2012-11-13T14:56:23-06:00 2011-12-31 346565596 ERNST & YOUNG LLP 925 EUCLID AVENUE 1300 CLEVELAND OH 44115 990 2011-01-01 912153073 THE CLEVELAND CLINIC FOUNDATION GROUP RETURN CLEV 2164442200 9500 EUCLID AVENUE NO JJ19 CLEVELAND OH 44195 STEVEN C GLASS 2164442200 2012-11-13 1 P00089502 2168615000 2011 2016-02-24 21:20:13Z DELOS M COSGROVE 9500 EUCLID AVENUE NO JJ19 CLEVELAND OH 44195 7194024979 1 1 3641 X WWW.CLEVELANDCLINIC.ORG X PATIENT CARE, RESEARCH AND EDUCATION 177 121 41549 4947 42449950 -10495231 272162375 297003284 5706801819 6020996916 123141658 135561736 66118342 -90210129 6168224194 6363351807 68440909 107162895 0 0 3183985015 3345237890 1856723 1235540 12050548 2552515673 2664127458 5806798320 6117763783 361425874 245588024 8545841573 9063594010 4304768639 4688024222 4241072934 4375569788 X TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION INTO THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. 0 0 5402706183 106656642 5917128619 SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O. 5402706183 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 8132 0 1 41549 1 1 1 1 CA CJ GR 0 0 0 1 1 1 2 0 0 1 0 X 177 121 1 1 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 OH X X ROBERT F WAITKUS 2164452526 6801 BRECKSVILLE ROAD RK-85 INDEPENDENCE OH 44131 BANKS JOHN H 2.00 X X 0 0 0 BRYZTWA ELLEN 2.00 X X 0 0 0 BUCKLER SHELDON 3.00 X X 0 0 0 CHACK DENNIS M 3.00 X X 0 0 0 COSGROVE DELOS M 50.00 X X 2363420 0 200794 DAUGHERTY KENT 3.00 X X 0 0 0 DEGRANDIS FRED M 50.00 X X 874928 0 50139 EBERT ROBERT 3.00 X X 0 0 0 FARRELL MARK 3.00 X X 0 0 0 FERNANDEZ BERNARDO 50.00 X X 677232 0 166196 FUNK JONATHAN R 50.00 X X 175562 0 27045 GABLE THOMAS 2.00 X X 0 0 0 GLASS STEVEN C 50.00 X X 924506 0 42784 GORTON WILLIAM R 3.00 X X 0 0 0 HAHN JOSEPH F 50.00 X X 1149784 0 133831 HARRINGTON MICHAEL 50.00 X X 476302 0 44311 HUGHES KEITH 2.00 X X 0 0 0 JONES JEFFREY 50.00 X X 462563 0 41406 KEMPER JOHN W 3.00 X X 0 0 0 KERR LISA M 2.00 X X 0 0 0 MEEHAN MICHAEL J 50.00 X X 286871 0 61391 MILLER PAMELA 3.00 X X 0 0 0 MODIC MICHAEL 50.00 X X 859025 0 71034 NEVILLE JAMES R 3.00 X X 0 0 0 O'BRIEN TIMOTHY 3.00 X X 0 0 0 PALKER JEFFREY J 2.00 X X 0 0 0 PAYDO RONALD H JR 3.00 X X 0 0 0 PEACOCK WILLIAM 50.00 X X 727699 0 46130 PHILLIPS TIMOTHY E 2.00 X X 0 0 0 REIDY WILLIAM J 2.00 X X 0 0 0 RICH ROBERT E JR 3.00 X X 0 0 0 RODRIGUEZ RICARDO 50.00 X X 383564 0 37317 ROSS RONALD J 3.00 X X 0 0 0 ROWAN DAVID W 50.00 X X 635452 0 47017 RUVO LARRY 5.00 X X 0 0 0 SALVATORE ALBERT N 3.00 X X 0 0 0 SCAMINACE JOSEPH M 3.00 X X 0 0 0 SNYDER VICKY 50.00 X X 189815 0 16959 STALL ROBERT P 50.00 X X 335323 0 45780 STEINKE THOMAS 3.00 X X 0 0 0 TULISIAK THOMAS 50.00 X X 361737 0 40888 WYLLIE ROBERT 50.00 X X 513624 0 337542 ARUM LOVEE 5.00 X 0 0 0 AUBURN HUBERT 2.00 X 0 0 0 AULETTA PATRICK V 3.00 X 0 0 0 BAKER WILLIAM 2.00 X 0 0 0 BALAGUER JAMES 3.00 X 0 0 0 BERNICK CHARLES 50.00 X 263337 0 40986 BORKOWSKI RAYMOND 50.00 X 398555 0 42186 BOTROS 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2.00 X 0 0 0 HARDIS STEPHEN R 3.00 X 0 0 0 HARRINGTON CHRISTOPHER 2.00 X 0 0 0 HESSLER DAVID J 2.00 X 0 0 0 HESSLER NATHAN 2.00 X 0 0 0 HOOVER CAROLE 3.00 X 0 0 0 HORWOOD RAYMOND 2.00 X 30500 0 0 HWANG GEORGE 2.00 X 0 0 0 IANNOTTI JOSEPH 50.00 X 794069 0 42186 JAROSZ MARY ALICE 2.00 X 0 0 0 JOHNSON C NEVADA 3.00 X 0 0 0 KEANE MARTIN 2.00 X 0 0 0 KELLY WILLIAM H 2.00 X 0 0 0 KILLORAN SISTER CAROL ANN 2.00 X 0 0 0 KORAN WILLIAM 3.00 X 0 0 0 KOVACH RONALD A 2.00 X 0 0 0 LAU STEPHEN F 3.00 X 0 0 0 LEECH JOHN D 3.00 X 0 0 0 LERNER NORMA 3.00 X 0 0 0 LESJAK DAVID M 2.00 X 0 0 0 LINTZ ROBERT L 2.00 X 0 0 0 LITTEN JOHN 3.00 X 0 0 0 MACDONALD WILLIAM E III 3.00 X 0 0 0 MACK BARBARA 3.00 X 0 0 0 MADIGAN MARY LOUISE 3.00 X 0 0 0 MAGISANO JAMES 2.00 X 0 0 0 MAROO PRAFUL 50.00 X 60308 0 1809 MARTIN DANIEL 50.00 X 1319824 0 42036 MATTHEWS TJ 3.00 X 0 0 0 MCCANDLESS DREW 2.00 X 0 0 0 MCCARTAN PATRICK F 2.00 X 0 0 0 MCGORRAY KATHLEEN T 2.00 X 0 0 0 MCNEEL RICHARD 2.00 X 0 0 0 MILLER JOSHUA 50.00 X 208592 0 37136 MILLER SAMUEL H 2.00 X 0 0 0 MOODLEY S JULES 50.00 X 742383 0 41128 MOONEY BETH E 3.00 X 0 0 0 MORINO MARIO 3.00 X 0 0 0 MORRIS JAMES 3.00 X 0 0 0 MOYAR BERT W 2.00 X 0 0 0 MULLIGAN WILLIAM C 2.00 X 0 0 0 NANCE FREDERICK 3.00 X 0 0 0 NICHOLS ELAINE F 3.00 X 0 0 0 NICHOLS JENNIE E 2.00 X 0 0 0 OATEY WILLIAM R 2.00 X 0 0 0 O'NEILL JOHN 2.00 X 0 0 0 OSORIO LEONOR 50.00 X 98687 0 7325 OTTER DAN 5.00 X 0 0 0 PARAS ANTONIO 2.00 X 2250 0 0 PATTON EILEEN A 2.00 X 0 0 0 PATTON REBECCA 3.00 X 0 0 0 POHL PAUL M 2.00 X 0 0 0 POLLOCK LARRY 3.00 X 0 0 0 POWERS BRIAN 2.00 X 0 0 0 PRITCHARD DAVID 2.00 X 0 0 0 PRITTS GARY 2.00 X 0 0 0 RAMANAVARAPU SAMPATH 2.00 X 31700 0 0 RICE RONALD 3.00 X 0 0 0 RIEBEL WILLIAM J 50.00 X 88259 0 15696 RINI CHARLES A 2.00 X 0 0 0 ROCHE DENNIS J 2.00 X 0 0 0 ROGICH SIGMOND 3.00 X 0 0 0 ROME ELLEN 50.00 X 162206 0 35845 ROOT BRAD 3.00 X 0 0 0 RUVO CAMILLE 5.00 X 0 0 0 SANFORD BILL R 3.00 X 0 0 0 SEITZ WILLIAM H JR 50.00 X 674387 0 33636 SEVERINO MICHAEL 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KENNEY CAROL A 50.00 X 179991 0 17416 KILARSKI DAVID J 50.00 X 433023 0 40003 MCHUGH LINDA 50.00 X 330378 0 42784 MCHUGH MICHAEL 50.00 X 321310 0 44346 MURRAY JAN 50.00 X 161706 0 18237 NILSSON KEITH 50.00 X 284758 0 21351 SARGEANT MARTY 50.00 X 512318 0 41435 SLIFKO JESSICA 50.00 X 177098 0 18074 STOLLER JAMES 50.00 X 447703 0 166285 YOUNG WILLIAM 50.00 X 268994 0 18130 BURNS SONDA 50.00 X 154420 0 16052 GLASS IAN S 50.00 X 358406 0 19009 HARRISON MARC A 50.00 X 1268888 0 42587 JOHNSON JUDITH E 50.00 X 209454 0 16538 KENNEDY MARY 50.00 X 209113 0 19997 LEA RICHARD 50.00 X 192310 0 21134 LYTLE BRUCE W 50.00 X 1653530 0 -309132 MANNING LISA 50.00 X 171877 0 15548 MILLS JOHN C 50.00 X 213973 0 19378 NOGUERAS JUAN J 50.00 X 525800 0 141490 PECKMAN MAUREEN 50.00 X 266575 0 24858 RITCHIE SHANNAN 50.00 X 199706 0 19148 ZHONG XUE 50.00 X 209315 0 26881 COSTIN JOHN A 50.00 X 3997909 0 38248 FAZIO VICTOR 50.00 X 1386781 0 37038 FISHLEDER ANDREW W 50.00 X 3295231 0 5362 MAVROUDIS CONSTANTINE 50.00 X 1578890 0 41730 SAXTON JERROLD P 50.00 X 1256789 0 63732 BELL GORDON R 50.00 X 710456 0 71518 HALLMAN GARY D 50.00 X 137536 0 0 KIDERMAN SAM 50.00 X 239270 0 25421 MARVAR RAYMOND J 50.00 X 235421 0 18433 PERSE DAVID F 50.00 X 470767 0 22963 SINKO DONALD 50.00 X 374791 0 55509 WALSH T DECLAN 50.00 X 423701 0 336954 ALBERT DEBRA A 50.00 X 200640 0 15196 BADDOUR WILLIAM 50.00 X 307788 0 13350 BLANDON RUDOLFO J 50.00 X 571069 0 44909 KIOUS A GUS 50.00 X 355236 0 36357 LANDERS MAXINE 50.00 X 223183 0 16813 MATSEN PAUL 50.00 X 863583 0 42186 ROBINSON RONALD 50.00 X 150098 0 24136 SESTO MARK E 50.00 X 565389 0 144135 TOPALSKY GEORGE 50.00 X 124737 0 13375 ZANATH DEBRA 50.00 X 149320 0 16665 51515518 0 4513994 4092 1 1 0 TURNER CONSTRUCTION COMPANY 5430 WARNER RD CLEVELAND OH 44125 CONSTRUCTION SERVICES 38169035 DONLEY'S INC 1370 WEST 6TH ST THIRD FLOOR CLEVELAND OH 44113 CONSTRUCTION SERVICES 26292264 SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS TX 75312 HEALTHCARE IT & ENGINEERING SOLUTIONS 19568214 AVI FOOD SYSTEMS INC 2590 ELM RD NE WARREN OH 44483 CAFETERIA/CATERING SERVICE 17330550 WHITING-TURNER CONTRACTING COMPANY 5875 LANDERBROOK DR STE 100 MAYFIELD HEIGHTS OH 44124 CONSTRUCTION SERVICES 15846432 661 34402711 6468284 22304794 112030508 121796987 4379233 297003284 NET PATIENT SERVICES 621990 3971088119 3971088119 MEDICARE/MEDICAID PAYM 921990 1715531633 1715531633 OTHER PROGRAM SERVICES 900099 217773158 214774026 2999132 PARKING, PHONE & OTHER 812930 60852325 60852325 MANAGEMENT FEES 561000 19911277 11770179 8141098 35840404 3964662 31875742 6020996916 63956263 63956263 138545 138545 16020860 16020860 23987022 23987022 23987022 23987022 897888173 818169 817588049 9651365 80300124 -8833196 71466928 71466928 3561463 6468284 3433758 127705 127705 INCOME/LOSS ON INVESTM 523000 24289119 -566022 24855141 MISCELLLANEOUS INCOME 900099 45 45 FOREIGN CURRENCY 525990 -136125 -136125 -154498755 -154498755 -130345716 6363351807 5917128619 42449950 106769954 33539845 33539845 72512488 72512488 1110562 1110562 36243866 15591329 20652537 6584084 1485087 5098997 2578772461 2201754333 370202130 6815998 141281731 120541768 20282052 457911 408560365 349211797 58651905 696663 173795383 148397957 24949631 447795 6201822 5307840 890318 3664 8944629 7660560 1284069 1575404 1575404 655660 655660 1235540 1235540 11623750 11623750 309696874 264134505 44459309 1103060 39576918 33846330 5681563 49025 98083342 83612268 14080599 390475 64858417 55398013 9310912 149492 84433632 72293229 12121081 19322 21590893 18156395 3099535 334963 10672861 8975981 1532169 164711 92622227 79325612 13296615 326710851 279775551 46901793 33507 59788829 51205694 8583135 MEDICAL SUPPLIES 905654939 905654939 BAD DEBT EXPENSE 353925916 353925916 EQUIPMENT RENTAL & MAIN 136413637 116810327 19583201 20109 STATE FRANCHISE FEE 37583561 37583561 93513296 84238636 9146347 128313 6117763783 5402706183 703007052 12050548 32449811 71954443 16139868 12441710 254269038 244459025 790421235 782153395 16599483 5962621 56259334 93573930 83796059 86059465 25090498 26763379 6545597437 3146663077 3052273129 3398934360 2934926898 2835987967 1018983834 1234419535 12083628 12070787 12600617 252548758 246212776 8545841573 9063594010 738730905 776081808 480149 696377 87408404 89723770 2460965000 2518505000 13587667 11854283 45694083 98918922 957902431 1192244062 4304768639 4688024222 X 3595803119 3737741260 423503884 399908585 221765931 237919943 4241072934 4375569788 8545841573 9063594010 X 245588024 -111091170 X 0 1 1 X 1 1 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART I, PUBLIC CHARITY STATUS - WHILE THE LARGEST NUMBER OF ORGANIZATIONS ARE CLASSIFIED AS HOSPITALS UNDER IRS SECTION 509(A)(1) AND IRS SECTION 170(B)(1)(A)(III), ALL OF THE ORGANIZATIONS MAINTAIN PUBLIC CHARITY STATUS PURSUANT TO IRS SECTION 509(A). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 4989 0 1 569495 1 76086 1 5091 0 655661 0 PART IV, SUPPLEMENTAL INFORMATION: 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 - ORGANIZED AND HELD A CONGRESSIONAL BRIEFING IN DC ON A CLEVELAND CLINIC PROJECT USING STEM CELLS TO TREAT MULTIPLE SCLEROSIS 173540727 13246841 3344366 2107519 188024415 147234113 12502178 16842977 3038541 173540727 122142621 7727724 17363768 147234113 161657953 12282826 -46919879 4878279 122142621 1.00000 0 0 217379622 217379622 3599936530 1528193667 2071742863 113880368 76032283 37848085 2039944262 1485672578 554271684 574456655 56764549 517692106 3398934360 HEDGE FUNDS 822113148 F PRIVATE EQUITY 266721257 F REAL ESTATE 145585130 F 1234419535 DEFERRED ANNUITY TRUST 1343494 OTHER LIABILITIES 131595806 UNAMORTIZED BOND PREMIUM 17974923 SECURITIES LENDING 94787 FUTURE GIFT ANNUITY PAYMENTS 9557870 INTEREST RATE SWAPS 186507122 ACCRUED PENSION 706559507 ACCRUED BENEFITS 135293187 TAXABLE BONDS 2845000 DUE TO AFFILIATES 472366 1192244062 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011 AND 2010, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $10.0 MILLION AND $12.4 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. PART V, LINE 4 - THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE. 0 CENTRAL AMERICA AND THE CARIBBEAN - 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 66283062 MIDDLE EAST AND NORTH AFRICA - 0 14 UNRELATED BUSINESS 5777197 MIDDLE EAST AND NORTH AFRICA - 0 0 FUNDRAISING 31668 EUROPE (INCLUDING ICELAND & GREENLAND) - 0 0 FUNDRAISING 10834 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENT 20857109 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 218148 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 33411 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 6738 SOUTH AMERICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 53753 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 29259 SOUTH ASIA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 821 NORTH AMERICA 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN SUBSIDIARY THAT OPERATES A MEDICAL CLINIC IN TORONTO, CANADA 0 14 0 0 0 14 93218167 83833 93302000 EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 310043 CHECK MIDDLE EAST AND NORTH AFRICA - RESEARCH 168603 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 93789 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 75000 WIRE EAST ASIA AND THE PACIFIC - RESEARCH 72685 CHECK EAST ASIA AND THE PACIFIC - RESEARCH 50756 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 29023 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 25598 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 25015 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 14000 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 15050 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 13392 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 12501 CHECK SOUTH ASIA RESEARCH 10000 WIRE EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 7400 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 5906 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 5000 CHECK 17 RESEARCH EUROPE (INCLUDING ICELAND & GREENLAND) - 3 58462 CHECK RESEARCH NORTH AMERICA - CANADA AND MEXICO, BUT 1 10781 CHECK RESEARCH SOUTH AMERICA 2 51450 CHECK RESEARCH EAST ASIA AND THE PACIFIC 2 30807 CHECK 1 0 1 1 1 1 METHOD USED TO ACCCOUNT FOR EXPENDITURES: SCHEDULE F, PART I, LINE 3: THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES. X X X X X X X 1 HARRIS CONNECT 1511 ROUTE 22 STE C-25 BREWSTER NY 10509 PHONE SOLICITATION 0 1598625 50000 1548625 RR DONNELLEY 111 SOUTH WACKER DR CHICAGO IL 60606 DIRECT MAIL 0 994733 950816 43917 CONVIO 11501 DOMAIN DR STE 200 AUSTIN TX 78758 INTERNET 0 284606 208408 76198 GRENZEBACH GLIER 401 N MICHGAN AVE STE 2800 CHICAGO IL 60611 FUNDRAISING CONSULTANT 0 0 26316 -26316 2877964 1235540 1642424 AK AZ CA CO FL GA HI IL KS KY LA MA MD MI MN MS NC ND NH NJ NY OH OK OR PA SC TN UT WA WI AL AR CT ME MO RI VA WV NM NY KEEP MEMORY ALIVE GALA 4979759 2631200 2348559 4645 375058 5326 1198272 WESTON GALA 1686683 1465073 221610 172364 23929 171076 8 3363305 2372011 991294 3151 1820 170240 324238 289048 694591 10029747 6468284 3561463 3151 1820 174885 871660 318303 2063939 3433758 127705 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 146070602 450000 145620602 0.02520 411204099 325542926 85661173 0.01490 557274701 325992926 231281775 0.04010 28072209 144073 27928136 0.00480 258511957 62355062 196156895 0.03400 70958016 56988239 13969777 0.00240 205781352 205781352 0.03570 9441867 21 9441846 0.00160 572765401 119487395 453278006 0.07850 1130040102 445480321 684559781 0.11860 19365 19365 0.00000 65121 65121 0.00000 1740488 1740488 0.00030 3728 3728 0.00000 3167429 650 3166779 0.00050 230233 230233 0.00000 3027626 3027626 0.00050 8253990 650 8253340 0.00130 1 108980823 0 896697269 960543797 -63846528 X 1 1 12 1 THE CLEVELAND CLINIC FOUNDATION

