CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CLEVELAND CLINIC FOUNDATION (EIN 91-2153073)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-12
IRS object ID: 201923169349302172
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-12T10:33:19-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	950 MAIN AVE 1800	AddressLine1Txt
City	CLEVELAND	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44113	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	912153073	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE CLEVELAND CLINIC FOUNDATION	BusinessNameLine1Txt
Business Name Line2	GROUP RETURN	BusinessNameLine2Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVEN C GLASS	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2164442200	PhoneNum
Signature	2019-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	139.137.128.48	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-12	IPDt
IP Tm	11:32:24	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DCE46186C7169DF41B578C86A0630B3B545AF3BB	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E5B6F7B7A8E0F5DC288A237C9BED5E36A48BFCC6	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$13,932,580,707	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	3641	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLEVELANDCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	PATIENT CARE, RESEARCH AND EDUCATION	ActivityOrMissionDesc
Voting Members Governing Body	606	VotingMembersGoverningBodyCnt
Voting Members Independent	409	VotingMembersIndependentCnt
Total Employee	64785	TotalEmployeeCnt
Total Volunteers	5271	TotalVolunteersCnt
Total Gross UBI	$60,380,303	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,686,203	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$297,153,216	PYContributionsGrantsAmt
CY Contributions Grants	$317,989,021	CYContributionsGrantsAmt
PY Program Service Revenue	$8,665,194,663	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,207,430,066	CYProgramServiceRevenueAmt
PY Investment Income	$255,687,526	PYInvestmentIncomeAmt
CY Investment Income	$243,520,402	CYInvestmentIncomeAmt
PY Other Revenue	$181,027,000	PYOtherRevenueAmt
CY Other Revenue	$238,503,075	CYOtherRevenueAmt
PY Total Revenue	$9,399,062,405	PYTotalRevenueAmt
CY Total Revenue	$10,007,442,564	CYTotalRevenueAmt
PY Grants And Similar Paid	$143,274,860	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$138,597,529	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,730,373,662	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,033,203,265	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$2,043,350	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,625,085	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$14,305,948	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,898,884,202	PYOtherExpensesAmt
CY Other Expenses	$4,151,856,865	CYOtherExpensesAmt
PY Total Expenses	$8,774,576,074	PYTotalExpensesAmt
CY Total Expenses	$9,325,282,744	CYTotalExpensesAmt
PY Revenues Less Expenses	$624,486,331	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$682,159,820	CYRevenuesLessExpensesAmt
Total Assets BOY	$15,770,696,785	TotalAssetsBOYAmt
Total Assets EOY	$16,108,542,205	TotalAssetsEOYAmt
Total Liabilities BOY	$6,251,069,660	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,354,600,176	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$9,519,627,125	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,753,942,029	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$8,262,270,719	ExpenseAmt
Grant	$138,597,529	GrantAmt
Revenue	$9,207,430,069	RevenueAmt
Desc	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Desc
Total Program Service Expenses	$8,262,270,719	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	Yes (1)	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (1)	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	5935	IRPDocumentCnt
IRP Document W2 G	3	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	64785	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	UK	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	PO	ForeignCountryCd
Foreign Country	CA	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	LU	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	SA	ForeignCountryCd
Foreign Country	NO	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (1)	Form8282PropertyDisposedOfInd
Form8282 Filed	2	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	606	GoverningBodyVotingMembersCnt
Independent Voting Member	409	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROBERT F WAITKUS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2164452526	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (294 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ABER ROBERTA
DIRECTOR, VICE CHAIR - VNS	5.00	Yes (X)	Yes (X)	$0	$0	$0
ALEMAGNO PHD SONIA
VICE CHAIR - AGMC , LODI	5.00	Yes (X)	Yes (X)	$0	$0	$0
ANDREAS LOIS
DIRECTOR, BD CHAIR - UCHF	3.00	Yes (X)	Yes (X)	$0	$0	$0
BANKS JOHN H
TRUSTEE, TREASURER - MARYMOUNT	3.00	Yes (X)	Yes (X)	$0	$0	$0
BARKHEIMER MARLENE
DIRECTOR, VICE PRESIDENT - LODI	5.00	Yes (X)	Yes (X)	$0	$0	$0
BARRETT LISA
DIRECTOR, SECRETARY - AGP	50.00	Yes (X)	Yes (X)	$227,412	$0	$15,821
BARSOUM MD WAEL
TRUSTEE, HOSPITAL PRES - CC FLA	50.00	Yes (X)	Yes (X)	$1,137,589	$0	$41,001
BEAN GREGORY
DIRECTOR, CHAIR - AGF	3.00	Yes (X)	Yes (X)	$0	$0	$0
BLANDON MD RODOLFO
TRUSTEE, CHIEF OF STAFF - CC FLA	50.00	Yes (X)	Yes (X)	$741,124	$0	$43,001
BOLOGNA MD RAYMOND
DIRECTOR, CHAIR - PPG	50.00	Yes (X)	Yes (X)	$662,170	$0	$44,928
BRYZTWA ELLEN
TRUSTEE, BD VICE CHAIR - LAKEWD	3.00	Yes (X)	Yes (X)	$0	$0	$0
MAU KATHLEEN
DIR, SEC-MEDINA, PHYSICIAN	50.00	Yes (X)	Yes (X)	$125,049	$0	$10,057
CARRINO FRANK
DIR, VICE CHAIR - MEDINA	3.00	Yes (X)	Yes (X)	$0	$0	$0
CARTER THERESA
DIRECTOR, CHAIR - AGMC	5.00	Yes (X)	Yes (X)	$0	$0	$0
CHACK DENNIS M
DIR-CCF, TRUSTEE, CHAIR - MARYMOUNT	5.00	Yes (X)	Yes (X)	$0	$0	$0
DEL CASTILLO BARBARA
DIR, SEC - CC FLA PHARMACY SVCS	50.00	Yes (X)	Yes (X)	$495,656	$0	$40,768
DELGADO OSMEL
DIR, ADM CLINICAL OPS - CC FLA PHARM SVC	50.00	Yes (X)	Yes (X)	$377,083	$0	$12,700
DONLEY MD BRIAN
DIR-CCF & REGIONALS, CHIEF OF STAFF	50.00	Yes (X)	Yes (X)	$2,267,528	$0	$327,956
DUNN LISA A
DIRECTOR, BD CHAIR - MEDINA	3.00	Yes (X)	Yes (X)	$0	$0	$0
FENTON MD ANDREW
DIRECTOR, VICE CHAIR - PPG	50.00	Yes (X)	Yes (X)	$422,046	$0	$11,991
FRIGO DAVID
DIRECTOR, TREASURER - AGP	50.00	Yes (X)	Yes (X)	$202,360	$0	$14,786
GABLE THOMAS J
TRUSTEE, BD CHAIR - LAKEWOOD	5.00	Yes (X)	Yes (X)	$0	$0	$0
GLASS STEVEN C
DIRECTOR, CFO & TREAS-CCF	50.00	Yes (X)	Yes (X)	$1,654,712	$0	$42,994
HARRINGTON MICHAEL
DIR, TREAS - KMA; CAO - CCF	50.00	Yes (X)	Yes (X)	$828,209	$0	$46,693
HARTE MD BRIAN
DIRECTOR, PRESIDENT - AGMC	50.00	Yes (X)	Yes (X)	$685,417	$0	$47,011
HERZIG JOHN
DIRECTOR, SECRETARY - UHCHF	5.00	Yes (X)	Yes (X)	$0	$0	$0
HORN ROBERT A
TRUSTEE, CHAIR - UNION	5.00	Yes (X)	Yes (X)	$0	$0	$0
HUNTER ELLEN
DIRECTOR, BD CHAIR - MEDINA	3.00	Yes (X)	Yes (X)	$0	$0	$0
JAMES BRUCE
TRUSTEE, PRESIDENT - UNION	50.00	Yes (X)	Yes (X)	$450,092	$0	$37,450
JOHNSON CINDY
DIRECTOR, VICE CHAIR - AGF	5.00	Yes (X)	Yes (X)	$0	$0	$0
JONES MD J STEPHEN
DIR, PRES REG HOSPITALS	50.00	Yes (X)	Yes (X)	$309,665	$0	$33,938
KAY HARVEY
TRUSTEE, VICE CHAIR - CCCHR	3.00	Yes (X)	Yes (X)	$0	$0	$0
LAUGHLIN CRAIG B
TRUSTEE, VICE CHAIR - UNION	5.00	Yes (X)	Yes (X)	$0	$0	$0
LEE SISTER SHAWN
TRUSTEE, SEC - MARYMOUNT	3.00	Yes (X)	Yes (X)	$0	$0	$0
LERNER MARK
DIRECTOR - CCF, CHAIR - AGHS	5.00	Yes (X)	Yes (X)	$0	$0	$0
MARKS DO MICHELLE
TRUSTEE, MED DIR - CCCHR	50.00	Yes (X)	Yes (X)	$266,980	$0	$47,702
MCHUGH MD MICHAEL
TRUSTEE, MED DIR - CCCHR	50.00	Yes (X)	Yes (X)	$472,403	$0	-$84,981
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRES & CEO - CCF	50.00	Yes (X)	Yes (X)	$2,978,003	$0	$45,693
MODIC MICHAEL
DIRECTOR, PRESIDENT - KMA	50.00	Yes (X)	Yes (X)	$247,882	$0	-$67,142
MOONEY BETH E
DIR, VICE CHAIR - CCF & REGS	5.00	Yes (X)	Yes (X)	$0	$0	$0
MORRIS JAMES
PUBLIC TRUSTEE, PRES- LORD FDN	3.00	Yes (X)	Yes (X)	$0	$0	$0
MULLEN RN KAREN
PRESIDENT, DIRECTOR - VNS	50.00	Yes (X)	Yes (X)	$240,626	$0	$224,689
NAPIERKOWSKI MD DANIEL
TRUSTEE, PRES -MM & EUCLID	50.00	Yes (X)	Yes (X)	$613,698	$0	$45,760
NEVILLE JAMES R
TRUSTEE, ASST SEC - CCCHR	3.00	Yes (X)	Yes (X)	$0	$0	$0
NILSSON KEITH
DIRECTOR, CFO - CCFPS	50.00	Yes (X)	Yes (X)	$468,700	$0	$16,232
O'BRIEN TIMOTHY
TRUSTEE, BOARD CHAIR - CCCHR	3.00	Yes (X)	Yes (X)	$0	$0	$0
PAPPAS MD RITA
TRUSTEE, INTERIM PRES - CCCHR	50.00	Yes (X)	Yes (X)	$404,000	$0	$43,728
PARKER MD RICHARD
TRUSTEE, HOS PRES - HILLCREST	50.00	Yes (X)	Yes (X)	$883,783	$0	-$15,436
PEACOCK WILLIAM
DIR, COO-CCF, PRES -KMA, LRBI	50.00	Yes (X)	Yes (X)	$1,770,449	$0	$45,706
PLAZEK RONALD
DIRECTOR, TREAS - MEDINA	3.00	Yes (X)	Yes (X)	$0	$0	$0
RASMUSSEN MD PETER
DIRECTOR, PRESIDENT - CCHSPA	50.00	Yes (X)	Yes (X)	$832,428	$0	$45,455
RICE JAMES
DIRECTOR, PRESIDENT - LODI	5.00	Yes (X)	Yes (X)	$0	$0	$0
RICH ROBERT E JR
DIRECTOR, BOARD CHAIR- CCF	5.00	Yes (X)	Yes (X)	$0	$0	$0
ROWAN DAVID
DIRECTOR, SECRETARY - CCF	50.00	Yes (X)	Yes (X)	$1,631,352	$0	$46,847
RUVO LARRY
DIRECTOR, CHAIRMAN - KMA	3.00	Yes (X)	Yes (X)	$0	$0	$0
RUVO CAMILLE
DIR, VICE CHAIRMAN - KMA	3.00	Yes (X)	Yes (X)	$0	$0	$0
SABANEGH MD EDMUND
DIR, PRES, CC MAIN & REGS - CCF	50.00	Yes (X)	Yes (X)	$1,000,050	$0	$45,277
SALVATORE ALBERT N
TRUSTEE, VICE CHAIR - MM	3.00	Yes (X)	Yes (X)	$0	$0	$0
SCAMINACE JOSEPH M
DIR, BD VICE CHAIR - CCF, REGS	5.00	Yes (X)	Yes (X)	$0	$0	$0
SELBY SANDRA
DIRECTOR, CHAIR (VNS)	3.00	Yes (X)	Yes (X)	$0	$0	$0
SWIGART AGNES K
DIRECTOR, PRESIDENT - UHCHF	3.00	Yes (X)	Yes (X)	$0	$0	$0
WIEDEMANN MD HERBERT
DIR, CHIEF OF STAFF - CCF, REG	50.00	Yes (X)	Yes (X)	$985,114	$0	-$164,321
AMOS RET GEN JAMES
PUBLIC TRUSTEE - LORD FDN	3.00	Yes (X)		$0	$0	$0
ANDERSON MD MICHAEL
TRUSTEE - MARYMOUNT, PHYSICIAN	50.00	Yes (X)		$343,911	$0	$45,233
AULETTA PATRICK V
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
BALLARD REV KAREN
DIRECTOR - VNS	5.00	Yes (X)		$0	$0	$0
BARGER DO LARRY
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
BEKENY MD JAMES
TRUSTEE - LAKEWOOD, PHYSICIAN	50.00	Yes (X)		$349,914	$0	$47,309
BENNETT KRIS
DIR - AGMC, LODI, EXEC DIR REG HOSP	50.00	Yes (X)		$284,050	$0	$24,841
BENZ MICHAEL
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
BERAN JOSETTE
TRUSTEE - UNION, CHIEF STRATEGY OFF	50.00	Yes (X)		$705,281	$0	$38,377
BERNICK MD CHARLES
DIR - KMA, ASSOC MED DIR LOU RUVO CTR	50.00	Yes (X)		$317,992	$0	$190,889
BILLOW CHARLES
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
BOGAR MD KEVIN
TRUSTEE - MARYMOUNT, PHYSICIAN	50.00	Yes (X)		$601,306	$0	$46,411
BORDEN MD BRAD
TRUSTEE - CCCHR, PHYSICIAN	50.00	Yes (X)		$868,231	$0	$47,011
BRADFORD JOHN
DIRECTOR - PPG	3.00	Yes (X)		$0	$0	$0
BRAMAN DO KENNETH
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$269,826	$0	$33,839
BREAUX MD TODD
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$637,495	$0	$43,799
BROOKS MD STEVE
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$382,042	$0	$30,830
BROSKY CURTIS M
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
BROWN STEPHEN
TRUSTEE - CCCHR	3.00	Yes (X)		$0	$0	$0
CAPORALE MICHAEL
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
CARPAS JOHN
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
CHANDURKAR DO ROHIT
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$320,639	$0	$35,212
CHERKALA BRIAN
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
CHHABRA ANKIT
DIR-AGMC, LODI, EXEC DIR REG FIN OPS	50.00	Yes (X)		$290,430	$0	$25,254
CHIN JENNIFER
TRUSTEE - CCCHR	3.00	Yes (X)		$0	$0	$0
COLE ALLISON
TRUSTEE - CCCHR	3.00	Yes (X)		$0	$0	$0
CORWIN RUSSELL
DIRECTOR - MED HOSP FDN	3.00	Yes (X)		$0	$0	$0
COURY THOMAS J
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
CRAWFORD DEBORAH
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
CROUSE JAMES
DIRECTOR - VNS	3.00	Yes (X)		$0	$0	$0
CULLEY MD CARL A JR
TRUSTEE - LAKEWOOD, PHYSICIAN	50.00	Yes (X)		$179,893	$0	$32,807
CULP LAURA
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
CUMMINGS JEFFREY
DIRECTOR - KMA, PHYSICIAN	50.00	Yes (X)		$424,713	$0	$37,011
DAVIS CAROL
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
DEEDS C JASON
TRUSTEE - UNION	3.00	Yes (X)		$0	$0	$0
DEYLING MD CYNTHIA
TRUSTEE - MM, CHIEF QUALITY OFF	50.00	Yes (X)		$688,654	$0	-$39,947
DOOLING JOHN E
TRUSTEE - UNION	3.00	Yes (X)		$0	$0	$0
DOUGLASS AMY
DIRECTOR - MEDINA	3.00	Yes (X)		$0	$0	$0
DOWNING WILLIAM
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
EBERT PHD ROBERT
DIRECTOR - REGIONAL HOSPITALS	5.00	Yes (X)		$0	$0	$0
ELLIOTT SARAH
DIRECTOR - PPG	50.00	Yes (X)		$112,237	$0	$21,814
FALCONI RONALD
DIRECTOR - MEDINA	3.00	Yes (X)		$0	$0	$0
FANCHER JON REV
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
FEDELI UMBERTO P
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
FEDOROVICH RICHARD
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
FETH WILLAM
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
FETTO JULIE
TRUSTEE - UNION, CNO	50.00	Yes (X)		$213,122	$0	$15,028
FRANCO MD KATHLEEN
DIR - CCF, REG HOSPS, PHYSICIAN	50.00	Yes (X)		$280,748	$0	-$79,067
FREEMAN MD RICHARD B
TRUSTEE - LAKEWOOD, PHYSICIAN	50.00	Yes (X)		$306,712	$0	$44,576
GEIB ANNE E
TRUSTEE - UNION	3.00	Yes (X)		$0	$0	$0
GOLDSTEIN SHERRY
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
GORTON WILLIAM R
TRUSTEE - LAKEWOOD	5.00	Yes (X)		$0	$0	$0
GRAY KEVIN E
TRUSTEE - UNION	3.00	Yes (X)		$0	$0	$0
GREENE MD KATHIE
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$276,349	$0	$15,646
GRICE TERRY
DIRECTOR - MEDINA	3.00	Yes (X)		$0	$0	$0
GROSSMAN MD JORDAN
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$683,214	$0	$11,187
GRUBB MICHELLE
DIRECTOR - PPG	50.00	Yes (X)		$171,294	$0	$19,684
GUNNING DAVID
TRUSTEE - CCCHR	3.00	Yes (X)		$0	$0	$0
GUTWALD DENNIS
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
HABER KENNETH
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
HARLEY DO DOUGLAS
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$276,843	$0	$28,539
HARRIS RICHARD
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
HAYEK MD ANTHONY
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
HERSHBERGER PERRY
TRUSTEE - UNION	3.00	Yes (X)		$0	$0	$0
HOLTHAUS THERESA
DIRECTOR - AGF	50.00	Yes (X)		$200,786	$0	$27,255
HOOVER CAROLE
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
HORATTAS MD MARK
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$589,424	$0	$17,741
HUSTON WILLIAM
DIRECTOR - MEDINA	3.00	Yes (X)		$0	$0	$0
ILG ANN
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
JAROSZ SISTER MARY ALICE
TRUSTEE - MARYMOUNT	3.00	Yes (X)		$0	$0	$0
KALAFATIS LARA
DIR - KMA, CHAIR PHILANTHROPY INST	50.00	Yes (X)		$524,981	$0	$44,411
KILLORAN SISTER CAROL ANN
TRUSTEE - MARYMOUNT	3.00	Yes (X)		$0	$0	$0
KNISELY JAMES E
TRUSTEE - UNION	3.00	Yes (X)		$0	$0	$0
KOHL STEWART
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
KOHLER MD DOUGLAS
TRUSTEE - MARYMOUNT, PHYSICIAN	50.00	Yes (X)		$651,678	$0	$46,833
KOVACH RONALD A
TRUSTEE - MARYMOUNT	3.00	Yes (X)		$0	$0	$0
KRAMER RICHARD
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
KURTZ GREGORY P
TRUSTEE - MARYMOUNT	3.00	Yes (X)		$0	$0	$0
KURTZ MD WILLIAM
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$882,933	$0	$19,521
LASH-RITTER MD TERI
TRUSTEE - UNION, PHYSICIAN	50.00	Yes (X)		$283,634	$0	$43,839
LERNER NORMA
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
LINDENBERG MD JUDAH
TRUSTEE - MARYMOUNT	3.00	Yes (X)		$40,000	$0	$0
LITMAN MD GEORGE
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$131,847	$0	$2,477
LLOYD MARGARET
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
LONG JARROD
DIRECTOR - MEDINA	3.00	Yes (X)		$0	$0	$0
LOWERY DEE
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
MACDONALD WILLIAM III
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
MACHADO MD ANDRE
DIRECTOR - KMA, PHYSICIAN	50.00	Yes (X)		$1,095,711	$0	$48,411
MARKOVICH MD RENEE
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$262,257	$0	$25,113
MARKS JEANNINE
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
MATT-AMARAL MD LAURIE
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$346,904	$0	$25,616
MATTHEWS THOMAS TJ
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
MCGORRAY KATHLEEN T
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
MERRYWEATHER TIM
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
MIKSCH DONALD
DIRECTOR - MEDINA	3.00	Yes (X)		$0	$0	$0
MILLER PAMELA
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
MILLER SAMUEL H
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
MILLER-DAWSON DIANE
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
MOORE MD JEFFREY
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$178,706	$0	$2,272
MOORHEAD MD COLIN
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$511,644	$0	$36,574
MORINO MARIO
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
MOSLEY MARK
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
MUAKKASSA RIMA
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
MULROY PATRICIA
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
MURPHY JANICE
DIR - AGMC, LODI, COO	50.00	Yes (X)		$640,166	$0	$1,254
NANCE FREDERICK
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
NANN VICKY
DIRECTOR - MEDINA	3.00	Yes (X)		$0	$0	$0
O'LEARY ANTHONY
DIRECTOR - VNS	3.00	Yes (X)		$0	$0	$0
OMORI SUE
DIRECTOR - AGF	50.00	Yes (X)		$229,252	$0	$23,330
O'NEIL RORY
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
O'NEILL JOHN
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
PAPA ALAN
DIRECTOR - AGP, AGF, PPG	50.00	Yes (X)		$458,355	$0	$24,051
PARRY WILLIAM
DIRECTOR - AGF	3.00	Yes (X)		$0	$0	$0
PATTON REBECCA
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
PETIT DAN
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
PETRAS JR MICHAEL
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
PFISTER MD EUGENE
DIR- PPG, AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$332,532	$0	-$80,261
POHL PAUL M
PUBLIC TRUSTEE - LORD FDN	3.00	Yes (X)		$0	$0	$0
POLLOCK LARRY
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
POSK MD LORI
DIRECTOR - AGF, PHYSICIAN	50.00	Yes (X)		$283,478	$0	$47,011
PRINGLE JAMES J
TRUSTEE - UNION	3.00	Yes (X)		$0	$0	$0
PRITTS GARY
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
RICE RONALD
TRUSTEE - CCCHR	3.00	Yes (X)		$0	$0	$0
ROCHE DENNIS J
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
ROGICH SIGMOND
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
ROME MD ELLEN
TRUSTEE - CCCHR, PHYSICIAN	50.00	Yes (X)		$199,309	$0	$38,144
ROSE MD WARREN
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$434,391	$0	$46,686
ROSS MD RONALD J
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
RUSSELL MD REBECCA
DIRECTOR - PPG, PHYSICIAN	50.00	Yes (X)		$408,400	$0	$44,017
SAHADI LEE
DIRECTOR - PPG	50.00	Yes (X)		$127,575	$0	$22,244
SALEK ANN
DIRECTOR - MEDINA	3.00	Yes (X)		$0	$0	$0
SCOTT HAROLD LEE
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
SEVERINO MICHAEL
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
SHEERS MD TITUS
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$334,180	$0	$15,164
SHERIDAN MD CATHERINE
DIRECTOR AGF, MED HOSP FDN	50.00	Yes (X)		$211,325	$0	$37,773
SNYDER JEROME F
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
SNYDER VICKY
DIRECTOR - MED HOSP FDN	50.00	Yes (X)		$245,258	$0	$29,340
SOEHNLEN MD MICHAEL W
TRUSTEE - UNION	3.00	Yes (X)		$6,400	$0	$0
SPIRO MD TIMOTHY
DIR - CCF & REGIONALS, PHYSICIAN	50.00	Yes (X)		$663,955	$0	$44,804
STAFFORD PHD KATHY
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
STEELMAN PAUL
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
STEINBERG DAVID
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
STEVENS MARK
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
STURM ROLAND
DIRECTOR - KMA, LRBI	3.00	Yes (X)		$0	$0	$0
SWOGER DO WILLIAM V
TRUSTEE - UNION, PHYSICIAN	50.00	Yes (X)		$302,105	$0	$20,352
TABBAA MOUSAB
TRUSTEE - LAKEWOOD	3.00	Yes (X)		$0	$0	$0
TAFFER JON
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
TALMAGE MD LANCE
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$125,948	$0	$8,581
THOMPSON MD THOMAS
DIR - AGMC, LODI, PHYSICIAN	50.00	Yes (X)		$855,725	$0	-$20,465
TREIER J BRIET
DIR - AGMC, LODI	5.00	Yes (X)		$0	$0	$0
TRUNDLE SYLVIA
DIRECTOR - PPG	3.00	Yes (X)		$0	$0	$0
VEGA LORRAINE
DIRECTOR - REGIONAL HOSPITALS	5.00	Yes (X)		$0	$0	$0
WARTHER PAT A
TRUSTEE - UNION	3.00	Yes (X)		$0	$0	$0
WEBER ROBERT
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
WEINBERG RONALD
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
WEISS MORRY
DIRECTOR - CCF & REGIONALS	5.00	Yes (X)		$0	$0	$0
WEXLER NANCY
DIRECTOR - KMA	3.00	Yes (X)		$0	$0	$0
WHITE MD HAROLD
DIRECTOR - AGF, PHYSICIAN	50.00	Yes (X)		$438,037	$0	$43,675
ZEMIS MD JOSEPH
TRUSTEEE - UNION, PHYSICIAN	50.00	Yes (X)		$757,098	$0	$234,537
ALVAREZ MD BENITO
PRESIDENT - PPG, PHYSICIAN	50.00		Yes (X)	$384,109	$0	$29,205
DAVIDSON MD ELLIOT
CHAIR - PPG, PHYSICIAN	50.00		Yes (X)	$278,207	$0	$24,477
ERZURUM MD SERPIL
CCF - CHAIR, LERNER RESEARCH INST	50.00		Yes (X)	$660,650	$0	$60,017
FITZWATER TIMOTHY
VICE CHAIR - AGHS	5.00		Yes (X)	$0	$0	$0
GROOFF MD PAUL
SECRETARY - CC NY MED SVCS PC	50.00		Yes (X)	$587,876	$0	$45,586
MALONE JR MD DONALD
HOSPITAL PRESIDENT - LUTHERAN	50.00		Yes (X)	$429,997	$0	-$25,767
MCKENZIE MD MARGARET
HOSPITAL PRES - SOUTH POINTE	50.00		Yes (X)	$485,722	$0	$45,911
MEEHAN MICHAEL J
RECORDING SEC - CCF, REGIONALS	50.00		Yes (X)	$366,415	$0	-$50,187
MILLER MD CHARLIE
CHIEF MEDICAL OFFICER - CCMS	50.00		Yes (X)	$940,437	$0	$45,175
OBLANDER JASON
ASST. SEC - CCF & REGIONALS	50.00		Yes (X)	$213,359	$0	$21,244
SHEWBRIDGE MD RICHARD
HOSPITAL PRESIDENT - MEDINA	50.00		Yes (X)	$314,065	$0	$44,411
SMITH BRIAN
VICE PRESIDENT - CLINIC CARE	50.00		Yes (X)	$253,857	$0	$21,616
SMITH DO NEIL
HOSPITAL PRESIDENT - FAIRVIEW	50.00		Yes (X)	$455,156	$0	$46,147
STARCK MD REBECCA
HOSPITAL PRESIDENT - AVON	50.00		Yes (X)	$651,799	$0	$42,146
STOLLERMD JAMES
CCEF CHAIR, EDUCATION INST	50.00		Yes (X)	$556,566	$0	-$159,487
YOUNG MD JAMES P
CHIEF ACADEMIC OFF - CCF & CCEF	50.00		Yes (X)	$900,547	$0	$45,733
BAILEY DAWN
CNO - EUCLID HOSPITAL	50.00			$196,926	$0	$22,694	Yes (X)
JOHN BRUYERE
COO - SOUTH POINTE	50.00			$199,534	$0	$15,632	Yes (X)
COLLIER SUSAN
VP NURSING, CNO - HILLCREST	50.00			$267,985	$0	-$53,237	Yes (X)
GUSTER CHERIE
SR. VP AND CNO - AGMC	50.00			$280,082	$0	-$19,172	Yes (X)
KOCSIS DANA
VP NURSING & OPS LODI	50.00			$185,710	$0	$13,420	Yes (X)
KOLONICK RENEE
COO - MARYMOUNT HOSP	50.00			$247,713	$0	$16,349	Yes (X)
LEA RICHARD
COO - EUCLID HOSPITAL	50.00			$249,913	$0	$32,013	Yes (X)
MAJOR KERRY
CNO - CC FLA HEALTH SYS	50.00			$252,735	$0	$21,749	Yes (X)
MATTNER MATTHEW
COO - LUTHERAN HOSPITAL	50.00			$252,002	$0	$21,901	Yes (X)
MILLER SHEILA
CNO - SOUTH POINTE HOSP	50.00			$221,648	$0	$21,184	Yes (X)
MILLS JOHN
COO - FAIRVIEW HOSPITAL	50.00			$337,184	$0	$8,238	Yes (X)
PETER MD DAVID
VP MED AFFAIRS/CMO - AGHS	50.00			$419,833	$0	$32,213	Yes (X)
SABBAGH MARWAN
DIR LR CTR BRAIN HEALTH - CC NV	50.00			$289,781	$0	$38,134	Yes (X)
SAUER MARY
CNO -AVON	50.00			$215,418	$0	$23,782	Yes (X)
SCHUSTER JANET
CNO - LUTHERAN HOSPITAL	50.00			$209,736	$0	$24,119	Yes (X)
SMALL DEBORAH
CNO - FAIRVIEW HOSPITAL	50.00			$599,964	$0	$85,958	Yes (X)
SURI MD RAKESH
CEO CCAD	50.00			$2,083,302	$0	$180,202	Yes (X)
SVENSSON MD LARS
CHAIR HVI - CCF	50.00			$1,638,790	$0	$45,586	Yes (X)
THOBURN MARY BETH
CNO - FAIRVIEW	50.00			$206,850	$0	$21,969	Yes (X)
VIDMAR ERICK
ADMIN DIRECTOR - CC NV	50.00			$190,901	$0	$18,324	Yes (X)
ZINNER BARBARA
CNO - MARYMOUNT	50.00			$219,332	$0	$11,760	Yes (X)
COSGROVE MD DELOS
FORMER CEO - CCF	50.00			$8,718,184	$0	-$29,873		Yes (X)
NAJM MD HANI
PHYSICIAN - CCF	50.00			$1,664,215	$0	$45,911		Yes (X)
BROOKS MD PETER
PHYSICIAN - CCF	50.00			$1,378,954	$0	$224,619		Yes (X)
HUSTON ANN
CHIEF STRATEGY OFFICER - CCF	50.00			$1,348,338	$0	$40,269		Yes (X)
MARTIN MD DANIEL
CHAIR COLE EYE INSTITUTE - CCF	50.00			$1,415,256	$0	$45,553		Yes (X)
BRONSON MD DAVID
FORMER OFFICER (RETIRED)	0.00			$176,254	$0	-$500			Yes (X)
FORD MD DONALD
FORMER OFFICER	50.00			$315,676	$0	$45,165			Yes (X)
FUNK MD JONATHAN R
FORMER OFFICER	50.00			$225,113	$0	$39,083			Yes (X)
HAHN MD JOSEPH
FORMER OFFICER (RETIRED)	0.00			$148,394	$0	$0			Yes (X)
HAMILTON THOMAS
FORMER OFFICER	50.00			$445,859	$0	$27,693			Yes (X)
JUHASZ DO ROBERT
FORMER OFFICER	50.00			$302,209	$0	$43,804			Yes (X)
MCHUGH LINDA
FORMER OFFICER	50.00			$885,652	$0	$44,526			Yes (X)
NOGUERAS MD JUAN
FORMER OFFICER	50.00			$614,240	$0	-$70,821			Yes (X)
PIEDIMONTE MD GIOVANNI
FORMER OFFICER	50.00			$688,363	$0	$45,733			Yes (X)
ROSENTHAL MD RAUL
FORMER OFFICER	50.00			$823,124	$0	$40,738			Yes (X)
SLIFKO JESSICA
FORMER OFFICER	50.00			$408,447	$0	$41,444			Yes (X)
STOVER MD THOMAS
FORMER OFFICER (RETIRED)	0.00			$152,519	$0	-$48,452			Yes (X)
TULISIAK MD THOMAS
FORMER OFFICER	50.00			$302,950	$0	$45,089			Yes (X)
VANHORN AMANDA
FORMER OFFICER	50.00			$193,624	$0	$24,634			Yes (X)
ZEROSKE JOANNE
FORMER OFFICER (RETIRED)	0.00			$454,290	$0	$68,292			Yes (X)
BECK CHRIS
FORMER OFFICER	50.00			$177,024	$0	$14,136			Yes (X)
BOYD DIANA
FORMER OFFICER	50.00			$180,280	$0	$20,830			Yes (X)
CRAIG ROBERT
FORMER OFFICER	50.00			$190,974	$0	$24,816			Yes (X)
MEYERHOEFER TODD
FORMER OFFICER	50.00			$305,699	$0	$36,876			Yes (X)
SMITH DARWIN K
FORMER OFFICER	50.00			$177,991	$0	$26,585			Yes (X)
THORN III EUGENE A
FORMER OFFICER	50.00			$269,770	$0	$19,789			Yes (X)
ABDENOUR STEPHEN
FORMER KE	50.00			$602,496	$0	$21,407			Yes (X)
CARROLL DONALD
FORMER KE	50.00			$261,258	$0	$24,737			Yes (X)
EMMELHAINZ LARRY
FORMER KE	50.00			$350,634	$0	$41,208			Yes (X)
FISER DAVID
FORMER KE	50.00			$177,920	$0	$7,360			Yes (X)
FOSTER SUSAN
FORMER KE	50.00			$221,248	$0	$16,778			Yes (X)
LYTLE MD BRUCE
FORMER KE (RETIRED)	0.00			$118,200	$0	$0			Yes (X)
MUAKKASSA MD FARID
FORMER KE	50.00			$932,308	$0	$31,574			Yes (X)
RIBLEY DOUGLAS
FORMER KE	50.00			$241,967	$0	$24,212			Yes (X)
SCHMIEDEL JUSTIN
FORMER KE	50.00			$215,281	$0	$18,067			Yes (X)
WRIGHT MD DENNIS
FORMER KE	50.00			$482,974	$0	$36,186			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$86,932,256	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,539,400	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6149	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DONLEYSTURNER JOINT VENTURE
5430 WARNER RD	CLEVELAND	OH	44125	CONSTRUCTION SERVICES	$32,153,670
TURNER CONSTRUCTION
1422 EUCLID AVE STE 1400	CLEVELAND	OH	44115	CONSTRUCTION SERVICES	$31,515,709
IBM CORP
500 FIRST AVENUE	PITTSBURGH	PA	15219	INFORMATION TECHNOLOGY SYSTEMS	$27,815,289
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 121102	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SOLUTIONS	$22,252,749
CARDINAL HEALTH
PO BOX 70539	CHICAGO	IL	60673	INTEGRATED HEALTHCARE SOLUTIONS	$16,590,537

