Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
THE CLEVELAND CLINIC FOUNDATION
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
9500 EUCLID AVENUE NO H-18
 
Room/suite
City or town, state or country, and ZIP + 4
CLEVELAND, OH44195
D Employer identification number

34-0714585
E Telephone number

G Gross receipts $ 4,408,258,700
F Name and address of principal officer:
DELOS M COSGROVE
9500 EUCLID AVENUE NO H-18
CLEVELAND,OH44195
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CLEVELANDCLINIC.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1921
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PATIENT CARE, RESEARCH & EDUCATION
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 22
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 14
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 26,606
6 Total number of volunteers (estimate if necessary) .... 6 2,063
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 17,344,779
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -5,907,187
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 227,727,415 232,934,775
9 Program service revenue (Part VIII, line 2g) ......... 3,378,118,935 3,609,359,804
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -24,228,350 88,244,669
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 146,706,302 27,252,439
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 3,728,324,302 3,957,791,687
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 90,155,988 58,174,238
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,957,493,505 2,194,121,846
16a Professional fundraising fees (Part IX, column (A), line 11e).... 1,579,913 1,856,723
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet12,837,390    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,404,674,564 1,474,369,080
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,453,903,970 3,728,521,887
19 Revenue less expenses. Subtract line 18 from line 12...... 274,420,332 229,269,800
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 5,517,187,140 5,996,125,874
21 Total liabilities (Part X, line 26)............ 3,593,219,966 3,628,650,609
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 1,923,967,174 2,367,475,265
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO PROVIDE BETTER CARE OF THE SICK, INVESTIGATION INTO THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,328,117,836 including grants of $ 58,174,238 ) (Revenue $ 3,609,359,804 )
SEE PROGRAM SERVICE STATEMENT IN SCHEDULE O.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 3,328,117,836
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
Yes
 
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
3,836
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
26,606
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCA , CJ , GR , KS
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
Yes
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
6
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
22
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AK , AZ , CA , CO , FL , GA , HI , IL , KS , KY , LA , MA , MD , MI , MN , MS , NC , ND , NH , NJ , NY , OH , OK , OR , PA , SC , TN , UT , WA , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
ROBERT F WAITKUS
6801 BRECKSVILLE ROAD RK-85
INDEPENDENCE,OH44131
(216) 445-2526
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) AULETTA PATRICK V
DIRECTOR
 3.00 X           0 0 0
(2) BRADLEY LINDA
VICE CHAIR - OB/GYN
 50.00 X           344,477 0 38,312
(3) CATHCART MARTHA
PHYSICIAN
 50.00 X           186,996 0 32,319
(4) COMMES THOMAS A
DIRECTOR
 3.00 X           0 0 0
(5) COSGROVE DELOS M
PRESIDENT, CEO
 50.00 X   X       2,279,364 0 34,778
(6) FALCONE TOMMASO
CHAIR - OB/GYN
 50.00 X           722,445 0 40,312
(7) FEDELI UMBERTO P
DIRECTOR
 3.00 X           0 0 0
(8) HAHN JOSEPH F
CHIEF OF STAFF
 50.00 X   X       1,120,388 0 34,887
(9) HARDIS STEPHEN R
DIRECTOR
 3.00 X           0 0 0
(10) HESSLER DAVID J
DIRECTOR
 3.00 X           0 0 0
(11) KEMPER JOHN W
DIRECTOR
 3.00 X           0 0 0
(12) LERNER NORMA
DIRECTOR
 3.00 X           0 0 0
(13) MACDONALD WILLIAM EIII
DIRECTOR
 3.00 X           0 0 0
(14) MCCARTAN PATRICK
DIRECTOR
 3.00 X           0 0 0
(15) MILLER SAMUEL
DIRECTOR
 3.00 X           0 0 0
(16) MIXON MALACHI III
CHAIR OF BOARD
 3.00 X   X       0 0 0
(17) MOONEY BETH E
DIRECTOR
 3.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MOORE III DAN
DIRECTOR
 3.00 X           0 0 0
(19) POLLOCK LARRY
DIRECTOR
 3.00 X           0 0 0
(20) RICH ROBERT E JR
DIRECTOR
 3.00 X           0 0 0
(21) ROSS RONALD J
DIRECTOR
 3.00 X           0 0 0
(22) SANFORD BILL R
DIRECTOR
 3.00 X           0 0 0
(23) SCAMINACE JOSEPH M
DIRECTOR
 3.00 X           0 0 0
(24) SHEWMAKER JACK C
DIRECTOR
 3.00 X           0 0 0
(25) TIMKEN WILLIAM AMB
DIRECTOR
 3.00 X           0 0 0
(26) TOMSICH ROBERT
DIRECTOR
 3.00 X           0 0 0
(27) WEISS MORRY
DIRECTOR
 3.00 X           0 0 0
(28) DICORLETO PAUL E
CHAIR - RESEARCH INST
 50.00     X       415,971 0 36,822
(29) GLASS STEVEN C
CFO & TREASURER
 50.00     X       880,990 0 38,312
(30) HARRINGTON MICHAEL
CAO & CONTROLLER
 50.00     X       491,398 0 38,930
(31) MCHUGH LINDA
ASSISTANT SECRETARY
 50.00     X       319,838 0 38,312
(32) MEEHAN MICHAEL
ASSISTANT SECRETARY
 50.00     X       282,277 0 34,778
(33) MURRAY JAN
ASSISTANT SECRETARY
 50.00     X       501,367 0 29,199
(34) PEACOCK WILLIAM
CHIEF OF OPERATIONS
 50.00     X       667,229 0 40,502
(35) ROWAN DAVID W
CHIEF LEGAL OFFICER
 50.00     X       613,337 0 42,207
(36) LYTLE BRUCE W
CHAIR - HEART INSTITUTE
 50.00       X     1,583,872 0 34,778
(37) COSTIN JOHN
CHAIR - CC LORAIN
 50.00         X   1,165,899 0 35,998
(38) FAZIO VICTOR
CHAIR - DIGISTIVE INSTITUTE
 50.00         X   1,166,844 0 34,778
(39) FISHLEDER ANDREW W
INTERNATIONAL OPERATIONS
 50.00         X   1,177,877 0 35,126
(40) MAVROUDIS CONSTANTINE
CHAIR - PEDIATRIC & CONGEN HEART
 50.00         X   1,333,976 0 38,132
(41) PETRE JOHN H
DIRECTOR CLINIC SPACE EQUIPMENT
 50.00         X   1,342,697 0 36,387
(42) STRAND DAVID
FORMER OFFICER
 0.00           X 1,266,758 0 36,969
(43) FUNG JOHN J
FORMER KEY EMPLOYEE
 50.00           X 849,797 0 38,812
(44) MATSEN PAUL
FORMER KEY EMPLOYEE
 50.00           X 847,273 0 38,312
(45) MODIC MICHAEL
FORMER KEY EMPLOYEE
 50.00           X 848,332 0 38,967
(46) GOLDFARB JAMES
FORMER TOP COMPENSATED
 50.00           X 957,050 0 35,957
(47) LAHORRA JOSEPH
FORMER TOP COMPENSATED
 50.00           X 697,028 0 40,871
(48) MARTIN DANIEL
FORMER TOP COMPENSATED
 50.00           X 488,259 0 38,162
(49) MIHALJEVIC TOMISLAV
FORMER TOP COMPENSATED
 50.00           X 890,343 0 41,086
(50) PETTERSSON GOSTA
FORMER TOP COMPENSATED
 50.00           X 941,722 0 52,951
(51) SCHAUER PHILIP
FORMER TOP COMPENSATED
 50.00           X 1,112,714 0 38,312
(52) WYSZYNSKI RICHARD
FORMER TOP COMPENSATED
 50.00           X 977,566 0 42,532
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 26,474,084 0 1,137,800
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1,796
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 12110
DALLAS,TX75312 		HEALTHCARE IT & ENGINEERING SOLUTIONS 18,552,543
SODEXHO
1669 PHOENIX PARKWAY 210
COLLEGE PARK,GA30349 		LAUNDRY & FOOD SERVICE 9,853,051
STRATEGIC INVESTMENT GROUP
1001 19TH ST NORTH 16TH FLOOR
ARLINGTON,VA22209 		INVESTMENT MANAGEMENT 8,918,318
ADWORKS INC
1225 19TH STREET NW 500
WASHINGTON DC,DC20036 		ADVERTISING 7,359,344
XEROX CORPORATION
350 S NORTHWEST HWY
PARK RIDGE,IL60068 		PRINTING, EQUIP MAINT & ADMIN 6,279,841
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet465
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 44,648,215
b Membership dues....1b  
c Fundraising events....1c 1,671,053
d Related organizations...1d 18,772,926
e Government grants (contributions)1e 104,949,311
f All other contributions, gifts, grants, and
similar amounts not included above1f 		62,893,270
g Noncash contributions included in lines 1a-1f:$ 5,472,790
h Total. Add lines 1a-1f.......MediumBullet 232,934,775
Program Service Revenue Business Code
2a NET PATIENT SERVICES 621,990 2,563,299,345 2,563,299,345    
b MEDICARE/MEDICAID PAYM 921,990 883,745,657 883,745,657    
c OTHER PROGRAM SERVICES 900,099 111,844,088 110,337,329 1,506,759  
d PARKING, PHONE & OTHER 812,930 16,510,263     16,510,263
e MANAGEMENT FEES 561,000 15,730,211 7,501,568 8,228,643  
f All other program service revenue . 18,230,240 9,147,063 9,083,177  
g Total. Add lines 2a–2f........MediumBullet 3,609,359,804
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 35,805,349     35,805,349
4 Income from investment of tax-exempt bond proceeds..MediumBullet 203,070     203,070
5 Royalties............MediumBullet 15,163,622     15,163,622
(i) Real (ii) Personal
6a Gross Rents 9,733,366  
b Less: rental expenses    
c Rental income or (loss) 9,733,366  
d Net rental income or (loss).......MediumBullet 9,733,366     9,733,366
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 501,371,077 325,944
b Less: cost or other basis and sales expenses 445,134,340 4,326,431
c Gain or (loss) 56,236,737 -4,000,487
d Net gain or (loss)..........MediumBullet 52,236,250     52,236,250
8a Gross income from fundraising events (not including
$ 1,671,053
of contributions reported on line 1c). See Part IV, line 18 ...
a 515,300
b Less: direct expenses ...b 1,006,242
c Net income or (loss) from fundraising events..MediumBullet -490,942   -490,942
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a INCOME (LOSS) ON INVES 523,000 54,359,133   -1,473,800 55,832,933
b FOREIGN CURRENCY 525,990 857,301     857,301
c DERIVATIVE INCOME 525,990 -52,370,041     -52,370,041
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 2,846,393
12 Total revenue. See Instructions....MediumBullet 3,957,791,687 3,574,030,962 17,344,779 133,481,171
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 24,863,177 24,863,177
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 33,275,721 33,275,721
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 35,340 35,340
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 10,924,397 2,978,221 7,946,176  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 5,178,223 2,544,607 2,633,616  
7 Other salaries and wages 1,738,215,095 1,547,827,728 184,190,819 6,196,548
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 90,699,396 80,810,181 9,611,006 278,209
9 Other employee benefits ....... 259,747,254 231,572,436 27,524,246 650,572
10 Payroll taxes ........... 89,357,481 79,464,392 9,468,809 424,280
11 Fees for services (non-employees):        
a Management ...... 3,529,676 3,152,156 374,024 3,496
b Legal ......... 8,972,471 7,974,513 950,772 47,186
c Accounting ........... 1,948,644   1,948,644  
d Lobbying ........... 700,529 700,529    
e Professional fundraising. See Part IV, line 17.. 1,856,723 1,856,723
f Investment management fees ...... 7,391,258   7,391,258  
g Other .......... 44,341,905 37,669,229 4,698,712 1,973,964
12 Advertising and promotion .... 30,075,716 26,862,529 3,186,988 26,199
13 Office expenses ....... 603,422,184 539,067,869 63,941,929 412,386
14 Information technology ...... 56,988,041 50,836,233 6,038,766 113,042
15 Royalties ..        
16 Occupancy ........... 83,090,094 74,247,463 8,804,683 37,948
17 Travel ............ 15,510,109 13,469,776 1,643,536 396,797
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 7,250,466 6,275,973 768,299 206,194
20 Interest ........... 71,719,076 64,119,329 7,599,747  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 213,788,064 191,095,914 22,654,158 37,992
23 Insurance .............. 56,499,838 50,512,805 5,987,033  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a BAD DEBT EXPENSE 131,710,772 131,710,772    
b EQUIPMENT RENTAL & MAIN 76,763,987 68,581,538 8,134,334 48,115
c RESEARCH EXPENSE 25,143,027 25,143,027    
d STATE FRANCHISE FEE 15,997,005 15,997,005    
e TELEPHONE/INTERNET 12,775,401 11,303,845 1,353,752 117,804
f All other expenses 6,750,817 6,025,528 715,354 9,935
25 Total functional expenses. Add lines 1 through 24f 3,728,521,887 3,328,117,836 387,566,661 12,837,390
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 79,145,488 1 59,822,337
2 Savings and temporary cash investments ....... 6,112,233 2 16,139,868
3 Pledges and grants receivable, net ......... 256,894,650 3 241,276,995
4 Accounts receivable, net ......... 450,254,004 4 515,447,460
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 12,592,628 5 16,499,483
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 76,047,596 7 54,983,209
8 Inventories for sale or use .............. 48,209,780 8 54,365,455
9 Prepaid expenses and deferred charges ............ 16,032,301 9 19,000,271
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,819,998,141
b Less: accumulated depreciation. ..... 10b 1,777,749,661 1,931,529,526 10c 2,042,248,480
11 Investments—publicly traded securities .......... 1,828,431,565 11 1,797,908,706
12 Investments—other securities. See Part IV, line 11 ...... 680,760,760 12 1,018,983,834
13 Investments—program-related. See Part IV, line 11 .. 12,000,000 13 12,000,000
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 119,176,609 15 147,449,776
16 Total assets. Add lines 1 through 15 (must equal line 34)... 5,517,187,140 16 5,996,125,874
Liabilities 17 Accounts payable and accrued expenses . 504,844,500 17 552,665,231
18 Grants payable .......... 1,636,843 18 480,149
19 Deferred revenue .......... 70,042,066 19 70,978,376
20 Tax-exempt bond liabilities .......... 1,950,657,739 20 1,983,906,633
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 5,329,138 23 2,042,047
24 Unsecured notes and loans payable to unrelated third parties .... 27,094,983 24 43,883,074
25 Other liabilities. Complete Part X of Schedule D..... 1,033,614,697 25 974,695,099
26 Total liabilities. Add lines 17 through 25..... 3,593,219,966 26 3,628,650,609
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 1,446,887,606 27 1,879,344,625
28 Temporarily restricted net assets ..... 325,835,015 28 324,435,404
29 Permanently restricted net assets ..... 151,244,553 29 163,695,236
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 1,923,967,174 33 2,367,475,265
34 Total liabilities and net assets/fund balances ..... 5,517,187,140 34 5,996,125,874
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
3,957,791,687
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
3,728,521,887
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
229,269,800
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
1,923,967,174
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
214,238,291
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
2,367,475,265
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
THE CLEVELAND CLINIC FOUNDATION
  		Employer identification number

