Cleveland Clinic Foundation, Group Return in Cleveland, Ohio (OH)

Cleveland Clinic Foundation, Group Return
Employer Identification Number (EIN)	912153073
Name of Organization	Cleveland Clinic Foundation
Secondary Name	Group Return
Address	9500 Euclid Avenue No Jj19, Cleveland, OH 44195-0001
Subsection	Charitable Organization
Ruling Date	10/1928
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 - Group return
Asset Amount	$10,971,646,595
Amount of Income	$8,860,672,869
Form 990 Revenue Amount	$7,565,105,720
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Professional Societies, Associations

Non-representatives - add comments:

Amount of income in 2013: $8,860,672,869

Cleveland Clinic Foundation, Group Return:	$8,860,672,869
Other organizations performing similar types of work:	$2,087,792

Assets in 2013: $10,971,646,595

Cleveland Clinic Foundation, Group Return:	$10,971,646,595
Other organizations performing similar types of work:	$3,112,468

Expenses in 2013: $6,825,082,036

Cleveland Clinic Foundation, Group Return:	$6,825,082,036
Other organizations performing similar types of work:	$1,846,504

Income to expenses ratio in 2013: 1.3

This organization:	1.3
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 88.6%

This organization:	88.6%
Other organizations performing similar types of work:	0.0%

Number of employees in 2013: 51,193

Cleveland Clinic Foundation, Group Return:	51,193
Other organizations performing similar types of work:	14

Employees paid over $100,000 in 2013: 10.9%

This organization:	10.9%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 3.6%

This organization:	3.6%
Other organizations performing similar types of work:	2.6%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	Yes	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	Yes	Yes
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	Yes
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	Yes	Yes
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	Yes	Yes
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	Yes	Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	Yes	Yes
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	Yes	Yes
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	Yes	Yes
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	Yes	Yes
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	Yes	Yes
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	Yes	Yes
Did the organization report more than $15,000 of gross income from gaming activities?	No	Yes
Did the organization operate one or more hospital facilities?	Yes	Yes
Did the organization attach a copy of its audited financial statements?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	Yes	Yes
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	Yes	Yes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	Yes	Yes
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	Yes	Yes
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	Yes	Yes
A family member of a current or former officer, director, trustee, or key employee?	Yes	Yes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	Yes	Yes
Did the organization receive more than $25,000 in non-cash contributions?	Yes	Yes
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	Yes	Yes
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	Yes	Yes
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	Yes	Yes
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		5,819	5,290
The number of Forms W-2G		0	1
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		Yes	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		49,779	51,193
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes	Yes	Yes
Has it filed a Form 990-T for this year?		Yes	Yes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		Yes	Yes
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		Yes	Yes
Did the organization notify the donor of the value of the goods or services provided?		Yes	Yes
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		Yes	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$50,534,674	$52,721,752
Total reportable compensation from related organizations	$0	$0
Total estimated amount of other compensation from the organization and related organizations	$7,930,655	$-484,107
Total number of individuals who received more than $100,000 of reportable compensation from the organization	4,472	4,904
Total number of independent contractors who received more than $100,000 of compensation from the organization	685	653

