TY 2018 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) ABER ROBERTA...................................................................... DIRECTOR, VICE CHAIR - VNS	5.00 .................	X	X	0	0
(2) ALEMAGNO PHD SONIA...................................................................... VICE CHAIR - AGMC , LODI	5.00 .................	X	X	0	0
(3) ANDREAS LOIS...................................................................... DIRECTOR, BD CHAIR - UCHF	3.00 .................	X	X	0	0
(4) BANKS JOHN H...................................................................... TRUSTEE, TREASURER - MARYMOUNT	3.00 .................	X	X	0	0
(5) BARKHEIMER MARLENE...................................................................... DIRECTOR, VICE PRESIDENT - LODI	5.00 .................	X	X	0	0
(6) BARRETT LISA...................................................................... DIRECTOR, SECRETARY - AGP	50.00 .................	X	X	227,412	15,821
(7) BARSOUM MD WAEL...................................................................... TRUSTEE, HOSPITAL PRES - CC FLA	50.00 .................	X	X	1,137,589	41,001
(8) BEAN GREGORY...................................................................... DIRECTOR, CHAIR - AGF	3.00 .................	X	X	0	0
(9) BLANDON MD RODOLFO...................................................................... TRUSTEE, CHIEF OF STAFF - CC FLA	50.00 .................	X	X	741,124	43,001
(10) BOLOGNA MD RAYMOND...................................................................... DIRECTOR, CHAIR - PPG	50.00 .................	X	X	662,170	44,928
(11) BRYZTWA ELLEN...................................................................... TRUSTEE, BD VICE CHAIR - LAKEWD	3.00 .................	X	X	0	0
(12) MAU KATHLEEN...................................................................... DIR, SEC-MEDINA, PHYSICIAN	50.00 .................	X	X	125,049	10,057
(13) CARRINO FRANK...................................................................... DIR, VICE CHAIR - MEDINA	3.00 .................	X	X	0	0
(14) CARTER THERESA...................................................................... DIRECTOR, CHAIR - AGMC	5.00 .................	X	X	0	0
(15) CHACK DENNIS M...................................................................... DIR-CCF, TRUSTEE, CHAIR - MARYMOUNT	5.00 .................	X	X	0	0
(16) DEL CASTILLO BARBARA...................................................................... DIR, SEC - CC FLA PHARMACY SVCS	50.00 .................	X	X	495,656	40,768
(17) DELGADO OSMEL...................................................................... DIR, ADM CLINICAL OPS - CC FLA PHARM SVC	50.00 .................	X	X	377,083	12,700

(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) DONLEY MD BRIAN........................................................................ DIR-CCF & REGIONALS, CHIEF OF STAFF	50.00 .......................	X	X				2,267,528	327,956
(19) DUNN LISA A........................................................................ DIRECTOR, BD CHAIR - MEDINA	3.00 .......................	X	X				0	0
(20) FENTON MD ANDREW........................................................................ DIRECTOR, VICE CHAIR - PPG	50.00 .......................	X	X				422,046	11,991
(21) FRIGO DAVID........................................................................ DIRECTOR, TREASURER - AGP	50.00 .......................	X	X				202,360	14,786
(22) GABLE THOMAS J........................................................................ TRUSTEE, BD CHAIR - LAKEWOOD	5.00 .......................	X	X				0	0
(23) GLASS STEVEN C........................................................................ DIRECTOR, CFO & TREAS-CCF	50.00 .......................	X	X				1,654,712	42,994
(24) HARRINGTON MICHAEL........................................................................ DIR, TREAS - KMA; CAO - CCF	50.00 .......................	X	X				828,209	46,693
(25) HARTE MD BRIAN........................................................................ DIRECTOR, PRESIDENT - AGMC	50.00 .......................	X	X				685,417	47,011
(26) HERZIG JOHN........................................................................ DIRECTOR, SECRETARY - UHCHF	5.00 .......................	X	X				0	0
(27) HORN ROBERT A........................................................................ TRUSTEE, CHAIR - UNION	5.00 .......................	X	X				0	0
(28) HUNTER ELLEN........................................................................ DIRECTOR, BD CHAIR - MEDINA	3.00 .......................	X	X				0	0
(29) JAMES BRUCE........................................................................ TRUSTEE, PRESIDENT - UNION	50.00 .......................	X	X				450,092	37,450
(30) JOHNSON CINDY........................................................................ DIRECTOR, VICE CHAIR - AGF	5.00 .......................	X	X				0	0
(31) JONES MD J STEPHEN........................................................................ DIR, PRES REG HOSPITALS	50.00 .......................	X	X				309,665	33,938
(32) KAY HARVEY........................................................................ TRUSTEE, VICE CHAIR - CCCHR	3.00 .......................	X	X				0	0
(33) LAUGHLIN CRAIG B........................................................................ TRUSTEE, VICE CHAIR - UNION	5.00 .......................	X	X				0	0
(34) LEE SISTER SHAWN........................................................................ TRUSTEE, SEC - MARYMOUNT	3.00 .......................	X	X				0	0
(35) LERNER MARK........................................................................ DIRECTOR - CCF, CHAIR - AGHS	5.00 .......................	X	X				0	0
(36) MARKS DO MICHELLE........................................................................ TRUSTEE, MED DIR - CCCHR	50.00 .......................	X	X				266,980	47,702
(37) MCHUGH MD MICHAEL........................................................................ TRUSTEE, MED DIR - CCCHR	50.00 .......................	X	X				472,403	-84,981
(38) MIHALJEVIC MD TOMISLAV........................................................................ DIRECTOR, PRES & CEO - CCF	50.00 .......................	X	X				2,978,003	45,693
(39) MODIC MICHAEL........................................................................ DIRECTOR, PRESIDENT - KMA	50.00 .......................	X	X				247,882	-67,142
(40) MOONEY BETH E........................................................................ DIR, VICE CHAIR - CCF & REGS	5.00 .......................	X	X				0	0
(41) MORRIS JAMES........................................................................ PUBLIC TRUSTEE, PRES- LORD FDN	3.00 .......................	X	X				0	0
(42) MULLEN RN KAREN........................................................................ PRESIDENT, DIRECTOR - VNS	50.00 .......................	X	X				240,626	224,689
(43) NAPIERKOWSKI MD DANIEL........................................................................ TRUSTEE, PRES -MM & EUCLID	50.00 .......................	X	X				613,698	45,760
(44) NEVILLE JAMES R........................................................................ TRUSTEE, ASST SEC - CCCHR	3.00 .......................	X	X				0	0
(45) NILSSON KEITH........................................................................ DIRECTOR, CFO - CCFPS	50.00 .......................	X	X				468,700	16,232
(46) O'BRIEN TIMOTHY........................................................................ TRUSTEE, BOARD CHAIR - CCCHR	3.00 .......................	X	X				0	0
(47) PAPPAS MD RITA........................................................................ TRUSTEE, INTERIM PRES - CCCHR	50.00 .......................	X	X				404,000	43,728
(48) PARKER MD RICHARD........................................................................ TRUSTEE, HOS PRES - HILLCREST	50.00 .......................	X	X				883,783	-15,436
(49) PEACOCK WILLIAM........................................................................ DIR, COO-CCF, PRES -KMA, LRBI	50.00 .......................	X	X				1,770,449	45,706
(50) PLAZEK RONALD........................................................................ DIRECTOR, TREAS - MEDINA	3.00 .......................	X	X				0	0
(51) RASMUSSEN MD PETER........................................................................ DIRECTOR, PRESIDENT - CCHSPA	50.00 .......................	X	X				832,428	45,455
(52) RICE JAMES........................................................................ DIRECTOR, PRESIDENT - LODI	5.00 .......................	X	X				0	0
(53) RICH ROBERT E JR........................................................................ DIRECTOR, BOARD CHAIR- CCF	5.00 .......................	X	X				0	0
(54) ROWAN DAVID........................................................................ DIRECTOR, SECRETARY - CCF	50.00 .......................	X	X				1,631,352	46,847
(55) RUVO LARRY........................................................................ DIRECTOR, CHAIRMAN - KMA	3.00 .......................	X	X				0	0
(56) RUVO CAMILLE........................................................................ DIR, VICE CHAIRMAN - KMA	3.00 .......................	X	X				0	0
(57) SABANEGH MD EDMUND........................................................................ DIR, PRES, CC MAIN & REGS - CCF	50.00 .......................	X	X				1,000,050	45,277
(58) SALVATORE ALBERT N........................................................................ TRUSTEE, VICE CHAIR - MM	3.00 .......................	X	X				0	0
(59) SCAMINACE JOSEPH M........................................................................ DIR, BD VICE CHAIR - CCF, REGS	5.00 .......................	X	X				0	0
(60) SELBY SANDRA........................................................................ DIRECTOR, CHAIR (VNS)	3.00 .......................	X	X				0	0
(61) SWIGART AGNES K........................................................................ DIRECTOR, PRESIDENT - UHCHF	3.00 .......................	X	X				0	0
(62) WIEDEMANN MD HERBERT........................................................................ DIR, CHIEF OF STAFF - CCF, REG	50.00 .......................	X	X				985,114	-164,321
(63) AMOS RET GEN JAMES........................................................................ PUBLIC TRUSTEE - LORD FDN	3.00 .......................	X					0	0
(64) ANDERSON MD MICHAEL........................................................................ TRUSTEE - MARYMOUNT, PHYSICIAN	50.00 .......................	X					343,911	45,233
(65) AULETTA PATRICK V........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(66) BALLARD REV KAREN........................................................................ DIRECTOR - VNS	5.00 .......................	X					0	0
(67) BARGER DO LARRY........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(68) BEKENY MD JAMES........................................................................ TRUSTEE - LAKEWOOD, PHYSICIAN	50.00 .......................	X					349,914	47,309
(69) BENNETT KRIS........................................................................ DIR - AGMC, LODI, EXEC DIR REG HOSP	50.00 .......................	X					284,050	24,841
(70) BENZ MICHAEL........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(71) BERAN JOSETTE........................................................................ TRUSTEE - UNION, CHIEF STRATEGY OFF	50.00 .......................	X					705,281	38,377
(72) BERNICK MD CHARLES........................................................................ DIR - KMA, ASSOC MED DIR LOU RUVO CTR	50.00 .......................	X					317,992	190,889
(73) BILLOW CHARLES........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(74) BOGAR MD KEVIN........................................................................ TRUSTEE - MARYMOUNT, PHYSICIAN	50.00 .......................	X					601,306	46,411
(75) BORDEN MD BRAD........................................................................ TRUSTEE - CCCHR, PHYSICIAN	50.00 .......................	X					868,231	47,011
(76) BRADFORD JOHN........................................................................ DIRECTOR - PPG	3.00 .......................	X					0	0
(77) BRAMAN DO KENNETH........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					269,826	33,839
(78) BREAUX MD TODD........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					637,495	43,799
(79) BROOKS MD STEVE........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					382,042	30,830
(80) BROSKY CURTIS M........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(81) BROWN STEPHEN........................................................................ TRUSTEE - CCCHR	3.00 .......................	X					0	0
(82) CAPORALE MICHAEL........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(83) CARPAS JOHN........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(84) CHANDURKAR DO ROHIT........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					320,639	35,212
(85) CHERKALA BRIAN........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(86) CHHABRA ANKIT........................................................................ DIR-AGMC, LODI, EXEC DIR REG FIN OPS	50.00 .......................	X					290,430	25,254
(87) CHIN JENNIFER........................................................................ TRUSTEE - CCCHR	3.00 .......................	X					0	0
(88) COLE ALLISON........................................................................ TRUSTEE - CCCHR	3.00 .......................	X					0	0
(89) CORWIN RUSSELL........................................................................ DIRECTOR - MED HOSP FDN	3.00 .......................	X					0	0
(90) COURY THOMAS J........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(91) CRAWFORD DEBORAH........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(92) CROUSE JAMES........................................................................ DIRECTOR - VNS	3.00 .......................	X					0	0
(93) CULLEY MD CARL A JR........................................................................ TRUSTEE - LAKEWOOD, PHYSICIAN	50.00 .......................	X					179,893	32,807
(94) CULP LAURA........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(95) CUMMINGS JEFFREY........................................................................ DIRECTOR - KMA, PHYSICIAN	50.00 .......................	X					424,713	37,011
(96) DAVIS CAROL........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(97) DEEDS C JASON........................................................................ TRUSTEE - UNION	3.00 .......................	X					0	0
(98) DEYLING MD CYNTHIA........................................................................ TRUSTEE - MM, CHIEF QUALITY OFF	50.00 .......................	X					688,654	-39,947
(99) DOOLING JOHN E........................................................................ TRUSTEE - UNION	3.00 .......................	X					0	0
(100) DOUGLASS AMY........................................................................ DIRECTOR - MEDINA	3.00 .......................	X					0	0
(101) DOWNING WILLIAM........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(102) EBERT PHD ROBERT........................................................................ DIRECTOR - REGIONAL HOSPITALS	5.00 .......................	X					0	0
(103) ELLIOTT SARAH........................................................................ DIRECTOR - PPG	50.00 .......................	X					112,237	21,814
(104) FALCONI RONALD........................................................................ DIRECTOR - MEDINA	3.00 .......................	X					0	0
(105) FANCHER JON REV........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(106) FEDELI UMBERTO P........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(107) FEDOROVICH RICHARD........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(108) FETH WILLAM........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(109) FETTO JULIE........................................................................ TRUSTEE - UNION, CNO	50.00 .......................	X					213,122	15,028
(110) FRANCO MD KATHLEEN........................................................................ DIR - CCF, REG HOSPS, PHYSICIAN	50.00 .......................	X					280,748	-79,067
(111) FREEMAN MD RICHARD B........................................................................ TRUSTEE - LAKEWOOD, PHYSICIAN	50.00 .......................	X					306,712	44,576
(112) GEIB ANNE E........................................................................ TRUSTEE - UNION	3.00 .......................	X					0	0
(113) GOLDSTEIN SHERRY........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(114) GORTON WILLIAM R........................................................................ TRUSTEE - LAKEWOOD	5.00 .......................	X					0	0
(115) GRAY KEVIN E........................................................................ TRUSTEE - UNION	3.00 .......................	X					0	0
(116) GREENE MD KATHIE........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					276,349	15,646
(117) GRICE TERRY........................................................................ DIRECTOR - MEDINA	3.00 .......................	X					0	0
(118) GROSSMAN MD JORDAN........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					683,214	11,187
(119) GRUBB MICHELLE........................................................................ DIRECTOR - PPG	50.00 .......................	X					171,294	19,684
(120) GUNNING DAVID........................................................................ TRUSTEE - CCCHR	3.00 .......................	X					0	0
(121) GUTWALD DENNIS........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(122) HABER KENNETH........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(123) HARLEY DO DOUGLAS........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					276,843	28,539
(124) HARRIS RICHARD........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(125) HAYEK MD ANTHONY........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(126) HERSHBERGER PERRY........................................................................ TRUSTEE - UNION	3.00 .......................	X					0	0
(127) HOLTHAUS THERESA........................................................................ DIRECTOR - AGF	50.00 .......................	X					200,786	27,255
(128) HOOVER CAROLE........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(129) HORATTAS MD MARK........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					589,424	17,741
(130) HUSTON WILLIAM........................................................................ DIRECTOR - MEDINA	3.00 .......................	X					0	0
(131) ILG ANN........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(132) JAROSZ SISTER MARY ALICE........................................................................ TRUSTEE - MARYMOUNT	3.00 .......................	X					0	0
(133) KALAFATIS LARA........................................................................ DIR - KMA, CHAIR PHILANTHROPY INST	50.00 .......................	X					524,981	44,411
(134) KILLORAN SISTER CAROL ANN........................................................................ TRUSTEE - MARYMOUNT	3.00 .......................	X					0	0
(135) KNISELY JAMES E........................................................................ TRUSTEE - UNION	3.00 .......................	X					0	0
(136) KOHL STEWART........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(137) KOHLER MD DOUGLAS........................................................................ TRUSTEE - MARYMOUNT, PHYSICIAN	50.00 .......................	X					651,678	46,833
(138) KOVACH RONALD A........................................................................ TRUSTEE - MARYMOUNT	3.00 .......................	X					0	0
(139) KRAMER RICHARD........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(140) KURTZ GREGORY P........................................................................ TRUSTEE - MARYMOUNT	3.00 .......................	X					0	0
(141) KURTZ MD WILLIAM........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					882,933	19,521
(142) LASH-RITTER MD TERI........................................................................ TRUSTEE - UNION, PHYSICIAN	50.00 .......................	X					283,634	43,839
(143) LERNER NORMA........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(144) LINDENBERG MD JUDAH........................................................................ TRUSTEE - MARYMOUNT	3.00 .......................	X					40,000	0
(145) LITMAN MD GEORGE........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					131,847	2,477
(146) LLOYD MARGARET........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(147) LONG JARROD........................................................................ DIRECTOR - MEDINA	3.00 .......................	X					0	0
(148) LOWERY DEE........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(149) MACDONALD WILLIAM III........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(150) MACHADO MD ANDRE........................................................................ DIRECTOR - KMA, PHYSICIAN	50.00 .......................	X					1,095,711	48,411
(151) MARKOVICH MD RENEE........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					262,257	25,113
(152) MARKS JEANNINE........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(153) MATT-AMARAL MD LAURIE........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					346,904	25,616
(154) MATTHEWS THOMAS TJ........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(155) MCGORRAY KATHLEEN T........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(156) MERRYWEATHER TIM........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(157) MIKSCH DONALD........................................................................ DIRECTOR - MEDINA	3.00 .......................	X					0	0
(158) MILLER PAMELA........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(159) MILLER SAMUEL H........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(160) MILLER-DAWSON DIANE........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(161) MOORE MD JEFFREY........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					178,706	2,272
(162) MOORHEAD MD COLIN........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					511,644	36,574
(163) MORINO MARIO........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(164) MOSLEY MARK........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(165) MUAKKASSA RIMA........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(166) MULROY PATRICIA........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(167) MURPHY JANICE........................................................................ DIR - AGMC, LODI, COO	50.00 .......................	X					640,166	1,254
(168) NANCE FREDERICK........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(169) NANN VICKY........................................................................ DIRECTOR - MEDINA	3.00 .......................	X					0	0
(170) O'LEARY ANTHONY........................................................................ DIRECTOR - VNS	3.00 .......................	X					0	0
(171) OMORI SUE........................................................................ DIRECTOR - AGF	50.00 .......................	X					229,252	23,330
(172) O'NEIL RORY........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(173) O'NEILL JOHN........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(174) PAPA ALAN........................................................................ DIRECTOR - AGP, AGF, PPG	50.00 .......................	X					458,355	24,051
(175) PARRY WILLIAM........................................................................ DIRECTOR - AGF	3.00 .......................	X					0	0
(176) PATTON REBECCA........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(177) PETIT DAN........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(178) PETRAS JR MICHAEL........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(179) PFISTER MD EUGENE........................................................................ DIR- PPG, AGMC, LODI, PHYSICIAN	50.00 .......................	X					332,532	-80,261
(180) POHL PAUL M........................................................................ PUBLIC TRUSTEE - LORD FDN	3.00 .......................	X					0	0
(181) POLLOCK LARRY........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(182) POSK MD LORI........................................................................ DIRECTOR - AGF, PHYSICIAN	50.00 .......................	X					283,478	47,011
(183) PRINGLE JAMES J........................................................................ TRUSTEE - UNION	3.00 .......................	X					0	0
(184) PRITTS GARY........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(185) RICE RONALD........................................................................ TRUSTEE - CCCHR	3.00 .......................	X					0	0
(186) ROCHE DENNIS J........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(187) ROGICH SIGMOND........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(188) ROME MD ELLEN........................................................................ TRUSTEE - CCCHR, PHYSICIAN	50.00 .......................	X					199,309	38,144
(189) ROSE MD WARREN........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					434,391	46,686
(190) ROSS MD RONALD J........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(191) RUSSELL MD REBECCA........................................................................ DIRECTOR - PPG, PHYSICIAN	50.00 .......................	X					408,400	44,017
(192) SAHADI LEE........................................................................ DIRECTOR - PPG	50.00 .......................	X					127,575	22,244
(193) SALEK ANN........................................................................ DIRECTOR - MEDINA	3.00 .......................	X					0	0
(194) SCOTT HAROLD LEE........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(195) SEVERINO MICHAEL........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(196) SHEERS MD TITUS........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					334,180	15,164
(197) SHERIDAN MD CATHERINE........................................................................ DIRECTOR AGF, MED HOSP FDN	50.00 .......................	X					211,325	37,773
(198) SNYDER JEROME F........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(199) SNYDER VICKY........................................................................ DIRECTOR - MED HOSP FDN	50.00 .......................	X					245,258	29,340
(200) SOEHNLEN MD MICHAEL W........................................................................ TRUSTEE - UNION	3.00 .......................	X					6,400	0
(201) SPIRO MD TIMOTHY........................................................................ DIR - CCF & REGIONALS, PHYSICIAN	50.00 .......................	X					663,955	44,804
(202) STAFFORD PHD KATHY........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(203) STEELMAN PAUL........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(204) STEINBERG DAVID........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(205) STEVENS MARK........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(206) STURM ROLAND........................................................................ DIRECTOR - KMA, LRBI	3.00 .......................	X					0	0
(207) SWOGER DO WILLIAM V........................................................................ TRUSTEE - UNION, PHYSICIAN	50.00 .......................	X					302,105	20,352
(208) TABBAA MOUSAB........................................................................ TRUSTEE - LAKEWOOD	3.00 .......................	X					0	0
(209) TAFFER JON........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(210) TALMAGE MD LANCE........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					125,948	8,581
(211) THOMPSON MD THOMAS........................................................................ DIR - AGMC, LODI, PHYSICIAN	50.00 .......................	X					855,725	-20,465
(212) TREIER J BRIET........................................................................ DIR - AGMC, LODI	5.00 .......................	X					0	0
(213) TRUNDLE SYLVIA........................................................................ DIRECTOR - PPG	3.00 .......................	X					0	0
(214) VEGA LORRAINE........................................................................ DIRECTOR - REGIONAL HOSPITALS	5.00 .......................	X					0	0
(215) WARTHER PAT A........................................................................ TRUSTEE - UNION	3.00 .......................	X					0	0
(216) WEBER ROBERT........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(217) WEINBERG RONALD........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(218) WEISS MORRY........................................................................ DIRECTOR - CCF & REGIONALS	5.00 .......................	X					0	0
(219) WEXLER NANCY........................................................................ DIRECTOR - KMA	3.00 .......................	X					0	0
(220) WHITE MD HAROLD........................................................................ DIRECTOR - AGF, PHYSICIAN	50.00 .......................	X					438,037	43,675
(221) ZEMIS MD JOSEPH........................................................................ TRUSTEEE - UNION, PHYSICIAN	50.00 .......................	X					757,098	234,537
(222) ALVAREZ MD BENITO........................................................................ PRESIDENT - PPG, PHYSICIAN	50.00 .......................		X				384,109	29,205
(223) DAVIDSON MD ELLIOT........................................................................ CHAIR - PPG, PHYSICIAN	50.00 .......................		X				278,207	24,477
(224) ERZURUM MD SERPIL........................................................................ CCF - CHAIR, LERNER RESEARCH INST	50.00 .......................		X				660,650	60,017
(225) FITZWATER TIMOTHY........................................................................ VICE CHAIR - AGHS	5.00 .......................		X				0	0
(226) GROOFF MD PAUL........................................................................ SECRETARY - CC NY MED SVCS PC	50.00 .......................		X				587,876	45,586
(227) MALONE JR MD DONALD........................................................................ HOSPITAL PRESIDENT - LUTHERAN	50.00 .......................		X				429,997	-25,767
(228) MCKENZIE MD MARGARET........................................................................ HOSPITAL PRES - SOUTH POINTE	50.00 .......................		X				485,722	45,911
(229) MEEHAN MICHAEL J........................................................................ RECORDING SEC - CCF, REGIONALS	50.00 .......................		X				366,415	-50,187
(230) MILLER MD CHARLIE........................................................................ CHIEF MEDICAL OFFICER - CCMS	50.00 .......................		X				940,437	45,175
(231) OBLANDER JASON........................................................................ ASST. SEC - CCF & REGIONALS	50.00 .......................		X				213,359	21,244
(232) SHEWBRIDGE MD RICHARD........................................................................ HOSPITAL PRESIDENT - MEDINA	50.00 .......................		X				314,065	44,411
(233) SMITH BRIAN........................................................................ VICE PRESIDENT - CLINIC CARE	50.00 .......................		X				253,857	21,616
(234) SMITH DO NEIL........................................................................ HOSPITAL PRESIDENT - FAIRVIEW	50.00 .......................		X				455,156	46,147
(235) STARCK MD REBECCA........................................................................ HOSPITAL PRESIDENT - AVON	50.00 .......................		X				651,799	42,146
(236) STOLLERMD JAMES........................................................................ CCEF CHAIR, EDUCATION INST	50.00 .......................		X				556,566	-159,487
(237) YOUNG MD JAMES P........................................................................ CHIEF ACADEMIC OFF - CCF & CCEF	50.00 .......................		X				900,547	45,733
(238) BAILEY DAWN........................................................................ CNO - EUCLID HOSPITAL	50.00 .......................			X			196,926	22,694
(239) JOHN BRUYERE........................................................................ COO - SOUTH POINTE	50.00 .......................			X			199,534	15,632
(240) COLLIER SUSAN........................................................................ VP NURSING, CNO - HILLCREST	50.00 .......................			X			267,985	-53,237
(241) GUSTER CHERIE........................................................................ SR. VP AND CNO - AGMC	50.00 .......................			X			280,082	-19,172
(242) KOCSIS DANA........................................................................ VP NURSING & OPS LODI	50.00 .......................			X			185,710	13,420
(243) KOLONICK RENEE........................................................................ COO - MARYMOUNT HOSP	50.00 .......................			X			247,713	16,349
(244) LEA RICHARD........................................................................ COO - EUCLID HOSPITAL	50.00 .......................			X			249,913	32,013
(245) MAJOR KERRY........................................................................ CNO - CC FLA HEALTH SYS	50.00 .......................			X			252,735	21,749
(246) MATTNER MATTHEW........................................................................ COO - LUTHERAN HOSPITAL	50.00 .......................			X			252,002	21,901
(247) MILLER SHEILA........................................................................ CNO - SOUTH POINTE HOSP	50.00 .......................			X			221,648	21,184
(248) MILLS JOHN........................................................................ COO - FAIRVIEW HOSPITAL	50.00 .......................			X			337,184	8,238
(249) PETER MD DAVID........................................................................ VP MED AFFAIRS/CMO - AGHS	50.00 .......................			X			419,833	32,213
(250) SABBAGH MARWAN........................................................................ DIR LR CTR BRAIN HEALTH - CC NV	50.00 .......................			X			289,781	38,134
(251) SAUER MARY........................................................................ CNO -AVON	50.00 .......................			X			215,418	23,782
(252) SCHUSTER JANET........................................................................ CNO - LUTHERAN HOSPITAL	50.00 .......................			X			209,736	24,119
(253) SMALL DEBORAH........................................................................ CNO - FAIRVIEW HOSPITAL	50.00 .......................			X			599,964	85,958
(254) SURI MD RAKESH........................................................................ CEO CCAD	50.00 .......................			X			2,083,302	180,202
(255) SVENSSON MD LARS........................................................................ CHAIR HVI - CCF	50.00 .......................			X			1,638,790	45,586
(256) THOBURN MARY BETH........................................................................ CNO - FAIRVIEW	50.00 .......................			X			206,850	21,969
(257) VIDMAR ERICK........................................................................ ADMIN DIRECTOR - CC NV	50.00 .......................			X			190,901	18,324
(258) ZINNER BARBARA........................................................................ CNO - MARYMOUNT	50.00 .......................			X			219,332	11,760
(259) COSGROVE MD DELOS........................................................................ FORMER CEO - CCF	50.00 .......................				X		8,718,184	-29,873
(260) NAJM MD HANI........................................................................ PHYSICIAN - CCF	50.00 .......................				X		1,664,215	45,911
(261) BROOKS MD PETER........................................................................ PHYSICIAN - CCF	50.00 .......................				X		1,378,954	224,619
(262) HUSTON ANN........................................................................ CHIEF STRATEGY OFFICER - CCF	50.00 .......................				X		1,348,338	40,269
(263) MARTIN MD DANIEL........................................................................ CHAIR COLE EYE INSTITUTE - CCF	50.00 .......................				X		1,415,256	45,553
(264) BRONSON MD DAVID........................................................................ FORMER OFFICER (RETIRED)	0.00 .......................					X	176,254	-500
(265) FORD MD DONALD........................................................................ FORMER OFFICER	50.00 .......................					X	315,676	45,165
(266) FUNK MD JONATHAN R........................................................................ FORMER OFFICER	50.00 .......................					X	225,113	39,083
(267) HAHN MD JOSEPH........................................................................ FORMER OFFICER (RETIRED)	0.00 .......................					X	148,394	0
(268) HAMILTON THOMAS........................................................................ FORMER OFFICER	50.00 .......................					X	445,859	27,693
(269) JUHASZ DO ROBERT........................................................................ FORMER OFFICER	50.00 .......................					X	302,209	43,804
(270) MCHUGH LINDA........................................................................ FORMER OFFICER	50.00 .......................					X	885,652	44,526
(271) NOGUERAS MD JUAN........................................................................ FORMER OFFICER	50.00 .......................					X	614,240	-70,821
(272) PIEDIMONTE MD GIOVANNI........................................................................ FORMER OFFICER	50.00 .......................					X	688,363	45,733
(273) ROSENTHAL MD RAUL........................................................................ FORMER OFFICER	50.00 .......................					X	823,124	40,738
(274) SLIFKO JESSICA........................................................................ FORMER OFFICER	50.00 .......................					X	408,447	41,444
(275) STOVER MD THOMAS........................................................................ FORMER OFFICER (RETIRED)	0.00 .......................					X	152,519	-48,452
(276) TULISIAK MD THOMAS........................................................................ FORMER OFFICER	50.00 .......................					X	302,950	45,089
(277) VANHORN AMANDA........................................................................ FORMER OFFICER	50.00 .......................					X	193,624	24,634
(278) ZEROSKE JOANNE........................................................................ FORMER OFFICER (RETIRED)	0.00 .......................					X	454,290	68,292
(279) BECK CHRIS........................................................................ FORMER OFFICER	50.00 .......................					X	177,024	14,136
(280) BOYD DIANA........................................................................ FORMER OFFICER	50.00 .......................					X	180,280	20,830
(281) CRAIG ROBERT........................................................................ FORMER OFFICER	50.00 .......................					X	190,974	24,816
(282) MEYERHOEFER TODD........................................................................ FORMER OFFICER	50.00 .......................					X	305,699	36,876
(283) SMITH DARWIN K........................................................................ FORMER OFFICER	50.00 .......................					X	177,991	26,585
(284) THORN III EUGENE A........................................................................ FORMER OFFICER	50.00 .......................					X	269,770	19,789
(285) ABDENOUR STEPHEN........................................................................ FORMER KE	50.00 .......................					X	602,496	21,407
(286) CARROLL DONALD........................................................................ FORMER KE	50.00 .......................					X	261,258	24,737
(287) EMMELHAINZ LARRY........................................................................ FORMER KE	50.00 .......................					X	350,634	41,208
(288) FISER DAVID........................................................................ FORMER KE	50.00 .......................					X	177,920	7,360
(289) FOSTER SUSAN........................................................................ FORMER KE	50.00 .......................					X	221,248	16,778
(290) LYTLE MD BRUCE........................................................................ FORMER KE (RETIRED)	0.00 .......................					X	118,200	0
(291) MUAKKASSA MD FARID........................................................................ FORMER KE	50.00 .......................					X	932,308	31,574
(292) RIBLEY DOUGLAS........................................................................ FORMER KE	50.00 .......................					X	241,967	24,212
(293) SCHMIEDEL JUSTIN........................................................................ FORMER KE	50.00 .......................					X	215,281	18,067
(294) WRIGHT MD DENNIS........................................................................ FORMER KE	50.00 .......................					X	482,974	36,186

(A) Name and business address	(B) Description of services	(C) Compensation
DONLEYSTURNER JOINT VENTURE 5430 WARNER RD CLEVELAND,OH44125	CONSTRUCTION SERVICES	32,153,670
TURNER CONSTRUCTION 1422 EUCLID AVE STE 1400 CLEVELAND,OH44115	CONSTRUCTION SERVICES	31,515,709
IBM CORP 500 FIRST AVENUE PITTSBURGH,PA15219	INFORMATION TECHNOLOGY SYSTEMS	27,815,289
SIEMENS MEDICAL SOLUTIONS INC PO BOX 121102 DALLAS,TX75312	HEALTHCARE IT & ENGINEERING SOLUTIONS	22,252,749
CARDINAL HEALTH PO BOX 70539 CHICAGO,IL60673	INTEGRATED HEALTHCARE SOLUTIONS	16,590,537
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 636

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	301,428,141	284,947,202	302,252,529	297,153,216	317,989,021	1,503,770,109
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	301,428,141	284,947,202	302,252,529	297,153,216	317,989,021	1,503,770,109
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.						1,503,770,109

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..	301,428,141	284,947,202	302,252,529	297,153,216	317,989,021	1,503,770,109
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	108,430,890	109,699,336	124,406,638	160,820,856	128,454,359	631,812,079
9	Net income from unrelated business activities, whether or not the business is regularly carried on..		398,836			1,686,203	2,085,039
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	103,974,870	115,282,299	104,055,964	127,186,173	187,750,642	638,249,948
11	Total support. Add lines 7 through 10						2,775,917,175

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

9,090,860,220

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 2018 (line 6, column (f) divided by line 11, column (f)) .........

