THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-08
IRS object ID: 201713129349301526
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-08T10:00:33-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714585	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 BRECKSVILLE RD NO RK1-85	AddressLine1Txt
City	INDEPENDENCE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44131	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVEN C GLASS	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2164442200	PhoneNum
Signature	2017-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
PTIN	P00089502	PTIN
Phone	2168615000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	139.137.128.60	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-08	IPDt
IP Tm	08:35:13	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	D1F4FD28173913A0A2B93033387AEEF146839EF9	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D1F4FD28173913A0A2B93033387AEEF146839EF9	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DELOS M COSGROVE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 BRECKSVILLE RD NO RK1-85	AddressLine1Txt
City	INDEPENDENCE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44131	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,803,121,113	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLEVELANDCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	PATIENT CARE, RESEARCH & EDUCATION	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	36897	TotalEmployeeCnt
Total Volunteers	1911	TotalVolunteersCnt
Total Gross UBI	$55,563,613	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$2,792,717	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$226,230,648	PYContributionsGrantsAmt
CY Contributions Grants	$245,922,291	CYContributionsGrantsAmt
PY Program Service Revenue	$4,869,018,511	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,176,265,188	CYProgramServiceRevenueAmt
PY Investment Income	$147,764,428	PYInvestmentIncomeAmt
CY Investment Income	$137,262,100	CYInvestmentIncomeAmt
PY Other Revenue	$86,627,710	PYOtherRevenueAmt
CY Other Revenue	$72,376,407	CYOtherRevenueAmt
PY Total Revenue	$5,329,641,297	PYTotalRevenueAmt
CY Total Revenue	$5,631,825,986	CYTotalRevenueAmt
PY Grants And Similar Paid	$118,808,523	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$127,070,488	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,661,500,472	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,054,229,568	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,683,301	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,524,725	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$14,189,808	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,012,647,016	PYOtherExpensesAmt
CY Other Expenses	$2,245,232,776	CYOtherExpensesAmt
PY Total Expenses	$4,794,639,312	PYTotalExpensesAmt
CY Total Expenses	$5,428,057,557	CYTotalExpensesAmt
PY Revenues Less Expenses	$535,001,985	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$203,768,429	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,069,861,870	TotalAssetsBOYAmt
Total Assets EOY	$10,001,576,185	TotalAssetsEOYAmt
Total Liabilities BOY	$4,691,944,158	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,304,554,307	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,377,917,712	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,697,021,878	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$4,877,282,670	ExpenseAmt
Grant	$127,070,488	GrantAmt
Revenue	$5,176,265,188	RevenueAmt
Desc	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Desc
Total Program Service Expenses	$4,877,282,670	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	Yes (1)	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (1)	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	7035	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	36897	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CA	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	GR	ForeignCountryCd
Foreign Country	TU	ForeignCountryCd
Foreign Country	LU	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	UK	ForeignCountryCd
Foreign Country	SA	ForeignCountryCd
Foreign Country	GM	ForeignCountryCd
Foreign Country	EI	ForeignCountryCd
Foreign Country	BE	ForeignCountryCd
Foreign Country	IT	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	0	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	LA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2164452526	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
COSGROVE DELOS M MD
DIRECTOR, PRESIDENT, CEO	50.00	Yes (X)	Yes (X)	$5,731,361	$0	$440,491
DONLEY BRIAN G MD
DIRECTOR & CHIEF OF STAFF	50.00	Yes (X)	Yes (X)	$1,346,216	$0	$44,281
RICH ROBERT E JR
DIRECTOR/BOARD CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
SCAMINACE JOSEPH M
DIRECTOR/BOARD VICE CHAIR	5.00	Yes (X)	Yes (X)	$0	$0	$0
ERZURUM SERPIL MD
DIRECTOR, CHAIR LERNER RESEARCH INST	50.00	Yes (X)	Yes (X)	$477,210	$0	$358,074
AULETTA PATRICK V
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
FEDELI UMBERTO P
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
HOOVER CAROLE
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
LERNER MARK
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
LERNER NORMA
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MACDONALD WILLIAM E III
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MARTIN DANIEL MD
CHAIR - COLE EYE INST, DIR - CCF	50.00	Yes (X)		$1,366,366	$0	$44,134
MILLER PAMELA
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MILLER SAMUEL
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MOONEY BETH E
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
MORINO MARIO
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
NANCE FREDERICK
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
PETRAS MICHAEL
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
POLLOCK LARRY
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
ROSS RONALD J
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
WEISS MORRY
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
WEINBERG RONALD
DIRECTOR - CCF	5.00	Yes (X)		$0	$0	$0
GLASS STEVEN C
CFO & TREASURER	50.00		Yes (X)	$1,543,736	$0	$52,276
HAMILTON THOMAS
INTERIM CHAIR - RESEARCH INST	50.00		Yes (X)	$345,557	$0	-$44,062
HARRINGTON MICHAEL
CAO & CONTROLLER	50.00		Yes (X)	$703,977	$0	$44,241
MCHUGH LINDA
ASSISTANT SECRETARY (PART YEAR)	50.00		Yes (X)	$707,477	$0	$55,824
MEEHAN MICHAEL
RECORDING SECRETARY	50.00		Yes (X)	$343,238	$0	-$13,592
OBLANDER JASON
ASSISTANT SECRETARY (PART YEAR)	50.00		Yes (X)	$203,574	$0	$20,758
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00		Yes (X)	$1,440,292	$0	$46,814
ROWAN DAVID W
CHIEF LEGAL OFFICER	50.00		Yes (X)	$1,428,943	$0	$44,897
HARRISON A MARC
CHIEF INTL BUS DEVELOPMENT	50.00			$1,185,404	$0	$80,260	Yes (X)
MIHALJEVIC TOMISLAV
CHIEF EXEC OFFICER - CCAD	50.00			$2,027,420	$0	$150,435	Yes (X)
LEWIS BRENDA
PHYSICIAN (2016 RETIREE)	50.00			$1,899,184	$0	$677,801		Yes (X)
CHURCH JAMES
PHYSICIAN (2016 RETIREE)	50.00			$2,711,368	$0	-$316,508		Yes (X)
WHITLOW PATRICK
PHYSICIAN (2016 RETIREE)	50.00			$1,807,770	$0	$262,128		Yes (X)
COSTIN JOHN
INSTITUTE CHAIRMAN	50.00			$1,909,833	$0	$44,081		Yes (X)
SCHOENWALD PATRICK
PHYSICIAN (2016 RETIREE)	50.00			$1,615,259	$0	$127,772		Yes (X)
JOSEPH HAHN
FORMER OFFICER	0.00			$252,142	$0	-$23,899			Yes (X)
BRUCE LYTLE
FORMER KEY EMPLOYEE	0.00			$1,144,013	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$30,190,340	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,096,206	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5109	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 121102	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SERVICES	$19,971,483
DONLEYSTURNER JOINT VENTURE
5430 WARNER RD	CLEVELAND	OH	44125	CONSTRUCTION SERVICES	$19,482,913
SODEXO INC & AFFILIATES
1669 PHOENIX PARKWAY 210	COLLEGE PARK	GA	30349	LAUNDRY & FOOD SERVICE	$9,862,272
WHITING-TURNER CONTRACTING CO
5875 LANDERBROOK DR STE 100	CLEVELAND	OH	44124	CONSTRUCTION SERVICES	$9,849,358
NICHOLS MANAGEMENT GROUP LTD
571 YORK ST PO BOX 1288	YORK HARBOR	ME	03911	HEALTHCARE CONSULTING SERVICES	$9,235,793

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	467	CntrctRcvdGreaterThan100KCnt
Fundraising	$6,289,095	FundraisingAmt
Government Grants	$108,252,549	GovernmentGrantsAmt
All Other Contributions	$131,380,647	AllOtherContributionsAmt
Noncash Contributions	$9,378,317	NoncashContributionsAmt
Total Contributions	$245,922,291	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	612990	$2,929,115,945	$2,929,115,945
MEDICARE/MEDICAID PAYM	921990	$1,815,937,841	$1,815,937,841
OTHER PROGRAM SERVICES	900099	$308,856,416	$303,341,546	$5,514,870
OTHER ANCILLARY SERVIC	900099	$50,243,099			$50,243,099
MANAGEMENT FEES	561000	$28,241,483	$15,990,271	$12,251,212

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,870,404	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,475,091	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$38,395,313	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,176,265,188	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,911,763	TotalRevenueColumnAmt
Exclusion	$50,911,763	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,067,502	TotalRevenueColumnAmt
Exclusion	$25,067,502	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,907,930	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,907,930	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,907,930	TotalRevenueColumnAmt
Exclusion	$9,907,930	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,252,582,086	SecuritiesAmt
Other	$2,111,620	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,163,917,302	SecuritiesAmt
Other	$4,426,067	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$88,664,784	SecuritiesAmt
Other	-$2,314,447	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,350,337	TotalRevenueColumnAmt
Exclusion	$86,350,337	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$553,002	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$6,289,095	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$2,951,758	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,398,756	TotalRevenueColumnAmt
Exclusion	-$2,398,756	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INCOME(LOSS) ON INVEST	523000	$64,640,923	-$597,782	$65,238,705
LIFE INSURANCE TRUST	525990	$131,077		$131,077
FOREIGN CURRENCY	525990	$73,310		$73,310

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$25,045,579	TotalRevenueColumnAmt
Exclusion	-$25,045,579	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$39,799,731	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,631,825,986	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,069,860,694	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$55,563,613	UnrelatedBusinessRevenueAmt
Exclusion	$260,479,388	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$28,273,002	TotalAmt
Program Services	$28,273,002	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$97,803,654	TotalAmt
Program Services	$97,803,654	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$993,832	TotalAmt
Program Services	$993,832	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$20,175,601	TotalAmt
Program Services	$4,662,792	ProgramServicesAmt
Management And General	$15,512,809	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,372,256	TotalAmt
Program Services	$1,372,256	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,350,860,393	TotalAmt
Program Services	$2,049,631,769	ProgramServicesAmt
Management And General	$293,266,767	ManagementAndGeneralAmt
Fundraising	$7,961,857	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$260,513,866	TotalAmt
Program Services	$227,549,495	ProgramServicesAmt
Management And General	$32,498,765	ManagementAndGeneralAmt
Fundraising	$465,606	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$265,147,482	TotalAmt
Program Services	$231,185,234	ProgramServicesAmt
Management And General	$33,076,802	ManagementAndGeneralAmt
Fundraising	$885,446	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$156,159,970	TotalAmt
Program Services	$136,131,347	ProgramServicesAmt
Management And General	$19,480,753	ManagementAndGeneralAmt
Fundraising	$547,870	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,335,001	TotalAmt
Program Services	$2,918,964	ProgramServicesAmt
Management And General	$416,037	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,560,010	TotalAmt
Program Services	$4,866,406	ProgramServicesAmt
Management And General	$693,604	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,705,741	TotalAmt
Management And General	$2,705,741	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$646,043	TotalAmt
Program Services	$646,043	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,524,725	TotalAmt
Fundraising	$1,524,725	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$12,665,365	TotalAmt
Management And General	$12,665,365	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$202,397,685	TotalAmt
Program Services	$175,626,509	ProgramServicesAmt
Management And General	$25,248,847	ManagementAndGeneralAmt
Fundraising	$1,522,329	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$28,662,114	TotalAmt
Program Services	$24,994,531	ProgramServicesAmt
Management And General	$3,575,561	ManagementAndGeneralAmt
Fundraising	$92,022	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,238,900	TotalAmt
Program Services	$48,006,290	ProgramServicesAmt
Management And General	$6,890,981	ManagementAndGeneralAmt
Fundraising	$341,629	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$71,445,617	TotalAmt
Program Services	$62,440,363	ProgramServicesAmt
Management And General	$8,912,748	ManagementAndGeneralAmt
Fundraising	$92,506	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$2,373,668	TotalAmt
Program Services	$2,077,556	ProgramServicesAmt
Management And General	$296,112	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$97,598,914	TotalAmt
Program Services	$85,423,577	ProgramServicesAmt
Management And General	$12,175,337	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$19,443,160	TotalAmt
Program Services	$16,675,156	ProgramServicesAmt
Management And General	$2,425,509	ManagementAndGeneralAmt
Fundraising	$342,495	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,931,511	TotalAmt
Program Services	$6,726,257	ProgramServicesAmt
Management And General	$989,446	ManagementAndGeneralAmt
Fundraising	$215,808	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$100,620,358	TotalAmt
Program Services	$88,068,100	ProgramServicesAmt
Management And General	$12,552,258	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$262,130,819	TotalAmt
Program Services	$229,397,119	ProgramServicesAmt
Management And General	$32,700,478	ManagementAndGeneralAmt
Fundraising	$33,222	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$48,720,375	TotalAmt
Program Services	$42,642,572	ProgramServicesAmt
Management And General	$6,077,803	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$977,180,704	$977,180,699	$5
BAD DEBT EXPENSE	$169,795,800	$169,795,800
EQUIPMENT RENTAL & MAIN	$85,452,933	$74,763,431	$29,360	$10,660,142
STATE FRANCHISE FEE	$42,145,219	$42,145,219

