The Cleveland Clinic Foundation in Independence, Ohio (OH)

The Cleveland Clinic Foundation
Employer Identification Number (EIN)	340714585
Name of Organization	The Cleveland Clinic Foundation
Address	6801 Brecksville Rd Rk1-85, Independence, OH 44131-5032
Activities	Other health services
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 (all other) or 990EZ return
Asset Amount	$7,710,452,150
Amount of Income	$6,008,512,667
Form 990 Revenue Amount	$5,126,858,838
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2013: $6,008,512,667

The Cleveland Clinic Foundation:	$6,008,512,667
Other organizations performing similar types of work:	$58,371,666

Assets in 2013: $7,710,452,150

This organization:	$7,710,452,150
Other organizations performing similar types of work:	$115,495,398

Expenses in 2012: $4,395,971,617

This organization:	$4,395,971,617
Other organizations performing similar types of work:	$46,510,321

Income to expenses ratio in 2012: 1.4

The Cleveland Clinic Foundation:	1.4
Other organizations performing similar types of work:	1.0

Expenses allocated to program services in 2007: 88.1%

This organization:	88.1%
Other organizations performing similar types of work:	86.6%

Number of employees in 2012: 32,575

This organization:	32,575
Other organizations performing similar types of work:	360

Employees paid over $100,000 in 2012: 13.6%

This organization:	13.6%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2012: 5.0%

This organization:	5.0%
Other organizations performing similar types of work:	0.0%

Financial snapshot ($)

Revenue for 2012

Functional expenses for 2012

Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
Gross income from members or shareholders	$0
Gross income from other sources	$0

Statement of Revenue (for 2012)
Total revenue	$4,675,234,031
Contributions, Gifts, Grants and Other Similar Amounts	$231,877,777
Program Service Revenue	$4,265,251,958
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$45,418,534
Income from investment of tax-exempt bond proceeds	$14
Royalties	$19,820,166
Net rental income	$8,395,898
Gross rents (Real / Personal)	$8,395,898 / $0
Less: rental expenses (Real / Personal)	$0 / $0
Rental income or (loss) (Real / Personal)	$8,395,898 / $0
Net gain from sales of assets other than inventory	$59,976,327
Gross amount from sales of assets other than inventory (Securities / Other)	$219,705,916 / $3,158,776
Less: cost or other basis and sales expenses (Securities / Other)	$157,317,770 / $5,570,595
Gain or (loss) (Securities / Other)	$62,388,146 / $-2,411,819
Net loss from fundraising events	$-605,395
Gross income from fundraising events	$514,365
Less: direct expenses	$1,119,760
Net income from gaming activities	$0
Net income from sales of inventory	$0
Miscellaneous Revenue	$45,098,752

Statement of Functional Expenses (for 2012)
Total functional expenses	$4,395,971,617
Compensation of current officers, directors, trustees, and key employees	$15,162,100
Other salaries and wages	$1,881,729,275
Payroll taxes	$129,749,894
Professional fundraising services	$1,301,479
Other	$2,368,028,869

Balance Sheet (for 2012)
Total assets	$7,132,666,670
Total liabilities	$4,408,109,973
Tax-exempt bond liabilities	$2,227,589,992
Secured mortgages and notes payable to unrelated third parties	$1,074,306
Unsecured notes and loans payable to unrelated third parties	$96,756,314
Other	$2,082,689,361
Total net assets or fund balances	$2,724,556,697
Retained earnings, endowment, accumulated income, or other funds	$0

Reason for Public Charity Status (for 2012)
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)

