THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201213189349303721
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T14:56:23-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	346565596	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	925 EUCLID AVENUE 1300	AddressLine1
City	CLEVELAND	City
State	OH	State
ZIP Code	44115	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714585	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	STEVEN C GLASS	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	2164442200	Phone
Date Signed	2012-11-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	4634172571	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CLEVELANDCLINIC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1921	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	PATIENT CARE, RESEARCH & EDUCATION	ActivityOrMissionDescription
Nbr Voting Members Governing Body	26	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	27152	TotalNbrEmployees
Total Nbr Volunteers	1857	TotalNbrVolunteers
Total Gross UBI	19436143	TotalGrossUBI
Net Unrelated Business Txbl Income	-5289537	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	232934775	ContributionsGrantsPriorYear
Contributions Grants Current Year	230990120	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3609359804	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3851877965	ProgramServiceRevenueCY
Investment Income Prior Year	88244669	InvestmentIncomePriorYear
Investment Income Current Year	90141749	InvestmentIncomeCurrentYear
Other Revenue Prior Year	27252439	OtherRevenuePriorYear
Other Revenue Current Year	-108505203	OtherRevenueCurrentYear
Total Revenue Prior Year	3957791687	TotalRevenuePriorYear
Total Revenue Current Year	4064504631	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	58174238	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	92748241	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2194121846	SalariesEtcPriorYear
Salaries Etc Current Year	2234999990	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	1856723	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	1235540	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	12050548	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1474369080	OtherExpensePriorYear
Other Expenses Current Year	1624657473	OtherExpensesCurrentYear
Total Expenses Prior Year	3728521887	TotalExpensesPriorYear
Total Expenses Current Year	3953641244	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	229269800	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	110863387	RevenuesLessExpensesCY
Total Assets BOY	5996125874	TotalAssetsBOY
Total Assets EOY	6349862963	TotalAssetsEOY
Total Liabilities BOY	3628650609	TotalLiabilitiesBOY
Total Liabilities EOY	3986181984	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2367475265	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2363680979	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION INTO THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3532022425	Expense
Grants	92246988	Grants
Revenue	3812698902	Revenue
Description	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Description
Total Program Service Expense	3532022425	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	1	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	1	MoreThan5000KToOrganizations
More Than5000 K To Individuals	1	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	7882	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	27152	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CA	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	GR	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	1	Form8282PropertyDisposedOf
Number Of8282 Filed	2	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	26	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	AK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	HI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	LA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ND	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	UT	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
COSGROVE DELOS M
PRESIDENT, CEO	50.00	X	X	2363420	0	200794
HAHN JOSEPH F
CHIEF OF STAFF	50.00	X	X	1149784	0	133831
RICH ROBERT E JR
BOARD CHAIR	3.00	X	X	0	0	0
SCAMINACE JOSEPH M
VICE CHAIR	3.00	X	X	0	0	0
AULETTA PATRICK V
DIRECTOR	3.00	X		0	0	0
BORKOWSKI RAYMOND
ANESTHESIOLOGIST	50.00	X		398555	0	42186
COMMES THOMAS A
DIRECTOR	3.00	X		0	0	0
DEYLING CYNTHIA
CHAIR - REGIONAL OPERATIONS	50.00	X		513915	0	107426
FEDELI UMBERTO P
DIRECTOR	3.00	X		0	0	0
HARDIS STEPHEN R
DIRECTOR	3.00	X		0	0	0
HESSLER DAVID J
DIRECTOR	3.00	X		0	0	0
HOOVER CAROLE
DIRECTOR	3.00	X		0	0	0
KEMPER JOHN W
DIRECTOR	3.00	X		0	0	0
LERNER NORMA
DIRECTOR	3.00	X		0	0	0
MACDONALD WILLIAM EIII
DIRECTOR	3.00	X		0	0	0
MCCARTAN PATRICK
DIRECTOR	3.00	X		0	0	0
MILLER SAMUEL
DIRECTOR	3.00	X		0	0	0
MOONEY BETH E
DIRECTOR	3.00	X		0	0	0
MORINA MARIO
DIRECTOR	3.00	X		0	0	0
NANCE FREDERICK
DIRECTOR	3.00	X		0	0	0
POLLOCK LARRY
DIRECTOR	3.00	X		0	0	0
ROSS RONALD J
DIRECTOR	3.00	X		0	0	0
SANFORD BILL R
DIRECTOR	3.00	X		0	0	0
TIMKEN WILLIAM AMB
DIRECTOR	3.00	X		0	0	0
TOMSICH ROBERT
DIRECTOR	3.00	X		0	0	0
WEISS MORRY
DIRECTOR	3.00	X		0	0	0
DICORLETO PAUL E
CHAIR - RESEARCH INST	50.00		X	433671	0	39512
GLASS STEVEN C
CFO & TREASURER	50.00		X	924506	0	42784
HARRINGTON MICHAEL
CAO & CONTROLLER	50.00		X	476302	0	44311
MCHUGH LINDA
ASSISTANT SECRETARY	50.00		X	330378	0	42784
MEEHAN MICHAEL
RECORDING SECRETARY	50.00		X	286871	0	61391
MURRAY JAN
ASSISTANT SECRETARY	50.00		X	161706	0	18237
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00		X	727699	0	46130
ROWAN DAVID W
CHIEF LEGAL OFFICER	50.00		X	635452	0	47017
HARRISON MARC A
CEO, CCAD	50.00			1268888	0	42587	X
LYTLE BRUCE W
INSTITUTE CHAIR - HEART & VASC	50.00			1653530	0	-309132	X
COSTIN JOHN
INSTITUTE CHAIR - CC LORAIN	50.00			3997909	0	38248		X
FAZIO VICTOR
SECTION HEAD - ENTEROSTOMAL THERAPY	50.00			1386781	0	37038		X
FISHLEDER ANDREW W
INTERNATIONAL OPERATIONS	50.00			3295231	0	5362		X
MAVROUDIS CONSTANTINE
CHAIR - PEDIATRIC & CONGEN HEART	50.00			1578890	0	41730		X
MARTIN DANIEL F
CHAIR - COLE EYE	50.00			1319824	0	32036		X
BELL GORDON R
FORMER OFFICER	50.00			710456	0	71518			X
FUNG JOHN J
FORMER KEY EMPLOYEE	50.00			911207	0	42186			X
MATSEN PAUL
FORMER KEY EMPLOYEE	50.00			863583	0	42186			X
MODIC MICHAEL
FORMER KEY EMPLOYEE	50.00			859025	0	71034			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	26247583	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	941196	TotalOtherCompensation
Number Individuals GT100 K	3498	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TURNER CONSTRUCTION COMPANY
1422 EUCLID AVE STE 1400	CLEVELAND	OH	44115	CONSTRUCTION SERVICES	38169035
DONLEY'S INC
5430 WARNER RD	CLEVELAND	OH	44125	CONSTRUCTION SERVICES	26292264
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 12110	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SOLUTIONS	17177927
WHITING-TURNER CONTRACTING COMPANY
5875 LANDERBROOK DR STE 100	MAYFIELD HEIGHTS	OH	44124	CONSTRUCTION SERVICES	15846432
ADCOM COMMUNICATIONS INC
1370 WEST 6TH ST THIRD FLOOR	CLEVELAND	OH	44113	MARKETING	10824986

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	446	NumberOfContractorsGT100K
Federated Campaigns	40935188	FederatedCampaigns
Fundraising Events	2234982	FundraisingEvents
Related Organizations	18865026	RelatedOrganizations
Government Grants	111403706	GovernmentGrants
All Other Contributions	57551218	AllOtherContributions
Noncash Contributions	3618570	NoncashContributions
Total Contributions	230990120	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT SERVICES	621990	2778266620	2778266620
MEDICARE/MEDICAID PAYM	921990	891533422	891533422
OTHER PROGRAM SERVICES	900099	129808593	127632274	2176319
MANAGEMENT FEES	561000	19911277	11770179	8141098
PARKING, PHONE & OTHER	812930	19176898			$19,176,898