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$49,182,839	TotalAmt
Program Services	$45,284,697	ProgramServicesAmt
Management And General	$3,763,214	ManagementAndGeneralAmt
Fundraising	$134,928	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,428,057,557	TotalAmt
Program Services	$4,877,282,670	ProgramServicesAmt
Management And General	$536,585,079	ManagementAndGeneralAmt
Fundraising	$14,189,808	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$286,518,858	BOYAmt
EOY	$491,971,898	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,247,454	BOYAmt
EOY	$5,841,909	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$185,192,090	BOYAmt
EOY	$213,848,890	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$682,297,457	BOYAmt
EOY	$773,876,276	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$6,056,685	BOYAmt
EOY	$6,571,698	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,779,355	BOYAmt
EOY	$20,865,657	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$80,964,447	BOYAmt
EOY	$81,650,111	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$38,333,021	BOYAmt
EOY	$40,835,674	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,702,569,970	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,071,296,750	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,538,752,550	BOYAmt
EOY	$2,631,273,220	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,291,976,054	BOYAmt
EOY	$2,356,077,966	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,256,212,917	BOYAmt
EOY	$2,259,200,987	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$12,000,000	BOYAmt
EOY	$205,406,335	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$56,571,825	BOYAmt
EOY	$59,279,083	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$612,959,157	BOYAmt
EOY	$854,876,481	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,069,861,870	BOYAmt
EOY	$10,001,576,185	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$701,145,678	BOYAmt
EOY	$793,258,480	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$203,000	BOYAmt
EOY	$193,000	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$97,122,689	BOYAmt
EOY	$94,330,575	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,446,272,503	BOYAmt
EOY	$2,845,510,506	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$36,471,901	BOYAmt
EOY	$8,951,457	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$108,360,527	BOYAmt
EOY	$98,647,256	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,302,367,860	BOYAmt
EOY	$1,463,663,033	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,691,944,158	BOYAmt
EOY	$5,304,554,307	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,666,994,974	BOYAmt
EOY	$3,926,221,007	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$447,595,723	BOYAmt
EOY	$493,893,080	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$263,327,015	BOYAmt
EOY	$276,907,791	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,377,917,712	BOYAmt
EOY	$4,697,021,878	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,069,861,870	BOYAmt
EOY	$10,001,576,185	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$203,768,429	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$74,272,397	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$41,063,340	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$231,877,777	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$217,746,821	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$247,936,164	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$226,230,648	CurrentTaxYearMinus1YearAmt
Current Tax Year	$245,922,291	CurrentTaxYearAmt
Total	$1,169,713,701	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$231,877,777	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$217,746,821	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$247,936,164	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$226,230,648	CurrentTaxYearMinus1YearAmt
Current Tax Year	$245,922,291	CurrentTaxYearAmt
Total	$1,169,713,701	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$7,826,942	SubstantialContributorsTotAmt
Public Support Total170	$1,161,886,759	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$73,634,612	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$81,291,626	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$78,908,086	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$82,576,423	CurrentTaxYearMinus1YearAmt
Current Tax Year	$85,887,195	CurrentTaxYearAmt
Total	$402,297,942	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$67,175	CurrentTaxYearMinus1YearAmt
Total	$67,175	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$73,659,562	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$169,623,102	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$66,618,979	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$88,700,962	CurrentTaxYearMinus1YearAmt
Current Tax Year	$64,845,310	CurrentTaxYearAmt
Total	$463,447,915	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,035,526,733	TotalSupportAmt
Gross Receipts Rltd Activities	$23,195,919,916	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.57080	PublicSupportCY170Pct
Public Support PY170	0.58540	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	INCOMELOSS ON INVESTMENTS - 2012 AMOUNT: $ 73,581,934. 2013 AMOUNT: $ 105,143,245. 2014 AMOUNT: $ 66,455,024. 2015 AMOUNT: $ 44,378,305. 2016 AMOUNT: $ 64,640,923. FOREIGN CURRENCY - 2012 AMOUNT: $ 77,628. 2015 AMOUNT: $ 610,292. 2016 AMOUNT: $ 73,310. 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.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$10,661	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$509,983	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$85,063	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$40,336	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$646,043	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Total Easements	2	TotalEasementsCnt
Total Acreage	50.05	TotalAcreageCnt
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	0	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	Yes (1)	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	71.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$11,000	ExpensesIncurredEnforcementAmt

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$274,060,795	BeginningYearBalanceAmt
Contributions	$14,886,901	ContributionsAmt
Investment Earnings Or Losses	$14,552,559	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,665,455	OtherExpendituresAmt
End Year Balance	$296,834,800	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,890,438	BeginningYearBalanceAmt
Contributions	$18,444,444	ContributionsAmt
Investment Earnings Or Losses	$24,356,278	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,028,347	OtherExpendituresAmt
End Year Balance	$243,662,812	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$174,481,177	BeginningYearBalanceAmt
Contributions	$12,707,046	ContributionsAmt
Investment Earnings Or Losses	$21,848,808	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,146,594	OtherExpendituresAmt
End Year Balance	$206,890,438	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$236,725,509	OtherCostOrOtherBasisAmt
Book Value	$236,725,509	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,898,605,894	OtherCostOrOtherBasisAmt
Depreciation	$1,603,161,402	DepreciationAmt
Book Value	$1,295,444,492	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,765,717	OtherCostOrOtherBasisAmt
Depreciation	$59,746,671	DepreciationAmt
Book Value	$19,019,046	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,804,156,303	OtherCostOrOtherBasisAmt
Depreciation	$1,326,918,078	DepreciationAmt
Book Value	$477,238,225	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$684,316,547	OtherCostOrOtherBasisAmt
Depreciation	$81,470,599	DepreciationAmt
Book Value	$602,845,948	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,631,273,220	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$1,110,397,267	F
PRIVATE EQUITY	$696,785,941	F
REAL ESTATE	$452,017,779	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,259,200,987	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$196,709,447
PERPETUAL & BENEFICIAL TRUSTS	$35,930,719
INVESTMENT IN AFFILIATES	$165,843,427
DUE FROM AFFILIATES	$456,392,888

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$854,876,481	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$75,642	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED PENSION	$597,233,393
OTHER LIABILITIES	$122,357,863
ACCRUED BENEFITS	$163,804,237
FUTURE GIFT ANNUITY PAYMENTS	$8,770,748
DEFERRED ANNUITY TRUST	$1,035,913
INTEREST RATE SWAPS	$139,421,631
DUE TO AFFILIATES	$430,963,606

Field	Value	IRS element (for citing)
Total Liability	$1,463,663,033	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 9:	THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO TWO WETLANDS LOCATED ON THE CLEVELAND CLINIC FOUNDATION'S PROPERTY IN TWINSBURG, OHIO AND AVON, OHIO. THESE EASEMENTS ARE NOT REQUIRED TO BE REPORTED ON THE BALANCE SHEET SEPARATE FROM THE VALUE OF THE LAND. EXPENSES TO MONITOR, INSPECT, AND PROTECT THIS LAND ARE REFLECTED IN THE STATEMENT OF EXPENSES.
PART V, LINE 4:	THE ENDOWMENT FUNDS OF THE CLEVELAND CLINIC FOUNDATION ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE.
PART X, LINE 2:	THE CLEVELAND CLINIC HEALTH SYSTEM'S 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, 2016 AND 2015, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $2.3 MILLION AND $4.1 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (14 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA & THE CARRIBEAN	0	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$2,120,000
NORTH AMERICA	0	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$31,831,000
EUROPE	1	1	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$156,087,000
MIDDLE EAST & NORTH AFRICA	1	28	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	$589,000
MIDDLE EAST & NORTH AFRICA	1	4	UNRELATED BUSINESS		$1,965,000
CENTRAL AMERICA & CARRIBEAN	0	0	FUNDRAISING
EAST ASIA & PACIFIC	0	0	FUNDRAISING
EUROPE	0	0	FUNDRAISING		$64,000
MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING		$30,000
NORTH AMERICA	0	0	FUNDRAISING
SOUTH ASIA	0	0	FUNDRAISING		$10,000
EUROPE	0	0	INVESTING		$473,570,000
CENTRAL AMERICA & CARRIBEAN	0	0	INVESTING		$291,182,000
NORTH AMERICA	0	0	INVESTING

Field	Value	IRS element (for citing)
Subtotal Offices	3	SubtotalOfficesCnt
Subtotal Employees	33	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	3	TotalOfficeCnt
Total Employee	33	TotalEmployeeCnt
Subtotal Spent	$192,656,000	SubtotalSpentAmt
Continuation Spent	$764,792,000	ContinuationSpentAmt
Total Spent	$957,448,000	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (13 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
EUROPE	RESEARCH	$101,943	CHECK
EUROPE	RESEARCH	$53,682	CHECK
EUROPE	RESEARCH	$23,797	CHECK
EUROPE	RESEARCH	$89,537	CHECK
CENTRAL AMERICA & CARIBBEAN	RESEARCH	$38,400	CHECK
NORTH AMERICA	RESEARCH	$9,500	CHECK
NORTH AMERICA	RESEARCH	$10,000	CHECK
NORTH AMERICA	RESEARCH	$40,619	CHECK
EUROPE	RESEARCH	$30,000	CHECK
EAST ASIA & PACIFIC	RESEARCH	$10,000	CHECK
EUROPE	RESEARCH	$10,000	CHECK
NORTH AMERICA	RESEARCH	$231,595	CHECK
NORTH AMERICA	RESEARCH	$299,395	CHECK

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	7	TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (3 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
RESEARCH	EAST ASIA & PACIFIC	1	$10,000	CHECK
RESEARCH	EUROPE	1	$7,500	CHECK
RESEARCH	EUROPE	1	$10,000	CHECK

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 2:

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

PART I, LINE 3:

THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES.