9500 EUCLID AVENUE CLEVELAND OH 44195

X X X X X X 2 FAIRVIEW HOSPITAL

18101 LORAIN AVENUE CLEVELAND OH 44111

X X X X X 3 HILLCREST HOSPITAL

6780 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124

X X X X X 4 CLEVELAND CLINIC FLORIDA

2950 CLEVELAND CLINIC BLVD WESTON FL 33331

X X X X X 5 LAKEWOOD HOSPITAL

14519 DETROIT ROAD LAKEWOOD OH 44107

X X X X X 6 MARYMOUNT HOSPITAL

12300 MCCRACKEN GARFIELD HEIGHTS OH 44125

X X X X X 7 SOUTH POINTE HOSPITAL

20000 HARVARD ROAD WARRENSVILLE HTS OH 44122

X X X X X 8 EUCLID HOSPITAL

18901 LAKESHORE BOULVARD EUCLID OH 44119

X X X X X 9 LUTHERAN HOSPITAL

1730 WEST 25TH STREET CLEVELAND OH 44113

X X X X 10 MEDINA HOSPITAL

1000 E WASHINGTON STREET MEDINA OH 44256

X X X X X 11 HURON HOSPITAL

13951 TERRACE ROAD CLEVELAND OH 44112

X X X X X 12 CLEV CLINIC CHILDREN'S HOSP FOR REHAB

2801 MARTIN LUTHER KING DRIVE CLEVELAND OH 44104

X X X X THE CLEVELAND CLINIC FOUNDATION 1 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 FAIRVIEW HOSPITAL 2 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 HILLCREST HOSPITAL 3 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 CLEVELAND CLINIC FLORIDA 4 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 LAKEWOOD HOSPITAL 5 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 MARYMOUNT HOSPITAL 6 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 SOUTH POINTE HOSPITAL 7 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 EUCLID HOSPITAL 8 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 LUTHERAN HOSPITAL 9 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 MEDINA HOSPITAL 10 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 HURON HOSPITAL 11 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 CLEV CLINIC CHILDREN'S HOSP FOR REHAB 12 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 125 BEACHWOOD FAMILY HEALTH & SURGERY CENTER

26900 CEDAR ROAD BEACHWOOD OH 44122

FAMILY HEALTH & SURGERY CENTER STRONGSVILLE FAMILY HEALTH & SURGERY CEN

16761 SOUTH PARK CENTER STRONGSVILLE OH 44136

FAMILY HEALTH & SURGER CENTER CLEVELAND CLINIC HOME CARE SERVICES

6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131

HOME CARE SERVICES LORAIN FAMILY HEALTH & SURGERY CENTER

5700 COOPER FOSTER PARK ROAD LORAIN OH 44053

FAMILY HEALTH & SURGERY CENTER WILLOUGHBY HILLS FAMILY HEALTH CENTER

2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094

FAMILY HEALTH CENTER INDEPENDENCE FAMILY HEALTH CENTER

5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE OH 44131

FAMILY HEALTH CENTER WOOSTER FAMILY HEALTH CENTER

1740 CLEVELAND ROAD WOOSTER OH 44691

FAMILY HEALTH CENTER WESTLAKE FAMILY HEALTH CENTER

30033 CLEMENS ROAD WESTLAKE OH 44145

FAMILY HEALTH CENTER SOLON FAMILY HEALTH CENTER

29800 BAINBRIDGE ROAD SOLON OH 44139

FAMILY HEALTH CENTER HILLCREST MEDICAL OFFICE BUILDINGS

6801 6803 MAYFIELD ROAD MAYFIELD HEIGHTS OH 44124

OUTPATIENT PHYSICIAN CLINIC ELYRIA FAMILY HEALTH & SURGERY CENTER

303 CHESTNUT COMMONS DRIVE ELYRIA OH 44035

FAMILY HEALTH & SURGERY CENTER BRUNSWICK FAMILY HEALTH CENTER

3574 CENTER ROAD BRUNSWICK OH 44212

FAMILY HEALTH CENTER MARYMOUNT MEDICAL CENTER (BROADVIEW HTS

2001 E ROYALTON ROAD BROADVIEW HTS OH 44147

OUTPATIENT PHYSICIAN CLINIC INDEPENDENCE CANCER CENTER

6100 WEST CREEK ROAD SUITES 15 16 INDEPENDENCE OH 44131

OUTPATIENT PHYSICIAN CLINIC TWINSBURG FAMILY HEALTH & SURGERY CENTER

8701 DARROW ROAD TWINSBURG OH 44087

FAMILY HEALTH & SURGERY CENTER WEST PALM BEACH HEALTH AND WELLNESS CENT

525 OKEECHOBEE BLVD WEST PALM BEACH FL 33401

FAMILY HEALTH CENTER RICHARD E JACOBS HEALTH CENTER

33100 CLEVELAND CLINIC BOULEVARD AVON OH 44011

FAMILY HEALTH CENTER TWINSBURG MEDICAL OFFICE

2365 EDISON BOULEVARD TWINSBURG OH 44087

FAMILY HEALTH CENTER AVON POINTE FAMILY HEALTH CENTER

36901 AMERICAN WAY AVON OH 44011

FAMILY HEALTH CENTER WESTLAKE MEDICAL CAMPUS

850 COLUMBIA ROAD WESTLAKE OH 44145

OUTPATIENT PHYSICIAN CLINIC & DIAGNOSTIC CTR CHAGRIN FALLS FAMILY HEALTH CENTER

551 EAST WASHINGTON STREET CHAGRIN FALLS OH 44022

FAMILY HEALTH CENTER AVON LAKE FAMILY HEALTH CENTER

450 AVON-BELDEN ROAD AVON LAKE OH 44012

FAMILY HEALTH CENTER SPORTS HEALTH AT THE JEWISH COMMUNITY CE

26001 SOUTH WOODLAND ROAD BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC SUGARBUSH EYE AND LASER CENTER

21 SUGARBUSH COURT ASHLAND OH 44805

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC CANCER CENTERS SANDUSK

417 QUARRY LAKES DRIVE SANDUSKY OH 44870

OUTPATIENT PHYSICIAN CLINIC OHIO RENAL CARE GROUP EAST

10205 CARNEGIE AVENUE CLEVELAND OH 44106

DIALYSIS CENTER CLEVELAND CLINIC LOU RUVO CENTER FOR BRA

888 W BONNEVILLE AVE LAS VEGAS NV 89106

OUTPATIENT PHYSICIAN CLINIC NORTH OLMSTED PATIENT TESTING CENTER

24700 LORAIN AVENUE NORTH OLMSTED OH 44070

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD FAMILY HEALTH CENTER

16215 MADISON AVENUE LAKEWOOD OH 44107

FAMILY HEALTH CENTER WESTON FAMILY HEALTH CENTER

1825 N CORPORATE LAKES BLVD WESTON FL 33326

FAMILY HEALTH CENTER MIDDLEBURG HEIGHTS ORTHOPAEDICS

7010 ENGLE ROAD MIDDLEBURG HEIGHTS OH 44130

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 CANCER CENTER

509 W MCPHERSON HIGHWAY CLYDE OH 43410

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 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 LORAIN KOLCZUN ORTHOPAEDICS

