THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-10-04
IRS object ID: 201322779349300327
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-10-04T13:04:21-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	346565596	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	950 MAIN AVENUE 1800	AddressLine1
City	CLEVELAND	City
State	OH	State
ZIP Code	44113	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714585	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE CLEVELAND CLINIC FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CLEV	NameControl
Phone	2164442200	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9500 EUCLID AVENUE NO JJ19	AddressLine1
City	CLEVELAND	City
State	OH	State
ZIP Code	44195	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	STEVEN C GLASS	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	2164442200	Phone
Date Signed	2013-10-04	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DELOS M COSGROVE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	9500 EUCLID AVENUE NO JJ19	AddressLine1
City	CLEVELAND	City
State	OH	State
ZIP Code	44195	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4839242156	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CLEVELANDCLINIC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1921	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	PATIENT CARE, RESEARCH & EDUCATION	ActivityOrMissionDescription
Nbr Voting Members Governing Body	25	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	32575	TotalNbrEmployees
Total Nbr Volunteers	2078	TotalNbrVolunteers
Total Gross UBI	24047325	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	230990120	ContributionsGrantsPriorYear
Contributions Grants Current Year	231877777	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3851877965	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4265251958	ProgramServiceRevenueCY
Investment Income Prior Year	90141749	InvestmentIncomePriorYear
Investment Income Current Year	105394875	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-108505203	OtherRevenuePriorYear
Other Revenue Current Year	72709421	OtherRevenueCurrentYear
Total Revenue Prior Year	4064504631	TotalRevenuePriorYear
Total Revenue Current Year	4675234031	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	92748241	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	97452910	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2234999990	SalariesEtcPriorYear
Salaries Etc Current Year	2439083971	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	1235540	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	1301479	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	12242970	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1624657473	OtherExpensePriorYear
Other Expenses Current Year	1858133257	OtherExpensesCurrentYear
Total Expenses Prior Year	3953641244	TotalExpensesPriorYear
Total Expenses Current Year	4395971617	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	110863387	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	279262414	RevenuesLessExpensesCY
Total Assets BOY	6349862963	TotalAssetsBOY
Total Assets EOY	7132666670	TotalAssetsEOY
Total Liabilities BOY	3986181984	TotalLiabilitiesBOY
Total Liabilities EOY	4408109973	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2363680979	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2724556697	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION INTO THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3961277408	Expense
Grants	97452910	Grants
Revenue	4265251958	Revenue
Description	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Description
Total Program Service Expense	3961277408	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	1	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	1	MoreThan5000KToOrganizations
More Than5000 K To Individuals	1	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	5699	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	32575	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CA	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	GR	NameOfForeignCountry
Name Of Foreign Country	PL	NameOfForeignCountry
Name Of Foreign Country	TH	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	1	Form8282PropertyDisposedOf
Number Of8282 Filed	1	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	25	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	AK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	HI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	LA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ND	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	UT	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NM	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ROBERT F WAITKUS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2164452526	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6801 BRECKSVILLE ROAD RK-85	AddressLine1
City	INDEPENDENCE	City
State	OH	State
ZIP Code	44131	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
COSGROVE DELOS M
PRESIDENT, CEO	50.00	X	X	2551727	0	618934
HAHN JOSEPH F
CHIEF OF STAFF	50.00	X	X	1195765	0	164419
RICH ROBERT E JR
DIRECTOR/BOARD CHAIR	3.00	X	X	0	0	0
SCAMINACE JOSEPH M
DIRECTOR/BOARD VICE CHAIR	3.00	X	X	0	0	0
AULETTA PATRICK V
DIRECTOR	3.00	X		0	0	0
COMMES THOMAS A
DIRECTOR	3.00	X		0	0	0
FEDELI UMBERTO P
DIRECTOR	3.00	X		0	0	0
HESSLER DAVID J
DIRECTOR	3.00	X		0	0	0
HOOVER CAROLE
DIRECTOR	3.00	X		0	0	0
KEMPER JOHN W
DIRECTOR	3.00	X		0	0	0
LERNER NORMA
DIRECTOR	3.00	X		0	0	0
MACDONALD WILLIAM EIII
DIRECTOR	3.00	X		0	0	0
MANDELL BRIAN MD
DEPT CHAIR - MEDICINE	50.00	X		297450	0	149736
MARCHANT KANDICE MD
INSTITUTE CHAIR - PATH & LAB	50.00	X		624484	0	443510
MASARYK THOMAS MD
DEPT CHAIR - DIAGNOSTIC RADIOLOGY	50.00	X		611380	0	326477
MCCARTAN PATRICK
DIRECTOR	3.00	X		0	0	0
MILLER SAMUEL
DIRECTOR	3.00	X		0	0	0
MOONEY BETH E
DIRECTOR	3.00	X		0	0	0
MORINA MARIO
DIRECTOR	3.00	X		0	0	0
NANCE FREDERICK
DIRECTOR	3.00	X		0	0	0
POLLOCK LARRY
DIRECTOR	3.00	X		0	0	0
ROSS RONALD J
DIRECTOR	3.00	X		0	0	0
SANFORD BILL R
DIRECTOR	3.00	X		0	0	0
TIMKEN WILLIAM AMB
DIRECTOR	3.00	X		0	0	0
WEISS MORRY
DIRECTOR	3.00	X		0	0	0
DICORLETO PAUL E
CHAIR - RESEARCH INST	50.00		X	452011	0	146007
GLASS STEVEN C
CFO & TREASURER	50.00		X	988004	0	55186
HARRINGTON MICHAEL
CAO & CONTROLLER	50.00		X	555769	0	46924
MCHUGH LINDA
ASSISTANT SECRETARY	50.00		X	355762	0	62268
MEEHAN MICHAEL
RECORDING SECRETARY	50.00		X	297283	0	59824
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00		X	836640	0	51252
ROWAN DAVID W
CHIEF LEGAL OFFICER	50.00		X	2678099	0	42742
HARRISON MARC A
CEO, CCAD	50.00			1511309	0	39137	X
COBURN CHRISTOPHER
EXECUTIVE DIRECTOR - INNOVATIONS	50.00			2031682	0	41779		X
COSTIN JOHN
INSTITUTE CHAIR - CC LORAIN	50.00			1753220	0	36224		X
LYTLE BRUCE W MD
INSTITUTE CHAIR - HEART & VASC	50.00			1694293	0	231094		X
MARTIN DANIEL
CHAIR - COLE EYE	50.00			1254120	0	42383		X
MIHALJEVIC TOMISLAV
CHIEF OF STAFF - CC ABU DHABI	50.00			1528148	0	111853		X
BELL GORDON R MD
FORMER OFFICER	50.00			741843	0	64247			X
FUNG JOHN J
FORMER KEY EMPLOYEE	50.00			923507	0	42544			X
MATSEN PAUL
FORMER KEY EMPLOYEE	50.00			894921	0	42544			X
MODIC MICHAEL MD
FORMER KEY EMPLOYEE	50.00			873163	0	78940			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	24650580	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2898024	TotalOtherCompensation
Number Individuals GT100 K	3853	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TURNER CONSTRUCTION COMPANY
1422 EUCLID AVE STE 1400	CLEVELAND	OH	44115	CONSTRUCTION SERVICES	40881486
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 121102	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SERVICES	21518228
WHITING-TURNER CONTRACTING COMPANY
5875 LANDERBROOKSTE 100	CLEVELAND	OH	44124	CONSTRUCTION SERVICES	15571825
ADCOM COMMUNICATIONS INC
1370 WEST 6TH ST3RD FLR	CLEVELAND	OH	44113	MARKETING	13639836
STRATEGIC INVESTMENT GROUP
1001 19TH ST N 16TH FLR	ARLINGTON	VA	22209	INVESTMENT MANAGEMENT	8823156

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	590	NumberOfContractorsGT100K
Federated Campaigns	51280911	FederatedCampaigns
Fundraising Events	2140076	FundraisingEvents
Related Organizations	2500	RelatedOrganizations
Government Grants	107383646	GovernmentGrants
All Other Contributions	71070644	AllOtherContributions
Noncash Contributions	6694153	NoncashContributions
Total Contributions	231877777	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT SERVICES	621990	3014890469	3014890469
MEDICARE/MEDICAID PAYM	921990	1064693855	1064693855
OTHER PROGRAM SERVICES	900099	136090606	129640521	6450085
PARKING, PHONE & OTHER	812930	20374180			$20,374,180
MANAGEMENT FEES	561000	15882723	7375334	8507389

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	13320125	TotalRevenueColumn
Related Or Exempt Function Income	4650993	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	8669132	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	4265251958	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	45418534	TotalRevenueColumn
Exclusion	$45,418,534	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	14	TotalRevenueColumn
Exclusion	$14	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	19820166	TotalRevenueColumn
Exclusion	$19,820,166	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	8395898	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	8395898	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	8395898	TotalRevenueColumn
Exclusion	$8,395,898	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	219705916	Securities
Other	3158776	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	157317770	Securities
Other	5570595	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	62388146	Securities
Other	-2411819	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	59976327	TotalRevenueColumn
Exclusion	$59,976,327	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	514365	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	2140076	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1119760	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-605395	TotalRevenueColumn
Exclusion	-$605,395	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
INCOME (LOSS) ON INVES	523000	73581934	420719	$73,161,215
FOREIGN CURRENCY	525990	77628		$77,628
CANCELLATION OF DEBT	900099	-6742651		-$6,742,651

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-21818159	TotalRevenueColumn
Exclusion	-$21,818,159	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	45098752	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4675234031	TotalRevenueColumn
Related Or Exempt Function Income	4221251172	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	24047325	UnrelatedBusinessRevenue
Exclusion	$198,057,757	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	11319096	Total
Program Services	11319096	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	85203757	Total
Program Services	85203757	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	930057	Total
Program Services	930057	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	15162100	Total
Program Services	3133129	ProgramServices
Management And General	12028971	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	3661708	Total
Program Services	1362122	ProgramServices
Management And General	2299586	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1881729275	Total
Program Services	1650457850	ProgramServices
Management And General	224669818	ManagementAndGeneral
Fundraising	6601607	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	116718025	Total
Program Services	102439613	ProgramServices
Management And General	13935595	ManagementAndGeneral
Fundraising	342817	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	292062969	Total
Program Services	256543839	ProgramServices
Management And General	34870975	ManagementAndGeneral
Fundraising	648155	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	129749894	Total
Program Services	113808314	ProgramServices
Management And General	15491540	ManagementAndGeneral
Fundraising	450040	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3546006	Total
Program Services	3121601	ProgramServices
Management And General	423377	ManagementAndGeneral
Fundraising	1028	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	9453709	Total
Program Services	8324980	ProgramServices
Management And General	1128729	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1488766	Total
Management And General	1488766	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	461300	Total
Program Services	461300	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	1301479	Total
Fundraising	1301479	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	7506282	Total
Management And General	7506282	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	180457718	Total
Program Services	157495419	ProgramServices
Management And General	21545821	ManagementAndGeneral
Fundraising	1416478	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	32388460	Total
Program Services	28467323	ProgramServices
Management And General	3867033	ManagementAndGeneral
Fundraising	54104	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	53862473	Total
Program Services	46940638	ProgramServices
Management And General	6430931	ManagementAndGeneral
Fundraising	490904	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	66230990	Total
Program Services	58142487	ProgramServices
Management And General	7907675	ManagementAndGeneral
Fundraising	180828	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	91422310	Total
Program Services	80506907	ProgramServices
Management And General	10915403	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	17332909	Total
Program Services	14918311	ProgramServices
Management And General	2069470	ManagementAndGeneral
Fundraising	345128	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	8750509	Total
Program Services	7574940	ProgramServices
Management And General	1044771	ManagementAndGeneral
Fundraising	130798	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	82707366	Total
Program Services	72832487	ProgramServices
Management And General	9874879	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	236926496	Total
Program Services	208510976	ProgramServices
Management And General	28287934	ManagementAndGeneral
Fundraising	127586	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	39544100	Total
Program Services	34822716	ProgramServices
Management And General	4721384	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	647692496	647692496
BAD DEBT EXPENSE	223823188	223823188
EQUIPMENT RENTAL & MAIN	75194581	66190637	8977887	26057
STATE FRANCHISE FEE	32168944	32168944

