THE CLEVELAND CLINIC FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: THE CLEVELAND CLINIC FOUNDATION (EIN 34-0714585)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201113159349300326
Schema version: 2010v3.2
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	2011-11-11T10:06:38-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-01-01	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 H-18	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	2011-11-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2168615000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	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 H-18	AddressLine1
City	CLEVELAND	City
State	OH	State
ZIP Code	44195	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4408258700	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	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	26606	TotalNbrEmployees
Total Nbr Volunteers	2063	TotalNbrVolunteers
Total Gross UBI	17344779	TotalGrossUBI
Net Unrelated Business Txbl Income	-5907187	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	227727415	ContributionsGrantsPriorYear
Contributions Grants Current Year	232934775	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3378118935	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3609359804	ProgramServiceRevenueCY
Investment Income Prior Year	-24228350	InvestmentIncomePriorYear
Investment Income Current Year	88244669	InvestmentIncomeCurrentYear
Other Revenue Prior Year	146706302	OtherRevenuePriorYear
Other Revenue Current Year	27252439	OtherRevenueCurrentYear
Total Revenue Prior Year	3728324302	TotalRevenuePriorYear
Total Revenue Current Year	3957791687	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	90155988	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	58174238	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1957493505	SalariesEtcPriorYear
Salaries Etc Current Year	2194121846	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	1579913	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	1856723	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	12837390	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1404674564	OtherExpensePriorYear
Other Expenses Current Year	1474369080	OtherExpensesCurrentYear
Total Expenses Prior Year	3453903970	TotalExpensesPriorYear
Total Expenses Current Year	3728521887	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	274420332	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	229269800	RevenuesLessExpensesCY
Total Assets BOY	5517187140	TotalAssetsBOY
Total Assets EOY	5996125874	TotalAssetsEOY
Total Liabilities BOY	3593219966	TotalLiabilitiesBOY
Total Liabilities EOY	3628650609	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1923967174	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2367475265	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	3328117836	Expense
Grants	58174238	Grants
Revenue	3609359804	Revenue
Description	SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.	Description
Total Program Service Expense	3328117836	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
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	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	3836	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	26606	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CA	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	GR	NameOfForeignCountry
Name Of Foreign Country	KS	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	6	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	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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 (52 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
AULETTA PATRICK V
DIRECTOR	3.00	X	0	0	0
BRADLEY LINDA
VICE CHAIR - OB/GYN	50.00	X	344477	0	38312
CATHCART MARTHA
PHYSICIAN	50.00	X	186996	0	32319
COMMES THOMAS A
DIRECTOR	3.00	X	0	0	0
COSGROVE DELOS M
PRESIDENT, CEO	50.00	X	2279364	0	34778	X
FALCONE TOMMASO
CHAIR - OB/GYN	50.00	X	722445	0	40312
FEDELI UMBERTO P
DIRECTOR	3.00	X	0	0	0
HAHN JOSEPH F
CHIEF OF STAFF	50.00	X	1120388	0	34887	X
HARDIS STEPHEN R
DIRECTOR	3.00	X	0	0	0
HESSLER DAVID J
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
MIXON MALACHI III
CHAIR OF BOARD	3.00	X	0	0	0	X
MOONEY BETH E
DIRECTOR	3.00	X	0	0	0
MOORE III DAN
DIRECTOR	3.00	X	0	0	0
POLLOCK LARRY
DIRECTOR	3.00	X	0	0	0
RICH ROBERT E JR
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
SCAMINACE JOSEPH M
DIRECTOR	3.00	X	0	0	0
SHEWMAKER JACK C
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		415971	0	36822	X
GLASS STEVEN C
CFO & TREASURER	50.00		880990	0	38312	X
HARRINGTON MICHAEL
CAO & CONTROLLER	50.00		491398	0	38930	X
MCHUGH LINDA
ASSISTANT SECRETARY	50.00		319838	0	38312	X
MEEHAN MICHAEL
ASSISTANT SECRETARY	50.00		282277	0	34778	X
MURRAY JAN
ASSISTANT SECRETARY	50.00		501367	0	29199	X
PEACOCK WILLIAM
CHIEF OF OPERATIONS	50.00		667229	0	40502	X
ROWAN DAVID W
CHIEF LEGAL OFFICER	50.00		613337	0	42207	X
LYTLE BRUCE W
CHAIR - HEART INSTITUTE	50.00		1583872	0	34778		X
COSTIN JOHN
CHAIR - CC LORAIN	50.00		1165899	0	35998			X
FAZIO VICTOR
CHAIR - DIGISTIVE INSTITUTE	50.00		1166844	0	34778			X
FISHLEDER ANDREW W
INTERNATIONAL OPERATIONS	50.00		1177877	0	35126			X
MAVROUDIS CONSTANTINE
CHAIR - PEDIATRIC & CONGEN HEART	50.00		1333976	0	38132			X
PETRE JOHN H
DIRECTOR CLINIC SPACE EQUIPMENT	50.00		1342697	0	36387			X
STRAND DAVID
FORMER OFFICER	0.00		1266758	0	36969				X
FUNG JOHN J
FORMER KEY EMPLOYEE	50.00		849797	0	38812				X
MATSEN PAUL
FORMER KEY EMPLOYEE	50.00		847273	0	38312				X
MODIC MICHAEL
FORMER KEY EMPLOYEE	50.00		848332	0	38967				X
GOLDFARB JAMES
FORMER TOP COMPENSATED	50.00		957050	0	35957				X
LAHORRA JOSEPH
FORMER TOP COMPENSATED	50.00		697028	0	40871				X
MARTIN DANIEL
FORMER TOP COMPENSATED	50.00		488259	0	38162				X
MIHALJEVIC TOMISLAV
FORMER TOP COMPENSATED	50.00		890343	0	41086				X
PETTERSSON GOSTA
FORMER TOP COMPENSATED	50.00		941722	0	52951				X
SCHAUER PHILIP
FORMER TOP COMPENSATED	50.00		1112714	0	38312				X
WYSZYNSKI RICHARD
FORMER TOP COMPENSATED	50.00		977566	0	42532				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	26474084	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1137800	TotalOtherCompensation
Number Individuals GT100 K	1796	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
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 12110	DALLAS	TX	75312	HEALTHCARE IT & ENGINEERING SOLUTIONS	18552543
SODEXHO
1669 PHOENIX PARKWAY 210	COLLEGE PARK	GA	30349	LAUNDRY & FOOD SERVICE	9853051
STRATEGIC INVESTMENT GROUP
1001 19TH ST NORTH 16TH FLOOR	ARLINGTON	VA	22209	INVESTMENT MANAGEMENT	8918318
ADWORKS INC
1225 19TH STREET NW 500	WASHINGTON DC	DC	20036	ADVERTISING	7359344
XEROX CORPORATION
350 S NORTHWEST HWY	PARK RIDGE	IL	60068	PRINTING, EQUIP MAINT & ADMIN	6279841

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	465	NumberOfContractorsGT100K
Federated Campaigns	44648215	FederatedCampaigns
Fundraising Events	1671053	FundraisingEvents
Related Organizations	18772926	RelatedOrganizations
Government Grants	104949311	GovernmentGrants
All Other Contributions	62893270	AllOtherContributions
Noncash Contributions	5472790	NoncashContributions
Total Contributions	232934775	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	2563299345	2563299345
MEDICARE/MEDICAID PAYM	921990	883745657	883745657
OTHER PROGRAM SERVICES	900099	111844088	110337329	1506759
PARKING, PHONE & OTHER	812930	16510263			$16,510,263
MANAGEMENT FEES	561000	15730211	7501568	8228643

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18230240	TotalRevenueColumn
Related Or Exempt Function Income	9147063	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	9083177	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	3609359804	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	35805349	TotalRevenueColumn
Exclusion	$35,805,349	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	203070	TotalRevenueColumn
Exclusion	$203,070	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15163622	TotalRevenueColumn
Exclusion	$15,163,622	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	9733366	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	9733366	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	9733366	TotalRevenueColumn
Exclusion	$9,733,366	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	501371077	Securities
Other	325944	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	445134340	Securities
Other	4326431	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	56236737	Securities
Other	-4000487	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	52236250	TotalRevenueColumn
Exclusion	$52,236,250	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	515300	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	1671053	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1006242	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-490942	TotalRevenueColumn
Exclusion	-$490,942	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
INCOME (LOSS) ON INVES	523000	54359133	-1473800	$55,832,933
FOREIGN CURRENCY	525990	857301		$857,301
DERIVATIVE INCOME	525990	-52370041		-$52,370,041

Field	Value	IRS element (for citing)
Total Other Revenue	2846393	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3957791687	TotalRevenueColumn
Related Or Exempt Function Income	3574030962	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	17344779	UnrelatedBusinessRevenue
Exclusion	$133,481,171	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	24863177	Total
Program Services	24863177	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	33275721	Total
Program Services	33275721	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	35340	Total
Program Services	35340	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	10924397	Total
Program Services	2978221	ProgramServices
Management And General	7946176	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	5178223	Total
Program Services	2544607	ProgramServices
Management And General	2633616	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1738215095	Total
Program Services	1547827728	ProgramServices
Management And General	184190819	ManagementAndGeneral
Fundraising	6196548	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	90699396	Total
Program Services	80810181	ProgramServices
Management And General	9611006	ManagementAndGeneral
Fundraising	278209	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	259747254	Total
Program Services	231572436	ProgramServices
Management And General	27524246	ManagementAndGeneral
Fundraising	650572	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	89357481	Total
Program Services	79464392	ProgramServices
Management And General	9468809	ManagementAndGeneral
Fundraising	424280	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3529676	Total
Program Services	3152156	ProgramServices
Management And General	374024	ManagementAndGeneral
Fundraising	3496	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	8972471	Total
Program Services	7974513	ProgramServices
Management And General	950772	ManagementAndGeneral
Fundraising	47186	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1948644	Total
Management And General	1948644	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	700529	Total
Program Services	700529	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	1856723	Total
Fundraising	1856723	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	7391258	Total
Management And General	7391258	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	44341905	Total
Program Services	37669229	ProgramServices
Management And General	4698712	ManagementAndGeneral
Fundraising	1973964	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	30075716	Total
Program Services	26862529	ProgramServices
Management And General	3186988	ManagementAndGeneral
Fundraising	26199	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	603422184	Total
Program Services	539067869	ProgramServices
Management And General	63941929	ManagementAndGeneral
Fundraising	412386	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	56988041	Total
Program Services	50836233	ProgramServices
Management And General	6038766	ManagementAndGeneral
Fundraising	113042	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	83090094	Total
Program Services	74247463	ProgramServices
Management And General	8804683	ManagementAndGeneral
Fundraising	37948	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	15510109	Total
Program Services	13469776	ProgramServices
Management And General	1643536	ManagementAndGeneral
Fundraising	396797	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	7250466	Total
Program Services	6275973	ProgramServices
Management And General	768299	ManagementAndGeneral
Fundraising	206194	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	71719076	Total
Program Services	64119329	ProgramServices
Management And General	7599747	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	213788064	Total
Program Services	191095914	ProgramServices
Management And General	22654158	ManagementAndGeneral
Fundraising	37992	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	56499838	Total
Program Services	50512805	ProgramServices
Management And General	5987033	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT EXPENSE	131710772	131710772
EQUIPMENT RENTAL & MAIN	76763987	68581538	8134334	48115
RESEARCH EXPENSE	25143027	25143027
STATE FRANCHISE FEE	15997005	15997005
TELEPHONE/INTERNET	12775401	11303845	1353752	117804

