Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $8,963,521

• 1d · Related organizations

  $122

• 1e · Government grants (contributions)

  $209,877,008

• 1f · All other contributions, gifts and grants

  $212,177,134

• 1g · Noncash contributions included above

  $10,469,234

• 2a · Program service revenue: NET PATIENT SERVICES

  total $4,164,253,272 · related or exempt $4,152,094,196 · unrelated business $12,159,076

• 2b · Program service revenue: MEDICARE/MEDICAID PAYM

  total $2,840,899,797 · related or exempt $2,840,899,797

• 2c · Program service revenue: OTHER PROGRAM SERVICES

  total $1,037,787,369 · related or exempt $1,014,346,970 · unrelated business $23,440,399

• 2d · Program service revenue: PARKING, PHONE & OTHER

  total $58,575,864 · unrelated business $21,956,526 · excluded $36,619,338

• 2e · Program service revenue: MANAGEMENT FEES

  total $10,854,460 · related or exempt $10,854,460

• 2f · All other program service revenue

  total $3,378,455 · related or exempt $2,569,378 · unrelated business $809,077

• 3 · Investment income

  total $76,791,553 · excluded $76,791,553

• 5 · Royalties

  total $44,280,840 · excluded $44,280,840

• 6a · Gross rents

  real property $9,712,418

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $9,712,418

• 6d · Net rental income or loss

  total $9,712,418 · excluded $9,712,418

• 7a · Gross sales of assets other than inventory

  securities $1,027,232,896

• 7b · Less cost or other basis and sales expenses

  securities $1,008,338,881 · other assets $29,178

• 7c · Gain or loss

  securities $18,894,015 · other assets -$29,178

• 7d · Net gain or loss

  total $18,864,837 · excluded $18,864,837

• 8a · Fundraising events: gross income

  $250,096

• 8a · Fundraising events: contributions included on line 1c

  $8,963,521

• 8b · Fundraising events: direct expenses

  $3,001,368

• 8c · Net income from fundraising events

  total -$2,751,272 · excluded -$2,751,272

• 11a · Other revenue: INCOME ON HEDGE FUNDS

  total $244,432,456 · excluded $244,432,456

• 11b · Other revenue: INVESTMENT IN AFFILIAT

  total $17,890,028 · excluded $17,890,028

• 11c · Other revenue: DERIVATIVE INCOME

  total $2,252,093 · excluded $2,252,093

• 11d · All other revenue

  total $57,129 · excluded $57,129

• 11e · Other revenue, total

  $264,631,706

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $40,822,056 · program services $40,822,056

• 2 · Grants to domestic individuals

  total $97,790,424 · program services $97,790,424

• 3 · Grants to foreign organizations and individuals

  total $2,552,492 · program services $2,552,492

• 5 · Compensation of officers, directors and key employees

  total $30,981,083 · program services $4,926,336 · management and general $26,054,747

• 6 · Compensation of disqualified persons

  total $908,754 · program services $766,378 · management and general $142,376

• 7 · Other salaries and wages

  total $3,866,644,203 · program services $3,332,324,579 · management and general $520,540,645 · fundraising $13,778,979

• 8 · Pension plan contributions

  total $247,813,312 · program services $213,582,261 · management and general $33,361,461 · fundraising $869,590

• 9 · Other employee benefits

  total $457,349,127 · program services $394,257,417 · management and general $61,569,877 · fundraising $1,521,833

• 10 · Payroll taxes

  total $256,503,491 · program services $221,035,666 · management and general $34,531,363 · fundraising $936,462

• 11a · Fees: management

  total $4,687,229 · program services $4,056,218 · management and general $631,011

• 11b · Fees: legal

  total $6,326,468 · program services $5,474,778 · management and general $851,690

• 11c · Fees: accounting

  total $2,850,814 · management and general $2,850,814

• 11d · Fees: lobbying

  total $1,466,885 · program services $1,466,885

• 11e · Fees: professional fundraising services

  total $1,834,012 · fundraising $1,834,012

• 11f · Fees: investment management

  total $21,427,998 · management and general $21,427,998

• 11g · Fees: other

  total $215,830,646 · program services $184,809,055 · management and general $29,055,847 · fundraising $1,965,744