54.170 %

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

53.180 %

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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:	INCOME LOSS ON INVESTMENTS - 2014 AMOUNT: $ 103,825,473. 2015 AMOUNT: $ 70,959,640. 2016 AMOUNT: $ 103,453,582. 2017 AMOUNT: $ 126,762,607. 2018 AMOUNT: $ 138,561,020. FOREIGN CURRENCY - 2015 AMOUNT: $ 610,292. 2016 AMOUNT: $ 73,310. 2017 AMOUNT: $ 273,145. INCOME FROM FUNDRAISING/GAMING EVENTS - 2014 AMOUNT: $ 131,772. 2016 AMOUNT: $ 397,995. 2018 AMOUNT: $ 13,597. MISCELLANEOUS INCOME - 2014 AMOUNT: $ 17,625. DERIVATIVE INCOME - 2018 AMOUNT: $ 689,834. LIFE INSURANCE TRUST - 2015 AMOUNT: $ 183,292. 2016 AMOUNT: $ 131,077. 2017 AMOUNT: $ 150,421. INVESTMENT IN AFFILIATES - 2015 AMOUNT: $ 43,529,075. 2018 AMOUNT: $ 48,486,191.
PART I, PUBLIC CHARITY STATUS	WHILE THE LARGEST NUMBER OF ORGANIZATIONS ARE CLASSIFIED AS HOSPITALS UNDER IRS SECTION 509(A)(1) AND IRS SECTION 170(B)(1)(A)(III), ALL OF THE ORGANIZATIONS MAINTAIN PUBLIC CHARITY STATUS PURSUANT TO IRS SECTION 509(A).
PART I, LINE 12	PURSUANT TO THE INSTRUCTIONS FOR GROUP FILINGS, THE FOLLOWING INFORMATION FOR PARTS 12A-12G IS BEING PROVIDED. LINE 12E THE 509(A)(3) SUBORDINATES INCLUDED IN THIS GROUP RETURN ARE ALL RECOGNIZED AS TYPE I SUPPORTING ORGANIZATIONS UNDER THE CLEVELAND CLINIC FOUNDATION'S GROUP EXEMPTION. LINE 12F THE TOTAL NUMBER OF SUPPORTED ORGANIZATIONS: 5 LINE 12G THE FOLLOWING INFORMATION IS PROVIDED ABOUT THE SUPPORTED ORGANIZATIONS: NAME OF SUPPORTED ORGANIZATION, EIN, TYPE OF ORGANIZATION DESCRIBED IN LINES 1-9 OF SCHEDULE A PART I, WHETHER THE SUPPORTED ORGANIZATION IS LISTED IN THE GOVERNING DOCUMENTS OF THE SUPPORTING ORGANIZATION, AND AMOUNT OF MONETARY SUPPORT. THE CLEVELAND CLINIC FOUNDATION, 34-0714585, 3, YES, PLEASE SEE NARRATIVE IN PART VI, SECTION A, LINE 1 FOR EXCEPTIONS, $0. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, 34-0714570, 3, YES, $0. CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION, 34-0714593, 3, YES, $0. AKRON GENERAL MEDICAL CENTER, 34-0714478, 3, YES, $0. THE UNION HOSPITAL ASSOCIATION, 34-0714771, 3, YES, $0.
PART IV, SECTION A AND SECTION B	PURSUANT TO THE INSTRUCTIONS, THE FOLLOWING INFORMATION FOR SECTIONS A AND B IS BEING PROVIDED: PART IV -SECTION A - LINE 1 - THERE ARE 2 SUPPORTING ORGANIZATIONS THAT DO NOT LIST THE SUPPORTED ORGANIZATION IN IT'S GOVERNING DOCUMENTS. INSTEAD, THE GOVERNING DOCUMENTS INDICATE THAT IF THE ENTITY WERE TO DISSOLVE, THE SUPPORTED ORGANIZATION WOULD CONTROL THE ASSETS OF THE SUPPORTING ORGANIZATION. PART IV -SECTION A - LINE 2 - THERE IS 1 ORGANIZATION THAT SUPPORTS OTHER 509(A)(3) SUPPORTING ORGANIZATIONS WHOSE PURPOSE IS TO SUPPORT 509(A)(1) ORGANIZATIONS. PART IV -SECTION A - LINE 6 - THERE ARE 4 SUPPORTING ORGANIZATIONS THAT PROVIDED SUPPORT TO OTHER ORGANIZATIONS EXEMPT UNDER 501(C)(3) THAT WERE NOT LISTED IN THE SUPPORTING ORGANIZATION'S GOVERNING DOCUMENTS. THIS INCLUDED SUPPORT TO ORGANIZATIONS SUCH AS LOCAL HOSPITALS, MEDICAL/HEALTH ASSOCIATIONS, AND OTHER ORGANIZATIONS THAT BENEFIT THE LOCAL COMMUNITIES. ALL OTHER QUESTIONS IN PART IV OF SECTION A ARE ANSWERED EITHER "NO OR "N/A" FOR ALL OF THE SUPPORTING ORGANIZATIONS IN THE GROUP. PART IV -SECTION B - LINE 1 - YES PART IV - SECTION B - LINE 2 - NO

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization THE CLEVELAND CLINIC FOUNDATION GROUP RETURN

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization THE CLEVELAND CLINIC FOUNDATION GROUP RETURN		Employer identification number 91-2153073

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization THE CLEVELAND CLINIC FOUNDATION GROUP RETURN			Employer identification number 91-2153073
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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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
GROUP RETURN

Employer identification number

91-2153073

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2018

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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

2,507

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

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

Yes

724,541

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

Yes

20,005

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

Yes

9,486

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

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

756,539

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 TRADE ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS - 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 TRADE ORGANIZATIONS FOR LOBBYING SERVICES AS WELL AS PAYMENT OF DUES TO CERTAIN ORGANIZATIONS WHERE A PORTION OF THE DUES ARE USED TO CONDUCT LOBBYING ACTIVITIES PART II-B 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - REPRESENTS MEETINGS WITH AND TOURS CONDUCTED FOR LEGISLATORS AND/OR THEIR STAFF MEMBERS PART II-B 1H RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS - REPRESENTS ORGANIZATION OF AND PARTICIPATION IN TRADE ASSOCIATION MEETINGS AND CONFERENCES

Schedule C (Form 990 or 990EZ) 2018

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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	3
b	Total acreage restricted by conservation easements ....................	2b	55.25
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 7/25/06, 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

75.00

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

$ 12,000

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) 2018

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 ....	381,810,007	324,551,580	295,878,858	279,608,818	260,375,637
b	Contributions ...	17,655,756	22,185,007	20,199,629	25,049,027	11,532,981
c	Net investment earnings, gains, and losses	-5,582,019	40,398,300	15,766,204	-993,841	15,823,388
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	5,748,267	5,324,880	7,293,111	7,785,146	8,123,189
f	Administrative expenses ....
g	End of year balance ......	388,135,477	381,810,007	324,551,580	295,878,858	279,608,818

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 .....	268,846,055		268,846,055
b	Buildings ....	5,393,888,927	2,739,083,265	2,654,805,662
c	Leasehold improvements	182,589,502	123,843,935	58,745,567
d	Equipment ....	3,019,161,692	2,062,495,590	956,666,102
e	Other .....	843,243,072	79,868,427	763,374,645
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				4,702,438,031

Schedule D (Form 990) 2018

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	1,328,128,291	F
(B) PRIVATE EQUITY	854,630,963	F
(C) REAL ESTATE	483,996,365	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	2,666,755,619

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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	385,520
DEFERRED ANNUITY TRUST	1,033,697
OTHER LIABILITIES	301,780,441
FUTURE GIFT ANNUITY PAYMENTS	10,653,924
INTEREST RATE SWAPS	110,862,741
ACCRUED PENSION	684,098,394
ACCRUED BENEFITS	188,401,371
DUE TO AFFILIATES	88,799,802
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,386,015,890
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) 2018

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 II, LINE 9:	THE CONSERVATION COVENANTS REPORTED IN PART II ARE RELATED TO THREE WETLANDS LOCATED ON THE CLEVELAND CLINIC HEALTH SYSTEM'S PROPERTY IN TWINSBURG, OHIO, AVON, OHIO AND WESTON, FLORIDA. 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.
PART V, LINE 4:	THE ENDOWMENT FUNDS OF CLEVELAND CLINIC FOUNDATION AND ITS AFFILIATES ARE USED IN FURTHERANCE OF ITS EXEMPT PURPOSE. SPECIFICALLY, THESE FUNDS ARE USED FOR EDUCATION, RESEARCH, AND PATIENT CARE.
PART X, LINE 2:	THE CLEVELAND CLINIC HEALTH SYSTEM'S ("THE SYSTEM") 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, 2018 AND 2017, THE LIABILITY FOR UNCERTAINTY IN INCOME TAXES WAS $0.9 MILLION AND $0.6 MILLION, RESPECTIVELY. THE SYSTEM DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. THE SYSTEM RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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 CARIBBEAN	0	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	2,120,000
	NORTH AMERICA	0	0	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	42,734,000
	EUROPE	1	13	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	223,016,000
	MIDDLE EAST & NORTH AFRICA	1	56	PROGRAM SERVICES	INVESTMENT IN WHOLLY-OWNED FOREIGN ENTITY	3,387,000
	CENTRAL AMERICA & THE CARIBBEAN	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	2,000
	SOUTH AMERICA	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	43,000
	EAST ASIA & THE PACIFIC	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	25,000
	EUROPE	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	25,000
	NORTH AMERICA	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	9,000
	MIDDLE EAST & NORTH AFRICA	0	0	PROGRAM SERVICES	ATTENDANCE AT MEDICAL EDUCATION SEMINARS	79,000
	CENTRAL AMERICA & THE CARIBBEAN	0	0	FUNDRAISING
	EAST ASIA & THE PACIFIC	0	0	FUNDRAISING		21,000
	EUROPE	0	0	FUNDRAISING		73,000
	MIDDLE EAST & NORTH AFRICA	0	0	FUNDRAISING		27,000
	NORTH AMERICA	0	0	FUNDRAISING
	SOUTH AMERICA	0	0	FUNDRAISING		7,000
	SOUTH ASIA	0	0	FUNDRAISING
	SUB-SAHARAN AFRICA	0	0	FUNDRAISING
	EUROPE	0	0	INVESTING		254,613,000
	NORTH AMERICA	0	0	INVESTING		60,182,000
	SUB-SAHARAN AFRICA	0	0	INVESTING		16,241,000
	CENTRAL AMERICA & THE CARIBBEAN	0	0	INVESTING		1,830,814,000
3a	Sub-total .....	2	69			271,352,000
b	Total from continuation sheets to Part I ...					2,162,066,000
c	Totals (add lines 3a and 3b)	2	69			2,433,418,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

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.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
NORTH AMERICA	RESEARCH	35,720	CHECK
EUROPE	RESEARCH	20,000	CHECK
EUROPE	RESEARCH	62,001	CHECK
CENTRAL AMERICA & THE CARIBBEAN	RESEARCH	19,200	CHECK
NORTH AMERICA	RESEARCH	12,500	CHECK
SOUTH AMERICA	RESEARCH	11,850	CHECK
EUROPE	RESEARCH	60,858	CHECK
EAST ASIA & THE PACIFIC	RESEARCH	54,312	CHECK
NORTH AMERICA	RESEARCH	17,005	CHECK
SOUTH AMERICA	RESEARCH	59,501	CHECK
SUB SAHARAN AFRICA	RESEARCH	8,700	CHECK
EUROPE	RESEARCH	8,000	CHECK
SOUTH AMERICA	RESEARCH	12,394	CHECK
NORTH AMERICA	RESEARCH	354,605	CHECK
NORTH AMERICA	RESEARCH	57,982	CHECK
EUROPE	RESEARCH	100,000	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 .......	12
3	Enter total number of other organizations or entities .......................	4

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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	(f) Amount of non-cash assistance
RESEARCH	EAST ASIA & THE PACIFIC	1	6,045	CHECK	0
RESEARCH	EAST ASIA & THE PACIFIC	1	34,890	CHECK	0
RESEARCH	EUROPE	1	5,920	CHECK	0
RESERACH	NORTH AMERICA	1	11,420	CHECK	0
RESEARCH	RUSSIA & NEIGHBORING STATES	1	5,332	CHECK	0
RESEARCH	EAST ASIA & THE PACIFIC	1	7,000	CHECK	0
RESEARCH	EUROPE	1	12,600	CHECK	0
RESEARCH	EUROPE	1	9,200	CHECK	0
RESEARCH	EAST ASIA & THE PACIFIC	1	5,725	CHECK	0
RESEARCH	EAST ASIA & THE PACIFIC	1	9,200	CHECK	0

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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 11501 DOMAIN DR STE 200 AUSTIN, TX78758	ONLINE GIVING		No	3,500,665	306,625	3,194,040
	RR DONNELLEY 35 W WACKER DRIVE CHICAGO, IL60601	DIRECT MAIL		No	1,515,911	547,804	968,107
	CLASSY 350 TENTH AVENUE STE 1300 SAN DIEGO, CA92101	ONLINE FUNDRAISING		No	748,574	21,268	727,306
	TSM DONOR ENGAGEMENT TEAM INC 155 COMMERCE DRIVE FREEDOM, PA15042	PHONE SOLICITATION		No	352,889	749,028	-396,139






Total . . . . . . . . . . . . . . . . . . . .					6,118,039	1,624,725	4,493,314

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

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

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 KEEP MEMORY ALIVE GALA (event type)	(b) Event #2 VELOSANO (event type)	(c) Other events 14 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	12,774,647	5,685,293	5,480,098	23,940,038
2	Less: Contributions . . . .	11,029,847	4,513,293	4,273,966	19,817,106
3	Gross income (line 1 minus line 2) . . . . . .	1,744,800	1,172,000	1,206,132	4,122,932

4	Cash prizes . . . . .			989	989
5	Noncash prizes . . . .			21,031	21,031
6	Rent/facility costs . . . .	849,546	204,950	73,704	1,128,200
7	Food and beverages . . .	552,482	122,296	688,211	1,362,989
8	Entertainment . . . .	119,966	59,908	102,901	282,775
9	Other direct expenses . . .	1,177,211	1,036,131	964,423	3,177,765
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				5,973,749
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-1,850,817

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 . . . . .			44,775	44,775

2	Cash prizes . . . . .	10,000	10,000
3	Noncash prizes . . . .	21,178	21,178
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

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

31,178

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

13,597

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

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

YesNo

If "No," explain:

THE STATE OF OHIO DOES NOT REQUIRE A LICENSE FOR A RAFFLE CONDUCTED BY AN IRC SECTION 501(C)(3) ORGANIZATION.

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) 2018

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

100.000 %

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

Name

ROBERT F WAITKUS

Address

6801 BRECKSVILLE ROAD RK1-85
INDEPENDENCE,OH44131

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 provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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? . . . . . .

Yes

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) . . .	111,043,620	0	111,043,620	1.220 %
b	Medicaid (from Worksheet 3, column a) . . . . .	1,136,374,684	697,667,628	438,707,056	4.830 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0		0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,247,418,304	697,667,628	549,750,676	6.050 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	25,739,519	207,315	25,532,204	0.280 %
f	Health professions education (from Worksheet 5) . . .	345,641,589	62,703,425	282,938,164	3.110 %
g	Subsidized health services (from Worksheet 6) . . . .	113,410,990	91,684,155	21,726,835	0.240 %
h	Research (from Worksheet 7) .	243,460,355	165,736,110	77,724,245	0.860 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	12,446,667	446,377	12,000,290	0.130 %
j	Total. Other Benefits . .	740,699,120	320,777,382	419,921,738	4.620 %
k	Total. Add lines 7d and 7j .	1,988,117,424	1,018,445,010	969,672,414	10.670 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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	(d) Direct offsetting revenue	(e) Net community building expense
1	Physical improvements and housing	0
2	Economic development	15,253		15,253
3	Community support	399,947		399,947
4	Environmental improvements	0
5	Leadership development and training for community members	16,776		16,776
6	Coalition building	31,831		31,831
7	Community health improvement advocacy	17,805		17,805
8	Workforce development	18,927	0	18,927
9	Other
10	Total	500,539		500,539

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. ......

299,642,222

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).....

1,310,083,340

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

1,339,394,525

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

-29,311,185

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 %	(e) Physicians' profit % or stock ownership %
11 AKRON SURGICAL ASSOCIATES LLC	SURGICAL SERVICES	51.000 %	49.000 %
22 TUSCARAWAS AMBULATORY SURGERY CENTER LLC	AMBULATORY SURGERY CENTER	70.000 %	30.000 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?21Name, 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)									Facility reporting group
1	THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND,OH44195 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1151AHR	X	X	X	X		X	X	A
2	AKRON GENERAL MEDICAL CENTER 1 AKRON GENERAL AVENUE AKRON,OH44307 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1276AHR	X	X		X		X	X	A
3	FAIRVIEW HOSPITAL 18101 LORAIN AVENUE CLEVELAND,OH44111 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1145AHR	X	X		X		X	X	A
4	HILLCREST HOSPITAL 6780 MAYFIELD ROAD MAYFIELD HEIGHTS,OH44124 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1019AHR	X	X		X		X	X	A
5	CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 2950 CLEVELAND CLINIC BLVD WESTON,FL33331 WWW.CLEVELANDCLINIC.ORG FL LICENSE NUMBER 4299	X	X		X		X	X	A
6	MARYMOUNT HOSPITAL 12300 MCCRACKEN GARFIELD HEIGHTS,OH44125 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1136AHR	X	X		X		X	X	A
7	CLEVELAND CLINIC AVON HOSPITAL 33300 CLEVELAND CLINIC BOULEVARD AVON,OH44011 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1531	X	X		X		X	X
8	THE UNION HOSPITAL ASSOCIATION 659 BOULEVARD DOVER,OH44622 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1285AHR	X	X					X
9	MEDINA HOSPITAL 1000 E WASHINGTON STREET MEDINA,OH44256 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1236AHR	X	X		X		X	X	A
10	SOUTH POINTE HOSPITAL 20000 HARVARD ROAD WARRENSVILLE HTS,OH44122 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1297AHR	X	X		X		X	X	A
11	LUTHERAN HOSPITAL 1730 WEST 25TH STREET CLEVELAND,OH44113 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1149AHR	X	X		X		X	X	A
12	EUCLID HOSPITAL 18901 LAKESHORE BOULVARD EUCLID,OH44119 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1133AHR	X	X		X		X	X	A
13	CLEV CLINIC CHILDREN'S HOSP FOR REHAB 2801 MARTIN LUTHER KING DRIVE CLEVELAND,OH44104 WWW.CLEVELANDCLINIC.ORG OH STATE ID 0153RF	X	X	X	X		X		A
14	LODI COMMUNITY HOSPITAL 225 ELYRIA STREET LODI,OH44254 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1234AHR	X	X			X		X	A
15	SELECT SPECIALTY - FAIRHILL 11900 FAIRHILL ROAD CLEVELAND,OH44195 WWW.SELECTMEDICAL.COM OH STATE ID 1468	X							B
16	SELECT SPECIALTY - REGENCY WEST 6990 ENGLE ROAD MIDDLEBURG HEIGHTS,OH44130 WWW.SELECTMEDICAL.COM OH STATE ID 1478	X							B
17	CLEVELAND CLINIC REHABILITATION - ESR 4389 MEDINA ROAD COPLEY,OH44321 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1905	X							C
18	CLEVELAND CLINIC REHAB - BEACHWOOD 3025 SCIENCE PARK DRIVE BEACHWOOD,OH44012 WWW.CLEVELANDCLINIC.ORG OH STATE ID 1906	X							C
19	SELECT SPECIALTY - REGENCY EAST 4200 INTERCHANGE CORPORATE CENTER ROAD WARRENSVILLE HEIGHTS,OH44128 WWW.SELECTMEDICAL.COM OH STATE ID 1479	X							B
20	CLEVELAND CLINIC REHABILITATION-AVON 33355 HEALTH CAMPUS BOULEVARD AVON,OH44011 WWW.CLEVELANDCLINIC.ORG OHIO STATE ID 1522AHR	X							B
21	SELECT SPECIALTY - GATEWAY 2351 E 22ND STREET CLEVELAND,OH44115 WWW.SELECTMEDICAL.COM OH STATE ID 1431	X							B

Schedule H (Form 990) 2018

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)

	FACILITY REPORTING GROUP - A
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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 17

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
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)

Was widely publicized 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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

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)

	CLEVELAND CLINIC AVON HOSPITAL
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?........................

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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 18

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

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CLEVELAND CLINIC AVON HOSPITAL
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

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)

Was widely publicized 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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	CLEVELAND CLINIC AVON HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	CLEVELAND CLINIC AVON HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

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)

	REPORTING GROUP B
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?........................

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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 18

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

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP B
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

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)

Was widely publicized 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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	REPORTING GROUP B
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

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)

	REPORTING GROUP C
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?........................

Yes

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......................

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

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

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..................................

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

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

Hospital facility’s website (list url):

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. ..............

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

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

If "Yes" (list url):

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

10b

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP C
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

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)

Was widely publicized 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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

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 UNION HOSPITAL ASSOCIATION
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?........................

Yes

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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. ............................

Yes

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 16

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

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	THE UNION HOSPITAL ASSOCIATION
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 100.000000000000% and FPG family income limit for eligibility for discounted care of 200.000000000000%

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

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)

Was widely publicized 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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	THE UNION HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	THE UNION HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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 UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 2: IN APRIL 2018, THE CLEVELAND CLINIC FOUNDATION THROUGH A SUBSIDIARY BECAME THE SOLE MEMBER OF THE UNION HOSPITAL ASSOCIATION (UNION HOSPITAL").
CLEVELAND CLINIC AVON HOSPITAL	PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INTERVIEWS WERE GUIDED BY A STRUCTURED PROTOCOL THAT FOCUSED ON IDENTIFYING SIGNIFICANT COMMUNITY HEALTH NEEDS AND WHY SUCH NEEDS ARE PRESENT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
THE UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: UNION HOSPITAL IS A MEMBER OF "HEALTHY TUSC," A COLLABORATION OF HEALTHCARE AND COMMUNITY BASED AGENCIES. HEALTHY TUSC OVERSAW AND CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE RESULTS OF THAT ASSESSMENT PROVIDED THE DATA NECESSARY OF UNION HOSPITAL TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. IN CONDUCTING THE CHNA, HEALTHY TUSC CREATED A PANEL WHICH INCLUDED REPRESENTATIVES FROM UNITED WAY, LOCAL FAMILY PHYSICIANS, DENTISTS, MENTAL HEALTH AND ADDICTION COUNSELORS FROM THE ALCOHOL, DRUG, ADDICTION AND MENTAL HEALTH SERVICES ("ADAMHS") BOARD, REPRESENTATIVES FROM THE LOCAL SCHOOL DISTRICTS, REPRESENTATIVES FROM COUNTY AND CITY HEALTH DEPARTMENTS, LOCAL YMCA LEADERS, AND HOSPITAL LEADERS. BASED ON THESE DISCUSSIONS, A SURVEY WAS DEVELOPED AND SENT TO MEMBERS OF THE COMMUNITY, INCLUDING MINORITIES AND UNDERSERVED POPULATIONS. THE PANEL MET TO DISCUSS AND RANK THE FINDINGS FROM THE SURVEY RESULTS. THIS PANEL MET AND DISCUSSED THE SURVEY FINDINGS THROUGHOUT 2015.
CLEVELAND CLINIC AVON HOSPITAL	PART V, SECTION B, LINE 6A: CLEVELAND CLINIC AVON HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HOSPITALS AND CLEVELAND CLINIC - SELECT MEDICAL HOSPITALS, INCLUDING: CLEVELAND CLINIC MAIN CAMPUS, CLEVELAND CLINIC CHILDREN'S, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, AKRON GENERAL MEDICAL CENTER, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL INC., MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, THE UNION HOSPITAL ASSOCIATION, CLEVELAND CLINIC FLORIDA, SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF EAST CLEVELAND, AND REGENCY HOSPITAL OF WEST CLEVELAND.
THE UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH TRINITY TWIN CITY HOSPITAL, AN UNRELATED ENTITY.
THE UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6B: HEALTHY TUSC, TUSCARAWAS COUNTY HEALTH DEPARTMENT, NEW PHILADELPHIA HEALTH DEPARTMENT, ADAMHS BOARD, TUSCARAWAS COUNTY SENIOR CENTER, UNITED WAY OF TUSCARAWAS COUNTY
CLEVELAND CLINIC AVON HOSPITAL	PART V, SECTION B, LINE 11: IN GENERAL THE KEY NEEDS IDENTIFIED WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; WELLNESS, AND ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS. CLEVELAND CLINIC AVON CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC AVON HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC AVON HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, AND LOWER CRIME RATES).CLEVELAND CLINIC AVON HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CLEVELAND CLINIC AVON HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
THE UNION HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: THE UNION HOSPITAL ASSOCIATION'S (UNION") COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ADULT AND YOUTH OBESITY, ADULT AND YOUTH MENTAL HEALTH AND BULLYING, YOUTH SUBSTANCE ABUSE, AND ACCESS TO DENTAL CARE AS THE COMMUNITY TOP HEALTH NEEDS. UNION'S IMPLEMENTATION STRATEGY FOR ADDRESSING THESE NEEDS CAN BE SUMMARIZED AS FOLLOWS: DECREASE OBESITY 1) BY INCORPORATING OHIO HOSPITAL ASSOCIATION HEALTHY EATING GUIDELINES INTO UNION'S EXISTING NUTRITION OUTREACH PROGRAM 2) EXTEND UNION'S COMMUNITY HEALTH AND WELLNESS PROGRAM THROUGH COLLABORATION WITH COMMUNITY PARTNERS. THE PROGRAM INCLUDES BLOOD SCREENING EVENTS. MENTAL HEALTH AND BULLYING - UNION'S BEHAVIORAL HEALTH CENTER CONTINUES TO LEVERAGE ITS EFFORTS THROUGH THE USE OF SOCIAL WORKERS AND SUPPORTS SCHOOL BASED PROGRAMS TO STOP BULLYING. SUCH SUPPORT INCLUDES CREDENTIALED PERSONNEL WORKING WITH THESE PROGRAMS. DECREASE SUBSTANCE ABUSE - UNION PROVIDES A SMOKING CESSATION PROGRAM WITH A CERTIFIED TOBACCO SPECIALIST. UNION DOES NOT OFFER ANY OTHER SPECIFIC SUBSTANCE ABUSE PROGRAMS BUT DOES REFER THOSE IN NEED TO AREA PROVIDERS SPECIALIZING IN SUCH ASSISTANCE. UNION DOES NOT HAVE A DENTAL PROGRAM BUT DOES SUPPORT AREA PROVIDERS SPECIALIZING IN SUCH ASSISTANCE.
CLEVELAND CLINIC AVON HOSPITAL	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 15% OF THEIR ANNUAL FAMILY INCOME.
CLEVELAND CLINIC AVON HOSPITAL	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.
CLEVELAND CLINIC AVON HOSPITAL	PART V, SECTION B, LINE 16J: INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
CLEVELAND CLINIC AVON HOSPITAL	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.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: THE CLEVELAND CLINIC FOUNDATION, - FACILITY 3: FAIRVIEW HOSPITAL, - FACILITY 4: HILLCREST HOSPITAL, - FACILITY 5: CLEVELAND CLINIC FLORIDA HEALTH SYSTEM, - FACILITY 6: MARYMOUNT HOSPITAL, - FACILITY 10: SOUTH POINTE HOSPITAL, - FACILITY 11: LUTHERAN HOSPITAL, - FACILITY 9: MEDINA HOSPITAL, - FACILITY 12: EUCLID HOSPITAL, - FACILITY 13: CLEV CLINIC CHILDREN'S HOSP FOR REHAB, - FACILITY 14: LODI COMMUNITY HOSPITAL, - FACILITY 2: AKRON GENERAL MEDICAL CENTER
GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX G OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC FOUNDATION MAIN CAMPUS COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL,LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. CLEVELAND CLINIC FOUNDATION MAIN CAMPUS ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).CLEVELAND CLINIC CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CLEVELAND CLINIC IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 1 -- 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 1 -- 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.
GROUP A-FACILITY 1 -- THE CLEVELAND CLINIC FOUNDATION PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 1 -- 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.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX D OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 6A:	FAIRVIEW HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. FAIRVIEW HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.FAIRVIEW HOSPITAL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH FAIRVIEW HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.FAIRVIEW HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).FAIRVIEW HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH FAIRVIEW HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL 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.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 3 -- FAIRVIEW HOSPITAL 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.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 6A:	HILLCREST HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. HILLCREST HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.HILLCREST HOSPITAL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH HILLCREST HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.HILLCREST HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).HILLCREST HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH HILLCREST HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL 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.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 4 -- HILLCREST HOSPITAL 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.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC FLORIDA HEALTH SYSTEM COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND THE CLEVELAND CLINIC FOUNDATION. CLEVELAND CLINIC FLORIDA HEALTH SYSTEM ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC FLORIDA HEALTH SYSTEM CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC FLORIDA HEALTH SYSTEM CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC FLORIDA HEALTH SYSTEM CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTH CARE. ALTHOUGH IT IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO THE DELIVERY OF QUALITY HEALTHCARE, 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 DONATIONS OF TIME, SKILL AND/OR SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.CHRONIC DISEASE AND OTHER HEALTH CONDITIONS - POOR BIRTH OUTCOMES - CLEVELAND CLINIC FLORIDA HEALTH SYSTEM DOES NOT OFFER OBSTETRICS SERVICES AT ITS HOSPITAL IN WESTON, AND IS THEREFORE UNABLE TO ADDRESS THE POOR BIRTH OUTCOMES NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. CLEVELAND CLINIC FLORIDA HEALTH SYSTEM REFERS ITS PATIENTS TO OTHER LOCAL FACILITIES FOR OBSTETRICS CARE.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, INCLUDING IN PATIENT REGISTRATION AREAS, ONLINE, AND WITH FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE AT EACH CLEVELAND CLINIC FLORIDA HEALTH SYSTEM CAMPUS HOSPITAL 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.
GROUP A-FACILITY 5 -- CLEVELAND CLINIC FLORIDA HEALTH SYSTEM 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.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 6A:	MARYMOUNT HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. MARYMOUNT HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.MARYMOUNT HOSPITAL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH MARYMOUNT HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.MARYMOUNT HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).MARYMOUNT HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH MARYMOUNT HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL 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.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 6 -- MARYMOUNT HOSPITAL 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.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 6A:	SOUTH POINTE HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. SOUTH POINTE HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SOUTH POINTE HOSPITAL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SOUTH POINTE HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SOUTH POINTE HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).SOUTH POINTE HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SOUTH POINTE HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL 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.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 10 -- SOUTH POINTE HOSPITAL 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.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL PART V, SECTION B, LINE 6A:	EUCLID HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, THE CLEVELAND CLINIC FOUNDATION, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. EUCLID HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.EUCLID HOSPITAL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH EUCLID HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.EUCLID HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).EUCLID HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH EUCLID HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL 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.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 12 -- EUCLID HOSPITAL 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.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 6A:	LUTHERAN HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. LUTHERAN HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.LUTHERAN HOSPITAL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH LUTHERAN HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.LUTHERAN HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).LUTHERAN HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH LUTHERAN HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL 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.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 11 -- LUTHERAN HOSPITAL 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.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL PART V, SECTION B, LINE 6A:	MEDINA HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. MEDINA HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.MEDINA HOSPITAL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH MEDINA HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.MEDINA HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).MEDINA HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH MEDINA HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL 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.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 9 -- MEDINA HOSPITAL 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS WHICH TOOK PLACE JANUARY 2016 THROUGH JULY 2016. 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. EACH KEY INFORMANT WAS INTERVIEWED OVER THE PHONE BY THE CONSULTANT, VERITE HEALTHCARE CONSULTING, LLC, USING THE SAME SET OF QUESTIONS FOR EACH PARTICIPANT. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX G OF THE HOSPITAL FACILITY'S CHNA.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, THE CLEVELAND CLINIC FOUNDATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER AND GLENBEIGH.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION ("CCCHR") CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CCCHR CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CCCHR CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING BETTER EMPLOYMENT OPPORTUNITIES, LOWER CRIME RATES, ADEQUATE SOCIAL SERVICES, AND OTHER ENVIRONMENTAL CONDITIONS).CCCHR CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CCCHR IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 13 -- CLEV CLINIC CHILDREN'S HOSP FOR REHAB 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.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INTERVIEWS WERE CONDUCTED BY THE CONSULTANT, KENT STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH, FROM MARCH 2016 THROUGH JUNE 2016. A LIST OF EACH PARTICIPANT ORGANIZATION CAN BE FOUND IN THE "PROCESSES AND METHODS" SECTION OF THE HOSPITAL'S CHNA.FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS FROM APRIL THROUGH MAY 2016 TO OBTAIN INPUT ON WHAT THEY THOUGHT WERE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES. THIRTY THREE COMMUNITY RESIDENTS WERE INCLUDED IN THE FOCUS GROUPS. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO FOCUS GROUP PARTICIPANTS TO GATHER THEIR DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A:	LODI COMMUNITY HOSPITAL COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: AKRON GENERAL MEDICAL CENTER, CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL, CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. LODI COMMUNITY HOSPITAL ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER, GLENBEIGH, SUMMA HEALTH SYSTEM, AND AKRON CHILDREN'S HOSPITAL.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTH CARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.LODI COMMUNITY HOSPITAL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH LODI COMMUNITY HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.LODI COMMUNITY HOSPITAL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING IMPROVED COMMUNITY CONDITIONS FOR CHILD ABUSE AND NEGLECT).LODI COMMUNITY HOSPITAL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH LODI COMMUNITY HOSPITAL IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL 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.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 14 -- LODI COMMUNITY HOSPITAL 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.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INTERVIEWS WERE CONDUCTED BY THE CONSULTANT, KENT STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH, FROM MARCH 2016 THROUGH JUNE 2016. A LIST OF EACH PARTICIPANT ORGANIZATION CAN BE FOUND IN THE "PROCESSES AND METHODS" OF THE HOSPITAL'S CHNA.FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS FROM APRIL THROUGH SEPTEMBER 2016 TO OBTAIN INPUT ON WHAT THEY THOUGHT WERE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITIES. FIFTY FOUR COMMUNITY RESIDENTS WERE RECRUITED TO PARTICIPATE IN THE FOCUS GROUPS. IN ADDITION, A QUESTIONNAIRE WAS DISTRIBUTED TO FOCUS GROUP PARTICIPANTS TO GATHER THEIR DEMOGRAPHIC INFORMATION AND BASIC PERCEPTIONS OF COMMUNITY HEALTH.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 6A:	AKRON GENERAL MEDICAL CENTER COLLABORATED WITH OTHER CLEVELAND CLINIC HEALTH SYSTEM HOSPITALS, INCLUDING: CLEVELAND CLINIC CHILDREN'S HOSPITAL, CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION, THE CLEVELAND CLINIC FOUNDATION, EDWIN SHAW REHABILITATION INSTITUTE, EUCLID HOSPITAL, FAIRVIEW HOSPITAL, HILLCREST HOSPITAL, LODI COMMUNITY HOSPITAL, LUTHERAN HOSPITAL, MARYMOUNT HOSPITAL, MEDINA HOSPITAL, SOUTH POINTE HOSPITAL,AND CLEVELAND CLINIC FLORIDA HEALTH SYSTEM. AKRON GENERAL MEDICAL CENTER ALSO COLLABORATED WITH ASHTABULA COUNTY MEDICAL CENTER, GLENBEIGH, SUMMA HEALTH SYSTEM, AND AKRON CHILDREN'S HOSPITAL.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CCHS HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTH PROFESSIONS EDUCATION AND RESEARCH; HEALTH CARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.AKRON GENERAL MEDICAL CENTER CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH AKRON GENERAL MEDICAL CENTER CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.AKRON GENERAL MEDICAL CENTER CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING IMPROVED SOCIAL SERVICES, BETTER EMPLOYMENT OPPORTUNITIES, DECREASED POVERTY, LOWER CRIME RATES, DECREASED UNEMPLOYMENT, AND OTHER ENVIRONMENTAL CONDITIONS).AKRON GENERAL MEDICAL CENTER CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH AKRON GENERAL MEDICAL CENTER IS NOT DIRECTLY INVOLVED WITH DEVELOPING COMMUNITY INFRASTRUCTURE AND IMPROVING THE ECONOMY BECAUSE ITS MISSION RELATES TO DELIVERY OF QUALITY HEALTHCARE, 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 SPONSORSHIPS TO SUPPORT EFFORTS IN THESE AREAS.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER 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 15% OF THEIR ANNUAL FAMILY INCOME.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER 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.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER PART V, SECTION B, LINE 16J:	INFORMING THE PUBLIC THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR FINANCIAL ASSISTANCE PROGRAM AND CLEVELAND CLINIC CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATION WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE DETAILED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGHOUT CCHS, 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.
GROUP A-FACILITY 2 -- AKRON GENERAL MEDICAL CENTER 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.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 20: CLEVELAND CLINIC REHABILITATION-AVON, - FACILITY 16: SELECT SPECIALTY - REGENCY WEST, - FACILITY 19: SELECT SPECIALTY - REGENCY EAST, - FACILITY 15: SELECT SPECIALTY - FAIRHILL, - FACILITY 21: SELECT SPECIALTY - GATEWAY
GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017.25 KEY INFORMANTS WERE IDENTIFIED BY THE 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 6A:	CLEVELAND CLINIC REHABILITATION - AVON COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND REGENCY HOSPITAL OF CLEVELAND WEST.
GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.CLEVELAND CLINIC REHABILITATION - AVON CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.CLEVELAND CLINIC REHABILITATION - AVON CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).CLEVELAND CLINIC REHABILITATION - AVON CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH CLEVELAND CLINIC REHABILITATION -AVON IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. CLEVELAND CLINIC REHABILITATION - AVON SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 20D:
GROUP B-FACILITY 20 -- CLEVELAND CLINIC REHABILITATION- AVON PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 16 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017.25 KEY INFORMANTS WERE IDENTIFIED BY THE 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP B-FACILITY 16 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - REGENCY WEST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP B-FACILITY 16 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY WEST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY WEST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - REGENCY WEST CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SELECT SPECIALTY - REGENCY WEST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY WEST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP B-FACILITY 16 -- SELECT SPECIALTY - REGENCY WEST PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 19 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017.25 KEY INFORMANTS WERE IDENTIFIED BY THE 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP B-FACILITY 19 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - REGENCY EAST COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP B-FACILITY 19 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - REGENCY EAST CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - REGENCY EAST CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - REGENCY EAST CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SELECT SPECIALTY - REGENCY EAST IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - REGENCY EAST SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP B-FACILITY 19 -- SELECT SPECIALTY - REGENCY EAST PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 15 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017.25 KEY INFORMANTS WERE IDENTIFIED BY THE 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP B-FACILITY 15 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - FAIRHILL COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP B-FACILITY 15 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - FAIRHILL CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - FAIRHILL CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - FAIRHILL CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SELECT SPECIALTY - FAIRHILL IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - FAIRHILL SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP B-FACILITY 15 -- SELECT SPECIALTY - FAIRHILL PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP B-FACILITY 21 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 5:	INPUT FROM THE COMMUNITY WAS RECEIVED THROUGH KEY INFORMANT INTERVIEWS CONDUCTED BETWEEN JUNE AND OCTOBER 2017.25 KEY INFORMANTS WERE IDENTIFIED BY THE 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; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF EACH PARTICIPANT ORGANIZATION IS IDENTIFIED IN APPENDIX C OF THE HOSPITAL FACILITY'S CHNA.
GROUP B-FACILITY 21 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 6A:	SELECT SPECIALTY - GATEWAY COLLABORATED WITH THE CLEVELAND CLINIC HEALTH SYSTEM AND WITH THE FOLLOWING SELECT MEDICAL HOSPITALS: SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL, REGENCY HOSPITAL OF CLEVELAND WEST, REGENCY HOSPITAL OF CLEVELAND EAST, AND CLEVELAND CLINIC REHABILITATION - AVON.
GROUP B-FACILITY 21 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 11:	IN GENERAL THE KEY NEEDS IDENTIFIED IN ALL CLEVELAND CLINIC/SELECT HOSPITAL FACILITIES WERE THE FOLLOWING: ACCESS TO AFFORDABLE HEALTHCARE; CHRONIC DISEASE AND OTHER HEALTH CONDITIONS; ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS; HEALTHCARE FOR THE ELDERLY; AND WELLNESS. HOW THE FACILITY WILL ADDRESS EACH NEED IS DESCRIBED IN DETAIL IN THE RELEVANT HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY REPORT.SELECT SPECIALTY - GATEWAY CANNOT DIRECTLY ADDRESS THOSE COMMUNITY NEEDS THAT DO NOT RELATE DIRECTLY TO THE HOSPITAL'S MISSION TO DELIVER HEALTH CARE. THESE ARE NEEDS THAT OTHER GOVERNMENTAL AND/OR NONPROFIT ORGANIZATIONS HAVE MORE APPROPRIATE EXPERTISE AND RESOURCES TO ADDRESS. ALTHOUGH SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THESE NEEDS DIRECTLY, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS.SELECT SPECIALTY - GATEWAY CANNOT ADDRESS THE FOLLOWING COMMUNITY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ECONOMIC DEVELOPMENT AND COMMUNITY CONDITIONS (INCLUDING HIGH RATES OF POVERTY, HOUSING ISSUES, CRIME, AIR POLLUTION, INADEQUATE TRANSPORTATION AND UNDERSUPPLY OF NEEDED SOCIAL SERVICES).SELECT SPECIALTY - GATEWAY CANNOT FOCUS ON OR OTHERWISE ADDRESS THE NEED FOR COMMUNITY SERVICES UNRELATED TO THE DELIVERY OF HEALTHCARE. ALTHOUGH SELECT SPECIALTY - GATEWAY IS NOT DIRECTLY INVOLVED WITH ECONOMIC DEVELOPMENT OR COMMUNITY CONDITIONS, IT DOES SUPPORT GOVERNMENTAL AND OTHER AGENCIES IN THEIR EFFORTS TO HELP WITH THESE NEEDS. SELECT SPECIALTY - GATEWAY SERVICES POPULATIONS ACROSS NORTHEAST OHIO AND THUS HAS A WIDE-REACHING ECONOMIC IMPACT THROUGH ITS HIRING PRACTICES TO SUPPORT PATIENT CARE.
GROUP B-FACILITY 21 -- SELECT SPECIALTY - GATEWAY PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
PART V, SECTION B	FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:	- FACILITY 17: CLEVELAND CLINIC REHABILITATION - ESR, - FACILITY 18: CLEVELAND CLINIC REHAB - BEACHWOOD
GROUP C-FACILITY 17 -- CLEVELAND CLINIC REHAB - ESR PART V, SECTION B, LINE 2:	CLEVELAND CLINIC REHABILITATION - EDWIN SHAW OPENED IN NOVEMBER 2017.
GROUP C-FACILITY 17 -- CLEVELAND CLINIC REHAB - ESR PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.
GROUP C-FACILITY 18 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 2:	CLEVELAND CLINIC REHABILITATION - BEACHWOOD OPENED IN OCTOBER 2017.
GROUP C-FACILITY 18 -- CLEVELAND CLINIC REHAB - BEACHWOOD PART V, SECTION B, LINE 20D:	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE THROUGHOUT ANY POINT IN THE CARE PROCESS.

