SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go 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
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) ADVANCED INFUSION SERVICES LTD
1 HOME CARE PLACE
AKRON,OH44320
34-1847339 		INACTIVE OH 1,444 0 VISITING NURSE SERVICE INC
 
(2) AKRON GENERAL MEDICAL CENTER OUTPATIENT PHARMACY LLC
1 AKRON GENERAL AVENUE
AKRON,OH44307
84-2380272 		HEALTH CARE SERVICES OH 511,839 0 AKRON GENERAL HEALTH SYSTEM
 
(3) AUTISM EYES LLC
10000 CEDAR AVE
CLEVELAND,OH44106
84-3070150 		INACTIVE DE 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(4) CARNEGIE89TH GARAGE AND SERVICE CENTER
6801 BRECKSVILLE ROAD RK1-85
INDEPENDENCE,OH44131
20-5693261 		LEASE PROPERTY OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(5) CARNEGIE96TH RESEARCH BUILDING LLC
6801 BRECKSVILLE ROAD RK1-85
INDEPENDENCE,OH44131
11-3706542 		LEASE PROPERTY OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(6) CC CHINA LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
20-5776477 		INACTIVE OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(7) CC WEB SOLUTIONS LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
26-3222020 		DOMAIN HOLDING COMPANY OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(8) CCF AMBULATORY SURGERY CENTERS LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1939710 		HEALTH CARE SERVICES OH 2,831,105 0 THE CLEVELAND CLINIC FOUNDATION
 
(9) CCF HOTEL SERVICES LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-0666034 		HOTEL OPERATIONS OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(10) CHV HOME MEDICAL EQUIPMENT CO LLC
1 HOME CARE PLACE
AKRON,OH44320
20-4760456 		INACTIVE OH 0 0 VISITING NURSE SERVICE INC
 
(11) CLEVELAND CLINIC CARE COORDINATION LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
45-5282492 		HEALTH CARE SERVICES OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(12) CLEVELAND CLINIC FLORIDA CONCIERGE MEDICINE LLC
1301 EAST BROWARD BLVD STE 330
FT LAUDERDALE,FL33301
82-3186835 		HEALTH CARE SERVICES FL 51,585 0 CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
 
(13) CLEVELAND CLINIC FLORIDA HOME HEALTHCARE LLC
2950 CLEVELAND CLINIC BLVD
WESTON,FL33331
83-2250064 		HEALTH CARE SERVICES FL 0 0 CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
 
(14) CLEVELAND CLINIC FLORIDA NAPLES LLC
2950 CLEVELAND CLINIC BLVD
WESTON,FL33331
31-1741150 		INACTIVE FL 0 0 CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
 
(15) CLEVELAND CLINIC GLOBAL SOLUTIONS LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
26-3666730 		HEALTH CARE SERVICES & IP LICENSING OH 1,429,706 0 THE CLEVELAND CLINIC FOUNDATION
 
(16) CLEVELAND CLINIC MEDICARE ACO LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
47-1281189 		HEALTH CARE SERVICES OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(17) CLEVELAND CLINIC OBGYN SPECIALTIES LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1938153 		HEALTH CARE SERVICES OH 763,535 0 THE CLEVELAND CLINIC FOUNDATION
 
(18) CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
1950 RICHMOND ROAD
LYNDHURST,OH44124
26-3859233 		HEALTH CARE SERVICES OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(19) CLINIC MEDICAL SERVICES COMPANY LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1932969 		HEALTH CARE SERVICES OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(20) CLINIC REGIONAL PHYSICIANS LLC
25875 SCIENCE PARK DR
BEACHWOOD,OH44122
26-2636530 		INACTIVE OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(21) EDWIN SHAW REHAB LLC
330 BROADWAY STREET EAST
CUYAHOGA FALLS,OH44221
27-0119182 		INACTIVE OH 0 0 AKRON GENERAL MEDICAL CENTER
 