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6750817	Total
Program Services	6025528	ProgramServices
Management And General	715354	ManagementAndGeneral
Fundraising	9935	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3728521887	Total
Program Services	3328117836	ProgramServices
Management And General	387566661	ManagementAndGeneral
Fundraising	12837390	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	79145488	BOY
EOY	59822337	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6112233	BOY
EOY	16139868	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	256894650	BOY
EOY	241276995	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	450254004	BOY
EOY	515447460	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	12592628	BOY
EOY	16499483	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	76047596	BOY
EOY	54983209	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	48209780	BOY
EOY	54365455	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	16032301	BOY
EOY	19000271	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3819998141	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1777749661	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1931529526	BOY
EOY	2042248480	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1828431565	BOY
EOY	1797908706	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	680760760	BOY
EOY	1018983834	EOY

Investments Program Related InvestmentsProgramRelated

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

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	119176609	BOY
EOY	147449776	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5517187140	BOY
EOY	5996125874	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	504844500	BOY
EOY	552665231	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	1636843	BOY
EOY	480149	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	70042066	BOY
EOY	70978376	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1950657739	BOY
EOY	1983906633	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	5329138	BOY
EOY	2042047	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	27094983	BOY
EOY	43883074	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1033614697	BOY
EOY	974695099	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3593219966	BOY
EOY	3628650609	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1446887606	BOY
EOY	1879344625	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	325835015	BOY
EOY	324435404	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	151244553	BOY
EOY	163695236	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1923967174	BOY
EOY	2367475265	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5517187140	BOY
EOY	5996125874	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	229269800	ReconcilationRevenueExpenses
Reconcilation Other Changes	214238291	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	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$111,935	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$588,594	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	700529	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	176096005	OtherCostOrOtherBasis
Book Value	176096005	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2136564940	OtherCostOrOtherBasis
Depreciation	905604022	Depreciation
Book Value	1230960918	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	60763967	OtherCostOrOtherBasis
Depreciation	38045342	Depreciation
Book Value	22718625	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1189414800	OtherCostOrOtherBasis
Depreciation	804131472	Depreciation
Book Value	385283328	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	257158429	OtherCostOrOtherBasis
Depreciation	29968825	Depreciation
Book Value	227189604	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2042248480	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
VENTURE CAPITAL	37284630	F
HEDGE FUNDS	707417295	F
PRIVATE EQUITY	177785533	F
REAL ESTATE	96496376	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1018983834	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION	$557,079,832
OTHER LIABILITIES	$117,675,570
ACCRUED BENEFITS	$115,068,298
FUTURE GIFT ANNUITY PAYMENTS	$7,637,846
DEFERRED ANNUITY TRUST	$1,559,791
INTEREST RATE SWAPS	$86,438,307
UNAMORTIZED BOND PREMIUM	$11,314,518
SECURITIES LENDING	$157,919
DUE TO AFFILIATES	$77,763,018

Field	Value	IRS element (for citing)
Total Of Amounts	974695099	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, 2010 AND 2009 THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $12.4 MILLION AND $10.1 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT TWELVE 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	45688637
CENTRAL AMERICA AND THE CARIBBEAN	0	INVESTMENT		63017285
EUROPE (INCLUDING ICELAND & GREENLAND)	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	57096
MIDDLE EAST AND NORTH AFRICA	11	UNRELATED BUSINESS		4428986
MIDDLE EAST AND NORTH AFRICA	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	158478
NORTH AMERICA	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	5070
SOUTH AMERICA	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	40750
CENTRAL AMERICA AND THE CARIBBEAN -	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	7789
EAST ASIA AND THE PACIFIC	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	4573
RUSSIA AND THE NEWLY INDEPENDENT STATES	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES	6937
MIDDLE EAST AND NORTH AFRICA	0	FUNDRAISING		32000
EUROPE (INCLUDING ICELAND & GREENLAND)	0	FUNDRAISING		80000

Field	Value	IRS element (for citing)
Subtotal Number Of Employees	11	SubtotalNumberOfEmployees
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Employees	11	TotalNumberOfEmployees
Subtotal Amount Spent	113404091	SubtotalAmountSpent
Cont Amount Spent	123510	ContAmountSpent
Total Amount Spent	113527601	TotalAmountSpent
No Recipient Over5 K	X	NoRecipientOver5K

Grants To Orgs Outside US GrantsToOrgsOutsideUS (9 entries)

RegionRegion	Purpose Of GrantPurposeOfGrant	Amount Of Cash GrantAmountOfCashGrant	Manner Of Cash DisbursementMannerOfCashDisbursement
MIDDLE EAST AND NORTH AFRICA -	RESEARCH	278528	WIRE
MIDDLE EAST AND NORTH AFRICA -	RESEARCH	134836	CHECK
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	70674	WIRE
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	16275	CHECK
EAST ASIA AND THE PACIFIC -	RESEARCH	57462	CHECK
NORTH AMERICA - CANADA AND MEXICO, BUT	RESEARCH	5261	CHECK
EUROPE (INCLUDING ICELAND & GREENLAND) -	RESEARCH	14070	CHECK
NORTH AMERICA - CANADA AND MEXICO, BUT	RESEARCH	13000	CHECK
SOUTH ASIA - AFGHANISTAN, BANGLADESH,	RESEARCH	10000	WIRE

Field	Value	IRS element (for citing)
Total Number Of Other Orgs	9	TotalNumberOfOtherOrgs

Grants To Ind Outside US GrantsToIndOutsideUS (2 entries)

Type Of AssistanceTypeOfAssistance	RegionRegion	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Manner Of Cash DisbursementMannerOfCashDisbursement
RESEARCH	EUROPE (INCLUDING ICELAND & GREENLAND)	3	26340	CHECK
RESEARCH	NORTH AMERICA	1	9000	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

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 (3 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	969561	942590	26971
RR DONNELLEY
111 SOUTH WACKER DRIVE	CHICAGO	IL	60606	DIRECT MAIL	0	946573	688815	257758
CONVIO
11501 DOMAIN DR STE 200	AUSTIN	TX	78758	INTERNET	0	143317	225318	-82001

Field	Value	IRS element (for citing)
Total Gross Receipts	2059451	TotalGrossReceipts
Total Retained By Contractors	1856723	TotalRetainedByContractors
Total Net To Organization	202728	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

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SCOTT HAMILTON ICE SHOW & GALA	NameOfEvent1
Gross Receipts Event1	1322978	GrossReceiptsEvent1
Charitable Contributions Event1	1222028	CharitableContributionsEvent1
Gross Revenue Event1	100950	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	105457	RentFacilityCostsEvent1
Food And Beverage Event1	120975	FoodAndBeverageEvent1
Entertainment Event1	135146	EntertainmentEvent1
Other Direct Expenses Event1	242043	OtherDirectExpensesEvent1
Name Of Event2	HEARTTHROB BALL	NameOfEvent2
Gross Receipts Event2	863375	GrossReceiptsEvent2
Charitable Contributions Event2	449025	CharitableContributionsEvent2
Gross Revenue Event2	414350	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	25755	RentFacilityCostsEvent2
Food And Beverage Event2	149299	FoodAndBeverageEvent2
Entertainment Event2	88350	EntertainmentEvent2
Other Direct Expenses Event2	139217	OtherDirectExpensesEvent2
Gross Receipts Total	2186353	GrossReceiptsTotal
Charitable Contributions Total	1671053	CharitableContributionsTotal
Gross Revenue Total Events	515300	GrossRevenueTotalEvents
Rent Facility Costs Total Events	131212	RentFacilityCostsTotalEvents
Food And Beverage Total Events	270274	FoodAndBeverageTotalEvents
Entertainment Total Events	223496	EntertainmentTotalEvents
Other Direct Expenses Total Events	381260	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1006242	DirectExpenseSummaryEvents
Net Income Summary	-490942	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76761906	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63000	DirectOffsettingRevenue
Net Community Benefit Expense	76698906	NetCommunityBenefitExpense
Percent Of Total Expense	0.02130	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	215701208	TotalCommunityBenefitExpense
Direct Offsetting Revenue	159636051	DirectOffsettingRevenue
Net Community Benefit Expense	56065157	NetCommunityBenefitExpense
Percent Of Total Expense	0.01560	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	292463114	TotalCommunityBenefitExpense
Direct Offsetting Revenue	159699051	DirectOffsettingRevenue
Net Community Benefit Expense	132764063	NetCommunityBenefitExpense
Percent Of Total Expense	0.03690	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19082238	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12414	DirectOffsettingRevenue
Net Community Benefit Expense	19069824	NetCommunityBenefitExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	208420318	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50746829	DirectOffsettingRevenue
Net Community Benefit Expense	157673489	NetCommunityBenefitExpense
Percent Of Total Expense	0.04380	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5892581	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3175099	DirectOffsettingRevenue
Net Community Benefit Expense	2717482	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	194332975	TotalCommunityBenefitExpense
Net Community Benefit Expense	194332975	NetCommunityBenefitExpense
Percent Of Total Expense	0.05400	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6842265	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18965	DirectOffsettingRevenue
Net Community Benefit Expense	6823300	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	434570377	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53953307	DirectOffsettingRevenue
Net Community Benefit Expense	380617070	NetCommunityBenefitExpense
Percent Of Total Expense	0.10580	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	727033491	TotalCommunityBenefitExpense
Direct Offsetting Revenue	213652358	DirectOffsettingRevenue
Net Community Benefit Expense	513381133	NetCommunityBenefitExpense
Percent Of Total Expense	0.14270	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	8260	TotalCommunityBuildingExpense
Net Community Building Expense	8260	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1651101	TotalCommunityBuildingExpense
Net Community Building Expense	1651101	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	53948	TotalCommunityBuildingExpense
Net Community Building Expense	53948	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	24688	TotalCommunityBuildingExpense
Net Community Building Expense	24688	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2249	TotalCommunityBuildingExpense
Net Community Building Expense	2249	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	103520	TotalCommunityBuildingExpense
Net Community Building Expense	103520	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	144586	TotalCommunityBuildingExpense
Net Community Building Expense	144586	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1483078	TotalCommunityBuildingExpense
Net Community Building Expense	1483078	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	3471430	TotalCommunityBuildingExpense
Net Community Building Expense	3471430	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$41,306,393	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	450079324	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	496907659	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-46828335	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	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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	74	NumberOfOtherFacilities