	2011	2012	2013
Statement of Revenue
Total revenue	$6,363,351,807	$7,011,272,096	$7,565,105,720
Contributions, Gifts, Grants and Other Similar Amounts	$297,003,284	$284,096,603	$272,897,610
Program Service Revenue	$6,020,996,916	$6,451,431,127	$6,789,848,595
612990		$4,159,962,062	$4,438,276,142
921990		$1,968,141,472	$2,014,963,567
900099		$205,921,957	$214,065,698
Parking Lots and Garages		$64,435,092	$65,611,884
561000		$16,253,228	$20,401,765
All other program service revenue		$36,717,316	$36,529,539
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$63,956,263	$64,473,403	$60,960,120
Income from investment of tax-exempt bond proceeds	$138,545	$-1,721	$1,318
Royalties	$16,020,860	$20,165,969	$27,537,494
Net rental income	$23,987,022	$21,533,248	$24,463,538
Gross rents (Real / Personal)	$23,987,022 / $0	$21,533,248 / $0	$24,463,538 / $0
Less: rental expenses (Real / Personal)	$0 / $0	$0 / $0	$0 / $0
Rental income or (loss) (Real / Personal)	$23,987,022 / $0	$21,533,248 / $0	$24,463,538 / $0
Net gain/loss from sales of assets other than inventory	$71,466,928	$90,033,337	$176,371,244
Gross amount from sales of assets other than inventory (Securities / Other)	$897,888,173 / $818,169	$326,733,061 / $3,272,483	$1,461,219,325 / $3,880,012
Less: cost or other basis and sales expenses (Securities / Other)	$817,588,049 / $9,651,365	$232,848,486 / $7,123,721	$1,285,692,040 / $3,036,053
Gain or (loss) (Securities / Other)	$80,300,124 / $-8,833,196	$93,884,575 / $-3,851,238	$175,527,285 / $843,959
Net income/loss from fundraising events	$127,705	$586,804	$-3,008,156
Gross income from fundraising events	$3,561,463	$5,888,233	$3,809,555
Less: direct expenses	$3,433,758	$5,301,429	$6,817,711
Net income/loss from gaming activities	$0	$0	$19,855
Gross income from gaming activities	$0	$0	$41,200
Less: direct expenses	$0	$0	$21,345
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$-130,345,716	$78,953,326	$216,014,102
523000		$110,777,488	$156,261,549
Other Financial Vehicles		$77,628	$60,945,366
Other Financial Vehicles		$-6,906,473	$1,401
All other revenue		$-24,995,317	$-1,194,214

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$6,117,763,783	$6,559,634,961	$6,825,082,036
Grants and other assistance to domestic organizations and domestic governments		$13,193,778	$29,370,725
Grants and other assistance to domestic individuals		$90,130,987	$102,070,154
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$1,005,057	$1,256,385
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$36,243,866	$42,028,828	$39,332,176
Compensation not included above, to disqualified persons		$7,780,221	$4,607,574
Other salaries and wages	$2,578,772,461	$2,751,282,730	$2,930,995,754
Pension plan accruals and contributions		$148,975,092	$109,005,871
Other employee benefits		$430,545,920	$469,700,209
Payroll taxes	$173,795,383	$184,547,613	$194,988,428
Fees for services (non-employees)
Management		$6,065,868	$5,464,302
Legal		$10,807,997	$9,935,192
Accounting		$1,525,075	$1,388,451
Lobbying		$461,300	$490,496
Professional fundraising services	$1,235,540	$1,301,479	$1,536,158
Investment management fees		$11,144,425	$13,820,056
Other		$324,950,079	$290,791,657
Advertising and promotion		$38,005,294	$36,856,792
Office expenses		$108,781,779	$105,213,581
Information technology		$72,150,201	$73,102,735
Royalties		$0	$0
Occupancy		$142,387,821	$142,527,032
Travel		$25,599,735	$25,697,441
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$12,768,020	$13,250,696
Interest		$104,495,411	$106,311,308
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$365,149,611	$353,103,371
Insurance		$58,466,432	$62,009,921
Other expenses		$972,778,424	$1,029,887,831
Other expenses		$377,987,356	$410,835,505
Other expenses		$142,060,326	$143,382,348
Other expenses		$52,004,947	$57,656,495
Other expenses		$61,253,155	$60,493,392