34-0714585
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
THE CLEVELAND CLINIC FOUNDATION
  		Employer identification number

34-0714585
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
THE CLEVELAND CLINIC FOUNDATION
  		Employer identification number

34-0714585
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
111,935
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
588,594
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
700,529
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 135,618,081 111,304,092 149,408,756
b Contributions ........ 12,450,683 7,288,623 12,061,766
c Investment earnings or losses ... 15,709,374 17,025,366 -45,588,927
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		2,784,450   4,577,503
f Administrative expenses ....      
g End of year balance ...... 160,993,688 135,618,081 111,304,092
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   176,096,005 176,096,005
b Buildings ................   2,136,564,940 905,604,022 1,230,960,918
c Leasehold improvements ............   60,763,967 38,045,342 22,718,625
d Equipment ................   1,189,414,800 804,131,472 385,283,328
e Other .................   257,158,429 29,968,825 227,189,604
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 2,042,248,480
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) VENTURE CAPITAL 		37,284,630 F

(B) HEDGE FUNDS 		707,417,295 F

(C) PRIVATE EQUITY 		177,785,533 F

(D) REAL ESTATE 		96,496,376 F





Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 1,018,983,834
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
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
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 974,695,099
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
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 D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 45,688,637
CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENT   63,017,285
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 57,096
MIDDLE EAST AND NORTH AFRICA 0 11 UNRELATED BUSINESS   4,428,986
MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 158,478
NORTH AMERICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 5,070
SOUTH AMERICA 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 40,750
CENTRAL AMERICA AND THE CARIBBEAN - 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 7,789
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 4,573
RUSSIA AND THE NEWLY INDEPENDENT STATES 0 0 PROGRAM SERVICES ATTENDANCE AT MEDICAL EDUCATION SEMINARS/CONFERENCES 6,937
MIDDLE EAST AND NORTH AFRICA 0 0 FUNDRAISING   32,000
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 FUNDRAISING   80,000
           
           
           
           
           
