THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-12
IRS object ID: 201923169349301547
Schema version: 2018v3.1
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-12T09:35:29-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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	2019-11-12	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	139.137.128.48	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-12	IPDt
IP Tm	08:49:14	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DCE46186C7169DF41B578C86A0630B3B545AF3BB	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E5B6F7B7A8E0F5DC288A237C9BED5E36A48BFCC6	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$8,720,065,432	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 & EDUCATION	ActivityOrMissionDesc
Voting Members Governing Body	29	VotingMembersGoverningBodyCnt
Voting Members Independent	24	VotingMembersIndependentCnt
Total Employee	39017	TotalEmployeeCnt
Total Volunteers	1179	TotalVolunteersCnt
Total Gross UBI	$54,828,485	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$241,311,504	PYContributionsGrantsAmt
CY Contributions Grants	$261,657,223	CYContributionsGrantsAmt
PY Program Service Revenue	$5,436,585,308	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,723,660,688	CYProgramServiceRevenueAmt
PY Investment Income	$188,856,450	PYInvestmentIncomeAmt
CY Investment Income	$148,849,599	CYInvestmentIncomeAmt
PY Other Revenue	$106,483,355	PYOtherRevenueAmt
CY Other Revenue	$119,937,216	CYOtherRevenueAmt
PY Total Revenue	$5,973,236,617	PYTotalRevenueAmt
CY Total Revenue	$6,254,104,726	CYTotalRevenueAmt
PY Grants And Similar Paid	$125,681,696	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$106,912,553	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,059,296,529	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,217,788,553	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$2,043,350	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,625,085	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$14,305,948	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,395,257,002	PYOtherExpensesAmt
CY Other Expenses	$2,557,209,646	CYOtherExpensesAmt
PY Total Expenses	$5,582,278,577	PYTotalExpensesAmt
CY Total Expenses	$5,883,535,837	CYTotalExpensesAmt
PY Revenues Less Expenses	$390,958,040	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$370,568,889	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,870,079,986	TotalAssetsBOYAmt
Total Assets EOY	$10,990,906,558	TotalAssetsEOYAmt
Total Liabilities BOY	$5,467,933,789	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,561,105,105	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,402,146,197	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,429,801,453	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	$5,258,722,543	ExpenseAmt
Grant	$106,912,553	GrantAmt
Revenue	$5,723,660,688	RevenueAmt
Desc	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Desc
Total Program Service Expenses	$5,258,722,543	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	5783	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	39017	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	CJ	ForeignCountryCd
Foreign Country	PO	ForeignCountryCd
Foreign Country	CA	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	LU	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	NO	ForeignCountryCd
Foreign Country	SA	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (1)	Form8282PropertyDisposedOfInd
Form8282 Filed	2	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	29	GoverningBodyVotingMembersCnt
Independent Voting Member	24	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 (52 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DONLEY MD BRIAN
DIRECTOR, CHIEF OF STAFF (PART-YR)	50.00	Yes (X)	Yes (X)	$2,267,528	$0	$327,956
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRESIDENT & CEO	50.00	Yes (X)	Yes (X)	$2,978,003	$0	$45,693
MOONEY BETH E
DIRECTOR, VICE CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
RICH ROBERT E JR
DIRECTOR, BOARD CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
SCAMINACE JOSEPH M
DIRECTOR, BOARD VICE CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
WIEDEMANN MD HERBERT
DIRECTOR, CHIEF OF STAFF	50.00	Yes (X)	Yes (X)	$985,114	$0	-$164,321
AULETTA PATRICK V
DIRECTOR	5.00	Yes (X)		$0	$0	$0
BARSOUM MD WAEL
DIRECTOR, FLA PRES	50.00	Yes (X)		$0	$1,137,589	$41,001
BENZ MICHAEL
DIRECTOR	5.00	Yes (X)		$0	$0	$0
CHACK DENNIS
DIRECTOR	5.00	Yes (X)		$0	$0	$0
CRAWFORD DEBORAH
DIRECTOR	5.00	Yes (X)		$0	$0	$0
FEDELI UMBERTO P
DIRECTOR	5.00	Yes (X)		$0	$0	$0
FRANCO MD KATHLEEN
DIRECTOR, PHYSICIAN	50.00	Yes (X)		$280,748	$0	-$79,067
HOOVER CAROLE
DIRECTOR	5.00	Yes (X)		$0	$0	$0
KOHL STEWART
DIRECTOR	5.00	Yes (X)		$0	$0	$0
KRAMER RICHARD
DIRECTOR	5.00	Yes (X)		$0	$0	$0
LERNER MARK
DIRECTOR	5.00	Yes (X)		$0	$0	$0
LERNER NORMA
DIRECTOR	5.00	Yes (X)		$0	$0	$0
MACDONALD WILLIAM III
DIRECTOR	5.00	Yes (X)		$0	$0	$0
MILLER PAMELA
DIRECTOR	5.00	Yes (X)		$0	$0	$0
MILLER SAMUEL H
DIRECTOR	5.00	Yes (X)		$0	$0	$0
MORINO MARIO
DIRECTOR	5.00	Yes (X)		$0	$0	$0
NANCE FREDERICK
DIRECTOR	5.00	Yes (X)		$0	$0	$0
PETRAS JR MICHAEL
DIRECTOR	5.00	Yes (X)		$0	$0	$0
POLLOCK LARRY
DIRECTOR	5.00	Yes (X)		$0	$0	$0
ROSS MD RONALD J
DIRECTOR	5.00	Yes (X)		$0	$0	$0
SCOTT HAROLD LEE
DIRECTOR	5.00	Yes (X)		$0	$0	$0
SPIRO MD TIMOTHY
DIRECTOR, PHYSICIAN	50.00	Yes (X)		$663,955	$0	$44,804
STEVENS MARK
DIRECTOR	5.00	Yes (X)		$0	$0	$0
WEBER ROBERT
DIRECTOR	5.00	Yes (X)		$0	$0	$0
WEINBERG RONALD
DIRECTOR	5.00	Yes (X)		$0	$0	$0
WEISS MORRY
DIRECTOR	5.00	Yes (X)		$0	$0	$0
ERZURUM MD SERPIL
CHAIR, LERNER RESEARCH INSTITUTE	50.00		Yes (X)	$660,650	$0	$60,017
GLASS STEVEN C
CFO & TREASURER	50.00		Yes (X)	$1,654,712	$0	$42,994
HARRINGTON MICHAEL
CAO & CONTROLLER	50.00		Yes (X)	$828,209	$0	$46,693
MEEHAN MICHAEL J
RECORDING SECRETARY	50.00		Yes (X)	$366,415	$0	-$50,187
OBLANDER JASON
ASST. SECRETARY	50.00		Yes (X)	$213,269	$0	$21,244
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00		Yes (X)	$1,770,449	$0	$45,706
ROWAN DAVID
SECRETARY, CHIEF LEGAL OFFICER	50.00		Yes (X)	$1,631,352	$0	$46,847
SABANEGH MD EDMUND
PRESIDENT, CC MAIN CAMPUS	50.00		Yes (X)	$1,000,050	$0	$45,277
YOUNG MD JAMES P
CHIEF ACADEMIC OFFICER	50.00		Yes (X)	$900,547	$0	$45,733
SURI MD RAKESH
CEO CCAD	50.00			$2,083,302	$0	$180,202	Yes (X)
SVENSSON MD LARS
CHAIR OF HEART & VASCULAR INST	50.00			$1,638,790	$0	$45,586	Yes (X)
BROOKS MD PETER
PHYSICIAN	50.00			$1,378,954	$0	$224,619		Yes (X)
COSGROVE MD DELOS
FORMER CEO	50.00			$8,718,184	$0	-$29,873		Yes (X)
HUSTON ANN
CHIEF STRATEGY OFFICER	50.00			$1,348,338	$0	$40,269		Yes (X)
MARTIN MD DANIEL
COLE EYE INSTITUTE CHAIRMAN	50.00			$1,415,256	$0	$45,553		Yes (X)
NAJM MD HANI
PHYSICIAN	50.00			$1,664,215	$0	$45,911		Yes (X)
HAMILTON THOMAS
FORMER OFFICER	50.00			$445,859	$0	$27,693			Yes (X)
MCHUGH LINDA
FORMER OFFICER	50.00			$885,652	$0	$44,526			Yes (X)
HAHN MD JOSEPH
FORMER OFFICER (RETIRED)	0.00			$148,394	$0	$0			Yes (X)
LYTLE MD BRUCE
FORMER KEY EMPLOYEE (RETIRED)	0.00			$118,200	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$36,046,145	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,137,589	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,144,876	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6086	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
DONLEYSTURNER JOINT VENTURE
5430 WARNER RD	CLEVELAND	OH	44125	CONSTRUCTION SERVICES	$32,153,670
IBM CORP
500 FIRST AVENUE	PITTSBURGH	PA	15219	INFORMATION TECHNOLOGY SYSTEMS SERVICES	$27,441,466
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 121102	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SERVICES	$20,547,899
WHITING-TURNER CONTRACTING CO
5875 LANDERBROOK DR STE 100	CLEVELAND	OH	44124	CONSTRUCTION SERVICES	$11,353,709
CARDINAL HEALTH
PO BOX 70539	CHICAGO	IL	60673	INTEGRATED HEALTHCARE SOLUTIONS	$11,152,336

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	474	CntrctRcvdGreaterThan100KCnt
Fundraising	$6,051,761	FundraisingAmt
Related Organizations	$2,735	RelatedOrganizationsAmt
Government Grants	$118,484,057	GovernmentGrantsAmt
All Other Contributions	$137,118,670	AllOtherContributionsAmt
Noncash Contributions	$14,194,661	NoncashContributionsAmt
Total Contributions	$261,657,223	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	$3,247,346,605	$3,247,346,605
MEDICARE/MEDICAID PAYM	921990	$1,936,999,813	$1,936,999,813
OTHER PROGRAM SERVICES	900099	$415,868,347	$411,385,334	$4,483,013
OTHER ANCILLARY SERVIC	900099	$54,184,773			$54,184,773
MANAGEMENT FEES	561000	$23,297,208	$16,154,355	$7,142,853

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,963,942	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,261,323	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$42,702,619	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,723,660,688	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,622,908	TotalRevenueColumnAmt
Exclusion	$43,622,908	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,685,588	TotalRevenueColumnAmt
Exclusion	$21,685,588	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,489,233	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	$9,489,233	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,489,233	TotalRevenueColumnAmt
Exclusion	$9,489,233	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,568,792,965	SecuritiesAmt
Other	$239,362	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,462,237,121	SecuritiesAmt
Other	$1,568,515	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$106,555,844	SecuritiesAmt
Other	-$1,329,153	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,226,691	TotalRevenueColumnAmt
Exclusion	$105,226,691	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,391,415	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$6,051,761	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$2,155,070	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$763,655	TotalRevenueColumnAmt
Exclusion	-$763,655	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INCOME (LOSS) ON INVES	523000	$92,689,670	$500,000	$92,189,670
DERIVATIVE INCOME	525990	$1,458,519		$1,458,519
LIFE INSURANCE TRUST	525990	$135,325		$135,325

