2019-11-12T09:35:29-06:00 2018-12-31 346565596 ERNST & YOUNG LLP 950 MAIN AVENUE 1800 CLEVELAND OH 44113 990 2018-01-01 340714585 THE CLEVELAND CLINIC FOUNDATION CLEV 2164442200 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE OH 44131 STEVEN C GLASS CHIEF FINANCIAL OFFICER 2164442200 2019-11-12 1 TERENCE M KENNEDY P00089502 2168615000 139.137.128.48 2019-11-12 08:49:14 ES P DCE46186C7169DF41B578C86A0630B3B545AF3BB E5B6F7B7A8E0F5DC288A237C9BED5E36A48BFCC6 2018 2020-03-31 21:24:44Z TOMISLAV MIHALJEVIC 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE OH 44131 8720065432 0 X WWW.CLEVELANDCLINIC.ORG X 1921 OH PATIENT CARE, RESEARCH & EDUCATION 29 24 39017 1179 54828485 0 241311504 261657223 5436585308 5723660688 188856450 148849599 106483355 119937216 5973236617 6254104726 125681696 106912553 0 0 3059296529 3217788553 2043350 1625085 14305948 2395257002 2557209646 5582278577 5883535837 390958040 370568889 10870079986 10990906558 5467933789 5561105105 5402146197 5429801453 X TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 0 0 5258722543 106912553 5723660688 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 5258722543 1 1 0 1 0 0 1 0 0 1 1 1 0 1 1 1 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 5783 1 1 39017 1 1 1 1 UK CJ PO CA DA SW LU IS KS NO SA 0 0 0 1 1 1 2 0 0 0 1 0 X 29 24 1 1 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 CA FL GA IL KS KY LA MA MD MN MS NH NJ NY OH OR PA SC TN UT WI X X ROBERT F WAITKUS 2164452526 6801 BRECKSVILLE ROAD RK1-85 INDEPENDENCE OH 44131 DONLEY MD BRIAN DIRECTOR, CHIEF OF STAFF (PART-YR) 50.00 X X 2267528 0 327956 MIHALJEVIC MD TOMISLAV DIRECTOR, PRESIDENT & CEO 50.00 X X 2978003 0 45693 MOONEY BETH E DIRECTOR, VICE CHAIR 5.00 X X 0 0 0 RICH ROBERT E JR DIRECTOR, BOARD CHAIR 5.00 X X 0 0 0 SCAMINACE JOSEPH M DIRECTOR, BOARD VICE CHAIR 5.00 X X 0 0 0 WIEDEMANN MD HERBERT DIRECTOR, CHIEF OF STAFF 50.00 X X 985114 0 -164321 AULETTA PATRICK V DIRECTOR 5.00 X 0 0 0 BARSOUM MD WAEL DIRECTOR, FLA PRES 50.00 X 0 1137589 41001 BENZ MICHAEL DIRECTOR 5.00 X 0 0 0 CHACK DENNIS DIRECTOR 5.00 X 0 0 0 CRAWFORD DEBORAH DIRECTOR 5.00 X 0 0 0 FEDELI UMBERTO P DIRECTOR 5.00 X 0 0 0 FRANCO MD KATHLEEN DIRECTOR, PHYSICIAN 50.00 X 280748 0 -79067 HOOVER CAROLE DIRECTOR 5.00 X 0 0 0 KOHL STEWART DIRECTOR 5.00 X 0 0 0 KRAMER RICHARD DIRECTOR 5.00 X 0 0 0 LERNER MARK DIRECTOR 5.00 X 0 0 0 LERNER NORMA DIRECTOR 5.00 X 0 0 0 MACDONALD WILLIAM III DIRECTOR 5.00 X 0 0 0 MILLER PAMELA DIRECTOR 5.00 X 0 0 0 MILLER SAMUEL H DIRECTOR 5.00 X 0 0 0 MORINO MARIO DIRECTOR 5.00 X 0 0 0 NANCE FREDERICK DIRECTOR 5.00 X 0 0 0 PETRAS JR MICHAEL DIRECTOR 5.00 X 0 0 0 POLLOCK LARRY DIRECTOR 5.00 X 0 0 0 ROSS MD RONALD J DIRECTOR 5.00 X 0 0 0 SCOTT HAROLD LEE DIRECTOR 5.00 X 0 0 0 SPIRO MD TIMOTHY DIRECTOR, PHYSICIAN 50.00 X 663955 0 44804 STEVENS MARK DIRECTOR 5.00 X 0 0 0 WEBER ROBERT DIRECTOR 5.00 X 0 0 0 WEINBERG RONALD DIRECTOR 5.00 X 0 0 0 WEISS MORRY DIRECTOR 5.00 X 0 0 0 ERZURUM MD SERPIL CHAIR, LERNER RESEARCH INSTITUTE 50.00 X 660650 0 60017 GLASS STEVEN C CFO & TREASURER 50.00 X 1654712 0 42994 HARRINGTON MICHAEL CAO & CONTROLLER 50.00 X 828209 0 46693 MEEHAN MICHAEL J RECORDING SECRETARY 50.00 X 366415 0 -50187 OBLANDER JASON ASST. SECRETARY 50.00 X 213269 0 21244 PEACOCK WILLIAM CHIEF OF OPERATIONS 50.00 X 1770449 0 45706 ROWAN DAVID SECRETARY, CHIEF