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
BLACKBAUD
2000 DANIEL ISLAND DR	CHARLESTON	SC	29492	ONLINE GIVING	0	$2,922,472	$224,458	$2,698,014
RR DONNELLEY
111 SOUTH WACKER DRIVE	CHICAGO	IL	60606	DIRECT MAIL	0	$346,174	$937,813	-$591,639
HARRIS CONNECT LLC
1511 ROUTE 22 STE C-25	BREWSTER	NY	10509	PHONE SOLICITATION	0	$206,121	$362,454	-$156,333

Field	Value	IRS element (for citing)
Total Gross Receipts	$3,474,767	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,524,725	TotalRetainedByContractorsAmt
Total Net To Organization	$1,950,042	TotalNetToOrganizationAmt
Licensed States	AK	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	VELOSANO	Event1Nm
Gross Receipts Event1	$4,670,000	GrossReceiptsEvent1Amt
Charitable Contri Event1	$4,464,000	CharitableContriEvent1Amt
Gross Revenue Event1	$206,000	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$157,100	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$110,324	FoodAndBeverageEvent1Amt
Entertainment Event1	$54,877	EntertainmentEvent1Amt
Other Direct Expenses Event1	$1,198,386	OtherDirectExpensesEvent1Amt
Event2	CARES GALA	Event2Nm
Gross Receipts Event2	$1,113,479	GrossReceiptsEvent2Amt
Charitable Contri Event2	$890,783	CharitableContriEvent2Amt
Gross Revenue Event2	$222,696	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$149,030	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$140,817	FoodAndBeverageEvent2Amt
Entertainment Event2	$281,424	EntertainmentEvent2Amt
Other Direct Expenses Event2	$149,118	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$1,058,618	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$934,312	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$124,306	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$5,375	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$35,409	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$207,743	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$156,337	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$23,736	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$282,082	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$6,842,097	GrossReceiptsTotalAmt
Charitable Contributions Tot	$6,289,095	CharitableContributionsTotAmt
Gross Revenue Total Events	$553,002	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$5,375	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$35,409	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$513,873	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$407,478	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$360,037	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$1,629,586	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$2,951,758	DirectExpenseSummaryEventsAmt
Net Income Summary	-$2,398,756	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART I, LINE 2B, COLUMN (V)	FormAndLineReferenceDesc
Explanation	THE CLEVELAND CLINIC FOUNDATION'S PHILANTHROPY INSTITUTE CONDUCTS FUNDRAISING ACTIVITIES ON BEHALF OF THE ENTIRE CLEVELAND CLINIC HEALTH SYSTEM. THE AMOUNTS RECEIVED FROM RR DONNELLY AND HARRIS CONNECT, LLC IN PART I REPRESENT ONLY THE PARENT'S GROSS RECEIPTS FROM FUNDRAISING ACTIVITIES. TOTAL GROSS RECEIPTS RECEIVED AT THE HEALTH SYSTEM LEVEL EXCEED AMOUNTS PAID TO PROFESSIONAL FUNDRAISERS.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,738,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,738,791	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$584,889,501	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$375,537,223	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$209,352,278	NetCommunityBenefitExpnsAmt
Total Expense	0.03980	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$636,628,292	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$375,537,223	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$261,091,069	NetCommunityBenefitExpnsAmt
Total Expense	0.04960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,816,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,721	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,774,611	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$228,440,686	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,357,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$205,083,392	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,973,727	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,736,394	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,237,333	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,436,987	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$146,002,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,434,339	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,444,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,485,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,959,478	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$478,112,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$172,623,057	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$305,489,153	NetCommunityBenefitExpnsAmt
Total Expense	0.05820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,114,740,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$548,160,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$566,580,222	NetCommunityBenefitExpnsAmt
Total Expense	0.10780	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,380	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,777	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,777	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$942,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$942,798	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,979	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,021	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,021	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,210	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,521	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,052,686	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,051,686	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$170,687,619	BadDebtExpenseAmt
Reimbursed By Medicare	$565,480,019	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$562,572,435	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,907,584	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 AKRON SURGICAL ASSOCIATES
SURGICAL SERVICES	0.51000	0.49000
2 MONTROSE SLEEP CENTER LLC
SLEEP LAB THERAPY	0.60000	0.40000

Field	Value	IRS element (for citing)
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Address Line2USAddress/AddressLine2Txt
THE CLEVELAND CLINIC FOUNDATION
1	9500 EUCLID AVENUE	CLEVELAND	OH	44195	WWW.CLEVELANDCLINIC.ORG	OH STATE ID 1151AHR	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
CLEVELAND CLINIC REHABILITATION
2	33355 HEALTH CAMPUS BOULEVARD	AVON	OH	44011	WWW.CLEVELANDCLINIC.ORG	OHIO STATE ID 1522AHR	Yes (X)
SELECT SPECIALTY - FAIRHILL
3	11900 FAIRHILL ROAD	CLEVELAND	OH	44120	WWW.SELECTMEDICAL.COM	OH STATE ID 1468	Yes (X)						A
SELECT SPECIALTY - REGENCY WEST
4	6990 ENGLE ROAD	MIDDLEBURG HEIGHTS	OH	44130	WWW.SELECTMEDICAL.COM	OH STATE ID 1478	Yes (X)						A
SELECT SPECIALTY - REGENCY EAST
5	4200 INTERCHANGE CORPORATE CENTER	WARRENSVILLE HEIGHTS	OH	44128	WWW.SELECTMEDICAL.COM	OH STATE ID 1479	Yes (X)						A	ROAD
SELECT SPECIALTY - GATEWAY
6	2351 E 22ND ST 7TH FL	CLEVELAND	OH	44115	WWW.SELECTMEDICAL.COM	OH STATE ID 1431	Yes (X)						A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

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

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S "COMMUNITY," AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX G OF THE 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	PART V, SECTION B, LINE 2: CLEVELAND CLINIC REHABILITATION OPENED IN DECEMBER 2015.
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.
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.
CLEVELAND CLINIC REHABILITATION	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	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 4: SELECT SPECIALTY - REGENCY WEST, - FACILITY 5: SELECT SPECIALTY - REGENCY EAST, - FACILITY 3: SELECT SPECIALTY - FAIRHILL, - FACILITY 6: SELECT SPECIALTY - GATEWAY
GROUP A-FACILITY 4 -- 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 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 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 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.