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	636	CntrctRcvdGreaterThan100KCnt
Fundraising	$19,817,106	FundraisingAmt
Related Organizations	$19,391,491	RelatedOrganizationsAmt
Government Grants	$121,520,900	GovernmentGrantsAmt
All Other Contributions	$157,259,524	AllOtherContributionsAmt
Noncash Contributions	$17,275,566	NoncashContributionsAmt
Total Contributions	$317,989,021	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	612990	$4,943,775,295	$4,943,775,295
MEDICARE/MEDICAID PAYM	921990	$3,628,464,474	$3,628,464,474
OTHER PROGRAM SERVICES	900099	$505,328,936	$498,755,707	$6,573,229
OTHER ANCILLARY SERVIC	900099	$57,655,002			$57,655,002
MANAGEMENT FEES	561000	$23,741,041	$16,598,188	$7,142,853

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,465,318	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,266,556	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$45,198,762	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,207,430,066	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,523,594	TotalRevenueColumnAmt
Exclusion	$75,523,594	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,411,159	TotalRevenueColumnAmt
Exclusion	$22,411,159	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$30,519,606	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$30,519,606	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,519,606	TotalRevenueColumnAmt
Unrelated Business Revenue	$222,824	UnrelatedBusinessRevenueAmt
Exclusion	$30,296,782	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,086,618,856	SecuritiesAmt
Other	$511,168	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,916,443,203	SecuritiesAmt
Other	$2,690,013	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$170,175,653	SecuritiesAmt
Other	-$2,178,845	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$167,996,808	TotalRevenueColumnAmt
Exclusion	$167,996,808	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,122,932	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$19,817,106	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$5,973,749	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,850,817	TotalRevenueColumnAmt
Exclusion	-$1,850,817	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$44,775	GamingGrossIncomeAmt
Gaming Direct Expenses	$31,178	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,597	TotalRevenueColumnAmt
Exclusion	$13,597	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INC ON HEDGE FUND INV	523000	$138,561,020	$138,561,020
INVESTMENT IN AFFILIAT	523000	$48,486,191	$47,243,556	$1,242,635
DERIVATIVE INCOME	525990	$689,834	$689,834

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$327,515	TotalRevenueColumnAmt
Exclusion	-$327,515	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$187,409,530	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,007,442,564	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,090,860,220	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$60,380,303	UnrelatedBusinessRevenueAmt
Exclusion	$538,213,020	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,392,489	TotalAmt
Program Services	$27,392,489	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$110,310,412	TotalAmt
Program Services	$110,310,412	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$64,866,499	TotalAmt
Program Services	$32,565,528	ProgramServicesAmt
Management And General	$32,300,971	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$11,753,727	TotalAmt
Program Services	$6,556,191	ProgramServicesAmt
Management And General	$5,197,536	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,989,645,509	TotalAmt
Program Services	$3,409,813,038	ProgramServicesAmt
Management And General	$571,702,767	ManagementAndGeneralAmt
Fundraising	$8,129,704	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$235,852,347	TotalAmt
Program Services	$201,551,487	ProgramServicesAmt
Management And General	$33,796,847	ManagementAndGeneralAmt
Fundraising	$504,013	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$467,089,136	TotalAmt
Program Services	$399,254,937	ProgramServicesAmt
Management And General	$66,932,300	ManagementAndGeneralAmt
Fundraising	$901,899	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$263,996,047	TotalAmt
Program Services	$225,603,763	ProgramServicesAmt
Management And General	$37,829,745	ManagementAndGeneralAmt
Fundraising	$562,539	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,657,082	TotalAmt
Program Services	$6,559,848	ProgramServicesAmt
Management And General	$1,097,234	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,586,052	TotalAmt
Program Services	$9,925,810	ProgramServicesAmt
Management And General	$1,660,242	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,667,541	TotalAmt
Management And General	$2,667,541	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$29,216,930	TotalAmt
Management And General	$29,216,930	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$454,579,438	TotalAmt
Program Services	$388,011,939	ProgramServicesAmt
Management And General	$65,139,703	ManagementAndGeneralAmt
Fundraising	$1,427,796	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$37,507,369	TotalAmt
Program Services	$32,100,054	ProgramServicesAmt
Management And General	$5,374,680	ManagementAndGeneralAmt
Fundraising	$32,635	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$129,690,963	TotalAmt
Program Services	$110,738,434	ProgramServicesAmt
Management And General	$18,584,278	ManagementAndGeneralAmt
Fundraising	$368,251	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$103,145,571	TotalAmt
Program Services	$88,363,558	ProgramServicesAmt
Management And General	$14,780,413	ManagementAndGeneralAmt
Fundraising	$1,600	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$2,865,559	TotalAmt
Program Services	$2,454,934	ProgramServicesAmt
Management And General	$410,625	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$177,720,734	TotalAmt
Program Services	$152,253,951	ProgramServicesAmt
Management And General	$25,466,783	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$29,793,234	TotalAmt
Program Services	$25,136,912	ProgramServicesAmt
Management And General	$4,269,270	ManagementAndGeneralAmt
Fundraising	$387,052	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,730,994	TotalAmt
Program Services	$10,678,329	ProgramServicesAmt
Management And General	$1,824,309	ManagementAndGeneralAmt
Fundraising	$228,356	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$128,306,481	TotalAmt
Program Services	$109,920,594	ProgramServicesAmt
Management And General	$18,385,887	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$488,502,009	TotalAmt
Program Services	$418,471,121	ProgramServicesAmt
Management And General	$70,000,693	ManagementAndGeneralAmt
Fundraising	$30,195	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$75,923,554	TotalAmt
Program Services	$65,043,964	ProgramServicesAmt
Management And General	$10,879,590	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,826,285,207	$1,826,275,281	$9,926
BAD DEBT EXPENSE	$298,676,788	$298,676,788
EQUIPMENT RENTAL & MAIN	$162,576,399	$139,246,526	$33,222	$23,296,651
STATE FRANCHISE FEE	$83,111,634	$83,111,634

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$88,556,787	TotalAmt
Program Services	$80,602,030	ProgramServicesAmt
Management And General	$7,891,082	ManagementAndGeneralAmt
Fundraising	$63,675	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,325,282,744	TotalAmt
Program Services	$8,262,270,719	ProgramServicesAmt
Management And General	$1,048,706,077	ManagementAndGeneralAmt
Fundraising	$14,305,948	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$239,024,747	BOYAmt
EOY	$471,328,199	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,825,398	BOYAmt
EOY	$8,798,503	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$232,819,377	BOYAmt
EOY	$256,146,814	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,103,257,045	BOYAmt
EOY	$1,206,990,329	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$119,467,957	BOYAmt
EOY	$29,577,317	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$142,845,475	BOYAmt
EOY	$161,698,677	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$54,433,244	BOYAmt
EOY	$71,010,579	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$9,707,729,248	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,005,291,217	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,351,750,235	BOYAmt
EOY	$4,702,438,031	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,891,749,409	BOYAmt
EOY	$5,500,810,028	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$235,035,977	BOYAmt
EOY	$260,173,925	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$92,910,123	BOYAmt
EOY	$94,494,376	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$615,718,300	BOYAmt
EOY	$670,875,555	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,770,696,785	BOYAmt
EOY	$16,108,542,205	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,042,651,965	BOYAmt
EOY	$1,133,378,819	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$103,158,113	BOYAmt
EOY	$92,550,936	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,496,728,541	BOYAmt
EOY	$3,428,380,347	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,442,126	BOYAmt
EOY	$105,026,322	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$266,053,099	BOYAmt
EOY	$208,794,598	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,340,588,593	BOYAmt
EOY	$1,386,015,890	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,251,069,660	BOYAmt
EOY	$6,354,600,176	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,507,784,082	BOYAmt
EOY	$8,688,038,334	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$673,017,416	BOYAmt
EOY	$690,297,740	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$338,825,627	BOYAmt
EOY	$375,605,955	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,519,627,125	BOYAmt
EOY	$9,753,942,029	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,770,696,785	BOYAmt
EOY	$16,108,542,205	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$682,159,820	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$540,896,510	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$24,441	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$93,027,153	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$301,428,141	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$284,947,202	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$302,252,529	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$297,153,216	CurrentTaxYearMinus1YearAmt
Current Tax Year	$317,989,021	CurrentTaxYearAmt
Total	$1,503,770,109	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$301,428,141	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$284,947,202	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$302,252,529	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$297,153,216	CurrentTaxYearMinus1YearAmt
Current Tax Year	$317,989,021	CurrentTaxYearAmt
Total	$1,503,770,109	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$1,503,770,109	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$108,430,890	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$109,699,336	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$124,406,638	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$160,820,856	CurrentTaxYearMinus1YearAmt
Current Tax Year	$128,454,359	CurrentTaxYearAmt
Total	$631,812,079	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$398,836	CurrentTaxYearMinus3YearsAmt
Current Tax Year	$1,686,203	CurrentTaxYearAmt
Total	$2,085,039	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$103,974,870	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$115,282,299	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$104,055,964	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$127,186,173	CurrentTaxYearMinus1YearAmt
Current Tax Year	$187,750,642	CurrentTaxYearAmt
Total	$638,249,948	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,775,917,175	TotalSupportAmt
Gross Receipts Rltd Activities	$9,090,860,220	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.54170	PublicSupportCY170Pct
Public Support PY170	0.53180	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	INCOME LOSS ON INVESTMENTS - 2014 AMOUNT: $ 103,825,473. 2015 AMOUNT: $ 70,959,640. 2016 AMOUNT: $ 103,453,582. 2017 AMOUNT: $ 126,762,607. 2018 AMOUNT: $ 138,561,020. FOREIGN CURRENCY - 2015 AMOUNT: $ 610,292. 2016 AMOUNT: $ 73,310. 2017 AMOUNT: $ 273,145. INCOME FROM FUNDRAISING/GAMING EVENTS - 2014 AMOUNT: $ 131,772. 2016 AMOUNT: $ 397,995. 2018 AMOUNT: $ 13,597. MISCELLANEOUS INCOME - 2014 AMOUNT: $ 17,625. DERIVATIVE INCOME - 2018 AMOUNT: $ 689,834. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,292. 2016 AMOUNT: $ 131,077. 2017 AMOUNT: $ 150,421. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. 2018 AMOUNT: $ 48,486,191.
PART I, PUBLIC CHARITY STATUS	WHILE THE LARGEST NUMBER OF ORGANIZATIONS ARE CLASSIFIED AS HOSPITALS UNDER IRS SECTION 509(A)(1) AND IRS SECTION 170(B)(1)(A)(III), ALL OF THE ORGANIZATIONS MAINTAIN PUBLIC CHARITY STATUS PURSUANT TO IRS SECTION 509(A).
PART I, LINE 12	PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, THE FOLLOWING INFORMATION FOR PARTS 12A-12G IS BEING PROVIDED. LINE 12E THE 509(A)(3) SUBORDINATES INCLUDED IN THIS GROUP RETURN ARE ALL RECOGNIZED AS TYPE I SUPPORTING ORGANIZATIONS UNDER THE CLEVELAND CLINIC FOUNDATION'S GROUP EXEMPTION. LINE 12F THE TOTAL NUMBER OF SUPPORTED ORGANIZATIONS: 5 LINE 12G THE FOLLOWING INFORMATION IS PROVIDED ABOUT THE SUPPORTED ORGANIZATIONS: NAME OF SUPPORTED ORGANIZATION, EIN, TYPE OF ORGANIZATION DESCRIBED IN LINES 1-9 OF SCHEDULE A PART I, WHETHER THE SUPPORTED ORGANIZATION IS LISTED IN THE GOVERNING DOCUMENTS OF THE SUPPORTING ORGANIZATION, AND AMOUNT OF MONETARY SUPPORT. THE CLEVELAND CLINIC FOUNDATION, 34-0714585, 3, YES, PLEASE SEE NARRATIVE IN PART VI, SECTION A, LINE 1 FOR EXCEPTIONS, $0. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, 34-0714570, 3, YES, $0. CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION, 34-0714593, 3, YES, $0. AKRON GENERAL MEDICAL CENTER, 34-0714478, 3, YES, $0. THE UNION HOSPITAL ASSOCIATION, 34-0714771, 3, YES, $0.
PART IV, SECTION A AND SECTION B	PURSUANT TO THE INSTRUCTIONS, THE FOLLOWING INFORMATION FOR SECTIONS A AND B IS BEING PROVIDED: PART IV -SECTION A - LINE 1 - THERE ARE 2 SUPPORTING ORGANIZATIONS THAT DO NOT LIST THE SUPPORTED ORGANIZATION IN IT'S GOVERNING DOCUMENTS. INSTEAD, THE GOVERNING DOCUMENTS INDICATE THAT IF THE ENTITY WERE TO DISSOLVE, THE SUPPORTED ORGANIZATION WOULD CONTROL THE ASSETS OF THE SUPPORTING ORGANIZATION. PART IV -SECTION A - LINE 2 - THERE IS 1 ORGANIZATION THAT SUPPORTS OTHER 509(A)(3) SUPPORTING ORGANIZATIONS WHOSE PURPOSE IS TO SUPPORT 509(A)(1) ORGANIZATIONS. PART IV -SECTION A - LINE 6 - THERE ARE 4 SUPPORTING ORGANIZATIONS THAT PROVIDED SUPPORT TO OTHER ORGANIZATIONS EXEMPT UNDER 501(C)(3) THAT WERE NOT LISTED IN THE SUPPORTING ORGANIZATION'S GOVERNING DOCUMENTS. THIS INCLUDED SUPPORT TO ORGANIZATIONS SUCH AS LOCAL HOSPITALS, MEDICAL/HEALTH ASSOCIATIONS, AND OTHER ORGANIZATIONS THAT BENEFIT THE LOCAL COMMUNITIES. ALL OTHER QUESTIONS IN PART IV OF SECTION A ARE ANSWERED EITHER "NO OR "N/A" FOR ALL OF THE SUPPORTING ORGANIZATIONS IN THE GROUP. PART IV -SECTION B - LINE 1 - YES PART IV - SECTION B - LINE 2 - NO

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Total Easements	3	TotalEasementsCnt
Total Acreage	55.25	TotalAcreageCnt
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	0	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	2	StatesEasementsHeldCnt
Written Policy Monitoring	Yes (1)	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	75.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$12,000	ExpensesIncurredEnforcementAmt

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$381,810,007	BeginningYearBalanceAmt
Contributions	$17,655,756	ContributionsAmt
Investment Earnings Or Losses	-$5,582,019	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,748,267	OtherExpendituresAmt
End Year Balance	$388,135,477	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$324,551,580	BeginningYearBalanceAmt
Contributions	$22,185,007	ContributionsAmt
Investment Earnings Or Losses	$40,398,300	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,324,880	OtherExpendituresAmt
End Year Balance	$381,810,007	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$295,878,858	BeginningYearBalanceAmt
Contributions	$20,199,629	ContributionsAmt
Investment Earnings Or Losses	$15,766,204	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,293,111	OtherExpendituresAmt
End Year Balance	$324,551,580	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$279,608,818	BeginningYearBalanceAmt
Contributions	$25,049,027	ContributionsAmt
Investment Earnings Or Losses	-$993,841	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,785,146	OtherExpendituresAmt
End Year Balance	$295,878,858	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$260,375,637	BeginningYearBalanceAmt
Contributions	$11,532,981	ContributionsAmt
Investment Earnings Or Losses	$15,823,388	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,123,189	OtherExpendituresAmt
End Year Balance	$279,608,818	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$268,846,055	OtherCostOrOtherBasisAmt
Book Value	$268,846,055	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,393,888,927	OtherCostOrOtherBasisAmt
Depreciation	$2,739,083,265	DepreciationAmt
Book Value	$2,654,805,662	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$182,589,502	OtherCostOrOtherBasisAmt
Depreciation	$123,843,935	DepreciationAmt
Book Value	$58,745,567	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,019,161,692	OtherCostOrOtherBasisAmt
Depreciation	$2,062,495,590	DepreciationAmt
Book Value	$956,666,102	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$843,243,072	OtherCostOrOtherBasisAmt
Depreciation	$79,868,427	DepreciationAmt
Book Value	$763,374,645	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,702,438,031	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$1,328,128,291	F
PRIVATE EQUITY	$854,630,963	F
REAL ESTATE	$483,996,365	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,666,755,619	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$385,520	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DEFERRED ANNUITY TRUST	$1,033,697
OTHER LIABILITIES	$301,780,441
FUTURE GIFT ANNUITY PAYMENTS	$10,653,924
INTEREST RATE SWAPS	$110,862,741
ACCRUED PENSION	$684,098,394
ACCRUED BENEFITS	$188,401,371
DUE TO AFFILIATES	$88,799,802

Field	Value	IRS element (for citing)
Total Liability	$1,386,015,890	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 9:	THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO THREE WETLANDS LOCATED ON THE CLEVELAND CLINIC HEALTH SYSTEM'S PROPERTY IN TWINSBURG, OHIO, AVON, OHIO AND WESTON, FLORIDA. 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 CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES 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 STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (22 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA & THE CARIBBEAN	0	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$2,120,000
NORTH AMERICA	0	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$42,734,000
EUROPE	1	13	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$223,016,000
MIDDLE EAST & NORTH AFRICA	1	56	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$3,387,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	$2,000
SOUTH AMERICA	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	$43,000
EAST ASIA & THE PACIFIC	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	$25,000
EUROPE	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	$25,000
NORTH AMERICA	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	$9,000
MIDDLE EAST & NORTH AFRICA	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	$79,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	FUNDRAISING
EAST ASIA & THE PACIFIC	0	0	FUNDRAISING		$21,000
EUROPE	0	0	FUNDRAISING		$73,000
MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING		$27,000
NORTH AMERICA	0	0	FUNDRAISING
SOUTH AMERICA	0	0	FUNDRAISING		$7,000
SOUTH ASIA	0	0	FUNDRAISING
SUB-SAHARAN AFRICA	0	0	FUNDRAISING
EUROPE	0	0	INVESTING		$254,613,000
NORTH AMERICA	0	0	INVESTING		$60,182,000
SUB-SAHARAN AFRICA	0	0	INVESTING		$16,241,000
CENTRAL AMERICA & THE CARIBBEAN	0	0	INVESTING		$1,830,814,000

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Subtotal Employees	69	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	69	TotalEmployeeCnt
Subtotal Spent	$271,352,000	SubtotalSpentAmt
Continuation Spent	$2,162,066,000	ContinuationSpentAmt
Total Spent	$2,433,418,000	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (16 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
NORTH AMERICA	RESEARCH	$35,720	CHECK	$0
EUROPE	RESEARCH	$20,000	CHECK	$0
EUROPE	RESEARCH	$62,001	CHECK	$0
CENTRAL AMERICA & THE CARIBBEAN	RESEARCH	$19,200	CHECK	$0
NORTH AMERICA	RESEARCH	$12,500	CHECK	$0
SOUTH AMERICA	RESEARCH	$11,850	CHECK	$0
EUROPE	RESEARCH	$60,858	CHECK	$0
EAST ASIA & THE PACIFIC	RESEARCH	$54,312	CHECK	$0
NORTH AMERICA	RESEARCH	$17,005	CHECK	$0
SOUTH AMERICA	RESEARCH	$59,501	CHECK	$0
SUB SAHARAN AFRICA	RESEARCH	$8,700	CHECK	$0
EUROPE	RESEARCH	$8,000	CHECK	$0
SOUTH AMERICA	RESEARCH	$12,394	CHECK	$0
NORTH AMERICA	RESEARCH	$354,605	CHECK	$0
NORTH AMERICA	RESEARCH	$57,982	CHECK	$0
EUROPE	RESEARCH	$100,000	CHECK	$0

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

Foreign Individuals Grants ForeignIndividualsGrantsGrp (10 entries)

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

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 2:

A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS.