Schedule H (Form 990) 2018

Page 9

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?203
Name and address		Type of Facility (describe)
1	1 - AKRON GENERAL HEALTH CENTER 676 S BROADWAY ST AKRON,OH44311	OUTPATIENT PHYSICIAN CLINIC
2	2 - WESTON FAMILY HEALTH CENTER 1825 N CORPORATE LAKES BLVD WESTON,FL33326	FAMILY HEALTH CENTER
3	3 - CLEVELAND CLINIC FLORIDA 2950 CLEVELAND CLINIC BLVD WESTON,FL33331	FAMILY HEALTH CENTER
4	4 - TWINSBURG FAMILY HEALTH & SURGERY CENTER 8701 DARROW RD TWINSBURG,OH44087	FAMILY HEALTH CENTER
5	5 - BEACHWOOD FAMILY HEALTH & SURGERY CENTER 26900 CEDAR RD BEACHWOOD,OH44122	FAMILY HEALTH CENTER
6	6 - STRONGSVILLE FAMILY HEALTH & SURGERY CEN 16761 SOUTH PARK CTR STRONGSVILLE,OH44136	FAMILY HEALTH CENTER
7	7 - RICHARD E JACOBS HEALTH CENTER 33100 CLEVELAND CLINIC BLVD AVON,OH44011	FAMILY HEALTH CENTER
8	8 - INDEPENDENCE FAMILY HEALTH CENTER 5001 ROCKSIDE RD CROWN CENTRE II INDEPENDENCE,OH44131	FAMILY HEALTH CENTER
9	9 - CLEVELAND CLINIC HOME CARE SERVICES 6801 BRECKSVILLE RD INDEPENDENCE,OH44131	HOME CARE SERVICES
10	10 - LORAIN FAMILY HEALTH & SURGERY CENTER 5700 COOPER FOSTER PARK RD LORAIN,OH44053	FAMILY HEALTH CENTER
11	11 - WILLOUGHBY HILLS FAMILY HEALTH CENTER 2550 2570 SOM CENTER RD WILLOUGHBY HILLS,OH44094	FAMILY HEALTH CENTER
12	12 - AKRON GENERAL HEALTH & WELLNESS CENTER - 4125 MEDINA RD AKRON,OH44333	OUTPATIENT PHYSICIAN CLINIC
13	13 - WOOSTER FAMILY HEALTH CENTER 1740 CLEVELAND RD WOOSTER,OH44691	FAMILY HEALTH CENTER
14	14 - BRUNSWICK FAMILY HEALTH CENTER 3574 CENTER RD BRUNSWICK,OH44212	FAMILY HEALTH CENTER
15	15 - CLEVELAND CLINIC CANCER CENTERS 417 QUARRY LAKES DR SANDUSKY,OH44870	OUTPATIENT PHYSICIAN CLINIC
16	16 - HILLCREST MEDICAL OFFICE I & II 6803 MAYFIELD RD MAYFIELD HEIGHTS,OH44124	OUTPATIENT PHYSICIAN CLINIC
17	17 - AKRON GENERAL HEALTH & WELLNESS CENTER- 1940 TOWN PARK BLVD UNIONTOWN,OH44685	OUTPATIENT PHYSICIAN CLINIC
18	18 - AKRON GENERAL HEALTH & WELLNESS CENTER 4300 ALLEN RD STOW,OH44224	OUTPATIENT PHYSICIAN CLINIC
19	19 - SOLON FAMILY HEALTH CENTER 29800 BAINBRIDGE RD SOLON,OH44139	FAMILY HEALTH CENTER
20	20 - CLEVELAND CLINIC CANCER CENTERS 1125 ASPIRA CT MANSFIELD,OH44906	OUTPATIENT PHYSICIAN CLINIC
21	21 - ELYRIA FAMILY HEALTH & SURGERY CENTER 303 CHESTNUT COMMONS DR ELYRIA,OH44035	FAMILY HEALTH CENTER
22	22 - CLEVELAND CLINIC FLORIDA - WEST PALM BEA 1401 FORUM WAY STE 300 WEST PALM BEACH,FL33401	OUTPATIENT PHYSICIAN CLINIC
23	23 - WESTLAKE PHYSICIANS CENTER 805 COLUMBIA RD WESTLAKE,OH44145	OUTPATIENT PHYSICIAN CLINIC
24	24 - FAIRVIEW HOSPITAL MEDICAL OFFICE 24700 LORAIN AVE NORTH OLMSTED,OH44070	OUTPATIENT PHYSICIAN CLINIC
25	25 - MARYMOUNT MEDICAL CENTER 2001 E ROYALTON RD BROADVIEW HTS,OH44147	OUTPATIENT PHYSICIAN CLINIC
26	26 - SUPERIOR MEDICAL SHEFFIELD FAMILY HEALTH 5334 MEADOW LANE CT SHEFFIELD VILLAGE,OH44035	OUTPATIENT PHYSICIAN CLINIC
27	27 - LAKEWOOD FAMILY HEALTH CENTER 16215 MADISON AVE LAKEWOOD,OH44107	FAMILY HEALTH CENTER
28	28 - LANDERBROOK OFFICE AND ENDOSCOPY CENTER 5900 LANDERBROOK DR MAYFIELD HEIGHTS,OH44124	OUTPATIENT PHYSICIAN CLINIC
29	29 - CHAGRIN FALLS FAMILY HEALTH CENTER 551 EAST WASHINGTON ST CHAGRIN FALLS,OH44022	FAMILY HEALTH CENTER
30	30 - AVON POINTE FAMILY HEALTH CENTER 36901 AMERICAN WAY AVON,OH44011	FAMILY HEALTH CENTER
31	31 - NORTH OHIO GASTROENTEROLOGY 30701 CLEMENS RD WESTLAKE,OH44145	OUTPATIENT PHYSICIAN CLINIC
32	32 - AMHERST FAMILY HEALTH CENTER 5172 LEAVITT RD LORAIN,OH44053	FAMILY HEALTH CENTER
33	33 - CLEVELAND CLINIC LOU RUVO CENTER FOR BRA 888 WEST BONNEVILLE AVE LAS VEGAS,NV89106	OUTPATIENT PHYSICIAN CLINIC
34	34 - STEPHANIE TUBBS JONES HEALTH CENTER 13944 EUCLID AVE EAST CLEVELAND,OH44112	FAMILY HEALTH CENTER
35	35 - AVON LAKE FAMILY HEALTH CENTER 450 AVON BELDEN RD AVON LAKE,OH44012	FAMILY HEALTH CENTER
36	36 - SUMMIT GASTROENTEROLOGY ASSOCIATES 3939 S CLEVELAND MASSILLON RD BARBERTON,OH44203	OUTPATIENT PHYSICIAN CLINIC
37	37 - MENTOR MEDICAL OFFICE 7060 WAYSIDE DR MENTOR,OH44060	OUTPATIENT PHYSICIAN CLINIC
38	38 - CLEVELAND CLINIC SUMMIT OPHTHALMOLOGY 1 PARK WEST BLVD STE 150 AKRON,OH44320	OUTPATIENT PHYSICIAN CLINIC
39	39 - CLEVELAND CLINIC ADMINISTRATIVE CAMPUS 3275 SCIENCE PARK DR BLDG 5 BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
40	40 - AKRON GENERAL PHYSICIAN OFFICE 224 W EXCHANGE ST AKRON,OH44307	OUTPATIENT PHYSICIAN CLINIC
41	41 - AKRON GENERAL JUSTIN T ROGERS HOSPICE C 3358 RIDGEWOOD RD AKRON,OH44333	HOSPICE
42	42 - SPORTS HEALTH CENTER 5595 TRANSPORTATION BLVD GARFIELD HEIGHTS,OH44125	OUTPATIENT PHYSICIAN CLINIC
43	43 - OHIO RENAL CARE CLEVELAND EAST 2429 MARTIN LUTHER KING JR DR CLEVELAND,OH44104	DIALYSIS CENTER
44	44 - COMMUNITY PEDIATRICS 8254 MAYFIELD RD CHESTERLAND,OH44026	OUTPATIENT PHYSICIAN CLINIC
45	45 - OHIO RENAL CARE GROUP AMHERST 1168 CLEVELAND AVE AMHERST,OH44001	DIALYSIS CENTER
46	46 - AKRON GENERAL TALLMADGE HEALTH CENTER 33 NORTH AVE TALLMADGE,OH44278	OUTPATIENT PHYSICIAN CLINIC
47	47 - CLEVELAND CLINIC CANCER CENTERS 509 W MCPHERSON HIGHWAY CLYDE,OH43410	OUTPATIENT PHYSICIAN CLINIC
48	48 - MENTOR REHABILITATION AND SPORTS THERAPY 7533 CENTER ST MENTOR,OH44060	OUTPATIENT PHYSICIAN CLINIC
49	49 - MADISON MEDICAL OFFICE 2999 MCMACKIN RD MADISON,OH44057	OUTPATIENT PHYSICIAN CLINIC
50	50 - CCF GASTROENTEROLOGY 7530 FREDLE DR CONCORD,OH44077	OUTPATIENT PHYSICIAN CLINIC
51	51 - PALM BEACH GARDENS 4520 DONALD ROSS RD STE 200 PALM BEACH GARDENS,FL33418	OUTPATIENT PHYSICIAN CLINIC
52	52 - PARKLAND 7857 N UNIVERSITY DR STE 401 PARKLAND,FL33067	OUTPATIENT PHYSICIAN CLINIC
53	53 - ASHLAND OPHTHALMOLOGYSUGARBUSH EYE AND 21 SUGARBUSH CT ASHLAND,OH44805	OUTPATIENT PHYSICIAN CLINIC
54	54 - BAINBRIDGE URGENT CARE 17747 CHILLICOTHE RD STE 100 BAINBRIDGE,OH44023	OUTPATIENT PHYSICIAN CLINIC
55	55 - OLMSTED TOWNSHIP PRIMARY CARE 27089 BAGLEY RD OLMSTED TOWNSHIP,OH44138	OUTPATIENT PHYSICIAN CLINIC
56	56 - CLEVELAND CLINIC SUPERIOR MEDICAL CARE 1959 COOPER FOSTER PARK RD AMHERST,OH44053	DIAGNOSTIC CENTER
57	57 - COMMUNITY PEDIATRICS 2001 CROCKER RD WESTLAKE,OH44145	OUTPATIENT PHYSICIAN CLINIC
58	58 - GEMINI RECREATION CENTER 21225 LORAIN RD FAIRVIEW PARK,OH44126	OUTPATIENT PHYSICIAN CLINIC
59	59 - OHIO RENAL CARE GROUP WESTLAKE 26024 DETROIT AVE WESTLAKE,OH44145	DIALYSIS CENTER
60	60 - MAYFIELD VILLAGE PEDIATRICS 6559 WILSON MILLS RD STE101-D MAYFIELD VILLAGE,OH44143	OUTPATIENT PHYSICIAN CLINIC
61	61 - WILLOUGHBY HILLS BEHAVIORAL HEALTH 2785 SOM CENTER RD WILLOUGHBY HILLS,OH44094	OUTPATIENT PHYSICIAN CLINIC
62	62 - SOUTH RUSSELL FAMILY PRACTICE 5192 CHILLICOTHE RD SOUTH RUSSELL,OH44022	OUTPATIENT PHYSICIAN CLINIC
63	63 - UNION MEDICAL OFFICE 3 400 MEDICAL PARK DR DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
64	64 - BRUNSWICK EMERGENCY CARE 3724 CENTER RD BRUNSWICK,OH44212	OUTPATIENT PHYSICIAN CLINIC
65	65 - MARYMOUNT REHABILITATION AND SPORTS THER 2525 EAST ROYALTON RD BROADVIEW HEIGHTS,OH44147	OUTPATIENT PHYSICIAN CLINIC
66	66 - RIDGE PARK OBSTETRICS AND GYNECOLOGY 7575 NORTHCLIFF AVE 302 BROOKLYN,OH44144	OUTPATIENT PHYSICIAN CLINIC
67	67 - OHIO RENAL CARE GROUP WEST 14670 SNOW RD BROOKPARK,OH44142	DIALYSIS CENTER
68	68 - SOUTH POINTE HOSPITAL MEDICAL OFFICE 20050 HARVARD RD WARRENSVILLE HEIGHTS,OH44122	OUTPATIENT PHYSICIAN CLINIC
69	69 - OHIO RENAL CARE GROUP HERITAGE 1160 E BROAD ST ELYRIA,OH44035	DIALYSIS CENTER
70	70 - WADSWORTH PRIMARY CARE ONE PARK CENTER DR WADSWORTH,OH44281	OUTPATIENT PHYSICIAN CLINIC
71	71 - EAST OHIO ORTHOPAEDICS 515 UNION AVE DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
72	72 - EUCLID MEDICAL OFFICE 99 NORTHLINE CIR EUCLID,OH44119	OUTPATIENT PHYSICIAN CLINIC
73	73 - CLEVELAND CLINIC LYNDHURST CAMPUS 1950 RICHMOND RD LYNDHURST,OH44124	OUTPATIENT PHYSICIAN CLINIC
74	74 - BROOKPARK COMPREHENSIVE FAMILY CARE 14401 SNOW RD BROOKPARK,OH44142	OUTPATIENT PHYSICIAN CLINIC
75	75 - OHIO RENAL CARE GROUP EUCLID 26450 EUCLID AVE EUCLID,OH44132	DIALYSIS CENTER
76	76 - NORTH RIDGEVILLE MEDICAL OFFICE 35105 CENTER RIDGE RD NORTH RIDGEVILLE,OH44039	OUTPATIENT PHYSICIAN CLINIC
77	77 - OHIO RENAL CARE GROUP OHIO ACUTES 2500 METROHEALTH DR CLEVELAND,OH44109	DIALYSIS CENTER
78	78 - CHARDON REHABILITATION AND SPORTS THERAP 325 CENTER ST CHARDON,OH44024	OUTPATIENT PHYSICIAN CLINIC
79	79 - OHIO RENAL CARE GROUP SOLON 6020 ENTERPRISE PKWY SOLON,OH44139	DIALYSIS CENTER
80	80 - UNION HOSPITAL FIRSTCARE URGENT CARE CEN 110 DUBLIN DR DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
81	81 - BEDFORD DIALYSIS CENTER 5035 RICHMOND RD BEDFORD HEIGHTS,OH44146	DIALYSIS CENTER
82	82 - CLEVELAND CLINIC DIABETES AND ENDOCRINOL 3733 PARK EAST DR STE 105 BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
83	83 - OHIO RENAL CARE GROUP FARNSWORTH 3764 PEARL RD CLEVELAND,OH44109	DIALYSIS CENTER
84	84 - SUMMIT OPHTHALMOLOGY 1587 BOETTLER RD GREEN,OH44685	OUTPATIENT PHYSICIAN CLINIC
85	85 - SEVERANCE MEDICAL ARTS 5 SEVERANCE CIR CLEVELAND HEIGHTS,OH44118	OUTPATIENT PHYSICIAN CLINIC
86	86 - CANFIELD ORTHOPAEDICS AND REHABILITATION 3736 BOARDMAN CANFIELD RD CANFIELD,OH44406	OUTPATIENT PHYSICIAN CLINIC
87	87 - UPS CENTRAL 205 HOSPITAL DR DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
88	88 - CLEVELAND CLINIC FLORIDA WELLINGTON 2789 S STATE RD 7 STE 100/200 WELLINGTON,FL33414	OUTPATIENT PHYSICIAN CLINIC
89	89 - OHIO RENAL CARE GROUP MENTOR 8840 TYLER BLVD MENTOR,OH44060	DIALYSIS CENTER
90	90 - MOHICAN EYE CENTER 484 PARK AVE WEST MANSFIELD,OH44906	OUTPATIENT PHYSICIAN CLINIC
91	91 - AKRON GENERAL REHABILITATION AND SPORTS 585 WHITE POND DR AKRON,OH44320	OUTPATIENT REHABILITATION
92	92 - SAGAMORE HILLS MEDICAL CENTER I 863 WEST AURORA RD SAGAMORE HILLS,OH44067	OUTPATIENT PHYSICIAN CLINIC
93	93 - OHIO RENAL CARE GROUP ELYRIA 5316 HOAG DR SHEFFIELD,OH44035	DIALYSIS CENTER
94	94 - CLEVELAND CLINIC COLE EYE OF STREETSBORO 9424 STATE RT 14 STREETSBORO,OH44241	OUTPATIENT PHYSICIAN CLINIC
95	95 - NEWCOMERSTOWN UNION PHYSICIAN SERVICES 60881 COUNTY RD 9 1 NEWCOMERSTOWN,OH43832	OUTPATIENT PHYSICIAN CLINIC
96	96 - OHIO RENAL CARE GROUP LAKEWOOD 13900 DETROIT RD LAKEWOOD,OH44109	DIALYSIS CENTER
97	97 - FAIRLAWN UROLOGY 2651 W MARKET ST FAIRLAWN,OH44333	OUTPATIENT PHYSICIAN CLINIC
98	98 - OHIO RENAL CARE GROUP WHITE POND 690 WHITE POND DR AKRON,OH44320	DIALYSIS CENTER
99	99 - MADISON REHABILITATION AND SPORTS THERAP 2622 HUBBARD RD MADISON,OH44057	OUTPATIENT PHYSICIAN CLINIC
100	100 - WELLINGTON MEDICAL OFFICE 805 PATRIOT DR UNIT E WELLINGTON,OH44090	OUTPATIENT PHYSICIAN CLINIC
101	101 - OHIO RENAL CARE GROUP WADSWORTH 1160 WILLIAMS RESERVE BLVD WADSWORTH,OH44281	DIALYSIS CENTER
102	102 - AKRON GENERAL EXPRESS CARE CLINIC 4494 STATE RT 43 KENT,OH44240	OUTPATIENT PHYSICIAN CLINIC
103	103 - CLEVELAND CLINIC CHILDREN'S CENTER FOR A 21016 HILLIARD BLVD ROCKY RIVER,OH44116	OUTPATIENT PHYSICIAN CLINIC
104	104 - OBERLIN OPHTHALMOLOGY 309 WEST LORAIN ST OBERLIN,OH44074	OUTPATIENT PHYSICIAN CLINIC
105	105 - MACEDONIA EXPRESS AND OUTPATIENT CARE 8210 MACEDONIA COMMONS BLVD MACEDONIA,OH44056	OUTPATIENT PHYSICIAN CLINIC
106	106 - EXPRESS CARE 82 WEST STREETSBORO ST HUDSON,OH44236	OUTPATIENT PHYSICIAN CLINIC
107	107 - LIBERTY FAMILY MEDICINE 571 E TURKEYFOOT LAKE RD AKRON,OH44319	OUTPATIENT PHYSICIAN CLINIC
108	108 - MOHICAN EYE CENTER 637 NORTH UNION ST LOUDONVILLE,OH44842	OUTPATIENT PHYSICIAN CLINIC
109	109 - COLE EYE - TERMAN PRACTICE 32901 STATION ST SOLON,OH44139	OUTPATIENT PHYSICIAN CLINIC
110	110 - MARYMOUNTCCF PAIN MANAGEMENT CENTER 12000 MCCRACKEN RD GARFIELD HEIGHTS,OH44125	OUTPATIENT PHYSICIAN CLINIC
111	111 - OHIO RENAL CARE GROUP GARFIELD HEIGHTS 9729 GRANGER RD GARFIELD HTS,OH44125	DIALYSIS CENTER
112	112 - AKRON GENERAL URGENT CARE 3593 S ARLINGTON RD AKRON,OH44312	OUTPATIENT PHYSICIAN CLINIC
113	113 - ALPINE FAMILY MEDICINE 126 1/2 NORTH BROADWAY SUGARCREEK,OH44681	OUTPATIENT PHYSICIAN CLINIC
114	114 - BELDEN CENTER 4677 FULTON DRIVE NW CANTON,OH44718	OUTPATIENT PHYSICIAN CLINIC
115	115 - MEDICAL OFFICE PAVILION 1946 TOWN PARK BLVD UNIONTOWN,OH44685	OUTPATIENT PHYSICIAN CLINIC
116	116 - OHIO RENAL CARE GROUP SOUTHPOINT DIALYS 4200 WARRENSVILLE CENTER RD STE 100 WARRENSVILLE HTS,OH44122	DIALYSIS CENTER
117	117 - AKRON GENERAL GAMMA KNIFE CENTER 762 S CLEVELAND-MASSILLON RD AKRON,OH44333	OUTPATIENT PHYSICIAN CLINIC
118	118 - LAKEWOOD MEDICAL BUILDING 1450 BELLE AVE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
119	119 - OHIO RENAL CARE GROUP CUYAHOGA FALLS 320 BROADWAY ST E E CUYAHOGA FALLS,OH44221	DIALYSIS CENTER
120	120 - FAIRVIEW HOSPITAL WELLNESS CENTER 3035 WOOSTER RD ROCKY RIVER,OH44116	OUTPATIENT PHYSICIAN CLINIC
121	121 - THE LANGSTON HUGHES CENTER CLEVELAND CLI 2390 E 79TH ST CLEVELAND,OH44104	OUTPATIENT PHYSICIAN CLINIC
122	122 - MEDINA MEDICAL OFFICE 970 E WASHINGTON MEDINA,OH44256	OUTPATIENT PHYSICIAN CLINIC
123	123 - BRECKSVILLE EXPRESS CARE 8805 BRECKSVILLE RD BRECKSVILLE,OH44141	OUTPATIENT PHYSICIAN CLINIC
124	124 - STOW-FALLS MEDICAL OUTPATIENT CENTER 857 GRAHAM RD STOW,OH44221	OUTPATIENT PHYSICIAN CLINIC
125	125 - MONTROSE SLEEP CENTER 4880 S MAIN ST AKRON,OH44319	OUTPATIENT PHYSICIAN CLINIC
126	126 - SAGAMORE HILLS MEDICAL OFFICE II 885 WEST AURORA RD SAGAMORE HILLS,OH44067	OUTPATIENT PHYSICIAN CLINIC
127	127 - PORTAGE HILLS FAMILY MEDICINE 754 S CLEVELAND AVE MOGADORE,OH44260	OUTPATIENT PHYSICIAN CLINIC
128	128 - INDEPENDENCE CANCER CENTER 6100 WEST CREEK RD INDEPENDENCE,OH44131	OUTPATIENT PHYSICIAN CLINIC
129	129 - NPCS - BEACHWOOD 26110 EMERY RD WARRENSVILLE HEIGHTS,OH44128	OUTPATIENT PHYSICIAN CLINIC
130	130 - ACCESS TO CARE 29000 AURORA RD SOLON,OH44139	OUTPATIENT PHYSICIAN CLINIC
131	131 - AGMC - PPG - CAMERON PRACTICE 551 WABASH AVE NW NEW PHILADELPHIA,OH44663	OUTPATIENT PHYSICIAN CLINIC
132	132 - AGMC - PPG - STEINBERGER PRACTICE 2708 CRAWFIS BLVD FAIRLAWN,OH44333	OUTPATIENT PHYSICIAN CLINIC
133	133 - AGMC - PPG - SUMMIT CENTER FOR BEHAVIORA 3200 W MARKET ST FAIRLAWN,OH44333	OUTPATIENT PHYSICIAN CLINIC
134	134 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 3636 YELLOW CREEK RD AKRON,OH44333	OUTPATIENT PHYSICIAN CLINIC
135	135 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 1355 CORPORATE DR HUDSON,OH44236	OUTPATIENT PHYSICIAN CLINIC
136	136 - AKRON GENERAL OBSTETRICS AND GYNECOLOGY 1622 E TURKEYFOOT LAKE RD AKRON,OH44312	OUTPATIENT PHYSICIAN CLINIC
137	137 - AKRON GENERAL ORTHOPEDICS 43 SOUTH MAIN ST MUNROE FALLS,OH44262	OUTPATIENT PHYSICIAN CLINIC
138	138 - AKRON GENERAL REHABILITATION AND SPORTS 1500 AKRON CANTON RD AKRON,OH44312	OUTPATIENT REHABILITATION
139	139 - AKRON GENERAL SPINE & PAIN INSTITUTE AND 2603 W MARKET ST 200-210 AKRON,OH44313	OUTPATIENT PHYSICIAN CLINIC
140	140 - ASHTABULA COUNTY MEDICAL CENTER 2422 LAKE AVE ASHTABULA,OH44004	OUTPATIENT PHYSICIAN CLINIC
141	141 - BOARDMAN STAR IMAGING 7067 TIFFANY BLVD YOUNGSTOWN,OH44512	DIAGNOSTIC CENTER
142	142 - CCF GASTROENTEROLOGY 3700 PARK EAST DR BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
143	143 - CENTER FOR ARTHRITIS 1716 NORTH RD SE WARREN,OH44484	OUTPATIENT PHYSICIAN CLINIC
144	144 - CENTER FOR UROLOGIC HEALTH 320 W EXCHANGE ST AKRON,OH44302	OUTPATIENT PHYSICIAN CLINIC
145	145 - CHARLESTON AREA MEDICAL CENTER 1201 WASHINGTON ST EAST STE 100 CHARLESTON,WV25301	OUTPATIENT PHYSICIAN CLINIC
146	146 - CLEVELAND CLINIC FAMILY MEDICINE 19300 DETROIT AVE ROCKY RIVER,OH44116	OUTPATIENT PHYSICIAN CLINIC
147	147 - CLEVELAND CLINIC HEART & VASCULAR 1400 WEST MAIN ST BELLEVUE HOSPITAL BELLEVUE,OH44811	OUTPATIENT PHYSICIAN CLINIC
148	148 - CLEVELAND CLINIC STAR IMAGING 1449 BOARDMAN-CANFIELD RD YOUNGSTOWN,OH44512	DIAGNOSTIC CENTER
149	149 - CLUB VIEW VISION CENTER OPTOMETRIC 1650 E MANSFIELD ST BUCYRUS,OH44820	OUTPATIENT PHYSICIAN CLINIC
150	150 - COLE EYE INSTITUTE 2000 AUBURN DRIVE STE 100 BEACHWOOD,OH44122	OUTPATIENT PHYSICIAN CLINIC
151	151 - COLUMBUS STAR IMAGING 1550 KENNY RD COLUMBUS,OH43212	DIAGNOSTIC CENTER
152	152 - COLUMBUS STAR IMAGING 921 JASONWAY AVE COLUMBUS,OH43214	DIAGNOSTIC CENTER
153	153 - COLUMBUS STAR IMAGING BEECHER 425 BEECHER RD COLUMBUS,OH43230	DIAGNOSTIC CENTER
154	154 - COMMUNITY MENTAL HEALTH INC 201 HOSPITAL DR DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
155	155 - DAYTON STAR IMAGING 5529 FAR HILLS AVE DAYTON,OH45429	DIAGNOSTIC CENTER
156	156 - DOWNTOWN EXPRESS CARE 315 EUCLID AVE STE 2 CLEVELAND,OH44114	OUTPATIENT PHYSICIAN CLINIC
157	157 - ERADIOLOGY (WESTON TOWN CENTER) 1792 BELL TOWER LN WESTON,FL33326	OUTPATIENT PHYSICIAN CLINIC
158	158 - FIRELANDS PEDIATRIC SUBSPECIALTY CLINIC 1111 HAYES AVE SANDUSKY,OH44870	OUTPATIENT PHYSICIAN CLINIC
159	159 - FORT LAUDERDALE CONCIERGE MEDICINE 1301 EAST BROWARD BLVD FORT LAUDERDALE,FL33301	OUTPATIENT PHYSICIAN CLINIC
160	160 - HACKETT MEDICAL 8300 TYLER BLVD MENTOR,OH44060	OUTPATIENT PHYSICIAN CLINIC
161	161 - KINDRED HEALTH CARE CLEVELAND 11900 FAIRHILL RD CLEVELAND,OH44120	OUTPATIENT PHYSICIAN CLINIC
162	162 - KRUPA CENTER 3250 MERIDIAN PKWY WESTON,FL33331	OUTPATIENT PHYSICIAN CLINIC
163	163 - LAKEWEST MEDICAL BUILDING 36100 EUCLID AVE STE 280 WILLOUGHBY,OH44094	OUTPATIENT PHYSICIAN CLINIC
164	164 - LAKEWOOD FAMILY MEDICINE - ROCKPORT 11851 DETROIT AVE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
165	165 - LAKEWOOD PROFESSIONAL BUILDING 14601 DETROIT AVE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
166	166 - LAKEWOOD YMCA 16915 DETROIT AVE LAKEWOOD,OH44107	OUTPATIENT PHYSICIAN CLINIC
167	167 - LORAIN ORTHOPAEDICS 5800 COOPER FOSTER PARK RD LORAIN,OH44053	OUTPATIENT PHYSICIAN CLINIC
168	168 - UNION MEDICAL OFFICE 1 200 MEDICAL PARK DR DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
169	169 - NILES STAR IMAGING 652 YOUNGSTOWN WARREN RD NILES,OH44446	DIAGNOSTIC CENTER
170	170 - NORTHEASTERN OHIO MEDICAL SPECIALISTS 470 WHITE POND DR AKRON,OH44320	OUTPATIENT PHYSICIAN CLINIC
171	171 - ROCKSIDE MEDICAL CENTER 6701 ROCKSIDE RD INDEPENDENCE,OH44131	OUTPATIENT PHYSICIAN CLINIC
172	172 - SLEEP DISORDER CENTER AT FAIRHILL 11203 STOKES BLVD CLEVELAND,OH44104	DIAGNOSTIC CENTER
173	173 - SLEEP DISORDERS CENTER 24901 COUNTRY CLUB BLVD NORTH OLMSTED,OH44070	DIAGNOSTIC CENTER
174	174 - SLEEP DISORDERS CENTER 3750 ORANGE PL BEACHWOOD,OH44122	DIAGNOSTIC CENTER
175	175 - SLEEP DISORDERS CENTER 8971 WILCOX DR TWINSBURG,OH44087	DIAGNOSTIC CENTER
176	176 - SLEEP DISORDERS CENTER 1825 LORAIN BLVD ELYRIA,OH44035	DIAGNOSTIC CENTER
177	177 - SLEEP DISORDERS CENTER 5051 WEST CREEK RD INDEPENDENCE,OH44131	DIAGNOSTIC CENTER
178	178 - SLEEP DISORDERS CENTER 3122 EASTPOINTE DR MEDINA,OH44256	DIAGNOSTIC CENTER
179	179 - SLEEP DISORDERS CENTER 5785 HEISLEY RD MENTOR,OH44060	DIAGNOSTIC CENTER
180	180 - SOUTHEASTERN OHIO REGIONAL MEDICAL CENTE 1341 CLARK ST CAMBRIDGE,OH43725	OUTPATIENT PHYSICIAN CLINIC
181	181 - SPINE & PAIN INSTITUTE 307 W MAIN ST C KENT,OH44240	OUTPATIENT PHYSICIAN CLINIC
182	182 - SPINE & PAIN INSTITUTE 265 WEST MAIN ST KENT,OH44240	OUTPATIENT PHYSICIAN CLINIC
183	183 - SPORTS HEALTH CENTER 5555 TRANSPORTATION BLVD GARFIELD HEIGHTS,OH44125	OUTPATIENT PHYSICIAN CLINIC
184	184 - SUBURBAN HEALTH FAMILY PHYSICIANS 2818 S ARLINGTON RD AKRON,OH44312	OUTPATIENT PHYSICIAN CLINIC
185	185 - SUMMIT MEDICAL 3600 WEST MARKET ST AKRON,OH44333	OUTPATIENT PHYSICIAN CLINIC
186	186 - SUMMIT VASCULAR SPECIALISTS 1761 BEALL AVE WOOSTER,OH44691	OUTPATIENT PHYSICIAN CLINIC
187	187 - THERAPY SERVICES SOUTH 17800 JEFFERSON PARK DR STE 101 MIDDLEBURG HTS,OH44130	OUTPATIENT PHYSICIAN CLINIC
188	188 - THERAPY SERVICES WEST 826 WESTPOINT PKWY STE 1200 WESTLAKE,OH44145	OUTPATIENT PHYSICIAN CLINIC
189	189 - TOMSICH HEALTH AND MEDICAL CENTER OF PAL 525 OKEECHOBEE BLVD CITY PLACE TOWER WEST PALM BEACH,FL33401	FAMILY HEALTH CENTER
190	190 - TUSCARAWAS VALLEY REGIONAL CANCER CENTER 659 BOULEVARD ST DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
191	191 - TWINSBURG MEDICAL OFFICE 2365 EDISON BLVD TWINSBURG,OH44087	OUTPATIENT PHYSICIAN CLINIC
192	192 - UNION HOSPITAL HEALTHPLEX 500 MEDICAL PARK DR DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
193	193 - UNION HOSPITAL MAMMOGRAPHY 101 HOSPITAL DR DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
194	194 - UNION HOSPITAL REGIONAL CANCER CENTER 300 MEDICAL PARK DR DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
195	195 - UNION HOSPITAL TUSCARAWAS AMBULATORY SUR 320 OXFORD ST DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
196	196 - UPS CARE COORDINATION CENTER 301 WEST THIRD ST DOVER,OH44622	OUTPATIENT PHYSICIAN CLINIC
197	197 - VALLEY CITY FAMILY MEDICINE 6605 CENTER RD VALLEY CITY,OH44280	OUTPATIENT PHYSICIAN CLINIC
198	198 - WEST PARK LEARNING CENTER 15531 LORAIN AVE CLEVELAND,OH44111	OUTPATIENT PHYSICIAN CLINIC
199	199 - WEST VALLEY MEDICAL 20455 LORAIN RD 301 FAIRVIEW PARK,OH44126	OUTPATIENT PHYSICIAN CLINIC
200	200 - WESTLAKE MEDICAL CAMPUS A 850 COLUMBIA RD WESTLAKE,OH44145	OUTPATIENT PHYSICIAN CLINIC & DIAGNOSTIC CTR
201	201 - WILLOUGHBY HILLS REHABILITATION AND SPOR 29017 CHARDON RD WILLOUGHBY HILLS,OH44094	OUTPATIENT PHYSICIAN CLINIC
202	202 - WOOSTER MILLTOWN SPECIALTY & SURGERY CEN 721 EAST MILLTOWN RD WOOSTER,OH44691	OUTPATIENT PHYSICIAN CLINIC
203	203 - WOOSTER WOMEN'S HEALTH CENTER 1739 CLEVELAND RD WOOSTER,OH44691	OUTPATIENT PHYSICIAN CLINIC

