VASCULAR
1400 WEST MAIN STREET BELLEVUE	BELLEVUE	OH	44811	OUTPATIENT PHYSICIAN CLINIC	HOSPITAL
90 - CLEVELAND CLINIC STAR IMAGING
1449 BOARDMAN-CANFIELD ROAD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
91 - CLUB VIEW VISION CENTER OPTOMETRIC
1650 E MANSFIELD STREET	BUCYRUS	OH	44820	OUTPATIENT PHYSICIAN CLINIC
92 - COLUMBUS STAR IMAGING
1550 KENNY ROAD	COLUMBUS	OH	43212	DIAGNOSTIC CENTER
93 - COLUMBUS STAR IMAGING
921 JASONWAY AVENUE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
94 - COLUMBUS STAR IMAGING BEECHER
425 BEECHER ROAD	COLUMBUS	OH	43230	DIAGNOSTIC CENTER
95 - DAYTON STAR IMAGING
5529 FAR HILLS AVENUE	DAYTON	OH	45429	DIAGNOSTIC CENTER
96 - DOWNTOWN EXPRESS CARE
315 EUCLID AVENUE STE 2	CLEVELAND	OH	44114	OUTPATIENT PHYSICIAN CLINIC
97 - LAKEWEST MEDICAL BUILDING
36100 EUCLID AVENUE STE 280	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
98 - LAKEWOOD FAMILY MEDICINE - ROCKPORT
11851 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
99 - LAKEWOOD LAKE POINTE LAB DRAW SITE
15800 DETROIT AVENUE	LAKEWOOD	OH	44107	DIAGNOSTIC CENTER
100 - LORAIN ORTHOPAEDICS
5800 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
101 - NILES STAR IMAGING
650 YOUNGSTOWN-WARREN ROAD	NILES	OH	44446	DIAGNOSTIC CENTER
102 - NPCS - BEACHWOOD
26110 EMERY ROAD	WARRENSVILLE HEIGHTS	OH	44128	OUTPATIENT PHYSICIAN CLINIC
103 - ROCKSIDE I
6100 WEST CREEK ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
104 - ROCKSIDE MEDICAL CENTER
6701 ROCKSIDE ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
105 - SLEEP DISORDERS CENTER
24901 COUNTRY CLUB BOULEVARD	NORTH OLMSTED	OH	44070	DIAGNOSTIC CENTER
106 - SLEEP DISORDERS CENTER
3750 ORANGE PLACE	BEACHWOOD	OH	44122	DIAGNOSTIC CENTER
107 - SLEEP DISORDERS CENTER
8971 WILCOX DRIVE	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
108 - SLEEP DISORDERS CENTER
5051 WEST CREEK ROAD	INDEPENDENCE	OH	44131	DIAGNOSTIC CENTER
109 - SLEEP DISORDERS CENTER
3122 EASTPOINTE DRIVE	MEDINA	OH	44256	DIAGNOSTIC CENTER
110 - STAR IMAGING DUBLIN
333 W BRIDGE STREET	DUBLIN	OH	43017	DIAGNOSTIC CENTER
111 - VALLEY CITY FAMILY MEDICINE
6605 CENTER ROAD	VALLEY CITY	OH	44280	OUTPATIENT PHYSICIAN CLINIC
112 - WEST VALLEY MEDICAL
20455 LORAIN ROAD 301	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
113 - WILLOUGHBY HILLS REHABILITATION AND SPOR
29017 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
114 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN
721 EAST MILLTOWN ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
115 - WOOSTER WOMEN'S HEALTH CENTER
1739 CLEVELAND ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (20 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 $10,595,381.
PART I, LINE 7	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $747,143,428 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC AS REPORTED AS A COMPONENT OF THE OVERALL SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN TWO RESPECTS: 1) IRS DOES NOT CONSIDER COMMUNITY BUILDING ACTIVITIES AS REPORTED IN PART II TO BE COMMUNITY BENEFIT WHERE THESE ACTIVITIES ARE INCLUDED IN COMMUNITY BENEFIT PER CHA GUIDELINES, AND2) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7.
PART I, LINE 2	CLEVELAND CLINIC REHABILITATION AND SELECT FACILITIES HAVE THEIR OWN FINANCIAL ASSISTANCE POLICIES, WHICH COMPLY WITH ALL 501(R) REGULATIONS.
PART II, COMMUNITY BUILDING ACTIVITIES:	CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DEVOTES EMPLOYEE TIME AND TALENT TO PARTICIPATE IN COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.
PART III, LINE 2:	ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS, NOT INCLUDED IN BAD DEBT EXPENSE.
PART III, LINE 4:	SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #3 ON PG. 13 OF THE AUDITED FINANCIAL STATEMENTS
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 $931,304,593 AND $1,311,301,401 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $379,996,808 WHICH, ADDED TO THE SHORTFALL OF $35,024,197 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $415,021,005.