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	47174654	Total
Program Services	44084281	ProgramServices
Management And General	2964412	ManagementAndGeneral
Fundraising	125961	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4395971617	Total
Program Services	3961277408	ProgramServices
Management And General	422451239	ManagementAndGeneral
Fundraising	12242970	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	111313815	BOY
EOY	117178432	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	12412559	BOY
EOY	17665920	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	227782966	BOY
EOY	205803380	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	530717836	BOY
EOY	603928914	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	5880193	BOY
EOY	4617751	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	80646742	BOY
EOY	30184514	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	57029848	BOY
EOY	64118713	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	18829883	BOY
EOY	27218855	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4371468310	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2086529185	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2284212530	BOY
EOY	2284939125	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1573827170	BOY
EOY	1847024922	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1234419535	BOY
EOY	1583726510	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	12000000	BOY
EOY	12000000	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	12600617	BOY
EOY	12682300	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	188189269	BOY
EOY	321577334	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6349862963	BOY
EOY	7132666670	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	586550588	BOY
EOY	543925700	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	696377	BOY
EOY	438188	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	72356396	BOY
EOY	75985160	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1976584962	BOY
EOY	2227589992	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1569160	BOY
EOY	1074306	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	89739077	BOY
EOY	96756314	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1258685424	BOY
EOY	1462340313	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3986181984	BOY
EOY	4408109973	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1857201025	BOY
EOY	2194070444	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	304934358	BOY
EOY	322213362	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	201545596	BOY
EOY	208272891	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2363680979	BOY
EOY	2724556697	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6349862963	BOY
EOY	7132666670	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	279262414	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	150548625	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	-32622	ReconcilationPriorAdjustment
Reconcilation Other Changes	-68902699	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$21,146	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$304,207	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$425,129	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$14,881	RalliesDemonstrationsAmount
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	765363	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	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 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 - CO-ORGANIZED AND ATTENDED ADVOCACY DAY IN COLUMBUS, OH IN SUPPORT OF MEDICAID EXPANSION; AND PARTICIPATED IN MULTIPLE TRADE ASSOCIATION MEETINGS FOCUSED ON IMPLEMENTATION AND IMPACT OF THE AFFORDABLE CARE ACT WITHIN THE HEALTHCARE INDUSTRY	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	174481177	BeginningOfYearBalance
Contributions	12707046	Contributions
Investment Earnings Or Losses	21848808	InvestmentEarningsOrLosses
Other Expenditures	2146594	OtherExpenditures
End Of Year Balance	206890438	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	160993688	BeginningOfYearBalance
Contributions	11644587	Contributions
Investment Earnings Or Losses	3337378	InvestmentEarningsOrLosses
Other Expenditures	1494476	OtherExpenditures
End Of Year Balance	174481177	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	135618081	BeginningOfYearBalance
Contributions	12450683	Contributions
Investment Earnings Or Losses	15709374	InvestmentEarningsOrLosses
Other Expenditures	2784450	OtherExpenditures
End Of Year Balance	160993688	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	111304092	BeginningOfYearBalance
Contributions	7288623	Contributions
Investment Earnings Or Losses	17025366	InvestmentEarningsOrLosses
End Of Year Balance	135618081	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	149408756	BeginningOfYearBalance
Contributions	12061766	Contributions
Investment Earnings Or Losses	-45588927	InvestmentEarningsOrLosses
Other Expenditures	4577503	OtherExpenditures
End Of Year Balance	111304092	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	175288772	OtherCostOrOtherBasis
Book Value	175288772	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2536954174	OtherCostOrOtherBasis
Depreciation	1102680967	Depreciation
Book Value	1434273207	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	71318452	OtherCostOrOtherBasis
Depreciation	46791873	Depreciation
Book Value	24526579	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1362191657	OtherCostOrOtherBasis
Depreciation	877174785	Depreciation
Book Value	485016872	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	225715255	OtherCostOrOtherBasis
Depreciation	59881560	Depreciation
Book Value	165833695	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2284939125	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
HEDGE FUNDS	1052682079	F
PRIVATE EQUITY	352607513	F
REAL ESTATE	178436918	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1583726510	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION	$715,671,190
OTHER LIABILITIES	$114,350,444
ACCRUED BENEFITS	$149,460,737
FUTURE GIFT ANNUITY PAYMENTS	$8,215,229
DEFERRED ANNUITY TRUST	$997,615
INTEREST RATE SWAPS	$185,445,748
UNAMORTIZED BOND PREMIUM	$60,599,577
SECURITIES LENDING	$91,322
DUE TO AFFILIATES	$227,508,451

Field	Value	IRS element (for citing)
Total Of Amounts	1462340313	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 FIN 48 LIABILITY RELATES. THE FIN 48 FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE CLEVELAND CLINIC HEALTH SYSTEM READS AS FOLLOWS: AT DECEMBER 31, 2012 AND 2011, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $14.4 MILLION AND $10.0 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.
		PART V, LINE 4 - THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (6 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures	Number Of EmployeesNumberOfEmployees
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	WHOLLY-OWNED FOREIGN INSURANCE COMPANY	34327291
MIDDLE EAST & NORTH AFRICA	UNRELATED BUSINESS		5777197	16
MIDDLE EAST & NORTH AFRICA	FUNDRAISING		39600
EUROPE	FUNDRAISING		68276
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENT		158075991
NORTH AMERICA	PROGRAM SERVICES	WHOLLY-OWNED FOREIGN SUBSIDIARY THAT OPERATES A MEDICAL CLINIC IN TORONTO, CANADA

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	16	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	16	TotalNumberOfEmployees
Subtotal Amount Spent	198288355	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	198288355	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (13 entries)

RegionRegion	Purpose Of GrantPurposeOfGrant	Amount Of Cash GrantAmountOfCashGrant	Manner Of Cash DisbursementMannerOfCashDisbursement
NORTH AMERICA - CANADA AND MEXICO, BUT	RESEARCH	385032	CHECK
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	109641	CHECK
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	67038	CHECK
CENTRAL AMERICA & CARIBBEAN	PROGRAM REV	51930	CHECK
EAST ASIA AND THE PACIFIC -	RESEARCH	48189	CHECK
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	29515	CHECK
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	19950	CHECK
NORTH AMERICA - CANADA AND MEXICO, BUT	RESEARCH	17100	CHECK
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	15040	CHECK
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	14151	CHECK
NORTH AMERICA - CANADA AND MEXICO, BUT	RESEARCH	12530	CHECK
NORTH AMERICA - CANADA AND MEXICO, BUT	RESEARCH	11316	CHECK
EAST ASIA AND THE PACIFIC -	RESEARCH	7500	CHECK

Field	Value	IRS element (for citing)
Total Number Of Other Orgs	13	TotalNumberOfOtherOrgs

Grants To Ind Outside US GrantsToIndOutsideUS (4 entries)

Type Of AssistanceTypeOfAssistance	RegionRegion	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Manner Of Cash DisbursementMannerOfCashDisbursement
RESEARCH	EUROPE (INCLUDING ICELAND & GREENLAND)	5	70809	CHECK
RESEARCH	NORTH AMERICA	2	41477	CHECK
RESEARCH	SOUTH AMERCIA	2	46550	CHECK
RESEARCH	EAST ASIA & THE PACIFIC	2	12000	CHECK

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	1	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	METHOD USED TO ACCCOUNT FOR EXPENDITURES:	Identifier
Explanation	SCHEDULE F, PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization
RR DONNELLEY
111 SOUTH WACKER DRIVE	CHICAGO	IL	60606	DIRECT MAIL	0	898005	850358	47647
HARRIS CONNECT
1511 ROUTE 22 STE C-25	BREWSTER	NY	10509	PHONE SOLICITATION	0	331472	114643	216829
CONVIO
11501 DOMAIN DR STE 200	AUSTIN	TX	78758	INTERNET	0	261221	312300	-51079
GRENZEBACH GLIER
401 N MICHIGAN AVE STE 2800	CHICAGO	IL	60611	FUNDRAISING CONSULTANT	0	0	24178	-24178

Field	Value	IRS element (for citing)
Total Gross Receipts	1490698	TotalGrossReceipts
Total Retained By Contractors	1301479	TotalRetainedByContractors
Total Net To Organization	189219	TotalNetToOrganization
Licensed States	AK	LicensedStates
Licensed States	AL	LicensedStates
Licensed States	AR	LicensedStates
Licensed States	AZ	LicensedStates
Licensed States	CA	LicensedStates
Licensed States	CO	LicensedStates
Licensed States	CT	LicensedStates
Licensed States	FL	LicensedStates
Licensed States	GA	LicensedStates
Licensed States	HI	LicensedStates
Licensed States	IL	LicensedStates
Licensed States	KS	LicensedStates
Licensed States	KY	LicensedStates
Licensed States	LA	LicensedStates
Licensed States	MA	LicensedStates
Licensed States	MD	LicensedStates
Licensed States	ME	LicensedStates
Licensed States	MI	LicensedStates
Licensed States	MN	LicensedStates
Licensed States	MO	LicensedStates
Licensed States	MS	LicensedStates
Licensed States	NC	LicensedStates
Licensed States	ND	LicensedStates
Licensed States	NH	LicensedStates
Licensed States	NJ	LicensedStates
Licensed States	NM	LicensedStates
Licensed States	NY	LicensedStates
Licensed States	OH	LicensedStates
Licensed States	OK	LicensedStates
Licensed States	OR	LicensedStates
Licensed States	PA	LicensedStates
Licensed States	RI	LicensedStates
Licensed States	SC	LicensedStates
Licensed States	TN	LicensedStates
Licensed States	UT	LicensedStates
Licensed States	VA	LicensedStates
Licensed States	WA	LicensedStates
Licensed States	WV	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	CARES GALA	NameOfEvent1
Gross Receipts Event1	1434390	GrossReceiptsEvent1
Charitable Contributions Event1	1113183	CharitableContributionsEvent1
Gross Revenue Event1	321207	GrossRevenueEvent1
Rent Facility Costs Event1	102349	RentFacilityCostsEvent1
Food And Beverage Event1	157368	FoodAndBeverageEvent1
Entertainment Event1	197100	EntertainmentEvent1
Other Direct Expenses Event1	274844	OtherDirectExpensesEvent1
Name Of Event2	HEARTTHROB BALL	NameOfEvent2
Gross Receipts Event2	1032093	GrossReceiptsEvent2
Charitable Contributions Event2	885168	CharitableContributionsEvent2
Gross Revenue Event2	146925	GrossRevenueEvent2
Rent Facility Costs Event2	13265	RentFacilityCostsEvent2
Food And Beverage Event2	118854	FoodAndBeverageEvent2
Entertainment Event2	120265	EntertainmentEvent2
Other Direct Expenses Event2	75283	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	187958	GrossReceiptsOtherEvents
Charitable Contrib Other Events	141725	CharitableContribOtherEvents
Gross Revenue Other Events	46233	GrossRevenueOtherEvents
Food And Beverage Other Events	29628	FoodAndBeverageOtherEvents
Entertainment Other Events	999	EntertainmentOtherEvents
Other Direct Expenses Other Events	29805	OtherDirectExpensesOtherEvents
Gross Receipts Total	2654441	GrossReceiptsTotal
Charitable Contributions Total	2140076	CharitableContributionsTotal
Gross Revenue Total Events	514365	GrossRevenueTotalEvents
Rent Facility Costs Total Events	115614	RentFacilityCostsTotalEvents
Food And Beverage Total Events	305850	FoodAndBeverageTotalEvents
Entertainment Total Events	318364	EntertainmentTotalEvents
Other Direct Expenses Total Events	379932	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1119760	DirectExpenseSummaryEvents
Net Income Summary	-605395	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	250.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	90845649	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	90845649	NetCommunityBenefitExpense
Percent Of Total Expense	0.02180	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	254757863	TotalCommunityBenefitExpense
Direct Offsetting Revenue	183770620	DirectOffsettingRevenue
Net Community Benefit Expense	70987243	NetCommunityBenefitExpense
Percent Of Total Expense	0.01700	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	345603512	TotalCommunityBenefitExpense
Direct Offsetting Revenue	183770620	DirectOffsettingRevenue
Net Community Benefit Expense	161832892	NetCommunityBenefitExpense
Percent Of Total Expense	0.03880	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26018834	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19319	DirectOffsettingRevenue
Net Community Benefit Expense	25999515	NetCommunityBenefitExpense
Percent Of Total Expense	0.00620	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	199207042	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26837171	DirectOffsettingRevenue
Net Community Benefit Expense	172369871	NetCommunityBenefitExpense
Percent Of Total Expense	0.04130	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4234733	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1950700	DirectOffsettingRevenue
Net Community Benefit Expense	2284033	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	206449043	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	206449043	NetCommunityBenefitExpense
Percent Of Total Expense	0.04950	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8602827	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10	DirectOffsettingRevenue
Net Community Benefit Expense	8602817	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	444512479	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28807200	DirectOffsettingRevenue
Net Community Benefit Expense	415705279	NetCommunityBenefitExpense
Percent Of Total Expense	0.09960	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	790115991	TotalCommunityBenefitExpense
Direct Offsetting Revenue	212577820	DirectOffsettingRevenue
Net Community Benefit Expense	577538171	NetCommunityBenefitExpense
Percent Of Total Expense	0.13840	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	9494	TotalCommunityBuildingExpense
Net Community Building Expense	9494	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	42331	TotalCommunityBuildingExpense
Net Community Building Expense	42331	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	510034	TotalCommunityBuildingExpense
Net Community Building Expense	510034	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	11443	TotalCommunityBuildingExpense
Net Community Building Expense	11443	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2171	TotalCommunityBuildingExpense
Net Community Building Expense	2171	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	3568280	TotalCommunityBuildingExpense
Net Community Building Expense	3568280	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	16593	TotalCommunityBuildingExpense
Net Community Building Expense	16593	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	147991	TotalCommunityBuildingExpense
Net Community Building Expense	147991	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	4308337	TotalCommunityBuildingExpense
Net Community Building Expense	4308337	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$223,971,738	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	488413563	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	536506636	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-48093073	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE CLEVELAND CLINIC FOUNDATION	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	9500 EUCLID AVENUE	AddressLine1
City	CLEVELAND	City
State	OH	State
ZIP Code	44195	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.CLEVELANDCLINIC.ORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE CLEVELAND CLINIC FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	250.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	110	NumberOfOtherFacilities