3a Sub-total .....   11 113,404,091
b Total from continuation sheets to Part I ...   0 123,510
c Totals (add lines 3a and 3b)   11 113,527,601
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
MIDDLE EAST AND NORTH AFRICA - RESEARCH 278,528 WIRE      
MIDDLE EAST AND NORTH AFRICA - RESEARCH 134,836 CHECK      
EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 70,674 WIRE      
EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 16,275 CHECK      
EAST ASIA AND THE PACIFIC - RESEARCH 57,462 CHECK      
NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 5,261 CHECK      
EUROPE (INCLUDING ICELAND & GREENLAND) - RESEARCH 14,070 CHECK      
NORTH AMERICA - CANADA AND MEXICO, BUT RESEARCH 13,000 CHECK      
SOUTH ASIA - AFGHANISTAN, BANGLADESH, RESEARCH 10,000 WIRE      
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
9
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
RESEARCH EUROPE (INCLUDING ICELAND & GREENLAND) 3 26,340 CHECK      
RESEARCH NORTH AMERICA 1 9,000 CHECK      
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
HARRIS CONNECT
1511 ROUTE 22 STE C-25
 
BREWSTER, NY10509 		PHONE SOLICITATION   No 969,561 942,590 26,971
 
RR DONNELLEY
111 SOUTH WACKER DRIVE
 
CHICAGO, IL60606 		DIRECT MAIL   No 946,573 688,815 257,758
 
CONVIO
11501 DOMAIN DR STE 200
 
AUSTIN, TX78758 		INTERNET   No 143,317 225,318 -82,001
Total .................right arrow 2,059,451 1,856,723 202,728
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
AK, AZ, CA, CO, FL, GA, HI, IL, KS, KY, LA, MA, MD, MI, MN, MS, NC, ND, NH, NJ, NY, OH, OK, OR, PA, SC, TN, UT, WA, WI, AL, AR, CT, ME, MO, RI, VA, WV, NM
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

