Title: Federal Direct Student Loans
Accounting Policies: 1. Summary of Significant Accounting PoliciesBasis of PresentationThe accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of the Cleveland Clinic Foundation (EIN 34-0714585) and its controlled affiliates, d.b.a. Cleveland Clinic Health System (System), and is presented on the accrual basis of accounting.SubrecipientThe System is a subrecipient of federal funds, which are reported as expenditures and listed as federal pass-through funds.
De Minimis Rate Used: N
Rate Explanation: The System did not use the 10% de minimis indirect cost rate allowed by the Uniform Guidance.
During the year, the System expended $141,577 in Federal Direct Student Loans (Assistance Listing 84.268), which includes Direct Stafford Loan and Parents Loan for Undergraduate Students from the federal government. The federal government is responsible for billings and collections of the loans. The System assists the federal government by processing the applications and applying funds to student accounts from the federal government. Since this program is administered by the federal government, new loans made in the fiscal year ended December 31, 2022 related to Federal Direct Student Loans are considered current year federal expenditures, whereas the outstanding loan balances are not.
Title: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution
Accounting Policies: 1. Summary of Significant Accounting PoliciesBasis of PresentationThe accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of the Cleveland Clinic Foundation (EIN 34-0714585) and its controlled affiliates, d.b.a. Cleveland Clinic Health System (System), and is presented on the accrual basis of accounting.SubrecipientThe System is a subrecipient of federal funds, which are reported as expenditures and listed as federal pass-through funds.
De Minimis Rate Used: N
Rate Explanation: The System did not use the 10% de minimis indirect cost rate allowed by the Uniform Guidance.
The Schedule includes $221,973,894 received from the Department of Health and Human Services (HHS) during 2022, under the Provider Relief Fund (PRF) program of Assistance Listing No. 93.498. In accordance with guidance from HHS, these amounts are presented as Period 1 and Period 2 in the HHS PRF Reporting Portal. Such amounts were recognized as other revenue in the Systems consolidated financial statements as shown in the consolidated statements of operations and changes in net assets in the years ended December 31, 2022 and 2021.The amount presented on the Schedule for PRF is for the year ended December 31, 2022. The amount presented reconciles to the PRF information reported to HHS as follows:Name of Reporting Entity forHHS Reporting Periods 3 and 4 Provider Relief Fund ReportReporting Entity Tax Identification Number (TIN)Total Lost Revenues ReportedAkron General Medical Center34-0714478$ 1,481,800Akron Surgical Associates LLC10-672877106,737Cleveland Clinic Avon Hospital47-4442902482,080 Cleveland Clinic Nevada26-436703616,744 The Cleveland Clinic Foundation34-0714585199,390,925 Wooster Clinic LLC34-18557751,111,922 Cleveland Clinic Children's Hospital for Rehabilitation34-071457030,462 Cleveland Clinic Health System - East Region34-07145931,035,173 Fairview Hospital34-0714618670,953 Cleveland Clinic Home Care34-143525748,571 Cleveland Clinic Home Care Services34-172093491,628 Lodi Community Hospital34-0718390203,550 Lutheran Hospital34-0714684169,547 Marymount Hospital Inc34-0714458162,615 Medina Hospital34-0733166539,975 Partners Physician Group34-1843403172,518 The Union Hospital Association34-07147714,812,298 Union Physician Services LLC26-4215547482,787 Cleveland Clinic Florida (A Nonprofit Corporation)65-0003177205,999 Cleveland Clinic Florida Health System Nonprofit Corporation65-0844880363,062 MERCY MEDICAL CENTER, INC.34-18934396,420,950 MERCY PROFESSIONAL CARE CORP34-1873008477,706 Martin Memorial Medical Center Inc59-06378742,820,299 Martin Memorial Physician Corporation Inc65-0556041267,726 Indian River Memorial Hospital Inc59-2496294359,385 Indian River Health Services65-002929836,509 Vero Radiology Associates59-275537011,973 $ 221,973,894
Title: Disaster Grants Public Assistance (Presidentially Declared Disasters)
Accounting Policies: 1. Summary of Significant Accounting PoliciesBasis of PresentationThe accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of the Cleveland Clinic Foundation (EIN 34-0714585) and its controlled affiliates, d.b.a. Cleveland Clinic Health System (System), and is presented on the accrual basis of accounting.SubrecipientThe System is a subrecipient of federal funds, which are reported as expenditures and listed as federal pass-through funds.
De Minimis Rate Used: N
Rate Explanation: The System did not use the 10% de minimis indirect cost rate allowed by the Uniform Guidance.
For the Federal Emergency Management Agency (FEMA), Department of Homeland Security's Disaster Grants Public Assistance (Presidentially Declared Disasters) (Assistance Listing No. 97.036), the System incurred expenditures in 2020 through 2022; however, FEMA did not approve the project worksheets until 2022. As a result, certain Assistance Listing No. 97.036 federal expenditures reported in the Schedule for the year ended December 31, 2022 were incurred in the prior year.