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Return of Organization Exempt from Income OMB No. 1545-0047 Form 990 Return of Organization Exempt From Income Tax ~oO Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Department of the Treasury Internal Revenue Service " The organization may have to use a copy of this return to satisfy state reporting requirements . - A For the 2003 calendar year, or tax year beginning , 2003, and ending 20 D Employer identification number B Check it applicable Please C Name of organization THE CLEVELAND CLINIC FOUNDATION use SRS GROUP RETURN 91 ;2153073 D Address change label or print or Number and street (or P.O box if mail is not delivered to street address) Room/suite E Telephone number Name change ~e~ 9500 EUCLID AVENUE H-18 (216) 738-5622 0 Initial return Specific or town, state or country, and ZIP + 4 Final return Instruc- City F Accounting method : U Cash LI Accrual lions. CLEVELAND, OH 44195 Other (specify) t Amended return ~ H and I are not applicable to section 527 organizations. Application pending ~ Section 501(c)(3) or9 gaoranizations and 4947 (a)(1 ) nonnonexem Ptpt charitable trusts must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is this a group return for affiliates? X Yes 0 No . G Website: t www.clevelandclmic org H (b) If "Yes," enter number of affiliates 0 . H (c) Are all affiliates included? 0 Yes ?-------D No J Organization tvqe (check only one) " N 501(c)( 3 ) .4 (insert no ) El 4947(a)(1) or El 527 (If "No," attach a list. See instructions ) K Check here " El if the organization's gross receipts are normally not more than $25,000 The H (d) Is this a separate return filed by an Yes [K No organization need not file a return with the IRS; but if the organization received a Form 990 Package organization covered by a group ruling? 0 in the mail, it should file a return without financial data . Some states require a complete return . I Group Exemption Number P. 3641 M Check " E] if the organization is not required L Gross receipts : Add lines 6b, 8b, 9b, and 10b to line 12 . 4,696,782,980 to attach Sch. B (Form 990, 990-EZ, or 990-PF) . Revenue, Expenses, and Changes in Net Assets or Fund Balances (See p2 18 of the instructions. 1 Contributions, gifts, grants, and similar amounts received : a Direct public support . , , 1a 44,390,872 b Indirect public support . , , 1b 46,547,759 c Government contributions (grants) . is 68,692, 113 d Total (add lines 1a through 1c) (cash $ 147,26~,3 ~O noncash $ 12,364,374 1 d 159,630,744 2 Program service revenue including government fees and contracts (from Part VII, line 93) 2 3,284,692,075 3 Membership dues and assessments . 3 4 Interest on savings and temporary cash investments 4 5,072,587 5 Dividends and interest from securities . 5 7.569 .102 6a Gross rents . , . 6a . 23 503 484 b Less : rental expenses . , , , 6b c Net rental income or (loss) (subtract line 6b from line 6a) N 7 Other investment income (describe " INTEREST RATE SWAPS ~ ) 7 393.964 7 c (A) securities [B) Other N 8a Gross amount from sales of assets other G1 than inventory . , 1 ,214 ,826,161 Sa 1 , 182,841 b Less: cost or other basis and sales expenses . 1199 417 448 8b 1 ,346 ,99 7 c Gam or (loss) (attach schedule) . 15 ,408 ,713 8c ( 164, 156 d Nef~rpo~l 6ine line 8c, columns (A) and (B)) 15.244 .557 GSpe aPev ~ e attach schedule). If any amount is from gaming, check here " ~ ' a~ I Gross revenue (not m If(ri ng $ of ,c$~t i~ugoris r401$ed line 1 a) . , , . 9a b less: direct,expenses~ p er than fundraising expenses 9b c e ~~ _g~spfro ~ special events (subtract line 9b from line 9a) 9c 0 1 ~ ~ ass returns and allowances 10a b Less: cost of goods sold . , , . 10b c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) . 10c 0 11 Other revenue (from Part VII, line 103) . 11 (87,978) 12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) . 12 3 496,018,535 13 Program services (from line 44, column (B)) . 13 3,028,965,632 _ 14 Management and general (from line 44, column (C)) . 14 312,294,540 L.3 C Ls.0 a 15 Fundraising (from line 44, column (D)) 15 4,695,519 u~ 16 Payments to affiliates (attach schedule) . 16 17 Total expenses (add lines 16 and 44, column (A)) 17 3,345,955 ,691 LU .4 18 Excess or (deficit) for the year (subtract line 17 from line 12) . 18 150,062,844 Q 19 Net assets or fund balances at beginning of year (from line 73, column (A)) . ;, 20 Other changes m net assets or fund balances (attach explanation) . 