Other Facilities OtherFacilities (110 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD	BEACHWOOD	OH	44122	FAMILY HEALTH CENTER
AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
STRONGSVILLE FAMILY HEALTH & SURGERY CEN
16761 SOUTH PARK CENTER	STRONGSVILLE	OH	44136	FAMILY HEALTH CENTER
TWINSBURG FAMILY HEALTH & SURGERY CENTER
8701 DARROW ROAD	TWINSBURG	OH	44087	FAMILY HEALTH CENTER
LORAIN FAMILY HEALTH & SURGERY CENTER
5700 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
WILLOUGHBY HILLS FAMILY HEALTH CENTER
2550 2570 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
WOOSTER FAMILY HEALTH CENTER
1740 CLEVELAND ROAD	WOOSTER	OH	44691	FAMILY HEALTH CENTER
INDEPENDENCE FAMILY HEALTH CENTER
5001 ROCKSIDE RD CROWN CENTRE II	INDEPENDENCE	OH	44131	FAMILY HEALTH CENTER
CLEVELAND CLINIC CANCER CENTERS SANDUSK
417 QUARRY LAKES DRIVE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
SOLON FAMILY HEALTH CENTER
29800 BAINBRIDGE ROAD	SOLON	OH	44139	FAMILY HEALTH CENTER
ELYRIA FAMILY HEALTH & SURGERY CENTER
303 CHESTNUT COMMONS DRIVE	ELYRIA	OH	44035	FAMILY HEALTH CENTER
INDEPENDENCE CANCER CENTER
6100 WEST CREEK ROAD SUITES 15 16	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
PHARMACY CENTRAL FILL
8400 SWEET VALLEY DRIVE	VALLEY VIEW	OH	44125	PHARMACY
BRUNSWICK FAMILY HEALTH CENTER
3574 CENTER ROAD	BRUNSWICK	OH	44212	FAMILY HEALTH CENTER
CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON STREET	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
STEPHANIE TUBBS JONES HEALTH CENTER
13944 EUCLID AVENUE	EAST CLEVELAND	OH	44112	FAMILY HEALTH CENTER
SPORTS HEALTH AT THE JEWISH COMMUNITY CE
26001 SOUTH WOODLAND ROAD	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
NORTH OLMSTED PATIENT TESTING CENTER
24700 LORAIN AVENUE	NORTH OLMSTED	OH	44070	OUTPATIENT PHYSICIAN CLINIC
SUGARBUSH EYE AND LASER CENTER
21 SUGARBUSH COURT	ASHLAND	OH	44805	OUTPATIENT PHYSICIAN CLINIC
OHIO RENAL CARE GROUP EAST
10205 CARNEGIE AVENUE	CLEVELAND	OH	44106	DIALYSIS CENTER
AVON LAKE FAMILY HEALTH CENTER
450 AVON-BELDEN ROAD	AVON LAKE	OH	44012	FAMILY HEALTH CENTER
RICHARD E JACOBS HEALTH CENTER
33100 CLEVELAND CLINIC BOULEVARD	AVON	OH	44011	FAMILY HEALTH CENTER
CLEVELAND CLINIC OB GYN CROCKER ROAD
2001 CROCKER ROAD 520	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
LAKEWOOD FAMILY HEALTH CENTER
16215 MADISON AVENUE	LAKEWOOD	OH	44107	FAMILY HEALTH CENTER
MENTOR REHABILITATION AND SPORTS THERAPY
7533 CENTER STREET	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
MIDDLEBURG HEIGHTS ORTHOPAEDICS
7010 ENGLE ROAD	MIDDLEBURG HEIGHTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
MADISON MEDICAL OFFICE BUILDING
2999 MCMACKIN ROAD	MADISON	OH	44057	OUTPATIENT PHYSICIAN CLINIC
OHIO RENAL CARE GROUP WEST
14670 SNOW ROAD	BROOKPARK	OH	44142	DIALYSIS CENTER
OHIO RENAL CARE GROUP FARNSWORTH
3764 WEST 25TH STREET	CLEVELAND	OH	44109	DIALYSIS CENTER
CLEVELAND CLINIC ENT
6707 POWERS BLVD STE 202 202A	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
COMMUNITY PEDIATRICS
8254 MAYFIELD ROAD SUITE 1	CHESTERLAND	OH	44026	OUTPATIENT PHYSICIAN CLINIC
OHIO RENAL CARE GROUP OF NORTH RANDALL
4750 NORTHFIELD ROAD	NORTH RANDALL	OH	44128	DIALYSIS CENTER
OHIO RENAL CARE GROUPSOLON
6020 ENTERPRISE PARKWAY	SOLON	OH	44139	DIALYSIS CENTER
MADISON SQUARE BUILDING
15644 MADISON AVENUE SUITE 108	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
OHIO RENAL CARE GROUP PDHOME DIALYSIS P
11203 STOKES BOULEVARD	CLEVELAND	OH	44104	DIALYSIS CENTER
LORAIN ORTHOPAEDICS
5275 NORTH ABBE ROAD	ELYRIA	OH	44035	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC CHARDON
325 CENTER STREET	CHARDON	OH	44024	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC ENT
5400 TRANSPORTATION BLVD STE 8	GARFIELD HEIGHTS	OH	44125	OUTPATIENT PHYSICIAN CLINIC
LORAIN KOLCZUN ORTHOPAEDICS
5800 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
BEACHWOOD OPHTHALMOLOGY
25101 CHAGRIN BOULEVARD	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
WELLINGTON PLACE
4800 CLAGUE ROAD	NORTH OLMSTED	OH	44070	OUTPATIENT PHYSICIAN CLINIC
CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD ROAD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
WESTGATE PATIENT TESTING CENTER
20800 ADDINGTON BOULEVARD	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
OBERLIN OPHTHALMOLOGYLAKELAND EYE
309 WEST LORAIN STREET	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC PEDIATRIC CARDIOLOGY
4848 HIGBEE AVENUE NW	CANTON	OH	44718	OUTPATIENT PHYSICIAN CLINIC
SLEEP DISORDERS CENTER
11203 STOKES BOULEVARD	CLEVELAND	OH	44104	DIAGNOSTIC CENTER
SUGARBUSH EYE AND LASER CENTER
1456 PARK AVENUE WEST SUITE P	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
MOHICAN EYE CENTER - MANSFIELD - PARK AV
484 PARK AVENUE WEST	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
MENTOR MEDICAL OFFICE BUILDING
7060 WAYSIDE DRIVE	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
NORTH RIDGEVILLE MEDICAL OFFICE
35105 CENTER RIDGE ROAD	NORTH RIDGEVILLE	OH	44039	OUTPATIENT PHYSICIAN CLINIC
MOHICAN EYE CENTER - LOUDONVILLE
637 NORTH UNION STREET	LOUDONVILLE	OH	44842	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC NEUROSURGERY WILLOUGHB
2785 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
WILLOUGHBY HILLS REHABILITATION AND SPOR
29017 CHARDON ROAD	WILLOUGHBY HILLS	OH	44092	OUTPATIENT PHYSICIAN CLINIC
SUGARBUSH EYE & LASER CENTER
140 HILL STREET	BUCYRUS	OH	44820	OUTPATIENT PHYSICIAN CLINIC
COLUMBUS STAR IMAGING
1550 KENNY ROAD	COLUMBUS	OH	43212	DIAGNOSTIC CENTER
LORAIN KOLBE ORTHOPAEDICS
3600 KOLBE ROAD SUITE 100	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
SALOMONE PRACTICE
9500 MENTOR AVENUE	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
ROCKSIDE MEDICAL CENTER
6701 ROCKSIDE ROAD SUITE 260	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
OUTPATIENT PEDIATRIC PHYSIATRY CLINIC
1912 HAYES AVENUE	SANDUSKY	OH	44870	OUTPATIENT PHYSICIAN CLINIC
NILES STAR IMAGING
652 YOUNGSTOWN WARREN ROAD	NILES	OH	44446	DIAGNOSTIC CENTER
COMMUNITY PEDIATRICS
1 MEMORY LANE	GARRETTSVILLE	OH	44231	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC UROLOGICAL INSTITUTE
20997 LORAIN	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
THORACIC & CARDIOVASCULAR SURGERY
36100 EUCLID AVENUE SUITE 280	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
ACCESS TO CARE
29000 AURORA ROAD	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
AVON LAKE SPECIALTY SERVICES OFFICE
445 AVON BELDEN ROAD UNIT B4	AVON LAKE	OH	44012	OUTPATIENT PHYSICIAN CLINIC
BOARDMAN STAR IMAGING
7067 TIFFANY BOULEVARD	BOARDMAN	OH	44512	DIAGNOSTIC CENTER
BROADVIEW HEIGHTS REHABILITATION SERVICE
2525 EAST ROYALTON ROAD	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
CENTER FOR INTEGRATED MEDICINE & PEAK PE
1950 RICHMOND ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
CHARDON ROAD MEDICAL OFFICE BUILDING
34500 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC CANCER CENTER
509 W MCPHERSON HIGHWAY	CLYDE	OH	43410	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC FAMILY MEDICINE
11709 LORAIN AVENUE	CLEVELAND	OH	44111	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC FAMILY MEDICINE BEACHC
19324 DETROIT AVENUE	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC FAMILY MEDICINE ROCKPO
11851 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC FAMILY MEDICINE VALLEY
6605 CENTER ROAD	VALLEY CITY	OH	44280	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC OB GYN
34055 SOLON ROAD 106	SOLON	OH	44139	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC OB GYN BROOKLYN
7575 NORTHCLIFF AVENUE 302	BROOKLYN	OH	44144	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC STAR IMAGING
1449 BOARDMAN-CANFIELD ROAD	YOUNGSTOWN	OH	44510	DIAGNOSTIC CENTER
CLEVELAND CLINIC UROLOGICAL INSTITUTE
14701 DETROIT RD	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
COLE EYE INSTITUTE
2000 AUBURN DRIVE SUITE 100	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
COLUMBUS STAR IMAGING
921 JASONWAY AVENUE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
COLUMBUS STAR IMAGING
6096 EAST MAIN STREET	COLUMBUS	OH	44213	DIAGNOSTIC CENTER
COMMUNITY HEALTH & WELLNESS CENTER
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
COMMUNITY PEDIATRICS
26250 EUCLID AVENUE SUITE 611	EUCLID	OH	44132	OUTPATIENT PHYSICIAN CLINIC
COMMUNITY PEDIATRICS
7200 CENTER STREET SUITE 200	MENTOR	OH	44060	OUTPATIENT PHYSICIAN CLINIC
FLORIDA SLEEP STUDIES PROGRAM
COURTYARD BY MARRIOTT 2000 N	WESTON	FL	33331	DIAGNOSTIC CENTER	COMMERCE
GATES MEDICAL CENTER
125 EAST BROAD STREET	ELYRIA	OH	44035	OUTPATIENT PHYSICIAN CLINIC
GRADISEK FAMILY VISION CARE
1142 W 37TH STREET	LORAIN	OH	44052	OUTPATIENT PHYSICIAN CLINIC
HIGHLAND OFFICE CENTER
2646 HIGHWAY AVENUE	HIGHLAND	IN	46322	DIAGNOSTIC CENTER
HILLCREST HOSPITAL OUTPATIENT REHABILITA
5187 MAYFIELD ROAD SUITES 10 30	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
KINDRED HEALTH CARE CLEVELAND
11900 FAIRHILL ROAD	CLEVELAND	OH	44120	OUTPATIENT PHYSICIAN CLINIC
LAKE HEALTH (REGIONAL NEUROSCIENCES)
36001 EUCLID AVENUE	WILLOUGHBY	OH	44094	OUTPATIENT PHYSICIAN CLINIC
LAKEWOOD PHYSICAL THERAPY AT THE YMCA
16915 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
LORAIN COUNTY LONG TERM CARE
1130 TOWER ROAD	LORAIN	OH	44052	OUTPATIENT PHYSICIAN CLINIC
MERCY MEDICAL CENTER
1320 MERCY DRIVE NW	CANTON	OH	44708	OUTPATIENT PHYSICIAN CLINIC
PARMA CANCER CENTER
6525 POWERS BOULEVARD	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
PARMA MEDICAL CENTER
7007 POWERS BOULEVARD	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
SHEWBRIDGE PRACTICE
4087 MEDINA ROAD	MEDINA	OH	44256	OUTPATIENT PHYSICIAN CLINIC
SLEEP DISORDERS CENTER
24901 COUNTRY CLUB BOULEVARD	NORTH OLMSTED	OH	44070	DIAGNOSTIC CENTER
SLEEP DISORDERS CENTER
3750 ORANGE PLACE	BEACHWOOD	OH	44122	DIAGNOSTIC CENTER
SLEEP DISORDERS CENTER
8971 WILCOX DRIVE	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
SLEEP DISORDERS CENTER
35103 MAPLEGROVE ROAD	WILLOUGHBY HILLS	OH	44094	DIAGNOSTIC CENTER
SLEEP DISORDERS CENTER
1825 LORAIN BOULEVARD	ELYRIA	OH	44035	DIAGNOSTIC CENTER
SLEEP DISORDERS CENTER
13201 GRANGER ROAD	GARFIELD HEIGHTS	OH	44125	DIAGNOSTIC CENTER
THERAPY SERVICES SOUTH
17800 JEFFERSON PARK DRIVE SUITE	MIDDLEBURG HTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC	101
THERAPY SERVICES WEST
826 WESTPOINT PKWY SUITE 1200	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
THORACIC & CARDIOVASCULAR SURGERY-PARMA
MACI 6681 RIDGE RD SUITE 410	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
WELLINGTON MEDICAL OFFICE BUILDING
805 PATRIOT DRIVE UNIT E	WELLINGTON	OH	44090	OUTPATIENT PHYSICIAN CLINIC
WOOSTER MILLTOWN SPECIALTY CENTER
721 EAST MILLTOWN ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
WOOSTER WOMEN'S HEALTH CENTER
1739 CLEVELAND ROAD	WOOSTER	OH	44691	OUTPATIENT PHYSICIAN CLINIC
YOUNGSTOWN FERTILITY CENTER
3660 STUTZ DRIVE SUITE 202	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
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 A MEDICAL INDIGENCE PROVISION, WHICH PROVIDES ASSISTANCE REGARDLESS OF INCOME LEVEL OR INSURANCE STATUS WHERE MEDICAL COSTS WILL EXCEED 25% OF ANNUAL FAMILY INCOME. 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, L7 COL(F): ADDITIONAL BAD DEBT EXPENSE ADDED FOR PURPOSES OF CALCULATING THE PERCENTAGES BUT NOT REPORTED ON FORM 990 IS $148,550.
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 6A
THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS NET OF CCF'S HCAP BENEFIT OF $ 6,584,877.	PART I, LINE 7B	UNREIMBURSED MEDICAID
NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $ 577,538,171 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 TWORESPECTS: 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 AND 2) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7.	PART I, LINE 7
PART II: CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DIRECTS EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.
PART III, LINE 4: 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.TEXT OF FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS: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 POLICIES AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE.
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 $ 479,232,967 AND $ 780,033,217 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $ 300,800,250 WHICH, ADDED TO THE SHORTFALL OF $ 48,093,073 AS REPORTED ON THE COSTS REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $ 348,893,323.	PART III, LINE 5, 6, & 7	MEDICARE SHORTFALL
PART V, SECTION B, LINE 14G: 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 WEBSITES. PATIENT BILLS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE AVAILABLE ONLINE AND IN HARDCOPY, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND ALL OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS AT OUR OHIO FACILITIES WITH ONE FOCUSING ON PATIENTS WHO HAVE LOST THEIR INSURANCE AND THEIR OPTIONS, EITHER THROUGH GOVERNMENTAL OR CLEVELAND CLINIC PROGRAMS.WE DO NOT ENGAGE IN ANY ACTIVITY IDENTIFIED IN LINE 16 BEFORE ENGAGING IN REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. WE DO TAKE ALL OF THE ACTIONS LISTED IN LINE 18 AS PART OF OUR FINANCIAL ASSISTANCE PROCESS, I.E. THE COMMUNITY AND PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF ASSISTANCE AS FURTHER DESCRIBED ABOVE, INCLUDING ON THE WEBSITE, THROUGH SIGNAGE AND BROCHURES WHEN PRESENT AT OUR FACILITIES WHICH MAY OCCUR UPON ADMISSION OR PRIOR TO DISCHARGE FOR INPATIENTS, WITH EVERY BILL, AND OUR FINANCE DEPARTMENT DOCUMENTS ITS DETERMINATIONS AS TO WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY.		THE CLEVELAND CLINIC FOUNDATION
PART VI, LINE 2: MEMBERS OF SENIOR LEADERSHIP OF THE ORGANIZATION AND EACH HOSPITAL FACILITY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA RELATING TO THE CHARACTERISTICS OF THE PATIENTS AND THE COMMUNITY FOR THAT PARTICULAR HOSPITAL FACILITY. IN ADDITION, INPUT FROM PERSONS WHO REPRESENTS BROAD INTERESTS OF THE COMMUNITY IS SOLICITED THROUGH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUPS DISCUSSIONS CONDUCTED WITH COMMUNITY RESIDENTS. THE TOP COMMUNITIES' NEEDS ARE IDENTIFIED FROM EACH OF THESE DATA SOURCES.
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 SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND AT ALL OHIO FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE.
PART VI, LINE 4: THE CLEVELAND CLINIC'S COMMUNITY IS DEFINED BOTH BY 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 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 IN CARRYING OUT THE 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)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (120 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
A CULTURAL EXCHANGE
