TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) COSGROVE DELOS M MD...................................................................... DIRECTOR, PRESIDENT, CEO	50.00 .................	X	X	4,851,077	-2,492,123
(2) DONLEY BRIAN G MD...................................................................... DIRECTOR & CHIEF OF STAFF	50.00 .................	X	X	1,081,588	44,969
(3) RICH ROBERT E JR...................................................................... DIRECTOR/BOARD CHAIR	5.00 .................	X	X	0	0
(4) SCAMINACE JOSEPH M...................................................................... DIRECTOR/BOARD VICE CHAIR	5.00 .................	X	X	0	0
(5) ABELSON ABBY...................................................................... DEP CHR-RHEUMATIC & IMMUN, DIR	50.00 .................	X		346,805	27,760
(6) AULETTA PATRICK V...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0
(7) DWEIK RAED MD...................................................................... PHYSICIAN, DIRECTOR - CCF	50.00 .................	X		429,232	43,309
(8) FEDELI UMBERTO P...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0
(9) HOOVER CAROLE...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0
(10) KOMINSKY ALAN MD...................................................................... PHYSICIAN, DIRECTOR - CCF	50.00 .................	X		407,831	45,809
(11) LERNER NORMA...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0
(12) LONZER DEBORAH MD...................................................................... VICE CHR - PEDS STRAT OPS, DIR -CCF	50.00 .................	X		273,939	43,309
(13) MACDONALD WILLIAM EIII...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0
(14) MILLER PAMELA...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0
(15) MILLER SAMUEL...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0
(16) MOONEY BETH E...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0
(17) MORINO MARIO...................................................................... DIRECTOR - CCF	5.00 .................	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) NANCE FREDERICK........................................................................ DIRECTOR - CCF	5.00 .......................	X				0	0
(19) POLLOCK LARRY........................................................................ DIRECTOR - CCF	5.00 .......................	X				0	0
(20) REIDY WILLIAM........................................................................ DIRECTOR - CCF	5.00 .......................	X				0	0
(21) ROSS RONALD J........................................................................ DIRECTOR - CCF	5.00 .......................	X				0	0
(22) SABANEGH EDMUND MD........................................................................ DEPT CHR - UROLOGY, DIRECTOR	50.00 .......................	X				680,581	42,913
(23) WEISS MORRY........................................................................ DIRECTOR - CCF	5.00 .......................	X				0	0
(24) WEINBERG RONALD........................................................................ DIRECTOR - CCF	5.00 .......................	X				0	0
(25) DICORLETO PAUL E PHD........................................................................ CHR - RESEARCH INST (RETIREE)	50.00 .......................		X			1,882,272	40,772
(26) GLASS STEVEN C........................................................................ CFO & TREASURER	50.00 .......................		X			1,327,447	41,202
(27) HARRINGTON MICHAEL........................................................................ CAO & CONTROLLER	50.00 .......................		X			649,717	45,757
(28) MCHUGH LINDA........................................................................ ASSISTANT SECRETARY	50.00 .......................		X			398,183	42,449
(29) MEEHAN MICHAEL........................................................................ RECORDING SECRETARY	50.00 .......................		X			326,607	-25,810
(30) PEACOCK WILLIAM........................................................................ CHIEF OF OPERATIONS	50.00 .......................		X			1,186,421	47,990
(31) ROWAN DAVID W........................................................................ CHIEF LEGAL OFFICER	50.00 .......................		X			1,195,877	45,764
(32) HARRISON A MARC........................................................................ CHIEF INTL BUS DEVELOPMENT	50.00 .......................			X		1,619,393	135,895
(33) MIHALJEVIC TOMISLAV........................................................................ CHIEF EXEC OFFICER - CCAD	50.00 .......................			X		2,049,437	151,228
(34) COULTON ROBERT........................................................................ EXEC DIR - OPSA (2015 RETIREE)	50.00 .......................				X	2,336,382	-46,039
(35) SAVAGE ROBERT........................................................................ PHYSICIAN (2015 RETIREE)	50.00 .......................				X	1,632,840	223,896
(36) BELL GORDON........................................................................ PHYSICIAN (2015 RETIREE)	50.00 .......................				X	1,831,660	-130,770
(37) HAHN JOSEPH........................................................................ PHYSICIAN (RETIREE)	50.00 .......................				X	1,688,110	-145,598
(38) COSTIN JOHN........................................................................ INSTITUTE CHAIRMAN	50.00 .......................				X	1,461,702	43,885

(A) Name and business address	(B) Description of services	(C) Compensation
SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS,TX75312	HEALTHCARE IT & ENGINEERING SERVICES	23,010,527
STRATEGIC INVESTMENT GROUP 1001 19TH ST N 16TH FLR ARLINGTON,VA22209	INVESTMENT MANAGEMENT	11,065,942
ADCOM GROUP INC 1370 WEST 6TH ST3RD FLR CLEVELAND,OH44113	MARKETING	10,762,577
DONLEYS INC 11000 EUCLID AVE CLEVELAND,OH44106	CONSTRUCTION SERVICES	9,258,408
SODEXO 1669 PHOENIX PARKWAY 210 COLLEGE PARK,GA30349	LAUNDRY & FOOD SERVICE	8,333,241
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 450

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....	230,990,120	231,877,777	217,746,821	247,936,164	226,230,648	1,154,781,530
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	230,990,120	231,877,777	217,746,821	247,936,164	226,230,648	1,154,781,530
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)..						9,094,705
6	Public support. Subtract line 5 from line 4.						1,145,686,825

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..	230,990,120	231,877,777	217,746,821	247,936,164	226,230,648	1,154,781,530
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	69,661,664	73,634,612	81,291,626	78,908,086	82,576,423	386,072,411
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	17,682,076	73,659,562	169,623,102	66,618,979	88,700,962	416,284,681
11	Total support. Add lines 7 through 10.						1,957,138,622

Gross receipts from related activities, etc. (see instructions) ..................

21,882,595,978

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

58.540 %

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

60.850 %

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	INCOMELOSS ON INVESTMENTS - 2011 AMOUNT: $ 17,682,031. 2012 AMOUNT: $ 73,581,934. 2013 AMOUNT: $ 105,143,245. 2014 AMOUNT: $ 66,455,024. 2015 AMOUNT: $ 44,378,305. FOREIGN CURRENCY - 2012 AMOUNT: $ 77,628. 2015 AMOUNT: $ 610,292. MISCELLANEOUS INCOME - 2011 AMOUNT: $ 45. 2014 AMOUNT: $ 17,623. GROSS INCOME FROM GAMING - 2013 AMOUNT: $ 19,855. 2014 AMOUNT: $ 146,332. DERIVATIVE INCOME - 2013 AMOUNT: $ 64,077,165. CANCELLATION OF DEBT - 2013 AMOUNT: $ 382,837. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,290.

Return Reference

Explanation

SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:

INCOMELOSS ON INVESTMENTS - 2011 AMOUNT: $ 17,682,031. 2012 AMOUNT: $ 73,581,934. 2013 AMOUNT: $ 105,143,245. 2014 AMOUNT: $ 66,455,024. 2015 AMOUNT: $ 44,378,305. FOREIGN CURRENCY - 2012 AMOUNT: $ 77,628. 2015 AMOUNT: $ 610,292. MISCELLANEOUS INCOME - 2011 AMOUNT: $ 45. 2014 AMOUNT: $ 17,623. GROSS INCOME FROM GAMING - 2013 AMOUNT: $ 19,855. 2014 AMOUNT: $ 146,332. DERIVATIVE INCOME - 2013 AMOUNT: $ 64,077,165. CANCELLATION OF DEBT - 2013 AMOUNT: $ 382,837. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,290.

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

THE CLEVELAND CLINIC FOUNDATION

Employer identification number

34-0714585

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization THE CLEVELAND CLINIC FOUNDATION

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization THE CLEVELAND CLINIC FOUNDATION		Employer identification number 34-0714585

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization THE CLEVELAND CLINIC FOUNDATION			Employer identification number 34-0714585
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ..............................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

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)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

9,180

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

508,865

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

73,247

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

34,733

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

626,025

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C - PART II-B, LINES 1B-1I	PART II-B 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINES 1C-1I CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE PART II-B 1D MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC - REPRESENTS LETTERS SENT TO LEGISLATORS AND ORGANIZATIONS ON VARIOUS HEALTHCARE RELATED TOPICS AND ISSUES PART II-B 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES

Return Reference

Explanation

SCHEDULE C - PART II-B, LINES 1B-1I

PART II-B 1B PAID STAFF OR MANAGEMENT - REPRESENTS ACTIVITIES DESCRIBED IN PART II-B LINES 1C-1I CONDUCTED BY MEMBERS OF THE CCF GOVERNMENT RELATIONS OFFICE PART II-B 1D MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC - REPRESENTS LETTERS SENT TO LEGISLATORS AND ORGANIZATIONS ON VARIOUS HEALTHCARE RELATED TOPICS AND ISSUES PART II-B 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - REPRESENTS PAYMENT TO CERTAIN ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN TRADE ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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	2
b	Total acreage restricted by conservation easements ....................	2b	50.05
c	Number of conservation easements on a certified historic structure included in (a) .....	2c	0
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d	0

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

71.00

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

$ 11,000

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII 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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on 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 ....	258,255,184	243,662,812	206,890,438	174,481,177	160,993,688
b	Contributions ...	23,968,927	8,934,335	18,444,444	12,707,046	11,644,587
c	Net investment earnings, gains, and losses	-918,904	14,503,200	24,356,278	21,848,808	3,337,378
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	7,244,412	7,670,162	6,028,347	2,146,594	1,494,476
f	Administrative expenses ....
g	End of year balance ......	274,060,795	258,255,184	243,662,812	206,890,438	174,481,177

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	233,662,829		233,662,829
b	Buildings	2,933,807,235	1,505,321,569	1,428,485,666
c	Leasehold improvements	77,093,876	57,256,917	19,836,959
d	Equipment ...	1,712,662,773	1,193,461,662	519,201,111
e	Other ...	404,567,737	67,001,752	337,565,985
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,538,752,550

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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) HEDGE FUNDS	1,310,456,257	F
(B) PRIVATE EQUITY	541,008,903	F
(C) REAL ESTATE	404,747,757	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	2,256,212,917

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) UNAMORTIZED FINANCING COSTS				22,924,259
(2) OTHER ASSETS				149,327,705
(3) PERPETUAL & BENEFICIAL TRUSTS				54,601,620
(4) INVESTMENT IN AFFILIATES				137,313,703
(5) DUE FROM AFFILIATES				248,791,870
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				612,959,157

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	96,770
ACCRUED PENSION	564,347,785
OTHER LIABILITIES	57,957,014
ACCRUED BENEFITS	160,752,121
FUTURE GIFT ANNUITY PAYMENTS	8,078,258
DEFERRED ANNUITY TRUST	575,227
INTEREST RATE SWAPS	152,451,994
UNAMORTIZED BOND PREMIUM	53,874,725
DUE TO AFFILIATES	304,233,966
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,302,367,860
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE CLEVELAND CLINIC HEALTH SYSTEM'S AUDITED FINANCIAL STATEMENTS ARE REPORTED ON A CONSOLIDATED BASIS, INCLUDING EXEMPT, TAXABLE, AND FOREIGN ENTITIES TO WHICH THE ASC 740-10 LIABILITY RELATES. THE ASC 740-10 FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE CLEVELAND CLINIC HEALTH SYSTEM READS AS FOLLOWS: AT DECEMBER 31, 2015 AND 2014, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $4.1 MILLION AND $9.7 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.
PART V, LINE 4	THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE.
PART II, LINE 9	THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO TWO WETLANDS LOCATED ON THE CLEVELAND CLINIC FOUNDATION'S PROPERTY IN TWINSBURG, OHIO AND AVON, OHIO. THESE EASEMENTS ARE NOT REQUIRED TO BE REPORTED ON THE BALANCE SHEET SEPARATE FROM THE VALUE OF THE LAND. EXPENSES TO MONITOR, INSPECT, AND PROTECT THIS LAND ARE REFLECTED IN THE STATEMENT OF EXPENSES.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(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 and investments in region
	CENTRAL AMERICA & THE CARRIBEAN	0	0	PROGRAM SERVICES	WHOLLY-OWNED FOREIGN INSURANCE COMPANY	37,089,007
	NORTH AMERICA	0	0	PROGRAM SERVICES	WHOLLY-OWNED FOREIGN SUBSIDIARY THAT OPERATES A MEDICAL CLINIC IN TORONTO, CANADA	29,647,142
	EUROPE	1	1	PROGRAM SERVICES	PROMOTION OF HEALTHCARE	358,702
	MIDDLE EAST & NORTH AFRICA	1	14	PROGRAM SERVICES	PROMOTION OF HEALTHCARE	2,472,917
	MIDDLE EAST & NORTH AFRICA	1	6	UNRELATED BUSINESS		3,691,157
	CENTRAL AMERICA & CARRIBEAN	0	0	FUNDRAISING
	EAST ASIA & PACIFIC	0	0	FUNDRAISING
	EUROPE	0	0	FUNDRAISING		8,997
	MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING		74,912
	NORTH AMERICA	0	0	FUNDRAISING		1,490
	SOUTH AMERICA	0	0	FUNDRAISING
	SOUTH ASIA	0	0	FUNDRAISING
	SUB-SAHARAN AFRICA	0	0	FUNDRAISING
	EUROPE	0	0	INVESTING		285,758,163
	CENTRAL AMERICA & CARRIBEAN	0	0	INVESTING		643,417,303
	NORTH AMERICA	0	0	INVESTING		52,690,819

3a	Sub-total .....	3	21			73,267,922
b	Total from continuation sheets to Part I ...	0	0			981,942,687
c	Totals (add lines 3a and 3b)	3	21			1,055,210,609

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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. Part II can be duplicated if additional space is needed.

(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
EUROPE	RESEARCH	101,607	CHECK
EUROPE	RESEARCH	55,070	CHECK
EUROPE	RESEARCH	29,002	CHECK
EUROPE	RESEARCH	38,564	CHECK
EUROPE	RESEARCH	56,271	CHECK
SOUTH ASIA	RESEARCH	52,537	CHECK
NORTH AMERICA	RESEARCH	10,000	CHECK
SOUTH AMERICA	RESEARCH	7,140	CHECK
EUROPE	RESEARCH	58,109	CHECK
NORTH AMERICA	RESEARCH	38,243	CHECK
SOUTH ASIA	RESEARCH	8,500	CHECK
EAST ASIA & PACIFIC	RESEARCH	20,000	CHECK
EAST ASIA & PACIFIC	RESEARCH	10,000	CHECK
NORTH AMERICA	RESEARCH	26,467	CHECK
EAST ASIA & PACIFIC	RESEARCH	11,422	CHECK
NORTH AMERICA	RESEARCH	278,144	CHECK

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 .......	11
3	Enter total number of other organizations or entities .......................	5

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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.

Part III can be duplicated if additional space is needed.

	(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement
RESEARCH	EAST ASIA & PACIFIC	1	10,000	CHECK
RESEARCH	NORTH AMERICA	1	6,298	CHECK
RESEARCH	EUROPE	1	7,500	CHECK

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
PART I, LINE 2:	A MAJORITY OF THE RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS ARE PART OF A NATIONAL INSTITUTES OF HEALTH OR FEDERALLY FUNDED PROGRAM. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO MEET AND ADHERE TO FEDERAL GRANT REPORTING REQUIREMENTS WITH RESPECT TO THE USE OF THE FUNDS ON AN ON-GOING BASIS IN ORDER TO BE ELIGIBLE TO PARTICIPATE OR CONTINUE TO PARTICIPATE IN THE RESEARCH STUDY. FOR THOSE GRANTS THAT ARE NOT FEDERALLY FUNDED, A CONTRACT EXISTS WITH THE FOREIGN GRANTEE ORGANIZATION THAT ESTABLISHES HOW THE FUNDS ARE TO BE USED AND REQUIRES CERTAIN REPRESENTATIONS AND ACCOUNTING REGARDING THEIR USE. CLEVELAND CLINIC MAINTAINS OVERSIGHT OF THESE GRANTS AND REGULARLY MONITORS THEIR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS OR THE CONTRACT PROVISIONS.
PART I, LINE 3:	THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES.

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on 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

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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.