LEGAL OFFICER 50.00 X 1631352 0 46847 SABANEGH MD EDMUND PRESIDENT, CC MAIN CAMPUS 50.00 X 1000050 0 45277 YOUNG MD JAMES P CHIEF ACADEMIC OFFICER 50.00 X 900547 0 45733 SURI MD RAKESH CEO CCAD 50.00 X 2083302 0 180202 SVENSSON MD LARS CHAIR OF HEART & VASCULAR INST 50.00 X 1638790 0 45586 BROOKS MD PETER PHYSICIAN 50.00 X 1378954 0 224619 COSGROVE MD DELOS FORMER CEO 50.00 X 8718184 0 -29873 HUSTON ANN CHIEF STRATEGY OFFICER 50.00 X 1348338 0 40269 MARTIN MD DANIEL COLE EYE INSTITUTE CHAIRMAN 50.00 X 1415256 0 45553 NAJM MD HANI PHYSICIAN 50.00 X 1664215 0 45911 HAMILTON THOMAS FORMER OFFICER 50.00 X 445859 0 27693 MCHUGH LINDA FORMER OFFICER 50.00 X 885652 0 44526 HAHN MD JOSEPH FORMER OFFICER (RETIRED) 0.00 X 148394 0 0 LYTLE MD BRUCE FORMER KEY EMPLOYEE (RETIRED) 0.00 X 118200 0 0 36046145 1137589 1144876 6086 1 1 0 DONLEYSTURNER JOINT VENTURE 5430 WARNER RD CLEVELAND OH 44125 CONSTRUCTION SERVICES 32153670 IBM CORP 500 FIRST AVENUE PITTSBURGH PA 15219 INFORMATION TECHNOLOGY SYSTEMS SERVICES 27441466 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SERVICES 20547899 WHITING-TURNER CONTRACTING CO 5875 LANDERBROOK DR STE 100 CLEVELAND OH 44124 CONSTRUCTION SERVICES 11353709 CARDINAL HEALTH PO BOX 70539 CHICAGO IL 60673 INTEGRATED HEALTHCARE SOLUTIONS 11152336 474 6051761 2735 118484057 137118670 14194661 261657223 NET PATIENT SERVICES 612990 3247346605 3247346605 MEDICARE/MEDICAID PAYM 921990 1936999813 1936999813 OTHER PROGRAM SERVICES 900099 415868347 411385334 4483013 OTHER ANCILLARY SERVIC 900099 54184773 54184773 MANAGEMENT FEES 561000 23297208 16154355 7142853 45963942 3261323 42702619 5723660688 43622908 43622908 21685588 21685588 9489233 0 9489233 9489233 9489233 2568792965 239362 2462237121 1568515 106555844 -1329153 105226691 105226691 1391415 6051761 2155070 -763655 -763655 INCOME (LOSS) ON INVES 523000 92689670 500000 92189670 DERIVATIVE INCOME 525990 1458519 1458519 LIFE INSURANCE TRUST 525990 135325 135325 -4757464 -4757464 89526050 6254104726 5615147430 54828485 322471588 25597509 25597509 80420416 80420416 894628 894628 21806861 6537952 15268909 1670324 133297 1537027 2572082476 2220561768 343391004 8129704 167266366 144431123 22331230 504013 282767279 244113970 37751410 901899 172195247 148643438 22989270 562539 4685001 4059521 625480 9103278 7887927 1215351 2446292 2446292 756539 756539 1625085 1625085 21450898 21450898 217534037 187063925 29042316 1427796 29446641 25482673 3931333 32635 61151966 52619500 8164215 368251 94679595 82037607 12640388 1600 2865559 2482987 382572 99526549 86239058 13287491 21222462 18002063 2833347 387052 8270178 6937695 1104127 228356 96224727 83378053 12846674 264211514 228907234 35274085 30195 49045743 42497793 6547950 MEDICAL SUPPLIES 1222996723 1222986797 9926 BAD DEBT EXPENSE 160041131 160041131 EQUIPMENT RENTAL & MAIN 84826690 73468511 11324957 33222 STATE FRANCHISE FEE 48475976 48475976 58248147 54063452 4121020 63675 5883535837 5258722543 610507346 14305948 245390860 481200626 17465114 8741538 199769348 208748883 683619350 763655344 7103879 7444253 110033731 21957604 88014066 97643634 42804101 56370802 6343641543 3516711937 2643049067 2826929606 2984766405 2515396435 2666755619 2699313234 217756770 258142930 60487897 62134669 903063779 983227000 10870079986 10990906558 812690004 852651056 447223 453264 89299340 