12624 LARCHMERE	CLEVELAND	OH	44120	341759189	501(C)(3)	5000	COMMUNITY SUPPORT
ALS ASSOCIATION
2500 E 22ND STREET SUITE 101	CLEVELAND	OH	44115	341595148	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
ALZHEIMERS ASSOCIATION
12200 FAIRHILL ROAD	CLEVELAND	OH	44120	341311175	501(C)(3)	6666	HEALTHCARE RESEARCH & EDUCATION
AMERICAN CANCER SOCIETY
10501 EUCLID AVENUE	CLEVELAND	OH	441062204	131788491	501(C)(3)	34500	HEALTHCARE RESEARCH & EDUCATION
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE	DALLAS	TX	75231	590637852	501(C)(3)	196900	HEALTHCARE RESEARCH & EDUCATION
AMERICAN LUNG ASSOCIATION
1740 BROADWAY	NEW YORK	NY	10019	131632524	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
AMERICAN RED CROSS
3747 EUCLID AVENUE	CLEVELAND	OH	44115	340714622	501(C)(3)	20500	HEALTHCARE RESEARCH & EDUCATION
ANTIOCH BAPTIST CHURCH
8869 CEDAR AVENUE	CLEVELAND	OH	44106	364497121	501(C)(3)	33000	COMMUNITY SUPPORT
ARTHRITIS FOUNDATION
1330 WEST PEACHTREE STREET NW	ATLANTA	GA	30309	581341679	501(C)(3)	16000	HEALTHCARE RESEARCH & EDUCATION
ASSOCIATION OF FUNDRAISING PROFESSIONALS
1101 KING STREET SUITE 700	ALEXANDRIA	VA	223142967	132590764	501(C)(3)	5000	COMMUNITY SUPPORT
ASSOCIATION OF INDIAN PHYSICIANS OF NORTHEAST OHIO
3249 ROCKY RIVER	ROCKY RIVER	OH	44111	341407746	501(C)(3)	10000	COMMUNITY SUPPORT
BEACHWOOD SCHOOLS FOUNDATION
24001 FAIRMOUNT BOULEVARD	BEACHWOOD	OH	44122	346000212	501(C)(3)	6500	SUPPORT EDUCATIONAL ACTIVITIES
BENEDICTINE HIGH SCHOOL
2900 MARTIN LUTHER KING JR DRIVE	CLEVELAND	OH	44704	341619790	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
BLACK PROFESSIONALS ASSOCIATION CHARITABLE FOUNDATION
PO BOX 5783	CLEVELAND	OH	441010783	341496786	501(C)(3)	10000	COMMUNITY SUPPORT
BOY SCOUTS OF AMERICA
2241 WOODLAND AVENUE	CLEVELAND	OH	441153295	340714322	501(C)(3)	12500	COMMUNITY SUPPORT
BOYS & GIRLS CLUBS OF CLEVELAND
6114 BROADWAY AVENUE	CLEVELAND	OH	44127	340770686	501(C)(3)	18000	COMMUNITY SUPPORT	65600	ESTIMATED VALUE	ADMINISTRATIVE SUPPORT FOR CLUB EVENT
BUSINESS VOLUNTEERS UNLIMITED
200 PUBLIC SQUARE SUITE 2650	CLEVELAND	OH	44114	341724581	501(C)(3)	25000	COMMUNITY SUPPORT
CARE ALLIANCE
1795 W 25TH STREET	CLEVELAND	OH	44113	341748776	501(C)(3)	10000	COMMUNITY SUPPORT
CARMELLA ROSE WOMENS HEALTH FOUNDATION
1226 HURON ROAD	CLEVELAND	OH	44115	202815662	501(C)(3)	5900	HEALTHCARE RESEARCH & EDUCATION
CASE WESTERN RESERVE UNIVERSITY
2040 ADELBERT ROAD	CLEVELAND	OH	44106	341018992	501(C)(3)	38292	SUPPORT EDUCATIONAL ACTIVITIES
CENTER FOR FAMILIES AND CHILDREN
4500 EUCLID AVENUE	CLEVELAND	OH	44103	237084455	501(C)(3)	35956	HEALTHCARE RESEARCH & EDUCATION
CITIZENS FOR OUR CHILDREN'S FUTURE
1240 EAST HURON ROAD	CLEVELAND	OH	44115	460574993	501(C)(3)	50000	COMMUNITY SUPPORT
CITY OF EAST CLEVELAND
14340 EUCLID AVENUE	EAST CLEVELAND	OH	44112	999999999	501(C)(1)	3000000	COMMUNITY SUPPORT	1500000	FAIR MARKET VALUE	LAND DONATION
CITY OF INDEPENDENCE
6800 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	346001474	501(C)(1)	10000	COMMUNITY SUPPORT
CITY OF LAKEWOOD
PO BOX 931321	CLEVELAND	OH	44193	346001633	501(C)(1)	18000	COMMUNITY SUPPORT
CITY OF TWINSBURG
10075 RAVENNA ROAD	TWINSBURG	OH	44087	346004070	501(C)(1)	7250	COMMUNITY SUPPORT
CLEVELAND BOTANICAL GARDEN
11030 EAST BOULEVARD	CLEVELAND	OH	44106	340239538	501(C)(3)	5000	COMMUNITY SUPPORT
CLEVELAND FOOD BANK
1557 E 27TH STREET	CLEVELAND	OH	44114	341292848	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVELAND LEADERSHIP CENTER
1422 EUCLID AVENUE SUITE 940	CLEVELAND	OH	44115	341927317	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVELAND MOTTEP
18720 CHAGRIN BOULEVARD	SHAKER HTS	OH	44122	341900839	501(C)(3)	5000	COMMUNITY SUPPORT
CLEVELAND MUSEUM OF ART
11150 EAST BOULEVARD	CLEVELAND	OH	44106	340714336	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVELAND ORCHESTRA
11001 EUCLID AVENUE	CLEVELAND	OH	44106	340714468	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVELAND PLAYHOUSE
PO BOX 1989	CLEVELAND	OH	44106	340895516	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVELAND PUBLIC LIBRARY
325 SUPERIOR AVENUE	CLEVELAND	OH	441141271	346000711	501(C)(3)	5000	COMMUNITY SUPPORT
CLEVELAND PUBLIC THEATRE
6415 DETROIT AVENUE	CLEVELAND	OH	44102	341359225	501(C)(3)	5000	COMMUNITY SUPPORT
CLEVELAND RAPE CRISIS CENTER
1370 ONTARIO STREET SUITE 420	CLEVELAND	OH	44112	510164315	501(C)(3)	5000	COMMUNITY SUPPORT
CLEVELAND STATE UNIVERSITY
2121 EUCLID AVENUE	CLEVELAND	OH	441152214	340966056	501(C)(3)	43050	SUPPORT EDUCATIONAL ACTIVITIES
CLEVELAND BRANCH DEVELOPMENT FUND INC
614 SUPERIOR AVENUE SUITE 700	CLEVELAND	OH	44113	341786675	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVELAND POLICE FOUNDATION
1300 ONTARIO STREET	CLEVELAND	OH	441131648	830509855	501(C)(3)	10000	COMMUNITY SUPPORT
COALITION TO PROTECT AMERICA'S HEALTH CARE
PO BOX 30211	BETHESDA	MD	208240211	522253225	501(C)(3)	48750	HEALTHCARE RESEARCH & EDUCATION
COMMUNITY WEST FOUNDATION
20545 CENTER RIDGE ROAD	CLEVELAND	OH	44116	341456398	501(C)(3)	29500	SUPPORT TO RELATED CHARITY
CONSERVANCY FOR CUYAHOGA VALLEY NATIONAL PARK
1403 W HINES HILL ROAD	PENINSULA	OH	44264	341917257	501(C)(3)	5000	COMMUNITY SUPPORT
CORNERSTONE OF HOPE
6600 DAISY AVENUE	INDEPENDENCE	OH	44131	341945499	501(C)(3)	18000	COMMUNITY SUPPORT
COUNCIL FOR OHIO HEALTH CARE ADVOCACY
65 E STATE STREET SUITE 2100	COLUMBUS	OH	43215	453357992	501(C)(3)	10000	HEALTHCARE RESEARCH & EDUCATION
CUYAHOGA COMMUNITY COLLEGE
PO BOX 92928	CLEVELAND	OH	441942928	340896630	501(C)(1)	12000	SUPPORT EDUCATIONAL ACTIVITIES
CUYAHOGA HEALTH ACCESS PARTNERSHIP
75 ERIE VIEW PLAZA 2ND FLOOR	CLEVELAND	OH	44114	271217221	501(C)(3)	10000	HEALTHCARE RESEARCH & EDUCATION
DANCING CLASSROOMS NORTHEAST OHIO
10143 ROYALTON ROAD SUITE D	NORTH ROYALTON	OH	44133	262300532	501(C)(3)	15500	COMMUNITY SUPPORT
DIVERSITY CENTER OF NORTHEAST OHIO
3645 WARRENSVILLE CENTER ROAD	CLEVELAND	OH	44122	201968761	501(C)(3)	13000	COMMUNITY SUPPORT
DOWNTOWN CLEVELAND ALLIANCE
50 PUBLIC SQUARE	CLEVELAND	OH	44113	341775903	501(C)(3)	10000	COMMUNITY SUPPORT
EAST CLEVELAND NEIGHBORHOOD CENTER
2490 LEE BOULEVARD SUITE 322	CLEVELAND HEIGHTS	OH	44118	341541345	501(C)(3)	53560	COMMUNITY SUPPORT
ESPERANZA INC
4115 BRIDGE AVENUE SUITE 108	CLEVELAND	OH	44113	341403492	501(C)(3)	20000	COMMUNITY SUPPORT
FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION
8111 QUINCY AVENUE SUITE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	127813	COMMUNITY SUPPORT
FAMILY MEDICINE EDUCATION CONSORTIUM INC
7795 RAINTREE ROAD	DAYTON	OH	45459	311436038	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
FES INSTITUTE
2273 PROFESSOR AVENUE	CLEVELAND	OH	44113	341854326	501(C)(3)	32000	HEALTHCARE RESEARCH & EDUCATION
FLYING HORSE FARMS
3 EASTON OVAL	COLUMBUS	OH	43219	203498125	501(C)(3)	5000	COMMUNITY SUPPORT
FORCES4QUALITY NORTHEAST OHIO
2500 METROHEALTH DRIVE R-222	CLEVELAND	OH	44109	261725657	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
FOUNDATION FIGHTING BLINDNESS INC
11435 CRONHILL DRIVE	OWINGS MILLS	MD	21117	237135845	501(C)(3)	5000	COMMUNITY SUPPORT
FUND FOR ECONOMIC FUTURE OF NORTHEAST OHIO
1360 E 9TH STREET SUITE 210	CLEVELAND	OH	44114	270606927	501(C)(3)	66667	COMMUNITY SUPPORT
GATHERING PLACE
3365 RICHMOND ROAD	BEACHWOOD	OH	44122	341879035	501(C)(3)	19050	COMMUNITY SUPPORT
GENERATION FOUNDATION
3375 HOLLISTER ROAD	CLEVELAND	OH	44118	311564642	501(C)(3)	6000	COMMUNITY SUPPORT
GIRL SCOUTS
19201 VILLAVIEW ROAD	CLEVELAND	OH	441193074	340714415	501(C)(3)	5000	COMMUNITY SUPPORT
GREATER CLEVELAND PARTNERSHIP
50 PUBLIC SQUARE SUITE 200	CLEVELAND	OH	44113	340149250	501(C)(3)	5000	COMMUNITY SUPPORT
GREATER CLEVELAND SPORTS COMMISSION
50 PUBLIC SQUARE SUITE 950	CLEVELAND	OH	44113	311381131	501(C)(3)	10000	COMMUNITY SUPPORT
HEALTH LEGACY OF CLEVELAND INC
2475 E 22ND STREET SUITE 210	CLEVELAND	OH	44115	341509482	501(C)(3)	25000	HEALTHCARE RESEARCH & EDUCATION
HEALTH NETWORK FOUNDATION
33 RIVER STREET	CHAGRIN FALLS	OH	44022	043804600	501(C)(3)	50000	HEALTHCARE RESEARCH & EDUCATION
HOLDEN ARBORETUM
9500 SPERRY ROAD	KIRTLAND	OH	440945172	340750346	501(C)(3)	5000	COMMUNITY SUPPORT
HOSPICE OF THE WESTERN RESERVE
17876 SAINT CLAIR AVENUE	CLEVELAND	OH	441102602	341256377	501(C)(3)	0	HEALTHCARE RESEARCH & EDUCATION	55108	ESTIMATED VALUE	ARTWORK DONATION
INNER CITY TENNIS CLINIC
PO BOX 32551	CLEVELAND	OH	44132	271789893	501(C)(3)	40000	COMMUNITY SUPPORT
JUVENILE DIABETES FOUNDATION
4500 ROCKSIDE ROAD SUITE 420	INDEPENDENCE	OH	44131	231907729	501(C)(3)	10000	HEALTHCARE RESEARCH & EDUCATION
KARAMU HOUSE INC
2355 EAST 89TH STREET	CLEVELAND	OH	44106	340714448	501(C)(3)	12975	COMMUNITY SUPPORT
KEEP MEMORY ALIVE
888 W BONNEVILLE AVENUE	LAS VEGAS	NV	89106	880515534	501(C)(3)	20750	SUPPORT TO RELATED CHARITY
KIDNEY FOUNDATION OF OHIO INC
2831 PROSPECT AVENUE	CLEVELAND	OH	44115	340827748	501(C)(3)	15000	HEALTHCARE RESEARCH & EDUCATION
LAKEWOOD ALIVE MEMBERSHIP
PO BOX 770364	LAKEWOOD	OH	44107	203433930	501(C)(3)	35000	COMMUNITY SUPPORT
LAKEWOOD HOSPITAL
14519 DETROIT AVENUE	LAKEWOOD	OH	441079989	346519834	501(C)(3)	12500	SUPPORT TO RELATED CHARITY
LEUKEMIA & LYMPHOMA SOCIETY
902 WESTPOINT PARKWAY SUITE 3300	CLEVELAND	OH	44145	135644916	501(C)(3)	7500	HEALTHCARE RESEARCH & EDUCATION
LIFEBANC
20600 CHAGRIN BOULEVARD	CLEVELAND	OH	441225343	341525159	501(C)(3)	7000	HEALTHCARE RESEARCH & EDUCATION
MAIN STREET MEDINA
23 PUBLIC SQUARE SUITE 220	MEDINA	OH	44256	261802645	501(C)(3)	5000	COMMUNITY SUPPORT
MALTZ MUSEUM OF JEWISH HERITAGE
2929 RICHMOND ROAD	BEACHWOOD	OH	44122	043684531	501(C)(3)	5150	COMMUNITY SUPPORT
MARCH OF DIMES
614 SUPERIOR AVENUE	CLEVELAND	OH	44113	131846366	501(C)(3)	20000	HEALTHCARE RESEARCH & EDUCATION
MAYO SOCIETY OF GREATER CLEVELAND
PO BOX 19185	CLEVELAND	OH	44119	830423217	501(C)(3)	25000	COMMUNITY SUPPORT
MEDINA HOSPITAL FOUNDATION
1000 EAST WASHINGTON STREET	MEDINA	OH	44256	341657989	501(C)(3)	5250	SUPPORT TO RELATED CHARITY
MEDWISH INTERNATIONAL
PO BOX 181484	CLEVELAND	OH	44118	341903712	501(C)(3)	50000	HEALTHCARE RESEARCH & EDUCATION	3379512	THIRD PARTY APPRAISAL	EQUIPMENT DONATION & MEETING SPACE
MEDWORKS
19910 MALVERN ROAD	SHAKER HTS	OH	44122	263858369	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
METRO HEALTH SYSTEM
PO BOX 931475	CLEVELAND	OH	441930497	346004382	501(C)(1)	313646	HEALTHCARE RESEARCH & EDUCATION
MIDTOWN CLEVELAND
4019 PROSPECT AVENUE SUITE 200	CLEVELAND	OH	44103	341381334	501(C)(3)	15000	COMMUNITY SUPPORT
MUSICAL ARTS ASSOCIATION
11001 EUCLID AVENUE	CLEVELAND	OH	44106	340714468	501(C)(3)	10000	SUPPORT EDUCATIONAL ACTIVITIES
NAMI GREATER CLEVELAND
1400 W 25TH STREET 4TH FLOOR	CLEVELAND	OH	44113	202254268	501(C)(3)	10600	COMMUNITY SUPPORT
NATIONAL KIDNEY FOUNDATION
30 E 33RD STREET	NEW YORK	NY	10016	131673104	501(C)(3)	8750	HEALTHCARE RESEARCH & EDUCATION
NATIONAL MEDICAL FELLOWSHIPS INC
347 FIFTH AVENUE SUITE 510	NEW YORK	NY	10016	010963657	501(C)(3)	6500	HEALTHCARE RESEARCH & EDUCATION
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1422 EUCLID AVENUE	CLEVELAND	OH	441151901	340801307	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
NEWBRIDGE CLEVELAND CENTER FOR ARTS AND TECHNOLOGY
3634 EUCLID AVENUE SUITE 100	CLEVELAND	OH	44115	271193704	501(C)(3)	333333	SUPPORT EDUCATIONAL ACTIVITIES
NORTH COAST CANCER FOUNDATION
417 QUARRY LAKES DRIVE	SANDUSKY	OH	44870	341224416	501(C)(3)	10000	HEALTHCARE RESEARCH & EDUCATIONHEALTHCARE RESEARCH & EDUCATION
NORTH UNION FARMERS MARKET
13212 SHAKER SQUARE SUITE 302	CLEVELAND	OH	44120	341812026	501(C)(3)	28500	COMMUNITY SUPPORT
NORTHERN OHIO MINORITY BUSINESS COUNCIL
200 TOWER CITY CENTER	CLEVELAND	OH	44114	341880180	501(C)(3)	5000	COMMUNITY SUPPORT
OHIO CITY NEAR WEST DEVELOPMENT CORPORATION
2525 MARKET AVENUE SUITE A	CLEVELAND	OH	44113	341372076	501(C)(3)	30000	COMMUNITY SUPPORT
PROJECT LOVE
23611 CHAGRIN BOULEVARD SUITE 380	BEACHWOOD	OH	44122	341795459	501(C)(3)	5000	COMMUNITY SUPPORT
PROVIDENCE HOUSE INC
2037 WEST 32ND STREET	CLEVELAND	OH	44113	341336325	501(C)(3)	5000	COMMUNITY SUPPORT
RAINEY INSTITUTE
1523 EAST 55TH STREET	CLEVELAND	OH	44144	346555952	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
REBUILDING TOGETHER
PO BOX 14274	CLEVELAND	OH	441140274	311493982	501(C)(3)	5000	COMMUNITY SUPPORT
RECOVERY RESOURCES
3950 CHESTER AVENUE	CLEVELAND	OH	44114	341211116	501(C)(3)	10000	COMMUNITY SUPPORT
REGIONAL TRANSIT AUTHORITY
PO BOX 6566	CLEVELAND	OH	441019931	341170830	501(C)(3)	125000	COMMUNITY SUPPORT
RONALD MC DONALD HOUSE
10415 EUCLID AVENUE	CLEVELAND	OH	44106	341269123	501(C)(3)	200600	HEALTHCARE RESEARCH & EDUCATION
SALVATION ARMY
PO BOX 15	LORAIN	OH	44052	240714378	501(C)(3)	10000	COMMUNITY SUPPORT
SHOES AND CLOTHES FOR KIDS
3311 PERKINS AVENUE	CLEVELAND	OH	44114	341554285	501(C)(3)	5500	COMMUNITY SUPPORT
SING FOR HOPE
575 EIGHTH AVENUE SUITE 1812	NEW YORK	NY	10018	010856384	501(C)(3)	10000	COMMUNITY SUPPORT
ST MARTIN DE PORRES HIGH SCHOOL
6111 LAUSCHE AVENUE	CLEVELAND	OH	44103	522401852	501(C)(3)	52352	SUPPORT EDUCATIONAL ACTIVITIES
SUSAN G KOMEN FOR THE CURE
26210 EMERY ROAD SUITE 307	CLEVELAND	OH	44128	341793460	501(C)(3)	45100	HEALTHCARE RESEARCH & EDUCATION
TEAM RIVERSIDE
PO BOX 247	PAINESVILLE	OH	44077	341257250	501(C)(3)	7500	COMMUNITY SUPPORT
THE CITY CLUB OF CLEVELAND
850 EUCLID AVENUE	CLEVELAND	OH	44114	340144897	501(C)(3)	31510	COMMUNITY SUPPORT
TRINITY HIGH SCHOOL
12425 GRANGER ROAD	GARFIELD HTS	OH	44125	340943303	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
UNIVERSITY AT BUFFALO FOUNDATION INC
270 NORTHPOINTE PARKWAY	AMHERST	NY	14228	161372561	501(C)(3)	17172	SUPPORT EDUCATIONAL ACTIVITIES
UNITED NEGRO COLLEGE FUND
2000 AUBURN DRIVE SUITE 200	CLEVELAND	OH	44122	131624241	501(C)(3)	10000	COMMUNITY SUPPORT
UNITED CEREBRAL PALSY ASSOCIATION
2141 OVERLOOK ROAD	CLEVELAND	OH	44106	340753561	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
UNITED WAY OF GREATER CLEVELAND
1331 EUCLID AVENUE	CLEVELAND	OH	441151854	346516654	501(C)(3)	16145	COMMUNITY SUPPORT
UNIVERSITY CIRCLE INC
10831 MAGNOLIA DRIVE	CLEVELAND	OH	44106	340823464	501(C)(3)	5000	COMMUNITY SUPPORT
UNIVERSITY SETTLEMENT
4800 BROADWAY AVENUE	CLEVELAND	OH	44127	340714776	501(C)(3)	5000	COMMUNITY SUPPORT
URBAN LEAGUE OF GREATER CLEVELAND
12001 SHAKER BOULEVARD	CLEVELAND	OH	44120	340720563	501(C)(3)	5000	COMMUNITY SUPPORT
VILLAGE AT MARYMOUNT
5200 MARYMOUNT VILLAGE DRIVE	GARFIELD HTS	OH	44125	205652595	501(C)(3)	25000	HEALTHCARE RESEARCH & EDUCATION
WOMEN OF COLOR FOUNDATION
1667 EAST 40TH STREET	CLEVELAND	OH	441033746	020743542	501(C)(3)	25000	COMMUNITY SUPPORT
YOUTH OPPORTUNITIES UNLIMITED
3750 PROSPECT AVENUE	CLEVELAND	OH	44115	341381135	501(C)(3)	10000	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	114	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	6	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS	192	6543081
FELLOWSHIPS	1976	78380465
LODGING FOR INDIGENT	773	280211