	2011	2012	2013
Balance Sheet
Total assets	$9,063,594,010	$10,222,859,807	$10,971,646,595
Cash - non-interest-bearing		$119,398,464	$83,841,098
Savings and temporary cash investments		$17,695,087	$40,828,340
Pledges and grants receivable, net		$224,972,767	$212,676,762
Accounts receivable, net		$888,644,361	$870,259,320
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$4,680,118	$5,122,221
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$32,307,707	$11,224,681
Inventories for sale or use		$94,985,760	$101,423,936
Prepaid expenses and deferred charges		$34,042,302	$34,176,411
Land, buildings, and equipment: cost or other basis		$3,479,702,646	$3,538,511,921
Investments - publicly traded securities		$3,384,317,254	$3,749,541,749
Investments - other securities		$1,583,726,510	$1,898,881,254
Investments - program-related		$12,067,789	$12,085,777
Intangible assets		$12,682,300	$19,999,978
Other assets		$333,636,742	$393,073,147
Total liabilities	$4,688,024,222	$5,204,048,925	$4,745,039,287
Accounts payable and accrued expenses		$782,136,722	$722,482,060
Grants payable		$438,188	$381,156
Deferred revenue		$93,464,502	$108,000,350
Tax-exempt bond liabilities	$2,518,505,000	$2,846,045,000	$2,815,535,000
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$11,854,283	$16,854,894	$20,512,020
Unsecured notes and loans payable to unrelated third parties	$98,918,922	$106,627,221	$101,923,157
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$1,358,482,398	$976,205,544
Total net assets or fund balances	$4,375,569,788	$5,018,810,882	$6,226,607,308
Unrestricted net assets		$4,348,817,603	$5,497,128,460
Temporarily restricted net assets		$425,234,298	$461,109,565
Permanently restricted net assets		$244,758,981	$268,369,283
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported	0
Sum of amounts of support	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$2,761,787,744	$2,906,356,560	$3,044,230,282	$3,496,018,535	$3,929,766,313	$4,298,370,497	$4,671,168,110	$5,305,715,371
Contributions, gifts, grants, and similar amounts received	$158,426,636	$156,205,409	$165,349,969	$159,630,744	$195,861,868	$224,085,072	$243,452,661	$284,667,639
Contributions to donor advised funds							$0	$0
Direct public support	$55,731,224	$43,903,973	$48,423,238	$44,390,872	$68,321,866	$69,583,612	$96,484,624	$122,716,344
Indirect public support	$57,131,996	$61,762,586	$56,475,131	$46,547,759	$50,334,951	$55,701,846	$55,611,688	$64,877,638
Government contributions (grants)	$45,563,416	$50,538,850	$60,451,600	$68,692,113	$77,205,051	$98,799,614	$91,356,349	$97,073,657
Program service revenue including government fees and contracts	$2,496,177,180	$2,726,710,143	$2,923,110,948	$3,284,692,075	$3,681,391,328	$3,980,730,733	$4,285,200,995	$4,859,144,477
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$682,807	$163,342	$4,609,345	$5,072,587	$1,935,648	$8,482,623	$12,505,056	$4,461,054
Dividends and interest from securities	$48,013,546	$1,710,298	$5,374,910	$7,569,102	$17,646,969	$31,085,322	$41,986,307	$45,639,361
Net rental income or (loss)	$18,025,681	$18,547,020	$16,947,973	$23,503,484	$21,904,425	$19,984,973	$22,704,112	$21,985,076
Gross rents	$18,025,681	$18,547,020	$16,947,973	$23,503,484	$21,904,425	$19,984,973	$22,704,112	$21,985,076
Less: rental expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other investment income	$2,604,961	$4,582,620	$8,787,919	$393,964	$0	$0	$1,140,000	$1,159,654
Gain or (loss) from sales of assets other than inventory	$39,108,464	$-3,591,365	$-87,569,605	$15,244,557	$6,689,306	$23,939,318	$44,380,345	$69,233,112
Gross amount from sales of assets other than inventory	$121,938,098	$3,285,950	$175,601,685	$1,216,009,002	$686,895,891	$1,856,833,108	$1,373,695,896	$838,466,410
Less: cost or other basis and sales expenses	$82,829,634	$6,877,315	$263,171,290	$1,200,764,445	$680,206,585	$1,832,893,790	$1,329,315,551	$769,233,298
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0	$0	$-237,923	$347,756
Gross revenue	$0	$0	$0	$0	$0	$0	$375,393	$1,250,215
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0	$0	$613,316	$902,459
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0	$0	$0
Other revenue	$-1,251,531	$2,029,093	$7,618,823	$-87,978	$4,336,769	$10,062,456	$20,036,557	$19,077,242
Total expenses	$2,622,537,344	$2,909,956,074	$3,010,982,716	$3,345,955,691	$3,701,828,579	$3,991,483,982	$4,285,475,580	$4,894,623,088
Program services	$2,408,016,859	$2,669,592,296	$2,761,390,801	$3,028,965,632	$3,346,515,298	$3,556,796,015	$3,793,895,366	$4,334,743,251
Management and general	$209,802,987	$235,502,629	$243,678,711	$312,294,540	$347,011,232	$424,764,572	$478,706,535	$549,154,281
Fundraising	$4,717,498	$4,861,149	$5,913,204	$4,695,519	$8,302,049	$9,923,395	$12,873,679	$10,725,556
Payments to affiliates	$0	$0	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$1,748,025,927	$1,374,215,321	$1,194,653,252	$1,468,698,090	$1,770,473,404	$2,183,687,451	$2,803,127,659	$3,399,503,394
Excess or (deficit) for the year	$139,250,400	$-3,599,514	$33,247,566	$150,062,844	$227,937,734	$306,886,515	$385,692,530	$411,092,283
Net assets or fund balances at beginning of year	$1,762,379,495	$1,748,025,927	$1,374,215,321	$1,194,653,252	$1,468,698,090	$1,770,473,404	$2,183,687,451	$2,803,127,659
Other changes in net assets or fund balances	$-153,603,968	$-370,211,092	$-212,809,635	$123,981,994	$73,837,580	$106,327,532	$233,747,678	$185,283,452