• 12 · Advertising and promotion

  total $34,790,387 · program services $29,449,297 · management and general $4,683,599 · fundraising $657,491

• 13 · Office expenses

  total $80,706,776 · program services $69,147,090 · management and general $10,865,018 · fundraising $694,668

• 14 · Information technology

  total $226,614,543 · program services $196,096,379 · management and general $30,507,612 · fundraising $10,552

• 15 · Royalties

  total $9,073,816 · program services $7,852,268 · management and general $1,221,548

• 16 · Occupancy

  total $101,242,864 · program services $87,612,749 · management and general $13,629,655 · fundraising $460

• 17 · Travel

  total $27,303,749 · program services $22,967,697 · management and general $3,675,723 · fundraising $660,329

• 19 · Conferences, conventions and meetings

  total $11,288,241 · program services $9,472,474 · management and general $1,519,661 · fundraising $296,106

• 20 · Interest

  total $110,888,487 · program services $95,960,306 · management and general $14,928,181

• 22 · Depreciation, depletion and amortization

  total $234,277,562 · program services $202,738,110 · management and general $31,539,233 · fundraising $219

• 23 · Insurance

  total $68,149,284 · program services $58,974,798 · management and general $9,174,486

• 24a · Other expenses: MEDICAL SUPPLIES

  total $1,904,665,927 · program services $1,904,661,647 · fundraising $4,280

• 24b · Other expenses: BAD DEBT EXPENSE

  total $162,243,546 · program services $162,243,546

• 24c · Other expenses: STATE FRANCHISE FEE

  total $109,225,991 · program services $109,225,991

• 24d · Other expenses: EQUIPMENT RENTAL

  total $87,981,179 · program services $76,109,314 · management and general $11,844,322 · fundraising $27,543

• 24e · All other expenses

  total $94,248,853 · program services $88,556,404 · management and general $5,597,374 · fundraising $95,075

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $273,957,294 · end of year $241,659,399

• 2 · Savings and temporary cash investments

  beginning of year $554,427,938 · end of year $486,517,843

• 3 · Pledges and grants receivable

  beginning of year $256,102,721 · end of year $216,632,994

• 4 · Accounts receivable

  beginning of year $1,052,654,289 · end of year $1,082,626,026

• 7 · Other notes and loans receivable

  beginning of year $314,099,563 · end of year $111,967,362

• 8 · Inventories for sale or use

  beginning of year $165,271,912 · end of year $174,985,539

• 9 · Prepaid expenses and deferred charges

  beginning of year $112,946,287 · end of year $115,259,560

• 10a · Land, buildings and equipment: cost or other basis

  $7,269,450,380

• 10b · Land, buildings and equipment: accumulated depreciation

  $4,223,205,669

• 10c · Land, buildings and equipment, net

  beginning of year $2,834,281,748 · end of year $3,046,244,711

• 11 · Investments: publicly traded securities

  beginning of year $78,386,405 · end of year $3,157,884,408

• 12 · Investments: other securities

  beginning of year $6,456,936,880 · end of year $3,488,268,687

• 13 · Investments: program-related

  beginning of year $419,977,896 · end of year $463,109,031

• 14 · Intangible assets

  beginning of year $148,839,203 · end of year $147,209,199

• 15 · Other assets

  beginning of year $2,686,787,709 · end of year $3,160,345,844

• 17 · Accounts payable and accrued expenses

  beginning of year $1,057,506,342 · end of year $1,034,028,426

• 18 · Grants payable

  beginning of year $2,419,921

• 19 · Deferred revenue

  beginning of year $66,850,015 · end of year $70,433,576

• 20 · Tax-exempt bond liabilities

  beginning of year $3,287,410,144 · end of year $3,437,375,689

• 24 · Unsecured notes and loans payable

  beginning of year $344,832,803 · end of year $261,289,239

• 25 · Other liabilities

  beginning of year $2,458,726,604 · end of year $2,771,930,981

• 27 · Net assets without donor restrictions

  beginning of year $7,280,501,987 · end of year $6,241,699,040

• 28 · Net assets with donor restrictions

  beginning of year $856,422,029 · end of year $2,075,953,652

The filer's explanations (Part III)