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. 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	AFTER FILING THE FORM 990, A COPY OF THE CLEVELAND CLINIC FOUNDATION'S SCHEDULE H IS SUBMITTED TO THE STATE OF OHIO.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (64 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
ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC
24179 AMBOUR DR	NORTH OLMSTED	OH	44070	470974372	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
AMERICAN CANCER SOCIETY
10501 EUCLID AVE	CLEVELAND	OH	44106	131788491	501(C)(3)	$14,000	HEALTHCARE RESEARCH & EDUCATION
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$12,350	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LIVER FOUNDATION
39 BROADWAY 27TH FL	NEW YORK	NY	10006	362883000	501(C)(3)	$14,000	HEALTHCARE RESEARCH & EDUCATION
ATHLETES AND CAUSES INC
12551 FRANKLIN ROAD	THONOTOSASSA	FL	33592	472377003	501(C)(3)	$423,675	HEALTHCARE RESEARCH & EDUCATION
BIRTHING BEAUTIFUL COMMUNITIES
1416 EAST 105TH ST	CLEVELAND	OH	44106	474453278	501(C)(3)	$10,000	COMMUNITY SUPPORT
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)	$42,627	SUPPORT EDUCATIONAL ACTIVITIES
CATHOLIC CHARITIES CORPORATION
7911 DETROIT AVE	CLEVELAND	OH	44102	341908590	501(C)(3)	$5,300	SUPPORT EDUCATIONAL ACTIVITIES
CITY CLUB OF CLEVELAND
850 EUCLID AVE 2ND FLOOR	CLEVELAND	OH	44114	340144897	501(C)(3)	$15,543	COMMUNITY SUPPORT
CITY OF LAKEWOOD
12650 DETROIT AVE	LAKEWOOD	OH	44107	346001633	501(C)(1)	$1,101,500	COMMUNITY SUPPORT
CLEVELAND CENTER FOR ARTS AND TECHNOLOGY
3634 EUCLID AVE NO 100	CLEVELAND	OH	44115	271193704	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
CLEVELAND INTERNATIONAL FILM FESTIVAL INC
2510 MARKET AVE	CLEVELAND	OH	44113	341262368	501(C)(3)	$15,000	COMMUNITY SUPPORT
CLEVELAND LEADERSHIP CENTER
1375 EAST 9TH ST STE 1100	CLEVELAND	OH	44114	341927317	501(C)(3)	$10,000	COMMUNITY SUPPORT
CLEVELAND METROPARKS
4101 FULTON PARKWAY	CLEVELAND	OH	44144	346000704	501(C)(3)	$75,175	COMMUNITY SUPPORT
CLEVELAND METROPOLITAN SCHOOL DISTRICT
1111 SUPERIOR AVE EAST STE 1800	CLEVELAND	OH	44114	346000662	501(C)(3)	$11,200	COMMUNITY SUPPORT
CLEVELAND SCHOOL OF SCIENCE & MEDICINE
2075 STOKES BLVD	CLEVELAND	OH	44106	343740643	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
CLEVELAND STATE UNIVERSITY
2121 EUCLID AVE	CLEVELAND	OH	44115	340966056	501(C)(3)	$7,500	COMMUNITY SUPPORT
COLLEGE NOW GREATER CLEVELAND INC
50 PUBLIC SQUARE STE 1800	CLEVELAND	OH	44113	346580096	501(C)(3)	$16,500	SUPPORT EDUCATIONAL ACTIVITIES
COMMUNITY WEST FOUNDATION
800 SHARON DR STE C	WESTLAKE	OH	44145	341456398	501(C)(3)	$14,500	COMMUNITY SUPPORT
CROHNS & COLITIS FOUNDATION OF AMERICA
23366 COMMERCE PARK RD	BEACHWOOD	OH	44122	136193105	501(C)(3)	$18,000	HEALTHCARE RESEARCH & EDUCATION
CUYAHOGA COMMUNITY COLLEGE FOUNDATION
700 CARNEGIE AVE	CLEVELAND	OH	44115	237320719	501(C)(3)	$7,500	SUPPORT EDUCATIONAL ACTIVITIES
DANCING CLASSROOMS NORTHEAST OHIO
1085 ROCKSIDE RD STE 6	PARMA	OH	44134	262300532	501(C)(3)	$26,250	COMMUNITY SUPPORT
DEMOCRACY COLLABORATIVE FOUNDATION INC
1422 EUCLID AVE STE 1300	CLEVELAND	OH	44115	200387511	501(C)(3)	$40,000	COMMUNITY SUPPORT
FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION
8111 QUINCY AVE STE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	$323,220	COMMUNITY SUPPORT
FAMICOS FOUNDATION INC
1325 ANSEL RD	CLEVELAND	OH	44106	341053534	501(C)(3)	$10,175	COMMUNITY SUPPORT
FATIMA FAMILY CENTER
6600 LEXINGTON AVE	CLEVELAND	OH	44103	261323950	501(C)(3)	$15,000	COMMUNITY SUPPORT
FLASHES OF HOPE INC
36 SOUTH FRANKLIN ST	CHAGRIN FALLS	OH	44022	043648694	501(C)(3)	$10,000	COMMUNITY SUPPORT
FRIENDS OF BREAKTHROUGH SCHOOL
3615 SUPERIOR AVE STE 3103A	CLEVELAND	OH	44114	204948838	501(C)(3)	$13,400	SUPPORT EDUCATIONAL ACTIVITIES
GATHERING PLACE
23300 COMMERCE PARK	BEACHWOOD	OH	44122	341879035	501(C)(3)	$92,500	COMMUNITY SUPPORT
GREATER BOCA RATON CHAMBER OF COMMERCE
1800 NORTH DIXIE HIGHWAY	BOCA RATON	FL	33432	590667561	501(C)(6)	$6,000	SUPPORT EDUCATIONAL ACTIVITIES
GREATER CLEVELAND FOOD BANK INC
15500 S WATERLOO RD	CLEVELAND	OH	44110	341292848	501(C)(3)	$10,500	COMMUNITY SUPPORT
GREATER CLEVELAND HABITAT FOR HUMANITY
2110 W 110TH ST	CLEVELAND	OH	44102	311209423	501(C)(3)	$10,000	COMMUNITY SUPPORT
HEALTH POLICY INSTITUTE OF OHIO
10 WEST BROAD ST	COLUMBUS	OH	43215	300186863	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
KEEP MEMORY ALIVE
888 W BONNEVILLE AVE	LAS VEGAS	NV	89106	880515534	501(C)(3)	$62,500	HEALTHCARE RESEARCH & EDUCATION
LEUKEMIA & LYMPHOMA SOCIETY
3 INTERNATIONAL DR STE 200	RYE BROOK	NY	10573	135644916	501(C)(3)	$88,000	HEALTHCARE RESEARCH & EDUCATION
MAKE-A-WISH FOUNDATION OF OHIO KENTUCKY AND INDIANA INC
2545 FARMERS DRIVE STE 300	COLUMBUS	OH	43235	341471131	501(C)(3)	$18,000	HEALTHCARE RESEARCH & EDUCATION
MEDINA COMMUNITY RECREATION CENTER
855 WEYMOUTH ROAD	MEDINA	OH	44256	346001856	501(C)(3)	$20,000	COMMUNITY SUPPORT
MEDWISH INTERNATIONAL
17325 EUCLID AVE	CLEVELAND	OH	44112	341903712	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION	$2,845,681	ESTIMATED VALUE	MEDICAL SUPPLIES
MEDWORKS
1950 RICHMOND RD	LYNDHURST	OH	44124	263858369	501(C)(3)	$12,500	HEALTHCARE RESEARCH & EDUCATION
NAMI GREATER CLEVELAND
2012 W 25TH ST STE 600	CLEVELAND	OH	44113	202245268	501(C)(3)	$10,400	HEALTHCARE RESEARCH & EDUCATION
NAPLES HEART RHYTHM
8340 COLLIER BLVD STE 301	NAPLES	FL	34114	260868499	501(C)(3)	$60,000	SUPPORT EDUCATIONAL ACTIVITIES
NATIONAL KIDNEY FOUNDATION
30 E 33RD ST	NEW YORK	NY	10016	131673104	501(C)(3)	$5,500	HEALTHCARE RESEARCH & EDUCATION
NORTH UNION FARMERS MARKET
13212 SHAKER SQUARE STE 302	CLEVELAND	OH	44120	341812026	501(C)(3)	$33,500	COMMUNITY SUPPORT
OHIO GUIDESTONE
202 EAST BAGLEY ROAD	BEREA	OH	44017	340720558	501(C)(3)	$5,500	SUPPORT EDUCATIONAL ACTIVITIES
OHIO UNIVERSITY FOUNDATION
PO BOX 869	ATHENS	OH	45701	316402269	501(C)(3)	$50,000	SUPPORT EDUCATIONAL ACTIVITIES
PRAISE PLACE
6026 KALAMAZOO AVE STE 108	KENTWOOD	MI	49508	912078271	501(C)(3)	$13,000	COMMUNITY SUPPORT
RONALD MCDONALD HOUSE OF CLEVELAND INC
10415 EUCLID AVE	CLEVELAND	OH	44106	341269123	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
SAINT MARTIN DE PORRES HIGH SCHOOL