5800 COOPER FOSTER PARK ROAD LORAIN OH 44053

OUTPATIENT PHYSICIAN CLINIC BAINBRIDGE URGENT CARE

17747 CHILLICOTHE ROAD CHAGRIN FALLS OH 44023

OUTPATIENT PHYSICIAN CLINIC MADISON SQUARE BUILDING

15644 MADISON AVENUE SUITE 108 LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC OBERLIN OPHTHALMOLOGYLAKELAND EYE

309 WEST LORAIN STREET OBERLIN OH 44074

OUTPATIENT PHYSICIAN CLINIC SEVERANCE MEDICAL CENTER

5 SEVERANCE CIRCLE CLEVELAND HEIGHTS OH 44118

OUTPATIENT PHYSICIAN CLINIC EUCLID MEDICAL OFFICE BUILDING

99 NORTHLINE CIRCLE EUCLID OH 44119

OUTPATIENT PHYSICIAN CLINIC SLEEP DISORDERS CENTER

11203 STOKES BOULEVARD CLEVELAND OH 44104

DIAGNOSTIC CENTER 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 SUGARBUSH EYE AND LASER CENTER

1456 PARK AVENUE WEST SUITE P MANSFIELD OH 44906

OUTPATIENT PHYSICIAN CLINIC WESTOWN PHYSICIAN CENTER

10654 LORAIN AVENUE CLEVELAND OH 44111

OUTPATIENT PHYSICIAN CLINIC CHARDON ROAD MEDICAL OFFICE BUILDING

34500 CHARDON ROAD WILLOUGHBY HILLS OH 44094

OUTPATIENT PHYSICIAN CLINIC 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 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 SOUTHSIDE CORPORATE CENTRE

5595 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC LOU RUVO CENTER FOR BRA

890 MILL STREET SUITE 102 RENO NV 89502

OUTPATIENT PHYSICIAN CLINIC NILES STAR IMAGING

652 YOUNGSTOWN WARREN ROAD NILES OH 44446

DIAGNOSTIC CENTER ALLOGEN LABORATORIES

415 MORRIS STREET CHARLESTON WV 25301

DIAGNOSTIC CENTER AVON LAKE SPECIALTY SERVICES OFFICE

445 AVON BELDEN ROAD UNIT B4 AVON LAKE OH 44012

OUTPATIENT PHYSICIAN CLINIC BEACHWOOD OPHTHALMOLOGY

25101 CHAGRIN BOULEVARD BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC BERNAT PRACTICE

32901 STATION STREET SOLON OH 44139

OUTPATIENT PHYSICIAN CLINIC BOARDMAN STAR IMAGING

7067 TIFFANY BOULEVARD BOARDMAN OH 44512

DIAGNOSTIC CENTER BROOKPARK MEDICAL CENTER

14401 SNOW ROAD BROOK PARK OH 44143

OUTPATIENT PHYSICIAN CLINIC BRUNSWICK URGENT CARE

3724 CENTER ROAD BRUNSWICK OH 44212

OUTPATIENT PHYSICIAN CLINIC CITY OF FAIRVIEW-GEMINI

21225 LORAIN ROAD FAIRVIEW PARK OH 44126

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC CHARDON

325 CENTER STREET CHARDON OH 44024

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC CHILDREN'S HOSPITAL CO

805 COLUMBIA ROAD WESTLAKE OH 44145

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 LOU RUVO CENTER FOR BRA

380 COURT STREET ELKO NV 89803

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC NEUROSURGERY WILLOUGHB

2785 SOM CENTER ROAD WILLOUGHBY HILLS OH 44094

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 OB GYN CROCKER ROAD

2001 CROCKER ROAD 520 WESTLAKE OH 44145

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC ORTHOPAEDICS AVON

38530 CHESTER ROAD AVON OH 44011

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC PEDIATRIC CARDIOLOGY

4848 HIGBEE AVENUE NW CANTON OH 44718

OUTPATIENT PHYSICIAN CLINIC CLEVELAND CLINIC STAR IMAGING

1449 BOARDMAN-CANFIELD ROAD YOUNGSTOWN OH 44510

DIAGNOSTIC CENTER 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 FLORIDA SLEEP STUDIES PROGRAM

COURTYARD BY MARRIOTT 2000 N COMMERCE WESTON FL 33331

DIAGNOSTIC CENTER GATES MEDICAL CENTER

125 EAST BROAD STREET ELYRIA OH 44035

OUTPATIENT PHYSICIAN CLINIC HACKETT MEDICAL

8300 TYLER BOULEVARD MENTOR OH 44060

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 KRUPA CENTER

3250 MERIDIAN PARKWAY WESTON FL 33331

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD MEDICAL BUILDING

1450 BELLE AVENUE LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD MEDICAL OFFICE

12409 LORAIN AVENUE CLEVELAND OH 44111

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD PHYSICAL THERAPY AT THE YMCA

16915 DETROIT AVENUE LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC LAKEWOOD PROFESSIONAL BUILDING

14601 DETROIT AVENUE LAKEWOOD OH 44107

OUTPATIENT PHYSICIAN CLINIC LORAIN COUNTY LONG TERM CARE

1130 TOWER ROAD LORAIN OH 44052

OUTPATIENT PHYSICIAN CLINIC LUTHERAN HOSPITAL MEDICAL OFFICES

6412 FRANKLIN BOULEVARD CLEVELAND OH 44102

OUTPATIENT PHYSICIAN CLINIC MEDINA MEDICAL OFFICE BUILDING

970 E WASHINGTON MEDINA OH 44256

OUTPATIENT PHYSICIAN CLINIC MENTOR REHABILITATION AND SPORTS THERAPY

7533 CENTER STREET MENTOR OH 44060

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 ROCKSIDE MEDICAL CENTER

6701 ROCKSIDE ROAD SUITE 260 INDEPENDENCE OH 44131

OUTPATIENT PHYSICIAN CLINIC SAGAMORE HILLS MEDICAL CENTER

863 WEST AURORA ROAD SAGAMORE HILLS OH 44067

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 SOUTH POINTE HOSPITAL CHARLES B MINER ME