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$4,894,623,088	$4,334,743,251	$549,154,281	$10,725,556
Grants paid from donor advised funds		$0
Other grants and allocations		$16,426,447
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$31,601,509	$10,072,232	$21,529,277	$0
Compensation of former officers, directors, key employees, etc.	$10,985,195	$3,329,762	$7,655,433	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$2,045,988,348	$1,820,532,627	$219,754,654	$5,701,067
Pension plan contributions not included above	$85,259,842	$75,704,351	$9,157,554	$397,937
Employee benefits not included above	$253,451,876	$225,810,756	$27,222,654	$418,466
Payroll taxes	$134,333,071	$119,513,887	$14,428,391	$390,793
Professional fundraising fees	$1,283,522	$0	$0	$1,283,522
Accounting fees	$1,728,466	$0	$1,728,466	$0
Legal fees	$13,114,593	$11,705,986	$1,408,607	$0
Supplies	$800,364,927	$713,845,652	$85,965,263	$554,012
Telephone	$15,820,194	$14,000,277	$1,699,209	$120,708
Postage and shipping	$13,809,963	$12,326,668	$1,483,295	$0
Occupancy	$91,391,748	$81,532,209	$9,816,166	$43,373
Equipment rental and maintenance	$117,463,019	$104,803,557	$12,616,419	$43,043
Printing and publications	$11,116,853	$9,922,819	$1,194,034	$0
Travel	$18,551,955	$16,045,779	$1,992,621	$513,555
Conferences, conventions, and meetings	$8,065,359	$7,199,078	$866,281	$0
Interest	$56,159,722	$50,127,742	$6,031,980	$0
Depreciation, depletion, etc.	$204,175,779	$182,172,121	$21,930,027	$73,631
Other expenses not covered above	$963,530,700	$859,671,301	$102,673,950	$1,185,449