(22) INTELLIS EPM LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
27-0645368 		MEDICAL TECHNOLOGY OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(23) IRMCF#1 LLC
1000 36TH STREET
VERO BEACH,FL32960
59-0760215 		HOLD LAND FL 0 0 INDIAN RIVER HOSPITAL FOUNDATION INC
 
(24) IVHR LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
45-4657632 		MEDICAL TECHNOLOGY OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(25) MEDINA HEALTH VENTURES LLC
1000 E WASHINGTON STREET
MEDINA,OH44256
34-1533871 		INACTIVE OH 0 0 MEDINA HOSPITAL
 
(26) MERIDIA MEDICAL GROUP LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
34-1898545 		INACTIVE OH 0 0 CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
 
(27) MITRIA MEDICAL LLC
10000 CEDAR AVE
CLEVELAND,OH44106
84-3447663 		MEDICAL TECHNOLOGY DE 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(28) MONTROSE SLEEP CENTER LLC
4125 MEDINA ROAD
AKRON,OH44333
20-0494491 		HEALTH CARE SERVICES OH 305,665 0 AKRON GENERAL PARTNERS
 
(29) NEUROOPERATIVE MONITORING LLC
1 AKRON GENERAL AVENUE
AKRON,OH44307
30-0746215 		INACTIVE OH 0 0 AKRON GENERAL PARTNERS
 
(30) NORTHEAST OHIO NEUROLOGICAL ASSOCIATES LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
20-0442351 		HEALTH CARE SERVICES OH 0 0 CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
 
(31) OHIO STAR IMAGING LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
 INACTIVE OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(32) PSMA LLC
10000 CEDAR AVE
CLEVELAND,OH44106
83-4269973 		INACTIVE DE 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(33) PSVW LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
26-1614376 		REAL ESTATE HOLDINGS OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(34) REJ HOLDINGS LLC
3050 SCIENCE PARK DRIVE
BEACHWOOD,OH44122
27-3245990 		INACTIVE OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(35) SCIENCE PARK CLEVELAND LLC
6801 BRECKSVILLE ROAD RK1-85
INDEPENDENCE,OH44131
20-8726513 		LEASE PROPERTY OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(36) SPC BUILDINGS 1 & 3 LLC
6801 BRECKSVILLE ROAD RK1-85
INDEPENDENCE,OH44131
26-1357176 		LEASE PROPERTY OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(37) TATARA VASCULAR LLC
10000 CEDAR AVE
CLEVELAND,OH44106
47-4282964 		MEDICAL TECHNOLOGY DE 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(38) THE BRENTWOOD CENTER OF EXCELLENCE LLC
6801 BRECKSVILLE RD
INDEPENDENCE,OH44131
20-1476092 		HEALTH CARE SERVICES OH 0 0 CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
 
(39) TUSCARAWAS AMBULATORY SURGERY CENTER LLC
659 BOULEVARD
DOVER,OH44622
34-0000100 		HEALTH CARE SERVICES OH 373,974 0 THE UNION HOSPITAL ASSOCIATION
 
(40) UNION HOSPITAL MEDICAL SERVICES LLC
659 BOULEVARD
DOVER,OH44622
27-0273520 		HEALTH CARE SERVICES OH 0 0 THE UNION HOSPITAL ASSOCIATION
 
(41) UNION PHYSICIAN SERVICES LLC
659 BOULEVARD
DOVER,OH44622
26-4215547 		HEALTH CARE SERVICES OH 0 0 THE UNION HOSPITAL ASSOCIATION
 
(42) VERO RADIOLOGY ASSOCIATES LLC
3725 11TH CIRCLE
VERO BEACH,FL32960
59-2755370 		RADIOLOGY SERVICES FL 686,893 0 INDIAN RIVER MEMORIAL HOSPITAL INC
 