PART I, LINE 3:

THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES.

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
BLACKBAUD
11501 DOMAIN DR STE 200	AUSTIN	TX	78758	ONLINE GIVING	0	$3,500,665	$306,625	$3,194,040
RR DONNELLEY
35 W WACKER DRIVE	CHICAGO	IL	60601	DIRECT MAIL	0	$1,515,911	$547,804	$968,107
CLASSY
350 TENTH AVENUE STE 1300	SAN DIEGO	CA	92101	ONLINE FUNDRAISING	0	$748,574	$21,268	$727,306
TSM DONOR ENGAGEMENT TEAM INC
155 COMMERCE DRIVE	FREEDOM	PA	15042	PHONE SOLICITATION	0	$352,889	$749,028	-$396,139

Field	Value	IRS element (for citing)
Total Gross Receipts	$6,118,039	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,624,725	TotalRetainedByContractorsAmt
Total Net To Organization	$4,493,314	TotalNetToOrganizationAmt
Licensed States	AK	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	KEEP MEMORY ALIVE GALA	Event1Nm
Gross Receipts Event1	$12,774,647	GrossReceiptsEvent1Amt
Charitable Contri Event1	$11,029,847	CharitableContriEvent1Amt
Gross Revenue Event1	$1,744,800	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$849,546	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$552,482	FoodAndBeverageEvent1Amt
Entertainment Event1	$119,966	EntertainmentEvent1Amt
Other Direct Expenses Event1	$1,177,211	OtherDirectExpensesEvent1Amt
Event2	VELOSANO	Event2Nm
Gross Receipts Event2	$5,685,293	GrossReceiptsEvent2Amt
Charitable Contri Event2	$4,513,293	CharitableContriEvent2Amt
Gross Revenue Event2	$1,172,000	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$204,950	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$122,296	FoodAndBeverageEvent2Amt
Entertainment Event2	$59,908	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,036,131	OtherDirectExpensesEvent2Amt
Other Events Total	14	OtherEventsTotalCnt
Gross Receipts Other Events	$5,480,098	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$4,273,966	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$1,206,132	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$989	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$21,031	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$73,704	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$688,211	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$102,901	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$964,423	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$23,940,038	GrossReceiptsTotalAmt
Charitable Contributions Tot	$19,817,106	CharitableContributionsTotAmt
Gross Revenue Total Events	$4,122,932	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$989	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$21,031	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$1,128,200	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,362,989	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$282,775	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$3,177,765	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$5,973,749	DirectExpenseSummaryEventsAmt
Net Income Summary	-$1,850,817	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$44,775	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$10,000	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$21,178	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$44,775	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$10,000	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$21,178	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$31,178	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$13,597	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	OH	StatesWhereGamingConductedCd
Licensed	0	LicensedInd
Explanation If No	THE STATE OF OHIO DOES NOT REQUIRE A LICENSE FOR A RAFFLE CONDUCTED BY AN IRC SECTION 501(C)(3) ORGANIZATION.	ExplanationIfNoTxt
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	ROBERT F WAITKUS	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

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

Field	Value	IRS element (for citing)
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,043,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$111,043,620	NetCommunityBenefitExpnsAmt
Total Expense	0.01220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,136,374,684	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$697,667,628	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$438,707,056	NetCommunityBenefitExpnsAmt
Total Expense	0.04830	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,247,418,304	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$697,667,628	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$549,750,676	NetCommunityBenefitExpnsAmt
Total Expense	0.06050	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,739,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$207,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,532,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$345,641,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,703,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$282,938,164	NetCommunityBenefitExpnsAmt
Total Expense	0.03110	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,410,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,684,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,726,835	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$243,460,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$165,736,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,724,245	NetCommunityBenefitExpnsAmt
Total Expense	0.00860	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,446,667	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$446,377	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,000,290	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$740,699,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$320,777,382	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$419,921,738	NetCommunityBenefitExpnsAmt
Total Expense	0.04620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,988,117,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,018,445,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$969,672,414	NetCommunityBenefitExpnsAmt
Total Expense	0.10670	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,253	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,253	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$399,947	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$399,947	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,776	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,776	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,831	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,805	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,805	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,927	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,927	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500,539	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500,539	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$299,642,222	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,310,083,340	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,339,394,525	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$29,311,185	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 AKRON SURGICAL ASSOCIATES LLC
SURGICAL SERVICES	0.51000	0.49000
2 TUSCARAWAS AMBULATORY SURGERY CENTER LLC
AMBULATORY SURGERY CENTER	0.70000	0.30000

Field	Value	IRS element (for citing)
Hospital Facilities	21	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (21 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd	Address Line2USAddress/AddressLine2Txt
THE CLEVELAND CLINIC FOUNDATION
1	9500 EUCLID AVENUE	CLEVELAND	OH	44195	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1151AHR	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
AKRON GENERAL MEDICAL CENTER
2	1 AKRON GENERAL AVENUE	AKRON	OH	44307	WWW.CLEVELANDCLINIC.ORG	OHIO STATE ID 1276AHR	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
FAIRVIEW HOSPITAL
3	18101 LORAIN AVENUE	CLEVELAND	OH	44111	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1145AHR	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
HILLCREST HOSPITAL
4	6780 MAYFIELD ROAD	MAYFIELD HEIGHTS	OH	44124	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1019AHR	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
CLEVELAND CLINIC FLORIDA HEALTH SYSTEM
5	2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	WWW.CLEVELANDCLINIC.ORG	FL LICENSE NUMBER 4299	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
MARYMOUNT HOSPITAL
6	12300 MCCRACKEN	GARFIELD HEIGHTS	OH	44125	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1136AHR	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
CLEVELAND CLINIC AVON HOSPITAL
7	33300 CLEVELAND CLINIC BOULEVARD	AVON	OH	44011	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1531	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)
THE UNION HOSPITAL ASSOCIATION
8	659 BOULEVARD	DOVER	OH	44622	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1285AHR	Yes (X)	Yes (X)				Yes (X)
MEDINA HOSPITAL
9	1000 E WASHINGTON STREET	MEDINA	OH	44256	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1236AHR	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
SOUTH POINTE HOSPITAL
10	20000 HARVARD ROAD	WARRENSVILLE HTS	OH	44122	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1297AHR	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
LUTHERAN HOSPITAL
11	1730 WEST 25TH STREET	CLEVELAND	OH	44113	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1149AHR	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
EUCLID HOSPITAL
12	18901 LAKESHORE BOULVARD	EUCLID	OH	44119	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1133AHR	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
CLEV CLINIC CHILDREN'S HOSP FOR REHAB
13	2801 MARTIN LUTHER KING DRIVE	CLEVELAND	OH	44104	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 0153RF	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		A
LODI COMMUNITY HOSPITAL
14	225 ELYRIA STREET	LODI	OH	44254	WWW.CLEVELANDCLINIC.ORG	OHIO STATE ID 1234AHR	Yes (X)	Yes (X)				Yes (X)	A	Yes (X)
SELECT SPECIALTY - FAIRHILL
15	11900 FAIRHILL ROAD	CLEVELAND	OH	44195	WWW.SELECTMEDICAL.COM	OH STATE ID 1468	Yes (X)						B
SELECT SPECIALTY - REGENCY WEST
16	6990 ENGLE ROAD	MIDDLEBURG HEIGHTS	OH	44130	WWW.SELECTMEDICAL.COM	OH STATE ID 1478	Yes (X)						B
CLEVELAND CLINIC REHABILITATION - ESR
17	4389 MEDINA ROAD	COPLEY	OH	44321	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1905	Yes (X)						C
CLEVELAND CLINIC REHAB - BEACHWOOD
18	3025 SCIENCE PARK DRIVE	BEACHWOOD	OH	44012	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1906	Yes (X)						C
SELECT SPECIALTY - REGENCY EAST
19	4200 INTERCHANGE CORPORATE CENTER	WARRENSVILLE HEIGHTS	OH	44128	WWW.SELECTMEDICAL.COM	OH STATE ID 1479	Yes (X)						B		ROAD
CLEVELAND CLINIC REHABILITATION-AVON
20	33355 HEALTH CAMPUS BOULEVARD	AVON	OH	44011	WWW.CLEVELANDCLINIC.ORG	OHIO STATE ID 1522AHR	Yes (X)						B
SELECT SPECIALTY - GATEWAY
21	2351 E 22ND STREET	CLEVELAND	OH	44115	WWW.SELECTMEDICAL.COM	OH STATE ID 1431	Yes (X)						B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	No Emergency CareNoEmergencyCareInd	Look Back MedicareLookBackMedicareInd	Look Back Medicare PrivateLookBackMedicarePrivateInd
FACILITY REPORTING GROUP - A
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (1)	17	Yes (1)	WWW.CLEVELANDCLINIC.ORG	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
CLEVELAND CLINIC AVON HOSPITAL
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (1)	18	Yes (1)	WWW.CLEVELANDCLINIC.ORG	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)		0	0	7	Yes (X)
REPORTING GROUP B
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (1)	18	Yes (1)	WWW.CLEVELANDCLINIC.ORG	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)			0		0	0			Yes (X)	Yes (X)
REPORTING GROUP C
Yes (1)	Yes (1)	0																						0	Yes (1)	Yes (X)	250.000000000000	400.000000000000		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)			0		0	0		Yes (X)	Yes (X)
THE UNION HOSPITAL ASSOCIATION
0	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (1)	16	Yes (1)	WWW.CLEVELANDCLINIC.ORG	0	Yes (1)	Yes (X)	100.000000000000	200.000000000000		Yes (X)	Yes (X)			Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	WWW.CLEVELANDCLINIC.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)		0	0	8				Yes (X)

Supplemental Information SupplementalInformationGrp (127 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 2: IN APRIL 2018, THE CLEVELAND CLINIC FOUNDATION THROUGH A SUBSIDIARY BECAME THE SOLE MEMBER OF THE UNION HOSPITAL ASSOCIATION (UNION HOSPITAL").
CLEVELAND CLINIC AVON HOSPITAL	PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS. 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. THE INTERVIEWS WERE GUIDED BY A STRUCTURED PROTOCOL THAT FOCUSED ON IDENTIFYING SIGNIFICANT COMMUNITY HEALTH NEEDS AND WHY SUCH NEEDS ARE PRESENT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
THE UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: UNION HOSPITAL IS A MEMBER OF "HEALTHY TUSC," A COLLABORATION OF HEALTHCARE AND COMMUNITY BASED AGENCIES. HEALTHY TUSC OVERSAW AND CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE RESULTS OF THAT ASSESSMENT PROVIDED THE DATA NECESSARY OF UNION HOSPITAL TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. IN CONDUCTING THE CHNA, HEALTHY TUSC CREATED A PANEL WHICH INCLUDED REPRESENTATIVES FROM UNITED WAY, LOCAL FAMILY PHYSICIANS, DENTISTS, MENTAL HEALTH AND ADDICTION COUNSELORS FROM THE ALCOHOL, DRUG, ADDICTION AND MENTAL HEALTH SERVICES ("ADAMHS") BOARD, REPRESENTATIVES FROM THE LOCAL SCHOOL DISTRICTS, REPRESENTATIVES FROM COUNTY AND CITY HEALTH DEPARTMENTS, LOCAL YMCA LEADERS, AND HOSPITAL LEADERS. BASED ON THESE DISCUSSIONS, A SURVEY WAS DEVELOPED AND SENT TO MEMBERS OF THE COMMUNITY, INCLUDING MINORITIES AND UNDERSERVED POPULATIONS. THE PANEL MET TO DISCUSS AND RANK THE FINDINGS FROM THE SURVEY RESULTS. THIS PANEL MET AND DISCUSSED THE SURVEY FINDINGS THROUGHOUT 2015.
CLEVELAND CLINIC AVON HOSPITAL	PART V, SECTION B, LINE 6A: CLEVELAND CLINIC AVON HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HOSPITALS AND CLEVELAND CLINIC - SELECT MEDICAL HOSPITALS, INCLUDING: CLEVELAND CLINIC MAIN CAMPUS, CLEVELAND CLINIC CHILDREN'S, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, AKRON GENERAL MEDICAL CENTER, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL INC., MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, THE UNION HOSPITAL ASSOCIATION, CLEVELAND CLINIC FLORIDA, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF EAST CLEVELAND, AND REGENCY HOSPITAL OF WEST CLEVELAND.
THE UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH TRINITY TWIN CITY HOSPITAL, AN UNRELATED ENTITY.
THE UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6B: HEALTHY TUSC, TUSCARAWAS COUNTY HEALTH DEPARTMENT, NEW PHILADELPHIA HEALTH DEPARTMENT, ADAMHS BOARD, TUSCARAWAS COUNTY SENIOR CENTER, UNITED WAY OF TUSCARAWAS COUNTY
CLEVELAND CLINIC AVON HOSPITAL	PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; WELLNESS, AND ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS. CLEVELAND CLINIC 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 AVON HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC AVON HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, AND LOWER CRIME RATES).CLEVELAND CLINIC AVON HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CLEVELAND CLINIC AVON HOSPITAL 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 UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: THE UNION HOSPITAL ASSOCIATION'S (UNION") COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ADULT AND YOUTH OBESITY, ADULT AND YOUTH MENTAL HEALTH AND BULLYING, YOUTH SUBSTANCE ABUSE, AND ACCESS TO DENTAL CARE AS THE COMMUNITY TOP HEALTH NEEDS. UNION'S IMPLEMENTATION STRATEGY FOR ADDRESSING THESE NEEDS CAN BE SUMMARIZED AS FOLLOWS: DECREASE OBESITY 1) BY INCORPORATING OHIO HOSPITAL ASSOCIATION HEALTHY EATING GUIDELINES INTO UNION'S EXISTING NUTRITION OUTREACH PROGRAM 2) EXTEND UNION'S COMMUNITY HEALTH AND WELLNESS PROGRAM THROUGH COLLABORATION WITH COMMUNITY PARTNERS. THE PROGRAM INCLUDES BLOOD SCREENING EVENTS. MENTAL HEALTH AND BULLYING - UNION'S BEHAVIORAL HEALTH CENTER CONTINUES TO LEVERAGE ITS EFFORTS THROUGH THE USE OF SOCIAL WORKERS AND SUPPORTS SCHOOL BASED PROGRAMS TO STOP BULLYING. SUCH SUPPORT INCLUDES CREDENTIALED PERSONNEL WORKING WITH THESE PROGRAMS. DECREASE SUBSTANCE ABUSE - UNION PROVIDES A SMOKING CESSATION PROGRAM WITH A CERTIFIED TOBACCO SPECIALIST. UNION DOES NOT OFFER ANY OTHER SPECIFIC SUBSTANCE ABUSE PROGRAMS BUT DOES REFER THOSE IN NEED TO AREA PROVIDERS SPECIALIZING IN SUCH ASSISTANCE. UNION DOES NOT HAVE A DENTAL PROGRAM BUT DOES SUPPORT AREA PROVIDERS SPECIALIZING IN SUCH ASSISTANCE.
CLEVELAND CLINIC AVON HOSPITAL	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.
CLEVELAND CLINIC AVON HOSPITAL	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.
CLEVELAND CLINIC AVON HOSPITAL	PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
CLEVELAND CLINIC AVON HOSPITAL	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 1: THE CLEVELAND CLINIC FOUNDATION, - FACILITY 3: FAIRVIEW HOSPITAL, - FACILITY 4: HILLCREST HOSPITAL, - FACILITY 5: CLEVELAND CLINIC FLORIDA HEALTH SYSTEM, - FACILITY 6: MARYMOUNT HOSPITAL, - FACILITY 10: SOUTH POINTE HOSPITAL, - FACILITY 11: LUTHERAN HOSPITAL, - FACILITY 9: MEDINA HOSPITAL, - FACILITY 12: EUCLID HOSPITAL, - FACILITY 13: CLEV CLINIC CHILDREN'S HOSP FOR REHAB, - FACILITY 14: LODI COMMUNITY HOSPITAL, - FACILITY 2: AKRON GENERAL MEDICAL CENTER
GROUP A-FACILITY 1 -- 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.
GROUP A-FACILITY 1 -- 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, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 1 -- 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.
GROUP A-FACILITY 1 -- 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.
GROUP A-FACILITY 1 -- 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.
GROUP A-FACILITY 1 -- 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 CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 1 -- 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.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL 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 D OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 6A:	FAIRVIEW HOSPITAL 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, THE CLEVELAND CLINIC FOUNDATION, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. FAIRVIEW HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL 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.FAIRVIEW HOSPITAL 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 FAIRVIEW HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.FAIRVIEW HOSPITAL 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).FAIRVIEW HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH FAIRVIEW HOSPITAL 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.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL 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.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL 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.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL 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.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL 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 C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 6A:	HILLCREST HOSPITAL 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, THE CLEVELAND CLINIC FOUNDATION, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. HILLCREST HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL 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.HILLCREST HOSPITAL 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 HILLCREST HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.HILLCREST HOSPITAL 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).HILLCREST HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH HILLCREST HOSPITAL 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.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL 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.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL 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.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL 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.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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 C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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, AND THE CLEVELAND CLINIC FOUNDATION. CLEVELAND CLINIC FLORIDA HEALTH SYSTEM ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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 FLORIDA HEALTH SYSTEM 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 FLORIDA HEALTH SYSTEM CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC FLORIDA HEALTH SYSTEM CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTH CARE. ALTHOUGH IT IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO THE 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 DONATIONS OF TIME, SKILL AND/OR SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.CHRONIC DISEASE AND OTHER HEALTH CONDITIONS - POOR BIRTH OUTCOMES - CLEVELAND CLINIC FLORIDA HEALTH SYSTEM DOES NOT OFFER OBSTETRICS SERVICES AT ITS HOSPITAL IN WESTON, AND IS THEREFORE UNABLE TO ADDRESS THE POOR BIRTH OUTCOMES NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. CLEVELAND CLINIC FLORIDA HEALTH SYSTEM REFERS ITS PATIENTS TO OTHER LOCAL FACILITIES FOR OBSTETRICS CARE.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC FLORIDA HEALTH SYSTEM CAMPUS HOSPITAL 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.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL 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 C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 6A:	MARYMOUNT HOSPITAL 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, THE CLEVELAND CLINIC FOUNDATION, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. MARYMOUNT HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL 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.MARYMOUNT HOSPITAL 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 MARYMOUNT HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.MARYMOUNT HOSPITAL 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).MARYMOUNT HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH MARYMOUNT HOSPITAL 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.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL 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.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL 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.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL 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.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL 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 C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 6A:	SOUTH POINTE HOSPITAL 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, THE CLEVELAND CLINIC FOUNDATION, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. SOUTH POINTE HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL 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.SOUTH POINTE HOSPITAL 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 SOUTH POINTE HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SOUTH POINTE HOSPITAL 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).SOUTH POINTE HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SOUTH POINTE HOSPITAL 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.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL 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.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL 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.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL 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.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL 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 C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL PART V, SECTION B, LINE 6A:	EUCLID HOSPITAL 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, THE CLEVELAND CLINIC FOUNDATION, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. EUCLID HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL 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.EUCLID HOSPITAL 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 EUCLID HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.EUCLID HOSPITAL 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).EUCLID HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH EUCLID HOSPITAL 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.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL 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.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL 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.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL 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.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL 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 C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 6A:	LUTHERAN HOSPITAL 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, THE CLEVELAND CLINIC FOUNDATION, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. LUTHERAN HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL 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.LUTHERAN HOSPITAL 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 LUTHERAN HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.LUTHERAN HOSPITAL 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).LUTHERAN HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH LUTHERAN HOSPITAL 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.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL 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.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL 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.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL 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.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL 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 C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL PART V, SECTION B, LINE 6A:	MEDINA HOSPITAL 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, THE CLEVELAND CLINIC FOUNDATION, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. MEDINA HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL 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.MEDINA HOSPITAL 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 MEDINA HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.MEDINA HOSPITAL 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).MEDINA HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH MEDINA HOSPITAL 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.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL 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.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL 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.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB 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; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION ("CCCHR") 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 CCCHR CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CCCHR 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).CCCHR CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CCCHR 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB 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.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. 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. THE INTERVIEWS WERE CONDUCTED BY THE CONSULTANT, KENT STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH, FROM MARCH 2016 THROUGH JUNE 2016. A LIST OF EACH PARTICIPANT ORGANIZATION CAN BE FOUND IN THE "PROCESSES AND METHODS" SECTION OF THE HOSPITAL'S CHNA.FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS FROM APRIL THROUGH MAY 2016 TO OBTAIN INPUT ON WHAT THEY THOUGHT WERE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES. THIRTY THREE COMMUNITY RESIDENTS WERE INCLUDED IN THE FOCUS GROUPS. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO FOCUS GROUP PARTICIPANTS TO GATHER THEIR DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A:	LODI COMMUNITY HOSPITAL 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, THE CLEVELAND CLINIC FOUNDATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. LODI COMMUNITY HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER, GLENBEIGH, SUMMA HEALTH SYSTEM, AND AKRON CHILDREN'S HOSPITAL.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL 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; HEALTH CARE 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.LODI COMMUNITY HOSPITAL 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 LODI COMMUNITY HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.LODI COMMUNITY HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING IMPROVED COMMUNITY CONDITIONS FOR CHILD ABUSE AND NEGLECT).LODI COMMUNITY HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH LODI COMMUNITY HOSPITAL 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.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL 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.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL 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.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL 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.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. 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. THE INTERVIEWS WERE CONDUCTED BY THE CONSULTANT, KENT STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH, FROM MARCH 2016 THROUGH JUNE 2016. A LIST OF EACH PARTICIPANT ORGANIZATION CAN BE FOUND IN THE "PROCESSES AND METHODS" OF THE HOSPITAL'S CHNA.FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS FROM APRIL THROUGH SEPTEMBER 2016 TO OBTAIN INPUT ON WHAT THEY THOUGHT WERE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES. FIFTY FOUR COMMUNITY RESIDENTS WERE RECRUITED TO PARTICIPATE IN THE FOCUS GROUPS. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO FOCUS GROUP PARTICIPANTS TO GATHER THEIR DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 6A:	AKRON GENERAL MEDICAL CENTER COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL,AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. AKRON GENERAL MEDICAL CENTER ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER, GLENBEIGH, SUMMA HEALTH SYSTEM, AND AKRON CHILDREN'S HOSPITAL.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER 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; HEALTH CARE 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.AKRON GENERAL MEDICAL CENTER 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 AKRON GENERAL MEDICAL CENTER CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.AKRON GENERAL MEDICAL CENTER CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING IMPROVED SOCIAL SERVICES, BETTER EMPLOYMENT OPPORTUNITIES, DECREASED POVERTY, LOWER CRIME RATES, DECREASED UNEMPLOYMENT, AND OTHER ENVIRONMENTAL CONDITIONS).AKRON GENERAL MEDICAL CENTER CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH AKRON GENERAL MEDICAL CENTER 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.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER 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.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER 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.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED 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 CCHS, 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.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER 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 B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 20: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 16: SELECT SPECIALTY - REGENCY WEST, - FACILITY 19: SELECT SPECIALTY - REGENCY EAST, - FACILITY 15: SELECT SPECIALTY - FAIRHILL, - FACILITY 21: SELECT SPECIALTY - GATEWAY
GROUP B-FACILITY 20 -- 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 B-FACILITY 20 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC REHABILITATION - AVON COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST.
GROUP B-FACILITY 20 -- 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 B-FACILITY 20 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 20D:
GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 16 -- 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 B-FACILITY 16 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - REGENCY WEST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP B-FACILITY 16 -- 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 B-FACILITY 16 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 19 -- 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 B-FACILITY 19 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - REGENCY EAST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP B-FACILITY 19 -- 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 B-FACILITY 19 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 15 -- 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 B-FACILITY 15 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - FAIRHILL COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP B-FACILITY 15 -- 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 B-FACILITY 15 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 21 -- 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 B-FACILITY 21 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - GATEWAY COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP B-FACILITY 21 -- 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 POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP B-FACILITY 21 -- SELECT SPECIALTY - GATEWAY 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 C
FACILITY REPORTING GROUP C CONSISTS OF:	- FACILITY 17: CLEVELAND CLINIC REHABILITATION - ESR, - FACILITY 18: CLEVELAND CLINIC REHAB - BEACHWOOD
GROUP C-FACILITY 17 -- CLEVELAND CLINIC REHAB - ESR PART V, SECTION B, LINE 2:	CLEVELAND CLINIC REHABILITATION - EDWIN SHAW OPENED IN NOVEMBER 2017.
GROUP C-FACILITY 17 -- CLEVELAND CLINIC REHAB - ESR PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP C-FACILITY 18 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 2:	CLEVELAND CLINIC REHABILITATION - BEACHWOOD OPENED IN OCTOBER 2017.
GROUP C-FACILITY 18 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.