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,757,464	TotalRevenueColumnAmt
Exclusion	-$4,757,464	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$89,526,050	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,254,104,726	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,615,147,430	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$54,828,485	UnrelatedBusinessRevenueAmt
Exclusion	$322,471,588	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$25,597,509	TotalAmt
Program Services	$25,597,509	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$80,420,416	TotalAmt
Program Services	$80,420,416	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$894,628	TotalAmt
Program Services	$894,628	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$21,806,861	TotalAmt
Program Services	$6,537,952	ProgramServicesAmt
Management And General	$15,268,909	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,670,324	TotalAmt
Program Services	$133,297	ProgramServicesAmt
Management And General	$1,537,027	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,572,082,476	TotalAmt
Program Services	$2,220,561,768	ProgramServicesAmt
Management And General	$343,391,004	ManagementAndGeneralAmt
Fundraising	$8,129,704	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$167,266,366	TotalAmt
Program Services	$144,431,123	ProgramServicesAmt
Management And General	$22,331,230	ManagementAndGeneralAmt
Fundraising	$504,013	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$282,767,279	TotalAmt
Program Services	$244,113,970	ProgramServicesAmt
Management And General	$37,751,410	ManagementAndGeneralAmt
Fundraising	$901,899	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$172,195,247	TotalAmt
Program Services	$148,643,438	ProgramServicesAmt
Management And General	$22,989,270	ManagementAndGeneralAmt
Fundraising	$562,539	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,685,001	TotalAmt
Program Services	$4,059,521	ProgramServicesAmt
Management And General	$625,480	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,103,278	TotalAmt
Program Services	$7,887,927	ProgramServicesAmt
Management And General	$1,215,351	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,446,292	TotalAmt
Management And General	$2,446,292	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$756,539	TotalAmt
Program Services	$756,539	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,625,085	TotalAmt
Fundraising	$1,625,085	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$21,450,898	TotalAmt
Management And General	$21,450,898	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$217,534,037	TotalAmt
Program Services	$187,063,925	ProgramServicesAmt
Management And General	$29,042,316	ManagementAndGeneralAmt
Fundraising	$1,427,796	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$29,446,641	TotalAmt
Program Services	$25,482,673	ProgramServicesAmt
Management And General	$3,931,333	ManagementAndGeneralAmt
Fundraising	$32,635	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$61,151,966	TotalAmt
Program Services	$52,619,500	ProgramServicesAmt
Management And General	$8,164,215	ManagementAndGeneralAmt
Fundraising	$368,251	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$94,679,595	TotalAmt
Program Services	$82,037,607	ProgramServicesAmt
Management And General	$12,640,388	ManagementAndGeneralAmt
Fundraising	$1,600	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$2,865,559	TotalAmt
Program Services	$2,482,987	ProgramServicesAmt
Management And General	$382,572	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$99,526,549	TotalAmt
Program Services	$86,239,058	ProgramServicesAmt
Management And General	$13,287,491	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$21,222,462	TotalAmt
Program Services	$18,002,063	ProgramServicesAmt
Management And General	$2,833,347	ManagementAndGeneralAmt
Fundraising	$387,052	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$8,270,178	TotalAmt
Program Services	$6,937,695	ProgramServicesAmt
Management And General	$1,104,127	ManagementAndGeneralAmt
Fundraising	$228,356	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$96,224,727	TotalAmt
Program Services	$83,378,053	ProgramServicesAmt
Management And General	$12,846,674	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$264,211,514	TotalAmt
Program Services	$228,907,234	ProgramServicesAmt
Management And General	$35,274,085	ManagementAndGeneralAmt
Fundraising	$30,195	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$49,045,743	TotalAmt
Program Services	$42,497,793	ProgramServicesAmt
Management And General	$6,547,950	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,222,996,723	$1,222,986,797	$9,926
BAD DEBT EXPENSE	$160,041,131	$160,041,131
EQUIPMENT RENTAL & MAIN	$84,826,690	$73,468,511	$33,222	$11,324,957
STATE FRANCHISE FEE	$48,475,976	$48,475,976

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$58,248,147	TotalAmt
Program Services	$54,063,452	ProgramServicesAmt
Management And General	$4,121,020	ManagementAndGeneralAmt
Fundraising	$63,675	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,883,535,837	TotalAmt
Program Services	$5,258,722,543	ProgramServicesAmt
Management And General	$610,507,346	ManagementAndGeneralAmt
Fundraising	$14,305,948	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$245,390,860	BOYAmt
EOY	$481,200,626	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,465,114	BOYAmt
EOY	$8,741,538	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$199,769,348	BOYAmt
EOY	$208,748,883	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$683,619,350	BOYAmt
EOY	$763,655,344	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$7,103,879	BOYAmt
EOY	$7,444,253	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$110,033,731	BOYAmt
EOY	$21,957,604	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$88,014,066	BOYAmt
EOY	$97,643,634	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$42,804,101	BOYAmt
EOY	$56,370,802	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,343,641,543	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,516,711,937	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,643,049,067	BOYAmt
EOY	$2,826,929,606	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,984,766,405	BOYAmt
EOY	$2,515,396,435	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,666,755,619	BOYAmt
EOY	$2,699,313,234	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$217,756,770	BOYAmt
EOY	$258,142,930	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$60,487,897	BOYAmt
EOY	$62,134,669	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$903,063,779	BOYAmt
EOY	$983,227,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,870,079,986	BOYAmt
EOY	$10,990,906,558	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$812,690,004	BOYAmt
EOY	$852,651,056	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$447,223	BOYAmt
EOY	$453,264	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$89,299,340	BOYAmt
EOY	$77,384,613	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,871,891,550	BOYAmt
EOY	$2,794,852,235	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,334,370	BOYAmt
EOY	$105,000,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$174,058,227	BOYAmt
EOY	$123,457,997	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,518,213,075	BOYAmt
EOY	$1,607,305,940	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,467,933,789	BOYAmt
EOY	$5,561,105,105	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,582,411,796	BOYAmt
EOY	$4,579,477,000	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$520,252,717	BOYAmt
EOY	$535,481,972	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$299,481,684	BOYAmt
EOY	$314,842,481	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,402,146,197	BOYAmt
EOY	$5,429,801,453	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,870,079,986	BOYAmt
EOY	$10,990,906,558	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$370,568,889	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$335,718,566	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$24,441	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$7,219,508	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	$247,936,164	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$226,230,648	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$245,922,291	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$241,311,504	CurrentTaxYearMinus1YearAmt
Current Tax Year	$261,657,223	CurrentTaxYearAmt
Total	$1,223,057,830	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$247,936,164	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$226,230,648	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$245,922,291	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$241,311,504	CurrentTaxYearMinus1YearAmt
Current Tax Year	$261,657,223	CurrentTaxYearAmt
Total	$1,223,057,830	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$12,395,783	SubstantialContributorsTotAmt
Public Support Total170	$1,210,662,047	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$78,908,086	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$82,576,423	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$85,887,195	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$115,486,620	CurrentTaxYearMinus1YearAmt
Current Tax Year	$74,797,729	CurrentTaxYearAmt
Total	$437,656,053	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$67,175	CurrentTaxYearMinus3YearsAmt
Total	$67,175	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$66,618,979	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$88,700,962	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$64,845,310	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$72,403,603	CurrentTaxYearMinus1YearAmt
Current Tax Year	$94,283,514	CurrentTaxYearAmt
Total	$386,852,368	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,047,633,426	TotalSupportAmt
Gross Receipts Rltd Activities	$5,615,147,430	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.59120	PublicSupportCY170Pct
Public Support PY170	0.55980	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 - 2014 AMOUNT: $ 66,455,024. 2015 AMOUNT: $ 44,378,305. 2016 AMOUNT: $ 64,640,923. 2017 AMOUNT: $ 71,980,037. 2018 AMOUNT: $ 92,689,670. FOREIGN CURRENCY - 2015 AMOUNT: $ 610,292. 2016 AMOUNT: $ 73,310. 2017 AMOUNT: $ 273,145. MISCELLANEOUS INCOME - 2014 AMOUNT: $ 17,623. GROSS INCOME FROM GAMING - 2014 AMOUNT: $ 146,332. DERIVATIVE INCOME - 2018 AMOUNT: $ 1,458,519. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,290. 2016 AMOUNT: $ 131,077. 2017 AMOUNT: $ 150,421. 2018 AMOUNT: $ 135,325.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$2,507	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$724,541	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$20,005	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$9,486	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$756,539	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C - PART II-B, LINES 1B-1I	FormAndLineReferenceDesc
Explanation	PART II-B 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINES 1C-1I CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE PART II-B 1D MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC - REPRESENTS LETTERS SENT TO LEGISLATORS AND ORGANIZATIONS ON VARIOUS HEALTHCARE RELATED TOPICS AND ISSUES PART II-B 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Total Easements	2	TotalEasementsCnt
Total Acreage	50.05	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$243,662,812	BeginningYearBalanceAmt
Contributions	$8,934,335	ContributionsAmt
Investment Earnings Or Losses	$14,503,200	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,670,162	OtherExpendituresAmt
End Year Balance	$258,255,184	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	$170,690,443	OtherCostOrOtherBasisAmt
Book Value	$170,690,443	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,363,486,625	OtherCostOrOtherBasisAmt
Depreciation	$1,868,943,498	DepreciationAmt
Book Value	$1,494,543,127	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,725,937	OtherCostOrOtherBasisAmt
Depreciation	$67,635,213	DepreciationAmt
Book Value	$23,090,724	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,151,826,766	OtherCostOrOtherBasisAmt
Depreciation	$1,523,339,565	DepreciationAmt
Book Value	$628,487,201	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$566,911,771	OtherCostOrOtherBasisAmt
Depreciation	$56,793,660	DepreciationAmt
Book Value	$510,118,111	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,826,929,606	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$1,321,633,424	F
PRIVATE EQUITY	$1,007,692,131	F
REAL ESTATE	$369,987,679	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,699,313,234	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$209,586,611
PERPETUAL & BENEFICIAL TRUSTS	$42,425,011
INVESTMENT IN AFFILIATES	$228,762,964
DUE FROM AFFILIATES	$502,452,414

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$983,227,000	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED PENSION	$629,553,740
OTHER LIABILITIES	$75,315,241
ACCRUED BENEFITS	$177,329,832
FUTURE GIFT ANNUITY PAYMENTS	$9,079,429
DEFERRED ANNUITY TRUST	$1,033,697
INTEREST RATE SWAPS	$110,862,741
DUE TO AFFILIATES	$604,131,260

Field	Value	IRS element (for citing)
Total Liability	$1,607,305,940	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 TWO WETLANDS LOCATED ON THE CLEVELAND CLINIC FOUNDATION'S PROPERTY IN TWINSBURG, 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, 2018 AND 2017, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $0.9 MILLION AND $0.6 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 (16 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	0	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$42,734,000
EUROPE	1	13	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$223,016,000
MIDDLE EAST & NORTH AFRICA	1	56	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$3,387,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	FUNDRAISING
EAST ASIA & THE PACIFIC	0	0	FUNDRAISING		$21,000
EUROPE	0	0	FUNDRAISING		$73,000
MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING		$27,000
NORTH AMERICA	0	0	FUNDRAISING
SOUTH AMERICA	0	0	FUNDRAISING		$7,000
SOUTH ASIA	0	0	FUNDRAISING
SUB-SAHARAN AFRICA	0	0	FUNDRAISING
EUROPE	0	0	INVESTING		$254,613,000
NORTH AMERICA	0	0	INVESTING		$60,182,000
SUB-SAHARAN AFRICA	0	0	INVESTING		$16,241,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	INVESTING		$1,830,814,000