77384613 2871891550 2794852235 1334370 105000000 174058227 123457997 1518213075 1607305940 5467933789 5561105105 X 4582411796 4579477000 520252717 535481972 299481684 314842481 5402146197 5429801453 10870079986 10990906558 X 370568889 -335718566 24441 -7219508 X 0 1 X 1 1 1 X 247936164 226230648 245922291 241311504 261657223 1223057830 247936164 226230648 245922291 241311504 261657223 1223057830 12395783 1210662047 78908086 82576423 85887195 115486620 74797729 437656053 67175 67175 66618979 88700962 64845310 72403603 94283514 386852368 2047633426 5615147430 0.59120 0.55980 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 2507 0 1 724541 1 20005 1 9486 0 756539 0 SCHEDULE C - PART II-B, LINES 1B-1I 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 X 2 50.05 0 0 0 1 1 71.00 11000 349678997 15111719 -5038774 5191115 354560827 296834800 20870889 36978305 5004997 349678997 274060795 14886901 14552559 6665455 296834800 258255184 23968927 -918904 7244412 274060795 243662812 8934335 14503200 7670162 258255184 1.00000 0 0 170690443 170690443 3363486625 1868943498 1494543127 90725937 67635213 23090724 2151826766 1523339565 628487201 566911771 56793660 510118111 2826929606 HEDGE FUNDS 1321633424 F PRIVATE EQUITY 1007692131 F REAL ESTATE 369987679 F 2699313234 OTHER ASSETS 209586611 PERPETUAL & BENEFICIAL TRUSTS 42425011 INVESTMENT IN AFFILIATES 228762964 DUE FROM AFFILIATES 502452414 983227000 ACCRUED PENSION 629553740 OTHER LIABILITIES 75315241 ACCRUED BENEFITS 177329832 FUTURE GIFT ANNUITY PAYMENTS 9079429 DEFERRED ANNUITY TRUST 1033697 INTEREST RATE SWAPS 110862741 DUE TO AFFILIATES 604131260 1607305940 X 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. 1 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 2120000 NORTH AMERICA 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 42734000 EUROPE 1 13 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 223016000 MIDDLE EAST & NORTH AFRICA 1 56 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 3387000 CENTRAL AMERICA & THE CARIBBEAN 0 0 FUNDRAISING EAST ASIA & THE PACIFIC 0 0 FUNDRAISING 21000 EUROPE 0 0 FUNDRAISING 73000 MIDDLE EAST & NORTH AFRICA 0 0 FUNDRAISING 27000 NORTH AMERICA 0 0 FUNDRAISING SOUTH AMERICA 0 0 FUNDRAISING 7000 SOUTH ASIA 0 0 FUNDRAISING SUB-SAHARAN AFRICA 0 0 FUNDRAISING EUROPE 0 0 INVESTING 254613000 NORTH AMERICA 0 0 INVESTING 60182000 SUB-SAHARAN AFRICA 0 0 INVESTING 16241000 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTING 1830814000 2 69 0 0 2 69 271378000 2161857000 2433235000 NORTH AMERICA RESEARCH 35720 CHECK 0 EUROPE RESEARCH 20000 CHECK 0 EUROPE RESEARCH 62001 CHECK 0 CENTRAL AMERICA & THE CARIBBEAN RESEARCH 19200 CHECK 0 NORTH AMERICA RESEARCH 12500 CHECK 0 SOUTH AMERICA RESEARCH 11850 CHECK 0 EUROPE RESEARCH 60858 CHECK 0 EAST ASIA & THE PACIFIC RESEARCH 54312 CHECK 0 NORTH AMERICA RESEARCH 17005 CHECK 0 SOUTH AMERICA RESEARCH 59501 CHECK 0 SUB-SAHARAN AFRICA RESEARCH 8700 CHECK 0 EUROPE RESEARCH 8000 CHECK 0 SOUTH AMERICA RESEARCH 12394 CHECK 0 NORTH AMERICA RESEARCH 354605 CHECK 0 NORTH AMERICA RESEARCH 57982 CHECK 0 EUROPE RESEARCH 100000 CHECK 0 12 4 RESEARCH EAST ASIA & THE PACIFIC 1 6045 CHECK 0 RESEARCH EAST ASIA & THE PACIFIC 1 34890 CHECK 0 RESEARCH EUROPE 1 5920 CHECK 0 RESEARCH NORTH AMERICA 1 11420 CHECK 0 RESEARCH RUSSIA & NEIGHBORING STATES 1 5332 CHECK 0 