PART I, LINE 1A

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

PART I, LINES 4A-B

SCHEDULE J, PART I, LINE 4A, SEVERANCE PAYMENTS: RAKESH SURI, M.D. - $564,754 SCHEDULE J, PART I, LINE 4B, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BRIAN BOLWELL, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $2,931,218 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. CYNTHIA DEYLING, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $1,957,790 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. ALLISON VIDIMOS, M.D. - PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. FOR MEDICARE TAX PURPOSES, $2,199,177 OF INCOME REPORTED IN PART VII AND SCHEDULE J REPRESENTS THE AMOUNT VESTED IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: BRIAN BOLWELL, M.D. - $22,641 CYNTHIA DEYLING, M.D. - $86,108 HERBERT WIEDEMANN, M.D. - $210,113 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND/OR A QUALIFIED DEFINED BENEFIT PLAN AND THE ANNUAL INCREASE OR DECREASE IN THE ACTUARIAL VALUE IS INCLUDED IN SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: BRIAN BOLWELL, M.D., $173,451 DECREASE, MARLEINA DAVIS - $6,865 INCREASE, CYNTHIA DEYLING, M.D., $137,968 INCREASE, SERPIL ERZURUM, M.D. - $325,758 INCREASE, STEVEN C. GLASS - $6,514 INCREASE, KELLY HANCOCK, DNP, R.N., NE-BC - $11,568 INCREASE, ANTHONY HELTON - $2,936 INCREASE, TIMOTHY LONGVILLE - $22,119 INCREASE, DONALD MALONE, M.D. - $622,521 INCREASE, JASON OBLANDER - $692 INCREASE, WILLIAM PEACOCK $2,148 INCREASE, ALLISON VIDIMOS, M.D. - $48,411 INCREASE, AND HERBERT WIEDEMANN, M.D. - $12,930 DECREASE. FORM 990, PART VII, SECTION A AND SCHEDULE J THE COMPENSATION OF DR. BRIAN DONLEY, DR. TOMMASO FALCONE, DR. JORGE GUZMAN AND DR. ROBERT LORENZ AS REPORTED ON PART VII, SECTION A AND SCHEDULE J INCLUDES REGULAR WAGES AND TAXABLE EXPATRIATE BENEFITS.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• AKRON GENERAL MEDICAL CENTER OUTPATIENT PHARMACY LLC

  HEALTH CARE SERVICES · OH · income $8,366,404 · assets $2,998,457

  Directly controlled by AKRON GENERAL HEALTH SYSTEM

• CCF AMBULATORY SURGERY CENTERS LLC

  HEALTH CARE SERVICES · OH · income $0 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CCF HOTEL SERVICES LLC

  HOTEL OPERATIONS · OH · income $38,283,816 · assets $90,839,260

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC CARE COORDINATION LLC

  HEALTH CARE SERVICES · OH · income $0 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC FLORIDA CONCIERGE MEDICINE LLC

  HEALTH CARE SERVICES · FL · income $2,823,507 · assets $426,046

  Directly controlled by CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)

• CLEVELAND CLINIC FLORIDA HOME HEALTHCARE LLC

  HEALTH CARE SERVICES · FL · income $0 · assets $0

  Directly controlled by CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)

• CLEVELAND CLINIC FLORIDA NAPLES LLC

  INACTIVE · FL · income $0 · assets $0

  Directly controlled by CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)