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Subtotal Employees	69	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	69	TotalEmployeeCnt
Subtotal Spent	$271,378,000	SubtotalSpentAmt
Continuation Spent	$2,161,857,000	ContinuationSpentAmt
Total Spent	$2,433,235,000	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	$35,720	CHECK	$0
EUROPE	RESEARCH	$20,000	CHECK	$0
EUROPE	RESEARCH	$62,001	CHECK	$0
CENTRAL AMERICA & THE CARIBBEAN	RESEARCH	$19,200	CHECK	$0
NORTH AMERICA	RESEARCH	$12,500	CHECK	$0
SOUTH AMERICA	RESEARCH	$11,850	CHECK	$0
EUROPE	RESEARCH	$60,858	CHECK	$0
EAST ASIA & THE PACIFIC	RESEARCH	$54,312	CHECK	$0
NORTH AMERICA	RESEARCH	$17,005	CHECK	$0
SOUTH AMERICA	RESEARCH	$59,501	CHECK	$0
SUB-SAHARAN AFRICA	RESEARCH	$8,700	CHECK	$0
EUROPE	RESEARCH	$8,000	CHECK	$0
SOUTH AMERICA	RESEARCH	$12,394	CHECK	$0
NORTH AMERICA	RESEARCH	$354,605	CHECK	$0
NORTH AMERICA	RESEARCH	$57,982	CHECK	$0
EUROPE	RESEARCH	$100,000	CHECK	$0

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (10 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
RESEARCH	EAST ASIA & THE PACIFIC	1	$6,045	CHECK	$0
RESEARCH	EAST ASIA & THE PACIFIC	1	$34,890	CHECK	$0
RESEARCH	EUROPE	1	$5,920	CHECK	$0
RESEARCH	NORTH AMERICA	1	$11,420	CHECK	$0
RESEARCH	RUSSIA & NEIGHBORING STATES	1	$5,332	CHECK	$0
RESEARCH	EAST ASIA & THE PACIFIC	1	$7,000	CHECK	$0
RESEARCH	EUROPE	1	$12,600	CHECK	$0
RESEARCH	EUROPE	1	$9,200	CHECK	$0
RESEARCH	EAST ASIA & THE PACIFIC	1	$5,725	CHECK	$0
RESEARCH	EAST ASIA & THE PACIFIC	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 (2 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.

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 (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
BLACKBAUD
11501 DOMAIN DR STE 200	AUSTIN	TX	78758	ONLINE GIVING	0	$3,131,028	$306,625	$2,824,403
RR DONNELLEY
35 WEST WACKER DRIVE	CHICAGO	IL	60601	DIRECT MAIL	0	$1,350,375	$547,804	$802,571
CLASSY
350 TENTH AVE STE 1300	SAN DIEGO	CA	92101	ONLINE FUNDRAISING	0	$636,552	$21,628	$614,924
TSM DONOR ENGAGEMENT TEAM INC
155 COMMERCE DRIVE	FREEDOM	PA	15042	PHONE SOLICITATION	0	$199,823	$749,028	-$549,205

Field	Value	IRS element (for citing)
Total Gross Receipts	$5,317,778	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,625,085	TotalRetainedByContractorsAmt
Total Net To Organization	$3,692,693	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	$5,685,293	GrossReceiptsEvent1Amt
Charitable Contri Event1	$4,513,293	CharitableContriEvent1Amt
Gross Revenue Event1	$1,172,000	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$204,950	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$122,296	FoodAndBeverageEvent1Amt
Entertainment Event1	$59,908	EntertainmentEvent1Amt
Other Direct Expenses Event1	$1,036,131	OtherDirectExpensesEvent1Amt
Event2	CHILDREN'S GALA	Event2Nm
Gross Receipts Event2	$1,291,438	GrossReceiptsEvent2Amt
Charitable Contri Event2	$1,165,913	CharitableContriEvent2Amt
Gross Revenue Event2	$125,525	GrossRevenueEvent2Amt
Food And Beverage Event2	$171,805	FoodAndBeverageEvent2Amt
Entertainment Event2	$16,000	EntertainmentEvent2Amt
Other Direct Expenses Event2	$302,186	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$466,445	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$372,555	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$93,890	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$3,452	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$12,334	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$83,490	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$2,175	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$140,343	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$7,443,176	GrossReceiptsTotalAmt
Charitable Contributions Tot	$6,051,761	CharitableContributionsTotAmt
Gross Revenue Total Events	$1,391,415	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$3,452	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$217,284	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$377,591	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$78,083	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$1,478,660	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$2,155,070	DirectExpenseSummaryEventsAmt
Net Income Summary	-$763,655	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	$62,979,844	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,979,844	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$683,970,459	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$403,553,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$280,417,031	NetCommunityBenefitExpnsAmt
Total Expense	0.04850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$746,950,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$403,553,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$343,396,875	NetCommunityBenefitExpnsAmt
Total Expense	0.05940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,720,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$193,546	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,526,653	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$243,317,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,461,535	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$217,856,432	NetCommunityBenefitExpnsAmt
Total Expense	0.03770	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,007,547	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,058,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,948,858	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$233,620,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158,091,487	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,529,184	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,402,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$444,380	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,958,055	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$540,068,819	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$207,249,637	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$332,819,182	NetCommunityBenefitExpnsAmt
Total Expense	0.05750	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,287,019,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$610,803,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$676,216,057	NetCommunityBenefitExpnsAmt
Total Expense	0.11690	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,031	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,031	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,715	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$167,715	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$347	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$347	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,269	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$193,262	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$193,262	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$160,041,131	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$695,485,401	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$734,900,720	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$39,415,319	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)
SELECT SPECIALTY - FAIRHILL
2	11900 FAIRHILL ROAD	CLEVELAND	OH	44120	WWW.SELECTMEDICAL.COM	OH STATE ID 1468	Yes (X)						A
SELECT SPECIALTY - REGENCY WEST
3	6990 ENGLE ROAD	MIDDLEBURG HEIGHTS	OH	44130	WWW.SELECTMEDICAL.COM	OH STATE ID 1478	Yes (X)						A
CLEVELAND CLINIC REHABILITATION - ESR
4	4389 MEDINA ROAD	COPLEY	OH	44321	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1905	Yes (X)						B
CLEVELAND CLINIC REHAB - BEACHWOOD
5	3025 SCIENCE PARK DRIVE	BEACHWOOD	OH	44012	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1906	Yes (X)						B
SELECT SPECIALTY - REGENCY EAST
6	4200 INTERCHANGE CORPORATE CENTER	WARRENSVILLE HEIGHTS	OH	44128	WWW.SELECTMEDICAL.COM	OH STATE ID 1479	Yes (X)						A	ROAD
CLEVELAND CLINIC REHABILITATION-AVON
7	33355 HEALTH CAMPUS BOULEVARD	AVON	OH	44011	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1522AHR	Yes (X)						A
SELECT SPECIALTY - GATEWAY
8	2351 E 22ND ST 7TH FL	CLEVELAND	OH	44115	WWW.SELECTMEDICAL.COM	OH STATE ID 1431	Yes (X)						A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 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	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd
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)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (1)	17	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)	17	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (1)	18	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)
REPORTING GROUP B
	Yes (1)	Yes (1)	0																						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 (36 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 JANUARY 2016 THROUGH JULY 2016. 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 G 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, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER, AND GLENBEIGH.
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 HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC 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 CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).CLEVELAND CLINIC CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CLEVELAND CLINIC IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, IT DOES AND WILL CONTINUE TO SUPPORT LOCAL CHAMBERS OF COMMERCE AND COMMUNITY DEVELOPMENT ORGANIZATIONS, COLLABORATE WITH LEADERS OF REGIONAL ECONOMIC IMPROVEMENT AND PROVIDE IN-KIND DONATION OF TIME, SKILL AND/OR SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
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 3: SELECT SPECIALTY - REGENCY WEST, - FACILITY 6: SELECT SPECIALTY - REGENCY EAST, - FACILITY 2: SELECT SPECIALTY - FAIRHILL, - FACILITY 8: SELECT SPECIALTY - GATEWAY, - FACILITY 7: CLEVELAND CLINIC REHABILITATION-AVON
GROUP A-FACILITY 3 -- 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 2017.25 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 - REGENCY WEST PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - REGENCY WEST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP A-FACILITY 3 -- 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 HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. 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: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - REGENCY WEST CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. 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 3 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017.25 KEY INFORMANTS WERE IDENTIFIED BY THE HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S COMMUNITY, AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - REGENCY EAST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP A-FACILITY 6 -- 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; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. 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: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - REGENCY EAST CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SELECT SPECIALTY - REGENCY EAST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY EAST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP A-FACILITY 6 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP A-FACILITY 2 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017.25 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 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - FAIRHILL COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP A-FACILITY 2 -- 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 HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. 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: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - FAIRHILL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. 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 2 -- 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 2017.25 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 THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
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 HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. 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: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - GATEWAY CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. 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 POPULATIONSACROSS 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 7 -- 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 2017.25 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 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC REHABILITATION - AVON COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST.
GROUP A-FACILITY 7 -- 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 HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. 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: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).CLEVELAND CLINIC REHABILITATION - AVON CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. 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 7 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 16J:
GROUP A-FACILITY 7 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 5: CLEVELAND CLINIC REHAB - BEACHWOOD, - FACILITY 4: CLEVELAND CLINIC REHABILITATION - ESR
GROUP B-FACILITY 4 -- CLEVELAND CLINIC REHAB - ESR PART V, SECTION B, LINE 2:	CLEVELAND CLINIC REHABILITATION - EDWIN SHAW OPENED IN NOVEMBER 2017.
GROUP B-FACILITY 4 -- CLEVELAND CLINIC REHAB - ESR PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 5 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 2:	CLEVELAND CLINIC REHABILITATION - BEACHWOOD OPENED IN OCTOBER 2017.
GROUP B-FACILITY 5 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.