123.981 = 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) (/D For Paperwork Reduction Act Notice, see the separate instructions . MGA Form 990 (2003) Form 990 (2003) Page Statement of All orgarozaUons must complete column (A). Columns (B), (C), and (D) are required for section 501(c)(3) and (4) orgaruzators Functional Expenses and section 4947(a)(1) nonexempt charitable tests but optional for others . (See page 22 of the instructions.) DO 110t include amounts reported on line (B) Program (C) Management (D) Fundraising 6b, 8b, 9b, 70b, or 16 of Part I (~ T°~~ services and general 22 Grants and allocations (attach schedule) . (cash $ 13,283,554 noncash $ ) 22 13 ,283,554 13 ,283 , 554 23 Specific assistance to individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) . 24 25 Compensation of officers, directors, etc. 25 14,885,482 14 ,885 ,482 26 Other salaries and wages . 26 1 ,534 ,0 37 885 1 ,534 ,037 ,885 27 Pension plan contributions . 27 48 ,608 ,562 48 ,608 ,562 28 Other employee benefits . 28 189,476,970 189,476 ,970 29 Payroll taxes . 29 103, 167,436 103, 167,436 30 Professional fundraising fees . , , 30 31 Accounting fees . , , , 31 1 197,336 1 1 197,336 32 Legal fees . , , 32 4,616 ,037 4,616 ,037 33 Supplies . , 33 555 ,667 ,329 555 ,667 ,329 34 Telephone . , , 34 26,823 ,480 26,823 ,480 35 Postage and shipping . , . , 35 11 ,561 ,408 11 ,561 ,408 36 Occupancy . , , 36 16 ,447 ,203 16 ,447 ,203 37 Equipment rental and maintenance . 37 76,293 ,674 76,293 ,674 38 Printing and publications . 38 7,999 ,231 71999 ,231 39 Travel . , 39 12 ,833 ,773 12 ,833 ,773 40 Conferences, conventions, and meetings . 40 5, 152,209 5 152 209 41 Interest . , , , 41 37,645 , 163 37,645 , 163 42 Depreciation, depletion, etc. (attach schedule) 42 188,789 ,460 188789460 43 Other expenses not covered above (itemize). a -------- 43a SEE STATEMENT 6 43b 497 ,469 ,499 180 ,479 ,440 312 ,294 ,540 4,695,51 43c 43d 43e 44 Total functional expenses (add lines 22 through 43) Organizations completinq columns (B)-(DI, carry these totals to bees 13-15 . 44 3_345.955 .691 I 3.028 .965 .632 I 312 .294 .540 I 4.695 .51 Joint Costs. Check " 0 if you are following SOP 98-2. Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? . " 0 Yes El No If "Yes," enter () the aggregate amount of thesejoint costs $ , (i) the amount allocated to Program services $ (ii) the amount allocated to Management and general $ , and (v) the amount allocated to Fundraising $ EUTRIff Statement of Program Service Accomplishments See pa ge 25 of the instructions . What is the organization's primary exempt purpose? ". PATIENT CARE, RESEARCH, Program Service Expenses All organizations must describe their exempt purpose achievements in a clear and conciseEDUCATION---------------- manner. State the number (Rq,red rQ sn(c)n ad of clients served, publications issued, etc . Discuss achievements that are not measurable . (Section 501(c)(3) and (4) (4)orT%-ard4947(a)(1) organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others ) a SEE STATEMENT 7 --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- (Grants and allocations $ 13,283,554 ) --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- (Grants and allocations $ --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- (Grants and allocations $ ) --------------------------------------------------------------------------------------------------------------------------- (Grants and allocations $ ) e Other program services (attach schedule) (Grants and allocations $ ) f Total of Program Service Expenses (should equal line 44, column (B), Program services) . " 3,028,965,632 Form 990 (2003) Form 990 (2003) Page 3 Balance Sheets (See page 25 of the instructions .) Note: Where required, attached schedules and amounts within the description (A) (B) column should be for end-of-year amounts only. Beginning of year End of year 45 Cash-non-interest-bearing . , 32 ,941 ,850 45 24,416,736 46 Savings and temporary cash investments . , 378 ,831,265 46 243,273,940 47a Accounts receivable . , 47a 648,715,513 b Less : allowance for doubtful accounts . 47b 1974671 ,919 451 ,902,890 47c 451 ,043,594 48a Pledges receivable . , , , 48a 216,305,206 /// b Less : allowance for doubtful accounts . 48b 43,942 ,660 69 466 184 48c 172,362,546 49 Grants receivable . , , 51,111,846 49 56,656,680 50 Receivables from officers, directors, trustees, and key employees (attach schedule) . 50 51a Other notes and loans receivable (attach schedule) . 51a 4,224,691 b Less : allowance for doubtful accounts . 51b 30 438 863 Sic 4 224 691 a 52 Inventories for sale or use .
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