20050 HARVARD ROAD WARRENSVILLE HEIGHTS OH 44122

OUTPATIENT PHYSICIAN CLINIC SPORTS HEALTH

29017 CHARDON ROAD WILLOUGHBY HILLS OH 44092

OUTPATIENT PHYSICIAN CLINIC SPORTS HEALTH CENTER

5555 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS OH 44125

OUTPATIENT PHYSICIAN CLINIC STEPHANIE TUBBS JONES HEALTH CENTER

13944 EUCLID AVENUE EAST CLEVELAND OH 44112

FAMILY HEALTH CENTER SUGARBUSH EYE & LASER CENTER

140 HILL STREET BUCYRUS OH 44820

OUTPATIENT PHYSICIAN CLINIC THERAPY SERVICES EAST

3355 RICHMOND ROAD SUITE 101A BEACHWOOD OH 44122

OUTPATIENT PHYSICIAN CLINIC THERAPY SERVICES SOUTH

17800 JEFFERSON PARK DRIVE SUITE 101 MIDDLEBURG HTS OH 44130

OUTPATIENT PHYSICIAN CLINIC THERAPY SERVICES WEST

826 WESTPOINT PKWY SUITE 1200 WESTLAKE OH 44145

OUTPATIENT PHYSICIAN CLINIC THORACIC & CARDIOVASCULAR SURGERY

36100 EUCLID AVENUE SUITE 280 WILLOUGHBY OH 44094

OUTPATIENT PHYSICIAN CLINIC THORACIC & CARDIOVASCULAR SURGERY-PARMA

MACI 6681 RIDGE RD SUITE 410 PARMA OH 44129

OUTPATIENT PHYSICIAN CLINIC VASCULAR SURGERY AT HILLCREST

6801 MAYFIELD ROAD SUITE 146 MAYFIELD HEIGHTS OH 44124

OUTPATIENT PHYSICIAN CLINIC WIC

16200 EUCLID AVENUE EAST CLEVELAND OH 44112

OUTPATIENT PHYSICIAN CLINIC WELLINGTON PLACE

4800 CLAGUE ROAD NORTH OLMSTED OH 44070

OUTPATIENT PHYSICIAN CLINIC WILLOUGHBY HILLS REHABILITATION AND SPOR

34500 CHARDON ROAD WILLOUGHBY HILLS OH 44094

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 PART I, LINE 3C: CCHS PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. CCHS HAS A FINANCIAL ASSISTANCE POLICY THAT IS AMONG THE MOST GENEROUS IN THE REGION. THIS POLICY APPLIES TO ALL CCHS FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, CCHS WILL PROVIDE 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 WHERE MEDICAL COSTS WILL EXCEED 25% OF ANNUAL FAMILY INCOME. UNLIKE THE CHARITY CARE POLICIES OF MOST HOSPITALS, THE CCHS POLICY APPLIES TO HOSPITAL CHARGES AND PROFESSIONAL FEES FOR SERVICES PROVIDED BY CCHS 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): BAD DEBT EXPENSE REPORTED ON FORM 990, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IS $ 350,255,467. PART I, LINE 6A SCH H PART I, LINE 6A - AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES. UNREIMBURSED MEDICAID PART I, LINE 7B THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS NET OF CCHS' HCAP BENEFIT OF $ 17,815,387. PART I, LINE 7 NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $ 684,559,781 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC HEALTH SYSTEM AS REPORTED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN THREE RESPECTS: 1) RESEARCH DIRECT OFFSETTING REVENUE OF $140,850,842 IS NOT REPORTED AS A COMPONENT OF COMMUNITY BENEFIT PER IRS INSTRUCTION BUT IS INCLUDED AS AN OFFSET TO COMMUNITY BENEFIT PER CHA GUIDELINES 2) 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 3) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN 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: THE COST OF BAD DEBT AS REFLECTED IN PART III, LINE 2 WAS CALCULATED USING A COST TO CHARGE RATIO. 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, THROUGOUT 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.CCHS HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT. PART III, LINE 9B: IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. 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. MEDICARE SHORTFALL PART III, LINES 5, 6, & 7 IN ADDITION TO THE MEDICARE PROGRAMS REFELCTED IN THE COST REPORTS, CCHS INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVCIES ARE $ 692,739,263 AND $ 933,514,149 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $ 240,774,886 WHICH ADDED TO THE SHORTFALL OF $ 63,846,528 AS REPORTED ON THE COST REPORTS, BRINGS THE TOTAL MEDICARE SHORTFALL TO $ 304,621,414. THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. FAIRVIEW HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. HILLCREST HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. CLEVELAND CLINIC FLORIDA PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. LAKEWOOD HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. MARYMOUNT HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. EUCLID HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. LUTHERAN HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. MEDINA HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. HURON HOSPITAL PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 13G: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITES. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS, ONLINE VIA OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. WE ALSO PROVIDE REGULAR PATIENT EDUCATION SESSIONS 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 17 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. PART VI, LINE 2: CCHS MEETS THE NEEDS OF THE COMMUNITY THROUGH ITS EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS. CCHS ALSO CONDUCTS A BROAD SPECTRUM OF OUTREACH PROGRAMS AND SERVICES IN THE COMMUNITIES IT SERVES. CCHS SPONSORS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL AND FAMILY HEALTH CENTER ADVISORY COUNCILS, NEIGHBORHOOD FOCUS GROUPS, AND THROUGH COMMUNITY NEEDS ASSESSMENTS THAT IDENTIFIED HEALTH PROBLEMS IN THE COMMUNITIES SERVED BY THE HOSPITALS. 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. 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 FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. PART VI, LINE 4: CCHS DEFINES THE COMMUNITY IT SERVES BROADLY TO INCLUDE THE LOCAL CLEVELAND METROPOLITAN AREA, THE NORTHEAST OHIO SEVEN COUNTY AREA, THE STATE OF OHIO AND THE ENTIRE MIDWEST REGION, THE COUNTRY, AND THE INTERNATIONAL COMMUNITY. IN ADDITION, IN FLORIDA, CCHS SERVES WESTON AND BROWARD COUNTY RESIDENTS, AND OTHER CITIZENS OF THE STATE OF FLORIDA. CCHS RESEARCH ACTIVITIES HAVE RESULTED IN NUMEROUS ADVANCES IN MEDICAL CARE THAT BENEFIT THE PUBLIC AT LARGE. CCHS MEDICAL EDUCATION ACTIVITIES ATTRACT MEDICAL STUDENTS AND FELLOWS FROM ACROSS THE U.S. AND AROUND THE WORLD.IN OCTOBER 2011, THE STEPHANIE TUBBS JONES HEALTH CENTER, A NEW COMMUNITY HEALTH CENTER LOCATED ADJACENT TO THE HURON HOSPITAL CAMPUS OPENED. THIS NEW HEALTH CENTER ESTABLISHED A NEW MODEL OF OUTPATIENT CARE FOR THE COMMUNITY BY LINKING HEALTHCARE WITH SOCIAL AND FINANCIAL SERVICES. AT THE SAME TIME THE NEW HEALTH CENTER OPENED, HURON HOSPITAL CLOSED AND THE SERVICES PREVIOUSLY PROVIDED AT HURON HOSPITAL WERE MIGRATED TO THE NEW COMMUNITY HEALTH CENTER AS WELL AS OTHER CLEVELAND CLINIC FACILITIES. 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 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. 1 A CULTURAL EXCHANGE 12624 LARCHMERE CLEVELAND OH 44120 341759189 501(C)(3) 16900 COMMUNITY SUPPORT ALS ASSOCIATION 2500 E 22ND ST SUITE 101 CLEVELAND OH 44115 341595148 501(C)(3) 17875 HEALTHCARE RESEARCH & EDUCATION ALZHEIMERS ASSOCIATION CLEVELAND CHAPTER 12200 FAIRHILL ROAD CLEVELAND OH 44120 341311175 501(C)(3) 9500 HEALTHCARE RESEARCH & EDUCATION AMER CANCER SOCIETY 10501 EUCLID AVENUE CLEVELAND OH 441062204 131788491 501(C)(3) 25525 HEALTHCARE RESEARCH & EDUCATION AMER DIABETES ASSOC 1701 N BEAUREGARD STREET ALEXANDRIA VA 223111717 131623888 501(C)(3) 22300 HEALTHCARE RESEARCH & EDUCATION AMER HEART ASSOC 7272 GREENVILLE AVENUE DALLAS TX 752314596 590637852 501(C)(3) 171829 HEALTHCARE RESEARCH & EDUCATION AMER LIVER FOUNDATION 1425 POMPTON AVENUE CEDAR GROVE NJ 07009 362883000 501(C)(3) 12000 HEALTHCARE RESEARCH & EDUCATION AMER RED CROSS 3747 EUCLID AVE CLEVELAND OH 44115 340714622 501(C)(3) 32000 HEALTHCARE RESEARCH & EDUCATION ANTIOCH BAPTIST CHURCH 8869 CEDAR AVENUE CLEVELAND OH 44106 364497121 501(C)(3) 11000 COMMUNITY SUPPORT ARC OF GREATER CLEVELAND 1331 EUCLID AVE CLEVELAND OH 44115 340924983 501(C)(3) 5000 COMMUNITY SUPPORT ARTHRITIS FOUNDATION 1330 WEST PEACHTREE STREET NW ATLANTA GA 30309 581341679 501(C)(3) 5250 HEALTHCARE RESEARCH & EDUCATION ASSOC OF FUNDRAISING PROF 1101 KING ST 700 ALEXANDRIA VA 223142967 132590764 501(C)(3) 6500 COMMUNITY SUPPORT ASSOC OF INDIAN PHYSICIANS OF NORTHERN OHIO AIPNO 3249 ROCKY RIVER ROCKY RIVER OH 44111 341407746 501(C)(3) 10440 COMMUNITY SUPPORT BEACHWOOD CHAMBER OF COMMERCE CHAGRIN RICHMOND PLAZA 25550 CHAGRIN BLVD SUITE 201 BEACHWOOD OH 44122 341684237 501(C)(6) 7750 COMMUNITY SUPPORT BECK CENTER FOR THE ARTS 17801 DETROIT AVENUE LAKEWOOD OH 44107 346001636 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES BETTER HEALTH GREATER CLEVE C/O CAROL KASCHUBE 2500 METROHEALTH DR - R222 CLEVELAND OH 44109 261725657 501(C)(3) 12500 HEALTHCARE RESEARCH & EDUCATION BLACK PROFESSIONALS ASSOC INC CHARITABLE FOUNDATION CLEVELAND OH 441010783 341496786 501(C)(3) 17500 COMMUNITY SUPPORT BOY SCOUTS OF AMERICA 2241 WOODLAND AVE CLEVELAND OH 441153295 340714322 501(C)(3) 15000 COMMUNITY SUPPORT BOYS & GIRLS CLUBS OF CLEVE DIRECTOR OF ANNUAL GIVING 6114 BROADWAY AVENUE CLEVELAND OH 44127 340770686 501(C)(3) 50000 COMMUNITY SUPPORT BUSINESS VOLUNTEERS UNLIMITED 200 PUBLIC SQUARE 2650 CLEVELAND OH 44114 341724581 501(C)(3) 12500 COMMUNITY SUPPORT CARE ALLIANCE LETS TALK TURKEY 1795 W 25TH STREET SUITE 251 CLEVELAND OH 44113 341748776 501(C)(3) 10000 COMMUNITY SUPPORT CASE WESTERN RESERVE UNIV CONTROLLERS OFFICE 2040 ADELBERT ROAD CLEVELAND OH 44106 341018992 501(C)(3) 5500 SUPPORT EDUCATIONAL ACTIVITIES CENTER FOR FAMILIES AND CHILDR 4500 EUCLID AVENUE CLEVELAND OH 44103 237084455 501(C)(3) 33700 HEALTHCARE RESEARCH & EDUCATION CHIP C/O MULTI-CULTURAL BUSINESS CT 205 W 25TH ST - STE 265 LORAIN OH 44052 203752013 501(C)(3) 5000 COMMUNITY SUPPORT CITY CLUB FORUM FOUNDATION 850 EUCLID AVENUE CLEVELAND OH 44114 340144897 501(C)(3) 15900 COMMUNITY SUPPORT CITY MUSIC CLEVELAND PO BOX 1930 CLEVELAND OH 44106 421639490 501(C)(3) 5000 COMMUNITY SUPPORT CITY OF EAST CLEVELAND 14340 EUCLID AVENUE EAST CLEVELAND OH 44112 999999999 501(C)(1) 3000000 COMMUNITY SUPPORT 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) 8324 COMMUNITY SUPPORT CLEVE BOTANICAL GARDEN 11030 EAST BLVD CLEVELAND OH 44106 340239538 501(C)(3) 14940 COMMUNITY SUPPORT CLEVE CLINIC CHILDRENS HOSPIA P O BOX 931393 CLEVELAND OH 441930496 340714570 501(C)(3) 10000 SUPPORT RELATED TO CHARITY CLEVE CLINIC FOUNDATION 17325 EUCLID AVENUE CL-23 CLEVELAND OH 441955265 340714585 501(C)(3) 22375 COMMUNITY SUPPORT CLEVE FOOD BANK 1557 EAST 27TH ST C/O HAREST FOR HUNGER CLEVELAND OH 44114 341292848 501(C)(3) 17487 COMMUNITY SUPPORT CLEVE JAZZ ORCHESTRA 713 LINCOLN BLVD BEDFORD OH 44146 341483824 501(C)(3) 10000 COMMUNITY SUPPORT CLEVE LEADERSHIP CTR 1422 EUCLID AVE - STE 940 CLEVELAND OH 44115 341927317 501(C)(3) 10000 COMMUNITY SUPPORT CLEVE MOTTEP 18720 CHAGRIN BLVD SHAKER HTS OH 44122 341900839 501(C)(3) 10000 COMMUNITY SUPPORT CLEVE MUSEUM OF ART 11150 EAST BLVD CLEVELAND OH 44106 340714336 501(C)(3) 25000 COMMUNITY SUPPORT CLEVE MUSEUM OF NATURAL HISTOR 1 WADE OVAL DRIVE UNIVERSITY CIRCLE CIRCLE CLEVELAND OH 44106 340714338 501(C)(3) 5200 COMMUNITY SUPPORT CLEVE MUSIC SCHOOL SETTLEMENT 11125 MAGNOLIA DRIVE CLEVELAND OH 44106 340714339 501(C)(3) 13750 COMMUNITY SUPPORT CLEVE ORCHESTRA 11001 EUCLID AVENUE CLEVELAND OH 44106 340714468 501(C)(3) 10000 COMMUNITY SUPPORT CLEVE PLAYHOUSE PO BOX 1989 CLEVELAND OH 44106 340895516 501(C)(3) 10000 COMMUNITY SUPPORT CLEVE RAPE CRISIS CTR 1370 ONTARIO ST STE 420 ATTN BECKY ELLIOT CLEVELAND OH 44112 510164315 501(C)(3) 9800 