SCOTT HAMILTON ICE SHOW & GALA
(event type) 		(b) Event #2

HEARTTHROB BALL
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 1,322,978 863,375   2,186,353
2 Less: Charitable
contributions . . . 		1,222,028 449,025   1,671,053
3 Gross income (line 1
minus line 2) . . . 		100,950 414,350   515,300
VerticalDirectExpenses 4 Cash prizes . . . 0 0    
5 Non-cash prizes . . 0 0    
6 Rent/facility costs . . 105,457 25,755   131,212
7 Food and beverages . . 120,975 149,299   270,274
8 Entertainment . . . 135,146 88,350   223,496
9 Other direct expenses . 242,043 139,217   381,260
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 1,006,242
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -490,942
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    76,761,906 63,000 76,698,906 2.130 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    215,701,208 159,636,051 56,065,157 1.560 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    292,463,114 159,699,051 132,764,063 3.690 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    19,082,238 12,414 19,069,824 0.530 %
f Health professions education
(from Worksheet 5) .. 		    208,420,318 50,746,829 157,673,489 4.380 %
g Subsidized health services
(from Worksheet 6) .. 		    5,892,581 3,175,099 2,717,482 0.080 %
h Research (from Worksheet 7)     194,332,975   194,332,975 5.400 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    6,842,265 18,965 6,823,300 0.190 %
jTotal Other Benefits ...     434,570,377 53,953,307 380,617,070 10.580 %
kTotal. Add lines 7d and 7j. ..     727,033,491 213,652,358 513,381,133 14.270 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     8,260   8,260 0 %
2 Economic development     1,651,101   1,651,101 0.050 %
3 Community support     53,948   53,948 0 %
4 Environmental improvements     24,688   24,688 0 %
5 Leadership development and training for community members     2,249   2,249 0 %
6 Coalition building     103,520   103,520 0 %
7 Community health improvement advocacy     144,586   144,586 0 %
8 Workforce development     1,483,078   1,483,078 0.040 %
9 Other            
10 Total     3,471,430   3,471,430 0.090 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
41,306,393
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
0
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
450,079,324
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
496,907,659
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-46,828,335
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 CLEVELAND CLINIC FOUNDATION
9500 EUCLID AVENUE
CLEVELAND,OH44195 		X X X X   X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CLEVELAND CLINIC FOUNDATION
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?74
Name and address Type of Facility (Describe)
1 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
2 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
3 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
4 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
5 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
6 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
7 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
8 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
9 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
10 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
11 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
12 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
13 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
14 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
15 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
16 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
17 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
18 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
19 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
20 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
21 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
22 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
23 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
24 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
25 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
26 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
27 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
28 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
29 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
30 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
31 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
32 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
33 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
34 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
35 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
36 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
37 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
38 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
39 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
40 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
41 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
42 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
43 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
44 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
45 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
46 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
47 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
48 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
49 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
50 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
51 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
52 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
53 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
54 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
55 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
56 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
57 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
58 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
59 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
60 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
61 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
62 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
63 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
64 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
65 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
66 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
67 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
68 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
69 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
70 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
71 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
72 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
73 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
74 BEACHWOOD FAMILY HEALTH & SURGERY CENTER
26900 CEDAR ROAD
COMMERCE
BEACHWOOD,OH44122 		FAMILY HEALTH CENTER
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    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 H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number
34-0714585
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) A CULTURAL EXCHANGE12624 LARCHMERE
CLEVELAND,OH44120 		34-1346752 501(C)(3) 10,000       COMMUNITY SUPPORT
(2) ALS ASSOCIATION2500 E 22ND ST STE 101
CLEVELAND,OH44115 		34-1810545 501(C)(3) 10,000       HEALTHCARE RESEARCH & EDUCATION
(3) AMER CANCER SOCIETY10501 EUCLID AVE
CLEVELAND,OH44106 		13-1788491 501(C)(3) 11,050       HEALTHCARE RESEARCH & EDUCATION
(4) AMER DIABETES ASSOC1701 N BEAUREGARD ST
ALEXANDRIA,VA22311 		13-1623888 501(C)(3) 5,000       HEALTHCARE RESEARCH & EDUCATION
(5) AMER HEART ASSOC7272 GREENVILLE AVE
DALLAS,TX75231 		59-0637852 501(C)(3) 268,000       HEALTHCARE RESEARCH & EDUCATION
(6) AMER MUSIC THERAPY ASSOC8455 COLESVILLE RD STE 1000
SILVER SPRING,MD20910 		48-6107868 501(C)(3) 5,000       COMMUNITY SUPPORT
(7) AMER RED CROSS3747 EUCLID AVE
CLEVELAND,OH44115 		34-0714622 501(C)(3) 10,000       HEALTHCARE RESEARCH & EDUCATION
(8) AMER RED CROSS BLOOD SERVICEPO BOX 73013
CHICAGO,IL60673 		53-0196605 501(C)(3) 11,680       HEALTHCARE RESEARCH & EDUCATION
(9) ARTHRITIS FOUNDATION1330 WEST PEACHTREE ST NW
ATLANTA,GA30309 		58-1341679 501(C)(3) 26,620       HEALTHCARE RESEARCH & EDUCATION
(10) ASSOC OF INDIAN PHYSICIANS OF NORTHERN OHIO3249 ROCKY RIVER
ROCKY RIVER,OH44111 		34-1407746 501(C)(3) 13,800       COMMUNITY SUPPORT
(11) BET FOUNDATION1235 W ST NW
WASHINGTON DC,DC20018 		30-0205752 501(C)(3) 25,000       COMMUNITY SUPPORT
(12) BLACK PROFESSIONALS ASSOC INC CHARITABLE FOUNDATIONP O BOX 5783
CLEVELAND,OH44101 		34-1496786 501(C)(3) 40,000       COMMUNITY SUPPORT
(13) BNAI JESHURUN CONGREGATION27501 FAIRMOUNT BLVD
PEPPER PIKE,OH44124 		34-0714675 501(C)(3) 5,000       COMMUNITY SUPPORT
(14) BNAI ZION FOUNDATION136 EAST 39TH ST
NEW YORK,NY10016 		34-0764144 501(C)(3) 6,250       COMMUNITY SUPPORT
(15) BOYS & GIRLS CLUBS OF CLEVE3340 TROWBRIDGE AVE
CLEVELAND,OH44109 		34-0770686 501(C)(3) 25,000       COMMUNITY SUPPORT
(16) BUSINESS VOLUNTEERS UNLIMITED200 PUBLIC SQUARE 2650
CLEVELAND,OH44114 		34-1815680 501(C)(3) 21,500       COMMUNITY SUPPORT
(17) CARE ALLIANCE1795 W 25TH STREET STE 251
CLEVELAND,OH44113 		34-1629768 501(C)(3) 10,000       COMMUNITY SUPPORT
(18) CENTER FOR FAMILIES AND CHILDR4500 EUCLID AVE
CLEVELAND,OH44103 		23-7084455 501(C)(3) 10,000       HEALTHCARE RESEARCH & EDUCATION
(19) CHIP205 W 25TH ST STE 265
LORAIN,OH44052 		20-3653522 501(C)(3) 5,000       COMMUNITY SUPPORT
(20) CITY CLUB FORUM FOUNDATION850 EUCLID AVE 2ND FLOOR