	2000	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$3,563,003,478	$3,402,500,091	$3,557,360,918	$3,830,611,100	$5,053,923,048	$5,382,436,863	$6,073,995,044	$6,709,377,872
Cash - non-interest-bearing	$7,052,592	$6,143,056	$32,941,850	$24,416,736	$98,594,175	$36,175,102	$35,327,386	$19,014,425
Savings and temporary cash investments	$7,333,947	$70,645,137	$378,831,265	$243,273,940	$94,723,770	$415,006,237	$406,264,945	$218,665,918
Accounts receivable less allowance for doubtful accounts	$564,447,742	$485,652,914	$451,902,890	$451,043,594	$484,937,669	$484,385,944	$540,500,127	$609,977,715
Pledges receivable less allowance for doubtful accounts	$59,833,016	$59,063,004	$69,466,184	$172,362,546	$163,586,812	$193,060,390	$187,526,498	$202,037,450
Grants receivable	$33,744,316	$39,109,504	$51,111,846	$56,656,680	$62,595,870	$76,883,713	$82,221,530	$20,018,678
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$4,456,626	$7,094,868	$8,638,687	$10,255,523
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)							$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$55,099,138	$54,808,546	$30,438,863	$4,224,691	$200,080,601	$179,168,498	$190,338,396	$29,182,248
Inventories for sale or use	$36,440,140	$41,831,473	$45,848,527	$55,310,198	$58,783,327	$63,842,600	$64,598,814	$61,189,456
Prepaid expenses and deferred charges	$15,684,031	$6,982,844	$7,986,017	$60,711,050	$60,732,934	$107,478,372	$124,345,614	$13,900,734
Investments - publicly-traded securities							$1,592,789,497	$1,859,418,291
Investments - other securities	$1,013,946,427	$761,948,104	$480,164,470	$739,427,548	$1,759,698,221	$1,531,576,149	$356,037,968	$557,377,812
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0	$0	$0
Investments - other	$15,106,586	$19,495,132	$13,406,002	$33,056,619	$16,063,872	$77,417,680	$12,000,000	$88,668,202
Land, buildings, and equipment less accumulated depreciation	$1,665,371,591	$1,719,787,354	$1,876,720,238	$1,871,750,008	$1,878,925,681	$1,946,459,549	$2,165,158,230	$2,492,931,457
Other assets, including program-related investments	$88,943,952	$137,033,023	$118,542,766	$118,377,490	$170,743,490	$263,887,761	$308,247,352	$526,739,963
Total liabilities	$1,814,977,551	$2,028,284,770	$2,362,707,666	$2,361,913,010	$3,283,449,644	$3,198,749,412	$3,270,867,385	$3,309,874,478
Accounts payable and accrued expenses	$452,768,609	$649,757,876	$898,893,559	$857,153,830	$1,007,286,694	$1,038,544,504	$1,033,069,358	$1,053,839,327
Grants payable	$0	$0	$0	$5,579,095	$6,941,222	$8,085,151	$8,751,505	$10,084,215
Deferred revenue	$3,479,078	$23,881,116	$36,345,059	$18,701,393	$25,379,855	$18,972,660	$16,802,624	$81,145,403
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$923,331,732	$1,098,731,191	$1,057,540,146	$1,151,582,084	$1,448,996,586	$1,431,525,000	$1,463,465,000	$1,460,005,000
Mortgages and other notes payable	$155,486,515	$152,182,928	$255,809,658	$46,063,923	$253,170,633	$26,047,769	$33,972,370	$32,180,953
Other liabilities	$279,911,617	$103,731,659	$114,119,244	$282,832,685	$541,674,654	$675,574,328	$714,806,528	$672,619,580
Total liabilities and net assets/fund balances	$3,563,003,478	$3,402,500,091	$3,557,360,918	$3,830,611,100	$5,053,923,048	$5,382,436,863	$6,073,995,044	$6,709,377,872
Total net assets or fund balances	$1,748,025,927	$1,374,215,321	$1,194,653,252	$1,468,698,090	$1,770,473,404	$2,183,687,451	$2,803,127,659	$3,399,503,394

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$0	$0	$0	$0	$0	$0	$0	$0
Total revenue, gains, and other support per audited financial statements	$0	$0	$0	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0	$0	$0	$0
Net unrealized gains on investments	$0	$0	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$0	$0	$0	$0	$0	$0	$0	$0
Total expenses and losses per audited financial statements	$0	$0	$0	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0	$0

Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Current Officers, Directors, Trustees, and Key Employees
50	$113,212	$29,170	$0
50	$132,513	$44,161	$0
50	$334,500	$53,713	$0
50	$65,042	$12,887	$0
50	$68,348	$3,961	$0
50	$106,380	$17,380	$0
50	$119,293	$19,459	$0
50	$121,641	$31,917	$0
50	$127,731	$16,608	$0
50	$186,839	$39,911	$0
50	$212,336	$51,263	$0
50	$218,574	$44,115	$0
50	$233,303	$55,099	$0
50	$276,883	$52,878	$0
50	$734,907	$83,579	$0
50	$746,278	$73,260	$0
50	$901,156	$45,373	$0
50	$1,033,725	$76,136	$0
50	$733,500	$74,738	$0
50	$108,124	$42,975	$0
50	$122,308	$30,116	$0
50	$191,757	$52,219	$0
50	$196,563	$53,059	$0
50	$224,225	$54,718	$0
50	$261,968	$67,890	$0
50	$263,327	$59,087	$0
50	$265,406	$44,573	$0
50	$294,052	$56,693	$0
50	$322,428	$51,335	$0
50	$342,208	$54,618	$0
50	$352,845	$50,971	$0
50	$357,681	$55,359	$0
50	$421,455	$56,670	$0
50	$453,215	$53,713	$0
50	$456,897	$52,259	$0
50	$464,112	$66,865	$0
50	$481,865	$52,502	$0
50	$500,501	$48,818	$0
50	$514,675	$72,455	$0
50	$517,124	$69,318	$0
50	$523,020	$72,759	$0
50	$531,887	$51,326	$0
50	$579,610	$69,813	$0
50	$600,527	$69,479	$0
50	$603,488	$67,759	$0
50	$604,955	$67,759	$0
50	$725,674	$75,615	$0
50	$754,094	$29,717	$0
50	$833,822	$53,818	$0
50	$940,002	$1,009,025	$0
50	$1,123,730	$53,318	$0
50	$1,479,587	$48,713	$0
50	$1,566,740	$69,213	$0
50	$149,508	$43,616	$0
50	$210,060	$35,792	$0
50	$479,366	$73,735	$0
50	$53,774	$15,007	$0
50	$163,201	$41,416	$0
50	$309,404	$69,933	$0
50	$180,578	$39,104	$0
50	$278,308	$55,606	$0
50	$311,527	$59,815	$0
50	$295,009	$44,579	$0
50	$481,644	$54,359	$0

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	326
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	Yes
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	No
Does the organization have a written conflict of interest policy?	Yes

Loans and Advances	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
$0	$188,368	$44,316	$0
$0	$421,718	$179,030	$0
$0	$151,802	$17,325	$0
$0	$162,740	$46,282	$0
$0	$269,572	$53,102	$0
$0	$491,104	$56,089	$0
$203,100	$55,763	$7,450	$0
$0	$132,042	$47,648	$0
$0	$173,032	$42,319	$0
$0	$176,276	$40,780	$0
$0	$177,004	$50,651	$0
$0	$187,165	$40,670	$0
$0	$229,337	$48,999	$0
$0	$287,252	$65,260	$0
$0	$336,709	$52,462	$0
$0	$598,972	$56,389	$0
$0	$587,012	$52,115	$0
$0	$1,311,933	$1,031,683	$0
$7,432,343	$1,931,513	$53,929	$0
$0	$27,281	$0	$0
$0	$228,412	$46,775	$0
$0	$767,329	$59,585	$0

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	Yes
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	32,920

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2007)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$34,312,466		$145,247,965	$4,841,487,301
Program service revenue
Program service revenue 1	000000	$0	00	$0	$2,927,997,446
Program service revenue 2	000000	$0	00	$0	$448,674,462
Program service revenue 3	000000	$0	Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))	$17,557,248	$0
Program service revenue 4	Hotels (except casino hotels) and motels	$16,772,335	00	$0	$0
Program service revenue 5	Medical and diagnostic laboratories	$18,205,417	00	$0	$14,233,471
		$0		$0	$2,927,997,446
		$0		$0	$448,674,462
		$0	3	$17,557,248	$0
	Advertising and related services	$1,669,725		$0	$0
	Hotels (except casino hotels) and motels	$16,772,335		$0	$0
	Pharmacies and drug stores	$1,022,268		$0	$0
		$0		$0	$8,212,120
	Medical and diagnostic laboratories	$11,095,927		$0	$0
	Medical equipment and supplies manufacturing	$479,539		$0	$0
		$3,937,958		$0	$6,021,351
Medicare/Medicaid payments	000000	$0	00	$0	$1,404,344,890
Fees and contracts from government agencies	000000	$0	00	$0	$11,359,208
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$4,461,054	$0
Dividends and interest from securities	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$45,639,361	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)	$21,985,076	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$1,159,654	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$69,233,112	$0
Net income or (loss) from special events	000000	$0	Income from an activity that is not regularly carried on (section 512(a)(1))	$347,756	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	999999	$-665,286	Royalty income excluded by section 512(b)(2)	$-15,135,296	$34,877,824