Field	Value	IRS element (for citing)
Facility	113	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (113 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - RICHARD E JACOBS HEALTH CENTER
33100 CLEVELAND CLINIC BOULEVARD	AVON	OH	44011	FAMILY HEALTH CENTER
2 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD	BEACHWOOD	OH	44122	FAMILY HEALTH CENTER
3 - TWINSBURG FAMILY HEALTH & SURGERY CENTER
8701 DARROW ROAD	TWINSBURG	OH	44087	FAMILY HEALTH CENTER
4 - STRONGSVILLE FAMILY HEALTH & SURGERY CEN
16761 SOUTH PARK CENTER	STRONGSVILLE	OH	44136	FAMILY HEALTH CENTER
5 - INDEPENDENCE FAMILY HEALTH CENTER
5001 ROCKSIDE RD CROWN CENTRE II	INDEPENDENCE	OH	44131	FAMILY HEALTH CENTER
6 - LORAIN FAMILY HEALTH & SURGERY CENTER
5700 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
7 - WILLOUGHBY HILLS FAMILY HEALTH CENTER
2550 2570 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
8 - WOOSTER FAMILY HEALTH CENTER
1740 CLEVELAND ROAD	WOOSTER	OH	44691	FAMILY HEALTH CENTER
9 - CLEVELAND CLINIC CANCER CENTERS
417 QUARRY LAKES DRIVE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
10 - BRUNSWICK FAMILY HEALTH CENTER
3574 CENTER ROAD	BRUNSWICK	OH	44212	FAMILY HEALTH CENTER
11 - CLEVELAND CLINIC CANCER CENTERS
1125 ASPIRA COURT	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
12 - SOLON FAMILY HEALTH CENTER
29800 BAINBRIDGE ROAD	SOLON	OH	44139	FAMILY HEALTH CENTER
13 - ELYRIA FAMILY HEALTH & SURGERY CENTER
303 CHESTNUT COMMONS DRIVE	ELYRIA	OH	44035	FAMILY HEALTH CENTER
14 - CLEVELAND CLINIC HEART & VASCULAR
1400 WEST MAIN STREET BELLEVUE	BELLEVUE	OH	44811	OUTPATIENT PHYSICIAN CLINIC	HOSPITAL
15 - SUPERIOR MEDICAL SHEFFIELD FAMILY HEALTH
5334 MEADOW LANE CT	SHEFFIELD VILLAGE	OH	44035	OUTPATIENT PHYSICIAN CLINIC
16 - STEPHANIE TUBBS JONES HEALTH CENTER
13944 EUCLID AVENUE	EAST CLEVELAND	OH	44112	FAMILY HEALTH CENTER
17 - NORTH COAST CANCER
509 W MCPHERSON HIGHWAY	CLYDE	OH	43410	OUTPATIENT PHYSICIAN CLINIC
18 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER
5900 LANDERBROOK DRIVE	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
19 - AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
20 - NORTH COAST GASTROENTEROLOGY
30701 CLEMENS ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
21 - CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON STREET	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
22 - CLEVELAND CLINIC LYNDHURST CAMPUS
1950 RICHMOND ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
23 - SUPERIOR MEDICAL AMHERST FAMILY HEALTH C
5172 LEAVITT ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
24 - AVON LAKE FAMILY HEALTH CENTER
450 AVON BELDEN ROAD	AVON LAKE	OH	44012	FAMILY HEALTH CENTER
25 - CLEVELAND CLINIC UROLOGICAL INSTITUTE
20997 LORAIN	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
26 - MADISON MEDICAL OFFICE
2999 MCMACKIN ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
27 - OHIO RENAL CARE GROUP PDHOME DIALYSIS P
11203 STOKES BOULEVARD	CLEVELAND	OH	44104	DIALYSIS CENTER & DIAGNOSTIC CENTER
28 - MENTOR MEDICAL OFFICE
7060 WAYSIDE DRIVE	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
29 - CCF GASTROENTEROLOGY
7530 FREDLE DRIVE	CONCORD	OH	44077	OUTPATIENT PHYSICIAN CLINIC
30 - COMMUNITY PEDIATRICS
8254 MAYFIELD ROAD	CHESTERLAND	OH	44026	OUTPATIENT PHYSICIAN CLINIC
31 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND
21 SUGARBUSH COURT	ASHLAND	OH	44805	OUTPATIENT PHYSICIAN CLINIC
32 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY
1 PARK WEST BOULEVARD STE 150	AKRON	OH	44320	OUTPATIENT PHYSICIAN CLINIC
33 - WESTERN RESERVE NEUROSURGERY
1900 23RD STREET	CUYAHOGA FALLS	OH	44223	OUTPATIENT PHYSICIAN CLINIC
34 - MENTOR REHABILITATION AND SPORTS THERAPY
7533 CENTER STREET	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
35 - MIDDLEBURG HEIGHTS ORTHOPAEDICS
7010 ENGLE ROAD STE 105	MIDDLEBURG HEIGHTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
36 - NORTH COAST CANCER
272 BENEDICT AVENUE	NORWALK	OH	44857	OUTPATIENT PHYSICIAN CLINIC
37 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE
1959 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	DIAGNOSTIC CENTER
38 - OHIO RENAL CARE GROUP WESTLAKE
26024 DETROIT AVENUE	WESTLAKE	OH	44145	DIALYSIS CENTER
39 - OHIO RENAL CARE GROUP WEST
14670 SNOW ROAD	BROOKPARK	OH	44142	DIALYSIS CENTER
40 - SOUTH RUSSELL FAMILY PRACTICE
5192 CHILLICOTHE ROAD	SOUTH RUSSELL	OH	44022	OUTPATIENT PHYSICIAN CLINIC
41 - WILLOUGHBY HILLS BEHAVIORAL HEALTH
2785 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
42 - LAKEWOOD FAMILY HEALTH CENTER
16215 MADISON AVENUE	LAKEWOOD	OH	44107	FAMILY HEALTH CENTER
43 - COMMUNITY PEDIATRICS
2001 CROCKER ROAD	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
44 - OHIO RENAL CARE GROUP SOLON
6020 ENTERPRISE PARKWAY	SOLON	OH	44139	DIALYSIS CENTER
45 - LORAIN ORTHOPAEDICS
5275 NORTH ABBE ROAD	ELYRIA	OH	44035	OUTPATIENT PHYSICIAN CLINIC
46 - NORTH RIDGEVILLE MEDICAL OFFICE
35105 CENTER RIDGE ROAD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
47 - THERAPY SERVICES CUYAHOGA FALLS
63 GRAHAM ROAD	CUYAHOGA FALLS	OH	44223	OUTPATIENT PHYSICIAN CLINIC
48 - OHIO RENAL CARE GROUP FARNSWORTH
3764 PEARL RD	CLEVELAND	OH	44109	DIALYSIS CENTER
49 - OHIO RENAL CARE GROUP EUCLID
26450 EUCLID AVENUE	EUCLID	OH	44132	DIALYSIS CENTER
50 - OHIO RENAL CARE GROUP OF NORTH RANDALL
4750 NORTHFIELD ROAD	NORTH RANDALL	OH	44128	DIALYSIS CENTER
51 - CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD ROAD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
52 - CHARDON REHABILITATION AND SPORTS THERAP
325 CENTER STREET	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
53 - OHIO RENAL CARE GROUP ELYRIA
1050 N ABBE RD N	ELYRIA	OH	44035	DIALYSIS CENTER
54 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL
3733 PARK EAST DRIVE STE 105	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
55 - LORAIN KOLCZUN ORTHOPAEDICS
5800 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
56 - OHIO RENAL CARE GROUP OHIO ACUTES
2500 METROHEALTH DRIVE	CLEVELAND	OH	44109	DIALYSIS CENTER
57 - MOHICAN EYE CENTER
484 PARK AVENUE WEST	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
58 - OHIO RENAL CARE GROUP MENTOR
8840 TYLER BLVD	MENTOR	OH	44060	DIALYSIS CENTER
59 - OHIO RENAL CARE GROUP WADSWORTH
1160 WILLIAMS RESERVE BLVD	WADSWORTH	OH	44281	DIALYSIS CENTER
60 - OBERLIN OPHTHALMOLOGYLAKELAND EYE
309 WEST LORAIN STREET	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
61 - OHIO RENAL CARE GROUP LAKEWOOD
13900 DETROIT RD	LAKEWOOD	OH	44109	DIALYSIS CENTER
62 - WADSWORTH PRIMARY CARE
ONE PARK CENTER DRIVE	WADSWORTH	OH	44281	OUTPATIENT PHYSICIAN CLINIC
63 - MOHICAN EYE CENTER
637 NORTH UNION STREET	LOUDONVILLE	OH	44842	OUTPATIENT PHYSICIAN CLINIC
64 - CLEVELAND CLINIC CHILDREN'S CENTER FOR A
21016 HILLIARD BOULEVARD	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
65 - NPCS - CANAL PLACE
520 SOUTH MAIN STREET	AKRON	OH	44311	OUTPATIENT PHYSICIAN CLINIC
66 - SUGARBUSH EYE AND LASER CENTER
1456 PARK AVENUE WEST STE P	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
67 - EXPRESS CARE
313 EUCLID AVENUE	CLEVELAND	OH	44114	OUTPATIENT PHYSICIAN CLINIC
68 - THE LANGSTON HUGHES CENTER CLEVELAND CLI
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
69 - OLMSTED TOWNSHIP PRIMARY CARE
27089 BAGLEY ROAD	OLMSTED TOWNSHIP	OH	44138	OUTPATIENT PHYSICIAN CLINIC
70 - ACCESS TO CARE
29000 AURORA ROAD	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
71 - ASHTABULA COUNTY MEDICAL CENTER
2422 LAKE AVENUE	ASHTABULA	OH	44004	OUTPATIENT PHYSICIAN CLINIC
72 - BOARDMAN STAR IMAGING
7067 TIFFANY BOULEVARD	BOARDMAN	OH	44512	DIAGNOSTIC CENTER
73 - CCF GASTROENTEROLOGY
3700 PARK EAST DRIVE	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
74 - CENTER FOR ARTHRITIS
1716 NORTH ROAD SE	WARREN	OH	44484	OUTPATIENT PHYSICIAN CLINIC
75 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS
3275 SCIENCE PARK DRIVE BLDG 5	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
76 - CLEVELAND CLINIC EYE CARE
21245 LORAIN ROAD	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
77 - CLEVELAND CLINIC FAMILY MEDICINE
19300 DETROIT AVENUE	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
78 - CLEVELAND CLINIC SPINE & SURGERY
34 EXECUTIVE DRIVE	NORWALK	OH	44857	OUTPATIENT PHYSICIAN CLINIC
79 - CLEVELAND CLINIC STAR IMAGING
1449 BOARDMAN-CANFIELD ROAD	BOARDMAN	OH	44512	DIAGNOSTIC CENTER
80 - CLUB VIEW VISION CENTER OPTOMETRIC
1650 E MANSFIELD STREET	BUCYRUS	OH	44820	OUTPATIENT PHYSICIAN CLINIC
81 - COLE EYE INSTITUTE
2000 AUBURN DRIVE STE 100	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
82 - COLUMBUS STAR IMAGING
1550 KENNY ROAD	COLUMBUS	OH	43212	DIAGNOSTIC CENTER
83 - COLUMBUS STAR IMAGING
921 JASONWAY AVENUE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
84 - COLUMBUS STAR IMAGING
6096 EAST MAIN STREET	COLUMBUS	OH	44213	DIAGNOSTIC CENTER
85 - COLUMBUS STAR IMAGING
975 985 BETHEL ROAD	COLUMBUS	OH	43214	OUTPATIENT PHYSICIAN CLINIC
86 - DAYTON STAR IMAGING
5529 FAR HILLS AVENUE	DAYTON	OH	45429	OUTPATIENT PHYSICIAN CLINIC
87 - FAIRVIEW WESTOWN PHYSICIAN CENTER
10694 LORAIN AVENUE	CLEVELAND	OH	44111	OUTPATIENT PHYSICIAN CLINIC
88 - GRADISEK FAMILY VISION CARE
1142 W 37TH STREET	LORAIN	OH	44052	OUTPATIENT PHYSICIAN CLINIC
89 - INDEPENDENCE CANCER CENTER
6100 WEST CREEK ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
90 - KINDRED HEALTH CARE CLEVELAND
11900 FAIRHILL ROAD	CLEVELAND	OH	44120	OUTPATIENT PHYSICIAN CLINIC
91 - LAKE HEALTH (REGIONAL NEUROSCIENCES)
36001 EUCLID AVENUE	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
92 - LAKEWEST MEDICAL BUILDING
36100 EUCLID AVENUE STE 280	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
93 - LAKEWOOD FAMILY MEDICINE - ROCKPORT
11851 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
94 - MARYMOUNT REHABILITATION AND SPORTS THER
2525 EAST ROYALTON ROAD	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
95 - NILES STAR IMAGING
652 YOUNGSTOWN WARREN ROAD	NILES	OH	44446	DIAGNOSTIC CENTER
96 - NILES STAR IMAGING
650 YOUNGSTOWN-WARREN ROAD	NILES	OH	44446	OUTPATIENT PHYSICIAN CLINIC
97 - NPCS - BEACHWOOD
26110 EMERY ROAD	WARRENSVILLE HEIGHTS	OH	44128	OUTPATIENT PHYSICIAN CLINIC
98 - OUTPATIENT PEDIATRIC CLINIC
1912 HAYES AVENUE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
99 - ROCKSIDE MEDICAL CENTER
6701 ROCKSIDE ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
100 - SLEEP DISORDERS CENTER
24901 COUNTRY CLUB BOULEVARD	NORTH OLMSTED	OH	44070	DIAGNOSTIC CENTER
101 - SLEEP DISORDERS CENTER
8971 WILCOX DRIVE	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
102 - SLEEP DISORDERS CENTER
5051 WEST CREEK ROAD	INDEPENDENCE	OH	44131	DIAGNOSTIC CENTER
103 - SLEEP DISORDERS CENTER
3122 EASTPOINTE DRIVE	MEDINA	OH	44256	DIAGNOSTIC CENTER
104 - SLEEP DISORDERS CENTER
5785 HEISLEY ROAD	MENTOR	OH	44060	DIAGNOSTIC CENTER
105 - SUMMIT OPHTHALMOLOGY
1587 BOETTLER ROAD	GREEN	OH	44685	OUTPATIENT PHYSICIAN CLINIC
106 - THERAPY SERVICES SOUTH
17800 JEFFERSON PARK DRIVE STE 101	MIDDLEBURG HTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
107 - THERAPY SERVICES WEST
826 WESTPOINT PKWY STE 1200	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
108 - VALLEY CITY FAMILY MEDICINE
6605 CENTER ROAD	VALLEY CITY	OH	44280	OUTPATIENT PHYSICIAN CLINIC
109 - WELLINGTON MEDICAL OFFICE
805 PATRIOT DRIVE UNIT E	WELLINGTON	OH	44090	OUTPATIENT PHYSICIAN CLINIC
110 - WEST VALLEY MEDICAL
20455 LORAIN ROAD 301	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
111 - WILLOUGHBY HILLS REHABILITATION AND SPOR
29017 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
112 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN
721 EAST MILLTOWN ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
113 - WOOSTER WOMEN'S HEALTH CENTER
1739 CLEVELAND ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	CCF PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. CCF HAS A FINANCIAL ASSISTANCE POLICY THAT IS AMONG THE MOST GENEROUS IN NORTHEAST OHIO. THIS POLICY APPLIES TO ALL CCF FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, CCF PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE 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 $891,819.
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	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $566,580,222 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 $650,730,297 AND $961,492,542 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $310,762,245 WHICH, NETTED WITH THE SURPLUS OF $2,907,587 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $307,854,661.
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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (84 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC
24179 AMBOUR DR	NORTH OLMSTED	OH	44070	470974372	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
ALZHEIMERS ASSOCIATION
12200 FAIRHILL RD	CLEVELAND	OH	44120	341311175	501(C)(3)	$13,000	HEALTHCARE RESEARCH & EDUCATION
AMERICAN CANCER SOCIETY
10501 EUCLID AVE	CLEVELAND	OH	44106	131788491	501(C)(3)	$58,730	HEALTHCARE RESEARCH & EDUCATION
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	590637852	501(C)(3)	$241,145	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LUNG ASSOCIATION
1740 BROADWAY	NEW YORK	NY	10019	131632524	501(C)(3)	$21,500	HEALTHCARE RESEARCH & EDUCATION
AMERICAN NATIONAL RED CROSS
431 18TH ST NW	WASHINGTON	DC	20006	530196605	501(C)(3)	$15,000	COMMUNITY SUPPORT
ANTIOCH BAPTIST CHURCH
8869 CEDAR AVE	CLEVELAND	OH	44106	364497121	501(C)(3)	$5,500	COMMUNITY SUPPORT
ARTHRITIS FOUNDATION
1330 WEST PEACHTREE ST NW	ATLANTA	GA	30309	581341679	501(C)(3)	$8,500	HEALTHCARE RESEARCH & EDUCATION
AUTISM SPEAKS INC
1 E 33RD ST 4TH FL	NEW YORK	NY	10016	202329938	501(C)(3)	$20,000	HEALTHCARE RESEARCH & EDUCATION
AVON LAKE CITY SCHOOLS
175 AVON BELDEN RD	AVON LAKE	OH	44012	346000164	GOV. ENTITY	$14,000	SUPPORT EDUCATIONAL ACTIVITIES
BOY SCOUTS OF AMERICA
2241 WOODLAND AVE	CLEVELAND	OH	44115	340714322	501(C)(3)	$7,500	COMMUNITY SUPPORT
BOYS AND GIRLS CLUBS OF CLEVELAND
6114 BROADWAY AVE	CLEVELAND	OH	44127	340770686	501(C)(3)	$15,000	COMMUNITY SUPPORT
BURTEN BELL CARR DEVELOPMENT INC
7201 KINSMAN RD	CLEVELAND	OH	44104	341657533	501(C)(3)	$10,000	COMMUNITY SUPPORT
BUSINESS VOLUNTEERS UNLIMITED
1300 E 9TH ST STE 1805	CLEVELAND	OH	44114	341724581	501(C)(3)	$10,000	COMMUNITY SUPPORT
CANCER SERVICES OF ERIE COUNTY
505 E PERKINS AVE	SANDUSKY	OH	44870	340877577	501(C)(3)	$7,500	HEALTHCARE RESEARCH & EDUCATION
CARE ALLIANCE
1795 W 25TH ST	CLEVELAND	OH	44113	341748776	501(C)(3)	$20,000	HEALTHCARE RESEARCH & EDUCATION
CASE WESTERN RESERVE UNIVERSITY
2040 ADELBERT RD	CLEVELAND	OH	44106	341018992	501(C)(3)	$35,500	SUPPORT EDUCATIONAL ACTIVITIES
CENTERS FOR FAMILIES AND CHILDREN
601 LAKESIDE AVE	CLEVELAND	OH	44114	237084455	501(C)(3)	$16,000	COMMUNITY SUPPORT
CHAGRIN FALLS BUSINESS & COMMUNITY PARTNERSHIP
57 E WASHINGTON ST	CHAGRIN FALLS	OH	44022	311564112	501(C)(3)	$10,000	COMMUNITY SUPPORT
CHAGRIN VALLEY PHA HORSE SHOWS INC
9129 OLD MEADOW DR	CHAGRIN FALLS	OH	44023	237275317	501(C)(3)	$6,700	COMMUNITY SUPPORT
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44195	340714553	501(C)(3)	$22,945,312	HEALTHCARE RESEARCH & EDUCATION
CLEVELAND INTERNATIONAL FILM FESTIVAL INC
2510 MARKET AVE	CLEVELAND	OH	44113	341262368	501(C)(3)	$12,000	COMMUNITY SUPPORT
CLEVELAND LEADERSHIP CENTER
1375 E 9TH ST	CLEVELAND	OH	44114	341927317	501(C)(3)	$10,000	COMMUNITY SUPPORT
CLEVELAND METROPARKS
4101 FULTON PARKWAY	CLEVELAND	OH	44144	346000704	GOV. ENTITY	$60,000	COMMUNITY SUPPORT
CLEVELAND METROPOLITAN SCHOOL DISTRICT
1380 E 6TH ST	CLEVELAND	OH	44114	346000662	GOV. ENTITY	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
CLEVELAND MUSEUM OF NATURAL HISTORY
1 WADE OVAL DR	CLEVELAND	OH	44106	340714338	501(C)(3)	$31,250	COMMUNITY SUPPORT
CLEVELAND SCHOOL OF SCIENCE & MEDICINE
2075 STOKES BLVD	CLEVELAND	OH	44106	343740643	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
CLEVELAND SOCCER ACADEMY
26555 RICHMOND RD	BEDFORD HTS	OH	44146	320348599	501(C)(3)	$7,000	COMMUNITY SUPPORT
CLEVELAND SOCIETY FOR THE BLIND
1909 E 101ST ST	CLEVELAND	OH	44106	340714652	501(C)(3)	$7,500	HEALTHCARE RESEARCH & EDUCATION
COLON CANCER ALLIANCE
1025 VERMONT AVE NW STE 1066	WASHINGTON	DC	20005	860947831	501(C)(3)	$12,500	HEALTHCARE RESEARCH & EDUCATION
CORNERSTONE OF HOPE
6600 DAISY AVE	INDEPENDENCE	OH	44131	341945499	501(C)(3)	$6,000	COMMUNITY SUPPORT
CUYAHOGA COMMUNITY COLLEGE
PO BOX 92928	CLEVELAND	OH	44194	340896630	501(C)(3)	$10,550	SUPPORT EDUCATIONAL ACTIVITIES
DANCING CLASSROOMS NORTHEAST OHIO
1085 ROCKSIDE RD STE 6	PARMA	OH	44134	262300532	501(C)(3)	$20,000	COMMUNITY SUPPORT
DIABETES PARTNERSHIP OF CLEVELAND
3601 S GREEN RD STE 100	CLEVELAND	OH	44122	340762558	501(C)(3)	$6,200	HEALTHCARE RESEARCH & EDUCATION
DIVERSITY CENTER OF NORTHEAST OHIO INC
3659 GREEN RD STE 220	CLEVELAND	OH	44122	201966761	501(C)(3)	$10,000	COMMUNITY SUPPORT
EFFECTIVE LEADERSHIP ACADEMY
4480 RICHMOND RD	WARRENSVILLE HTS	OH	44128	263385437	501(C)(3)	$28,000	SUPPORT EDUCATIONAL ACTIVITIES
ESPERANZA INC
4115 BRIDGE AVE	CLEVELAND	OH	44113	341403492	501(C)(3)	$15,000	SUPPORT EDUCATIONAL ACTIVITIES
FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION
8111 QUINCY AVE STE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	$800,611	COMMUNITY SUPPORT
FAMICOS FOUNDATION INC
1325 ANSEL RD	CLEVELAND	OH	44106	341053534	501(C)(3)	$15,000	COMMUNITY SUPPORT
FATIMA FAMILY CENTER
6600 LEXINGTON AVE	CLEVELAND	OH	44103	261323950	501(C)(3)	$15,000	COMMUNITY SUPPORT
FRIENDS OF BREAKTHROUGH SCHOOLS
3615 SUPERIOR AVE	CLEVELAND	OH	44114	204948838	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
GATHERING PLACE
23300 COMMERCE PARK	BEACHWOOD	OH	44122	341879035	501(C)(3)	$35,000	COMMUNITY SUPPORT
GIRL SCOUTS OF LAKE ERIE COUNCIL
19201 VILLAVIEW RD	CLEVELAND	OH	44119	340714415	501(C)(3)	$10,000	COMMUNITY SUPPORT
GREATER CLEVELAND FOOD BANK INC
15500 S WATERLOO RD	CLEVELAND	OH	44110	341292848	501(C)(3)	$10,000	COMMUNITY SUPPORT
GREATER CLEVELAND HABITAT FOR HUMANITY
2110 W 110TH ST	CLEVELAND	OH	44102	311209423	501(C)(3)	$10,000	COMMUNITY SUPPORT
GREATER CLEVELAND SPORTS COMMISSION
50 PUBLIC SQUARE STE 950	CLEVELAND	OH	44113	311381131	501(C)(3)	$7,000	COMMUNITY SUPPORT
HISPANIC ALLIANCE INC
3110 W 25TH ST	CLEVELAND	OH	44109	262001603	501(C)(3)	$7,500	COMMUNITY SUPPORT
HISPANIC ROUNDTABLE COMMUNITY PROGRAMS
1900 E 9TH ST	CLEVELAND	OH	44114	200932464	501(C)(3)	$20,000	COMMUNITY SUPPORT
HISPANIC UNITY OF FLORIDA INC
5840 JOHNSON ST	HOLLYWOOD	FL	33021	592230272	501(C)(3)	$25,000	COMMUNITY SUPPORT
INNER CITY TENNIS CLINICS INCORPORATED
PO BOX 32551	CLEVELAND	OH	44132	271789893	501(C)(3)	$10,000	COMMUNITY SUPPORT
KARAMU HOUSE
2355 E 89TH ST	CLEVELAND	OH	44106	340714448	501(C)(3)	$20,000	COMMUNITY SUPPORT
KEEP MEMORY ALIVE
888 W BONNEVILLE AVE	LAS VEGAS	NV	89106	880515534	501(C)(3)	$48,500	HEALTHCARE RESEARCH & EDUCATION
KIDNEY FOUNDATION OF OHIO INC
2831 PROSPECT AVE	CLEVELAND	OH	44115	340827748	501(C)(3)	$13,200	HEALTHCARE RESEARCH & EDUCATION
MAIN STREET MEDINA
23 PUBLIC SQUARE STE 220	MEDINA	OH	44256	261802645	501(C)(3)	$10,500	COMMUNITY SUPPORT
MALTZ MUSEUM OF JEWISH HERITAGE
2929 RICHMOND RD	BEACHWOOD	OH	44122	043684531	501(C)(3)	$15,000	COMMUNITY SUPPORT
MARCH OF DIMES FOUNDATION
614 SUPERIOR AVE NW	CLEVELAND	OH	44113	131846366	501(C)(3)	$12,000	HEALTHCARE RESEARCH & EDUCATION
MEDWISH INTERNATIONAL
17325 EUCLID AVE	CLEVELAND	OH	44112	341903712	501(C)(3)	$10,000	HEALTHCARE RESEARCH & EDUCATION	$1,611,953	ESTIMATED VALUE	MEDICAL SUPPLIES
MEDWORKS
1950 RICHMOND RD	LYNDHURST	OH	44124	263858369	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
METRO HEALTH SYSTEM
2500 METROHEALTH DR	CLEVELAND	OH	44109	346004382	501(C)(3)	$234,195	HEALTHCARE RESEARCH & EDUCATION
NATIONAL KIDNEY FOUNDATION
30 E 33RD ST	NEW YORK	NY	10016	131673104	501(C)(3)	$16,500	HEALTHCARE RESEARCH & EDUCATION
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1422 EUCLID AVE	CLEVELAND	OH	44115	135661935	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
NORTH UNION FARMERS MARKET
13212 SHAKER SQUARE STE 302	CLEVELAND	OH	44120	341812026	501(C)(3)	$48,500	COMMUNITY SUPPORT
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES INC
4800 PAYNE AVE	CLEVELAND	OH	44103	341014291	501(C)(3)	$6,500	HEALTHCARE RESEARCH & EDUCATION
OPEN DOORS INC
3311 PERKINS AVE	CLEVELAND	OH	44114	043697716	501(C)(3)	$16,300	COMMUNITY SUPPORT
RAINEY INSTITUTE
1523 E 55TH ST	CLEVELAND	OH	44144	346555952	501(C)(3)	$17,500	COMMUNITY SUPPORT
RECOVERY RESOURCES
3950 CHESTER AVE	CLEVELAND	OH	44114	341211116	501(C)(3)	$15,000	HEALTHCARE RESEARCH & EDUCATION
REGIONAL TRANSIT AUTHORITY
PO BOX 6566	CLEVELAND	OH	44101	341170830	GOV. ENTITY	$250,000	COMMUNITY SUPPORT
RESEARCH AMERICA
1101 KING ST	ALEXANDRIA	VA	22314	521609875	501(C)(3)	$10,000	SUPPORT EDUCATIONAL ACTIVITIES
RETREAT & REFRESH STROKE CAMP
2000 W PIONEER PKWY STE 16	PEORIA	IL	61615	640954851	501(C)(3)	$7,500	HEALTHCARE RESEARCH & EDUCATION
RONALD MCDONALD HOUSE OF CLEVELAND INC
10415 EUCLID AVE	CLEVELAND	OH	44106	341269123	501(C)(3)	$35,336	HEALTHCARE RESEARCH & EDUCATION
SAINT MARTIN DE PORRES HIGH SCHOOL
6111 LAUSCHE AVE	CLEVELAND	OH	44103	522401852	501(C)(3)	$156,684	SUPPORT EDUCATIONAL ACTIVITIES
SOUTH EUCLID UNITED CHURCH OF CHRIST
4217 BLUESTONE RD	SOUTH EUCLID	OH	44121	340714615	501(C)(3)	$291,667	COMMUNITY SUPPORT
SUSAN G KOMEN BREAST CANCER FOUNDATION
26210 EMERY RD STE 307	CLEVELAND	OH	44128	341793460	501(C)(3)	$20,000	HEALTHCARE RESEARCH & EDUCATION
THE CLEVELAND FOUNDATION
1422 EUCLID AVE STE 1300	CLEVELAND	OH	44115	340714588	501(C)(3)	$10,000	COMMUNITY SUPPORT
THE FREE CLINIC OF GREATER CLEVELAND
12201 EUCLID AVE	CLEVELAND	OH	44106	237078501	501(C)(3)	$22,500	HEALTHCARE RESEARCH & EDUCATION
THE RESEARCH AND EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION
155 E BROAD ST STE 301	COLUMBUS	OH	43215	316060347	501(C)(3)	$6,000	HEALTHCARE RESEARCH & EDUCATION
THE VILLAGE AT MARYMOUNT
5200 MARYMOUNT VILLAGE DR	GARFIELD HTS	OH	44125	205652595	501(C)(3)	$26,500	HEALTHCARE RESEARCH & EDUCATION
TRANSPLANT GAMES OF AMERICA
217 GRANDVILLE AVE SW STE 301	GRAND RAPIDS	MI	49503	461252372	501(C)(3)	$50,000	COMMUNITY SUPPORT
UNITED WAY OF GREATER CLEVELAND
1331 EUCLID AVE	CLEVELAND	OH	44115	346516654	501(C)(3)	$67,196	COMMUNITY SUPPORT	$12,500	ESTIMATED VALUE	ARTWORK
UNIVERSITY CIRCLE INCORPORATED
10831 MAGNOLIA DR	CLEVELAND	OH	44106	340823464	501(C)(3)	$10,000	COMMUNITY SUPPORT
UNIVERSITY SETTLEMENT
4800 BROADWAY AVE	CLEVELAND	OH	44105	340714776	501(C)(3)	$20,000	COMMUNITY SUPPORT
URBAN LEAGUE OF CLEVELAND
12001 SHAKER BLVD	CLEVELAND	OH	44120	340720563	501(C)(3)	$10,000	COMMUNITY SUPPORT
VALUES-IN-ACTION FOUNDATION
23611 CHAGRIN BLVD STE 380	BEACHWOOD	OH	44122	341795459	501(C)(3)	$10,000	COMMUNITY SUPPORT
YOUTH OPPORTUNITIES UNLIMITED
1361 EUCLID AVE	CLEVELAND	OH	44115	341381135	501(C)(3)	$30,000	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	80	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	215	$7,501,470
FELLOWSHIPS	1988	$89,388,085
STUDENT STIPENDS	59	$833,645
LODGING FOR INDIGENT	627	$80,454