Schedule H (Form 990) 2018

Page 10

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:	CCHS PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THIS POLICY APPLIES TO ALL CCHS FACILITIES, AND THE AMOUNT OF CARE PROVIDED UNDER THE POLICY IS DETERMINED BY NEED AND IS NOT LIMITED OR RATIONED BY BUDGETED AMOUNTS. UNDER THE POLICY, IN GENERAL, CCHS PROVIDES FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 250% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE POLICY CONTAINS ADDITIONAL WAYS TO QUALIFY BASED ON FINANCIAL AND MEDICAL NEED.
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:	CCHS 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):	THE PROPORTIONATE SHARE OF TOTAL JV EXPENSES AND BAD DEBT EXPENSES ARE FACTORED IN FOR PURPOSES OF CALCULATING THE PERCENTAGES.
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	THE NET COMMUNITY BENEFIT EXPENSE FIGURE REPORTED FOR UNREIMBURSED MEDICAID IS INCLUSIVE OF CCHS'S HCAP ASSESSMENT OF $6,237,505.
PART I, LINE 7	NOTE THAT THE TOTAL AMOUNT OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS OF $969,972,424 AS REPORTED ON PART I, LINE 7 DIFFERS FROM THE TOTAL COMMUNITY BENEFIT FOR CLEVELAND CLINIC HEALTH SYSTEM AS REPORTED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. THE AMOUNT DIFFERS IN 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, AND2) THE PROPORTIONATE SHARE OF JOINT VENTURE COMMUNITY BENEFIT IS INCLUDED IN LINE 7.
PART I, LINE 2	EFFECTIVE APRIL 2018, THE CLEVELAND CLINIC FOUNDATION, THROUGH A SUBSIDIARY BECAME THE SOLE MEMBER OF THE UNION HOSPITAL ASSOCIATION (UNION HOSPITAL"). UNION HOSPITAL HAS ITS OWN FINANCIAL ASSISTANCE POLICY, WHICH COMPLIES WITH ALL 501(R) REGULATIONS.SELECT FACILITIES ALSO HAVE THEIR OWN FINANCIAL ASSISTANCE POLICIES, WHICH COMPLY WITH ALL 501(R) REGULATIONS.
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:	SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #3 ON PG. 13 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO.CCHS HAS USED THE CHA METHODOLOGY FOR REPORTING COMMUNITY BENEFIT SINCE 2004 AS IT WAS THE EMERGING COMMUNITY BENEFIT REPORTING STANDARD AND NOW HAS BEEN ADOPTED IN LARGE PART BY THE IRS FOR 990 REPORTING PURPOSES. THE CHA MODEL DOES NOT INCLUDE MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
PART III, LINE 9B:	IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE 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, LINES 5, 6, & 7	IN ADDITION TO THE MEDICARE PROGRAMS REFLECTED IN THE COST REPORTS, CCHS INCURS COSTS AND RECEIVES REIMBURSEMENT FOR OTHER MEDICARE ELIGIBLE SERVICES. THE TOTAL REVENUE RECEIVED AND COSTS ASSOCIATED WITH THE ADDITIONAL MEDICARE SERVICES ARE $1,518,987,324 AND $1,961,612,303 RESPECTIVELY. THIS RESULTS IN MEDICARE SHORTFALL OF $442,624,979 WHICH ADDED TO THE SHORTFALL OF $29,311,185 AS REPORTED ON THE COST REPORTS, BRINGS THE TOTAL MEDICARE SHORTFALL TO $471,936,164.
PART VI, LINE 2:	IN ADDITION TO THE CHNA PROCESS, CCHS, ITS INSTITUTES AND DEPARTMENTS, AND EACH HOSPITAL MAY GATHER, ANALYZE, AND REVIEW RELEVANT HEALTH STATISTICS AND DEMOGRAPHIC DATA FOR THAT PARTICULAR FACILTY'S COMMUNITY. THE DATA IS USED TO EVALUATE POTENTIAL NEW OR REVISED HEALTH SERVICES THAT CCHS 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 AVAILABLE ON THE CLEVELAND CLINIC WEBSITE. PATIENT BILLS INCLUDE 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 CCHS, 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 COMMUNITY FOR EACH OF THE HOSPITAL FACILITIES IN THE CLEVELAND CLINIC HEALTH SYSTEM 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 USED TO CARRY OUT 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.
PART VI, LINE 7	AFTER FILING THE FORM 990, A COPY OF THE SCHEDULE H FOR THE CLEVELAND CLINIC FOUNDATION AND ALL SUBORDINATES IS SUBMITTED TO THE STATE OF OHIO.

Schedule H (Form 990) 2018

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number
91-2153073

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 noncash assistance	(h) Purpose of grant or assistance
(1) AKRON COMMUNITY FOUNDATION 345 W CEDAR ST AKRON,OH44307	34-1087615	501(C)(3)	6,820				COMMUNITY SUPPORT
(2) AKRON COMMUNITY SERVICE CENTER AND URBAN LEAGUE INC 440 VERNON ODOM BLVD AKRON,OH44307	34-0714520	501(C)(3)	8,833				COMMUNITY SUPPORT
(3) ALICE FLAHERTY EXCELLENCE IN NURSING SCHOLARSHIP FUND INC 24179 AMBOUR DR NORTH OLMSTED,OH44070	47-0974372	501(C)(3)	10,000				SUPPORT EDUCATIONAL ACTIVITIES
(4) AMERICAN CANCER SOCIETY 10501 EUCLID AVE CLEVELAND,OH44106	13-1788491	501(C)(3)	612,525				HEALTHCARE RESEARCH & EDUCATION
(5) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)(3)	265,163				HEALTHCARE RESEARCH & EDUCATION
(6) AMERICAN LIVER FOUNDATION 39 BROADWAY 27TH FL NEW YORK,NY10006	36-2883000	501(C)(3)	20,000				HEALTHCARE RESEARCH & EDUCATION
(7) AMERICAN LUNG ASSOCIATION 1740 BROADWAY NEW YORK,NY10019	13-1632524	501(C)(3)	27,500				HEALTHCARE RESEARCH & EDUCATION
(8) AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON,DC20006	53-0196605	501(C)(3)	10,000				COMMUNITY SUPPORT
(9) ARTHRITIS FOUNDATION 1330 WEST PEACHTREE ST NW ATLANTA,GA30309	58-1341679	501(C)(3)	22,750				HEALTHCARE RESEARCH & EDUCATION
(10) BEACHWOOD CHAMBER OF COMMERCE 23355 MERCANTILE RD BEACHWOOD,OH44122	34-1684237	501(C)(6)	7,000				COMMUNITY SUPPORT
(11) BOYS AND GIRLS CLUBS OF CLEVELAND 6114 BROADWAY AVE CLEVELAND,OH44127	34-0770686	501(C)(3)	15,000				COMMUNITY SUPPORT
(12) BURTEN BELL CARR DEVELOPMENT INC 7201 KINSMAN RD CLEVELAND,OH44104	34-1657533	501(C)(3)	10,000				COMMUNITY SUPPORT
(13) BUSINESS VOLUNTEERS UNLIMITED 1300 E 9TH ST STE 1805 CLEVELAND,OH44114	34-1724581	501(C)(3)	10,000				COMMUNITY SUPPORT
(14) CASE WESTERN RESERVE UNIVERSITY 2040 ADELBERT RD CLEVELAND,OH44106	34-1018992	501(C)(3)	8,500				SUPPORT EDUCATIONAL ACTIVITIES
(15) CHARITIES AID FOUNDATION AMERICA 1800 DIAGONAL RD STE 150 ALEXANDRIA,VA22314	43-1634280	501(C)(3)	300,000				COMMUNITY SUPPORT
(16) CITY CLUB OF CLEVELAND 850 EUCLID AVE 2ND FL CLEVELAND,OH44114	34-0144897	501(C)(3)	26,898				COMMUNITY SUPPORT
(17) CITY OF AKRON 166 S HIGH ST AKRON,OH44308	34-6000020	501(C)(1)	10,317	56,983	COST	SOFTWARE	COMMUNITY SUPPORT
(18) CITY OF AVON 36080 CHESTER RD AVON,OH44011	34-6000165	501(C)(1)	10,000				COMMUNITY SUPPORT
(19) CITY OF CLEVELAND 601 LAKESIDE AVE CLEVELAND,OH44114	34-6000646	501(C)(1)	28,019				COMMUNITY SUPPORT
(20) CITY OF CORAL SPRINGS 9500 W SAMPLE RD CORAL SPRINGS,FL33065	59-1113462	501(C)(1)	10,000				COMMUNITY SUPPORT
(21) CITY OF LAKEWOOD 12650 DETROIT AVE LAKEWOOD,OH44107	34-6001633	501(C)(1)	500,000				COMMUNITY SUPPORT
(22) CLEVELAND CENTER FOR ARTS AND TECHNOLOGY 3634 EUCLID AVE NO 100 CLEVELAND,OH44115	27-1193704	501(C)(3)	10,000				SUPPORT EDUCATIONAL ACTIVITIES
(23) CLEVELAND INTERNATIONAL FILM FESTIVAL INC 2510 MARKET AVE CLEVELAND,OH44113	34-1262368	501(C)(3)	10,000				COMMUNITY SUPPORT
(24) CLEVELAND MUSEUM OF NATURAL HISTORY 1 WADE OVAL DR CLEVELAND,OH44106	34-0714338	501(C)(3)	8,000				COMMUNITY SUPPORT
(25) CLEVELAND SCHOOL OF SCIENCE & MEDICINE 2075 STOKES BLVD CLEVELAND,OH44106	34-3740643	501(C)(3)	10,000				SUPPORT EDUCATIONAL ACTIVITIES
(26) COLLEGE NOW GREATER CLEVELAND INC 50 PUBLIC SQUARE STE 1800 CLEVELAND,OH44113	34-6580096	501(C)(3)	10,500				SUPPORT EDUCATIONAL ACTIVITIES
(27) COMMUNITY WEST FOUNDATION 800 SHARON DR STE C WESTLAKE,OH44145	34-1456398	501(C)(3)	66,000				COMMUNITY SUPPORT
(28) CORAL SPRINGS FESTIVAL OF THE ARTS INC 5703 NW 109TH LN CORAL SPRINGS,FL33076	20-1152326	501(C)(3)	7,500				COMMUNITY SUPPORT
(29) CORAL SPRINGS YOUTH SOCCER INC PO BOX 8014 CORAL SPRINGS,FL33075	65-0203021	501(C)(3)	6,000				COMMUNITY SUPPORT
(30) CROHNS & COLITIS FOUNDATION OF AMERICA 23366 COMMERCE PARK RD BEACHWOOD,OH44122	13-6193105	501(C)(3)	26,500				HEALTHCARE RESEARCH & EDUCATION
(31) CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND,OH44115	23-7320719	501(C)(3)	11,000				SUPPORT EDUCATIONAL ACTIVITIES
(32) DANCING CLASSROOMS NORTHEAST OHIO 1085 ROCKSIDE RD STE 6 PARMA,OH44134	26-2300532	501(C)(3)	23,000				COMMUNITY SUPPORT
(33) DEMOCRACY COLLABORATIVE FOUNDATION INC 1422 EUCLID AVE STE 1652 CLEVELAND,OH44115	20-0387511	501(C)(3)	10,000				COMMUNITY SUPPORT
(34) EPILEPSY FOUNDATION OF FLORIDA INC 7300 N KENDALL DR NO 760 MIAMI,FL33156	59-2164525	501(C)(3)	19,000				HEALTHCARE RESEARCH & EDUCATION
(35) ESPERANZA INC 4115 BRIDGE AVE CLEVELAND,OH44113	34-1403492	501(C)(3)	20,000				SUPPORT EDUCATIONAL ACTIVITIES
(36) FAIRFAX RENAISSANCE DEVELOPMENT CORPORATION 8111 QUINCY AVE STE 100 CLEVELAND,OH44104	34-1706856	501(C)(3)	237,715				COMMUNITY SUPPORT
(37) FAMICOS FOUNDATION INC 1325 ANSEL RD CLEVELAND,OH44106	34-1053534	501(C)(3)	22,000				COMMUNITY SUPPORT
(38) FATIMA FAMILY CENTER 6600 LEXINGTON AVE CLEVELAND,OH44103	26-1323950	501(C)(3)	20,000				COMMUNITY SUPPORT
(39) FIRE CHIEFS ASSOCIATION OF BROWARD COUNTY 6919 W BROWARD BLVD PLANTATION,FL33317	91-1909626	501(C)(3)	5,125				COMMUNITY SUPPORT
(40) GATHERING PLACE 23300 COMMERCE PARK BEACHWOOD,OH44122	34-1879035	501(C)(3)	32,500				COMMUNITY SUPPORT
(41) GIRL SCOUTS OF LAKE ERIE COUNCIL 19201 VILLAVIEW RD CLEVELAND,OH44119	34-0714415	501(C)(3)	10,000				COMMUNITY SUPPORT
(42) GREATER CLEVELAND FOOD BANK INC 15500 S WATERLOO RD CLEVELAND,OH44110	34-1292848	501(C)(3)	15,254				COMMUNITY SUPPORT
(43) GREATER CLEVELAND HABITAT FOR HUMANITY 2110 W 110TH ST CLEVELAND,OH44102	31-1209423	501(C)(3)	15,000				COMMUNITY SUPPORT
(44) GREATER FORT LAUDERDALE CHAMBER OF COMMERCE 512 NE 3 AVE FT LAUDERDALE,FL33301	59-0250255	501(C)(6)	7,420				COMMUNITY SUPPORT
(45) HEREDITARY DISEASE FOUNDATION 3960 BROADWAY 6TH FL NEW YORK,NY10032	23-7376197	501(C)(3)	10,000				HEALTHCARE RESEARCH & EDUCATION
(46) HISPANIC ALLIANCE INC 3110 W 25TH ST CLEVELAND,OH44109	26-2001603	501(C)(3)	7,000				COMMUNITY SUPPORT
(47) HISPANIC UNITY OF FLORIDA INC 5840 JOHNSON ST HOLLYWOOD,FL33021	59-2230272	501(C)(3)	20,000				COMMUNITY SUPPORT
(48) JDRF INTERNATIONAL 26 BROADWAY 15TH FL NEW YORK,NY10004	23-1907729	501(C)(3)	5,750				HEALTHCARE RESEARCH & EDUCATION
(49) KEEP MEMORY ALIVE 888 W BONNEVILLE AVE LAS VEGAS,NV89106	88-0515534	501(C)(3)	80,500				HEALTHCARE RESEARCH & EDUCATION
(50) KENT STATE UNIVERSITY PO BOX 5190 KENT,OH44242	31-6402079	501(C)(3)	10,000				SUPPORT EDUCATIONAL ACTIVITIES
(51) KIDNEY FOUNDATION OF OHIO INC 2831 PROSPECT AVE CLEVELAND,OH44115	34-0827748	501(C)(3)	5,700				HEALTHCARE RESEARCH & EDUCATION
(52) LEUKEMIA & LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK,NY10573	13-5644916	501(C)(3)	90,500				HEALTHCARE RESEARCH & EDUCATION
(53) LORAIN COUNTY FREE CLINIC INC 5040 OBERLIN AVE LORAIN,OH44053	34-1506180	501(C)(3)	6,000				HEALTHCARE RESEARCH & EDUCATION
(54) MARCH OF DIMES FOUNDATION 614 SUPERIOR AVE NW CLEVELAND,OH44113	13-1846366	501(C)(3)	37,250				HEALTHCARE RESEARCH & EDUCATION
(55) MARTIN HEALTH FOUNDATION INC PO BOX 9033 STUART,FL34995	59-2343938	501(C)(3)	10,000				HEALTHCARE RESEARCH & EDUCATION
(56) MEDINA HOSPITAL FOUNDATION 1000 E WASHINGTON ST MEDINA,OH44256	34-1657989	501(C)(3)	5,375				HEALTHCARE RESEARCH & EDUCATION
(57) MEDWISH INTERNATIONAL 17325 EUCLID AVE CLEVELAND,OH44112	34-1903712	501(C)(3)	10,000	3,090,522	ESTIMATED VALUE	MEDICAL SUPPLIES	PATIENT CARE
(58) MEDWORKS 1950 RICHMOND RD LYNDHURST,OH44124	26-3858369	501(C)(3)	30,000				HEALTHCARE RESEARCH & EDUCATION
(59) NAMI GREATER CLEVELAND 2012 W 25TH ST STE 600 CLEVELAND,OH44113	20-2254268	501(C)(3)	10,000				HEALTHCARE RESEARCH & EDUCATION
(60) NATIONAL ASSOCIATION OF HISPANIC NURSES INV 1500 SUNDAY DR STE 102 RALEIGH,NC27607	91-1010677	501(C)(3)	10,000				COMMUNITY SUPPORT
(61) NATIONAL KIDNEY FOUNDATION 30 E 33RD ST NEW YORK,NY10016	13-1673104	501(C)(3)	20,000				HEALTHCARE RESEARCH & EDUCATION
(62) NATIONAL MULTIPLE SCLEROSIS SOCIETY 1422 EUCLID AVE CLEVELAND,OH44115	13-5661935	501(C)(3)	10,000				HEALTHCARE RESEARCH & EDUCATION
(63) NORTH COAST HEALTH MINISTRY 16110 DETROIT AVE LAKEWOOD,OH44107	34-1536257	501(C)(3)	251,500				HEALTHCARE RESEARCH & EDUCATION
(64) NORTH UNION FARMERS MARKET 13212 SHAKER SQUARE STE 302 CLEVELAND,OH44120	34-1812026	501(C)(3)	18,500				COMMUNITY SUPPORT
(65) OHIO & ERIE CANALWAY COALITION 47 W EXCHANGE ST AKRON,OH44308	34-1636766	501(C)(3)	7,500				COMMUNITY SUPPORT
(66) OHIO CITY INCORPORATED 2525 MARKET AVE STE A CLEVELAND,OH44113	34-1372076	501(C)(3)	11,315				COMMUNITY SUPPORT
(67) OHIO UNIVERSITY GROSVENOR W ATHENS,OH45701	31-6402113	501(C)(3)	8,000				SUPPORT EDUCATIONAL ACTIVITIES
(68) OHIO UNIVERSITY FOUNDATION PO BOX 869 ATHENS,OH45701	31-6402269	501(C)(3)	585,805				SUPPORT EDUCATIONAL ACTIVITIES
(69) OPEN DOORS INC 3311 PERKINS AVE CLEVELAND,OH44114	04-3697716	501(C)(3)	20,000				COMMUNITY SUPPORT
(70) OPERATION EXODUS USA PO BOX 568 LANCASTER,NY14086	20-2076659	501(C)(3)	99,800				COMMUNITY SUPPORT
(71) OUTRUN OVARIAN CANCER PO BOX 40332 BAY VILLAGE,OH44140	80-0093560	501(C)(3)	17,500				HEALTHCARE RESEARCH & EDUCATION
(72) PALMS WEST CHAMBER OF COMMERCE INC 12794 W FOREST HILL BLVD STE 19 WELLINGTON,FL33414	59-2372417	501(C)(6)	6,035				COMMUNITY SUPPORT
(73) PROJECT GRAD AKRON 400 W MARKET ST AKRON,OH44303	16-1639511	501(C)(3)	7,500				SUPPORT EDUCATIONAL ACTIVITIES
(74) RAINEY INSTITUTE 1523 E 55TH ST CLEVELAND,OH44144	34-6555952	501(C)(3)	15,000				COMMUNITY SUPPORT
(75) REGIONAL TRANSIT AUTHORITY PO BOX 6566 CLEVELAND,OH44101	34-1170830	501(C)(1)	125,000				COMMUNITY SUPPORT
(76) RONALD MCDONALD HOUSE OF CLEVELAND INC 10415 EUCLID AVE CLEVELAND,OH44106	34-1269123	501(C)(3)	17,000				HEALTHCARE RESEARCH & EDUCATION
(77) SAINT MARTIN DE PORRES HIGH SCHOOL 6111 LAUSCHE AVE CLEVELAND,OH44103	52-2401852	501(C)(3)	63,833				SUPPORT EDUCATIONAL ACTIVITIES
(78) SCHOLARSHIP AMERICA INC PO BOX 240 ST PETER,MN56082	04-2296967	501(C)(3)	24,091				SUPPORT EDUCATIONAL ACTIVITIES
(79) SISTERS OF ST JOSEPH THIRD ORDER OF ST FRANCIS 12425 GRANGER RD GARFIELD HTS,OH44125	34-0943303	501(C)(3)	8,572				SUPPORT EDUCATIONAL ACTIVITIES
(80) SOUTH EUCLID UNITED CHURCH OF CHRIST 4217 BLUESTONE RD SOUTH EUCLID,OH44121	34-0714615	501(C)(3)	291,667				COMMUNITY SUPPORT
(81) SPIRIT OF CLEVELAND INC 334 EUCLID AVE CLEVELAND,OH44114	34-1823509	501(C)(3)	7,620				COMMUNITY SUPPORT
(82) ST EDWARD HIGH SCHOOL 13500 DETROIT AVE LAKEWOOD,OH44107	34-0737808	501(C)(3)	7,500				SUPPORT EDUCATIONAL ACTIVITIES
(83) SUSAN G KOMEN BREAST CANCER FOUNDATION 26210 EMERY RD STE 307 CLEVELAND,OH44128	34-1793460	501(C)(3)	17,500				HEALTHCARE RESEARCH & EDUCATION
(84) THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION 9500 EUCLID AVE CLEVELAND,OH44195	34-0714553	501(C)(3)	19,298,390				HEALTHCARE RESEARCH & EDUCATION
(85) THE CLEVELAND FOUNDATION 1422 EUCLID AVE STE 1300 CLEVELAND,OH44115	34-0714588	501(C)(3)	250,000				COMMUNITY SUPPORT
(86) THE CLEVELAND ORCHESTRA 11001 EUCLID AVE CLEVELAND,OH44106	34-0714468	501(C)(3)	12,500				COMMUNITY SUPPORT
(87) THE DIVERSITY CENTER OF NORTHEAST OHIO 3659 GREEN RD STE 220 CLEVELAND,OH44122	20-1968761	501(C)(3)	5,700				COMMUNITY SUPPORT
(88) THE GREATER CLEVELAND HEALTHCARE ASSOCIATION 1226 HURON RD CLEVELAND,OH44115	34-0714649	501(C)(3)	25,014				HEALTHCARE RESEARCH & EDUCATION
(89) THE SALVATION ARMY 440 W NYACK RD WEST NYACK,NY10994	13-5562351	501(C)(3)	21,000				COMMUNITY SUPPORT
(90) THE VILLAGE AT MARYMOUNT 5200 MARYMOUNT VILLAGE DR GARFIELD HTS,OH44125	20-5652595	501(C)(3)	15,000				HEALTHCARE RESEARCH & EDUCATION
(91) TOWARDS EMPLOYMENT INC 1255 EUCLID AVE STE 300 CLEVELAND,OH44115	34-1578831	501(C)(3)	10,000				COMMUNITY SUPPORT
(92) TRANSPLANT HOUSE OF CLEVELAND 2007 E 115TH ST APT 1 CLEVELAND,OH44106	27-2834616	501(C)(3)	12,000				HEALTHCARE RESEARCH & EDUCATION
(93) TRINITY SUPPORT SERVICES 12425 GRANGER RD GARFIELD HTS,OH44125	26-3804435	501(C)(3)	21,428				SUPPORT EDUCATIONAL ACTIVITIES
(94) UNITED WAY OF GREATER CLEVELAND 1331 EUCLID AVE CLEVELAND,OH44115	34-6516654	501(C)(3)	11,250				COMMUNITY SUPPORT
(95) UNITED WAY OF SUMMIT COUNTY 90 N PROSPECT ST AKRON,OH44304	34-1169257	501(C)(3)	10,550				COMMUNITY SUPPORT
(96) UNIVERSITY CIRCLE INCORPORATED 10831 MAGNOLIA DR CLEVELAND,OH44106	34-0823464	501(C)(3)	7,500				COMMUNITY SUPPORT
(97) URSULINE PIAZZA 7801 DETROIT AVE CLEVELAND,OH44102	37-1655740	501(C)(3)	10,000				HEALTHCARE RESEARCH & EDUCATION
(98) YMCA OF BROWARD COUNTY FLORIDA 20201 SADDLE CLUB RD WESTON,FL33327	59-0624463	501(C)(3)	13,000				COMMUNITY SUPPORT
(99) YOUTH OPPORTUNITIES UNLIMITED 1361 EUCLID AVE CLEVELAND,OH44115	34-1381135	501(C)(3)	10,500				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) 2018

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SCHOLARSHIPS	248	8,309,308
(2) FELLOWSHIPS	2291	102,001,104
(2)
(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:	CCHS CONTRIBUTES FINANCIAL AND IN-KIND SUPPORT TO OTHER TAX EXEMPT ORGANIZATIONS AND AGENCIES THAT FURTHER THE CCHS 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 CLEVELAND CLINIC HEALTH SYSTEM'S MISSION TO INCREASE KNOWLEDGE, AWARENESS, AND QUALITY OF PATIENT CARE AND RESEARCH THROUGH EDUCATION.