(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
	BLACKBAUD 2000 DANIEL ISLAND DR CHARLESTON, SC29492	ONLINE GIVING		No	2,608,101	275,418	2,332,683
	RR DONNELLEY 111 SOUTH WACKER DRIVE CHICAGO, IL60606	DIRECT MAIL		No	862,649	1,042,329	-179,680
	HARRIS CONNECT LLC 1511 ROUTE 22 STE C-25 BREWSTER, NY10509	PHONE SOLICITATION		No	269,711	365,554	-95,843







Total . . . . . . . . . . . . . . . . . . . .					3,740,461	1,683,301	2,057,160

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

AK, AL, AR, AZ, CA, CO, CT, FL, GA, HI, ID, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NH, NJ, NM, NY, OH, OK, OR, PA, RI, SC, TN, VA, WA, WI, WY, DE, IA, IL, IN, MT, NE, NV, SD, TX, VT, WV

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 CARES GALA (event type)	(b) Event #2 VELOSANO (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,315,294	4,479,826	1,493,123	7,288,243
2	Less: Contributions . . . .	1,045,809	4,305,507	1,368,992	6,720,308
3	Gross income (line 1 minus line 2) . . . . . .	269,485	174,319	124,131	567,935

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	150,152	128,760	78,516	357,428
7	Food and beverages . . .	168,734	109,564	180,785	459,083
8	Entertainment . . . .	285,965	46,933	35,537	368,435
9	Other direct expenses . . .	141,653	1,194,569	1,473,230	2,809,452
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				3,994,398
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-3,426,463

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	141,653	1,194,569	1,473,230	2,809,452

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION

Employer identification number

34-0714585

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	38,429,505	0	38,429,505	0.820 %
b	Medicaid (from Worksheet 3, column a) . . . . .	510,734,156	357,532,063	153,202,093	3.290 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	549,163,661	357,532,063	191,631,598	4.110 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	19,468,415	13,550	19,454,865	0.420 %
f	Health professions education (from Worksheet 5) . . .	217,851,453	27,455,954	190,395,499	4.080 %
g	Subsidized health services (from Worksheet 6) . . . .	7,166,439	4,115,507	3,050,932	0.070 %
h	Research (from Worksheet 7) .	199,139,608	133,743,329	65,396,279	1.400 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	9,607,389	425,561	9,181,828	0.200 %
j	Total. Other Benefits . .	453,233,304	165,753,901	287,479,403	6.170 %
k	Total. Add lines 7d and 7j .	1,002,396,965	523,285,964	479,111,001	10.280 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	198	198	0 %
2	Economic development	5,418	5,418	0 %
3	Community support	193,582	193,582	0 %
4	Environmental improvements	22,896	22,896	0 %
5	Leadership development and training for community members	2,283	2,283	0 %
6	Coalition building	50,601	50,601	0 %
7	Community health improvement advocacy	14,987	14,987	0 %
8	Workforce development	7,701	7,701	0 %
9	Other			0 %
10	Total	297,666	297,666

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

130,272,350

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

522,702,113

Enter Medicare allowable costs of care relating to payments on line 5.....

540,275,654

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-17,573,541

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND,OH44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR	X	X	X	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	THE CLEVELAND CLINIC FOUNDATION
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CLEVELANDCLINIC.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CLEVELANDCLINIC.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	THE CLEVELAND CLINIC FOUNDATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.CLEVELANDCLINIC.ORG

The FAP application form was widely available on a website (list url):

