2018-11-14T09:17:01-06:00 2017-12-31 346565596 ERNST & YOUNG LLP 950 MAIN AVENUE 1800 CLEVELAND OH 44113 990 2017-01-01 340714585 THE CLEVELAND CLINIC FOUNDATION CLEV 2164442200 6801 BRECKSVILLE RD NO RK1-85 INDEPENDENCE OH 44131 STEVEN C GLASS CHIEF FINANCIAL OFFICER 2164442200 2018-11-13 1 TERENCE M KENNEDY P00089502 2168615000 139.137.128.62 2018-11-13 15:09:17 ES P CB67C20A50BF17908E970A6E7969C3A1ACFB59EA CB67C20A50BF17908E970A6E7969C3A1ACFB59EA 2017 2019-02-21 02:37:17Z TOMISLAV MIHALJEVIC 6801 BRECKSVILLE RD NO RK1-85 INDEPENDENCE OH 44131 7654682451 0 X WWW.CLEVELANDCLINIC.ORG X 1921 OH PATIENT CARE, RESEARCH & EDUCATION 23 19 37980 1274 52648485 0 245922291 241311504 5176265188 5436585308 137262100 188856450 72376407 106483355 5631825986 5973236617 127070488 125681696 0 0 3054229568 3059296529 1524725 2043350 15030872 2245232776 2395257002 5428057557 5582278577 203768429 390958040 10001576185 10870079986 5304554307 5467933789 4697021878 5402146197 X TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 0 0 4972583060 125681696 5436585308 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 4972583060 1 1 0 1 0 0 1 0 0 1 1 1 0 1 1 1 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 X 6010 1 1 37980 1 1 1 1 CA TU UK LU CJ SA DA IS KS NO PO SW 0 0 0 1 1 1 8 0 0 0 0 X 23 19 1 1 1 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 CA FL GA IL KS KY LA MA MD MN MS NH NJ NM NY OH OR PA SC TN UT WI X X ROBERT F WAITKUS 2164452526 6801 BRECKSVILLE ROAD RK1-85 INDEPENDENCE OH 44131 COSGROVE DELOS M MD DIRECTOR, PRESIDENT, CEO 50.00 X X 7662783 0 -33847 DONLEY BRIAN G MD DIRECTOR & CHIEF OF STAFF 50.00 X X 1425035 0 47030 RICH ROBERT E JR DIRECTOR/BOARD CHAIR 5.00 X X 0 0 0 SCAMINACE JOSEPH M DIRECTOR/BOARD VICE CHAIR 5.00 X X 0 0 0 AULETTA PATRICK V DIRECTOR - CCF 5.00 X 0 0 0 FEDELI UMBERTO P DIRECTOR - CCF 5.00 X 0 0 0 HOOVER CAROLE DIRECTOR - CCF 5.00 X 0 0 0 LERNER MARK DIRECTOR - CCF 5.00 X 0 0 0 LERNER NORMA DIRECTOR - CCF 5.00 X 0 0 0 MACDONALD WILLIAM E III DIRECTOR - CCF 5.00 X 0 0 0 MILLER PAMELA DIRECTOR - CCF 5.00 X 0 0 0 MILLER SAMUEL DIRECTOR - CCF 5.00 X 0 0 0 MOONEY BETH E DIRECTOR - CCF 5.00 X 0 0 0 MORINO MARIO DIRECTOR - CCF 5.00 X 0 0 0 NANCE FREDERICK DIRECTOR - CCF 5.00 X 0 0 0 PETRAS MICHAEL JR DIRECTOR - CCF 5.00 X 0 0 0 PHILLIPS MICHEAL MD PHYSICIAN, DIRECTOR 50.00 X 206987 0 23518 POLLOCK LARRY DIRECTOR - CCF 5.00 X 0 0 0 ROSS RONALD J DIRECTOR - CCF 5.00 X 0 0 0 STEVENS MARK DIRECTOR - CCF 5.00 X 0 0 0 WEINBERG RONALD DIRECTOR - CCF 5.00 X 0 0 0 WEISS MORRY DIRECTOR - CCF 5.00 X 0 0 0 YERIAN LISA MD PHYSICIAN, DIRECTOR - CCF 50.00 X 351914 0 47782 ZEIN NIZAR MD PHYSICIAN, DIRECTOR - CCF 50.00 X 544642 0 52415 ERZURUM SERPIL MD CHAIR OF RESEARCH INST 50.00 X 583610 0 927074 GLASS STEVEN C CFO & TREASURER 50.00 X 1605788 0 52930 HARRINGTON MICHAEL CAO & CONTROLLER 50.00 X 757597 0 45830 MEEHAN MICHAEL RECORDING SECRETARY 50.00 X 354174 0 100499 OBLANDER JASON ASSISTANT SECRETARY 50.00 X 206779 0 21950 PEACOCK WILLIAM CHIEF OF OPERATIONS 50.00 X 1536039 0 47409 ROWAN DAVID W SECRETARY & CHIEF LEGAL OFFICER 50.00 X 1479412 0 46182 MIHALJEVIC TOMISLAV CHIEF EXEC OFFICER - CCAD 50.00 X 2085267 0 135916 MODIC MD MICHAEL INSTITUTE CHAIR, PHYSICIAN (RETIREE) 50.00 X 2604047 0 89757 EINSTEIN DAVID PHYSICIAN (RETIREE) 50.00 X 1801076 0 224262 NAJM HANI PHYSICIAN 50.00 X 1758657 0 49275 SINGER ANNE PHYSICIAN (RETIREE) 50.00 X 1705640 0 13064 SURI RAKESH CHIEF OF STAFF 50.00 X 1684025 0 146283 HAMILTON THOMAS FORMER OFFICER 50.00 X 421243 0 179500 MCHUGH LINDA FORMER OFFICER 50.00 X 803240 0 55802 29577955 0 2272631 5532 1 1 0 DONLEYSTURNER JOINT VENTURE 5430 WARNER RD CLEVELAND OH 44125 CONSTRUCTION SERVICES 29311742 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SERVICES 19294792 IBM CORP 500 FIRST AVENUE PITTSBURGH PA 15219 INFORMATION TECHNOLOGY SYSTEMS SERVICES 18593280 SODEXO INC & AFFILIATES 1669 PHOENIX PARKWAY 210 COLLEGE PARK GA 30349 LAUNDRY & FOOD SERVICE 10778678 TOWNE PARK LLC ONE PARK PLACE SUITE 200 ANNAPOLIS MD 21401 PARKING SERVICES 8602902 455 7328579 115413535 118569390 13504806 241311504 NET PATIENT SERVICES 612990 3107916192 3107916192 MEDICARE/MEDICAID PAYM 921990 1781703419 1781703419 OTHER PROGRAM SERVICES 900099 422586821 416779579 5807242 OTHER ANCILLARY SERVIC 900099 51872655 51872655 MANAGEMENT FEES 561000 28413278 20583660 7829618 44092943 4482796 39610147 5436585308 77734345 77734345 28601758 28601758 9150517 0 9150517 9150517 9150517 1789965129 479951 1677768700 1554275 112196429 -1074324 111122105 111122105 703305 7328579 2122859 -1419554 -1419554 INCOME(LOSS) ON INVEST 523000 71980037 -598522 72578559 FOREIGN CURRENCY 525990 273145 273145 LIFE INSURANCE TRUST 525990 150421 150421 -2252969 -2252969 70150634 5973236617 5331465646 52648485 347810982 23630298 23630298 100726430 100726430 1324968 1324968 20314716 3829225 16485491 1459785 1459785 2433945928 2095907066 330106472 7932390 160875564 138584404 21818917 472243 279254417 240486624 37874174 893619 163446119 140725840 22167552 552727 3956951 3420285 536666 6788492 5867796 920696 2159431 2159431 743981 743981 2043350 2043350 15958323 15958323 212589198 183703223 28832633 53342 29036858 24734475 3938154 364229 55658157 48068588 7548696 40873 76554026 65791357 10382720 379949 2962965 2561110 401855 92795312 80209850 12585462 20467806 17464369 2775968 227469 8394341 7225655 1138491 30195 103816719 89736467 14080252 265864494 229806293 36058151 50 45942579 37771620 6231011 1939948 MEDICAL SUPPLIES 1072393997 1072388635 5362 BAD DEBT EXPENSE 159509535 159509535 EQUIPMENT RENTAL & MAIN 81773150 70648655 11090569 33926 STATE FRANCHISE FEE 45073577 45073577 92817110 82642734 10113176 61200 5582278577 4972583060 594664645 15030872 491971898 245390860 5841909 17465114 213848890 199769348 773876276 683619350 6571698 7103879 20865657 110033731 81650111 88014066 40835674 42804101 5987788285 3344739218 2631273220 2643049067 2356077966 2984766405 2259200987 2666755619 205406335 217756770 59279083 60487897 854876481 903063779 10001576185 10870079986 793258480 812690004 193000 447223 94330575 89299340 2845510506 2871891550 8951457 1334370 98647256 174058227 1463663033 1518213075 5304554307 5467933789 X 3926221007 4582411796 493893080 520252717 276907791 299481684 4697021878 5402146197 10001576185 10870079986 X 390958040 312460340 1705939 X 0 1 X 1 1 1 X 217746821 247936164 226230648 245922291 241311504 1179147428 217746821 247936164 226230648 245922291 241311504 1179147428 11637322 1167510106 81291626 78908086 82576423 85887195 115486620 444149950 67175 67175 169623102 66618979 88700962 64845310 72403603 462191956 2085556509 24248211935 0.55980 0.57080 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INCOMELOSS ON INVESTMENTS - 2013 AMOUNT: $ 105,143,245. 2014 AMOUNT: $ 66,455,024. 2015 AMOUNT: $ 44,378,305. 2016 AMOUNT: $ 64,640,923. 2017 AMOUNT: $ 71,980,037. FOREIGN CURRENCY - 2015 AMOUNT: $ 610,292. 2016 AMOUNT: $ 73,310. 2017 AMOUNT: $ 273,145. MISCELLANEOUS INCOME - 2014 AMOUNT: $ 17,623. GROSS INCOME FROM GAMING - 2013 AMOUNT: $ 19,855. 2014 AMOUNT: $ 146,332. DERIVATIVE INCOME - 2013 AMOUNT: $ 64,077,165. CANCELLATION OF DEBT - 2013 AMOUNT: $ 382,837. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,290. 2016 AMOUNT: $ 131,077. 2017 AMOUNT: $ 150,421. 