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	13181155	TotalRevenueColumn
Related Or Exempt Function Income	3496407	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	9684748	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	3851877965	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	43491995	TotalRevenueColumn
Exclusion	$43,491,995	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	103716	TotalRevenueColumn
Exclusion	$103,716	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15854250	TotalRevenueColumn
Exclusion	$15,854,250	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	10211703	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	10211703	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	10211703	TotalRevenueColumn
Exclusion	$10,211,703	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	614311217	Securities
Other	669328	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	558990206	Securities
Other	9444301	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	55321011	Securities
Other	-8774973	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	46546038	TotalRevenueColumn
Exclusion	$46,546,038	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	374098	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	2234982	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1233433	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-859335	TotalRevenueColumn
Exclusion	-$859,335	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
INCOME (LOSS) ON INVES	523000	17682031	-566022	$18,248,053
MISCELLLANEOUS INCOME	900099	45		$45
FOREIGN CURRENCY	525990	-136125		-$136,125

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-151257772	TotalRevenueColumn
Exclusion	-$151,257,772	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	-133711821	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4064504631	TotalRevenueColumn
Related Or Exempt Function Income	3812698902	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	19436143	UnrelatedBusinessRevenue
Exclusion	$1,379,466	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	29565901	Total
Program Services	29565901	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	62077521	Total
Program Services	62077521	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	1104819	Total
Program Services	1104819	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	11882269	Total
Program Services	3327749	ProgramServices
Management And General	8554520	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	3509178	Total
Program Services	927563	ProgramServices
Management And General	2581615	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1732719836	Total
Program Services	1502167217	ProgramServices
Management And General	223736621	ManagementAndGeneral
Fundraising	6815998	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	103930375	Total
Program Services	90052504	ProgramServices
Management And General	13419960	ManagementAndGeneral
Fundraising	457911	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	265223980	Total
Program Services	230280397	ProgramServices
Management And General	34246920	ManagementAndGeneral
Fundraising	696663	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	117734352	Total
Program Services	102084165	ProgramServices
Management And General	15202392	ManagementAndGeneral
Fundraising	447795	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3692008	Total
Program Services	3211615	ProgramServices
Management And General	476729	ManagementAndGeneral
Fundraising	3664	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	7742326	Total
Program Services	6742602	ProgramServices
Management And General	999724	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1575304	Total
Management And General	1575304	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	655660	Total
Program Services	655660	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	1235540	Total
Fundraising	1235540	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	7961802	Total
Management And General	7961802	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	160198755	Total
Program Services	138410107	ProgramServices
Management And General	20685588	ManagementAndGeneral
Fundraising	1103060	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	34354021	Total
Program Services	29869049	ProgramServices
Management And General	4435947	ManagementAndGeneral
Fundraising	49025	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	47942074	Total
Program Services	41361102	ProgramServices
Management And General	6190497	ManagementAndGeneral
Fundraising	390475	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	59494797	Total
Program Services	51663068	ProgramServices
Management And General	7682237	ManagementAndGeneral
Fundraising	149492	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	46012899	Total
Program Services	40052183	ProgramServices
Management And General	5941394	ManagementAndGeneral
Fundraising	19322	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	14798478	Total
Program Services	12552669	ProgramServices
Management And General	1910846	ManagementAndGeneral
Fundraising	334963	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	7630917	Total
Program Services	6480867	ProgramServices
Management And General	985339	ManagementAndGeneral
Fundraising	164711	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	71505587	Total
Program Services	62272462	ProgramServices
Management And General	9233125	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	208598971	Total
Program Services	181630222	ProgramServices
Management And General	26935242	ManagementAndGeneral
Fundraising	33507	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	35962195	Total
Program Services	31318594	ProgramServices
Management And General	4643601	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	582493477	582493477
BAD DEBT EXPENSE	193182348	193182348
EQUIPMENT RENTAL & MAIN	73015779	63567542	9428128	20109
RESEARCH EXPENSE	24295632	24295632

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	43544443	Total
Program Services	40675390	ProgramServices
Management And General	2740740	ManagementAndGeneral
Fundraising	128313	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3953641244	Total
Program Services	3532022425	ProgramServices
Management And General	409568271	ManagementAndGeneral
Fundraising	12050548	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	59822337	BOY
EOY	111313815	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	16139868	BOY
EOY	12412559	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	241276995	BOY
EOY	227782966	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	515447460	BOY
EOY	530717836	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	16499483	BOY
EOY	5880193	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	54983209	BOY
EOY	80646742	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	54365455	BOY
EOY	57029848	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	19000271	BOY
EOY	18829883	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4274947507	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1990734977	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2042248480	BOY
EOY	2284212530	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1797908706	BOY
EOY	1573827170	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1018983834	BOY
EOY	1234419535	EOY

Investments Program Related InvestmentsProgramRelated

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

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	12600617	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	147449776	BOY
EOY	188189269	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5996125874	BOY
EOY	6349862963	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	552665231	BOY
EOY	586550588	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	480149	BOY
EOY	696377	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	70978376	BOY
EOY	72356396	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1983906633	BOY
EOY	1976584962	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2042047	BOY
EOY	1569160	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	43883074	BOY
EOY	89739077	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	974695099	BOY
EOY	1258685424	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3628650609	BOY
EOY	3986181984	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1879344625	BOY
EOY	1857201025	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	324435404	BOY
EOY	304934358	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	163695236	BOY
EOY	201545596	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2367475265	BOY
EOY	2363680979	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5996125874	BOY
EOY	6349862963	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	110863387	ReconcilationRevenueExpenses
Reconcilation Other Changes	-114657673	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$4,989	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$569,495	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$76,086	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$5,091	RalliesDemonstrationsAmount
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	655661	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	PART II-B 1D MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC - REPRESENTS LETTERS SENT TO LEGISLATORS AND ORGANIZATIONS ON VARIOUS HEALTHCARE RELATED TOPICS AND ISSUES PART II-B 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS - ORGANIZED AND HELD A CONGRESSIONAL BRIEFING IN DC ON A CLEVELAND CLINIC PROJECT USING STEM CELLS TO TREAT MULTIPLE SCLEROSIS	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	167094679	OtherCostOrOtherBasis
Book Value	167094679	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2264131192	OtherCostOrOtherBasis
Depreciation	996369663	Depreciation
Book Value	1267761529	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	65848085	OtherCostOrOtherBasis
Depreciation	42126171	Depreciation
Book Value	23721914	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1319873640	OtherCostOrOtherBasis
Depreciation	909613824	Depreciation
Book Value	410259816	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	457999911	OtherCostOrOtherBasis
Depreciation	42625319	Depreciation
Book Value	415374592	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2284212530	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
HEDGE FUNDS	822113148	F
PRIVATE EQUITY	266721257	F
REAL ESTATE	145585130	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1234419535	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION	$702,536,618
OTHER LIABILITIES	$87,807,704
ACCRUED BENEFITS	$126,582,203
FUTURE GIFT ANNUITY PAYMENTS	$7,798,759
DEFERRED ANNUITY TRUST	$1,343,494
INTEREST RATE SWAPS	$186,507,122
UNAMORTIZED BOND PREMIUM	$17,501,533
SECURITIES LENDING	$94,787
DUE TO AFFILIATES	$128,513,204

Field	Value	IRS element (for citing)
Total Of Amounts	1258685424	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE.

Schedule F IRS990ScheduleF

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

Accts Actvs Out US Table AcctsActvsOutUSTable (12 entries)

RegionRegion	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
CENTRAL AMERICA AND THE CARIBBEAN	0	PROGRAM SERVICES	WHOLLY-OWNED FOREIGN INSURANCE COMPANY	41802211
MIDDLE EAST & NORTH AFRICA	14	UNRELATED BUSINESS		5777197
MIDDLE EAST & NORTH AFRICA	0	FUNDRAISING		31668
EUROPE	0	FUNDRAISING		10834
CENTRAL AMERICA AND THE CARIBBEAN	0	INVESTMENT		20857109
MIDDLE EAST AND NORTH AFRICA	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	218148
EUROPE (INCLUDING ICELAND & GREENLAND)	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	33411
CENTRAL AMERICA AND THE CARIBBEAN	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	6738
SOUTH AMERICA	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	53753
EAST ASIA AND THE PACIFIC	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	29259
SOUTH ASIA	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	821
NORTH AMERICA	0	PROGRAM SERVICE	WHOLLY-OWNED FOREIGN SUBSIDIARY THAT OPERATES A MEDICAL CLINIC IN TORONTO, CANADA

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	14	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	14	TotalNumberOfEmployees
Subtotal Amount Spent	68737316	SubtotalAmountSpent
Cont Amount Spent	83833	ContAmountSpent
Total Amount Spent	68821149	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (17 entries)