(43) VISIONAIR SOLUTIONS LLC
10000 CEDAR AVE
CLEVELAND,OH44106
84-3881050 		INACTIVE DE 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(44) WOOSTER CLINIC LLC
9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1855775 		HEALTH CARE SERVICES OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(45) ZEHNA THERAPEUTICS LLC
10000 CEDAR AVE
CLEVELAND,OH44106
84-3850618 		INACTIVE DE 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(46) ADEO LLC
10000 CEDAR AVE
CLEVELAND,OH44106
46-5704174 		TECHNOLOGY SERVICES OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(47) BIALBERO MEDICAL LLC
10000 CEDAR AVE
CLEVELAND,OH44106
83-4278743 		INACTIVE OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(48) CCS TELE-ICU LLC
10000 CEDAR AVE
CLEVELAND,OH44106
84-5145789 		INACTIVE OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(49) CLEVELAND CLINIC SIGNATURE LLC
10000 CEDAR AVE
CLEVELAND,OH44106
84-5132227 		INACTIVE OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
(50) OBVF VII LLC
10000 CEDAR AVE
CLEVELAND,OH44106
86-1185460 		MEDICAL TECHNOLOGY OH 0 0 THE CLEVELAND CLINIC FOUNDATION
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)AUXILIARY BOARD OF FAIRVIEW GENERAL HOSPITAL
18101 LORAIN AVENUE

CLEVELAND,OH44111
23-7108198 		SUPPORT FAIRVIEW HOSPITAL OH 501(C)(3) LINE 10 N/A
 
No
(2)CLEVELAND CLINIC PHILANTHROPY (UK) LTD
STE 1 3RD FL 11-12TH ST JAMESS
LONDON,GREATER LONDONSW1Y4LB
UK
ADVANCEMENT OF PUBLIC HEALTH, MEDICAL EDUCATION, AND RESEARCH UK     N/A
 
No
(3)COMMUNITY WEST FOUNDATION
800 SHARON DRIVE STE C

WESTLAKE,OH44145
34-1456398 		ADVANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY OH 501(C)(3) LINE 7 N/A
 
No
(4)HOSPITAL AUXILIARY OF THE IRMH INC
1000 36TH STREET

VERO BEACH,FL32960
59-1003707 		SUPPORT THE INDIAN RIVER HOSPITAL FL 501(C)(3) LINE 12A, I N/A
 
No
(5)MARTIN MEMORIAL HOSPITAL AUXILIARY INC
PO BOX 9033

STUART,FL34995
23-7115443 		PROMOTE QUALITY HEALTH CARE FOR MARTIN & ST. LUCIE COUNTIES FL 501(C)(3) LINE 10 N/A
 
No
(6)THREE ARCHES FOUNDATION
14601 DETROIT AVENUE STE 240

LAKEWOOD,OH44107
34-6519834 		SUPPORT LAKEWOOD COMMUNITY OH 501(C)(3) LINE 12D, III-O N/A
 
No
(7)TUSCARAWAS VALLEY REGIONAL CANCER CENTER
659 BOULEVARD

DOVER,OH44622
34-0000100 		PHYSICIAN HOSPITAL AND ORGANIZATION OH 501(C)(3) LINE 3 N/A
 
No
(8)UNION HOSPITAL AUXILIARY
659 BOULEVARD

DOVER,OH44622
34-1204928 		SUPPORT THE UNION HOSPITAL ASSOCIATION OH 501(C)(3) LINE 10 N/A
 
No
(9)WO WALKER CENTER INC
10700 EUCLID AVENUE

CLEVELAND,OH44106
91-1818256 		HEALTH CARE SERVICES OH 501(C)(3) LINE 12D, III-O N/A
 
No
(10)THE UNIFY PROJECT
1151 NORTH MARGINAL ROAD

CLEVELAND,OH44114
82-3605707 		SUPPORT CHARITABLE PURPOSES OF HOSPITALS & UNIVERSITIES OH 501(C)(3) LINE 12D, III-O N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) AKRON SURGICAL ASSOCIATES LLC

4125 MEDINA ROAD
AKRON,OH44333
01-0672877 		AMBULATORY SURGERY CENTER OH N/A
 RELATED 1,154,649 1,386,188   No     No 51.000 %
(2) CCAW JV LLC

10000 CEDAR AVE
CLEVELAND,OH44106
84-3867549 		MEDICAL SERVICES & TELE HEALTH DE THE CLEVELAND CLINIC FOUNDATION
  		RELATED -2,032,744 1,292,971   No     No 51.000 %
(3) CCFMHS RENAL CARE COMPANY LTD