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: THE CLEVELAND CLINIC FOUNDATION CONTRIBUTES CASH DONATIONS TO VARIOUS TAX EXEMPT ORGANIZATIONS WITHIN THEIR COMMUNITY AND THE UNITED STATES. IN GENERAL, THE CLEVELAND CLINIC FOUNDATION DOES NOT RESTRICT THE USE OF THESE DONATIONS. THE RECEIVING EXEMPT ORGANIZATIONS MAY USE THE DONATIONS AT WILL TO FURTHER THEIR EXEMPT PURPOSES.
		THE GRANTS LISTED IN SCHEDULE I, PART II INCLUDE AMOUNTS PAID AS PART OF THE $6 MILLION PLEDGE MADE IN 2011 TO THE CITY OF EAST CLEVELAND. THE SCHOLARSHIPS AND FELLOWSHIPS LISTED IN SCHEDULE I, PART III ARE IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. INDIGENT AID LISTED IN SCHEDULE I, PART III IS PERFORMED IN FURTHERANCE OF 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	X	FirstClassOrCharterTravel
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
COSGROVE DELOS M
PRESIDENT, CEO	2278440	0	0	0	273287	0	605731	0	13203	0	3170661	0	0	0
HAHN JOSEPH F
CHIEF OF STAFF	1090623	0	0	0	105142	0	151099	0	13320	0	1360184	0	0	0
MANDELL BRIAN MD
DEPT CHAIR - MEDICINE	289404	0	0	0	8046	0	128684	0	21052	0	447186	0	0	0
MARCHANT KANDICE MD
INSTITUTE CHAIR - PATH & LAB	569240	0	0	0	55244	0	430323	0	13187	0	1067994	0	0	0
MASARYK THOMAS MD
DEPT CHAIR - DIAGNOSTIC RADIOLOGY	556579	0	0	0	54801	0	308933	0	17544	0	937857	0	0	0
DICORLETO PAUL E
CHAIR - RESEARCH INST	416523	0	0	0	35488	0	131043	0	14964	0	598018	0	0	0
GLASS STEVEN C
CFO & TREASURER	901579	0	0	0	86425	0	37642	0	17544	0	1043190	0	0	0
HARRINGTON MICHAEL
CAO & CONTROLLER	509403	0	0	0	46366	0	25000	0	21924	0	602693	0	0	0
MCHUGH LINDA
ASSISTANT SECRETARY	330810	0	0	0	24952	0	44724	0	17544	0	418030	0	0	0
MEEHAN MICHAEL
RECORDING SECRETARY	270740	0	0	0	26543	0	47029	0	12795	0	357107	0	0	0
PEACOCK WILLIAM
CHIEF OF OPERATIONS	780279	0	0	0	56361	0	28758	0	22494	0	887892	0	0	0
ROWAN DAVID W
CHIEF LEGAL OFFICER	641323	0	0	0	2036776	0	25000	0	17742	0	2720841	0	0	0
HARRISON MARC A
CEO, CCAD	876000	0	0	0	635309	0	25000	0	14137	0	1550446	0	0	0
COBURN CHRISTOPHER
EXECUTIVE DIRECTOR - INNOVATIONS	510000	0	0	0	1521682	0	25000	0	16779	0	2073461	0	0	0
COSTIN JOHN
INSTITUTE CHAIR - CC LORAIN	1588083	0	0	0	165137	0	25000	0	11224	0	1789444	0	0	0
LYTLE BRUCE W MD
INSTITUTE CHAIR - HEART & VASC	1549136	0	0	0	145157	0	218695	0	12399	0	1925387	0	0	0
MARTIN DANIEL
CHAIR - COLE EYE	1141740	0	0	0	112380	0	25000	0	17383	0	1296503	0	0	0
MIHALJEVIC TOMISLAV
CHIEF OF STAFF - CC ABU DHABI	1094557	0	0	0	433591	0	25000	0	86853	0	1640001	0	0	0
BELL GORDON R MD
FORMER OFFICER	671519	0	0	0	70324	0	51231	0	13016	0	806090	0	0	0
FUNG JOHN J
FORMER KEY EMPLOYEE	857329	0	0	0	66178	0	25000	0	17544	0	966051	0	0	0
MATSEN PAUL
FORMER KEY EMPLOYEE	832579	0	0	0	62342	0	25000	0	17544	0	937465	0	0	0
MODIC MICHAEL MD
FORMER KEY EMPLOYEE	790682	0	0	0	82481	0	59603	0	19337	0	952103	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL INFORMATION	PART III	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.
SUPPLEMENTAL INFORMATION	PART III	PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DAVID ROWAN - COMPENSATION INCLUDES RECOGNITION OF $1,953,603 OF TAXABLE INCOME RESULTING FROM THE TERMINATION OF HIS PARTICIPATION IN A SPLIT DOLLAR LIFE INSURANCE PLAN. THE FOLLOWING INDIVIDUAL PARTICIPATES IN A SPLIT DOLLAR LIFE INSURANCE PLAN FROM WHICH NO CASH PAYMENTS WERE RECEIVED: DELOS M. COSGROVE.
SUPPLEMENTAL INFORMATION	PART III	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: GORDON BELL - $26,231 INCREASE, DELOS M. COSGROVE $580,731 INCREASE, PAUL E. DICORLETO - $106,043 INCREASE, JOSEPH F. HAHN - $126,099 INCREASE, BRUCE LYTLE - $193,695 INCREASE, BRIAN MANDELL - $103,684 INCREASE, KANDICE MARCHANT - $405,323, THOMAS MASARYK - $283,933 INCREASE, AND MICHAEL MODIC - $34,603 INCREASE. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: STEVEN C. GLASS $12,642 INCREASE, LINDA MCHUGH $19,724 INCREASE, AND WILLIAM PEACOCK $3,758 INCREASE.
SUPPLEMENTAL INFORMATION	PART III	PART I, LINE 7 CHRISTOPHER COBURN - AS EXECUTIVE DIRECTOR OF INNOVATIONS, CHRISTOPHER COBURN RECEIVED COMPENSATION PAYMENTS WHICH WERE TIED TO LONG TERM RECEIPT OF ROYALTIES OR LICENSING PAYMENTS FROM TECHNOLOGY STARTUPS. DURING 2012, THIS COMPENSATION FORMULA WAS RENEGOTIATED RESULTING IN A ONE-TIME COMPENSATORY PAYMENT OF $973,573.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
A	346849674	677561FV9	2009-08-25	807007320	BOND 2009: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING, AND IMPROVING	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	67756AG22	2008-10-15	451686386	BOND 2008A: REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	67756AJ37	2008-10-15	670000000	BOND 2008B: REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS	0	0	0
COUNTY OF CUYAHOGA OHIO
D	346000817	232286BH6	2004-12-22	200000000	BOND 2004B: FINANCING OF THE MILLER PAVILION & TOWER AT HILLCREST	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement
A	79546676	807007320	1099225	501164781	304743315	2011	1	1	1
B		451686386	800000	218639952	251263651	2008	1	1	1
C	300750000	670000000	1200000	324315217	372706929	2008	1	1	1
D		200000000	582707	186544171	10551511	2008	1	1	1	2321611