Field	Value	IRS element (for citing)
Facility	203	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (203 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - AKRON GENERAL HEALTH CENTER
676 S BROADWAY ST	AKRON	OH	44311	OUTPATIENT PHYSICIAN CLINIC
2 - WESTON FAMILY HEALTH CENTER
1825 N CORPORATE LAKES BLVD	WESTON	FL	33326	FAMILY HEALTH CENTER
3 - CLEVELAND CLINIC FLORIDA
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	FAMILY HEALTH CENTER
4 - TWINSBURG FAMILY HEALTH & SURGERY CENTER
8701 DARROW RD	TWINSBURG	OH	44087	FAMILY HEALTH CENTER
5 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR RD	BEACHWOOD	OH	44122	FAMILY HEALTH CENTER
6 - STRONGSVILLE FAMILY HEALTH & SURGERY CEN
16761 SOUTH PARK CTR	STRONGSVILLE	OH	44136	FAMILY HEALTH CENTER
7 - RICHARD E JACOBS HEALTH CENTER
33100 CLEVELAND CLINIC BLVD	AVON	OH	44011	FAMILY HEALTH CENTER
8 - INDEPENDENCE FAMILY HEALTH CENTER
5001 ROCKSIDE RD CROWN CENTRE II	INDEPENDENCE	OH	44131	FAMILY HEALTH CENTER
9 - CLEVELAND CLINIC HOME CARE SERVICES
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	HOME CARE SERVICES
10 - LORAIN FAMILY HEALTH & SURGERY CENTER
5700 COOPER FOSTER PARK RD	LORAIN	OH	44053	FAMILY HEALTH CENTER
11 - WILLOUGHBY HILLS FAMILY HEALTH CENTER
2550 2570 SOM CENTER RD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
12 - AKRON GENERAL HEALTH & WELLNESS CENTER -
4125 MEDINA RD	AKRON	OH	44333	OUTPATIENT PHYSICIAN CLINIC
13 - WOOSTER FAMILY HEALTH CENTER
1740 CLEVELAND RD	WOOSTER	OH	44691	FAMILY HEALTH CENTER
14 - BRUNSWICK FAMILY HEALTH CENTER
3574 CENTER RD	BRUNSWICK	OH	44212	FAMILY HEALTH CENTER
15 - CLEVELAND CLINIC CANCER CENTERS
417 QUARRY LAKES DR	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
16 - HILLCREST MEDICAL OFFICE I & II
6803 MAYFIELD RD	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
17 - AKRON GENERAL HEALTH & WELLNESS CENTER-
1940 TOWN PARK BLVD	UNIONTOWN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
18 - AKRON GENERAL HEALTH & WELLNESS CENTER
4300 ALLEN RD	STOW	OH	44224	OUTPATIENT PHYSICIAN CLINIC
19 - SOLON FAMILY HEALTH CENTER
29800 BAINBRIDGE RD	SOLON	OH	44139	FAMILY HEALTH CENTER
20 - CLEVELAND CLINIC CANCER CENTERS
1125 ASPIRA CT	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
21 - ELYRIA FAMILY HEALTH & SURGERY CENTER
303 CHESTNUT COMMONS DR	ELYRIA	OH	44035	FAMILY HEALTH CENTER
22 - CLEVELAND CLINIC FLORIDA - WEST PALM BEA
1401 FORUM WAY STE 300	WEST PALM BEACH	FL	33401	OUTPATIENT PHYSICIAN CLINIC
23 - WESTLAKE PHYSICIANS CENTER
805 COLUMBIA RD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
24 - FAIRVIEW HOSPITAL MEDICAL OFFICE
24700 LORAIN AVE	NORTH OLMSTED	OH	44070	OUTPATIENT PHYSICIAN CLINIC
25 - MARYMOUNT MEDICAL CENTER
2001 E ROYALTON RD	BROADVIEW HTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
26 - SUPERIOR MEDICAL SHEFFIELD FAMILY HEALTH
5334 MEADOW LANE CT	SHEFFIELD VILLAGE	OH	44035	OUTPATIENT PHYSICIAN CLINIC
27 - LAKEWOOD FAMILY HEALTH CENTER
16215 MADISON AVE	LAKEWOOD	OH	44107	FAMILY HEALTH CENTER
28 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER
5900 LANDERBROOK DR	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
29 - CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON ST	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
30 - AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
31 - NORTH OHIO GASTROENTEROLOGY
30701 CLEMENS RD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
32 - AMHERST FAMILY HEALTH CENTER
5172 LEAVITT RD	LORAIN	OH	44053	FAMILY HEALTH CENTER
33 - CLEVELAND CLINIC LOU RUVO CENTER FOR BRA
888 WEST BONNEVILLE AVE	LAS VEGAS	NV	89106	OUTPATIENT PHYSICIAN CLINIC
34 - STEPHANIE TUBBS JONES HEALTH CENTER
13944 EUCLID AVE	EAST CLEVELAND	OH	44112	FAMILY HEALTH CENTER
35 - AVON LAKE FAMILY HEALTH CENTER
450 AVON BELDEN RD	AVON LAKE	OH	44012	FAMILY HEALTH CENTER
36 - SUMMIT GASTROENTEROLOGY ASSOCIATES
3939 S CLEVELAND MASSILLON RD	BARBERTON	OH	44203	OUTPATIENT PHYSICIAN CLINIC
37 - MENTOR MEDICAL OFFICE
7060 WAYSIDE DR	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
38 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY
1 PARK WEST BLVD STE 150	AKRON	OH	44320	OUTPATIENT PHYSICIAN CLINIC
39 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS
3275 SCIENCE PARK DR BLDG 5	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
40 - AKRON GENERAL PHYSICIAN OFFICE
224 W EXCHANGE ST	AKRON	OH	44307	OUTPATIENT PHYSICIAN CLINIC
41 - AKRON GENERAL JUSTIN T ROGERS HOSPICE C
3358 RIDGEWOOD RD	AKRON	OH	44333	HOSPICE
42 - SPORTS HEALTH CENTER
5595 TRANSPORTATION BLVD	GARFIELD HEIGHTS	OH	44125	OUTPATIENT PHYSICIAN CLINIC
43 - OHIO RENAL CARE CLEVELAND EAST
2429 MARTIN LUTHER KING JR DR	CLEVELAND	OH	44104	DIALYSIS CENTER
44 - COMMUNITY PEDIATRICS
8254 MAYFIELD RD	CHESTERLAND	OH	44026	OUTPATIENT PHYSICIAN CLINIC
45 - OHIO RENAL CARE GROUP AMHERST
1168 CLEVELAND AVE	AMHERST	OH	44001	DIALYSIS CENTER
46 - AKRON GENERAL TALLMADGE HEALTH CENTER
33 NORTH AVE	TALLMADGE	OH	44278	OUTPATIENT PHYSICIAN CLINIC
47 - CLEVELAND CLINIC CANCER CENTERS
509 W MCPHERSON HIGHWAY	CLYDE	OH	43410	OUTPATIENT PHYSICIAN CLINIC
48 - MENTOR REHABILITATION AND SPORTS THERAPY
7533 CENTER ST	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
49 - MADISON MEDICAL OFFICE
2999 MCMACKIN RD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
50 - CCF GASTROENTEROLOGY
7530 FREDLE DR	CONCORD	OH	44077	OUTPATIENT PHYSICIAN CLINIC
51 - PALM BEACH GARDENS
4520 DONALD ROSS RD STE 200	PALM BEACH GARDENS	FL	33418	OUTPATIENT PHYSICIAN CLINIC
52 - PARKLAND
7857 N UNIVERSITY DR STE 401	PARKLAND	FL	33067	OUTPATIENT PHYSICIAN CLINIC
53 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND
21 SUGARBUSH CT	ASHLAND	OH	44805	OUTPATIENT PHYSICIAN CLINIC
54 - BAINBRIDGE URGENT CARE
17747 CHILLICOTHE RD STE 100	BAINBRIDGE	OH	44023	OUTPATIENT PHYSICIAN CLINIC
55 - OLMSTED TOWNSHIP PRIMARY CARE
27089 BAGLEY RD	OLMSTED TOWNSHIP	OH	44138	OUTPATIENT PHYSICIAN CLINIC
56 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE
1959 COOPER FOSTER PARK RD	AMHERST	OH	44053	DIAGNOSTIC CENTER
57 - COMMUNITY PEDIATRICS
2001 CROCKER RD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
58 - GEMINI RECREATION CENTER
21225 LORAIN RD	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
59 - OHIO RENAL CARE GROUP WESTLAKE
26024 DETROIT AVE	WESTLAKE	OH	44145	DIALYSIS CENTER
60 - MAYFIELD VILLAGE PEDIATRICS
6559 WILSON MILLS RD STE101-D	MAYFIELD VILLAGE	OH	44143	OUTPATIENT PHYSICIAN CLINIC
61 - WILLOUGHBY HILLS BEHAVIORAL HEALTH
2785 SOM CENTER RD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
62 - SOUTH RUSSELL FAMILY PRACTICE
5192 CHILLICOTHE RD	SOUTH RUSSELL	OH	44022	OUTPATIENT PHYSICIAN CLINIC
63 - UNION MEDICAL OFFICE 3
400 MEDICAL PARK DR	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
64 - BRUNSWICK EMERGENCY CARE
3724 CENTER RD	BRUNSWICK	OH	44212	OUTPATIENT PHYSICIAN CLINIC
65 - MARYMOUNT REHABILITATION AND SPORTS THER
2525 EAST ROYALTON RD	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
66 - RIDGE PARK OBSTETRICS AND GYNECOLOGY
7575 NORTHCLIFF AVE 302	BROOKLYN	OH	44144	OUTPATIENT PHYSICIAN CLINIC
67 - OHIO RENAL CARE GROUP WEST
14670 SNOW RD	BROOKPARK	OH	44142	DIALYSIS CENTER
68 - SOUTH POINTE HOSPITAL MEDICAL OFFICE
20050 HARVARD RD	WARRENSVILLE HEIGHTS	OH	44122	OUTPATIENT PHYSICIAN CLINIC
69 - OHIO RENAL CARE GROUP HERITAGE
1160 E BROAD ST	ELYRIA	OH	44035	DIALYSIS CENTER
70 - WADSWORTH PRIMARY CARE
ONE PARK CENTER DR	WADSWORTH	OH	44281	OUTPATIENT PHYSICIAN CLINIC
71 - EAST OHIO ORTHOPAEDICS
515 UNION AVE	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
72 - EUCLID MEDICAL OFFICE
99 NORTHLINE CIR	EUCLID	OH	44119	OUTPATIENT PHYSICIAN CLINIC
73 - CLEVELAND CLINIC LYNDHURST CAMPUS
1950 RICHMOND RD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
74 - BROOKPARK COMPREHENSIVE FAMILY CARE
14401 SNOW RD	BROOKPARK	OH	44142	OUTPATIENT PHYSICIAN CLINIC
75 - OHIO RENAL CARE GROUP EUCLID
26450 EUCLID AVE	EUCLID	OH	44132	DIALYSIS CENTER
76 - NORTH RIDGEVILLE MEDICAL OFFICE
35105 CENTER RIDGE RD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
77 - OHIO RENAL CARE GROUP OHIO ACUTES
2500 METROHEALTH DR	CLEVELAND	OH	44109	DIALYSIS CENTER
78 - CHARDON REHABILITATION AND SPORTS THERAP
325 CENTER ST	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
79 - OHIO RENAL CARE GROUP SOLON
6020 ENTERPRISE PKWY	SOLON	OH	44139	DIALYSIS CENTER
80 - UNION HOSPITAL FIRSTCARE URGENT CARE CEN
110 DUBLIN DR	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
81 - BEDFORD DIALYSIS CENTER
5035 RICHMOND RD	BEDFORD HEIGHTS	OH	44146	DIALYSIS CENTER
82 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL
3733 PARK EAST DR STE 105	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
83 - OHIO RENAL CARE GROUP FARNSWORTH
3764 PEARL RD	CLEVELAND	OH	44109	DIALYSIS CENTER
84 - SUMMIT OPHTHALMOLOGY
1587 BOETTLER RD	GREEN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
85 - SEVERANCE MEDICAL ARTS
5 SEVERANCE CIR	CLEVELAND HEIGHTS	OH	44118	OUTPATIENT PHYSICIAN CLINIC
86 - CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD RD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
87 - UPS CENTRAL
205 HOSPITAL DR	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
88 - CLEVELAND CLINIC FLORIDA WELLINGTON
2789 S STATE RD 7 STE 100/200	WELLINGTON	FL	33414	OUTPATIENT PHYSICIAN CLINIC
89 - OHIO RENAL CARE GROUP MENTOR
8840 TYLER BLVD	MENTOR	OH	44060	DIALYSIS CENTER
90 - MOHICAN EYE CENTER
484 PARK AVE WEST	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
91 - AKRON GENERAL REHABILITATION AND SPORTS
585 WHITE POND DR	AKRON	OH	44320	OUTPATIENT REHABILITATION
92 - SAGAMORE HILLS MEDICAL CENTER I
863 WEST AURORA RD	SAGAMORE HILLS	OH	44067	OUTPATIENT PHYSICIAN CLINIC
93 - OHIO RENAL CARE GROUP ELYRIA
5316 HOAG DR	SHEFFIELD	OH	44035	DIALYSIS CENTER
94 - CLEVELAND CLINIC COLE EYE OF STREETSBORO
9424 STATE RT 14	STREETSBORO	OH	44241	OUTPATIENT PHYSICIAN CLINIC
95 - NEWCOMERSTOWN UNION PHYSICIAN SERVICES
60881 COUNTY RD 9 1	NEWCOMERSTOWN	OH	43832	OUTPATIENT PHYSICIAN CLINIC
96 - OHIO RENAL CARE GROUP LAKEWOOD
13900 DETROIT RD	LAKEWOOD	OH	44109	DIALYSIS CENTER
97 - FAIRLAWN UROLOGY
2651 W MARKET ST	FAIRLAWN	OH	44333	OUTPATIENT PHYSICIAN CLINIC
98 - OHIO RENAL CARE GROUP WHITE POND
690 WHITE POND DR	AKRON	OH	44320	DIALYSIS CENTER
99 - MADISON REHABILITATION AND SPORTS THERAP
2622 HUBBARD RD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
100 - WELLINGTON MEDICAL OFFICE
805 PATRIOT DR UNIT E	WELLINGTON	OH	44090	OUTPATIENT PHYSICIAN CLINIC
101 - OHIO RENAL CARE GROUP WADSWORTH
1160 WILLIAMS RESERVE BLVD	WADSWORTH	OH	44281	DIALYSIS CENTER
102 - AKRON GENERAL EXPRESS CARE CLINIC
4494 STATE RT 43	KENT	OH	44240	OUTPATIENT PHYSICIAN CLINIC
103 - CLEVELAND CLINIC CHILDREN'S CENTER FOR A
21016 HILLIARD BLVD	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
104 - OBERLIN OPHTHALMOLOGY
309 WEST LORAIN ST	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
105 - MACEDONIA EXPRESS AND OUTPATIENT CARE
8210 MACEDONIA COMMONS BLVD	MACEDONIA	OH	44056	OUTPATIENT PHYSICIAN CLINIC
106 - EXPRESS CARE
82 WEST STREETSBORO ST	HUDSON	OH	44236	OUTPATIENT PHYSICIAN CLINIC
107 - LIBERTY FAMILY MEDICINE
571 E TURKEYFOOT LAKE RD	AKRON	OH	44319	OUTPATIENT PHYSICIAN CLINIC
108 - MOHICAN EYE CENTER
637 NORTH UNION ST	LOUDONVILLE	OH	44842	OUTPATIENT PHYSICIAN CLINIC
109 - COLE EYE - TERMAN PRACTICE
32901 STATION ST	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
110 - MARYMOUNTCCF PAIN MANAGEMENT CENTER
12000 MCCRACKEN RD	GARFIELD HEIGHTS	OH	44125	OUTPATIENT PHYSICIAN CLINIC
111 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS
9729 GRANGER RD	GARFIELD HTS	OH	44125	DIALYSIS CENTER
112 - AKRON GENERAL URGENT CARE
3593 S ARLINGTON RD	AKRON	OH	44312	OUTPATIENT PHYSICIAN CLINIC
113 - ALPINE FAMILY MEDICINE
126 1/2 NORTH BROADWAY	SUGARCREEK	OH	44681	OUTPATIENT PHYSICIAN CLINIC
114 - BELDEN CENTER
4677 FULTON DRIVE NW	CANTON	OH	44718	OUTPATIENT PHYSICIAN CLINIC
115 - MEDICAL OFFICE PAVILION
1946 TOWN PARK BLVD	UNIONTOWN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
116 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYS
4200 WARRENSVILLE CENTER RD STE 100	WARRENSVILLE HTS	OH	44122	DIALYSIS CENTER
117 - AKRON GENERAL GAMMA KNIFE CENTER
762 S CLEVELAND-MASSILLON RD	AKRON	OH	44333	OUTPATIENT PHYSICIAN CLINIC
118 - LAKEWOOD MEDICAL BUILDING
1450 BELLE AVE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
119 - OHIO RENAL CARE GROUP CUYAHOGA FALLS
320 BROADWAY ST E	E CUYAHOGA FALLS	OH	44221	DIALYSIS CENTER
120 - FAIRVIEW HOSPITAL WELLNESS CENTER
3035 WOOSTER RD	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
121 - THE LANGSTON HUGHES CENTER CLEVELAND CLI
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
122 - MEDINA MEDICAL OFFICE
970 E WASHINGTON	MEDINA	OH	44256	OUTPATIENT PHYSICIAN CLINIC
123 - BRECKSVILLE EXPRESS CARE
8805 BRECKSVILLE RD	BRECKSVILLE	OH	44141	OUTPATIENT PHYSICIAN CLINIC
124 - STOW-FALLS MEDICAL OUTPATIENT CENTER
857 GRAHAM RD	STOW	OH	44221	OUTPATIENT PHYSICIAN CLINIC
125 - MONTROSE SLEEP CENTER
4880 S MAIN ST	AKRON	OH	44319	OUTPATIENT PHYSICIAN CLINIC
126 - SAGAMORE HILLS MEDICAL OFFICE II
885 WEST AURORA RD	SAGAMORE HILLS	OH	44067	OUTPATIENT PHYSICIAN CLINIC
127 - PORTAGE HILLS FAMILY MEDICINE
754 S CLEVELAND AVE	MOGADORE	OH	44260	OUTPATIENT PHYSICIAN CLINIC
128 - INDEPENDENCE CANCER CENTER
6100 WEST CREEK RD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
129 - NPCS - BEACHWOOD
26110 EMERY RD	WARRENSVILLE HEIGHTS	OH	44128	OUTPATIENT PHYSICIAN CLINIC
130 - ACCESS TO CARE
29000 AURORA RD	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
131 - AGMC - PPG - CAMERON PRACTICE
551 WABASH AVE NW	NEW PHILADELPHIA	OH	44663	OUTPATIENT PHYSICIAN CLINIC
132 - AGMC - PPG - STEINBERGER PRACTICE
2708 CRAWFIS BLVD	FAIRLAWN	OH	44333	OUTPATIENT PHYSICIAN CLINIC
133 - AGMC - PPG - SUMMIT CENTER FOR BEHAVIORA
3200 W MARKET ST	FAIRLAWN	OH	44333	OUTPATIENT PHYSICIAN CLINIC
134 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY
3636 YELLOW CREEK RD	AKRON	OH	44333	OUTPATIENT PHYSICIAN CLINIC
135 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY
1355 CORPORATE DR	HUDSON	OH	44236	OUTPATIENT PHYSICIAN CLINIC
136 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY
1622 E TURKEYFOOT LAKE RD	AKRON	OH	44312	OUTPATIENT PHYSICIAN CLINIC
137 - AKRON GENERAL ORTHOPEDICS
43 SOUTH MAIN ST	MUNROE FALLS	OH	44262	OUTPATIENT PHYSICIAN CLINIC
138 - AKRON GENERAL REHABILITATION AND SPORTS
1500 AKRON CANTON RD	AKRON	OH	44312	OUTPATIENT REHABILITATION
139 - AKRON GENERAL SPINE & PAIN INSTITUTE AND
2603 W MARKET ST 200-210	AKRON	OH	44313	OUTPATIENT PHYSICIAN CLINIC
140 - ASHTABULA COUNTY MEDICAL CENTER
2422 LAKE AVE	ASHTABULA	OH	44004	OUTPATIENT PHYSICIAN CLINIC
141 - BOARDMAN STAR IMAGING
7067 TIFFANY BLVD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
142 - CCF GASTROENTEROLOGY
3700 PARK EAST DR	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
143 - CENTER FOR ARTHRITIS
1716 NORTH RD SE	WARREN	OH	44484	OUTPATIENT PHYSICIAN CLINIC
144 - CENTER FOR UROLOGIC HEALTH
320 W EXCHANGE ST	AKRON	OH	44302	OUTPATIENT PHYSICIAN CLINIC
145 - CHARLESTON AREA MEDICAL CENTER
1201 WASHINGTON ST EAST STE 100	CHARLESTON	WV	25301	OUTPATIENT PHYSICIAN CLINIC
146 - CLEVELAND CLINIC FAMILY MEDICINE
19300 DETROIT AVE	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
147 - CLEVELAND CLINIC HEART & VASCULAR
1400 WEST MAIN ST BELLEVUE HOSPITAL	BELLEVUE	OH	44811	OUTPATIENT PHYSICIAN CLINIC
148 - CLEVELAND CLINIC STAR IMAGING
1449 BOARDMAN-CANFIELD RD	YOUNGSTOWN	OH	44512	DIAGNOSTIC CENTER
149 - CLUB VIEW VISION CENTER OPTOMETRIC
1650 E MANSFIELD ST	BUCYRUS	OH	44820	OUTPATIENT PHYSICIAN CLINIC
150 - COLE EYE INSTITUTE
2000 AUBURN DRIVE STE 100	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
151 - COLUMBUS STAR IMAGING
1550 KENNY RD	COLUMBUS	OH	43212	DIAGNOSTIC CENTER
152 - COLUMBUS STAR IMAGING
921 JASONWAY AVE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
153 - COLUMBUS STAR IMAGING BEECHER
425 BEECHER RD	COLUMBUS	OH	43230	DIAGNOSTIC CENTER
154 - COMMUNITY MENTAL HEALTH INC
201 HOSPITAL DR	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
155 - DAYTON STAR IMAGING
5529 FAR HILLS AVE	DAYTON	OH	45429	DIAGNOSTIC CENTER
156 - DOWNTOWN EXPRESS CARE
315 EUCLID AVE STE 2	CLEVELAND	OH	44114	OUTPATIENT PHYSICIAN CLINIC
157 - ERADIOLOGY (WESTON TOWN CENTER)
1792 BELL TOWER LN	WESTON	FL	33326	OUTPATIENT PHYSICIAN CLINIC
158 - FIRELANDS PEDIATRIC SUBSPECIALTY CLINIC
1111 HAYES AVE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
159 - FORT LAUDERDALE CONCIERGE MEDICINE
1301 EAST BROWARD BLVD	FORT LAUDERDALE	FL	33301	OUTPATIENT PHYSICIAN CLINIC
160 - HACKETT MEDICAL
8300 TYLER BLVD	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
161 - KINDRED HEALTH CARE CLEVELAND
11900 FAIRHILL RD	CLEVELAND	OH	44120	OUTPATIENT PHYSICIAN CLINIC
162 - KRUPA CENTER
3250 MERIDIAN PKWY	WESTON	FL	33331	OUTPATIENT PHYSICIAN CLINIC
163 - LAKEWEST MEDICAL BUILDING
36100 EUCLID AVE STE 280	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
164 - LAKEWOOD FAMILY MEDICINE - ROCKPORT
11851 DETROIT AVE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
165 - LAKEWOOD PROFESSIONAL BUILDING
14601 DETROIT AVE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
166 - LAKEWOOD YMCA
16915 DETROIT AVE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
167 - LORAIN ORTHOPAEDICS
5800 COOPER FOSTER PARK RD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
168 - UNION MEDICAL OFFICE 1
200 MEDICAL PARK DR	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
169 - NILES STAR IMAGING
652 YOUNGSTOWN WARREN RD	NILES	OH	44446	DIAGNOSTIC CENTER
170 - NORTHEASTERN OHIO MEDICAL SPECIALISTS
470 WHITE POND DR	AKRON	OH	44320	OUTPATIENT PHYSICIAN CLINIC