RegionRegion	Purpose Of GrantPurposeOfGrant	Amount Of Cash GrantAmountOfCashGrant	Manner Of Cash DisbursementMannerOfCashDisbursement
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

Field	Value	IRS element (for citing)
Total Number Of Other Orgs	17	TotalNumberOfOtherOrgs

Grants To Ind Outside US GrantsToIndOutsideUS (4 entries)

Type Of AssistanceTypeOfAssistance	RegionRegion	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Manner Of Cash DisbursementMannerOfCashDisbursement
RESEARCH	EUROPE (INCLUDING ICELAND & GREENLAND) -	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

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

Form990 Schedule F Part V Form990ScheduleFPartV

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

Schedule G IRS990ScheduleG

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

Fundraiser Activity Information FundraiserActivityInformation (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization
HARRIS CONNECT
1511 ROUTE 22 STE C-25	BREWSTER	NY	10509	PHONE SOLICITATION	0	1510500	50000	1460500
RR DONNELLEY
111 SOUTH WACKER DRIVE	CHICAGO	IL	60606	DIRECT MAIL	0	983298	950816	32482
CONVIO
11501 DOMAIN DR STE 200	AUSTIN	TX	78758	INTERNET	0	278955	208408	70547
GRENZEBACH GLIER
401 N MICHIGAN AVE STE 2800	CHICAGO	IL	60611	FUNDRAISING CONSULTANT	0	0	26316	-26316

Field	Value	IRS element (for citing)
Total Gross Receipts	2772753	TotalGrossReceipts
Total Retained By Contractors	1235540	TotalRetainedByContractors
Total Net To Organization	1537213	TotalNetToOrganization
Licensed States	AK	LicensedStates
Licensed States	AZ	LicensedStates
Licensed States	CA	LicensedStates
Licensed States	CO	LicensedStates
Licensed States	FL	LicensedStates
Licensed States	GA	LicensedStates
Licensed States	HI	LicensedStates
Licensed States	IL	LicensedStates
Licensed States	KS	LicensedStates
Licensed States	KY	LicensedStates
Licensed States	LA	LicensedStates
Licensed States	MA	LicensedStates
Licensed States	MD	LicensedStates
Licensed States	MI	LicensedStates
Licensed States	MN	LicensedStates
Licensed States	MS	LicensedStates
Licensed States	NC	LicensedStates
Licensed States	ND	LicensedStates
Licensed States	NH	LicensedStates
Licensed States	NJ	LicensedStates
Licensed States	NY	LicensedStates
Licensed States	OH	LicensedStates
Licensed States	OK	LicensedStates
Licensed States	OR	LicensedStates
Licensed States	PA	LicensedStates
Licensed States	SC	LicensedStates
Licensed States	TN	LicensedStates
Licensed States	UT	LicensedStates
Licensed States	WA	LicensedStates
Licensed States	WI	LicensedStates
Licensed States	AL	LicensedStates
Licensed States	AR	LicensedStates
Licensed States	CT	LicensedStates
Licensed States	ME	LicensedStates
Licensed States	MO	LicensedStates
Licensed States	RI	LicensedStates
Licensed States	VA	LicensedStates
Licensed States	WV	LicensedStates
Licensed States	NM	LicensedStates
Licensed States	NY	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SCOTT HAMILTON ICE SHOW & GALA	NameOfEvent1
Gross Receipts Event1	1532528	GrossReceiptsEvent1
Charitable Contributions Event1	1321803	CharitableContributionsEvent1
Gross Revenue Event1	210725	GrossRevenueEvent1
Rent Facility Costs Event1	100770	RentFacilityCostsEvent1
Food And Beverage Event1	152242	FoodAndBeverageEvent1
Entertainment Event1	190953	EntertainmentEvent1
Other Direct Expenses Event1	291493	OtherDirectExpensesEvent1
Name Of Event2	HEARTTHROB BALL	NameOfEvent2
Gross Receipts Event2	841950	GrossReceiptsEvent2
Charitable Contributions Event2	714177	CharitableContributionsEvent2
Gross Revenue Event2	127773	GrossRevenueEvent2
Rent Facility Costs Event2	27147	RentFacilityCostsEvent2
Food And Beverage Event2	97870	FoodAndBeverageEvent2
Entertainment Event2	67500	EntertainmentEvent2
Other Direct Expenses Event2	255093	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	234602	GrossReceiptsOtherEvents
Charitable Contrib Other Events	199002	CharitableContribOtherEvents
Gross Revenue Other Events	35600	GrossRevenueOtherEvents
Rent Facility Costs Other Events	16876	RentFacilityCostsOtherEvents
Food And Beverage Other Events	9450	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Other Direct Expenses Other Events	24039	OtherDirectExpensesOtherEvents
Gross Receipts Total	2609080	GrossReceiptsTotal
Charitable Contributions Total	2234982	CharitableContributionsTotal
Gross Revenue Total Events	374098	GrossRevenueTotalEvents
Rent Facility Costs Total Events	144793	RentFacilityCostsTotalEvents
Food And Beverage Total Events	259562	FoodAndBeverageTotalEvents
Entertainment Total Events	258453	EntertainmentTotalEvents
Other Direct Expenses Total Events	570625	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1233433	DirectExpenseSummaryEvents
Net Income Summary	-859335	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	82553875	TotalCommunityBenefitExpense
Direct Offsetting Revenue	350000	DirectOffsettingRevenue
Net Community Benefit Expense	82203875	NetCommunityBenefitExpense
Percent Of Total Expense	0.02180	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	232296011	TotalCommunityBenefitExpense
Direct Offsetting Revenue	178134612	DirectOffsettingRevenue
Net Community Benefit Expense	54161399	NetCommunityBenefitExpense
Percent Of Total Expense	0.01440	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	314849886	TotalCommunityBenefitExpense
Direct Offsetting Revenue	178484612	DirectOffsettingRevenue
Net Community Benefit Expense	136365274	NetCommunityBenefitExpense
Percent Of Total Expense	0.03620	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18539806	TotalCommunityBenefitExpense
Direct Offsetting Revenue	75627	DirectOffsettingRevenue
Net Community Benefit Expense	18464179	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	226511772	TotalCommunityBenefitExpense
Direct Offsetting Revenue	54622061	DirectOffsettingRevenue
Net Community Benefit Expense	171889711	NetCommunityBenefitExpense
Percent Of Total Expense	0.04570	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5148243	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4243970	DirectOffsettingRevenue
Net Community Benefit Expense	904273	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	205781352	TotalCommunityBenefitExpense
Net Community Benefit Expense	205781352	NetCommunityBenefitExpense
Percent Of Total Expense	0.05470	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8749190	TotalCommunityBenefitExpense
Net Community Benefit Expense	8749190	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	464730363	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58941658	DirectOffsettingRevenue
Net Community Benefit Expense	405788705	NetCommunityBenefitExpense
Percent Of Total Expense	0.10780	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	779580249	TotalCommunityBenefitExpense
Direct Offsetting Revenue	237426270	DirectOffsettingRevenue
Net Community Benefit Expense	542153979	NetCommunityBenefitExpense
Percent Of Total Expense	0.14400	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	9644	TotalCommunityBuildingExpense
Net Community Building Expense	9644	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	46383	TotalCommunityBuildingExpense
Net Community Building Expense	46383	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	189958	TotalCommunityBuildingExpense
Net Community Building Expense	189958	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	2818	TotalCommunityBuildingExpense
Net Community Building Expense	2818	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	3012329	TotalCommunityBuildingExpense
Net Community Building Expense	3012329	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	155196	TotalCommunityBuildingExpense
Net Community Building Expense	155196	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1993697	TotalCommunityBuildingExpense
Net Community Building Expense	1993697	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	5410025	TotalCommunityBuildingExpense
Net Community Building Expense	5410025	NetCommunityBuildingExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$63,188,519	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	454602007	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	495656335	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-41054328	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

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

Address Address

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

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	102	NumberOfOtherFacilities