6111 LAUSCHE AVE	CLEVELAND	OH	44103	522401852	501(C)(3)	$93,212	SUPPORT EDUCATIONAL ACTIVITIES
SOCIETY OF GYNECOLOGIC SURGEONS
1061 EAST MAIN STREET STE 300	EAST DUNDEE	IL	60118	742307811	501(C)(3)	$25,000	HEALTHCARE RESEARCH & EDUCATION
SUSAN G KOMEN BREAST CANCER FOUNDATION
26210 EMERY RD STE 307	CLEVELAND	OH	44128	341793460	501(C)(3)	$5,250	HEALTHCARE RESEARCH & EDUCATION
THE CENTER FOR FAMILIES AMD CHILDREN
3929 ROCKY RIVER DRIVE	CLEVELAND	OH	44111	237084455	501(C)(3)	$15,000	COMMUNITY SUPPORT
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44195	340741553	501(C)(3)	$20,549,700	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)	$61,713	HEALTHCARE RESEARCH & EDUCATION
THE MARFAN FOUNDATION INC
22 MANHASSET AVE	PORT WASHINGTON	NY	11050	521265361	501(C)(3)	$5,300	SUPPORT EDUCATIONAL ACTIVITIES
THE MUSICAL ARTS ASSOCIATION
11001 EUCLID AVE	CLEVELAND	OH	44106	340714468	501(C)(3)	$12,500	COMMUNITY SUPPORT
THE OHIO STATE UNIVERSITY
281 WEST LANE AVE	COLUMBUS	OH	43210	316025986	501(C)(3)	$12,200	COMMUNITY SUPPORT
THE SALVATION ARMY
440 W NYACK RD	WEST NYACK	NY	10994	135562351	501(C)(3)	$10,000	COMMUNITY SUPPORT
THE THORACIC SURGERY FOUNDATION
633 N ST CLAIR ST	CHICAGO	IL	60611	363635910	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
TOWARDS EMPLOYMENT INC
1255 EUCLID AVE STE 300	CLEVELAND	OH	44115	341578831	501(C)(3)	$10,000	COMMUNITY SUPPORT
UNIVERSITY OF MIAMI
PO BOX 248106	CORAL GABLES	FL	33124	590624458	501(C)(3)	$10,000	COMMUNITY SUPPORT
URBAN LEAGUE OF GREATER CLEVELAND
2930 PROSPECT AVE	CLEVELAND	OH	44115	340720563	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
URSULINE COLLEGE
2550 LANDER ROAD	PEPPER PIKE	OH	44124	340714777	501(C)(3)	$5,200	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	62	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	194	$8,340,334
FELLOWSHIPS	1479	$73,892,911

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	0	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 (29 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
DONLEY MD BRIAN
FORMER OFFICER, CC LONDON - CEO	$0	$951,936	$0	$0	$0	$1,957,875	$0	$28,000	$0	$784,727	$0	$3,722,538	$0	$0
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRESIDENT & CEO	$2,965,469	$0	$0	$0	$297,949	$0	$28,000	$0	$17,449	$0	$3,308,867	$0	$0	$0
KRANYAK MD MARGARET
RETIRED PHYSICIAN (PART YR)	$144,418	$0	$0	$0	$1,781,754	$0	$779,324	$0	$4,187	$0	$2,709,683	$0	$0	$0
BROOKS MD PETER
PHYSICIAN	$1,335,161	$0	$0	$0	$133,311	$0	$809,973	$0	$17,565	$0	$2,296,010	$0	$0	$0
SURI MD RAKESH
CEO CCAD	$1,309,542	$0	$0	$0	$623,533	$0	$28,000	$0	$133,121	$0	$2,094,196	$0	$0	$0
PEACOCK WILLIAM
CHIEF OF OPERATIONS	$1,680,404	$0	$0	$0	$147,274	$0	$30,874	$0	$17,072	$0	$1,875,624	$0	$0	$0
TUZCU MD E MURAT
CHIEF ACADEMIC OFFICER - CCAD	$1,150,972	$0	$0	$0	$509,662	$0	$28,000	$0	$121,972	$0	$1,810,606	$0	$0	$0
GLASS STEVEN C
CFO & TREASURER	$1,578,904	$0	$0	$0	$154,587	$0	$40,369	$0	$18,572	$0	$1,792,432	$0	$0	$0
NAJM MD HANI
PHYSICIAN	$1,554,304	$0	$0	$0	$152,830	$0	$28,000	$0	$18,572	$0	$1,753,706	$0	$0	$0
ROWAN DAVID
SECRETARY, CHIEF LEGAL OFFICER	$1,524,968	$0	$0	$0	$159,883	$0	$28,000	$0	$19,508	$0	$1,732,359	$0	$0	$0
SVENSSON MD LARS
CHAIR OF HEART & VASCULAR INST	$1,528,979	$0	$0	$0	$153,277	$0	$28,000	$0	$18,247	$0	$1,728,503	$0	$0	$0
MARTIN MD DANIEL
CHAIR COLE EYE INST	$1,312,229	$0	$0	$0	$129,714	$0	$28,000	$0	$18,247	$0	$1,488,190	$0	$0	$0
WIEDEMANN MD HERBERT
DIRECTOR, CHIEF OF STAFF	$997,545	$0	$0	$0	$83,492	$0	$581,950	$0	$19,931	$0	$1,682,918	$0	$0	$0
ERZURUM MD SERPIL
FORMER OFFICER	$671,000	$0	$0	$0	$44,951	$0	$751,559	$0	$1,500	$0	$1,469,010	$0	$0	$0
GUTIERREZ MD JAMES
DIRECTOR, PHYSICIAN	$247,443	$0	$0	$0	$921,505	$0	$28,000	$0	$195,061	$0	$1,392,009	$0	$0	$0
SABANEGH MD EDMUND
PRESIDENT, CC MAIN CAMPUS	$987,549	$0	$0	$0	$99,715	$0	$28,000	$0	$17,938	$0	$1,133,202	$0	$0	$0
COSGROVE MD DELOS
FORMER CEO, EXECUTIVE ADVISOR	$823,428	$0	$0	$0	$0	$0	$118,937	$0	$0	$0	$942,365	$0	$202,433	$0
YOUNG MD JAMES P
CHIEF ACADEMIC OFFICER	$885,591	$0	$0	$0	$101,547	$0	$28,000	$0	$18,394	$0	$1,033,532	$0	$0	$0
MCHUGH LINDA
FORMER OFFICER	$866,857	$0	$0	$0	$87,754	$0	$43,765	$0	$17,619	$0	$1,015,995	$0	$0	$0
ISAACSON MD J HARRY
DIRECTOR, PHYSICIAN	$327,856	$0	$0	$0	$30,271	$0	$348,907	$0	$18,620	$0	$725,654	$0	$0	$0
HAMILTON THOMAS
FORMER OFFICER	$455,975	$0	$0	$0	$29,891	$0	$194,155	$0	$19,501	$0	$699,522	$0	$0	$0
LONGVILLE TIMOTHY
CAO & CONTROLLER (PART YR)	$457,721	$0	$0	$0	$21,115	$0	$101,441	$0	$18,500	$0	$598,777	$0	$0	$0
MCKENZIE MD MARGARET
DIRECTOR, PHYSICIAN	$457,904	$0	$0	$0	$44,490	$0	$28,000	$0	$18,572	$0	$548,966	$0	$0	$0
DAVIS MARLEINA
ASST. SECRETARY	$403,476	$0	$0	$0	$13,436	$0	$45,932	$0	$16,747	$0	$479,591	$0	$0	$0
HARRINGTON MICHAEL
CAO, CONTROLLER & ASSOC CFO(PART YR)	$340,865	$0	$0	$0	$28,351	$0	$28,000	$0	$9,474	$0	$406,690	$0	$0	$0
MEEHAN MICHAEL J
RECORDING SECRETARY	$340,511	$0	$0	$0	$39,264	$0	-$4,645	$0	$17,965	$0	$393,095	$0	$0	$0
OBLANDER JASON
ASST. SECRETARY	$215,149	$0	$0	$0	$5,264	$0	$8,382	$0	$14,737	$0	$243,532	$0	$0	$0
LYTLE MD BRUCE
FORMER KEY EMPLOYEE (RETIRED)	$118,200	$0	$0	$0	$0	$0	$44,110	$0	$0	$0	$162,310	$0	$118,200	$0
HAHN MD JOSEPH
FORMER OFFICER (RETIRED)	$148,394	$0	$0	$0	$0	$0	-$375	$0	$0	$0	$148,019	$0	$148,394	$0

Supplemental Information Detail SupplementalInformationDetail (3 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, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MARGARET KRANYAK - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,771,154 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLANS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: DELOS COSGROVE - $202,433 JOSEPH HAHN - $148,394 MARGARET KRANYAK - $101,036 BRUCE LYTLE - $118,200 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: PETER BROOKS - $781,973 INCREASE, DELOS M. COSGROVE - $118,937 INCREASE, MARLEINA DAVIS - $17,932 INCREASE, SERPIL ERZURUM - $723,559 INCREASE, STEVEN GLASS - $12,369 INCREASE, THOMAS HAMILTON - $166,155 INCREASE, MARGARET KRANYAK - $763,927 INCREASE, LINDA MCHUGH - $15,765 INCREASE, JOSEPH HAHN - $375 DECREASE, J. HARRY ISAACSON - $320,907 INCREASE, TIMOTHY LONGVILLE - $69,023 INCREASE, BRUCE LYTLE - $44,110 INCREASE, MICHAEL J. MEEHAN - $32,645 DECREASE, JASON OBLANDER - $1,766 INCREASE, WILLIAM PEACOCK $2,874 INCREASE AND HERBERT WIEDEMANN $553,950 INCREASE.