Field	Value	IRS element (for citing)
Facility	118	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (118 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - TWINSBURG FAMILY HEALTH & SURGERY CENTER
8701 DARROW RD	TWINSBURG	OH	44087	FAMILY HEALTH CENTER
2 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR RD	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 BLVD	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 RD	LORAIN	OH	44053	FAMILY HEALTH CENTER
7 - WILLOUGHBY HILLS FAMILY HEALTH CENTER
2550 2570 SOM CENTER RD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
8 - WOOSTER FAMILY HEALTH CENTER
1740 CLEVELAND RD	WOOSTER	OH	44691	FAMILY HEALTH CENTER
9 - BRUNSWICK FAMILY HEALTH CENTER
3574 CENTER RD	BRUNSWICK	OH	44212	FAMILY HEALTH CENTER
10 - CLEVELAND CLINIC CANCER CENTERS
417 QUARRY LAKES DR	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
11 - SOLON FAMILY HEALTH CENTER
29800 BAINBRIDGE RD	SOLON	OH	44139	FAMILY HEALTH CENTER
12 - CLEVELAND CLINIC CANCER CENTERS
1125 ASPIRA CT	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
13 - ELYRIA FAMILY HEALTH & SURGERY CENTER
303 CHESTNUT COMMONS DR	ELYRIA	OH	44035	FAMILY HEALTH CENTER
14 - SUPERIOR MEDICAL SHEFFIELD FAMILY HEALTH
5334 MEADOW LANE CT	SHEFFIELD VILLAGE	OH	44035	OUTPATIENT PHYSICIAN CLINIC
15 - LAKEWOOD FAMILY HEALTH CENTER
16215 MADISON AVE	LAKEWOOD	OH	44107	FAMILY HEALTH CENTER
16 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER
5900 LANDERBROOK DR	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
17 - CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON ST	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
18 - AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
19 - NORTH OHIO GASTROENTEROLOGY
30701 CLEMENS RD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
20 - AMHERST FAMILY HEALTH CENTER
5172 LEAVITT RD	LORAIN	OH	44053	FAMILY HEALTH CENTER
21 - STEPHANIE TUBBS JONES HEALTH CENTER
13944 EUCLID AVE	EAST CLEVELAND	OH	44112	FAMILY HEALTH CENTER
22 - AVON LAKE FAMILY HEALTH CENTER
450 AVON BELDEN RD	AVON LAKE	OH	44012	FAMILY HEALTH CENTER
23 - SUMMIT GASTROENTEROLOGY ASSOCIATES
3939 S CLEVELAND MASSILLON RD	BARBERTON	OH	44203	OUTPATIENT PHYSICIAN CLINIC
24 - MENTOR MEDICAL OFFICE
7060 WAYSIDE DR	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
25 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY
1 PARK WEST BLVD STE 150	AKRON	OH	44320	OUTPATIENT PHYSICIAN CLINIC
26 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS
3275 SCIENCE PARK DR BLDG 5	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
27 - OHIO RENAL CARE CLEVELAND EAST
2429 MARTIN LUTHER KING JR DR	CLEVELAND	OH	44104	DIALYSIS CENTER
28 - COMMUNITY PEDIATRICS
8254 MAYFIELD RD	CHESTERLAND	OH	44026	OUTPATIENT PHYSICIAN CLINIC
29 - OHIO RENAL CARE GROUP AMHERST
1168 CLEVELAND AVE	AMHERST	OH	44001	DIALYSIS CENTER
30 - CLEVELAND CLINIC CANCER CENTERS
509 W MCPHERSON HIGHWAY	CLYDE	OH	43410	OUTPATIENT PHYSICIAN CLINIC
31 - MENTOR REHABILITATION AND SPORTS THERAPY
7533 CENTER ST	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
32 - MADISON MEDICAL OFFICE
2999 MCMACKIN RD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
33 - CCF GASTROENTEROLOGY
7530 FREDLE DR	CONCORD	OH	44077	OUTPATIENT PHYSICIAN CLINIC
34 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND
21 SUGARBUSH CT	ASHLAND	OH	44805	OUTPATIENT PHYSICIAN CLINIC
35 - OLMSTED TOWNSHIP PRIMARY CARE
27089 BAGLEY RD	OLMSTED TOWNSHIP	OH	44138	OUTPATIENT PHYSICIAN CLINIC
36 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE
1959 COOPER FOSTER PARK RD	AMHERST	OH	44053	DIAGNOSTIC CENTER
37 - COMMUNITY PEDIATRICS
2001 CROCKER RD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
38 - OHIO RENAL CARE GROUP WESTLAKE
26024 DETROIT AVE	WESTLAKE	OH	44145	DIALYSIS CENTER
39 - MAYFIELD VILLAGE PEDIATRICS
6559 WILSON MILLS RD STE101-D	MAYFIELD VILLAGE	OH	44143	OUTPATIENT PHYSICIAN CLINIC
40 - WILLOUGHBY HILLS BEHAVIORAL HEALTH
2785 SOM CENTER RD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
41 - SOUTH RUSSELL FAMILY PRACTICE
5192 CHILLICOTHE RD	SOUTH RUSSELL	OH	44022	OUTPATIENT PHYSICIAN CLINIC
42 - MARYMOUNT REHABILITATION AND SPORTS THER
2525 EAST ROYALTON RD	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
43 - OHIO RENAL CARE GROUP WEST
14670 SNOW RD	BROOKPARK	OH	44142	DIALYSIS CENTER
44 - SOUTH POINTE HOSPITAL MEDICAL OFFICE
20050 HARVARD RD	WARRENSVILLE HEIGHTS	OH	44122	OUTPATIENT PHYSICIAN CLINIC
45 - OHIO RENAL CARE GROUP HERITAGE
1160 E BROAD ST	ELYRIA	OH	44035	DIALYSIS CENTER
46 - WADSWORTH PRIMARY CARE
ONE PARK CENTER DR	WADSWORTH	OH	44281	OUTPATIENT PHYSICIAN CLINIC
47 - CLEVELAND CLINIC LYNDHURST CAMPUS
1950 RICHMOND RD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
48 - OHIO RENAL CARE GROUP EUCLID
26450 EUCLID AVE	EUCLID	OH	44132	DIALYSIS CENTER
49 - NORTH RIDGEVILLE MEDICAL OFFICE
35105 CENTER RIDGE RD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
50 - OHIO RENAL CARE GROUP OHIO ACUTES
2500 METROHEALTH DR	CLEVELAND	OH	44109	DIALYSIS CENTER
51 - CHARDON REHABILITATION AND SPORTS THERAP
325 CENTER ST	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
52 - OHIO RENAL CARE GROUP SOLON
6020 ENTERPRISE PKWY	SOLON	OH	44139	DIALYSIS CENTER
53 - BEDFORD DIALYSIS CENTER
5035 RICHMOND RD	BEDFORD HEIGHTS	OH	44146	DIALYSIS CENTER
54 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL
3733 PARK EAST DR STE 105	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
55 - OHIO RENAL CARE GROUP FARNSWORTH
3764 PEARL RD	CLEVELAND	OH	44109	DIALYSIS CENTER
56 - SUMMIT OPHTHALMOLOGY
1587 BOETTLER RD	GREEN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
57 - CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD RD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
58 - OHIO RENAL CARE GROUP MENTOR
8840 TYLER BLVD	MENTOR	OH	44060	DIALYSIS CENTER
59 - MOHICAN EYE CENTER
484 PARK AVENUE WEST	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
60 - SAGAMORE HILLS MEDICAL CENTER I
863 WEST AURORA RD	SAGAMORE HILLS	OH	44067	OUTPATIENT PHYSICIAN CLINIC
61 - OHIO RENAL CARE GROUP ELYRIA
5316 HOAG DR	SHEFFIELD	OH	44035	DIALYSIS CENTER
62 - CLEVELAND CLINIC COLE EYE OF STREETSBORO
9424 STATE RT 14	STREETSBORO	OH	44241	OUTPATIENT PHYSICIAN CLINIC
63 - OHIO RENAL CARE GROUP LAKEWOOD
13900 DETROIT RD	LAKEWOOD	OH	44109	DIALYSIS CENTER
64 - OHIO RENAL CARE GROUP WHITE POND
690 WHITE POND DR	AKRON	OH	44320	DIALYSIS CENTER
65 - MADISON REHABILITATION AND SPORTS THERAP
2622 HUBBARD RD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
66 - WELLINGTON MEDICAL OFFICE
805 PATRIOT DR UNIT E	WELLINGTON	OH	44090	OUTPATIENT PHYSICIAN CLINIC
67 - OHIO RENAL CARE GROUP WADSWORTH
1160 WILLIAMS RESERVE BLVD	WADSWORTH	OH	44281	DIALYSIS CENTER
68 - OBERLIN OPHTHALMOLOGY
309 WEST LORAIN ST	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
69 - MACEDONIA EXPRESS AND OUTPATIENT CARE
8210 MACEDONIA COMMONS BLVD	MACEDONIA	OH	44056	OUTPATIENT PHYSICIAN CLINIC
70 - LIBERTY FAMILY MEDICINE
571 E TURKEYFOOT LAKE RD	AKRON	OH	44319	OUTPATIENT PHYSICIAN CLINIC
71 - MOHICAN EYE CENTER
637 NORTH UNION ST	LOUDONVILLE	OH	44842	OUTPATIENT PHYSICIAN CLINIC
72 - COLE EYE - TERMAN PRACTICE
32901 STATION ST	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
73 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS
9729 GRANGER RD	GARFIELD HTS	OH	44125	DIALYSIS CENTER
74 - BELDEN CENTER
4677 FULTON DRIVE NW	CANTON	OH	44718	OUTPATIENT PHYSICIAN CLINIC
75 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYS
4200 WARRNESVILLE CENTER RD STE 100	WARRENSVILLE HTS	OH	44122	DIALYSIS CENTER
76 - OHIO RENAL CARE GROUP CUYAHOGA FALLS
320 BROADWAY ST E	E CUYAHOGA FALLS	OH	44221	DIALYSIS CENTER
77 - THE LANGSTON HUGHES CENTER CLEVELAND CLI
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
78 - BRECKSVILLE EXPRESS CARE
8805 BRECKSVILLE RD	BRECKSVILLE	OH	44141	OUTPATIENT PHYSICIAN CLINIC
79 - STOW-FALLS MEDICAL OUTPATIENT CENTER
857 GRAHAM RD	STOW	OH	44221	OUTPATIENT PHYSICIAN CLINIC
80 - SAGAMORE HILLS MEDICAL OFFICE II
885 WEST AURORA RD	SAGAMORE HILLS	OH	44067	OUTPATIENT PHYSICIAN CLINIC
81 - INDEPENDENCE CANCER CENTER
6100 WEST CREEK RD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
82 - NPCS - BEACHWOOD
26110 EMERY RD	WARRENSVILLE HEIGHTS	OH	44128	OUTPATIENT PHYSICIAN CLINIC
83 - ACCESS TO CARE
29000 AURORA RD	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
84 - ASHTABULA COUNTY MEDICAL CENTER
2422 LAKE AVE	ASHTABULA	OH	44004	OUTPATIENT PHYSICIAN CLINIC
85 - BOARDMAN STAR IMAGING
7067 TIFFANY BLVD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
86 - CCF GASTROENTEROLOGY
3700 PARK EAST DR	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
87 - CENTER FOR ARTHRITIS
1716 NORTH RD SE	WARREN	OH	44484	OUTPATIENT PHYSICIAN CLINIC
88 - CHARLESTON AREA MEDICAL CENTER
1201 WASHINGTON ST EAST STE 100	CHARLESTON	WV	25301	OUTPATIENT PHYSICIAN CLINIC
89 - CLEVELAND CLINIC FAMILY MEDICINE
19300 DETROIT AVE	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
90 - CLEVELAND CLINIC HEART & VASCULAR
1400 WEST MAIN ST BELLEVUE HOSPITAL	BELLEVUE	OH	44811	OUTPATIENT PHYSICIAN CLINIC
91 - CLEVELAND CLINIC STAR IMAGING
1449 BOARDMAN-CANFIELD RD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
92 - CLUB VIEW VISION CENTER OPTOMETRIC
1650 E MANSFIELD ST	BUCYRUS	OH	44820	OUTPATIENT PHYSICIAN CLINIC
93 - COLE EYE INSTITUTE
2000 AUBURN DR STE 100	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
94 - COLUMBUS STAR IMAGING
1550 KENNY RD	COLUMBUS	OH	43212	DIAGNOSTIC CENTER
95 - COLUMBUS STAR IMAGING
921 JASONWAY AVE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
96 - COLUMBUS STAR IMAGING BEECHER
425 BEECHER RD	COLUMBUS	OH	43230	DIAGNOSTIC CENTER
97 - DAYTON STAR IMAGING
5529 FAR HILLS AVE	DAYTON	OH	45429	DIAGNOSTIC CENTER
98 - DOWNTOWN EXPRESS CARE
315 EUCLID AVE STE 2	CLEVELAND	OH	44114	OUTPATIENT PHYSICIAN CLINIC
99 - KINDRED HEALTH CARE CLEVELAND
11900 FAIRHILL RD	CLEVELAND	OH	44120	OUTPATIENT PHYSICIAN CLINIC
100 - LAKEWEST MEDICAL BUILDING
36100 EUCLID AVE STE 280	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
101 - LAKEWOOD FAMILY MEDICINE - ROCKPORT
11851 DETROIT AVE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
102 - LAKEWOOD PROFESSIONAL BUILDING