WWW.CLEVELANDCLINIC.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.CLEVELANDCLINIC.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	THE CLEVELAND CLINIC FOUNDATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. THE KEY INFORMANTS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS PERSONS OR ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF EACH FACILITY'S "COMMUNITY," AS DEFINED IN THE RELEVANT CHNA REPORT. THEY WERE SELECTED BASED ON THEIR INVOLVEMENT WITH THE COMMUNITY AND THEIR PARTICIPATION IN OVERALL COMMUNITY HEALTH. THE KEY INFORMANTS INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, SUCH AS A REPRESENTATIVE FROM THE RELEVANT COUNTY HEALTH DEPARTMENT, CITY GOVERNMENT, AND/OR OR STATE GOVERNMENT. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, TRIPP UMBACH, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT (SEE APPENDIX C ). A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX A OF THE RELEVANT HOSPITAL FACILITY'S CHNA. FOCUS GROUPS WERE IDENTIFIED BY EACH HOSPITAL FACILITY'S LEADERSHIP AS TWO OR THREE GROUPS THAT WERE OF SPECIAL IMPORTANCE IN THAT HOSPITAL FACILITY'S COMMUNITY, INCLUDING SUCH GROUPS AS THE ELDERLY, THOSE WITH LIMITED ENGLISH PROFICIENCY, THOSE WITH CERTAIN CHRONIC HEALTH CONDITIONS, AND THOSE WITH ACCESS ISSUES. FOCUS GROUP DISCUSSIONS WERE FACILITATED BY TRIPP UMBACH. A LIST OF THE FOCUS GROUPS CONDUCTED BY EACH HOSPITAL FACILITY IS IDENTIFIED IN THE SECTION OF THE RELEVANT FACILITY'S CHNA ENTITLED "FOCUS GROUPS WITH COMMUNITY RESIDENTS, AND A DETAILED SUMMARY OF THE RESULTS IS LOCATED IN APPENDIX D AND SUBSEQUENT APPENDICES OF THE RELEVANT HOSPITAL FACILITY'S CHNA.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 6A: CLEVELAND CLINIC FOUNDATION MAIN CAMPUS COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LAKEWOOD HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC HOSPITAL FACILITIES WERE THE FOLLOWING: CHRONIC DISEASES AND HEALTH CONDITIONS, WELLNESS, ACCESS TO HEALTH SERVICES, RESEARCH AND EDUCATION, ACCESS TO COMMUNITY SERVICES AND ECONOMIC AND COMMUNITY DEVELOPMENT. IN ALL CASES, THE NEEDS THAT CLEVELAND CLINIC HOSPITAL FACILITIES WILL NOT ADDRESS ARE ACCESS TO COMMUNITY SERVICES ( THE AVAILABILITY AND AWARENESS OF COMMUNITY SERVICES OFFERED BY GOVERNMENTAL AND NONPROFIT ORGANIZATIONS) AND ECONOMIC AND COMMUNITY DEVELOPMENT (NEED FOR MORE HOUSING OPTIONS, READILY ACCESSIBLE TRANSPORTATION AND GROCERY STORES, AND BETTER EMPLOYMENT). CLEVELAND CLINIC HOSPITAL FACILITIES CANNOT DIRECTLY ADDRESS THOSE NEEDS THAT DO NOT RELATE TO THEIR MISSION OF TO DELIVER HEALTH CARE. THESE ARE NEEDS FOR WHICH GOVERNMENTAL AND OTHER AGENCIES HAVE THE MORE APPROPRIATE EXPERTISE AND RESOURCES. HOWEVER, THE HOSPITAL FACILITIES DO AND WILL CONTINUE TO COLLABORATE WITH COMMUNITY ORGANIZATIONS. IN ADDITION, THE HOSPITAL FACILITIES DO AND WILL CONTINUE TO SUPPORT LOCAL CHAMBERS OF COMMERCE AND COMMUNITY DEVELOPMENT ORGANIZATIONS, COLLABORATE WITH LEADERS OF REGIONAL ECONOMIC IMPROVEMENT AND PROVIDE IN-KIND DONATION OF TIME, SKILL AND/OR SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS. HOW EACH FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORTS.THE CLEVELAND CLINIC FOUNDATION IDENTIFIED THE FOLLOWING NEEDS IN THE CHNA THAT HAVE NOT BEEN ADDRESSED: ACCESS TO COMMUNITY SERVICES - THIS NEED RELATES TO THE AVAILABILITY AND AWARENESS OF COMMUNITY SERVICES COVERED BY GOVERNMENTAL AND NON-PROFIT ORGANIZATIONS UNRELATED TO THE CLEVELAND CLINIC. ALTHOUGH IMPORTANT AND MAY IMPACT A PERSON'S HEALTH STATUS, THIS NEED DOES NOT RELATE DIRECTLY TO THE DELIVERY OF HEALTH CARE AND/OR IS A NEED GOVERNMENTAL OR OTHER AGENCIES HAVE THE EXPERTISE NECESSARY TO ADDRESS.ECONOMIC AND COMMUNITY DEVELOPMENT - THIS NEED INCLUDES MORE HOUSING OPTIONS, READILY ACCESSIBLE TRANSPORTATION AND GROCERY STORES, AND BETTER EMPLOYMENT AND CRIME RATES. CLEVELAND CLINIC CANNOT FOCUS OR OTHERWISE ADDRESS THE NEED FOR TRANSPORTATION OR OTHER COMMUNITY SERVICE UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CLEVELAND CLINIC IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY, IT DOES AND WILL CONTINUE TO SUPPORT LOCAL CHAMBERS OF COMMERCE AND COMMUNITY DEVELOPMENT ORGANIZATIONS, COLLABORATE WITH LEADERS OF REGIONAL ECONOMIC IMPROVEMENT AND PROVIDE IN-KIND DONATION OF TIME, SKILL AND/OR SPONSORSHIP TO SUPPORT EFFORTS IN THESE AREAS.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 13B: PATIENTS WHO DO NOT MEET FINANCIAL CRITERIA FOR ASSISTANCE BASED ON FEDERAL POVERTY LEVEL MAY NONETHELESS QUALIFY FOR ASSISTANCE IF THEIR MEDICAL EXPENSES EXCEED 25% OF THEIR ANNUAL FAMILY INCOME.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 15E: IN ADDITION TO APPLYING BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION, PATIENTS MAY BE EVALUATED UPON SCHEDULING OR PRIOR TO ADMISSION BY CCHS. UNINSURED PATIENTS THAT CCHS DETERMINES THROUGH THIRD PARTY VERIFICATION SOURCES TO HAVE ANNUAL FAMILY INCOME UNDER 400% OF THE FEDERAL POVERTY GUIDELINES WILL BE DEEMED ELIGIBLE AND NOTIFIED AS SUCH IN WRITING. IF THE PATIENT BELIEVES THEY QUALIFY FOR ADDITIONAL ASSISTANCE, THEY MAY SUBMIT A COMPLETED APPLICATION FOR CONSIDERATION.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 16I: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCF, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS WITH FINANCIAL COUNSELORS.
THE CLEVELAND CLINIC FOUNDATION	PART V, SECTION B, LINE 20E: IN ADDITION TO ITEMS LISTED IN 20A-D, CCHS NOTIFIES INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN COMMUNICATIONS WITH PATIENTS ABOUT APPOINTMENT REMINDERS, IN THEIR DISCHARGE SUMMARY, IN THE ON HOLD MESSAGE IF THEY CALL CUSTOMER SERVICE, AND ON WEB PAGES INCLUDING THE ONLINE BILL PAY PORTAL.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?149
Name and address		Type of Facility (describe)
1	1 - RICHARD E JACOBS HEALTH CENTER 33100 CLEVELAND CLINIC BOULEVARD AVON,OH44011	FAMILY HEALTH CENTER
2	2 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER 26900 CEDAR ROAD BEACHWOOD,OH44122	FAMILY HEALTH CENTER
3	3 - INDEPENDENCE FAMILY HEALTH CENTER 5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE,OH44131	FAMILY HEALTH CENTER
4	4 - LORAIN FAMILY HEALTH & SURGERY CENTER 5700 COOPER FOSTER PARK ROAD LORAIN,OH44053	FAMILY HEALTH CENTER
5	5 - WILLOUGHBY HILLS FAMILY HEALTH CENTER 2550 2570 SOM CENTER ROAD WILLOUGHBY HILLS,OH44094	FAMILY HEALTH CENTER
6	6 - WOOSTER FAMILY HEALTH CENTER 1740 CLEVELAND ROAD WOOSTER,OH44691	FAMILY HEALTH CENTER
7	7 - CLEVELAND CLINIC CANCER CENTERS 417 QUARRY LAKES DRIVE SANDUSKY,OH44870	OUTPATIENT PHYSICIAN CLINIC
8	8 - HILLCREST MEDICAL OFFICE I & II 6803 MAYFIELD ROAD MAYFIELD HEIGHTS,OH44124	OUTPATIENT PHYSICIAN CLINIC
9	9 - BRUNSWICK FAMILY HEALTH CENTER 3574 CENTER ROAD BRUNSWICK,OH44212	FAMILY HEALTH CENTER
10	10 - CLEVELAND CLINIC CANCER CENTERS 1125 ASPIRA COURT MANSFIELD,OH44906	OUTPATIENT PHYSICIAN CLINIC
11	11 - SOLON FAMILY HEALTH CENTER 29800 BAINBRIDGE ROAD SOLON,OH44139	FAMILY HEALTH CENTER
12	12 - ELYRIA FAMILY HEALTH & SURGERY CENTER 303 CHESTNUT COMMONS DRIVE ELYRIA,OH44035	FAMILY HEALTH CENTER
13	13 - SUPERIOR MEDICAL SHEFFIELD FAMILY HEALTH 5334 MEADOW LANE CT SHEFFIELD VILLAGE,OH44035	OUTPATIENT PHYSICIAN CLINIC
14	14 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER 5900 LANDERBROOK DRIVE MAYFIELD HEIGHTS,OH44124	OUTPATIENT PHYSICIAN CLINIC
15	15 - CHAGRIN FALLS FAMILY HEALTH CENTER 551 EAST WASHINGTON STREET CHAGRIN FALLS,OH44022	FAMILY HEALTH CENTER
16	16 - AVON POINTE FAMILY HEALTH CENTER 36901 AMERICAN WAY AVON,OH44011	FAMILY HEALTH CENTER
17	17 - STEPHANIE TUBBS JONES HEALTH CENTER 13944 EUCLID AVENUE EAST CLEVELAND,OH44112	FAMILY HEALTH CENTER
18	18 - CLEVELAND CLINIC UROLOGICAL INSTITUTE 20997 LORAIN FAIRVIEW PARK,OH44126	OUTPATIENT PHYSICIAN CLINIC
19	19 - CLEVELAND CLINIC LYNDHURST CAMPUS 1950 RICHMOND ROAD LYNDHURST,OH44124	OUTPATIENT PHYSICIAN CLINIC
20	20 - SUPERIOR MEDICAL AMHERST FAMILY HEALTH C 5172 LEAVITT ROAD LORAIN,OH44053	OUTPATIENT PHYSICIAN CLINIC
21	21 - OHIO RENAL CARE GROUP PDHOME DIALYSIS P 11203 STOKES BOULEVARD CLEVELAND,OH44104	DIALYSIS CENTER & DIAGNOSTIC CENTER
22	22 - SAGAMORE HILLS MEDICAL CENTER I 863 WEST AURORA ROAD SAGAMORE HILLS,OH44067	OUTPATIENT PHYSICIAN CLINIC
23	23 - SPORTS HEALTH CENTER 5595 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS,OH44125	OUTPATIENT PHYSICIAN CLINIC
24	24 - MENTOR MEDICAL OFFICE 7060 WAYSIDE DRIVE MENTOR,OH44060	OUTPATIENT PHYSICIAN CLINIC
25	25 - CCF GASTROENTEROLOGY 7530 FREDLE DRIVE CONCORD,OH44077	OUTPATIENT PHYSICIAN CLINIC
26	26 - COMMUNITY PEDIATRICS 8254 MAYFIELD ROAD CHESTERLAND,OH44026	OUTPATIENT PHYSICIAN CLINIC
27	27 - MADISON MEDICAL OFFICE 2999 MCMACKIN ROAD MADISON,OH44057	OUTPATIENT PHYSICIAN CLINIC
28	28 - MENTOR REHABILITATION AND SPORTS THERAPY 7533 CENTER STREET MENTOR,OH44060	OUTPATIENT PHYSICIAN CLINIC
29	29 - NORTH RIDGEVILLE MEDICAL OFFICE 35105 CENTER RIDGE ROAD NORTH RIDGEVILLE,OH44039	OUTPATIENT PHYSICIAN CLINIC
30	30 - CLEVELAND CLINIC SUPERIOR MEDICAL SLEEP 1959 COOPER FOSTER PARK ROAD LORAIN,OH44053	DIAGNOSTIC CENTER
31	31 - GEMINI RECREATION CENTER 21225 LORAIN ROAD FAIRVIEW PARK,OH44126	OUTPATIENT PHYSICIAN CLINIC
32	32 - OHIO RENAL CARE GROUP WESTLAKE 26024 DETROIT AVENUE WESTLAKE,OH44145	DIALYSIS CENTER
33	33 - WILLOUGHBY HILLS BEHAVIORAL HEALTH 2785 SOM CENTER ROAD WILLOUGHBY HILLS,OH44094	OUTPATIENT PHYSICIAN CLINIC
34	34 - WESTLAKE MEDICAL CAMPUS B 805 COLUMBIA ROAD WESTLAKE,OH44145	OUTPATIENT PHYSICIAN CLINIC
35	35 - LORAIN ORTHOPAEDICS 5275 NORTH ABBE ROAD ELYRIA,OH44035	OUTPATIENT PHYSICIAN CLINIC
36	36 - EUCLID MEDICAL OFFICE 99 NORTHLINE CIRCLE EUCLID,OH44119	OUTPATIENT PHYSICIAN CLINIC
37	37 - BRUNSWICK EMERGENCY CARE 3724 CENTER ROAD BRUNSWICK,OH44212	OUTPATIENT PHYSICIAN CLINIC
38	38 - SOUTH RUSSELL FAMILY PRACTICE 5192 CHILLICOTHE ROAD SOUTH RUSSELL,OH44022	OUTPATIENT PHYSICIAN CLINIC
39	39 - BROOKLYN CORPORATE CENTER 7580 NORTHCLIFF AVENUE BROOKLYN,OH44144	OUTPATIENT PHYSICIAN CLINIC
40	40 - MARYMOUNT REHABILITATION AND SPORTS THER 2525 EAST ROYALTON ROAD BROADVIEW HEIGHTS,OH44147	OUTPATIENT PHYSICIAN CLINIC
41	41 - OHIO RENAL CARE GROUP SOLON 6020 ENTERPRISE PARKWAY SOLON,OH44139	DIALYSIS CENTER
42	42 - OHIO RENAL CARE GROUP FARNSWORTH 3764 PEARL RD CLEVELAND,OH44109	DIALYSIS CENTER
43	43 - LAKEWOOD TEEN HEALTH CENTER 15644 MADISON AVENUE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
44	44 - BAINBRIDGE URGENT CARE 17747 CHILLICOTHE ROAD STE 100 BAINBRIDGE,OH44023	OUTPATIENT PHYSICIAN CLINIC
45	45 - CHARDON REHABILITATION AND SPORTS THERAP 325 CENTER STREET CHARDON,OH44024	OUTPATIENT PHYSICIAN CLINIC
46	46 - CANFIELD ORTHOPAEDICS AND REHABILITATION 3736 BOARDMAN CANFIELD ROAD CANFIELD,OH44406	OUTPATIENT PHYSICIAN CLINIC
47	47 - LAKEWOOD PROFESSIONAL BUILDING 14601 DETROIT AVENUE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
48	48 - OHIO RENAL CARE GROUP OF NORTH RANDALL 4750 NORTHFIELD ROAD NORTH RANDALL,OH44128	DIALYSIS CENTER
49	49 - OHIO RENAL CARE GROUP EUCLID 26450 EUCLID AVENUE EUCLID,OH44132	DIALYSIS CENTER
50	50 - LORAIN KOLCZUN ORTHOPAEDICS 5800 COOPER FOSTER PARK ROAD LORAIN,OH44053	OUTPATIENT PHYSICIAN CLINIC
51	51 - THERAPY SERVICES CUYAHOGA FALLS 63 GRAHAM ROAD CUYAHOGA FALLS,OH44223	OUTPATIENT PHYSICIAN CLINIC
52	52 - OHIO RENAL CARE GROUP OHIO ACUTES 2500 METROHEALTH DRIVE CLEVELAND,OH44109	DIALYSIS CENTER
53	53 - SEVERANCE MEDICAL ARTS 5 SEVERANCE CIRCLE CLEVELAND HEIGHTS,OH44118	OUTPATIENT PHYSICIAN CLINIC
54	54 - OHIO RENAL CARE GROUP WADSWORTH 1160 WILLIAMS RESERVE BLVD WADSWORTH,OH44281	DIALYSIS CENTER
55	55 - OBERLIN OPHTHALMOLOGYLAKELAND EYE 309 WEST LORAIN STREET OBERLIN,OH44074	OUTPATIENT PHYSICIAN CLINIC
56	56 - LAKEWOOD MEDICAL BUILDING 1450 BELLE AVENUE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
57	57 - OHIO RENAL CARE GROUP LAKEWOOD 13900 DETROIT RD LAKEWOOD,OH44109	DIALYSIS CENTER
58	58 - OHIO RENAL CARE GROUP MENTOR 8840 TYLER BLVD MENTOR,OH44060	DIALYSIS CENTER
59	59 - WESTOWN PHYSICIAN CENTER 10654 LORAIN AVENUE CLEVELAND,OH44111	OUTPATIENT PHYSICIAN CLINIC
60	60 - MOHICAN EYE CENTER 637 NORTH UNION STREET LOUDONVILLE,OH44842	OUTPATIENT PHYSICIAN CLINIC
61	61 - SUGARBUSH EYE AND LASER CENTER 1456 PARK AVENUE WEST STE P MANSFIELD,OH44906	OUTPATIENT PHYSICIAN CLINIC
62	62 - SAGAMORE HILLS MEDICAL OFFICE II 885 WEST AURORA RD NORTHFIELD,OH44067	OUTPATIENT PHYSICIAN CLINIC
63	63 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY 3838 MASSILLON ROAD STE 370 UNIONTOWN,OH44685	OUTPATIENT PHYSICIAN CLINIC
64	64 - NPCS - CANAL PLACE 520 SOUTH MAIN STREET AKRON,OH44311	OUTPATIENT PHYSICIAN CLINIC
65	65 - BROOKPARK COMPREHENSIVE FAMILY CARE 14401 SNOW ROAD BROOKPARK,OH44142	OUTPATIENT PHYSICIAN CLINIC
66	66 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL 3733 PARK EAST DRIVE STE 105 BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
67	67 - THE LANGSTON HUGHES CENTER CLEVELAND CLI 2390 E 79TH ST CLEVELAND,OH44104	OUTPATIENT PHYSICIAN CLINIC
68	68 - NPCS - AGMC HEALTH & WELLNESS NORTH 4302 ALLEN ROAD STOW,OH44224	OUTPATIENT PHYSICIAN CLINIC
69	69 - SALOMONE PRACTICE 9500 MENTOR AVENUE MENTOR,OH44060	OUTPATIENT PHYSICIAN CLINIC
70	70 - NPCS - KENT 401 DEVON PLACE KENT,OH44240	OUTPATIENT PHYSICIAN CLINIC
71	71 - SPORTS HEALTH AT THE JEWISH COMMUNITY CE 26001 SOUTH WOODLAND ROAD BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
72	72 - INDEPENDENCE CANCER CENTER 6100 WEST CREEK ROAD INDEPENDENCE,OH44131	OUTPATIENT PHYSICIAN CLINIC
73	73 - CLEVELAND EAR NOSE THROAT & ALLERGY CE 6707 POWERS BLVD STE 202 202A PARMA,OH44129	OUTPATIENT PHYSICIAN CLINIC
74	74 - THERAPY SERVICES WEST 826 WESTPOINT PKWY STE 1200 WESTLAKE,OH44145	OUTPATIENT PHYSICIAN CLINIC
75	75 - CLEVELAND CLINIC PEDIATRIC CARDIOLOGY 4848 HIGBEE AVENUE NW CANTON,OH44718	OUTPATIENT PHYSICIAN CLINIC
76	76 - COMMUNITY PEDIATRICS 1 MEMORY LANE WESTLAKE,OH44145	OUTPATIENT PHYSICIAN CLINIC
77	77 - RECOVERY RESOURCES 4269 PEARL ROAD CLEVELAND,OH44109	OUTPATIENT PHYSICIAN CLINIC
78	78 - ACCESS TO CARE 29000 AURORA ROAD SOLON,OH44139	OUTPATIENT PHYSICIAN CLINIC
79	79 - ASHTABULA COUNTY MEDICAL CENTER 2422 LAKE AVENUE ASHTABULA,OH44004	OUTPATIENT PHYSICIAN CLINIC
80	80 - AVON HEALTH AND WELLNESS 38530 CHESTER ROAD AVON,OH44011	OUTPATIENT PHYSICIAN CLINIC
81	81 - AVON LAKE SPECIALTY SERVICES OFFICE 445 AVON BELDEN ROAD AVON LAKE,OH44012	OUTPATIENT PHYSICIAN CLINIC
82	82 - BOARDMAN STAR IMAGING 7067 TIFFANY BOULEVARD BOARDMAN,OH44512	DIAGNOSTIC CENTER
83	83 - BROOKPARK PHYSICIAN CENTER 15900 SNOW ROAD BROOKPARK,OH44142	OUTPATIENT PHYSICIAN CLINIC
84	84 - CARDIOTHORACIC SURGERY 6681 RIDGE ROAD PARMA,OH44129	OUTPATIENT PHYSICIAN CLINIC
85	85 - CCF GASTROENTEROLOGY 3700 PARK EAST DRIVE BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
86	86 - CCF RESPIRATORY INSTITUTE 4494 STATE ROUTE 43 KENT,OH44240	OUTPATIENT PHYSICIAN CLINIC
87	87 - CENTER FOR INTEGRATED MEDICINE AND PEAK 1 EAGLE VALLEY COURT BROADVIEW HEIGHTS,OH44147	OUTPATIENT PHYSICIAN CLINIC
88	88 - CHARDON ROAD MEDICAL OFFICE BUILDING 34500 CHARDON ROAD WILLOUGHBY HILLS,OH44094	OUTPATIENT PHYSICIAN CLINIC
89	89 - CHILDRENS THERAPY SERVICES - SOUTH 7043 PEARL ROAD MIDDLEBURG HEIGHTS,OH44130	OUTPATIENT PHYSICIAN CLINIC
90	90 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS 3275 SCIENCE PARK DRIVE BLDG 5 BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
91	91 - CLEVELAND CLINIC CHILDREN'S HOSPITAL 981 WOOSTER ROAD MILLERSBURG,OH44654	OUTPATIENT PHYSICIAN CLINIC
92	92 - CLEVELAND CLINIC CHILDREN'S HOSPITAL 7007 POWERS BOULEVARD STE 201 PARMA,OH44129	OUTPATIENT PHYSICIAN CLINIC
93	93 - CLEVELAND CLINIC CHILDREN'S HOSPITAL 1753 EAST MARKET STREET WARREN,OH44483	OUTPATIENT PHYSICIAN CLINIC
94	94 - CLEVELAND CLINIC EYE CARE 21245 LORAIN ROAD FAIRVIEW PARK,OH44126	OUTPATIENT PHYSICIAN CLINIC
95	95 - CLEVELAND CLINIC FAMILY MEDICINE 11709 LORAIN AVENUE CLEVELAND,OH44111	OUTPATIENT PHYSICIAN CLINIC
96	96 - CLEVELAND CLINIC FAMILY MEDICINE 19300 DETROIT AVENUE ROCKY RIVER,OH44116	OUTPATIENT PHYSICIAN CLINIC
97	97 - CLEVELAND CLINIC STAR IMAGING 1449 BOARDMAN-CANFIELD ROAD BOARDMAN,OH44512	DIAGNOSTIC CENTER
98	98 - COLE EYE INSTITUTE 2000 AUBURN DRIVE STE 100 BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
99	99 - COLUMBUS STAR IMAGING 1550 KENNY ROAD COLUMBUS,OH43212	DIAGNOSTIC CENTER
100	100 - COLUMBUS STAR IMAGING 921 JASONWAY AVENUE COLUMBUS,OH43214	DIAGNOSTIC CENTER
101	101 - COLUMBUS STAR IMAGING 975 985 BETHEL ROAD COLUMBUS,OH43214	OUTPATIENT PHYSICIAN CLINIC
102	102 - COMMUNITY PEDIATRICS EUCLID 26250 EUCLID AVENUE EUCLID,OH44132	OUTPATIENT PHYSICIAN CLINIC
103	103 - DR RICHARD LORBER 1330 MERCY DRIVE NW CANTON,OH44708	OUTPATIENT PHYSICIAN CLINIC
104	104 - ENVISION ICARE OPTIMETRIC BULIDING 111 PROGRESS DRIVE BELLEVUE,OH44811	OUTPATIENT PHYSICIAN CLINIC
105	105 - FRANKLIN BOULEVARD NURSING HOME 3600 FRANKLIN BOULEVARD CLEVELAND,OH44113	OUTPATIENT PHYSICIAN CLINIC
106	106 - GATES MEDICAL CENTER 125 EAST BROAD STREET ELYRIA,OH44035	OUTPATIENT PHYSICIAN CLINIC
107	107 - GHENT ROAD FAMILY MEDICINE PRACTICE 3535 GRANGER ROAD AKRON,OH44333	OUTPATIENT PHYSICIAN CLINIC
108	108 - GLICKMAN UROLOGICAL INSTITUTE - INA BUIL 14701 DETROIT AVENUE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
109	109 - HACKETT MEDICAL 8300 TYLER BOULEVARD MENTOR,OH44060	OUTPATIENT PHYSICIAN CLINIC
110	110 - HIGHLAND OFFICE CENTER 2646 HIGHWAY AVENUE HIGHLAND,IN46322	OUTPATIENT PHYSICIAN CLINIC
111	111 - KINDRED HEALTH CARE CLEVELAND 11900 FAIRHILL ROAD CLEVELAND,OH44120	OUTPATIENT PHYSICIAN CLINIC
112	112 - LAKEWEST MEDICAL BUILDING 36100 EUCLID AVENUE STE 280 WILLOUGHBY,OH44094	OUTPATIENT PHYSICIAN CLINIC
113	113 - LAKEWOOD CENTER NORTH 14600 DETROIT AVENUE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
114	114 - LAKEWOOD FAMILY MEDICINE - ROCKPORT 11851 DETROIT AVENUE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
115	115 - LIFELINE SLEEP CENTERS GREEN 4880 S MAIN STREET AKRON,OH44319	OUTPATIENT PHYSICIAN CLINIC
116	116 - LORAIN ORTHOPAEDICS 3600 KOLBE ROAD STE 100 LORAIN,OH44053	OUTPATIENT PHYSICIAN CLINIC
117	117 - MAYFIELD OUT PATIENT SATELLITE 5187 MAYFIELD ROAD LYNDHURST,OH44124	OUTPATIENT PHYSICIAN CLINIC
118	118 - MEDINA ENDOCRINOLOGY 4087 MEDINA ROAD MEDINA,OH44256	OUTPATIENT PHYSICIAN CLINIC
119	119 - NILES STAR IMAGING 652 YOUNGSTOWN WARREN ROAD NILES,OH44446	DIAGNOSTIC CENTER
120	120 - NILES STAR IMAGING 650 YOUNGSTOWN-WARREN ROAD NILES,OH44446	OUTPATIENT PHYSICIAN CLINIC
121	121 - OHIO CANCER SPECIALISTS 31 E MAIN STREET SHELBY,OH44875	OUTPATIENT PHYSICIAN CLINIC
122	122 - OUTPATIENT PEDIATRIC PHYSIATRY CLINIC 1912 HAYES AVENUE SANDUSKY,OH44870	OUTPATIENT PHYSICIAN CLINIC
123	123 - PARMA MEDICAL ARTS CENTER 4 6115 POWERS BOULEVARD PARMA,OH44129	OUTPATIENT PHYSICIAN CLINIC
124	124 - PEDIATRICENTER OF GREATER CLEVELAND 13201 GRANGER ROAD GARFIELD HEIGHTS,OH44125	OUTPATIENT PHYSICIAN CLINIC
125	125 - ROCKSIDE MEDICAL CENTER 6701 ROCKSIDE ROAD INDEPENDENCE,OH44131	OUTPATIENT PHYSICIAN CLINIC
126	126 - ROCKY RIVER CIVIC CENTER 21016 HILLIARD BOULEVARD ROCKY RIVER,OH44116	OUTPATIENT PHYSICIAN CLINIC
127	127 - SLEEP DISORDERS CENTER 24901 COUNTRY CLUB BOULEVARD NORTH OLMSTED,OH44070	DIAGNOSTIC CENTER
128	128 - SLEEP DISORDERS CENTER 8971 WILCOX DRIVE TWINSBURG,OH44087	DIAGNOSTIC CENTER
129	129 - SLEEP DISORDERS CENTER 1825 LORAIN BOULEVARD ELYRIA,OH44035	DIAGNOSTIC CENTER
130	130 - SLEEP DISORDERS CENTER 5051 WEST CREEK ROAD INDEPENDENCE,OH44131	DIAGNOSTIC CENTER
131	131 - SLEEP DISORDERS CENTER 5785 HEISLEY ROAD MENTOR,OH44060	DIAGNOSTIC CENTER
132	132 - SPORTS HEALTH CENTER 5555 TRANSPORTATION BOULEVARD GARFIELD HEIGHTS,OH44125	OUTPATIENT PHYSICIAN CLINIC
133	133 - SUMMIT OPHTHALMOLOGY 1587 BOETTLER ROAD GREEN,OH44685	OUTPATIENT PHYSICIAN CLINIC
134	134 - THERAPY SERVICES EAST 3355 RICHMOND ROAD BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
135	135 - THERAPY SERVICES SOUTH 17800 JEFFERSON PARK DRIVE STE 101 MIDDLEBURG HTS,OH44130	OUTPATIENT PHYSICIAN CLINIC
136	136 - TWINSBURG MEDICAL OFFICE 2365 EDISON BOULEVARD TWINSBURG,OH44087	OUTPATIENT PHYSICIAN CLINIC
137	137 - VALLEY CITY FAMILY MEDICINE 6605 CENTER ROAD VALLEY CITY,OH44280	OUTPATIENT PHYSICIAN CLINIC
138	138 - WARRENSVILLE MEDICAL OFFICE 4180 WARRENSVILLE CENTER ROAD WARRENSVILLE HEIGHTS,OH44122	OUTPATIENT PHYSICIAN CLINIC
139	139 - WELLINGTON PLACE 4800 CLAGUE ROAD NORTH OLMSTED,OH44070	OUTPATIENT PHYSICIAN CLINIC
140	140 - WEST PARK LEARNING CENTER 15531 LORAIN AVENUE CLEVELAND,OH44111	OUTPATIENT PHYSICIAN CLINIC
141	141 - WEST VALLEY MEDICAL 20455 LORAIN ROAD 301 FAIRVIEW PARK,OH44126	OUTPATIENT PHYSICIAN CLINIC
142	142 - WESTGATE PROFESSIONAL BUILDING 20800 ADDINGTON BOULEVARD FAIRVIEW PARK,OH44126	OUTPATIENT PHYSICIAN CLINIC
143	143 - WILLOUGHBY HILLS REHABILITATION AND SPOR 29017 CHARDON ROAD WILLOUGHBY HILLS,OH44094	OUTPATIENT PHYSICIAN CLINIC
144	144 - WOOSTER GENERAL SURGERY 546 WINTER STREET WOOSTER,OH44691	OUTPATIENT PHYSICIAN CLINIC
145	145 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN 721 EAST MILLTOWN ROAD WOOSTER,OH44691	OUTPATIENT PHYSICIAN CLINIC
146	146 - WOOSTER WOMEN'S HEALTH CENTER 1739 CLEVELAND ROAD WOOSTER,OH44691	OUTPATIENT PHYSICIAN CLINIC
147	147 - YOUNGSTOWN FERTILITY CENTER 3660 STUTZ DRIVE CANFIELD,OH44406	OUTPATIENT PHYSICIAN CLINIC
148	148 - YOUNGSTOWN FERTILITY CENTER 6674 TIPPECANOE ROAD STE 3 CANFIELD,OH44406	OUTPATIENT PHYSICIAN CLINIC
149	149 - YOUNGSTOWN FERTILITY CENTER 8900 DARROW ROAD TWINSBURG,OH44087	OUTPATIENT PHYSICIAN CLINIC