Schedule I (Form 990) 2018

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
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Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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

Yes

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 nonfixed
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) 2018

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)
1BARRETT LISA DIRECTOR, SECRETARY - AGP	(i) (ii)	225,654 ------------- 0	0 ------------- 0	1,758 ------------- 0	-79 ------------- 0	15,900 ------------- 0	243,233 ------------- 0	0 ------------- 0
2BARSOUM MD WAEL TRUSTEE, HOSPITAL PRES - CC FLA	(i) (ii)	1,039,904 ------------- 0	0 ------------- 0	97,685 ------------- 0	27,500 ------------- 0	13,501 ------------- 0	1,178,590 ------------- 0	0 ------------- 0
3BLANDON MD RODOLFO TRUSTEE, CHIEF OF STAFF - CC FLA	(i) (ii)	677,816 ------------- 0	0 ------------- 0	63,308 ------------- 0	27,500 ------------- 0	15,501 ------------- 0	784,125 ------------- 0	0 ------------- 0
4BOLOGNA MD RAYMOND DIRECTOR, CHAIR - PPG	(i) (ii)	615,016 ------------- 0	0 ------------- 0	47,154 ------------- 0	27,500 ------------- 0	17,428 ------------- 0	707,098 ------------- 0	0 ------------- 0
5DEL CASTILLO BARBARA DIR, SEC - CC FLA PHARMACY SVCS	(i) (ii)	472,572 ------------- 0	0 ------------- 0	23,084 ------------- 0	27,483 ------------- 0	13,285 ------------- 0	536,424 ------------- 0	0 ------------- 0
6DELGADO OSMEL DIR, ADM CLINICAL OPS - CC FLA PHARM	(i) (ii)	369,906 ------------- 0	0 ------------- 0	7,177 ------------- 0	-771 ------------- 0	13,471 ------------- 0	389,783 ------------- 0	0 ------------- 0
7DONLEY MD BRIAN DIR-CCF & REGIONALS, CHIEF OF STAFF	(i) (ii)	1,364,489 ------------- 0	0 ------------- 0	903,039 ------------- 0	27,500 ------------- 0	300,456 ------------- 0	2,595,484 ------------- 0	0 ------------- 0
8FENTON MD ANDREW DIRECTOR, VICE CHAIR - PPG	(i) (ii)	395,922 ------------- 0	0 ------------- 0	26,124 ------------- 0	-6,687 ------------- 0	18,678 ------------- 0	434,037 ------------- 0	0 ------------- 0
9FRIGO DAVID DIRECTOR, TREASURER - AGP	(i) (ii)	197,685 ------------- 0	0 ------------- 0	4,675 ------------- 0	-1,472 ------------- 0	16,258 ------------- 0	217,146 ------------- 0	0 ------------- 0
10GLASS STEVEN C DIRECTOR, CFO & TREAS-CCF	(i) (ii)	1,508,404 ------------- 0	0 ------------- 0	146,308 ------------- 0	24,583 ------------- 0	18,411 ------------- 0	1,697,706 ------------- 0	0 ------------- 0
11HARRINGTON MICHAEL DIR, TREAS - KMA; CAO - CCF	(i) (ii)	757,222 ------------- 0	0 ------------- 0	70,987 ------------- 0	27,500 ------------- 0	19,193 ------------- 0	874,902 ------------- 0	0 ------------- 0
12HARTE MD BRIAN DIRECTOR, PRESIDENT - AGMC	(i) (ii)	627,304 ------------- 0	389 ------------- 0	57,724 ------------- 0	27,500 ------------- 0	19,511 ------------- 0	732,428 ------------- 0	0 ------------- 0
13JAMES BRUCE TRUSTEE, PRESIDENT - UNION	(i) (ii)	359,298 ------------- 0	90,002 ------------- 0	792 ------------- 0	15,000 ------------- 0	22,450 ------------- 0	487,542 ------------- 0	0 ------------- 0
14JONES MD J STEPHEN DIR, PRES REG HOSPITALS	(i) (ii)	291,558 ------------- 0	0 ------------- 0	18,107 ------------- 0	27,500 ------------- 0	6,438 ------------- 0	343,603 ------------- 0	0 ------------- 0
15MARKS DO MICHELLE TRUSTEE, MED DIR - CCCHR	(i) (ii)	265,548 ------------- 0	0 ------------- 0	1,432 ------------- 0	27,085 ------------- 0	20,617 ------------- 0	314,682 ------------- 0	0 ------------- 0
16MCHUGH MD MICHAEL TRUSTEE, MED DIR - CCCHR	(i) (ii)	258,663 ------------- 0	0 ------------- 0	213,740 ------------- 0	-98,146 ------------- 0	13,165 ------------- 0	387,422 ------------- 0	0 ------------- 0
17MIHALJEVIC MD TOMISLAV DIRECTOR, PRES & CEO - CCF	(i) (ii)	2,678,622 ------------- 0	0 ------------- 0	299,381 ------------- 0	27,500 ------------- 0	18,193 ------------- 0	3,023,696 ------------- 0	0 ------------- 0
18MODIC MICHAEL DIRECTOR, PRESIDENT - KMA	(i) (ii)	247,882 ------------- 0	0 ------------- 0	0 ------------- 0	-67,142 ------------- 0	0 ------------- 0	180,740 ------------- 0	105,336 ------------- 0
19MULLEN RN KAREN PRESIDENT, DIRECTOR - VNS	(i) (ii)	194,440 ------------- 0	0 ------------- 0	46,186 ------------- 0	219,985 ------------- 0	4,704 ------------- 0	465,315 ------------- 0	0 ------------- 0
20NAPIERKOWSKI MD DANIEL TRUSTEE, PRES -MM & EUCLID	(i) (ii)	558,555 ------------- 0	0 ------------- 0	55,143 ------------- 0	27,500 ------------- 0	18,260 ------------- 0	659,458 ------------- 0	0 ------------- 0
21NILSSON KEITH DIRECTOR, CFO - CCFPS	(i) (ii)	458,428 ------------- 0	0 ------------- 0	10,272 ------------- 0	495 ------------- 0	15,737 ------------- 0	484,932 ------------- 0	0 ------------- 0
22PAPPAS MD RITA TRUSTEE, INTERIM PRES - CCCHR	(i) (ii)	390,038 ------------- 0	0 ------------- 0	13,962 ------------- 0	25,951 ------------- 0	17,777 ------------- 0	447,728 ------------- 0	0 ------------- 0
23PARKER MD RICHARD TRUSTEE, HOS PRES - HILLCREST	(i) (ii)	804,140 ------------- 0	0 ------------- 0	79,643 ------------- 0	-33,111 ------------- 0	17,675 ------------- 0	868,347 ------------- 0	0 ------------- 0
24PEACOCK WILLIAM DIR, COO-CCF, PRES -KMA, LRBI	(i) (ii)	1,630,154 ------------- 0	0 ------------- 0	140,295 ------------- 0	27,545 ------------- 0	18,161 ------------- 0	1,816,155 ------------- 0	0 ------------- 0
25RASMUSSEN MD PETER DIRECTOR, PRESIDENT - CCHSPA	(i) (ii)	760,700 ------------- 0	0 ------------- 0	71,728 ------------- 0	27,500 ------------- 0	17,955 ------------- 0	877,883 ------------- 0	0 ------------- 0
26ROWAN DAVID DIRECTOR, SECRETARY - CCF	(i) (ii)	1,480,468 ------------- 0	0 ------------- 0	150,884 ------------- 0	27,500 ------------- 0	19,347 ------------- 0	1,678,199 ------------- 0	0 ------------- 0
27SABANEGH MD EDMUND DIR, PRES, CC MAIN & REGS - CCF	(i) (ii)	910,582 ------------- 0	0 ------------- 0	89,468 ------------- 0	27,500 ------------- 0	17,777 ------------- 0	1,045,327 ------------- 0	0 ------------- 0
28WIEDEMANN MD HERBERT DIR, CHIEF OF STAFF - CCF, REG	(i) (ii)	910,877 ------------- 0	0 ------------- 0	74,237 ------------- 0	-182,971 ------------- 0	18,650 ------------- 0	820,793 ------------- 0	0 ------------- 0
29ANDERSON MD MICHAEL TRUSTEE - MARYMOUNT, PHYSICIAN	(i) (ii)	315,382 ------------- 0	0 ------------- 0	28,529 ------------- 0	27,500 ------------- 0	17,733 ------------- 0	389,144 ------------- 0	0 ------------- 0
30BEKENY MD JAMES TRUSTEE - LAKEWOOD, PHYSICIAN	(i) (ii)	317,489 ------------- 0	0 ------------- 0	32,425 ------------- 0	29,233 ------------- 0	18,076 ------------- 0	397,223 ------------- 0	0 ------------- 0
31BENNETT KRIS DIR - AGMC, LODI, EXEC DIR REG HOSP	(i) (ii)	281,719 ------------- 0	0 ------------- 0	2,331 ------------- 0	8,250 ------------- 0	16,591 ------------- 0	308,891 ------------- 0	0 ------------- 0
32BERAN JOSETTE TRUSTEE - UNION, CHIEF STRATEGY OFF	(i) (ii)	635,347 ------------- 0	0 ------------- 0	69,934 ------------- 0	19,400 ------------- 0	18,977 ------------- 0	743,658 ------------- 0	0 ------------- 0
33BERNICK MD CHARLES DIR - KMA, ASSOC MED DIR LOU RUVO CT	(i) (ii)	309,976 ------------- 0	0 ------------- 0	8,016 ------------- 0	27,500 ------------- 0	163,389 ------------- 0	508,881 ------------- 0	0 ------------- 0
34BOGAR MD KEVIN TRUSTEE - MARYMOUNT, PHYSICIAN	(i) (ii)	481,904 ------------- 0	0 ------------- 0	119,402 ------------- 0	27,500 ------------- 0	18,911 ------------- 0	647,717 ------------- 0	0 ------------- 0
35BORDEN MD BRAD TRUSTEE - CCCHR, PHYSICIAN	(i) (ii)	789,341 ------------- 0	0 ------------- 0	78,890 ------------- 0	27,500 ------------- 0	19,511 ------------- 0	915,242 ------------- 0	0 ------------- 0
36BRAMAN DO KENNETH DIRECTOR - PPG, PHYSICIAN	(i) (ii)	263,634 ------------- 0	0 ------------- 0	6,192 ------------- 0	10,963 ------------- 0	22,876 ------------- 0	303,665 ------------- 0	0 ------------- 0
37BREAUX MD TODD DIR - AGMC, LODI, PHYSICIAN	(i) (ii)	591,145 ------------- 0	0 ------------- 0	46,350 ------------- 0	27,500 ------------- 0	16,299 ------------- 0	681,294 ------------- 0	0 ------------- 0
38BROOKS MD STEVE DIR - AGMC, LODI, PHYSICIAN	(i) (ii)	377,033 ------------- 0	0 ------------- 0	5,009 ------------- 0	10,280 ------------- 0	20,550 ------------- 0	412,872 ------------- 0	0 ------------- 0
39CHANDURKAR DO ROHIT DIRECTOR - PPG, PHYSICIAN	(i) (ii)	316,248 ------------- 0	0 ------------- 0	4,391 ------------- 0	11,839 ------------- 0	23,373 ------------- 0	355,851 ------------- 0	0 ------------- 0
40CHHABRA ANKIT DIR-AGMC, LODI, EXEC DIR REG FIN OPS	(i) (ii)	288,354 ------------- 0	0 ------------- 0	2,076 ------------- 0	8,046 ------------- 0	17,208 ------------- 0	315,684 ------------- 0	0 ------------- 0
41CULLEY MD CARL A JR TRUSTEE - LAKEWOOD, PHYSICIAN	(i) (ii)	172,218 ------------- 0	0 ------------- 0	7,675 ------------- 0	17,313 ------------- 0	15,494 ------------- 0	212,700 ------------- 0	0 ------------- 0
42CUMMINGS JEFFREY DIRECTOR - KMA, PHYSICIAN	(i) (ii)	390,967 ------------- 0	0 ------------- 0	33,746 ------------- 0	27,500 ------------- 0	9,511 ------------- 0	461,724 ------------- 0	0 ------------- 0
43DEYLING MD CYNTHIA TRUSTEE - MM, CHIEF QUALITY OFF	(i) (ii)	627,640 ------------- 0	0 ------------- 0	61,014 ------------- 0	-56,122 ------------- 0	16,175 ------------- 0	648,707 ------------- 0	0 ------------- 0
44FETTO JULIE TRUSTEE - UNION, CNO	(i) (ii)	210,542 ------------- 0	0 ------------- 0	2,580 ------------- 0	1,051 ------------- 0	13,977 ------------- 0	228,150 ------------- 0	0 ------------- 0
45FRANCO MD KATHLEEN DIR - CCF, REG HOSPS, PHYSICIAN	(i) (ii)	271,140 ------------- 0	0 ------------- 0	9,608 ------------- 0	-96,742 ------------- 0	17,675 ------------- 0	201,681 ------------- 0	0 ------------- 0
46FREEMAN MD RICHARD B TRUSTEE - LAKEWOOD, PHYSICIAN	(i) (ii)	278,521 ------------- 0	0 ------------- 0	28,191 ------------- 0	27,500 ------------- 0	17,076 ------------- 0	351,288 ------------- 0	0 ------------- 0
47GREENE MD KATHIE DIRECTOR - PPG, PHYSICIAN	(i) (ii)	243,487 ------------- 0	0 ------------- 0	32,862 ------------- 0	8,401 ------------- 0	7,245 ------------- 0	291,995 ------------- 0	0 ------------- 0
48GROSSMAN MD JORDAN DIRECTOR - PPG, PHYSICIAN	(i) (ii)	664,402 ------------- 0	0 ------------- 0	18,812 ------------- 0	11,187 ------------- 0	0 ------------- 0	694,401 ------------- 0	0 ------------- 0
49GRUBB MICHELLE DIRECTOR - PPG	(i) (ii)	167,488 ------------- 0	0 ------------- 0	3,806 ------------- 0	5,184 ------------- 0	14,500 ------------- 0	190,978 ------------- 0	0 ------------- 0
50HARLEY DO DOUGLAS DIR - AGMC, LODI, PHYSICIAN	(i) (ii)	266,504 ------------- 0	9,500 ------------- 0	839 ------------- 0	9,504 ------------- 0	19,035 ------------- 0	305,382 ------------- 0	0 ------------- 0
51HOLTHAUS THERESA DIRECTOR - AGF	(i) (ii)	191,678 ------------- 0	0 ------------- 0	9,108 ------------- 0	6,435 ------------- 0	20,820 ------------- 0	228,041 ------------- 0	0 ------------- 0
52HORATTAS MD MARK DIR - AGMC, LODI, PHYSICIAN	(i) (ii)	524,857 ------------- 0	0 ------------- 0	64,567 ------------- 0	-5,766 ------------- 0	23,507 ------------- 0	607,165 ------------- 0	0 ------------- 0
53KALAFATIS LARA DIR - KMA, CHAIR PHILANTHROPY INST	(i) (ii)	504,904 ------------- 0	0 ------------- 0	20,077 ------------- 0	27,500 ------------- 0	16,911 ------------- 0	569,392 ------------- 0	0 ------------- 0
54KOHLER MD DOUGLAS TRUSTEE - MARYMOUNT, PHYSICIAN	(i) (ii)	545,982 ------------- 0	0 ------------- 0	105,696 ------------- 0	27,500 ------------- 0	19,333 ------------- 0	698,511 ------------- 0	0 ------------- 0
55KURTZ MD WILLIAM DIRECTOR - PPG, PHYSICIAN	(i) (ii)	862,109 ------------- 0	0 ------------- 0	20,824 ------------- 0	13,018 ------------- 0	6,503 ------------- 0	902,454 ------------- 0	0 ------------- 0
56LASH-RITTER MD TERI TRUSTEE - UNION, PHYSICIAN	(i) (ii)	281,903 ------------- 0	0 ------------- 0	1,731 ------------- 0	27,500 ------------- 0	16,339 ------------- 0	327,473 ------------- 0	0 ------------- 0
57MACHADO MD ANDRE DIRECTOR - KMA, PHYSICIAN	(i) (ii)	1,000,904 ------------- 0	0 ------------- 0	94,807 ------------- 0	27,500 ------------- 0	20,911 ------------- 0	1,144,122 ------------- 0	0 ------------- 0
58MARKOVICH MD RENEE DIRECTOR - PPG, PHYSICIAN	(i) (ii)	258,197 ------------- 0	0 ------------- 0	4,060 ------------- 0	9,341 ------------- 0	15,772 ------------- 0	287,370 ------------- 0	0 ------------- 0
59MATT-AMARAL MD LAURIE DIRECTOR - PPG, PHYSICIAN	(i) (ii)	326,806 ------------- 0	0 ------------- 0	20,098 ------------- 0	7,538 ------------- 0	18,078 ------------- 0	372,520 ------------- 0	0 ------------- 0
60MOORE MD JEFFREY DIR - AGMC, LODI, PHYSICIAN	(i) (ii)	153,609 ------------- 0	0 ------------- 0	25,097 ------------- 0	-6,088 ------------- 0	8,360 ------------- 0	180,978 ------------- 0	0 ------------- 0
61MOORHEAD MD COLIN DIRECTOR - PPG, PHYSICIAN	(i) (ii)	510,384 ------------- 0	0 ------------- 0	1,260 ------------- 0	14,851 ------------- 0	21,723 ------------- 0	548,218 ------------- 0	0 ------------- 0
62MURPHY JANICE DIR - AGMC, LODI, COO	(i) (ii)	580,542 ------------- 0	0 ------------- 0	59,624 ------------- 0	-13,218 ------------- 0	14,472 ------------- 0	641,420 ------------- 0	0 ------------- 0
63OMORI SUE DIRECTOR - AGF	(i) (ii)	228,364 ------------- 0	0 ------------- 0	888 ------------- 0	6,865 ------------- 0	16,465 ------------- 0	252,582 ------------- 0	0 ------------- 0
64PAPA ALAN DIRECTOR - AGP, AGF, PPG	(i) (ii)	424,672 ------------- 0	0 ------------- 0	33,683 ------------- 0	4,138 ------------- 0	19,913 ------------- 0	482,406 ------------- 0	0 ------------- 0
65PFISTER MD EUGENE DIR- PPG, AGMC, LODI, PHYSICIAN	(i) (ii)	273,557 ------------- 0	8,500 ------------- 0	50,475 ------------- 0	-95,783 ------------- 0	15,522 ------------- 0	252,271 ------------- 0	0 ------------- 0
66POSK MD LORI DIRECTOR - AGF, PHYSICIAN	(i) (ii)	280,904 ------------- 0	0 ------------- 0	2,574 ------------- 0	27,500 ------------- 0	19,511 ------------- 0	330,489 ------------- 0	0 ------------- 0
67ROME MD ELLEN TRUSTEE - CCCHR, PHYSICIAN	(i) (ii)	197,267 ------------- 0	0 ------------- 0	2,042 ------------- 0	20,004 ------------- 0	18,140 ------------- 0	237,453 ------------- 0	0 ------------- 0
68ROSE MD WARREN DIRECTOR - PPG, PHYSICIAN	(i) (ii)	391,129 ------------- 0	0 ------------- 0	43,262 ------------- 0	27,500 ------------- 0	19,186 ------------- 0	481,077 ------------- 0	0 ------------- 0
69RUSSELL MD REBECCA DIRECTOR - PPG, PHYSICIAN	(i) (ii)	395,548 ------------- 0	0 ------------- 0	12,852 ------------- 0	27,500 ------------- 0	16,517 ------------- 0	452,417 ------------- 0	0 ------------- 0
70SHEERS MD TITUS DIR - AGMC, LODI, PHYSICIAN	(i) (ii)	325,777 ------------- 0	0 ------------- 0	8,403 ------------- 0	-3,914 ------------- 0	19,078 ------------- 0	349,344 ------------- 0	0 ------------- 0
71SHERIDAN MD CATHERINE DIRECTOR AGF, MED HOSP FDN	(i) (ii)	210,574 ------------- 0	0 ------------- 0	751 ------------- 0	21,187 ------------- 0	16,586 ------------- 0	249,098 ------------- 0	0 ------------- 0
72SNYDER VICKY DIRECTOR - MED HOSP FDN	(i) (ii)	239,351 ------------- 0	0 ------------- 0	5,907 ------------- 0	4,840 ------------- 0	24,500 ------------- 0	274,598 ------------- 0	0 ------------- 0
73SPIRO MD TIMOTHY DIR - CCF & REGIONALS, PHYSICIAN	(i) (ii)	598,511 ------------- 0	0 ------------- 0	65,444 ------------- 0	27,500 ------------- 0	17,304 ------------- 0	708,759 ------------- 0	0 ------------- 0
74SWOGER DO WILLIAM V TRUSTEE - UNION, PHYSICIAN	(i) (ii)	302,031 ------------- 0	0 ------------- 0	74 ------------- 0	4,312 ------------- 0	16,040 ------------- 0	322,457 ------------- 0	0 ------------- 0
75THOMPSON MD THOMAS DIR - AGMC, LODI, PHYSICIAN	(i) (ii)	826,557 ------------- 0	0 ------------- 0	29,168 ------------- 0	-36,816 ------------- 0	16,351 ------------- 0	835,260 ------------- 0	0 ------------- 0
76WHITE MD HAROLD DIRECTOR - AGF, PHYSICIAN	(i) (ii)	415,140 ------------- 0	0 ------------- 0	22,897 ------------- 0	27,500 ------------- 0	16,175 ------------- 0	481,712 ------------- 0	0 ------------- 0
77ZEMIS MD JOSEPH TRUSTEEE - UNION, PHYSICIAN	(i) (ii)	586,748 ------------- 0	151,574 ------------- 0	18,776 ------------- 0	15,000 ------------- 0	219,537 ------------- 0	991,635 ------------- 0	0 ------------- 0
78ALVAREZ MD BENITO PRESIDENT - PPG, PHYSICIAN	(i) (ii)	372,127 ------------- 0	0 ------------- 0	11,982 ------------- 0	10,000 ------------- 0	19,205 ------------- 0	413,314 ------------- 0	0 ------------- 0
79DAVIDSON MD ELLIOT CHAIR - PPG, PHYSICIAN	(i) (ii)	256,903 ------------- 0	8,500 ------------- 0	12,804 ------------- 0	1,180 ------------- 0	23,297 ------------- 0	302,684 ------------- 0	0 ------------- 0
80ERZURUM MD SERPIL CCF - CHAIR, LERNER RESEARCH INST	(i) (ii)	621,000 ------------- 0	0 ------------- 0	39,650 ------------- 0	58,517 ------------- 0	1,500 ------------- 0	720,667 ------------- 0	0 ------------- 0
81GROOFF MD PAUL SECRETARY - CC NY MED SVCS PC	(i) (ii)	538,749 ------------- 0	0 ------------- 0	49,127 ------------- 0	27,500 ------------- 0	18,086 ------------- 0	633,462 ------------- 0	0 ------------- 0
82MALONE JR MD DONALD HOSPITAL PRESIDENT - LUTHERAN	(i) (ii)	400,869 ------------- 0	389 ------------- 0	28,739 ------------- 0	-43,793 ------------- 0	18,026 ------------- 0	404,230 ------------- 0	0 ------------- 0
83MCKENZIE MD MARGARET HOSPITAL PRES - SOUTH POINTE	(i) (ii)	443,404 ------------- 0	0 ------------- 0	42,318 ------------- 0	27,500 ------------- 0	18,411 ------------- 0	531,633 ------------- 0	0 ------------- 0
84MEEHAN MICHAEL J RECORDING SEC - CCF, REGIONALS	(i) (ii)	330,793 ------------- 0	0 ------------- 0	35,622 ------------- 0	-67,709 ------------- 0	17,522 ------------- 0	316,228 ------------- 0	0 ------------- 0
85MILLER MD CHARLIE CHIEF MEDICAL OFFICER - CCMS	(i) (ii)	852,515 ------------- 0	0 ------------- 0	87,922 ------------- 0	27,500 ------------- 0	17,675 ------------- 0	985,612 ------------- 0	0 ------------- 0
86OBLANDER JASON ASST. SEC - CCF & REGIONALS	(i) (ii)	209,595 ------------- 0	0 ------------- 0	3,764 ------------- 0	5,837 ------------- 0	15,407 ------------- 0	234,603 ------------- 0	0 ------------- 0
87SHEWBRIDGE MD RICHARD HOSPITAL PRESIDENT - MEDINA	(i) (ii)	308,404 ------------- 0	0 ------------- 0	5,661 ------------- 0	27,500 ------------- 0	16,911 ------------- 0	358,476 ------------- 0	0 ------------- 0
88SMITH BRIAN VICE PRESIDENT - CLINIC CARE	(i) (ii)	243,975 ------------- 0	0 ------------- 0	9,882 ------------- 0	4,517 ------------- 0	17,099 ------------- 0	275,473 ------------- 0	0 ------------- 0
89SMITH DO NEIL HOSPITAL PRESIDENT - FAIRVIEW	(i) (ii)	416,500 ------------- 0	0 ------------- 0	38,656 ------------- 0	27,500 ------------- 0	18,647 ------------- 0	501,303 ------------- 0	0 ------------- 0
90STARCK MD REBECCA HOSPITAL PRESIDENT - AVON	(i) (ii)	596,954 ------------- 0	0 ------------- 0	54,845 ------------- 0	25,235 ------------- 0	16,911 ------------- 0	693,945 ------------- 0	0 ------------- 0
91STOLLERMD JAMES CCEF CHAIR, EDUCATION INST	(i) (ii)	521,982 ------------- 0	0 ------------- 0	34,584 ------------- 0	-177,820 ------------- 0	18,333 ------------- 0	397,079 ------------- 0	0 ------------- 0
92YOUNG MD JAMES P CHIEF ACADEMIC OFF - CCF & CCEF	(i) (ii)	812,284 ------------- 0	0 ------------- 0	88,263 ------------- 0	27,500 ------------- 0	18,233 ------------- 0	946,280 ------------- 0	0 ------------- 0
93BAILEY DAWN CNO - EUCLID HOSPITAL	(i) (ii)	189,671 ------------- 0	0 ------------- 0	7,255 ------------- 0	4,647 ------------- 0	18,047 ------------- 0	219,620 ------------- 0	0 ------------- 0
94JOHN BRUYERE COO - SOUTH POINTE	(i) (ii)	192,723 ------------- 0	0 ------------- 0	6,811 ------------- 0	-831 ------------- 0	16,463 ------------- 0	215,166 ------------- 0	0 ------------- 0
95COLLIER SUSAN VP NURSING, CNO - HILLCREST	(i) (ii)	263,392 ------------- 0	0 ------------- 0	4,593 ------------- 0	-64,639 ------------- 0	11,402 ------------- 0	214,748 ------------- 0	0 ------------- 0
96GUSTER CHERIE SR. VP AND CNO - AGMC	(i) (ii)	241,329 ------------- 0	0 ------------- 0	38,753 ------------- 0	-34,718 ------------- 0	15,546 ------------- 0	260,910 ------------- 0	0 ------------- 0
97KOCSIS DANA VP NURSING & OPS LODI	(i) (ii)	178,814 ------------- 0	0 ------------- 0	6,896 ------------- 0	6,543 ------------- 0	6,877 ------------- 0	199,130 ------------- 0	0 ------------- 0
98KOLONICK RENEE COO - MARYMOUNT HOSP	(i) (ii)	242,583 ------------- 0	0 ------------- 0	5,130 ------------- 0	1,988 ------------- 0	14,361 ------------- 0	264,062 ------------- 0	0 ------------- 0
99LEA RICHARD COO - EUCLID HOSPITAL	(i) (ii)	246,363 ------------- 0	0 ------------- 0	3,550 ------------- 0	16,812 ------------- 0	15,201 ------------- 0	281,926 ------------- 0	0 ------------- 0
100MAJOR KERRY CNO - CC FLA HEALTH SYS	(i) (ii)	251,003 ------------- 0	0 ------------- 0	1,732 ------------- 0	6,587 ------------- 0	15,162 ------------- 0	274,484 ------------- 0	0 ------------- 0
101MATTNER MATTHEW COO - LUTHERAN HOSPITAL	(i) (ii)	234,440 ------------- 0	0 ------------- 0	17,562 ------------- 0	7,199 ------------- 0	14,702 ------------- 0	273,903 ------------- 0	0 ------------- 0
102MILLER SHEILA CNO - SOUTH POINTE HOSP	(i) (ii)	206,181 ------------- 0	778 ------------- 0	14,689 ------------- 0	5,954 ------------- 0	15,230 ------------- 0	242,832 ------------- 0	0 ------------- 0
103MILLS JOHN COO - FAIRVIEW HOSPITAL	(i) (ii)	326,278 ------------- 0	0 ------------- 0	10,906 ------------- 0	8,238 ------------- 0	0 ------------- 0	345,422 ------------- 0	0 ------------- 0
104PETER MD DAVID VP MED AFFAIRS/CMO - AGHS	(i) (ii)	387,047 ------------- 0	0 ------------- 0	32,786 ------------- 0	14,009 ------------- 0	18,204 ------------- 0	452,046 ------------- 0	0 ------------- 0
105SABBAGH MARWAN DIR LR CTR BRAIN HEALTH - CC NV	(i) (ii)	248,936 ------------- 0	0 ------------- 0	40,845 ------------- 0	26,860 ------------- 0	11,274 ------------- 0	327,915 ------------- 0	0 ------------- 0
106SAUER MARY CNO -AVON	(i) (ii)	210,126 ------------- 0	0 ------------- 0	5,292 ------------- 0	9,914 ------------- 0	13,868 ------------- 0	239,200 ------------- 0	0 ------------- 0
107SCHUSTER JANET CNO - LUTHERAN HOSPITAL	(i) (ii)	204,018 ------------- 0	0 ------------- 0	5,718 ------------- 0	6,383 ------------- 0	17,736 ------------- 0	233,855 ------------- 0	0 ------------- 0
108SMALL DEBORAH CNO - FAIRVIEW HOSPITAL	(i) (ii)	229,455 ------------- 0	5,208 ------------- 0	365,301 ------------- 0	27,572 ------------- 0	58,386 ------------- 0	685,922 ------------- 0	0 ------------- 0
109SURI MD RAKESH CEO CCAD	(i) (ii)	1,255,255 ------------- 0	0 ------------- 0	828,047 ------------- 0	27,500 ------------- 0	152,702 ------------- 0	2,263,504 ------------- 0	0 ------------- 0
110SVENSSON MD LARS CHAIR HVI - CCF	(i) (ii)	1,489,979 ------------- 0	0 ------------- 0	148,811 ------------- 0	27,500 ------------- 0	18,086 ------------- 0	1,684,376 ------------- 0	0 ------------- 0
111THOBURN MARY BETH CNO - FAIRVIEW	(i) (ii)	206,074 ------------- 0	0 ------------- 0	776 ------------- 0	6,456 ------------- 0	15,513 ------------- 0	228,819 ------------- 0	0 ------------- 0
112VIDMAR ERICK ADMIN DIRECTOR - CC NV	(i) (ii)	190,746 ------------- 0	0 ------------- 0	155 ------------- 0	3,425 ------------- 0	14,899 ------------- 0	209,225 ------------- 0	0 ------------- 0
113ZINNER BARBARA CNO - MARYMOUNT	(i) (ii)	213,692 ------------- 0	0 ------------- 0	5,640 ------------- 0	-4,095 ------------- 0	15,855 ------------- 0	231,092 ------------- 0	0 ------------- 0
114COSGROVE MD DELOS FORMER CEO - CCF	(i) (ii)	4,601,492 ------------- 0	0 ------------- 0	4,116,692 ------------- 0	-32,819 ------------- 0	2,946 ------------- 0	8,688,311 ------------- 0	0 ------------- 0
115NAJM MD HANI PHYSICIAN - CCF	(i) (ii)	1,515,904 ------------- 0	0 ------------- 0	148,311 ------------- 0	27,500 ------------- 0	18,411 ------------- 0	1,710,126 ------------- 0	0 ------------- 0
116BROOKS MD PETER PHYSICIAN - CCF	(i) (ii)	1,254,311 ------------- 0	0 ------------- 0	124,643 ------------- 0	207,115 ------------- 0	17,504 ------------- 0	1,603,573 ------------- 0	0 ------------- 0
117HUSTON ANN CHIEF STRATEGY OFFICER - CCF	(i) (ii)	183,479 ------------- 0	0 ------------- 0	1,164,859 ------------- 0	23,992 ------------- 0	16,277 ------------- 0	1,388,607 ------------- 0	0 ------------- 0
118MARTIN MD DANIEL CHAIR COLE EYE INSTITUTE - CCF	(i) (ii)	1,288,761 ------------- 0	0 ------------- 0	126,495 ------------- 0	27,500 ------------- 0	18,053 ------------- 0	1,460,809 ------------- 0	0 ------------- 0
119BRONSON MD DAVID FORMER OFFICER (RETIRED)	(i) (ii)	176,254 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	-500 ------------- 0	175,754 ------------- 0	176,254 ------------- 0
120FORD MD DONALD FORMER OFFICER	(i) (ii)	291,394 ------------- 0	0 ------------- 0	24,282 ------------- 0	27,500 ------------- 0	17,665 ------------- 0	360,841 ------------- 0	0 ------------- 0
121FUNK MD JONATHAN R FORMER OFFICER	(i) (ii)	222,132 ------------- 0	0 ------------- 0	2,981 ------------- 0	22,350 ------------- 0	16,733 ------------- 0	264,196 ------------- 0	0 ------------- 0
122HAHN MD JOSEPH FORMER OFFICER (RETIRED)	(i) (ii)	148,394 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	148,394 ------------- 0	148,394 ------------- 0
123HAMILTON THOMAS FORMER OFFICER	(i) (ii)	421,075 ------------- 0	0 ------------- 0	24,784 ------------- 0	9,453 ------------- 0	18,240 ------------- 0	473,552 ------------- 0	0 ------------- 0
124JUHASZ DO ROBERT FORMER OFFICER	(i) (ii)	277,011 ------------- 0	0 ------------- 0	25,198 ------------- 0	27,500 ------------- 0	16,304 ------------- 0	346,013 ------------- 0	0 ------------- 0
125MCHUGH LINDA FORMER OFFICER	(i) (ii)	807,357 ------------- 0	0 ------------- 0	78,295 ------------- 0	27,068 ------------- 0	17,458 ------------- 0	930,178 ------------- 0	0 ------------- 0
126NOGUERAS MD JUAN FORMER OFFICER	(i) (ii)	559,247 ------------- 0	0 ------------- 0	54,993 ------------- 0	-83,391 ------------- 0	12,570 ------------- 0	543,419 ------------- 0	0 ------------- 0
127PIEDIMONTE MD GIOVANNI FORMER OFFICER	(i) (ii)	647,082 ------------- 0	0 ------------- 0	41,281 ------------- 0	27,500 ------------- 0	18,233 ------------- 0	734,096 ------------- 0	0 ------------- 0
128ROSENTHAL MD RAUL FORMER OFFICER	(i) (ii)	769,079 ------------- 0	0 ------------- 0	54,045 ------------- 0	27,500 ------------- 0	13,238 ------------- 0	863,862 ------------- 0	0 ------------- 0
129SLIFKO JESSICA FORMER OFFICER	(i) (ii)	395,469 ------------- 0	0 ------------- 0	12,978 ------------- 0	25,504 ------------- 0	15,940 ------------- 0	449,891 ------------- 0	0 ------------- 0
130STOVER MD THOMAS FORMER OFFICER (RETIRED)	(i) (ii)	0 ------------- 0	0 ------------- 0	152,519 ------------- 0	-48,452 ------------- 0	0 ------------- 0	104,067 ------------- 0	152,519 ------------- 0
131TULISIAK MD THOMAS FORMER OFFICER	(i) (ii)	289,955 ------------- 0	0 ------------- 0	12,995 ------------- 0	27,500 ------------- 0	17,589 ------------- 0	348,039 ------------- 0	0 ------------- 0
132VANHORN AMANDA FORMER OFFICER	(i) (ii)	191,838 ------------- 0	0 ------------- 0	1,786 ------------- 0	5,463 ------------- 0	19,171 ------------- 0	218,258 ------------- 0	0 ------------- 0
133ZEROSKE JOANNE FORMER OFFICER (RETIRED)	(i) (ii)	40,378 ------------- 0	0 ------------- 0	413,912 ------------- 0	51,004 ------------- 0	17,288 ------------- 0	522,582 ------------- 0	372,000 ------------- 0
134BECK CHRIS FORMER OFFICER	(i) (ii)	144,720 ------------- 0	31,468 ------------- 0	836 ------------- 0	8,960 ------------- 0	5,176 ------------- 0	191,160 ------------- 0	0 ------------- 0
135BOYD DIANA FORMER OFFICER	(i) (ii)	151,475 ------------- 0	28,013 ------------- 0	792 ------------- 0	9,400 ------------- 0	11,430 ------------- 0	201,110 ------------- 0	0 ------------- 0
136CRAIG ROBERT FORMER OFFICER	(i) (ii)	160,556 ------------- 0	28,792 ------------- 0	1,626 ------------- 0	9,801 ------------- 0	15,015 ------------- 0	215,790 ------------- 0	0 ------------- 0
137MEYERHOEFER TODD FORMER OFFICER	(i) (ii)	237,247 ------------- 0	48,396 ------------- 0	20,056 ------------- 0	15,000 ------------- 0	21,876 ------------- 0	342,575 ------------- 0	0 ------------- 0
138SMITH DARWIN K FORMER OFFICER	(i) (ii)	148,866 ------------- 0	28,333 ------------- 0	792 ------------- 0	9,283 ------------- 0	17,302 ------------- 0	204,576 ------------- 0	0 ------------- 0
139THORN III EUGENE A FORMER OFFICER	(i) (ii)	215,179 ------------- 0	53,799 ------------- 0	792 ------------- 0	13,300 ------------- 0	6,489 ------------- 0	289,559 ------------- 0	0 ------------- 0
140ABDENOUR STEPHEN FORMER KE	(i) (ii)	232,759 ------------- 0	0 ------------- 0	369,737 ------------- 0	-7,104 ------------- 0	28,511 ------------- 0	623,903 ------------- 0	0 ------------- 0
141CARROLL DONALD FORMER KE	(i) (ii)	245,618 ------------- 0	0 ------------- 0	15,640 ------------- 0	9,341 ------------- 0	15,396 ------------- 0	285,995 ------------- 0	0 ------------- 0
142EMMELHAINZ LARRY FORMER KE	(i) (ii)	154,675 ------------- 0	0 ------------- 0	195,959 ------------- 0	34,290 ------------- 0	6,918 ------------- 0	391,842 ------------- 0	0 ------------- 0
143FISER DAVID FORMER KE	(i) (ii)	164,269 ------------- 0	0 ------------- 0	13,651 ------------- 0	-43 ------------- 0	7,403 ------------- 0	185,280 ------------- 0	0 ------------- 0
144FOSTER SUSAN FORMER KE	(i) (ii)	215,463 ------------- 0	0 ------------- 0	5,785 ------------- 0	-253 ------------- 0	17,031 ------------- 0	238,026 ------------- 0	0 ------------- 0
145LYTLE MD BRUCE FORMER KE (RETIRED)	(i) (ii)	118,200 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	118,200 ------------- 0	118,200 ------------- 0
146MUAKKASSA MD FARID FORMER KE	(i) (ii)	916,452 ------------- 0	0 ------------- 0	15,856 ------------- 0	1,436 ------------- 0	30,138 ------------- 0	963,882 ------------- 0	0 ------------- 0
147RIBLEY DOUGLAS FORMER KE	(i) (ii)	235,659 ------------- 0	0 ------------- 0	6,308 ------------- 0	5,417 ------------- 0	18,795 ------------- 0	266,179 ------------- 0	0 ------------- 0
148SCHMIEDEL JUSTIN FORMER KE	(i) (ii)	213,203 ------------- 0	0 ------------- 0	2,078 ------------- 0	6,469 ------------- 0	11,598 ------------- 0	233,348 ------------- 0	0 ------------- 0
149WRIGHT MD DENNIS FORMER KE	(i) (ii)	472,946 ------------- 0	0 ------------- 0	10,028 ------------- 0	17,415 ------------- 0	18,771 ------------- 0	519,160 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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, LINES 4A-B