9500 EUCLID AVENUE
CLEVELAND,OH44195
34-1863789 		MEDICAL SERVICES OH THE CLEVELAND CLINIC FOUNDATION
  		RELATED 1,740,932 12,578,357   No     No 60.000 %
(4) CLEVELAND HEALTH NETWORK MSO LLC

4700 ROCKSIDE ROAD STE 200
INDEPENDENCE,OH44131
31-1566180 		MEDICAL SERVICES OH N/A
 RELATED -171,111     No   Yes    
(5) EXCELERATE STRATEGIC HEALTH SOURCING LLC

9500 EUCLID AVENUE
CLEVELAND,OH44195
46-1810992 		HEALTH CARE OP & MGMT DE THE CLEVELAND CLINIC FOUNDATION
  		RELATED 380,136 3,968,564   No   Yes   51.000 %
(6) MARTIN SURGICAL VENTURES LLC

9131 ANSON WAY SUITE 304
RALEIGH,NC27615
32-0496475 		SURGICAL VENTURE NC MARTIN MEMORIAL HEALTH SYSTEMS INC
  		N/A       No     No 62.000 %
(7) MEDICAL CENTER AT HOBE SOUND LTD

PO BOX 9033
STUART,FL34996
65-0748232 		RENTAL OF MEDICAL OFFICES FL MARTIN MEMORIAL MEDICAL CENTER INC
  		RELATED 71,551 1,902,001   No     No 100.000 %
(8) MEDICAL CENTER AT ST LUCIE WEST LTD

PO BOX 9033
STUART,FL34996
65-0504863 		RENTAL OF MEDICAL OFFICES FL MARTIN MEMORIAL MEDICAL CENTER INC
  		RELATED 646,113 7,463,071   No     No 100.000 %
(9) MEDISTRY LLC

3029 PROSPECT AVENUE
CLEVELAND,OH44115
45-4880352 		DATA HOSTING & RELATED SVCS DE THE CLEVELAND CLINIC FOUNDATION
  		UNRELATED       No   Yes   55.000 %
(10) PROGNOSTIX LLC

10000 CEDAR AVENUE
CLEVELAND,OH44106
30-0624422 		MEDICAL SERVICES OH THE CLEVELAND CLINIC FOUNDATION
  		RELATED -1,014     No     No  
(11) TREASURE COAST INTEGRATED HEALTHCARE LLC

PO BOX 9010
STUART,FL34995
82-0708813 		CLINICALLY INTEGRATED NETWORK FL CC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION
  		RELATED   748,353   No   Yes   100.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) 33 GROSVENOR PLACE LIMITED

33 GROSVENOR PLACE
LONDON   SW1X 7HY
UK
99-9999999 		LEASE HOLDING COMPANY JE CLEVELAND CLINIC UK HOLDINGS LTD
  		C -15,810,694 624,857,778 100.000 % Yes  
(2) AKRON GENERAL MANAGED CARE ASSOCIATION INC

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
34-1784985 		SUPPORTING SERVICES OH N/A
 C     100.000 % Yes  
(3) CASHEL NEURAL INC

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
82-4625105 		SCIENTIFIC RESEARCH DE THE CLEVELAND CLINIC FOUNDATION
  		C -214,569 104,985 100.000 % Yes  
(4) CCF BOLTON INC

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
20-4596571 		INACTIVE OH CLINIC MEDICAL SOLUTIONS INC
  		C     100.000 % Yes  
(5) CCHS INDEMNITY CO LTD

23 LIME TREE BAY BOX 1051
GRAND CAYMAN   KY1-1102
CJ
98-0207086 		INSURANCE COMPANY CJ THE CLEVELAND CLINIC FOUNDATION
  		C 98,423,856 234,151,290 100.000 % Yes  
(6) CLEVELAND CLINIC CANADA-TORONTO INC