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	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 FINANCIAL ASSISTANCE POLICY THAT IS AMONG THE MOST GENEROUS IN NORTHEAST OHIO. THIS POLICY APPLIES TO ALL CCF FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, CCF PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE ON A SLIDING SCALE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS A MEDICAL INDIGENCE PROVISION, WHICH PROVIDES ASSISTANCE REGARDLESS OF INCOME LEVEL OR INSURANCE STATUS WHERE MEDICAL COSTS WILL EXCEED 25% OF ANNUAL FAMILY INCOME. UNLIKE THE FINANCIAL ASSISTANCE POLICIES OF MOST HOSPITALS, THE CCF POLICY APPLIES TO BOTH HOSPITAL CHARGES AND CERTAIN PROFESSIONAL FEES FOR SERVICES PROVIDED BY CCF EMPLOYED PHYSICIANS.
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM A COST ACCOUNTING SYSTEM. IN OTHER CATEGORIES, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THAT CATEGORY.
PART I, LINE 7G:	CCF EMPLOYS ITS PHYSICIANS, THEREFORE THE ASSOCIATED COSTS AND CHARGES RELATING TO THESE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES OF PART I.
PART I, LN 7 COL(F):	ADDITIONAL BAD DEBT EXPENSE ADDED FOR PURPOSES OF CALCULATING THE PERCENTAGES BUT NOT REPORTED ON FORM 990 IS $780,338.
PART I, LINE 6A	SCH H PART I LINE 6A - AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE, WHICH INCLUDES THE PARENT ORGANIZATION AND RELATED AFFILIATES.
PART I, LINE 7	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $479,111,001 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 TWO RESPECTS: 1) IRS DOES NOT CONSIDER COMMUNITY BUILDING ACTIVITIES AS REPORTED IN PART II TO BE COMMUNITY BENEFIT WHERE THESE ACTIVITIES ARE INCLUDED IN COMMUNITY BENEFIT PER CHA GUIDELINES,2) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7, AND3) AKRON GENERAL HEALTH SYSTEM INFORMATION IS INCLUDED IN THE COMMUNITY HEALTH BENEFIT REPORT BUT IS EXCLUDED FOR SCHEDULE H
PART II, COMMUNITY BUILDING ACTIVITIES:	CLEVELAND CLINIC ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. CLEVELAND CLINIC DEVOTES EMPLOYEE TIME AND TALENT TO PARTICIPATE IN COMMUNITY COLLABORATION BOARDS, HEALTH ADVOCACY PROGRAMS, AND PHYSICAL IMPROVEMENT PROJECTS TO PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.
PART III, LINE 2:	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.
PART III, LINE 4:	TEXT OF FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS:PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, MAJOR PAYOR SOURCES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCF HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
PART III, LINE 9B:	YES, CLEVELAND CLINIC HAS A WRITTEN DEBT COLLECTION POLICY. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS OR BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO MAKE SUCH DETERMINATION. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. ADDITIONALLY, OUR EXTERNAL THIRD-PARTY (COLLECTION) AGENCIES ARE TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND ASSIST A PATIENT IN NEED BY SUPPLYING OUR APPLICATION FOR FINANCIAL ASSISTANCE.
PART III, LINE 5, 6, & 7,	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 $639,115,856 AND 925,883,879 RESPECTIVELY. THIS RESULTS IN ADDITIONAL MEDICARE SHORTFALL OF $286,768,023 WHICH, ADDED TO THE SHORTFALL OF $17,573,541 AS REPORTED ON THE COST REPORTS BRINGS THE TOTAL MEDICARE SHORTFALL TO $304,341,564.
PART VI, LINE 2:	IN ADDITION TO THE CHNA PROCESS, CCF'S INSTITUTES AND DEPARTMENTS MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THE COMMUNITY FOR THAT PARTICULAR FACILITIES COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCF MAY PROVIDE TO PARTICULAR GROUPS OF PATIENTS WITHIN THE COMMUNITIES IT SERVES.
PART VI, LINE 3:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. ALL PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND AN INSERT DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED WITH BILLING STATEMENTS. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCF, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC HOSPITAL AND OHIO FAMILY HEALTH CENTER TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. A DESCRIPTION OF THE POLICY IS ALSO INCLUDED IN OUR INSURANCE AND BILLING INFORMATION PATIENT BROCHURE, WHICH IS AVAILABLE AT REGISTRATION DESKS AND WITH FINANCIAL COUNSELORS.
PART VI, LINE 4:	THE CLEVELAND CLINIC'S COMMUNITY IS DEFINED BY BOTH MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY THE HOSPITAL FACILITY'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS THE BROADER SURROUNDING COUNTIES/REGIONS FROM WHICH THE MAJORITY OF DISCHARGED INPATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF THE CLEVELAND CLINIC. THE COMMUNITY FOR MEDICAL RESEARCH AND EDUCATION IS THE PUBLIC AT LARGE.
PART VI, LINE 5:	ONE OF THE HALLMARKS OF A CHARITABLE ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. CCF AND ITS NORTHEAST OHIO REGIONAL HOSPITAL GOVERNING BOARDS ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF CCF AND ITS SUBORDINATES. TRUSTEES/DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE CLEVELAND CLINIC AND THE HEALTH SYSTEM AND ARE NOT COMPENSATED FOR THEIR SERVICES.ANOTHER HALLMARK OF A CHARITABLE ORGANIZATION IS THAT SURPLUS FUNDS ARE USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR CCF AND ITS SUBORDINATES ARE REINVESTED AND CARRIED OUT BY THE ORGANIZATION'S EXEMPT MISSION -- PATIENT CARE, RESEARCH, AND EDUCATION.
PART VI, LINE 6:	CLEVELAND CLINIC IS THE PARENT ORGANIZATION OF THE HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM CONSISTING OF AN ACADEMIC MEDICAL CENTER, MEDICAL SCHOOL, COMMUNITY HOSPITALS, FAMILY HEALTH CENTERS, VARIOUS ANCILLARY SERVICES, AND A LARGE GROUP OF EMPLOYED PHYSICIANS AND PHYSICIAN RESEARCHERS.

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC 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) AKRON GENERAL MEDICAL CENTER 400 WABASH AVE AKRON,OH44307	34-0714478	501(C)(3)	14,500				HEALTHCARE RESEARCH & EDUCATION
(2) ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED,OH44070	47-0974372	501(C)(3)	10,000				SUPPORT EDUCATIONAL ACTIVITIES
(3) ALZHEIMERS ASSOCIATION 12200 FAIRHILL RD CLEVELAND,OH44120	34-1311175	501(C)(3)	13,750				HEALTHCARE RESEARCH & EDUCATION
(4) AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND,OH44106	13-1788491	501(C)(3)	43,044				HEALTHCARE RESEARCH & EDUCATION
(5) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS,TX75231	59-0637852	501(C)(3)	239,000				HEALTHCARE RESEARCH & EDUCATION
(6) AMERICAN LIVER FOUNDATION PO BOX 36085 INDIANAPOLIS,IN46236	36-2883000	501(C)(3)	5,500				HEALTHCARE RESEARCH & EDUCATION
(7) AMERICAN LUNG ASSOCIATION 1740 BROADWAY NEW YORK,NY10019	13-1632524	501(C)(3)	17,500				HEALTHCARE RESEARCH & EDUCATION
(8) ANTIOCH BAPTIST CHURCH 8869 CEDAR AVE CLEVELAND,OH44106	36-4497121	501(C)(3)	6,000				COMMUNITY SUPPORT
(9) ARTHRITIS FOUNDATION 1330 WEST PEACHTREE ST NW ATLANTA,GA30309	58-1341679	501(C)(3)	9,000				HEALTHCARE RESEARCH & EDUCATION
(10) ASSOCIATION OF AFRICAN AMERICAN CULTURAL GARDENS INC PO BOX 20237 CLEVELAND,OH44120	90-0791590	501(C)(3)	10,000				COMMUNITY SUPPORT
(11) ASSOCIATION OF INDIAN PHYSICIANS OF NORTHERN OHIO 3249 ROCKY RIVER DR ROCKY RIVER,OH44111	34-1407746	501(C)(3)	10,000				SUPPORT EDUCATIONAL ACTIVITIES
(12) BEACHWOOD CHAMBER OF COMMERCE 25550 CHAGRIN BLVD BEACHWOOD,OH44122	34-1684237	501(C)(6)	7,750				COMMUNITY SUPPORT
(13) BLACK PROFESSIONAL ASSOCIATION CHARITABLE FOUNDATION INC PO BOX 5783 CLEVELAND,OH44101	34-1496786	501(C)(3)	15,000				COMMUNITY SUPPORT
(14) BOYS AND GIRLS CLUBS OF CLEVELAND 6114 BROADWAY AVE CLEVELAND,OH44127	34-0770686	501(C)(3)	27,500				COMMUNITY SUPPORT
(15) BURTEN BELL CARR DEVELOPMENT INC 7201 KINSMAN RD CLEVELAND,OH44104	34-1657533	501(C)(3)	10,000				COMMUNITY SUPPORT
(16) BUSINESS VOLUNTEERS UNLIMITED 1300 E 9TH ST STE 1805 CLEVELAND,OH44114	34-1724581	501(C)(3)	10,000				COMMUNITY SUPPORT
(17) CANCER SERVICES OF ERIE COUNTY 505 E PERKINS AVE SANDUSKY,OH44870	34-0877577	501(C)(3)	8,280				HEALTHCARE RESEARCH & EDUCATION
(18) CARE ALLIANCE 1795 W 25TH ST CLEVELAND,OH44113	34-1748776	501(C)(3)	10,000				HEALTHCARE RESEARCH & EDUCATION
(19) CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT RD CLEVELAND,OH44106	34-1018992	501(C)(3)	10,200				SUPPORT EDUCATIONAL ACTIVITIES
(20) CITY OF MAPLE HEIGHTS 5353 LEE RD MAPLE HTS,OH44137	34-6001809	501(C)(1)	10,000				COMMUNITY SUPPORT
(21) CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND,OH44195	34-0714553	501(C)(3)	21,845,588				HEALTHCARE RESEARCH & EDUCATION
(22) CLEVELAND LEADERSHIP CENTER 1375 E 9TH ST CLEVELAND,OH44114	34-1927317	501(C)(3)	5,500				COMMUNITY SUPPORT
(23) CLEVELAND MUSEUM OF NATURAL HISTORY 1 WADE OVAL DR CLEVELAND,OH44106	34-0714338	501(C)(3)	13,200				COMMUNITY SUPPORT
(24) CLEVELAND STATE UNIVERSITY 2121 EUCLID AVE CLEVELAND,OH44115	34-0966056	501(C)(3)	19,632				SUPPORT EDUCATIONAL ACTIVITIES
(25) COLLEGE NOW GREATER CLEVELAND INC 200 PUBLIC SQUARE STE 3820 CLEVELAND,OH44114	34-6580096	501(C)(3)	12,000				SUPPORT EDUCATIONAL ACTIVITIES
(26) COLON CANCER ALLIANCE 1025 VERMONT AVE NW STE 1066 WASHINGTON,DC20005	86-0947831	501(C)(3)	12,500				HEALTHCARE RESEARCH & EDUCATION
(27) COMMUNITY WEST FOUNDATION 20545 CENTER RIDGE RD STE 448 CLEVELAND,OH44116	34-1456398	501(C)(3)	34,500				COMMUNITY SUPPORT
(28) CORNERSTONE OF HOPE 6600 DAISY AVE INDEPENDENCE,OH44131	34-1945499	501(C)(3)	26,500				COMMUNITY SUPPORT
(29) COUNCIL FOR ECONOMIC OPPORTUNITIES IN GREATER CLEVELAND 1228 EUCLID AVE STE 700 CLEVELAND,OH44115	34-0965350	501(C)(3)	25,000				COMMUNITY SUPPORT
(30) CROHNS & COLITIS FOUNDATION OF AMERICA 23366 COMMERCE PARK RD BEACHWOOD,OH44122	13-6193105	501(C)(3)	15,000				HEALTHCARE RESEARCH & EDUCATION
(31) CUYAHOGA COMMUNITY COLLEGE PO BOX 92928 CLEVELAND,OH44194	34-0896630	501(C)(3)	10,000				SUPPORT EDUCATIONAL ACTIVITIES
(32) DANCING CLASSROOMS NORTHEAST OHIO 1085 ROCKSIDE RD STE 6 PARMA,OH44134	26-2300532	501(C)(3)	47,000				COMMUNITY SUPPORT
(33) DANCING WHEELS COMPANY & SCHOOL 3615 EUCLID AVE CLEVELAND,OH44115	34-1623342	501(C)(3)	12,500				COMMUNITY SUPPORT
(34) DOWNTOWN CLEVELAND ALLIANCE 1010 EUCLID AVE CLEVELAND,OH44114	34-1775903	501(C)(3)	6,500				COMMUNITY SUPPORT
(35) ESPERANZA INC 4115 BRIDGE AVE CLEVELAND,OH44113	34-1403492	501(C)(3)	20,000				SUPPORT EDUCATIONAL ACTIVITIES
(36) EUCLID AVENUE CONGREGATIONAL CHURCH 4217 BLUESTONE RD CLEVELAND,OH44121	34-6505904	501(C)(3)	291,667				COMMUNITY SUPPORT
(37) FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND,OH44104	34-1706856	501(C)(3)	284,162				COMMUNITY SUPPORT
(38) FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND,OH44106	34-1053534	501(C)(3)	17,900				COMMUNITY SUPPORT
(39) FATIMA FAMILY CENTER 6600 LEXINGTON AVE CLEVELAND,OH44103	26-1323950	501(C)(3)	10,000				COMMUNITY SUPPORT
(40) FLASHES OF HOPE INC 6009 LANDERHAVEN DR MAYFIELD HTS,OH44124	04-3648694	501(C)(3)	10,000				HEALTHCARE RESEARCH & EDUCATION
(41) FORCES4QUALITY NORTHEAST OHIO PO BOX 609655 CLEVELAND,OH44109	26-1725657	501(C)(3)	87,000				HEALTHCARE RESEARCH & EDUCATION
(42) FRIENDS OF BREAKTHROUGH SCHOOLS 3615 SUPERIOR AVE CLEVELAND,OH44114	20-4948838	501(C)(3)	5,500				SUPPORT EDUCATIONAL ACTIVITIES
(43) GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD,OH44122	34-1879035	501(C)(3)	30,000				COMMUNITY SUPPORT
(44) GOODWILL INDUSTRIES OF GREATER CLEVELAND INC 408 9TH ST SW CANTON,OH44707	34-0909974	501(C)(3)	0	12,500	ESTIMATED VALUE	ARTWORK	COMMUNITY SUPPORT
(45) GREATER CLEVELAND HABITAT FOR HUMANITY 2110 W 110TH ST CLEVELAND,OH44102	31-1209423	501(C)(3)	10,000				COMMUNITY SUPPORT
(46) INNER CITY TENNIS CLINICS INCORPORATED PO BOX 32551 CLEVELAND,OH44132	27-1789893	501(C)(3)	10,000				COMMUNITY SUPPORT
(47) KARAMU HOUSE 2355 E 89TH ST CLEVELAND,OH44106	34-0714448	501(C)(3)	15,000				COMMUNITY SUPPORT
(48) KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS,NV89106	88-0515534	501(C)(3)	64,775				HEALTHCARE RESEARCH & EDUCATION
(49) KIDNEY FOUNDATION OF OHIO INC 2831 PROSPECT AVE CLEVELAND,OH44115	34-0827748	501(C)(3)	10,000				HEALTHCARE RESEARCH & EDUCATION
(50) LEUKEMIA & LYMPHOMA SOCIETY 5700 BRECKSVILLE RD INDEPENDENCE,OH44131	13-5644916	501(C)(3)	22,000				HEALTHCARE RESEARCH & EDUCATION
(51) MALTZ MUSEUM OF JEWISH HERITAGE 2929 RICHMOND RD BEACHWOOD,OH44122	04-3684531	501(C)(3)	15,000				COMMUNITY SUPPORT
(52) MARCH OF DIMES FOUNDATION 614 SUPERIOR AVE NW CLEVELAND,OH44113	13-1846366	501(C)(3)	28,500				HEALTHCARE RESEARCH & EDUCATION
(53) MEDINA HOSPITAL FOUNDATION 1000 E WASHINGTON ST MEDINA,OH44256	34-1657989	501(C)(3)	6,100				HEALTHCARE RESEARCH & EDUCATION
(54) MEDWISH INTERNATIONAL 17325 EUCLID AVE CLEVELAND,OH44112	34-1903712	501(C)(3)	35,000	2,690,606	ESTIMATED VALUE	IN-KIND MEDICAL EQUIPMENT	HEALTHCARE RESEARCH & EDUCATION
(55) MEDWORKS 1950 RICHMOND RD LYNDHURST,OH44124	26-3858369	501(C)(3)	12,000				HEALTHCARE RESEARCH & EDUCATION
(56) METROHEALTH SYSTEM 2500 METROHEALTH DR CLEVELAND,OH44109	34-6004382	501(C)(3)	293,391				HEALTHCARE RESEARCH & EDUCATION
(57) MIDTOWN CLEVELAND 5000 EUCLID AVE CLEVELAND,OH44103	34-1381334	501(C)(3)	10,000				COMMUNITY SUPPORT
(58) NAMI GREATER CLEVELAND 2012 W 25TH ST CLEVELAND,OH44113	20-2254268	501(C)(3)	25,000				COMMUNITY SUPPORT
(59) NATIONAL MULTIPLE SCLEROSIS SOCIETY 1422 EUCLID AVE CLEVELAND,OH44115	34-0801307	501(C)(3)	15,000				HEALTHCARE RESEARCH & EDUCATION
(60) NORTH COAST CANCER FOUNDATION 417 QUARRY LAKES DR SANDUSKY,OH44870	34-1224416	501(C)(3)	100,000				HEALTHCARE RESEARCH & EDUCATION
(61) NORTH UNION FARMERS MARKET 13212 SHAKER SQUARE STE 302 CLEVELAND,OH44120	34-1812026	501(C)(3)	45,000				COMMUNITY SUPPORT
(62) OHIO STATE MEDICAL ASSOCIATION 3401 MILL RUN DR HILLARD,OH43026	31-4364893	501(C)(6)	10,000				HEALTHCARE RESEARCH & EDUCATION
(63) OPEN DOORS INC 3311 PERKINS AVE CLEVELAND,OH44114	04-3697716	501(C)(3)	20,000				COMMUNITY SUPPORT
(64) RAINEY INSTITUTE 1523 E 55TH ST CLEVELAND,OH44144	34-6555952	501(C)(3)	17,500				COMMUNITY SUPPORT
(65) RECOVERY RESOURCES 3950 CHESTER AVE CLEVELAND,OH44114	34-1211116	501(C)(3)	15,000				HEALTHCARE RESEARCH & EDUCATION
(66) REGIONAL TRANSIT AUTHORITY PO BOX 6566 CLEVELAND,OH44101	34-1170830	GOV. ENTITY	125,000				COMMUNITY SUPPORT
(67) RESEARCH AMERICA 1101 KING ST ALEXANDRIA,VA22314	52-1609875	501(C)(3)	10,000				SUPPORT EDUCATIONAL ACTIVITIES
(68) RONALD MCDONALD HOUSE OF CLEVELAND INC 10415 EUCLID AVE CLEVELAND,OH44106	34-1269123	501(C)(3)	207,750				HEALTHCARE RESEARCH & EDUCATION
(69) SAINT MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVE CLEVELAND,OH44103	52-2401852	501(C)(3)	111,869				SUPPORT EDUCATIONAL ACTIVITIES
(70) SENIOR TRANSPORTATION CONNECTION OF CUYAHOGA COUNTY 4735 W 150TH CLEVELAND,OH44135	30-0319480	501(C)(3)	15,000				COMMUNITY SUPPORT
(71) SUSAN G KOMEN NORTHWEST OHIO 3100 W CENTRAL AVE STE 235 TOLEDO,OH43606	75-2845063	501(C)(3)	17,500				HEALTHCARE RESEARCH & EDUCATION
(72) THE FREE CLINIC OF GREATER CLEVELAND 12201 EUCLID AVE CLEVELAND,OH44106	23-7078501	501(C)(3)	7,500				HEALTHCARE RESEARCH & EDUCATION
(73) THE MUSICAL ARTS ASSOCIATION 11001 EUCLID AVE CLEVELAND,OH44106	34-0714468	501(C)(3)	10,000				COMMUNITY SUPPORT
(74) THE VILLAGE AT MARYMOUNT 5200 MARYMOUNT VILLAGE DR GARFIELD HTS,OH44125	20-5652595	501(C)(3)	30,000				HEALTHCARE RESEARCH & EDUCATION
(75) THE WORD CHURCH 18909 S MILES RD WARRENSVILLE HTS,OH44128	03-0415420	501(C)(3)	7,500				COMMUNITY SUPPORT
(76) TOWARDS EMPLOYMENT INCORPORATED 1255 EUCLID AVE CLEVELAND,OH44115	34-1578831	501(C)(3)	18,100				COMMUNITY SUPPORT
(77) TRINITY HIGH SCHOOL 12425 GRANGER RD GARFIELD HTS,OH44125	34-0943303	501(C)(3)	12,501				SUPPORT EDUCATIONAL ACTIVITIES
(78) UNITED WAY OF GREATER CLEVELAND 1331 EUCLID AVE CLEVELAND,OH44115	34-6516654	501(C)(3)	0	5,021	ESTIMATED VALUE	ARTWORK	COMMUNITY SUPPORT
(79) WOMEN OF COLOR FOUNDATION 1667 E 40TH ST CLEVELAND,OH44103	02-0743542	501(C)(3)	10,000				COMMUNITY SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated 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) SCHOLARSHIPS	219	7,596,800
(2) FELLOWSHIPS	1806	82,462,336
(3) LODGING FOR INDIGENT	175	96,590
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	CCF CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCF MISSION OF PATIENT CARE, RESEARCH, AND EDUCATION. THESE ORGANIZATIONS ARE TO USE THE SUPPORT TO STRENGTHEN THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE.
SCHEDULE I, PART III	THE SCHOLARSHIPS AND FELLOWSHIPS LISTED ARE IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION. THE INDIGENT AID LISTED IS PERFORMED IN FURTHERANCE OF THE CLEVELAND CLINIC FOUNDATION'S MISSION TO PROVIDE BETTER CARE OF THE SICK AND THE INVESTIGATION INTO THEIR PROBLEMS.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION

Employer identification number

34-0714585

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1COSGROVE DELOS M MDDIRECTOR, PRESIDENT, CEO	(i) (ii)	4,480,740 ------------- 0	0 ------------- 0	370,337 ------------- 0	-2,508,768 ------------- 0	16,645 ------------- 0	2,358,954 ------------- 0	0 ------------- 0
2DONLEY BRIAN G MDDIRECTOR & CHIEF OF STAFF	(i) (ii)	986,366 ------------- 0	0 ------------- 0	95,222 ------------- 0	26,500 ------------- 0	18,469 ------------- 0	1,126,557 ------------- 0	0 ------------- 0
3ABELSON ABBYDEP CHR-RHEUMATIC & IMMUN, DIR	(i) (ii)	335,740 ------------- 0	0 ------------- 0	11,065 ------------- 0	26,500 ------------- 0	1,260 ------------- 0	374,565 ------------- 0	0 ------------- 0
4DWEIK RAED MDPHYSICIAN, DIRECTOR - CCF	(i) (ii)	394,576 ------------- 0	0 ------------- 0	34,656 ------------- 0	26,500 ------------- 0	16,809 ------------- 0	472,541 ------------- 0	0 ------------- 0
5KOMINSKY ALAN MDPHYSICIAN, DIRECTOR - CCF	(i) (ii)	392,076 ------------- 0	0 ------------- 0	15,755 ------------- 0	26,500 ------------- 0	19,309 ------------- 0	453,640 ------------- 0	0 ------------- 0
6LONZER DEBORAH MDVICE CHR - PEDS STRAT OPS, DIR -CCF	(i) (ii)	271,503 ------------- 0	0 ------------- 0	2,436 ------------- 0	26,500 ------------- 0	16,809 ------------- 0	317,248 ------------- 0	0 ------------- 0
7SABANEGH EDMUND MDDEPT CHR - UROLOGY, DIRECTOR	(i) (ii)	620,972 ------------- 0	0 ------------- 0	59,609 ------------- 0	26,500 ------------- 0	16,413 ------------- 0	723,494 ------------- 0	0 ------------- 0
8DICORLETO PAUL E PHDCHR - RESEARCH INST (RETIREE)	(i) (ii)	423,336 ------------- 0	0 ------------- 0	1,458,936 ------------- 0	28,740 ------------- 0	12,032 ------------- 0	1,923,044 ------------- 0	0 ------------- 0
9GLASS STEVEN CCFO & TREASURER	(i) (ii)	1,210,311 ------------- 0	0 ------------- 0	117,136 ------------- 0	24,393 ------------- 0	16,809 ------------- 0	1,368,649 ------------- 0	0 ------------- 0
10HARRINGTON MICHAELCAO & CONTROLLER	(i) (ii)	595,021 ------------- 0	0 ------------- 0	54,696 ------------- 0	26,500 ------------- 0	19,257 ------------- 0	695,474 ------------- 0	0 ------------- 0
11MCHUGH LINDAASSISTANT SECRETARY	(i) (ii)	365,205 ------------- 0	0 ------------- 0	32,978 ------------- 0	25,744 ------------- 0	16,705 ------------- 0	440,632 ------------- 0	0 ------------- 0
12MEEHAN MICHAELRECORDING SECRETARY	(i) (ii)	296,621 ------------- 0	0 ------------- 0	29,986 ------------- 0	-42,574 ------------- 0	16,764 ------------- 0	300,797 ------------- 0	0 ------------- 0
13PEACOCK WILLIAMCHIEF OF OPERATIONS	(i) (ii)	1,098,576 ------------- 0	0 ------------- 0	87,845 ------------- 0	26,467 ------------- 0	21,523 ------------- 0	1,234,411 ------------- 0	0 ------------- 0
14ROWAN DAVID WCHIEF LEGAL OFFICER	(i) (ii)	1,086,096 ------------- 0	0 ------------- 0	109,781 ------------- 0	26,500 ------------- 0	19,264 ------------- 0	1,241,641 ------------- 0	0 ------------- 0
15HARRISON A MARCCHIEF INTL BUS DEVELOPMENT	(i) (ii)	936,959 ------------- 0	0 ------------- 0	682,434 ------------- 0	26,500 ------------- 0	109,395 ------------- 0	1,755,288 ------------- 0	0 ------------- 0
16MIHALJEVIC TOMISLAVCHIEF EXEC OFFICER - CCAD	(i) (ii)	1,181,626 ------------- 0	0 ------------- 0	867,811 ------------- 0	26,500 ------------- 0	124,728 ------------- 0	2,200,665 ------------- 0	0 ------------- 0
17COULTON ROBERTEXEC DIR - OPSA (2015 RETIREE)	(i) (ii)	587,764 ------------- 0	0 ------------- 0	1,748,618 ------------- 0	-62,631 ------------- 0	16,592 ------------- 0	2,290,343 ------------- 0	0 ------------- 0
18SAVAGE ROBERTPHYSICIAN (2015 RETIREE)	(i) (ii)	319,914 ------------- 0	0 ------------- 0	1,312,926 ------------- 0	212,632 ------------- 0	11,264 ------------- 0	1,856,736 ------------- 0	0 ------------- 0
19BELL GORDONPHYSICIAN (2015 RETIREE)	(i) (ii)	160,129 ------------- 0	0 ------------- 0	1,671,531 ------------- 0	-134,862 ------------- 0	4,092 ------------- 0	1,700,890 ------------- 0	0 ------------- 0
20HAHN JOSEPHPHYSICIAN (RETIREE)	(i) (ii)	1,688,110 ------------- 0	0 ------------- 0	0 ------------- 0	-145,598 ------------- 0	0 ------------- 0	1,542,512 ------------- 0	0 ------------- 0
21COSTIN JOHNINSTITUTE CHAIRMAN	(i) (ii)	1,324,145 ------------- 0	0 ------------- 0	137,557 ------------- 0	26,500 ------------- 0	17,385 ------------- 0	1,505,587 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 1A

LISTED BENEFITS THE BENEFITS CHECKED IN PART I, QUESTION 1A, WERE PROVIDED TO CERTAIN PERSONS LISTED IN FORM 990, PART VII, SECTION A ON AN EXCEPTION BASIS ONLY FOR AN APPROPRIATE BUSINESS PURPOSE. ANY REIMBURSEMENT OF THE EXPENSES LISTED MET CLEVELAND CLINIC'S WRITTEN POLICY REGARDING SUBSTANTIATION AND REIMBURSEMENT. WHERE REQUIRED BY IRS RULES AND REGULATIONS, THE LISTED BENEFITS WERE INCLUDED IN TAXABLE INCOME.

PART I, LINE 4B

SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: GORDON BELL - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,665,146 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. ROBERT COULTON - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,687,402 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. PAUL DICORLETO - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,418,781 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. ROBERT SAVAGE - PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,294,554 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT THE AMOUNT VESTED IN THE PLAN. DELOS M. COSGROVE - PARTICIPATES IN A SPLIT DOLLAR LIFE INSURANCE PLAN FROM WHICH NO CASH PAYMENTS WERE RECEIVED. DR COSGROVE'S 2015 BASE SALARY INCLUDES A SINGLE, FIXED ANNUAL PAYMENT WHICH IS INTENDED TO OFFSET THE DILUTION IN THE ACTUARIAL VALUE OF HIS SUPPLEMENTAL RETIREMENT PLAN. THIS DILUTION IS A RESULT OF DR COSGROVE WORKING BEYOND HIS EXPECTED RETIREMENT AGE AS DEFINED BY THE PLAN. JOSEPH HAHN'S BASE SALARY INCLUDES A SINGLE, FIXED PAYMENT WHICH IS INTENDED TO OFFSET THE DILUTION IN THE ACTUARIAL VALUE OF HIS SUPPLEMENTAL RETIREMENT PLAN. THIS DILUTION IS A RESULT OF DR. HAHN WORKING BEYOND HIS EXPECTED RETIREMENT AGE AS DEFINED BY THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: GORDON BELL - $151,316 DECREASE, DELOS M. COSGROVE - $2,535,268 DECREASE, ROBERT COULTON - $86,265 DECREASE, PAUL E. DICORLETO - $2,240 INCREASE, JOSEPH F. HAHN - $145,598 DECREASE, MICHAEL J. MEEHAN - $69,074 DECREASE, AND ROBERT SAVAGE $186,132 INCREASE. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: ROBERT COULTON - $2,866 DECREASE, STEVEN C. GLASS - $2,107 DECREASE, LINDA MCHUGH - $756 DECREASE AND WILLIAM PEACOCK - $33 DECREASE.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756DAY2	05-29-2013	309,434,914	BOND 2013: REFUND 2004A, 2003A AND FACILITY IMPROVEMENTS		X		X		X
B	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756A3Z3	05-09-2012	519,383,182	BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS		X		X		X
C	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	677561HU9	11-02-2011	208,951,439	BOND 2011A: REFUND 2003A SERIES		X		X		X
D	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	NOTAPPLIC	11-02-2011	41,120,000	BOND 2011B: REFUND 1992A & B AND 1989 SERIES		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	677561FV9	08-25-2009	807,007,320	BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756AG22	10-15-2008	451,686,386	BOND 2008A: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756AJ37	10-15-2008	670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	24,475,765		9,737,437		17,261,868		9,870,000
2 Amount of bonds legally defeased ..............	70,000		435,000
3 Total proceeds of issue ..................	309,434,914		519,383,182		208,951,439		41,120,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............							2,302,465
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,129,301		3,825,815		2,003,385		735,249
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	20,001,498		411,300,530		324,315,217
11 Other spent proceeds .............	287,304,115		104,256,837		206,948,054		38,082,286
12 Other unspent proceeds .............
13 Year of substantial completion .............	2013		2012		2011		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

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 of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 ....	1.040 %		0.870 %		1.390 %		0 %
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 .........	0 %		0.080 %		0.010 %		0 %
6 Total of lines 4 and 5 .............	1.040 %		0.950 %		1.400 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0.050 %		0.550 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X		X
4a Has the organization or the governmental issuer entered into a qualified 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 the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (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? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/25/2014 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2013 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2013

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756DAY2	05-29-2013	309,434,914	BOND 2013: REFUND 2004A, 2003A AND FACILITY IMPROVEMENTS		X		X		X
B	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756A3Z3	05-09-2012	519,383,182	BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS		X		X		X
C	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	677561HU9	11-02-2011	208,951,439	BOND 2011A: REFUND 2003A SERIES		X		X		X
D	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	NOTAPPLIC	11-02-2011	41,120,000	BOND 2011B: REFUND 1992A & B AND 1989 SERIES		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	677561FV9	08-25-2009	807,007,320	BONDS 2009A&B: REFUND 2008B, FACILITY CONSTRUCTION, EQUIPPING AND IMPROVING		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756AG22	10-15-2008	451,686,386	BOND 2008A: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	67756AJ37	10-15-2008	670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	24,475,765		9,737,437		17,261,868		9,870,000
2 Amount of bonds legally defeased ..............	70,000		435,000
3 Total proceeds of issue ..................	309,434,914		519,383,182		208,951,439		41,120,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............							2,302,465
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,129,301		3,825,815		2,003,385		735,249
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	20,001,498		411,300,530		324,315,217
11 Other spent proceeds .............	287,304,115		104,256,837		206,948,054		38,082,286
12 Other unspent proceeds .............
13 Year of substantial completion .............	2013		2012		2011		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