171 - ROCKSIDE MEDICAL CENTER
6701 ROCKSIDE RD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
172 - SLEEP DISORDER CENTER AT FAIRHILL
11203 STOKES BLVD	CLEVELAND	OH	44104	DIAGNOSTIC CENTER
173 - SLEEP DISORDERS CENTER
24901 COUNTRY CLUB BLVD	NORTH OLMSTED	OH	44070	DIAGNOSTIC CENTER
174 - SLEEP DISORDERS CENTER
3750 ORANGE PL	BEACHWOOD	OH	44122	DIAGNOSTIC CENTER
175 - SLEEP DISORDERS CENTER
8971 WILCOX DR	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
176 - SLEEP DISORDERS CENTER
1825 LORAIN BLVD	ELYRIA	OH	44035	DIAGNOSTIC CENTER
177 - SLEEP DISORDERS CENTER
5051 WEST CREEK RD	INDEPENDENCE	OH	44131	DIAGNOSTIC CENTER
178 - SLEEP DISORDERS CENTER
3122 EASTPOINTE DR	MEDINA	OH	44256	DIAGNOSTIC CENTER
179 - SLEEP DISORDERS CENTER
5785 HEISLEY RD	MENTOR	OH	44060	DIAGNOSTIC CENTER
180 - SOUTHEASTERN OHIO REGIONAL MEDICAL CENTE
1341 CLARK ST	CAMBRIDGE	OH	43725	OUTPATIENT PHYSICIAN CLINIC
181 - SPINE & PAIN INSTITUTE
307 W MAIN ST C	KENT	OH	44240	OUTPATIENT PHYSICIAN CLINIC
182 - SPINE & PAIN INSTITUTE
265 WEST MAIN ST	KENT	OH	44240	OUTPATIENT PHYSICIAN CLINIC
183 - SPORTS HEALTH CENTER
5555 TRANSPORTATION BLVD	GARFIELD HEIGHTS	OH	44125	OUTPATIENT PHYSICIAN CLINIC
184 - SUBURBAN HEALTH FAMILY PHYSICIANS
2818 S ARLINGTON RD	AKRON	OH	44312	OUTPATIENT PHYSICIAN CLINIC
185 - SUMMIT MEDICAL
3600 WEST MARKET ST	AKRON	OH	44333	OUTPATIENT PHYSICIAN CLINIC
186 - SUMMIT VASCULAR SPECIALISTS
1761 BEALL AVE	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
187 - THERAPY SERVICES SOUTH
17800 JEFFERSON PARK DR STE 101	MIDDLEBURG HTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
188 - THERAPY SERVICES WEST
826 WESTPOINT PKWY STE 1200	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
189 - TOMSICH HEALTH AND MEDICAL CENTER OF PAL
525 OKEECHOBEE BLVD CITY PLACE	WEST PALM BEACH	FL	33401	FAMILY HEALTH CENTER	TOWER
190 - TUSCARAWAS VALLEY REGIONAL CANCER CENTER
659 BOULEVARD ST	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
191 - TWINSBURG MEDICAL OFFICE
2365 EDISON BLVD	TWINSBURG	OH	44087	OUTPATIENT PHYSICIAN CLINIC
192 - UNION HOSPITAL HEALTHPLEX
500 MEDICAL PARK DR	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
193 - UNION HOSPITAL MAMMOGRAPHY
101 HOSPITAL DR	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
194 - UNION HOSPITAL REGIONAL CANCER CENTER
300 MEDICAL PARK DR	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
195 - UNION HOSPITAL TUSCARAWAS AMBULATORY SUR
320 OXFORD ST	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
196 - UPS CARE COORDINATION CENTER
301 WEST THIRD ST	DOVER	OH	44622	OUTPATIENT PHYSICIAN CLINIC
197 - VALLEY CITY FAMILY MEDICINE
6605 CENTER RD	VALLEY CITY	OH	44280	OUTPATIENT PHYSICIAN CLINIC
198 - WEST PARK LEARNING CENTER
15531 LORAIN AVE	CLEVELAND	OH	44111	OUTPATIENT PHYSICIAN CLINIC
199 - WEST VALLEY MEDICAL
20455 LORAIN RD 301	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
200 - WESTLAKE MEDICAL CAMPUS A
850 COLUMBIA RD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC & DIAGNOSTIC CTR
201 - WILLOUGHBY HILLS REHABILITATION AND SPOR
29017 CHARDON RD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
202 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN
721 EAST MILLTOWN RD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
203 - WOOSTER WOMEN'S HEALTH CENTER
1739 CLEVELAND RD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	CCHS 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. THIS POLICY APPLIES TO ALL CCHS 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, IN GENERAL, CCHS 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 AND MEDICAL NEED.
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:	CCHS 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 CCHS'S HCAP ASSESSMENT OF $6,237,505.
PART I, LINE 7	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $969,972,424 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC HEALTH SYSTEM AS REPORTED IN THE 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	EFFECTIVE APRIL 2018, THE CLEVELAND CLINIC FOUNDATION, THROUGH A SUBSIDIARY BECAME THE SOLE MEMBER OF THE UNION HOSPITAL ASSOCIATION (UNION HOSPITAL"). UNION HOSPITAL HAS ITS OWN FINANCIAL ASSISTANCE POLICY, WHICH COMPLIES WITH ALL 501(R) REGULATIONS.SELECT FACILITIES ALSO 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.CCHS 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:	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, LINES 5, 6, & 7	IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCHS INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $1,518,987,324 AND $1,961,612,303 RESPECTIVELY. THIS RESULTS IN MEDICARE SHORTFALL OF $442,624,979 WHICH ADDED TO THE SHORTFALL OF $29,311,185 AS REPORTED ON THE COST REPORTS, BRINGS THE TOTAL MEDICARE SHORTFALL TO $471,936,164.
PART VI, LINE 2:	IN ADDITION TO THE CHNA PROCESS, CCHS, ITS INSTITUTES AND DEPARTMENTS, AND EACH HOSPITAL MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THAT PARTICULAR FACILTY'S COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCHS 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 AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE 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 CCHS, 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 COMMUNITY FOR EACH OF THE HOSPITAL FACILITIES IN THE CLEVELAND CLINIC HEALTH SYSTEM 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 SCHEDULE H FOR THE CLEVELAND CLINIC FOUNDATION AND ALL SUBORDINATES IS SUBMITTED TO THE STATE OF OHIO.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (99 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
AKRON COMMUNITY FOUNDATION
345 W CEDAR ST	AKRON	OH	44307	341087615	501(C)(3)	$6,820	COMMUNITY SUPPORT
AKRON COMMUNITY SERVICE CENTER AND URBAN LEAGUE INC
440 VERNON ODOM BLVD	AKRON	OH	44307	340714520	501(C)(3)	$8,833	COMMUNITY SUPPORT
ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC
24179 AMBOUR DR	NORTH OLMSTED	OH	44070	470974372	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
AMERICAN CANCER SOCIETY
10501 EUCLID AVE	CLEVELAND	OH	44106	131788491	501(C)(3)	$612,525	HEALTHCARE RESEARCH & EDUCATION
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$265,163	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LIVER FOUNDATION
39 BROADWAY 27TH FL	NEW YORK	NY	10006	362883000	501(C)(3)	$20,000	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LUNG ASSOCIATION
1740 BROADWAY	NEW YORK	NY	10019	131632524	501(C)(3)	$27,500	HEALTHCARE RESEARCH & EDUCATION
AMERICAN NATIONAL RED CROSS
431 18TH ST NW	WASHINGTON	DC	20006	530196605	501(C)(3)	$10,000	COMMUNITY SUPPORT
ARTHRITIS FOUNDATION
1330 WEST PEACHTREE ST NW	ATLANTA	GA	30309	581341679	501(C)(3)	$22,750	HEALTHCARE RESEARCH & EDUCATION
BEACHWOOD CHAMBER OF COMMERCE
23355 MERCANTILE RD	BEACHWOOD	OH	44122	341684237	501(C)(6)	$7,000	COMMUNITY SUPPORT
BOYS AND GIRLS CLUBS OF CLEVELAND
6114 BROADWAY AVE	CLEVELAND	OH	44127	340770686	501(C)(3)	$15,000	COMMUNITY SUPPORT
BURTEN BELL CARR DEVELOPMENT INC
7201 KINSMAN RD	CLEVELAND	OH	44104	341657533	501(C)(3)	$10,000	COMMUNITY SUPPORT
BUSINESS VOLUNTEERS UNLIMITED
1300 E 9TH ST STE 1805	CLEVELAND	OH	44114	341724581	501(C)(3)	$10,000	COMMUNITY SUPPORT
CASE WESTERN RESERVE UNIVERSITY
2040 ADELBERT RD	CLEVELAND	OH	44106	341018992	501(C)(3)	$8,500	SUPPORT EDUCATIONAL ACTIVITIES
CHARITIES AID FOUNDATION AMERICA
1800 DIAGONAL RD STE 150	ALEXANDRIA	VA	22314	431634280	501(C)(3)	$300,000	COMMUNITY SUPPORT
CITY CLUB OF CLEVELAND
850 EUCLID AVE 2ND FL	CLEVELAND	OH	44114	340144897	501(C)(3)	$26,898	COMMUNITY SUPPORT
CITY OF AKRON
166 S HIGH ST	AKRON	OH	44308	346000020	501(C)(1)	$10,317	COMMUNITY SUPPORT	$56,983	COST	SOFTWARE
CITY OF AVON
36080 CHESTER RD	AVON	OH	44011	346000165	501(C)(1)	$10,000	COMMUNITY SUPPORT
CITY OF CLEVELAND
601 LAKESIDE AVE	CLEVELAND	OH	44114	346000646	501(C)(1)	$28,019	COMMUNITY SUPPORT
CITY OF CORAL SPRINGS
9500 W SAMPLE RD	CORAL SPRINGS	FL	33065	591113462	501(C)(1)	$10,000	COMMUNITY SUPPORT
CITY OF LAKEWOOD
12650 DETROIT AVE	LAKEWOOD	OH	44107	346001633	501(C)(1)	$500,000	COMMUNITY SUPPORT
CLEVELAND CENTER FOR ARTS AND TECHNOLOGY
3634 EUCLID AVE NO 100	CLEVELAND	OH	44115	271193704	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
CLEVELAND INTERNATIONAL FILM FESTIVAL INC
2510 MARKET AVE	CLEVELAND	OH	44113	341262368	501(C)(3)	$10,000	COMMUNITY SUPPORT
CLEVELAND MUSEUM OF NATURAL HISTORY
1 WADE OVAL DR	CLEVELAND	OH	44106	340714338	501(C)(3)	$8,000	COMMUNITY SUPPORT
CLEVELAND SCHOOL OF SCIENCE & MEDICINE
2075 STOKES BLVD	CLEVELAND	OH	44106	343740643	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
COLLEGE NOW GREATER CLEVELAND INC
50 PUBLIC SQUARE STE 1800	CLEVELAND	OH	44113	346580096	501(C)(3)	$10,500	SUPPORT EDUCATIONAL ACTIVITIES
COMMUNITY WEST FOUNDATION
800 SHARON DR STE C	WESTLAKE	OH	44145	341456398	501(C)(3)	$66,000	COMMUNITY SUPPORT
CORAL SPRINGS FESTIVAL OF THE ARTS INC
5703 NW 109TH LN	CORAL SPRINGS	FL	33076	201152326	501(C)(3)	$7,500	COMMUNITY SUPPORT
CORAL SPRINGS YOUTH SOCCER INC
PO BOX 8014	CORAL SPRINGS	FL	33075	650203021	501(C)(3)	$6,000	COMMUNITY SUPPORT
CROHNS & COLITIS FOUNDATION OF AMERICA
23366 COMMERCE PARK RD	BEACHWOOD	OH	44122	136193105	501(C)(3)	$26,500	HEALTHCARE RESEARCH & EDUCATION
CUYAHOGA COMMUNITY COLLEGE FOUNDATION
700 CARNEGIE AVE	CLEVELAND	OH	44115	237320719	501(C)(3)	$11,000	SUPPORT EDUCATIONAL ACTIVITIES
DANCING CLASSROOMS NORTHEAST OHIO
1085 ROCKSIDE RD STE 6	PARMA	OH	44134	262300532	501(C)(3)	$23,000	COMMUNITY SUPPORT
DEMOCRACY COLLABORATIVE FOUNDATION INC
1422 EUCLID AVE STE 1652	CLEVELAND	OH	44115	200387511	501(C)(3)	$10,000	COMMUNITY SUPPORT
EPILEPSY FOUNDATION OF FLORIDA INC
7300 N KENDALL DR NO 760	MIAMI	FL	33156	592164525	501(C)(3)	$19,000	HEALTHCARE RESEARCH & EDUCATION
ESPERANZA INC
4115 BRIDGE AVE	CLEVELAND	OH	44113	341403492	501(C)(3)	$20,000	SUPPORT EDUCATIONAL ACTIVITIES
FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION
8111 QUINCY AVE STE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	$237,715	COMMUNITY SUPPORT
FAMICOS FOUNDATION INC
1325 ANSEL RD	CLEVELAND	OH	44106	341053534	501(C)(3)	$22,000	COMMUNITY SUPPORT
FATIMA FAMILY CENTER
6600 LEXINGTON AVE	CLEVELAND	OH	44103	261323950	501(C)(3)	$20,000	COMMUNITY SUPPORT
FIRE CHIEFS ASSOCIATION OF BROWARD COUNTY
6919 W BROWARD BLVD	PLANTATION	FL	33317	911909626	501(C)(3)	$5,125	COMMUNITY SUPPORT
GATHERING PLACE
23300 COMMERCE PARK	BEACHWOOD	OH	44122	341879035	501(C)(3)	$32,500	COMMUNITY SUPPORT
GIRL SCOUTS OF LAKE ERIE COUNCIL
19201 VILLAVIEW RD	CLEVELAND	OH	44119	340714415	501(C)(3)	$10,000	COMMUNITY SUPPORT
GREATER CLEVELAND FOOD BANK INC
15500 S WATERLOO RD	CLEVELAND	OH	44110	341292848	501(C)(3)	$15,254	COMMUNITY SUPPORT
GREATER CLEVELAND HABITAT FOR HUMANITY
2110 W 110TH ST	CLEVELAND	OH	44102	311209423	501(C)(3)	$15,000	COMMUNITY SUPPORT
GREATER FORT LAUDERDALE CHAMBER OF COMMERCE
512 NE 3 AVE	FT LAUDERDALE	FL	33301	590250255	501(C)(6)	$7,420	COMMUNITY SUPPORT
HEREDITARY DISEASE FOUNDATION
3960 BROADWAY 6TH FL	NEW YORK	NY	10032	237376197	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
HISPANIC ALLIANCE INC
3110 W 25TH ST	CLEVELAND	OH	44109	262001603	501(C)(3)	$7,000	COMMUNITY SUPPORT
HISPANIC UNITY OF FLORIDA INC
5840 JOHNSON ST	HOLLYWOOD	FL	33021	592230272	501(C)(3)	$20,000	COMMUNITY SUPPORT
JDRF INTERNATIONAL
26 BROADWAY 15TH FL	NEW YORK	NY	10004	231907729	501(C)(3)	$5,750	HEALTHCARE RESEARCH & EDUCATION
KEEP MEMORY ALIVE
888 W BONNEVILLE AVE	LAS VEGAS	NV	89106	880515534	501(C)(3)	$80,500	HEALTHCARE RESEARCH & EDUCATION
KENT STATE UNIVERSITY
PO BOX 5190	KENT	OH	44242	316402079	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
KIDNEY FOUNDATION OF OHIO INC
2831 PROSPECT AVE	CLEVELAND	OH	44115	340827748	501(C)(3)	$5,700	HEALTHCARE RESEARCH & EDUCATION
LEUKEMIA & LYMPHOMA SOCIETY
3 INTERNATIONAL DR STE 200	RYE BROOK	NY	10573	135644916	501(C)(3)	$90,500	HEALTHCARE RESEARCH & EDUCATION
LORAIN COUNTY FREE CLINIC INC
5040 OBERLIN AVE	LORAIN	OH	44053	341506180	501(C)(3)	$6,000	HEALTHCARE RESEARCH & EDUCATION
MARCH OF DIMES FOUNDATION
614 SUPERIOR AVE NW	CLEVELAND	OH	44113	131846366	501(C)(3)	$37,250	HEALTHCARE RESEARCH & EDUCATION
MARTIN HEALTH FOUNDATION INC
PO BOX 9033	STUART	FL	34995	592343938	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
MEDINA HOSPITAL FOUNDATION
1000 E WASHINGTON ST	MEDINA	OH	44256	341657989	501(C)(3)	$5,375	HEALTHCARE RESEARCH & EDUCATION
MEDWISH INTERNATIONAL
17325 EUCLID AVE	CLEVELAND	OH	44112	341903712	501(C)(3)	$10,000	PATIENT CARE	$3,090,522	ESTIMATED VALUE	MEDICAL SUPPLIES
MEDWORKS
1950 RICHMOND RD	LYNDHURST	OH	44124	263858369	501(C)(3)	$30,000	HEALTHCARE RESEARCH & EDUCATION
NAMI GREATER CLEVELAND
2012 W 25TH ST STE 600	CLEVELAND	OH	44113	202254268	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
NATIONAL ASSOCIATION OF HISPANIC NURSES INV
1500 SUNDAY DR STE 102	RALEIGH	NC	27607	911010677	501(C)(3)	$10,000	COMMUNITY SUPPORT
NATIONAL KIDNEY FOUNDATION
30 E 33RD ST	NEW YORK	NY	10016	131673104	501(C)(3)	$20,000	HEALTHCARE RESEARCH & EDUCATION
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1422 EUCLID AVE	CLEVELAND	OH	44115	135661935	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
NORTH COAST HEALTH MINISTRY
16110 DETROIT AVE	LAKEWOOD	OH	44107	341536257	501(C)(3)	$251,500	HEALTHCARE RESEARCH & EDUCATION
NORTH UNION FARMERS MARKET
13212 SHAKER SQUARE STE 302	CLEVELAND	OH	44120	341812026	501(C)(3)	$18,500	COMMUNITY SUPPORT
OHIO & ERIE CANALWAY COALITION
47 W EXCHANGE ST	AKRON	OH	44308	341636766	501(C)(3)	$7,500	COMMUNITY SUPPORT
OHIO CITY INCORPORATED
2525 MARKET AVE STE A	CLEVELAND	OH	44113	341372076	501(C)(3)	$11,315	COMMUNITY SUPPORT
OHIO UNIVERSITY
GROSVENOR W	ATHENS	OH	45701	316402113	501(C)(3)	$8,000	SUPPORT EDUCATIONAL ACTIVITIES
OHIO UNIVERSITY FOUNDATION
PO BOX 869	ATHENS	OH	45701	316402269	501(C)(3)	$585,805	SUPPORT EDUCATIONAL ACTIVITIES
OPEN DOORS INC
3311 PERKINS AVE	CLEVELAND	OH	44114	043697716	501(C)(3)	$20,000	COMMUNITY SUPPORT
OPERATION EXODUS USA
PO BOX 568	LANCASTER	NY	14086	202076659	501(C)(3)	$99,800	COMMUNITY SUPPORT
OUTRUN OVARIAN CANCER
PO BOX 40332	BAY VILLAGE	OH	44140	800093560	501(C)(3)	$17,500	HEALTHCARE RESEARCH & EDUCATION
PALMS WEST CHAMBER OF COMMERCE INC
12794 W FOREST HILL BLVD STE 19	WELLINGTON	FL	33414	592372417	501(C)(6)	$6,035	COMMUNITY SUPPORT
PROJECT GRAD AKRON
400 W MARKET ST	AKRON	OH	44303	161639511	501(C)(3)	$7,500	SUPPORT EDUCATIONAL ACTIVITIES
RAINEY INSTITUTE
1523 E 55TH ST	CLEVELAND	OH	44144	346555952	501(C)(3)	$15,000	COMMUNITY SUPPORT
REGIONAL TRANSIT AUTHORITY
PO BOX 6566	CLEVELAND	OH	44101	341170830	501(C)(1)	$125,000	COMMUNITY SUPPORT
RONALD MCDONALD HOUSE OF CLEVELAND INC
10415 EUCLID AVE	CLEVELAND	OH	44106	341269123	501(C)(3)	$17,000	HEALTHCARE RESEARCH & EDUCATION
SAINT MARTIN DE PORRES HIGH SCHOOL
6111 LAUSCHE AVE	CLEVELAND	OH	44103	522401852	501(C)(3)	$63,833	SUPPORT EDUCATIONAL ACTIVITIES
SCHOLARSHIP AMERICA INC
PO BOX 240	ST PETER	MN	56082	042296967	501(C)(3)	$24,091	SUPPORT EDUCATIONAL ACTIVITIES
SISTERS OF ST JOSEPH THIRD ORDER OF ST FRANCIS
12425 GRANGER RD	GARFIELD HTS	OH	44125	340943303	501(C)(3)	$8,572	SUPPORT EDUCATIONAL ACTIVITIES
SOUTH EUCLID UNITED CHURCH OF CHRIST
4217 BLUESTONE RD	SOUTH EUCLID	OH	44121	340714615	501(C)(3)	$291,667	COMMUNITY SUPPORT
SPIRIT OF CLEVELAND INC
334 EUCLID AVE	CLEVELAND	OH	44114	341823509	501(C)(3)	$7,620	COMMUNITY SUPPORT
ST EDWARD HIGH SCHOOL
13500 DETROIT AVE	LAKEWOOD	OH	44107	340737808	501(C)(3)	$7,500	SUPPORT EDUCATIONAL ACTIVITIES
SUSAN G KOMEN BREAST CANCER FOUNDATION
26210 EMERY RD STE 307	CLEVELAND	OH	44128	341793460	501(C)(3)	$17,500	HEALTHCARE RESEARCH & EDUCATION
THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44195	340714553	501(C)(3)	$19,298,390	HEALTHCARE RESEARCH & EDUCATION
THE CLEVELAND FOUNDATION
1422 EUCLID AVE STE 1300	CLEVELAND	OH	44115	340714588	501(C)(3)	$250,000	COMMUNITY SUPPORT
THE CLEVELAND ORCHESTRA
11001 EUCLID AVE	CLEVELAND	OH	44106	340714468	501(C)(3)	$12,500	COMMUNITY SUPPORT
THE DIVERSITY CENTER OF NORTHEAST OHIO
3659 GREEN RD STE 220	CLEVELAND	OH	44122	201968761	501(C)(3)	$5,700	COMMUNITY SUPPORT
THE GREATER CLEVELAND HEALTHCARE ASSOCIATION
1226 HURON RD	CLEVELAND	OH	44115	340714649	501(C)(3)	$25,014	HEALTHCARE RESEARCH & EDUCATION
THE SALVATION ARMY
440 W NYACK RD	WEST NYACK	NY	10994	135562351	501(C)(3)	$21,000	COMMUNITY SUPPORT
THE VILLAGE AT MARYMOUNT
5200 MARYMOUNT VILLAGE DR	GARFIELD HTS	OH	44125	205652595	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
TOWARDS EMPLOYMENT INC
1255 EUCLID AVE STE 300	CLEVELAND	OH	44115	341578831	501(C)(3)	$10,000	COMMUNITY SUPPORT
TRANSPLANT HOUSE OF CLEVELAND
2007 E 115TH ST APT 1	CLEVELAND	OH	44106	272834616	501(C)(3)	$12,000	HEALTHCARE RESEARCH & EDUCATION
TRINITY SUPPORT SERVICES
12425 GRANGER RD	GARFIELD HTS	OH	44125	263804435	501(C)(3)	$21,428	SUPPORT EDUCATIONAL ACTIVITIES
UNITED WAY OF GREATER CLEVELAND
1331 EUCLID AVE	CLEVELAND	OH	44115	346516654	501(C)(3)	$11,250	COMMUNITY SUPPORT
UNITED WAY OF SUMMIT COUNTY
90 N PROSPECT ST	AKRON	OH	44304	341169257	501(C)(3)	$10,550	COMMUNITY SUPPORT
UNIVERSITY CIRCLE INCORPORATED
10831 MAGNOLIA DR	CLEVELAND	OH	44106	340823464	501(C)(3)	$7,500	COMMUNITY SUPPORT
URSULINE PIAZZA
7801 DETROIT AVE	CLEVELAND	OH	44102	371655740	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION
YMCA OF BROWARD COUNTY FLORIDA
20201 SADDLE CLUB RD	WESTON	FL	33327	590624463	501(C)(3)	$13,000	COMMUNITY SUPPORT
YOUTH OPPORTUNITIES UNLIMITED
1361 EUCLID AVE	CLEVELAND	OH	44115	341381135	501(C)(3)	$10,500	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	90	Total501c3OrgCnt
Total Other Org	9	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	248	$8,309,308
FELLOWSHIPS	2291	$102,001,104