FORM 990, PART VII, SECTION A AND SCHEDULE J	DR. BRIAN DONLEY'S COMPENSATION 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 COMPENSATION FOR DR. COSGROVE'S ROLE AS EXECUTIVE ADVISOR AND HIS RETIREMENT COMPENSATION.

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	$109,100,972	$208,951,439	$2,003,385		$206,948,054	2011	0	Yes (1)	Yes (1)	Yes (1)
C	$16,220,000	$41,120,000	$735,249		$38,082,286	2011	Yes (1)	0	Yes (1)	Yes (1)	$2,302,465
D	$222,415,391	$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)	0.00520	0.00020	0.00540	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01130	0.00000	0.01130	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)	0.00690	0.00080	0.00770	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	$72,104,660	$309,434,914	$2,129,301	$20,001,498	$287,304,115	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$750,000	$9,305,000			$9,305,000	2017	0	Yes (1)	Yes (1)	Yes (1)
C	$18,173,191	$939,576,748			$939,576,748	2017	0	Yes (1)	Yes (1)	Yes (1)
D	$307,509	$259,345,371	$822,172	$257,297,825	$1,225,373	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)	0.00220	0.00000	0.00220	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)				Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01510	0.00010	0.01520	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	$303,253	$351,450,108	$1,125,388	$348,905,103	$1,419,617	2019	0	0	Yes (1)	Yes (1)
B	$27,000,000	$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)	0.01320	0.00030	0.01350	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01430	0.00030	0.01460	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

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	D COSGROVE	PersonNm
Relationship With Org	FORMER PRESIDENT/CEO	RelationshipWithOrgTxt
Loan Purpose	INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$229,247	OriginalPrincipalAmt
Balance Due	$7,756,160	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$7,756,160	TotalBalanceDueAmt

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	$173,191	EMPLOYMENT AGREEMENT WITH CCF	0
RYAN OAKLEY
FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER	$50,600	EMPLOYMENT AGREEMENT WITH CCF	0
KATHERINE MCHUGH
FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER	$45,013	EMPLOYMENT AGREEMENT WITH CCF	0
JOANNE MCDONALD KILBANE
FAMILY MEMBER OF CATHERINE KILBANE, CCF DIRECTOR	$52,924	EMPLOYMENT AGREEMENT WITH CCF	0
LAURA SWEENEY
FAMILY MEMBER OF TIMOTHY LONGVILLE, CCF OFFICER	$85,406	EMPLOYMENT AGREEMENT WITH CCF	0
MICHAEL PETRAS
FAMILY MEMBER OF MICHAEL PETRAS, JR., CCF DIRECTOR	$16,776	EMPLOYMENT AGREEMENT WITH CCF	0
KATHLEEN ISAACSON
FAMILY MEMBER OF HARRY J. ISAACSON, CCF DIRECTOR	$26,946	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	10	ContributionCnt
Noncash Contributions Rpt F990	$67,500	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$20,017	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	182	ContributionCnt
Noncash Contributions Rpt F990	$11,161,635	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVERAGE HIGH/LOW	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$58,227	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIPMENT	Desc
Contribution	31	ContributionCnt
Noncash Contributions Rpt F990	$449,542	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOOD	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	11	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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, PROGRAM SERVICE STATEMENT	CLEVELAND CLINIC, LOCATED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC FOUNDATION IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. CLEVELAND CLINIC WAS ESTABLISHED IN 1921 WITH THE SAME MISSION THAT CONTINUES TODAY: BETTER CARE FOR THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 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 2019 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $1.102 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 2019 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE IN 2019, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDED AN ACADEMIC MEDICAL CENTER AND 11 COMMUNITY HOSPITALS (AKRON, AVON, EUCLID, FAIRVIEW, HILLCREST, LODI, LUTHERAN, MARYMOUNT, MEDINA, SOUTH POINTE, AND UNION HOSPITALS), AND A SPECIALTY HOSPITAL (CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION) IN NORTHEAST OHIO; FIVE HOSPITALS, ONE CLINIC, OUTPATIENT FAMILY HEALTH CENTERS AND OUTPATIENT FAMILY HEALTH AND AMBULATORY SURGERY CENTER IN FLORIDA; AND A CENTER FOR BRAIN HEALTH IN LAS VEGAS, NEVADA. 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 2019, CLEVELAND CLINIC RECORDED 1,293 TOTAL STAFFED BEDS, 121,000 EMERGENCY VISITS, 81,531 SURGICAL CASES, 53,558 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, BARIATRIC & METABOLIC, COLE EYE, DERMATOLOGY & PLASTIC SURGERY, DIGESTIVE DISEASE & SURGERY, EMERGENCY SERVICES, ENDOCRINOLOGY & METABOLISM, GENOMICS, GLICKMAN UROLOGICAL & KIDNEY, HEAD & NECK, MILLER FAMILY HEART & VASCULAR, IMAGING, NEUROLOGICAL, NURSING, OB/GYN & WOMEN'S HEALTH, ORTHOPEDIC & RHEUMATOLOGY, PATHOLOGY & LABORATORY MEDICINE, PEDIATRIC & CHILDREN'S HOSPITAL, RESPIRATORY, TAUSSIG CANCER, & COMMUNITY CARE. 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 2019. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 4 RANKING. FOR THE 25TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. NINE CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. OF THESE, SIX PLACED IN THE TOP 5 INCLUDING: CARDIOLOGY & HEART SURGERY; UROLOGY; GASTROENTEROLOGY AND GASTROINTESTINAL SURGERY; NEPHROLOGY; RHEUMATOLOGY; AND GYNECOLOGY. CLEVELAND CLINIC WAS NATIONALLY RANKED IN 15 ADULT SPECIALTIES AND 9 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. 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 2019, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE ENVIRONMENTAL EXCELLENCE AWARD, GREENING THE OR AWARD, ENERGY CIRCLE AWARD, CLIMATE CIRCLE AWARD, GREEN BUILDING CIRCLE AWARD, AND SYSTEM FOR CHANGE 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 $166.3 MILLION IN 2019. 