CLEVELAND,OH44114 		34-0144897 501(C)(3) 11,560       COMMUNITY SUPPORT
(21) CITY OF INDEPENDENCE6800 BRECKSVILLE RD
INDEPENDENCE,OH44131 		34-6001474 501(C)(1) 20,000       COMMUNITY SUPPORT
(22) CLEVE BOTANICAL GARDEN11030 EAST BLVD
CLEVELAND,OH44106 		34-0239538 501(C)(3) 10,000       COMMUNITY SUPPORT
(23) CLEVE CLINIC FLORIDA3000 W CYPRESS CREEK
FORT LAUDERDALE,FL33309 		65-0003177 501(C)(3) 15,000       SUPPORT TO RELATED CHARITY
(24) CLEVE FOOD BANK1557 EAST 27TH ST
CLEVELAND,OH44114 		34-1292848 501(C)(3) 6,500       COMMUNITY SUPPORT
(25) CLEVE LEADERSHIP CTR1422 EUCLID AVE STE 940
CLEVELAND,OH44115 		34-1927317 501(C)(3) 11,000       COMMUNITY SUPPORT
(26) CLEVE MOTTEP18720 CHAGRIN BLVD
SHAKER HTS,OH44122 		52-2401852 501(C)(3) 10,000       COMMUNITY SUPPORT
(27) CLEVE MUSEUM OF ART11150 EAST BLVD
CLEVELAND,OH44106 		34-0714336 501(C)(3) 50,000       COMMUNITY SUPPORT
(28) CLEVE MUSEUM OF NATURAL HISTOR1 WADE OVAL DR
CLEVELAND,OH44106 		34-0714338 501(C)(3) 5,500       COMMUNITY SUPPORT
(29) CLEVE MUSIC SCHOOL SETTLEMENT11125 MAGNOLIA DR
CLEVELAND,OH44106 		34-0714339 501(C)(3) 15,000       COMMUNITY SUPPORT
(30) CLEVE PLAYHOUSEP O BOX 1989
CLEVELAND,OH44106 		34-0895516 501(C)(3) 5,000       COMMUNITY SUPPORT
(31) CLEVELAND CLINIC EDUCATIONAL FOUNDATION9500 EUCLID AVE
CLEVELAND,OH44106 		34-0714553 501(C)(3) 18,728,884       SUPPORT TO RELATED CHARITY
(32) CLEVELAND FOUNDATION1422 EUCLID AVE 1300
CLEVELAND,OH44115 		34-0714588 501(C)(3) 1,200,000       COMMUNITY SUPPORT
(33) CLEVELAND METROPARKS ZOO3900 WILDLIFE WAY
CLEVELAND,OH44109 		34-6000704 501(C)(1) 20,000       COMMUNITY SUPPORT
(34) CLEVELAND MUNICIPAL SCHOOL DISTRICT1380 EAST 6TH ST
CLEVELAND,OH44114 		34-6000662 501(C)(1) 274,137       SUPPORT EDUCATIONAL ACTIVITIES
(35) COMMUNITY WEST FOUNDATION20545 CENTER RIDGE RD
ROCKY RIVER,OH44116 		34-1456398 501(C)(3) 9,375       SUPPORT TO RELATED CHARITY
(36) CONSORTIUM OF AFRICAN AMER4415 EUCLID AVE STE 201
CLEVLAND,OH44103 		14-1838579 501(C)(3) 5,000       COMMUNITY SUPPORT
(37) CUYAHOGA COMMUNITY COLLEGE700 CARNEGIE AVE
CLEVELAND,OH44115 		34-6003691 501(C)(1) 12,000       SUPPORT EDUCATIONAL ACTIVITIES
(38) DANCING CLASSROOMS NORTHEASTPO BOX 304
HINCKLEY,OH44233 		26-2300532 501(C)(3) 6,900       SUPPORT EDUCATIONAL ACTIVITIES
(39) DIABETES ASSOC OF GREATER CLEV3601 SOUTH GREEN RD STE 100
CLEVELAND,OH44122 		34-1590061 501(C)(3) 4,300       HEALTHCARE RESEARCH & EDUCATION
(40) DIVERSITY CTR OF NE OHIO INC3645 WARRENSVILLE CTR RD STE 328
CLEVELAND,OH44122 		34-1759189 501(C)(3) 20,000       COMMUNITY SUPPORT
(41) DOWNTOWN CLEVELAND ALLIANCE50 PUBLIC SQUARE STE 825
CLEVELAND,OH44113 		34-1775903 501(C)(3) 10,000       COMMUNITY SUPPORT
(42) ECONOMIC GROWTH FOUNDATION50 PUBLIC SQ 200
CLEVELAND,OH44113 		34-0933033 501(C)(3) 66,000       COMMUNITY SUPPORT
(43) ENTREPRENEURS FOR SUSTAINABILITY540 E 105TH ST STE 213
CLEVELAND,OH44108 		94-1081436 501(C)(3) 5,000       COMMUNITY SUPPORT
(44) EPILEPSY ASSOC2831 PROSPECT AVE
CLEVELAND,OH44115 		23-7198807 501(C)(3) 27,120       HEALTHCARE RESEARCH & EDUCATION
(45) ESPERANZA INC4115 BRIDGE AVE STE 108
CLEVELAND,OH44113 		28-9949965 501(C)(3) 10,000       COMMUNITY SUPPORT
(46) FAIRFAX RENAISSANCE DEVELOPMNT8111 QUINCY AVE STE 100
CLEVELAND,OH44104 		34-1706856 501(C)(3) 54,709       COMMUNITY SUPPORT
(47) FIBROMUSCULAR DYSPLASIA SOCIETY OF AMERICA20325 CENTER RIDGE RD
ROCKY RIVER,OH44116 		01-0771966 501(C)(3) 9,000       HEALTHCARE RESEARCH & EDUCATION
(48) FRIENDS OF CLEVE SCHL OF ARTSPO BOX 18265
CLEVELAND,OH44118 		34-1410357 501(C)(3) 5,000       SUPPORT EDUCATIONAL ACTIVITIES
(49) GATHERING PLACE3365 RICHMOND RD
BEACHWOOD,OH44122 		34-1595148 501(C)(3) 5,000       COMMUNITY SUPPORT
(50) GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY1240 WEST 6TH ST
CLEVELAND,OH44113 		34-1170830 501(C)(1) 125,000       COMMUNITY SUPPORT
(51) GREATER CLEVELAND SPORTS COMMISSION50 PUBLIC SQUARE STE 950
CLEVELAND,OH44113 		31-1381131 501(C)(3) 10,000       COMMUNITY SUPPORT
(52) HEALTH LEGACY OF CLEVELAND INC2475 E 22ND ST 210
CLEVELAND,OH44115 		29-5449821 501(C)(3) 30,000       HEALTHCARE RESEARCH & EDUCATION
(53) HEALTHCORPS191 SEVENTH AVE 4N
NEW YORK,NY10011 		25-1915054 501(C)(3) 15,000       HEALTHCARE RESEARCH & EDUCATION
(54) HISPANIC ROUNDTABLE COMM1900 E 9TH ST STE 3200
CLEVELAND,OH44114 		20-0932464 501(C)(3) 10,000       COMMUNITY SUPPORT
(55) HOSPICE OF THE WESTERN RESERVE300 EAST 185TH
CLEVELAND,OH44119 		34-1256377 501(C)(3) 10,500       HEALTHCARE RESEARCH & EDUCATION
(56) INITIATIVE FOR A COMPETITIVE INNER CITY INC200 HIGH ST THIRD FLOOR
BOSTON,MA02110 		13-3772904 501(C)(3) 26,000       COMMUNITY SUPPORT
(57) INNER CITY TENNIS CLINICPO BOX 32551
CLEVELAND,OH44132 		34-1346752 501(C)(3) 30,000       COMMUNITY SUPPORT
(58) JULIA DE BURGOS CULTURAL ARTS5209 DETROIT AVE
CLEVELAND,OH44102 		34-1676967 501(C)(3) 5,000       SUPPORT EDUCATIONAL ACTIVITIES
(59) JUVENILE DIABETES FOUNDATION4500 ROCKSIDE RD STE 420
INDEPENDENCE,OH44131 		13-1837418 501(C)(3) 8,000       HEALTHCARE RESEARCH & EDUCATION
(60) KARAMU HOUSE INC2355 EAST 89TH ST
CLEVELAND,OH44106 		34-0714448 501(C)(3) 5,000       COMMUNITY SUPPORT
(61) LAKEWOOD HOSPITAL14519 DETROIT AVE
LAKEWOOD,OH44107 		34-6519834 501(C)(3) 6,000       SUPPORT TO RELATED CHARITY
(62) LEUKEMIA & LYMPHOMA SOCIETY23297 COMMERCE PARK
CLEVELAND,OH44122 		13-5644916 501(C)(3) 5,000       HEALTHCARE RESEARCH & EDUCATION
(63) LIFEBANC20600 CHAGRIN BLVD STE 350
CLEVELAND,OH44122 		34-1456398 501(C)(3) 7,000       HEALTHCARE RESEARCH & EDUCATION
(64) LUPUS FOUNDATION OF AMERICA12930 CHIPPEWA RD 6
BRECKSVILLE,OH44141 		34-1229407 501(C)(3) 5,000       HEALTHCARE RESEARCH & EDUCATION
(65) MAKE A WISH FOUNDATION OF EAST4949 GALAXY PARKWAY STE E
CLEVLAND,OH44128 		37-1471131 501(C)(3) 6,000       HEALTHCARE RESEARCH & EDUCATION
(66) MEDWISH INTERNATIONAL-SPRINGPO BOX 181484
CLEVELAND,OH44118 		34-1903712 501(C)(3) 25,000 2,308,848 ESTIMATED VALUE MEDICAL EQUIPMENT & SUPPLIES HEALTHCARE RESEARCH & EDUCATION
(67) MEREDITH COWDEN FOUNDATION1369 WEBB RD
LAKEWOOD,OH44107 		20-8666402 501(C)(3) 5,000       HEALTHCARE RESEARCH & EDUCATION
(68) METROHEALTH SYSTEM2500 METROHEALTH DRIVE
CLEVELAND,OH44109 		34-6004382 501(C)(1) 75,000       HEALTHCARE RESEARCH & EDUCATION
(69) MIDTOWN CLEVELAND4019 PROSPECT AVE 200
CLEVELAND,OH44103 		26-9981437 501(C)(3) 40,000       COMMUNITY SUPPORT
(70) NAACP614 SUPERIOR AVE NW 700
CLEVELAND,OH44113 		25-6876059 501(C)(3) 10,000       COMMUNITY SUPPORT
(71) NAMI GREATER CLEVELAND1400 W 25TH STREET 4TH FLOOR
CLEVELAND,OH44113 		20-2254268 501(C)(3) 8,200       COMMUNITY SUPPORT
(72) NATL ASSOC OF FREE CLINICS1800 DIAGONAL RD STE 600
ALEXANDRIA,VA22314 		56-2273242 501(C)(3) 5,000       HEALTHCARE RESEARCH & EDUCATION
(73) NATL KIDNEY FOUNDATION30 E 33RD ST 11TH FL
NEW YORK,NY10016 		13-1673104 501(C)(3) 6,000       HEALTHCARE RESEARCH & EDUCATION
(74) NATL MULTIPLE SCLEROSIS SOC1422 EUCLID AVE 333 HANNA BLDG
CLEVELAND,OH44115 		34-0801307 501(C)(3) 10,100       HEALTHCARE RESEARCH & EDUCATION
(75) NATL SOCIETY OF HISPANIC MBAS1303 WALNUT HILL LANE STE 100
IRVING,TX75038 		34-0760593 501(C)(3) 6,000       COMMUNITY SUPPORT
(76) NOIA FOUNDATION1140 TEREX RD
HUDSON,OH44236 		34-1618516 501(C)(3) 5,000       COMMUNITY SUPPORT
(77) NORTH UNION FARMERS MARKET13212 SHAKER SQUARE STE 302
CLEVELAND,OH44120 		34-1812026 501(C)(3) 26,750       COMMUNITY SUPPORT
(78) NORTHEAST OHIO HISPANIC CHAMBER OF COMMERCE2511 CLARK AVE
CLEVELAND,OH44102 		34-1805510 501(C)(6) 5,000       COMMUNITY SUPPORT
(79) NORTHERN OHIO MINORITY BUSINESS COUNCIL200 TOWER CITY CENTER 50 PUBLIC
SQUARE
CLEVELAND,OH44114 		34-1880180 501(C)(6) 5,000       COMMUNITY SUPPORT
(80) NUEVA LUZ URBAN RESOURCE CTR2226 W 89TH ST
CLEVELAND,OH44102 		34-1972937 501(C)(3) 5,000       COMMUNITY SUPPORT
(81) OLD WHITE CHARITIES INC300 WEST MAIN ST
WHITE SULPHUR SPRINGS,WV24986 		26-1269358 501(C)(3) 60,000       COMMUNITY SUPPORT
(82) OPEN DOORS INC2460 FAIRMOUNT BLVD 202
CLEVELAND HTS,OH44106 		94-1081436 501(C)(3) 5,000       COMMUNITY SUPPORT
(83) OSTEOPOROSIS WALK FOUNDATION4450 TIMBERIDGE DR
INDEPENDENCE,OH44131 		34-1855292 501(C)(3) 7,500       HEALTHCARE RESEARCH & EDUCATION
(84) OUTRUN OVARIAN CANCERPO BOX 40332
BAY VILLAGE,OH44140 		80-0093560 501(C)(3) 5,000       HEALTHCARE RESEARCH & EDUCATION
(85) PLAYHOUSE SQUARE CENTER1501 EUCLID AVE STE 200
CLEVELAND,OH44115 		23-7304942 501(C)(3) 5,000       COMMUNITY SUPPORT
(86) PLEXUSPO BOX 91697
CLEVELAND,OH44101 		34-2064724 501(C)(3) 5,000       COMMUNITY SUPPORT
(87) POSITIVELY CLEVELAND100 PUBLIC SQUARE STE 100
CLEVELAND,OH44113 		34-1509482 501(C)(3) 5,000       COMMUNITY SUPPORT
(88) PROJECT LOVE23611 CHAGRIN BLVD 380
BEACHWOOD,OH44122 		34-1629768 501(C)(3) 10,000       COMMUNITY SUPPORT
(89) RAINEY INSTITUTE1523 EAST 55TH ST
CLEVELAND,OH44144 		51-0168651 501(C)(3) 5,000       SUPPORT EDUCATIONAL ACTIVITIES
(90) REBUILDING TOGETHERPO BOX 14274
CLEVELAND,OH44114 		31-1493982 501(C)(3) 25,072       COMMUNITY SUPPORT
(91) RECOVERY RESOURCES3950 CHESTER AVE
CLEVELAND,OH44114 		34-1211116 501(C)(3) 5,000       COMMUNITY SUPPORT
(92) RONALD MC DONALD HOUSE10415 EUCLID AVE
CLEVELAND,OH44106 		34-1269123 501(C)(3) 25,000       HEALTHCARE RESEARCH & EDUCATION
(93) SANKOFA FINE ART PLUS540 EAST 105TH ST STE 208
CLEVELAND,OH44108 		34-1890314 501(C)(3) 12,500       SUPPORT EDUCATIONAL ACTIVITIES
(94) SEG - EVERGREEN COOPERATIVE540 EAST 105TH ST
CLEVELAND,OH44108 		27-0326577 501(C)(3) 250,000       COMMUNITY SUPPORT
(95) SENIOR OUTREACH SERVICES INC100000 CEDAR AVE
CLEVELAND,OH44106 		34-1629768 501(C)(3) 21,428       HEALTHCARE RESEARCH & EDUCATION
(96) ST IGNATIUS HIGH SCHOOL1911 WEST 30TH ST