14601 DETROIT AVE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
103 - LORAIN ORTHOPAEDICS
5800 COOPER FOSTER PARK RD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
104 - NILES STAR IMAGING
652 YOUNGSTOWN WARREN RD	NILES	OH	44446	DIAGNOSTIC CENTER
105 - ROCKSIDE MEDICAL CENTER
6701 ROCKSIDE RD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
106 - SLEEP DISORDER CENTER AT FAIRHILL
11203 STOKES BLVD	CLEVELAND	OH	44104	DIAGNOSTIC CENTER
107 - SLEEP DISORDERS CENTER
24901 COUNTRY CLUB BLVD	NORTH OLMSTED	OH	44070	DIAGNOSTIC CENTER
108 - SLEEP DISORDERS CENTER
3750 ORANGE PL	BEACHWOOD	OH	44122	DIAGNOSTIC CENTER
109 - SLEEP DISORDERS CENTER
8971 WILCOX DR	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
110 - SLEEP DISORDERS CENTER
1825 LORAIN BLVD	ELYRIA	OH	44035	DIAGNOSTIC CENTER
111 - SLEEP DISORDERS CENTER
5051 WEST CREEK RD	INDEPENDENCE	OH	44131	DIAGNOSTIC CENTER
112 - SLEEP DISORDERS CENTER
3122 EASTPOINTE DR	MEDINA	OH	44256	DIAGNOSTIC CENTER
113 - SLEEP DISORDERS CENTER
5785 HEISLEY RD	MENTOR	OH	44060	DIAGNOSTIC CENTER
114 - VALLEY CITY FAMILY MEDICINE
6605 CENTER RD	VALLEY CITY	OH	44280	OUTPATIENT PHYSICIAN CLINIC
115 - WEST VALLEY MEDICAL
20455 LORAIN RD 301	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
116 - WILLOUGHBY HILLS REHABILITATION AND SPOR
29017 CHARDON RD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
117 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN
721 EAST MILLTOWN RD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
118 - WOOSTER WOMEN'S HEALTH CENTER
1739 CLEVELAND RD	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 $15,184,369.
PART I, LINE 7	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $676,216,057 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	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 $853,943,932 AND $1,211,630,005 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $357,686,073 WHICH, ADDED TO THE SHORTFALL OF $39,415,319 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $397,101,392.
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.
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 (69 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)	$554,775	HEALTHCARE RESEARCH & EDUCATION
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$124,463	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LIVER FOUNDATION
39 BROADWAY 27TH FL	NEW YORK	NY	10006	362883000	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LUNG ASSOCIATION
1740 BROADWAY	NEW YORK	NY	10019	131632524	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
AMERICAN NATIONAL RED CROSS
431 18TH ST NW	WASHINGTON	DC	20006	530196605	501(C)(3)	$10,000	COMMUNITY SUPPORT
ARTHRITIS FOUNDATION
1330 WEST PEACHTREE ST NW	ATLANTA	GA	30309	581341679	501(C)(3)	$10,500	HEALTHCARE RESEARCH & EDUCATION
BEACHWOOD CHAMBER OF COMMERCE
23355 MERCANTILE RD	BEACHWOOD	OH	44122	341684237	501(C)(6)	$7,000	COMMUNITY SUPPORT
BOYS AND GIRLS CLUBS OF CLEVELAND
6114 BROADWAY AVE	CLEVELAND	OH	44127	340770686	501(C)(3)	$15,000	COMMUNITY SUPPORT
BURTEN BELL CARR DEVELOPMENT INC
7201 KINSMAN RD	CLEVELAND	OH	44104	341657533	501(C)(3)	$10,000	COMMUNITY SUPPORT
BUSINESS VOLUNTEERS UNLIMITED
1300 E 9TH ST STE 1805	CLEVELAND	OH	44114	341724581	501(C)(3)	$10,000	COMMUNITY SUPPORT
CASE WESTERN RESERVE UNIVERSITY
2040 ADELBERT RD	CLEVELAND	OH	44106	341018992	501(C)(3)	$8,500	SUPPORT EDUCATIONAL ACTIVITIES
CITY CLUB OF CLEVELAND
850 EUCLID AVE 2ND FL	CLEVELAND	OH	44114	340144897	501(C)(3)	$26,898	COMMUNITY SUPPORT
CITY OF CLEVELAND
601 LAKESIDE AVE	CLEVELAND	OH	44114	346000646	501(C)(1)	$28,019	COMMUNITY SUPPORT
CITY OF LAKEWOOD
12650 DETROIT AVE	LAKEWOOD	OH	44107	346001633	501(C)(1)	$500,000	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)	$10,000	COMMUNITY SUPPORT
CLEVELAND MUSEUM OF NATURAL HISTORY
1 WADE OVAL DR	CLEVELAND	OH	44106	340714338	501(C)(3)	$8,000	COMMUNITY SUPPORT
CLEVELAND SCHOOL OF SCIENCE & MEDICINE
2075 STOKES BLVD	CLEVELAND	OH	44106	343740643	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
COLLEGE NOW GREATER CLEVELAND INC
50 PUBLIC SQUARE STE 1800	CLEVELAND	OH	44113	346580096	501(C)(3)	$10,500	SUPPORT EDUCATIONAL ACTIVITIES
COMMUNITY WEST FOUNDATION
800 SHARON DR STE C	WESTLAKE	OH	44145	341456398	501(C)(3)	$27,000	COMMUNITY SUPPORT
CROHNS & COLITIS FOUNDATION OF AMERICA
23366 COMMERCE PARK RD	BEACHWOOD	OH	44122	136193105	501(C)(3)	$21,500	HEALTHCARE RESEARCH & EDUCATION
CUYAHOGA COMMUNITY COLLEGE FOUNDATION
700 CARNEGIE AVE	CLEVELAND	OH	44115	237320719	501(C)(3)	$11,000	SUPPORT EDUCATIONAL ACTIVITIES
DANCING CLASSROOMS NORTHEAST OHIO
1085 ROCKSIDE RD STE 6	PARMA	OH	44134	262300532	501(C)(3)	$23,000	COMMUNITY SUPPORT
DEMOCRACY COLLABORATIVE FOUNDATION INC
1422 EUCLID AVE STE 1652	CLEVELAND	OH	44115	200387511	501(C)(3)	$10,000	COMMUNITY SUPPORT
ESPERANZA INC
4115 BRIDGE AVE	CLEVELAND	OH	44113	341403492	501(C)(3)	$20,000	SUPPORT EDUCATIONAL ACTIVITIES
FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION
8111 QUINCY AVE STE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	$237,715	COMMUNITY SUPPORT
FAMICOS FOUNDATION INC
1325 ANSEL RD	CLEVELAND	OH	44106	341053534	501(C)(3)	$22,000	COMMUNITY SUPPORT
FATIMA FAMILY CENTER
6600 LEXINGTON AVE	CLEVELAND	OH	44103	261323950	501(C)(3)	$20,000	COMMUNITY SUPPORT
GATHERING PLACE
23300 COMMERCE PARK	BEACHWOOD	OH	44122	341879035	501(C)(3)	$32,500	COMMUNITY SUPPORT
GIRL SCOUTS OF LAKE ERIE COUNCIL
19201 VILLAVIEW RD	CLEVELAND	OH	44119	340714415	501(C)(3)	$10,000	COMMUNITY SUPPORT
GREATER CLEVELAND FOOD BANK INC
15500 S WATERLOO RD	CLEVELAND	OH	44110	341292848	501(C)(3)	$15,254	COMMUNITY SUPPORT
GREATER CLEVELAND HABITAT FOR HUMANITY
2110 W 110TH ST	CLEVELAND	OH	44102	311209423	501(C)(3)	$15,000	COMMUNITY SUPPORT
JDRF INTERNATIONAL
26 BROADWAY 15TH FL	NEW YORK	NY	10004	231907729	501(C)(3)	$5,750	HEALTHCARE RESEARCH & EDUCATION
KEEP MEMORY ALIVE
888 W BONNEVILLE AVE	LAS VEGAS	NV	89106	880515534	501(C)(3)	$80,500	HEALTHCARE RESEARCH & EDUCATION
KIDNEY FOUNDATION OF OHIO INC
2831 PROSPECT AVE	CLEVELAND	OH	44115	340827748	501(C)(3)	$5,700	HEALTHCARE RESEARCH & EDUCATION
LEUKEMIA & LYMPHOMA SOCIETY
3 INTERNATIONAL DR STE 200	RYE BROOK	NY	10573	135644916	501(C)(3)	$83,500	HEALTHCARE RESEARCH & EDUCATION
MARCH OF DIMES FOUNDATION
614 SUPERIOR AVE NW	CLEVELAND	OH	44113	131846366	501(C)(3)	$24,250	HEALTHCARE RESEARCH & EDUCATION
MEDWISH INTERNATIONAL
17325 EUCLID AVE	CLEVELAND	OH	44112	341903712	501(C)(3)	$10,000	PATIENT CARE	$3,090,522	ESTIMATED VALUE	MEDICAL SUPPLIES
MEDWORKS
1950 RICHMOND RD	LYNDHURST	OH	44124	263858369	501(C)(3)	$30,000	HEALTHCARE RESEARCH & EDUCATION
NAMI GREATER CLEVELAND
2012 W 25TH ST STE 600	CLEVELAND	OH	44113	202254268	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
NATIONAL ASSOCIATION OF HISPANIC NURSES INV
1500 SUNDAY DR STE 102	RALEIGH	NC	27607	911010677	501(C)(3)	$10,000	COMMUNITY SUPPORT
NATIONAL KIDNEY FOUNDATION
30 E 33RD ST	NEW YORK	NY	10016	131673104	501(C)(3)	$20,000	HEALTHCARE RESEARCH & EDUCATION
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1422 EUCLID AVE	CLEVELAND	OH	44115	135661935	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
NORTH UNION FARMERS MARKET
13212 SHAKER SQUARE STE 302	CLEVELAND	OH	44120	341812026	501(C)(3)	$18,500	COMMUNITY SUPPORT
OPEN DOORS INC
3311 PERKINS AVE	CLEVELAND	OH	44114	043697716	501(C)(3)	$20,000	COMMUNITY SUPPORT
OPERATION EXODUS USA
PO BOX 568	LANCASTER	NY	14086	202076659	501(C)(3)	$99,800	COMMUNITY SUPPORT
OUTRUN OVARIAN CANCER
PO BOX 40332	BAY VILLAGE	OH	44140	800093560	501(C)(3)	$17,500	HEALTHCARE RESEARCH & EDUCATION
RAINEY INSTITUTE
1523 E 55TH ST	CLEVELAND	OH	44144	346555952	501(C)(3)	$15,000	COMMUNITY SUPPORT
REGIONAL TRANSIT AUTHORITY
PO BOX 6566	CLEVELAND	OH	44101	341170830	501(C)(1)	$125,000	COMMUNITY SUPPORT
RONALD MCDONALD HOUSE OF CLEVELAND INC
10415 EUCLID AVE	CLEVELAND	OH	44106	341269123	501(C)(3)	$17,000	HEALTHCARE RESEARCH & EDUCATION
SAINT MARTIN DE PORRES HIGH SCHOOL
6111 LAUSCHE AVE	CLEVELAND	OH	44103	522401852	501(C)(3)	$44,973	SUPPORT EDUCATIONAL ACTIVITIES
SOUTH EUCLID UNITED CHURCH OF CHRIST
4217 BLUESTONE RD	SOUTH EUCLID	OH	44121	340714615	501(C)(3)	$291,667	COMMUNITY SUPPORT
SPIRIT OF CLEVELAND INC
334 EUCLID AVE	CLEVELAND	OH	44114	341823509	501(C)(3)	$7,620	COMMUNITY SUPPORT
ST EDWARD HIGH SCHOOL
13500 DETROIT AVE	LAKEWOOD	OH	44107	340737808	501(C)(3)	$7,500	SUPPORT EDUCATIONAL ACTIVITIES
SUSAN G KOMEN BREAST CANCER FOUNDATION
26210 EMERY RD STE 307	CLEVELAND	OH	44128	341793460	501(C)(3)	$17,500	HEALTHCARE RESEARCH & EDUCATION
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44195	340714553	501(C)(3)	$19,298,390	HEALTHCARE RESEARCH & EDUCATION
THE CLEVELAND FOUNDATION
1422 EUCLID AVE STE 1300	CLEVELAND	OH	44115	340714588	501(C)(3)	$250,000	COMMUNITY SUPPORT
THE CLEVELAND ORCHESTRA
11001 EUCLID AVE	CLEVELAND	OH	44106	340714468	501(C)(3)	$12,500	COMMUNITY SUPPORT
THE DIVERSITY CENTER OF NORTHEAST OHIO
3659 GREEN RD STE 220	CLEVELAND	OH	44122	201968761	501(C)(3)	$5,700	COMMUNITY SUPPORT
THE GREATER CLEVELAND HEALTHCARE ASSOCIATION
1226 HURON RD	CLEVELAND	OH	44115	340714649	501(C)(3)	$25,014	HEALTHCARE RESEARCH & EDUCATION
THE SALVATION ARMY
440 W NYACK RD	WEST NYACK	NY	10994	135562351	501(C)(3)	$15,000	COMMUNITY SUPPORT
THE VILLAGE AT MARYMOUNT
5200 MARYMOUNT VILLAGE DR	GARFIELD HTS	OH	44125	205652595	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
TOWARDS EMPLOYMENT INC
1255 EUCLID AVE STE 300	CLEVELAND	OH	44115	341578831	501(C)(3)	$10,000	COMMUNITY SUPPORT
TRANSPLANT HOUSE OF CLEVELAND
2007 E 115TH ST APT 1	CLEVELAND	OH	44106	272834616	501(C)(3)	$12,000	HEALTHCARE RESEARCH & EDUCATION
UNITED WAY OF GREATER CLEVELAND
1331 EUCLID AVE	CLEVELAND	OH	44115	346516654	501(C)(3)	$10,000	COMMUNITY SUPPORT
UNIVERSITY CIRCLE INCORPORATED
10831 MAGNOLIA DR	CLEVELAND	OH	44106	340823464	501(C)(3)	$7,500	COMMUNITY SUPPORT
URSULINE PIAZZA
7801 DETROIT AVE	CLEVELAND	OH	44102	371655740	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
YOUTH OPPORTUNITIES UNLIMITED
1361 EUCLID AVE	CLEVELAND	OH	44115	341381135	501(C)(3)	$10,500	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	65	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	199	$8,217,202
FELLOWSHIPS	1531	$72,203,214

