Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER |
341567805 | 3 | Yes | 0 | 0 | |
| (B)
THE CLEVELAND CLINIC FOUNDATION |
340714585 | 3 | Yes | 0 | 0 | |
|
Total 2
|
0 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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.) | 0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 on 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.).. | ||||||
| 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 0.015 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 0.035 | 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 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Pt IV Sec D Ln 3 | THE W.O. WALKER CENTER PROVIDES THE USE OF ITS FACILITIES THROUGH A MASTER LEASE WITH UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER AND THE CLEVELAND CLINIC FOUNDATION. THE BOARD OF THE W.O. WALKER CENTER IS COMPOSED OF AN EQUAL AMOUNT OF TRUSTEES FROM EACH ORGANIZATION WHICH DETERMINE THE INVESTMENT POLICIES AND USES OF THE W.O. WALKER CENTERS INCOME AND ASSETS JOINTLY. |
| Pt IV Sec E Ln 2a | THE W.O. WALKER CENTER MAINTAINS MEDICAL OFFICE SPACE USED EXCLUSIVLY FOR THE BENEFIT OF UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER AND THE CLEVELAND CLINIC FOUNDATION TO ENABLE THEM TO PROVIDE HEALTH CARE SERVICES TO THE PUBLIC. |
| Pt IV Sec E Ln 2b | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER AND THE CLEVELAND CLINIC FOUNDATION WOULD HAVE TO ENGAGE IN THE PROCUREMENT OF MEDICAL OFFICE SPACE AT OTHER LOCATIONS TO CARRY OUT THEIR MISSION IF THE W.O. WALKER CENTER WAS NOT INVOLVED IN SUCH ACTIVITY. |
| Software ID: | 22015534 |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Pt VI, Line 12c | ANNUALLY THE TRUSTEES MUST DISCLOSE THEIR BUSINESS |
| Pt VI, Line 12c | AND FAMILY RELATIONSHIPS. |
| Pt VI, Line 3 | THE CORPORATION CONTRACTS WITH A MANAGEMENT COMPANY |
| Pt VI, Line 3 | WHICH IS RESPONSIBLE FOR ALL PERSONNEL TO OPERATE |
| Pt VI, Line 3 | AND MAINTAIN THE FACILITY. |
| Pt VI, Line 6 | THE CODE OF REGULATIONS PROVIDES THAT THE MEMBERS |
| Pt VI, Line 6 | OF THE CORPORATION ARE THE CLEVELAND CLINIC FOUNDATION |
| Pt VI, Line 6 | AND UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER. |
| Pt VI, Line 7a | EACH MEMBER SHALL APPOINT AN EQUAL NUMBER OF TRUSTEES. THE |
| Pt VI, Line 7a | NUMBER OF TRUSTEES SHALL NOT BE FEWER THAN SIX. |
| Pt VI, Line 19 | DOCUMENTS ARE PROVIDED UPON REQUEST. |
| Pt VI, Line 11b | THE TRUSTEES REVIEW AND APPROVE FORM 990 BEFORE FILING. |
| Form 990, Part IX, Line 24e | Cleaning:OS-building contract-cleaning 412184. 412184. 0. 0. |
| Form 990, Part IX, Line 24e | Cleaning:OS-window washing 7106. 7106. 0. 0. |
| Form 990, Part IX, Line 24e | Cleaning:Supplies-cleaning 38555. 38555. 0. 0. |
| Form 990, Part IX, Line 24e | Electrical:OS-other services 30301. 30301. 0. 0. |
| Form 990, Part IX, Line 24e | Electrical:OS-repairs & maintenance 3941. 3941. 0. 0. |
| Form 990, Part IX, Line 24e | Electrical:Supplies-operations 5233. 5233. 0. 0. |
| Form 990, Part IX, Line 24e | Electrical:Supplies-repairs & maintenance 3227. 3227. 0. 0. |
| Form 990, Part IX, Line 24e | Food service:OS-other 191321. 191321. 0. 0. |
| Form 990, Part IX, Line 24e | Food service:OS-repairs & maintenance 11115. 11115. 0. 0. |
| Form 990, Part IX, Line 24e | General:Employee benefits 35477. 35477. 0. 0. |
| Form 990, Part IX, Line 24e | General:OS-extermination 1684. 1684. 0. 0. |
| Form 990, Part IX, Line 24e | General:OS-other 10341. 10341. 0. 0. |
| Form 990, Part IX, Line 24e | General:OS-repairs & maintenance 12300. 12300. 0. 0. |
| Form 990, Part IX, Line 24e | General:Purchased services-salaries 156010. 156010. 0. 0. |
| Form 990, Part IX, Line 24e | General:Supplies-operations 29104. 29104. 0. 0. |
| Form 990, Part IX, Line 24e | General:Supplies-repairs & maintenance 6341. 6341. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:Employee benefits 75759. 75759. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:License & inspection fees 2554. 2554. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:Miscellaneous 11551. 11551. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:OS-other 10198. 10198. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:OS-repairs & maintenance 580. 580. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:OS-service contract-elevator 44923. 44923. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:OS-service contracts 102348. 102348. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:Purchased services-salaries 229570. 229570. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:Supplies-operations 16020. 16020. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:Supplies-repairs & maintenance 15634. 15634. 0. 0. |
| Form 990, Part IX, Line 24e | HVAC & Maintenance:Uniforms 2672. 2672. 0. 0. |
| Form 990, Part IX, Line 24e | Plaza:OS-Landscaping 29232. 29232. 0. 0. |
| Form 990, Part IX, Line 24e | Plaza:OS-other 275. 275. 0. 0. |
| Form 990, Part IX, Line 24e | Plaza:OS-repairs & maintenance 8523. 8523. 0. 0. |
| Form 990, Part IX, Line 24e | Plaza:OS-snow removal 6906. 6906. 0. 0. |
| Form 990, Part IX, Line 24e | Plaza:Supplies-operation 6596. 6596. 0. 0. |
| Form 990, Part IX, Line 24e | Plaza:Supplies-repairs & maintenance 1735. 1735. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:Employee benefits 124290. 124290. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:Fire extinguishing main. 12134. 12134. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:License & inspection fees 280. 280. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:OS-repairs & maintenance 20320. 20320. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:Purchased services-salaries 486657. 486657. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:Small tools & equipment 61. 61. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:Supplies-operations 322. 322. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:Supplies-repairs & maintenance 35854. 35854. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:Uniforms 4113. 4113. 0. 0. |
| Form 990, Part IX, Line 24e | Administration Expenses:Bank service charges 3534. 0. 3534. 0. |
| Form 990, Part IX, Line 24e | Administration Expenses:Dues & subscriptions 2824. 0. 2824. 0. |
| Form 990, Part IX, Line 24e | Administration Expenses:Equipment rental 4178. 0. 4178. 0. |
| Form 990, Part IX, Line 24e | Administration Expenses:Meals & entertainments 950. 0. 950. 0. |
| Form 990, Part IX, Line 24e | Administration Expenses:Misc small office equipment 8460. 0. 8460. 0. |
| Form 990, Part IX, Line 24e | Administration Expenses:OS-other 2097. 0. 2097. 0. |
| Form 990, Part IX, Line 24e | Administration Expenses:Postage 296. 0. 296. 0. |
| Form 990, Part IX, Line 24e | Administration Expenses:Telephone 11205. 0. 11205. 0. |
| Form 990, Part IX, Line 24e | General:License & inspection fee 770. 770. 0. 0. |
| Form 990, Part IX, Line 24e | Security and Lobby:OS-other 2883. 2883. 0. 0. |
| Software ID: | 22015534 |
| Software Version: |