	2000	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$1,572,469,768	$1,864,122,402	$2,103,309,928	$2,334,604,513	$2,639,976,963	$2,876,586,101	$3,405,851,878
Contributions, gifts, grants, and similar amounts received	$131,538,871	$145,322,703	$139,856,053	$174,034,012	$197,614,415	$210,866,325	$250,704,867
Contributions to donor advised funds						$0	$0
Direct public support	$42,900,542	$44,340,725	$30,180,418	$53,918,858	$51,301,430	$65,639,113	$90,148,643
Indirect public support	$43,214,773	$40,661,599	$41,202,968	$43,221,201	$48,150,831	$54,178,898	$63,892,300
Government contributions (grants)	$45,423,556	$60,320,379	$68,472,667	$76,893,953	$98,162,154	$91,048,314	$96,663,924
Program service revenue including government fees and contracts	$1,397,375,120	$1,734,340,622	$1,952,703,700	$2,144,477,008	$2,394,775,689	$2,608,290,281	$3,067,317,192
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$302,004	$1,271,624	$2,359,797	$928,779	$5,689,155	$5,576,087	$146,887
Dividends and interest from securities	$6,268,992	$699,545	$2,921,671	$9,031,942	$16,996,539	$23,475,899	$19,271,271
Net rental income or (loss)	$4,385,508	$6,525,330	$6,577,232	$6,807,962	$6,744,507	$5,755,134	$7,361,720
Gross rents	$4,385,508	$6,525,330	$6,577,232	$6,807,962	$6,744,507	$5,755,134	$7,361,720
Less: rental expenses	$0	$0	$0	$0	$0	$0	$0
Other investment income	$947,397	$8,787,919	$393,964	$0	$0	$1,140,000	$1,159,654
Gain or (loss) from sales of assets other than inventory	$32,903,407	$-34,775,594	$1,584,980	$1,641,323	$13,373,514	$8,085,785	$52,502,830
Gross amount from sales of assets other than inventory	$102,096,011	$85,667,303	$602,671,205	$342,423,481	$1,234,282,150	$926,974,656	$631,042,592
Less: cost or other basis and sales expenses	$69,192,604	$120,442,897	$601,086,225	$340,782,158	$1,220,908,636	$918,888,871	$578,539,762
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0	$-205,308	$410,210
Gross revenue	$0	$0	$0	$0	$0	$298,493	$1,086,605
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0	$503,801	$676,395
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0	$0
Other revenue	$-1,251,531	$1,950,253	$-3,087,469	$-2,316,513	$4,783,144	$13,601,898	$6,977,247
Total expenses	$1,473,096,930	$1,799,917,507	$1,979,640,550	$2,165,227,460	$2,412,188,503	$2,628,384,504	$3,159,225,127
Program services	$1,350,531,677	$1,650,010,902	$1,818,610,686	$1,985,262,558	$2,161,675,972	$2,322,811,999	$2,784,233,910
Management and general	$117,847,755	$143,993,401	$156,334,345	$171,662,853	$240,589,136	$292,698,826	$364,265,661
Fundraising	$4,717,498	$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
Net assets or fund balances at end of year	$963,889,062	$547,143,974	$846,559,277	$1,043,025,158	$1,382,734,843	$1,859,159,278	$1,880,678,199
Excess or (deficit) for the year	$99,372,838	$64,204,895	$123,669,378	$169,377,053	$227,788,460	$248,201,597	$246,626,751
Net assets or fund balances at beginning of year	$1,037,187,963	$684,043,602	$547,143,974	$846,559,277	$1,043,025,158	$1,382,734,843	$1,859,159,278
Other changes in net assets or fund balances	$-172,671,739	$-201,104,523	$175,745,925	$27,088,828	$111,921,225	$228,222,838	$-225,107,830

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$3,159,225,127	$2,784,233,910	$364,265,661	$10,725,556
Grants paid from donor advised funds		$0
Other grants and allocations		$16,000,403
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$18,277,386	$6,322,197	$11,955,189	$0
Compensation of former officers, directors, key employees, etc.	$8,507,581	$2,396,095	$6,111,486	$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	$1,309,833,870	$1,160,203,116	$143,929,687	$5,701,067
Pension plan contributions not included above	$49,185,225	$43,382,623	$5,404,665	$397,937
Employee benefits not included above	$174,129,760	$154,577,233	$19,134,061	$418,466
Payroll taxes	$85,274,706	$75,513,594	$9,370,319	$390,793
Professional fundraising fees	$1,283,522	$0	$0	$1,283,522
Accounting fees	$1,057,808	$0	$1,057,808	$0
Legal fees	$9,109,145	$8,108,196	$1,000,949	$0
Supplies	$486,603,339	$432,579,444	$53,469,883	$554,012
Telephone	$12,197,260	$10,736,269	$1,340,283	$120,708
Postage and shipping	$10,300,845	$9,168,948	$1,131,897	$0
Occupancy	$52,735,994	$46,897,783	$5,794,838	$43,373
Equipment rental and maintenance	$74,222,391	$66,023,501	$8,155,847	$43,043
Printing and publications	$7,769,550	$6,915,801	$853,749	$0
Travel	$14,420,044	$12,321,958	$1,584,531	$513,555
Conferences, conventions, and meetings	$3,992,404	$3,553,703	$438,701	$0
Interest	$37,284,470	$33,187,506	$4,096,964	$0
Depreciation, depletion, etc.	$124,449,765	$110,701,106	$13,675,028	$73,631
Other expenses not covered above	$662,589,659	$585,644,434	$75,759,776	$1,185,449

