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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
THE CLEVELAND CLINIC FOUNDATION
 
Employer identification number
34-0714585
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AJ37 10-15-2008 670,000,000 BOND 2008B: REFUND 06A, 04A, AND 01A; FACILITY IMPROVEMENTS   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 677561HU9 11-02-2011 208,951,439 BOND 2011A: REFUND 2003A SERIES   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 NONEAVAIL 11-02-2011 41,120,000 BOND 2011B: REFUND 1992A & B AND 1989 SERIES   X   X   X
D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756A3Z3 05-09-2012 519,383,182 BOND 2012: REFUND 2009, 2003A AND FACILITY IMPROVEMENTS   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756DAY2 05-29-2013 309,434,914 BOND 2013: REFUND 2004B, 2003A AND FACILITY IMPROVEMENTS   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 NONEAVAIL 12-21-2017 9,305,000 REFUND SERIES 2002   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 677561KS0 08-29-2017 939,576,748 REFUND 2008A, 2008B, 2009A, 2009B, 2012A   X   X   X
MARTIN COUNTY HEALTH FACILITIES AUTHORITY
  		59-6000743 573903FZ9 05-09-2019 259,345,371 REFINANCE 2012, 2012B & 2015 MHS BONDS & ACQUIRE MEMBERSHIP IN MHS   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CDN5 05-09-2019 351,450,108 FUND CAPITAL PROJECTS   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 677561KZ4 05-09-2019 380,150,000 FUND CAPITAL PROJECTS   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 342,425,000 124,656,428 17,775,000 233,236,327
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 670,000,000 208,951,439 41,120,000 519,383,182
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     2,302,465  
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,200,000 2,003,385 735,249 3,825,815
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 324,315,217 378,404,897   411,300,530
11 Other spent proceeds ............. 372,706,929 206,948,054 38,082,286 104,256,837
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2008 2011 2011 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2019, a current refunding issue)? ........ 		X     X X     X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2019, an advance refunding issue)? ........ 		  X X     X X  
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.200 % 0.090 % 0 % 0.600 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0 % 0 % 0.040 %
6 Total of lines 4 and 5 ............. 0.210 % 0.090 % 0 % 0.640 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X X     X
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2018 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 11/02/2016 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/09/2017 ISSUER NAME: OHIO HIGHER EDUCATIONAL FACILITY COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2018
Schedule K (Form 990) 2020

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