COMMUNITY SUPPORT CLEVE SCHL OF SCIENCE & MED 2628 PEARL RD DIANA RILEY MEDINA OH 44256 383740643 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES CLEVE STATE UNIV TREASURY SERVICES CLEVELAND OH 441152214 340966056 501(C)(3) 21000 SUPPORT EDUCATIONAL ACTIVITIES CLEVELAND CLINIC EDUCATIONAL FOUNDATION 6801 BRECKSVILLE ROAD INDEPENDENCE OH 44131 340714553 501(C)(3) 18842651 HEALTHCARE RESEARCH & EDUCATION CLEVELAND FOUNDATION 1422 EUCLID AVE SUITE 1300 CLEVELAND OH 44115 340714588 501(C)(3) 1200000 COMMUNITY SUPPORT CLEVELAND MUNICIPAL SCHOOL DISTRICT 1380 EAST 6TH ST CLEVELAND OH 44114 346000662 501(C)(1) 103970 SUPPORT EDUCATIONAL ACTIVITIES CLEVELAND POLICE FOUNDATION 1300 ONTARIO STREET ATTN MICHAEL MCGRATH CLEVELAND OH 441131648 830509855 501(C)(3) 50000 COMMUNITY SUPPORT CLEVELAND SCHOOL OF SCIENCE & MEDICINE 2075 STOKES BLVD ATTN MARY SIMPSON CLEVELAND OH 44106 343740643 501(C)(3) 25000 SUPPORT EDUCATIONAL ACTIVITIES COLLEGE NOW GREATER CLEVELAND 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 346580096 501(C)(3) 50000 COMMUNITY SUPPORT COMMUNITY WEST FOUNDATION 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 341456398 501(C)(3) 55607 SUPPORT TO RELATED CHARITY CORNERSTONE OF HOPE 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 341945499 501(C)(3) 17000 COMMUNITY SUPPORT COUNCIL FOR HEALTH & HUMAN SERVICE MINISTRIES INC 700 PROSPECT AVENUE CLEVELAND OH 44115 133118966 501(C)(3) 15000 COMMUNITY SUPPORT CUYAHOGA COMMUNITY COLLEGE 700 CARNEGIE AVENUE CLEVELAND OH 44115 340896630 501(C)(1) 26963 SUPPORT EDUCATIONAL ACTIVITIES CUYAHOGA COUNTY BD OF HEALTH ONE PLAYHOUSE SQUARE 1375 EUCLID AVENUE 5TH FLOOR CLEVELAND OH 44115 346000817 501(C)(3) 25200 COMMUNITY SUPPORT DANCING CLASSROOMS NORTHEAST 10143 ROYALTON RD - SUITE D NORTH ROYALTON OH 44133 262300532 501(C)(3) 50500 SUPPORT EDUCATIONAL ACTIVITIES DIVERSITY CTR OF NE OHIO INC 3645 WARRENSVILLE CTR RD CLEVELAND OH 44122 201968761 501(C)(3) 5250 COMMUNITY SUPPORT DOWNTOWN CLEVELAND ALLIANCE 50 PUBLIC SQUARE CLEVELAND OH 44113 341775903 501(C)(3) 20000 COMMUNITY SUPPORT DRIVE FOR LIFE 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 431846965 501(C)(3) 10000 COMMUNITY SUPPORT EAST CLEVE NEIGHBORHOOD CENTER 2490 LEE BLVD - STE 322 CLEVELAND HTS OH 44118 341541345 501(C)(3) 48580 COMMUNITY SUPPORT ECONOMIC GROWTH FOUNDATION 1240 HURON ROAD E NO 400 CLEVELAND OH 44115 341916518 501(C)(3) 27500 COMMUNITY SUPPORT EPILEPSY ASSOC ATTN AUTO SHOW 2831 PROSPECT AVE CLEVELAND OH 44115 237198807 501(C)(3) 29000 HEALTHCARE RESEARCH & EDUCATION ESPERANZA INC 4115 BRIDGE AVE STE 108 CLEVELAND OH 44113 341403492 501(C)(3) 10500 COMMUNITY SUPPORT FAIRFAX RENAISSANCE DEV (LSE) 8111 QUINCY AVE SUITE 100 ATTN VICKIE JOHNSON CLEVELAND OH 44104 341706856 501(C)(3) 127764 COMMUNITY SUPPORT FLYING HORSE FARMS 3 EASTON OVAL COLUMBUS OH 43219 203498125 501(C)(3) 5000 COMMUNITY SUPPORT FOUNDATION FIGHTING BLINDNESS 11435 CRONHILL DR OWINGS MILLS MD 21117 237135845 501(C)(3) 5000 COMMUNITY SUPPORT FREE CLINIC OF GREATER CLEVE 12201 EUCLID AVENUE CLEVELAND OH 44106 237078501 501(C)(3) 50000 COMMUNITY SUPPORT FUND FOR ECONOMIC FUTURE OF 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 270606927 501(C)(3) 33333 COMMUNITY SUPPORT GATHERING PLACE 3365 RICHMOND RD BEACHWOOD OH 44122 341879035 501(C)(3) 5000 COMMUNITY SUPPORT GENERATION FOUNDATION 3375 HOLLISTER RD CLEVELAND OH 44118 311564642 501(C)(3) 6000 COMMUNITY SUPPORT GREAT LAKES SCIENCE CENTER 925 EUCLID AVENUE CLEVELAND OH 44115 311258416 501(C)(3) 10000 COMMUNITY SUPPORT GREATER CLEVELAND PARTNERSHIP 100 PUBLIC SQUARE SUITE 210 CLEVELAND OH 44113 340149250 501(C)(3) 25000 COMMUNITY SUPPORT HEALTH LEGACY OF CLEVELAND INC 2475 E 22ND ST 210 CLEVELAND OH 44115 341509482 501(C)(3) 60100 HEALTHCARE RESEARCH & EDUCATION HEROES RUN 3886 ROCKY RIVER DR CLEVELAND OH 44111 141838579 501(C)(3) 10000 HEALTHCARE RESEARCH & EDUCATION HILLCREST ROTARY CLUB 190 ALPHA PARK HIGHLAND HTS OH 44143 341523821 501(C)(3) 5270 COMMUNITY SUPPORT INITIATIVE FOR A COMPETITIVE INNER CITY INC 200 HIGH ST - THIRD FLOOR BOSTON MA 02110 133772904 501(C)(3) 9143 COMMUNITY SUPPORT INNER CITY TENNIS CLINIC PO BOX 32551 CLEVELAND OH 44132 271789893 501(C)(3) 30000 COMMUNITY SUPPORT KAMMS CORNERS DEVELOPMENT 17407 LORAIN AVENUE SUITE 200 CLEVELAND OH 441114022 341254542 501(C)(3) 16000 COMMUNITY SUPPORT KAPLAN CONTINUING EDUCATION 6301 KAPLAN UNIVERSITY AVE FORT LAUDERDALE FL 33309 371377789 501(C)(3) 13095 COMMUNITY SUPPORT KARAMU HOUSE INC 2355 EAST 89TH STREET CLEVELAND OH 44106 340714448 501(C)(3) 17500 COMMUNITY SUPPORT KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS NV 89106 880515534 501(C)(3) 37500 SUPPORT RELATED TO CHARITY KIDNEY FOUNDATION OF OHIO INC 2831 PROSPECT AVENUE CLEVELAND OH 44115 340827748 501(C)(3) 6350 HEALTHCARE RESEARCH & EDUCATION LAKEWOOD ALIVE MEMBERSHIP PO BOX 770364 LAKEWOOD OH 44107 203433930 501(C)(3) 40000 COMMUNITY SUPPORT LAKEWOOD CATHOLIC ACADEMY 14808 LAKE AVE LAKEWOOD OH 44107 202143142 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES LAKEWOOD COMMUNITY SRVCS CTR 14320 MADISON AVE LAKEWOOD OH 44107 341446497 501(C)(3) 5000 COMMUNITY SUPPORT LAKEWOOD HOSPITAL MEDICAL STAFF 14519 DETROIT AVENUE STE 550 LAKEWOOD OH 441079989 346519834 501(C)(3) 26000 HEALTHCARE RESEARCH & EDUCATION LIFEBANC 20600 CHAGRIN BLVD CLEVELAND OH 441225343 341525159 501(C)(3) 12500 HEALTHCARE RESEARCH & EDUCATION LUTHERAN METROPOLITAN MINISTRY PO BOX 76736 CLEVELAND OH 44101 341043756 501(C)(3) 5260 COMMUNITY SUPPORT M C CHATMAN CENTER FOR HUMANITARIAN SERVICES 3582 LUDGATE ROAD SHAKER HTS OH 44120 550834175 501(C)(3) 6500 COMMUNITY SUPPORT MAIN STREET MEDINA 23 PUBLIC SQUARE SUITE 220 MEDINA OH 44256 261802645 501(C)(3) 5000 COMMUNITY SUPPORT MARY GRACE MEMORIAL FOUNDATION PO BOX 1822 MEDINA OH 44258 251915054 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION MAYFIELD AREA CHAMBER OF COMM 1280 SOM CENTER ROAD 308 MAYFIELD HTS OH 44124 341628573 501(C)(6) 5900 COMMUNITY SUPPORT MAYOR'S CHARITY BALL 12650 DETROIT AVENUE CLEVELAND OH 44193 346001633 501(C)(3) 5000 COMMUNITY SUPPORT MEDICAL STAFF OF MERIDIA HURON HOSPITAL 20600 CHAGRIN BLVD - 701 SHAKER HTS OH 44122 340735209 501(C)(3) 250000 HEALTHCARE RESEARCH & EDUCATION MEDINA HOSPITAL 1000 E WASHINGTON ST MEDINA OH 44256 340733166 501(C)(3) 3333333 SUPPORT RELATED TO CHARITY MEDWISH INTERNATIONAL-SPRING BENEFITS PO BOX 181484 CLEVELAND OH 44118 341903712 501(C)(3) 61000 3301865 ESTIMATED VALUE MEDICAL EQUIPMENT & SUPPLIES HEALTHCARE RESEARCH & EDUCATION METRO HEALTH FOUNDATION PRENATAL CENTER OF NE OH ATT BRIAN MERCER 2500 METRO HEALTH DR CLEVELAND OH 441091998 346607695 501(C)(3) 5000 HEALTHCARE RESEARCH & EDUCATION METRO HEALTH SYSTEM PO BOX 931475 CLEVELAND OH 441930497 346004382 501(C)(1) 127680 HEALTHCARE RESEARCH & EDUCATION MIDTOWN CLEVELAND 4019 PROSPECT AVENUE 200 CLEVELAND OH 44103 341381334 501(C)(3) 20000 COMMUNITY SUPPORT MUSICAL ARTS ASSOC 11001 EUCLID AVENUE CLEVELAND OH 44106 340714468 501(C)(3) 15000 SUPPORT EDUCATIONAL ACTIVITIES NAACP C/O GEORGE FORBES 614 SUPERIOR AVE NW 700 CLEVELAND OH 44113 341786675 501(C)(3) 10000 COMMUNITY SUPPORT NAMI GREATER CLEVELAND 1400 W 25TH STREET 4TH FLOOR CLEVELAND OH 44113 202254268 501(C)(3) 11000 COMMUNITY SUPPORT NATL SOCIETY OF HISPANIC MBAS 1303 WALNUT HILL LANE IRVING TX 75038 270436759 501(C)(3) 10000 COMMUNITY SUPPORT NCAGREATER CLEVELAND 3311 PERKINS AVENUE 2ND FLOOR CLEVELAND OH 44114 340714688 501(C)(3) 5000 COMMUNITY SUPPORT NORTH COAST HEALTH MINISTRY 15644 MADISON AVE 204 LAKEWOOD OH 44107 341536257 501(C)(3) 8000 HEALTHCARE RESEARCH & EDUCATION NORTH UNION FARMERS MARKET 13212 SHAKER SQUARE SUITE 302 CLEVELAND OH 44120 341812026 501(C)(3) 15100 COMMUNITY SUPPORT NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES PO BOX 92228 CLEVELAND OH 44193 341014291 501(C)(3) 25200 HEALTHCARE RESEARCH & EDUCATION NOTRE DAME COLLEGE 4545 COLLEGE ROAD CLEVELAND OH 44121 340714689 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES NUEVA LUZ URBAN RESOURCE CTR 2226 W 89TH ST CLEVELAND OH 44102 341972937 501(C)(3) 6000 COMMUNITY SUPPORT OHIO CITY NEAR W DEVELOP CORP 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 341372076 501(C)(3) 109500 COMMUNITY SUPPORT OHIO STATE UNIVERSITY 376 WEST 10TH AVENUE COLUMBUS OH 43210 316025986 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES OSTEOPOROSIS WALK FOUNDATION 4450 TIMBERIDGE DR INDEPENDENCE OH 44131 341855292 501(C)(3) 7500 HEALTHCARE RESEARCH & EDUCATION PLAYHOUSE SQUARE CENTER 1501 EUCLID AVENUE CLEVELAND OH 44115 237304942 501(C)(3) 20000 COMMUNITY SUPPORT PROJECT LOVE 23611 CHAGRIN BLVD 380 BEACHWOOD OH 44122 341795459 501(C)(3) 15000 COMMUNITY SUPPORT PROVIDENCE HOUSE INC 2037 WEST 32ND STREET CLEVELAND OH 44113 341336325 501(C)(3) 6000 COMMUNITY SUPPORT RAINEY INSTITUTE 1523 EAST 55TH STREET CLEVELAND OH 44144 346555952 501(C)(3) 10000 SUPPORT EDUCATIONAL ACTIVITIES REBUILDING TOGETHER PO BOX 14274 CLEVELAND OH 441140274 311493982 501(C)(3) 5000 COMMUNITY SUPPORT RECOVERY RESOURCES 3950 CHESTER AVE CLEVELAND OH 44114 341211116 501(C)(3) 8500 COMMUNITY SUPPORT REGIONAL TRANSIT AUTHORITY PO BOX 6566 CLEVELAND OH 441019931 341170831 501(C)(3) 125000 COMMUNITY SUPPORT ROCK AND ROLL HALL OF FAME AND MUSEUM INC 1100 ROCK AND ROLL BLVD CLEVELAND OH 44114 341520995 501(C)(3) 30000 COMMUNITY SUPPORT RONALD MC DONALD HOUSE 10415 EUCLID AVENUE CLEVELAND OH 44106 341269123 501(C)(3) 358220 HEALTHCARE RESEARCH & EDUCATION SAE FOUNDATION 400 COMMONWEALTH DR WARRENDALE PA 150960001 251494402 501(C)(3) 5000 COMMUNITY SUPPORT SALVATION ARMY PO BOX 15 LORAIN OH 44052 240714378 501(C)(3) 5000 COMMUNITY SUPPORT SHAKER SCHOOLS FOUNDATION 15600 PARKLAND DRIVE SHAKER HTS OH 44120 341351470 501(C)(3) 5000 SUPPORT EDUCATIONAL ACTIVITIES SHOES AND CLOTHES FOR KIDS 3311 PERKINS AVE CLEVELAND OH 44114 341554285 501(C)(3) 7500 COMMUNITY SUPPORT ST JOSEPH ACADEMY 3430 ROCKY RIVER DRIVE CLEVELAND OH 44111 341618516 501(C)(3) 17000 SUPPORT EDUCATIONAL ACTIVITIES ST MARTIN DE PORRES HIGH SCHOO 6111 LAUSCHE AVE CLEVELAND OH 44103 522401852 501(C)(3) 46651 SUPPORT EDUCATIONAL ACTIVITIES STRAIGHT FROM THE HEART 20545 CENTER RIDGE RD 448 ROCKY RIVER OH 44116 341456398 501(C)(3) 48000 COMMUNITY SUPPORT STRONGSVILLE CHAMBER OF COMMER 18829 ROYALTON ROAD STRONGSVILLE OH 44136 340892274 501(C)(6) 6000 COMMUNITY SUPPORT SUSAN G KOMEN BREAST CANCER FO 5005 LBJ FREEWAY 370 DALLAS TX 75244 751835298 501(C)(3) 15000 HEALTHCARE RESEARCH & EDUCATION SYRIAN AMERICAN CULTURAL 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 412227687 501(C)(3) 10250 COMMUNITY SUPPORT THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND OH 44195 340714585 501(C)(3) 5500 SUPPORT RELATED TO CHARITY TRANSITION HOUSING INC 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 341424555 501(C)(3) 21600 COMMUNITY SUPPORT TRINITY HIGH SCHOOL 12425 GRANGER RD GARFIELD HTS OH 44125 340943303 501(C)(3) 5671 SUPPORT EDUCATIONAL ACTIVITIES TRINITY SUPPORT SERVICES 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 263804435 501(C)(3) 30732 COMMUNITY SUPPORT TRIUMPH FOR THE CURE 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 341456398 501(C)(3) 11150 HEALTHCARE RESEARCH & EDUCATION UNITED WAY OF GREATER CLEVE 1331 EUCLID AVENUE CLEVELAND OH 441151854 346516654 501(C)(3) 22716 COMMUNITY SUPPORT UNIV OF AKRON CASHIER'S OFFICE 302 E BUTCHEL AVENUE AKRON OH 