SCHEDULE J, PART I, LINE 4A, SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: LARRY EMMELHAINZ $170,632 ANN HUSTON $1,156,000 KAREN MULLEN $8,777 THOMAS STOVER $152,519 JOANNE ZEROSKE $372,000 SEVERANCE PAYMENTS ACCRUED IN 2018 BUT NOT YET PAID ARE REPORTED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS: LARRY EMMELHAINZ $31,952 KAREN MULLEN $219,423 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DELOS COSGOVE - PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. FOR MEDICARE TAX PURPOSES $3,926,119 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLANS. MICHAEL MCHUGH - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES $207,231 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENT HIS VESTED AMOUNT IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE OF THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: STEPHEN ABDENOUR - $12,854 DECREASE, DAWN BAILEY - $1,315 DECREASE, LISA BARRETT - $79 DECREASE, JAMES BEKENY - $1,733 INCREASE, KATHLEEN (BURNS) MAU - $6,617 DECREASE, DONALD CARROLL - $1,786 INCREASE, ANKIT CHHABRA - $204 DECREASE, SUSAN COLLIER - $72,607 DECREASE, DELOS COSGROVE - $60,319 DECREASE, ELLIOT DAVIDSON - $9,820 DECREASE, BARBARA DEL CASTILLO - $17 DECREASE, OSMEL DELGADO - $2,652 DECREASE, CYNTHIA DEYLING - $83,622 DECREASE, SERPIL ERZURUM - $31,017 INCREASE, ANDREW FENTON - $17,838 DECREASE, DAVID FISER - $5,424 DECREASE, SUSAN FOSTER - $6,836 DECREASE, KATHLEEN FRANCO - $124,092 DECREASE, DAVID FRIGO - $9,595 DECREASE, STEVE GLASS - $2,917 DECREASE, CHERIE GUSTER - $39,939 DECREASE, THOMAS HAMILTON - $18,047 DECREASE, THERESA HOLTHAUS - $336 INCREASE, MARK HORATTAS - $10,924 DECREASE, RENEE KOLONICK - $5,429 DECRESAE, RICHARD LEA - $9,195 INCREASE, GEORGE LITMAN - $11,600 DECREASE, KERRY MAJOR - $1,185 DECREASE, DONALD MALONE - $71,293 DECREASE, MICHAEL MCHUGH - $123,741 DECREASE, LINDA MCHUGH - $432 DECREASE, MICHAEL MEEHAN - $95,209 DECREASE, JOHN MILLS - $12 DECREASE, MICHAEL MODIC - $67,142 DECREASE, JEFFREY MOORE - $11,685 DECREASE, FARID MUAKKASSA - $12,564 DECREASE, KAREN MULLEN - $7,779 DECREASE, JANICE MURPHY - $40,718 DECREASE, KEITH NILSSON - $7,755 DECREASE, JUAN NOGUERAS - $110,891 DECREASE, JASON OBLANDER - $638 DECREASE, SUE OMORI - $204 DECREASE, ALAN PAPA - $9,947 DECREASE, RITA PAPPAS - $1,549 DECREASE, RICHARD PARKER - $60,611 DECREASE, WILLIAM PEACOCK - $45 INCREASE, EUGENE PFISTER - $106,761 DECREASE, DOUGLAS RIBLEY - $2,735 DECREASE, LEE SAHADI - $7,632 DECREASE, MARY SAUER - $3,470 INCREASE, TITUS SHEERS - $15,768 DECREASE, JESSICA SLIFKO - $1,996 DECREASE, DEBORAH SMALL - $72 DECREASE, BRIAN SMITH - $3,040 DECREASE, VICKY SNYDER - $2,663 DECREASE, REBECCA STARCK - $2,265 DECREASE, JAMES STOLLER - $205,320 DECREASE, THOMAS STOVER - $48,452 DECREASE, MARYBETH THOBURN - $128 INCREASE, THOMAS THOMPSON - $47,940 DECREASE, ERICK VIDMAR - $2,469 DECREASE, HERBERT WIEDEMANN $210,471 DECREASE, JOANNE ZEROSKE - $23,504 INCREASE, BARBARA ZINNER - $9,116 DECREASE.

Schedule J (Form 990) 2018

Additional Data

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number
91-2153073

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 2004B, 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	NONEAVAIL	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	67756AJ37	10-15-2008	670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS		X		X		X
	COLLIER COUNTY HEALTH FACILITIES AUTHORITY	59-2351395	19463LAB9	04-16-2003	118,200,000	BOND 2003C: REFUND FL SERIES 1999; FINANCING WESTON CLINIC		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	NONEAVAIL	12-21-2017	9,305,000	BOND 2017C: REFUND 2002 SERIES		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	677561KS0	08-29-2017	939,576,748	BOND 2017A: REFUND 2008A, 2008B, 2009A, 2009B, 2012A SERIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	43,347,782		44,599,156		51,767,413		14,740,000
2 Amount of bonds legally defeased ..............	70,000
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		13,520,714
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) 2018

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 ....	0.220 %		0.680 %		1.050 %
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 .........	0.010 %		0.080 %		0 %
6 Total of lines 4 and 5 .............	0.220 %		0.760 %		1.050 %
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 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	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) 2018

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: 05/29/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/09/2017 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 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: 10/15/2018

Schedule K (Form 990) 2018

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number
91-2153073

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 2004B, 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	NONEAVAIL	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	67756AJ37	10-15-2008	670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS		X		X		X
	COLLIER COUNTY HEALTH FACILITIES AUTHORITY	59-2351395	19463LAB9	04-16-2003	118,200,000	BOND 2003C: REFUND FL SERIES 1999; FINANCING WESTON CLINIC		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	NONEAVAIL	12-21-2017	9,305,000	BOND 2017C: REFUND 2002 SERIES		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	677561KS0	08-29-2017	939,576,748	BOND 2017A: REFUND 2008A, 2008B, 2009A, 2009B, 2012A SERIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	43,347,782		44,599,156		51,767,413		14,740,000
2 Amount of bonds legally defeased ..............	70,000
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		13,520,714
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) 2018

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 ....	0.220 %		0.680 %		1.050 %
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 .........	0.010 %		0.080 %		0 %
6 Total of lines 4 and 5 .............	0.220 %		0.760 %		1.050 %
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 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	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) 2018

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

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number
91-2153073

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 2004B, 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	NONEAVAIL	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	67756AJ37	10-15-2008	670,000,000	BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS		X		X		X
	COLLIER COUNTY HEALTH FACILITIES AUTHORITY	59-2351395	19463LAB9	04-16-2003	118,200,000	BOND 2003C: REFUND FL SERIES 1999; FINANCING WESTON CLINIC		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	NONEAVAIL	12-21-2017	9,305,000	BOND 2017C: REFUND 2002 SERIES		X		X		X
	OHIO HIGHER EDUCATIONAL FACILITY COMMISSION	34-6849674	677561KS0	08-29-2017	939,576,748	BOND 2017A: REFUND 2008A, 2008B, 2009A, 2009B, 2012A SERIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	43,347,782		44,599,156		51,767,413		14,740,000
2 Amount of bonds legally defeased ..............	70,000
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		13,520,714
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) 2018

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 ....	0.220 %		0.680 %		1.050 %
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 .........	0.010 %		0.080 %		0 %
6 Total of lines 4 and 5 .............	0.220 %		0.760 %		1.050 %
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 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	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) 2018

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

Schedule K (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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	FORMER PRES/CEO	INSURANCE PREMIUM PAYMENTS TREATED AS A LOAN		X	229,247	7,444,253		No	Yes		Yes





Total ............... $						7,444,253

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) 2018

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) PANZICA REALTY INC	ENTITY PARTLY OWNED BY FAMILY MEMBER OF CYNTHIA DEYLING, MARYMOUNT DIRECTOR	135,939	LEASE AGREEMENT		No
(2) AMANDA IGEL	FAMILY MEMBER OF TIMOTHY SPIRO, CCF DIRECTOR	58,143	EMPLOYMENT AGREEMENT WITH CCF		No
(3) CHAD BRONSON	FAMILY MEMBER OF KATHLEEN FRANCO, CCF DIRECTOR	48,300	EMPLOYMENT AGREEMENT WITH CCF		No
(4) CASEY NILSSON	FAMILY MEMBER OF KEITH NILSSON, CC FLORIDA.CC FLORIDA HEALTH SYSTEM OFFICER	13,964	EMPLOYMENT AGREEMENT WITH CC FLORIDA AND CC FLORIDA HEALTH SYSTEM		No
(5) JESSICA SHEERS	FAMILY MEMBER OF TITUS SHEERS, AGMC DIRECTOR	38,958	EMPLOYMENT AGREEMENT WITH AGMC		No
(6) RYAN OAKLEY	FAMILY MEMBER OF WILLIAM PEACOCK, CCF OFFICER	26,365	EMPLOYMENT AGREEMENT WITH CCF		No
(7) AMBER BRADFORD-SAFFLES	FAMILY MEMBER OF JOHN BRADFORD, PPG DIRECTOR	357,449	EMPLOYMENT AGREEMENT WITH PPG		No
(8) ALISON ALEMAGNO	FAMILY MEMBER OF SONIA ALEMAGNO, AGMC DIRECTOR & TRUSTEE	38,208	EMPLOYMENT AGREEMENT WITH AGMC		No
(9) FARID MUAKKASSA	FAMILY MEMBER OF RIMA MUAKKASSA, AGMC DIRECTOR	150,637	EMPLOYMENT AGREEMENT WITH AGMC		No
(10) SOPHIA HORATTAS	FAMILY MEMBER OF MARK HORATTAS, AGMC DIRECTOR	57,151	EMPLOYMENT AGREEMENT WITH AGMC		No
(11) ELENI HORATTAS	FAMILY MEMBER OF MARK HORATTAS, AGMC DIRECTOR	56,677	EMPLOYMENT AGREEMENT WITH AGMC		No
(12) ERICK LOPEZ	FAMILY MEMBER OF JANICE MURPHY, FORMER FAIRVIEW OFFICER	27,014	EMPLOYMENT AGREEMENT WITH FAIRVIEW		No
(13) KATHERINE MCHUGH	FAMILY MEMBER OF LINDA MCHUGH, FORMER CCF OFFICER	40,501	EMPLOYMENT AGREEMENT WITH CCF		No
(14) DENISE ANGERSTIEN	FAMILY MEMBER OF DENNIS CHACK, AGMC DIRECTOR	61,771	EMPLOYMENT AGREEMENT WITH AGMC		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) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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	30	332,794	APPRAISAL
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		2,600	SALE COMPARABLE GOODS
5 Clothing and household goods .......	X		385,720	SALE COMPARABLE GOODS
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	222	15,161,505	AVERAGE HIGH/LOW
10 Securities—Closely held stock .	X	2	44,545	COST
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 ..	X	2	1,041,500	APPRAISAL
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	11	59,054	COST
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MEDICAL EQUIPMENT )	X	26	247,848	SALE COMPARABLE GOOD
26 Other ( )
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 nonstandard 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) (2018)

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:	CLEVELAND CLINIC HEALTH SYSTEM WILL AT TIMES HIRE INDEPENDENT THIRD PARTIES TO SELL CERTAIN NON-CASH CONTRIBUTIONS SUCH AS AUCTION ITEMS OR REAL ESTATE.

Schedule M (Form 990) (2018)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