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI
A	1	1	1	1	1	0.01070	0.01070	1
B	1	1	1	1	1	0.00890	0.00910	1	0.00020
C	1	1	1	1	1	0.00890	0.00910	1	0.00020
D	1	1	1	1	1	0.00890	0.00950	1	0.00060

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Variable Rate IssueVariableRateIssue	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	1
B	0	0	1
C	1	0	1
D	1	1	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF CUYAHOGA OHIO
A	346000817	232286BC7	2003-04-16	527761127	BOND 2003A: REFUND 1998A AND 1998B	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
B	346849674	677561HU9	2011-11-02	208951439	BOND 2011A: REFUND 2003A SERIES	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
C	346849674	NOTAPPLIC	2011-11-02	41120000	BOND 2011B: REFUND 1992A&B AND 1989 SERIES	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
D	346849674	67756A3Z3	2012-05-09	519383182	REFUND 2009, 2003A AND FACILITY IMPROVEMENTS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow	Capitalized InterestCapitalizedInterest	Amount UnspentAmountUnspent
A	426523206	527761127	1449418	60762275	465549434	2003	1	0	1	1
B	4571323	208951439	2003385		8481773	2011	0	1	1	1	198466281
C		41120000	735249		38082286	2011	1	0	1	1		2302465
D		519383182	3825815	393652422	53012779		0	1	0	1	51244058		17648108