44325 346002924 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 CLEVEL 12001 SHAKER BLVD CLEVELAND OH 44120 340720563 501(C)(3) 10000 COMMUNITY SUPPORT VILLAGE AT MARYMOUNT 5200 MARYMOUNT VILLAGE DR GARFIELD HTS OH 44125 205652595 501(C)(3) 17790 HEALTHCARE RESEARCH & EDUCATION WEST SIDE CATHOLIC CENTER GOLF 6180 S WOODLANE MAYFIELD VILLAGE OH 44143 341244687 501(C)(3) 5250 HEALTHCARE RESEARCH & EDUCATION WESTLAKE HISTORICAL SOCIETY 1171 CLAGUE ROAD WESTLAKE OH 44145 237320220 501(C)(3) 6000 COMMUNITY SUPPORT WOMEN OF COLOR FOUNDATION 1667 EAST 40TH ST CLEVELAND OH 441033746 020743542 501(C)(3) 35000 COMMUNITY SUPPORT Y M C A - CLEVELAND 15501 LORAIN AVE CLEVELAND OH 44111 340714728 501(C)(3) 16800 COMMUNITY SUPPORT YOUR HOME TOWN - CHAGRIN FALLS C/O KATHRYN M LYLE 57 EAST WASHINGTON ST CHAGRIN FALLS OH 44022 311564112 501(C)(3) 6000 COMMUNITY SUPPORT YOUTH OPPORTUNITIES UNLIMITED 3750 PROSPECT AVE CLEVELAND OH 44115 341381135 501(C)(3) 7500 COMMUNITY SUPPORT YWCA OF CLEVELAND 3101 EUCLID AVE 711 CLEVELAND OH 44115 340718098 501(C)(3) 9000 COMMUNITY SUPPORT 139 9 SCHOLARSHIPS 74 61191 FELLOWSHIPS 2181 72451297 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES CONTRIBUTE CASH DONATIONS TO VARIOUS TAX EXEMPT ORGANIZATIONS WITHIN THEIR COMMUNITY AND THE UNITED STATES. IN GENERAL, THE CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES DO 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 $10 MILLION PLEDGE MADE IN 2005 TO THE CLEVELAND METRO SCHOOL DISTRICT. FELLOWSHIPS LISTED IN SCHEDULE I, PART III ARE IN FURTHERANCE OF CLEVELAND CLINIC FOUNDATION AND AFFLIATES' MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 COSGROVE DELOS M 2107300 0 0 0 256120 0 187336 0 13458 0 2564214 0 0 0 DEGRANDIS FRED M 793026 0 0 0 81902 0 24500 0 25639 0 925067 0 0 0 FERNANDEZ BERNARDO 635000 0 0 0 42232 0 146001 0 20195 0 843428 0 0 0 FUNK JONATHAN R 163915 0 0 0 11647 0 15242 0 11803 0 202607 0 0 0 GLASS STEVEN C 860407 0 0 0 64099 0 24500 0 18284 0 967290 0 0 0 HAHN JOSEPH F 1050219 0 0 0 99565 0 120354 0 13477 0 1283615 0 0 0 HARRINGTON MICHAEL 436701 0 0 0 39601 0 24500 0 19811 0 520613 0 0 0 JONES JEFFREY 402470 0 0 0 60093 0 24500 0 16906 0 503969 0 0 0 MEEHAN MICHAEL J 261525 0 0 0 25346 0 48443 0 12948 0 348262 0 0 0 MODIC MICHAEL 777995 0 0 0 81030 0 52825 0 18209 0 930059 0 0 0 PEACOCK WILLIAM 680400 0 0 0 47299 0 24500 0 21630 0 773829 0 0 0 RODRIGUEZ RICARDO 369431 0 0 0 14133 0 24500 0 12817 0 420881 0 0 0 ROWAN DAVID W 557111 0 0 0 78341 0 24500 0 22517 0 682469 0 0 0 SNYDER VICKY 185724 0 0 0 4091 0 5601 0 11358 0 206774 0 0 0 STALL ROBERT P 307150 0 0 0 28173 0 24500 0 21280 0 381103 0 0 0 TULISIAK THOMAS 344483 0 0 0 17254 0 23202 0 17686 0 402625 0 0 0 WYLLIE ROBERT 464464 0 0 0 49160 0 324395 0 13147 0 851166 0 0 0 BERNICK CHARLES 260475 0 0 0 2862 0 24500 0 16486 0 304323 0 0 0 BORKOWSKI RAYMOND 381650 0 0 0 16905 0 24500 0 17686 0 440741 0 0 0 BOTROS KARIM 246960 0 0 0 1022 0 7350 0 11196 0 266528 0 0 0 BRONSON DAVID L 697191 0 0 0 75280 0 441809 0 13057 0 1227337 0 0 0 CHARDIET ARMANDO 596874 0 0 0 21285 0 24500 0 17701 0 660360 0 0 0 CRACIUN A ROMEO 295000 0 0 0 9513 0 24500 0 11748 0 340761 0 0 0 CULLEY CARL A JR 199850 0 0 0 4035 0 20000 0 16486 0 240371 0 0 0 CUMMINGS JEFFREY 416254 0 0 0 5712 0 24500 0 8916 0 455382 0 0 0 DEYLING CYNTHIA 469600 0 0 0 44315 0 90352 0 17074 0 621341 0 0 0 DOMBROWIAK DAVID T 228224 0 15000 0 6588 0 7350 0 11103 0 268265 0 0 0 ELSAWY TAREK 302638 0 0 0 17104 0 14669 0 12599 0 347010 0 0 0 FALCONE TOMMASO 688250 0 0 0 50754 0 24500 0 19686 0 783190 0 0 0 FRANKEL MARK 151253 0 0 0 3203 0 4188 0 13431 0 172075 0 0 0 IANNOTTI JOSEPH 722150 0 0 0 71919 0 24500 0 17686 0 836255 0 0 0 MARTIN DANIEL 1089800 0 0 0 230024 0 24500 0 17536 0 1361860 0 0 0 MILLER JOSHUA 208000 0 0 0 592 0 20800 0 16336 0 245728 0 0 0 MOODLEY S JULES 670850 0 0 0 71533 0 24500 0 16628 0 783511 0 0 0 ROME ELLEN 161150 0 0 0 1056 0 16250 0 19595 0 198051 0 0 0 SEITZ WILLIAM H JR 610910 0 0 0 63477 0 17150 0 16486 0 708023 0 0 0 SHEWBRIDGE RICHARD 194350 0 0 0 957 0 19300 0 18008 0 232615 0 0 0 SMITH NEIL 236958 0 0 0 287 0 6715 0 0 0 243960 0 0 0 SPIRO TIMOTHY 485016 0 0 0 49820 0 24500 0 13857 0 573193 0 0 0 STARCK REBECCA 487850 0 0 0 44945 0 24500 0 18536 0 575831 0 0 0 SZIRAKY PATRICK E 399850 0 20000 0 10200 0 23450 0 16486 0 469986 0 0 0 CAPASSO BEVERLY 298650 0 0 0 2317 0 7350 0 6511 0 314828 0 0 0 DEL CASTILLO BARBARA 308849 0 0 0 16015 0 24500 0 16408 0 365772 0 0 0 DICORLETO PAUL E 410441 0 0 0 23230 0 24500 0 15012 0 473183 0 0 0 FUNG JOHN 845002 0 0 0 66205 0 24500 0 17686 0 953393 0 0 0 GARD PHILIP R 148869 0 0 0 3618 0 15096 0 9815 0 177398 0 0 0 KECKAN WILLIAM D 261872 0 0 0 10567 0 0 0 14437 0 286876 0 0 0 KENNEY CAROL A 177405 0 0 0 2586 0 5349 0 12067 0 197407 0 0 0 KILARSKI DAVID J 412447 0 0 0 20576 0 24455 0 15548 0 473026 0 0 0 MCHUGH LINDA 309482 0 0 0 20896 0 24500 0 18284 0 373162 0 0 0 MCHUGH MICHAEL 308810 0 0 0 12500 0 24500 0 19846 0 365656 0 0 0 MURRAY JAN 151083 0 0 0 10623 0 15990 0 2247 0 179943 0 0 0 NILSSON KEITH 283978 0 0 0 780 0 7350 0 14001 0 306109 0 0 0 SARGEANT MARTY 469670 0 0 0 42648 0 24500 0 16935 0 553753 0 0 0 SLIFKO JESSICA 173755 0 0 0 3343 0 5364 0 12710 0 195172 0 0 0 STOLLER JAMES 423850 0 0 0 23853 0 146961 0 19324 0 613988 0 0 0 YOUNG WILLIAM 236621 0 25000 0 7373 0 5306 0 12824 0 287124 0 0 0 BURNS SONDA 152448 0 0 0 1972 0 8542 0 7510 0 170472 0 0 0 GLASS IAN S 352068 0 0 0 6338 0 7350 0 11659 0 377415 0 0 0 HARRISON MARC A 764859 0 0 0 504029 0 24500 0 18087 0 1311475 0 0 0 JOHNSON JUDITH E 204529 0 0 0 4925 0 6216 0 10322 0 225992 0 0 0 KENNEDY MARY 200578 0 0 0 8535 0 5979 0 14018 0 229110 0 0 0 LEA RICHARD 185792 0 0 0 6518 0 5696 0 15438 0 213444 0 0 0 LYTLE BRUCE W 1511660 0 0 0 141870 0 -321720 0 12588 0 1344398 0 0 0 MANNING LISA 171521 0 0 0 356 0 5226 0 10322 0 187425 0 0 0 MILLS JOHN C 212103 0 0 0 1870 0 6520 0 12858 0 233351 0 0 0 NOGUERAS JUAN J 494000 0 0 0 31800 0 115769 0 25721 0 667290 0 0 0 PECKMAN MAUREEN 263185 0 0 0 3390 0 7350 0 17508 0 291433 0 0 0 RITCHIE SHANNAN 197538 0 0 0 2168 0 6089 0 13059 0 218854 0 0 0 ZHONG XUE 208279 0 0 0 1036 0 20833 0 6048 0 236196 0 0 0 COSTIN JOHN A 1101917 0 0 0 2895992 0 24500 0 13748 0 4036157 0 0 0 FAZIO VICTOR 769931 0 0 0 616850 0 24500 0 12538 0 1423819 0 0 0 FISHLEDER ANDREW W 147414 0 0 0 3147817 0 1473 0 3889 0 3300593 0 0 0 MAVROUDIS CONSTANTINE 1411279 0 0 0 167611 0 24500 0 17230 0 1620620 0 0 0 SAXTON JERROLD P 430098 0 0 0 826691 0 56971 0 6761 0 1320521 0 0 0 BELL GORDON R 643171 0 0 0 67285 0 58191 0 13327 0 781974 0 0 0 HALLMAN GARY D 0 0 0 0 137536 0 0 0 0 0 137536 0 0 0 KIDERMAN SAM 229051 0 0 0 10219 0 7189 0 18232 0 264691 0 0 0 MARVAR RAYMOND J 73217 0 0 0 162204 0 6621 0 11812 0 253854 0 0 0 PERSE DAVID F 453191 0 0 0 17576 0 21363 0 1600 0 493730 0 0 0 SINKO DONALD 359300 0 0 0 15491 0 24500 0 31009 0 430300 0 0 0 WALSH T DECLAN 399171 0 0 0 24530 0 307167 0 29787 0 760655 0 0 0 ALBERT DEBRA A 38615 0 0 0 162025 0 5215 0 9981 0 215836 0 0 0 BADDOUR WILLIAM 214085 0 0 0 93703 0 5124 0 8226 0 321138 0 0 0 BLANDON RUDOLFO J 539624 0 0 0 31445 0 24500 0 20409 0 615978 0 0 0 KIOUS A GUS 324692 0 0 0 30544 0 24500 0 11857 0 391593 0 0 0 LANDERS MAXINE 191722 0 25000 0 6461 0 6215 0 10598 0 239996 0 0 0 MATSEN PAUL 803660 0 0 0 59923 0 24500 0 17686 0 905769 0 0 0 ROBINSON RONALD 148818 0 0 0 1280 0 13087 0 11049 0 174234 0 0 0 SESTO MARK E 515000 0 0 0 50389 0 124960 0 19175 0 709524 0 0 0 TOPALSKY GEORGE 124444 0 0 0 293 0 0 0 13375 0 138112 0 0 0 ZANATH DEBRA 0 0 0 0 149320 0 16665 0 0 0 165985 0 0 0 PART I, LINE 7 IN ADDITION TO BASE SALARY, AN ISOLATED NUMBER OF EMPLOYEES RECEIVED BONUSES UPON HIRE. SUPPLEMENTAL INFORMATION PART III PART I, LINE 1A - LISTED BENEFITS WHILE NOT PART OF CCHS'S REIMBURSEMENT POLICY, THE LISTED BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A. THE ITEMS INDICATED ARE APPROVED ON AN EXCEPTION BASIS ONLY IF THERE IS AN APPROPRIATE BUSINESS PURPOSE AND THE REIMBURSEMENT OF THE EXPENSE MEETS ALL OTHER IRS REQUIREMENTS. SUPPLEMENTAL INFORMATION PART III PART I, LINE 4A - SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: DEBRA A. ALBERT - $ 161,474 GARY HALLMAN - $ 121,036 MAXINE LANDERS - $ 3,718 RAYMOND MARVAR - $ 153,210 DEBRA ZANATH - $ 132,820 SUPPLEMENTAL INFORMATION PART III PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN JOHN COSTIN - COMPENSATION INCLUDES RECOGNITION OF $2,782,398 OF TAXABLE INCOME RESULTING FROM THE TERMINATION OF HIS PARTICIPATION IN A SPLIT DOLLAR LIFE INSURANCE PLAN. VICTOR FAZIO - PARTICIPATED IN AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $606,051 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS AMOUNT VESTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. A PAYMENT OF $38,880 WAS RECEIVED FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THIS AMOUNT IS NOT REFLECTED IN THE COMPENSATION REPORTED IN PART VII AND SCHEDULE J. ANDREW W. FISHLEDER - PARTICIPATED IN AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $3,147,785 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS AMOUNT VESTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. A PAYMENT OF $226,277 WAS RECEIVED FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THIS AMOUNT IS NOT REFLECTED IN THE COMPENSATION REPORTED IN PART VII AND SCHEDULE J. JERROLD P. SAXTON - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $694,945 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS AMOUNT VESTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NO CASH PAYMENTS WERE RECEIVED. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE APPLICABLE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J PART II COLUMN C RETIREMENT AND OTHER DEFERRED COMPANSATION: GORDON R. BELL, DAVID L. BRONSON, DELOS M. COSGROVE, CYNTHIA DEYLING, BERNARDO FERNANDEZ, JOSEPH F. HAHN, BRUCE W. LYTLE, MICHAEL MEEHAN, MICHAEL MODIC, JUAN J. NOGUERAS, JERROLD P. SAXTON, MARK E. SESTO, JAMES STOLLER, DECLAN T. WALSH, ROBERT WYLLIE, THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SPLIT-DOLLAR LIFE INSURANCE PLAN IN WHICH NO CASH PAYMENTS WERE RECEIVED: DELOS M. COSGROVE, AND DAVID W. ROWAN. OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561HU9 2011-11-02 208951439 REFUND 2003A SERIES 0 0 0 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 NOTAPPLIC 2011-11-02 41120000 REFUND 1992A & B AND 1989 SERIES 0 0 0 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 677561FV9 2009-08-25 807007320 BONDS 2009: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING 0 0 0 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AG22 2008-10-15 451686386 BOND 2008A: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 109475 208951439 206948054 2003385 0 1 1 1 41120000 2302465 735249 38082286 1 0 1 1 15884350 807007320 1099225 501164780 304743315 2011 1 0 0 1 451686386 800000 218639952 251263651 2008 1 0 1 1 0 1 1 1 1 1 0.00800 0.00080 0.00880 1 0 1 1 1 1 1 0.00000 0.00000 0.00000 1 0 1 1 1 1 1 0.00600 0.00010 0.00610 1 0 1 1 1 1 1 0.00490 0.00020 0.00510 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X SCHEDULE K, PART II A PORTION OF THE 2006 SERIES WAS REISSUED AS PART OF THE 2008 BOND. OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AJ37 2008-10-15 670000000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS 0 0 0 CITY OF LAS VEGAS NEVADA 886000198 51770PAD7 2007-05-03 