181 BAY STREET BOX818
TORONTO   M5J 2T3
CA
20-4856025 		HEALTH CARE SERVICES CA THE CLEVELAND CLINIC FOUNDATION
  		C -3,118,731 16,237,879 100.000 % Yes  
(7) CLEVELAND CLINIC EMR INC

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
20-4856025 		INACTIVE OH CLINIC MEDICAL SOLUTIONS INC
  		C   1,121,837 100.000 % Yes  
(8) CLEVELAND CLINIC HEALTH SYSTEM PHYSICIAN ORGANIZATION

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
34-1877409 		CONTRACTING ORGANIZATION OH CLINIC MEDICAL SOLUTIONS INC
  		C 307,595 16,002,161 100.000 % Yes  
(9) CLEVELAND CLINIC LONDON LTD

11-12 ST JAMESS SQUARE STE1 3RD
LONDON   SW1Y 4LB
UK
99-9999999 		HOSPITAL OPERATING COMPANY UK CLEVELAND CLINIC UK HOLDINGS LTD
  		C 64,257,711 376,244,253 100.000 % Yes  
(10) CLEVELAND CLINIC SAUDI ARABIA (A LIMITED LIABILITY COMPANY)

PO BOX 340340
RIYADH   11333
SA
99-9999999 		MEDICAL SERVICES SA THE CLEVELAND CLINIC FOUNDATION
  		C 516,825 38,757,285 100.000 % Yes  
(11) CLEVELAND CLINIC UK FINANCING PLC

11-12 ST JAMESS SQUARE STE1 3RD
LONDON   SW1Y 4LB
UK
99-9999999 		FINANCING ENTITY UK CLEVELAND CLINIC UK HOLDINGS LTD
  		C     100.000 % Yes  
(12) CLEVELAND CLINIC UK HOLDINGS LTD

11-12 ST JAMESS SQUARE STE1 3RD
LONDON   SW1Y 4LB
UK
34-1695388 		HOLDING COMPANY UK THE CLEVELAND CLINIC FOUNDATION
  		C 18,207,444 1,313,375,680 100.000 % Yes  
(13) CLEVELAND HEALTH NETWORK

6000 WEST CREEK ROAD STE 20
INDEPENDENCE,OH44131
34-1770780 		MEDICAL SERVICES OH N/A
 C       Yes  
(14) CLEVELAND HEALTH NETWORK MANAGED CARE ORGANIZATION

6000 WEST CREEK ROAD STE 20
INDEPENDENCE,OH44131
34-1808138 		HEALTH CARE SERVICES OH CLEVELAND HEALTH NETWORK
  		C       Yes  
(15) CLINIC MEDICAL SOLUTIONS INC

18101 LORAIN AVENUE
CLEVELAND,OH44111
34-1695388 		HEALTH CARE SERVICES OH THE CLEVELAND CLINIC FOUNDATION
  		C 3,491,517 4,130,635 100.000 % Yes  
(16) CMCD INC

1000 E WASHINGTON STREET
MEDINA,OH44256
34-1256599 		REAL ESTATE OH MEDINA HOSPITAL
  		C   311,040 100.000 % Yes  
(17) CSC CONDOMINIUM ASSOCIATION INC

PO BOX 9033
STUART,FL34995
59-2320501 		CONDOMINIUM ASSOCIATION FL MARTIN MEMORIAL MEDICAL CENTER
  		C   274,549 100.000 % Yes  
(18) INFUSEON THERAPEUTICS INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
46-1776182 		SCIENTIFIC RESEARCH DE THE CLEVELAND CLINIC FOUNDATION
  		C -180,295 253,349 100.000 % Yes  
(19) ION-VAC INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
46-1560044 		SCIENTIFIC RESEARCH DE THE CLEVELAND CLINIC FOUNDATION
  		C -152,987 21,674 100.000 % Yes  
(20) LAKEWOOD HEALTHCARE FOUNDATION

14519 DETROIT AVENUE
LAKEWOOD,OH44107
34-1574608 		HEALTH CARE SERVICES OH LAKEWOOD HOSPITAL ASSOCIATION
  		C     100.000 % Yes  
(21) MARTIN MEMORIAL PHYSICIAN CORPORATION INC