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	1	1	1	1	1	0.00370	0.00030	0.00400	1
B	1	1	1	1	1	0.00370	0.00030	0.00400	1
C	1	1	1	1	1				1
D	1	1	1	1	1	0.00580	0.00060	0.00640	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Variable Rate IssueVariableRateIssue	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	1	1
B	0	1
C	0	1
D	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	D COSGROVE	NamePerson
Relationship With Organization	CEO/PRESIDENT	RelationshipWithOrganization
Purpose Of Loan	INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$229,247	OriginalPrincipalAmount
Balance Due	4617751	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	4617751	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CINTAS CORPORATION
ENTITY IN WHICH CCF DIRECTOR, JOE SCAMINANCE, IS A DIRECTOR	239599	SUPPLY VENDOR	0
CLEVELAND BROWNS
ENTITY IN WHICH FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, WAS OWNER	2793089	SPONSORSHIP AGREEMENT	0
CLEVELAND BROWNS
ENTITY IN WHICH FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, WAS OWNER	575180	MEDICAL SERVICES AGREEMENT	0
KEYBANK NATIONAL ASSOCIATION
ENTITY IN WHICH CCF DIRECTORS SERVE AS CHAIRMAN & CEO AND DIRECTOR	439849	BANKING SERVICES -ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, IS CHAIRMAN AND CEO AND BILL SANFORD, CCF DIRECTOR, IS A DIRECTOR.	0
KEYBANK NATIONAL ASSOCIATION
ENTITY IN WHICH CCF DIRECTORS SERVE AS CHAIRMAN & CEO AND DIRECTOR	44700	LEASE AGREEMENT -ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, IS CHAIRMAN AND CEO AND BILL SANFORD, CCF DIRECTOR, IS A DIRECTOR.	0
GREAT LAKES INTEGRATED
ENTITY IN WHICH PATRICK AULETTA, CCF DIRECTOR, IS A DIRECTOR	304091	MARKETING SERVICES	0
LAURA HAHN BRANDON
FAMILY MEMBER OF JOSEPH HAHN, CCF DIRECTOR AND OFFICER	79592	EMPLOYMENT AGREEMENT WITH CCF	0
LOREEN KOBILARCSIK
FAMILY MEMBER OF LINDA MCHUGH, CCF OFFICER	36515	EMPLOYMENT AGREEMENT WITH CCF	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	66000	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	574847	NoncashContribsRptdF990
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	61	NumberOfContributions
Noncash Contribs Rptd F990	4978367	NoncashContribsRptdF990
Method Of Determining Revenues	AVERAGE HIGH/LOW	MethodOfDeterminingRevenues

Real Estate Residential RealEstateResidential

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	575000	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	1500	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	EQUIPMENT	7	493210	SALE COMPARABLE GOODS
X	EVENTS/TICKETS	1	5229	COST

Field	Value	IRS element (for citing)
Number Of8283 Received	2	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	THIRD PARTY USE:	Identifier
Return Reference	PART I, LINE 32B:	ReturnReference
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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	PART III	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, SO 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 CHARITY CARE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING CHARITY CARE ON A COST BASIS. USING THIS MODEL, IN 2012 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $754.2 MILLION IN BENEFITS TO THE COMMUNITIES IT SERVES. CLEVELAND CLINIC'S CURRENT EDITION OF ITS COMMUNITY BENEFIT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO OUR 2012 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE O FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE CLEVELAND CLINIC IS DEDICATED TO THE COMMUNITIES WE SERVE, STRIVES TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT AND SUPPORTS PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. THROUGH OUR CHARITY CARE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, WE PROVIDE HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. DURING 2012, CLEVELAND CLINIC RECORDED 1,275 TOTAL STAFFED BEDS, 76,623 EMERGENCY VISITS, 95,988 SURGICAL CASES, 54,997 ADMISSIONS, AND MORE THAN 4.7 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 2012 . OVERALL, CLEVELAND CLINIC WAS RANKED 4TH AMONG THE NATION'S NEARLY 5,000 HOSPITALS. CLEVELAND CLINIC WAS RANKED AMERICA'S NUMBER ONE CENTER FOR CARDIAC CARE FOR THE 18TH YEAR IN A ROW, AND ITS UROLOGY AND NEPHROLOGY PROGRAMS WERE RANKED NO. 1 FOR THE FIRST TIME. DIABETES & ENDOCRINOLOGY, EAR, NOSE & THROAT, GASTROENTEROLOGY AND RHEUMATOLOGY PROGRAMS WERE ALL RANKED SECOND IN THE NATION . U.S. NEWS & WORLD REPORT ALSO RECOGNIZED CLEVELAND CLINIC CHILDREN'S HOSPITAL AS ONE OF THE TOP PEDIATRIC HOSPITALS IN THE COUNTRY. CLEVELAND CLINIC CHILDREN'S WAS NATIONALLY RANKED IN ALL 10 SPECIALTIES, INCLUDING 3RD FOR NEUROLOGY & NEUROSURGERY AND 9TH FOR GASTROENTEROLOGY. CLEVELAND CLINIC WAS RECOGNIZED AS A "RISING STAR" BY THE UNIVERSITY HEALTHSYSTEM CONSORTIUM, AN ALLIANCE OF NONPROFIT MEDICAL CENTERS IN THE U.S., FOR MAKING SIGNIFICANT IMPROVEMENTS IN PATIENT SAFETY, MORTALITY, CLINICAL EFFECTIVENESS, AND EQUITY OF CARE. TO ACHIEVE "RISING STAR" STATUS, A HOSPITAL MUST IMPROVE BY 20 POSITIONS AND BE RANKED IN THE TOP 20 OF THE PARTICIPATING MEMBER ORGANIZATIONS. THE U.S ENVIRONMENTAL PROTECTION AGENCY AND THE U.S. DEPARTMENT OF ENERGY NAMED THE CLEVELAND CLINIC AN ENERGY STAR PARTNER OF THE YEAR FOR THE 2ND YEAR IN A ROW FOR ACHIEVING REDUCTIONS IN ENERGY AND GREENHOUSE GAS EMISSIONS. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE POLICY NOT ONLY ASSISTS THE POOREST OF THE POOR BY PROVIDING FREE CARE FOR MEDICALLY NECESSARY SERVICES TO UNINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL BUT 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 $154.6 MILLION IN 2012. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE ("LRI") IS ITS RESEARCH INSTITUTE LOCATED ON THE MAIN CAMPUS AND HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. LRI HAS 178 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CELLULAR AND MOLECULAR MEDICINE, GENOMIC MEDICINE, IMMUNOLOGY, MOLECULAR CARDIOLOGY, MOLECULAR GENETICS, 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 2,000 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES MORE THAN 210 POSTDOCTORAL FELLOWS, 170 GRADUATE STUDENTS AND 197 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 2012, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 1000 CLINICAL TRIALS. 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 2012, CLEVELAND CLINIC HEALTH SYSTEM PROVIDED COMMUNITY BENEFIT IN RESEARCH OF $206.4 MILLION, WHICH INCLUDES EXTERNALLY SPONSORED FUNDING OF $143.6 MILLION. 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.
	PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T)	CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, AND, IN 2012, PROVIDED A COMMUNITY BENEFIT OF $224 MILLION THROUGH SUBSIDY OF MEDICAL EDUCATION PROGRAMS. 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 ARE: GRADUATE MEDICAL EDUCATION. CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2012, 1,164 RESIDENTS AND FELLOWS TRAINED IN 67 ACCREDITED RESIDENCY TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 164 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 1,719 APPLICANTS FOR 32 POSITIONS IN 2012. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 99 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE, AND 116 STUDENTS PARTICIPATED IN PRESENTATIONS AND/OR POSTERS AT LOCAL AND NATIONAL MEETINGS. VISITING MEDICAL STUDENTS. VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2012, 335 MEDICAL STUDENTS FROM CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE WERE AMONG THE 596 MEDICAL STUDENTS ROTATING 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 2012, THE CENTER FOR CONTINUING EDUCATION OFFERED 1,519 CME PROGRAMS TO 229,678 PARTICIPANTS. OF THAT NUMBER, 739 WERE LIVE COURSES, INCLUDING INTERNATIONAL SUMMITS FOCUSED ON KEY AREAS OF TRANSLATIONAL RESEARCH. ACCORDING TO DATA FROM THE SOCIETY FOR ACADEMIC CONTINUING MEDICAL EDUCATION, CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 381 ACTIVITIES THAT ATTRACTED 114,882 ACTIVITY VIEWERS. IN 2012, THE CENTER ISSUED MORE THAN 217,000 CERTIFICATES FOR LIVE AND ONLINE PROGRAMS COMBINED. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, WITH THE CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS RECEIVING MORE THAN 111,500 CERTIFICATES. THE CCJM ENJOYED A CIRCULATION OF MORE THAN 105,000 AND RANKED SECOND IN READERSHIP AMONG JOURNALS DIRECTED TO INTERNISTS AND CARDIOLOGISTS . IN 2012 THE CCJM WEB SITE HAD 2.3 MILLION VISITS FROM 1.9 MILLION 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 16 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 49 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2012, CLEVELAND CLINIC HOSTED NEARLY 2,000 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 2012, 700 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 200 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC ON PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, UROLOGY, PEDIATRICS, BREAST CANCER AND OBESITY; AND OUR OWN STAFF TRAVELED TO MORE THAN 15 COUNTRIES TO SHARE CLINICAL AND SURGICAL INNOVATIONS. HEALTHCARE EXECUTIVE EDUCATION IN 2011, CLEVELAND CLINIC LAUNCHED TWO HEALTHCARE EXECUTIVE EDUCATION PROGRAMS THAT GIVE PARTICIPANTS FROM AROUND THE WORLD A REALITY-BASED, HANDS-ON LEADERSHIP EXPERIENCE. TO DATE, CLEVELAND CLINIC HAS TRAINED NEARLY 250 HEALTHCARE EXECUTIVES FROM AROUND THE WORLD. 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. 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 IN 2012: 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 2012, THE CENTER FULFILLED 4,701 REQUESTS AND SERVED 11,436 PEOPLE WHO CAME INTO THE CENTER FOR INFORMATION. HEALTH TALKS/HEALTH EXCHANGE AND CCTV: THE CENTER FOR CONSUMER HEALTH INFORMATION HOSTED 33 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS AND MANAGED 3,087 SCHEDULED CLOSED-CIRCUIT TELEVISION WEEKLY PROGRAMS AND APPROXIMATELY 256 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 10 AM TO 1:30 PM. BY THE END OF 2012, WE HELD 3,782 WEBCHATS. LIBRARY/CABLE VIDEOS: CLEVELAND CLINIC HAS PRODUCED A SERIES OF VIDEOS COVERING MANY HEALTH TOPICS THAT ARE AVAILABLE THROUGH PUBLIC LIBRARIES IN GREATER CLEVELAND. THE VIDEOS ALSO APPEAR ON A NUMBER OF PUBLIC ACCESS CABLE STATIONS. 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 2012, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $105.5 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $16.6 MILLION ). SUBSIDIZED HEALTH SERVICES IN ADDITION TO CHARITY CARE 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 2012 AT A COST OF $13.7 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 2012 FOR A TOTAL NET COMMUNITY BENEFIT OF $50.0 MILLION. OUR WELL-ESTABLISHED OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES AND EDUCATION TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. COMMUNITY OUTREACH PROGRAMS FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2012, SOME HIGHLIGHTS INCLUDED: -CLEVELAND CLINIC PROVIDED NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT VARIOUS SITES IN THE COMMUNITIES IT SERVES. FOR EXAMPLE, IN THE FAIRFAX NEIGHBORHOOD, THE LANGSTON HUGHES HEALTH AND EDUCATION CENTER, PROVIDED MULTI-GENERATIONAL PREVENTION AND WELLNESS SERVICES. -HEALTH FAIRS PROVIDED THOUSANDS OF PEOPLE WITH FREE SCREENINGS FOR DIABETES, CHOLESTEROL, HEART DISEASE, AND PROSTATE AND OTHER CANCERS. THE MINORITY MEN'S HEALTH FAIR, SPEAKING OF WOMEN'S HEALTH AND DOZENS OF COMMUNITY HEALTH FAIRS HIGHLIGHTED THE EFFORTS OF PREVENTATIVE CARE. -COMMUNITY EDUCATION CLASSES PROVIDED EDUCATION ON CHRONIC DISEASE ISSUES SUCH AS HEART DISEASE, STROKE, DIABETES AND BRAIN HEALTH. FOR A FULL LIST OF MONTHLY EVENTS, GO TO WWW.CLEVELANDCLINIC.ORG AND SEARCH FOR COMMUNITY EVENTS. -WELLNESS INITIATIVES AND HEALTH LECTURES WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS AND COMMUNITY CENTERS ON PREVENTION AND BEHAVIORAL CHANGE, INCLUDING SMOKING CESSATION, WEIGHT MANAGEMENT, TEEN PARENTING, FAMILY VIOLENCE AND CHILD SAFETY. -CLEVELAND CLINIC OFFERED THE "5 TO GO!TM" CHILDHOOD OBESITY PREVENTION PROGRAM TO THOUSANDS OF LOCAL ELEMENTARY AND MIDDLE SCHOOL STUDENTS THROUGHOUT NORTHEAST OHIO. -COMMUNITY FARMERS MARKETS, URBAN GARDENS AND NUTRITION SEMINARS WERE PROVIDED TO PROMOTE DISEASE PREVENTION AND HEALTHY LIFESTYLES.
	PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T)	-CLEVELAND CLINIC'S TOMSICH PATHOLOGY & LABORATORY MEDICINE INSTITUTE DONATED SERVICES TO CLEVELAND AREA SAFETY-NET PROVIDERS, THE FREE CLINIC AND CARE ALLIANCE. -THE OFFICE OF CIVIC EDUCATION INITITIAVES PROMOTED K-12 EDUCATION THROUGHOUT NORTHEAST OHIO IN PARTNERSHIP WITH AREA SCHOOLS, LOCAL BUSINESSES AND FELLOW NONPROFIT ORGANIZATIONS. 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	WILLIAM MACDONALD III AND MORRY WEISS - BUSINESS BILL SANFORD AND LARRY POLLOCK - BUSINESS BETH MOONEY AND BILL SANFORD - BUSINESS
	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 TRUSTEES.
	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 11	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 EXPERT 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, INCLUDING THE FORM 990, AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT, COMMUNITY BENEFIT REPORT, AND CORPORATE COMPLIANCE POLICIES ARE PUBLICLY AVAILABLE. CCF'S CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE ON ITS WEBSITE. IN ADDITION, CCF PROVIDES DETAILED FINANCIAL INFORMATION AS PART OF ITS TAX EXEMPT BOND OFFERINGS AS WELL AS ITS FORM 990 ON PUBLICLY ACCESSIBLE WEBSITES.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	TRANSFER OF NET ASSETS -16,701,333. NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 935,571. GIFTS AND BEQUESTS 50,415,045. NET INVESTMENT INCOME 27,168,887. NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -32,049,419. RETIREMENT BENEFITS ADJUSTMENT -90,804,853. NET CHANGE IN UNREALIZED GAINS ON NONTRADING INVESTMENTS -1,886,845. EQUITY TRANSFERS -5,979,752.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTHCARE SERVICES	OH	21868508	78758	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC CARE COORDINATION LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	455282492	HEALTHCARE SERVICES	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	311741150	HEALTHCARE SERVICES	FL	0	0	CLEVELAND CLINIC FLORIDA (A NON-PROFIT CORPORATION)
CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	263666730	LICENSING OF INTELLECTUAL PROPERTY	OH	7938079	14637995	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTHCARE SERVICES	OH	7626923	7385	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	263859233	HEALTHCARE SERVICES	OH	2276976		THE CLEVELAND CLINIC FOUNDATION
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTHCARE SERVICES	OH	73966740	50000	THE CLEVELAND CLINIC FOUNDATION
CLINIC PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341907574	HEALTHCARE SERVICES	OH	37382275	68283	THE CLEVELAND CLINIC FOUNDATION
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	HEALTHCARE SERVICES	OH	39470257	806540	THE CLEVELAND CLINIC FOUNDATION
MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON STREET	MEDINA	OH	44256		INACTIVE	OH	0	0	MEDINA HOSPITAL
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	INACTIVE	OH	0	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTHCARE SERVICES	OH	0	73346	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		HEALTHCARE SERVICES	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		REAL ESTATE HOLDINGS	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	201476092	HEALTHCARE SERVICES	OH	10952	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTHCARE SERVICES	OH	48320734	202945	THE CLEVELAND CLINIC FOUNDATION