• CLEVELAND CLINIC GLOBAL SOLUTIONS II LLC

  HEALTH CARE SERVICES · OH · income $951,425 · assets $2,703,224

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC GLOBAL SOLUTIONS LLC

  HEALTH CARE SERVICES · OH · income $72,967,780 · assets $82,117,710

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC MEDICARE ACO LLC

  HEALTH CARE SERVICES · OH · income $12,358,313 · assets $5,605,939

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC OHIO REGIONAL PHYSICIANS LLC

  HEALTH CARE SERVICES · OH · income $0 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC RISK RETENTION GROUP LLC

  RISK RETENTION GROUP · SC · income $586,945 · assets $17,830,260

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC WELLNESS ENTERPRISE LLC

  HEALTH CARE SERVICES · OH · income $2,959,292 · assets $379,314

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLINIC MEDICAL SERVICES COMPANY LLC

  HEALTH CARE SERVICES · OH · income $86,544,307 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• EDWIN SHAW REHAB LLC

  REHABILITATION FACILITY · OH · income $8,999 · assets $1,353,149

  Directly controlled by AKRON GENERAL MEDICAL CENTER

• INTELLIS EPM LLC

  MEDICAL TECHNOLOGY · OH · income $0 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• IRMCF#1 LLC

  REAL ESTATE HOLDINGS · FL · income $0 · assets $0

  Directly controlled by INDIAN RIVER HOSPITAL FOUNDATION INC

• IVHR LLC

  MEDICAL TECHNOLOGY · OH · income $0 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• MARTIN SURGICAL VENTURES LLC

  SURGICAL VENTURE · FL · income $1,498,119 · assets $1,669,736

  Directly controlled by MARTIN MEMORIAL MEDICAL CENTER INC

• MEDICAL CENTER AT HOBE SOUND LLC

  RENTAL REAL ESTATE · OH · income $218,492 · assets $676,390

  Directly controlled by MARTIN MEMORIAL MEDICAL CENTER INC

• MEDICAL CENTER AT ST LUCIE WEST LLC

  RENTAL REAL ESTATE · OH · income $1,487,289 · assets $2,663,257

  Directly controlled by MARTIN MEMORIAL MEDICAL CENTER INC

• MEDINA HEALTH VENTURES LLC

  INACTIVE · OH · income $0 · assets $0

  Directly controlled by MEDINA HOSPITAL

• MERCY PROFESSIONAL CARE LLC

  HEALTH CARE SERVICES · OH · income $17,173,657 · assets $2,337,183

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• MONTROSE SLEEP CENTER LLC

  HEALTH CARE SERVICES · OH · income $1,469,129 · assets $3,657,627

  Directly controlled by AKRON GENERAL PARTNERS INC

• NEUROOPERATIVE MONITORING LLC

  INACTIVE · OH · income $0 · assets $0

  Directly controlled by AKRON GENERAL PARTNERS INC

• NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC

  HEALTH CARE SERVICES · OH · income $0 · assets $0

  Directly controlled by CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION

• OBVF VII LLC

  GRANT RECEIVING ORGANIZATION · OH · income $698,882 · assets $29,666,340

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• OBVF VIII LLC

  GRANT RECEIVING ORGANIZATION · OH · income $81,245 · assets $15,179,404

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• OPTOQUEST LLC

  SCIENTIFIC RESEARCH · OH · income $0 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• PSMA LLC

  COMMERCIALIZE TECHNOLOGY · DE · income $0 · assets $383,146

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• PSVW LLC

  INACTIVE · OH · income $0 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• REJ HOLDINGS LLC

  INACTIVE · OH · income $0 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• TASC ANESTHESIA LLC

  INACTIVE · OH · income $0 · assets $0

  Directly controlled by THE UNION HOSPITAL ASSOCIATION

• TATARA VASCULAR LLC

  MEDICAL TECHNOLOGY · DE · income $0 · assets $118

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• THE BRENTWOOD CENTER OF EXCELLENCE LLC