RESEARCH EAST ASIA & THE PACIFIC 1 7000 CHECK 0 RESEARCH EUROPE 1 12600 CHECK 0 RESEARCH EUROPE 1 9200 CHECK 0 RESEARCH EAST ASIA & THE PACIFIC 1 5725 CHECK 0 RESEARCH EAST ASIA & THE PACIFIC 1 9200 CHECK 0 1 0 1 1 1 1 PART I, LINE 2: A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS. PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. X X X X X X X 1 BLACKBAUD 11501 DOMAIN DR STE 200 AUSTIN TX 78758 ONLINE GIVING 0 3131028 306625 2824403 RR DONNELLEY 35 WEST WACKER DRIVE CHICAGO IL 60601 DIRECT MAIL 0 1350375 547804 802571 CLASSY 350 TENTH AVE STE 1300 SAN DIEGO CA 92101 ONLINE FUNDRAISING 0 636552 21628 614924 TSM DONOR ENGAGEMENT TEAM INC 155 COMMERCE DRIVE FREEDOM PA 15042 PHONE SOLICITATION 0 199823 749028 -549205 5317778 1625085 3692693 AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY VELOSANO 5685293 4513293 1172000 204950 122296 59908 1036131 CHILDREN'S GALA 1291438 1165913 125525 171805 16000 302186 3 466445 372555 93890 3452 12334 83490 2175 140343 7443176 6051761 1391415 3452 217284 377591 78083 1478660 2155070 -763655 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 62979844 0 62979844 0.01090 683970459 403553428 280417031 0.04850 0 0 0.00000 746950303 403553428 343396875 0.05940 21720199 193546 21526653 0.00370 243317967 25461535 217856432 0.03770 32007547 23058689 8948858 0.00150 233620671 158091487 75529184 0.01310 9402435 444380 8958055 0.00150 540068819 207249637 332819182 0.05750 1287019122 610803065 676216057 0.11690 0 0.00000 15031 15031 0.00000 167715 167715 0.00000 0 0.00000 0 0.00000 347 347 0.00000 7900 7900 0.00000 2269 2269 0.00000 0 0.00000 193262 193262 0.00000 1 160041131 0 695485401 734900720 -39415319 X 1 1 8 1 THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR X X X X X X 2 SELECT SPECIALTY - FAIRHILL 11900 FAIRHILL ROAD CLEVELAND OH 44120 WWW.SELECTMEDICAL.COM OH STATE ID 1468 X A 3 SELECT SPECIALTY - REGENCY WEST 6990 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130 WWW.SELECTMEDICAL.COM OH STATE ID 1478 X A 4 CLEVELAND CLINIC REHABILITATION - ESR 4389 MEDINA ROAD COPLEY OH 44321 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1905 X B 5 CLEVELAND CLINIC REHAB - BEACHWOOD 3025 SCIENCE PARK DRIVE BEACHWOOD OH 44012 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1906 X B 6 SELECT SPECIALTY - REGENCY EAST 4200 INTERCHANGE CORPORATE CENTER ROAD WARRENSVILLE HEIGHTS OH 44128 WWW.SELECTMEDICAL.COM OH STATE ID 1479 X A 7 CLEVELAND CLINIC REHABILITATION-AVON 33355 HEALTH CAMPUS BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1522AHR X A 8 SELECT SPECIALTY - GATEWAY 2351 E 22ND ST 7TH FL CLEVELAND OH 44115 WWW.SELECTMEDICAL.COM OH STATE ID 1431 X A THE CLEVELAND CLINIC FOUNDATION 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X WWW.CLEVELANDCLINIC.ORG X 1 17 1 WWW.CLEVELANDCLINIC.ORG 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X X 1 X 0 X X X X X 1 X 0 0 REPORTING GROUP A 0 0 1 X X X X X X X X X 17 1 1 0 1 X WWW.CLEVELANDCLINIC.ORG X 1 18 1 WWW.CLEVELANDCLINIC.ORG 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X 1 X 0 X X X 0 X X 0 0 REPORTING GROUP B 1 1 0 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X 1 X 0 X X X 0 X X 0 0 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. 118 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 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. 