Other Facilities OtherFacilities (74 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD	BEACHWOOD	OH	44122	FAMILY HEALTH CENTER
STRONGSVILLE FAMILY HEALTH & SURGERY CEN
16761 SOUTH PARK CENTER	STRONGSVILLE	OH	44136	FAMILY HEALTH CENTER
LORAIN FAMILY HEALTH CENTER & SURGERY CE
5700 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	FAMILY HEALTH CENTER
WILLOUGHBY HILLS FAMILY HEALTH CENTER
2570 SOM CENTER ROAD	WILLOUGHBY HILLS	OH	44094	FAMILY HEALTH CENTER
WOOSTER FAMILY HEALTH CENTER
1740 CLEVELAND ROAD	WOOSTER	OH	44691	FAMILY HEALTH CENTER
INDEPENDENCE FAMILY HEALTH CENTER
5001 ROCKSIDE RD CROWN CENTRE II	INDEPENDENCE	OH	44131	FAMILY HEALTH CENTER
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
INDEPENDENCE CANCER CENTER
6100 WEST CREEK ROAD	INDEPENDENCE	OH	44131	OUTPATIENT PHYSICIAN CLINIC
ELYRIA FAMILY HEALTH & SURGERY CENTER
303 CHESTNUT COMMONS DRIVE	ELYRIA	OH	44035	FAMILY HEALTH CENTER
BRUNSWICK FAMILY HEALTH CENTER
3574 CENTER ROAD	BRUNSWICK	OH	44212	FAMILY HEALTH CENTER
CHAGRIN FALLS FAMILY HEALTH CENTER
551 EAST WASHINGTON STREET	CHAGRIN FALLS	OH	44022	FAMILY HEALTH CENTER
AVON LAKE FAMILY HEALTH CENTER
450 AVON-BELDEN ROAD	AVON LAKE	OH	44012	FAMILY HEALTH CENTER
OHIO RENAL CARE GROUP EAST
10205 CARNEGIE AVENUE	CLEVELAND	OH	44106	DIALYSIS CENTER
SPORTS HEALTH AT THE JEWISH COMMUNITY CE
26001 SOUTH WOODLAND ROAD	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
NORTH OLMSTED PATIENT TESTING CENTER
24700 LORAIN ROAD	NORTH OLMSTED	OH	44070	OUTPATIENT PHYSICIAN CLINIC
AVON FAMILY HEALTH CENTER
36901 AMERICAN WAY	AVON	OH	44011	FAMILY HEALTH CENTER
ASHLAND OPHTHALMOLOGY
21 SUGARBUSH COURT	ASHLAND	OH	44805	OUTPATIENT PHYSICIAN CLINIC
LAKEWOOD FAMILY HEALTH CENTER
16215 MADISON AVENUE	LAKEWOOD	OH	44107	FAMILY HEALTH CENTER
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
MADISON SQUARE BUILDING
15644 MADISON AVENUE SUITE 108	LAKEWOOD	OH	44107	OUTPATIENT PHYSICIAN CLINIC
OHIO RENAL CARE GROUP OF NORTH RANDALL
4750 NORTHFIELD ROAD	NORTH RANDALL	OH	44128	DIALYSIS CENTER
OHIO RENAL CARE GROUP PDHOME DIALYSIS P
11203 STOKES BOULEVARD	CLEVELAND	OH	44104	DIALYSIS CENTER
OHIO RENAL CARE GROUPSOLON
6020 ENTERPRISE PARKWAY	SOLON	OH	44139	DIALYSIS CENTER
LORAIN KOLCZUN ORTHOPAEDICS
5800 COOPER FOSTER PARK ROAD	LORAIN	OH	44053	OUTPATIENT PHYSICIAN CLINIC
MIDDLEBURG HEIGHTS ORTHOPAEDICS
7010 ENGLE ROAD	MIDDLEBURG HEIGHTS	OH	44130	OUTPATIENT PHYSICIAN CLINIC
LORAIN ORTHOPAEDICS
5275 NORTH ABBE ROAD	ELYRIA	OH	44035	OUTPATIENT PHYSICIAN CLINIC
SUGARBUSH EYE AND LASER CENTER
1456 PARK AVENUE WEST SUITE P	MANSFIELD	OH	44906	OUTPATIENT PHYSICIAN CLINIC
OBERLIN OPHTHALMOLOGYLAKELAND EYE
309 WEST LORAIN STREET	OBERLIN	OH	44074	OUTPATIENT PHYSICIAN CLINIC
WESTGATE PATIENT TESTING CENTER
20800 ADDINGTON BOULEVARD	FAIRVIEW PARK	OH	44126	OUTPATIENT PHYSICIAN CLINIC
CANFIELD ORTHOPAEDICS AND REHABILITATION
3736 BOARDMAN CANFIELD RD	CANFIELD	OH	44406	OUTPATIENT PHYSICIAN CLINIC
SLEEP DISORDERS CENTER
11203 STOKES BOULEVARD	CLEVELAND	OH	44104	DIAGNOSTIC CENTER
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
BROADVIEW HEIGHTS REHABILITATION SERVICE
2525 EAST ROYALTON ROAD	BROADVIEW HEIGHTS	OH	44147	OUTPATIENT PHYSICIAN CLINIC
CENTER FOR INTEGRATED MEDICINE & PEAK PE
1950 RICHMOND ROAD	LYNDHURST	OH	44124	OUTPATIENT PHYSICIAN CLINIC
CHARDON ROAD MEDICAL OFFICE BUILDING
34500 CHARDON ROAD	WILLOUGHBY HILLS	OH	44094	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC ORTHOPAEDICS AVON
38530 CHESTER ROAD	AVON	OH	44011	OUTPATIENT PHYSICIAN CLINIC
CLEVELAND CLINIC SPORTS HEALTH & ORTHOPA
26001 SOUTH WOODLAND	BEACHWOOD	OH	44122	OUTPATIENT PHYSICIAN CLINIC
COMMUNITY HEALTH AND WELLNESS CENTER
2390 E 79TH ST	CLEVELAND	OH	44104	OUTPATIENT PHYSICIAN CLINIC
HILLCREST HOSPITAL OUTPATIENT REHABILITA
5187 MAYFIELD ROAD SUITES 10 30	LYNDHURST	OH	44124	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 RD	LORAIN	OH	44052	OUTPATIENT PHYSICIAN CLINIC
MENTOR SPORTS HEALTH & REHABILITATION
7533 CENTER STREET	MENTOR	OH	44060	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
ROCKY RIVER RECREATION CENTER REHAB MEDI
21012 HILLIARD BOULEVARD	ROCKY RIVER	OH	44116	OUTPATIENT PHYSICIAN CLINIC
SPORTS HEALTH
29017 CHARDON ROAD	WILLOUGHBY HILLS	OH	44092	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
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
WELLINGTON PLACE
4800 CLAGUE ROAD	NORTH OLMSTED	OH	44070	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
BOARDMAN STAR IMAGING
7067 TIFFANY BOULEVARD	BOARDMAN	OH	44512	DIAGNOSTIC CENTER
COLUMBUS STAR IMAGING
921 JASONWAY AVENUE	COLUMBUS	OH	43214	DIAGNOSTIC CENTER
FLORIDA SLEEP STUDIES PROGRAM
COURTYARD BY MARRIOTT 2000 N	WESTON	FL	33331	DIAGNOSTIC CENTER	COMMERCE
TWINSBURG STAR IMAGING
8900 DARROW ROAD SUITE H102	TWINSBURG	OH	44087	DIAGNOSTIC CENTER
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation
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 CHARITY CARE 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 CHARITY CARE 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 $131,710,772.
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 PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCF HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
PART III, LINE 9B: 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.
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.SCH H PART III, LINES 5, 6, & 7 - MEDICARE SHORTFALL - 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 $408,506,211 AND $602,567,487 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $ 194,061,276 WHICH, ADDED TO THE SHORTFALL OF $46,828,335 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $240,889,611.SCH H PART V - FACILITIES - IN ADDITION TO THE LICENSED AND/OR REGISTERED FACILITIES LISTED IN PART V, CLEVELAND CLINIC HAS SEVEN ADMINISTRATIVE LOCATIONS.SCH H PART I, LINE 7B - UNREIMBURSED MEDICAID - THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID INCLUDES HCAP EXPENSE OF $523,727.SCH H PART I, LINE 7 - NOTE THAT THE TOTAL AMOUNT OF CHARITY CARE AND OTHER COMMUNITY BENEFITS OF $513,381,133 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 $133,474,511 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 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 CHARITY CARE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR CHARITY CARE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF CHARITY CARE. INFORMATION ABOUT THE CHARITY CARE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. ALL PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE CHARITY CARE POLICY AND AN INSERT DESCRIBING THE CHARITY CARE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A SUMMARY DESCRIPTION OF THE CHARITY CARE 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 CHARITY CARE.
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 6: 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 7: 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 (108 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Address Line2AddressUS/AddressLine2
A CULTURAL EXCHANGE
12624 LARCHMERE	CLEVELAND	OH	44120	341346752	501(C)(3)	10000	COMMUNITY SUPPORT
ALS ASSOCIATION
2500 E 22ND ST STE 101	CLEVELAND	OH	44115	341810545	501(C)(3)	10000	HEALTHCARE RESEARCH & EDUCATION
AMER CANCER SOCIETY
10501 EUCLID AVE	CLEVELAND	OH	44106	131788491	501(C)(3)	11050	HEALTHCARE RESEARCH & EDUCATION
AMER DIABETES ASSOC
1701 N BEAUREGARD ST	ALEXANDRIA	VA	22311	131623888	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
AMER HEART ASSOC
7272 GREENVILLE AVE	DALLAS	TX	75231	590637852	501(C)(3)	268000	HEALTHCARE RESEARCH & EDUCATION
AMER MUSIC THERAPY ASSOC
8455 COLESVILLE RD STE 1000	SILVER SPRING	MD	20910	486107868	501(C)(3)	5000	COMMUNITY SUPPORT
AMER RED CROSS
3747 EUCLID AVE	CLEVELAND	OH	44115	340714622	501(C)(3)	10000	HEALTHCARE RESEARCH & EDUCATION
AMER RED CROSS BLOOD SERVICE
PO BOX 73013	CHICAGO	IL	60673	530196605	501(C)(3)	11680	HEALTHCARE RESEARCH & EDUCATION
ARTHRITIS FOUNDATION
1330 WEST PEACHTREE ST NW	ATLANTA	GA	30309	581341679	501(C)(3)	26620	HEALTHCARE RESEARCH & EDUCATION
ASSOC OF INDIAN PHYSICIANS OF NORTHERN OHIO
3249 ROCKY RIVER	ROCKY RIVER	OH	44111	341407746	501(C)(3)	13800	COMMUNITY SUPPORT
BET FOUNDATION
1235 W ST NW	WASHINGTON DC	DC	20018	300205752	501(C)(3)	25000	COMMUNITY SUPPORT
BLACK PROFESSIONALS ASSOC INC CHARITABLE FOUNDATION
P O BOX 5783	CLEVELAND	OH	44101	341496786	501(C)(3)	40000	COMMUNITY SUPPORT
BNAI JESHURUN CONGREGATION
27501 FAIRMOUNT BLVD	PEPPER PIKE	OH	44124	340714675	501(C)(3)	5000	COMMUNITY SUPPORT
BNAI ZION FOUNDATION
136 EAST 39TH ST	NEW YORK	NY	10016	340764144	501(C)(3)	6250	COMMUNITY SUPPORT
BOYS & GIRLS CLUBS OF CLEVE
3340 TROWBRIDGE AVE	CLEVELAND	OH	44109	340770686	501(C)(3)	25000	COMMUNITY SUPPORT
BUSINESS VOLUNTEERS UNLIMITED
200 PUBLIC SQUARE 2650	CLEVELAND	OH	44114	341815680	501(C)(3)	21500	COMMUNITY SUPPORT
CARE ALLIANCE
1795 W 25TH STREET STE 251	CLEVELAND	OH	44113	341629768	501(C)(3)	10000	COMMUNITY SUPPORT
CENTER FOR FAMILIES AND CHILDR
4500 EUCLID AVE	CLEVELAND	OH	44103	237084455	501(C)(3)	10000	HEALTHCARE RESEARCH & EDUCATION
CHIP
205 W 25TH ST STE 265	LORAIN	OH	44052	203653522	501(C)(3)	5000	COMMUNITY SUPPORT
CITY CLUB FORUM FOUNDATION
850 EUCLID AVE 2ND FLOOR	CLEVELAND	OH	44114	340144897	501(C)(3)	11560	COMMUNITY SUPPORT
CITY OF INDEPENDENCE
6800 BRECKSVILLE RD	INDEPENDENCE	OH	44131	346001474	501(C)(1)	20000	COMMUNITY SUPPORT
CLEVE BOTANICAL GARDEN
11030 EAST BLVD	CLEVELAND	OH	44106	340239538	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVE CLINIC FLORIDA
3000 W CYPRESS CREEK	FORT LAUDERDALE	FL	33309	650003177	501(C)(3)	15000	SUPPORT TO RELATED CHARITY
CLEVE FOOD BANK
1557 EAST 27TH ST	CLEVELAND	OH	44114	341292848	501(C)(3)	6500	COMMUNITY SUPPORT
CLEVE LEADERSHIP CTR
1422 EUCLID AVE STE 940	CLEVELAND	OH	44115	341927317	501(C)(3)	11000	COMMUNITY SUPPORT
CLEVE MOTTEP
18720 CHAGRIN BLVD	SHAKER HTS	OH	44122	522401852	501(C)(3)	10000	COMMUNITY SUPPORT
CLEVE MUSEUM OF ART
11150 EAST BLVD	CLEVELAND	OH	44106	340714336	501(C)(3)	50000	COMMUNITY SUPPORT
CLEVE MUSEUM OF NATURAL HISTOR
1 WADE OVAL DR	CLEVELAND	OH	44106	340714338	501(C)(3)	5500	COMMUNITY SUPPORT
CLEVE MUSIC SCHOOL SETTLEMENT
11125 MAGNOLIA DR	CLEVELAND	OH	44106	340714339	501(C)(3)	15000	COMMUNITY SUPPORT
CLEVE PLAYHOUSE
P O BOX 1989	CLEVELAND	OH	44106	340895516	501(C)(3)	5000	COMMUNITY SUPPORT
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
9500 EUCLID AVE	CLEVELAND	OH	44106	340714553	501(C)(3)	18728884	SUPPORT TO RELATED CHARITY
CLEVELAND FOUNDATION
1422 EUCLID AVE 1300	CLEVELAND	OH	44115	340714588	501(C)(3)	1200000	COMMUNITY SUPPORT
CLEVELAND METROPARKS ZOO
3900 WILDLIFE WAY	CLEVELAND	OH	44109	346000704	501(C)(1)	20000	COMMUNITY SUPPORT
CLEVELAND MUNICIPAL SCHOOL DISTRICT
1380 EAST 6TH ST	CLEVELAND	OH	44114	346000662	501(C)(1)	274137	SUPPORT EDUCATIONAL ACTIVITIES
COMMUNITY WEST FOUNDATION
20545 CENTER RIDGE RD	ROCKY RIVER	OH	44116	341456398	501(C)(3)	9375	SUPPORT TO RELATED CHARITY
CONSORTIUM OF AFRICAN AMER
4415 EUCLID AVE STE 201	CLEVLAND	OH	44103	141838579	501(C)(3)	5000	COMMUNITY SUPPORT
CUYAHOGA COMMUNITY COLLEGE
700 CARNEGIE AVE	CLEVELAND	OH	44115	346003691	501(C)(1)	12000	SUPPORT EDUCATIONAL ACTIVITIES
DANCING CLASSROOMS NORTHEAST
