The Cleveland Clinic Foundation: $7.6B Revenue, $6.0B Program Expenses

The efficiency rubric puts The Cleveland Clinic Foundation at a B grade: a composite of 79/100 that lands above the national midpoint. The grade reflects solid program-spending discipline alongside reasonable executive compensation and financial reserves.

On revenue, The Cleveland Clinic Foundation is among the largest U.S. nonprofits: $7.6B in 2022 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. The Cleveland Clinic Foundation directs 80% of its expenses to programs — above the third-party-rater threshold for an efficient organization.

Five-year revenue has grown modestly. The Cleveland Clinic Foundation is not expanding rapidly but is not shrinking either; the trajectory is consistent with stable donor and grant relationships. 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. The 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.