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	CCF CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCF MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE.
SCHEDULE I, PART III	THE SCHOLARSHIPS, 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. THE INDIGENT AID LISTED IS PERFORMED IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO PROVIDE BETTER CARE OF THE SICK AND THE INVESTIGATION INTO THEIR PROBLEMS.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
COSGROVE DELOS M MD
DIRECTOR, PRESIDENT, CEO	$5,282,530	$0	$0	$0	$448,831	$0	$423,330	$0	$17,161	$0	$6,171,852	$0	$0	$0
DONLEY BRIAN G MD
DIRECTOR & CHIEF OF STAFF	$1,227,410	$0	$0	$0	$118,806	$0	$26,500	$0	$17,781	$0	$1,390,497	$0	$0	$0
ERZURUM SERPIL MD
DIRECTOR, CHAIR LERNER RESEARCH INST	$454,640	$0	$0	$0	$22,570	$0	$356,814	$0	$1,260	$0	$835,284	$0	$0	$0
MARTIN DANIEL MD
CHAIR - COLE EYE INST, DIR - CCF	$1,244,557	$0	$0	$0	$121,809	$0	$26,500	$0	$17,634	$0	$1,410,500	$0	$0	$0
GLASS STEVEN C
CFO & TREASURER	$1,407,410	$0	$0	$0	$136,326	$0	$34,495	$0	$17,781	$0	$1,596,012	$0	$0	$0
HAMILTON THOMAS
INTERIM CHAIR - RESEARCH INST	$333,332	$0	$0	$0	$12,225	$0	-$63,403	$0	$19,341	$0	$301,495	$0	$0	$0
HARRINGTON MICHAEL
CAO & CONTROLLER	$644,450	$0	$0	$0	$59,527	$0	$26,500	$0	$17,741	$0	$748,218	$0	$0	$0
MCHUGH LINDA
ASSISTANT SECRETARY (PART YEAR)	$645,845	$0	$0	$0	$61,632	$0	$38,865	$0	$16,959	$0	$763,301	$0	$0	$0
MEEHAN MICHAEL
RECORDING SECRETARY	$311,023	$0	$0	$0	$32,215	$0	-$30,860	$0	$17,268	$0	$329,646	$0	$0	$0
OBLANDER JASON
ASSISTANT SECRETARY (PART YEAR)	$199,760	$0	$0	$0	$3,814	$0	$7,092	$0	$13,666	$0	$224,332	$0	$0	$0
PEACOCK WILLIAM
CHIEF OF OPERATIONS	$1,329,732	$0	$0	$0	$110,560	$0	$28,855	$0	$17,959	$0	$1,487,106	$0	$0	$0
ROWAN DAVID W
CHIEF LEGAL OFFICER	$1,298,294	$0	$0	$0	$130,649	$0	$26,500	$0	$18,397	$0	$1,473,840	$0	$0	$0
HARRISON A MARC
CHIEF INTL BUS DEVELOPMENT	$694,518	$0	$0	$0	$490,886	$0	$26,500	$0	$53,760	$0	$1,265,664	$0	$0	$0
MIHALJEVIC TOMISLAV
CHIEF EXEC OFFICER - CCAD	$1,279,998	$0	$0	$0	$747,422	$0	$26,500	$0	$123,935	$0	$2,177,855	$0	$0	$0
LEWIS BRENDA
PHYSICIAN (2016 RETIREE)	$316,656	$0	$0	$0	$1,582,528	$0	$668,584	$0	$9,217	$0	$2,576,985	$0	$0	$0
CHURCH JAMES
PHYSICIAN (2016 RETIREE)	$669,298	$0	$0	$0	$2,042,070	$0	-$333,776	$0	$17,268	$0	$2,394,860	$0	$0	$0
WHITLOW PATRICK
PHYSICIAN (2016 RETIREE)	$6,657	$0	$0	$0	$1,801,113	$0	$260,388	$0	$1,740	$0	$2,069,898	$0	$0	$0
COSTIN JOHN
INSTITUTE CHAIRMAN	$1,731,813	$0	$0	$0	$178,020	$0	$26,500	$0	$17,581	$0	$1,953,914	$0	$0	$0
SCHOENWALD PATRICK
PHYSICIAN (2016 RETIREE)	$360,599	$0	$0	$0	$1,254,660	$0	$116,928	$0	$10,844	$0	$1,743,031	$0	$0	$0
JOSEPH HAHN
FORMER OFFICER	$566	$0	$0	$0	$251,576	$0	-$23,899	$0	$0	$0	$228,243	$0	$0	$0
BRUCE LYTLE
FORMER KEY EMPLOYEE	$5,090	$0	$0	$0	$1,138,923	$0	$0	$0	$0	$0	$1,144,013	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