PO BOX 304	HINCKLEY	OH	44233	262300532	501(C)(3)	6900	SUPPORT EDUCATIONAL ACTIVITIES
DIABETES ASSOC OF GREATER CLEV
3601 SOUTH GREEN RD STE 100	CLEVELAND	OH	44122	341590061	501(C)(3)	4300	HEALTHCARE RESEARCH & EDUCATION
DIVERSITY CTR OF NE OHIO INC
3645 WARRENSVILLE CTR RD STE 328	CLEVELAND	OH	44122	341759189	501(C)(3)	20000	COMMUNITY SUPPORT
DOWNTOWN CLEVELAND ALLIANCE
50 PUBLIC SQUARE STE 825	CLEVELAND	OH	44113	341775903	501(C)(3)	10000	COMMUNITY SUPPORT
ECONOMIC GROWTH FOUNDATION
50 PUBLIC SQ 200	CLEVELAND	OH	44113	340933033	501(C)(3)	66000	COMMUNITY SUPPORT
ENTREPRENEURS FOR SUSTAINABILITY
540 E 105TH ST STE 213	CLEVELAND	OH	44108	941081436	501(C)(3)	5000	COMMUNITY SUPPORT
EPILEPSY ASSOC
2831 PROSPECT AVE	CLEVELAND	OH	44115	237198807	501(C)(3)	27120	HEALTHCARE RESEARCH & EDUCATION
ESPERANZA INC
4115 BRIDGE AVE STE 108	CLEVELAND	OH	44113	289949965	501(C)(3)	10000	COMMUNITY SUPPORT
FAIRFAX RENAISSANCE DEVELOPMNT
8111 QUINCY AVE STE 100	CLEVELAND	OH	44104	341706856	501(C)(3)	54709	COMMUNITY SUPPORT
FIBROMUSCULAR DYSPLASIA SOCIETY OF AMERICA
20325 CENTER RIDGE RD	ROCKY RIVER	OH	44116	010771966	501(C)(3)	9000	HEALTHCARE RESEARCH & EDUCATION
FRIENDS OF CLEVE SCHL OF ARTS
PO BOX 18265	CLEVELAND	OH	44118	341410357	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
GATHERING PLACE
3365 RICHMOND RD	BEACHWOOD	OH	44122	341595148	501(C)(3)	5000	COMMUNITY SUPPORT
GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY
1240 WEST 6TH ST	CLEVELAND	OH	44113	341170830	501(C)(1)	125000	COMMUNITY SUPPORT
GREATER CLEVELAND SPORTS COMMISSION
50 PUBLIC SQUARE STE 950	CLEVELAND	OH	44113	311381131	501(C)(3)	10000	COMMUNITY SUPPORT
HEALTH LEGACY OF CLEVELAND INC
2475 E 22ND ST 210	CLEVELAND	OH	44115	295449821	501(C)(3)	30000	HEALTHCARE RESEARCH & EDUCATION
HEALTHCORPS
191 SEVENTH AVE 4N	NEW YORK	NY	10011	251915054	501(C)(3)	15000	HEALTHCARE RESEARCH & EDUCATION
HISPANIC ROUNDTABLE COMM
1900 E 9TH ST STE 3200	CLEVELAND	OH	44114	200932464	501(C)(3)	10000	COMMUNITY SUPPORT
HOSPICE OF THE WESTERN RESERVE
300 EAST 185TH	CLEVELAND	OH	44119	341256377	501(C)(3)	10500	HEALTHCARE RESEARCH & EDUCATION
INITIATIVE FOR A COMPETITIVE INNER CITY INC
200 HIGH ST THIRD FLOOR	BOSTON	MA	02110	133772904	501(C)(3)	26000	COMMUNITY SUPPORT
INNER CITY TENNIS CLINIC
PO BOX 32551	CLEVELAND	OH	44132	341346752	501(C)(3)	30000	COMMUNITY SUPPORT
JULIA DE BURGOS CULTURAL ARTS
5209 DETROIT AVE	CLEVELAND	OH	44102	341676967	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
JUVENILE DIABETES FOUNDATION
4500 ROCKSIDE RD STE 420	INDEPENDENCE	OH	44131	131837418	501(C)(3)	8000	HEALTHCARE RESEARCH & EDUCATION
KARAMU HOUSE INC
2355 EAST 89TH ST	CLEVELAND	OH	44106	340714448	501(C)(3)	5000	COMMUNITY SUPPORT
LAKEWOOD HOSPITAL
14519 DETROIT AVE	LAKEWOOD	OH	44107	346519834	501(C)(3)	6000	SUPPORT TO RELATED CHARITY
LEUKEMIA & LYMPHOMA SOCIETY
23297 COMMERCE PARK	CLEVELAND	OH	44122	135644916	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
LIFEBANC
20600 CHAGRIN BLVD STE 350	CLEVELAND	OH	44122	341456398	501(C)(3)	7000	HEALTHCARE RESEARCH & EDUCATION
LUPUS FOUNDATION OF AMERICA
12930 CHIPPEWA RD 6	BRECKSVILLE	OH	44141	341229407	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
MAKE A WISH FOUNDATION OF EAST
4949 GALAXY PARKWAY STE E	CLEVLAND	OH	44128	371471131	501(C)(3)	6000	HEALTHCARE RESEARCH & EDUCATION
MEDWISH INTERNATIONAL-SPRING
PO BOX 181484	CLEVELAND	OH	44118	341903712	501(C)(3)	25000	HEALTHCARE RESEARCH & EDUCATION	2308848	ESTIMATED VALUE	MEDICAL EQUIPMENT & SUPPLIES
MEREDITH COWDEN FOUNDATION
1369 WEBB RD	LAKEWOOD	OH	44107	208666402	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
METROHEALTH SYSTEM
2500 METROHEALTH DRIVE	CLEVELAND	OH	44109	346004382	501(C)(1)	75000	HEALTHCARE RESEARCH & EDUCATION
MIDTOWN CLEVELAND
4019 PROSPECT AVE 200	CLEVELAND	OH	44103	269981437	501(C)(3)	40000	COMMUNITY SUPPORT
NAACP
614 SUPERIOR AVE NW 700	CLEVELAND	OH	44113	256876059	501(C)(3)	10000	COMMUNITY SUPPORT
NAMI GREATER CLEVELAND
1400 W 25TH STREET 4TH FLOOR	CLEVELAND	OH	44113	202254268	501(C)(3)	8200	COMMUNITY SUPPORT
NATL ASSOC OF FREE CLINICS
1800 DIAGONAL RD STE 600	ALEXANDRIA	VA	22314	562273242	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
NATL KIDNEY FOUNDATION
30 E 33RD ST 11TH FL	NEW YORK	NY	10016	131673104	501(C)(3)	6000	HEALTHCARE RESEARCH & EDUCATION
NATL MULTIPLE SCLEROSIS SOC
1422 EUCLID AVE 333 HANNA BLDG	CLEVELAND	OH	44115	340801307	501(C)(3)	10100	HEALTHCARE RESEARCH & EDUCATION
NATL SOCIETY OF HISPANIC MBAS
1303 WALNUT HILL LANE STE 100	IRVING	TX	75038	340760593	501(C)(3)	6000	COMMUNITY SUPPORT
NOIA FOUNDATION
1140 TEREX RD	HUDSON	OH	44236	341618516	501(C)(3)	5000	COMMUNITY SUPPORT
NORTH UNION FARMERS MARKET
13212 SHAKER SQUARE STE 302	CLEVELAND	OH	44120	341812026	501(C)(3)	26750	COMMUNITY SUPPORT
NORTHEAST OHIO HISPANIC CHAMBER OF COMMERCE
2511 CLARK AVE	CLEVELAND	OH	44102	341805510	501(C)(6)	5000	COMMUNITY SUPPORT
NORTHERN OHIO MINORITY BUSINESS COUNCIL
200 TOWER CITY CENTER 50 PUBLIC	CLEVELAND	OH	44114	341880180	501(C)(6)	5000	COMMUNITY SUPPORT				SQUARE
NUEVA LUZ URBAN RESOURCE CTR
2226 W 89TH ST	CLEVELAND	OH	44102	341972937	501(C)(3)	5000	COMMUNITY SUPPORT
OLD WHITE CHARITIES INC
300 WEST MAIN ST	WHITE SULPHUR SPRINGS	WV	24986	261269358	501(C)(3)	60000	COMMUNITY SUPPORT
OPEN DOORS INC
2460 FAIRMOUNT BLVD 202	CLEVELAND HTS	OH	44106	941081436	501(C)(3)	5000	COMMUNITY SUPPORT
OSTEOPOROSIS WALK FOUNDATION
4450 TIMBERIDGE DR	INDEPENDENCE	OH	44131	341855292	501(C)(3)	7500	HEALTHCARE RESEARCH & EDUCATION
OUTRUN OVARIAN CANCER
PO BOX 40332	BAY VILLAGE	OH	44140	800093560	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
PLAYHOUSE SQUARE CENTER
1501 EUCLID AVE STE 200	CLEVELAND	OH	44115	237304942	501(C)(3)	5000	COMMUNITY SUPPORT
PLEXUS
PO BOX 91697	CLEVELAND	OH	44101	342064724	501(C)(3)	5000	COMMUNITY SUPPORT
POSITIVELY CLEVELAND
100 PUBLIC SQUARE STE 100	CLEVELAND	OH	44113	341509482	501(C)(3)	5000	COMMUNITY SUPPORT
PROJECT LOVE
23611 CHAGRIN BLVD 380	BEACHWOOD	OH	44122	341629768	501(C)(3)	10000	COMMUNITY SUPPORT
RAINEY INSTITUTE
1523 EAST 55TH ST	CLEVELAND	OH	44144	510168651	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
REBUILDING TOGETHER
PO BOX 14274	CLEVELAND	OH	44114	311493982	501(C)(3)	25072	COMMUNITY SUPPORT
RECOVERY RESOURCES
3950 CHESTER AVE	CLEVELAND	OH	44114	341211116	501(C)(3)	5000	COMMUNITY SUPPORT
RONALD MC DONALD HOUSE
10415 EUCLID AVE	CLEVELAND	OH	44106	341269123	501(C)(3)	25000	HEALTHCARE RESEARCH & EDUCATION
SANKOFA FINE ART PLUS
540 EAST 105TH ST STE 208	CLEVELAND	OH	44108	341890314	501(C)(3)	12500	SUPPORT EDUCATIONAL ACTIVITIES
SEG - EVERGREEN COOPERATIVE
540 EAST 105TH ST	CLEVELAND	OH	44108	270326577	501(C)(3)	250000	COMMUNITY SUPPORT
SENIOR OUTREACH SERVICES INC
100000 CEDAR AVE	CLEVELAND	OH	44106	341629768	501(C)(3)	21428	HEALTHCARE RESEARCH & EDUCATION
ST IGNATIUS HIGH SCHOOL
1911 WEST 30TH ST	CLEVELAND	OH	44113	340714500	501(C)(3)	5000	SUPPORT EDUCATIONAL ACTIVITIES
STRAIGHT FROM THE HEART
20545 CENTER RIDGE RD 448	ROCKY RIVER	OH	44116	341456398	501(C)(3)	10500	COMMUNITY SUPPORT
TAMPA GENERAL HOSPITAL
PO BOX 1289	TAMPA	FL	33601	593458145	501(C)(3)	7000	HEALTHCARE RESEARCH & EDUCATION
THEDACARE INC
820 E GRANT ST	APPLETON	WI	54911	269987508	501(C)(3)	20000	HEALTHCARE RESEARCH & EDUCATION
TUBEROUS SCLEROSIS ALLIANCE OH
17413 DEER CREEK CIRCLE	STRONGSVILLE	OH	44136	953018799	501(C)(3)	5000	HEALTHCARE RESEARCH & EDUCATION
UNITED FOR JOBS & OHIOS FUTURE
100 E BRD ST STE 2330	COLUMBUS	OH	43215	271836359	501(C)(3)	100000	COMMUNITY SUPPORT
UNITED WAY OF GREATER CLEVE
1331 EUCLID AVE	CLEVELAND	OH	44115	346516654	501(C)(3)	17275	COMMUNITY SUPPORT
URBAN LEAGUE OF GREATER CLEVEL
12001 SHAKER BLVD	CLEVELAND	OH	44120	340720563	501(C)(3)	10000	COMMUNITY SUPPORT
VOCATIONAL GUIDANCE SERVICES
2239 E 55TH ST	CLEVELAND	OH	44103	340714650	501(C)(3)	10000	COMMUNITY SUPPORT
WOMEN OF COLOR FOUNDATION
1667 EAST 40TH ST STE 1G	CLEVELAND	OH	44103	020743542	501(C)(3)	25000	COMMUNITY SUPPORT
Y M C A - CLEVELAND
2200 PROSPECT AVE	CLEVELAND	OH	44115	161654650	501(C)(3)	11000	COMMUNITY SUPPORT
YOUR HOME TOWN - CHAGRIN FALLS
57 EAST WASHINGTON ST	CHAGRIN FALLS	OH	44022	311564112	501(C)(3)	6000	COMMUNITY SUPPORT
YOUTH OPPORTUNITIES UNLIMITED
3750 PROSPECT AVE	CLEVELAND	OH	44115	237135845	501(C)(3)	7500	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	106	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	FELLOWSHIPS	TypeOfGrant
Number Of Recipients	1454	NumberOfRecipients
Amount Of Cash Grant	33275721	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 ITS 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.
OTHER INFORMATION:	PART IV:	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	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (30 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
BRADLEY LINDA
332463	0	0	0	12014	0	24500	0	13812	0	382789	0	0	0
CATHCART MARTHA
184145	0	0	0	2851	0	18507	0	13812	0	219315	0	0	0
COSGROVE DELOS M
2032720	0	0	0	246644	0	24500	0	10278	0	2314142	0	0	0
FALCONE TOMMASO
673570	0	0	0	48875	0	24500	0	15812	0	762757	0	0	0
HAHN JOSEPH F
1025224	0	0	0	95164	0	24500	0	10387	0	1155275	0	0	0
DICORLETO PAUL E
395361	0	0	0	20610	0	24500	0	12322	0	452793	0	0	0
GLASS STEVEN C
804600	0	0	0	76390	0	24500	0	13812	0	919302	0	0	0
HARRINGTON MICHAEL
424611	0	0	0	66787	0	24500	0	14430	0	530328	0	0	0
MCHUGH LINDA
303826	0	0	0	16012	0	24500	0	13812	0	358150	0	0	0
MEEHAN MICHAEL
257820	0	0	0	24457	0	24500	0	10278	0	317055	0	0	0
MURRAY JAN
433945	0	0	0	67422	0	24500	0	4699	0	530566	0	0	0
PEACOCK WILLIAM
626070	0	0	0	41159	0	24500	0	16002	0	707731	0	0	0
ROWAN DAVID W
537291	0	0	0	76046	0	24500	0	17707	0	655544	0	0	0
LYTLE BRUCE W
1449220	0	0	0	134652	0	24500	0	10278	0	1618650	0	0	0
COSTIN JOHN
1056500	0	0	0	109399	0	24500	0	11498	0	1201897	0	0	0
FAZIO VICTOR
1060720	0	0	0	106124	0	24500	0	10278	0	1201622	0	0	0
FISHLEDER ANDREW W
923305	0	0	0	254572	0	24500	0	10626	0	1213003	0	0	0
MAVROUDIS CONSTANTINE
1219412	0	0	0	114564	0	24500	0	13632	0	1372108	0	0	0
PETRE JOHN H
1279292	0	40000	0	23405	0	24500	0	11887	0	1379084	0	0	0
STRAND DAVID
0	0	0	0	1266758	0	24500	0	12469	0	1303727	0	0	0
FUNG JOHN J
790570	0	0	0	59227	0	24500	0	14312	0	888609	0	0	0
MATSEN PAUL
789080	0	0	0	58193	0	24500	0	13812	0	885585	0	0	0
MODIC MICHAEL
768915	0	0	0	79417	0	24500	0	14467	0	887299	0	0	0
GOLDFARB JAMES
817996	0	0	0	139054	0	24500	0	11457	0	993007	0	0	0
LAHORRA JOSEPH
637299	0	0	0	59729	0	24500	0	16371	0	737899	0	0	0
MARTIN DANIEL
443174	0	0	0	45085	0	24500	0	13662	0	526421	0	0	0
MIHALJEVIC TOMISLAV
812611	0	0	0	77732	0	24500	0	16586	0	931429	0	0	0
PETTERSSON GOSTA
848454	0	0	0	93268	0	24500	0	28451	0	994673	0	0	0
SCHAUER PHILIP
1013820	0	0	0	98894	0	24500	0	13812	0	1151026	0	0	0
WYSZYNSKI RICHARD
901396	0	0	0	76170	0	24500	0	18032	0	1020098	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 7	IN ADDITION TO BASE SALARY, CERTAIN EMPLOYEES WERE ENTITLED TO RECEIVE A PERFORMANCE BONUS. THE EXACT AMOUNT OF THE BONUS WAS DEPENDENT UPON MANAGEMENT'S EVALUATION OF WHETHER AND TO WHAT EXTENT THE EMPLOYEE MET CERTAIN PERFORMANCE METRICS.
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 4A - SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS: DAVID STRAND - $1,050,000	SUPPLEMENTAL INFORMATION