	2000	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$2,014,721,929	$2,187,930,673	$2,429,810,545	$3,417,381,045	$3,618,265,007	$4,244,516,431	$4,450,683,067
Cash - non-interest-bearing	$3,891,634	$31,592,278	$22,221,158	$11,444,205	$34,356,418	$29,410,287	$1,007,259
Savings and temporary cash investments	$22,268,640	$363,311,200	$298,685,139	$131,608,334	$376,604,631	$338,218,318	$11,583,475
Accounts receivable less allowance for doubtful accounts	$302,438,057	$267,854,727	$264,699,500	$282,048,329	$262,220,644	$296,098,849	$344,817,111
Pledges receivable less allowance for doubtful accounts	$44,496,735	$60,491,171	$165,566,248	$152,744,351	$182,916,426	$178,128,370	$194,089,783
Grants receivable	$33,736,491	$51,110,746	$56,250,958	$62,594,853	$76,828,237	$82,169,963	$20,131,517
Receivables from current and former officers, directors, trustees, and key employees	$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	$28,811,171	$31,083,623	$2,701,195	$97,001,140	$1,027,566	$9,840,183	$15,331,598
Inventories for sale or use	$19,690,143	$26,582,747	$33,013,453	$33,257,856	$36,678,598	$38,137,722	$35,563,184
Prepaid expenses and deferred charges	$2,670,073	$3,805,111	$55,083,792	$55,754,747	$103,410,044	$118,828,365	$7,755,284
Investments - publicly-traded securities						$1,191,716,228	$1,106,502,847
Investments - other securities	$543,033,675	$217,243,712	$397,314,818	$1,392,043,763	$1,180,595,938	$356,037,968	$557,377,812
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0	$0
Investments - other	$51,058,807	$69,049,477	$74,290,567	$103,451,648	$7,269,009	$193,578,531	$426,769,060
Land, buildings, and equipment less accumulated depreciation	$950,564,277	$1,048,557,609	$1,035,960,699	$1,046,065,824	$1,116,202,753	$1,317,995,736	$1,645,171,423
Other assets, including program-related investments	$12,062,226	$17,248,272	$24,023,018	$44,909,369	$233,059,875	$85,717,224	$74,327,191
Total liabilities	$1,050,832,867	$1,640,786,699	$1,583,251,268	$2,374,355,887	$2,235,530,164	$2,385,357,153	$2,570,004,868
Accounts payable and accrued expenses	$262,742,093	$760,341,364	$748,750,983	$881,368,613	$904,017,214	$913,135,453	$922,631,830
Grants payable	$0	$0	$4,967,180	$6,239,892	$0	$7,301,778	$8,382,502
Deferred revenue	$3,479,078	$18,137,236	$15,520,913	$21,218,732	$14,148,615	$11,398,985	$72,757,722
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$515,369,964	$606,680,681	$645,645,694	$1,019,485,357	$1,005,269,230	$1,045,329,230	$1,043,789,230
Mortgages and other notes payable	$107,925,198	$238,186,831	$27,393,383	$62,706,854	$22,835,709	$21,415,343	$18,900,737
Other liabilities	$161,316,534	$17,440,587	$140,973,115	$383,336,439	$289,259,396	$386,776,364	$503,542,847
Total liabilities and net assets/fund balances	$2,014,721,929	$2,187,930,673	$2,429,810,545	$3,417,381,045	$3,618,265,007	$4,244,516,431	$4,450,683,067
Total net assets or fund balances	$963,889,062	$547,143,974	$846,559,277	$1,043,025,158	$1,382,734,843	$1,859,159,278	$1,880,678,199

	2000	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$1,572,469,768	$1,864,122,402	$0	$0	$0	$0	$0
Total revenue, gains, and other support per audited financial statements	$1,570,841,726	$1,851,366,463	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0	$0	$0
Net unrealized gains on investments	$0	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0
Other revenue	$1,628,042	$12,755,939	$0	$0	$0	$0	$0
Investment expenses	$0	$1,114,854	$0	$0	$0	$0	$0
Other	$1,628,042	$11,641,085	$0	$0	$0	$0	$0