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	CCF CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCF MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE.
SCHEDULE I, PART III	THE SCHOLARSHIPS AND FELLOWSHIPS LISTED ARE IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 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
DIRECTOR, CHIEF OF STAFF (PART-YR)	$1,364,489	$0	$0	$0	$903,039	$0	$27,500	$0	$300,456	$0	$2,595,484	$0	$0	$0
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRESIDENT & CEO	$2,678,622	$0	$0	$0	$299,381	$0	$27,500	$0	$18,193	$0	$3,023,696	$0	$0	$0
WIEDEMANN MD HERBERT
DIRECTOR, CHIEF OF STAFF	$910,877	$0	$0	$0	$74,237	$0	-$182,971	$0	$18,650	$0	$820,793	$0	$0	$0
BARSOUM MD WAEL
DIRECTOR, FLA PRES	$0	$1,039,904	$0	$0	$0	$97,685	$0	$27,500	$0	$13,501	$0	$1,178,590	$0	$0
FRANCO MD KATHLEEN
DIRECTOR, PHYSICIAN	$271,140	$0	$0	$0	$9,608	$0	-$96,742	$0	$17,675	$0	$201,681	$0	$0	$0
SPIRO MD TIMOTHY
DIRECTOR, PHYSICIAN	$598,511	$0	$0	$0	$65,444	$0	$27,500	$0	$17,304	$0	$708,759	$0	$0	$0
ERZURUM MD SERPIL
CHAIR, LERNER RESEARCH INSTITUTE	$621,000	$0	$0	$0	$39,650	$0	$58,517	$0	$1,500	$0	$720,667	$0	$0	$0
GLASS STEVEN C
CFO & TREASURER	$1,508,404	$0	$0	$0	$146,308	$0	$24,583	$0	$18,411	$0	$1,697,706	$0	$0	$0
HARRINGTON MICHAEL
CAO & CONTROLLER	$757,222	$0	$0	$0	$70,987	$0	$27,500	$0	$19,193	$0	$874,902	$0	$0	$0
MEEHAN MICHAEL J
RECORDING SECRETARY	$330,793	$0	$0	$0	$35,622	$0	-$67,709	$0	$17,522	$0	$316,228	$0	$0	$0
OBLANDER JASON
ASST. SECRETARY	$209,595	$0	$0	$0	$3,674	$0	$5,837	$0	$15,407	$0	$234,513	$0	$0	$0
PEACOCK WILLIAM
CHIEF OF OPERATIONS	$1,630,154	$0	$0	$0	$140,295	$0	$27,545	$0	$18,161	$0	$1,816,155	$0	$0	$0
ROWAN DAVID
SECRETARY, CHIEF LEGAL OFFICER	$1,480,468	$0	$0	$0	$150,884	$0	$27,500	$0	$19,347	$0	$1,678,199	$0	$0	$0
SABANEGH MD EDMUND
PRESIDENT, CC MAIN CAMPUS	$910,582	$0	$0	$0	$89,468	$0	$27,500	$0	$17,777	$0	$1,045,327	$0	$0	$0
YOUNG MD JAMES P
CHIEF ACADEMIC OFFICER	$812,284	$0	$0	$0	$88,263	$0	$27,500	$0	$18,233	$0	$946,280	$0	$0	$0
SURI MD RAKESH
CEO CCAD	$1,255,255	$0	$0	$0	$828,047	$0	$27,500	$0	$152,702	$0	$2,263,504	$0	$0	$0
SVENSSON MD LARS
CHAIR OF HEART & VASCULAR INST	$1,489,979	$0	$0	$0	$148,811	$0	$27,500	$0	$18,086	$0	$1,684,376	$0	$0	$0
BROOKS MD PETER
PHYSICIAN	$1,254,311	$0	$0	$0	$124,643	$0	$207,115	$0	$17,504	$0	$1,603,573	$0	$0	$0
COSGROVE MD DELOS
FORMER CEO	$4,601,492	$0	$0	$0	$4,116,692	$0	-$32,819	$0	$2,946	$0	$8,688,311	$0	$0	$0
HUSTON ANN
CHIEF STRATEGY OFFICER	$183,479	$0	$0	$0	$1,164,859	$0	$23,992	$0	$16,277	$0	$1,388,607	$0	$0	$0
MARTIN MD DANIEL
COLE EYE INSTITUTE CHAIRMAN	$1,288,761	$0	$0	$0	$126,495	$0	$27,500	$0	$18,053	$0	$1,460,809	$0	$0	$0
NAJM MD HANI
PHYSICIAN	$1,515,904	$0	$0	$0	$148,311	$0	$27,500	$0	$18,411	$0	$1,710,126	$0	$0	$0
HAMILTON THOMAS
FORMER OFFICER	$421,075	$0	$0	$0	$24,784	$0	$9,453	$0	$18,240	$0	$473,552	$0	$0	$0
MCHUGH LINDA
FORMER OFFICER	$807,357	$0	$0	$0	$78,295	$0	$27,068	$0	$17,458	$0	$930,178	$0	$0	$0
HAHN MD JOSEPH
FORMER OFFICER (RETIRED)	$148,394	$0	$0	$0	$0	$0	$0	$0	$0	$0	$148,394	$0	$148,394	$0
LYTLE MD BRUCE
FORMER KEY EMPLOYEE (RETIRED)	$118,200	$0	$0	$0	$0	$0	$0	$0	$0	$0	$118,200	$0	$118,200	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME.