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	REFUND 2009B, FACILITY CONSTRUCTION, EQUIPPING, AND IMPROVING	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
346849674	67756AG22	2008-10-15	451686386	REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS	0	0	0
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
346849674	67756AJ37	2008-10-15	670000000	REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS	0	0	0
COUNTY OF CUYAHOGA OHIO
346000817	232286BH6	2004-12-22	200000000	FINANCING OF THE MILLER PAVILION & TOWER AT HILLCREST	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
807007320	961908	1099225	309347250	304743315	192779438	1	0	1
452340000		800000	218639952	251263651		1	1	1	2008
670000000		1200000	324315217	372706929		1	1	1	2008
200000000	10407762	582707	196951932	17702369		1	1	1	2008

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	1	0.00280	0.00000	0.00280	1
1	1	1	1	0.00280	0.00030	0.00310	1
1	1	1	1	0.00280	0.00030	0.00310	1
1	1	1	1	0.00150	0.00020	0.00170	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	1	0

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SCH 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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF CUYAHOGA OHIO	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	346000817	IssuerEIN
CUSIP Number	232286BC7	CUSIPNumber
Date Issued	2003-04-16	DateIssued
Issue Price	527761127	IssuePrice
Description Of Purpose	REFUND 1998A AND 1998B	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	13791127	AmountRetired
Total Proceeds	527761127	TotalProceeds
Issuance Costs From Proceeds	1449418	IssuanceCostsFromProceeds
Capital Expenditures	68939213	CapitalExpenditures
Other Spent Proceeds	465549434	OtherSpentProceeds
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Any Research Agreements	1	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00500	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00060	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00560	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable (5 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
DELOS M COSGROVE MD
INSURANCE POLICY TREATED AS A LOAN	X	$229,247	3740117	0	1	1
JOHN A COSTIN MD
INSURANCE POLICY TREATED AS A LOAN	X	$0	2514792	0	1	1
FLOYD D LOOP MD
INSURANCE POLICY TREATED AS A LOAN	X	$785,000	8554334	0	1	1
FRANK L LORDEMAN
INSURANCE POLICY TREATED AS A LOAN	X	$25,000	264778	0	1	1
DAVID W ROWAN
INSURANCE POLICY TREATED AS A LOAN	X	$100,000	1425462	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	16499483	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CINTAS CORPORATION
JOSEPH SCAMINANCE, CCF DIRECTOR, IS A DIRECTOR	307438	VENDOR OF SUPPLIES	0
CLEVELAND BROWNS
FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, IS THE OWNER	663679	CC IS THE PROVIDER OF SPORTS MEDICINE AND EQUIPMENT FOR THE CLEVELAND BROWNS	0
CLEVELAND BROWNS
FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, IS THE OWNER	2633450	SPONSORSHIP AGREEMENT	0
KEYCORP
ENTITY IN WHICH CCF DIRECTORS SERVE AS VICE CHAIR AND AS A DIRECTOR	681431	ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, SERVES AS VICE CHAIR AND BILL SANFORD, CCF DIRECTOR, SERVES AS A DIRECTOR. DESCRIPTION OF TRANSACTION: BANKING SERVICES	0
KEYCORP
ENTITY IN WHICH CCF DIRECTORS SERVE AS VICE CHAIR AND AS A DIRECTOR	57757	ENTITY IN WHICH BETH MOONEY, CCF DIRECTOR, SERVES AS VICE CHAIR AND BILL SANFORD, CCF DIRECTOR SERVES AS A DIRECTOR. DESCRIPTION OF TRANSACTION: LEASE AGREEMENT	0
MARSH & MCLENNAN
S. HARDIS, CCF DIRECTOR, IS NON-EXECUTIVE CHAIRMAN AND DIRECTOR	533672	FEES FOR PROPERTY AND CASUALTY SERVICES	0
DANIEL CULVER
FAMILY MEMBER OF STEVEN HARDIS, CCF DIRECTOR	223829	EMPLOYMENT AGREEMENT WITH CCF	0
LAURA HAHN BRANDON
FAMILY MEMBER OF JOSEPH HAHN, CCF DIRECTOR AND CHIEF OF STAFF	53191	EMPLOYMENT AGREEMENT WITH CCF	0
MICHAEL FALCONE
FAMILY MEMBER OF TOMMASO FALCONE, CCF DIRECTOR	52792	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	8	NumberOfContributions
Noncash Contribs Rptd F990	60750	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	32605	NoncashContribsRptdF990
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	14238	NoncashContribsRptdF990
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	58	NumberOfContributions
Noncash Contribs Rptd F990	3933375	NoncashContribsRptdF990
Method Of Determining Revenues	SELLING PRICE	MethodOfDeterminingRevenues

Securities Closely Held Stock SecuritiesCloselyHeldStock

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	100000	NoncashContribsRptdF990
Method Of Determining Revenues	ESTIMATE	MethodOfDeterminingRevenues

Securities Miscellaneous SecuritiesMiscellaneous

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	50000	NoncashContribsRptdF990
Method Of Determining Revenues	FACE VALUE	MethodOfDeterminingRevenues

Real Estate Commercial RealEstateCommercial

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	1100000	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	200	NoncashContribsRptdF990
Method Of Determining Revenues	SALE COMPARABLE GOODS	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	24705	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	6	NumberOfContributions
Noncash Contribs Rptd F990	142334	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	EVENTS/TICKETS	5	7068	COST
X	TOYS	73	7515	SALE COMPARABLE GOODS

