Just received this email in my inbox

 

Dear Friend,

 

I am pleased to share with you that our Board of Directors and Board of Governors voted today to unanimously approve the Nomination Committee’s selection of Dr. Tom Mihaljevic, as Cleveland Clinic’s next President and CEO, effective January 1, 2018.

 

The Nomination Committee, which included representatives from both boards, has been interviewing candidates since I announced my transition in May.

 

Following extensive deliberation and review of candidates, the Nomination Committee unanimously recommended that Dr. Mihaljevic be elected as the next President and CEO.

 

Dr. Mihaljevic is eminently qualified to lead our organization and ensure our future success. As a member of our staff for more than 13 years, he has achieved an international reputation as an accomplished clinician, surgeon, researcher and educator. Dr. Mihaljevic embodies our mission of patients first and has demonstrated exceptional leadership in his current role as CEO of Cleveland Clinic Abu Dhabi, where he has earned the respect of his colleagues, caregivers and patients.

 

It has been an honor and privilege to serve as your President and CEO, a role I will continue to fill until the end of the year. The Governance Committee of the Board of Directors has asked me to continue in an advisory role, and I am pleased to do so.

 

Thank you for the confidence you placed in me over the past 13 years. I know you will offer the same support to Dr. Mihaljevic, as he works with you to shape the future of Cleveland Clinic.

 

Warmest regards,

 

Toby Cosgrove, MD signature

Toby Cosgrove, MD

CEO and President

Don't you mean, Dear Caregiver? 

 

Dear Caregiver:

 

I am pleased to share with you that our Board of Directors and Board of Governors voted today to unanimously approve the Nomination Committee’s selection of Dr. Tom Mihaljevic, as Cleveland Clinic’s next President and CEO, effective January 1, 2018.

 

The Nomination Committee, which included representatives from both boards, has been interviewing candidates since I announced my transition in May.

 

Following extensive deliberation and review of candidates, the Nomination Committee unanimously recommended that Dr. Mihaljevic be selected as the next President and CEO.

 

Dr. Mihaljevic is eminently qualified to lead our organization and ensure our future success. As a member of our staff for more than 13 years, he has achieved an international reputation as an accomplished clinician, surgeon, researcher and educator. Dr. Mihaljevic embodies our mission of patients first and has demonstrated exceptional leadership in his current role as CEO of Cleveland Clinic Abu Dhabi, where he has earned the respect of his colleagues, caregivers and patients.

 

It has been an honor and privilege to serve as your President and CEO, a role I will continue to fill until the end of the year. The Governance Committee of the Board of Directors has asked me to continue in an advisory role, and I am pleased to do so.

 

Thank you for the confidence you placed in me over the past 13 years. I know you will offer the same support to Dr. Mihaljevic, as he works with you to shape the future of Cleveland Clinic.

 

Toby Cosgrove, MD

CEO and President

 

Watch the video announcement

 

Cleveland Clinic's Taussig Cancer Institute receives $10 million pledge

 

Cleveland Clinic's Taussig Cancer Institute has received a pledge of $10 million in support from the Boykins, a family with ties to Cleveland.

 

"The Boykin family's gift will support a number of services that help patients throughout their cancer journey," said Brian J. Bolwell, chair of the Taussig Cancer Institute, in a prepared statement. "In addition to outstanding clinical care, we must support our patients as they navigate through what can be a daunting diagnosis.

 

http://www.crainscleveland.com/article/20180418/news/158661/cleveland-clinics-taussig-cancer-institute-receives-10-million-pledge

 

@CrainsCleveland

 

ClevelandClinic rolls out strategy to finance London hospital https://trib.al/O8nNsRM

The WSJ has an article today trumpeting NYU's plan to make its medical school tuition-free.  Buried deep in the article is the mention that the Cleveland Clinic's Lerner Medical School has been tuition free since 2008.

 

Lesson:  If it doesn't happen in New York, it doesn't happen.    ;)

 

https://www.wsj.com/articles/nyu-offers-full-tuition-scholarships-for-all-medical-students-1534433082?mod=hp_listb_pos3

The WSJ has an article today trumpeting NYU's plan to make its medical school tuition-free.  Buried deep in the article is the mention that the Cleveland Clinic's Lerner Medical School has been tuition free since 2008.

 

Lesson:  If it doesn't happen in New York, it doesn't happen.    ;)

 

https://www.wsj.com/articles/nyu-offers-full-tuition-scholarships-for-all-medical-students-1534433082?mod=hp_listb_pos3

 

WOW I honestly didn’t know that: https://portals.clevelandclinic.org/cclcm/Tuition-Financial-Aid

The WSJ has an article today trumpeting NYU's plan to make its medical school tuition-free.  Buried deep in the article is the mention that the Cleveland Clinic's Lerner Medical School has been tuition free since 2008.