  HEALTH CARE SERVICES · OH · income $0 · assets $0

  Directly controlled by CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION

• TREASURE COAST INTEGRATED HEALTHCARE LLC

  HEALTH CARE SERVICES · FL · income $0 · assets $0

  Directly controlled by CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM

• TUSCARAWAS AMBULATORY SURGERY CENTER LLC

  INACTIVE · OH · income $0 · assets $2,763,195

  Directly controlled by THE UNION HOSPITAL ASSOCIATION

• UNION HOSPITAL MEDICAL SERVICES LLC

  HEALTH CARE SERVICES · OH · income $0 · assets $0

  Directly controlled by THE UNION HOSPITAL ASSOCIATION

• UNION PHYSICIAN SERVICES LLC

  HEALTH CARE SERVICES · OH · income $22,614,541 · assets $81,910,053

  Directly controlled by THE UNION HOSPITAL ASSOCIATION

• VERO RADIOLOGY SERVICES LLC

  RADIOLOGY SERVICES · FL · income $18,070,527 · assets $14,281,324

  Directly controlled by INDIAN RIVER MEMORIAL HOSPITAL INC

• WOOSTER CLINIC LLC

  HEALTH CARE SERVICES · OH · income $61,463,996 · assets $0

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• AKRON SURGICAL ASSOCIATES LLC

  RELATED · AMBULATORY SURGERY CENTER · OH · 51% owned · share of income $1,189,868 · share of assets $1,728,975

  Directly controlled by AKRON GENERAL PARTNERS INC

• CCAW JV LLC

  RELATED · MEDICAL SERVICES & TELE HEALTH · DE · 51% owned · share of income -$1,318,794 · share of assets $2,032,779

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CCFMHS RENAL CARE COMPANY LTD

  RELATED · MEDICAL SERVICES · OH · 60% owned · share of income $2,911,026 · share of assets $12,413,325

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• EXCELERATE STRATEGIC HEALTH SOURCING LLC

  UNRELATED · GROUP PURCHASING ORG · DE · 51% owned · share of income $1,478,162 · share of assets $5,016,943 · general or managing partner

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC

  RELATED · SURGERY CENTER · OH · 61% owned · share of income $305,747 · share of assets $1,605,913

  Directly controlled by MERCY MEDICAL CENTER

• STUART SURGERY CENTER LLC

  RELATED · SURGERY CENTER · FL · 87.68% owned · share of income $1,423,428 · share of assets $1,480,355 · general or managing partner

  Directly controlled by MARTIN SURGICAL VENTURES LLC

• TRADITION SURGERY CENTER LLC

  RELATED · SURGERY CENTER · FL · 60.57% owned · share of income $698,145 · share of assets $1,720,825 · general or managing partner

  Directly controlled by MARTIN SURGICAL VENTURES LLC

• VISIONAIR SOLUTIONS LLC

  RELATED · SCIENTIFIC RESEARCH · DE · 8% owned · share of income $354,110

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• KEROGEN ENERGY FUND II CO-INVESTMENT FUND A LP

  RELATED · ALTERNATIVE INVESTMENT · CJ · 58.91% owned · share of income -$57,706 · share of assets $3,060,051

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• ALTOS HYBRID CC LLC

  RELATED · ALTERNATIVE INVESTMENT · CA · 100% owned · share of income -$386,206 · share of assets $10,194,645

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• SPROTT PRIVATE RESOURCE STREAMING AND ROYALTY

  RELATED · ALTERNATIVE INVESTMENT · CA · 100% owned · share of income $48,031 · share of assets $20,154,891

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• AACP INDIA VENTURE INVESTORS D LP

  RELATED · ALTERNATIVE INVESTMENT · CA · 61.69% owned · share of income -$56,622 · share of assets $8,207,057

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• SABAL STRATEGIC OPPORTUNITIES (PARALLEL) FUND II LP

  RELATED · ALTERNATIVE INVESTMENT · CA · 56.6% owned · share of income $493 · share of assets $8,153,985

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• SSO II CO-INVEST (PARALLEL) LP