Other Facilities OtherFacilities (102 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD	BEACHWOOD	OH	44122	FAMILY HEALTH & SURGERY CENTER
STRONGSVILLE FAMILY HEALTH & SURGERY CEN
16761 SOUTH PARK CENTER	STRONGSVILLE	OH	44136	FAMILY HEALTH & SURGERY CENTER
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
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
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
RICHARD E JACOBS HEALTH CENTER
33100 CLEVELAND CLINIC BOULEVARD	AVON	OH	44011	FAMILY HEALTH CENTER
AVON POINTE FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
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
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
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
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
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
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
NILES STAR IMAGING
652 YOUNGSTOWN WARREN ROAD	NILES	OH	44446	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
CLEVELAND CLINIC CHARDON
325 CENTER STREET	CHARDON	OH	44024	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 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 SPORTS HEALTH & ORTHOPA
26001 SOUTH WOODLAND	BEACHWOOD	OH	44122	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	WESTON	FL	33331	DIAGNOSTIC CENTER	COMMERCE
GATES MEDICAL CENTER
125 EAST BROAD STREET	ELYRIA	OH	44035	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
LAKEWOOD PHYSICAL THERAPY AT THE YMCA
16915 DETROIT AVENUE	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
LORAIN COUNTY LONG TERM CARE
1130 TOWER ROAD	LORAIN	OH	44052	OUTPATIENT PHYSICIAN CLINIC
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
REHABILITATION INSTITUTE
10524 STOKES BLVD	CLEVELAND	OH	44195	OUTPATIENT PHYSICIAN CLINIC
ROCKSIDE MEDICAL CENTER
6701 ROCKSIDE ROAD SUITE 260	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
ROCKY RIVER RECREATION CENTER REHAB MEDI
21012 HILLIARD BOULEVARD	ROCKY RIVER	OH	44116	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
SPORTS HEALTH
29017 CHARDON ROAD	WILLOUGHBY HILLS	OH	44092	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 SOUTH
17800 JEFFERSON PARK DRIVE SUITE	MIDDLEBURG HTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC	101
THERAPY SERVICES WEST
826 WESTPOINT PKWY SUITE 1200	WESTLAKE	OH	44145	OUTPATIENT PHYSICIAN CLINIC
THORACIC & CARDIOVASCULAR SURGERY
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
TWINSBURG STAR IMAGING
8900 DARROW ROAD SUITE H102	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
UROLOGICAL INSTITUTE AT CHARLESTON
1201 WASHINGTON STREET EAST	CHARLESTON	WV	25301	OUTPATIENT PHYSICIAN CLINIC
UROLOGICAL INSTITUTE AT ELYRIA
125 E BROAD STREET SUITE 208	ELYRIA	OH	44035	OUTPATIENT PHYSICIAN CLINIC
UROLOGICAL INSTITUTE AT PARMA
6115 POWERS BOULEVARD SUITE 201	PARMA	OH	44129	OUTPATIENT PHYSICIAN CLINIC
VASCULAR SURGERY AT HILLCREST
6801 MAYFIELD ROAD SUITE 146	MAYFIELD HEIGHTS	OH	44124	OUTPATIENT PHYSICIAN CLINIC
VASCULAR SURGERY AT MARYMOUNT
12000 MCCRACKEN ROAD SUITE 351	CLEVELAND	OH	44125	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