PART I, LINES 4A-B

SCHEDULE J, LINE 4A SEVERANCE ANN HUSTON RECEIVED A SEVERANCE PAYMENT OF $1,156,000. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DELOS COSGROVE - PARTICIPATED IN AND RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. FOR MEDICARE TAX PURPOSES, $3,926,119 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLANS. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: DELOS M. COSGROVE - $60,319 DECREASE, SERPIL ERZURUM - $31,017 INCREASE, KATHLEEN FRANCO - $124,092 DECREASE, STEVEN GLASS - $2,917 DECREASE, THOMAS HAMILTON - $18,047 DECREASE, LINDA MCHUGH - $432 DECREASE, MICHAEL J. MEEHAN - $95,209 DECREASE, JASON OBLANDER - $638 DECREASE, WILLIAM PEACOCK $45 INCREASE AND HERBERT WIEDEMANN $210,471 DECREASE.

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	67756A3Z3	2012-05-09	$519,383,182	BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	677561HU9	2011-11-02	$208,951,439	BOND 2011A: REFUND 2003A SERIES	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	NONEAVAIL	2011-11-02	$41,120,000	BOND 2011B: REFUND 1992A & B AND 1989 SERIES	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	$43,347,782	$309,434,914	$2,129,301	$20,001,498	$287,304,115	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$44,599,156	$519,383,182	$3,825,815	$411,300,530	$104,256,837	2012	0	Yes (1)	Yes (1)	Yes (1)
C	$51,767,413	$208,951,439	$2,003,385		$206,948,054	2011	0	Yes (1)	Yes (1)	Yes (1)
D	$14,740,000	$41,120,000	$735,249		$38,082,286	2011	Yes (1)	0	Yes (1)	Yes (1)	$2,302,465

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	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00880	0.00880	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00680	0.00760	Yes (1)	0.00080
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01050	0.01050	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	0	Yes (1)	0	Yes (1)
C	0	Yes (1)	0	Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2018 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: 11/01/2016 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: 08/25/2014 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2018	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	677561FV9	2009-08-25	$807,007,320	BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	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
C	346849674	NONEAVAIL	2017-12-21	$9,305,000	REFUND SERIES 2002	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	677561KS0	2017-08-29	$939,576,748	REFUND 2008A, 2008B, 2009A, 2009B, 2012A	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	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	$790,802,320	$70,000	$807,007,320	$1,099,225	$501,164,780	$304,743,315	2011	Yes (1)	0	Yes (1)	Yes (1)
B	$342,425,000		$670,000,000	$1,200,000	$324,315,217	$372,706,929	2008	Yes (1)	0	Yes (1)	Yes (1)
C	$360,000		$9,305,000			$9,305,000	2017	0	Yes (1)	Yes (1)	Yes (1)
D	$6,357,987		$939,576,748			$939,576,748	2017	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00780	0.00010	0.00790	Yes (1)	0.00050	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00560	0.00020	0.00580	0			Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)				0			Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01740	0.00010	0.01750	0			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)
D	Yes (1)	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 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	$7,444,253	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	$7,444,253	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
AMANDA IGEL
FAMILY MEMBER OF TIMOTHY SPIRO, CCF DIRECTOR	$58,143	EMPLOYMENT AGREEMENT WITH CCF	0
CHAD BRONSON
FAMILY MEMBER OF KATHLEEN FRANCO, CCF DIRECTOR	$48,300	EMPLOYMENT AGREEMENT WITH CCF	0
RYAN OAKLEY
FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER	$26,365	EMPLOYMENT AGREEMENT WITH CCF	0
KATHERINE MCHUGH
FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER	$40,501	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	27	ContributionCnt
Noncash Contributions Rpt F990	$297,049	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$2,600	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$18,712	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	201	ContributionCnt
Noncash Contributions Rpt F990	$12,549,028	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVERAGE HIGH/LOW	MethodOfDeterminingRevenuesTxt

Securities Closely Held Stock SecuritiesCloselyHeldStockGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$44,545	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$1,041,500	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,379	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	25	ContributionCnt
Noncash Contributions Rpt F990	$239,848	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOOD	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	1	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 2018 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $969.3 MILLION 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 ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO OUR 2018 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 2018, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDED AN ACADEMIC MEDICAL CENTER AND 11 COMMUNITY HOSPITALS (AKRON GENERAL MEDICAL CENTER, 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; ONE HOSPITAL AND ONE HEALTH AND WELLNESS CENTER IN FLORIDA; AND A CENTER FOR BRAIN HEALTH IN LAS VEGAS, NEVADA. CLEVELAND CLINIC HEALTH SYSTEM IS DEDICATED TO THE COMMUNITIES WE SERVE 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 OUR FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, WE PROVIDE HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. IN 2018, CLEVELAND CLINIC RECORDED 1,294 TOTAL STAFFED BEDS, 118,317 EMERGENCY VISITS, 80,094 SURGICAL CASES, 51,514 ADMISSIONS, AND MORE THAN 6.6 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, MEDICINE, NEUROLOGICAL, NURSING, OB/GYN & WOMEN'S HEALTH, ORTHOPAEDIC & RHEUMATOLOGY, PATHOLOGY & LABORATORY MEDICINE, PEDIATRIC & CHILDREN'S HOSPITAL, RESPIRATORY, TAUSSIG CANCER, & WELLNESS & PREVENTATIVE MEDICINE. NOTABLE ACHIEVEMENTS CLEVELAND CLINIC WAS AGAIN RECOGNIZED FOR ITS QUALITY OF CARE IN U.S. NEWS & WORLD REPORT'S PRESTIGIOUS ANNUAL "AMERICA'S BEST HOSPITALS" SURVEY IN 2018. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 2 RANKING. FOR THE 24TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. THE GLICKMAN UROLOGICAL & KIDNEY INSTITUTE RECEIVED THE NO. 1 DISTINCTION IN UROLOGY AND NO. 2 IN NEPHROLOGY. TEN OTHER CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. NINE OTHER CLEVELAND CLINIC SPECIALTIES PLACED IN THE TOP 5 INCLUDING: CANCER, DIABETES & ENDOCRINOLOGY, GASTROENTEROLOGY & GI SURGERY, GERIATRICS, GYNECOLOGY, NEUROLOGY & NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND RHEUMATOLOGY. CLEVELAND CLINIC WAS ALSO RATED "HIGH PERFORMING" IN NINE PROCEDURES AND CONDITIONS. CLEVELAND CLINIC HAS ACHIEVED 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 2018, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE ENVIRONMENTAL EXCELLENCE AWARD, PARTNER FOR CHANGE AWARD, GREENING THE OR LEADERSHIP AWARD, LEADERSHIP CIRCLE AWARD, CLIMATE CIRCLE, PARTNER RECOGNITION AWARD, SYSTEM FOR CHANGE AWARD, AND THE GREEN BUILDING CIRCLE 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 EXCEPTIONAL CIRCUMSTANCES MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THIS 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 $110.8 MILLION IN 2018. 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. 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, 160 GRADUATE STUDENTS AND 200 UNDERGRADUATE STUDENTS.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	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 2018, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 4,000 ACTIVE IRB APPROVED HUMAN SUBJECTS' RESEARCH STUDIES. THE ONGOING COLLABORATION BETWEEN PHYSICIAN INVESTIGATORS AND STUDY VOLUNTEERS IS CENTRAL TO TESTING THE SAFETY AND EFFECTIVENESS OF DRUGS AND MEDICAL PROCEDURES AND HELPS TO SET THE STANDARDS FOR PATIENT CARE. RESEARCH AT CLEVELAND CLINIC IS FUNDED BY EXTERNAL SOURCES, SUCH AS FEDERAL GRANTS, BUT IS ALSO SUBSTANTIALLY SUPPORTED BY THE CLINIC'S OWN INTERNAL RESOURCES. IN 2018, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $243.4 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $165.7 MILLION. 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. 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 THIS 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 2018, PROVIDED A NET COMMUNITY BENEFIT OF $282.9 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 2018, 1,001 RESIDENTS AND FELLOWS TRAINED IN 77 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 137 ADVANCED FELLOWS IN 88 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 MORE THAN 1,900 APPLICANTS FOR 32 POSITIONS FOR THE 2018-19 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 117 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2018 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 69 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 2018, 326 MEDICAL STUDENTS FROM 168 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 2018, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,738 CME ACTIVITIES THAT OFFERED OVER 13,000 CME CREDITS TO 194,008 PARTICIPANTS. OF THAT NUMBER, 1,344 WERE LIVE COURSES THAT ATTRACTED 80,006 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 171 ACTIVITIES THAT ATTRACTED 29,148 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 85,000 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2018, THE CENTER ISSUED 182,832 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 123,000 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 3.5 MILLION PEOPLE AROUND THE WORLD. IN 2018 THE CCJM WEBSITE RECORDED 7,123,661 PAGE VIEWS FROM 5,200,985 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 11 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 51 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2018, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 370,000 CLINICAL ROTATION HOURS FOR OVER 1,100 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 2018, 918 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 245 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 MORE THAN 15 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 OUR COMMUNITY BENEFIT ARE: MEDICAID SHORTFALL THE CLEVELAND CLINIC HEALTH SYSTEM IS A LEADING PROVIDER OF MEDICAID SERVICES IN OHIO. IN MANY STATES, INCLUDING OHIO, MEDICAID PAYMENTS HAVE NOT BEEN SUFFICIENT TO COVER THE COST OF TREATING MEDICAID BENEFICIARIES. IN 2018, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $438.1 MILLION (THIS FIGURE IS INCLUSIVE OF AN HCAP ASSESSMENT OF $6.2 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 2018 AT A COST OF $21.7 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 $37.5 MILLION. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS IN OUR COMMUNITIES. OUR 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 OUR COMMUNITIES, ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2018, 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. OUR HOSPITALS AND FAMILY HEALTH CENTERS PROVIDED CLASSES FOR HEALTHY SENIOR AND YOUTH LIFESTYLES. NAVIGATORS WORKED WITH COMMUNITY RESIDENTS TO OBTAIN NEEDED RESOURCES. -EDUCATION AND COMMUNITY SERVICES ADDRESSED AREAS OF INFANT MORTALITY, TEEN PARENTING, LEAD POISONING, DOMESTIC VIOLENCE AND TRAUMA. PROGRAMS WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, COLLABORATING CITIES AND COUNTIES.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	- 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 FAIR, CELEBRATING SISTERHOOD, TU FAMILIA, PINK AND BEYOND 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 OUR 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. -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 RONALD WEINBERG, 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 AND KEY EMPLOYEES, THE COMMITTEE USES A PROCESS WHICH IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 53.4958-6(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT 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:	GIFTS AND BEQUESTS 88,792,685. RETIREMENT BENEFITS ADJUSTMENT 28,397,884. CHANGE IN INTERESTS IN FOUNDATIONS 606,250. DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 591,499. EQUITY AND OTHER TRANSFERS -255,345. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -42,076,412. TRANSFERS OF NET ASSETS -74,212,895. NET INVESTMENT INCOME -9,063,175. ROUNDING 1.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (35 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	$5,814	$173,371	THE CLEVELAND CLINIC FOUNDATION
ADVANCED INFUSION SERVICES LTD
1 HOME CARE PLACE	AKRON	OH	44320	341847339	HOME INFUSION SERVICES	OH	$28,259	$181,463	VISITING NURSE SERVICE INC
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CC WEB SOLUTIONS LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	263222020	DOMAIN HOLDING COMPANY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTH CARE SERVICES	OH	$17,841,855	$392,486	THE CLEVELAND CLINIC FOUNDATION
CCF HOTEL SERVICES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	340666034	HOTEL OPERATIONS	OH	$34,659,045	$133,139,807	THE CLEVELAND CLINIC FOUNDATION
CHV HOME MEDICAL EQUIPMENT CO LLC
1 HOME CARE PLACE	AKRON	OH	44320	204760456	DURABLE MEDICAL EQUIPMENT	OH	$376,380	$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 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	HELATH CARE SERVICES & IP LICENSING	OH	$3,600,448	$22,978,513	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC MEDICARE ACO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	471281189	HEALTH CARE SERVICES	OH	$0	$2,647,096	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTH CARE SERVICES	OH	$6,229,215	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
1950 RICHMOND ROAD	LYNDHURST	OH	44124	263859233	HEALTH CARE SERVICES	OH	$3,438,266	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTH CARE SERVICES	OH	$56,322,127	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341907574	HEALTH CARE SERVICES	OH	$30,071,893	$0	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	-$586,129	$1,798,164	AKRON GENERAL MEDICAL CENTER
INTELLIS EPM LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	270645368	MEDICAL TECHNOLOGY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
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	$0	$0	MEDINA HOSPITAL
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	INACTIVE	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
MONTROSE SLEEP CENTER LLC
4125 MEDINA ROAD	AKRON	OH	44333	200494491	HEALTH CARE SERVICES	OH	$957,667	$986,054	AKRON GENERAL PARTNERS
NEUROOPERATIVE MONITORING LLC
1 AKRON GENERAL AVENUE	AKRON	OH	44307	300746215	INACTIVE	OH	$0	$0	AKRON GENERAL PARTNERS
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTH CARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
3050 SCIENCE PARK DRIVE	BEACHWOOD	OH	44122	273245990	REAL ESTATE HOLDINGS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
TATARA VASCULAR LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	474282964	MEDICAL TECHNOLOGY	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	201476092	HEALTH CARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTH CARE SERVICES	OH	$46,059,654	$59,519	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC FLORIDA HOME HEALTHCARE LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	832250064	HEALTH CARE SERVICES	FL	$0	$0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
UNION HOSPITAL MEDICAL SERVICES LLC
659 BOULEVARD	DOVER	OH	44622	270273520	HEALTH CARE SERVICES	OH	$339,916	$0	THE UNION HOSPITAL ASSOCIATION
UNION PHYSICIAN SERVICES LLC
659 BOULEVARD	DOVER	OH	44622	264215547	HEALTH CARE SERVICES	OH	$12,596,202	$0	THE UNION HOSPITAL ASSOCIATION
TUSCARAWAS AMBULATORY SURGERY CENTER LLC
659 BOULEVARD	DOVER	OH	44622	340000100	HEALTH CARE SERVICES	OH	$4,533,144	$2,348,352	THE UNION HOSPITAL ASSOCIATION