	2000	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$1,473,096,929	$1,799,917,507	$0	$0	$0	$0	$0
Total expenses and losses per audited financial statements	$1,473,096,929	$1,800,664,014	$0	$0	$0	$0	$0
Other revenue	$0	$1,861,361	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0
Other	$0	$1,861,361	$0	$0	$0	$0	$0
Other expenses	$0	$1,114,854	$0	$0	$0	$0	$0
Investment expenses	$0	$1,114,854	$0	$0	$0	$0	$0
Other	$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	$334,500	$53,713	$0
50	$531,887	$51,326	$0
50	$191,757	$52,218	$0
50	$196,563	$53,059	$0
50	$224,225	$54,718	$0
50	$294,052	$56,693	$0
50	$342,208	$54,618	$0
50	$357,681	$55,359	$0
50	$421,455	$56,670	$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	$579,610	$69,813	$0
50	$603,488	$67,759	$0
50	$604,955	$67,759	$0
50	$754,094	$29,717	$0
50	$725,674	$75,615	$0
50	$453,215	$53,713	$0
50	$833,822	$53,818	$0
50	$940,002	$1,009,024	$0
50	$1,123,730	$53,318	$0
50	$1,479,587	$48,713	$0
50	$1,566,740	$69,213	$0
50	$278,308	$55,606	$0

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	62
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	$733,500	$74,738	$0
$0	$187,165	$40,670	$0
$0	$598,972	$56,389	$0
$0	$229,337	$48,999	$0
$0	$176,276	$40,780	$0
$0	$173,032	$42,319	$0
$0	$177,004	$50,651	$0
$0	$287,252	$65,260	$0
$0	$587,012	$52,115	$0
$0	$55,763	$7,450	$0
$0	$1,931,513	$53,929	$0
$0	$1,311,933	$1,195,664	$0
$0	$261,968	$67,890	$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	32,222

	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		$11,711,737		$76,738,358	$3,066,696,916
Program service revenue
Program service revenue 1	999999	$8,411,625	00	$0	$1,942,882,416
Program service revenue 2	000000	$0	00	$0	$389,725,801
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))	$11,116,933	$0
Program service revenue 4	000000	$0	00	$0	$7,231,679
Program service revenue 5	999999	$3,937,958	00	$0	$2,239,442
Medicare/Medicaid payments	000000	$0	00	$0	$693,621,616
Fees and contracts from government agencies	000000	$0	00	$0	$8,149,722
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)	$146,887	$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)	$19,271,271	$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)	$7,361,720	$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))	$52,502,830	$0
Net income or (loss) from special events	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))	$410,210	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	999999	$-637,846	Royalty income excluded by section 512(b)(2)	$-15,231,147	$22,846,240

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)
341863789	60%	$6,297,300	$8,872,169
203756660	53%	$30,218	$4,698,330
203486144	50%	$107,391	$4,229,272
204193199	100%	$165,721	$851,567

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)
$1,203,904	$67,759	$0
$1,134,895	$48,713	$0
$989,896	$78,534	$0
$969,041	$68,883	$0
$893,185	$67,720	$0

Total number of other employees paid over $50,000	8,623

Total number of other employees paid over $50,000

8,623

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$854,500
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	2001	2002	2003	2004	2005	2006
Support Schedule
Total	$0	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0
Membership fees received	$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
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
Net income from unrelated business activities not included above	$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
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
Other income	$0	$0	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$2,784,233,910
Total lobbying expenditures	$854,500
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$90,748
Total lobbying expenditures to influence a legislative body (direct lobbying)	$763,752
Other exempt purpose expenditures	$2,783,379,410
Lobbying nontaxable amount	$1,000,000
Grassroots nontaxable amount	$250,000

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$9,797,192	$0	$9,797,192
Gross receipts or sales less returns and allowances	$9,860,486	$0	$0
Cost of goods sold	$5,824,207	$0	$0
Gross profit	$4,036,279	$0	$4,036,279
Capital gain net income	$0	$0	$0
Net gain	$0	$0	$0
Capital loss deduction for trusts	$0	$0	$0
Income (loss) from partnerships and S corporations	$200,907	$0	$200,907
Rent income	$0	$0	$0
Unrelated debt-financed income	$0	$0	$0
Interest, annuities, royalties, and rents from controlled organizations	$0	$0	$0
Investment income of a section 501(c)(7), (9), or (17) organization	$0	$0	$0
Exploited exempt activity income	$0	$0	$0
Advertising income	$0	$0	$0
Other income	$5,961,820	$0	$5,961,820