  RELATED · ALTERNATIVE INVESTMENT · CA · 86.96% owned · share of income $18 · share of assets $18,931

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• SRE OPPORTUNITY FUND IV SELECT LP

  RELATED · ALTERNATIVE INVESTMENT · IL · 55.56% owned · share of income -$557,592 · share of assets $11,369,139

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• PARAMETRIC GLOBAL LOW BETA VRP FUND LLC

  RELATED · ALTERNATIVE INVESTMENT · IL · 94.09% owned · share of income $17,569,673 · share of assets $159,998,181

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• 33 GROSVENOR PLACE LIMITED

  C · LEASE HOLDING COMPANY · JE · 100% owned · share of income $18,945,650 · share of assets $608,922,962 · controlled entity

  Directly controlled by CLEVELAND CLINIC UK HOLDINGS LTD

• AUTISM EYES INC

  C · SCIENTIFIC RESEARCH · DE · 100% owned · share of assets $154,866 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• AXONEURAL THERAPEUTICS INC

  C · THERAPEUTIC TECHNOLOGY · DE · 100% owned · share of assets $128,081 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• BERING HEALTH INC

  C · BRIDGE VIRTUAL & IN-PERSON CARE · DE · 100% owned · share of assets $448,513 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CASHEL NEURAL INC

  C · SCIENTIFIC RESEARCH · DE · 100% owned · share of income $1,134 · share of assets $29,514 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CCAW EMPLOYMENT CO LLC

  C · MANAGEMENT SERVICES · DE · 51% owned · share of income $2,737,265 · controlled entity

  Directly controlled by CCAW JV LLC

• CCF (SHANGHAI) CONSULTING CO LTD

  C · ADVISORY SERVICES · CH · share of income $149,899 · share of assets $9,585 · controlled entity

  Directly controlled by CLEVELAND CLINIC GLOBAL SOLUTIONS LLC

• CCHS INDEMNITY CO LTD

  C · INSURANCE COMPANY · CJ · 100% owned · share of income $127,082,726 · share of assets $303,436,883 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CERAXIS HEALTH INC

  C · STYLUS TECHNOLOGY · DE · 80% owned · share of assets $1,258,110 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC CANADA-TORONTO INC

  C · HEALTH CARE SERVICES · CA · 100% owned · share of income $24,172,997 · share of assets $20,355,621 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC EMR INC

  C · HEALTH CARE SERVICES · OH · share of assets $1,094,191 · controlled entity

  Directly controlled by CLINIC MEDICAL SOLUTIONS INC

• CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION

  C · CONTRACTING ORGANIZATION · OH · share of income $11,900,613 · share of assets $14,568,427 · controlled entity

  Directly controlled by CLINIC MEDICAL SOLUTIONS INC

• CLEVELAND CLINIC LONDON LTD

  C · HOSPITAL OPERATING COMPANY · UK · 100% owned · share of income $185,598,626 · share of assets $567,065,768 · controlled entity

  Directly controlled by CLEVELAND CLINIC UK HOLDINGS LTD

• CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY)

  C · MEDICAL SERVICES · SA · 100% owned · share of assets $968,734 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC UK FINANCING PLC

  C · FINANCING ENTITY · UK · 100% owned · share of assets $843,470,228 · controlled entity

  Directly controlled by CLEVELAND CLINIC UK HOLDINGS LTD

• CLEVELAND CLINIC UK HOLDINGS LTD

  C · HOLDING COMPANY · UK · 100% owned · share of income $81,868 · share of assets $1,841,696,812 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLINIC MEDICAL SOLUTIONS INC

  C · HEALTH CARE SERVICES · OH · share of income $9,450,590 · share of assets $4,300,824 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CMCD INC

  C · REAL ESTATE · OH · 100% owned · share of assets $311,040 · controlled entity

  Directly controlled by MEDINA HOSPITAL

• CSC CONDOMINIUM ASSOCIATION INC

  C · CONDOMINIUM ASSOCIATION · FL · 83.7% owned · share of income $225,352 · share of assets $334,666 · controlled entity