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 175 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CARDIOVASCULAR AND METABOLIC SCIENCES, GENOMIC MEDICINE, INFLAMMATION AND IMMUNITY, NEUROSCIENCES, OPHTHALMIC RESEARCH, PATHOBIOLOGY, 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 240 RESEARCH FELLOWS, 109 GRADUATE STUDENTS AND 200 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 2019, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 4,000 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.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	IN 2019, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $258.1 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $169.3 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 2019, PROVIDED A NET COMMUNITY BENEFIT OF $303.6 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 2019, 1,025 RESIDENTS AND FELLOWS TRAINED IN 80 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 135 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 1,961 APPLICANTS FOR 32 POSITIONS FOR THE 2019-20 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 195 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2019 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 42 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 2019, 218 MEDICAL STUDENTS FROM 128 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 2019, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,658 CME ACTIVITIES THAT OFFERED OVER 12,000 CME CREDITS TO 186,491 PARTICIPANTS. OF THAT NUMBER, 1,321 WERE LIVE COURSES THAT ATTRACTED 84,588 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 403 ACTIVITIES THAT ATTRACTED 365,053 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 65,000 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2019, THE CENTER ISSUED 164,767 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 124,000 COPIES AND RANKED NO. 2 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 7.1 MILLION PEOPLE AROUND THE WORLD. IN 2019 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 12 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 50 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2019, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 371,000 CLINICAL ROTATION HOURS FOR OVER 1,200 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 2019, 986 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 207 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC IN PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, LEUKEMIA, UROLOGY, CONGENITAL HEART DISEASE, BREAST CANCER, AND OBESITY; AND STAFF TRAVELED TO 14 COUNTRIES TO SHARE CLINICAL AND SURGICAL INNOVATIONS. 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 2019, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $439.9 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $5.1 MILLION). SUBSIDIZED HEALTH SERVICES IN ADDITION TO FINANCIAL ASSISTANCE AND COSTS NOT COVERED BY MEDICAID PAYMENTS, ANOTHER CLINICAL COMMUNITY BENEFIT CATEGORY IS "SUBSIDIZED HEALTH SERVICES." THESE SERVICES YIELD LOW OR NEGATIVE MARGINS BUT ARE NEEDED IN THE COMMUNITY. CLEVELAND CLINIC PROVIDED SUBSIDIZED HEALTH SERVICES IN 2019 AT A COST OF $24.9 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING A TOTAL NET COMMUNITY BENEFIT OF $39.9 MILLION. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS IN ITS COMMUNITIES. ITS WELL-ESTABLISHED OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES, AND EDUCATION TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. OUTREACH PROGRAMS ADDRESS DOCUMENTED HEALTH NEEDS OF THE CLEVELAND CLINIC'S COMMUNITIES, ALIGN WITH ITS COMMUNITY HEALTH NEEDS ASSESSMENTS AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2019, SOME HIGHLIGHTS INCLUDED: -WELLNESS INITIATIVES IN THE AREAS OF DISEASE/INJURY PREVENTION AND HEALTHY BEHAVIORAL CHANGE, INCLUDING TOBACCO CESSATION, NUTRITION IMPROVEMENT AND EXERCISE. -COMMUNITY CLASSES OFFERED HEALTH EDUCATION ON CHRONIC DISEASE MANAGEMENT IN THE AREAS OF HEART DISEASE, STROKE, CANCER, DIABETES, ASTHMA AND BRAIN HEALTH. CLEVELAND CLINIC HOSPITALS AND FAMILY HEALTH CENTERS PROVIDED CLASSES FOR HEALTHY SENIOR AND YOUTH LIFESTYLES. NAVIGATORS WORKED WITH COMMUNITY RESIDENTS TO OBTAIN NEEDED SOCIOECONOMIC RESOURCES. -EDUCATION AND COMMUNITY SERVICES ADDRESSED AREAS OF INFANT MORTALITY, TEEN PARENTING, LEAD POISONING, INTIMATE PARTNER VIOLENCE AND ADVERSE CHILDHOOD EXPERIENCES. PROGRAMS WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, COLLABORATING CITIES AND COUNTIES. - OPIOID EPIDEMIC COMMUNITY COLLABORATIONS PROVIDED UNIFIED RESPONSES AND RESOURCE ALLOCATION IN AN EFFORT TO REDUCE OVERDOSES. -HEALTH FAIRS PROVIDED THOUSANDS OF PEOPLE WITH FREE HEALTH SCREENINGS. THE CLEVELAND CLINIC MINORITY MEN'S HEALTH FAIRS, CELEBRATING SISTERHOOD, BEYOND PINK AND NEIGHBORHOOD FAIRS EDUCATED COMMUNITY MEMBERS ON THE BENEFITS OF PREVENTATIVE CARE. -CLEVELAND CLINIC PROVIDED NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER AND THE PEDIATRIC MOBILE UNIT, WHICH PROVIDED WELLNESS SERVICES TO ITS COMMUNITIES. IN ADDITION, LABORATORY AND VISION SERVICES WERE DONATED TO CLEVELAND-AREA ORGANIZATIONS. -HEALTHY COMMUNITY INITIATIVES CONTINUED TO CONNECT RESIDENTS WITH LOCAL RESOURCES IN A COLLABORATION TO STRENGTHEN COMMUNITIES THROUGH NEIGHBORHOOD WELLNESS ACTIVITIES COMPETITIONS, ACADEMIC ACHIEVEMENT AND CAREER PREPAREDNESS. -K-12 YOUTH MENTORING PROGRAM PROVIDED EDUCATIONAL RESOURCES AND PROGRAMS TO SUPPORT SUCCESS IN THE CLASSROOM AND WORKFORCE; EMPOWERING YOUTH TO BECOME NORTHEAST OHIO'S NEXT GENERATION OF LEADERS.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	-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. 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	RONALD WEINBERG, CCF DIRECTOR & WILLIAM PEACOCK, CCF OFFICER - BUSINESS 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 TRUSTEES. 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 (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. IN ADDITION TO POSTING ON GUIDESTAR, THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG.