PO BOX 9010
STUART,FL34995
65-0556041 		PHYSICIAN OFFICES FL MARTIN MEMORIAL HEALTH SYSTEM
  		C -25,965,923 56,716,449 100.000 % Yes  
(22) MCZ INC

1000 E WASHINGTON STREET
MEDINA,OH44256
34-1256598 		LEASING OH MEDINA HOSPITAL
  		C 8,539 500 100.000 % Yes  
(23) MEDICAL & FINANCIAL MANAGEMENT INC

PO BOX 9033
STUART,FL34995
59-2843163 		BILLING AND COLLECTIONS FL MARTIN MEMORIAL HEALTH SYSTEM
  		C 586 1,393,188 100.000 % Yes  
(24) MEDICAL CAMPUS MANAGEMENT INC

PO BOX 9033
STUART,FL34995
65-0605328 		MANAGEMENT SERVICES FL MEDICAL & FINANCIAL MANAGEMENT INC
  		C   102,756 100.000 % Yes  
(25) MEDINVEST INC

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
20-3978297 		INACTIVE OH CLINIC MEDICAL SOLUTIONS INC
  		C     100.000 % Yes  
(26) MERIDIA HEALTH VENTURES INC

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
34-1533871 		INACTIVE OH CLEVELAND CLINIC HOME CARE
  		C     100.000 % Yes  
(27) MERLOT ORTHOPEDIX INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
11-3779414 		MEDICAL DEVICE MANUFACTURING DE THE CLEVELAND CLINIC FOUNDATION
  		C     55.120 % Yes  
(28) NEOMEDICS INC

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
02-0656818 		INACTIVE OH CLINIC MEDICAL SOLUTIONS INC
  		C     100.000 % Yes  
(29) NEW COS INC

6801 BRECKSVILLE ROAD
INDEPENDENCE,OH44131
82-4828042 		SCIENTIFIC RESEARCH DE THE CLEVELAND CLINIC FOUNDATION
  		C -780,576 193,584 100.000 % Yes  
(30) PINE FALLS CONDOMINIUM ASSOCIATES INC

6100 WEST CREEK SUITE 25
INDEPENDENCE,OH44131
34-1617589 		PROPERTY MANAGEMENT OH THE CLEVELAND CLINIC FOUNDATION
  		C     75.000 % Yes  
(31) UNION CARE CORPORATION

659 BOULEVARD
DOVER,OH44622
34-1556177 		HEALTH CARE SERVICES OH THE UNION HOSPITAL ASSOCIATION
  		C     100.000 % Yes  
(32) UNION PHARMACEUTICAL CARE INC

659 BOULEVARD
DOVER,OH44622
04-3588229 		RETAIL PHARMACY SALES OH THE UNION HOSPITAL ASSOCIATION
  		C -82,683 24,576 100.000 % Yes  
(33) OPTOQUEST CORPORATION

10000 CEDAR AVENUE
CLEVELAND,OH44106
26-3589643 		SCIENTIFIC RESEARCH DE THE CLEVELAND CLINIC FOUNDATION
  		C -6,306 7,307 100.000 % Yes  
(34) CHARITABLE REMAINDER TRUSTS (14)

 
 
  OH  
T         No
(35) RENOVO BIOSCIENCES INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
34-1956569 		MEDICAL TECHNOLOGY DE THE CLEVELAND CLINIC FOUNDATION
  		C -9,373 23,374   Yes  
(36) RENOVO NEURAL INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
80-0185146 		MEDICAL TECHNOLOGY DE RENOVO BIOSCIENCES INC
  		C -50,284 101,811   Yes  
(37) ENHALE MEDICAL INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
82-1613340 		SLEEP APNEA TREATMENT DE THE CLEVELAND CLINIC FOUNDATION
  		C     100.000 % Yes  
(38) SHENNONG BIOTECH INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
85-3703323 		INACTIVE DE THE CLEVELAND CLINIC FOUNDATION
  		C     100.000 % Yes  
(39) TETONIC BIOTECH INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
85-3689997 		INACTIVE DE THE CLEVELAND CLINIC FOUNDATION
  		C     100.000 %   No
(40) AXONEURAL THERAPEUTICS INC

