Cleveland Clinic Foundation: $15.6B Revenue, $11.5B Program Expenses

On the LakeQuality nonprofit efficiency rubric, Cleveland Clinic Foundation pulls an A — the highest available grade. The 81/100 composite reflects a combination of program-focused spending, controlled overhead, and the kind of multi-year financial discipline that grant-makers look for.

On revenue, Cleveland Clinic Foundation is among the largest U.S. nonprofits: $15.6B in 2023 reported revenue. Organizations at this scale typically operate hospitals, university systems, or national federations — the financial pattern looks more like a corporation than the small-charity stereotype. Program-spending efficiency is strong: 80% of total expenses flow to program activities, above the 75% benchmark most third-party charity raters use.

Revenue has grown meaningfully across the five-year filing history — a sign of expanding donor base, new grants, or scaling programs. Cleveland Clinic Foundation reported $15.6B in 2023, up notably from the start of the window. CEO compensation is reported as zero in the filing — typical for nonprofits where the chief executive is paid through a related entity (parent system, university, or foundation) rather than the filing organization itself, or for small organizations whose chief is a volunteer or board member. Cleveland Clinic Foundation is categorized under Health — the largest segment of U.S. nonprofit revenue, dominated by hospitals, hospital systems, and health-research organizations. Revenue-to-program ratios in this category often look different from smaller-program nonprofits because the underlying operations are capital-intensive.