FORM 990, PART VI, SECTION B, LINE 12C	CCF HAS ADOPTED A CONFLICT OF INTEREST ("COI") POLICY CONSISTENT WITH THE MODEL IRS COI POLICY. IT APPLIES TO DIRECTORS, OFFICERS AND TRUSTEES OF CCF AND ALL ITS AFFILIATES, BOTH EXEMPT AND TAXABLE. UNDER THE BOARD OF DIRECTORS POLICY AND PROCEDURES FOR DEALING WITH CONFLICT OF INTEREST ISSUES (THE POLICY), A TRUSTEE OR DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT MUST REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION, OR ARRANGEMENT. IN ADDITION, THE TRUSTEES, DIRECTORS AND OFFICERS MUST ANNUALLY DISCLOSE ANY INTERESTS AS DEFINED IN THE POLICY THAT MAY BE CONSIDERED A POTENTIAL CONFLICT OF INTEREST. FAILURE TO TIMELY REPLY IS TO BE ADDRESSED BY THE COMMITTEE UNDER THE POLICY. THE TRUSTEES, OFFICERS AND DIRECTORS HAVE A CONTINUING OBLIGATION TO NOTIFY THE CHIEF GOVERNANCE OFFICER AT ANY TIME DURING THE YEAR IF ANY OF THEIR DISCLOSURES CHANGE OR IF A NEW DISCLOSURE IS REQUIRED UNDER THE POLICY. THE BOARD CONFLICT OF INTEREST COMMITTEE MEETS FOUR TIMES A YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS THEIR CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSONS MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS.
FORM 990, PART VI, SECTION B, LINE 15	ALL CCF OFFICERS AND 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 XI, LINE 9:	DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES -1,185,692. GIFTS AND BEQUESTS 81,687,328. TRANSFERS OF NET ASSETS -83,005,729. NET INVESTMENT INCOME 62,794,643. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -41,343,066. RETIREMENT BENEFITS ADJUSTMENT -10,367,428. CHANGE IN INTERESTS IN FOUNDATIONS 275,970. EQUITY TRANSFERS & OTHER TRANSFERS 958,076.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (48 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
ADEO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	465704174	TECHNOLOGY SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
ADVANCED INFUSION SERVICES LTD
1 HOME CARE PLACE	AKRON	OH	44320	341847339	HOME INFUSION SERVICES	OH	$14,403	$0	VISITING NURSE SERVICE INC
AKRON GENERAL MEDICAL CENTER OUTPATIENT PHARMACY LLC
1 AKRON GENERAL AVENUE	AKRON	OH	44307	842380272	HEALTH CARE SERVICES	OH	$27,750	$0	AKRON GENERAL HEALTH SYSTEM
AUTISM EYES LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843070150	INACTIVE	DE			THE CLEVELAND CLINIC FOUNDATION
BIALBERO MEDICAL LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	834278743	INACTIVE	DE			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			THE CLEVELAND CLINIC FOUNDATION
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH			THE CLEVELAND CLINIC FOUNDATION
CC WEB SOLUTIONS LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	263222020	DOMAIN HOLDING COMPANY	OH			THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTH CARE SERVICES	OH	$4,140,606	$67,351	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	DURABLE MEDICAL EQUIPMENT	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	MEDICAL SERVICES	FL	$0	$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			CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	311741150	HEALTH CARE SERVICES	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	$2,850,662	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC MEDICARE ACO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	471281189	HEALTH CARE SERVICES	OH	$28,700	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTH CARE SERVICES	OH	$2,044,741	$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 PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341907574	HEALTH CARE SERVICES	OH	$0	$10,000	THE CLEVELAND CLINIC FOUNDATION
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
EDWIN SHAW REHAB LLC
330 BROADWAY STREET EAST	CUYAHOGA FALLS	OH	44221	270119182	REHABILITATION FACILITY	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			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		INACTIVE	OH			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	INACTIVE	DE			THE CLEVELAND CLINIC FOUNDATION
MONTROSE SLEEP CENTER LLC
4125 MEDINA ROAD	AKRON	OH	44333	200494491	HEALTH CARE SERVICES	OH	$335,752	$0	AKRON GENERAL PARTNERS
NEUROOPERATIVE MONITORING LLC
1 AKRON GENERAL AVENUE	AKRON	OH	44307	300746215	INACTIVE	OH			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			THE CLEVELAND CLINIC FOUNDATION
PMSA LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	834269973	INACTIVE	DE			THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH			THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
3050 SCIENCE PARK DRIVE	BEACHWOOD	OH	44122	273245990	REAL ESTATE HOLDINGS	OH			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			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	$577,288	$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	$83,045	$0	INDIAN RIVER MEMORIAL HOSPITAL INC
VISIONAIR SOLUTIONS LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843881050	INACTIVE	DE			THE CLEVELAND CLINIC FOUNDATION
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTH CARE SERVICES	OH	$0	$150,142	THE CLEVELAND CLINIC FOUNDATION
ZEHNA THERAPEUTICS LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843850618	INACTIVE	DE			THE CLEVELAND CLINIC FOUNDATION

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE	CLEVELAND	OH	44111	237108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	LINE 10	N/A	0
CLEVELAND CLINIC PHILANTHROPY (UK) LTD
					SUPPORT HEALTH CARE, RESEARCH, AND EDUCATION		501(C)(3)		N/A	0	40 GROSVENOR PLACE	LONDON	UK	SW1X 7AW	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 INDIANA 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
MARTIN MEMORIAL MEDICAL CENTER INC
PO BOX 9010	STUART	FL	34994	590637874	HOSPITAL	FL	501(C)(3)	LINE 3	N/A	0
NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP
2001 ROSS AVENUE	DALLAS	TX	75201	311707979	SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES	TX	501(C)(3)	LINE 12D, III-O	N/A	0
THREE ARCHES FOUNDATION
14601 DETROIT AVENUE STE 240	LAKEWOOD	OH	44107	346519834	ADVANCE THE HEALTH AND WELL-BEING OF THE 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 ORGANIZAITON	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

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	UBI Code VUBICodeVAmt
AKRON SURGICAL ASSOC LLC
4125 MEDINA ROAD	AKRON	OH	44333	010672877	AMBULATORY SURGERY CENTER	OH	N/A	N/A	$1,039,684	$1,400,370	0	0	0.51000
CCAW JV LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	843867549	MEDICAL SERVICES & TELE HEALTH	DE		UNRELATED			0	0	0.51000	THE CLEVELAND CLINIC FOUNDATION
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH		RELATED	$3,794,768	$10,927,725	0	Yes (1)	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		$14,060	0	Yes (1)	1.00000
EXCELERATE STRATEGIC HEALTH SOURCING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	461810992	HEALTH CARE OP & MGMT	DE		RELATED	$354,242	$7,756,703	0	0	0.51000	THE CLEVELAND CLINIC FOUNDATION	$68,929
MARTIN SURGICAL VENTURES LLC
9131 ANSON WAY SUITE 304	RALEIGH	NC	27615	320496475	SURGICAL VENTURE	NC		N/A	$346,480	-$174,810	0	0	0.62000	MARTIN MEMORIAL HEALTH SYSTEMS INC
MEDICAL CENTER AT HOBE SOUND LTD
PO BOX 9033	STUART	FL	34996	650748232	MEDICAL OFFICES	FL		RELATED	$27,833	$1,843,884	0	Yes (1)	1.00000	MARTIN MEMORIAL HEALTH SYSTEMS INC
MEDICAL CENTER AT ST LUCIE WEST LTD
PO BOX 9033	STUART	FL	34996	650504863	MEDICAL OFFICES	FL		RELATED	$131,852	$7,304,299	0	Yes (1)	1.00000	MARTIN MEMORIAL HEALTH SYSTEMS INC
MEDISTRY LLC
3029 PROSPECT AVENUE	CLEVELAND	OH	44115	454880352	DATA HOSTING & RELATED SVCS	DE		UNRELATED	-$183,596	$42,527	0	Yes (1)	0.55000	THE CLEVELAND CLINIC FOUNDATION
PROGNOSTIX LLC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	300624422	MEDICAL SERVICES	OH		RELATED	$23,588	$25,010	0	0	0.78000	THE CLEVELAND CLINIC FOUNDATION
TREASURE COAST INTEGRATED HEALTHCARE LLC
PO BOX 9010	STUART	FL	34995	820708813	CLINICALLY INTERGRATED NETWORK	FL		UNRELATED		$336,835	0	Yes (1)	0.51000	MARTIN MEMORIAL HEALTH SYSTEMS INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
33 GROSVENOR PLACE LTD
47 ESPLANADE	ST HELIER	JE	JEI 0BD	LEASE HOLDING COMPANY	JE	CLEVELAND CLINIC UK HOLDINGS LTD	C	-$50,703	$10,451	1.00000	Yes (1)
AKRON GENERAL MANAGED CARE ASSOCIATION INC
				SUPPORTING SERVICES		AKRON GENERAL MEDICAL CENTER	C				Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341784985	OH
CASHEL NEURAL INC
				SCIENTIFIC RESEARCH			C	$121,138	$66,247		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824625105	DE
CCF BOLTON INC
				BUSINESS SERVICES		CLINIC MEDICAL SOLUTIONS INC	C				Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204596571	OH
CCHS INDEMNITY CO LTD
23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	INSURANCE COMPANY	CJ	THE CLEVELAND CLINIC FOUNDATION	C	$122,680,372	$217,327,058	1.00000	Yes (1)					980207086
CELLX TECHNOLOGIES INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C	$636	$75,895	0.41350	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	822405500	DE
CHARITABLE REMAINDER TRUSTS (14)
							T				Yes (1)	C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131		OH
CLEVELAND CLINIC CANADA-TORONTO INC
181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	HEALTH CARE SERVICES	CA	THE CLEVELAND CLINIC FOUNDATION	C	$13,932,707	$16,070,554	1.00000	Yes (1)
CLEVELAND CLINIC EMR INC
				MEDICAL SERVICES		CLINIC MEDICAL SOLUTIONS INC	C				Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	OH
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
				MEDICAL SERVICES		CLINIC MEDICAL SOLUTIONS INC	C	$10,458,372	$11,549,645		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	OH
CLEVELAND CLINIC LONDON LTD
11-12 ST JAMESS SQUARE ST1 3RD	LONDON	UK	SW1Y 4LB	HOSPITAL OPERATING COMPANY	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C			1.00000	Yes (1)
CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY)
PO BOX 340340	RIYADH	SA	11333	MEDICAL SERVICES	SA	THE CLEVELAND CLINIC FOUNDATION	C	$35,979,056	$57,128,116	1.00000	Yes (1)
CLEVELAND CLINIC UK FINANCING PLC
11-12 ST JAMESS SQUARE ST1 3RD	LONDON	UK	SW1Y 4LB	FINANCING	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C		$55,583	1.00000	Yes (1)
CLEVELAND CLINIC UK HOLDINGS LTD
11-12 ST JAMESS SQUARE ST1 3RD	LONDON	UK	SW1Y 4LB	HOLDING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C	-$6,316	$35,304	1.00000	Yes (1)
CLEVELAND HEALTH NETWORK
				MEDICAL SERVICES			C	$10,679	$1,399,334		Yes (1)	6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341770780	OH	N/A
CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION
				HEALTH CARE SERVICES		CLEVELAND HEALTH NETWORK	C	$62,722	$4,179,775		Yes (1)	6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341808138	OH
CLINIC MEDICAL SOLUTIONS INC
				HEALTH CARE SERVICES		THE CLEVELAND CLINIC FOUNDATION	C	$8,995,850	$4,981,757		Yes (1)	18101 LORAIN AVENUE	CLEVELAND	OH	44111	341695388	OH
CMCD INC
				REAL ESTATE		MEDINA HOSPITAL	C		$311,040	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	OH
CSC CONDOMINIUM ASSOCIATION INC
				CONDOMINIUM ASSOCIATION		MARTIN MEMORIAL MEDICAL CENTER	C	$205,184	$608,520	1.00000	Yes (1)	PO BOX 9033	STUART	FL	34995	592320501	FL
ENHALE MEDICAL INC
				SLEEP APNEA TREATMENT		THE CLEVELAND CLINIC FOUNDATION	C		$1,187,798	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	821613340	DE
INFUSEON THERAPEUTICS INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		$353,503	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	461776182	DE
ION-VAC INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		$34,784	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	461560044	DE