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$7,364,448
Compensation of officers, directors, and trustees	$0
Salaries and wages	$3,642,119
Repairs and maintenance	$137,997
Bad debts	$0
Interest	$0
Taxes and licenses	$0
Charitable contributions	$267,972
Depreciation	$0
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$743,970
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$2,592,390
Unrelated business taxable income	$2,411,744
Unrelated business taxable income before net operating loss deduction	$2,412,744
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$2,412,744
Specific deduction	$1,000

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	The Cleveland Clinic Foundation	6801 Brecksville Rd Rk1-85, Independence, OH 44131-5032	OH	1928-10	$6,008,512,667
2	Mount Carmel Health System	6150 E Broad St, Columbus, OH 43213-1574	OH	1946-03	$1,198,797,166
3	Ohiohealth Corporation, Group Return	180 E Broad St Fl 33, Columbus, OH 43215-3707	OH	1942-10	$721,472,431
4	Mercy Health Cincinnati Llc	4600 Mcauley Place Payroli, Cincinnati, OH 45242-4733	OH	1946-03	$530,353,825
5	Promedica Health System Inc	1801 Richards Rd, Toledo, OH 43607-1037	OH	1987-02	$525,856,031
6	Mercy Health	615 Elsinore Place, Cincinnati, OH 45202-1459	OH	1946-03	$421,575,906
7	Adena Health System, Adena Regional Medical Center	272 Hospital Rd, Chillicothe, OH 45601-9031	OH	1951-09	$421,025,444
8	University Hospitals Health System Inc, Management Services Center	3605 Warrensville Center Rd, Shaker Hts, OH 44122-5203	OH	1989-02	$305,182,000
9	Mercy Health North Llc	250 Federal Plaza E, Youngstown, OH 44503-1814	OH	1946-03	$197,227,777
10	Lima Memorial Joint Operating Company	1001 Bellefontaine Ave, Lima, OH 45804-2800	OH	1999-05	$179,728,514
11	St Vincents Health System Inc	4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623	FL	1946-03	$66,865,460
12	Health Quest Medical Practice P C	1351 Route 55 Ste 200, Lagrangeville, NY 12540-5128	NY	2011-03	$60,477,199
13	Mercy Hospital Cassville	645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846	MO	1946-03	$20,740,287
14	Mount Nittany Health System	1800 E Park Ave, State College, PA 16803-6709	PA	2012-06	$11,322,798
15	Atenas Community Health Center Achc Inc	PO BOX 455, Manati	international	2014-11	$9,883,196
16	Triad Health Systems Inc, Triad Medical Clinic	PO BOX 845, Warsaw, KY 41095-0845	KY	2008-01	$2,034,457
17	Advanced Primary Care Physicians	501 Bath Rd, Bristol, PA 19007-3101	PA	2012-02	$694,036
18	Susquehanna Health Systems Inc	401 Broad Ave, Susquehanna, PA 18847-1611	PA	1998-02	$16,150
19	St Lukes Community Development Corporation - Pmc	6624 Fannin St, Houston, TX 77030-2312	TX	2014-01	$419
20	Bemc Med Pro Fees, Banner Health	1441 N 12th Street, Phoenix, AZ 85006	AZ		$0

Number of organizations performing similar types of work

Alaska	1
Alabama	5
Arizona	8
California	23
Colorado	15
Connecticut	6
Florida	22
Georgia	16
Hawaii	2
Iowa	3
Illinois	19
Indiana	7
Kansas	2
Kentucky	6
Louisiana	3
Massachusetts	15
Maryland	13
Maine	3
Michigan	15
Minnesota	9
Missouri	12
Mississippi	2
Montana	1

North Carolina	7
North Dakota	1
Nebraska	7
New Hampshire	3
New Jersey	8
New Mexico	1
Nevada	2
New York	12
Ohio	26
Oklahoma	6
Oregon	2
Pennsylvania	32
Rhode Island	4
South Carolina	7
Tennessee	10
Texas	20
Utah	1
Virginia	10
Vermont	3
Washington	4
Wisconsin	6
West Virginia	6
International	2

Total

388

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