Field	Value	IRS element (for citing)
Number Of8283 Received	6	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 (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:	PART I, COLUMN (B):	THE ORGANIZATION IS REPORTING A COMBINATION OF THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. PUBLICLY TRADED SECURITY DONATIONS ARE REPORTED AS NUMBER OF ITEMS RECEIVED. ALL OTHER NONCASH CONTRIBUTIONS ARE REPORTED AS NUMBER OF CONTRIBUTIONS.
THIRD PARTY USE:	PART I, LINE 32B:	CLEVELAND CLINIC FOUNDATION WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROGRAM SERVICE STATEMENT	PART III - PROGRAM SERVICE STATEMENT	CLEVELAND CLINIC, LOCATED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. THE 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. 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. CLEVELAND CLINIC'S MAIN CAMPUS IS LOCATED NEAR CLEVELAND'S HISTORIC UNIVERSITY CIRCLE AND INCLUDES A TERTIARY CARE HOSPITAL, A CHILDREN'S HOSPITAL, A MEDICAL SCHOOL, A RESEARCH INSTITUTE, AN OUTPATIENT CLINIC, 26 SPECIALTY INSTITUTES INCLUDING FACILITIES FOR HEART CARE, DIGESTIVE DISEASE, CANCER, AND EYE CARE, AND SUPPORTING LABS AND FACILITIES ON A 162 ACRE CAMPUS. CLEVELAND CLINIC ALSO OPERATES 16 FAMILY HEALTH CENTERS THROUGHOUT NORTHEAST OHIO THAT ARE STAFFED WITH CLEVELAND CLINIC PRIMARY CARE PHYSICIANS, AS WELL AS MANY OF ITS MEDICAL AND SURGICAL SPECIALISTS. CONSISTENT WITH ITS TRIPARTITE MISSION, THE 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. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC 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. I. PATIENT CARE CLEVELAND CLINIC IS DEDICATED TO THE COMMUNITIES WE SERVE. EACH OF OUR HOSPITALS AND FAMILY HEALTH CENTERS STRIVES TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT, AND SUPPORT PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR NEIGHBORS AND OUR NEIGHBORHOODS. THROUGH OUR CHARITY CARE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN THE STATE OF OHIO, WE PROVIDE HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. DURING 2010, CLEVELAND CLINIC RECORDED 1,239 TOTAL STAFFED BEDS, 54,138 EMERGENCY ROOM VISITS, 80,687 SURGICAL CASES, 53,410 ADMISSIONS, AND MORE THAN 3.8 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM, DISEASE SYSTEM, AND LEADERSHIP. 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. THE 26 INSTITUTES ARE: ANESTHESIOLOGY, ARTS & MEDICINE, CLEVELAND CLINIC LORAIN, COLE EYE, DERMATOLOGY & PLASTIC SURGERY, DIGESTIVE DISEASE, EDUCATION, EMERGENCY SERVICES, ENDOCRINOLOGY & METABOLISM, GENOMIC MEDICINE, GLICKMAN UROLOGICAL & KIDNEY, HEAD & NECK, MILLER FAMILY HEART & VASCULAR, IMAGING, LERNER RESEARCH, MEDICINE, NEUROLOGICAL, ZIELONY NURSING, OB/GYN & WOMEN'S HEALTH, ORTHOPAEDIC & RHEUMATOLOGY, PATHOLOGY & LABORATORY MEDICINE, PEDIATRIC & CHILDREN'S HOSPITAL, QUALITY & PATIENT SAFETY, RESPIRATORY, TAUSSIG CANCER AND WELLNESS. 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 2010. OVERALL, CLEVELAND CLINIC WAS RANKED 4TH AMONG THE NATION'S 4,861 HOSPITALS. CLEVELAND CLINIC WAS RANKED AMERICA'S NUMBER ONE CENTER FOR CARDIAC CARE FOR THE SIXTEENTH YEAR IN A ROW, AND ITS DIGESTIVE DISEASE, RHEUMATOLOGY 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; ENDOCRINOLOGY; GERIATRIC CARE; GYNECOLOGY; KIDNEY DISORDERS; NEUROLOGY AND NEUROSURGERY; OPHTHALMOLOGY, ORTHOPEDICS; PEDIATRIC NEUROLOGY AND NEUROSURGERY; AND RESPIRATORY DISORDERS. ALSO NAMED AMONG THE NATION'S BEST WERE CLEVELAND CLINIC'S SERVICES IN PSYCHIATRY, AND THE FOLLOWING PEDIATRIC AREAS OF HEART AND HEART SURGERY, ORTHOPEDICS, UROLOGY, KIDNEY DISORDERS, DIABETES AND ENDOCRINE DISORDERS, AND DIGESTIVE DISORDERS. CLEVELAND CLINIC IS THE FIRST HEALTH SYSTEM 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.) A NUMBER OF INSTITUTES HAD NOTABLE ACHIEVEMENTS IN 2010: THE NEUROLOGICAL INSTITUTE LAUNCHED MAJOR INITIATIVES TO TREAT AND PREVENT TRAUMATIC BRAIN INJURY AND CONCUSSION. THE OBJECTIVE IS TO REDUCE THE HUMAN AND ECONOMIC COSTS OF THESE DEBILITATING INJURIES AMONG ACCIDENT VICTIMS, BOXERS, FOOTBALL PLAYERS, AND SOLDIERS. RESEARCHERS HAVE DEVELOPED A NEW MOUTHGUARD FOR CONTACT SPORTS THAT MEASURES HEAD IMPACT AND CAN HELP TEAM PHYSICIANS BETTER DIAGNOSE CONCUSSIONS AND DETERMINE THE TIMING OF RETURN-TO-PLAY. NEUROLOGICAL INSTITUTE SCIENTISTS ALSO WORKED ON DEVELOPING SAFER HELMETS FOR THE CONTACT SPORTS AND MILITARY USE. THE HEART & VASCULAR INSTITUTE IS IMPROVING THE CARE AND TREATMENT OF CARDIOVASCULAR DISEASE - THE LEADING CAUSE OF DEATH IN THE U.S. RESEARCHERS DEVISED A COMPREHENSIVE HEMATOLOGIC RISK PROFILE (CHRP) TO ACCURATELY PREDICT A PATIENT'S ONE-YEAR RISK OF MYOCARDIAL INFARCTION AND DEATH. DERIVED FROM HEMATOLOGIC RISK FACTORS, THE PROFILE ENABLES CARDIOLOGISTS TO APPLY PREVENTIVE TREATMENTS TO PATIENTS WHO ARE AT THE HIGHEST RISK, STOPPING HEART ATTACKS AND SAVING LIVES. IN VASCULAR SURGERY, RESEARCHERS HAVE DESIGNED BRANCHED AORTIC STENT GRAFTS TO MEET THE SPECIFIC ANATOMIC CHALLENGES OF WOMEN AND ASIANS BEING TREATED FOR AORTIC ANEURYSMS. THESE BRANCHED AORTIC STENT GRAFTS ARE PART A DYNAMIC RESEARCH PROGRAM OF MINIMALLY INVASIVE AORTIC ANEURYSM REPAIR THAT IS PRODUCING A NEW GENERATION OF LIFE-SAVING DEVICES AND TECHNIQUES. THE DIGESTIVE DISEASE INSTITUTE IMPROVED MANAGEMENT OF INFLAMMATORY BOWEL DISEASE (IBD) BY REDUCING STRICTURES, ANASTOMOTIC LEAKS, SINUSES AND OTHER COMPLICATIONS OF SURGICAL TREATMENT. CLINICAL RESEARCHERS DEVELOPED NEW ENDOSCOPY THERAPIES TO TREAT THESE COMPLICATIONS AND PROVIDE "INTERNAL DRAINAGE" THROUGH A SIMPLE, SAFE OUTPATIENT PROCEDURE THAT LEAVES NO SCARS. ALSO IN THE DIGESTIVE DISEASE INSTITUTE, RESEARCHERS DEVELOPED AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY EXTRACTION BALLOON WITH ROTABLE FUNCTION. THIS DEVICE HELPS IN THE EXTRACTION OF STONES IN THE BILARY TRACT AND MAKES IT POSSIBLE TO PERFORM OTHER THERAPEUTICS IN THESE VESSELS. CHARITY CARE CLEVELAND CLINIC NOT ONLY ASSISTS THE POOREST OF THE POOR, BUT ALSO OFFERS DISCOUNTS ON MEDICALLY NECESSARY SERVICES FOR THOSE WHOSE INCOME IS UP TO 400 PERCENT OF THE FEDERAL GOVERNMENT'S DEFINITION OF POVERTY. CLEVELAND CLINIC PROVIDES FREE CARE FOR MEDICALLY NECESSARY SERVICES TO UNINSURED OR UNDERINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL. ALL PATIENTS, REGARDLESS OF INCOME, ARE ELIGIBLE FOR CHARITY CARE FOR MEDICALLY NECESSARY SERVICES; IF PAYMENT WOULD ADVERSELY AFFECT THE WELL-BEING OF THE PATIENT AND FAMILY OR RESULT IN UNDUE HARDSHIP; OR IF THE PATIENT HAS SUPPLIED INFORMATION REGARDING EXCEPTIONAL LIVING CIRCUMSTANCES. THIS POLICY IS DESIGNED TO PREVENT MEDICAL BILLS FROM CAUSING A PATIENT OR FAMILY UNDUE HARDSHIP. AS A NONPROFIT MULTISPECIALTY GROUP PRACTICE, CLEVELAND CLINIC DIRECTLY EMPLOYS MORE THAN 2,000 PHYSICIANS AND PHYSICIAN SCIENTISTS. THEREFORE, CLEVELAND CLINIC'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ALSO APPLY TO ALL HEALTHCARE SERVICES PROVIDED BY OUR EMPLOYED MEDICAL STAFF MEMBERS. THIS UNIQUE APPROACH DIFFERS FROM THE MODEL TYPICALLY UTILIZED BY MOST COMMUNITY HOSPITALS AND PHYSICIANS. CLEVELAND CLINIC HEALTH SYSTEM PROVIDED CHARITY CARE AT A COST OF $149.8 MILLION IN 2010. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE (LRI) IS HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH.
	PART III - PROGRAM SERVICE STATEMENT	LRI HAS MORE THAN 250 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, ALONG WITH THE CLINICAL DEPARTMENTS OF OPHTHALMIC RESEARCH AND TRANSLATIONAL HEMATOLOGY AND ONCOLOGY RESEARCH. LRI IS ONE OF THE LEADING NIH-FUNDED RESEARCH INSTITUTES IN THE UNITED STATES AND HAS SPEARHEADED NUMEROUS ADVANCES IN THE DIAGNOSIS AND TREATMENT OF COMPLEX MEDICAL PROBLEMS. SCIENTISTS AND THEIR TEAMS ARE PURSUING A WIDE RANGE OF BIOMEDICAL QUESTIONS AT LRI, FOCUSING ON CARDIOVASCULAR, CANCER, NEUROLOGIC, MUSCULOSKELETAL, ALLERGIC AND IMMUNOLOGIC, EYE, METABOLIC AND INFECTIOUS DISEASES. ALTOGETHER, NEARLY 2,000 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES MORE THAN 270 POSTDOCTORAL FELLOWS, NEARLY 180 GRADUATE STUDENTS AND 169 UNDERGRADUATE STUDENTS. IN 2010, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $60.8 MILLION. III. EDUCATION CLEVELAND CLINIC DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS. IN 2010, WE PROVIDED A COMMUNITY BENEFIT OF $187.4 MILLION THROUGH SUBSIDY OF MEDICAL EDUCATION PROGRAMS. 