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
PART I, LINE 3C: CCF PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. CCF HAS A FINANCIAL ASSISTANCE POLICY THAT IS AMONG THE MOST GENEROUS IN THE REGION. THIS POLICY APPLIES TO ALL CCF FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, CCF 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 FINANCIAL ASSISTANCE POLICIES OF MOST HOSPITALS, THE CCF POLICY APPLIES TO HOSPITAL CHARGES AND PROFESSIONAL FEES FOR SERVICES PROVIDED BY CCF EMPLOYED PHYSICIANS.
PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY.
PART I, LINE 7G: CCF EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I.
PART I, L7 COL(F): BAD DEBT EXPENSE REPORTED ON FORM 990, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IS $ 189,511,899.
SCH H PART I LINE 6A - AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES.	PART I, LINE 6A
THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS NET OF CCF'S HCAP BENEFIT OF $ 3,488,852.	PART I, LINE 7B	UNREIMBURSED MEDICAID
NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $ 542,153,979 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC AS REPORTED AS A COMPONENT OF THE OVERALL SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN 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 I, LINE 7
PART II: CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DIRECTS EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.
PART III, LINE 4: 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, THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECITON EFFORTS AS DETERMINED BY THE SYSTEM.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCF HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
PART III, LINE 9B: YES, CLEVELAND CLINIC HAS A WRITTEN DEBT COLLECTION POLICY. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. ADDITIONALLY, OUR EXTERNAL THIRD-PARTY (COLLECTION) AGENCIES ARE TRAINED ON OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR CHARITY CARE AND FINANCIAL ASSISTANCE.
IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCF INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $ 425,390,897 AND $ 641,501,833 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $ 216,110,936 WHICH, ADDED TO THE SHORTFALL OF $ 41,054,328 AS REPORTED ON THE COSTS REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $ 257,165,264.	PART III, LINES 5, 6, & 7	MEDICARE SHORTFALL
PART V, SECTION B, LINE 13G: 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 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 FAP 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 FOUNDATION
PART VI, LINE 2: CCF MEETS THE NEEDS OF THE COMMUNITY THROUGH ITS EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS. CCF ALSO CONDUCTS A BROAD SPECTRUM OF OUTREACH PROGRAMS AND SERVICES IN THE COMMUNITIES IT SERVES. CCF 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. ALL PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A SUMMARY DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND AT ALL FAMILY HEALTH CENTERS TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE.
PART VI, LINE 4: CCF 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. CCF RESEARCH ACTIVITIES HAVE RESULTED IN NUMEROUS ADVANCES IN MEDICAL CARE THAT BENEFIT THE PUBLIC AT LARGE. CCF MEDICAL EDUCATION ACTIVITIES ATTRACT MEDICAL STUDENTS AND FELLOWS FROM ACROSS THE U.S. AND AROUND THE WORLD.
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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (125 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
A CULTURAL EXCHANGE
12624 LARCHMERE	CLEVELAND	OH	44120	341759189	501(C)(3)	16900	COMMUNITY SUPPORT
ALS ASSOCIATION
2500 E 22ND ST SUITE 101	CLEVELAND	OH	44115	341595148	501(C)(3)	10000	HEALTHCARE RESEARCH & EDUCATION
ALZHEIMERS ASSOCIATION
CLEVELAND CHAPTER 12200 FAIRHILL	CLEVELAND	OH	44120	341311175	501(C)(3)	9500	HEALTHCARE RESEARCH & EDUCATION	ROAD
AMER CANCER SOCIETY
10501 EUCLID AVENUE	CLEVELAND	OH	441062204	131788491	501(C)(3)	24100	HEALTHCARE RESEARCH & EDUCATION
AMER DIABETES ASSOC
1701 N BEAUREGARD STREET	ALEXANDRIA	VA	223111717	131623888	501(C)(3)	21300	HEALTHCARE RESEARCH & EDUCATION
AMER HEART ASSOC
7272 GREENVILLE AVENUE ATTNDIANNE	DALLAS	TX	75231	590637852	501(C)(3)	165635	HEALTHCARE RESEARCH & EDUCATION	COOPER
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 ATT KELVIN BERRY	CLEVELAND	OH	44106	364497121	501(C)(3)	11000	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	ROCKY RIVER	OH	44111	341407746	501(C)(3)	10440	COMMUNITY SUPPORT	RIVER
BEACHWOOD CHAMBER OF COMMERCE
CHAGRIN RICHMOND PLAZA 25550	BEACHWOOD	OH	44122	341684237	501(C)(6)	7750	COMMUNITY SUPPORT	CHAGRIN BLVD SUITE 201
BECK CENTER FOR THE ARTS
17801 DETROIT AVENUE	LAKEWOOD	OH	44107	346001636	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
BLACK PROFESSIONALS ASSOC INC
CHARITABLE FOUNDATION PO BOX 5783	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	CLEVELAND	OH	44127	340770686	501(C)(3)	50000	COMMUNITY SUPPORT	BROADWAY AVENUE
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	CLEVELAND	OH	44113	341748776	501(C)(3)	10000	COMMUNITY SUPPORT	SUITE 251
CASE WESTERN RESERVE UNIV
CONTROLLERS OFFICE 2040 ADELBERT	CLEVELAND	OH	44106	341018992	501(C)(3)	5500	SUPPORT EDUCATIONAL ACTIVITIES	ROAD
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	LORAIN	OH	44052	203752013	501(C)(3)	5000	COMMUNITY SUPPORT	W 25TH ST - STE 265
CITY CLUB FORUM FOUNDATION
850 EUCLID AVENUE 2ND FLOOR	CLEVELAND	OH	44114	340144897	501(C)(3)	15900	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
LAKEWOOD DIVISION OF WATER/WWC PO	CLEVELAND	OH	44193	346001633	501(C)(1)	8324	COMMUNITY SUPPORT	BOX 931321
CLEVE BOTANICAL GARDEN
11030 EAST BLVD	CLEVELAND	OH	44106	340239538	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVE FOOD BANK
C/O HAREST FOR HUNGER ATTEN	CLEVELAND	OH	44114	341292848	501(C)(3)	10720	COMMUNITY SUPPORT	KATHERINE HART 1557 EAST 27TH ST
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
PUBLIC SERVICES 1 WADE OVAL DRIVE	CLEVELAND	OH	44106	340714338	501(C)(3)	5200	COMMUNITY SUPPORT	UNIVERSITY CIRCLE
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
ATTN BECKY ELLIOT 1370 ONTARIO ST	CLEVELAND	OH	44112	510164315	501(C)(3)	5000	COMMUNITY SUPPORT	STE 420
CLEVE SCHL OF SCIENCE & MED
2628 PEARL RD ATTN DIANA RILEY	MEDINA	OH	44256	383740643	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
CLEVE STATE UNIV
2121 EUCLID AVENUE UNIVERSITY CTR	CLEVELAND	OH	441152214	340966056	501(C)(3)	21000	SUPPORT EDUCATIONAL ACTIVITIES	RM 460
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	CLEVELAND	OH	441131648	830509855	501(C)(3)	50000	COMMUNITY SUPPORT	MCGRATH
CLEVELAND SCHOOL OF SCIENCE & MEDICINE
ATTN MARY SIMPSON 2075 STOKES BLVD	CLEVELAND	OH	44106	343740643	501(C)(3)	25000	SUPPORT EDUCATIONAL ACTIVITIES
COLLEGE NOW GREATER CLEVELAND
200 PUBLIC SQUARE SUITE 3820	CLEVELAND	OH	441142321	346580096	501(C)(3)	50000	COMMUNITY SUPPORT
COMMUNITY WEST FOUNDATION
20545 CENTER RIDGE ROAD	ROCKY RIVER	OH	44116	341456398	501(C)(3)	5000	SUPPORT RELATED TO CHARITY
CORNERSTONE OF HOPE
6600 DAISY AVE	INDEPENDENCE	OH	44131	341945499	501(C)(3)	17000	COMMUNITY SUPPORT
CUYAHOGA COMMUNITY COLLEGE
700 CARNEGIE AVENUE STUDENT	CLEVELAND	OH	44115	340896630	501(C)(1)	12000	SUPPORT EDUCATIONAL ACTIVITIES	ACCOUNTING
CUYAHOGA COUNTY BD OF HEALTH
ONE PLAYHOUSE SQUARE 1375 EUCLID	CLEVELAND	OH	44115	346000817	501(C)(3)	25200	COMMUNITY SUPPORT	AVENUE 5TH FLOOR
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 STE 328	CLEVELAND	OH	44122	201968761	501(C)(3)	5250	COMMUNITY SUPPORT
DOWNTOWN CLEVELAND ALLIANCE
50 PUBLIC SQUARE SUITE 825	CLEVELAND	OH	44113	341775903	501(C)(3)	20000	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)	10000	COMMUNITY SUPPORT
FAIRFAX RENAISSANCE DEV (LSE)
8111 QUINCY AVE SUITE 100 ATTN	CLEVELAND	OH	44104	341706856	501(C)(3)	127764	COMMUNITY SUPPORT	VICKIE JOHNSON
FLYING HORSE FARMS
3 EASTON OVAL STE 330	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 NORTHEAST OHIO
1360 EAST 9TH STREET STE 210 ATTN	CLEVELAND	OH	44114	270606927	501(C)(3)	33333	COMMUNITY SUPPORT	ASHLEY BASILE
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 SUITE 1090	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 ATT HLCASD	CLEVELAND	OH	44115	341509482	501(C)(3)	60000	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
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)	20000	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
14519 DETROIT AVENUE STE 550	LAKEWOOD	OH	441079989	346519834	501(C)(3)	11000	SUPPORT RELATED TO CHARITY
LIFEBANC
20600 CHAGRIN BLVD SUITE 350	CLEVELAND	OH	441225343	341525159	501(C)(3)	10000	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)	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
MEDWISH INTERNATIONAL-SPRING BENEFITS
PO BOX 181484	CLEVELAND	OH	44118	341903712	501(C)(3)	53000	COMMUNITY SUPPORT		3301865	ESTIMATED VALUE	MEDICAL EQUIPMENT & SUPPLIES
METRO HEALTH FOUNDATION
THE PERINATAL CENTER OF NE OH ATT	CLEVELAND	OH	441091998	346607695	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION	BRIAN MERCER 2500 METRO HEALTH DR
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 SEVERANCE HALL	CLEVELAND	OH	44106	340714468	501(C)(3)	15000	SUPPORT EDUCATIONAL ACTIVITIES	TICKET OFFICE REF 257030
NAACP
C/O GEORGE FORBES ROCKEFELLER BLDG	CLEVELAND	OH	44113	341786675	501(C)(3)	10000	COMMUNITY SUPPORT	614 SUPERIOR AVE NW 700
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 SUITE 100	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	ATTNSIX DEGREES OF CONNECTION
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
2525 MARKET AVE SUITE A	CLEVELAND	OH	44113	341372076	501(C)(3)	5000	COMMUNITY SUPPORT
OHIO STATE UNIVERSITY
376 WEST 10TH AVENUE C/O BUSINESS	COLUMBUS	OH	43210	316025986	501(C)(3)	10000	SUPPORT EDUCATIONAL ACTIVITIES	OFFICE
OSTEOPOROSIS WALK FOUNDATION
4450 TIMBERIDGE DR	INDEPENDENCE	OH	44131	341855292	501(C)(3)	7500	HEALTHCARE RESEARCH & EDUCATION
PLAYHOUSE SQUARE CENTER
1501 EUCLID AVENUE SUITE 200	CLEVELAND	OH	44115	237304942	501(C)(3)	20000	COMMUNITY SUPPORT	ATTNGROUP SALES
PROJECT LOVE
23611 CHAGRIN BLVD 380	BEACHWOOD	OH	44122	341795459	501(C)(3)	15000	COMMUNITY SUPPORT
PROVIDENCE HOUSE INC
2037 WEST 32ND STREET ATTNPAUL	CLEVELAND	OH	44113	341336325	501(C)(3)	5000	COMMUNITY SUPPORT	PACIOREK
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)	5000	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)	334920	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 MARTIN DE PORRES HIGH SCHOO
6111 LAUSCHE AVE	CLEVELAND	OH	44103	522401852	501(C)(3)	28901	SUPPORT EDUCATIONAL ACTIVITIES
STRAIGHT FROM THE HEART
20545 CENTER RIDGE RD 448	ROCKY RIVER	OH	44116	341456398	501(C)(3)	17500	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 COUNCIL
PO BOX 25192	GARFIELD HTS	OH	44125	412227687	501(C)(3)	5250	COMMUNITY SUPPORT
UNITED WAY OF GREATER CLEVE
1331 EUCLID AVENUE	CLEVELAND	OH	441151854	346516654	501(C)(3)	17016	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)	16790	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
2200 PROSPECT AVE	CLEVELAND	OH	44115	340714728	501(C)(3)	5800	COMMUNITY SUPPORT
YOUR HOME TOWN - CHAGRIN FALLS
C/O KATHRYN M LYLE 57 EAST	CHAGRIN FALLS	OH	44022	311564112	501(C)(3)	6000	COMMUNITY SUPPORT	WASHINGTON ST
YOUTH OPPORTUNITIES UNLIMITED
3750 PROSPECT AVE	CLEVELAND	OH	44115	341381135	501(C)(3)	7500	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	116	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	9	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	FELLOWSHIPS	TypeOfGrant
Number Of Recipients	1865	NumberOfRecipients
Amount Of Cash Grant	62077521	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: THE CLEVELAND CLINIC FOUNDATION CONTRIBUTES CASH DONATIONS TO VARIOUS TAX EXEMPT ORGANIZATIONS WITHIN THEIR COMMUNITY AND THE UNITED STATES. IN GENERAL, THE CLEVELAND CLINIC FOUNDATION DOES NOT RESTRICT THE USE OF THESE DONATIONS. THE RECEIVING EXEMPT ORGANIZATIONS MAY USE THE DONATIONS AT WILL TO FURTHER THEIR EXEMPT PURPOSES.
		THE GRANTS LISTED IN SCHEDULE I, PART II INCLUDE AMOUNTS PAID AS PART OF THE $10 MILLION PLEDGE MADE IN 2005 TO THE CLEVELAND METROPOLITAN SCHOOL DISTRICT. FELLOWSHIPS LISTED IN SCHEDULE I, PART III ARE IN FURTHERANCE OF CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
COSGROVE DELOS M
2107300	0	0	0	256120	0	187336	0	13458	0	2564214	0	0	0
HAHN JOSEPH F
1050219	0	0	0	99565	0	120354	0	13477	0	1283615	0	0	0
BORKOWSKI RAYMOND
381650	0	0	0	16905	0	24500	0	17686	0	440741	0	0	0
DEYLING CYNTHIA
469600	0	0	0	44315	0	90352	0	17074	0	621341	0	0	0
DICORLETO PAUL E
410441	0	0	0	23230	0	24500	0	15012	0	473183	0	0	0
GLASS STEVEN C
860407	0	0	0	64099	0	24500	0	18284	0	967290	0	0	0
HARRINGTON MICHAEL
436701	0	0	0	39601	0	24500	0	19811	0	520613	0	0	0
MCHUGH LINDA
309482	0	0	0	20896	0	24500	0	18284	0	373162	0	0	0
MEEHAN MICHAEL
261525	0	0	0	25346	0	48443	0	12948	0	348262	0	0	0
MURRAY JAN
151083	0	0	0	10623	0	15990	0	2247	0	179943	0	0	0
PEACOCK WILLIAM
680400	0	0	0	47299	0	24500	0	21630	0	773829	0	0	0
ROWAN DAVID W
557111	0	0	0	78341	0	24500	0	22517	0	682469	0	0	0
HARRISON MARC A
764859	0	0	0	504029	0	24500	0	18087	0	1311475	0	0	0
LYTLE BRUCE W
1511660	0	0	0	141870	0	-321720	0	12588	0	1344398	0	0	0
COSTIN JOHN
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
MARTIN DANIEL F
1089800	0	0	0	230024	0	14500	0	17536	0	1351860	0	0	0
BELL GORDON R
643171	0	0	0	67285	0	58191	0	13327	0	781974	0	0	0
FUNG JOHN J
845002	0	0	0	66205	0	24500	0	17686	0	953393	0	0	0
MATSEN PAUL
803660	0	0	0	59923	0	24500	0	17686	0	905769	0	0	0
MODIC MICHAEL
777995	0	0	0	81030	0	52825	0	18209	0	930059	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL INFORMATION	PART III	PART I, LINE 1A - LISTED BENEFITS WHILE NOT PART OF CCF'S REIMBURSMENT 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 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. JOSEPH F. HAHN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NO CASH PAYMENTS WERE RECEIVED. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J PART II COLUMN C RETIREMENT AND OTHER DEFERRED COMPENSATION: GORDON R. BELL, DELOS M. COSGROVE, CYNTHIA DEYLING, JOSEPH F. HAHN, BRUCE W. LYTLE, MICHAEL MEEHAN, AND MICHAEL MODIC. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SPLIT-DOLLAR LIFE INSURACE PLAN FROM WHICH NO CASH PAYMENTS WERE RECEIVED: DELOS M. COSGROVE AND DAVID W. ROWAN.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement
15884350	807007320	1099225	501164780	304743315	2011	1	0	1
	451686386	800000	218639952	251263651	2008	1	1	1
300000000	670000000	1200000	324315217	372706929	2008	1	1	1
	200000000	582707	186544171	10551511	2008	1	1	1	2321611