0 1 0 1 9160 0 1 627075 1 73088 1 34658 0 743981 0 SCHEDULE C - PART II-B, LINES 1B-1I PART II-B 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINES 1C-1I CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE PART II-B 1D MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC - REPRESENTS LETTERS SENT TO LEGISLATORS AND ORGANIZATIONS ON VARIOUS HEALTHCARE RELATED TOPICS AND ISSUES PART II-B 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES X 2 50.05 0 0 0 1 1 71.00 11000 296834800 20870889 36978305 5004997 349678997 274060795 14886901 14552559 6665455 296834800 258255184 23968927 -918904 7244412 274060795 243662812 8934335 14503200 7670162 258255184 206890438 18444444 24356278 6028347 243662812 1.00000 0 0 187568240 187568240 3243473810 1734959098 1508514712 85465893 63798871 21667022 1918378046 1439158153 479219893 552902296 106823096 446079200 2643049067 HEDGE FUNDS 1328128291 F PRIVATE EQUITY 854630963 F REAL ESTATE 483996365 F 2666755619 OTHER ASSETS 202402729 PERPETUAL & BENEFICIAL TRUSTS 43756704 INVESTMENT IN AFFILIATES 227827582 DUE FROM AFFILIATES 429076764 903063779 8660 ACCRUED PENSION 663252660 OTHER LIABILITIES 32628296 ACCRUED BENEFITS 174923334 FUTURE GIFT ANNUITY PAYMENTS 9350932 DEFERRED ANNUITY TRUST 1103688 INTEREST RATE SWAPS 123989188 DUE TO AFFILIATES 512956317 1518213075 X PART II, LINE 9: THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO TWO WETLANDS LOCATED ON THE CLEVELAND CLINIC FOUNDATION'S PROPERTY IN TWINSBURG, OHIO AND AVON, OHIO. THESE EASEMENTS ARE NOT REQUIRED TO BE REPORTED ON THE BALANCE SHEET SEPARATE FROM THE VALUE OF THE LAND. EXPENSES TO MONITOR, INSPECT, AND PROTECT THIS LAND ARE REFLECTED IN THE STATEMENT OF EXPENSES. PART V, LINE 4: THE ENDOWMENT FUNDS OF THE CLEVELAND CLINIC FOUNDATION ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE. PART X, LINE 2: THE CLEVELAND CLINIC HEALTH SYSTEM'S 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, 2017 AND 2016, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $0.6 MILLION AND $2.3 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. 1 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 2120000 NORTH AMERICA 0 0 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 42734000 EUROPE 1 3 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 223016000 MIDDLE EAST & NORTH AFRICA 1 45 PROGRAM SERVICES INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY 1884000 MIDDLE EAST & NORTH AFRICA 1 4 UNRELATED BUSINESS 2263000 CENTRAL AMERICA & THE CARIBBEAN 0 0 FUNDRAISING EAST ASIA & PACIFIC 0 0 FUNDRAISING 9000 EUROPE 0 0 FUNDRAISING 21000 MIDDLE EAST & NORTH AFRICA 0 0 FUNDRAISING 22000 NORTH AMERICA 0 0 FUNDRAISING SOUTH AMERICA 0 0 FUNDRAISING 4000 SOUTH ASIA 0 0 FUNDRAISING 11000 SUB-SAHARAN AFRICA 0 0 FUNDRAISING EUROPE 0 0 INVESTING 461072000 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTING 395033000 3 52 0 0 3 52 272047000 856142000 1128189000 NORTH AMERICA RESEARCH 14020 CHECK EUROPE RESEARCH 14796 CHECK EUROPE RESEARCH 104192 CHECK EUROPE RESEARCH 11792 CHECK EUROPE RESEARCH 50860 CHECK EUROPE RESEARCH 14402 CHECK EUROPE RESEARCH 78321 CHECK EUROPE RESEARCH 33344 CHECK CENTRAL AMERICA & THE CARIBBEAN RESEARCH 28900 CHECK NORTH AMERICA RESEARCH 10000 CHECK EUROPE RESEARCH 30000 CHECK NORTH AMERICA RESEARCH 6670 CHECK NORTH AMERICA RESEARCH 8580 CHECK NORTH AMERICA RESEARCH 13904 CHECK EUROPE RESEARCH 26888 CHECK EUROPE RESEARCH 7700 CHECK SUB-SAHARAN AFRICA RESEARCH 11100 CHECK EUROPE RESEARCH 7500 CHECK NORTH AMERICA RESEARCH 357825 CHECK NORTH AMERICA RESEARCH 267667 CHECK 17 3 RESEARCH EAST ASIA & THE PACIFIC 1 7500 CHECK RESEARCH EUROPE 1 15000 CHECK RESEARCH EUROPE 1 13550 CHECK RESEARCH EUROPE 1 7680 CHECK RESEARCH EAST ASIA & THE PACIFIC 1 7260 CHECK RESEARCH EUROPE 1 7500 CHECK RESEARCH EUROPE 1 7500 CHECK RESEARCH NORTH AMERICA 1 16065 CHECK RESEARCH RUSSIA & NEIGHBORING STATES 1 5932 CHECK RESEARCH EUROPE 1 13600 CHECK RESEARCH EUROPE 1 8300 CHECK RESEARCH EUROPE 1 12500 CHECK RESEARCH EAST ASIA & THE PACIFIC 1 7850 CHECK RESEARCH EAST ASIA & THE PACIFIC 1 9500 CHECK RESEARCH EAST ASIA & THE PACIFIC 1 7500 CHECK RESEARCH EAST ASIA & THE PACIFIC 1 9050 CHECK 1 0 1 1 1 1 PART I, LINE 2: A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS. PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. X X X X X X X 1 BLACKBAUD 2000 DANIEL ISLAND DR CHARLESTON SC 29492 ONLINE GIVING 0 3646493 278863 3367630 RR DONNELLEY 111 SOUTH WACKER DRIVE CHICAGO IL 60606 DIRECT MAIL 0 1607202 1056322 550880 TSM DONOR ENGAGEMENT TEAM INC 155 COMMERCE DRIVE FREEDOM PA 15042 PHONE SOLICITATION 0 370195 708165 -337970 5623890 2043350 3580540 AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY VELOSANO 5955705 5718854 236851 160892 118000 43479 903871 CHILDREN'S GALA 963251 849081 114170 132924 16320 3 1112928 760644 352284 7192 161420 510576 68185 8031884 7328579 703305 168084 279420 686979 988376 2122859 -1419554 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 54087529 0 54087529 0.00990 664013567 392492785 271520782 0.04950 0 0 0.00000 718101096 392492785 325608311 0.05940 21784760 79437 21705323 0.00400 240093221 24985828 215107393 0.03920 33306999 24708624 8598375 0.00160 220311408 151136229 69175179 0.01260 8163334 412274 7751060 0.00140 523659722 201322392 322337330 0.05880 1241760818 593815177 647945641 0.11820 197 197 0.00000 7822 48 7774 0.00000 340722 340722 0.00000 0.00000 0.00000 23493 23493 0.00000 8271 140 8131 0.00000 6421 6421 0.00000 0.00000 386926 188 386738 0.00000 1 161059609 636646896 684897498 -48250602 X 1 1 1 AKRON SURGICAL ASSOCIATES SURGICAL SERVICES 0.55120 0.41280 8 1 THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR X X X X X X 2 SELECT SPECIALTY - REGENCY WEST 6990 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130 WWW.SELECTMEDICAL.COM OH STATE ID 1478 X A 3 SELECT SPECIALTY - FAIRHILL 11900 FAIRHILL ROAD CLEVELAND OH 44120 WWW.SELECTMEDICAL.COM OH STATE ID 1468 X A 4 CLEVELAND CLINIC REHABILITATION-AVON 33355 HEALTH CAMPUS BOULEVARD AVON OH 44011 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1522AHR X 5 SELECT SPECIALTY - REGENCY EAST 4200 INTERCHANGE CORPORATE CENTER ROAD WARRENSVILLE HEIGHTS OH 44128 WWW.SELECTMEDICAL.COM OH STATE ID 1479 X A 6 SELECT SPECIALTY - GATEWAY 2351 E 22ND ST 7TH FL CLEVELAND OH 44115 WWW.SELECTMEDICAL.COM OH STATE ID 1431 X A 7 CLEVELAND CLINIC REHABILITATION - ESR 4389 MEDINA ROAD COPLEY OH 44321 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1905 X B 8 CLEVELAND CLINIC REHAB - BEACHWOOD 3025 SCIENCE PARK DRIVE BEACHWOOD OH 44012 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1906 X B THE CLEVELAND CLINIC FOUNDATION 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X WWW.CLEVELANDCLINIC.ORG X 1 16 1 WWW.CLEVELANDCLINIC.ORG 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X X 1 X 0 X X X X X 1 X 0 0 CLEVELAND CLINIC REHABILITATION- AVON 4 0 0 1 X X X X X X X X X 17 1 1 0 1 X WWW.CLEVELANDCLINIC.ORG 1 17 1 WWW.CLEVELANDCLINIC.ORG 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X 1 X 0 X X X 0 X X 0 0 REPORTING GROUP A 0 1 1 X X X X X X X X X 17 1 1 0 1 X WWW.CLEVELANDCLINIC.ORG 1 17 1 WWW.CLEVELANDCLINIC.ORG 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X 1 X 0 X X X 0 X X 0 0 REPORTING GROUP B 1 1 0 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X WWW.CLEVELANDCLINIC.ORG X X X X X X 1 X 0 X X X 0 X X 0 0 THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S "COMMUNITY," AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX G OF THE RELEVANT HOSPITAL FACILITY'S CHNA. 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 RELEVANT HOSPITAL FACILITY'S CHNA. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6A: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER, AND GLENBEIGH. CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A: CLEVELAND CLINIC REHABILITATION - AVON COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST. 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 THE 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. CLEVELAND CLINIC REHABILITATION- AVON 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; 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 THE 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. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 15% OF THEIR ANNUAL FAMILY INCOME. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCF, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS WITH FINANCIAL COUNSELORS. CLEVELAND CLINIC REHABILITATION- AVON 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 REHABILITATION CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT THE FACILITY, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS WITH FINANCIAL COUNSELORS. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: SELECT SPECIALTY - REGENCY WEST, - FACILITY 5: SELECT SPECIALTY - REGENCY EAST, - FACILITY 3: SELECT SPECIALTY - FAIRHILL, - FACILITY 6: SELECT SPECIALTY - GATEWAY GROUP A-FACILITY 2 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 2: ON JULY 1, 2016, THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A JOINT VENTURE TO OPERATE THE LONG TERM ACUTE CARE FACILITY. GROUP A-FACILITY 2 -- 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 RELEVANT HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 2 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY WEST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON. GROUP A-FACILITY 2 -- SELECT SPECIALTY - REGENCY WEST 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; 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 THE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - REGENCY WEST CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SELECT SPECIALTY - REGENCY WEST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY WEST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 5 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 2: ON JULY 1, 2016, THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A JOINT VENTURE TO OPERATE THE LONG TERM ACUTE CARE FACILITY. GROUP A-FACILITY 5 -- 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 RELEVANT HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 5 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A: SELECT SPECIALTY - REGENCY EAST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, AND CLEVELAND CLINIC REHABILITATION - AVON. GROUP A-FACILITY 5 -- SELECT SPECIALTY - REGENCY EAST 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; 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 THE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - REGENCY EAST CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SELECT SPECIALTY - REGENCY EAST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY EAST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 3 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 2: ON JULY 1, 2016, THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A JOINT VENTURE TO OPERATE THE LONG TERM ACUTE CARE FACILITY. GROUP A-FACILITY 3 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017.25 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 RELEVANT HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 3 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A: ELECT SPECIALTY - FAIRHILL COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON. GROUP A-FACILITY 3 -- SELECT SPECIALTY - FAIRHILL 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; 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 THE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - FAIRHILL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SELECT SPECIALTY - FAIRHILL IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - FAIRHILL SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE. GROUP A-FACILITY 6 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 2: ON JULY 1, 2016, THE CLEVELAND CLINIC FOUNDATION ENTERED INTO A JOINT VENTURE TO OPERATE THE LONG TERM ACUTE CARE FACILITY. GROUP A-FACILITY 6 -- 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 RELEVANT HOSPITAL FACILITY'S CHNA. GROUP A-FACILITY 6 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A: SELECT SPECIALTY - GATEWAY COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON. GROUP A-FACILITY 6 -- SELECT SPECIALTY - GATEWAY 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; 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 - GATEWAU 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 THE 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 PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 8: CLEVELAND CLINIC REHAB - BEACHWOOD, - FACILITY 7: CLEVELAND CLINIC REHABILITATION - ESR GROUP B-FACILITY 7 -- CLEVELAND CLINIC REHAB - ESR PART V, SECTION B, LINE 2: CLEVELAND CLINIC REHABILITATION - EDWIN SHAW OPENED IN NOVEMBER 2017. GROUP B-FACILITY 8 -- CLEVELAND CLINIC REHABILITATION-BEACHWOO PART V, SECTION B, LINE 2: CLEVELAND CLINIC REHABILITAITON - BEACHWOOD OPENED IN OCTOBER 2017. 108 1 - TWINSBURG FAMILY HEALTH & SURGERY CENTER 8701 DARROW ROAD TWINSBURG OH 44087 FAMILY HEALTH CENTER 2 - STRONGSVILLE FAMILY HEALTH & SURGERY CEN 16761 SOUTH PARK CENTER STRONGSVILLE OH 44136 FAMILY HEALTH CENTER 3 - RICHARD E JACOBS HEALTH CENTER 33100 CLEVELAND CLINIC BOULEVARD AVON OH 44011 FAMILY HEALTH CENTER 4 - INDEPENDENCE FAMILY HEALTH CENTER 5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE OH 44131 FAMILY HEALTH CENTER 5 - LORAIN FAMILY HEALTH & SURGERY CENTER 5700 COOPER FOSTER PARK ROAD LORAIN OH 44053 FAMILY HEALTH CENTER 6 - WILLOUGHBY HILLS FAMILY HEALTH CENTER 2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 FAMILY HEALTH CENTER 7 - WOOSTER FAMILY HEALTH CENTER 1740 CLEVELAND ROAD WOOSTER OH 44691 FAMILY HEALTH CENTER 8 - BRUNSWICK FAMILY HEALTH CENTER 3574 CENTER ROAD BRUNSWICK OH 44212 FAMILY HEALTH CENTER 9 - CLEVELAND CLINIC CANCER CENTERS 417 QUARRY LAKES DRIVE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 10 - SOLON FAMILY HEALTH CENTER 29800 BAINBRIDGE ROAD SOLON OH 44139 FAMILY HEALTH CENTER 11 - CLEVELAND CLINIC CANCER CENTERS 1125 ASPIRA COURT MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 12 - ELYRIA FAMILY HEALTH & SURGERY CENTER 303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035 FAMILY HEALTH CENTER 13 - SUPERIOR MEDICAL SHEFFIELD FAMILY HEALTH 5334 MEADOW LANE CT SHEFFIELD VILLAGE OH 44035 OUTPATIENT PHYSICIAN CLINIC 14 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER 5900 LANDERBROOK DRIVE MAYFIELD HEIGHTS OH 44124 OUTPATIENT PHYSICIAN CLINIC 15 - CHAGRIN FALLS FAMILY HEALTH CENTER 551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022 FAMILY HEALTH CENTER 16 - AVON POINTE FAMILY HEALTH CENTER 36901 AMERICAN WAY AVON OH 44011 FAMILY HEALTH CENTER 17 - NORTH OHIO GASTROENTEROLOGY 30701 CLEMENS ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 18 - WESTERN RESERVE NEUROSURGERY 1900 23RD STREET CUYAHOGA FALLS OH 44223 OUTPATIENT PHYSICIAN CLINIC 19 - AMHERST FAMILY HEALTH CENTER 5172 LEAVITT ROAD LORAIN OH 44053 OUTPATIENT PHYSICIAN CLINIC 20 - STEPHANIE TUBBS JONES HEALTH CENTER 13944 EUCLID AVENUE EAST CLEVELAND OH 44112 FAMILY HEALTH CENTER 21 - CCF GASTROENTEROLOGY 7530 FREDLE DRIVE CONCORD OH 44077 OUTPATIENT PHYSICIAN CLINIC 22 - AVON LAKE FAMILY HEALTH CENTER 450 AVON BELDEN ROAD AVON LAKE OH 44012 FAMILY HEALTH CENTER 23 - MADISON MEDICAL OFFICE 2999 MCMACKIN ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 24 - COMMUNITY PEDIATRICS 8254 MAYFIELD ROAD CHESTERLAND OH 44026 OUTPATIENT PHYSICIAN CLINIC 25 - MENTOR MEDICAL OFFICE 7060 WAYSIDE DRIVE MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 26 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY 1 PARK WEST BOULEVARD STE 150 AKRON OH 44320 OUTPATIENT PHYSICIAN CLINIC 27 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS 3275 SCIENCE PARK DRIVE BLDG 5 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 28 - SLEEP DISORDER CENTER AT FAIRHILL 11203 STOKES BOULEVARD CLEVELAND OH 44104 DIAGNOSTIC CENTER 29 - MENTOR REHABILITATION AND SPORTS THERAPY 7533 CENTER STREET MENTOR OH 44060 OUTPATIENT PHYSICIAN CLINIC 30 - CLEVELAND CLINIC CANCER CENTERS 509 W MCPHERSON HIGHWAY CLYDE OH 43410 OUTPATIENT PHYSICIAN CLINIC 31 - MIDDLEBURG HEIGHTS ORTHOPAEDICS 7010 ENGLE ROAD STE 105 MIDDLEBURG HEIGHTS OH 44130 OUTPATIENT PHYSICIAN CLINIC 32 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND 21 SUGARBUSH COURT ASHLAND OH 44805 OUTPATIENT PHYSICIAN CLINIC 33 - LORAIN ORTHOPAEDICS 5275 NORTH ABBE ROAD ELYRIA OH 44035 OUTPATIENT PHYSICIAN CLINIC 34 - LAKEWOOD FAMILY HEALTH CENTER 16215 MADISON AVENUE LAKEWOOD OH 44107 FAMILY HEALTH CENTER 35 - SUMMIT GASTROENTEROLOGY ASSOCIATES 3939 S CLEVELAND MASSILLON ROAD BARBERTON OH 44203 OUTPATIENT PHYSICIAN CLINIC 36 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE 1959 COOPER FOSTER PARK ROAD LORAIN OH 44053 DIAGNOSTIC CENTER 37 - CLEVELAND CLINIC LYNDHURST CAMPUS 1950 RICHMOND ROAD LYNDHURST OH 44124 OUTPATIENT PHYSICIAN CLINIC 38 - COMMUNITY PEDIATRICS 2001 CROCKER ROAD WESTLAKE OH 44145 OUTPATIENT PHYSICIAN CLINIC 39 - WILLOUGHBY HILLS