 

Lesson:  If it doesn't happen in New York, it doesn't happen.    ;)

 

https://www.wsj.com/articles/nyu-offers-full-tuition-scholarships-for-all-medical-students-1534433082?mod=hp_listb_pos3

 

I'm not sure Lerner can be compared to NYU. Lerner (CCLCM) is basically a pathway within Case's med school. They admit around 30-40 students per year and its focused on biomedical research. If Case had implemented something similar to what NYU is doing, I could see how you can compare them. CCLCM is a specialty research school.

 

 

Should Cleveland Clinic, UH, others get into building housing to get low-income residents out of homes polluted with lead, radon and other toxins and provide more healthy surroundings....

 

Why Hospitals Are Getting Into The Real Estate Business

https://www.npr.org/sections/health-shots/2018/08/19/639415302/why-hospitals-are-getting-into-the-real-estate-business?utm_campaign=storyshare&utm_source=twitter.com&utm_medium=social

A press release....

 

https://www.yahoo.com/amphtml/finance/news/cleveland-clinic-oracle-shape-future-120000868.html

 

Cleveland Clinic and Oracle Shape the Future of Healthcare

PR Newswire

September 27, 2018, 12:00 PM GMT

Cloud-based software platform advances critical business systems and streamlines operational processes

 

CLEVELAND and REDWOOD SHORES, Calif., Sept. 27, 2018 /PRNewswire/ -- Cleveland Clinic and Oracle are improving healthcare delivery and reducing costs through a more efficient process and workflow. The cloud-based healthcare platform is expected to roll out at Cleveland Clinic London in 2019 and expand to Cleveland Clinic's domestic locations in 2020.

 

The innovative healthcare platform benefits back-office personnel, providers and patients. It is scalable for domestic and international growth providing enhanced financial forecasting, revenue management and data integration, which allows for more effective and efficient decisions regarding supply procurement and inventory management.

 

"Cleveland Clinic has both an opportunity and an obligation to shape the future of healthcare while fostering a culture and environment to provide care in an exceptional way," said William M. Peacock III, Cleveland Clinic Chief of Operations. "Our work with Oracle's cloud technologies is a testament to our commitment to evolving our IT and finance platform, positioning us to support anticipated growth both domestically and internationally. Moving to the cloud will be critical in meeting these goals."

 

Healthcare is a key industry for Oracle and with Oracle Enterprise Resource Planning (ERP) Cloud and Oracle Supply Chain Management (SCM) Cloud, Cleveland Clinic aims to transform its finance function by enabling increased productivity and lower costs. In addition, the health system will increase the efficiency of operations by taking advantage of real-time insights and automated supply and demand planning.

 

"Our customers play an important role in shaping our products, inspiring innovative features and defining industry-specific best practices for Oracle Cloud Applications," said Steve Miranda, executive vice president, Applications Development, Oracle. "Cleveland Clinic is an innovative healthcare organization that recognizes the potential of the cloud to enhance productivity. Our collaboration will create a future-proof business platform for Cleveland Clinic's global organization."

 

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual "America's Best Hospitals" survey. Among Cleveland Clinic's 52,000 employees are more than 3,600 full-time salaried physicians and researchers and 14,000 nurses, representing 140 medical specialties and subspecialties. Cleveland Clinic's health system includes a 165-acre main campus near downtown Cleveland, 11 regional hospitals, more than 150 northern Ohio outpatient locations – including 18 full-service family health centers and three health and wellness centers – and locations in Weston, Fla.; Las Vegas, Nev.; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2017, there were 7.6 million outpatient visits, 229,000 hospital admissions and 207,000 surgical cases throughout Cleveland Clinic's health system. Patients came for treatment from every state and 185 countries. Visit us at clevelandclinic.org. Follow us at twitter.com/ClevelandClinic. News and resources available at newsroom.clevelandclinic.org.

 

Editor's Note: Cleveland Clinic News Service is available to provide broadcast-quality interviews and B-roll upon request.

 

About Oracle

The Oracle Cloud offers complete SaaS application suites for ERP, HCM and CX, plus best-in-class database Platform as a Service (PaaS) and Infrastructure as a Service (IaaS) from data centers throughout the Americas, Europe and Asia. For more information about Oracle (ORCL), please visit us at www.oracle.com.

 

View original content to download multimedia:http://www.prnewswire.com/news-releases/cleveland-clinic-and-oracle-shape-the-future-of-healthcare-300718130.html

 

This was big news in South Florida while we there last week. Based on the lack of news coverage in Cleveland, it didn't seem to move the needle up north, though...

 

Cleveland Clinic adds 4 hospitals

Written by Ayla Ellison (Twitter | Google+)  | January 03, 2019 

 

Indian River Medical Center in Vero Beach, Fla., and Martin Health System, a three-hospital system based in Stuart, Fla., are now part of the Cleveland Clinic health system.

Cleveland Clinic said the transactions closed Jan. 1 after receiving the necessary regulatory approvals.

 

Cleveland Clinic signed a definitive agreement in October to acquire Martin Health System. Under the agreement, Cleveland Clinic committed to a $500 million investment over five years in Martin Health System. Cleveland Clinic agreed to invest $250 million in Indian River Medical Center over the next 10 years.