1 ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED OH 44070 470974372 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND OH 44106 131788491 501(C)(3) 554775 HEALTHCARE RESEARCH & EDUCATION AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 124463 HEALTHCARE RESEARCH & EDUCATION AMERICAN LIVER FOUNDATION 39 BROADWAY 27TH FL NEW YORK NY 10006 362883000 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION AMERICAN LUNG ASSOCIATION 1740 BROADWAY NEW YORK NY 10019 131632524 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)(3) 10000 COMMUNITY SUPPORT ARTHRITIS FOUNDATION 1330 WEST PEACHTREE ST NW ATLANTA GA 30309 581341679 501(C)(3) 10500 HEALTHCARE RESEARCH & EDUCATION BEACHWOOD CHAMBER OF COMMERCE 23355 MERCANTILE RD BEACHWOOD OH 44122 341684237 501(C)(6) 7000 COMMUNITY SUPPORT BOYS AND GIRLS CLUBS OF CLEVELAND 6114 BROADWAY AVE CLEVELAND OH 44127 340770686 501(C)(3) 15000 COMMUNITY SUPPORT BURTEN BELL CARR DEVELOPMENT INC 7201 KINSMAN RD CLEVELAND OH 44104 341657533 501(C)(3) 10000 COMMUNITY SUPPORT BUSINESS VOLUNTEERS UNLIMITED 1300 E 9TH ST STE 1805 CLEVELAND OH 44114 341724581 501(C)(3) 10000 COMMUNITY SUPPORT CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT RD CLEVELAND OH 44106 341018992 501(C)(3) 8500 SUPPORT EDUCATIONAL ACTIVITIES CITY CLUB OF CLEVELAND 850 EUCLID AVE 2ND FL CLEVELAND OH 44114 340144897 501(C)(3) 26898 COMMUNITY SUPPORT CITY OF CLEVELAND 601 LAKESIDE AVE CLEVELAND OH 44114 346000646 501(C)(1) 28019 COMMUNITY SUPPORT CITY OF LAKEWOOD 12650 DETROIT AVE LAKEWOOD OH 44107 346001633 501(C)(1) 500000 COMMUNITY SUPPORT CLEVELAND CENTER FOR ARTS AND TECHNOLOGY 3634 EUCLID AVE NO 100 CLEVELAND OH 44115 271193704 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES CLEVELAND INTERNATIONAL FILM FESTIVAL INC 2510 MARKET AVE CLEVELAND OH 44113 341262368 501(C)(3) 10000 COMMUNITY SUPPORT CLEVELAND MUSEUM OF NATURAL HISTORY 1 WADE OVAL DR CLEVELAND OH 44106 340714338 501(C)(3) 8000 COMMUNITY SUPPORT CLEVELAND SCHOOL OF SCIENCE & MEDICINE 2075 STOKES BLVD CLEVELAND OH 44106 343740643 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES COLLEGE NOW GREATER CLEVELAND INC 50 PUBLIC SQUARE STE 1800 CLEVELAND OH 44113 346580096 501(C)(3) 10500 SUPPORT EDUCATIONAL ACTIVITIES COMMUNITY WEST FOUNDATION 800 SHARON DR STE C WESTLAKE OH 44145 341456398 501(C)(3) 27000 COMMUNITY SUPPORT CROHNS & COLITIS FOUNDATION OF AMERICA 23366 COMMERCE PARK RD BEACHWOOD OH 44122 136193105 501(C)(3) 21500 HEALTHCARE RESEARCH & EDUCATION CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(C)(3) 11000 SUPPORT EDUCATIONAL ACTIVITIES DANCING CLASSROOMS NORTHEAST OHIO 1085 ROCKSIDE RD STE 6 PARMA OH 44134 262300532 501(C)(3) 23000 COMMUNITY SUPPORT DEMOCRACY COLLABORATIVE FOUNDATION INC 1422 EUCLID AVE STE 1652 CLEVELAND OH 44115 200387511 501(C)(3) 10000 COMMUNITY SUPPORT ESPERANZA INC 4115 BRIDGE AVE CLEVELAND OH 44113 341403492 501(C)(3) 20000 SUPPORT EDUCATIONAL ACTIVITIES FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 237715 COMMUNITY SUPPORT FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND OH 44106 341053534 501(C)(3) 22000 COMMUNITY SUPPORT FATIMA FAMILY CENTER 6600 LEXINGTON AVE CLEVELAND OH 44103 261323950 501(C)(3) 20000 COMMUNITY SUPPORT GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD OH 44122 341879035 501(C)(3) 32500 