BEHAVIORAL HEALTH 2785 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 40 - OHIO RENAL CARE GROUP WEST 14670 SNOW ROAD BROOKPARK OH 44142 DIALYSIS CENTER 41 - OHIO RENAL CARE GROUP WESTLAKE 26024 DETROIT AVENUE WESTLAKE OH 44145 DIALYSIS CENTER 42 - SOUTH RUSSELL FAMILY PRACTICE 5192 CHILLICOTHE ROAD SOUTH RUSSELL OH 44022 OUTPATIENT PHYSICIAN CLINIC 43 - OHIO RENAL CARE CLEVELAND EAST 2429 MARTIN LUTHER KING JR DR CLEVELAND OH 44104 DIALYSIS CENTER 44 - OLMSTED TOWNSHIP PRIMARY CARE 27089 BAGLEY ROAD OLMSTED TOWNSHIP OH 44138 OUTPATIENT PHYSICIAN CLINIC 45 - MAYFIELD VILLAGE PEDIATRICS 6559 WILSON MILLS RD STE101-D MAYFIELD VILLAGE OH 44143 OUTPATIENT PHYSICIAN CLINIC 46 - NORTH RIDGEVILLE MEDICAL OFFICE 35105 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 OUTPATIENT PHYSICIAN CLINIC 47 - MARYMOUNT REHABILITATION AND SPORTS THER 2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS OH 44147 OUTPATIENT PHYSICIAN CLINIC 48 - OHIO RENAL CARE GROUP OHIO ACUTES 2500 METROHEALTH DRIVE CLEVELAND OH 44109 DIALYSIS CENTER 49 - OHIO RENAL CARE GROUP EUCLID 26450 EUCLID AVENUE EUCLID OH 44132 DIALYSIS CENTER 50 - OHIO RENAL CARE GROUP SOLON 6020 ENTERPRISE PARKWAY SOLON OH 44139 DIALYSIS CENTER 51 - OHIO RENAL CARE GROUP OF NORTH RANDALL 4750 NORTHFIELD ROAD NORTH RANDALL OH 44128 DIALYSIS CENTER 52 - NORTH COAST CANCER 272 BENEDICT AVENUE NORWALK OH 44857 OUTPATIENT PHYSICIAN CLINIC 53 - WADSWORTH PRIMARY CARE ONE PARK CENTER DRIVE WADSWORTH OH 44281 OUTPATIENT PHYSICIAN CLINIC 54 - OHIO RENAL CARE GROUP FARNSWORTH 3764 PEARL RD CLEVELAND OH 44109 DIALYSIS CENTER 55 - CHARDON REHABILITATION AND SPORTS THERAP 325 CENTER STREET CHARDON OH 44024 OUTPATIENT PHYSICIAN CLINIC 56 - CANFIELD ORTHOPAEDICS AND REHABILITATION 3736 BOARDMAN CANFIELD ROAD CANFIELD OH 44406 OUTPATIENT PHYSICIAN CLINIC 57 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL 3733 PARK EAST DRIVE STE 105 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 58 - OHIO RENAL CARE GROUP ELYRIA 1050 N ABBE RD N ELYRIA OH 44035 DIALYSIS CENTER 59 - OHIO RENAL CARE GROUP MENTOR 8840 TYLER BLVD MENTOR OH 44060 DIALYSIS CENTER 60 - MOHICAN EYE CENTER 484 PARK AVENUE WEST MANSFIELD OH 44906 OUTPATIENT PHYSICIAN CLINIC 61 - OHIO RENAL CARE GROUP WADSWORTH 1160 WILLIAMS RESERVE BLVD WADSWORTH OH 44281 DIALYSIS CENTER 62 - OHIO RENAL CARE GROUP LAKEWOOD 13900 DETROIT RD LAKEWOOD OH 44109 DIALYSIS CENTER 63 - WELLINGTON MEDICAL OFFICE 805 PATRIOT DRIVE UNIT E WELLINGTON OH 44090 OUTPATIENT PHYSICIAN CLINIC 64 - OBERLIN OPHTHALMOLOGY 309 WEST LORAIN STREET OBERLIN OH 44074 OUTPATIENT PHYSICIAN CLINIC 65 - MADISON REHABILITATION AND SPORTS THERAP 2622 HUBBARD ROAD MADISON OH 44057 OUTPATIENT PHYSICIAN CLINIC 66 - MOHICAN EYE CENTER 637 NORTH UNION STREET LOUDONVILLE OH 44842 OUTPATIENT PHYSICIAN CLINIC 67 - COLE EYE - TERMAN PRACTICE 32901 STATION STREET SOLON OH 44139 OUTPATIENT PHYSICIAN CLINIC 68 - THE LANGSTON HUGHES CENTER CLEVELAND CLI 2390 E 79TH ST CLEVELAND OH 44104 OUTPATIENT PHYSICIAN CLINIC 69 - LIBERTY FAMILY MEDICINE 571 E TURKEYFOOT LAKE RD AKRON OH 44319 OUTPATIENT PHYSICIAN CLINIC 70 - NPCS - BEACHWOOD 26110 EMERY ROAD WARRENSVILLE HEIGHTS OH 44128 OUTPATIENT PHYSICIAN CLINIC 71 - INDEPENDENCE CANCER CENTER 6100 WEST CREEK ROAD INDEPENDENCE OH 44131 OUTPATIENT PHYSICIAN CLINIC 72 - NPCS - CANAL PLACE 520 SOUTH MAIN STREET AKRON OH 44311 OUTPATIENT PHYSICIAN CLINIC 73 - ACCESS TO CARE 29000 AURORA ROAD SOLON OH 44139 OUTPATIENT PHYSICIAN CLINIC 74 - ASHTABULA COUNTY MEDICAL CENTER 2422 LAKE AVENUE ASHTABULA OH 44004 OUTPATIENT PHYSICIAN CLINIC 75 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER 26900 CEDAR ROAD BEACHWOOD OH 44122 FAMILY HEALTH CENTER 76 - BOARDMAN STAR IMAGING 7067 TIFFANY BOULEVARD BOARDMAN OH 44512 DIAGNOSTIC CENTER 77 - CENTER FOR ARTHRITIS 1716 NORTH ROAD SE WARREN OH 44484 OUTPATIENT PHYSICIAN CLINIC 78 - CHARLESTON AREA MEDICAL CENTER 1201 WASHINGTON STREET EAST STE 100 CHARLESTON WV 25301 OUTPATIENT PHYSICIAN CLINIC 79 - CLEVELAND CLINIC FAMILY MEDICINE 19300 DETROIT AVENUE ROCKY RIVER OH 44116 OUTPATIENT PHYSICIAN CLINIC 80 - CLEVELAND CLINIC HEART & VASCULAR 1400 WEST MAIN STREET BELLEVUE HOSPITAL BELLEVUE OH 44811 OUTPATIENT PHYSICIAN CLINIC 81 - CLEVELAND CLINIC SPINE & SURGERY 34 EXECUTIVE DRIVE NORWALK OH 44857 OUTPATIENT PHYSICIAN CLINIC 82 - CLEVELAND CLINIC STAR IMAGING 1449 BOARDMAN-CANFIELD ROAD BOARDMAN OH 44512 DIAGNOSTIC CENTER 83 - CLUB VIEW VISION CENTER OPTOMETRIC 1650 E MANSFIELD STREET BUCYRUS OH 44820 OUTPATIENT PHYSICIAN CLINIC 84 - COLE EYE INSTITUTE 2000 AUBURN DRIVE STE 100 BEACHWOOD OH 44122 OUTPATIENT PHYSICIAN CLINIC 85 - COLUMBUS STAR IMAGING 1550 KENNY ROAD COLUMBUS OH 43212 DIAGNOSTIC CENTER 86 - COLUMBUS STAR IMAGING 921 JASONWAY AVENUE COLUMBUS OH 43214 DIAGNOSTIC CENTER 87 - COLUMBUS STAR IMAGING BEECHER 425 BEECHER ROAD COLUMBUS OH 43230 DIAGNOSTIC CENTER 88 - DAYTON STAR IMAGING 5529 FAR HILLS AVENUE DAYTON OH 45429 OUTPATIENT PHYSICIAN CLINIC 89 - EXPRESS CARE 313 EUCLID AVENUE CLEVELAND OH 44114 OUTPATIENT PHYSICIAN CLINIC 90 - LAKEWEST MEDICAL BUILDING 36100 EUCLID AVENUE STE 280 WILLOUGHBY OH 44094 OUTPATIENT PHYSICIAN CLINIC 91 - LAKEWOOD FAMILY MEDICINE - ROCKPORT 11851 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 92 - LAKEWOOD PROFESSIONAL BUILDING 14601 DETROIT AVENUE LAKEWOOD OH 44107 OUTPATIENT PHYSICIAN CLINIC 93 - LORAIN ORTHOPAEDICS 5800 COOPER FOSTER PARK ROAD LORAIN OH 44053 OUTPATIENT PHYSICIAN CLINIC 94 - NILES STAR IMAGING 652 YOUNGSTOWN WARREN ROAD NILES OH 44446 DIAGNOSTIC CENTER 95 - OUTPATIENT PEDIATRIC CLINIC 1912 HAYES AVENUE SANDUSKY OH 44870 OUTPATIENT PHYSICIAN CLINIC 96 - ROCKSIDE MEDICAL CENTER 6701 ROCKSIDE ROAD INDEPENDENCE OH 44131 OUTPATIENT PHYSICIAN CLINIC 97 - SLEEP DISORDERS CENTER 24901 COUNTRY CLUB BOULEVARD NORTH OLMSTED OH 44070 DIAGNOSTIC CENTER 98 - SLEEP DISORDERS CENTER 3750 ORANGE PLACE BEACHWOOD OH 44122 DIAGNOSTIC CENTER 99 - SLEEP DISORDERS CENTER 8971 WILCOX DRIVE TWINSBURG OH 44087 DIAGNOSTIC CENTER 100 - SLEEP DISORDERS CENTER 5051 WEST CREEK ROAD INDEPENDENCE OH 44131 DIAGNOSTIC CENTER 101 - SLEEP DISORDERS CENTER 3122 EASTPOINTE DRIVE MEDINA OH 44256 DIAGNOSTIC CENTER 102 - STOW-FALLS MEDICAL OUTPATIENT CENTER 857 GRAHAM RD CUYAHOGA FALLS OH 44221 OUTPATIENT PHYSICIAN CLINIC 103 - SUMMIT OPHTHALMOLOGY 1587 BOETTLER ROAD GREEN OH 44685 OUTPATIENT PHYSICIAN CLINIC 104 - VALLEY CITY FAMILY MEDICINE 6605 CENTER ROAD VALLEY CITY OH 44280 OUTPATIENT PHYSICIAN CLINIC 105 - WEST VALLEY MEDICAL 20455 LORAIN ROAD 301 FAIRVIEW PARK OH 44126 OUTPATIENT PHYSICIAN CLINIC 106 - WILLOUGHBY HILLS REHABILITATION AND SPOR 29017 CHARDON ROAD WILLOUGHBY HILLS OH 44094 OUTPATIENT PHYSICIAN CLINIC 107 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN 721 EAST MILLTOWN ROAD WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC 108 - WOOSTER WOMEN'S HEALTH CENTER 1739 CLEVELAND ROAD WOOSTER OH 44691 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: CCF PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. CCF HAS A FINANCIAL ASSISTANCE POLICY THAT IS AMONG THE MOST GENEROUS IN NORTHEAST OHIO. THIS POLICY APPLIES TO ALL CCF FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, CCF PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE ON A SLIDING SCALE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS ADDITIONAL WAYS TO QUALIFY BASED ON FINANCIAL OR MEDICAL NEED. UNLIKE THE FINANCIAL ASSISTANCE POLICIES OF MOST HOSPITALS, THE CCF POLICY APPLIES TO BOTH HOSPITAL CHARGES AND CERTAIN PROFESSIONAL FEES FOR SERVICES PROVIDED BY CCF EMPLOYED PHYSICIANS. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY. PART I, LINE 7G: CCF EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I. PART I, LN 7 COL(F): ADDITIONAL BAD DEBT EXPENSE ADDED FOR PURPOSES OF CALCULATING THE PERCENTAGES BUT NOT REPORTED ON FORM 990 IS $1,550,074. PART I, LINE 6A SCH H PART I LINE 6A - AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE, WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES. PART I, LINE 7 THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS INCLUSIVE OF CCF'S HCAP ASSESSMENT OF $15,695,519. PART I, LINE 7 NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $647,945,641 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC AS REPORTED AS A COMPONENT OF THE OVERALL SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN TWO RESPECTS: 1) IRS DOES NOT CONSIDER COMMUNITY BUILDING ACTIVITIES AS REPORTED IN PART II TO BE COMMUNITY BENEFIT WHERE THESE ACTIVITIES ARE INCLUDED IN COMMUNITY BENEFIT PER CHA GUIDELINES, AND2) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7. PART 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: TEXT OF FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS:PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, MAJOR PAYOR SOURCES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCF HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT. PART III, LINE 9B: YES, CLEVELAND CLINIC HAS A WRITTEN DEBT COLLECTION POLICY. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS OR BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO MAKE SUCH DETERMINATION. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. ADDITIONALLY, OUR EXTERNAL THIRD-PARTY (COLLECTION) AGENCIES ARE TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE. PART III, LINE 5, 6, & 7 IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCF INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $730,232,633 AND $1,091,505,387 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $361,272,754 WHICH, ADDED TO THE SHORTFALL OF $48,250,602 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $409,523,356. PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS, CCF'S INSTITUTES AND DEPARTMENTS MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THE COMMUNITY FOR THAT PARTICULAR FACILITY'S COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCF MAY PROVIDE TO PARTICULAR GROUPS OF PATIENTS WITHIN THE COMMUNITIES IT SERVES. PART VI, LINE 3: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. ALL PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCF, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS. PART VI, LINE 4: THE CLEVELAND CLINIC'S COMMUNITY IS DEFINED BY BOTH MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL FACILITY'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS THE BROADER SURROUNDING COUNTIES/REGIONS FROM WHICH THE MAJORITY OF DISCHARGED INPATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF THE CLEVELAND CLINIC. THE COMMUNITY FOR MEDICAL RESEARCH AND EDUCATION IS THE PUBLIC AT LARGE. PART VI, LINE 5: ONE OF THE HALLMARKS OF A CHARITABLE ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. CCF AND ITS NORTHEAST OHIO REGIONAL HOSPITAL GOVERNING BOARDS ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF CCF AND ITS SUBORDINATES. TRUSTEES/DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE CLEVELAND CLINIC AND THE HEALTH SYSTEM AND ARE NOT COMPENSATED FOR THEIR SERVICES.ANOTHER HALLMARK OF A CHARITABLE ORGANIZATION IS THAT SURPLUS FUNDS ARE USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR CCF AND ITS SUBORDINATES ARE REINVESTED AND USED TO CARRY OUT THE ORGANIZATION'S EXEMPT MISSION -- PATIENT CARE, RESEARCH, AND EDUCATION. PART VI, LINE 6: CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS. 1 AATS GRAHAM FOUNDATION 800 CUMMINGS CENTER BEVERLY MA 01915 237288866 501(C)(3) 100000 HEALTHCARE RESEARCH & EDUCATION ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED OH 44070 470974372 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES ALZHEIMERS ASSOCIATION 12200 FAIRHILL RD CLEVELAND OH 44120 341311175 501(C)(3) 14000 HEALTHCARE RESEARCH & EDUCATION AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE 5550 FRIENDSHIP BLVD STE 310 CHEVY CHASE MD 20815 237190271 501(C)(3) 25000 SUPPORT EDUCATIONAL ACTIVITIES AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND OH 44106 131788491 501(C)(3) 33625 HEALTHCARE RESEARCH & EDUCATION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 590637852 501(C)(3) 236000 HEALTHCARE RESEARCH & EDUCATION AMERICAN LIVER FOUNDATION 39 BROADWAY 27TH FL NEW YORK NY 10006 362883000 501(C)(3) 32500 HEALTHCARE RESEARCH & EDUCATION AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)(3) 20000 COMMUNITY SUPPORT ANTIOCH BAPTIST CHURCH 8869 CEDAR AVE CLEVELAND OH 44106 364497121 501(C)(3) 8749 COMMUNITY SUPPORT BEACHWOOD CHAMBER OF COMMERCE 23355 MERCANTILE RD BEACHWOOD OH 44122 341684237 501(C)(6) 7060 COMMUNITY SUPPORT BOYS AND GIRLS CLUBS OF CLEVELAND 6114 BROADWAY AVE CLEVELAND OH 44127 340770686 501(C)(3) 25000 COMMUNITY SUPPORT BURTEN BELL CARR DEVELOPMENT INC 7201 KINSMAN RD CLEVELAND OH 44104 341657533 501(C)(3) 10500 COMMUNITY SUPPORT BUSINESS VOLUNTEERS UNLIMITED 1300 E 9TH ST STE 1805 CLEVELAND OH 44114 341724581 501(C)(3) 10000 COMMUNITY SUPPORT CANCER SERVICES OF ERIE COUNTY 505 E PERKINS AVE SANDUSKY OH 44870 340877577 501(C)(3) 7980 HEALTHCARE RESEARCH & EDUCATION CARE ALLIANCE 1795 W 25TH ST CLEVELAND OH 44113 341748776 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT RD CLEVELAND OH 44106 341018992 501(C)(3) 19500 SUPPORT EDUCATIONAL ACTIVITIES CENTERS FOR FAMILIES AND CHILDREN 601 LAKESIDE AVE CLEVELAND OH 44114 237084455 501(C)(3) 15000 COMMUNITY SUPPORT CITY CLUB OF CLEVELAND 850 EUCLID AVE 2ND FL CLEVELAND OH 44114 340144897 501(C)(3) 10600 COMMUNITY SUPPORT CLARK COUNTY MEDICAL SOCIETY INC 2590 E RUSSELL RD LAS VEGAS NV 89120 886004317 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION CLEVELAND HEARING AND SPEECH CENTER 11635 EUCLID AVE CLEVELAND OH 44106 340714648 501(C)(3) 16600 HEALTHCARE RESEARCH & EDUCATION CLEVELAND INTERNATIONAL FILM FESTIVAL INC 2510 MARKET AVE CLEVELAND OH 44113 341262368 501(C)(3) 10000 COMMUNITY SUPPORT CLEVELAND LEADERSHIP CENTER 1375 E 9TH ST CLEVELAND OH 44114 341927317 501(C)(3) 15000 COMMUNITY SUPPORT CLEVELAND METROPARKS 4101 FULTON PARKWAY CLEVELAND OH 44144 346000704 501(C)(1) 50000 COMMUNITY SUPPORT CLEVELAND METROPOLITAN SCHOOL DISTRICT 1380 E 6TH ST CLEVELAND OH 44114 346000662 501(C)(1) 15500 SUPPORT EDUCATIONAL ACTIVITIES CLEVELAND MUSEUM OF ART 11150 EAST BLVD CLEVELAND OH 44106 340714336 501(C)(3) 76000 COMMUNITY SUPPORT CLEVELAND MUSEUM OF NATURAL HISTORY 1 WADE OVAL DR CLEVELAND OH 44106 340714338 501(C)(3) 19000 COMMUNITY SUPPORT CLEVELAND SCHOOL OF SCIENCE & MEDICINE 2075 STOKES BLVD CLEVELAND OH 44106 343740643 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES CLEVELAND STATE UNIVERSITY 2121 EUCLID AVE CLEVELAND OH 44115 340966056 501(C)(3) 45100 SUPPORT EDUCATIONAL ACTIVITIES COLLEGE NOW GREATER CLEVELAND INC 50 PUBLIC SQUARE STE 1800 CLEVELAND OH 44113 346580096 501(C)(3) 12000 SUPPORT EDUCATIONAL ACTIVITIES COLON CANCER ALLIANCE 1025 VERMONT AVE NW STE 1066 WASHINGTON DC 20005 860947831 501(C)(3) 25000 HEALTHCARE RESEARCH & EDUCATION COMMUNITY WEST FOUNDATION 800 SHARON DR STE C WESTLAKE OH 44145 341456398 501(C)(3) 12500 COMMUNITY SUPPORT CROHNS & COLITIS FOUNDATION OF AMERICA 23366 COMMERCE PARK RD BEACHWOOD OH 44122 136193105 501(C)(3) 18000 HEALTHCARE RESEARCH & EDUCATION CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES DANCING CLASSROOMS NORTHEAST OHIO 1085 ROCKSIDE RD STE 6 PARMA OH 44134 262300532 501(C)(3) 31250 COMMUNITY SUPPORT DEMOCRACY COLLABORATIVE FOUNDATION INC 1422 EUCLID AVE STE 1652 CLEVELAND OH 44115 200387511 501(C)(3) 10000 COMMUNITY SUPPORT EARS TO YOU PO BOX 190 HINCKLEY OH 44233 264131382 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION EPILEPSY ASSOCIATION 2831 PROSPECT AVE CLEVELAND OH 44115 237198807 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION ESPERANZA INC 4115 BRIDGE AVE CLEVELAND OH 44113 341403492 501(C)(3) 20000 SUPPORT EDUCATIONAL ACTIVITIES FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND OH 44104 341706856 501(C)(3) 324562 COMMUNITY SUPPORT FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND OH 44106 341053534 501(C)(3) 20000 COMMUNITY SUPPORT FATIMA FAMILY CENTER 6600 LEXINGTON AVE CLEVELAND OH 44103 261323950 501(C)(3) 20000 COMMUNITY SUPPORT FRIENDS OF BREAKTHROUGH SCHOOLS 3615 SUPERIOR AVE CLEVELAND OH 44114 204948838 501(C)(3) 10150 SUPPORT EDUCATIONAL ACTIVITIES GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD OH 44122 341879035 501(C)(3) 32500 COMMUNITY SUPPORT GIRL SCOUTS OF LAKE ERIE COUNCIL 19201 VILLAVIEW RD CLEVELAND OH 44119 340714415 501(C)(3) 10000 COMMUNITY SUPPORT GREATER CLEVELAND FOOD BANK INC 15500 S WATERLOO RD CLEVELAND OH 44110 341292848 501(C)(3) 15000 COMMUNITY SUPPORT GREATER CLEVELAND HABITAT FOR HUMANITY 2110 W 110TH ST CLEVELAND OH 44102 311209423 501(C)(3) 15000 COMMUNITY SUPPORT GROUP PLAN COMMISSION 50 PUBLIC SQUARE STE 803 CLEVELAND OH 44113 461908475 501(C)(3) 10000 COMMUNITY SUPPORT KARAMU HOUSE 2355 E 89TH ST CLEVELAND OH 44106 340714448 501(C)(3) 15000 COMMUNITY SUPPORT KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS NV 89106 880515534 501(C)(3) 50500 HEALTHCARE RESEARCH & EDUCATION LEUKEMIA & LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK NY 10573 135644916 501(C)(3) 92364 HEALTHCARE RESEARCH & EDUCATION MARCH OF DIMES FOUNDATION 614 SUPERIOR AVE NW CLEVELAND OH 44113 131846366 501(C)(3) 5500 HEALTHCARE RESEARCH & EDUCATION MARTY HENNESSY INSPIRING CHILDREN FOUNDATION PO BOX 60953 BOULDER CITY NV 89006 201638145 501(C)(3) 20000 COMMUNITY SUPPORT MEDWISH INTERNATIONAL 17325 EUCLID AVE CLEVELAND OH 44112 341903712 501(C)(3) 10000 2010369 ESTIMATED VALUE MEDICAL SUPPLIES HEALTHCARE RESEARCH & EDUCATION METRO HEALTH SYSTEM 2500 METROHEALTH DR CLEVELAND OH 44109 346004382 501(C)(3) 135597 HEALTHCARE RESEARCH & EDUCATION NAMI GREATER CLEVELAND 2012 W 25TH ST STE 600 CLEVELAND OH 44113 202254268 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION NATIONAL MULTIPLE SCLEROSIS SOCIETY 1422 EUCLID AVE CLEVELAND OH 44115 135661935 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION NEIGHBORHOOD FAMILY PRACTICE 3569 RIDGE RD CLEVELAND OH 44102 341300581 501(C)(3) 15403 HEALTHCARE RESEARCH & EDUCATION NORTH UNION FARMERS MARKET 13212 SHAKER SQUARE STE 302 CLEVELAND OH 44120 341812026 501(C)(3) 33500 COMMUNITY SUPPORT NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES INC 4800 PAYNE AVE CLEVELAND OH 44103 341014291 501(C)(3) 5550 HEALTHCARE RESEARCH & EDUCATION OPEN DOORS INC 3311 PERKINS AVE CLEVELAND OH 44114 043697716 501(C)(3) 15000 COMMUNITY SUPPORT RAINEY INSTITUTE 1523 E 55TH ST CLEVELAND OH 44144 346555952 501(C)(3) 15000 COMMUNITY SUPPORT REGIONAL TRANSIT AUTHORITY PO BOX 6566 CLEVELAND OH 44101 341170830 501(C)(1) 125000 COMMUNITY SUPPORT RONALD MCDONALD HOUSE OF CLEVELAND INC 10415 EUCLID AVE CLEVELAND OH 44106 341269123 501(C)(3) 43625 HEALTHCARE RESEARCH & EDUCATION SAINT JOSEPH ACADEMY 3470 ROCKY RIVER DR CLEVELAND OH 44111 341618516 501(C)(3) 6000 SUPPORT EDUCATIONAL ACTIVITIES SAINT MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVE CLEVELAND OH 44103 522401852 501(C)(3) 72112 SUPPORT EDUCATIONAL ACTIVITIES SISTERS OF ST JOSEPH THIRD ORDER OF ST FRANCIS 12425 GRANGER RD GARFIELD HTS OH 44125 340943303 501(C)(3) 8742 SUPPORT EDUCATIONAL ACTIVITIES SOUTH EUCLID UNITED CHURCH OF CHRIST 4217 BLUESTONE RD SOUTH EUCLID OH 44121 340714615 501(C)(3) 291667 COMMUNITY SUPPORT SUSAN G KOMEN BREAST CANCER FOUNDATION 26210 EMERY RD STE 307 CLEVELAND OH 44128 341793460 501(C)(3) 24000 HEALTHCARE RESEARCH & EDUCATION TEAM NEO FOUNDATION 1111 SUPERIOR AVE CLEVELAND OH 44114 341885407 501(C)(3) 10000 COMMUNITY SUPPORT THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714553 501(C)(3) 18337058 HEALTHCARE RESEARCH & EDUCATION THE CLEVELAND FOUNDATION 1422 EUCLID AVE STE 1300 CLEVELAND OH 44115 340714588 501(C)(3) 252500 COMMUNITY SUPPORT THE FREE CLINIC OF GREATER CLEVELAND 12201 EUCLID AVE CLEVELAND OH 44106 237078501 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION THE SALVATION ARMY 440 W NYACK RD WEST NYACK NY 10994 135562351 501(C)(3) 15000 COMMUNITY SUPPORT THE VILLAGE AT MARYMOUNT 5200 MARYMOUNT VILLAGE DR GARFIELD HTS OH 44125 205652595 501(C)(3) 25000 HEALTHCARE RESEARCH & EDUCATION TOWARDS EMPLOYMENT INC 1255 EUCLID AVE STE 300 CLEVELAND OH 44115 341578831 501(C)(3) 12500 COMMUNITY SUPPORT TRANSPLANT HOUSE OF CLEVELAND 2007 E 115TH ST APT 1 CLEVELAND OH 44106 272834616 501(C)(3) 98330 HEALTHCARE RESEARCH & EDUCATION UNIVERSITY CIRCLE INCORPORATED 10831 MAGNOLIA DR CLEVELAND OH 44106 340823464 501(C)(3) 8000 COMMUNITY SUPPORT URBAN LEAGUE OF CLEVELAND 12001 SHAKER BLVD CLEVELAND OH 44120 340720563 501(C)(3) 20000 COMMUNITY SUPPORT WOMEN OF COLOR FOUNDATION 50 PUBLIC SQUARE CLEVELAND OH 44113 020743542 501(C)(3) 7500 COMMUNITY SUPPORT YMCA OF GREATER CLEVELAND 1801 SUPERIOR AVE STE 130 CLEVELAND OH 44114 340714728 501(C)(3) 6750 COMMUNITY SUPPORT 76 4 SCHOLARSHIPS 195 7914373 FELLOWSHIPS 2038 92224037 STUDENT STIPENDS 34 588020 PART I, LINE 2: CCF CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCF MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. SCHEDULE I, PART III THE SCHOLARSHIPS, FELLOWSHIPS, AND STUDENT STIPENDS LISTED ARE IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 COSGROVE DELOS M MD DIRECTOR, PRESIDENT, CEO 7194679 0 0 0 468104 0 -51339 0 17492 0 7628936 0 0 0 DONLEY BRIAN G MD DIRECTOR & CHIEF OF STAFF 1299141 0 0 0 125894 0 27000 0 20030 0 1472065 0 0 0 PHILLIPS MICHEAL MD PHYSICIAN, DIRECTOR 198260 0 0 0 8727 0 19036 0 4482 0 230505 0 0 0 YERIAN LISA MD PHYSICIAN, DIRECTOR - CCF 343739 0 0 0 8175 0 27000 0 20782 0 399696 0 0 0 ZEIN NIZAR MD PHYSICIAN, DIRECTOR - CCF 517288 0 0 0 27354 0 27000 0 25415 0 597057 0 0 0 ERZURUM SERPIL MD CHAIR OF RESEARCH INST 551010 0 0 0 32600 0 925584 0 1490 0 1510684 0 0 0 GLASS STEVEN C CFO & TREASURER 1464141 0 0 0 141647 0 34900 0 18030 0 1658718 0 0 0 HARRINGTON MICHAEL CAO & CONTROLLER 693381 0 0 0 64216 0 27000 0 18830 0 803427 0 0 0 MEEHAN MICHAEL RECORDING SECRETARY 320679 0 0 0 33495 0 83007 0 17492 0 454673 0 0 0 OBLANDER JASON ASSISTANT SECRETARY 204933 0 0 0 1846 0 7337 0 14613 0 228729 0 0 0 PEACOCK WILLIAM CHIEF OF OPERATIONS 1416963 0 0 0 119076 0 29201 0 18208 0 1583448 0 0 0 ROWAN DAVID W SECRETARY & CHIEF LEGAL OFFICER 1343989 0 0 0 135423 0 27000 0 19182 0 1525594 0 0 0 MIHALJEVIC TOMISLAV CHIEF EXEC OFFICER - CCAD 1321758 0 0 0 763509 0 27000 0 108916 0 2221183 0 0 0 MODIC MD MICHAEL INSTITUTE CHAIR, PHYSICIAN (RETIREE) 986744 0 0 0 1617303 0 69715 0 20042 0 2693804 0 0 0 EINSTEIN DAVID PHYSICIAN (RETIREE) 415327 0 0 0 1385749 0 214326 0 9936 0 2025338 0 0 0 NAJM HANI PHYSICIAN 1486463 0 0 0 272194 0 27000 0 22275 0 1807932 0 0 0 SINGER ANNE PHYSICIAN (RETIREE) 95117 0 0 0 1610523 0 11340 0 1724 0 1718704 0 0 0 SURI RAKESH CHIEF OF STAFF 1217650 0 0 0 466375 0 27000 0 119283 0 1830308 0 0 0 HAMILTON THOMAS FORMER OFFICER 399457 0 0 0 21786 0 159971 0 19529 0 600743 0 0 0 MCHUGH LINDA FORMER OFFICER 732887 0 0 0 70353 0 38705 0 17097 0 859042 0 0 0 PART I, LINE 1A LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME. PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DAVID EINSTEIN- PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,353,959 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. ANNE SINGER - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,591,884 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. MICHAEL MODIC - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,514,049 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. DELOS M. COSGROVE - PARTICIPATES IN A SPLIT DOLLAR LIFE INSURANCE PLAN FROM WHICH NO CASH PAYMENTS WERE RECEIVED. DR COSGROVE'S 2017 BASE SALARY INCLUDES A SINGLE, FIXED ANNUAL PAYMENT WHICH IS INTENDED TO OFFSET THE DILUTION IN THE ACTUARIAL VALUE OF HIS SUPPLEMENTAL RETIREMENT PLAN. THIS DILUTION IS A RESULT OF DR COSGROVE WORKING BEYOND HIS EXPECTED RETIREMENT AGE AS DEFINED BY THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: DELOS M. COSGROVE - $78,339 DECREASE, DAVID EINSTEIN - $187,326 INCREASE, SERPIL ERZURUM - $898,584 INCREASE, THOMAS HAMILTON - $133,426 INCREASE, MICHAEL J. MEEHAN - $56,007 INCREASE, AND MICHAEL MODIC $42,715 INCREASE. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: STEVEN C. GLASS - $7,900 INCREASE, LINDA MCHUGH - $11,705 INCREASE, JASON OBLANDER - $1,007 INCREASE AND WILLIAM PEACOCK - $2,201 INCREASE. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756DAY2 2013-05-29 309434914 BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756A3Z3 2012-05-09 519383182 BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561HU9 2011-11-02 208951439 BOND 2011A: REFUND 2003A SERIES 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2011-11-02 41120000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES 0 0 0 A 32748777 309434914 2129301 20001498 287304115 2013 1 0 1 1 B 31646205 519383182 3825815 411300530 104256837 2012 0 0 1 1 C 39150565 208951439 2003385 206948054 2011 0 1 1 1 D 13335000 41120000 2302465 735249 38082286 2011 1 0 1 1 A 0 1 1 1 1 1 0.00350 0.00000 0.00350 0 0 1 B 0 1 1 1 1 1 0.01050 0.00080 0.01130 0 0 1 C 0 1 1 1 1 1 0.01140 0.00000 0.01140 0 0 1 D 0 1 1 1 1 1 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/09/2017 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: 10/15/2013 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2013 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561FV9 2009-08-25 807007320 BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AG22 2008-10-15 451686386 BOND 2008A: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NONEAVAIL 2017-12-21 9305000 REFUND SERIES 2002 0 0 0 A 775051463 70000 807007320 1099225 501164780 304743315 2011 1 0 1 1 B 443321386 435000 451686386 800000 218639952 251263651 2008 1 0 1 1 C 342425000 670000000 1200000 324315217 372706929 2008 1 0 1 1 D 9305000 9305000 2017 0 1 1 1 A 0 1 1 1 1 1 0.00830 0.00010 0.00840 0 1 0.00050 1 1 B 0 1 1 1 1 1 0.00600 0.00020 0.00620 0 1 0.00550 1 1 C 0 1 1 1 1 1 0.00600 0.00020 0.00620 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561KS0 2017-08-29 939576748 REFUND 2008A, 2008B, 2009A, 2009B, 2012A 0 0 0 A 1609497 939576748 939576748 2017 0 1 1 1 A 0 1 1 1 1 1 0.02120 0.00010 0.02130 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 D COSGROVE CEO/PRESIDENT INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN X 229247 7103879 0 1 1 7103879 X 14 55750 APPRAISAL X 3100 SALE COMPARABLE GOODS X 17552 SALE COMPARABLE GOODS X 1 28334 COST X 162 10916576 AVERAGE HIGH/LOW X 1 1977534 COST X 1 430000 APPRAISAL X 2 4453 COST X MEDICAL EQUIPMENT 10 71508 SALE COMPARABLE GOOD 6 0 1 1 PART I, LINE 32B: THE CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. FORM 990, PART III - PROGRAM SERVICE STATEMENT CLEVELAND CLINIC, LOCATED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC 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 2017 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $906.5 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 2017 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 2017, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDED AN ACADEMIC MEDICAL CENTER AND 10 COMMUNITY HOSPITALS (AKRON GENERAL MEDICAL CENTER, AVON, EUCLID, FAIRVIEW, HILLCREST, LODI, LUTHERAN, MARYMOUNT, MEDINA AND SOUTH POINTE 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 2017, CLEVELAND CLINIC RECORDED 1,275 TOTAL STAFFED BEDS, 119,954 EMERGENCY VISITS, 81,044 SURGICAL CASES, 52,169 ADMISSIONS, AND MORE THAN 6.2 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, COLE EYE, COMMUNITY CARE, DERMATOLOGY & PLASTIC SURGERY, DIGESTIVE DISEASE & SURGERY, EMERGENCY SERVICES, ENDOCRINOLOGY & METABOLISM, 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, AND TAUSSIG CANCER. 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 2017. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 2 RANKING. FOR THE 23RD 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. TWELVE OTHER CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. AMONG CLEVELAND CLINIC'S HIGHLY RANKED PROGRAMS, TEN PLACED IN THE TOP 5 AND FIVE - CARDIOLOGY & HEART SURGERY, GASTROENTEROLOGY & GI SURGERY, NEPHROLOGY, RHEUMATOLOGY, AND UROLOGY - PLACED AMONG THE TOP 2. CLEVELAND CLINIC WAS ALSO RATED "TOP PERFORMING" IN ONE ADULT SPECIALTY AND EIGHT PROCEDURES & CONDITIONS. CLEVELAND CLINIC HAS ACHIEVED THE DISTINGUISHED MAGNET RECOGNITION. MAGNET STATUS IS THE HIGHEST NATIONAL RECOGNITION AWARDED TO A HOSPITAL OR MEDICAL CENTER FOR EXCELLENCE IN NURSING. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. CLEVELAND CLINIC RECEIVED SEVERAL AWARDS FROM PRACTICE GREENHEALTH. PRACTICE GREENHEALTH RECOGNIZES ORGANIZATIONS WITHIN THE HEALTHCARE SECTOR THAT SUPPORT AND CREATE BETTER, SAFER, AND GREENER WORKPLACES AND COMMUNITIES. IN 2017, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE ENVIRONMENTAL EXCELLENCE AWARD, PARTNER FOR CHANGE AWARD, GREENING THE OR LEADERSHIP AWARD, LEADERSHIP CIRCLE AWARD, LESS WASTE CIRCLE AWARD, GREENING THE CIRCLE AWARD, ENVIRONMENTAL PREFERABLE PURCHASING CIRCLE AWARD, AND THE GREEN BUILDING CIRCLE AWARD. THE LEAPFROG GROUP RELEASED ITS SEMI-ANNUAL SAFETY SCORES, REFLECTING A COMPOSITE OF SAFETY PRACTICES, STRUCTURES, INFECTIONS, COMPLICATIONS AND PATIENT EXPERIENCE PERFORMANCE. ALL CLEVELAND CLINIC HOSPITALS MAINTAINED OR IMPROVED PATIENT SAFETY SCORES DURING THIS PERIOD. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE POLICY ASSISTS POOR AND INDIGENT PATIENTS BY PROVIDING FREE CARE FOR MEDICALLY NECESSARY SERVICES TO UNINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL AND ALSO OFFERS DISCOUNTS ON 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 $90 MILLION IN 2017. 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, CELLULAR AND MOLECULAR MEDICINE, GENOMIC MEDICINE, IMMUNOLOGY, MOLECULAR CARDIOLOGY, NEUROSCIENCES, OPHTHALMIC RESEARCH, PATHOBIOLOGY, QUANTITATIVE HEALTH SCIENCES, STEM CELL BIOLOGY AND REGENERATIVE MEDICINE, AND TRANSLATIONAL HEMATOLOGY AND ONCOLOGY RESEARCH. LRI IS ONE OF THE LEADING NIH-FUNDED RESEARCH INSTITUTES IN THE UNITED STATES AND HAS SPEARHEADED NUMEROUS ADVANCES IN THE DIAGNOSIS AND TREATMENT OF COMPLEX MEDICAL PROBLEMS. SCIENTISTS AND THEIR TEAMS ARE PURSUING A WIDE RANGE OF BIOMEDICAL QUESTIONS AT LRI, INCLUDING THOSE RELATED TO CARDIOVASCULAR, CANCER, NEUROLOGICAL, MUSCULOSKELETAL, AND METABOLIC DISEASES. ALTOGETHER, NEARLY 1,500 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 240 RESEARCH FELLOWS, 160 GRADUATE STUDENTS AND 200 UNDERGRADUATE STUDENTS. FORM 990, PART III - PROGRAM SERVICE STATEMENT (CONTINUED) IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC, ITS AFFILIATES, AND EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2017, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 4,000 ACTIVE 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 2017, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $224.5 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $153.8 MILLION. THE CLEVELAND CLINIC HEALTH SYSTEM'S RESEARCH ACTIVITIES ARE INTENDED TO IMPROVE PATIENT CARE AND THE HEALTH OF THE PUBLIC AT LARGE, BY PROVIDING THE LATEST ADVANCES IN MEDICINE DIRECTLY TO PATIENTS AND BY REFINING THE PRACTICE OF MEDICINE THROUGH THE DEVELOPMENT AND PROMULGATION OF NEW TECHNIQUES, DEVICES, AND TREATMENT PROTOCOLS. III. EDUCATION ON ITS MAIN CAMPUS, CLEVELAND CLINIC OPERATES A MEDICAL SCHOOL AND RELATED RESEARCH INSTITUTE. THE PRIMARY FOCUS OF CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY (THE "LERNER COLLEGE OF MEDICINE") IS THE TEACHING AND TRAINING OF MEDICAL STUDENTS WHO HAVE A PARTICULAR INTEREST IN RESEARCH. MANY CLEVELAND CLINIC PHYSICIANS SERVE AS FACULTY FOR THE LERNER COLLEGE OF MEDICINE, FURTHERING THE INTEGRATION OF CLINICAL CARE WITH RESEARCH AND EDUCATION. THE LERNER COLLEGE OF MEDICINE CURRENTLY PROVIDES ALL STUDENTS WITH FULL TUITION SCHOLARSHIPS. IN ADDITION TO TRAINING THIS NATION'S FUTURE DOCTORS, CLEVELAND CLINIC SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION TRAINING THROUGHOUT THE HEALTH SYSTEM INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2017, PROVIDED A NET COMMUNITY BENEFIT OF $280.9 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 2017, 982 RESIDENTS AND FELLOWS TRAINED IN 75 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 141 ADVANCED FELLOWS IN 80 FELLOWSHIP PROGRAMS. -LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE LERNER COLLEGE OF MEDICINE HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE MORE THAN 1,700 APPLICANTS FOR 32 POSITIONS FOR THE 2017-18 