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
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 11A, I	N/A	0
MEDINA COUNTY HEALTH CORPORATION
1000 E WASHINGTON ST	MEDINA	OH	44256	270756266	SUPPORT MEDINA HOSPITAL	OH	501(C)(3)	LINE 11A, I	N/A	0
NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP
2001 ROSS AVENUE	DALLAS	TX	75201	311707979	SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES	TX	501(C)(3)	LINE 11A, I	N/A	0
WO WALKER CENTER INC
10700 EUCLID AVENUE	CLEVELAND	OH	44106	911818256	HEALTHCARE SERVICES	OH	501(C)(3)	LINE 11A, I	N/A	0
AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE	CLEVELAND	OH	44111	237108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	LINE 11A, I	N/A	0
JUNIOR BOARD OF LAKEWOOD HOSPITAL
14519 DETROIT AVENUE	LAKEWOOD	OH	44107	346533823	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 11A, I	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 11A, I	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Share Of Total IncomeShareOfTotalIncome	Direct Controlling Entity NADirectControllingEntityNA
BUCKEYE OCULAR LLC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	262689395	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	377	0	0	0.55000
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	14641163	0	1	0.60000	3928895
CCHS WESTLAKE IMAGING CENTER LLC
6801 BRECKSVILLE ROAD RK-85	INDEPENDENCE	OH	44131	341914277	MEDICAL SERVICES	OH	FAIRVIEW HOSPITALLAKEWOOD HOSP ASSN	RELATED	797289	0	1	1.00000	457879
CLEVELAND HEALTH NETWORK MSO LLC
4700 ROCKSIDE ROAD STE 200	INDEPENDENCE	OH	44131	311566180	MEDICAL SERVICES	OH		RELATED	22027	0	1	0.79900		N/A
PROGNOSTIX LLC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	300624422	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	149950	0	0	0.78000	-17387
EXCELERATE STRATEGIC HEALTH SOURCING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	461810992	HEALTH CARE OPS & MGMT	DE	THE CLEVELAND CLINIC FOUNDATION	RELATED		0	0	0.60000

Form990 Schedule R Part IV Form990ScheduleRPartIV (38 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of Total IncomeShareOfTotalIncome
ANGIOQUEST INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	320217945	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	865	1.00000	1
CARDIONOMIC INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	263662474	SCIENTIFIC RESEARCH	DE		C		0.44730	0	N/A
CCF BOLTON INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204596571	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C			1
CC WEB SOLUTIONS INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	263222020	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C		1.00000	1
CCF TENNESSEE MEDICAL SERVICES PC
C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	271442158	HEALTHCARE SERVICES	TN	THE CLEVELAND CLINIC FOUNDATION	C			1
CCHS INDEMNITY CO LTD
				980207086	INSURANCE COMPANY		THE CLEVELAND CLINIC FOUNDATION	C	149205008	1.00000	1		23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ	65892556
CLEVELAND CLINIC CANADA-TORONTO INC
				340714585	HEALTH CARE SERVICES		THE CLEVELAND CLINIC FOUNDATION	C	3466839	1.00000	1		181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	CA	7557409
CLEVELAND CLINIC EMR INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	MEDICAL SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	15395		1							23925
CLEVELAND CLINIC FLORIDA HEALTH PLAN INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	650338016	BUSINESS SERVICES	FL	CLINIC MEDICAL SOLUTIONS INC	C		1.00000	1
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	MEDICAL SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	11250187		1							3375721
CLEVELAND HEALTH NETWORK
6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341770780	MEDICAL SERVICES	OH		C	1377848		1	N/A						696
CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION
6000 WEST CREEK ROAD STE 20	INDEPENDENCE	OH	44131	341808138	HEALTHCARE SERVICES	OH	CLEVELAND HEALTH NETWORK INC	C	2936804		1							5368521
CLINIC MEDICAL SOLUTIONS INC
18101 LORAIN AVENUE	CLEVELAND	OH	44111	341695388	HEALTH CARE SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	C	4124948		1							17020716
CMCD INC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	REAL ESTATE	OH	MEDINA HOSPITAL	C	311040	1.00000	1
CONGRUENT MEDICAL TECHNOLOGIES INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	263156393	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C		1.00000	1
CSF THERAPEUTICS INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	203756660	MEDICAL RESEARCH	DE		C			0	N/A						1
CUSTOM ARTHOPLASTY SOLUTIONS INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	274838743	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C		1.00000	1
CUSTOM ORTHOPAEDIC SOLUTIONS INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	274838981	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	33964	1.00000	1							306157
I-COMET TECHNOLOGIES INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	452063841	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C	100	1.00000	1
I-LYTE INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	263880447	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C		1.00000	1
IMAGEIQ INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	274427530	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	948383	0.92500	1							1545180
INFUSEON THERAPEUTICS INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	461776182	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C		1.00000	1
INTELLIS EPM INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	270645368	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C		1.00000	1
ION-VAC INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	461560044	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C		1.00000	1
IPPC INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	454657767	INACTIVE	OH	THE CLEVELAND CLINIC FOUNDATION	C		1.00000	1
IVHR INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	454657632	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C	152037	1.00000	1							125000
LAKEWOOD HEALTHCARE FOUNDATION
14519 DETROIT AVENUE	LAKEWOOD	OH	44107	341574608	HEALTHCARE SERVICES	OH		C			1	N/A
MCZ INC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341256598	LEASING	OH	MEDINA HOSPITAL	C	500	1.00000	1							18497
MEDINVEST INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	203978297	HOLDING COMPANY	OH	CLINIC MEDICAL SOLUTIONS INC	C		1.00000	1							2372
MERIDIA HEALTH VENTURES INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341533871	HEALTH CARE SERVICES	OH	CLEVELAND CLINIC HOME CARE INC	C		1.00000	1
MERLOT ORTHOPEDIX INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	113779414	MEDICAL DEVICE MANUFACTURING	DE	THE CLEVELAND CLINIC FOUNDATION	C	118865	0.55000	0							137500
NEOMEDICS INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	020656818	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C		1.00000	1
OPTOQUEST CORPORATION
10000 CEDAR AVENUE	CLEVELAND	OH	44106	263589643	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C		1.00000	1
PINE FALLS CONDOMINIUM ASSOCIATES INC
6100 WEST CREEK SUITE 25	INDEPENDENCE	OH	44131	341617589	CONDO RENTALS	OH	THE CLEVELAND CLINIC FOUNDATION	C		0.75000	0
RENOVO NEURAL INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	800185146	SCIENTIFIC RESEARCH	DE		C	255780	0.49000	0	N/A						716323
SIVAN INC
10000 CEDAR AVENUE	CLEVELAND	OH	44106	562505807	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C		0.51910	0
CHARITABLE REMAINDER TRUSTS (23)
C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131		CHARITABLE TRUST	OH	THE CLEVELAND CLINIC FOUNDATION	T			0
CHARITABLE LEAD TRUST (1)
C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44132		CHARITABLE TRUST	PA	THE CLEVELAND CLINIC FOUNDATION	T			0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (51 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CLEVELAND CLINIC CANADA - TORONTO INC
A	100000	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
B	19662699	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
B	17800837	FMV
CLEVELAND HEALTH NETWORK INC
B	190000	FMV
INTELLIS EPM INC
B	3531659	FMV
MEDINA HOSPITAL
B	15213135	FMV
CLEVELAND CLINIC CANADA - TORONTO INC
C	200216	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
C	1869116	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
C	71968	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
C	625832	FMV
CLEVELAND CLINIC HEALTH SYSTEM INDEMNITY COMPANY
C	15000000	FMV
FAIRVIEW HOSPITAL
C	509679	FMV
LAKEWOOD HOSPITAL ASSOCIATION
C	1191659	FMV
LUTHERAN HOSPITAL
C	360910	FMV
MARYMOUNT HOSPITAL INC
C	480802	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
J	2525578	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
J	439728	FMV
LAKEWOOD HOSPITAL ASSOCIATION
K	156000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	131000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	300000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	52000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	103000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	4277000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	641430	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
L	241699	FMV
CLEVELAND HEALTH NETWORK INC
L	2865000	FMV
FAIRVIEW HOSPITAL
L	132000	FMV
FAIRVIEW HOSPITAL
L	2890000	FMV
FAIRVIEW HOSPITAL
L	89000	FMV
FAIRVIEW HOSPITAL
L	100000	FMV
LAKEWOOD HOSPITAL ASSOCIATION
L	1492000	FMV
LUTHERAN HOSPITAL
L	311000	FMV
MARYMOUNT HOSPITAL INC
L	1583000	FMV
MARYMOUNT HOSPITAL INC
L	291871	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
M	9664000	FMV
IMAGEIQ INC
M	525000	FMV
IVHR INC
M	125000	FMV
CCF HOTEL SERVICES INC
P	5189129	FMV
CLEVELAND CLINIC HEALTH SYSTEM INDEMNITY COMPANY
P	34327291	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Q	2041728	FMV
CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
Q	10792656	FMV
CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION
Q	10702488	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
Q	54000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
Q	71052528	FMV
CLEVELAND CLINIC HOME CARE SERVICES
Q	5177544	FMV
FAIRVIEW HOSPITAL
Q	40861176	FMV
LAKEWOOD HOSPITAL ASSOCIATION
Q	17648652	FMV
LUTHERAN HOSPITAL
Q	12445368	FMV
MARYMOUNT HOSPITAL INC
Q	20202888	FMV
MEDINA HOSPITAL
Q	7642524	FMV
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
S	135250	FMV