COMMUNITY SUPPORT GIRL SCOUTS OF LAKE ERIE COUNCIL 19201 VILLAVIEW RD CLEVELAND OH 44119 340714415 501(C)(3) 10000 COMMUNITY SUPPORT GREATER CLEVELAND FOOD BANK INC 15500 S WATERLOO RD CLEVELAND OH 44110 341292848 501(C)(3) 15254 COMMUNITY SUPPORT GREATER CLEVELAND HABITAT FOR HUMANITY 2110 W 110TH ST CLEVELAND OH 44102 311209423 501(C)(3) 15000 COMMUNITY SUPPORT JDRF INTERNATIONAL 26 BROADWAY 15TH FL NEW YORK NY 10004 231907729 501(C)(3) 5750 HEALTHCARE RESEARCH & EDUCATION KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS NV 89106 880515534 501(C)(3) 80500 HEALTHCARE RESEARCH & EDUCATION KIDNEY FOUNDATION OF OHIO INC 2831 PROSPECT AVE CLEVELAND OH 44115 340827748 501(C)(3) 5700 HEALTHCARE RESEARCH & EDUCATION LEUKEMIA & LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK NY 10573 135644916 501(C)(3) 83500 HEALTHCARE RESEARCH & EDUCATION MARCH OF DIMES FOUNDATION 614 SUPERIOR AVE NW CLEVELAND OH 44113 131846366 501(C)(3) 24250 HEALTHCARE RESEARCH & EDUCATION MEDWISH INTERNATIONAL 17325 EUCLID AVE CLEVELAND OH 44112 341903712 501(C)(3) 10000 3090522 ESTIMATED VALUE MEDICAL SUPPLIES PATIENT CARE MEDWORKS 1950 RICHMOND RD LYNDHURST OH 44124 263858369 501(C)(3) 30000 HEALTHCARE RESEARCH & EDUCATION NAMI GREATER CLEVELAND 2012 W 25TH ST STE 600 CLEVELAND OH 44113 202254268 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION NATIONAL ASSOCIATION OF HISPANIC NURSES INV 1500 SUNDAY DR STE 102 RALEIGH NC 27607 911010677 501(C)(3) 10000 COMMUNITY SUPPORT NATIONAL KIDNEY FOUNDATION 30 E 33RD ST NEW YORK NY 10016 131673104 501(C)(3) 20000 HEALTHCARE RESEARCH & EDUCATION NATIONAL MULTIPLE SCLEROSIS SOCIETY 1422 EUCLID AVE CLEVELAND OH 44115 135661935 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION NORTH UNION FARMERS MARKET 13212 SHAKER SQUARE STE 302 CLEVELAND OH 44120 341812026 501(C)(3) 18500 COMMUNITY SUPPORT OPEN DOORS INC 3311 PERKINS AVE CLEVELAND OH 44114 043697716 501(C)(3) 20000 COMMUNITY SUPPORT OPERATION EXODUS USA PO BOX 568 LANCASTER NY 14086 202076659 501(C)(3) 99800 COMMUNITY SUPPORT OUTRUN OVARIAN CANCER PO BOX 40332 BAY VILLAGE OH 44140 800093560 501(C)(3) 17500 HEALTHCARE RESEARCH & EDUCATION RAINEY INSTITUTE 1523 E 55TH ST CLEVELAND OH 44144 346555952 501(C)(3) 15000 COMMUNITY SUPPORT REGIONAL TRANSIT AUTHORITY PO BOX 6566 CLEVELAND OH 44101 341170830 501(C)(1) 125000 COMMUNITY SUPPORT RONALD MCDONALD HOUSE OF CLEVELAND INC 10415 EUCLID AVE CLEVELAND OH 44106 341269123 501(C)(3) 17000 HEALTHCARE RESEARCH & EDUCATION SAINT MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVE CLEVELAND OH 44103 522401852 501(C)(3) 44973 SUPPORT EDUCATIONAL ACTIVITIES SOUTH EUCLID UNITED CHURCH OF CHRIST 4217 BLUESTONE RD SOUTH EUCLID OH 44121 340714615 501(C)(3) 291667 COMMUNITY SUPPORT SPIRIT OF CLEVELAND INC 334 EUCLID AVE CLEVELAND OH 44114 341823509 501(C)(3) 7620 COMMUNITY SUPPORT ST EDWARD HIGH SCHOOL 13500 DETROIT AVE LAKEWOOD OH 44107 340737808 501(C)(3) 7500 SUPPORT EDUCATIONAL ACTIVITIES SUSAN G KOMEN BREAST CANCER FOUNDATION 26210 EMERY RD STE 307 CLEVELAND OH 44128 341793460 501(C)(3) 17500 HEALTHCARE RESEARCH & EDUCATION THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714553 501(C)(3) 19298390 HEALTHCARE RESEARCH & EDUCATION THE CLEVELAND FOUNDATION 1422 EUCLID AVE STE 1300 CLEVELAND OH 44115 340714588 501(C)(3) 250000 COMMUNITY SUPPORT THE