  Directly controlled by MARTIN MEMORIAL MEDICAL CENTER INC

• INFUSEON THERAPEUTICS INC

  C · SCIENTIFIC RESEARCH · DE · 100% owned · share of assets $120,014 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• ION-VAC INC

  C · SCIENTIFIC RESEARCH · DE · 100% owned · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• MARTIN MEMORIAL PHYSICIAN CORPORATION INC

  C · PHYSICIAN OFFICES · FL · 100% owned · share of income $113,482,732 · share of assets $87,240,135 · controlled entity

  Directly controlled by MARTIN MEMORIAL HEALTH SYSTEMS INC

• MCZ INC

  C · LEASING · OH · 100% owned · share of income $9,097 · share of assets $500 · controlled entity

  Directly controlled by MEDINA HOSPITAL

• MEDICAL & FINANCIAL MANAGEMENT INC

  C · BILLING AND COLLECTIONS · FL

  Directly controlled by MARTIN MEMORIAL MEDICAL CENTER INC

• MEDICAL CAMPUS MANAGEMENT INC

  C · MANAGEMENT SERVICES · FL

  Directly controlled by MARTIN MEMORIAL MEDICAL CENTER INC

• MEDINVEST INC

  C · INACTIVE · OH · 100% owned · controlled entity

  Directly controlled by CLINIC MEDICAL SOLUTIONS INC

• MERIDIA HEALTH VENTURES INC

  C · INACTIVE · OH · 100% owned · controlled entity

  Directly controlled by CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION

• MERLOT ORTHOPEDIX INC

  C · MEDICAL DEVICE MANUFACTURING · DE · 55% owned · share of assets $31,389 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• METHOD AI INC

  C · ROBOTIC SURGERY TECHNOLOGY · DE · 66.03% owned · share of assets $2,145,681 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• MITRIA MEDICAL INC

  C · SCIENTIFIC RESEARCH · DE · 100% owned · share of assets $380,023 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• MOBIUS CARE INC

  C · IBS TECHNOLOGY · DE · 100% owned · share of assets $1,794,312 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• NEOMEDICS INC

  C · INACTIVE · OH · 100% owned · controlled entity

  Directly controlled by CLINIC MEDICAL SOLUTIONS INC

• PINE FALLS CONDOMINIUM ASSOCIATES INC

  C · CONDOMINIUM ASSOCIATION · OH · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• TETONIC BIOTECH INC

  C · SCIENTIFIC RESEARCH · DE · 100% owned · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• UNION CARE CORPORATION

  C · HEALTH CARE SERVICES · OH

  Directly controlled by THE UNION HOSPITAL ASSOCIATION

• UNION PHARMACEUTICAL CARE INC

  C · RETAIL PHARMACY SALES · OH · 100% owned · share of income $7,409

  Directly controlled by THE UNION HOSPITAL ASSOCIATION

• ZEHNA THERAPEUTICS INC

  C · MICROBIOME TECHNOLOGY · DE · 100% owned · share of assets $927,648 · controlled entity

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• SSO FUND (CAYMAN) LP

  C · INVESTING · CJ · 51.41% owned · share of income $4,935,096 · share of assets $23,251,087

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CC ELLINGTON STRUCTURED CREDIT FUND LTD

  C · INVESTING · CJ · 100% owned · share of income $40,541,810 · share of assets $380,240,719

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CLEVELAND CLINIC PHILANTHROPY (UK) LTD

  C · PUBLIC HEALTH BENEFIT · UK · 100% owned · share of income $9,287,340 · share of assets $15,069,070

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• WHALE ROCK LONG OPPORTUNITIES FUND IV

  C · INVESTING · CJ · 97.51% owned · share of income $497,335,644 · share of assets $1,257,742,245

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION

• CHARITABLE REMAINDER TRUSTS (15)

  T · OH · 100% owned

  Directly controlled by THE CLEVELAND CLINIC FOUNDATION