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	1	1	0.00600	0.00010	0.00610	1
1	1	1	1	1	0.00490	0.00020	0.00510	1
1	1	1	1	1	0.00490	0.00020	0.00510	1
1	1	1	1	1	0.00170	0.00060	0.00230	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0
0	1	0	0	0	0
0	1	0	0	0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART II	Identifier
Explanation	A PORTION OF THE 2006 SERIES WAS REISSUED AS PART OF THE 2008 BOND.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow	Capitalized InterestCapitalizedInterest
366297215	527761127	1449418	60762275	465549434	2003	1	0	1	1
109475	208951439	2003385				0	1	1	1	206948054
	41120000	735249		38082286		1	0	1	1		2302465

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	1	1	0.00800	0.00080	0.00880	1
1	1	1	1	1	0.00800	0.00080	0.00880	1
1	1	1	1	1	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	1	0	0	0	0
0	0	0	0	0	0
0	0	0	0	0	0

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
DELOS M COSGROVE MD
INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN	X	$229,247	4170713	0	1	1
DAVID W ROWAN
INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN	X	$100,000	1709480	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	5880193	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (14 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CINTAS CORPORATION
ENTITY IN WHICH CCF DIRECTOR, JOE 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
KEYCORP
ENTITY IN WHICH CCF DIRECTORS SERVE AS CHAIRMAN & CEO AND DIRECTOR	816830	BANKING SERVICES -ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, IS CHAIRMAN AND CEO AND BILL SANFORD, CCF DIRECTOR, IS A DIRECTOR.	0
KEYCORP
ENTITY IN WHICH CCF DIRECTORS SERVE AS CHAIRMAN & CEO AND DIRECTOR	44700	LEASE AGREEMENT -ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, IS CHAIRMAN AND CEO AND BILL SANFORD, CCF DIRECTOR, IS A DIRECTOR.	0
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 CYNTHIA DEYLING, CCF DIRECTOR, IS AN OFFICER	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
PANZICA CONSTRUCTION
FAMILY MEMBER OF CYNTHIA DEYLING, CCF DIRECTOR, IS PRES & CEO	433072	CONSTRUCTION SERVICES	0
SQUIRE SANDERS
ENTITY IN WHICH FREDERICK NANCE, CCF DIRECTOR, IS REGIONAL MGNG PTNR	1191603	LEGAL SERVICES	0
TRAVEL TEAM
ENTITY IN WHICH ROBERT RICH, CC BOARD CHAIR, IS CEO & 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

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	33500	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	111	NumberOfContributions
Noncash Contribs Rptd F990	3217698	NoncashContribsRptdF990
Method Of Determining Revenues	AVEREAGE HIGH/LOW	MethodOfDeterminingRevenues

Real Estate Residential RealEstateResidential

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	232000	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	EQUIPMENT	Description
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	135372	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