CLEVELAND ORCHESTRA 11001 EUCLID AVE CLEVELAND OH 44106 340714468 501(C)(3) 12500 COMMUNITY SUPPORT THE DIVERSITY CENTER OF NORTHEAST OHIO 3659 GREEN RD STE 220 CLEVELAND OH 44122 201968761 501(C)(3) 5700 COMMUNITY SUPPORT THE GREATER CLEVELAND HEALTHCARE ASSOCIATION 1226 HURON RD CLEVELAND OH 44115 340714649 501(C)(3) 25014 HEALTHCARE RESEARCH & EDUCATION THE SALVATION ARMY 440 W NYACK RD WEST NYACK NY 10994 135562351 501(C)(3) 15000 COMMUNITY SUPPORT THE VILLAGE AT MARYMOUNT 5200 MARYMOUNT VILLAGE DR GARFIELD HTS OH 44125 205652595 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION TOWARDS EMPLOYMENT INC 1255 EUCLID AVE STE 300 CLEVELAND OH 44115 341578831 501(C)(3) 10000 COMMUNITY SUPPORT TRANSPLANT HOUSE OF CLEVELAND 2007 E 115TH ST APT 1 CLEVELAND OH 44106 272834616 501(C)(3) 12000 HEALTHCARE RESEARCH & EDUCATION UNITED WAY OF GREATER CLEVELAND 1331 EUCLID AVE CLEVELAND OH 44115 346516654 501(C)(3) 10000 COMMUNITY SUPPORT UNIVERSITY CIRCLE INCORPORATED 10831 MAGNOLIA DR CLEVELAND OH 44106 340823464 501(C)(3) 7500 COMMUNITY SUPPORT URSULINE PIAZZA 7801 DETROIT AVE CLEVELAND OH 44102 371655740 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION YOUTH OPPORTUNITIES UNLIMITED 1361 EUCLID AVE CLEVELAND OH 44115 341381135 501(C)(3) 10500 COMMUNITY SUPPORT 65 4 SCHOLARSHIPS 199 8217202 FELLOWSHIPS 1531 72203214 PART I, LINE 2: CCF CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCF MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. SCHEDULE I, PART III THE SCHOLARSHIPS AND FELLOWSHIPS LISTED ARE IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 DONLEY MD BRIAN DIRECTOR, CHIEF OF STAFF (PART-YR) 1364489 0 0 0 903039 0 27500 0 300456 0 2595484 0 0 0 MIHALJEVIC MD TOMISLAV DIRECTOR, PRESIDENT & CEO 2678622 0 0 0 299381 0 27500 0 18193 0 3023696 0 0 0 WIEDEMANN MD HERBERT DIRECTOR, CHIEF OF STAFF 910877 0 0 0 74237 0 -182971 0 18650 0 820793 0 0 0 BARSOUM MD WAEL DIRECTOR, FLA PRES 0 1039904 0 0 0 97685 0 27500 0 13501 0 1178590 0 0 FRANCO MD KATHLEEN DIRECTOR, PHYSICIAN 271140 0 0 0 9608 0 -96742 0 17675 0 201681 0 0 0 SPIRO MD TIMOTHY DIRECTOR, PHYSICIAN 598511 0 0 0 65444 0 27500 0 17304 0 708759 0 0 0 ERZURUM MD SERPIL CHAIR, LERNER RESEARCH INSTITUTE 621000 0 0 0 39650 0 58517 0 1500 0 720667 0 0 0 GLASS STEVEN C CFO & TREASURER 1508404 0 0 0 146308 0 24583 0 18411 0 1697706 0 0 0 HARRINGTON MICHAEL CAO & CONTROLLER 757222 0 0 0 70987 0 27500 0 19193 0 874902 0 0 0 MEEHAN MICHAEL J RECORDING SECRETARY 330793 0 0 0 35622 0 -67709 0 17522 0 316228 0 0 0 OBLANDER JASON ASST. SECRETARY 209595 0 0 0 3674 0 5837 0 15407 0 234513 0 0 0 PEACOCK WILLIAM CHIEF OF OPERATIONS 1630154 0 0 0 140295 0 27545 0 18161 0 1816155 0 0 0 ROWAN DAVID SECRETARY, CHIEF LEGAL OFFICER 1480468 0 0 0 150884 0 27500 0 19347 0 1678199 0 0 0 SABANEGH MD EDMUND PRESIDENT, CC MAIN CAMPUS 910582 0 0 0 89468 0 27500 0 17777 0 1045327 0 0 0 YOUNG MD JAMES P CHIEF ACADEMIC OFFICER 812284 0 0 0 88263 0 27500 0 18233 0 946280 0 0 0 SURI MD RAKESH CEO CCAD 1255255 0 0 0 828047 0 27500 0 152702 0 2263504 0 0 0 SVENSSON MD LARS CHAIR OF HEART & VASCULAR INST 1489979 0 0 0 148811 0 27500 0 18086 0 1684376 0 0 0 BROOKS MD PETER PHYSICIAN 1254311 0 0 0 124643 0 207115 0 17504 0 1603573 0 0 0 COSGROVE MD DELOS FORMER CEO 4601492 0 0 0 4116692 0 -32819 0 2946 0 8688311 0 0 0 HUSTON ANN CHIEF STRATEGY OFFICER 