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	CCHS CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCHS 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 CLEVELAND CLINIC HEALTH SYSTEM'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (149 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRETT LISA
DIRECTOR, SECRETARY - AGP	$225,654	$0	$0	$0	$1,758	$0	-$79	$0	$15,900	$0	$243,233	$0	$0	$0
BARSOUM MD WAEL
TRUSTEE, HOSPITAL PRES - CC FLA	$1,039,904	$0	$0	$0	$97,685	$0	$27,500	$0	$13,501	$0	$1,178,590	$0	$0	$0
BLANDON MD RODOLFO
TRUSTEE, CHIEF OF STAFF - CC FLA	$677,816	$0	$0	$0	$63,308	$0	$27,500	$0	$15,501	$0	$784,125	$0	$0	$0
BOLOGNA MD RAYMOND
DIRECTOR, CHAIR - PPG	$615,016	$0	$0	$0	$47,154	$0	$27,500	$0	$17,428	$0	$707,098	$0	$0	$0
DEL CASTILLO BARBARA
DIR, SEC - CC FLA PHARMACY SVCS	$472,572	$0	$0	$0	$23,084	$0	$27,483	$0	$13,285	$0	$536,424	$0	$0	$0
DELGADO OSMEL
DIR, ADM CLINICAL OPS - CC FLA PHARM	$369,906	$0	$0	$0	$7,177	$0	-$771	$0	$13,471	$0	$389,783	$0	$0	$0
DONLEY MD BRIAN
DIR-CCF & REGIONALS, CHIEF OF STAFF	$1,364,489	$0	$0	$0	$903,039	$0	$27,500	$0	$300,456	$0	$2,595,484	$0	$0	$0
FENTON MD ANDREW
DIRECTOR, VICE CHAIR - PPG	$395,922	$0	$0	$0	$26,124	$0	-$6,687	$0	$18,678	$0	$434,037	$0	$0	$0
FRIGO DAVID
DIRECTOR, TREASURER - AGP	$197,685	$0	$0	$0	$4,675	$0	-$1,472	$0	$16,258	$0	$217,146	$0	$0	$0
GLASS STEVEN C
DIRECTOR, CFO & TREAS-CCF	$1,508,404	$0	$0	$0	$146,308	$0	$24,583	$0	$18,411	$0	$1,697,706	$0	$0	$0
HARRINGTON MICHAEL
DIR, TREAS - KMA; CAO - CCF	$757,222	$0	$0	$0	$70,987	$0	$27,500	$0	$19,193	$0	$874,902	$0	$0	$0
HARTE MD BRIAN
DIRECTOR, PRESIDENT - AGMC	$627,304	$0	$389	$0	$57,724	$0	$27,500	$0	$19,511	$0	$732,428	$0	$0	$0
JAMES BRUCE
TRUSTEE, PRESIDENT - UNION	$359,298	$0	$90,002	$0	$792	$0	$15,000	$0	$22,450	$0	$487,542	$0	$0	$0
JONES MD J STEPHEN
DIR, PRES REG HOSPITALS	$291,558	$0	$0	$0	$18,107	$0	$27,500	$0	$6,438	$0	$343,603	$0	$0	$0
MARKS DO MICHELLE
TRUSTEE, MED DIR - CCCHR	$265,548	$0	$0	$0	$1,432	$0	$27,085	$0	$20,617	$0	$314,682	$0	$0	$0
MCHUGH MD MICHAEL
TRUSTEE, MED DIR - CCCHR	$258,663	$0	$0	$0	$213,740	$0	-$98,146	$0	$13,165	$0	$387,422	$0	$0	$0
MIHALJEVIC MD TOMISLAV
DIRECTOR, PRES & CEO - CCF	$2,678,622	$0	$0	$0	$299,381	$0	$27,500	$0	$18,193	$0	$3,023,696	$0	$0	$0
MODIC MICHAEL
DIRECTOR, PRESIDENT - KMA	$247,882	$0	$0	$0	$0	$0	-$67,142	$0	$0	$0	$180,740	$0	$105,336	$0
MULLEN RN KAREN
PRESIDENT, DIRECTOR - VNS	$194,440	$0	$0	$0	$46,186	$0	$219,985	$0	$4,704	$0	$465,315	$0	$0	$0
NAPIERKOWSKI MD DANIEL
TRUSTEE, PRES -MM & EUCLID	$558,555	$0	$0	$0	$55,143	$0	$27,500	$0	$18,260	$0	$659,458	$0	$0	$0
NILSSON KEITH
DIRECTOR, CFO - CCFPS	$458,428	$0	$0	$0	$10,272	$0	$495	$0	$15,737	$0	$484,932	$0	$0	$0
PAPPAS MD RITA
TRUSTEE, INTERIM PRES - CCCHR	$390,038	$0	$0	$0	$13,962	$0	$25,951	$0	$17,777	$0	$447,728	$0	$0	$0
PARKER MD RICHARD
TRUSTEE, HOS PRES - HILLCREST	$804,140	$0	$0	$0	$79,643	$0	-$33,111	$0	$17,675	$0	$868,347	$0	$0	$0
PEACOCK WILLIAM
DIR, COO-CCF, PRES -KMA, LRBI	$1,630,154	$0	$0	$0	$140,295	$0	$27,545	$0	$18,161	$0	$1,816,155	$0	$0	$0
RASMUSSEN MD PETER
DIRECTOR, PRESIDENT - CCHSPA	$760,700	$0	$0	$0	$71,728	$0	$27,500	$0	$17,955	$0	$877,883	$0	$0	$0
ROWAN DAVID
DIRECTOR, SECRETARY - CCF	$1,480,468	$0	$0	$0	$150,884	$0	$27,500	$0	$19,347	$0	$1,678,199	$0	$0	$0
SABANEGH MD EDMUND
DIR, PRES, CC MAIN & REGS - CCF	$910,582	$0	$0	$0	$89,468	$0	$27,500	$0	$17,777	$0	$1,045,327	$0	$0	$0
WIEDEMANN MD HERBERT
DIR, CHIEF OF STAFF - CCF, REG	$910,877	$0	$0	$0	$74,237	$0	-$182,971	$0	$18,650	$0	$820,793	$0	$0	$0
ANDERSON MD MICHAEL
TRUSTEE - MARYMOUNT, PHYSICIAN	$315,382	$0	$0	$0	$28,529	$0	$27,500	$0	$17,733	$0	$389,144	$0	$0	$0
BEKENY MD JAMES
TRUSTEE - LAKEWOOD, PHYSICIAN	$317,489	$0	$0	$0	$32,425	$0	$29,233	$0	$18,076	$0	$397,223	$0	$0	$0
BENNETT KRIS
DIR - AGMC, LODI, EXEC DIR REG HOSP	$281,719	$0	$0	$0	$2,331	$0	$8,250	$0	$16,591	$0	$308,891	$0	$0	$0
BERAN JOSETTE
TRUSTEE - UNION, CHIEF STRATEGY OFF	$635,347	$0	$0	$0	$69,934	$0	$19,400	$0	$18,977	$0	$743,658	$0	$0	$0
BERNICK MD CHARLES
DIR - KMA, ASSOC MED DIR LOU RUVO CT	$309,976	$0	$0	$0	$8,016	$0	$27,500	$0	$163,389	$0	$508,881	$0	$0	$0
BOGAR MD KEVIN
TRUSTEE - MARYMOUNT, PHYSICIAN	$481,904	$0	$0	$0	$119,402	$0	$27,500	$0	$18,911	$0	$647,717	$0	$0	$0
BORDEN MD BRAD
TRUSTEE - CCCHR, PHYSICIAN	$789,341	$0	$0	$0	$78,890	$0	$27,500	$0	$19,511	$0	$915,242	$0	$0	$0
BRAMAN DO KENNETH
DIRECTOR - PPG, PHYSICIAN	$263,634	$0	$0	$0	$6,192	$0	$10,963	$0	$22,876	$0	$303,665	$0	$0	$0
BREAUX MD TODD
DIR - AGMC, LODI, PHYSICIAN	$591,145	$0	$0	$0	$46,350	$0	$27,500	$0	$16,299	$0	$681,294	$0	$0	$0
BROOKS MD STEVE
DIR - AGMC, LODI, PHYSICIAN	$377,033	$0	$0	$0	$5,009	$0	$10,280	$0	$20,550	$0	$412,872	$0	$0	$0
CHANDURKAR DO ROHIT
DIRECTOR - PPG, PHYSICIAN	$316,248	$0	$0	$0	$4,391	$0	$11,839	$0	$23,373	$0	$355,851	$0	$0	$0
CHHABRA ANKIT
DIR-AGMC, LODI, EXEC DIR REG FIN OPS	$288,354	$0	$0	$0	$2,076	$0	$8,046	$0	$17,208	$0	$315,684	$0	$0	$0
CULLEY MD CARL A JR
TRUSTEE - LAKEWOOD, PHYSICIAN	$172,218	$0	$0	$0	$7,675	$0	$17,313	$0	$15,494	$0	$212,700	$0	$0	$0
CUMMINGS JEFFREY
DIRECTOR - KMA, PHYSICIAN	$390,967	$0	$0	$0	$33,746	$0	$27,500	$0	$9,511	$0	$461,724	$0	$0	$0
DEYLING MD CYNTHIA
TRUSTEE - MM, CHIEF QUALITY OFF	$627,640	$0	$0	$0	$61,014	$0	-$56,122	$0	$16,175	$0	$648,707	$0	$0	$0
FETTO JULIE
TRUSTEE - UNION, CNO	$210,542	$0	$0	$0	$2,580	$0	$1,051	$0	$13,977	$0	$228,150	$0	$0	$0
FRANCO MD KATHLEEN
DIR - CCF, REG HOSPS, PHYSICIAN	$271,140	$0	$0	$0	$9,608	$0	-$96,742	$0	$17,675	$0	$201,681	$0	$0	$0
FREEMAN MD RICHARD B
TRUSTEE - LAKEWOOD, PHYSICIAN	$278,521	$0	$0	$0	$28,191	$0	$27,500	$0	$17,076	$0	$351,288	$0	$0	$0
GREENE MD KATHIE
DIRECTOR - PPG, PHYSICIAN	$243,487	$0	$0	$0	$32,862	$0	$8,401	$0	$7,245	$0	$291,995	$0	$0	$0
GROSSMAN MD JORDAN
DIRECTOR - PPG, PHYSICIAN	$664,402	$0	$0	$0	$18,812	$0	$11,187	$0	$0	$0	$694,401	$0	$0	$0
GRUBB MICHELLE
DIRECTOR - PPG	$167,488	$0	$0	$0	$3,806	$0	$5,184	$0	$14,500	$0	$190,978	$0	$0	$0
HARLEY DO DOUGLAS
DIR - AGMC, LODI, PHYSICIAN	$266,504	$0	$9,500	$0	$839	$0	$9,504	$0	$19,035	$0	$305,382	$0	$0	$0
HOLTHAUS THERESA
DIRECTOR - AGF	$191,678	$0	$0	$0	$9,108	$0	$6,435	$0	$20,820	$0	$228,041	$0	$0	$0
HORATTAS MD MARK
DIR - AGMC, LODI, PHYSICIAN	$524,857	$0	$0	$0	$64,567	$0	-$5,766	$0	$23,507	$0	$607,165	$0	$0	$0
KALAFATIS LARA
DIR - KMA, CHAIR PHILANTHROPY INST	$504,904	$0	$0	$0	$20,077	$0	$27,500	$0	$16,911	$0	$569,392	$0	$0	$0
KOHLER MD DOUGLAS
TRUSTEE - MARYMOUNT, PHYSICIAN	$545,982	$0	$0	$0	$105,696	$0	$27,500	$0	$19,333	$0	$698,511	$0	$0	$0
KURTZ MD WILLIAM
DIRECTOR - PPG, PHYSICIAN	$862,109	$0	$0	$0	$20,824	$0	$13,018	$0	$6,503	$0	$902,454	$0	$0	$0
LASH-RITTER MD TERI
TRUSTEE - UNION, PHYSICIAN	$281,903	$0	$0	$0	$1,731	$0	$27,500	$0	$16,339	$0	$327,473	$0	$0	$0
MACHADO MD ANDRE
DIRECTOR - KMA, PHYSICIAN	$1,000,904	$0	$0	$0	$94,807	$0	$27,500	$0	$20,911	$0	$1,144,122	$0	$0	$0
MARKOVICH MD RENEE
DIRECTOR - PPG, PHYSICIAN	$258,197	$0	$0	$0	$4,060	$0	$9,341	$0	$15,772	$0	$287,370	$0	$0	$0
MATT-AMARAL MD LAURIE
DIRECTOR - PPG, PHYSICIAN	$326,806	$0	$0	$0	$20,098	$0	$7,538	$0	$18,078	$0	$372,520	$0	$0	$0
MOORE MD JEFFREY
DIR - AGMC, LODI, PHYSICIAN	$153,609	$0	$0	$0	$25,097	$0	-$6,088	$0	$8,360	$0	$180,978	$0	$0	$0
MOORHEAD MD COLIN
DIRECTOR - PPG, PHYSICIAN	$510,384	$0	$0	$0	$1,260	$0	$14,851	$0	$21,723	$0	$548,218	$0	$0	$0
MURPHY JANICE
DIR - AGMC, LODI, COO	$580,542	$0	$0	$0	$59,624	$0	-$13,218	$0	$14,472	$0	$641,420	$0	$0	$0
OMORI SUE
DIRECTOR - AGF	$228,364	$0	$0	$0	$888	$0	$6,865	$0	$16,465	$0	$252,582	$0	$0	$0
PAPA ALAN
DIRECTOR - AGP, AGF, PPG	$424,672	$0	$0	$0	$33,683	$0	$4,138	$0	$19,913	$0	$482,406	$0	$0	$0
PFISTER MD EUGENE
DIR- PPG, AGMC, LODI, PHYSICIAN	$273,557	$0	$8,500	$0	$50,475	$0	-$95,783	$0	$15,522	$0	$252,271	$0	$0	$0
POSK MD LORI
DIRECTOR - AGF, PHYSICIAN	$280,904	$0	$0	$0	$2,574	$0	$27,500	$0	$19,511	$0	$330,489	$0	$0	$0
ROME MD ELLEN
TRUSTEE - CCCHR, PHYSICIAN	$197,267	$0	$0	$0	$2,042	$0	$20,004	$0	$18,140	$0	$237,453	$0	$0	$0
ROSE MD WARREN
DIRECTOR - PPG, PHYSICIAN	$391,129	$0	$0	$0	$43,262	$0	$27,500	$0	$19,186	$0	$481,077	$0	$0	$0
RUSSELL MD REBECCA
DIRECTOR - PPG, PHYSICIAN	$395,548	$0	$0	$0	$12,852	$0	$27,500	$0	$16,517	$0	$452,417	$0	$0	$0
SHEERS MD TITUS
DIR - AGMC, LODI, PHYSICIAN	$325,777	$0	$0	$0	$8,403	$0	-$3,914	$0	$19,078	$0	$349,344	$0	$0	$0
SHERIDAN MD CATHERINE
DIRECTOR AGF, MED HOSP FDN	$210,574	$0	$0	$0	$751	$0	$21,187	$0	$16,586	$0	$249,098	$0	$0	$0
SNYDER VICKY
DIRECTOR - MED HOSP FDN	$239,351	$0	$0	$0	$5,907	$0	$4,840	$0	$24,500	$0	$274,598	$0	$0	$0
SPIRO MD TIMOTHY
DIR - CCF & REGIONALS, PHYSICIAN	$598,511	$0	$0	$0	$65,444	$0	$27,500	$0	$17,304	$0	$708,759	$0	$0	$0
SWOGER DO WILLIAM V
TRUSTEE - UNION, PHYSICIAN	$302,031	$0	$0	$0	$74	$0	$4,312	$0	$16,040	$0	$322,457	$0	$0	$0
THOMPSON MD THOMAS
DIR - AGMC, LODI, PHYSICIAN	$826,557	$0	$0	$0	$29,168	$0	-$36,816	$0	$16,351	$0	$835,260	$0	$0	$0
WHITE MD HAROLD
DIRECTOR - AGF, PHYSICIAN	$415,140	$0	$0	$0	$22,897	$0	$27,500	$0	$16,175	$0	$481,712	$0	$0	$0
ZEMIS MD JOSEPH
TRUSTEEE - UNION, PHYSICIAN	$586,748	$0	$151,574	$0	$18,776	$0	$15,000	$0	$219,537	$0	$991,635	$0	$0	$0
ALVAREZ MD BENITO
PRESIDENT - PPG, PHYSICIAN	$372,127	$0	$0	$0	$11,982	$0	$10,000	$0	$19,205	$0	$413,314	$0	$0	$0
DAVIDSON MD ELLIOT
CHAIR - PPG, PHYSICIAN	$256,903	$0	$8,500	$0	$12,804	$0	$1,180	$0	$23,297	$0	$302,684	$0	$0	$0
ERZURUM MD SERPIL
CCF - CHAIR, LERNER RESEARCH INST	$621,000	$0	$0	$0	$39,650	$0	$58,517	$0	$1,500	$0	$720,667	$0	$0	$0
GROOFF MD PAUL
SECRETARY - CC NY MED SVCS PC	$538,749	$0	$0	$0	$49,127	$0	$27,500	$0	$18,086	$0	$633,462	$0	$0	$0
MALONE JR MD DONALD
HOSPITAL PRESIDENT - LUTHERAN	$400,869	$0	$389	$0	$28,739	$0	-$43,793	$0	$18,026	$0	$404,230	$0	$0	$0
MCKENZIE MD MARGARET
HOSPITAL PRES - SOUTH POINTE	$443,404	$0	$0	$0	$42,318	$0	$27,500	$0	$18,411	$0	$531,633	$0	$0	$0
MEEHAN MICHAEL J
RECORDING SEC - CCF, REGIONALS	$330,793	$0	$0	$0	$35,622	$0	-$67,709	$0	$17,522	$0	$316,228	$0	$0	$0
MILLER MD CHARLIE
CHIEF MEDICAL OFFICER - CCMS	$852,515	$0	$0	$0	$87,922	$0	$27,500	$0	$17,675	$0	$985,612	$0	$0	$0
OBLANDER JASON
ASST. SEC - CCF & REGIONALS	$209,595	$0	$0	$0	$3,764	$0	$5,837	$0	$15,407	$0	$234,603	$0	$0	$0
SHEWBRIDGE MD RICHARD
HOSPITAL PRESIDENT - MEDINA	$308,404	$0	$0	$0	$5,661	$0	$27,500	$0	$16,911	$0	$358,476	$0	$0	$0
SMITH BRIAN
VICE PRESIDENT - CLINIC CARE	$243,975	$0	$0	$0	$9,882	$0	$4,517	$0	$17,099	$0	$275,473	$0	$0	$0
SMITH DO NEIL
HOSPITAL PRESIDENT - FAIRVIEW	$416,500	$0	$0	$0	$38,656	$0	$27,500	$0	$18,647	$0	$501,303	$0	$0	$0
STARCK MD REBECCA
HOSPITAL PRESIDENT - AVON	$596,954	$0	$0	$0	$54,845	$0	$25,235	$0	$16,911	$0	$693,945	$0	$0	$0
STOLLERMD JAMES
CCEF CHAIR, EDUCATION INST	$521,982	$0	$0	$0	$34,584	$0	-$177,820	$0	$18,333	$0	$397,079	$0	$0	$0
YOUNG MD JAMES P
CHIEF ACADEMIC OFF - CCF & CCEF	$812,284	$0	$0	$0	$88,263	$0	$27,500	$0	$18,233	$0	$946,280	$0	$0	$0
BAILEY DAWN
CNO - EUCLID HOSPITAL	$189,671	$0	$0	$0	$7,255	$0	$4,647	$0	$18,047	$0	$219,620	$0	$0	$0
JOHN BRUYERE
COO - SOUTH POINTE	$192,723	$0	$0	$0	$6,811	$0	-$831	$0	$16,463	$0	$215,166	$0	$0	$0
COLLIER SUSAN
VP NURSING, CNO - HILLCREST	$263,392	$0	$0	$0	$4,593	$0	-$64,639	$0	$11,402	$0	$214,748	$0	$0	$0
GUSTER CHERIE
SR. VP AND CNO - AGMC	$241,329	$0	$0	$0	$38,753	$0	-$34,718	$0	$15,546	$0	$260,910	$0	$0	$0
KOCSIS DANA
VP NURSING & OPS LODI	$178,814	$0	$0	$0	$6,896	$0	$6,543	$0	$6,877	$0	$199,130	$0	$0	$0
KOLONICK RENEE
COO - MARYMOUNT HOSP	$242,583	$0	$0	$0	$5,130	$0	$1,988	$0	$14,361	$0	$264,062	$0	$0	$0
LEA RICHARD
COO - EUCLID HOSPITAL	$246,363	$0	$0	$0	$3,550	$0	$16,812	$0	$15,201	$0	$281,926	$0	$0	$0
MAJOR KERRY
CNO - CC FLA HEALTH SYS	$251,003	$0	$0	$0	$1,732	$0	$6,587	$0	$15,162	$0	$274,484	$0	$0	$0
MATTNER MATTHEW
COO - LUTHERAN HOSPITAL	$234,440	$0	$0	$0	$17,562	$0	$7,199	$0	$14,702	$0	$273,903	$0	$0	$0
MILLER SHEILA
CNO - SOUTH POINTE HOSP	$206,181	$0	$778	$0	$14,689	$0	$5,954	$0	$15,230	$0	$242,832	$0	$0	$0
MILLS JOHN
COO - FAIRVIEW HOSPITAL	$326,278	$0	$0	$0	$10,906	$0	$8,238	$0	$0	$0	$345,422	$0	$0	$0
PETER MD DAVID
VP MED AFFAIRS/CMO - AGHS	$387,047	$0	$0	$0	$32,786	$0	$14,009	$0	$18,204	$0	$452,046	$0	$0	$0
SABBAGH MARWAN
DIR LR CTR BRAIN HEALTH - CC NV	$248,936	$0	$0	$0	$40,845	$0	$26,860	$0	$11,274	$0	$327,915	$0	$0	$0
SAUER MARY
CNO -AVON	$210,126	$0	$0	$0	$5,292	$0	$9,914	$0	$13,868	$0	$239,200	$0	$0	$0
SCHUSTER JANET
CNO - LUTHERAN HOSPITAL	$204,018	$0	$0	$0	$5,718	$0	$6,383	$0	$17,736	$0	$233,855	$0	$0	$0
SMALL DEBORAH
CNO - FAIRVIEW HOSPITAL	$229,455	$0	$5,208	$0	$365,301	$0	$27,572	$0	$58,386	$0	$685,922	$0	$0	$0
SURI MD RAKESH
CEO CCAD	$1,255,255	$0	$0	$0	$828,047	$0	$27,500	$0	$152,702	$0	$2,263,504	$0	$0	$0
SVENSSON MD LARS
CHAIR HVI - CCF	$1,489,979	$0	$0	$0	$148,811	$0	$27,500	$0	$18,086	$0	$1,684,376	$0	$0	$0
THOBURN MARY BETH
CNO - FAIRVIEW	$206,074	$0	$0	$0	$776	$0	$6,456	$0	$15,513	$0	$228,819	$0	$0	$0
VIDMAR ERICK
ADMIN DIRECTOR - CC NV	$190,746	$0	$0	$0	$155	$0	$3,425	$0	$14,899	$0	$209,225	$0	$0	$0
ZINNER BARBARA
CNO - MARYMOUNT	$213,692	$0	$0	$0	$5,640	$0	-$4,095	$0	$15,855	$0	$231,092	$0	$0	$0
COSGROVE MD DELOS
FORMER CEO - CCF	$4,601,492	$0	$0	$0	$4,116,692	$0	-$32,819	$0	$2,946	$0	$8,688,311	$0	$0	$0
NAJM MD HANI
PHYSICIAN - CCF	$1,515,904	$0	$0	$0	$148,311	$0	$27,500	$0	$18,411	$0	$1,710,126	$0	$0	$0
BROOKS MD PETER
PHYSICIAN - CCF	$1,254,311	$0	$0	$0	$124,643	$0	$207,115	$0	$17,504	$0	$1,603,573	$0	$0	$0
HUSTON ANN
CHIEF STRATEGY OFFICER - CCF	$183,479	$0	$0	$0	$1,164,859	$0	$23,992	$0	$16,277	$0	$1,388,607	$0	$0	$0
MARTIN MD DANIEL
CHAIR COLE EYE INSTITUTE - CCF	$1,288,761	$0	$0	$0	$126,495	$0	$27,500	$0	$18,053	$0	$1,460,809	$0	$0	$0
BRONSON MD DAVID
FORMER OFFICER (RETIRED)	$176,254	$0	$0	$0	$0	$0	$0	$0	-$500	$0	$175,754	$0	$176,254	$0
FORD MD DONALD
FORMER OFFICER	$291,394	$0	$0	$0	$24,282	$0	$27,500	$0	$17,665	$0	$360,841	$0	$0	$0
FUNK MD JONATHAN R
FORMER OFFICER	$222,132	$0	$0	$0	$2,981	$0	$22,350	$0	$16,733	$0	$264,196	$0	$0	$0
HAHN MD JOSEPH
FORMER OFFICER (RETIRED)	$148,394	$0	$0	$0	$0	$0	$0	$0	$0	$0	$148,394	$0	$148,394	$0
HAMILTON THOMAS
FORMER OFFICER	$421,075	$0	$0	$0	$24,784	$0	$9,453	$0	$18,240	$0	$473,552	$0	$0	$0
JUHASZ DO ROBERT
FORMER OFFICER	$277,011	$0	$0	$0	$25,198	$0	$27,500	$0	$16,304	$0	$346,013	$0	$0	$0
MCHUGH LINDA
FORMER OFFICER	$807,357	$0	$0	$0	$78,295	$0	$27,068	$0	$17,458	$0	$930,178	$0	$0	$0
NOGUERAS MD JUAN
FORMER OFFICER	$559,247	$0	$0	$0	$54,993	$0	-$83,391	$0	$12,570	$0	$543,419	$0	$0	$0
PIEDIMONTE MD GIOVANNI
FORMER OFFICER	$647,082	$0	$0	$0	$41,281	$0	$27,500	$0	$18,233	$0	$734,096	$0	$0	$0
ROSENTHAL MD RAUL
FORMER OFFICER	$769,079	$0	$0	$0	$54,045	$0	$27,500	$0	$13,238	$0	$863,862	$0	$0	$0
SLIFKO JESSICA
FORMER OFFICER	$395,469	$0	$0	$0	$12,978	$0	$25,504	$0	$15,940	$0	$449,891	$0	$0	$0
STOVER MD THOMAS
FORMER OFFICER (RETIRED)	$0	$0	$0	$0	$152,519	$0	-$48,452	$0	$0	$0	$104,067	$0	$152,519	$0
TULISIAK MD THOMAS
FORMER OFFICER	$289,955	$0	$0	$0	$12,995	$0	$27,500	$0	$17,589	$0	$348,039	$0	$0	$0
VANHORN AMANDA
FORMER OFFICER	$191,838	$0	$0	$0	$1,786	$0	$5,463	$0	$19,171	$0	$218,258	$0	$0	$0
ZEROSKE JOANNE
FORMER OFFICER (RETIRED)	$40,378	$0	$0	$0	$413,912	$0	$51,004	$0	$17,288	$0	$522,582	$0	$372,000	$0
BECK CHRIS
FORMER OFFICER	$144,720	$0	$31,468	$0	$836	$0	$8,960	$0	$5,176	$0	$191,160	$0	$0	$0
BOYD DIANA
FORMER OFFICER	$151,475	$0	$28,013	$0	$792	$0	$9,400	$0	$11,430	$0	$201,110	$0	$0	$0
CRAIG ROBERT
FORMER OFFICER	$160,556	$0	$28,792	$0	$1,626	$0	$9,801	$0	$15,015	$0	$215,790	$0	$0	$0
MEYERHOEFER TODD
FORMER OFFICER	$237,247	$0	$48,396	$0	$20,056	$0	$15,000	$0	$21,876	$0	$342,575	$0	$0	$0
SMITH DARWIN K
FORMER OFFICER	$148,866	$0	$28,333	$0	$792	$0	$9,283	$0	$17,302	$0	$204,576	$0	$0	$0
THORN III EUGENE A
FORMER OFFICER	$215,179	$0	$53,799	$0	$792	$0	$13,300	$0	$6,489	$0	$289,559	$0	$0	$0
ABDENOUR STEPHEN
FORMER KE	$232,759	$0	$0	$0	$369,737	$0	-$7,104	$0	$28,511	$0	$623,903	$0	$0	$0
CARROLL DONALD
FORMER KE	$245,618	$0	$0	$0	$15,640	$0	$9,341	$0	$15,396	$0	$285,995	$0	$0	$0
EMMELHAINZ LARRY
FORMER KE	$154,675	$0	$0	$0	$195,959	$0	$34,290	$0	$6,918	$0	$391,842	$0	$0	$0
FISER DAVID
FORMER KE	$164,269	$0	$0	$0	$13,651	$0	-$43	$0	$7,403	$0	$185,280	$0	$0	$0
FOSTER SUSAN
FORMER KE	$215,463	$0	$0	$0	$5,785	$0	-$253	$0	$17,031	$0	$238,026	$0	$0	$0
LYTLE MD BRUCE
FORMER KE (RETIRED)	$118,200	$0	$0	$0	$0	$0	$0	$0	$0	$0	$118,200	$0	$118,200	$0
MUAKKASSA MD FARID
FORMER KE	$916,452	$0	$0	$0	$15,856	$0	$1,436	$0	$30,138	$0	$963,882	$0	$0	$0
RIBLEY DOUGLAS
FORMER KE	$235,659	$0	$0	$0	$6,308	$0	$5,417	$0	$18,795	$0	$266,179	$0	$0	$0
SCHMIEDEL JUSTIN
FORMER KE	$213,203	$0	$0	$0	$2,078	$0	$6,469	$0	$11,598	$0	$233,348	$0	$0	$0
WRIGHT MD DENNIS
FORMER KE	$472,946	$0	$0	$0	$10,028	$0	$17,415	$0	$18,771	$0	$519,160	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