Return Reference	Explanation
FORM 990, PART III, PROGRAM SERVICE STATEMENT	CLEVELAND CLINIC, LOCATED IN CLEVELAND, OHIO, IS A NONPROFIT, TAX-EXEMPT ACADEMIC MEDICAL CENTER THAT INTEGRATES CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. THE CLEVELAND CLINIC FOUNDATION IS THE PARENT OF THE CLEVELAND CLINIC HEALTH SYSTEM. CLEVELAND CLINIC WAS ESTABLISHED IN 1921 WITH THE SAME MISSION THAT CONTINUES TODAY: BETTER CARE FOR THE SICK, INVESTIGATION OF THEIR PROBLEMS, AND FURTHER EDUCATION OF THOSE WHO SERVE. CONSISTENT WITH ITS TRIPARTITE MISSION, CLEVELAND CLINIC'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE PROVIDED ON A CHARITABLE BASIS, MEDICAL RESEARCH, AND EDUCATION OF BOTH MEDICAL PROFESSIONALS AND THE COMMUNITY. THE FOUNDERS RECOGNIZED THAT IT IS IN THE BEST INTEREST OF PATIENTS TO POOL THE TALENTS OF MEDICAL SPECIALISTS TO DEVELOP, TEACH AND APPLY THE BEST MEDICAL TECHNIQUES. THIS STATEMENT IS NOT INTENDED TO IDENTIFY ALL THE ACTIVITIES BY WHICH CLEVELAND CLINIC HEALTH SYSTEM FULFILLS ITS CHARITABLE PURPOSES, BUT RATHER IS A SUMMARY OF ITS PRIMARY PROGRAM SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE CLEVELAND CLINIC HEALTH SYSTEM DEFINES AND MEASURES COMMUNITY BENEFIT (INCLUDING FINANCIAL ASSISTANCE) USING THE CATHOLIC HEALTH ASSOCIATION ("CHA") COMMUNITY BENEFIT MODEL, WHICH RECOMMENDS REPORTING FINANCIAL ASSISTANCE ON A COST BASIS. USING THIS MODEL, IN 2018 CLEVELAND CLINIC AND ITS AFFILIATES PROVIDED $969.3 MILLION IN BENEFITS TO THE COMMUNITIES SERVED. 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 CURRENT COMMUNITY BENEFIT REPORT IS AVAILABLE ON OUR WEBSITE AT CLEVELANDCLINIC.ORG. (COMMUNITY BENEFIT AMOUNTS REPORTED IN THIS PROGRAM SERVICE STATEMENT REFER TO OUR 2018 COMMUNITY CONNECTIONS, BASED ON THE CHA REPORTING METHODOLOGY. SEE FORM 990, SCHEDULE H FOR A RECONCILIATION OF SCHEDULE H TO COMMUNITY BENEFIT REPORTING.) I. PATIENT CARE IN 2018, THE CLEVELAND CLINIC HEALTH SYSTEM INCLUDED AN ACADEMIC MEDICAL CENTER AND 11 COMMUNITY HOSPITALS (AKRON GENERAL MEDICAL CENTER, AVON, EUCLID, FAIRVIEW, HILLCREST, LODI, LUTHERAN, MARYMOUNT, MEDINA, SOUTH POINTE, AND UNION HOSPITALS), AND A SPECIALTY HOSPITAL (CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION) IN NORTHEAST OHIO; ONE HOSPITAL AND ONE HEALTH AND WELLNESS CENTER IN FLORIDA; AND A CENTER FOR BRAIN HEALTH IN LAS VEGAS, NEVADA. CLEVELAND CLINIC HEALTH SYSTEM 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. IN 2018, THE CLEVELAND CLINIC HEALTH SYSTEM RECORDED 4,143 TOTAL STAFFED BEDS, 686,652 EMERGENCY VISITS, 221,672 SURGICAL CASES, 186,439 ADMISSIONS, AND MORE THAN 7.9 MILLION TOTAL CLINIC VISITS. IT IS THE POLICY OF CLEVELAND CLINIC HEALTH SYSTEM 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 & PAIN MANAGEMENT, BARIATRIC & METABOLIC, COLE EYE, DERMATOLOGY & PLASTIC SURGERY, DIGESTIVE DISEASE & SURGERY, EMERGENCY SERVICES, ENDOCRINOLOGY & METABOLISM, GENOMICS, 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, & WELLNESS & PREVENTATIVE MEDICINE. 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 2018. OVERALL, CLEVELAND CLINIC WAS AMONG THE NATION'S BEST HOSPITALS, EARNING THE NO. 2 RANKING. FOR THE 24TH CONSECUTIVE YEAR, CLEVELAND CLINIC RANKED BEST IN THE NATION FOR CARDIOLOGY AND HEART SURGERY, EARNING THE NO. 1 SPOT. THE GLICKMAN UROLOGICAL & KIDNEY INSTITUTE RECEIVED THE NO. 1 DISTINCTION IN UROLOGY AND NO. 2 IN NEPHROLOGY. TEN OTHER CLEVELAND CLINIC SPECIALTIES ALSO RANKED IN THE TOP 10. NINE OTHER CLEVELAND CLINIC SPECIALTIES PLACED IN THE TOP 5 INCLUDING: CANCER, DIABETES & ENDOCRINOLOGY, GASTROENTEROLOGY & GI SURGERY, GERIATRICS, GYNECOLOGY, NEUROLOGY & NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND RHEUMATOLOGY. CLEVELAND CLINIC WAS ALSO RATED "HIGH PERFORMING" IN NINE PROCEDURES AND CONDITIONS. CLEVELAND CLINIC HAS ACHIEVED DISTINGUISHED MAGNET RECOGNITION. MAGNET STATUS IS THE HIGHEST NATIONAL RECOGNITION AWARDED TO A HOSPITAL OR MEDICAL CENTER FOR EXCELLENCE IN NURSING. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. CLEVELAND CLINIC RECEIVED SEVERAL AWARDS FROM PRACTICE GREENHEALTH. PRACTICE GREENHEALTH RECOGNIZES ORGANIZATIONS WITHIN THE HEALTHCARE SECTOR THAT SUPPORT AND CREATE BETTER, SAFER, AND GREENER WORKPLACES AND COMMUNITIES. IN 2018, CLEVELAND CLINIC AND ITS FACILITIES RECEIVED: THE ENVIRONMENTAL EXCELLENCE AWARD, PARTNER FOR CHANGE AWARD, GREENING THE OR LEADERSHIP AWARD, LEADERSHIP CIRCLE AWARD, CLIMATE CIRCLE, PARTNER RECOGNITION AWARD, SYSTEM FOR CHANGE AWARD, AND THE GREEN BUILDING CIRCLE AWARD. FOUNDED IN 1914, AKRON GENERAL IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT SERVES AS THE HUB FOR CLEVELAND CLINIC'S SOUTHERN REGION. THE 502 STAFFED BED TEACHING AND RESEARCH MEDICAL CENTER INCLUDES LODI HOSPITAL, VISITING NURSE SERVICE, AND HEALTH & WELLNESS CENTERS. THE A LEVEL 1 TRAUMA CENTER, AS DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS, OFFERS THE TECHNOLOGY, EXPERTISE, AND STAFFING TO TREAT ALL INJURIES REGARDLESS OF SEVERITY. IN 2018 U.S. NEWS & WORLD REPORT RANKED AKRON GENERAL AS THE ELEVENTH BEST HOSPITAL IN OHIO AND THE BEST HOSPITAL IN AKRON. AKRON GENERAL RANKED 47TH NATIONALLY IN PULMONOLOGY AND RANKED AS "HIGH PERFORMING" IN GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, NEPHROLOGY, AND UROLOGY. AKRON WAS ALSO RANKED AS "HIGH PERFORMING" IN THREE ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS "MAGNET" STATUS DESIGNATION TO AKRON GENERAL. AKRON GENERAL IS ACCREDITED BY JOINT COMMISSION, ALSO RECEIVING ITS GOLD SEAL OF APPROVAL FOR STROKE CARE. IT IS SUMMIT COUNTY'S FIRST ACCREDITED CHEST PAIN CENTER, MEETING STRICT CRITERIA FROM THE SOCIETY OF CHEST PAIN CENTERS AND PROVIDERS. AKRON GENERAL'S MCDOWELL CANCER INSTITUTE IS THE ONLY AKRON CANCER HOSPITAL TO RECEIVE AN OUTSTANDING ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER. AKRON GENERAL PARTICIPATES IN NATIONAL CANCER INSTITUTE (NCI) SPONSORED CLINICAL TRIALS, AS WELL AS PHARMACEUTICAL INDUSTRY SPONSORED TRIALS. MEMBERSHIP IN SIX NCI COOPERATIVE GROUPS PROVIDES PATIENTS WITH ACCESS TO A WIDE MENU OF CLINICAL TRIALS. OPENED IN NOVEMBER 2016, AVON HOSPITAL HAS 126 STAFFED BEDS AND PROVIDES INPATIENT AND OUTPATIENT SERVICES. THE FIVE STORY HOSPITAL WAS DESIGNED TO ACCOMMODATE FUTURE ADVANCES IN MEDICAL CARE. AVON HOSPITAL'S FEATURES INCLUDE SIX OPERATING ROOMS, AN INTENSIVE CARE UNIT, IMAGING AND RADIOLOGY, PHARMACY AND LABORATORY SERVICES, A CARDIAC CATHETERIZATION LABORATORY AS WELL AS AN EXPANDED EMERGENCY DEPARTMENT. THE HOSPITAL HAD A SUCCESSFUL JOINT COMMISSION ACCREDITATION SURVEY AND RECEIVED FULL ACCREDITATION STATUS ON DECEMBER 9, 2016.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	FOUNDED IN 1907, EUCLID HOSPITAL HAS BECOME ONE OF THE REGION'S LEADING SUB-ACUTE CARE, OUTPATIENT REHABILITATION AND ORTHOPAEDIC CENTERS. THE HOSPITAL, WITH 165 STAFFED BEDS, OFFERS A COMPLETE CONTINUUM OF CARE WITH NATIONALLY RENOWNED SPECIALTIES THAT INCLUDE: SUB-ACUTE CARE, CLEVELAND CLINIC NEURO-REHABILITATION PROGRAM, EMERGENCY DEPARTMENT, GERIATRIC ASSESSMENT PROGRAM, HEALING GARDEN WITH LAKEFRONT VIEWS, ORTHOPAEDICS, AND OUTPATIENT REHABILITATION. IN 2018, EUCLID HOSPITAL WAS RECOGNIZED WITH THE GREENHEALTH EMERALD, THE NATION'S LEADING HEALTHCARE COMMUNITY THAT EMPOWERS ITS MEMBERS TO INCREASE THEIR EFFICIENCIES AND ENVIRONMENTAL STEWARDSHIP WHILE IMPROVING PATIENT SAFETY AND CARE THROUGH TOOLS, BEST PRACTICES AND KNOWLEDGE. THE AWARD IS ONE OF THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARDS GIVEN EACH YEAR TO INCREASE ENVIRONMENTAL SUSTAINABILITY ACHIEVEMENTS IN THE HEALTHCARE SECTOR. THE HOSPITAL ALSO MAINTAINS A PATHWAYS TO EXCELLENCE DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER. EUCLID WAS ALSO AWARDED THE GREENHEALTH LESS WASTE CIRCLE AWARD. FOUNDED IN 1892, FAIRVIEW HOSPITAL IS A FAITH-BASED COMMUNITY HOSPITAL WITH 460 STAFFED BEDS. IT IS A FULLY ACCREDITED HOSPITAL BY THE JOINT COMMISSION, WITH A CERTIFIED LEVEL II TRAUMA CENTER. CLEVELAND CLINIC CANCER CENTER AT FAIRVIEW HOSPITAL, HAS BEEN AWARDED THE OUTSTANDING ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER. THE HOSPITAL ALSO RECEIVED THE AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE FOR ITS QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. FAIRVIEW HOSPITAL'S ADDITIONAL STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE: BIRTHING CENTER, HEART SURGERY, CANCER, AND SURGERY. FAIRVIEW IS ALSO DEVELOPING A NATIONAL REPUTATION IN BLOOD CONSERVATION, EDUCATION AND RESEARCH THROUGH ITS CENTER FOR BLOOD CONSERVATION. FAIRVIEW HAS BEEN RANKED A 100 TOP HOSPITAL BY THOMSON REUTERS. IN 2018, U.S. NEWS & WORLD REPORT RECOGNIZED FAIRVIEW HOSPITAL AS THE NUMBER THREE HOSPITAL IN THE CLEVELAND METRO AREA AND NUMBER FIVE IN OHIO. FAIRVIEW HOSPITAL WAS NATIONALLY RANKED FOR CARDIOLOGY & HEART SURGERY, GASTROENTEROLOGY & GI SURGERY, GERIATRICS AND PULMONOLOGY AND "HIGHEST PERFORMING" IN SIX OTHER SPECIALTIES. THE HOSPITAL ALSO ACHIEVED THE "HIGH PERFORMING" RATING IN FIVE COMMON ADULT PROCEDURES AND CONDITIONS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS "MAGNET" STATUS TO FAIRVIEW HOSPITAL. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN 2018, FAIRVIEW HOSPITAL RECEIVED SEVERAL AWARDS FROM PRACTICE GREENHEALTH, INCLUDING: THE PARTNER FOR CHANGE AWARD AND GREENING THE OR RECOGNITION AWARD. OPENED IN NOVEMBER 1968, HILLCREST HOSPITAL HAS 440 STAFFED HOSPITAL BEDS. HILLCREST HOSPITAL HAS BEEN NATIONALLY RECOGNIZED 11 TIMES AS ONE OF AMERICA'S 100 TOP HOSPITALS, A DESIGNATION BASED ON EXTENSIVE RESEARCH OF U.S. HOSPITALS, AS CONDUCTED BY THOMSON REUTERS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS "MAGNET" STATUS TO HILLCREST HOSPITAL. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. IN 2018, U.S. NEWS & WORLD REPORT RECOGNIZED HILLCREST HOSPITAL AS "HIGH PERFORMING" IN SEVEN ADULT SPECIALTIES. THE HOSPITAL ALSO ACHIEVED "HIGH PERFORMING" RATINGS IN SIX COMMON ADULT PROCEDURES AND CONDITIONS. THE HOSPITAL IS ALSO RANKED FOURTH AMONG CLEVELAND -AREA HOSPITALS AND SIXTH IN THE STATE OF OHIO. HILLCREST HOSPITAL HOLDS ACCREDITATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTH ORGANIZATIONS AND FULL ACCREDITATION WITH PCI FROM THE SOCIETY OF CHEST PAIN CENTERS. IN THE CONSUMER GUIDE TO OHIO HOSPITAL QUALITY, HILLCREST RECEIVED THE HIGHEST POSSIBLE RANKING IN FIVE CARDIAC CATEGORIES, INCLUDING ANGIOPLASTY, CARDIAC CATHETERIZATION, CAROTID (NECK) ARTERY SURGERY, CONGESTIVE HEART FAILURE AND CORONARY ARTERY BYPASS GRAFT. IN 2018, HILLCREST WAS AWARDED THE GREENHEALTH PARTNER FOR CHANGE AWARD. OPENED IN 1896, LUTHERAN HOSPITAL IS A 194 STAFFED BED HOSPITAL OFFERING QUALITY MEDICAL CARE, CUTTING-EDGE TECHNOLOGY AND ADVANCED RESEARCH AND SURGERY. LUTHERAN OFFERS EXPERT CARE IN AREAS SUCH AS ORTHOPAEDICS, SPINE, PAIN MANAGEMENT, GENERAL SURGERY, BEHAVIORAL HEALTH, ALCOHOL AND DRUG RECOVERY, WOUND CARE, LAB AND IMAGING SERVICES, AND EMERGENCY MEDICINE. AMONG THE COMMUNITY HOSPITALS NATIONWIDE, LUTHERAN HOSPITAL HAS PLACED #1, WINNING THE VIZIENT BERNARD A. BIRNBAUM, MD, QUALITY LEADERSHIP AWARD FOR EXCELLENCE IN DELIVERING SAFE, PATIENT-CENTERED CARE THAT IS TIMELY, EFFECTIVE, EFFICIENT, AND EQUITABLE. THE JOINT COMMISSION, THE LEADING ACCREDITOR OF HEALTHCARE ORGANIZATIONS IN THE UNITED STATES, HAS ALSO RECOGNIZED LUTHERAN HOSPITAL AS A TOP PERFORMER ON KEY QUALITY MEASURES. LUTHERAN WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN 2018, LUTHERAN WAS AWARDED THE PRACTICE GREENHEALTH PARTNER FOR CHANGE AWARD. FOUNDED IN 1949, MARYMOUNT HOSPITAL IS A 277 STAFFED BED ACUTE CARE HOSPITAL PROVIDING ADVANCED HEALTH CARE, GUIDED BY THE VALUES OF SERVICE, COMPASSION, DIGNITY, AND RESPECT. IN 2018, U.S. NEWS & WORLD REPORT RECOGNIZED MARYMOUNT HOSPITAL AS "HIGH PERFORMING" IN TWO COMMON ADULT PROCEDURES. MARYMOUNT HOSPITAL WAS RECOGNIZED WITH THE PARTNERS IN CHANGE AWARD BY PRACTICE GREENHEALTH, THE NATION'S LEADING HEALTHCARE COMMUNITY THAT EMPOWERS ITS MEMBERS TO INCREASE THEIR EFFICIENCIES AND ENVIRONMENTAL STEWARDSHIP WHILE IMPROVING PATIENT SAFETY AND CARE THROUGH TOOLS, BEST PRACTICES AND KNOWLEDGE. MARYMOUNT WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. MARYMOUNT HOLDS A NUMBER OF CERTIFICATIONS AND ACCREDITATIONS INCLUDING: CERTIFICATION FROM AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION FOR HOSPITAL ACCREDITATION, AN ACCREDITED HOSPITAL PROGRAM BY THE JOINT COMMISSION, AND A BEHAVIORAL HEALTH PROGRAM ACCREDITED BY THE JOINT COMMISSION. FOUNDED IN 1944, MEDINA HOSPITAL IS A 143 STAFFED BED ACUTE CARE FACILITY. MEDINA'S STRONG CLINICAL CENTERS OF EXCELLENCE INCLUDE EMERGENCY DEPARTMENT, ORTHOPAEDICS, AND SURGERY. THE HOSPITAL FEATURES MORE THAN 300 PHYSICIANS COVERING MORE THAN 30 AREAS OF SPECIALIZATION. IN 2018, IT WAS ALSO AWARDED THE PRACTICE GREENHEALTH PARTNER FOR CHANGE AWARD AND GREENING THE OR AWARD. SOUTH POINTE HOSPITAL, IS A 172 STAFFED BED ACUTE CARE, COMMUNITY TEACHING HOSPITAL WHICH HAS BEEN SERVICING THE HEALTHCARE NEEDS OF ITS COMMUNITY SINCE 1957. SOUTH POINTE DELIVERS A PATIENT CENTERED MODEL OF CARE WHICH PROMOTES THE HEALING OF THE MIND, BODY AND SPIRIT. IN 2018 U.S. NEWS & WORLD REPORT RECOGNIZED SOUTH POINTE HOSPITAL AS "HIGH PERFORMING" IN FIVE CLINICAL SPECIALTIES AND TWO COMMON ADULT PROCEDURES AND CONDITIONS. THE HOSPITAL WAS ALSO RANKED FIFTH AMONG CLEVELAND AREA HOSPITALS. THE AMERICAN NURSES ASSOCIATION BESTOWED THE PRESTIGIOUS "MAGNET" STATUS TO SOUTH POINTE. ANCC, A SUBSIDIARY OF THE AMERICAN NURSES ASSOCIATION, GRANTS MAGNET STATUS WHEN A HEALTHCARE ORGANIZATION REFLECTS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. FEWER THAN 400 OF THE COUNTRY'S 6,000-PLUS HOSPITALS HAVE EARNED THIS PRESTIGIOUS HONOR. THE CANCER PROGRAM AT SOUTH POINTE HOSPITAL HAS A FOUR YEAR ACCREDITATION BY THE COMMISSION ON CANCER FOR THE AMERICAN COLLEGE OF SURGEONS. THIS HONOR IS ONLY GRANTED TO 20% OF THE HOSPITALS IN THE UNITED STATES. ADDITIONALLY, THE HOSPITAL IS DUALLY ACCREDITED BY THE JOINT COMMISSION AND THE AMERICAN OSTEOPATHIC ASSOCIATION.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	FOUNDED IN 1906, UNION HOSPITAL IS A 139 STAFFED BED HOSPITAL. IN APRIL 2018, THE CLEVELAND CLINIC, THROUGH A SUBSIDIARY, BECAME THE SOLE MEMBER OF THE UNION HOSPITAL. THE HOSPITAL'S 25 ACRE MEDICAL CAMPUS INCLUDES PHYSICIAN OFFICE BUILDINGS, OUTPATIENT REHABILITATION AND SPORTS MEDICINE CENTER, AND A MENTAL HEALTHCARE AGENCY. OFF CAMPUS FACILITIES INCLUDE AN AMBULATORY SURGERY CENTER, OCCUPATIONAL MEDICINE AND AN URGENT CARE CENTER. UNION HOSPITAL HAS BEEN NAMED TO THE LIST OF THE "100 GREAT COMMUNITY HOSPITALS" BY BECKER'S HOSPITAL REVIEW, A MONTHLY PUBLICATION OF BUSINESS AND LEGAL NEWS FOR HOSPITAL EXECUTIVES. IT IS ONE OF SIX HOSPITALS NATIONWIDE RECOGNIZED AS A TOP PERFORMING HOSPITAL IN THE MIDAS+ PLATINUM QUALITY AWARD PROGRAM. IN ADDITION, IT ACHIEVED CERTIFICATION AS A PRIMARY STROKE CENTER. UNION HOSPITAL HAS ALSO BEEN DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, INDICATING THAT BREAST IMAGING AT UNION MEETS THE HIGHEST STANDARDS OF THE RADIOLOGY PROFESSION. CLEVELAND CLINIC FLORIDA INCLUDES A 206 STAFFED BED HOSPITAL, DIAGNOSTIC CENTERS, OUTPATIENT SURGERY, AND A 24-HOUR EMERGENCY DEPARTMENT IN WESTON, FLORIDA. CLEVELAND CLINIC FLORIDA HAS LOCATIONS IN WESTON, PALM BEACH, PALM BEACH GARDENS AND PARKLAND. TWO NEW LOCATIONS OPENED IN 2018, A CLINIC AND AMBULATORY SURGERY CENTER IN CORAL SPRINGS AND A NEW CLINIC IN WELLINGTON, FLORIDA. THE ADDITION OF THE CORAL SPRINGS AND WELLINGTON FACILITIES WILL BRING THE NUMBER OF LOCATIONS IN FLORIDA TO NINE. IN 2018, CLEVELAND CLINIC FLORIDA HAD 525,093 PATIENT VISITS, 15,372 INTERNATIONAL PATIENT VISITS; AND MORE THAN 260 STAFF PHYSICIAN AND 120 RESIDENTS AND FELLOWS IN 11 ACCREDITED TRAINING PROGRAMS. IN 2018, U.S. NEWS & WORLD REPORT NATIONALLY RANKED TWO OF FLORIDA'S ADULT SPECIALTIES: GASTROENTEROLOGY & GI SURGERY, AND ORTHOPEDICS. IT WAS ALSO "HIGH PERFORMING" IN FOUR ADULT SPECIALTIES AND ALL NINE ADULT PROCEDURES & CONDITIONS. CLEVELAND CLINIC FLORIDA WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THIS DESIGNATION IS EARNED BY HEALTHCARE ORGANIZATIONS THAT DEMONSTRATE COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. IN ADDITION, PRACTICE GREENHEALTH AWARDED IT WITH THE PARTNER RECOGNITION AWARD. CLEVELAND CLINIC FLORIDA IS A WORLD-RENOWNED ACADEMIC MEDICAL CENTER WITH ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN SOUTH FLORIDA. FOR THE NINTH YEAR IN A ROW, CLEVELAND CLINIC FLORIDA RANKED HIGHEST AMONG HOSPITALS IN BROWARD COUNTRY IN REGIONAL RANKINGS IN U.S. NEWS & WORLD REPORT'S RANKING OF BEST HOSPITALS 2018-2019. CLEVELAND CLINIC FLORIDA IS RANKED FIRST IN THE MIAMI-FT. LAUDERDALE METRO REGION AND FOURTH IN THE STATE OF FLORIDA. THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH IS A MULTIDISCIPLINARY CENTER, CO-LOCATED IN LAS VEGAS AND CLEVELAND PROVIDING DIAGNOSIS AND TREATMENT FOR PATIENTS WITH COGNITIVE DISORDERS AND SUPPORT FOR THEIR FAMILIES. PHYSICIANS AND STAFF FOCUS ON EARLY INTERVENTION FOR MILD COGNITIVE DISORDERS THROUGH PHYSICAL EXERCISE, COGNITIVE REHABILITATION, AND MEDICATION. THE CENTER ALSO ENGAGES IN EDUCATION AND RESEARCH ACTIVITIES. THE LOU RUVO CENTER FOR BRAIN HEALTH WAS NAMED A RESEARCH CENTER OF EXCELLENCE BY THE LEWY BODY DEMENTIA ASSOCIATION. IT HAS BEEN NAMED ONE OF THE FIRST FIVE CUREPSP CENTERS OF CARE IN THE UNITED STATES. IT IS ALSO THE ONLY PROGRAM IN SOUTHERN NEVADA TO RECEIVE THE PARTNERS IN CARE DESIGNATION FROM THE NATIONAL MULTIPLE SCLEROSIS SOCIETY. KEEP MEMORY ALIVE ("KMA") RAISES FUNDS TO OPERATE THE CLEVELAND CLINIC LOU RUVO CENTER FOR BRAIN HEALTH TO ADVANCE THE RESEARCH AND TREATMENT OF PATIENTS WITH NEUROCOGNITIVE DISORDERS THAT RESULT FROM NEUROLOGICAL DISEASES INCLUDING ALZHEIMER'S, HUNTINGTON'S, PARKINSON'S, AND AMYOTROPHIC LATERAL SCLEROSIS (ALS). KMA STRIVES TO CREATE GREATER AWARENESS OF NEUROCOGNITIVE DISORDERS; EDUCATE FAMILIES ABOUT TREATMENTS, RESEARCH EFFORTS, AND AVAILABLE CAREGIVER SERVICES; AND PROMOTES LIFESTYLE CHANGES TO ENCOURAGE HEALTHY BRAIN AGING. FINANCIAL ASSISTANCE THE CLEVELAND CLINIC FINANCIAL ASSISTANCE POLICY ASSISTS POOR AND INDIGENT PATIENTS BY PROVIDING FREE CARE FOR EMERGENCY AND MEDICALLY NECESSARY SERVICES TO UNINSURED PATIENTS WITH INCOMES UP TO 250 PERCENT OF THE FEDERAL POVERTY LEVEL AND ALSO OFFERS DISCOUNTS ON EMERGENCY AND 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 $110.8 MILLION IN 2018. II. RESEARCH CLEVELAND CLINIC'S MISSION INCLUDES CONDUCTING RESEARCH TO ADVANCE BIOMEDICAL SCIENCE AND ULTIMATELY IMPROVE PATIENT CARE, PREVENT DISEASE, AND FIND CURES FOR MEDICAL ISSUES. CLEVELAND CLINIC'S LERNER RESEARCH INSTITUTE ("LRI") IS ITS RESEARCH INSTITUTE LOCATED ON THE MAIN CAMPUS AND HOME TO A COMPLETE SPECTRUM OF LABORATORY-, TRANSLATIONAL-, AND CLINICAL-BASED RESEARCH. LRI HAS APPROXIMATELY 175 FACULTY-LEVEL SCIENTISTS ORGANIZED IN THE FOLLOWING DEPARTMENTS: BIOMEDICAL ENGINEERING, CANCER BIOLOGY, CARDIOVASCULAR AND METABOLIC SCIENCES, GENOMIC MEDICINE, INFLAMMATION AND IMMUNITY, NEUROSCIENCES, OPHTHALMIC RESEARCH, PATHOBIOLOGY, QUANTITATIVE HEALTH SCIENCES, 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 240 RESEARCH FELLOWS, 160 GRADUATE STUDENTS AND 200 UNDERGRADUATE STUDENTS. IN ADDITION TO BASIC PRE-CLINICAL RESEARCH, THE CLEVELAND CLINIC, ITS AFFILIATES, AND EMPLOYED PHYSICIANS PARTICIPATE OR ARE PRIMARY INVESTIGATORS IN MANY CLINICAL TRIALS. IN 2018, CLEVELAND CLINIC WAS INVOLVED IN APPROXIMATELY 4,000 ACTIVE IRB APPROVED 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 2018, CLEVELAND CLINIC PROVIDED COMMUNITY BENEFIT IN RESEARCH AT A SUBSIDIZED COST OF MORE THAN $243.4 MILLION, WHICH INCLUDED EXTERNALLY- SPONSORED FUNDING OF $165.7 MILLION. THE CLEVELAND CLINIC HEALTH SYSTEM'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.
FORM 990, PART III, PROGRAM SERVICE STATEMENT (CONTINUED)	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 THROUGHOUT THE HEALTH SYSTEM INCLUDING ACCREDITED TRAINING PROGRAMS FOR NURSES AND HEALTH SCIENCE PROFESSIONALS. CLEVELAND CLINIC HEALTH SYSTEM DEVOTES SUBSTANTIAL RESOURCES TO EDUCATION PROGRAMS, WHICH, IN 2018, PROVIDED A NET COMMUNITY BENEFIT OF $282.9 MILLION. THESE EDUCATIONAL ACTIVITIES ENSURE RESIDENTS AND PATIENTS IN ALL OF THE CLEVELAND CLINIC HEALTH SYSTEM'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 2018, 1,363 RESIDENTS AND FELLOWS TRAINED IN 109 ACCREDITED TRAINING PROGRAMS, APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), INCLUDING 152 ADVANCED FELLOWS IN 100 FELLOWSHIP PROGRAMS. -LERNER COLLEGE OF MEDICINE: SINCE ITS INCEPTION IN MAY 2002, THE LERNER COLLEGE OF MEDICINE 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 2018-19 ACADEMIC YEAR. THE PROGRAM'S STUDENTS HAVE MATCHED AT SOME OF THE MOST PRESTIGIOUS HOSPITALS THROUGHOUT THE UNITED STATES AND HAVE CONTRIBUTED 117 PUBLICATIONS TO THE WORLD'S STORE OF SCIENTIFIC KNOWLEDGE BASED ON 2018 CALENDAR YEAR (WHICH INCLUDES PUBLISHED ARTICLES AND ABSTRACT SUBMISSIONS), AND 69 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 2018, 326 MEDICAL STUDENTS FROM 168 MEDICAL SCHOOLS AROUND THE WORLD ROTATED 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 2018, THE CENTER FOR CONTINUING EDUCATION CERTIFIED 1,738 CME ACTIVITIES THAT OFFERED OVER 13,000 CME CREDITS TO 194,008 PARTICIPANTS. OF THAT NUMBER, 1,344 WERE LIVE COURSES THAT ATTRACTED 80,006 PARTICIPANTS. CLEVELAND CLINIC IS ONE OF THE LARGEST PROVIDERS OF ONLINE CME AMONG THE NATION'S ACADEMIC MEDICAL CENTERS. THE CENTER'S WEBSITE HAD 171 ACTIVITIES THAT ATTRACTED 29,148 ACTIVITY VIEWERS. JOURNAL CME CONTINUES TO REACH A LARGE NUMBER OF LEARNERS, AWARDING MORE THAN 85,000 CERTIFICATES TO CLEVELAND CLINIC JOURNAL OF MEDICINE (CCJM) PARTICIPANTS. IN 2018, THE CENTER ISSUED 182,832 CERTIFICATES FOR ALL ACTIVITIES COMBINED. -THE CCJM ENJOYED A CIRCULATION OF MORE THAN 123,000 COPIES AND RANKED NO. 2 IN READERSHIP AMONG JOURNALS DIRECTED TO OFFICE-BASED INTERNISTS AND CARDIOLOGISTS. EACH YEAR, THE PRINT AND ONLINE VERSIONS ARE READ OR ACCESSED BY APPROXIMATELY 3.5 MILLION PEOPLE AROUND THE WORLD. IN 2018 THE CCJM WEBSITE RECORDED 7,123,661 PAGE VIEWS FROM 5,200,985 UNIQUE VISITORS. -CENTER FOR HEALTH SCIENCES EDUCATION: CLEVELAND CLINIC IS A MAJOR EDUCATION AND TRAINING SITE FOR A NUMBER OF ALLIED HEALTH STUDENTS FROM VARIOUS ACADEMIC PROGRAMS THROUGHOUT THE REGION. THE CLEVELAND CLINIC HEALTH SYSTEM CURRENTLY OFFERS 14 IN-HOUSE ALLIED HEALTH PROGRAMS AND HAS 51 AFFILIATED PROGRAMS WITH REGIONAL ACADEMIC INSTITUTIONS. IN 2018, CLEVELAND CLINIC HEALTH SYSTEM HOSTED MORE THAN 680,000 CLINICAL ROTATION HOURS FOR OVER 2,600 HEALTH SCIENCE STUDENTS. -CENTER FOR INTERNATIONAL MEDICAL EDUCATION: THE CENTER FOR INTERNATIONAL MEDICAL EDUCATION (CIME) IS RESPONSIBLE FOR COORDINATING CLEVELAND CLINIC'S INTERNATIONAL EDUCATIONAL INITIATIVES AND FOR ENSURING THE PROVISION OF HIGH QUALITY EDUCATIONAL EXPERIENCES FOR THE GLOBAL MEDICAL COMMUNITY. IN 2018, 918 INTERNATIONAL PHYSICIANS AND MEDICAL STUDENTS TRAVELED TO CLEVELAND CLINIC TO PARTICIPATE IN OBSERVERSHIPS; 245 PHYSICIANS ATTENDED SYMPOSIA HELD AT CLEVELAND CLINIC PATIENT EXPERIENCE, CARDIOLOGY, COLORECTAL SURGERY, SPINE SURGERY, GASTROENTEROLOGY, LEUKEMIA, UROLOGY, CONGENITAL HEART DISEASE, BREAST CANCER, AND OBESITY; AND STAFF TRAVELED TO MORE THAN 15 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 HEALTH SYSTEM ANNUALLY REPORTS TO THE COMMUNITY. THE OTHER COMPONENTS OF OUR COMMUNITY BENEFIT ARE: MEDICAID SHORTFALL THE CLEVELAND CLINIC HEALTH SYSTEM IS A LEADING PROVIDER OF MEDICAID SERVICES IN OHIO. IN MANY STATES, INCLUDING OHIO, MEDICAID PAYMENTS HAVE NOT BEEN SUFFICIENT TO COVER THE COST OF TREATING MEDICAID BENEFICIARIES. IN 2018, THE HEALTH SYSTEM'S UNPAID MEDICAID COSTS WERE $438.1 MILLION (THIS FIGURE IS INCLUSIVE OF AN HCAP ASSESSMENT OF $6.2 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 PROVIDED SUBSIDIZED HEALTH SERVICES IN 2018 AT A COST OF $21.7 MILLION. COMMUNITY OUTREACH PROGRAMS THE CLEVELAND CLINIC HEALTH SYSTEM IS ACTIVELY ENGAGED IN A BROAD ARRAY OF COMMUNITY OUTREACH PROGRAMS, PROVIDING A TOTAL NET COMMUNITY BENEFIT OF $37.5 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, ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND FALL INTO THREE MAIN CATEGORIES: COMMUNITY HEALTH SERVICES, CASH AND IN-KIND DONATIONS, AND COMMUNITY BUILDING. IN 2018, SOME HIGHLIGHTS INCLUDED: - WELLNESS INITIATIVES IN THE AREAS OF DISEASE/INJURY PREVENTION AND HEALTHY BEHAVIORAL CHANGE, INCLUDING TOBACCO CESSATION, NUTRITION IMPROVEMENT AND EXERCISE. -COMMUNITY CLASSES OFFERED HEALTH EDUCATION ON CHRONIC DISEASE MANAGEMENT IN THE AREAS OF HEART DISEASE, STROKE, CANCER, DIABETES, ASTHMA AND BRAIN HEALTH. OUR HOSPITALS AND FAMILY HEALTH CENTERS PROVIDED CLASSES FOR HEALTHY SENIOR AND YOUTH LIFESTYLES. NAVIGATORS WORKED WITH COMMUNITY RESIDENTS TO OBTAIN NEEDED RESOURCES. -EDUCATION AND COMMUNITY SERVICES ADDRESSED AREAS OF INFANT MORTALITY, TEEN PARENTING, LEAD POISONING, DOMESTIC VIOLENCE AND TRAUMA. PROGRAMS WERE PROVIDED TO SCHOOLS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, COLLABORATING CITIES AND COUNTIES. - OPIOID EPIDEMIC COMMUNITY COLLABORATIONS PROVIDED UNIFIED RESPONSES AND RESOURCE ALLOCATION IN AN EFFORT TO REDUCE OVERDOSES. -HEALTH FAIRS PROVIDED THOUSANDS OF PEOPLE WITH FREE HEALTH SCREENINGS. THE CLEVELAND CLINIC MINORITY MEN'S HEALTH FAIR, CELEBRATING SISTERHOOD, TU FAMILIA, PINK AND BEYOND 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. -HEALTHY COMMUNITY INITIATIVES CONTINUED TO CONNECT RESIDENTS WITH LOCAL RESOURCES IN A COLLABORATION TO STRENGTHEN COMMUNITIES THROUGH NEIGHBORHOOD WELLNESS ACTIVITIES COMPETITIONS, 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 TO ADDRESS FOOD INSECURITY ISSUES. V. CONCLUSION THE PURPOSE OF THE CLEVELAND CLINIC HEALTH SYSTEM 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 1	LAKEWOOD HOSPITAL ASSOCIATION'S BOARD OF TRUSTEES HAS DELEGATED AUTHORITY TO THREE OF ITS BOARD MEMBERS TO ACT ON BEHALF OF THE BOARD AND OVERSEE THE WIND DOWN OF THE ORGANIZATION AS IT CARRIES OUT REMAINING FUNCTIONS SINCE INPATIENTS OPERATIONS HAVE CEASED. EACH OF THE BOARDS OF DIRECTORS OF AKRON GENERAL HEALTH SYSTEM, CLEVELAND CLINIC AVON HOSPITAL, FAIRVIEW HOSPITAL, LUTHERAN HOSPITAL, MEDINA HOSPITAL, CLEVELAND CLINIC HEALTH SYSTEM EAST REGION, AND UNION HEALTH SYSTEM HAVE DELEGATED FULL AUTHORITY TO A JOINT EXECUTIVE COMMITTEE TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN BETWEEN BOARD MEETINGS. THESE COMMITTEES HAVE THE SAME COMPOSITION AND ARE COMPOSED ENTIRELY OF BOARD MEMBERS, CONSISTING OF THE CHAIRS OF THE BOARD OF EACH SUCH ORGANIZATION AND THE PRESIDENT OF THE REGIONAL HOSPITALS AND FAMILY HEALTH CENTERS.
FORM 990, PART VI, SECTION A, LINE 2	RONALD WEINBERG, CCF DIRECTOR & WILLIAM PEACOCK, CCF OFFICER - BUSINESS CAMILLE RUVO, KMA DIRECTOR & LARRY RUVO, KMA DIRECTOR - FAMILY DEBORAH CRAWFORD, CCF DIRECTOR & PATRICK AULETTA, CCF DIRECTOR - BUSINESS RONALD WEINBERG, CCF DIRECTOR & PATRICK AULETTA, CCF DIRECTOR - 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. CCF ENTERED INTO A MANAGEMENT AGREEMENT WITH KESSLER REHABILITATION SERVICES, INC. AS PART OF A JOINT VENTURE WITH HOSPITAL HOLDINGS CORPORATION (SELECT MEDICAL") TO MANAGE AND OPERATE THREE INPATIENT REHABILITATION HOSPITAL FACILITIES. CCF ENTERED INTO A MANAGEMENT AGREEMENT WITH REGENCY HOSPITALS, LLC AS PART OF A JOINT VENTURE WITH SELECT UNIT MANAGEMENT, INC. TO MANAGE AND OPERATE FOUR LONG TERM ACUTE CARE FACILITIES.
FORM 990, PART VI, SECTION A, LINE 4	THE UNION HOSPITAL ASSOCIATION HAD A FULL REPLACEMENT OF ITS GOVERNING DOCUMENTS IN CONNECTION WITH THE MEMBER SUBSTITUTION THAT WAS EFFECTIVE APRIL 1, 2018. PARTNERS PHYSICIAN GROUP AMENDED ITS CODE OF REGULATIONS TO REFLECT THE FOLLOWING MATERIAL CHANGES: GENERAL CLEANUP TO ALIGN WITH CLEVELAND CLINIC BOARD LANGUAGE ON CONFLICT OF INTEREST; INDEMNIFICATION OF DIRECTORS, ETC; CLARIFICATION OF SCOPE OF THE ENTITY; SIMPLIFIED MEETING REQUIREMENTS; ADDITION OF ELECTED REPRESENTATIVES FOR HOSPITAL BASED SPECIALTIES; CLARIFIED ROLE OF THE JOINT POLICY COMMITTEE; ELIMINATED DEFUNCT COMMITTEES AND POSITIONS; AND SIMPLIFIED THE DESCRIPTION OF THE CMO ROLE. MARYMOUNT HOSPITAL INC AMENDED ITS CODE OF REGULATIONS TO REFLECT THE FOLLOWING MATERIAL CHANGES: THE FIDUCIARY GOVERNING BOARD OF THE ENTITY WAS REPLACED WITH THE JOINT REGIONAL HOSPITALS BOARD OF DIRECTORS, WHICH INCLUDES ALL THE CLEVELAND CLINIC DIRECTORS. THE FORMER GOVERNING BOARD BECAME AN ADVISORY BOARD. THE SPECIAL MEMBER RETAINS THE AUTHORITY TO REMOVE ANY DIRECTOR OR TRUSTEE FROM HIS OR HER ROLE REGARDING THE HOSPITAL. THE CHAIR AND VICE CHAIR OF THE BOARD OF TRUSTEES WILL NOW BE APPOINTED BY A MUTUAL AGREEMENT OF THE CLINIC, MHCS, AND THE BOARD OF TRUSTEES. THE PROCEDURES FOR CATHOLIC OVERSIGHT WERE STRENGTHENED TO OFFSET THE LOSS OF CATHOLIC-APPOINTED MEMBERS TO THE FIDUCIARY BOARD.
FORM 990, PART VI, SECTION A, LINE 6	PURSUANT TO NONPROFIT CORPORATION LAW, THERE CAN BE NO SHAREHOLDERS OR OTHER "EQUITY OWNERS" OF A NONPROFIT CORPORATION. MANAGEMENT AND CONTROL RIGHTS ARE HELD AND EXERCISED BY THE "MEMBERS" OF THE NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS BOTH MEMBERS AND TRUSTEES/DIRECTORS. IT DOES NOT HAVE STOCKHOLDERS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE.
FORM 990, PART VI, SECTION A, LINE 7A	PURSUANT TO NONPROFIT CORPORATION LAW, THE "MEMBERS" OF THE CORPORATION ELECT THE BOARD OF DIRECTORS (TRUSTEES), AND THE BOARD THEN CONDUCTS THE AFFAIRS OF THE CORPORATION. IN ADDITION, ONE NONPROFIT CORPORATION MAY BE THE "MEMBER" OF ANOTHER NONPROFIT CORPORATION. CCF IS AN OHIO NONPROFIT CORPORATION AND IT HAS MEMBERS WHO ELECT THE DIRECTORS. THE MEMBER OF EACH SUBORDINATE IN THE CCF GROUP IS EITHER CCF OR AN INDIRECT SUBORDINATE AND THAT MEMBER ELECTS THE BOARD OF THE RESPECTIVE SUBORDINATE.
FORM 990, PART VI, SECTION A, LINE 7B	PURSUANT TO NONPROFIT CORPORATION LAW, CERTAIN OF THE DECISIONS OF THE GOVERNING BODIES MUST BE APPROVED BY THE MEMBERS. FOR EXAMPLE, ANY CHANGES TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS MUST BE APPROVED BY A VOTE OF THE MEMBERS. IN ADDITION, CERTAIN SUBORDINATES IN THE CCF GROUP EACH HAVE A "SPECIAL" MEMBER THAT ARE OTHER NONPROFIT TAX EXEMPT ENTITIES THAT HOLD SPECIAL RIGHTS TO APPROVE SIGNIFICANT TRANSACTIONS OR CHANGES SUCH AS MERGER, DISSOLUTION, SALE OF SUBSTANTIALLY ALL ASSETS, OR A MATERIAL CHANGE IN MISSION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED BY EXPERIENCED AND QUALIFIED MEMBERS OF THE FINANCE DIVISION TAX DEPARTMENT. PRIOR TO FILING, KEY SECTIONS OF THE FORM ARE REVIEWED WITH EXPERIENCED AND QUALIFIED MEMBERS OF THE LAW DEPARTMENT. IN ADDITION, THE ENTIRE RETURN IS ALSO REVIEWED WITH THE CFO, AND MEMBERS OF THE AUDIT COMMITTEE. 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 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 15A	ALL CCF OFFICERS AND KEY EMPLOYEE POSITIONS HAVE THEIR COMPENSATION REVIEWED IN ADVANCE ANNUALLY BY THE COMPENSATION COMMITTEE OF THE CCF BOARD OF DIRECTORS, WHICH IS VESTED WITH BOARD-DELEGATED POWERS TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO COMPENSATION MATTERS. IN REVIEWING AND ESTABLISHING COMPENSATION FOR THESE OFFICERS AND KEY EMPLOYEES, THE COMMITTEE USES A PROCESS WHICH IS INTENDED TO CREATE THE PRESUMPTION IN REGULATION 53.4958-6(A) THAT PAYMENTS OF COMPENSATION TO THESE PERSONS CONSTITUTE REASONABLE COMPENSATION, DEFINED AS AMOUNTS THAT ARE WITHIN THE RANGE OF COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. IN THIS PROCESS, NO MEMBER OF THE COMMITTEE WHO HAS A CONFLICT OF INTEREST WITHIN THE MEANING OF REGULATION 53.4958-6(C)(1)(III) WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE IS PERMITTED TO PARTICIPATE IN THE REVIEW AND APPROVAL OF THAT COMPENSATION ARRANGEMENT. IN ESTABLISHING COMPENSATION FOR EMPLOYED PHYSICIANS FOR PHYSICIAN SERVICES, CCF PARTICIPATES IN PRODUCTIVITY AND COMPENSATION SURVEYS WITH SIMILARLY SITUATED ORGANIZATIONS ACROSS THE U.S. IN ADDITION, CCF ENGAGES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO EACH YEAR PROVIDES CCF WITH A CUSTOMIZED COMPENSATION REPORT REGARDING PHYSICIAN COMPENSATION. BY USING THIS DATA, CCF HAS BEEN ABLE TO DEVELOP MARKET-BASED COMPENSATION FOR PHYSICIAN SERVICES. IN ESTABLISHING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES PERFORMING NON-PHYSICIAN SERVICES, THE COMPENSATION COMMITTEE RETAINS AND CONSULTS WITH AN INDEPENDENT COMPENSATION CONSULTANT, WHO PREPARES A CUSTOMIZED REPORT FOR THE COMMITTEE REGARDING AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. THE COMMITTEE USES THE MARKET-BASED DATA PROVIDED BY THE CONSULTANT, AND WHERE APPROPRIATE, PERFORMANCE REVIEWS AND COMPENSATION RECOMMENDATIONS BY THE CHIEF EXECUTIVE OFFICER AND CHIEF OF STAFF, TO ESTABLISH MARKET-BASED COMPENSATION. AFTER MAKING ITS COMPENSATION DECISIONS, THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DELIBERATIONS AND DECISIONS IN CCF'S WRITTEN OR ELECTRONIC BOOKS AND RECORDS. A SMALL NUMBER OF EMPLOYEES HOLDING AFFILIATE OFFICER POSITIONS HAVE THEIR COMPENSATION REVIEWED AND APPROVED BY THEIR MANAGERS ANNUALLY WITHIN GUIDELINES PRESCRIBED BY THE ORGANIZATION'S HUMAN RESOURCE FUNCTION. THESE GUIDELINES TAKE INTO CONSIDERATION APPLICABLE COMPARABILITY DATA AND SIMILAR COMPENSATION METRICS.
FORM 990, PART VI, SECTION C, LINE 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 VI, SECTION C, LINE 19	CCHS 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 A, LINE 1A AND 1B	OF THE SUBORDINATE ORGANIZATIONS IN THE CLEVELAND CLINIC GROUP EXEMPTION, THE TAX EXEMPT HOSPITAL NONPROFIT CORPORATIONS HAVE BOARDS THAT ARE MAJORITY INDEPENDENT. THE REMAINING SUBORDINATES ARE WHOLLY OWNED SUBSIDIARIES MANY OF WHICH HAVE BOARDS COMPRISED IN WHOLE OR IN PART BY INDIVIDUALS WHO ARE OFFICERS AND/OR EMPLOYEES OF THE PARENT ORGANIZATION.
FORM 990, PART XI, LINE 9:	DONATED CAPITAL AND ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 775,499. GIFTS AND BEQUESTS 116,839,831. TRANSFERS OF NET ASSETS -1,720,247. NET INVESTMENT INCOME -9,004,616. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -62,714,970. RETIREMENT BENEFITS ADJUSTMENT 24,589,300. NET CHANGE IN UNREALIZED GAINS ON NON-TRADING INVESTMENTS -2,693,666. EQUITY TRANSFERS & OTHER TRANSFERS 9,894,465. TRANSFER THE UNION HOSPITAL ASSOCIATION BEGINNING FUND BALANCES 17,061,557.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