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 150 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2017 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 46 STUDENTS PARTICIPATED IN LOCAL AND NATIONAL MEETINGS WITH PRESENTATIONS AND POSTERS. -VISITING MEDICAL STUDENTS: VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2017, 595 MEDICAL STUDENTS FROM 160 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 2017, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,939 CME ACTIVITIES THAT OFFERED OVER 12,000 CME CREDITS TO 182,550 PARTICIPANTS. OF THAT NUMBER, 1,396 WERE LIVE COURSES THAT ATTRACTED 82,637 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 336 ACTIVITIES THAT ATTRACTED 47,745 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 74,000 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2017, THE CENTER ISSUED 182,550 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 124,000 COPIES AND RANKED NO. 2 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 2.4 MILLION PEOPLE AROUND THE WORLD. IN 2017 THE CCJM WEBSITE RECORDED 4,815,868 PAGE VIEWS FROM 1,635,689 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 15 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 56 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2017, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 370,000 CLINICAL ROTATION HOURS FOR OVER 1,100 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IN 2017, 682 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 190 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC IN PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, LEUKEMIA, UROLOGY, CONGENITAL HEART DISEASE, BREAST CANCER, AND OBESITY; AND STAFF TRAVELED TO MORE THAN 19 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: COMMUNITY EDUCATION EDUCATING THE COMMUNITY HAS ALSO BEEN A PRIORITY OF CLEVELAND CLINIC HEALTH SYSTEM. OUR CENTER FOR CONSUMER HEALTH INFORMATION IS EXPANDING KNOWLEDGE THROUGH A VARIETY OF MEDIA WHILE MAKING INFORMATION AVAILABLE TO PATIENTS AND THE NORTHEAST OHIO COMMUNITY. FOLLOWING ARE SOME OF THE PROGRAMS OFFERED DURING 2017: HEALTH INFORMATION RESOURCE CENTER: THE PATIENT AND FAMILY HEALTH AND EDUCATION CENTER ON MAIN CAMPUS IS A PLACE WHERE PATIENTS, VISITORS, AND EMPLOYEES CAN TAKE ADVANTAGE OF HEALTH INFORMATION RESOURCES PREPARED FOR THE GENERAL PUBLIC. THE CONSUMER HEALTH INFORMATION STAFF ALSO FULFILLS REQUESTS FOR HEALTH INFORMATION MADE IN WRITING, BY EMAIL OR BY PHONE. IN 2017, THE CENTER FULFILLED 8,517 REQUESTS. HEALTH TALKS AND CCTV: THE CENTER FOR CONSUMER HEALTH INFORMATION HOSTED 22 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS AND PODCASTS WERE DOWNLOADED 36,164 TIMES IN 2017. INTERNET SITE: THE CENTER FOR CONSUMER HEALTH INFORMATION WEBSITE (WWW.CLEVELANDCLINIC.ORG/HEALTH) CONTINUES TO BE A SOURCE OF INFORMATION FOR USERS AROUND THE WORLD. THE WEBSITE ALSO FEATURES LIVE WEBCHATS WITH A HEALTH EDUCATOR, ALLOWING THE PUBLIC TO POST QUESTIONS AND HAVE THEM ANSWERED IN REAL TIME. WEBCHATS TAKE PLACE MONDAY THROUGH FRIDAY, FROM 9:00 AM TO 3:00 PM. BY THE END OF 2017, WE HELD 5,042 WEBCHATS. 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 2017, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $406.9 MILLION (THIS FIGURE IS INCLUSIVE OF AN HCAP ASSESSMENT OF $8.3 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 2017 AT A COST OF $22 MILLION. FORM 990, PART III - PROGRAM SERVICE STATEMENT (CONTINUED) COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING OR CONTRIBUTING TO MORE THAN 300 SUCH OUTREACH ACTIVITIES FOR A TOTAL NET COMMUNITY BENEFIT OF $26 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 2017, SOME HIGHLIGHTS INCLUDED: -WELLNESS INITIATIVES IN THE AREAS OF DISEASE/INJURY PREVENTION AND BEHAVIORAL CHANGE, INCLUDING TOBACCO CESSATION, NUTRITION IMPROVEMENT, EXERCISE, HELP WITH SUBSTANCE ABUSE, INFANT AND CHILD SAFETY, TEEN PARENTING AND DOMESTIC VIOLENCE. PROGRAMS WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, COLLABORATING CITIES AND COUNTIES. -HEALTH FAIRS PROVIDED THOUSANDS OF PEOPLE WITH FREE HEALTH SCREENINGS. THE CLEVELAND CLINIC MINORITY MEN'S HEALTH FAIR, CELEBRATING SISTERHOOD, TU FAMILIA, VICTORY IN PINK AND NEIGHBORHOOD FAIRS EDUCATED COMMUNITY MEMBERS ON THE BENEFITS OF PREVENTATIVE CARE. -CLEVELAND CLINIC PROVIDED NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER AND THE PEDIATRIC MOBILE UNIT, WHICH PROVIDED WELLNESS SERVICES TO OUR COMMUNITIES. IN ADDITION, LABORATORY AND VISION SERVICES WERE DONATED TO CLEVELAND-AREA ORGANIZATIONS. -COMMUNITY CLASSES AND INTERACTIVE WEBCHATS 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. -HEALTHY COMMUNITY INITIATIVES CONNECTED RESIDENTS WITH LOCAL RESOURCES IN A COLLABORATIVE EFFORT TO STRENGTHEN COMMUNITIES THROUGH WELLNESS ACTIVITIES, 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. V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC HEALTH SYSTEM IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION. FORM 990, PART VI, SECTION A, LINE 2 RONALD WEINBERG, CCF DIRECTOR, AND WILLIAM PEACOCK, CCF OFFICER - BUSINESS PATRICK AULETTA, CCF DIRECTOR, AND RONALD WEINBERG, CCF DIRECTOR - BUSINESS FORM 990, PART VI, SECTION A, LINE 3 CCF HOTEL SERVICES, LLC, A SINGLE MEMBER DISREGARDED ENTITY OF CCF, HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE TWO HOTELS OWNED BY CCF HOTEL SERVICES, LLC. THE CLEVELAND CLINIC FOUNDATION ("CCF") HAS 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 AN INPATIENT REHABILITATION HOSPITAL FACILITY OWNED BY CCF. FORM 990, PART VI, SECTION A, LINE 4 THE CODE OF REGULATIONS WAS REVISED IN DECEMBER 2017 TO INCREASE THE MAXIMUM NUMBER OF DIRECTORS TO FROM 25 TO 30. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND TRUSTEES. IT DOES NOT HAVE STOCKHOLDERS. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS (TRUSTEES), AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. IN ADDITION, THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO, THE AUDIT COMMITTEE CHAIRPERSON AND THE AUDIT COMMITTEE VICE CHAIRPERSON. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS REVIEWED AND DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. IN ADDITION TO POSTING ON GUIDESTAR, THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG. FORM 990, PART VI, SECTION B, LINE 12C CCF HAS ADOPTED A CONFLICT OF INTEREST ("COI") POLICY CONSISTENT WITH THE MODEL IRS COI POLICY. IT APPLIES TO DIRECTORS, OFFICERS AND TRUSTEES OF CCF AND ALL ITS AFFILIATES, BOTH EXEMPT AND TAXABLE. UNDER THE BOARD OF DIRECTORS POLICY AND PROCEDURES FOR DEALING WITH CONFLICT OF INTEREST ISSUES (THE POLICY), A TRUSTEE OR DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT MUST REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION, OR ARRANGEMENT. IN ADDITION, THE TRUSTEES, DIRECTORS AND OFFICERS MUST ANNUALLY DISCLOSE ANY INTERESTS AS DEFINED IN THE POLICY THAT MAY BE CONSIDERED A POTENTIAL CONFLICT OF INTEREST. FAILURE TO TIMELY REPLY IS TO BE ADDRESSED BY THE COMMITTEE UNDER THE POLICY. THE TRUSTEES, OFFICERS AND DIRECTORS HAVE A CONTINUING OBLIGATION TO NOTIFY THE CHIEF GOVERNANCE OFFICER AT ANY TIME DURING THE YEAR IF ANY OF THEIR DISCLOSURES CHANGE OR IF A NEW DISCLOSURE IS REQUIRED UNDER THE POLICY. THE BOARD CONFLICT OF INTEREST COMMITTEE MEETS FOUR TIMES A YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS THEIR CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSONS MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15 ALL CCF OFFICERS AND 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. FORM 990, PART VI, SECTION C, LINE 18 THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CCF MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE. FORM 990, PART XI, LINE 9: GIFTS AND BEQUESTS 105,103,539. TRANSFERS OF NET ASSETS -112,024,773. NET INVESTMENT INCOME 48,201,304. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -33,494,117. RETIREMENT BENEFITS ADJUSTMENT -7,256,521. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS -862,127. EQUITY AND OTHER TRANSFERS 1,368,888. CURRENT YEAR ELIMINATION ADJUSTMENTS 669,746. 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