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 of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 ....	1.040 %		0.870 %		1.390 %		0 %
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 .........	0 %		0.080 %		0.010 %		0 %
6 Total of lines 4 and 5 .............	1.040 %		0.950 %		1.400 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0.050 %		0.550 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X		X
4a Has the organization or the governmental issuer entered into a qualified 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 the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (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? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/25/2014 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2013 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2013

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) D COSGROVE	CEO/PRESIDENT	INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN		X	229,247	6,056,685		No	Yes		Yes









Total ............... $						6,056,685

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) TOM ABELSON	FAMILY MEMBER OF ABBY ABELSON, CCF DIRECTOR	404,905	EMPLOYMENT AGREEMENT WITH CCF		No
(2) BENJAMIN ABELSON	FAMILY MEMBER OF ABBY ABELSON, CCF DIRECTOR	50,454	EMPLOYMENT AGREEMENT WITH CCF		No
(3) ALEXANDER HARRISON	FAMILY MEMBER OF MARC HARRISON, CCF KEY EMPLOYEE	12,044	EMPLOYMENT AGREEMENT WITH CCF		No
(4) KATHERINE MCHUGH	FAMILY MEMBER OF LINDA MCHUGH, CCF OFFICER	34,022	EMPLOYMENT AGREEMENT WITH CCF		No
(5) IVA FATTORINI	FAMILY MEMBER OF TOMISLAV MIHALJEVIC, CCF KEY EMPLOYEE	208,080	EMPLOYMENT AGREEMENT WITH CCF		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

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) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	23	48,326,377	APPRAISAL
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		5,817	SALE COMPARABLE GOODS
5 Clothing and household goods .......	X		203,557	SALE COMPARABLE GOODS
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	130	11,830,160	AVERAGE HIGH/LOW
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	13	94,600	COST
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MEDICAL EQUIPMENT )	X	2	67,300	SALE COMPARABLE GOOD
26 Other ( EVENT TICKETS )	X	5	4,384	COST
27 Other ( )
28 Other ( )

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

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 32B:	THE 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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION

Employer identification number

34-0714585

Return Reference	Explanation
PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	CLEVELAND CLINIC WAS ESTABLISHED IN 1921 WITH THE SAME MISSION THAT CONTINUES TODAY: BETTER CARE FOR THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH, AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. CLEVELAND CLINIC IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM AND REPORTS COMMUNITY BENEFIT ON A SYSTEM-WIDE BASIS, SO THE COMMUNITY BENEFIT NUMBERS REPORTED HERE ARE FOR THE HEALTH SYSTEM. THE COMMUNITY BENEFIT THAT THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDES INCLUDES PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, EDUCATION, MEDICAID SHORTFALL, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY OUTREACH PROGRAMS. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2015 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $692.8 MILLION IN BENEFITS TO THE COMMUNITIES WE SERVE. THE CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO OUR 2015 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE CLEVELAND CLINIC IS DEDICATED TO THE COMMUNITIES WE SERVE, STRIVING TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTHCARE TO ALL WHO NEED IT AND SUPPORTING PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. THROUGH OUR FINANCIAL ASSISTANCE EFFORTS AND AS A LEADING MEDICAID PROVIDER IN OHIO, WE PROVIDE HEALTHCARE TO THOSE WHO OTHERWISE COULD NOT AFFORD IT. DURING 2015, CLEVELAND CLINIC RECORDED 1,274 TOTAL STAFFED BEDS, 126,991 EMERGENCY VISITS, 91,731 SURGICAL CASES, 53,887 ADMISSIONS, AND MORE THAN 5.6 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC TO TREAT ALL PATIENTS WITH COMPASSION, DIGNITY AND RESPECT, REGARDLESS OF THEIR RACE, CREED, OR ABILITY TO PAY. CLEVELAND CLINIC'S PATIENT CARE SERVICES ARE PROVIDED VIA PATIENT-ORIENTED INSTITUTES, WHICH ARE STRUCTURED ON THE BASIS OF ORGAN SYSTEM OR DISEASE. THE INSTITUTES FACILITATE A MULTIDISCIPLINARY APPROACH, AND ARE DESIGNED TO ENHANCE CONVENIENCE FOR PATIENTS AND THE EXCHANGE OF KNOWLEDGE, RESEARCH AND EDUCATIONAL COLLABORATION FOR BETTER PATIENT OUTCOMES. SOME OF THE INSTITUTES ARE: ANESTHESIOLOGY, COLE EYE, DIGESTIVE DISEASE, EMERGENCY SERVICES, ENDOCRINOLOGY & METABOLISM, GLICKMAN UROLOGICAL & KIDNEY, HEAD & NECK, MILLER FAMILY HEART & VASCULAR, IMAGING, MEDICINE, NEUROLOGICAL, NURSING, OB/GYN & WOMEN'S HEALTH, ORTHOPAEDIC & RHEUMATOLOGY, PATHOLOGY & LABORATORY MEDICINE, PEDIATRIC & CHILDREN'S HOSPITAL, RESPIRATORY, TAUSSIG CANCER AND WELLNESS. NOTABLE ACHIEVEMENTS CLEVELAND CLINIC WAS AGAIN RECOGNIZED FOR ITS QUALITY OF CARE IN U.S. NEWS & WORLD REPORT'S PRESTIGIOUS ANNUAL "AMERICA'S BEST HOSPITALS" SURVEY IN 2015. OVERALL, CLEVELAND CLINIC WAS RANKED 5TH AMONG THE NATION'S MORE THAN 5,000 HOSPITALS. CLEVELAND CLINIC WAS RANKED AMERICA'S NUMBER ONE CENTER FOR CARDIAC CARE FOR THE 21ST YEAR IN A ROW. UROLOGY, NEPHROLOGY, DIABETES & ENDOCRINOLOGY, GASTROENTEROLOGY, AND RHEUMATOLOGY PROGRAMS WERE ALL RANKED SECOND IN THE NATION. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE POLICY ASSISTS POOR AND INDIGENT PATIENTS BY PROVIDING FREE CARE FOR MEDICALLY NECESSARY SERVICES TO UNINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL AND ALSO OFFERS DISCOUNTS ON MEDICALLY NECESSARY SERVICES FOR UNINSURED PATIENTS WHOSE INCOME IS UP TO 400 PERCENT OF THE POVERTY LEVEL. PATIENTS WITH EXCEPTIONAL CIRCUMSTANCES MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THIS POLICY IS DESIGNED TO PREVENT MEDICAL BILLS FROM CAUSING A PATIENT OR FAMILY UNDUE FINANCIAL HARDSHIP. THE CLEVELAND CLINIC HEALTH SYSTEM PROVIDED FINANCIAL ASSISTANCE AT A COST OF $69.3 MILLION IN 2015. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE TO ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE ("LRI") IS ITS RESEARCH INSTITUTE LOCATED ON THE MAIN CAMPUS AND HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. LRI HAS APPROXIMATELY 172 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CELLULAR AND MOLECULAR MEDICINE, GENOMIC MEDICINE, IMMUNOLOGY, MOLECULAR CARDIOLOGY, NEUROSCIENCES, OPHTHALMIC RESEARCH, PATHOBIOLOGY, QUANTITATIVE HEALTH SCIENCES, STEM CELL BIOLOGY AND REGENERATIVE MEDICINE, AND TRANSLATIONAL HEMATOLOGY AND ONCOLOGY RESEARCH. LRI IS ONE OF THE LEADING NIH-FUNDED RESEARCH INSTITUTES IN THE UNITED STATES AND HAS SPEARHEADED NUMEROUS ADVANCES IN THE DIAGNOSIS AND TREATMENT OF COMPLEX MEDICAL PROBLEMS. SCIENTISTS AND THEIR TEAMS ARE PURSUING A WIDE RANGE OF BIOMEDICAL QUESTIONS AT LRI, INCLUDING THOSE RELATED TO CARDIOVASCULAR, CANCER, NEUROLOGICAL, MUSCULOSKELETAL, AND METABOLIC DISEASES. ALTOGETHER, NEARLY 1,500 SCIENTISTS AND SUPPORT PERSONNEL WORK AT LRI. THIS INCLUDES APPROXIMATELY 200 POSTDOCTORAL FELLOWS, 80 GRADUATE STUDENTS AND 200 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC AND ITS EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2015, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 4,420 ACTIVE HUMAN SUBJECTS' RESEARCH STUDIES. THE ONGOING COLLABORATION BETWEEN PHYSICIAN INVESTIGATORS AND STUDY VOLUNTEERS IS CENTRAL TO TESTING THE SAFETY AND EFFECTIVENESS OF DRUGS AND MEDICAL PROCEDURES AND HELPS TO SET THE STANDARDS FOR PATIENT CARE. RESEARCH AT CLEVELAND CLINIC IS FUNDED BY EXTERNAL SOURCES, SUCH AS FEDERAL GRANTS, BUT IS ALSO SUBSTANTIALLY SUPPORTED BY THE CLINIC'S OWN INTERNAL RESOURCES. IN 2015, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH OF $204.1 MILLION, WHICH INCLUDED EXTERNALLY-SPONSORED FUNDING OF $137.1 MILLION. THE CLEVELAND CLINIC'S RESEARCH ACTIVITIES ARE INTENDED TO IMPROVE PATIENT CARE AND THE HEALTH OF THE PUBLIC AT LARGE, BY PROVIDING THE LATEST ADVANCES IN MEDICINE DIRECTLY TO PATIENTS AND BY REFINING THE PRACTICE OF MEDICINE THROUGH THE DEVELOPMENT AND PROMULGATION OF NEW TECHNIQUES, DEVICES, AND TREATMENT PROTOCOLS. III. EDUCATION ON ITS MAIN CAMPUS, CLEVELAND CLINIC OPERATES A MEDICAL SCHOOL AND RELATED RESEARCH INSTITUTE. THE PRIMARY FOCUS OF CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY (THE "LERNER COLLEGE OF MEDICINE") IS THE TEACHING AND TRAINING OF MEDICAL STUDENTS WHO HAVE A PARTICULAR INTEREST IN RESEARCH. MANY CLEVELAND CLINIC PHYSICIANS SERVE AS FACULTY FOR THE LERNER COLLEGE OF MEDICINE, FURTHERING THE INTEGRATION OF CLINICAL CARE WITH RESEARCH AND EDUCATION. THE LERNER COLLEGE OF MEDICINE CURRENTLY PROVIDES ALL STUDENTS WITH FULL TUITION SCHOLARSHIPS. IN ADDITION TO TRAINING THIS NATION'S FUTURE DOCTORS, CLEVELAND CLINIC SPONSORS A WIDE RANGE OF HIGH QUALITY MEDICAL EDUCATION TRAINING THROUGH ITS EDUCATION INSTITUTE INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2015, PROVIDED A NET COMMUNITY BENEFIT OF $256.5 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC'S COMMUNITIES ARE RECEIVING THE HIGHEST STANDARD OF MEDICAL CARE AND HAVE TRAINED HEALTH PROFESSIONALS TO CARE FOR THEM IN THE FUTURE. SOME OF THESE EDUCATION PROGRAMS INCLUDE: GRADUATE MEDICAL EDUCATION: CLEVELAND CLINIC MAINTAINS ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE COUNTRY. IN 2015, 1,126 RESIDENTS AND FELLOWS TRAINED IN 75 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 141 ADVANCED FELLOWS IN 54 FELLOWSHIP PROGRAMS.
PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CON'T)	LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY HAS LINKED ONE OF THE NATION'S TOP HOSPITALS WITH ONE OF THE NATION'S LEADING RESEARCH UNIVERSITIES. THERE WERE MORE THAN 1,900 APPLICANTS FOR 32 POSITIONS FOR THE 2015-16 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 91 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 80 STUDENTS PARTICIPATED IN LOCAL AND NATIONAL MEETINGS WITH PRESENTATIONS AND POSTERS. VISITING MEDICAL STUDENTS: VISITING MEDICAL STUDENT EDUCATION REPRESENTS A MAJOR ACADEMIC COMMITMENT BY CLEVELAND CLINIC. IN 2015, 269 MEDICAL STUDENTS FROM 126 MEDICAL SCHOOLS AROUND THE WORLD WERE AMONG THE 611 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 2015, THE CENTER FOR CONTINUING EDUCATION OFFERED 1,782 CME ACTIVITIES TO 310,662 PARTICIPANTS. OF THAT NUMBER, 1,012 WERE LIVE COURSES THAT ATTRACTED 77,048 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 469 ACTIVITIES THAT ATTRACTED 184,867 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, WITH THE CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS RECEIVING MORE THAN 75,000 CERTIFICATES. IN 2015, THE CENTER ISSUED 288,933 CERTIFICATES FOR ALL ACTIVITIES COMBINED. THE CCJM ENJOYED A CIRCULATION OF MORE THAN 104,000 AND RANKED NO. 1 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 3 MILLION PEOPLE AROUND THE WORLD. IN 2015 THE CCJM WEBSITE RECORDED 2,325,937 PAGE VIEWS FROM NEARLY 2 MILLION UNIQUE VISITORS. CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF HEALTH SCIENCE STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 14 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 55 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2015, CLEVELAND CLINIC HOSTED MORE THAN 2,000 CLINICAL ROTATIONS FOR HEALTH SCIENCE STUDENTS. CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THIS CENTER IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IN 2015, 849 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 398 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC ON PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, UROLOGY, PEDIATRICS, BREAST CANCER, AND OBESITY; AND OUR OWN STAFF TRAVELED TO MORE THAN 18 COUNTRIES TO SHARE CLINICAL AND SURGICAL INNOVATIONS. IV. ADDITIONAL COMMUNITY BENEFIT PATIENT CARE PROVIDED ON A CHARITABLE BASIS, RESEARCH, AND EDUCATION DESCRIBED ABOVE ARE INTEGRAL COMPONENTS OF THE COMMUNITY BENEFIT THE CLEVELAND CLINIC ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF OUR COMMUNITY BENEFIT ARE: COMMUNITY EDUCATION EDUCATING THE COMMUNITY HAS ALSO BEEN A PRIORITY AT CLEVELAND CLINIC. OUR CENTER FOR CONSUMER HEALTH INFORMATION EXPANDS KNOWLEDGE THROUGH A VARIETY OF MEDIA TO PATIENTS AND THE NORTHEAST OHIO COMMUNITY. FOLLOWING ARE SOME OF THE PROGRAMS OFFERED DURING 2015: HEALTH INFORMATION RESOURCE CENTER: THE ON-CAMPUS PATIENT AND FAMILY HEALTH AND EDUCATION CENTER IS A PLACE WHERE PATIENTS, VISITORS, AND EMPLOYEES CAN TAKE ADVANTAGE OF HEALTH INFORMATION RESOURCES. THE CONSUMER HEALTH INFORMATION STAFF ALSO FULFILLS REQUESTS FOR HEALTH INFORMATION MADE IN WRITING, BY EMAIL, OR BY PHONE. IN 2015, THE CENTER FULFILLED 13,329 REQUESTS AND SERVED 13,301 PEOPLE WHO CAME INTO THE CENTER FOR INFORMATION. HEALTH TALKS AND CCTV: THE CENTER FOR CONSUMER HEALTH INFORMATION HOSTED 26 COMMUNITY HEALTH TALKS/HEALTH EXCHANGE PROGRAMS AND MANAGED 3,472 SCHEDULED CLOSED-CIRCUIT TELEVISION WEEKLY PROGRAMS AND 787 WEEKLY ON-DEMAND TELEVISED PROGRAMS. INTERNET SITE: THE CENTER FOR CONSUMER HEALTH INFORMATION WEBSITE (WWW.CLEVELANDCLINIC.ORG/HEALTH) CONTINUES TO BE A SOURCE OF INFORMATION FOR USERS AROUND THE WORLD. THE WEBSITE ALSO FEATURES LIVE WEBCHATS WITH A HEALTH EDUCATOR, ALLOWING THE PUBLIC TO POST QUESTIONS AND HAVE THEM ANSWERED IN REAL TIME. WEBCHATS TAKE PLACE MONDAY THROUGH FRIDAY, FROM 9 AM TO 3:00 PM. BY THE END OF 2015, WE HELD 10,055 WEBCHATS. 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 2015, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $242.7 MILLION (THIS FIGURE IS NET OF AN HCAP BENEFIT OF $12.3 MILLION). SUBSIDIZED HEALTH SERVICES IN ADDITION TO FINANCIAL ASSISTANCE AND COSTS NOT COVERED BY MEDICAID PAYMENTS, ANOTHER CLINICAL COMMUNITY BENEFIT CATEGORY IS "SUBSIDIZED HEALTH SERVICES." THESE SERVICES YIELD LOW OR NEGATIVE MARGINS BUT ARE NEEDED IN THE COMMUNITY. CLEVELAND CLINIC HEALTH SYSTEM PROVIDED SUBSIDIZED HEALTH SERVICES IN 2015 AT A COST OF $18.6 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING OR CONTRIBUTING TO MORE THAN 300 SUCH PROGRAMS IN 2015 FOR A TOTAL NET COMMUNITY BENEFIT OF $38.7 MILLION. THESE PROGRAMS ARE DESIGNED TO SERVE THE VULNERABLE AND AT-RISK POPULATIONS IN OUR COMMUNITIES. OUR WELL-ESTABLISHED OUTREACH PROGRAMS RANGE FROM FREE WELLNESS INITIATIVES, HEALTH SCREENINGS, CLINICAL SERVICES, AND EDUCATION TO ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAMS. OUTREACH PROGRAMS ADDRESS DOCUMENTED HEALTH NEEDS OF OUR COMMUNITIES AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2015, SOME HIGHLIGHTS INCLUDED: -WELLNESS INITIATIVES IN THE AREAS OF DISEASE/INJURY PREVENTION AND BEHAVIORAL CHANGE, INCLUDING TOBACCO CESSATION, NUTRITION IMPROVEMENT, EXERCISE, HELP WITH SUBSTANCE ABUSE, CHILD SAFETY, TEEN PARENTING AND DOMESTIC VIOLENCE. PROGRAMS WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, COLLABORATING CITIES AND COUNTIES. -HEALTH FAIRS PROVIDED THOUSANDS OF PEOPLE WITH FREE SCREENINGS. THE CLEVELAND CLINIC MINORITY MEN'S HEALTH FAIR, CELEBRATING SISTERHOOD, AND NEIGHBORHOOD FAIRS EDUCATED COMMUNITY MEMBERS ON THE BENEFITS OF PREVENTATIVE CARE. -CLEVELAND CLINIC PROVIDED NO-COST CLINICAL CARE TO UNDER- AND UNINSURED FAMILIES AT COMMUNITY SITES, INCLUDING LANGSTON HUGHES HEALTH & EDUCATION CENTER AND THE PEDIATRIC MOBILE UNIT, WHICH PROVIDED WELLNESS SERVICES TO OUR COMMUNITIES. IN ADDITION, LABORATORY AND VISION SERVICES WERE DONATED TO CLEVELAND-AREA ORGANIZATIONS. -COMMUNITY CLASSES AND INTERACTIVE WEBCHATS OFFERED HEALTH EDUCATION IN THE AREAS OF HEART DISEASE, STROKE, CANCER, DIABETES, ASTHMA AND BRAIN HEALTH. OUR HOSPITALS AND FAMILY HEALTH CENTERS PROVIDED CLASSES FOR HEALTH SENIOR AND YOUTH LIFESTYLES. -LET'S MOVE IT INITIATIVE CONNECTED RESIDENTS WITH LOCAL RESOURCES IN A COLLABORATIVE EFFORT TO STRENGTHEN COMMUNITIES THROUGH WELLNESS ACTIVITIES, ACADEMIC ACHIEVEMENT AND CAREER PREPAREDNESS. -COMMUNITY FARMERS MARKETS, URBAN GARDENS, AND A MOBILE FOOD PANTRY PROVIDED ACCESS TO FRESH LOCAL PRODUCTS AND SUPPLEMENTAL FOOD PROGRAMS. V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC IS TO BENEFIT HUMANITY THROUGH THE EFFICIENT, EFFECTIVE, AND ETHICAL PRACTICE OF MEDICINE, BY ADVANCING SCIENTIFIC INVESTIGATION AND MEDICAL EDUCATION, BY MAINTAINING THE HIGHEST STANDARDS OF QUALITY, AND BY FOSTERING CREATIVITY AND INNOVATION.
FORM 990, PART VI, SECTION A, LINE 2	RONALD WEINBERG AND WILLIAM PEACOCK - BUSINESS JOSEPH SCAMINACE AND WILLIAM REIDY - BUSINESS
FORM 990, PART VI, SECTION A, LINE 3	CCF HOTEL SERVICES, LLC, A SINGLE MEMBER DISREGARDED ENTITY OF CCF, HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTERCONTINENTAL HOTELS CORPORATION TO MANAGE THE TWO HOTELS OWNED BY CCF HOTEL SERVICES, LLC.
FORM 990, PART VI, SECTION A, LINE 6	PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND TRUSTEES. IT DOES NOT HAVE STOCKHOLDERS.
FORM 990, PART VI, SECTION A, LINE 7A	PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS (TRUSTEES), AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. IN ADDITION, THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO, THE AUDIT COMMITTEE CHAIRPERSON AND THE AUDIT COMMITTEE VICE CHAIRPERSON. THE PAID PREPARER (BIG 4 PUBLIC ACCOUNTING FIRM) CONDUCTS AN IN DEPTH REVIEW OF THE FORM. ANNUALLY, THE 990 FILING IS REVIEWED AND DISCUSSED WITH THE ENTIRE AUDIT COMMITTEE. UPON CONFIRMATION OF SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN WILL BE MADE AVAILABLE TO APPROPRIATE MEMBERS OF THE GOVERNING BODY. IN ADDITION TO POSTING ON GUIDESTAR, THE FINAL E-FILED RETURN WILL BE POSTED ON THE ORGANIZATION'S WEBSITE AT WWW.CLEVELANDCLINIC.ORG.
FORM 990, PART VI, SECTION B, LINE 12C	CCF HAS ADOPTED A CONFLICT OF INTEREST ("COI") POLICY CONSISTENT WITH THE MODEL IRS COI POLICY. IT APPLIES TO DIRECTORS, OFFICERS AND TRUSTEES OF CCF AND ALL ITS AFFILIATES, BOTH EXEMPT AND TAXABLE. UNDER THE BOARD OF DIRECTORS POLICY AND PROCEDURES FOR DEALING WITH CONFLICT OF INTEREST ISSUES (THE POLICY), A TRUSTEE OR DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT MUST REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION, OR ARRANGEMENT. IN ADDITION, THE TRUSTEES, DIRECTORS AND OFFICERS MUST ANNUALLY DISCLOSE ANY INTERESTS AS DEFINED IN THE POLICY THAT MAY BE CONSIDERED A POTENTIAL CONFLICT OF INTEREST. FAILURE TO TIMELY REPLY IS TO BE ADDRESSED BY THE COMMITTEE UNDER THE POLICY. THE TRUSTEES, OFFICERS AND DIRECTORS HAVE A CONTINUING OBLIGATION TO NOTIFY THE CHIEF GOVERNANCE OFFICER AT ANY TIME DURING THE YEAR IF ANY OF THEIR DISCLOSURES CHANGE OR IF A NEW DISCLOSURE IS REQUIRED UNDER THE POLICY. THE BOARD CONFLICT OF INTEREST COMMITTEE MEETS AT LEAST FOUR TIMES A YEAR AND REVIEWS THE DISCLOSURES, ANY PROPOSED ARRANGEMENTS THAT MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, AND DOCUMENTS THEIR CONCLUSIONS. UNDER THE POLICY, THE INTERESTED PERSONS MAY ATTEND A MEETING AT THE DISCRETION OF THE BOARD OR COMMITTEE TO PROVIDE INFORMATION OR ANSWER QUESTIONS, BUT THEY MAY NOT BE PRESENT DURING FINAL CONSIDERATION OR VOTING ON THE ARRANGEMENTS.
FORM 990, PART VI, SECTION B, LINE 15	ALL CCF OFFICERS AND KEY EMPLOYEE POSITIONS HAVE THEIR COMPENSATION REVIEWED IN ADVANCE ANNUALLY BY THE COMPENSATION COMMITTEE OF THE CCF BOARD OF DIRECTORS, WHICH IS VESTED WITH BOARD-DELEGATED POWERS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO COMPENSATION MATTERS. IN REVIEWING AND ESTABLISHING COMPENSATION FOR THESE OFFICERS AND KEY EMPLOYEES, THE COMMITTEE USES A PROCESS WHICH IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 53.4958-6(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO EACH YEAR PROVIDES CCF WITH A CUSTOMIZED COMPENSATION REPORT REGARDING PHYSICIAN COMPENSATION. BY USING THIS DATA, CCF HAS BEEN ABLE TO DEVELOP MARKET-BASED COMPENSATION FOR PHYSICIAN SERVICES. IN ESTABLISHING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES PERFORMING NON-PHYSICIAN SERVICES, THE COMPENSATION COMMITTEE RETAINS AND CONSULTS WITH AN INDEPENDENT COMPENSATION CONSULTANT, WHO PREPARES A CUSTOMIZED REPORT FOR THE COMMITTEE REGARDING AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. THE COMMITTEE USES THE MARKET-BASED DATA PROVIDED BY THE CONSULTANT, AND WHERE APPROPRIATE, PERFORMANCE REVIEWS AND COMPENSATION RECOMMENDATIONS BY THE CHIEF EXECUTIVE OFFICER AND CHIEF OF STAFF, TO ESTABLISH MARKET-BASED COMPENSATION. AFTER MAKING ITS COMPENSATION DECISIONS, THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS IN CCF'S WRITTEN OR ELECTRONIC BOOKS AND RECORDS.
FORM 990, PART VI, SECTION C, LINE 19	CCF MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. IN THIS SECTION, THE FINANCIAL STATEMENTS, ANNUAL REPORT, COMMUNITY BENEFIT REPORT, CCF'S CONFLICT OF INTEREST POLICY, AND CORPORATE COMPLIANCE POLICIES ARE AVAILABLE.
FORM 990, PART VI, SECTION C, LINE 18:	THE MOST RECENTLY FILED FORM 990 IS AVAILABLE ON THE CCF WEBSITE, WWW.CLEVELANDCLINIC.ORG, UNDER THE "ABOUT CLEVELAND CLINIC" SECTION. ALL OTHER DOCUMENTS WHICH ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE OBTAINED UPON REQUEST.
FORM 990, PART XI, LINE 9:	DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES 45,741. GIFTS AND BEQUESTS 125,005,124. TRANSFER OF NET ASSETS -147,589,712. NET INVESTMENT INCOME -1,000,074. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS -34,239,609. RETIREMENT BENEFITS ADJUSTMENT 25,546,013. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS -4,946,537. EQUITY TRANSFERS -1,816,167. EQUITY ADJUSTMENT 231,455. COMBINED REPORTING ADJUSTMENT 650,000. ROUNDING -2.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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 (if applicable) 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	THE CLEVELAND CLINIC FOUNDATION
(2) CCF AMBULATORY SURGERY CENTERS LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1939710	HEALTHCARE SERVICES	OH	18,624,598	0	THE CLEVELAND CLINIC FOUNDATION
(3) CLEVELAND CLINIC CARE COORDINATION LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 45-5282492	HEALTHCARE SERVICES	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(4) CLEVELAND CLINIC FLORIDA NAPLES LLC 2950 CLEVELAND CLINIC BLVD WESTON,FL33331 31-1741150	HEALTHCARE SERVICES	FL	0	0	CLEVELAND CLINIC FLORIDA (A NON-PROFIT CORPORATION)
(5) CLEVELAND CLINIC GLOBAL SOLUTIONS LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 26-3666730	LICENSING OF INTELLECTUAL PROPERTY	OH	7,968,533	20,674,957	THE CLEVELAND CLINIC FOUNDATION
(6) CLEVELAND CLINIC OBGYN SPECIALTIES LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1938153	HEALTHCARE SERVICES	OH	6,959,890	17,906	THE CLEVELAND CLINIC FOUNDATION
(7) CLEVELAND CLINIC WELLNESS ENTERPRISE LLC 1950 RICHMOND ROAD LYNDHURST,OH44124 26-3859233	HEALTHCARE SERVICES	OH	4,499,974	0	THE CLEVELAND CLINIC FOUNDATION
(8) CLINIC MEDICAL SERVICES COMPANY LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1932969	HEALTHCARE SERVICES	OH	61,485,893	441,661	THE CLEVELAND CLINIC FOUNDATION
(9) CLINIC PHYSICIAN SERVICES COMPANY LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1907574	HEALTHCARE SERVICES	OH	27,319,436	32,757	THE CLEVELAND CLINIC FOUNDATION
(10) CLINIC REGIONAL PHYSICIANS LLC 25875 SCIENCE PARK DR BEACHWOOD,OH44122 26-2636530	HEALTHCARE SERVICES	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(11) MEDINA HEALTH VENTURES LLC 1000 E WASHINGTON STREET MEDINA,OH44256	INACTIVE	OH	0	0	MEDINA HOSPITAL
(12) MERIDIA MEDICAL GROUP LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 34-1898545	INACTIVE	OH	0	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
(13) NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 20-0442351	HEALTHCARE SERVICES	OH	0	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
(14) OHIO STAR IMAGING LLC 9500 EUCLID AVENUE CLEVELAND,OH44195	INACTIVE	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(15) PSVW LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 26-1614376	REAL ESTATE HOLDINGS	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(16) REJ HOLDINGS LLC 3050 SCIENCE PARK DRIVE BEACHWOOD,OH44122 27-3245990	REAL ESTATE HOLDINGS	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(17) THE BRENTWOOD CENTER OF EXCELLENCE LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 20-1476092	HEALTHCARE SERVICES	OH	0	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
(18) WOOSTER CLINIC LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1855775	HEALTHCARE SERVICES	OH	44,844,390	0	THE CLEVELAND CLINIC FOUNDATION
(19) CLEVELAND CLINIC MEDICARE ACO LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 47-1281189	HEALTHCARE SERVICES	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(20) ADEO LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 46-5704174	TECHNOLOGY SERVICES	OH	3,421	232,063	THE CLEVELAND CLINIC FOUNDATION
(21) CCF HOTEL SERVICES LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-0666034	HOTEL OPERATIONS	OH	36,426,691	148,035,343	THE CLEVELAND CLINIC FOUNDATION
(22) INTELLIS EPM LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 27-0645368	MEDICAL TECHNOLOGY	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(23) CC WEB SOLUTIONS LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 26-3222020	MEDICAL TECHNOLOGY	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(24) TATARA VASCULAR LLC 10000 CEDAR AVE CLEVELAND,OH44106 47-4282964	MEDICAL TECHNOLOGY	DE	0	0	THE CLEVELAND CLINIC FOUNDATION