183479 0 0 0 1164859 0 23992 0 16277 0 1388607 0 0 0 MARTIN MD DANIEL COLE EYE INSTITUTE CHAIRMAN 1288761 0 0 0 126495 0 27500 0 18053 0 1460809 0 0 0 NAJM MD HANI PHYSICIAN 1515904 0 0 0 148311 0 27500 0 18411 0 1710126 0 0 0 HAMILTON THOMAS FORMER OFFICER 421075 0 0 0 24784 0 9453 0 18240 0 473552 0 0 0 MCHUGH LINDA FORMER OFFICER 807357 0 0 0 78295 0 27068 0 17458 0 930178 0 0 0 HAHN MD JOSEPH FORMER OFFICER (RETIRED) 148394 0 0 0 0 0 0 0 0 0 148394 0 148394 0 LYTLE MD BRUCE FORMER KEY EMPLOYEE (RETIRED) 118200 0 0 0 0 0 0 0 0 0 118200 0 118200 0 PART I, LINE 1A LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME. PART I, LINES 4A-B SCHEDULE J, 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. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756DAY2 2013-05-29 309434914 BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756A3Z3 2012-05-09 519383182 BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561HU9 2011-11-02 208951439 BOND 2011A: REFUND 2003A SERIES 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2011-11-02 41120000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES 0 0 0 A 43347782 309434914 2129301 20001498 287304115 2013 1 0 1 1 B 44599156 519383182 3825815 411300530 104256837 2012 0 1 1 1 C 51767413 208951439 2003385 206948054 2011 0 1 1 1 D 14740000 41120000 2302465 735249 38082286 2011 1 0 1 1 A 0 1 1 1 1 1 0.00880 0.00880 0 0 1 B 0 1 1 1 1 1 0.00680 0.00080 0.00760 0 0 1 C 0 1 1 1 1 1 0.01050 0.01050 0 0 1 D 0 1 1 1 1 1 0 0 1 A 0 0 1 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 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 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561FV9 2009-08-25 807007320 BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2017-12-21 9305000 REFUND SERIES 2002 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KS0 2017-08-29 939576748 REFUND 2008A, 2008B, 2009A, 2009B, 2012A 0 0 0 A 790802320 70000 807007320 1099225 501164780 304743315 2011 1 0 1 1 B 342425000 670000000 1200000 324315217 372706929 2008 1 0 1 1 C 360000 9305000 9305000 2017 0 1 1 1 D 6357987 939576748 939576748 2017 0 1 1 1 A 0 1 1 1 1 1 0.00780 0.00010 0.00790 0 1 0.00050 1 1 B 0 1 1 1 1 1 0.00560 0.00020 0.00580 0 0 1 C 0 1 1 1 1 1 0 0 1 D 0 1 1 1 1 1 0.01740 0.00010 0.01750 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 D COSGROVE FORMER PRESIDENT/CEO INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN X 229247 7444253 0 1 1 7444253 AMANDA IGEL FAMILY MEMBER OF TIMOTHY SPIRO, CCF DIRECTOR 58143 EMPLOYMENT AGREEMENT WITH CCF 0 CHAD BRONSON FAMILY MEMBER OF KATHLEEN FRANCO, CCF DIRECTOR 48300 EMPLOYMENT AGREEMENT WITH CCF 0 RYAN OAKLEY FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER 26365 EMPLOYMENT AGREEMENT WITH CCF 0 KATHERINE MCHUGH FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER 40501 EMPLOYMENT AGREEMENT WITH CCF 0 X 27 297049 APPRAISAL X 2600 SALE COMPARABLE GOODS X 18712 SALE COMPARABLE GOODS X 201 12549028 AVERAGE HIGH/LOW X 2 44545 COST X 2 1041500 APPRAISAL X 1 1379 COST X MEDICAL EQUIPMENT 25 239848 SALE COMPARABLE GOOD 1 0 1 1 PART I, LINE 32B: THE CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. FORM 990, PART III, PROGRAM SERVICE STATEMENT CLEVELAND CLINIC, 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. 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