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

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	THIRD PARTY USE:	Identifier
Return Reference	PART I, LINE 32B:	ReturnReference
Explanation	CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	PART III	THE CLEVELAND CLINIC FOUNDATION ("CLEVELAND CLINIC") WAS ESTABLISHED IN 1921 WITH THE SAME MISSION THAT CONTINUES TODAY: BETTER CARE FOR THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH, AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. CLEVELAND CLINIC IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM AND REPORTS COMMUNITY BENEFIT ON A SYSTEM-WIDE BASIS, SO THE COMMUNITY BENEFIT NUMBERS REPORTED HERE ARE FOR THE HEALTH SYSTEM. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES AND COMMUNITY OUTREACH PROGRAMS. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING CHARITY CARE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING CHARITY CARE ON A COST BASIS. USING THIS MODEL, IN 2011 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $552.2 MILLION IN BENEFITS TO THE COMMUNITIES IT SERVES. 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 CLEVELAND CLINIC IS DEDICATED TO THE COMMUNITIES WE SERVE, STRIVES TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT AND SUPPORTS PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. THROUGH OUR CHARITY CARE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, WE PROVIDE HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. DURING 2011, CLEVELAND CLINIC RECORDED 1,265 TOTAL STAFFED BEDS, 58,653 EMERGENCY VISITS, NEARLY 82,000 SURGICAL CASES, OVER 52,885 ADMISSIONS, AND MORE THAN 4.3 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. 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. OTHER CLEVELAND CLINIC SPECIALTIES RANKED AMONG THE TOP 10 IN AMERICA WERE: CANCER; EAR, NOSE AND THROAT; DIABETES/ENDOCRINOLOGY; GERIATRIC CARE; GYNECOLOGY; NEUROLOGY AND NEUROSURGERY; ORTHOPEDICS; RHEUMATOLOGY, PEDIATRIC NEUROLOGY AND NEUROSURGERY; AND PULMONOLOGY. ALSO NAMED AMONG THE NATION'S BEST WERE CLEVELAND CLINIC'S SERVICES IN PSYCHIATRY, REHABILITATION, AND THE PEDIATRIC AREAS OF HEART AND HEART SURGERY, CANCER, ORTHOPEDICS, UROLOGY, KIDNEY DISORDERS, DIABETES AND ENDOCRINE DISORDERS, GASTROENTEROLOGY, PULMONOLOGY AND NEONATOLOGY. CLEVELAND CLINIC'S HEART & VASCULAR INSTITUTE (HVI) IS THE LARGEST AND BUSIEST CARDIOVASCULAR PROGRAM IN THE UNITED STATES. INSTITUTE DOCTORS ARE LEADERS IN CARDIOLOGY, CARDIAC SURGERY, CARDIOTHORACIC ANESTHESIA, VASCULAR SURGERY, AND RESEARCH INTO THE CARDIOVASCULAR SYSTEM AND ITS DISEASES. IN 2011, CARDIOLOGISTS AND SURGEONS FROM THE HVI PERFORMED ONE OF THE FIRST TRANSCATHETER AORTIC VALVE REPLACEMENTS (TAVRS) IN THE UNITED STATES, WHICH HELPS INVESTIGATE AND PIONEER THE MINIMALLY INVASIVE TECHNIQUE FOR PATIENTS WHO ARE INELIGIBLE FOR CONVENTIONAL SURGERY. IN 2011, THE GLICKMAN UROLOGICAL & KIDNEY INSTITUTE BEGAN USING A NEW DEVICE CALLED A CYSTOSCOPE THAT HAS IMPROVED VISIBILITY OF TUMORS BY 25 PERCENT AND LED TO FEWER READMISSIONS. IN 2011, THE DIGESTIVE DISEASE INSTITUTE PERFORMED THE WORLD'S FIRST SINGLE-PORT ROBOTIC GALL BLADDER REMOVAL AND FOLLOWED IT WITH 12 OTHERS. THIS ACHIEVEMENT IS THE LATEST IN A LONG LINE OF CLEVELAND CLINIC MINIMALLY INVASIVE "FIRSTS." 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. 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.
	PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T)	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, 1,130 RESIDENTS AND FELLOWS TRAINED IN 65 ACCREDITED RESIDENCY TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 142 ADVANCED FELLOWS IN 80 FELLOWSHIP PROGRAMS. LERNER COLLEGE OF MEDICINE. SINCE ITS INCEPTION IN MAY 2002, THE CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE MORE THAN 1,745 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: 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 ALSO FEATURES LIVE WEBCHATS WITH A HEALTH EDUCATOR, ALLOWING THE PUBLIC TO POST QUESTIONS AND HAVE THEM ANSWERED IN REAL TIME. WEBCHATS TAKE PLACE MONDAY THROUGH FRIDAY, FROM 10 AM TO 1:30 PM. BY THE END OF 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:
	PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T)	-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 AND MORRY WEISS - BUSINESS BILL SANFORD AND LARRY POLLOCK - BUSINESS BETH MOONEY AND BILL SANFORD - BUSINESS
	FORM 990, PART VI, SECTION A, LINE 6	PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND TRUSTEES. IT DOES NOT HAVE STOCKHOLDERS.
	FORM 990, PART VI, SECTION A, LINE 7A	PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS (TRUSTEES), AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE TRUSTEES.
	FORM 990, PART VI, SECTION A, LINE 7B	PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS.
	FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. IN ADDITION, THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO AND THE AUDIT COMMITTEE CHAIRPERSON. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS REVIEWED AND DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. IN ADDITION TO POSTING ON GUIDESTAR, THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG.
	FORM 990, PART VI, SECTION B, LINE 12C	CCF HAS ADOPTED A 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 15	ALL CCF OFFICERS AND KEY EMPLOYEE POSITIONS HAVE THEIR COMPENSATION REVIEWED IN ADVANCE ANNUALLY BY THE COMPENSATION COMMITTEE OF THE CCF BOARD OF DIRECTORS, WHICH IS VESTED WITH BOARD-DELEGATED POWERS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO COMPENSATION MATTERS. IN REVIEWING AND ESTABLISHING COMPENSATION FOR THESE OFFICERS AND KEY EMPLOYEES, THE COMMITTEE USES A PROCESS WHICH IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 53.4958-6(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT EXPERT COMPENSATION CONSULTANT WHO EACH YEAR PROVIDES CCF WITH A CUSTOMIZED COMPENSATION REPORT REGARDING PHYSICIAN COMPENSATION. BY USING THIS DATA, CCF HAS BEEN ABLE TO DEVELOP MARKET-BASED COMPENSATION FOR PHYSICIAN SERVICES. IN ESTABLISHING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES PERFORMING NON-PHYSICIAN SERVICES, THE COMPENSATION COMMITTEE RETAINS AND CONSULTS WITH AN INDEPENDENT COMPENSATION CONSULTANT, WHO PREPARES A CUSTOMIZED REPORT FOR THE COMMITTEE REGARDING AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. THE COMMITTEE USES THE MARKET-BASED DATA PROVIDED BY THE CONSULTANT, AND WHERE APPROPRIATE, PERFORMANCE REVIEWS AND COMPENSATION RECOMMENDATIONS BY THE CHIEF EXECUTIVE OFFICER AND CHIEF OF STAFF, TO ESTABLISH MARKET-BASED COMPENSATION. AFTER MAKING ITS COMPENSATION DECISIONS, THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS IN CCF'S WRITTEN OR ELECTRONIC BOOKS AND RECORDS.
	FORM 990, PART VI, SECTION C, LINE 19	CCF MAKES CERTAIN OF ITS KEY DOCUMENTS, INCLUDING THE FORM 990, AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT, COMMUNITY BENEFIT REPORT, AND CORPORATE COMPLIANCE POLICIES ARE PUBLICLY AVAILABLE. CCF'S CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE ON ITS WEBSITE. IN ADDITION, CCF PROVIDES DETAILED FINANCIAL INFORMATION AS PART OF ITS TAX EXEMPT BOND OFFERINGS AS WELL AS ITS FORM 990 ON PUBLICLY ACCESSIBLE WEBSITES.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -68,174,301. GIFTS AND BEQUESTS 55,678,709. NET INVESTMENT INCOME 4,224,496. NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -37,021,387. RETIREMENT BENEFITS ADJUSTMENT -143,138,991. CHANGE IN VALUE OF PERPETUAL TRUSTS 931,209. NET CHANGE IN UNREALIZED GAINS ON NONTRADING INVESTMENTS -6,343,277. DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 373,093. EQUITY TRANSFERS 78,812,776. TOTAL TO FORM 990, PART XI, LINE 5: -114,657,673.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Direct Controlling Entity NADirectControllingEntityNA
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTHCARE SERVICES	OH	22501192	87747	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	311741150	HEALTHCARE SERVICES	FL	0	16726	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	263666730	LICENSING OF INTELLECTUAL PROPERTY	OH	8141098	11500851	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTHCARE SERVICES	OH	8819469	0	THE CLEVELAND CLINIC FOUNDATION
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	263859233	HEALTHCARE SERVICES	OH	1706519	4253693	THE CLEVELAND CLINIC FOUNDATION
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTHCARE SERVICES	OH	75989900	0	THE CLEVELAND CLINIC FOUNDATION
CLINIC PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341907574	HEALTHCARE SERVICES	OH	37638609	386123	THE CLEVELAND CLINIC FOUNDATION
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	HEALTHCARE SERVICES	OH	43739126	971304	THE CLEVELAND CLINIC FOUNDATION
MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON ST	MEDINA	OH	44256		INACTIVE	OH	0	0	MEDINA HOSPITAL
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	INACTIVE	OH	0	0		N/A
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTHCARE SERVICES	OH	0	76607	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		HEALTHCARE SERVICES	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
REJ HOLDINGS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	273245990	REAL ESTATE HOLDINGS	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	201476092	HEALTHCARE SERVICES	OH	21766	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTHCARE SERVICES	OH	45482773	110930	THE CLEVELAND CLINIC FOUNDATION