68600000 BOND 2007: FINANCE CONSTRUCTION OF A MEDICAL FACILITY 0 0 0 COUNTY OF CUYAHOGA OHIO 346000817 232286BH6 2004-12-22 200000000 BOND 2004B: FINANCE OF MILLER PAVILION & TOWER AT HILLCREST 0 0 0 COUNTY OF CUYAHOGA OHIO 346000817 232286BC7 2003-04-16 527761127 BOND 2003A: REFUND 1998A AND 1998B 0 0 0 300000000 670000000 1200000 324315217 372706929 2008 1 0 1 1 68600000 68600000 2010 0 0 1 1 200000000 582707 2321611 186544171 10551511 2008 1 0 1 1 366297215 527761127 1449418 60762275 465549434 2003 1 0 1 1 0 1 1 1 1 1 0.00490 0.00020 0.00510 1 0 0 1 1 1 1 0.00160 0.01000 0.01160 1 0 1 1 1 1 1 0.00170 0.00060 0.00230 1 0 1 1 1 1 1 0.00800 0.00080 0.00880 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 COLLIER COUNTY HEALTH FACILITIES AUTHORITY 592351395 19463LAB9 2003-04-16 118200000 BOND 2003B: REFUND FL SERIES 1999; FINANCING WESTON CLINIC 0 0 0 CITY OF LAKEWOOD OHIO 346001633 512632DB3 2003-11-25 29503349 BOND 2003 LKWD: REFUND LKWD SERIES ONE & TWO; CONST OF HOSPITAL FACILITIES 0 0 0 76295000 118200000 412525 13520714 104266761 1 1 1 1 15868482 29503349 463309 3014502 26025538 1 1 1 1 0 1 1 1 1 1 0.00800 0.00080 0.00880 1 0 1 1 1 1 1 0.00800 0.00080 0.00880 1 1 1 0 0 1 0 0 0 0 0 1 0 DELOS M COSGROVE MD INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN X 229247 4170713 0 1 1 JEFFREY CUMMINGS MD EMPLOYEE LOAN X 100000 82428 0 0 1 DAVID W ROWAN INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN X 100000 1709480 0 1 1 5962621 CINTAS CORPORATION ENTITY IN WHICH CCF DIRECTOR, JOSEPH SCAMINANCE, IS A DIRECTOR 222194 SUPPLY VENDOR 0 CLEVELAND BROWNS ENTITY IN WHICH FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, IS OWNER 2752700 SPONSORSHIP AGREEMENT 0 CLEVELAND BROWNS ENTITY IN WHICH FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, IS OWNER 680172 MEDICAL SERVICES AGREEMENT 0 FIRST MERIT ENTITY IN WHICH RON PAYDO, MEDINA DIRECTOR, IS EXECUTIVE VICE PRESIDENT 1287413 BANKING SERVICES AND LOAN 0 ILLUMINATING COMPANY ENTITY IN WHICH DENNIS CHACK, MARYMOUNT TRUSTEE, WAS REGIONAL PRESIDENT 1188950 ELECTRIC SUPPLIER 0 KEYCORP ENTITY IN WHICH CCF DIRECTORS ARE CHAIRMAN AND CEO AND DIRECTOR 816830 BANKING SERVICES -ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, IS CHAIRMAN AND CEO AND BILL SANFORD, CCF DIRECTOR, IS DIRECTOR. 0 KEYCORP ENTITY IN WHICH CCF DIRECTORS ARE CHAIRMAN AND CEO AND DIRECTOR 44700 LEASE AGREEMENT -ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, IS CHAIRMAN AND CEO AND BILL SANFORD, CCF DIRECTOR, IS DIRECTOR. 0 MARSH & MCLENNAN ENTITY IN WHICH STEVEN HARDIS, CCF DIRECTOR, IS A DIRECTOR 500172 FEES FOR PROPERTY AND CASUALTY INSURANCE SERVICES 0 MCCRACKEN ROAD LIMITED PARTNERSHIP FAMILY MEMBER OF C DEYLING, CCF DIR, IS AN OFFICER OF ENTITY THAT IS A PTNR 286396 ENTITY IN WHICH FAMILY MEMBER OF CYNTHIA DEYLING, CCF DIRECTOR, IS AN OFFICER OF AN ENTITY THAT IS A PARTNER IN MRLP. DESCRIPTION OF TRANSACTION: CC LEASES SPACE IN MEDICAL OFFICE BUILDING 0 MCCRACKEN ROAD LIMITED PARTNERSHIP FAMILY MEMBER OF C DEYLING, MYMT DR, IS AN OFFICER OF ENTITY THAT IS A PTNR 275595 ENTITY IN WHICH FAMILY MEMBER OF CYNTHIA DEYLING, MARYMOUNT DIRECTOR, IS AN OFFICER OF AN ENTITY THAT IS A PARTNER IN MRLP. DESCRIPTION OF TRANSACTION: MARYMOUNT LEASES SPACE IN MEDICAL OFFICE BUILDING 0 NORTHSHORE GASTROENTEROLOGY ENTITY IN WHICH MOUSAB TABBAA, LAKEWOOD & WR TRUSTEE, IS AN OFFICER 386911 LEASE AGREEMENT FOR PHYSICIAN OFFICES 0 ORTHOPAEDIC ASSOCIATES ENTITY IN WHICH RAYMOND HORWOOD, FAIRVIEW/LUTHERAN TRUSTEE, IS A PARTNER 128100 MEDICAL SERVICES 0 PANZICA CONSTRUCTION ENTITY IN WHICH FAMILY MEMBER OF C DEYLING, CCF DIRECTOR, IS PRESIDENT/CEO 433073 CONSTRUCTION SERVICES 0 SQUIRE SANDERS ENTITY IN WHICH FREDERICK NANCE, CCF DIRECTOR, IS REGIONAL MANAGING PARTNER 1191603 LEGAL SERVICES 0 TRAVEL TEAM ENTITY IN WHICH ROBERT RICH, CC BOARD CHAIR, IS CEO AND CHAIRMAN 184526 MEDICAL TRAVEL SERVICES 0 DANIEL CULVER FAMILY MEMBER OF STEVEN HARDIS, CCF DIRECTOR 244116 EMPLOYMENT AGREEMENT WITH CCF 0 GREGORY BORKOWSKI FAMILY MEMBER OF RAYMOND BORKOWSKI, CCF DIRECTOR 644368 EMPLOYMENT AGREEMENT WITH CCF 0 LAURA HAHN BRANDON FAMILY MEMBER OF JOSEPH HAHN, CCF DIRECTOR 71212 EMPLOYMENT AGREEMENT WITH CCF 0 LOREEN KOBILARCSIK FAMILY MEMBER OF LINDA MCHUGH, CCF OFFICER 32469 EMPLOYMENT AGREEMENT WITH CCF 0 X 7 90500 SALE OF COMPARABLE GOODS X SALE COMPARABLE GOODS X 26090 SALE COMPARABLE GOODS X 1 15000 SALE COMPARABLE GOODS X 132 3449307 SELLING PRICE X 1 232000 APPRAISAL X 23 176765 SALE COMPARABLE GOODS X 3 4300 COST X COST X EQUIPMENT 5 135372 SALE OF COMPARABLE GOODS X EVENTS/TICKETS 55 249899 COST 3 0 1 1 THIRD PARTY USE: PART I, LINE 32B: CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PART III THE CLEVELAND CLINIC FOUNDATION ("CLEVELAND CLINIC"), LOCATED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. CLEVELAND CLINIC WAS ESTABLISHED IN 1921 WITH THE SAME MISSION THAT CONTINUES TODAY: BETTER CARE FOR THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING CHARITY CARE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING CHARITY CARE ON A COST BASIS. USING THIS MODEL, IN 2011 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $552.2 MILLION IN BENEFITS TO THE COMMUNITIES IT SERVES. 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. CLEVELAND CLINIC'S 2011 EDITION OF ITS COMMUNITY CONNECTIONS REPORT ON COMMUNITY BENEFIT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO OUR 2011 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE IN 2011, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDED AN ACADEMIC MEDICAL CENTER AND 10 COMMUNITY HOSPITALS (EUCLID, FAIRVIEW, HILLCREST, HURON, LAKEWOOD, LUTHERAN, MARYMOUNT, MEDINA, AND SOUTH POINTE HOSPITALS, AND CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION) IN NORTHEAST OHIO; ONE HOSPITAL AND ONE HEALTH AND WELLNESS CENTER IN FLORIDA; A CENTER FOR BRAIN HEALTH IN LAS VEGAS, NEVADA; AND ONE HEALTH AND WELLNESS CENTER IN TORONTO, CANADA. 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. IN 2011, THE CLEVELAND CLINIC HEALTH SYSTEM RECORDED 3,403 TOTAL STAFFED BEDS, 437,692 EMERGENCY VISITS, 187,905 SURGICAL CASES, 160,632 ADMISSIONS, AND MORE THAN 4.6 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. CLEVELAND CLINIC FLORIDA INCLUDES A 155-BED HOSPITAL, DIAGNOSTIC CENTERS, OUTPATIENT SURGERY, AND A 24-HOUR EMERGENCY DEPARTMENT IN WESTON, FLORIDA. THE CLEVELAND CLINIC FLORIDA HEALTH AND WELLNESS CENTER IN WEST PALM BEACH OFFERS SUBSPECIALTY MEDICAL AND RADIOLOGY SERVICES. IN 2011, CLEVELAND CLINIC FLORIDA HAD 331,000 PATIENT VISITS, MORE THAN 15,300 INTERNATIONAL PATIENTS, AND MORE THAN 200 STAFF PHYSICIANS AND 76 RESIDENTS IN 10 ACCREDITED PROGRAMS. THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS A MULTIDISCIPLINARY CENTER, CO-LOCATED IN LAS VEGAS AND CLEVELAND PROVIDING DIAGNOSIS AND TREATMENT FOR PATIENTS WITH COGNITIVE DISORDERS AND SUPPORT FOR THEIR FAMILIES. PHYSICIANS AND STAFF FOCUS ON EARLY INTERVENTION FOR MILD COGNITIVE DISORDERS THROUGH PHYSICAL EXERCISE, COGNITIVE REHABILITATION, AND MEDICATION. EDUCATION AND RESEARCH ARE ADDITIONAL PRIORITIES. KEEP MEMORY ALIVE ("KMA") RAISES FUNDS TO BUILD AND OPERATE THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH TO ADVANCE THE RESEARCH AND TREATMENT OF PATIENTS WITH NEURO-COGNITIVE DISORDERS THAT RESULT FROM NEUROLOGICAL DISEASES INCLUDING ALZHEIMER'S, HUNTINGTON'S, PARKINSON'S, AND AMYOTROPHIC LATERAL SCLEROSIS (ALS). KMA STRIVES TO CREATE GREATER AWARENESS OF NEUROCOGNITIVE DISORDERS; EDUCATES FAMILIES ABOUT TREATMENTS, RESEARCH EFFORTS AND AVAILABLE CAREGIVER SERVICES; AND PROMOTES LIFESTYLE CHANGES TO ENCOURAGE HEALTHY BRAIN AGING. THE CLEVELAND CLINIC HEALTH SYSTEM IS THE FIRST IN NORTHEAST OHIO ACCREDITED BY THE JOINT COMMISSION, THE NATION'S LARGEST ACCREDITOR OF HEALTHCARE ORGANIZATIONS. ALL OF OUR HOSPITALS, OUTPATIENT CLINICS, AND HOME HEALTHCARE PROGRAMS ARE ALSO ACCREDITED BY THE JOINT COMMISSION UNDER ITS HOSPITAL ACCREDITATION PROGRAM. (SEE FORM 990, SCHEDULE H, PART V FOR A LISTING OF FACILITIES.) 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 2011. 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 SEVENTEENTH YEAR IN A ROW, AND ITS GASTROENTEROLOGY, KIDNEY DISORDERS, AND UROLOGY PROGRAMS WERE RANKED SECOND IN THE NATION. IN 2011, CLEVELAND CLINIC OPENED THE RICHARD E. JACOBS FAMILY HEALTH CENTER IN AVON, THE STEPHANIE TUBBS JONES HEALTH CENTER IN EAST CLEVELAND, AND THE TWINSBURG FAMILY HEALTH AND SURGERY CENTER, EACH OFFERING OUTPATIENT AND SPECIALTY CARE, SPECIALIZED CHRONIC DISEASE SERVICES, AND PREVENTION AND WELLNESS PROGRAMS DESIGNED TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE. THE STEPHANIE TUBBS JONES HEALTH CENTER, LOCATED ADJACENT TO THE HURON HOSPITAL CAMPUS, ESTABLISHED A NEW MODEL OF OUTPATIENT CARE FOR THE COMMUNITY BY LINKING HEALTHCARE WITH SOCIAL AND FINANCIAL SERVICES. AT THE SAME TIME THIS NEW COMMUNITY HEALTH CENTER OPENED, HURON HOSPITAL CLOSED AND THE SERVICES PREVIOUSLY PROVIDED AT HURON HOSPITAL WERE MIGRATED TO THE NEW COMMUNITY HEALTH CENTER AS WELL AS OTHER CLEVELAND CLINIC FACILITIES. EUCLID HOSPITAL IS HOME TO ONE OF THE REGION'S LEADING ORTHOPAEDIC AND REHABILITATION CENTERS AND EARNED A CERTIFICATE OF DISTINCTION FROM THE JOINT COMMISSION FOR ITS ADVANCED PRIMARY STROKE CENTER. IT IS ALSO CERTIFIED BY THE JOINT COMMISSION IN KNEE REPLACEMENT AND HIP REPLACEMENT. FAIRVIEW HOSPITAL, A MAGNET HOSPITAL FOR NURSING EXCELLENCE, BROKE GROUND ON AN $81 MILLION RENOVATION PROJECT TO BUILD A NEW EMERGENCY DEPARTMENT AND INTENSIVE CARE UNIT TO MEET THE GROWING NEEDS OF THE COMMUNITY. HILLCREST HOSPITAL CONTINUES TO BE A LEADER IN PATIENT CARE, NATIONALLY RANKING AS ONE OF THE NATION'S TOP 100 HOSPITALS, RENOWNED IN CARDIAC MEDICINE. RENOVATION OF THE LABOR, DELIVERY, AND POSTPARTUM AREAS BEGAN IN 2011 AND IS SCHEDULED TO BE COMPLETE IN 2014. LAKEWOOD HOSPITAL IS AN ACUTE CARE COMMUNITY HOSPITAL CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. IT HAS STRONG CLINICAL CENTERS OF EXCELLENCE THAT INCLUDE NEUROLOGICAL SERVICES, SENIOR CARE, ORTHOPAEDICS, AND DIABETES AND ENDOCRINE SERVICES. LUTHERAN HOSPITAL IS AN AREA LEADER IN GERIATRIC AND ADULT BEHAVIORAL HEALTH, SPINE CARE, ORTHOPAEDICS, AND WOUND CARE. MARYMOUNT HOSPITAL IS CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER AND SPECIALIZES IN VASCULAR SERVICES, DIABETES CARE, ORTHOPAEDICS, SURGICAL SERVICES, AND BEHAVIORAL HEALTH. MEDINA HOSPITAL, A 157-BED HOSPITAL FACILITY, IS CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER AND SPECIALIZES IN WOMEN'S HEALTH, ORTHOPAEDICS, AND EMERGENCY CARE. SOUTH POINTE HOSPITAL IS ONE OF OHIO'S LARGEST OSTEOPATHIC TEACHING HOSPITALS AND IS THE SITE OF THE CENTER FOR OSTEOPATHIC REGIONAL EDUCATION IN NORTHEAST OHIO FOR THE OHIO UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T) CLEVELAND CLINIC FLORIDA'S PELVIC FLOOR CENTER HAS BEEN DESIGNATED AS A CENTER OF EXCELLENCE: CONTINENCE CARE IN WOMEN BY THE NATIONAL ASSOCIATION FOR CONTINENCE CARE. IT IS THE FIRST HOSPITAL ON THE EAST COAST AND THE THIRD HOSPITAL IN THE NATION TO RECEIVE SUCH DESIGNATION. THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS ESTABLISHING A UNIQUE CLINICAL TRIALS NETWORK TO ADVANCE THE DEVELOPMENT OF NEW THERAPIES FOR ALZHEIMER'S DISEASE AND OTHER COGNITIVE DISORDERS. 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 CHARITY CARE AT A COST OF $145.6 MILLION IN 2011. 