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 entity?
(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	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)LAKEWOOD HOSPITAL FOUNDATION INC 14601 DETROIT AVENUE STE 240 LAKEWOOD,OH44107 34-6519834	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 11C, III-FI	N/A		No
(3)MEDINA COUNTY HEALTH CORPORATION 1000 E WASHINGTON ST MEDINA,OH44256 27-0756266	SUPPORT MEDINA HOSPITAL	OH	501(C)(3)	LINE 11C, III-FI	MEDINA HOSPITAL		No
(4)NATIONAL HEALTHCARE RESEARCH & EDUCATION FINANCE CORP 2001 ROSS AVENUE DALLAS,TX75201 31-1707979	SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES	TX	501(C)(3)	LINE 11C, III-FI	N/A		No
(5)WO WALKER CENTER INC 10700 EUCLID AVENUE CLEVELAND,OH44106 91-1818256	HEALTHCARE SERVICES	OH	501(C)(3)	LINE 11C, III-FI	N/A		No
(6)AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL 18101 LORAIN AVENUE CLEVELAND,OH44111 23-7108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	LINE 11D, III-O	N/A		No
(7)LAKEWOOD HOSPITAL GIFT AND BLOSSOM SHOPS INC 14519 DETROIT AVENUE LAKEWOOD,OH44107 34-0001633	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 11D, III-O	N/A		No
(8)AKRON GENERAL HEALTH SYSTEM 1 AKRON GENERAL AVENUE AKRON,OH44307 35-1546466	HEALTHCARE SERVICES	OH	501(C)(3)	LINE 11C, III-FI	THE CLEVELAND CLINIC FOUNDATION		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CCFMHS RENAL CARE COMPANY LTD 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1863789	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	3,700,831	12,877,420		No		Yes		60.000 %
(2) CCHS WESTLAKE IMAGING CENTER LLC 6801 BRECKSVILLE ROAD RK-85 INDEPENDENCE,OH44131 34-1914277	MEDICAL SERVICES	OH	FAIRVIEW HOSPITALLAKEWOOD HOSP ASSN	RELATED	-525,175			No		Yes
(3) CLEVELAND HEALTH NETWORK MSO LLC 4700 ROCKSIDE ROAD STE 200 INDEPENDENCE,OH44131 31-1566180	MEDICAL SERVICES	OH	N/A	RELATED		22,014		No		Yes		79.900 %
(4) PROGNOSTIX LLC 10000 CEDAR AVE CLEVELAND,OH44106 30-0624422	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	-413	149,191		No			No	78.000 %
(5) EXCELERATE STRATEGIC HEALTH SOURCING LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 46-1810992	HEALTHCARE OP & MGMT	DE	THE CLEVELAND CLINIC FOUNDATION	RELATED	-395,661	1,968,945		No	-483,368		No	60.000 %