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

PART I, LINE 4B

SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JAMES CHURCH - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,993,907 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. BRENDA LEWIS - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,580,401 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. PATRICK SCHOENWALD - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,247,050 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. PATRICK WHITLOW - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,800,356 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 2016 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: JAMES CHURCH - $360,276 DECREASE, DELOS M. COSGROVE - $396,830 INCREASE, SERPIL ERZURUM - $330,314 INCREASE, JOSEPH F. HAHN - $23,899 DECREASE, THOMAS HAMILTON - $89,903 DECREASE, BRENDA LEWIS - $643,266 INCREASE, MICHAEL J. MEEHAN - $57,360 DECREASE, AND PATRICK WHITLOW $260,388 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 - $7,995 INCREASE, LINDA MCHUGH - $12,365 INCREASE, JASON OBLANDER - $961 INCREASE AND WILLIAM PEACOCK - $2,355 INCREASE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt
A	$32,649,771	$309,434,914	$2,129,301	$20,001,498	$287,304,115	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$20,888,557	$519,383,182	$3,825,815	$411,300,530	$104,256,837	2012	0	Yes (1)	Yes (1)	Yes (1)
C	$27,068,716	$208,951,439	$2,003,385		$206,948,054	2011	0	Yes (1)	Yes (1)	Yes (1)
D	$12,000,000	$41,120,000	$735,249		$38,082,286	2011	Yes (1)	0	Yes (1)	Yes (1)	$2,302,465

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01040	0.00000	0.01040	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00800	0.00080	0.00880	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01290	0.00010	0.01300	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)				Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 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	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	677561FV9	2009-08-25	$807,007,320	BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	67756AG22	2008-10-15	$451,686,386	BOND 2008A: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	67756AJ37	2008-10-15	$670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$134,226,007	$70,000	$807,007,320	$1,099,225	$501,164,780	$304,743,315	2011	Yes (1)	Yes (1)	Yes (1)
B	$42,008,165	$435,000	$451,686,386	$800,000	$218,639,952	$251,263,651	2008	Yes (1)	Yes (1)	Yes (1)
C	$300,750,000		$670,000,000	$1,200,000	$324,315,217	$372,706,929	2008	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01280	0.00030	0.01310	Yes (1)	0.00050	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00690	0.00020	0.00710	Yes (1)	0.00550	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00690	0.00020	0.00710	0			Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	D COSGROVE	PersonNm
Relationship With Org	CEO/PRESIDENT	RelationshipWithOrgTxt
Loan Purpose	INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$229,247	OriginalPrincipalAmt
Balance Due	$6,571,698	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$6,571,698	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	KATHERINE MCHUGH	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF LINDA MCHUGH, CCF OFFICER	RelationshipDescriptionTxt
Transaction	$37,605	TransactionAmt
Transaction	EMPLOYMENT AGREEMENT WITH CCF	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	20	ContributionCnt
Noncash Contributions Rpt F990	$1,019,746	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$31,344	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$318,429	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenuesTxt

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$29,935	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	154	ContributionCnt
Noncash Contributions Rpt F990	$7,736,844	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVERAGE HIGH/LOW	MethodOfDeterminingRevenuesTxt

Real Estate Residential RealEstateResidentialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$210,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$8,192	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MEDICAL EQUIPMENT	3	$22,355	SALE COMPARABLE GOOD
Yes (X)	EVENT TICKETS	9	$1,472	COST

Field	Value	IRS element (for citing)
Form8283 Received	11	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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 FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. CLEVELAND CLINIC IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM AND REPORTS COMMUNITY BENEFIT ON A SYSTEM-WIDE BASIS, THEREFORE THE COMMUNITY BENEFIT NUMBERS REPORTED HERE ARE FOR THE HEALTH SYSTEM. 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 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 2016 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $808.7 MILLION IN BENEFITS TO THE COMMUNITIES WE SERVE. 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 2016 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 CLEVELAND CLINIC 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. DURING 2016, CLEVELAND CLINIC RECORDED 1,274 TOTAL STAFFED BEDS, 153,716 EMERGENCY VISITS, 92,188 SURGICAL CASES, 52,424 ADMISSIONS, AND MORE THAN 6.0 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC 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, DIGESTIVE DISEASE, 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, TAUSSIG CANCER AND WELLNESS. 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 2016. OVERALL, CLEVELAND CLINIC WAS RANKED 2ND AMONG THE NATION'S MORE THAN 5,000 HOSPITALS. CLEVELAND CLINIC WAS RANKED AMERICA'S NUMBER ONE CENTER FOR CARDIAC CARE FOR THE 22ND YEAR IN A ROW. UROLOGY, NEPHROLOGY, AND GASTROENTEROLOGY PROGRAMS WERE ALL RANKED SECOND IN THE NATION. 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 $86.2 MILLION IN 2016. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE TO 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, 150 GRADUATE STUDENTS AND 200 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC AND ITS EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2016, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 5,500 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 2016, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH OF $212.5 MILLION, WHICH INCLUDED EXTERNALLY-SPONSORED FUNDING OF $148.5 MILLION.
FORM 990, PART III, LINE 4A	THE CLEVELAND CLINIC'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 THROUGH ITS EDUCATION INSTITUTE INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2016, PROVIDED A NET COMMUNITY BENEFIT OF $272.3 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC'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 2016, 1,125 RESIDENTS AND FELLOWS TRAINED IN 75 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 130 ADVANCED FELLOWS IN 80 FELLOWSHIP PROGRAMS. LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY 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 2016-17 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 97 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2016 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 60 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 2016, 557 MEDICAL STUDENTS FROM 237 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 2016, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,659 CME ACTIVITIES THAT OFFERED OVER 10,000 CME CREDITS TO 228,261 PARTICIPANTS. OF THAT NUMBER, 1,023 WERE LIVE COURSES THAT ATTRACTED 81,407 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 397 ACTIVITIES THAT ATTRACTED 116,541 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, WITH THE CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS RECEIVING MORE THAN 83,000 CERTIFICATES. IN 2016, THE CENTER ISSUED 202,443 CME CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 108,000 AND RANKED NO. 1 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 MILLION PEOPLE AROUND THE WORLD. IN 2016 THE CCJM WEBSITE RECORDED 2,240,297 PAGE VIEWS FROM 664,548 UNIQUE VISITORS. -CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF HEALTH SCIENCE STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 14 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 54 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2016, CLEVELAND CLINIC HOSTED MORE THAN 2,500 CLINICAL ROTATIONS FOR HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THIS CENTER 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 2016, 816 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 355 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC ON PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, LEUKEMIA, UROLOGY, CONGENITAL HEART DISEASE, BREAST CANCER, AND OBESITY; AND OUR OWN STAFF TRAVELED TO MORE THAN 16 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 ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF OUR COMMUNITY BENEFIT ARE: COMMUNITY EDUCATION EDUCATING THE COMMUNITY HAS ALSO BEEN A PRIORITY AT CLEVELAND CLINIC. OUR CENTER FOR CONSUMER HEALTH INFORMATION EXPANDS KNOWLEDGE THROUGH A VARIETY OF MEDIA TO PATIENTS AND THE NORTHEAST OHIO COMMUNITY. FOLLOWING ARE SOME OF THE PROGRAMS OFFERED DURING 2016: -HEALTH INFORMATION RESOURCE CENTER: THE ON-CAMPUS PATIENT AND FAMILY HEALTH AND EDUCATION CENTER IS A PLACE WHERE PATIENTS, VISITORS, AND EMPLOYEES CAN TAKE ADVANTAGE OF HEALTH INFORMATION RESOURCES. THE CONSUMER HEALTH INFORMATION STAFF ALSO FULFILLS REQUESTS FOR HEALTH INFORMATION MADE IN WRITING, BY EMAIL, OR BY PHONE. IN 2016, THE CENTER FULFILLED 23,753 REQUESTS AND SERVED 10,777 PEOPLE WHO CAME INTO THE CENTER FOR INFORMATION. -HEALTH TALKS AND CCTV: THE CENTER FOR CONSUMER HEALTH INFORMATION HOSTED 27 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS AND MANAGED 2,275 SCHEDULED CLOSED-CIRCUIT TELEVISION WEEKLY PROGRAMS AND 1,007 WEEKLY ON-DEMAND TELEVISED PROGRAMS. -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 AM TO 3:00 PM. BY THE END OF 2016, WE HELD 6,793 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 2016, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $328.5 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $3.1 MILLION). SUBSIDIZED HEALTH SERVICES IN ADDITION TO FINANCIAL ASSISTANCE AND COSTS NOT COVERED BY MEDICAID PAYMENTS, ANOTHER CLINICAL COMMUNITY BENEFIT CATEGORY IS "SUBSIDIZED HEALTH SERVICES." THESE SERVICES YIELD LOW OR NEGATIVE MARGINS BUT ARE NEEDED IN THE COMMUNITY. CLEVELAND CLINIC HEALTH SYSTEM PROVIDED SUBSIDIZED HEALTH SERVICES IN 2016 AT A COST OF $19.6 MILLION. 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 PROGRAMS IN 2016 FOR A TOTAL NET COMMUNITY BENEFIT OF $38.1 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 AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2016, SOME HIGHLIGHTS INCLUDED:
FORM 990, PART III, LINE 4A	-WELLNESS INITIATIVES IN THE AREAS OF DISEASE/INJURY PREVENTION AND BEHAVIORAL CHANGE, INCLUDING TOBACCO CESSATION, NUTRITION IMPROVEMENT, EXERCISE, HELP WITH SUBSTANCE ABUSE, 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 SCREENINGS. THE CLEVELAND CLINIC MINORITY MEN'S HEALTH FAIR, CELEBRATING SISTERHOOD, 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 IN THE AREAS OF HEART DISEASE, STROKE, CANCER, DIABETES, ASTHMA AND BRAIN HEALTH. OUR HOSPITALS AND FAMILY HEALTH CENTERS PROVIDED CLASSES FOR HEALTH SENIOR AND YOUTH LIFESTYLES. -LET'S MOVE IT INITIATIVE 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 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 AND WILLIAM PEACOCK - 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 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 AT LEAST 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 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 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 XI, LINE 9:	DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 724,049. GIFTS AND BEQUESTS 83,871,770. TRANSFERS OF NET ASSETS -19,560,757. NET INVESTMENT INCOME 21,810,647. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -36,211,245. RETIREMENT BENEFITS ADJUSTMENT -6,834,750. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS 320,129. EQUITY AND OTHER TRANSFERS -2,406,501. CURRENT YEAR ELIMINATION ADJUSTMENT -650,000. ROUNDING -2.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADEO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	465704174	TECHNOLOGY SERVICES	OH	$354	$226,216	THE CLEVELAND CLINIC FOUNDATION
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH			THE CLEVELAND CLINIC FOUNDATION
CC WEB SOLUTIONS LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	263222020	DOMAIN HOLDING COMPANY	OH			THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTHCARE SERVICES	OH	$19,915,813	$56,543	THE CLEVELAND CLINIC FOUNDATION
CCF HOTEL SERVICES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	340666034	HOTEL OPERATIONS	OH	$33,232,713	$141,633,310	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC CARE COORDINATION LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	455282492	HEALTHCARE SERVICES	OH			THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	311741150	HEALTHCARE SERVICES	FL			CLEVELAND CLINIC FLORIDA (A NON-PROFIT CORPORATION)
CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	263666730	HEALTHCARE SERVICES & IP LICENSING	OH	$5,582,570	$24,197,810	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC MEDICARE ACO LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	471281189	HEALTHCARE SERVICES	OH	$36,614,051	$7,323,942	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTHCARE SERVICES	OH	$6,436,930		THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
1950 RICHMOND ROAD	LYNDHURST	OH	44124	263859233	HEALTHCARE SERVICES	OH	$4,691,301		THE CLEVELAND CLINIC FOUNDATION
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTHCARE SERVICES	OH	$56,151,508	$3,300	THE CLEVELAND CLINIC FOUNDATION
CLINIC PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341907574	HEALTHCARE SERVICES	OH	$26,877,680	$32,432	THE CLEVELAND CLINIC FOUNDATION
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	HEALTHCARE SERVICES	OH			THE CLEVELAND CLINIC FOUNDATION
INTELLIS EPM LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	270645368	MEDICAL TECHNOLOGY	OH			THE CLEVELAND CLINIC FOUNDATION
MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON STREET	MEDINA	OH	44256		INACTIVE	OH			MEDINA HOSPITAL
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	INACTIVE	OH			CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTHCARE SERVICES	OH			CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		INACTIVE	OH			THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH			THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
3050 SCIENCE PARK DRIVE	BEACHWOOD	OH	44122	273245990	REAL ESTATE HOLDINGS	OH			THE CLEVELAND CLINIC FOUNDATION
TATARA VASCULAR LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	474282964	MEDICAL TECHNOLOGY	DE			THE CLEVELAND CLINIC FOUNDATION
THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	201476092	HEALTHCARE SERVICES	OH			CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTHCARE SERVICES	OH	$46,050,902	$12,857	THE CLEVELAND CLINIC FOUNDATION
ADVANCED INFUSION SERVICES LTD
1 HOME CARE PLACE	AKRON	OH	44320	341847339	HOME INFUSION SERVICES	OH	$1,943,087	$672,934	VISITING NURSE SERVICE INC
CHV HOME MEDICAL EQUIPMENT CO LLC
1 HOME CARE PLACE	AKRON	OH	44320	204760456	DURABLE MEDICAL EQUIPMENT	OH	$4,695,555	$2,272,006	VISITING NURSE SERVICE INC
EDWIN SHAW REHAB LLC
330 BROADWAY STREET EAST	CUYAHOGA FALLS	OH	44221	270119182	REHABILITATION FACILITY	OH	$17,186,215	$6,748,804	AKRON GENERAL MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMUNITY WEST FOUNDATION
20545 CENTER RIDGE ROAD	ROCKY RIVER	OH	44116	341456398	ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY	OH	501(C)(3)	LINE 7	N/A	0
LAKEWOOD HOSPITAL FOUNDATION INC
14601 DETROIT AVENUE STE 240	LAKEWOOD	OH	44107	346519834	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 12C, III-FI	N/A	0
MEDINA COUNTY HEALTH CORPORATION
1000 E WASHINGTON ST	MEDINA	OH	44256	270756266	SUPPORT MEDINA HOSPITAL	OH	501(C)(3)	LINE 12C, III-FI		0	MEDINA HOSPITAL
NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP
2001 ROSS AVENUE	DALLAS	TX	75201	311707979	SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES	TX	501(C)(3)	LINE 12C, III-FI	N/A	0
WO WALKER CENTER INC
10700 EUCLID AVENUE	CLEVELAND	OH	44106	911818256	HEALTHCARE SERVICES	OH	501(C)(3)	LINE 12C, III-FI	N/A	0
AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE	CLEVELAND	OH	44111	237108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	LINE 12D, III-O	N/A	0
LAKEWOOD HOSPITAL GIFT AND BLOSSOM SHOPS INC
14519 DETROIT AVENUE	LAKEWOOD	OH	44107	340001633	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 12D, III-O	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd	UBI Code VUBICodeVAmt
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	$4,023,773	$12,796,150	0	Yes (1)	0.60000
MONTROSE SLEEP CENTER LLC
4125 MEDINA ROAD	AKRON	OH	44333	200494491	SLEEP LAB	OH		N/A			0	0		N/A
CLEVELAND HEALTH NETWORK MSO LLC
4700 ROCKSIDE ROAD STE 200	INDEPENDENCE	OH	44131	311566180	MEDICAL SERVICES	OH		RELATED		$22,014	0	Yes (1)	0.79900	N/A
PROGNOSTIX LLC
10000 CEDAR AVE	CLEVELAND	OH	44106	300624422	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	-$402	$149,024	0	0	0.78000
EXCELERATE STRATEGIC HEALTH SOURCING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	461810992	HEALTHCARE OP & MGMT	DE	THE CLEVELAND CLINIC FOUNDATION	RELATED	$471,423	$3,331,699	0	0	0.51000		$95,117
AKRON SURGICAL ASSOC LLC
4125 MEDINA ROAD	AKRON	OH	44333	010672877	AMBULATORY SURGERY CENTER	OH		N/A			0	0		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
33 GROSVENOR PLACE LTD
1 WAVERLEY PLACE UNION STREET	ST HELIER	JE	JE1 1SG	LEASE HOLDING COMPANY	JE	CLEVELAND CLINIC UK HOLDINGS LTD	C	$11,181,650	$302,978,611	1.00000	Yes (1)
AKRON GENERAL INNOVATIONS INC
				PARTNERSHIP INVESTMENTS		AKRON GENERAL PARTNERS	C	-$10,288	$10,000	1.00000	Yes (1)	1 AKRON GENERAL AVENUE	AKRON	OH	44307	383928798	OH
CCF BOLTON INC
				BUSINESS SERVICES		CLINIC MEDICAL SOLUTIONS INC	C				Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204596571	OH
CCHS INDEMNITY CO LTD
23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	INSURANCE COMPANY	CJ	THE CLEVELAND CLINIC FOUNDATION	C	$83,958,474	$180,656,616	1.00000	Yes (1)					980207086
CLEVELAND CLINIC CANADA-TORONTO INC
181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	HEALTH CARE SERVICES	CA	THE CLEVELAND CLINIC FOUNDATION	C	$8,353,963	$1,471,379	1.00000	Yes (1)
CLEVELAND CLINIC EMR INC
				MEDICAL SERVICES		CLINIC MEDICAL SOLUTIONS INC	C		$6,517,503		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	OH
CLEVELAND CLINIC FLORIDA HEALTH PLAN INC
				BUSINESS SERVICES		CLINIC MEDICAL SOLUTIONS INC	C				Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	650338016	FL
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
				MEDICAL SERVICES		CLINIC MEDICAL SOLUTIONS INC	C	$8,373,773	$15,393,362		Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	OH
CLEVELAND CLINIC LONDON LTD
20-22 BEDFORD ROW	LONDON	UK	CW1R 4JS	HOSPITAL OPERATING COMPANY	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C		$3,051,441	1.00000	Yes (1)
CLEVELAND CLINIC UK HOLDINGS LTD
20-22 BEDFORD ROW	LONDON	UK	CW1R 4JS	HOLDING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C	-$2,662,217	$521,327,045	1.00000	Yes (1)
CLEVELAND HEALTH NETWORK
				MEDICAL SERVICES			C	$3,595	$1,382,453		Yes (1)	6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341770780	OH	N/A
CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION
				HEALTHCARE SERVICES		CLEVELAND HEALTH NETWORK	C	$1,751,484	$4,428,725		Yes (1)	6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341808138	OH
CLINIC MEDICAL SOLUTIONS INC
				HEALTH CARE SERVICES		THE CLEVELAND CLINIC FOUNDATION	C	$14,425,996	$8,485,752		Yes (1)	18101 LORAIN AVENUE	CLEVELAND	OH	44111	341695388	OH
CMCD INC
				REAL ESTATE		MEDINA HOSPITAL	C		$311,040	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	OH
CUSTOM ORTHOPAEDIC SOLUTIONS INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C	$2,060,378	$561,290	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	274838981	DE
I-COMET TECHNOLOGIES INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C				0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	452063841	DE
IMAGEIQ INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C	$2,624,902	$1,150,070	0.92020	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	274427530	DE
INFUSEON THERAPEUTICS INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		$283,518	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	461776182	DE
ION-VAC INC
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C		$107,072	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	461560044	DE
IVHR INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	454657632	OH
LAKEWOOD HEALTHCARE FOUNDATION
				HEALTHCARE SERVICES			C				Yes (1)	14519 DETROIT AVENUE	LAKEWOOD	OH	44107	341574608	OH	N/A
MCZ INC
				LEASING		MEDINA HOSPITAL	C	$7,807	$500	1.00000	Yes (1)	1000 E WASHINGTON STREET	MEDINA	OH	44256	341256598	OH
MEDINVEST INC
				HOLDING COMPANY		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	203978297	OH
MERIDIA HEALTH VENTURES INC
				HEALTH CARE SERVICES		CLEVELAND CLINIC HOME CARE	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341533871	OH
MERLOT ORTHOPEDIX INC
				MEDICAL DEVICE MANUFACTURING		THE CLEVELAND CLINIC FOUNDATION	C			0.57300	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	113779414	DE
NEOMEDICS INC
				BUSINESS SERVICES		CLINIC MEDICAL SOLUTIONS INC	C			1.00000	Yes (1)	6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	020656818	OH
NEUROTHERAPIA INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		$1,249,404	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	473977513	DE
OPTOQUEST CORPORATION
				SCIENTIFIC RESEARCH		THE CLEVELAND CLINIC FOUNDATION	C	$506,462	$1,022,267	1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	263589643	DE
PINE FALLS CONDOMINIUM ASSOCIATES INC
				CONDO RENTALS		THE CLEVELAND CLINIC FOUNDATION	C			0.75000	Yes (1)	6100 WEST CREEK SUITE 25	INDEPENDENCE	OH	44131	341617589	OH
PIVOT DRUG INC
				INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C				0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	472855062	DE
SHIELD BIOTECH INC
				MEDICAL TECHNOLOGY		THE CLEVELAND CLINIC FOUNDATION	C		$5,300,736	0.72000	0	10000 CEDAR AVENUE	CLEVELAND	OH	44106	462880975	DE
VIVERE PHARMA INC
				INACTIVE		THE CLEVELAND CLINIC FOUNDATION	C			1.00000	Yes (1)	10000 CEDAR AVENUE	CLEVELAND	OH	44106	475397125	DE
CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY)
PO BOX 340340	RIYADH	SA	11333	MEDICAL SERVICES	SA	THE CLEVELAND CLINIC FOUNDATION	C	$11,700,277	$727,855	1.00000	0
CHARITABLE REMAINDER TRUSTS (14)
				CHARITABLE TRUST		THE CLEVELAND CLINIC FOUNDATION	T				0	C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44132		OH
CHARITABLE LEAD TRUST (1)
				CHARITABLE TRUST		THE CLEVELAND CLINIC FOUNDATION	T				Yes (1)	C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131		PA