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

PART I, LINES 4A-B

SCHEDULE J, PART I, LINE 4A, SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: LARRY EMMELHAINZ $170,632 ANN HUSTON $1,156,000 KAREN MULLEN $8,777 THOMAS STOVER $152,519 JOANNE ZEROSKE $372,000 SEVERANCE PAYMENTS ACCRUED IN 2018 BUT NOT YET PAID ARE REPORTED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS: LARRY EMMELHAINZ $31,952 KAREN MULLEN $219,423 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DELOS COSGOVE - PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. FOR MEDICARE TAX PURPOSES $3,926,119 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLANS. MICHAEL MCHUGH - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $207,231 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE OF THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: STEPHEN ABDENOUR - $12,854 DECREASE, DAWN BAILEY - $1,315 DECREASE, LISA BARRETT - $79 DECREASE, JAMES BEKENY - $1,733 INCREASE, KATHLEEN (BURNS) MAU - $6,617 DECREASE, DONALD CARROLL - $1,786 INCREASE, ANKIT CHHABRA - $204 DECREASE, SUSAN COLLIER - $72,607 DECREASE, DELOS COSGROVE - $60,319 DECREASE, ELLIOT DAVIDSON - $9,820 DECREASE, BARBARA DEL CASTILLO - $17 DECREASE, OSMEL DELGADO - $2,652 DECREASE, CYNTHIA DEYLING - $83,622 DECREASE, SERPIL ERZURUM - $31,017 INCREASE, ANDREW FENTON - $17,838 DECREASE, DAVID FISER - $5,424 DECREASE, SUSAN FOSTER - $6,836 DECREASE, KATHLEEN FRANCO - $124,092 DECREASE, DAVID FRIGO - $9,595 DECREASE, STEVE GLASS - $2,917 DECREASE, CHERIE GUSTER - $39,939 DECREASE, THOMAS HAMILTON - $18,047 DECREASE, THERESA HOLTHAUS - $336 INCREASE, MARK HORATTAS - $10,924 DECREASE, RENEE KOLONICK - $5,429 DECRESAE, RICHARD LEA - $9,195 INCREASE, GEORGE LITMAN - $11,600 DECREASE, KERRY MAJOR - $1,185 DECREASE, DONALD MALONE - $71,293 DECREASE, MICHAEL MCHUGH - $123,741 DECREASE, LINDA MCHUGH - $432 DECREASE, MICHAEL MEEHAN - $95,209 DECREASE, JOHN MILLS - $12 DECREASE, MICHAEL MODIC - $67,142 DECREASE, JEFFREY MOORE - $11,685 DECREASE, FARID MUAKKASSA - $12,564 DECREASE, KAREN MULLEN - $7,779 DECREASE, JANICE MURPHY - $40,718 DECREASE, KEITH NILSSON - $7,755 DECREASE, JUAN NOGUERAS - $110,891 DECREASE, JASON OBLANDER - $638 DECREASE, SUE OMORI - $204 DECREASE, ALAN PAPA - $9,947 DECREASE, RITA PAPPAS - $1,549 DECREASE, RICHARD PARKER - $60,611 DECREASE, WILLIAM PEACOCK - $45 INCREASE, EUGENE PFISTER - $106,761 DECREASE, DOUGLAS RIBLEY - $2,735 DECREASE, LEE SAHADI - $7,632 DECREASE, MARY SAUER - $3,470 INCREASE, TITUS SHEERS - $15,768 DECREASE, JESSICA SLIFKO - $1,996 DECREASE, DEBORAH SMALL - $72 DECREASE, BRIAN SMITH - $3,040 DECREASE, VICKY SNYDER - $2,663 DECREASE, REBECCA STARCK - $2,265 DECREASE, JAMES STOLLER - $205,320 DECREASE, THOMAS STOVER - $48,452 DECREASE, MARYBETH THOBURN - $128 INCREASE, THOMAS THOMPSON - $47,940 DECREASE, ERICK VIDMAR - $2,469 DECREASE, HERBERT WIEDEMANN $210,471 DECREASE, JOANNE ZEROSKE - $23,504 INCREASE, BARBARA ZINNER - $9,116 DECREASE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	67756DAY2	2013-05-29	$309,434,914	BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	67756A3Z3	2012-05-09	$519,383,182	BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	677561HU9	2011-11-02	$208,951,439	BOND 2011A: REFUND 2003A SERIES	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	NONEAVAIL	2011-11-02	$41,120,000	BOND 2011B: REFUND 1992A & B AND 1989 SERIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt
A	$43,347,782	$309,434,914	$2,129,301	$20,001,498	$287,304,115	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$44,599,156	$519,383,182	$3,825,815	$411,300,530	$104,256,837	2012	0	Yes (1)	Yes (1)	Yes (1)
C	$51,767,413	$208,951,439	$2,003,385		$206,948,054	2011	0	Yes (1)	Yes (1)	Yes (1)
D	$14,740,000	$41,120,000	$735,249		$38,082,286	2011	Yes (1)	0	Yes (1)	Yes (1)	$2,302,465

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00220	0.00220	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00680	0.00760	Yes (1)	0.00080
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01050	0.01050	Yes (1)	0.00000
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/09/2017 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/25/2014 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2018	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	677561FV9	2009-08-25	$807,007,320	BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	67756AJ37	2008-10-15	$670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS	0	0	0
COLLIER COUNTY HEALTH FACILITIES AUTHORITY
C	592351395	19463LAB9	2003-04-16	$118,200,000	BOND 2003C: REFUND FL SERIES 1999; FINANCING WESTON CLINIC	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	NONEAVAIL	2017-12-21	$9,305,000	BOND 2017C: REFUND 2002 SERIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$790,802,320	$70,000	$807,007,320	$1,099,225	$501,164,781	$304,743,315	2011	Yes (1)	0	Yes (1)	Yes (1)
B	$342,425,000		$670,000,000	$1,200,000	$324,315,217	$372,706,929	2008	Yes (1)	0	Yes (1)	Yes (1)
C	$76,295,000		$118,200,000	$412,525	$13,520,714	$104,266,761	2003	Yes (1)	0	Yes (1)	Yes (1)
D	$360,000		$9,305,000			$9,305,000	2017	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00780	0.00010	0.00790	Yes (1)	0.00050	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00560	0.00020	0.00580	0			Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01050	0.00000	0.01050	0			Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)				0			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	346849674	BondIssuerEIN
CUSIP	677561KS0	CUSIPNum
Bond Issued	2017-08-29	BondIssuedDt
Issue Price	$939,576,748	IssuePriceAmt
Purpose	BOND 2017A: REFUND 2008A, 2008B, 2009A, 2009B, 2012A SERIES	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$6,357,987	RetiredAmt
Total Proceeds	$939,576,748	TotalProceedsAmt
Other Spent Proceeds	$939,576,748	OtherSpentProceedsAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Use By Others	0.01740	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00010	PrivateBusConcerningUBIPct
Total Private Business Use	0.01750	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	D COSGROVE	PersonNm
Relationship With Org	FORMER PRES/CEO	RelationshipWithOrgTxt
Loan Purpose	INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$229,247	OriginalPrincipalAmt
Balance Due	$7,444,253	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$7,444,253	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
PANZICA REALTY INC
ENTITY PARTLY OWNED BY FAMILY MEMBER OF CYNTHIA DEYLING, MARYMOUNT DIRECTOR	$135,939	LEASE AGREEMENT	0
AMANDA IGEL
FAMILY MEMBER OF TIMOTHY SPIRO, CCF DIRECTOR	$58,143	EMPLOYMENT AGREEMENT WITH CCF	0
CHAD BRONSON
FAMILY MEMBER OF KATHLEEN FRANCO, CCF DIRECTOR	$48,300	EMPLOYMENT AGREEMENT WITH CCF	0
CASEY NILSSON
FAMILY MEMBER OF KEITH NILSSON, CC FLORIDA.CC FLORIDA HEALTH SYSTEM OFFICER	$13,964	EMPLOYMENT AGREEMENT WITH CC FLORIDA AND CC FLORIDA HEALTH SYSTEM	0
JESSICA SHEERS
FAMILY MEMBER OF TITUS SHEERS, AGMC DIRECTOR	$38,958	EMPLOYMENT AGREEMENT WITH AGMC	0
RYAN OAKLEY
FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER	$26,365	EMPLOYMENT AGREEMENT WITH CCF	0
AMBER BRADFORD-SAFFLES
FAMILY MEMBER OF JOHN BRADFORD, PPG DIRECTOR	$357,449	EMPLOYMENT AGREEMENT WITH PPG	0
ALISON ALEMAGNO
FAMILY MEMBER OF SONIA ALEMAGNO, AGMC DIRECTOR & TRUSTEE	$38,208	EMPLOYMENT AGREEMENT WITH AGMC	0
FARID MUAKKASSA
FAMILY MEMBER OF RIMA MUAKKASSA, AGMC DIRECTOR	$150,637	EMPLOYMENT AGREEMENT WITH AGMC	0
SOPHIA HORATTAS
FAMILY MEMBER OF MARK HORATTAS, AGMC DIRECTOR	$57,151	EMPLOYMENT AGREEMENT WITH AGMC	0
ELENI HORATTAS
FAMILY MEMBER OF MARK HORATTAS, AGMC DIRECTOR	$56,677	EMPLOYMENT AGREEMENT WITH AGMC	0
ERICK LOPEZ
FAMILY MEMBER OF JANICE MURPHY, FORMER FAIRVIEW OFFICER	$27,014	EMPLOYMENT AGREEMENT WITH FAIRVIEW	0
KATHERINE MCHUGH
FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER	$40,501	EMPLOYMENT AGREEMENT WITH CCF	0
DENISE ANGERSTIEN
FAMILY MEMBER OF DENNIS CHACK, AGMC DIRECTOR	$61,771	EMPLOYMENT AGREEMENT WITH AGMC	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	30	ContributionCnt
Noncash Contributions Rpt F990	$332,794	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

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

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$385,720	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	222	ContributionCnt
Noncash Contributions Rpt F990	$15,161,505	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVERAGE HIGH/LOW	MethodOfDeterminingRevenuesTxt