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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) CCF BOLTON INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 20-4596571	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C				Yes
(2) CCHS INDEMNITY CO LTD 23 LIME TREE BAY BOX 1051 GRAND CAYMAN KY1-1102 CJ 98-0207086	INSURANCE COMPANY	CJ	THE CLEVELAND CLINIC FOUNDATION	C	53,110,698	138,282,556	100.000 %	Yes
(3) CLEVELAND CLINIC CANADA-TORONTO INC 181 BAY STREET BOX818 TORONTO M5J 2T3 CA	HEALTH CARE SERVICES	CA	THE CLEVELAND CLINIC FOUNDATION	C	7,482,197	1,825,981	100.000 %	Yes
(4) CLEVELAND CLINIC EMR INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 20-4856025	MEDICAL SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	2,137,747	1,229,249		Yes
(5) CLEVELAND CLINIC FLORIDA HEALTH PLAN INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 65-0338016	BUSINESS SERVICES	FL	CLINIC MEDICAL SOLUTIONS INC	C			100.000 %	Yes
(6) CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 34-1877409	MEDICAL SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	8,831,099	18,273,417		Yes
(7) CLEVELAND HEALTH NETWORK 6000 WEST CREEK ROAD STE 20 INDEPENDENCE,OH44131 34-1770780	MEDICAL SERVICES	OH	N/A	C	419	1,379,148		Yes
(8) CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION 6000 WEST CREEK ROAD STE 20 INDEPENDENCE,OH44131 34-1808138	HEALTHCARE SERVICES	OH	CLEVELAND HEALTH NETWORK INC	C	2,475,103	4,263,121		Yes
(9) CLINIC MEDICAL SOLUTIONS INC 18101 LORAIN AVENUE CLEVELAND,OH44111 34-1695388	HEALTH CARE SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	C	17,895,223	5,965,691		Yes
(10) CMCD INC 1000 E WASHINGTON STREET MEDINA,OH44256 34-1256599	REAL ESTATE	OH	MEDINA HOSPITAL	C		311,040	100.000 %	Yes
(11) CUSTOM ORTHOPAEDIC SOLUTIONS INC 10000 CEDAR AVENUE CLEVELAND,OH44106 27-4838981	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	960,231	740,959	100.000 %	Yes
(12) I-COMET TECHNOLOGIES INC 10000 CEDAR AVENUE CLEVELAND,OH44106 45-2063841	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	20,089	14,798	100.000 %	Yes
(13) IMAGEIQ INC 10000 CEDAR AVENUE CLEVELAND,OH44106 27-4427530	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	2,320,257	914,254	92.340 %	Yes
(14) INFUSEON THERAPEUTICS INC 10000 CEDAR AVENUE CLEVELAND,OH44106 46-1776182	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C		329,766	100.000 %	Yes
(15) ION-VAC INC 10000 CEDAR AVENUE CLEVELAND,OH44106 46-1560044	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C		113,483	100.000 %	Yes
(16) IVHR INC 10000 CEDAR AVENUE CLEVELAND,OH44106 45-4657632	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C		54,515	100.000 %	Yes
(17) LAKEWOOD HEALTHCARE FOUNDATION 14519 DETROIT AVENUE LAKEWOOD,OH44107 34-1574608	HEALTHCARE SERVICES	OH	N/A	C				Yes
(18) MCZ INC 1000 E WASHINGTON STREET MEDINA,OH44256 34-1256598	LEASING	OH	MEDINA HOSPITAL	C	8,457	500	100.000 %	Yes
(19) MEDINVEST INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 20-3978297	HOLDING COMPANY	OH	CLINIC MEDICAL SOLUTIONS INC	C			100.000 %	Yes
(20) MERIDIA HEALTH VENTURES INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 34-1533871	HEALTH CARE SERVICES	OH	CLEVELAND CLINIC HOME CARE	C			100.000 %	Yes
(21) MERLOT ORTHOPEDIX INC 10000 CEDAR AVENUE CLEVELAND,OH44106 11-3779414	MEDICAL DEVICE MANUFACTURING	DE	THE CLEVELAND CLINIC FOUNDATION	C		88,658	55.000 %		No
(22) NEOMEDICS INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 02-0656818	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C			100.000 %	Yes
(23) OPTOQUEST CORPORATION 10000 CEDAR AVENUE CLEVELAND,OH44106 26-3589643	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C	179,744	29,911	100.000 %	Yes
(24) PINE FALLS CONDOMINIUM ASSOCIATES INC 6100 WEST CREEK SUITE 25 INDEPENDENCE,OH44131 34-1617589	CONDO RENTALS	OH	THE CLEVELAND CLINIC FOUNDATION	C			75.000 %		No
(25) SHIELD BIOTECH INC 10000 CEDAR AVENUE CLEVELAND,OH44106 46-2880975	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C		6,143,387	72.000 %		No
(26) CENTERLINE BIOMEDICAL INC 10000 CEDAR AVENUE CLEVELAND,OH44106 47-2238759	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C		530,860	32.900 %		No
(27) PIVOT DRUG INC 10000 CEDAR AVENUE CLEVELAND,OH44106 47-2855062	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C			100.000 %	Yes
(28) NEUROTHERAPIA INC 10000 CEDAR AVENUE CLEVELAND,OH44106 47-3977513	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C		784,689	100.000 %	Yes
(29) VIVERE PHARMA INC 10000 CEDAR AVENUE CLEVELAND,OH44106 47-5397125	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C			100.000 %	Yes
(30) CLEVELAND CLINIC UK HOLDINGS LTD 20-22 BEDFORD ROW LONDON CW1R 4JS UK	HOLDING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C	720,199	427,894,254	100.000 %	Yes
(31) CLEVELAND CLINIC LONDON LTD 20-22 BEDFORD ROW LONDON CW1R 4JS UK	HOSPITAL OPERATING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C			100.000 %	Yes
(32) CHARITABLE REMAINDER TRUSTS (16) C/O 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131	CHARITABLE TRUST	OH	THE CLEVELAND CLINIC FOUNDATION	T					No
(33) CHARITABLE LEAD TRUST (1) C/O 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44132	CHARITABLE TRUST	PA	THE CLEVELAND CLINIC FOUNDATION	T					No
(34) 33 GROSVENOR PLACE LTD 1 WAVERLY PLACE UNION STREET ST. HELIER JE1 1SG JE	LEASE HOLDING COMPANY	JE		C	59,161,943	355,618,686	100.000 %	Yes

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CLEVELAND CLINIC CANADA - TORONTO INC	A	100,000	FMV
(2) CLEVELAND CLINIC EDUCATIONAL FOUNDATION	B	21,845,588	FMV
(3) EXCELERATE STRATEGIC HEALTH SOURCING LLC	B	1,200,000	FMV
(4) CLEVELAND CLINIC UK HOLDINGS LTD	B	60,396,574	FMV
(5) CLEVELAND CLINIC CANADA - TORONTO INC	C	215,740	FMV
(6) CCHS INDEMNITY COMPANY LTD	D	831,000	FMV
(7) CUSTOM ORTHOPAEDIC SOLUTIONS INC	D	608,333	FMV
(8) IVHR INC	D	14,083,000	FMV
(9) NEUROTHERAPIA INC	D	1,020,833	FMV
(10) SHIELD BIOTECH INC	D	71,066	FMV
(11) CLEVELAND CLINIC EDUCATIONAL FOUNDATION	J	3,003,814	FMV
(12) CLEVELAND CLINIC MEDICAL SERVICES INC	J	439,728	FMV
(13) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION	K	2,672,608	FMV
(14) CLINIC MEDICAL SOLUTIONS INC	K	281,327	FMV
(15) FAIRVIEW HOSPITAL	K	330,879	FMV
(16) LAKEWOOD HOSPITAL ASSOCIATION	K	1,121,089	FMV
(17) MARYMOUNT HOSPITAL INC	K	671,461	FMV
(18) CLEVELAND CLINIC NEVADA	L	122,542	FMV
(19) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION	L	5,005,466	FMV
(20) EXCELERATE STRATEGIC HEALTH SOURCING LLC	L	422,558	FMV
(21) FAIRVIEW HOSPITAL	L	2,934,000	FMV
(22) LAKEWOOD HOSPITAL ASSOCIATION	L	1,310,000	FMV
(23) LUTHERAN HOSPITAL	L	609,000	FMV
(24) MARYMOUNT HOSPITAL INC	L	2,031,130	FMV
(25) MEDINA HOSPITAL	L	212,862	FMV
(26) SHIELD BIOTECH INC	L	576,980	FMV
(27) CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION	M	1,600,000	FMV
(28) CLEVELAND CLINIC MEDICAL SERVICES INC	M	9,833,000	FMV
(29) CCHS INDEMNITY COMPANY LTD	P	37,147,935	FMV
(30) CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)	Q	13,263,320	FMV
(31) CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION	Q	12,651,327	FMV
(32) CLEVELAND CLINIC HOME CARE SERVICES	Q	6,102,646	FMV
(33) CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION	Q	2,799,733	FMV
(34) CLEVELAND CLINIC EDUCATIONAL FOUNDATION	Q	1,132,611	FMV
(35) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION	Q	71,963,596	FMV
(36) CLINIC MEDICAL SOLUTIONS INC	Q	65,633	FMV
(37) FAIRVIEW HOSPITAL	Q	44,725,036	FMV
(38) LAKEWOOD HOSPITAL ASSOCIATION	Q	16,424,935	FMV
(39) LUTHERAN HOSPITAL	Q	12,020,538	FMV
(40) MARYMOUNT HOSPITAL INC	Q	19,076,806	FMV
(41) MEDINA HOSPITAL	Q	13,859,835	FMV
(42) AKRON GENERAL HEALTH SYSTEM	R	64,862,469	FMV
(43) EXCELERATE STRATEGIC HEALTH SOURCING LLC	S	192,655	FMV
(44) I-COMET TECHNOLOGIES INC	S	976,890	FMV

Schedule R (Form 990) 2015

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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PATIENT CARE, RESEARCH & EDUCATION
2	Check this box
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	17
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	34,893
6	Total number of volunteers (estimate if necessary) .............	6	1,729
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	50,270,331
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	67,175

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	247,936,164	226,230,648
9	Program service revenue (Part VIII, line 2g) .........	4,683,757,213	4,869,018,511
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	135,154,628	147,764,428
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	23,546,266	86,627,710
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,090,394,271	5,329,641,297
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	114,854,396	118,808,523
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)	2,646,541,111	2,661,500,472
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	1,495,997	1,683,301
b	Total fundraising expenses (Part IX, column (D), line 25) 13,479,216
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,934,588,220	2,012,647,016
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,697,479,724	4,794,639,312
19	Revenue less expenses. Subtract line 18 from line 12.......	392,914,547	535,001,985
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	8,846,770,261	9,069,861,870
21	Total liabilities (Part X, line 26).............	4,769,253,388	4,691,944,158
22	Net assets or fund balances. Subtract line 21 from line 20.....	4,077,516,873	4,377,917,712

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 4,298,006,991 including grants of $ 118,808,523 ) (Revenue $ 4,869,018,511 )
	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 expenses4,298,006,991

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	27,657,101	0	-1,773,433

1a	Federated campaigns..		1a	55,881,233
b	Membership dues..		1b
c	Fundraising events..		1c	6,720,308
d	Related organizations		1d	1,736
e	Government grants (contributions)		1e	103,147,251

f	All other contributions, gifts, grants, and similar amounts not included above		1f	60,480,120

g	Noncash contributions included in lines 1a-1f:$ 60,532,195
h Total.Add lines 1a-1f.......		226,230,648

		Business Code
2a	NET PATIENT SERVICES	621990	2,988,177,218	2,988,177,218
b	MEDICARE/MEDICAID PAYM	921990	1,544,687,378	1,544,687,378
c	OTHER PROGRAM SERVICES	900099	227,534,095	221,408,355	6,125,740
d	PARKING, PHONE & OTHER	812930	52,152,374			52,152,374
e	MANAGEMENT FEES	561000	20,962,281	8,052,292	12,909,989
f	All other program service revenue.			35,505,165	3,496,037	32,009,128
g Total.Add lines 2a–2f.....			4,869,018,511

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			58,898,440			58,898,440
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			14,741,461			14,741,461
		(ii) Personal	(i) Real
6a	Gross rents		8,936,522
b	Less: rental expenses		0
c	Rental income or (loss)		8,936,522
d	Net rental income or (loss)......			8,936,522			8,936,522
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	69,303	1,171,527,026
b	Less: cost or other basis and sales expenses	2,592,399	1,080,137,942
c	Gain or (loss)	-2,523,096	91,389,084
d	Net gain or (loss).....			88,865,988			88,865,988
8a	Gross income from fundraising events (not including $ 6,720,308of contributions reported on line 1c). See Part IV, line 18 ....
	a		567,935
b	Less: direct expenses ...b		3,994,398
c	Net income or (loss) from fundraising events..			-3,426,463			-3,426,463
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..
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..
Business Code			Miscellaneous Revenue
11a	INCOME (LOSS) ON INVES		523000	44,378,305		-774,526	45,152,831
b	INVESTMENT IN AFFILIAT		523000	43,529,075			43,529,075
c	FOREIGN CURRENCY		525990	610,292			610,292
d	All other revenue ....			-22,141,482			-22,141,482
e	Total. Add lines 11a–11d ......			66,376,190
12	Total revenue. See Instructions......			5,329,641,297	4,765,821,280	50,270,331	287,319,038

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	27,798,011	27,798,011
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	90,155,726	90,155,726
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	854,786	854,786
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	16,987,599	4,882,742	12,104,857
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	2,103,158,400	1,827,520,772	268,356,617	7,281,011
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	101,336,035	87,986,521	12,930,170	419,344
9	Other employee benefits .......	297,754,265	258,934,692	37,992,539	827,034
10	Payroll taxes ...........	142,264,173	123,614,571	18,152,476	497,126
11	Fees for services (non-employees):
a	Management ......	3,330,485	2,905,525	424,960
b	Legal .........	5,699,360	4,972,139	727,221
c	Accounting ...........	1,355,081		1,355,081
d	Lobbying ...........	626,025	626,025
e	Professional fundraising services. See Part IV, line 17	1,683,301			1,683,301
f	Investment management fees ......	12,048,813		12,048,813
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	163,115,960	140,833,972	20,813,101	1,468,887
12	Advertising and promotion ....	29,077,629	25,313,174	3,710,217	54,238
13	Office expenses .......	50,146,071	43,417,507	6,398,486	330,078
14	Information technology ......	66,704,564	58,088,563	8,511,300	104,701
15	Royalties ..	4,898,090	4,273,109	624,981
16	Occupancy ...........	95,543,485	83,352,427	12,191,058
17	Travel ............	18,116,819	15,436,683	2,311,651	368,485
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	6,699,088	5,607,236	854,783	237,069
20	Interest ...........	94,172,114	82,156,039	12,016,075
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	248,259,178	216,545,321	31,677,116	36,741
23	Insurance ...	42,502,350	37,079,179	5,423,171
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	865,512,700	865,512,700
b	BAD DEBT EXPENSE	129,492,012	129,492,012
c	EQUIPMENT RENTAL & MAIN	77,641,280	67,706,407	9,906,791	28,082
d	STATE FRANCHISE FEE	39,923,043	39,923,043
e	All other expenses	57,782,869	53,018,109	4,621,641	143,119
25	Total functional expenses. Add lines 1 through 24e	4,794,639,312	4,298,006,991	483,153,105	13,479,216
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			166,965,561	1	286,518,858
2	Savings and temporary cash investments .........			17,158,815	2	11,247,454
3	Pledges and grants receivable, net ......			188,417,278	3	185,192,090
4	Accounts receivable, net .............			607,448,000	4	682,297,457
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				5,559,617	5	6,056,685
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....			10,578,038	7	10,779,355
8	Inventories for sale or use ........			77,523,678	8	80,964,447
9	Prepaid expenses and deferred charges ......			27,929,428	9	38,333,021
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	5,361,794,450
b	Less: accumulated depreciation	10b	2,823,041,900	2,452,476,661	10c	2,538,752,550
11	Investments—publicly traded securities .			2,534,524,488	11	2,291,976,054
12	Investments—other securities. See Part IV, line 11 .....			2,147,730,157	12	2,256,212,917
13	Investments—program-related. See Part IV, line 11 ..			12,000,000	13	12,000,000
14	Intangible assets ...............			40,954,051	14	56,571,825
15	Other assets. See Part IV, line 11 ...........			557,504,489	15	612,959,157
16	Total assets. Add lines 1 through 15 (must equal line 34)...			8,846,770,261	16	9,069,861,870

17	Accounts payable and accrued expenses .....	631,326,929	17	701,145,678
18	Grants payable ...	179,000	18	203,000
19	Deferred revenue .........	95,949,754	19	97,122,689
20	Tax-exempt bond liabilities .........	2,482,496,424	20	2,446,272,503
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other 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 ..	90,013,960	23	36,471,901
24	Unsecured notes and loans payable to unrelated third parties ..	97,503,999	24	108,360,527
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	1,371,783,322	25	1,302,367,860
26	Total liabilities. Add lines 17 through 25..	4,769,253,388	26	4,691,944,158

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	3,451,744,024	27	3,666,994,974
28	Temporarily restricted net assets ...........	385,941,764	28	447,595,723
29	Permanently restricted net assets	239,831,085	29	263,327,015
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	4,077,516,873	33	4,377,917,712
34	Total liabilities and net assets/fund balances ........	8,846,770,261	34	9,069,861,870

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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No