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
COMMUNITY WEST FOUNDATION
20545 CENTER RIDGE ROAD	ROCKY RIVER	OH	44116	341456398	ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY	OH	501 (C)(3)	LINE 7	N/A	0
LAKEWOOD HOSPITAL FOUNDATION INC
14601 DETROIT AVENUE STE 240	LAKEWOOD	OH	44107	346519834	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501 (C)(3)	LINE 11A, I	N/A	0
MEDINA COUNTY HEALTH CORPORATION
1000 E WASHINGTON ST	MEDINA	OH	44256	270756266	SUPPORT MEDINA HOSPITAL	OH	501 (C)(3)	LINE 11A, I		0	MEDINA HOSPITAL
NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP
2001 ROSS AVENUE	DALLAS	TX	75201	311707979	SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES	TX	501 (C)(3)	LINE 11A, I	N/A	0
WO WALKER CENTER INC
10700 EUCLID AVENUE	CLEVELAND	OH	44106	911818256	HEALTHCARE SERVICES	OH	501 (C)(3)	LINE 11A, I	N/A	0
AUXILLARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE	CLEVELAND	OH	44111	237108198	SUPPORT FAIRVIEW HOSPITAL	OH	501 (C)(3)	LINE 11A, I	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
BUCKEYE OCULAR LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	262689395	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	-66	377	0	0	0.55000
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	3527875	10463027	0	0	0.60000
CCHS WESTLAKE IMAGING CENTER LLC
6801 BRECKSVILLE ROAD RK-85	INDEPENDENCE	OH	44131	341914277	MEDICAL SERVICES	OH	FAIRVIEW HOSPITALLAKEWOOD HOSP ASSN	RELATED	3288987	1051999	0	0	1.00000
CLEVELAND HEALTH NETWORK MSO LLC
4700 ROCKSIDE ROAD STE 200	INDEPENDENCE	OH	44131	311566180	MEDICAL SERVICES	OH		RELATED		22027	0	0	0.79900	N/A
PROGNOSTIX LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	300624422	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	-279931	150774	0	0	0.78000
CLEVELAND HEARTLAB LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	271117058	MEDICAL SERVICES	OH		RELATED			0	0	0.58640	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (28 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of Total IncomeShareOfTotalIncome
ANGIOQUEST INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	320217945	MEDICAL TECHNOLOGY	DE	N/A	C	1115	1.00000
CARDIONOMIC INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	263662474	SCIENTIFIC RESEARCH	DE	N/A	C		0.62900
CC BOLTON INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204596571	BUSINESS SERVICES	OH		C		1.00000	CLINIC MEDICAL SOLUTIONS INC
CC WEB SOLUTIONS INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	263222020	BUSINESS SERVICES	OH		C		1.00000	CLINIC MEDICAL SOLUTIONS INC
CCHS INDEMNITY CO LTD
				980207086	INSURANCE COMPANY		N/A	C	73524427	1.00000		23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ	209188358
CLEVELAND CLINIC CANADA-TORONTO INC
				340714585	HEALTH CARE SERVICES		N/A	C	4321960	1.00000		181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	CA	6714383
CLEVELAND CLINIC EMR INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	MEDICAL SERVICES	OH		C		1.00000	CLINIC MEDICAL SOLUTIONS INC
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	MEDICAL SERVICES	OH		C	11298256	1.00000	CLINIC MEDICAL SOLUTIONS INC						4971968
CLEVELAND HEARTLAB INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	270969436	MEDICAL TECHNOLOGY	DE	N/A	C		1.00000
CLINIC MEDICAL SOLUTIONS INC
18101 LORAIN AVENUE	CLEVELAND	OH	44111	341695388	HEALTH CARE SERVICES	OH	N/A	C	3991311	1.00000							22215281
CONGRUENT MEDICAL TECHNOLOGIES INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	263156393	SCIENTIFIC RESEARCH	DE	N/A	C		1.00000
CSF THERAPEUTICS INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	203756660	MEDICAL RESEARCH	DE	N/A	C	1701	0.53000
I-LYTE INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	263880447	SCIENTIFIC RESEARCH	DE	N/A	C		1.00000
IMAGEIQ INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	274427530	MEDICAL TECHNOLOGY	DE	N/A	C	626418	1.00000							1055129
INTELLIS EPM INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	270645368	MEDICAL TECHNOLOGY	DE	N/A	C		1.00000							-28569
MEDINVEST INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	203978297	HOLDING COMPANY	OH		C		1.00000	CLINIC MEDICAL SOLUTIONS INC						171
MERIDIA HEALTH VENTURES INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341533871	HEALTH CARE SERVICES	OH		C		1.00000	CLEVELAND CLINIC HOME CARE INC
MERLOT ORTHOPEDIX INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	113779414	MEDICAL DEVICE MANUFACTURING	DE	N/A	C	205430	0.55000							41250
NEOMEDICS INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	020656818	BUSINESS SERVICES	OH		C		1.00000	CLINIC MEDICAL SOLUTIONS INC
OPTOQUEST CORPORATION
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	263589643	SCIENTIFIC RESEARCH	DE	N/A	C		1.00000
PINE FALLS CONDOMINIUM ASSOCIATES INC
6100 WEST CREEK SUITE 25	INDEPENDENCE	OH	44131	341617589	CONDO RENTALS	OH	N/A	C		0.75000
RENOVO NEURAL INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	800185146	SCIENTIFIC RESEARCH	DE	N/A	C	224403	1.00000							878759
SIVAN INC (FKA OHIO BIOGEL INC)
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	562505807	INACTIVE	DE	N/A	C		1.00000
MCZ INC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341256598	LEASING	OH		C	500	1.00000	MEDINA HOSPITAL						18497
CMCD INC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	REAL ESTATE	OH		C		1.00000	MEDINA HOSPITAL
CLEVELAND HEALTH NETWORK
6000 WEST CREEK RD SUITE 20	INDEPENDENCE	OH	44131	341770780	BUSINESS SERVICES	OH	N/A	C	12407715								4935552
CHARITABLE REMAINDER TRUST (23)
C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131		CHARITABLE TRUST	OH	N/A	T
CHARITABLE LEAD TRUST
C/O 6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131		CHARITABLE TRUST	PA	N/A	T

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (40 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CLEVELAND CLINIC CANADA - TORONTO
A	100000	FMV
CLEVELAND HEALTH NETWORK
B	180000	FMV
CCHS INDEMNITY CO LTD
C	70000000	FMV
CLEVELAND CLINIC CANADA - TORONTO
C	194141	FMV
CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
C	90509	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
C	5300004	FMV
FAIRVIEW HOSPITAL
C	2491144	FMV
LAKEWOOD HOSPITAL
C	1749395	FMV
LUTHERAN HOSPITAL
C	1574688	FMV
MARYMOUNT HOSPITAL
C	997095	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
I	2722925	FMV
CLINIC CARE INC
I	440000	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
J	1756000	FMV
LAKEWOOD HOSPITAL
J	153000	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
K	1956858	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
K	6341350	FMV
CLEVELAND HEALTH NETWORK
K	3165000	FMV
FAIRVIEW HOSPITAL
K	3598000	FMV
IMAGE IQ INC
K	375000	FMV
LAKEWOOD HOSPITAL
K	1508000	FMV
LUTHERAN HOSPITAL
K	373000	FMV
MARYMOUNT HOSPITAL
K	1872630	FMV
CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
L	75000	FMV
CLINIC CARE INC
L	9023000	FMV
CCF HOTEL SERVICES INC
O	4155605	FMV
CCHS INDEMNITY CO LTD
O	41802211	FMV
CGS INC
P	242241	FMV
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
P	1750680	FMV
CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
P	10240345	FMV
CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
P	10732641	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
P	77170887	FMV
CLEVELAND CLINIC HOMECARE
P	2541332	FMV
FAIRVIEW HOSPITAL
P	39522217	FMV
LAKEWOOD HOSPITAL
P	17383419	FMV
LUTHERAN HOSPITAL
P	11805355	FMV
MARYMOUNT HOSPITAL
P	12538104	FMV
MARYMOUNT HOSPITAL
P	6658584	FMV
MEDINA HOSPITAL
P	5930519	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
Q	18827651	FMV
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
R	495997	FMV