CLEVELAND,OH44113 		34-0714500 501(C)(3) 5,000       SUPPORT EDUCATIONAL ACTIVITIES
(97) STRAIGHT FROM THE HEART20545 CENTER RIDGE RD 448
ROCKY RIVER,OH44116 		34-1456398 501(C)(3) 10,500       COMMUNITY SUPPORT
(98) TAMPA GENERAL HOSPITALPO BOX 1289
TAMPA,FL33601 		59-3458145 501(C)(3) 7,000       HEALTHCARE RESEARCH & EDUCATION
(99) THEDACARE INC820 E GRANT ST
APPLETON,WI54911 		26-9987508 501(C)(3) 20,000       HEALTHCARE RESEARCH & EDUCATION
(100) TUBEROUS SCLEROSIS ALLIANCE OH17413 DEER CREEK CIRCLE
STRONGSVILLE,OH44136 		95-3018799 501(C)(3) 5,000       HEALTHCARE RESEARCH & EDUCATION
(101) UNITED FOR JOBS & OHIOS FUTURE100 E BRD ST STE 2330
COLUMBUS,OH43215 		27-1836359 501(C)(3) 100,000       COMMUNITY SUPPORT
(102) UNITED WAY OF GREATER CLEVE1331 EUCLID AVE
CLEVELAND,OH44115 		34-6516654 501(C)(3) 17,275       COMMUNITY SUPPORT
(103) URBAN LEAGUE OF GREATER CLEVEL12001 SHAKER BLVD
CLEVELAND,OH44120 		34-0720563 501(C)(3) 10,000       COMMUNITY SUPPORT
(104) VOCATIONAL GUIDANCE SERVICES2239 E 55TH ST
CLEVELAND,OH44103 		34-0714650 501(C)(3) 10,000       COMMUNITY SUPPORT
(105) WOMEN OF COLOR FOUNDATION1667 EAST 40TH ST STE 1G
CLEVELAND,OH44103 		02-0743542 501(C)(3) 25,000       COMMUNITY SUPPORT
(106) Y M C A - CLEVELAND2200 PROSPECT AVE
CLEVELAND,OH44115 		16-1654650 501(C)(3) 11,000       COMMUNITY SUPPORT
(107) YOUR HOME TOWN - CHAGRIN FALLS57 EAST WASHINGTON ST
CHAGRIN FALLS,OH44022 		31-1564112 501(C)(3) 6,000       COMMUNITY SUPPORT
(108) YOUTH OPPORTUNITIES UNLIMITED3750 PROSPECT AVE
CLEVELAND,OH44115 		23-7135845 501(C)(3) 7,500       COMMUNITY SUPPORT
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
106
3
Enter total number of other organizations ................................ . Bullet Image
2
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) FELLOWSHIPS 1454 33,275,721      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
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 I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) BRADLEY LINDA (i)
(ii)		 332,463
0 		0
0 		12,014
0 		24,500
0 		13,812
0 		382,789
0 		0
0
(2) CATHCART MARTHA (i)
(ii)		 184,145
0 		0
0 		2,851
0 		18,507
0 		13,812
0 		219,315
0 		0
0
(3) COSGROVE DELOS M (i)
(ii)		 2,032,720
0 		0
0 		246,644
0 		24,500
0 		10,278
0 		2,314,142
0 		0
0
(4) FALCONE TOMMASO (i)
(ii)		 673,570
0 		0
0 		48,875
0 		24,500
0 		15,812
0 		762,757
0 		0
0
(5) HAHN JOSEPH F (i)
(ii)		 1,025,224
0 		0
0 		95,164
0 		24,500
0 		10,387
0 		1,155,275
0 		0
0
(6) DICORLETO PAUL E (i)
(ii)		 395,361
0 		0
0 		20,610
0 		24,500
0 		12,322
0 		452,793
0 		0
0
(7) GLASS STEVEN C (i)
(ii)		 804,600
0 		0
0 		76,390
0 		24,500
0 		13,812
0 		919,302
0 		0
0
(8) HARRINGTON MICHAEL (i)
(ii)		 424,611
0 		0
0 		66,787
0 		24,500
0 		14,430
0 		530,328
0 		0
0
(9) MCHUGH LINDA (i)
(ii)		 303,826
0 		0
0 		16,012
0 		24,500
0 		13,812
0 		358,150
0 		0
0
(10) MEEHAN MICHAEL (i)
(ii)		 257,820
0 		0
0 		24,457
0 		24,500
0 		10,278
0 		317,055
0 		0
0
(11) MURRAY JAN (i)
(ii)		 433,945
0 		0
0 		67,422
0 		24,500
0 		4,699
0 		530,566
0 		0
0
(12) PEACOCK WILLIAM (i)
(ii)		 626,070
0 		0
0 		41,159
0 		24,500
0 		16,002
0 		707,731
0 		0
0
(13) ROWAN DAVID W (i)
(ii)		 537,291
0 		0
0 		76,046
0 		24,500
0 		17,707
0 		655,544
0 		0
0
(14) LYTLE BRUCE W (i)
(ii)		 1,449,220
0 		0
0 		134,652
0 		24,500
0 		10,278
0 		1,618,650
0 		0
0
(15) COSTIN JOHN (i)
(ii)		 1,056,500
0 		0
0 		109,399
0 		24,500
0 		11,498
0 		1,201,897
0 		0
0
(16) FAZIO VICTOR (i)
(ii)		 1,060,720
0 		0
0 		106,124
0 		24,500
0 		10,278
0 		1,201,622
0 		0
0
(17) FISHLEDER ANDREW W (i)
(ii)		 923,305
0 		0
0 		254,572
0 		24,500
0 		10,626
0 		1,213,003
0 		0
0
(18) MAVROUDIS CONSTANTINE (i)
(ii)		 1,219,412
0 		0
0 		114,564
0 		24,500
0 		13,632
0 		1,372,108
0 		0
0
(19) PETRE JOHN H (i)
(ii)		 1,279,292
0 		40,000
0 		23,405
0 		24,500
0 		11,887
0 		1,379,084
0 		0
0
(20) STRAND DAVID (i)
(ii)		 0
0 		0
0 		1,266,758
0 		24,500
0 		12,469
0 		1,303,727
0 		0
0
(21) FUNG JOHN J (i)
(ii)		 790,570
0 		0
0 		59,227
0 		24,500
0 		14,312
0 		888,609
0 		0
0
(22) MATSEN PAUL (i)
(ii)		 789,080
0 		0
0 		58,193
0 		24,500
0 		13,812
0 		885,585
0 		0
0
(23) MODIC MICHAEL (i)
(ii)		 768,915
0 		0
0 		79,417
0 		24,500
0 		14,467
0 		887,299
0 		0
0
(24) GOLDFARB JAMES (i)
(ii)		 817,996
0 		0
0 		139,054
0 		24,500
0 		11,457
0 		993,007
0 		0
0
(25) LAHORRA JOSEPH (i)
(ii)		 637,299
0 		0
0 		59,729
0 		24,500
0 		16,371
0 		737,899
0 		0
0
(26) MARTIN DANIEL (i)
(ii)		 443,174
0 		0
0 		45,085
0 		24,500
0 		13,662
0 		526,421
0 		0
0
(27) MIHALJEVIC TOMISLAV (i)
(ii)		 812,611
0 		0
0 		77,732
0 		24,500
0 		16,586
0 		931,429
0 		0
0
(28) PETTERSSON GOSTA (i)
(ii)		 848,454
0 		0
0 		93,268
0 		24,500
0 		28,451
0 		994,673
0 		0
0
(29) SCHAUER PHILIP (i)
(ii)		 1,013,820
0 		0
0 		98,894
0 		24,500
0 		13,812
0 		1,151,026
0 		0
0
(30) WYSZYNSKI RICHARD (i)
(ii)		 901,396
0 		0
0 		76,170
0 		24,500
0 		18,032
0 		1,020,098
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  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.
SUPPLEMENTAL INFORMATION PART III PART I, LINE 1A - LISTED BENEFITS WHILE NOT PART OF CCF'S REIMBURSMENT POLICY, THE LISTED BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A. THE ITEMS INDICATED ARE APPROVED ON AN EXCEPTION BASIS ONLY IF THERE IS AN APPROPRIATE BUSINESS PURPOSE AND THE REIMBURSEMENT OF THE EXPENSE MEETS ALL OTHER IRS REQUIREMENTS.
SUPPLEMENTAL INFORMATION PART III PART I, LINE 4A - SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS: DAVID STRAND - $1,050,000
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number
34-0714585
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 677561FV9 08-25-2009 807,007,320 REFUND 2009B, FACILITY CONSTRUCTION, EQUIPPING, AND IMPROVING   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AG22 10-15-2008 451,686,386 REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AJ37 10-15-2008 670,000,000 REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS   X   X   X
D COUNTY OF CUYAHOGA OHIO
  		34-6000817 232286BH6 12-22-2004 200,000,000 FINANCING OF THE MILLER PAVILION & TOWER AT HILLCREST   X   X   X
COUNTY OF CUYAHOGA OHIO
  		34-6000817 232286BC7 04-16-2003 527,761,127 REFUND 1998A AND 1998B   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 13,791,127      
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 807,007,320 452,340,000 670,000,000 200,000,000
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds. 961,908     10,407,762
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,099,225 800,000 1,200,000 582,707
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 309,347,250 218,639,952 324,315,217 196,951,932
11 Other spent proceeds . . 304,743,315 251,263,651 372,706,929 17,702,369
12 Other unspent proceeds. . . 192,779,438      
13 Year of substantial completion . . . 2008 2008 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X     X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X   X   X  
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X   X   X  
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X   X   X  
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.280 % 0.280 % 0.280 % 0.150 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0.030 % 0.030 % 0.020 %
6 Total of lines 4 and 5 . . .. . . . . . 0.280 % 0.310 % 0.310 % 0.170 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X X   X  
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X X  
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCH K, PART II   A PORTION OF THE 2006 SERIES WAS REISSUED AS PART OF THE 2008 BOND.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number
34-0714585
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 677561FV9 08-25-2009 807,007,320 REFUND 2009B, FACILITY CONSTRUCTION, EQUIPPING, AND IMPROVING   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AG22 10-15-2008 451,686,386 REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AJ37 10-15-2008 670,000,000 REFUND 06A, 04A, AND 01A, FACILITY IMPROVEMENTS   X   X   X
D COUNTY OF CUYAHOGA OHIO
  		34-6000817 232286BH6 12-22-2004 200,000,000 FINANCING OF THE MILLER PAVILION & TOWER AT HILLCREST   X   X   X
COUNTY OF CUYAHOGA OHIO
  		34-6000817 232286BC7 04-16-2003 527,761,127 REFUND 1998A AND 1998B   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 13,791,127      
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 807,007,320 452,340,000 670,000,000 200,000,000
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds. 961,908     10,407,762
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,099,225 800,000 1,200,000 582,707
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 309,347,250 218,639,952 324,315,217 196,951,932
11 Other spent proceeds . . 304,743,315 251,263,651 372,706,929 17,702,369
12 Other unspent proceeds. . . 192,779,438      
13 Year of substantial completion . . . 2008 2008 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X     X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X   X   X  
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X   X   X  
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X   X   X  
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.280 % 0.280 % 0.280 % 0.150 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0.030 % 0.030 % 0.020 %
6 Total of lines 4 and 5 . . .. . . . . . 0.280 % 0.310 % 0.310 % 0.170 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X X   X  
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X X  
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCH K, PART II   A PORTION OF THE 2006 SERIES WAS REISSUED AS PART OF THE 2008 BOND.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
(1) DELOS M COSGROVE MD
 