10000 CEDAR AVENUE
CLEVELAND,OH44106
85-1131595 		INACTIVE DE THE CLEVELAND CLINIC FOUNDATION
  		C     100.000 %   No
(41) CCF (SHANGHAI) CONSULTING CO LTD

LEVEL 40 ONE MUSEUM PLACE 669 ZINZ
SHANGHAI   200041
CH
99-9999999 		INACTIVE CH THE CLEVELAND CLINIC FOUNDATION
  		C     100.000 %   No
(42) CCAW EMPLOYMENT CO LLC

10000 CEDAR AVE
CLEVELAND,OH44106
84-5164677 		MANAGEMENT SERVICES DE THE CLEVELAND CLINIC FOUNDATION
  		C 823,141   51.000 % Yes  
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CLEVELAND CLINIC CANADA - TORONTO INC

 A 100,000 FMV
(2) THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION

 B 21,524,268 FMV
(3) EXCELERATE STRATEGIC HEALTH SOURCING LLC

 D 817,064 FMV
(4) CASHEL NEURAL INC

 D 319,429 FMV
(5) INFUSEON THERAPEUTICS INC

 D 64,472 FMV
(6) MEDISTRY LLC

 D 181,904 FMV
(7) CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION

 J 290,218 FMV
(8) THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION

 J 1,675,390 FMV
(9) CLEVELAND CLINIC MEDICAL SERVICES INC

 J 443,372 FMV
(10) FAIRVIEW HOSPITAL

 J 1,485,642 FMV
(11) PARTNERS PHYSICIAN GROUP

 J 205,730 FMV
(12) MARYMOUNT HOSPITAL INC

 J 1,497,220 FMV
(13) MEDINA HOSPITAL

 J 1,393,680 FMV
(14) AKRON GENERAL MEDICAL CENTER

 J 95,810 FMV
(15) CLEVELAND CLINIC AVON HOSPITAL

 J 4,713,093 FMV
(16) LUTHERAN HOSPITAL

 J 597,218 FMV
(17) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION

 K 3,521,499 FMV
(18) AKRON GENERAL MEDICAL CENTER

 L 4,243,069 FMV
(19) CLEVELAND CLINIC AVON HOSPITAL

 L 1,247,867 FMV
(20) CLEVELAND CLINIC WESTON HOSPITAL NONPROFIT CORPORATION

 L 3,555,000 FMV
(21) CLEVELAND CLINIC NEVADA

 L 222,051 FMV
(22) CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION

 L 304,150 FMV
(23) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION

 L 6,423,022 FMV
(24) CLEVELAND CLINIC SAUDI ARABIA LLC

 L 25,558,000 FMV
(25) CLEVELAND CLINIC MEDICAL SERVICES INC

 L 9,784,000 FMV
(26) FAIRVIEW HOSPITAL

 L 4,021,436 FMV
(27) LUTHERAN HOSPITAL

 L 750,858 FMV
(28) MARYMOUNT HOSPITAL INC

 L 1,230,703 FMV
(29) MEDINA HOSPITAL

 M 1,318,172 FMV
(30) AKRON GENERAL MEDICAL CENTER

 M 263,592 FMV
(31) CLEVELAND CLINIC AVON HOSPITAL

 M 632,959 FMV
(32) CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION

 M 1,552,380 FMV
(33) LUTHERAN HOSPITAL

 M 228,172 FMV
(34) MARYMOUNT HOSPITAL INC

 M 617,818 FMV
(35) MEDINA HOSPITAL

 M 666,570 FMV
(36) CCHS INDEMNITY COMPANY LTD

 P 36,146,077 FMV
(37) THE CLEVELAND CLINIC EDUCATIONAL FOUNDATION

 Q 62,918 FMV
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2020

Additional Data


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