LAKEWOOD HEALTHCARE FOUNDATION
				HEALTH CARE SERVICES		LAKEWOOD HOSPITAL ASSOCIATION	C				Yes (1)	14519 DETROIT AVENUE	LAKEWOOD	OH	44107	341574608	OH
MARTIN MEMORIAL PHYSICIAN CORPORATION INC
				PHYSICIAN OFFICES		MARTIN MEMORIAL HEALTH SYSTEM	C	$77,551,708	$45,952,604	1.00000	Yes (1)	PO BOX 9010	STUART	FL	34995	650556041	FL
MCZ INC
				LEASING		MEDINA HOSPITAL	C	$7,807	$500	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256598	OH
MEDICAL & FINANCIAL MANAGEMENT INC
				BILLING AND COLLECTIONS		MARTIN MEMORIAL HEALTH SYSTEM	C	$4,060,846	$1,285,972	1.00000	Yes (1)	PO BOX 9033	STUART	FL	34995	592843163	FL
MEDICAL CAMPUS MANAGEMENT INC
				MANAGEMENT SERVICES		MARTIN MEMORIAL HEALTH SYSTEM	C	$9,683	$101,063	1.00000	Yes (1)	PO BOX 9033	STUART	FL	34995	650605328	FL
MEDINVEST INC
				INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	203978297	OH
MERIDIA HEALTH VENTURES INC
				HEALTH CARE SERVICES		CLEVELAND CLINIC HOME CARE	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341533871	OH
MERLOT ORTHOPEDIX INC
				MEDICAL DEVICE MANUFACTURING		THE CLEVELAND CLINIC FOUNDATION	C		$55,322	0.55120	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	113779414	DE
NEOMEDICS INC
				BUSINESS SERVICES		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	020656818	OH
NEUROTHERAPIA INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C	$144,949	$977,956	0.30800	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	473977513	DE
NEW COS INC
				SCIENTIFIC RESEARCH			C	$3,078,399	$796,586		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824828042	DE
OPTOQUEST CORPORATION
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$5,583	$13,613	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	263589643	DE
PINE FALLS CONDOMINIUM ASSOCIATES INC
				CONDO RENTALS		THE CLEVELAND CLINIC FOUNDATION	C			0.75000	Yes (1)	6100 WEST CREEK SUITE 25	INDEPENDENCE	OH	44131	341617589	OH
RENOVO BIOSCIENCES INC
				MEDICAL TECHNOLOGY		RENOVO BIOSCIENCES INC	C	$1,725,327	$1,418,755	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	341956569	DE
RENOVO NEURAL INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		-$214,079	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	800185146	DE
TMAO INC
				INACTIVE			C				Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44111	824850194	DE
UNION CARE CORPORATION
				INACTIVE		THE UNION HOSPITAL ASSOCIATION	C			1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	341556177	OH
UNION PHARMACEUTICALCARE INC
				HEALTH CARE SERVICES		THE UNION HOSPITAL ASSOCIATION	C	$17,192	$37,291	1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	043588229	OH
VIVERE PHARMA INC
				INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C				Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	475397125	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	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (43 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLEVELAND CLINIC CANADA - TORONTO INC
A	$100,000	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
B	$20,549,700	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
D	$664,653	FMV
ENHALE MEDICAL INC
D	$1,141,749	FMV
INFUSEON THERAPEUTICS INC
D	$64,472	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
J	$295,049	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
J	$1,839,833	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
J	$439,728	FMV
FAIRVIEW HOSPITAL
J	$1,650,433	FMV
PARTNERS PHYSICIAN GROUP
J	$71,455	FMV
MARYMOUNT HOSPITAL INC
J	$1,338,519	FMV
MEDINA HOSPITAL
J	$1,363,063	FMV
AKRON GENERAL MEDICAL CENTER
J	$110,530	FMV
CLEVELAND CLINIC AVON HOSPITAL
J	$4,713,093	FMV
LUTHERAN HOSPITAL
J	$575,527	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
K	$3,402,190	FMV
AKRON GENERAL MEDICAL CENTER
L	$3,264,653	FMV
CLEVELAND CLINIC AVON HOSPITAL
L	$712,167	FMV
CLEVELAND CLINIC WESTON HOSPITAL NONPROFIT CORPORATION
L	$3,749,000	FMV
CLEVELAND CLINIC NEVADA
L	$241,635	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
L	$339,493	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	$5,072,441	FMV
CLEVELAND CLINIC SAUDI ARABIA LLC
L	$4,462,000	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
L	$877,000	FMV
FAIRVIEW HOSPITAL
L	$2,752,720	FMV
LUTHERAN HOSPITAL
L	$725,938	FMV
MARYMOUNT HOSPITAL INC
L	$912,960	FMV
MEDINA HOSPITAL
L	$970,393	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
L	$320,765	FMV
AKRON GENERAL MEDICAL CENTER
M	$254,917	FMV
CLEVELAND CLINIC AVON HOSPITAL
M	$547,515	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
M	$1,525,313	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
M	$11,076,000	FMV
FAIRVIEW HOSPITAL
M	$743,201	FMV
LUTHERAN HOSPITAL
M	$171,460	FMV
MARYMOUNT HOSPITAL INC
M	$574,193	FMV
MEDINA HOSPITAL
M	$655,506	FMV
CCHS INDEMNITY COMPANY LTD
P	$35,853,768	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
Q	$1,253,925	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
Q	$6,089,857	FMV
NEUROTHERAPIA INC
S	$3,623,581	FMV
OPTOQUEST CORPORATION
S	$1,874,645	FMV
RENOVO BIOSCIENCES INC
S	$717,492	FMV

Affiliated Group Attachment AffiliatedGroupAttachment

Field	Value	IRS element (for citing)
Meduim Explanation	NAME/EIN: THE CLEVELAND CLINIC FOUNDATION, 34-0714585ADDRESS: 9500 EUCLID AVENUE, CLEVELAND, OH 44195TOTAL LOBBYING EXPENSES: $623,866EXCESS EXPENSES: $0; SEC. 501(H) ELECTION: NONAME/EIN: MARTIN MEMORIAL MEDICAL CENTER, INC., 59-0637874ADDRESS: PO BOX 9010, STUART, FL 34995TOTAL LOBBYING EXPENSES: $6,350EXCESS EXPENSES: $0; SEC. 501(H) ELECTION: YESNAME/EIN: OTHER EXEMPT AFFILIATES, 91-2153073ADDRESS: 9500 EUCLID AVENUE, CLEVELAND, OH 44195TOTAL LOBBYING EXPENSES: $0EXCESS EXPENSES: $0; SEC. 501(H) ELECTION: NO	MeduimExplanationTxt