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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
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
THREE ARCHES FOUNDATION
14601 DETROIT AVENUE STE 240	LAKEWOOD	OH	44107	346519834	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 12D, III-O	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
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
AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE	CLEVELAND	OH	44111	237108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	PF	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
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
UNION HOSPITAL AUXILIARY
659 BOULEVARD	DOVER	OH	44622	341204928	SUPPORT THE UNION HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 10	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd	UBI Code VUBICodeVAmt
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	$2,733,255	$13,178,548	0	Yes (1)	0.60000
CLEVELAND HEALTH NETWORK MSO LLC
4700 ROCKSIDE ROAD STE 200	INDEPENDENCE	OH	44131	311566180	MEDICAL SERVICES	OH		RELATED		$16,541	0	Yes (1)	1.00000	N/A
PROGNOSTIX LLC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	300624422	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	$10,329	$6,865	0	0	0.78000
EXCELERATE STRATEGIC HEALTH SOURCING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	461810992	HEALTH CARE OP & MGMT	DE	THE CLEVELAND CLINIC FOUNDATION	RELATED	$44,745	$3,954,664	0	0	0.51000		-$335,027
AKRON SURGICAL ASSOC LLC
4125 MEDINA ROAD	AKRON	OH	44333	010672877	AMBULATORY SURGERY CENTER	OH		N/A	$1,040,389	$1,849,175	0	0	0.51000	N/A
MEDISTRY LLC
3029 PROSPECT AVENUE	CLEVELAND	OH	44115	454880352	DATA HOSTING & RELATED SVCS	DE	THE CLEVELAND CLINIC FOUNDATION	UNRELATED	-$191,331	$23,017	0	Yes (1)	0.55000

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	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Share Of EOY AssetsShareOfEOYAssetsAmt	Direct Controlling NADirectControllingNACd
33 GROSVENOR PLACE LTD
47 ESPLANADE	ST HELIER	JE	JEI 0BD	LEASE HOLDING COMPANY	JE	CLEVELAND CLINIC UK HOLDINGS LTD	C	-$365,948,520	1.00000	Yes (1)
AKRON GENERAL INNOVATIONS INC
				PARTNERSHIP INVESTMENTS		AKRON GENERAL PARTNERS	C			0	1 AKRON GENERAL AVENUE	AKRON	OH	44307	383928798	OH
AKRON GENERAL MANAGED CARE ASSOCIATION INC
				SUPPORTING SERVICES		AKRON GENERAL MEDICAL CENTER	C			Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341784985	OH
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	$59,458,379	1.00000	Yes (1)					980207086		$161,211,932
CELLX TECHNOLOGIES INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	822405500	DE
CLEVELAND CLINIC CANADA-TORONTO INC
181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	HEALTH CARE SERVICES	CA	THE CLEVELAND CLINIC FOUNDATION	C	$13,366,909	1.00000	Yes (1)							$13,445,532
CLEVELAND CLINIC EMR INC
				MEDICAL SERVICES		CLINIC MEDICAL SOLUTIONS INC	C			Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	OH	$1,121,837
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
				MEDICAL SERVICES		CLINIC MEDICAL SOLUTIONS INC	C	$12,508,988		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	OH	$11,549,645
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	-$30,560	1.00000	Yes (1)							$30,079,471
CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY)
PO BOX 340340	RIYADH	SA	11333	MEDICAL SERVICES	SA	THE CLEVELAND CLINIC FOUNDATION	C	$27,061,943	1.00000	Yes (1)							$44,047,256
CLEVELAND CLINIC UK HOLDINGS LTD
11-12 ST JAMESS SQUARE ST1 3RD	LONDON	UK	SW1Y 4LB	HOLDING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C	-$250,817	1.00000	Yes (1)							$729,438,861
CLEVELAND HEALTH NETWORK
				MEDICAL SERVICES			C			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			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	$13,943,952		Yes (1)	18101 LORAIN AVENUE	CLEVELAND	OH	44111	341695388	OH	$4,981,757
CMCD INC
				REAL ESTATE		MEDINA HOSPITAL	C		1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	OH	$311,040
CORA SENTA TECHNOLOGIES INC
				INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C			0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	824335548	DE
CUSTOM ORTHOPAEDIC SOLUTIONS INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C			0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	274838981	DE
ENHALE MEDICAL INC
				SLEEP APNEA TREATMENT		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	821613340	DE	$1,463,357
INFUSEON THERAPEUTICS INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$100,842	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	461776182	DE	$399,735
ION-VAC INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	461560044	DE	$89,231
LAKEWOOD HEALTHCARE FOUNDATION
				HEALTH CARE SERVICES		LAKEWOOD HOSPITAL ASSOCIATION	C			Yes (1)	14519 DETROIT AVENUE	LAKEWOOD	OH	44107	341574608	OH
MCZ INC
				LEASING		MEDINA HOSPITAL	C	$7,807	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256598	OH	$500
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		0.55120	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	113779414	DE	$64,784
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		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	473977513	DE	$305,130
OPTOQUEST CORPORATION
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$61,750	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	263589643	DE	$52,610
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	$1,003,531	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	341956569	DE	$1,418,755
RENOVO NEURAL INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C	$148,193	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	800185146	DE
SHIELD BIOTECH INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		0.72000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	462880975	DE
VIVERE PHARMA INC
				INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	475397125	DE
CLEVELAND CLINIC UK FINANCING PLC
11-12 ST JAMESS SQUARE ST1 3RD	LONDON	UK	SW1Y 4LB	FINANCING	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C		1.00000	Yes (1)							$524,516,847
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	$15,157	1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	043588229	OH	$42,127
CASHEL NEURAL INC
				SCIENTIFIC RESEARCH			C			Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824625105	DE
NEW COS INC
				SCIENTIFIC RESEARCH			C	$1,263,741		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824828042	DE	$519,193
TMAO INC
				INACTIVE			C			Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44111	824850194	DE
CHARITABLE REMAINDER TRUSTS (14)
							T			Yes (1)	C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131		OH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	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 (51 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLEVELAND CLINIC CANADA - TORONTO INC
A	$100,000	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
B	$19,298,390	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
B	$765,000	FMV
MEDISTRY LLC
B	$82,500	FMV
NEW COS INC
B	$104,733	FMV
ENHALE MEDICAL INC
D	$2,070,833	FMV
INFUSEON THERAPEUTICS INC
D	$196,417	FMV
NEUROTHERAPIA INC
D	$209,944	FMV
OPTOQUEST CORPORATION
D	$83,964	FMV
RENOVO BIOSCIENCES INC
D	$467,492	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
J	$293,633	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
J	$2,256,745	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
J	$439,728	FMV
FAIRVIEW HOSPITAL
J	$483,831	FMV
PARTNERS PHYSICIAN GROUP
J	$127,622	FMV
AKRON GENERAL MEDICAL CENTER
K	$141,610	FMV
CLEVELAND CLINIC AVON HOSPITAL
K	$4,670,941	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
K	$3,278,597	FMV
CLINIC MEDICAL SOLUTIONS INC
K	$395,956	FMV
FAIRVIEW HOSPITAL
K	$1,390,413	FMV
LUTHERAN HOSPITAL
K	$585,639	FMV
MARYMOUNT HOSPITAL INC
K	$886,369	FMV
MEDINA HOSPITAL
K	$1,319,245	FMV
AKRON GENERAL MEDICAL CENTER
L	$3,262,802	FMV
CLEVELAND CLINIC AVON HOSPITAL
L	$1,101,855	FMV
CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION
L	$4,957,000	FMV
CLEVELAND CLINIC NEVADA
L	$232,971	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
L	$161,268	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	$6,813,914	FMV
CLEVELAND CLINIC SAUDI ARABIA LLC
L	$3,704,000	FMV
CLINIC MEDICAL SOLUTIONS INC
L	$1,167,000	FMV
FAIRVIEW HOSPITAL
L	$4,032,008	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
L	$315,230	FMV
LUTHERAN HOSPITAL
L	$1,154,261	FMV
MARYMOUNT HOSPITAL INC
L	$1,414,146	FMV
MEDINA HOSPITAL
L	$1,392,188	FMV
AKRON GENERAL MEDICAL CENTER
M	$277,724	FMV
CLEVELAND CLINIC AVON HOSPITAL
M	$552,172	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
M	$242,444	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
M	$10,759,000	FMV
FAIRVIEW HOSPITAL
M	$433,935	FMV
LODI COMMUNITY HOSPITAL
M	$60,302	FMV
LUTHERAN HOSPITAL
M	$121,675	FMV
MARYMOUNT HOSPITAL INC
M	$411,736	FMV
MEDINA HOSPITAL
M	$878,992	FMV
CCHS INDEMNITY COMPANY LTD
P	$40,225,680	FMV
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
Q	$1,127,054	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
Q	$2,679,637	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
S	$1,520,629	FMV
PROGNOSTIX LLC
S	$336,116	FMV
SHIELD BIOTECH INC
S	$10,081,248	FMV