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 HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. LRI HAS MORE THAN 150 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CELL BIOLOGY, GENOMIC MEDICINE, IMMUNOLOGY, MOLECULAR CARDIOLOGY, MOLECULAR GENETICS, NEUROSCIENCES, PATHOBIOLOGY, QUANTITATIVE HEALTH SCIENCES, AND STEM CELL BIOLOGY AND REGENERATIVE MEDICINE. 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 240 POSTDOCTORAL FELLOWS, NEARLY 195 GRADUATE STUDENTS, AND 155 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC AND ITS STAFF PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2011, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 1,000 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 2011, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $64.9 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 ALLIED SCIENCE PROFESSIONALS. CLEVELAND CLINIC DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, AND, IN 2011, PROVIDED A COMMUNITY BENEFIT OF $196.2 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 2011, OVER 1,300 RESIDENTS AND FELLOWS TRAINED IN 65 ACCREDITED RESIDENCY TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). 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 1,745 APPLICANTS FOR 32 POSITIONS IN 2011. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 48 PUBLICATIONS AND 91 PRESENTATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE IN 2011. VISITING MEDICAL STUDENTS. VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2011, 322 MEDICAL STUDENTS FROM CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE WERE AMONG THE 620 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 2011, THE CENTER FOR CONTINUING EDUCATION OFFERED 1,437 CME PROGRAMS TO 233,606 PARTICIPANTS. OF THAT NUMBER, 726 WERE LIVE ACTIVITIES, 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 401 ACTIVITIES THAT ATTRACTED 383,591 ACTIVITY VIEWERS. IN 2011, THE CENTER ISSUED MORE THAN 243,000 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 78,000 CERTIFICATES. THE CCJM ENJOYED A CIRCULATION OF MORE THAN 101,000 AND RANKED FIRST IN READERSHIP AMONG JOURNALS DIRECTED TO INTERNISTS AND CARDIOLOGISTS. CENTER FOR ALLIED HEALTH EDUCATION. CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF ALLIED HEALTH STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 16 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 49 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2011, CLEVELAND CLINIC HOSTED 1,711 ALLIED HEALTH STUDENT ROTATIONS AT THE MAIN CAMPUS HOSPITAL, COMMUNITY HOSPITALS AND FAMILY HEALTH CENTERS. CENTER FOR INTERNATIONAL MEDICAL EDUCATION. THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IN 2011, 800 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 130 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC IN CONGENITAL HEART SURGERY, OBSTETRICS AND MATERNAL FETAL MEDICINE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, OBESITY AND METABOLIC DISEASE MANAGEMENT; AND OUR OWN STAFF TRAVELED TO MORE THAN 20 COUNTRIES TO SHARE CLINICAL AND SURGICAL INNOVATIONS. SAMSON GLOBAL LEADERSHIP ACADEMY. IN 2011, CLEVELAND CLINIC LAUNCHED THIS HEALTHCARE EXECUTIVE EDUCATION PROGRAM THAT GIVES PARTICIPANTS FROM ACROSS THE NATION A REALITY-BASED, HANDS-ON LEADERSHIP EXPERIENCE. COMMUNITY EDUCATION EDUCATING THE COMMUNITY HAS ALSO BEEN A PRIORITY AT CLEVELAND CLINIC. OUR CENTER FOR CONSUMER HEALTH INFORMATION IS EXPANDING KNOWLEDGE THROUGH A VARIETY OF MEDIA WHILE MAKING INFORMATION AVAILABLE TO PATIENTS AND THE NORTHEAST OHIO COMMUNITY. FOLLOWING ARE SOME OF THE PROGRAMS OFFERED IN 2011: PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T) 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 PREPARED FOR THE GENERAL PUBLIC. THE CONSUMER HEALTH INFORMATION STAFF ALSO FULFILLS REQUESTS FOR HEALTH INFORMATION MADE IN WRITING, BY EMAIL, OR BY PHONE. IN 2011, THE CENTER FULFILLED 5,355 REQUESTS AND SERVED 13,501 PEOPLE WHO CAME INTO THE CENTER FOR INFORMATION. HEALTH TALKS/HEALTH EXCHANGE AND CCTV: THE CENTER FOR CONSUMER HEALTH INFORMATION AGAIN ENJOYED STRONG ATTENDANCE AT 40 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS. THE CENTER MANAGED 3,087 SCHEDULED CLOSED-CIRCUIT TELEVISION PROGRAMS WEEKLY AT CLEVELAND CLINIC AND APPROXIMATELY 231 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 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 2011, WE HELD 3,643 WEBCHATS. LIBRARY/CABLE VIDEOTAPES: CLEVELAND CLINIC HAS PRODUCED A SERIES OF VIDEOTAPES COVERING MANY HEALTH TOPICS AND MAKES THEM AVAILABLE THROUGH PUBLIC LIBRARIES IN GREATER CLEVELAND. THE VIDEOTAPES ALSO APPEAR ON A NUMBER OF PUBLIC ACCESS CABLE STATIONS. FIVE PROGRAMS WERE RECORDED IN 2011. IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF OUR COMMUNITY BENEFIT ARE: 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 2011, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $85.9 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $17.8 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 PROVIDED SUBSIDIZED HEALTH SERVICES IN 2011 AT A COST OF $14.0 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 2011 FOR A TOTAL NET COMMUNITY BENEFIT OF $45.6 MILLION. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS IN OUR COMMUNITIES. OUR OUTREACH PROGRAMS RANGE FROM FREE BLOOD PRESSURE AND CHOLESTEROL SCREENINGS TO PROVIDING MEETING ROOMS FOR COMMUNITY GROUPS. MANY OF OUR COMMUNITY OUTREACH PROGRAMS ARE DESCRIBED IN OUR 2011 COMMUNITY BENEFIT REPORT. SOME ADDITIONAL PROGRAMS INCLUDE: -COMMUNITY OUTREACH CLINICS: OUTREACH CLINICS PROVIDE NO-COST, EASILY ACCESSIBLE HEALTHCARE TO UNDERSERVED COMMUNITIES AND THOSE WITH LEAST ACCESS TO HEALTHCARE. CLEVELAND CLINIC SUPPORTS THE CLINICS BY PROVIDING PHYSICIANS, NURSE PRACTITIONERS, NURSES, AND OTHER MEDICAL PROFESSIONALS TO STAFF THEM. OUTREACH CLINICS ARE ESTABLISHED IN LOCATIONS (E.G., SHELTERS, CHURCHES AND NEIGHBORHOOD COMMUNITY DEVELOPMENT CENTERS) TO ENSURE ACCESSIBILITY FOR PEOPLE IN MEDICALLY UNDERSERVED AREAS. IN ADDITION, THE CLEVELAND CLINIC PHYSICIANS, NURSES, AND OTHER MEDICAL PROFESSIONALS PROVIDE PHYSICALS, SCREENINGS, EDUCATION AND COUNSELING TO COMMUNITY MEMBERS AT THE OUTREACH CLINIC AT THE LANGSTON HUGHES CENTER. -MINORITY MEN'S HEALTH CENTER: THE CENTER PROVIDES DIRECT PATIENT CARE AND EDUCATION, OUTREACH, AND RESEARCH ON THE ELIMINATION OF MINORITY HEALTHCARE DISPARITIES, AND MENTORSHIP TO STUDENTS TO PROMOTE THE HEALTH PROFESSIONS AS CAREER OPTIONS. -COMMUNITY HEALTH TALKS AND WALKS: CLEVELAND CLINIC HELD SEVERAL COMMUNITY HEALTH TALKS ON VARIOUS HEALTH AND WELLNESS TOPICS, INCLUDING HEART DISEASE, STROKE, DIABETES, AND BRAIN DISEASE. ADDITIONAL HEALTH LECTURES WERE PROVIDED IN AREAS OF WELLNESS AND BEHAVIORAL CHANGES, INCLUDING MEDICATIONS, SENIOR WELLNESS, SMOKING CESSATION, TEEN PARENTING, FAMILY VIOLENCE, AND CHILD SAFETY. IN ADDITION, THE CLEVELAND CLINIC OFFERS A "WALK WITH A DOC" PROGRAM IN SEVERAL LOCATIONS IN NORTHEAST OHIO THAT PROVIDES COMMUNITY MEMBERS THE OPPORTUNITY TO LEARN ABOUT HEALTH AND WELLNESS TOPICS FROM AND TAKE WALKS WITH PHYSICIAN EXPERTS. -CLEVELAND CLINIC'S OFFICE OF CIVIC EDUCATION INITIATIVES SUPPORTS OUR REGION'S K-12 SCHOOLS AS A PRIORITY AND OFFERS A MULTIFACETED APPROACH TO PROMOTE EDUCATION, RANGING FROM STUDENT INTERNSHIPS AND MENTORING TO IN-KIND AND FINANCIAL CONTRIBUTIONS. -FARMERS MARKETS: CLEVELAND CLINIC OFFERED COMMUNITY FARMERS MARKETS, NUTRITION SEMINARS AND EXERCISE CLASSES TO PROMOTE DISEASE PREVENTION AND HEALTHY LIFESTYLES. -HEALTH SCREENINGS: PHYSICIANS AND SUPPORT STAFF ASSISTED WITH MEDWORKS CLINICS THROUGHOUT THE YEAR, ROTATING LOCATIONS IN UNDERSERVED AREAS. V. CONCLUSION THE SINGULAR 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, CCF ,CCEF, AND CCHS-EAST REGION TRUSTEE, AND MORRY WEISS, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE - BUSINESS BILL SANFORD, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE, AND LARRY POLLOCK, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE - BUSINESS BETH MOONEY, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE, AND BILL SANFORD, CCF, CCEF, AND CCHS-EAST REGION TRUSTEE - BUSINESS LARRY RUVO AND CAMILLE RUVO, KMA DIRECTOR - FAMILY LARRY RUVO, KMA AND LRBI DIRECTOR, AND MICHAEL SEVERINO, KMA AND LRBI DIRECTOR - BUSINESS JEFFREY CUMMINGS, KMA DIRECTOR, ALSO CC NEVADA KEY EMPLOYEE, AND XUE ZHONG, CC NEVADA KEY EMPLOYEE - FAMILY FORM 990, PART VI, SECTION A, LINE 3 CCF HOTEL SERVICES INC. HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE THREE HOTELS OWNED BY CCF HOTEL SERVICES INC. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND TRUSTEES/DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS (TRUSTEES), AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE TRUSTEES. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE AND THAT MEMBER ELECTS THE BOARD OF THE RESPECTIVE SUBORDINATE. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS. IN ADDITION, CERTAIN SUBORDINATES IN THE CCF GROUP EACH HAVE A "SPECIAL" MEMBER THAT ARE OTHER NONPROFIT TAX EXEMPT ENTITIES THAT HOLD SPECIAL RIGHTS TO APPROVE SIGNIFICANT TRANSACTIONS OR CHANGES SUCH AS MERGER, DISSOLUTION, SALE OF SUBSTANTIALLY ALL ASSETS, OR A MATERIAL CHANGE IN MISSION. FORM 990, PART VI, SECTION B, LINE 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 AND THE AUDIT COMMITTEE CHAIRPERSON PRIOR TO FILING. 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 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 FIVE TIMES A YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS THEIR CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSONS MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15A ALL CCF OFFICERS AND KEY EMPLOYEE POSITIONS HAVE THEIR COMPENSATION REVIEWED IN ADVANCE ANNUALLY BY THE COMPENSATION COMMITTEE OF THE CCF BOARD OF DIRECTORS, WHICH IS VESTED WITH BOARD-DELEGATED POWERS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO COMPENSATION MATTERS. IN REVIEWING AND ESTABLISHING COMPENSATION FOR THESE OFFICERS AND KEY EMPLOYEES, THE COMMITTEE USES A PROCESS WHICH IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 53.4958-6(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT 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. A SMALL NUMBER OF EMPLOYEES HOLDING AFFILIATE OFFICER POSITIONS HAVE THEIR COMPENSATION REVIEWED AND APPROVED BY THEIR MANAGERS ANNUALLY WITHIN GUIDELINES PRESCRIBED BY THE ORGANIZATION'S HUMAN RESOURCE FUNCTION. THESE GUIDELINES TAKE INTO CONSIDERATION APPLICABLE COMPARABILITY DATA AND SIMILAR COMPENSATION METRICS. FORM 990, PART VI, SECTION C, LINE 19 CCF MAKES CERTAIN OF ITS KEY DOCUMENTS 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 5: NET UNREALIZED LOSSES ON INVESTMENTS: -96,388,826. GIFTS AND BEQUESTS 37,371,944. NET INVESTMENT INCOME 5,696,461. NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -57,427,100. RETIREMENT BENEFITS ADJUSTMENT -143,138,997. NET CHANGE IN UNREALIZED GAINS ON NONTRADING INVESTMENTS -6,343,277. CHANGE IN VALUE OF PERPETUAL TRUSTS 2,640,075. CHANGE IN INTERESTS IN FOUNDATIONS -440,106. DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 373,093. EQUITY TRANSFERS 70,666,255. ADJUST BEGINNING BALANCE FOR ENTITIES NOT IN THE GROUP LAST YEAR 75,899,308. TOTAL TO FORM 990, PART XI, LINE 5: -111,091,170. 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