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. IN ADDITION, CLEVELAND CLINIC'S EDUCATION INSTITUTE SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION EXPERIENCES INCLUDING ACCREDITED TRAINING PROGRAMS FOR RESIDENT PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS. IN 2010, CAPITAL WAS APPROVED TO BUILD A MULTIDISCIPLINARY SIMULATION CENTER ON OUR MAIN CAMPUS. THE NEW CENTER WILL ALLOW PHYSICIANS, NURSES AND ALLIED HEALTHCARE PROVIDERS TO ENGAGE IN INDIVIDUAL AND TEAM SKILL BUILDING. OUR COMMITMENT TO EDUCATION DIRECTLY BENEFITS PATIENTS AND PROVIDERS IN OHIO WHEN GRADUATES FROM HEALTH SYSTEM RESIDENCY PROGRAMS ESTABLISH AND OPERATE PRACTICES IN THE STATE. THOSE THAT MOVE TO OTHER PARTS OF THE NATION AND THE WORLD ARE ALSO TALENTED NEW PHYSICIANS TRAINED BY THE NATION'S LEADERS IN ACADEMIC MEDICINE. THE ULTIMATE BENEFICIARIES ARE MEMBERS OF A GREATER COMMUNITY - THE PUBLIC AT LARGE. EDUCATION PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: GRADUATE MEDICAL EDUCATION. CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2010, OVER 1,000 RESIDENTS AND FELLOWS TRAINED IN 60 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. THE COLLEGE OF MEDICINE HAS SEEN THE NUMBER OF APPLICANTS MORE THAN DOUBLE OVER THE PAST FOUR YEARS, WITH MORE THAN 1,512 APPLICANTS FOR 32 POSITIONS IN 2010. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 55 SCIENTIFIC ARTICLES AND 69 PRESENTATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE IN 2010. VISITING MEDICAL STUDENTS. VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2010, 331 MEDICAL STUDENTS FROM CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE WERE AMONG THE 568 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 2010, THE CENTER FOR CONTINUING EDUCATION OFFERED 1,125 CME PROGRAMS TO 234,698 PARTICIPANTS. OF THAT NUMBER, 567 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 352 ACTIVITIES THAT ATTRACTED 399,430 ACTIVITY VIEWERS. IN 2010, THE CENTER ISSUED MORE THAN 207,000 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 100,000 IN 2010 AND CONTINUED TO RANK SECOND 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, WHILE HAVING 49 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2010, CLEVELAND CLINIC HOSTED 757 ALLIED HEALTH STUDENT ROTATIONS AT THE MAIN CAMPUS HOSPITAL AND ANOTHER 947 STUDENT ROTATIONS AT OUR 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 2010, CIME ARRANGED 640 OBSERVERSHIPS FOR INTERNATIONAL PHYSICIANS WISHING TO VISIT CLEVELAND CLINIC, AND MORE THAN 150 PRACTICING PHYSICIANS FROM VARIOUS COUNTRIES ATTENDED SIX SYMPOSIA IN THE AREAS OF CARDIOVASCULAR MEDICINE, PULMONARY MEDICINE, DIGESTIVE DISEASE, PLASTIC SURGERY, GENITOURINARY CANCER AND GYNECOLOGY. CLEVELAND CLINIC ACADEMY. CLEVELAND CLINIC ACADEMY PROVIDES PROFESSIONAL DEVELOPMENT LEARNING OPPORTUNITIES, WITH A FOCUS ON LEADERSHIP AND MANAGEMENT SKILLS, TO CLEVELAND CLINIC EMPLOYEES. IN 2010, CLEVELAND CLINIC ACADEMY PROVIDED 51 COMPETENCY-BASED COURSES TO 1,265 EMPLOYEES. ALSO IN 2010, THE ACADEMY LAUNCHED TWO EXECUTIVE EDUCATION PROGRAMS DESIGNED FOR HEALTHCARE EXECUTIVES OUTSIDE OF CLEVELAND CLINIC. BOTH PROGRAMS PROVIDE HEALTHCARE EXECUTIVES INCLUDING PHYSICIANS, NURSES AND ADMINISTRATORS WITH AN INSIDE LOOK INTO LEADING A COMPLEX HEALTHCARE ORGANIZATION, AND IN THE CASE OF THE SAMSON GLOBAL LEADERSHIP ACADEMY, INVITES HEALTHCARE LEADERS FROM OTHER ORGANIZATIONS TO DEVELOP THEIR LEADERSHIP SKILLS HERE. COMMUNITY EDUCATION EDUCATING THE COMMUNITY HAS ALSO BEEN A PRIORITY AT CLEVELAND CLINIC. OUR CENTER FOR CONSUMER HEALTH INFORMATION PROVIDES THE LATEST HEALTH INFORMATION FROM CLEVELAND CLINIC EXPERTS AT NO CHARGE. THE CENTER'S WEBSITE, CLEVELANDCLINIC.ORG/HEALTH, RECORDED 10.1 MILLION PAGE VIEWS IN 2010. THE CENTER 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 2010: HEALTH INFORMATION SERVICE: 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 2010, THE CENTER FULFILLED 9,172 REQUESTS AND SERVED 14,551 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 52 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS. THE CENTER MANAGED 3,087 SCHEDULED CLOSED-CIRCUIT TELEVISION PROGRAMS WEEKLY AT CLEVELAND CLINIC AND APPROXIMATELY 198 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 SITE IS ONE OF THE MOST ROBUST FOR HEALTH INFORMATION ON THE WEB, WITH 24,319 VISITS PER DAY. 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 2010, WE HELD 2,525 WEBCHATS.
	PART III - PROGRAM SERVICE STATEMENT	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 2010. HEALTH CENTER KIOSKS: CLEVELAND CLINIC MAINTAINS HEALTH INFORMATION KIOSKS FOR THE COMMUNITY AT THE MAIN CAMPUS AS WELL AS SOME FAMILY HEALTH CENTERS. THE KIOSKS PROVIDE COMPUTERIZED INFORMATION ON MORE THAN 100 TOPICS SUCH AS HYPERTENSION, DIABETES, TEEN PREGNANCY, AND DRUGS AND ALCOHOL. THE GOALS OF THIS PROJECT INCLUDE FACILITATING ACCESS TO HEALTH INFORMATION AND ENHANCING THE UNDERSTANDING OF HOW TO OBTAIN APPROPRIATE TREATMENT FOR VARIOUS CONDITIONS. IN 2010, THERE WERE 9 KIOSKS WITH A TOTAL OF 71,561 PAGE VIEWS FOR ALL 9 UNITS. IV. COMMUNITY BENEFIT THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFITS (INCLUDING CHARITY CARE) USING THE CHA COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING CHARITY CARE ON A COST BASIS. USING THIS MODEL, IN 2010 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $537.4 MILLION IN BENEFITS TO THE COMMUNITIES IT SERVES. CLEVELAND CLINIC'S 2010 EDITION OF ITS COMMUNITY CONNECTIONS REPORT ON COMMUNITY BENEFIT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THE PROGRAM SERVICE STATEMENT REFER TO OUR 2010 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. COMMUNITY BENEFIT FOR IRS REPORTING PURPOSES EXCLUDES COMMUNITY BUILDING ACTIVITIES AND RESEARCH GRANT REVENUE. SEE FORM 990, SCHEDULE O FOR A RECONCILIATION OF COMMUNITY BENEFIT PER IRS SCHEDULE H TO THE COMMUNITY CONNECTIONS REPORT.) 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 2010, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $80.8 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $14 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 2010 AT A COST OF $15.0 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 2000 SUCH PROGRAMS IN 2010 FOR A TOTAL NET COMMUNITY BENEFIT OF $43.6 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 2010 COMMUNITY BENEFIT REPORT. HERE ARE BRIEF HIGHLIGHTS OF SOME ADDITIONAL PROGRAMS: -COMMUNITY OUTREACH STAFF ACROSS THE SYSTEM PROVIDED NO-COST CLINICAL CARE AT DOZENS OF COMMUNITY SITES TO UNDER- AND UNINSURED FAMILIES, ASSISTING WITH ACCESS TO HEALTHCARE, NAVIGATION OF SAFETY-NET PROVIDERS AND IMPROVEMENT OF HEATH. IN ADDITION, WELLNESS INITIATIVES WERE PROVIDED AT SCHOOLS, FAITH-BASED ORGANIZATIONS AND COMMUNITY CENTERS WITH THE GOALS OF PREVENTION AND BEHAVIORAL CHANGE. -CLEVELAND CLINIC TAUSSIG CANCER INSTITUTE IMPLEMENTED PROGRAMS TO BRING PREVENTIVE CANCER EDUCATION INTO NEIGHBORHOODS AND THE HEART & VASCULAR INSTITUTE OFFERED EDUCATIONAL PROGRAMS TO THE COMMUNITY ON PREVENTING HEART DISEASE. -LANGSTON HUGHES, A REFURBISHED LIBRARY IN FAIRFAX NEIGHBORHOOD, HOUSED AN EDUCATION HEALTH RESOURCE CENTER STAFFED BY CLEVELAND CLINIC OFFERING HEALTH, WELLNESS AND CHRONIC DISEASE MANAGEMENT CLASSES. -CLEVELAND CLINIC'S PATHOLOGY & LABORATORY MEDICINE INSTITUTE DONATED SERVICES TO CLEVELAND AREA SAFETYNET PROVIDERS: THE FREE CLINIC AND CARE ALLIANCE. 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 A MALACHI MIXON, DAN MOORE, AND JOSEPH RICHEY II - BUSINESS BETH MOONEY AND BILL SANFORD - BUSINESS A MALACHI MIXON AND DAN MOORE - BUSINESS A MALACHI MIXON, PATRICK AULETTA, AND DAN MOORE - 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. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE.
FORM 990, PART VI, SECTION A, LINE 7A		PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS (TRUSTEES), AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE TRUSTEES. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE AND THAT MEMBER ELECTS THE BOARD OF THE RESPECTIVE SUBORDINATE.
FORM 990, PART VI, SECTION A, LINE 7B		PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS.
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 DOCUMENT 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 THESE 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 GAINS ON INVESTMENTS: 121,627,857. GIFTS AND BEQUESTS 94,237,703. NET INVESTMENT INCOME 21,525,864. NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -34,236,236. RETIREMENT BENEFITS ADJUSTMENT 15,974,072. NET CHANGE IN UNREALIZED GAINS ON NONTRADING INVESTMENTS 5,243,310. PROPORATIONATE SHARE OF JOINT VENTURE INCOME -5,896,986. OTHER CHANGE IN NET ASSETS -6,674,390. DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 2,437,097. TOTAL TO FORM 990, PART XI, LINE 5: 214,238,291.