INSURANCE POLICY TREATED AS A LOAN 		  X 229,247 3,740,117   No Yes   Yes  
(2) JOHN A COSTIN MD
 
INSURANCE POLICY TREATED AS A LOAN 		  X 0 2,514,792   No Yes   Yes  
(3) FLOYD D LOOP MD
 
INSURANCE POLICY TREATED AS A LOAN 		  X 785,000 8,554,334   No Yes   Yes  
(4) FRANK L LORDEMAN
 
INSURANCE POLICY TREATED AS A LOAN 		  X 25,000 264,778   No Yes   Yes  
(5) DAVID W ROWAN
 
INSURANCE POLICY TREATED AS A LOAN 		  X 100,000 1,425,462   No Yes   Yes  
Total ...............Small Bullet $ 16,499,483
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) CINTAS CORPORATION
  		JOSEPH SCAMINANCE, CCF DIRECTOR, IS A DIRECTOR 307,438 VENDOR OF SUPPLIES   No
(2) CLEVELAND BROWNS
  		FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, IS THE OWNER 663,679 CC IS THE PROVIDER OF SPORTS MEDICINE AND EQUIPMENT FOR THE CLEVELAND BROWNS   No
(3) CLEVELAND BROWNS
  		FAMILY MEMBER OF NORMA LERNER, CCF DIRECTOR, IS THE OWNER 2,633,450 SPONSORSHIP AGREEMENT   No
(4) KEYCORP
  		ENTITY IN WHICH CCF DIRECTORS SERVE AS VICE CHAIR AND AS A DIRECTOR 681,431 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   No
(5) KEYCORP
  		ENTITY IN WHICH CCF DIRECTORS SERVE AS VICE CHAIR AND AS A DIRECTOR 57,757 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   No
(6) MARSH & MCLENNAN
  		S. HARDIS, CCF DIRECTOR, IS NON-EXECUTIVE CHAIRMAN AND DIRECTOR 533,672 FEES FOR PROPERTY AND CASUALTY SERVICES   No
(7) DANIEL CULVER
  		FAMILY MEMBER OF STEVEN HARDIS, CCF DIRECTOR 223,829 EMPLOYMENT AGREEMENT WITH CCF   No
(8) LAURA HAHN BRANDON
  		FAMILY MEMBER OF JOSEPH HAHN, CCF DIRECTOR AND CHIEF OF STAFF 53,191 EMPLOYMENT AGREEMENT WITH CCF   No
(9) MICHAEL FALCONE
  		FAMILY MEMBER OF TOMMASO FALCONE, CCF DIRECTOR 52,792 EMPLOYMENT AGREEMENT WITH CCF   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art .... X 8 60,750 APPRAISAL
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 32,605 SALE COMPARABLE GOODS
5 Clothing and household
goods ....... 		X 14,238 SALE COMPARABLE GOODS
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 58 3,933,375 SELLING PRICE
10 Securities—Closely held stock . X 1 100,000 ESTIMATE
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous .. X 1 50,000 FACE VALUE
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial .. X 1 1,100,000 APPRAISAL
17 Real estate—Other ...        
18 Collectibles ..... X 1 200 SALE COMPARABLE GOODS
19 Food inventory ... X 1 24,705 COST
20 Drugs and medical supplies . X 6 142,334 COST
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( EVENTS/TICKETS ) X 5 7,068 COST
26 Other Right pointing arrow large image ( TOYS ) X 73 7,515 SALE COMPARABLE GOODS
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
6
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
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 M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Identifier Return Reference Explanation
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number

34-0714585
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) CC CHINA LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
20-5776477 		INACTIVE OH 0 0 N/A
(2) CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1939710 		HEALTHCARE SERVICES OH 21,752,662 66,056 N/A
(3) CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD
WESTON,FL33331
31-1741150 		HEALTHCARE SERVICES FL 3,408 18,823 N/A
(4) CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
26-3666730 		LICENSING OF INTELLECTUAL PROPERTY OH 8,228,643 11,831,108 N/A
(5) CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1938153 		HEALTHCARE SERVICES OH 10,076,482 0 N/A
(6) CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
26-3859233 		HEALTHCARE SERVICES OH 1,467,615 5,340,503 N/A
(7) CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1932969 		HEALTHCARE SERVICES OH 72,390,855 32,599 N/A
(8) CLINIC PHYSICIAN SERVICES COMPANY LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1907574 		HEALTHCARE SERVICES OH 43,284,321 0 N/A
(9) CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR
BEACHWOOD,OH44122
26-2636530 		HEALTHCARE SERVICES OH 43,963,958 3,945,303 N/A
(10) MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON ST
MEDINA,OH44256
 INACTIVE OH 0 0 N/A
(11) MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
34-1898545 		HEALTHCARE SERVICES OH 0 0 N/A
(12) NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
20-0442351 		HEALTHCARE SERVICES OH 1,188 417,093 N/A
(13) OHIO STAR IMAGING LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
 HEALTHCARE SERVICES OH 0 0 N/A
(14) PSVW LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
26-1614376 		REAL ESTATE HOLDINGS OH 0 0 N/A
(15) REJ HOLDINGS LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
 REAL ESTATE HOLDINGS OH 0 0 N/A
(16) THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
20-1476092 		HEALTHCARE SERVICES OH 32,673 0 N/A
(17) WOOSTER CLINIC LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1855775 		HEALTHCARE SERVICES OH 44,976,551 0 N/A
Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) COMMUNITY WEST FOUNDATION

20545 CENTER RIDGE ROAD

ROCKY RIVER,OH44116
34-1456398 		ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY OH 501 (C)(3) LINE 7 N/A
 
No
(2) KEEP MEMORY ALIVE

888 W BONNEVILLE

LAS VEGAS,NV89106
88-0515534 		SUPPORT CLEVELAND CLINIC FOUNDATION NV 501 (C)(3) LINE 11A, I N/A
Yes
 
(3) LAKEWOOD HEALTHCARE FOUNDATION

14519 DETROIT AVENUE

LAKEWOOD,OH44107
34-1574608 		HEALTHCARE SERVICES OH 501 (C)(3) LINE 11A, I N/A
Yes
 
(4) LAKEWOOD HOSPITAL FOUNDATION INC

14601 DETROIT AVENUE STE 240

LAKEWOOD,OH44107
34-6519834 		SUPPORT LAKEWOOD HOSPITAL ASSOCIATION OH 501 (C)(3) LINE 11A, I N/A
 
No
(5) LOU RUVO BRAIN INSTITUTE

888 W BONNEVILLE

LAS VEGAS,NV89106
20-8077691 		SUPPORT CLEVELAND CLINIC FOUNDATION NV 501 (C)(3) LINE 11A, I N/A
Yes
 
(6) MEDINA COUNTY HEALTH CORPORATION

1000 E WASHINGTON ST

MEDINA,OH44256
27-0756266 		SUPPORT MEDINA HOSPITAL OH 501 (C)(3) LINE 11A, I MEDINA HOSPITAL
 
Yes
 
(7) NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP

2001 ROSS AVENUE

DALLAS,TX75201
31-1707979 		SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES TX 501 (C)(3) LINE 11A, I N/A
 
No
(8) WO WALKER CENTER INC

10700 EUCLID AVENUE

CLEVELAND,OH44106
91-1818256 		HEALTHCARE SERVICES OH 501 (C)(3) LINE 11A, I N/A
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) BUCKEYE OCULAR LLC