THE CLEVELAND CLINIC FOUNDATION
GROUP RETURN

Employer identification number

91-2153073

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) ADEO LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 46-5704174	TECHNOLOGY SERVICES	OH	5,814	173,371	THE CLEVELAND CLINIC FOUNDATION
(2) ADVANCED INFUSION SERVICES LTD 1 HOME CARE PLACE AKRON,OH44320 34-1847339	HOME INFUSION SERVICES	OH	28,259	181,463	VISITING NURSE SERVICE INC
(3) CC CHINA LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 20-5776477	INACTIVE	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(4) CC WEB SOLUTIONS LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 26-3222020	DOMAIN HOLDING COMPANY	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(5) CCF AMBULATORY SURGERY CENTERS LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1939710	HEALTH CARE SERVICES	OH	17,841,855	392,486	THE CLEVELAND CLINIC FOUNDATION
(6) CCF HOTEL SERVICES LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-0666034	HOTEL OPERATIONS	OH	34,659,045	133,139,807	THE CLEVELAND CLINIC FOUNDATION
(7) CHV HOME MEDICAL EQUIPMENT CO LLC 1 HOME CARE PLACE AKRON,OH44320 20-4760456	DURABLE MEDICAL EQUIPMENT	OH	376,380	0	VISITING NURSE SERVICE INC
(8) CLEVELAND CLINIC CARE COORDINATION LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 45-5282492	HEALTH CARE SERVICES	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(9) CLEVELAND CLINIC FLORIDA CONCIERGE MEDICINE LLC 1301 EAST BROWARD BLVD STE 330 FT LAUDERDALE,FL33301 82-3186835	MEDICAL SERVICES	FL	0	0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
(10) CLEVELAND CLINIC FLORIDA NAPLES LLC 2950 CLEVELAND CLINIC BLVD WESTON,FL33331 31-1741150	HEALTH CARE SERVICES	FL	0	0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
(11) CLEVELAND CLINIC GLOBAL SOLUTIONS LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 26-3666730	HELATH CARE SERVICES & IP LICENSING	OH	3,600,448	22,978,513	THE CLEVELAND CLINIC FOUNDATION
(12) CLEVELAND CLINIC MEDICARE ACO LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 47-1281189	HEALTH CARE SERVICES	OH	0	2,647,096	THE CLEVELAND CLINIC FOUNDATION
(13) CLEVELAND CLINIC OBGYN SPECIALTIES LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1938153	HEALTH CARE SERVICES	OH	6,229,215	0	THE CLEVELAND CLINIC FOUNDATION
(14) CLEVELAND CLINIC WELLNESS ENTERPRISE LLC 1950 RICHMOND ROAD LYNDHURST,OH44124 26-3859233	HEALTH CARE SERVICES	OH	3,438,266	0	THE CLEVELAND CLINIC FOUNDATION
(15) CLINIC MEDICAL SERVICES COMPANY LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1932969	HEALTH CARE SERVICES	OH	56,322,127	0	THE CLEVELAND CLINIC FOUNDATION
(16) CLINIC PHYSICIAN SERVICES COMPANY LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1907574	HEALTH CARE SERVICES	OH	30,071,893	0	THE CLEVELAND CLINIC FOUNDATION
(17) CLINIC REGIONAL PHYSICIANS LLC 25875 SCIENCE PARK DR BEACHWOOD,OH44122 26-2636530	HEALTH CARE SERVICES	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(18) EDWIN SHAW REHAB LLC 330 BROADWAY STREET EAST CUYAHOGA FALLS,OH44221 27-0119182	REHABILITATION FACILITY	OH	-586,129	1,798,164	AKRON GENERAL MEDICAL CENTER
(19) INTELLIS EPM LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 27-0645368	MEDICAL TECHNOLOGY	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(20) IVHR LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 45-4657632	MEDICAL TECHNOLOGY	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(21) MEDINA HEALTH VENTURES LLC 1000 E WASHINGTON STREET MEDINA,OH44256	INACTIVE	OH	0	0	MEDINA HOSPITAL
(22) MERIDIA MEDICAL GROUP LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 34-1898545	INACTIVE	OH	0	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
(23) MONTROSE SLEEP CENTER LLC 4125 MEDINA ROAD AKRON,OH44333 20-0494491	HEALTH CARE SERVICES	OH	957,667	986,054	AKRON GENERAL PARTNERS
(24) NEUROOPERATIVE MONITORING LLC 1 AKRON GENERAL AVENUE AKRON,OH44307 30-0746215	INACTIVE	OH	0	0	AKRON GENERAL PARTNERS
(25) NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 20-0442351	HEALTH CARE SERVICES	OH	0	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
(26) OHIO STAR IMAGING LLC 9500 EUCLID AVENUE CLEVELAND,OH44195	INACTIVE	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(27) PSVW LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 26-1614376	REAL ESTATE HOLDINGS	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(28) REJ HOLDINGS LLC 3050 SCIENCE PARK DRIVE BEACHWOOD,OH44122 27-3245990	REAL ESTATE HOLDINGS	OH	0	0	THE CLEVELAND CLINIC FOUNDATION
(29) TATARA VASCULAR LLC 10000 CEDAR AVE CLEVELAND,OH44106 47-4282964	MEDICAL TECHNOLOGY	DE	0	0	THE CLEVELAND CLINIC FOUNDATION
(30) THE BRENTWOOD CENTER OF EXCELLENCE LLC 6801 BRECKSVILLE RD INDEPENDENCE,OH44131 20-1476092	HEALTH CARE SERVICES	OH	0	0	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
(31) WOOSTER CLINIC LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 34-1855775	HEALTH CARE SERVICES	OH	46,059,654	59,519	THE CLEVELAND CLINIC FOUNDATION
(32) CLEVELAND CLINIC FLORIDA HOME HEALTHCARE LLC 2950 CLEVELAND CLINIC BLVD WESTON,FL33331 83-2250064	HEALTH CARE SERVICES	FL	0	0	CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
(33) UNION HOSPITAL MEDICAL SERVICES LLC 659 BOULEVARD DOVER,OH44622 27-0273520	HEALTH CARE SERVICES	OH	339,916	0	THE UNION HOSPITAL ASSOCIATION
(34) UNION PHYSICIAN SERVICES LLC 659 BOULEVARD DOVER,OH44622 26-4215547	HEALTH CARE SERVICES	OH	12,596,202	0	THE UNION HOSPITAL ASSOCIATION
(35) TUSCARAWAS AMBULATORY SURGERY CENTER LLC 659 BOULEVARD DOVER,OH44622 34-0000100	HEALTH CARE SERVICES	OH	4,533,144	2,348,352	THE UNION HOSPITAL ASSOCIATION

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 800 SHARON DRIVE STE C WESTLAKE,OH44145 34-1456398	ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY	OH	501(C)(3)	LINE 7	N/A		No
(2)THREE ARCHES FOUNDATION 14601 DETROIT AVENUE STE 240 LAKEWOOD,OH44107 34-6519834	SUPPORT LAKEWOOD HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 12D, III-O	N/A		No
(3)MEDINA COUNTY HEALTH CORPORATION 1000 E WASHINGTON ST MEDINA,OH44256 27-0756266	SUPPORT MEDINA HOSPITAL	OH	501(C)(3)	LINE 12D, III-O	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 12D, III-O	N/A		No
(5)WO WALKER CENTER INC 10700 EUCLID AVENUE CLEVELAND,OH44106 91-1818256	HEALTH CARE SERVICES	OH	501(C)(3)	LINE 12D, III-O	N/A		No
(6)AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL 18101 LORAIN AVENUE CLEVELAND,OH44111 23-7108198	SUPPORT FAIRVIEW HOSPITAL	OH	501(C)(3)	PF	N/A		No
(7)TUSCARAWAS VALLEY REGIONAL CANCER CENTER 659 BOULEVARD DOVER,OH44622 34-0000100	PHYSICIAN HOSPITAL AND ORGANIZATION	OH	501(C)(3)	LINE 3	N/A		No
(8)CLEVELAND CLINIC PHILANTHROPY (UK) LTD 40 GROSVENOR PLACE LONDON SW1X 7AW UK	SUPPORT HEALTH CARE, RESEARCH, AND EDUCATION	UK	501(C)(3)		N/A		No
(9)UNION HOSPITAL AUXILIARY 659 BOULEVARD DOVER,OH44622 34-1204928	SUPPORT THE UNION HOSPITAL ASSOCIATION	OH	501(C)(3)	LINE 10	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	2,733,255	13,178,548		No		Yes		60.000 %
(2) CLEVELAND HEALTH NETWORK MSO LLC 4700 ROCKSIDE ROAD STE 200 INDEPENDENCE,OH44131 31-1566180	MEDICAL SERVICES	OH	N/A	RELATED		16,541		No		Yes		100.000 %
(3) PROGNOSTIX LLC 10000 CEDAR AVENUE CLEVELAND,OH44106 30-0624422	MEDICAL SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	RELATED	10,329	6,865		No			No	78.000 %
(4) EXCELERATE STRATEGIC HEALTH SOURCING LLC 9500 EUCLID AVENUE CLEVELAND,OH44195 46-1810992	HEALTH CARE OP & MGMT	DE	THE CLEVELAND CLINIC FOUNDATION	RELATED	44,745	3,954,664		No	-335,027		No	51.000 %
(5) AKRON SURGICAL ASSOC LLC 4125 MEDINA ROAD AKRON,OH44333 01-0672877	AMBULATORY SURGERY CENTER	OH	N/A	N/A	1,040,389	1,849,175		No			No	51.000 %
(6) MEDISTRY LLC 3029 PROSPECT AVENUE CLEVELAND,OH44115 45-4880352	DATA HOSTING & RELATED SVCS	DE	THE CLEVELAND CLINIC FOUNDATION	UNRELATED	-191,331	23,017		No		Yes		55.000 %

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) 33 GROSVENOR PLACE LTD 47 ESPLANADE ST HELIER JE1 0BD JE	LEASE HOLDING COMPANY	JE	CLEVELAND CLINIC UK HOLDINGS LTD	C	-365,948,542		100.000 %	Yes
(2) AKRON GENERAL INNOVATIONS INC 1 AKRON GENERAL AVENUE AKRON,OH44307 38-3928798	PARTNERSHIP INVESTMENTS	OH	AKRON GENERAL PARTNERS	C					No
(3) AKRON GENERAL MANAGED CARE ASSOCIATION INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 34-1784985	SUPPORTING SERVICES	OH	AKRON GENERAL MEDICAL CENTER	C				Yes
(4) CCF BOLTON INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 20-4596571	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C				Yes
(5) 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	59,458,379	161,211,932	100.000 %	Yes
(6) CELLX TECHNOLOGIES INC 10000 CEDAR AVENUE CLEVELAND,OH44106 82-2405500	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C			100.000 %	Yes
(7) CLEVELAND CLINIC CANADA-TORONTO INC 181 BAY STREET BOX818 TORONTO M5J 2T3 CA	HEALTH CARE SERVICES	CA	THE CLEVELAND CLINIC FOUNDATION	C	13,366,909	13,445,532	100.000 %	Yes
(8) CLEVELAND CLINIC EMR INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 20-4856025	MEDICAL SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C		1,121,837		Yes
(9) CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 34-1877409	MEDICAL SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C	12,508,988	11,549,645		Yes
(10) CLEVELAND CLINIC LONDON LTD 11-12 ST JAMESS SQUARE STE1 3RD LONDON SW1Y 4LB UK	HOSPITAL OPERATING COMPANY	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C	-30,560	30,079,471	100.000 %	Yes
(11) CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY) PO BOX 340340 RIYADH 11333 SA	MEDICAL SERVICES	SA	THE CLEVELAND CLINIC FOUNDATION	C	27,061,943	44,047,256	100.000 %	Yes
(12) CLEVELAND CLINIC UK HOLDINGS LTD 11-12 ST JAMESS SQUARE STE1 3RD LONDON SW1Y 4LB UK	HOLDING COMPANY	UK	THE CLEVELAND CLINIC FOUNDATION	C	-250,817	729,438,861	100.000 %	Yes
(13) CLEVELAND HEALTH NETWORK 6000 WEST CREEK ROAD STE 20 INDEPENDENCE,OH44131 34-1770780	MEDICAL SERVICES	OH	N/A	C				Yes
(14) CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION 6000 WEST CREEK ROAD STE 20 INDEPENDENCE,OH44131 34-1808138	HEALTH CARE SERVICES	OH	CLEVELAND HEALTH NETWORK	C				Yes
(15) CLINIC MEDICAL SOLUTIONS INC 18101 LORAIN AVENUE CLEVELAND,OH44111 34-1695388	HEALTH CARE SERVICES	OH	THE CLEVELAND CLINIC FOUNDATION	C	13,943,952	4,981,757		Yes
(16) CMCD INC 1000 E WASHINGTON STREET MEDINA,OH44256 34-1256599	REAL ESTATE	OH	MEDINA HOSPITAL	C		311,040	100.000 %	Yes
(17) CORA SENTA TECHNOLOGIES INC 10000 CEDAR AVENUE CLEVELAND,OH44106 82-4335548	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C					No
(18) CUSTOM ORTHOPAEDIC SOLUTIONS INC 10000 CEDAR AVENUE CLEVELAND,OH44106 27-4838981	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C					No
(19) ENHALE MEDICAL INC 10000 CEDAR AVENUE CLEVELAND,OH44106 82-1613340	SLEEP APNEA TREATMENT	DE	THE CLEVELAND CLINIC FOUNDATION	C		1,463,357	100.000 %	Yes
(20) INFUSEON THERAPEUTICS INC 10000 CEDAR AVENUE CLEVELAND,OH44106 46-1776182	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C	100,842	399,735	100.000 %	Yes
(21) ION-VAC INC 10000 CEDAR AVENUE CLEVELAND,OH44106 46-1560044	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C		89,231	100.000 %	Yes
(22) LAKEWOOD HEALTHCARE FOUNDATION 14519 DETROIT AVENUE LAKEWOOD,OH44107 34-1574608	HEALTH CARE SERVICES	OH	LAKEWOOD HOSPITAL ASSOCIATION	C				Yes
(23) MCZ INC 1000 E WASHINGTON STREET MEDINA,OH44256 34-1256598	LEASING	OH	MEDINA HOSPITAL	C	7,807	500	100.000 %	Yes
(24) MEDINVEST INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 20-3978297	INACTIVE	OH	CLINIC MEDICAL SOLUTIONS INC	C			100.000 %	Yes
(25) MERIDIA HEALTH VENTURES INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 34-1533871	HEALTH CARE SERVICES	OH	CLEVELAND CLINIC HOME CARE	C			100.000 %	Yes
(26) MERLOT ORTHOPEDIX INC 10000 CEDAR AVENUE CLEVELAND,OH44106 11-3779414	MEDICAL DEVICE MANUFACTURING	DE	THE CLEVELAND CLINIC FOUNDATION	C		64,784	55.120 %	Yes
(27) NEOMEDICS INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 02-0656818	BUSINESS SERVICES	OH	CLINIC MEDICAL SOLUTIONS INC	C			100.000 %	Yes
(28) NEUROTHERAPIA INC 10000 CEDAR AVENUE CLEVELAND,OH44106 47-3977513	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C		305,130	100.000 %	Yes
(29) OPTOQUEST CORPORATION 10000 CEDAR AVENUE CLEVELAND,OH44106 26-3589643	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C	61,750	52,610	100.000 %	Yes
(30) PINE FALLS CONDOMINIUM ASSOCIATES INC 6100 WEST CREEK SUITE 25 INDEPENDENCE,OH44131 34-1617589	CONDO RENTALS	OH	THE CLEVELAND CLINIC FOUNDATION	C			75.000 %	Yes
(31) RENOVO BIOSCIENCES INC 10000 CEDAR AVENUE CLEVELAND,OH44106 34-1956569	MEDICAL TECHNOLOGY	DE	RENOVO BIOSCIENCES INC	C	1,003,531	148,755	100.000 %	Yes
(32) RENOVO NEURAL INC 10000 CEDAR AVENUE CLEVELAND,OH44106 80-0185146	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C	148,193		100.000 %	Yes
(33) SHIELD BIOTECH INC 10000 CEDAR AVENUE CLEVELAND,OH44106 46-2880975	MEDICAL TECHNOLOGY	DE	THE CLEVELAND CLINIC FOUNDATION	C			72.000 %	Yes
(34) VIVERE PHARMA INC 10000 CEDAR AVENUE CLEVELAND,OH44106 47-5397125	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C			100.000 %	Yes
(35) CLEVELAND CLINIC FINANCING PLC 11-12 ST JAMESS SQUARE STE1 3RD LONDON SW1Y 4LB UK	FINANCING	UK	CLEVELAND CLINIC UK HOLDINGS LTD	C		524,516,847	100.000 %	Yes
(36) UNION CARE CORPORATION 659 BOULEVARD DOVER,OH44622 34-1556177	INACTIVE	OH	THE UNION HOSPITAL ASSOCIATION	C			100.000 %	Yes
(37) UNION PHARMACEUTICAL CARE INC 659 BOULEVARD DOVER,OH44622 04-3588229	HEALTH CARE SERVICES	OH	THE UNION HOSPITAL ASSOCIATION	C	15,157	42,127	100.000 %	Yes
(38) CASHEL NEURAL INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 82-4625105	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C			100.000 %	Yes
(39) NEW COS INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 82-4828042	SCIENTIFIC RESEARCH	DE	THE CLEVELAND CLINIC FOUNDATION	C	1,263,741	519,193	100.000 %	Yes
(40) TMAO INC 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131 82-4850194	INACTIVE	DE	THE CLEVELAND CLINIC FOUNDATION	C			100.000 %	Yes
(41) CHARITABLE REMAINDER TRUSTS (14) C/O 6801 BRECKSVILLE ROAD INDEPENDENCE,OH44131	CHARITABLE TRUST	OH	THE CLEVELAND CLINIC FOUNDATION	T				Yes

Schedule R (Form 990) 2018

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) ............................

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) THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION	B	19,298,390	FMV
(3) EXCELERATE STRATEGIC HEALTH SOURCING LLC	B	765,000	FMV
(4) MEDISTRY LLC	B	82,500	FMV
(5) NEW COS INC	B	104,733	FMV
(6) ENHALE MEDICAL INC	D	2,070,833	FMV
(7) INFUSEON THERAPEUTICS INC	D	196,417	FMV
(8) NEUROTHERAPIA INC	D	209,944	FMV
(9) OPTOQUEST CORPORATION	D	83,964	FMV
(10) RENOVO BIOSCIENCES INC	D	467,492	FMV
(11) CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION	J	293,633	FMV
(12) THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION	J	2,256,745	FMV
(13) CLEVELAND CLINIC MEDICAL SERVICES INC	J	439,728	FMV
(14) FAIRVIEW HOSPITAL	J	483,831	FMV
(15) PARTNERS PHYSICIAN GROUP	J	127,622	FMV
(16) AKRON GENERAL MEDICAL CENTER	K	141,610	FMV
(17) CLEVELAND CLINIC AVON HOSPITAL	K	4,670,941	FMV
(18) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION	K	3,278,597	FMV
(19) CLINIC MEDICAL SOLUTIONS INC	K	395,956	FMV
(20) FAIRVIEW HOSPITAL	K	1,390,413	FMV
(21) LUTHERAN HOSPITAL	K	585,639	FMV
(22) MARYMOUNT HOSPITAL INC	K	886,369	FMV
(23) MEDINA HOSPITAL	K	1,319,245	FMV
(24) AKRON GENERAL MEDICAL CENTER	L	3,262,802	FMV
(25) CLEVELAND CLINIC AVON HOSPITAL	L	1,101,855	FMV
(26) CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION	L	4,957,000	FMV
(27) CLEVELAND CLINIC NEVADA	L	232,971	FMV
(28) CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION	L	161,268	FMV
(29) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION	L	6,813,914	FMV
(30) CLEVELAND CLINIC SAUDI ARABIA LLC	L	3,704,000	FMV
(31) CLINIC MEDICAL SOLUTIONS INC	L	1,167,000	FMV
(32) FAIRVIEW HOSPITAL	L	4,032,008	FMV
(33) EXCELERATE STRATEGIC HEALTH SOURCING LLC	L	315,230	FMV
(34) LUTHERAN HOSPITAL	L	1,154,261	FMV
(35) MARYMOUNT HOSPITAL INC	L	1,414,146	FMV
(36) MEDINA HOSPITAL	L	1,392,188	FMV
(37) AKRON GENERAL MEDICAL CENTER	M	277,724	FMV
(38) CLEVELAND CLINIC AVON HOSPITAL	M	552,172	FMV
(39) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION	M	242,444	FMV
(40) CLEVELAND CLINIC MEDICAL SERVICES INC	M	10,759,000	FMV
(41) FAIRVIEW HOSPITAL	M	433,935	FMV
(42) LODI COMMUNITY HOSPITAL	M	60,302	FMV
(43) LUTHERAN HOSPITAL	M	121,675	FMV
(44) MARYMOUNT HOSPITAL INC	M	411,736	FMV
(45) MEDINA HOSPITAL	M	878,992	FMV
(46) CCHS INDEMNITY COMPANY LTD	P	40,225,680	FMV
(47) THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION	Q	1,127,054	FMV
(48) EXCELERATE STRATEGIC HEALTH SOURCING LLC	Q	2,679,637	FMV
(49) EXCELERATE STRATEGIC HEALTH SOURCING LLC	S	1,520,629	FMV
(50) PROGNOSTIX LLC	S	336,116	FMV
(51) SHIELD BIOTECH INC	S	10,081,248	FMV
(52) THE CLEVELAND CLINIC FOUNDATION	C	19,298,390	FMV
(53) THE CLEVELAND CLINIC FOUNDATION	J	141,610	FMV
(54) THE CLEVELAND CLINIC FOUNDATION	J	4,670,941	FMV
(55) THE CLEVELAND CLINIC FOUNDATION	J	3,278,597	FMV
(56) THE CLEVELAND CLINIC FOUNDATION	J	395,956	FMV
(57) THE CLEVELAND CLINIC FOUNDATION	J	1,390,413	FMV
(58) THE CLEVELAND CLINIC FOUNDATION	J	585,639	FMV
(59) THE CLEVELAND CLINIC FOUNDATION	J	886,369	FMV
(60) THE CLEVELAND CLINIC FOUNDATION	J	1,319,245	FMV
(61) THE CLEVELAND CLINIC FOUNDATION	K	293,633	FMV
(62) THE CLEVELAND CLINIC FOUNDATION	K	2,256,745	FMV
(63) THE CLEVELAND CLINIC FOUNDATION	K	439,728	FMV
(64) THE CLEVELAND CLINIC FOUNDATION	K	483,831	FMV
(65) THE CLEVELAND CLINIC FOUNDATION	K	127,622	FMV
(66) THE CLEVELAND CLINIC FOUNDATION	L	277,724	FMV
(67) THE CLEVELAND CLINIC FOUNDATION	L	552,172	FMV
(68) THE CLEVELAND CLINIC FOUNDATION	L	242,444	FMV
(69) THE CLEVELAND CLINIC FOUNDATION	L	10,759,000	FMV
(70) THE CLEVELAND CLINIC FOUNDATION	L	433,935	FMV
(71) THE CLEVELAND CLINIC FOUNDATION	L	60,302	FMV
(72) THE CLEVELAND CLINIC FOUNDATION	L	121,675	FMV
(73) THE CLEVELAND CLINIC FOUNDATION	L	411,736	FMV
(74) THE CLEVELAND CLINIC FOUNDATION	L	878,992	FMV
(75) THE CLEVELAND CLINIC FOUNDATION	M	3,262,802	FMV
(76) THE CLEVELAND CLINIC FOUNDATION	M	1,101,855	FMV
(77) THE CLEVELAND CLINIC FOUNDATION	M	4,957,000	FMV
(78) THE CLEVELAND CLINIC FOUNDATION	M	232,971	FMV
(79) THE CLEVELAND CLINIC FOUNDATION	M	161,268	FMV
(80) THE CLEVELAND CLINIC FOUNDATION	M	6,813,914	FMV
(81) THE CLEVELAND CLINIC FOUNDATION	M	4,032,008	FMV
(82) THE CLEVELAND CLINIC FOUNDATION	M	1,154,261	FMV
(83) THE CLEVELAND CLINIC FOUNDATION	M	1,414,146	FMV
(84) THE CLEVELAND CLINIC FOUNDATION	M	1,392,188	FMV
(85) THE CLEVELAND CLINIC FOUNDATION	P	1,127,054	FMV
(86) THE CLEVELAND CLINIC FOUNDATION	Q	40,225,680	FMV

Schedule R (Form 990) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PATIENT CARE, RESEARCH AND EDUCATION
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	606
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	409
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	64,785
6	Total number of volunteers (estimate if necessary) .............	6	5,271
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	60,380,303
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,686,203

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	297,153,216	317,989,021
9	Program service revenue (Part VIII, line 2g) .........	8,665,194,663	9,207,430,066
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	255,687,526	243,520,402
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	181,027,000	238,503,075
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	9,399,062,405	10,007,442,564
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	143,274,860	138,597,529
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)	4,730,373,662	5,033,203,265
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	2,043,350	1,625,085
b	Total fundraising expenses (Part IX, column (D), line 25) 14,305,948
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	3,898,884,202	4,151,856,865
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	8,774,576,074	9,325,282,744
19	Revenue less expenses. Subtract line 18 from line 12.......	624,486,331	682,159,820
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	15,770,696,785	16,108,542,205
21	Total liabilities (Part X, line 26).............	6,251,069,660	6,354,600,176
22	Net assets or fund balances. Subtract line 21 from line 20.....	9,519,627,125	9,753,942,029

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 8,262,270,719 including grants of $ 138,597,529 ) (Revenue $ 9,207,430,069 )
	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 expenses8,262,270,719

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	86,932,256	0	4,539,400

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	19,817,106
d	Related organizations		1d	19,391,491
e	Government grants (contributions)		1e	121,520,900

f	All other contributions, gifts, grants, and similar amounts not included above		1f	157,259,524

g	Noncash contributions included in lines 1a - 1f:$ 17,275,566
h Total. Add lines 1a-1f.......		317,989,021

		Business Code
2a	NET PATIENT SERVICES	612990	4,943,775,295	4,943,775,295
b	MEDICARE/MEDICAID PAYM	921990	3,628,464,474	3,628,464,474
c	OTHER PROGRAM SERVICES	900099	505,328,936	498,755,707	6,573,229
d	OTHER ANCILLARY SERVIC	900099	57,655,002			57,655,002
e	MANAGEMENT FEES	561000	23,741,041	16,598,188	7,142,853
f	All other program service revenue.		48,465,318	3,266,556	45,198,762
g	Total. Add lines 2a–2f ....		9,207,430,066

3 Investment income (including dividends, interest, and othersimilar amounts) ......			75,523,594			75,523,594
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			22,411,159			22,411,159
		(ii) Personal	(i) Real
6a	Gross rents		30,519,606
b	Less: rental expenses		0
c	Rental income or (loss)		30,519,606
d	Net rental income or (loss)......			30,519,606		222,824	30,296,782
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	511,168	4,086,618,856
b	Less: cost or other basis and sales expenses	2,690,013	3,916,443,203
c	Gain or (loss)	-2,178,845	170,175,653
d	Net gain or (loss).....			167,996,808			167,996,808
8a	Gross income from fundraising events (not including $ 19,817,106of contributions reported on line 1c). See Part IV, line 18 ....
	a		4,122,932
b	Less: direct expenses ...b		5,973,749
c	Net income or (loss) from fundraising events..			-1,850,817			-1,850,817
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		44,775
b	Less: direct expenses ...b		31,178
c	Net income or (loss) from gaming activities..			13,597			13,597
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	INC ON HEDGE FUND INV		523000	138,561,020			138,561,020
b	INVESTMENT IN AFFILIAT		523000	48,486,191		1,242,635	47,243,556
c	DERIVATIVE INCOME		525990	689,834			689,834
d	All other revenue ....			-327,515			-327,515
e	Total. Add lines 11a–11d ......			187,409,530
12	Total revenue. See Instructions......			10,007,442,564	9,090,860,220	60,380,303	538,213,020

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	27,392,489	27,392,489
2	Grants and other assistance to domestic individuals. See Part IV, line 22	110,310,412	110,310,412
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	894,628	894,628
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	64,866,499	32,565,528	32,300,971
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	11,753,727	6,556,191	5,197,536
7	Other salaries and wages	3,989,645,509	3,409,813,038	571,702,767	8,129,704
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	235,852,347	201,551,487	33,796,847	504,013
9	Other employee benefits .......	467,089,136	399,254,937	66,932,300	901,899
10	Payroll taxes ...........	263,996,047	225,603,763	37,829,745	562,539
11	Fees for services (non-employees):
a	Management ......	7,657,082	6,559,848	1,097,234
b	Legal .........	11,586,052	9,925,810	1,660,242
c	Accounting ...........	2,667,541		2,667,541
d	Lobbying ...........	756,539	756,539
e	Professional fundraising services. See Part IV, line 17	1,625,085			1,625,085
f	Investment management fees ......	29,216,930		29,216,930
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	454,579,438	388,011,939	65,139,703	1,427,796
12	Advertising and promotion ....	37,507,369	32,100,054	5,374,680	32,635
13	Office expenses .......	129,690,963	110,738,434	18,584,278	368,251
14	Information technology ......	103,145,571	88,363,558	14,780,413	1,600
15	Royalties ..	2,865,559	2,454,934	410,625
16	Occupancy ...........	177,720,734	152,253,951	25,466,783
17	Travel ............	29,793,234	25,136,912	4,269,270	387,052
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	12,730,994	10,678,329	1,824,309	228,356
20	Interest ...........	128,306,481	109,920,594	18,385,887
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	488,502,009	418,471,121	70,000,693	30,195
23	Insurance ...	75,923,554	65,043,964	10,879,590
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	1,826,285,207	1,826,275,281		9,926
b	BAD DEBT EXPENSE	298,676,788	298,676,788
c	EQUIPMENT RENTAL & MAIN	162,576,399	139,246,526	23,296,651	33,222
d	STATE FRANCHISE FEE	83,111,634	83,111,634
e	All other expenses	88,556,787	80,602,030	7,891,082	63,675
25	Total functional expenses. Add lines 1 through 24e	9,325,282,744	8,262,270,719	1,048,706,077	14,305,948
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 ........			239,024,747	1	471,328,199
2	Savings and temporary cash investments .........			17,825,398	2	8,798,503
3	Pledges and grants receivable, net ......			232,819,377	3	256,146,814
4	Accounts receivable, net .............			1,103,257,045	4	1,206,990,329
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				7,103,879	5	7,444,253
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 ....			119,467,957	7	29,577,317
8	Inventories for sale or use ........			142,845,475	8	161,698,677
9	Prepaid expenses and deferred charges ......			54,433,244	9	71,010,579
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	9,707,729,248
b	Less: accumulated depreciation	10b	5,005,291,217	4,351,750,235	10c	4,702,438,031
11	Investments—publicly traded securities .			5,891,749,409	11	5,500,810,028
12	Investments—other securities. See Part IV, line 11 .....			2,666,755,619	12	2,666,755,619
13	Investments—program-related. See Part IV, line 11 ..			235,035,977	13	260,173,925
14	Intangible assets ...............			92,910,123	14	94,494,376
15	Other assets. See Part IV, line 11 ...........			615,718,300	15	670,875,555
16	Total assets. Add lines 1 through 15 (must equal line 34)...			15,770,696,785	16	16,108,542,205

17	Accounts payable and accrued expenses .....	1,042,651,965	17	1,133,378,819
18	Grants payable ...	447,223	18	453,264
19	Deferred revenue .........	103,158,113	19	92,550,936
20	Tax-exempt bond liabilities .........	3,496,728,541	20	3,428,380,347
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 ..	1,442,126	23	105,026,322
24	Unsecured notes and loans payable to unrelated third parties ..	266,053,099	24	208,794,598
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	1,340,588,593	25	1,386,015,890
26	Total liabilities. Add lines 17 through 25..	6,251,069,660	26	6,354,600,176

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	8,507,784,082	27	8,688,038,334
28	Temporarily restricted net assets ...........	673,017,416	28	690,297,740
29	Permanently restricted net assets	338,825,627	29	375,605,955
	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 ...........	9,519,627,125	33	9,753,942,029
34	Total liabilities and net assets/fund balances ........	15,770,696,785	34	16,108,542,205

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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	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; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No