Securities Closely Held Stock SecuritiesCloselyHeldStockGrp

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

Real Estate Commercial RealEstateCommercialGrp

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

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$59,054	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIPMENT	Desc
Contribution	26	ContributionCnt
Noncash Contributions Rpt F990	$247,848	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOOD	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, PROGRAM SERVICE STATEMENT	CLEVELAND CLINIC, LOCATED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC FOUNDATION IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. CLEVELAND CLINIC WAS ESTABLISHED IN 1921 WITH THE SAME MISSION THAT CONTINUES TODAY: BETTER CARE FOR THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC HEALTH SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2018 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $969.3 MILLION IN BENEFITS TO THE COMMUNITIES SERVED. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY OUTREACH PROGRAMS. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO OUR 2018 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE IN 2018, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDED AN ACADEMIC MEDICAL CENTER AND 11 COMMUNITY HOSPITALS (AKRON GENERAL MEDICAL CENTER, AVON, EUCLID, FAIRVIEW, HILLCREST, LODI, LUTHERAN, MARYMOUNT, MEDINA, SOUTH POINTE, AND UNION HOSPITALS), AND A SPECIALTY HOSPITAL (CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION) IN NORTHEAST OHIO; ONE HOSPITAL AND ONE HEALTH AND WELLNESS CENTER IN FLORIDA; AND A CENTER FOR BRAIN HEALTH IN LAS VEGAS, NEVADA. CLEVELAND CLINIC HEALTH SYSTEM IS DEDICATED TO THE COMMUNITIES WE SERVE STRIVING TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT; AND SUPPORTING PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. THROUGH OUR FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, WE PROVIDE HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. IN 2018, THE CLEVELAND CLINIC HEALTH SYSTEM RECORDED 4,143 TOTAL STAFFED BEDS, 686,652 EMERGENCY VISITS, 221,672 SURGICAL CASES, 186,439 ADMISSIONS, AND MORE THAN 7.9 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. FOUNDED IN 1914, AKRON GENERAL IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT SERVES AS THE HUB FOR CLEVELAND CLINIC'S SOUTHERN REGION. THE 502 STAFFED BED TEACHING AND RESEARCH MEDICAL CENTER INCLUDES LODI HOSPITAL, VISITING NURSE SERVICE, AND HEALTH & WELLNESS CENTERS. THE A LEVEL 1 TRAUMA CENTER, AS DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS, OFFERS THE TECHNOLOGY, EXPERTISE, AND STAFFING TO TREAT ALL INJURIES REGARDLESS OF SEVERITY. IN 2018 U.S. NEWS & WORLD REPORT RANKED AKRON GENERAL AS THE ELEVENTH BEST HOSPITAL IN OHIO AND THE BEST HOSPITAL IN AKRON. AKRON GENERAL RANKED 47TH NATIONALLY IN PULMONOLOGY AND RANKED AS "HIGH PERFORMING" IN GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, NEPHROLOGY, AND UROLOGY. AKRON WAS ALSO RANKED AS "HIGH PERFORMING" IN THREE ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS "MAGNET" STATUS DESIGNATION TO AKRON GENERAL. AKRON GENERAL IS ACCREDITED BY JOINT COMMISSION, ALSO RECEIVING ITS GOLD SEAL OF APPROVAL FOR STROKE CARE. IT IS SUMMIT COUNTY'S FIRST ACCREDITED CHEST PAIN CENTER, MEETING STRICT CRITERIA FROM THE SOCIETY OF CHEST PAIN CENTERS AND PROVIDERS. AKRON GENERAL'S MCDOWELL CANCER INSTITUTE IS THE ONLY AKRON CANCER HOSPITAL TO RECEIVE AN OUTSTANDING ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER. AKRON GENERAL PARTICIPATES IN NATIONAL CANCER INSTITUTE (NCI) SPONSORED CLINICAL TRIALS, AS WELL AS PHARMACEUTICAL INDUSTRY SPONSORED TRIALS. MEMBERSHIP IN SIX NCI COOPERATIVE GROUPS PROVIDES PATIENTS WITH ACCESS TO A WIDE MENU OF CLINICAL TRIALS. OPENED IN NOVEMBER 2016, AVON HOSPITAL HAS 126 STAFFED BEDS AND PROVIDES INPATIENT AND OUTPATIENT SERVICES. THE FIVE STORY HOSPITAL WAS DESIGNED TO ACCOMMODATE FUTURE ADVANCES IN MEDICAL CARE. AVON HOSPITAL'S FEATURES INCLUDE SIX OPERATING ROOMS, AN INTENSIVE CARE UNIT, IMAGING AND RADIOLOGY, PHARMACY AND LABORATORY SERVICES, A CARDIAC CATHETERIZATION LABORATORY AS WELL AS AN EXPANDED EMERGENCY DEPARTMENT. THE HOSPITAL HAD A SUCCESSFUL JOINT COMMISSION ACCREDITATION SURVEY AND RECEIVED FULL ACCREDITATION STATUS ON DECEMBER 9, 2016.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	FOUNDED IN 1907, EUCLID HOSPITAL HAS BECOME ONE OF THE REGION'S LEADING SUB-ACUTE CARE, OUTPATIENT REHABILITATION AND ORTHOPAEDIC CENTERS. THE HOSPITAL, WITH 165 STAFFED BEDS, OFFERS A COMPLETE CONTINUUM OF CARE WITH NATIONALLY RENOWNED SPECIALTIES THAT INCLUDE: SUB-ACUTE CARE, CLEVELAND CLINIC NEURO-REHABILITATION PROGRAM, EMERGENCY DEPARTMENT, GERIATRIC ASSESSMENT PROGRAM, HEALING GARDEN WITH LAKEFRONT VIEWS, ORTHOPAEDICS, AND OUTPATIENT REHABILITATION. IN 2018, EUCLID HOSPITAL WAS RECOGNIZED WITH THE GREENHEALTH EMERALD, THE NATION'S LEADING HEALTHCARE COMMUNITY THAT EMPOWERS ITS MEMBERS TO INCREASE THEIR EFFICIENCIES AND ENVIRONMENTAL STEWARDSHIP WHILE IMPROVING PATIENT SAFETY AND CARE THROUGH TOOLS, BEST PRACTICES AND KNOWLEDGE. THE AWARD IS ONE OF THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARDS GIVEN EACH YEAR TO INCREASE ENVIRONMENTAL SUSTAINABILITY ACHIEVEMENTS IN THE HEALTHCARE SECTOR. THE HOSPITAL ALSO MAINTAINS A PATHWAYS TO EXCELLENCE DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER. EUCLID WAS ALSO AWARDED THE GREENHEALTH LESS WASTE CIRCLE AWARD. FOUNDED IN 1892, FAIRVIEW HOSPITAL IS A FAITH-BASED COMMUNITY HOSPITAL WITH 460 STAFFED BEDS. IT IS A FULLY ACCREDITED HOSPITAL BY THE JOINT COMMISSION, WITH A CERTIFIED LEVEL II TRAUMA CENTER. CLEVELAND CLINIC CANCER CENTER AT FAIRVIEW HOSPITAL, HAS BEEN AWARDED THE OUTSTANDING ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER. THE HOSPITAL ALSO RECEIVED THE AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE FOR ITS QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. FAIRVIEW HOSPITAL'S ADDITIONAL STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE: BIRTHING CENTER, HEART SURGERY, CANCER, AND SURGERY. FAIRVIEW IS ALSO DEVELOPING A NATIONAL REPUTATION IN BLOOD CONSERVATION, EDUCATION AND RESEARCH THROUGH ITS CENTER FOR BLOOD CONSERVATION. FAIRVIEW HAS BEEN RANKED A 100 TOP HOSPITAL BY THOMSON REUTERS. IN 2018, U.S. NEWS & WORLD REPORT RECOGNIZED FAIRVIEW HOSPITAL AS THE NUMBER THREE HOSPITAL IN THE CLEVELAND METRO AREA AND NUMBER FIVE IN OHIO. FAIRVIEW HOSPITAL WAS NATIONALLY RANKED FOR CARDIOLOGY & HEART SURGERY, GASTROENTEROLOGY & GI SURGERY, GERIATRICS AND PULMONOLOGY AND "HIGHEST PERFORMING" IN SIX OTHER SPECIALTIES. THE HOSPITAL ALSO ACHIEVED THE "HIGH PERFORMING" RATING IN FIVE COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS "MAGNET" STATUS TO FAIRVIEW HOSPITAL. 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. IN 2018, FAIRVIEW HOSPITAL RECEIVED SEVERAL AWARDS FROM PRACTICE GREENHEALTH, INCLUDING: THE PARTNER FOR CHANGE AWARD AND GREENING THE OR RECOGNITION AWARD. OPENED IN NOVEMBER 1968, HILLCREST HOSPITAL HAS 440 STAFFED HOSPITAL BEDS. HILLCREST HOSPITAL HAS BEEN NATIONALLY RECOGNIZED 11 TIMES AS ONE OF AMERICA'S 100 TOP HOSPITALS, A DESIGNATION BASED ON EXTENSIVE RESEARCH OF U.S. HOSPITALS, AS CONDUCTED BY THOMSON REUTERS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS "MAGNET" STATUS TO HILLCREST HOSPITAL. 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. IN 2018, U.S. NEWS & WORLD REPORT RECOGNIZED HILLCREST HOSPITAL AS "HIGH PERFORMING" IN SEVEN ADULT SPECIALTIES. THE HOSPITAL ALSO ACHIEVED "HIGH PERFORMING" RATINGS IN SIX COMMON ADULT PROCEDURES AND CONDITIONS. THE HOSPITAL IS ALSO RANKED FOURTH AMONG CLEVELAND -AREA HOSPITALS AND SIXTH IN THE STATE OF OHIO. HILLCREST HOSPITAL HOLDS ACCREDITATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTH ORGANIZATIONS AND FULL ACCREDITATION WITH PCI FROM THE SOCIETY OF CHEST PAIN CENTERS. IN THE CONSUMER GUIDE TO OHIO HOSPITAL QUALITY, HILLCREST RECEIVED THE HIGHEST POSSIBLE RANKING IN FIVE CARDIAC CATEGORIES, INCLUDING ANGIOPLASTY, CARDIAC CATHETERIZATION, CAROTID (NECK) ARTERY SURGERY, CONGESTIVE HEART FAILURE AND CORONARY ARTERY BYPASS GRAFT. IN 2018, HILLCREST WAS AWARDED THE GREENHEALTH PARTNER FOR CHANGE AWARD. OPENED IN 1896, LUTHERAN HOSPITAL IS A 194 STAFFED BED HOSPITAL OFFERING QUALITY MEDICAL CARE, CUTTING-EDGE TECHNOLOGY AND ADVANCED RESEARCH AND SURGERY. LUTHERAN OFFERS EXPERT CARE IN AREAS SUCH AS ORTHOPAEDICS, SPINE, PAIN MANAGEMENT, GENERAL SURGERY, BEHAVIORAL HEALTH, ALCOHOL AND DRUG RECOVERY, WOUND CARE, LAB AND IMAGING SERVICES, AND EMERGENCY MEDICINE. AMONG THE COMMUNITY HOSPITALS NATIONWIDE, LUTHERAN HOSPITAL HAS PLACED #1, WINNING THE VIZIENT BERNARD A. BIRNBAUM, MD, QUALITY LEADERSHIP AWARD FOR EXCELLENCE IN DELIVERING SAFE, PATIENT-CENTERED CARE THAT IS TIMELY, EFFECTIVE, EFFICIENT, AND EQUITABLE. THE JOINT COMMISSION, THE LEADING ACCREDITOR OF HEALTHCARE ORGANIZATIONS IN THE UNITED STATES, HAS ALSO RECOGNIZED LUTHERAN HOSPITAL AS A TOP PERFORMER ON KEY QUALITY MEASURES. LUTHERAN WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN 2018, LUTHERAN WAS AWARDED THE PRACTICE GREENHEALTH PARTNER FOR CHANGE AWARD. FOUNDED IN 1949, MARYMOUNT HOSPITAL IS A 277 STAFFED BED ACUTE CARE HOSPITAL PROVIDING ADVANCED HEALTH CARE, GUIDED BY THE VALUES OF SERVICE, COMPASSION, DIGNITY, AND RESPECT. IN 2018, U.S. NEWS & WORLD REPORT RECOGNIZED MARYMOUNT HOSPITAL AS "HIGH PERFORMING" IN TWO COMMON ADULT PROCEDURES. MARYMOUNT HOSPITAL WAS RECOGNIZED WITH THE PARTNERS IN CHANGE AWARD BY PRACTICE GREENHEALTH, THE NATION'S LEADING HEALTHCARE COMMUNITY THAT EMPOWERS ITS MEMBERS TO INCREASE THEIR EFFICIENCIES AND ENVIRONMENTAL STEWARDSHIP WHILE IMPROVING PATIENT SAFETY AND CARE THROUGH TOOLS, BEST PRACTICES AND KNOWLEDGE. MARYMOUNT WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. MARYMOUNT HOLDS A NUMBER OF CERTIFICATIONS AND ACCREDITATIONS INCLUDING: CERTIFICATION FROM AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION FOR HOSPITAL ACCREDITATION, AN ACCREDITED HOSPITAL PROGRAM BY THE JOINT COMMISSION, AND A BEHAVIORAL HEALTH PROGRAM ACCREDITED BY THE JOINT COMMISSION. FOUNDED IN 1944, MEDINA HOSPITAL IS A 143 STAFFED BED ACUTE CARE FACILITY. MEDINA'S STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE EMERGENCY DEPARTMENT, ORTHOPAEDICS, AND SURGERY. THE HOSPITAL FEATURES MORE THAN 300 PHYSICIANS COVERING MORE THAN 30 AREAS OF SPECIALIZATION. IN 2018, IT WAS ALSO AWARDED THE PRACTICE GREENHEALTH PARTNER FOR CHANGE AWARD AND GREENING THE OR AWARD. SOUTH POINTE HOSPITAL, IS A 172 STAFFED BED ACUTE CARE, COMMUNITY TEACHING HOSPITAL WHICH HAS BEEN SERVICING THE HEALTHCARE NEEDS OF ITS COMMUNITY SINCE 1957. SOUTH POINTE DELIVERS A PATIENT CENTERED MODEL OF CARE WHICH PROMOTES THE HEALING OF THE MIND, BODY AND SPIRIT. IN 2018 U.S. NEWS & WORLD REPORT RECOGNIZED SOUTH POINTE HOSPITAL AS "HIGH PERFORMING" IN FIVE CLINICAL SPECIALTIES AND TWO COMMON ADULT PROCEDURES AND CONDITIONS. THE HOSPITAL WAS ALSO RANKED FIFTH AMONG CLEVELAND AREA HOSPITALS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS "MAGNET" STATUS TO SOUTH POINTE. 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. THE CANCER PROGRAM AT SOUTH POINTE HOSPITAL HAS A FOUR YEAR ACCREDITATION BY THE COMMISSION ON CANCER FOR THE AMERICAN COLLEGE OF SURGEONS. THIS HONOR IS ONLY GRANTED TO 20% OF THE HOSPITALS IN THE UNITED STATES. ADDITIONALLY, THE HOSPITAL IS DUALLY ACCREDITED BY THE JOINT COMMISSION AND THE AMERICAN OSTEOPATHIC ASSOCIATION.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	FOUNDED IN 1906, UNION HOSPITAL IS A 139 STAFFED BED HOSPITAL. IN APRIL 2018, THE CLEVELAND CLINIC, THROUGH A SUBSIDIARY, BECAME THE SOLE MEMBER OF THE UNION HOSPITAL. THE HOSPITAL'S 25 ACRE MEDICAL CAMPUS INCLUDES PHYSICIAN OFFICE BUILDINGS, OUTPATIENT REHABILITATION AND SPORTS MEDICINE CENTER, AND A MENTAL HEALTHCARE AGENCY. OFF CAMPUS FACILITIES INCLUDE AN AMBULATORY SURGERY CENTER, OCCUPATIONAL MEDICINE AND AN URGENT CARE CENTER. UNION HOSPITAL HAS BEEN NAMED TO THE LIST OF THE "100 GREAT COMMUNITY HOSPITALS" BY BECKER'S HOSPITAL REVIEW, A MONTHLY PUBLICATION OF BUSINESS AND LEGAL NEWS FOR HOSPITAL EXECUTIVES. IT IS ONE OF SIX HOSPITALS NATIONWIDE RECOGNIZED AS A TOP PERFORMING HOSPITAL IN THE MIDAS+ PLATINUM QUALITY AWARD PROGRAM. IN ADDITION, IT ACHIEVED CERTIFICATION AS A PRIMARY STROKE CENTER. UNION HOSPITAL HAS ALSO BEEN DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, INDICATING THAT BREAST IMAGING AT UNION MEETS THE HIGHEST STANDARDS OF THE RADIOLOGY PROFESSION. CLEVELAND CLINIC FLORIDA INCLUDES A 206 STAFFED BED HOSPITAL, DIAGNOSTIC CENTERS, OUTPATIENT SURGERY, AND A 24-HOUR EMERGENCY DEPARTMENT IN WESTON, FLORIDA. CLEVELAND CLINIC FLORIDA HAS LOCATIONS IN WESTON, PALM BEACH, PALM BEACH GARDENS AND PARKLAND. TWO NEW LOCATIONS OPENED IN 2018, A CLINIC AND AMBULATORY SURGERY CENTER IN CORAL SPRINGS AND A NEW CLINIC IN WELLINGTON, FLORIDA. THE ADDITION OF THE CORAL SPRINGS AND WELLINGTON FACILITIES WILL BRING THE NUMBER OF LOCATIONS IN FLORIDA TO NINE. IN 2018, CLEVELAND CLINIC FLORIDA HAD 525,093 PATIENT VISITS, 15,372 INTERNATIONAL PATIENT VISITS; AND MORE THAN 260 STAFF PHYSICIAN AND 120 RESIDENTS AND FELLOWS IN 11 ACCREDITED TRAINING PROGRAMS. IN 2018, U.S. NEWS & WORLD REPORT NATIONALLY RANKED TWO OF FLORIDA'S ADULT SPECIALTIES: GASTROENTEROLOGY & GI SURGERY, AND ORTHOPEDICS. IT WAS ALSO "HIGH PERFORMING" IN FOUR ADULT SPECIALTIES AND ALL NINE ADULT PROCEDURES & CONDITIONS. CLEVELAND CLINIC FLORIDA WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN ADDITION, PRACTICE GREENHEALTH AWARDED IT WITH THE PARTNER RECOGNITION AWARD. CLEVELAND CLINIC FLORIDA IS A WORLD-RENOWNED ACADEMIC MEDICAL CENTER WITH ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN SOUTH FLORIDA. FOR THE NINTH YEAR IN A ROW, CLEVELAND CLINIC FLORIDA RANKED HIGHEST AMONG HOSPITALS IN BROWARD COUNTRY IN REGIONAL RANKINGS IN U.S. NEWS & WORLD REPORT'S RANKING OF BEST HOSPITALS 2018-2019. CLEVELAND CLINIC FLORIDA IS RANKED FIRST IN THE MIAMI-FT. LAUDERDALE METRO REGION AND FOURTH IN THE STATE OF FLORIDA. THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS A MULTIDISCIPLINARY CENTER, CO-LOCATED IN LAS VEGAS AND CLEVELAND PROVIDING DIAGNOSIS AND TREATMENT FOR PATIENTS WITH COGNITIVE DISORDERS AND SUPPORT FOR THEIR FAMILIES. PHYSICIANS AND STAFF FOCUS ON EARLY INTERVENTION FOR MILD COGNITIVE DISORDERS THROUGH PHYSICAL EXERCISE, COGNITIVE REHABILITATION, AND MEDICATION. THE CENTER ALSO ENGAGES IN EDUCATION AND RESEARCH ACTIVITIES. THE LOU RUVO CENTER FOR BRAIN HEALTH WAS NAMED A RESEARCH CENTER OF EXCELLENCE BY THE LEWY BODY DEMENTIA ASSOCIATION. IT HAS BEEN NAMED ONE OF THE FIRST FIVE CUREPSP CENTERS OF CARE IN THE UNITED STATES. IT IS ALSO THE ONLY PROGRAM IN SOUTHERN NEVADA TO RECEIVE THE PARTNERS IN CARE DESIGNATION FROM THE NATIONAL MULTIPLE SCLEROSIS SOCIETY. KEEP MEMORY ALIVE ("KMA") RAISES FUNDS TO OPERATE THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH TO ADVANCE THE RESEARCH AND TREATMENT OF PATIENTS WITH NEUROCOGNITIVE DISORDERS THAT RESULT FROM NEUROLOGICAL DISEASES INCLUDING ALZHEIMER'S, HUNTINGTON'S, PARKINSON'S, AND AMYOTROPHIC LATERAL SCLEROSIS (ALS). KMA STRIVES TO CREATE GREATER AWARENESS OF NEUROCOGNITIVE DISORDERS; EDUCATE FAMILIES ABOUT TREATMENTS, RESEARCH EFFORTS, AND AVAILABLE CAREGIVER SERVICES; AND PROMOTES LIFESTYLE CHANGES TO ENCOURAGE HEALTHY BRAIN AGING. 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. 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.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	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, 1,363 RESIDENTS AND FELLOWS TRAINED IN 109 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 152 ADVANCED FELLOWS IN 100 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 14 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 51 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2018, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 680,000 CLINICAL ROTATION HOURS FOR OVER 2,600 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 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. - 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 1	LAKEWOOD HOSPITAL ASSOCIATION'S BOARD OF TRUSTEES HAS DELEGATED AUTHORITY TO THREE OF ITS BOARD MEMBERS TO ACT ON BEHALF OF THE BOARD AND OVERSEE THE WIND DOWN OF THE ORGANIZATION AS IT CARRIES OUT REMAINING FUNCTIONS SINCE INPATIENTS OPERATIONS HAVE CEASED. EACH OF THE BOARDS OF DIRECTORS OF AKRON GENERAL HEALTH SYSTEM, CLEVELAND CLINIC AVON HOSPITAL, FAIRVIEW HOSPITAL, LUTHERAN HOSPITAL, MEDINA HOSPITAL, CLEVELAND CLINIC HEALTH SYSTEM EAST REGION, AND UNION HEALTH SYSTEM HAVE DELEGATED FULL AUTHORITY TO A JOINT EXECUTIVE COMMITTEE TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN BETWEEN BOARD MEETINGS. THESE COMMITTEES HAVE THE SAME COMPOSITION AND ARE COMPOSED ENTIRELY OF BOARD MEMBERS, CONSISTING OF THE CHAIRS OF THE BOARD OF EACH SUCH ORGANIZATION AND THE PRESIDENT OF THE REGIONAL HOSPITALS AND FAMILY HEALTH CENTERS.
FORM 990, PART VI, SECTION A, LINE 2	RONALD WEINBERG, CCF DIRECTOR & WILLIAM PEACOCK, CCF OFFICER - BUSINESS CAMILLE RUVO, KMA DIRECTOR & LARRY RUVO, KMA DIRECTOR - FAMILY 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. CCF 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. CCF ENTERED INTO A MANAGEMENT AGREEMENT WITH REGENCY HOSPITALS, LLC AS PART OF A JOINT VENTURE WITH SELECT UNIT MANAGEMENT, INC. TO MANAGE AND OPERATE FOUR LONG TERM ACUTE CARE FACILITIES.
FORM 990, PART VI, SECTION A, LINE 4	THE UNION HOSPITAL ASSOCIATION HAD A FULL REPLACEMENT OF ITS GOVERNING DOCUMENTS IN CONNECTION WITH THE MEMBER SUBSTITUTION THAT WAS EFFECTIVE APRIL 1, 2018. PARTNERS PHYSICIAN GROUP AMENDED ITS CODE OF REGULATIONS TO REFLECT THE FOLLOWING MATERIAL CHANGES: GENERAL CLEANUP TO ALIGN WITH CLEVELAND CLINIC BOARD LANGUAGE ON CONFLICT OF INTEREST; INDEMNIFICATION OF DIRECTORS, ETC; CLARIFICATION OF SCOPE OF THE ENTITY; SIMPLIFIED MEETING REQUIREMENTS; ADDITION OF ELECTED REPRESENTATIVES FOR HOSPITAL BASED SPECIALTIES; CLARIFIED ROLE OF THE JOINT POLICY COMMITTEE; ELIMINATED DEFUNCT COMMITTEES AND POSITIONS; AND SIMPLIFIED THE DESCRIPTION OF THE CMO ROLE. MARYMOUNT HOSPITAL INC AMENDED ITS CODE OF REGULATIONS TO REFLECT THE FOLLOWING MATERIAL CHANGES: THE FIDUCIARY GOVERNING BOARD OF THE ENTITY WAS REPLACED WITH THE JOINT REGIONAL HOSPITALS BOARD OF DIRECTORS, WHICH INCLUDES ALL THE CLEVELAND CLINIC DIRECTORS. THE FORMER GOVERNING BOARD BECAME AN ADVISORY BOARD. THE SPECIAL MEMBER RETAINS THE AUTHORITY TO REMOVE ANY DIRECTOR OR TRUSTEE FROM HIS OR HER ROLE REGARDING THE HOSPITAL. THE CHAIR AND VICE CHAIR OF THE BOARD OF TRUSTEES WILL NOW BE APPOINTED BY A MUTUAL AGREEMENT OF THE CLINIC, MHCS, AND THE BOARD OF TRUSTEES. THE PROCEDURES FOR CATHOLIC OVERSIGHT WERE STRENGTHENED TO OFFSET THE LOSS OF CATHOLIC-APPOINTED MEMBERS TO THE FIDUCIARY BOARD.
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/DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE.
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. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE AND THAT MEMBER ELECTS THE BOARD OF THE RESPECTIVE SUBORDINATE.
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. IN ADDITION, CERTAIN SUBORDINATES IN THE CCF GROUP EACH HAVE A "SPECIAL" MEMBER THAT ARE OTHER NONPROFIT TAX EXEMPT ENTITIES THAT HOLD SPECIAL RIGHTS TO APPROVE SIGNIFICANT TRANSACTIONS OR CHANGES SUCH AS MERGER, DISSOLUTION, SALE OF SUBSTANTIALLY ALL ASSETS, OR A MATERIAL CHANGE IN MISSION.
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 15A	ALL CCF OFFICERS AND KEY EMPLOYEE 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 KEY 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. A SMALL NUMBER OF EMPLOYEES HOLDING AFFILIATE OFFICER POSITIONS HAVE THEIR COMPENSATION REVIEWED AND APPROVED BY THEIR MANAGERS ANNUALLY WITHIN GUIDELINES PRESCRIBED BY THE ORGANIZATION'S HUMAN RESOURCE FUNCTION. THESE GUIDELINES TAKE INTO CONSIDERATION APPLICABLE COMPARABILITY DATA AND SIMILAR COMPENSATION METRICS.
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	CCHS 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 VI, SECTION A, LINE 1A AND 1B	OF THE SUBORDINATE ORGANIZATIONS IN THE CLEVELAND CLINIC GROUP EXEMPTION, THE TAX EXEMPT HOSPITAL NONPROFIT CORPORATIONS HAVE BOARDS THAT ARE MAJORITY INDEPENDENT. THE REMAINING SUBORDINATES ARE WHOLLY OWNED SUBSIDIARIES MANY OF WHICH HAVE BOARDS COMPRISED IN WHOLE OR IN PART BY INDIVIDUALS WHO ARE OFFICERS AND/OR EMPLOYEES OF THE PARENT ORGANIZATION.
FORM 990, PART XI, LINE 9:	DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 775,499. GIFTS AND BEQUESTS 116,839,831. TRANSFERS OF NET ASSETS -1,720,247. NET INVESTMENT INCOME -9,004,616. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -62,714,970. RETIREMENT BENEFITS ADJUSTMENT 24,589,300. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS -2,693,666. EQUITY TRANSFERS & OTHER TRANSFERS 9,894,465. TRANSFER THE UNION HOSPITAL ASSOCIATION BEGINNING FUND BALANCES 17,061,557.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADEO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	465704174	TECHNOLOGY SERVICES	OH	$5,814	$173,371	THE CLEVELAND CLINIC FOUNDATION
ADVANCED INFUSION SERVICES LTD
1 HOME CARE PLACE	AKRON	OH	44320	341847339	HOME INFUSION SERVICES	OH	$28,259	$181,463	VISITING NURSE SERVICE INC
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CC WEB SOLUTIONS LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	263222020	DOMAIN HOLDING COMPANY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTH CARE SERVICES	OH	$17,841,855	$392,486	THE CLEVELAND CLINIC FOUNDATION
CCF HOTEL SERVICES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	340666034	HOTEL OPERATIONS	OH	$34,659,045	$133,139,807	THE CLEVELAND CLINIC FOUNDATION
CHV HOME MEDICAL EQUIPMENT CO LLC
1 HOME CARE PLACE	AKRON	OH	44320	204760456	DURABLE MEDICAL EQUIPMENT	OH	$376,380	$0	VISITING NURSE SERVICE INC
CLEVELAND CLINIC CARE COORDINATION LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	455282492	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC FLORIDA CONCIERGE MEDICINE LLC
1301 EAST BROWARD BLVD STE 330	FT LAUDERDALE	FL	33301	823186835	MEDICAL SERVICES	FL	$0	$0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	311741150	HEALTH CARE SERVICES	FL	$0	$0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	263666730	HELATH CARE SERVICES & IP LICENSING	OH	$3,600,448	$22,978,513	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC MEDICARE ACO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	471281189	HEALTH CARE SERVICES	OH	$0	$2,647,096	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTH CARE SERVICES	OH	$6,229,215	$0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
1950 RICHMOND ROAD	LYNDHURST	OH	44124	263859233	HEALTH CARE SERVICES	OH	$3,438,266	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTH CARE SERVICES	OH	$56,322,127	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341907574	HEALTH CARE SERVICES	OH	$30,071,893	$0	THE CLEVELAND CLINIC FOUNDATION
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	HEALTH CARE SERVICES	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
EDWIN SHAW REHAB LLC
330 BROADWAY STREET EAST	CUYAHOGA FALLS	OH	44221	270119182	REHABILITATION FACILITY	OH	-$586,129	$1,798,164	AKRON GENERAL MEDICAL CENTER
INTELLIS EPM LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	270645368	MEDICAL TECHNOLOGY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
IVHR LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	454657632	MEDICAL TECHNOLOGY	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON STREET	MEDINA	OH	44256		INACTIVE	OH	$0	$0	MEDINA HOSPITAL
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	INACTIVE	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
MONTROSE SLEEP CENTER LLC
4125 MEDINA ROAD	AKRON	OH	44333	200494491	HEALTH CARE SERVICES	OH	$957,667	$986,054	AKRON GENERAL PARTNERS
NEUROOPERATIVE MONITORING LLC
1 AKRON GENERAL AVENUE	AKRON	OH	44307	300746215	INACTIVE	OH	$0	$0	AKRON GENERAL PARTNERS
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTH CARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		INACTIVE	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
3050 SCIENCE PARK DRIVE	BEACHWOOD	OH	44122	273245990	REAL ESTATE HOLDINGS	OH	$0	$0	THE CLEVELAND CLINIC FOUNDATION
TATARA VASCULAR LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	474282964	MEDICAL TECHNOLOGY	DE	$0	$0	THE CLEVELAND CLINIC FOUNDATION
THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	201476092	HEALTH CARE SERVICES	OH	$0	$0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTH CARE SERVICES	OH	$46,059,654	$59,519	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC FLORIDA HOME HEALTHCARE LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	832250064	HEALTH CARE SERVICES	FL	$0	$0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
UNION HOSPITAL MEDICAL SERVICES LLC
659 BOULEVARD	DOVER	OH	44622	270273520	HEALTH CARE SERVICES	OH	$339,916	$0	THE UNION HOSPITAL ASSOCIATION
UNION PHYSICIAN SERVICES LLC
659 BOULEVARD	DOVER	OH	44622	264215547	HEALTH CARE SERVICES	OH	$12,596,202	$0	THE UNION HOSPITAL ASSOCIATION
TUSCARAWAS AMBULATORY SURGERY CENTER LLC
659 BOULEVARD	DOVER	OH	44622	340000100	HEALTH CARE SERVICES	OH	$4,533,144	$2,348,352	THE UNION HOSPITAL ASSOCIATION

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
COMMUNITY WEST FOUNDATION
800 SHARON DRIVE STE C	WESTLAKE	OH	44145	341456398	ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY	OH	501(C)(3)	LINE 7	N/A	0
THREE ARCHES FOUNDATION
14601 DETROIT AVENUE STE 240	LAKEWOOD	OH	44107	346519834	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 12D, III-O	N/A	0
MEDINA COUNTY HEALTH CORPORATION
1000 E WASHINGTON ST	MEDINA	OH	44256	270756266	SUPPORT MEDINA HOSPITAL	OH	501(C)(3)	LINE 12D, III-O		0	MEDINA HOSPITAL
NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP
2001 ROSS AVENUE	DALLAS	TX	75201	311707979	SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES	TX	501(C)(3)	LINE 12D, III-O	N/A	0
WO WALKER CENTER INC
10700 EUCLID AVENUE	CLEVELAND	OH	44106	911818256	HEALTH CARE SERVICES	OH	501(C)(3)	LINE 12D, III-O	N/A	0
AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE	CLEVELAND	OH	44111	237108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	PF	N/A	0
TUSCARAWAS VALLEY REGIONAL CANCER CENTER
659 BOULEVARD	DOVER	OH	44622	340000100	PHYSICIAN HOSPITAL AND ORGANIZATION	OH	501(C)(3)	LINE 3	N/A	0
CLEVELAND CLINIC PHILANTHROPY (UK) LTD
					SUPPORT HEALTH CARE, RESEARCH, AND EDUCATION		501(C)(3)		N/A	0		40 GROSVENOR PLACE	LONDON	UK	SW1X 7AW	UK
UNION HOSPITAL AUXILIARY
659 BOULEVARD	DOVER	OH	44622	341204928	SUPPORT THE UNION HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 10	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Share Of EOY AssetsShareOfEOYAssetsAmt	Direct Controlling NADirectControllingNACd
33 GROSVENOR PLACE LTD
47 ESPLANADE	ST HELIER	JE	JE1 0BD	LEASE HOLDING COMPANY	JE	CLEVELAND CLINIC UK HOLDINGS LTD	C	-$365,948,542	1.00000	Yes (1)
AKRON GENERAL INNOVATIONS INC
				PARTNERSHIP INVESTMENTS		AKRON GENERAL PARTNERS	C			0	1 AKRON GENERAL AVENUE	AKRON	OH	44307	383928798	OH
AKRON GENERAL MANAGED CARE ASSOCIATION INC
				SUPPORTING SERVICES		AKRON GENERAL MEDICAL CENTER	C			Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341784985	OH
CCF BOLTON INC
				BUSINESS SERVICES		CLINIC MEDICAL SOLUTIONS INC	C			Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204596571	OH
CCHS INDEMNITY CO LTD
23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	INSURANCE COMPANY	CJ	THE CLEVELAND CLINIC FOUNDATION	C	$59,458,379	1.00000	Yes (1)					980207086		$161,211,932
CELLX TECHNOLOGIES INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	822405500	DE
CLEVELAND CLINIC CANADA-TORONTO INC
181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	HEALTH CARE SERVICES	CA	THE CLEVELAND CLINIC FOUNDATION	C	$13,366,909	1.00000	Yes (1)							$13,445,532
CLEVELAND CLINIC EMR INC
				MEDICAL SERVICES		CLINIC MEDICAL SOLUTIONS INC	C			Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	OH	$1,121,837
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
				MEDICAL SERVICES		CLINIC MEDICAL SOLUTIONS INC	C	$12,508,988		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	OH	$11,549,645
CLEVELAND CLINIC LONDON LTD
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	HOSPITAL OPERATING COMPANY	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C	-$30,560	1.00000	Yes (1)							$30,079,471
CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY)
PO BOX 340340	RIYADH	SA	11333	MEDICAL SERVICES	SA	THE CLEVELAND CLINIC FOUNDATION	C	$27,061,943	1.00000	Yes (1)							$44,047,256
CLEVELAND CLINIC UK HOLDINGS LTD
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	HOLDING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C	-$250,817	1.00000	Yes (1)							$729,438,861
CLEVELAND HEALTH NETWORK
				MEDICAL SERVICES			C			Yes (1)	6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341770780	OH		N/A
CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION
				HEALTH CARE SERVICES		CLEVELAND HEALTH NETWORK	C			Yes (1)	6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341808138	OH
CLINIC MEDICAL SOLUTIONS INC
				HEALTH CARE SERVICES		THE CLEVELAND CLINIC FOUNDATION	C	$13,943,952		Yes (1)	18101 LORAIN AVENUE	CLEVELAND	OH	44111	341695388	OH	$4,981,757
CMCD INC
				REAL ESTATE		MEDINA HOSPITAL	C		1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	OH	$311,040
CORA SENTA TECHNOLOGIES INC
				INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C			0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	824335548	DE
CUSTOM ORTHOPAEDIC SOLUTIONS INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C			0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	274838981	DE
ENHALE MEDICAL INC
				SLEEP APNEA TREATMENT		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	821613340	DE	$1,463,357
INFUSEON THERAPEUTICS INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$100,842	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	461776182	DE	$399,735
ION-VAC INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	461560044	DE	$89,231
LAKEWOOD HEALTHCARE FOUNDATION
				HEALTH CARE SERVICES		LAKEWOOD HOSPITAL ASSOCIATION	C			Yes (1)	14519 DETROIT AVENUE	LAKEWOOD	OH	44107	341574608	OH
MCZ INC
				LEASING		MEDINA HOSPITAL	C	$7,807	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256598	OH	$500
MEDINVEST INC
				INACTIVE		CLINIC MEDICAL SOLUTIONS INC	C		1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	203978297	OH
MERIDIA HEALTH VENTURES INC
				HEALTH CARE SERVICES		CLEVELAND CLINIC HOME CARE	C		1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341533871	OH
MERLOT ORTHOPEDIX INC
				MEDICAL DEVICE MANUFACTURING		THE CLEVELAND CLINIC FOUNDATION	C		0.55120	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	113779414	DE	$64,784
NEOMEDICS INC
				BUSINESS SERVICES		CLINIC MEDICAL SOLUTIONS INC	C		1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	020656818	OH
NEUROTHERAPIA INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	473977513	DE	$305,130
OPTOQUEST CORPORATION
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$61,750	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	263589643	DE	$52,610
PINE FALLS CONDOMINIUM ASSOCIATES INC
				CONDO RENTALS		THE CLEVELAND CLINIC FOUNDATION	C		0.75000	Yes (1)	6100 WEST CREEK SUITE 25	INDEPENDENCE	OH	44131	341617589	OH
RENOVO BIOSCIENCES INC
				MEDICAL TECHNOLOGY		RENOVO BIOSCIENCES INC	C	$1,003,531	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	341956569	DE	$148,755
RENOVO NEURAL INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C	$148,193	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	800185146	DE
SHIELD BIOTECH INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		0.72000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	462880975	DE
VIVERE PHARMA INC
				INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	475397125	DE
CLEVELAND CLINIC FINANCING PLC
11-12 ST JAMESS SQUARE STE1 3RD	LONDON	UK	SW1Y 4LB	FINANCING	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C		1.00000	Yes (1)							$524,516,847
UNION CARE CORPORATION
				INACTIVE		THE UNION HOSPITAL ASSOCIATION	C		1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	341556177	OH
UNION PHARMACEUTICAL CARE INC
				HEALTH CARE SERVICES		THE UNION HOSPITAL ASSOCIATION	C	$15,157	1.00000	Yes (1)	659 BOULEVARD	DOVER	OH	44622	043588229	OH	$42,127
CASHEL NEURAL INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824625105	DE
NEW COS INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$1,263,741	1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824828042	DE	$519,193
TMAO INC
				INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C		1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	824850194	DE
CHARITABLE REMAINDER TRUSTS (14)
				CHARITABLE TRUST		THE CLEVELAND CLINIC FOUNDATION	T			Yes (1)	C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131		OH

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

Transactions Related Org TransactionsRelatedOrgGrp (86 entries)

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