10265 CARNEGIE AVENUE
CLEVELAND,OH44106
26-2689395 		MEDICAL SERVICES OH N/A
 RELATED   443   No     No 55.000 %
(2) CCFMHS RENAL CARE COMPANY LTD

9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1863789 		MEDICAL SERVICES OH N/A
 RELATED 3,774,359 10,979,888   No     No 60.000 %
(3) CCHS WESTLAKE IMAGING CENTER LLC

6801 BRECKSVILLE ROAD RK-85
INDEPENDENCE,OH44131
34-1914277 		MEDICAL SERVICES OH FAIRVIEW HOSPITALLAKEWOOD HOSP ASSN
  		RELATED 3,298,045 898,108   No     No 100.000 %
(4) CLEVELAND HEALTH NETWORK MSO LLC

4700 ROCKSIDE ROAD STE 200
INDEPENDENCE,OH44131
31-1566180 		MEDICAL SERVICES OH N/A
 RELATED   19,022   No     No 79.900 %
(5) PROGNOSTIX LLC

10265 CARNEGIE AVENUE
CLEVELAND,OH44106
30-0624422 		MEDICAL SERVICES OH N/A
 RELATED   154,975   No     No 78.000 %
(6) CLEVELAND HEARTLAB LLC

10265 CARNEGIE AVENUE
CLEVELAND,OH44106
27-1117058 		MEDICAL SERVICES OH N/A
 RELATED       No     No 58.644 %


Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) ANGIOQUEST INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
32-0217945 		MEDICAL TECHNOLOGY DE N/A
 C 489 1,215 100.000 %
(2) CARDIONOMIC INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
26-3662474 		SCIENTIFIC RESEARCH DE N/A
 C     62.900 %
(3) CC BOLTON INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
20-4596571 		BUSINESS SERVICES OH CLINIC MEDICAL SOLUTIONS INC
  		C     100.000 %
(4) CC WEB SOLUTIONS INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
26-3222020 		BUSINESS SERVICES OH CLINIC MEDICAL SOLUTIONS INC
  		C     100.000 %
(5) CCHS INDEMNITY CO LTD
23 LIME TREE BAY BOX 1051
GRAND CAYMAN   KY1-1102
CJ
98-0207086 		INSURANCE COMPANY CJ N/A
 C 89,143,226 221,413,671 100.000 %
(6) CLEVELAND CLINIC CANADA-TORONTO INC
181 BAY STREET BOX818
TORONTO   M5J 2T3
CA
34-0714585 		HEALTH CARE SERVICES CA N/A
 C 5,557,823 5,148,961 100.000 %
(7) CLEVELAND CLINIC EMR INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
20-4856025 		MEDICAL SERVICES OH CLINIC MEDICAL SOLUTIONS INC
  		C     100.000 %
(8) CLEVELAND CLINIC FLORIDA HEALTH PLAN INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
65-0338016 		BUSINESS SERVICES FL CLINIC MEDICAL SOLUTIONS INC
  		C     100.000 %
(9) CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
34-1877409 		MEDICAL SERVICES OH CLINIC MEDICAL SOLUTIONS INC
  		C 3,411,776 9,830,010 100.000 %
(10) CLEVELAND HEARTLAB INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
27-0969436 		MEDICAL TECHNOLOGY DE N/A
 C     100.000 %
(11) CLINIC MEDICAL SOLUTIONS INC
18101 LORAIN AVENUE
CLEVELAND,OH44111
34-1695388 		HEALTH CARE SERVICES OH N/A
 C 21,208,809 3,182,417 100.000 %
(12) CNEXUS HOLDCO INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
 INACTIVE DE N/A
 C     100.000 %
(13) CONGRUENT MEDICAL TECHNOLOGIES INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
26-3156393 		SCIENTIFIC RESEARCH DE N/A
 C     100.000 %
(14) CSF THERAPEUTICS INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
20-3756660 		MEDICAL RESEARCH DE N/A
 C 7,290 796,408 53.000 %
(15) I-LYTE INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
26-3880447 		SCIENTIFIC RESEARCH DE N/A
 C     100.000 %
(16) IMAGEIQ INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
27-4427530 		MEDICAL TECHNOLOGY DE N/A
 C     100.000 %
(17) INTELLIS EPM INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
27-0645368 		MEDICAL TECHNOLOGY DE N/A
 C 190,870 244,656 100.000 %
(18) MEDINVEST INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
20-3978297 		HOLDING COMPANY OH CLINIC MEDICAL SOLUTIONS INC
  		C 210   100.000 %
(19) MERIDIA HEALTH VENTURES INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
34-1533871 		HEALTH CARE SERVICES OH CLEVELAND CLINIC HOME CARE INC
  		C     100.000 %
(20) MERLOT ORTHOPEDIX INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
11-3779414 		MEDICAL DEVICE MANUFACTURING DE N/A
 C 220,000 122,461 55.000 %
(21) NEOMEDICS INC
6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
02-0656818 		BUSINESS SERVICES OH CLINIC MEDICAL SOLUTIONS INC
  		C     100.000 %
(22) OPTOQUEST CORPORATION
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
26-3589643 		SCIENTIFIC RESEARCH DE N/A
 C     100.000 %
(23) PINE FALLS CONDOMINIUM ASSOCIATES INC
6100 WEST CREEK SUITE 25
INDEPENDENCE,OH44131
34-1617589 		CONDO RENTALS OH N/A
 C     75.000 %
(24) RENOVO NEURAL INC
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
80-0185146 		SCIENTIFIC RESEARCH DE N/A
 C 338,385 41,678 100.000 %
(25) SIVAN INC (FKA OHIO BIOGEL INC)
10265 CARNEGIE AVENUE
CLEVELAND,OH44106
56-2505807 		INACTIVE DE N/A
 C     100.000 %
(26) MCZ INC
1000 E WASHINGTON STREET
MEDINA,OH44256
34-1256598 		LEASING OH MEDINA HOSPITAL
  		C 18,497 500 100.000 %
(27) CMCD INC
1000 E WASHINGTON STREET
MEDINA,OH44256
34-1256599 		REAL ESTATE OH MEDINA HOSPITAL
  		C   311,040 100.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CLEVELAND CLINIC CANADA-TORONTO INC

 A 319,357 FMV
(2) CLEVELAND CLINIC CANADA-TORONTO INC

 A 100,000 FMV
(3) KEEP MEMORY ALIVE

 B 11,851,963 FMV
(4) MEDINA HOSPITAL FOUNDATION

 B 11,123,437 FMV
(5) FAIRVIEW HOSPITAL

 C 6,488,923 FMV
(6) LAKEWOOD HOSPITAL

 C 2,969,729 FMV
(7) LUTHERAN HOSPITAL

 C 1,775,825 FMV
(8) MARYMOUNT HOSPITAL INC

 C 511,749 FMV
(9) CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION

 C 2,389,215 FMV
(10) CLEVELAND CLINIC HEALTH SYSTEM-EAST REGION

 C 4,567,679 FMV
(11) CLEVELAND CLINIC CANADA-TORONTO INC

 C 178,051 FMV
(12) CLEVELAND CLINIC MEDICAL SERVICES INC

 I 445,000 FMV
(13) WO WALKER CENTER INC

 J 4,336,045 FMV
(14) LAKEWOOD HOSPITAL ASSOCIATION

 J 124,000 FMV
(15) CLEVELAND CLINIC HEALTH SYSTEM-EAST REGION

 J 1,729,000 FMV
(16) CLEVELAND CLINIC EDUCATIONAL FOUNDATION

 J 2,347,743 FMV
(17) CLEVELAND CLINIC HEALTH SYSTEM-EAST REGION

 K 10,282,169 FMV
(18) FAIRVIEW HOSPITAL

 K 3,405,000 FMV
(19) LAKEWOOD HOSPITAL

 K 2,162,000 FMV
(20) LUTHERAN HOSPITAL

 K 563,000 FMV
(21) MARYMOUNT HOSPITAL INC

 K 2,602,832 FMV
(22) MEDINA HOSPITAL INC

 K 472,000 FMV
(23) CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)

 K 77,000 FMV
(24) CLEVELAND CLINIC EDUCATIONAL FOUNDATION

 K 980,161 FMV
(25) CLINIC CARE INC

 L 9,810,000 FMV
(26) CCF HOTEL SERVICES INC

 O 4,063,171 FMV
(27) CCHS INDEMNITY CO LTD

 O 45,688,637 FMV
(28) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION

 P 61,801 FMV
(29) CLEVELAND CLINIC EDUCATIONAL FOUNDATION

 Q 18,726,384 FMV
(30) CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION

 R 70,079 FMV
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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