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

Transactions Related Org TransactionsRelatedOrgGrp (41 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLEVELAND CLINIC CANADA - TORONTO INC
A	$100,000	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
B	$22,945,312	FMV
IVHR INC
B	$15,648,542	FMV
CLEVELAND CLINIC CANADA - TORONTO INC
C	$202,134	FMV
LAKEWOOD HOSPITAL ASSOCIATION
C	$1,226,581	FMV
AKRON GENERAL MEDICAL CENTER
D	$144,277,805	FMV
CCHS INDEMNITY COMPANY LTD
D	$3,593,803	FMV
AKRON GENERAL HEALTH SYSTEM
E	$7,617,087	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
J	$2,962,526	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
J	$439,728	FMV
CLINIC MEDICAL SOLUTIONS INC
J	$288,773	FMV
LAKEWOOD HOSPITAL ASSOCIATION
J	$31,644	FMV
CLEVELAND CLINIC AVON HOSPITAL
K	$937,000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
K	$3,061,365	FMV
FAIRVIEW HOSPITAL
K	$653,721	FMV
LAKEWOOD HOSPITAL ASSOCIATION
K	$22,456	FMV
MARYMOUNT HOSPITAL INC
K	$662,280	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
L	$3,231,859	FMV
CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
L	$14,984,439	FMV
CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION
L	$13,786,240	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	$80,962,733	FMV
CLEVELAND CLINIC HOME CARE SERVICES
L	$6,194,032	FMV
CLEVELAND CLINIC NEVADA
L	$162,458	FMV
FAIRVIEW HOSPITAL
L	$50,902,048	FMV
LAKEWOOD HOSPITAL ASSOCIATION
L	$1,428,888	FMV
LUTHERAN HOSPITAL
L	$13,272,993	FMV
MARYMOUNT HOSPITAL INC
L	$23,315,493	FMV
MEDINA HOSPITAL
L	$14,573,094	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
M	$9,143,000	FMV
IMAGEIQ INC
M	$96,000	FMV
PARTNERS PHYSICIAN GROUP
M	$266,782	FMV
CCHS INDEMNITY COMPANY LTD
P	$40,685,000	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
Q	$1,248,814	FMV
CUSTOM ORTHOPAEDIC SOLUTIONS INC
D	$421,317	FMV
NEUROTHERAPIA INC
D	$939,500	FMV
OPTOQUEST CORPORATION
D	$1,016,492	FMV
SHIELD BIOTECH INC
D	$147,292	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
D	$1,484,427	FMV
SHIELD BIOTECH INC
L	$303,680	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
E	$1,496,140	FMV
EXCELERATE STRATEGIC HEALTH SOURCING LLC
L	$276,329	FMV