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
341923857	100%	$10,783,749	$20,891,631
341863789	60%	$6,297,300	$8,872,169
341914277	100%	$4,449,323	$8,417,067
203756660	53%	$30,218	$4,698,330

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$1,315,931	$115,588	$0
$1,203,904	$67,759	$0
$1,120,826	$104,535	$0
$1,134,895	$48,713	$0
$989,896	$78,534	$0

Total number of other employees paid over $50,000	9,999

Total number of other employees paid over $50,000

9,999

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$875,350
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Hospital, or a cooperative hospital service organization

	1999	2000	2001	2002	2003	2004	2005	2006
Support Schedule
Total	$0	$0	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

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Believers Achieve Dreams, Ringfield James A Owner in Cleveland, OH

City Of Clevelands Cable Television Minority Arts & Education Fund in Cleveland, OH

National Spiritualist Association Of Churches, Ashley Spiritualist Camp in Ashley, OH

Osteopathic Heritage Foundation in Columbus, OH

Razavi Farsi School Inc in Sylvania, OH

Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Cleveland Clinic Foundation, Group Return	9500 Euclid Avenue No Jj19, Cleveland, OH 44195-0001	OH	1928-10	$8,860,672,869
2	Ascension Health-Is Inc	4600 Edmundson Rd, Saint Louis, MO 63134-3806	MO	1946-03	$629,285,912
3	American Medical Association	330 N Wabash Ave Ste 39300, Chicago, IL 60611-5885	IL	1946-03	$500,926,692
4	Florida Clinical Practice Association Inc	PO BOX 100205, Gainesville, FL 32610-0205	FL	1981-10	$456,238,005
5	Massachusetts Medical Society, New England Journal Of Medicine	860 Winter St, Waltham, MA 02451-1411	MA	1994-11	$225,549,049
6	St Lukes Physician Group Inc	801 Ostrum Street, Bethlehem, PA 18015-1000	PA		$178,237,760
7	National Board Of Medical Examiners	3750 Market St, Philadelphia, PA 19104-3102	PA	1937-09	$152,928,860
8	The Physician Network	8055 O Street, Lincoln, NE 68510-2564	NE	1996-01	$144,271,007
9	National Council Of State Boards Of Nursing Inc, Ncsbn Penn Charter	111 E Wacker Dr Ste 2900, Chicago, IL 60601-4277	IL	1987-06	$128,414,839
10	Ohio State Medical Association	3401 Mill Run Dr, Hilliard, OH 43026-9078	OH	1936-09	$16,036,717
11	Ohio Medical Quality Foundation	1234 E Broad St, Columbus, OH 43205-1453	OH	1996-02	$4,838,883
12	Sylvania Franciscan Health	3231 Central Park W Ste 106, Toledo, OH 43617-3009	OH	1946-03	$2,713,895
13	Columbus Medical Association Foundation	1390 Dublin Rd, Columbus, OH 43215-1009	OH	1965-07	$1,439,894
14	Ohio Society Of Anesthesiologists	3757 Indianola Ave, Columbus, OH 43214-3753	OH	1958-03	$386,027
15	Academy Of Medicine Of Toledo And Lucas County	4428 Secor Rd, Toledo, OH 43623-4264	OH	1950-10	$381,903
16	Pennsvivania Academy Of Nutrition And Dietetics	96 Northwoods Blvd Ste B-2, Columbus, OH 43235-4722	OH	1988-12	$196,681
17	Summit County Medical Society	908 E Waterloo Rd Suite B, Akron, OH 44306-3928	OH	1996-01	$93,113
18	Southeast Region Of The National Rehabilitation Association	101 Pinnacle Court, Frankfort, KY 40601-2694	KY	1991-09	$54,335
19	International Federation Of Health Information Management Association	233 N Michigan Ave 21st Fl, Chicago, IL 60601	IL	2014-07	$0
20	The Association Of Medical Service Corps Officers Of The Navy	3005 Circle Dr, Bloomsburg, PA 17815-8913	PA	1999-03	$0