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	Direct Controlling Entity NADirectControllingEntityNA
CC CHINA LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	205776477	INACTIVE	OH	0	0	N/A
CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341939710	HEALTHCARE SERVICES	OH	21752662	66056	N/A
CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD	WESTON	FL	33331	311741150	HEALTHCARE SERVICES	FL	3408	18823	N/A
CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	263666730	LICENSING OF INTELLECTUAL PROPERTY	OH	8228643	11831108	N/A
CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341938153	HEALTHCARE SERVICES	OH	10076482	0	N/A
CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	263859233	HEALTHCARE SERVICES	OH	1467615	5340503	N/A
CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341932969	HEALTHCARE SERVICES	OH	72390855	32599	N/A
CLINIC PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341907574	HEALTHCARE SERVICES	OH	43284321	0	N/A
CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR	BEACHWOOD	OH	44122	262636530	HEALTHCARE SERVICES	OH	43963958	3945303	N/A
MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON ST	MEDINA	OH	44256		INACTIVE	OH	0	0	N/A
MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	341898545	HEALTHCARE SERVICES	OH	0	0	N/A
NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	200442351	HEALTHCARE SERVICES	OH	1188	417093	N/A
OHIO STAR IMAGING LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		HEALTHCARE SERVICES	OH	0	0	N/A
PSVW LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	261614376	REAL ESTATE HOLDINGS	OH	0	0	N/A
REJ HOLDINGS LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195		REAL ESTATE HOLDINGS	OH	0	0	N/A
THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD	INDEPENDENCE	OH	44131	201476092	HEALTHCARE SERVICES	OH	32673	0	N/A
WOOSTER CLINIC LLC
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341855775	HEALTHCARE SERVICES	OH	44976551	0	N/A

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	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
KEEP MEMORY ALIVE
888 W BONNEVILLE	LAS VEGAS	NV	89106	880515534	SUPPORT CLEVELAND CLINIC FOUNDATION	NV	501 (C)(3)	LINE 11A, I	N/A	1
LAKEWOOD HEALTHCARE FOUNDATION
14519 DETROIT AVENUE	LAKEWOOD	OH	44107	341574608	HEALTHCARE SERVICES	OH	501 (C)(3)	LINE 11A, I	N/A	1
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
LOU RUVO BRAIN INSTITUTE
888 W BONNEVILLE	LAS VEGAS	NV	89106	208077691	SUPPORT CLEVELAND CLINIC FOUNDATION	NV	501 (C)(3)	LINE 11A, I	N/A	1
MEDINA COUNTY HEALTH CORPORATION
1000 E WASHINGTON ST	MEDINA	OH	44256	270756266	SUPPORT MEDINA HOSPITAL	OH	501 (C)(3)	LINE 11A, I		1	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

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Share Of Total IncomeShareOfTotalIncome	Business Name Line1DirectControllingEntityName/BusinessNameLine1
BUCKEYE OCULAR LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	262689395	MEDICAL SERVICES	OH	N/A	RELATED	443	0	0	0.55000
CCFMHS RENAL CARE COMPANY LTD
9500 EUCLID AVENUE	CLEVELAND	OH	44195	341863789	MEDICAL SERVICES	OH	N/A	RELATED	10979888	0	0	0.60000	3774359
CCHS WESTLAKE IMAGING CENTER LLC
6801 BRECKSVILLE ROAD RK-85	INDEPENDENCE	OH	44131	341914277	MEDICAL SERVICES	OH		RELATED	898108	0	0	1.00000	3298045	FAIRVIEW HOSPITALLAKEWOOD HOSP ASSN
CLEVELAND HEALTH NETWORK MSO LLC
4700 ROCKSIDE ROAD STE 200	INDEPENDENCE	OH	44131	311566180	MEDICAL SERVICES	OH	N/A	RELATED	19022	0	0	0.79900
PROGNOSTIX LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	300624422	MEDICAL SERVICES	OH	N/A	RELATED	154975	0	0	0.78000
CLEVELAND HEARTLAB LLC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	271117058	MEDICAL SERVICES	OH	N/A	RELATED		0	0	0.58644

Form990 Schedule R Part IV Form990ScheduleRPartIV (27 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 Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ANGIOQUEST INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106	320217945	MEDICAL TECHNOLOGY	DE	N/A	C	489	1215	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	89143226	221413671	1.00000		23 LIME TREE BAY BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ
CLEVELAND CLINIC CANADA-TORONTO INC
				340714585	HEALTH CARE SERVICES		N/A	C	5557823	5148961	1.00000		181 BAY STREET BOX818	TORONTO	CA	M5J 2T3	CA
CLEVELAND CLINIC EMR INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	204856025	MEDICAL SERVICES	OH		C			1.00000	CLINIC MEDICAL SOLUTIONS INC
CLEVELAND CLINIC FLORIDA HEALTH PLAN INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	650338016	BUSINESS SERVICES	FL		C			1.00000	CLINIC MEDICAL SOLUTIONS INC
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	341877409	MEDICAL SERVICES	OH		C	3411776	9830010	1.00000	CLINIC MEDICAL SOLUTIONS INC
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	21208809	3182417	1.00000
CNEXUS HOLDCO INC
10265 CARNEGIE AVENUE	CLEVELAND	OH	44106		INACTIVE	DE	N/A	C			1.00000
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	7290	796408	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			1.00000
INTELLIS EPM INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	270645368	MEDICAL TECHNOLOGY	DE	N/A	C	190870	244656	1.00000
MEDINVEST INC
6801 BRECKSVILLE ROAD	INDEPENDENCE	OH	44131	203978297	HOLDING COMPANY	OH		C	210		1.00000	CLINIC MEDICAL SOLUTIONS INC
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	220000	122461	0.55000
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	338385	41678	1.00000
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	18497	500	1.00000	MEDINA HOSPITAL
CMCD INC
1000 E WASHINGTON STREET	MEDINA	OH	44256	341256599	REAL ESTATE	OH		C		311040	1.00000	MEDINA HOSPITAL

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 (30 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CLEVELAND CLINIC CANADA-TORONTO INC
A	319357	FMV
CLEVELAND CLINIC CANADA-TORONTO INC
A	100000	FMV
KEEP MEMORY ALIVE
B	11851963	FMV
MEDINA HOSPITAL FOUNDATION
B	11123437	FMV
FAIRVIEW HOSPITAL
C	6488923	FMV
LAKEWOOD HOSPITAL
C	2969729	FMV
LUTHERAN HOSPITAL
C	1775825	FMV
MARYMOUNT HOSPITAL INC
C	511749	FMV
CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION
C	2389215	FMV
CLEVELAND CLINIC HEALTH SYSTEM-EAST REGION
C	4567679	FMV
CLEVELAND CLINIC CANADA-TORONTO INC
C	178051	FMV
CLEVELAND CLINIC MEDICAL SERVICES INC
I	445000	FMV
WO WALKER CENTER INC
J	4336045	FMV
LAKEWOOD HOSPITAL ASSOCIATION
J	124000	FMV
CLEVELAND CLINIC HEALTH SYSTEM-EAST REGION
J	1729000	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
J	2347743	FMV
CLEVELAND CLINIC HEALTH SYSTEM-EAST REGION
K	10282169	FMV
FAIRVIEW HOSPITAL
K	3405000	FMV
LAKEWOOD HOSPITAL
K	2162000	FMV
LUTHERAN HOSPITAL
K	563000	FMV
MARYMOUNT HOSPITAL INC
K	2602832	FMV
MEDINA HOSPITAL INC
K	472000	FMV
CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
K	77000	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
K	980161	FMV
CLINIC CARE INC
L	9810000	FMV
CCF HOTEL SERVICES INC
O	4063171	FMV
CCHS INDEMNITY CO LTD
O	45688637	FMV
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
P	61801	FMV
CLEVELAND CLINIC EDUCATIONAL FOUNDATION
Q	18726384	FMV
CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
R	70079	FMV