Number of organizations performing similar types of work

Alabama	4
Arkansas	1
Arizona	3
California	16
Colorado	3
Connecticut	2
District of Columbia	4
Florida	5
Georgia	3
Idaho	1
Illinois	17
Indiana	4
Kansas	4
Kentucky	2
Louisiana	4
Massachusetts	4
Maryland	8
Maine	2
Michigan	2
Minnesota	3

Missouri	6
North Carolina	4
Nebraska	2
New Jersey	2
New Mexico	2
Nevada	1
New York	5
Ohio	9
Oklahoma	1
Oregon	2
Pennsylvania	13
South Carolina	1
Tennessee	2
Texas	8
Virginia	7
Washington	2
Wisconsin	1
Wyoming	1
International	2

Total

163

Affiliation	Name	Address	State	Established	Total Income
20 biggest affiliated organizations
Central	The Cleveland Clinic Foundation	6801 Brecksville Rd Rk1-85, Independence, OH 44131-5032	OH	1928-10	$6,008,512,667
Subordinate	Cleveland Clinic Foundation, Group Return	9500 Euclid Avenue No Jj19, Cleveland, OH 44195-0001	OH	1928-10	$8,860,672,869
Subordinate	Medina Hospital	1000 E Washington St, Medina, OH 44256-2170	OH	1928-10	$90,564,136
Subordinate	Keep Memory Alive	888 W Bonneville Ave, Las Vegas, NV 89106-0100	NV	1928-10	$9,409,860
Subordinate	Medina Hospital Foundation	1000 E Washington St, Medina, OH 44256-2170	OH	1928-10	$1,957,177
Subordinate	Lou Ruvo Brain Institute	888 W Bonneville Ave, Las Vegas, NV 89106-0100	NV	1928-10	$45,503
Subordinate	Cleveland Clinic Educational Foundation	6801 Brecksville Rd Rk-85, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Ccf Hotel Services Inc	6801 Brecksville Rd Rk1-85, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Cleveland Clinic Health System East Region	6801 Brecksville Rd, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Fairview Hospital	6801 Brecksville Rd Rk-85, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Lakewood Hospital Association	6801 Brecksville Rd Rk-85, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Lutheran Hospital	6801 Brecksville Rd Rk-85, Independence, OH 44131-5032	OH	1928-01	$0
Subordinate	Marymount Hospital Inc	6801 Brecksville Rd Rk-85, Independence, OH 44131-5032	OH	1946-03	$0
Subordinate	Cleveland Clinic Medical Services Inc	6801 Brecksville Rd Rk-85, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Ccf Lyndhurst Property Corp	9500 Euclid Ave H 18, Cleveland, OH 44195-0002	OH	1928-10	$0
Subordinate	Ccf Lyndhurst Property Ii Corp	9500 Euclid Ave H 18, Cleveland, OH 44195-0002	OH	1928-10	$0
Subordinate	Cleveland Clinic Childrens Hospital For Rehabilitation	6801 Brecksville Road-Suite 20-Rk15, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Cleveland Clinic Fl Health Care Venture, Cleveland Clnc Fl Hlth Care Venture	6801 Brecksville Rd Rk-85, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Cleveland Clinic Florida Foundation Nonprofit Corporation	6801 Brecksville Rd Rk1-85, Independence, OH 44131-5032	OH	1928-10	$0
Subordinate	Cleveland Clinic Health System Western Region	6801 Brecksville Rd Rk1-85, Independence, OH 44131-5032	OH	1928-10	$0

Number of affiliated organizations

Florida	2
Nevada	2

Ohio