 

MORE:

https://www.beckershospitalreview.com/hospital-transactions-and-valuation/cleveland-clinic-adds-4-hospitals.html

Florida, Las Vegas, Toronto, London, Dubai... The Clinic is definitely our big homegrown multi-national. You've got to figure all of those branches are supporting many "headquarters" jobs here the same as with any large corporation. Makes me happy whenever I see them expanding out of town, spreading our brand!

Success At Cleveland Clinic And The Future Of Healthcare

Robert ReissContributor

Leadership Strategy

 

https://www.forbes.com/sites/robertreiss/2019/01/18/success-at-cleveland-clinic-and-the-future-of-healthcare/#506264211dc5

Edited January 19, 20196 yr by MuRrAy HiLL

Interesting Twitter thread on the potential for spin-off residential development from the Clinic...

 

 

 

The clinic makes money off the garages. The e105th and e89th garages are $70 a month. Closer in ones are over $100. Encouraging everyone to ride RTA pays them much less.

 

If I had the money I would be building parking-less residential buildings just across Chester and Cedar, aiming them at clinic emoloyees. If you need a parking spot, just use the one you pay for at the clinic.

They probably also make money treating smokers and diabetics for their ailments, yet they ban tobacco, sweets and soda pop from their properties. They could probably make money by developing residential buildings within walking distance of the hospital for their staff and others, thereby offering healthier lifestyles at the same time too. Unless they still feel like they're in Fort Apache The Bronx.

Edited January 31, 20196 yr by KJP

1 hour ago, originaljbw said:

The clinic makes money off the garages. The e105th and e89th garages are $70 a month. Closer in ones are over $100. Encouraging everyone to ride RTA pays them much less.

 

If I had the money I would be building parking-less residential buildings just across Chester and Cedar, aiming them at clinic emoloyees. If you need a parking spot, just use the one you pay for at the clinic.

 

Just to pick this apart a little: Clinic employees are apparently compensated in part by a parking discount, so for those who do wish to arrive any other way are essentially paid less. Which is not just terrible for reasons we care about on this board, but it's a silly way to pay people. How many of you would really prefer to be paid by your employer in gift cards than cash?  

1 hour ago, StapHanger said:

 

Just to pick this apart a little: Clinic employees are apparently compensated in part by a parking discount, so for those who do wish to arrive any other way are essentially paid less. Which is not just terrible for reasons we care about on this board, but it's a silly way to pay people. How many of you would really prefer to be paid by your employer in gift cards than cash?  

 

Call me dense, but I'm not seeing how this is a parking discount? Are you stating that you believe that the Clinic are not revenue-neutral (that is, they are losing money on them) and that they are not charging what other private entities would charge?

 

Are you sure that you're not confusing it with the ability for employers to allow employees to allot a portion of paycheck before their pay is counted as gross income to go towards parking, public transportation, as well as health care (as a FSA)?

(https://www.law.cornell.edu/uscode/text/26/132).

That pre-tax ability is given on a federal level.

 

As much as I detest the Clinic, the $100+/month for parking does not sound that much of a discount; IIRC, downtown lots go for $100-150/month. Hell, even my transit-adverse sister (lives in Old Brooklyn) who works at main campus at the clinic carpools with a co-worker (lives in Brookpark) to save $ and not pay for a monthly parking pass.

Edited January 31, 20196 yr by skorasaurus
clarification

^I could be wrong, but I'm skeptical $70-$100/month covers the construction and operating costs of a large parking structure. There's a reason why the developer of the parking garage under the Beacon lost it to foreclosure and why the county has had to subsidize the debt service for the Gateway garages. 

 

EDIT: quick back of the envelope: operating costs for a commercial structure are ~$500-$1000/space/year. Assuming the low end for a huge structure and the high end of the employee parking rate cited above, that's $700/space/year in net operating revenue.  Construction costs for recent structures were probably $15-20K/space. Assuming the low end there, annual net revenue is under 5% of cost. So even with the most conservative assumptions, looks like you can barely cover interest and replacement reserves, let alone retire the underlying debt.  

 

Cost data from: http://www.vtpi.org/tca/tca0504.pdf

Edited January 31, 20196 yr by StapHanger

And I realize that CCF is a nonprofit entity, but they also have to break even. All the more reason why they should be investing in housing from here on out and not more parking.

I recently retired from the Clinic after 20+ years. In all that time I'm not aware there was a parking discount for employees. You paid various amounts for parking which was determined by the location and whether or not it was a garage or surface lot. Employee discount? That's news to me.

Oh and the Clinic leased out the parking to a third party. They received a flat fee from the parking company and the parking company determined the costs for the various lots. Whenever employees complained about the cost of parking going up the Clinic would say "We have no control over that."

^Sure, I get all that, but don't think it really bears on whether or not employees are being provided access to parking below cost. 

Full disclosure: per this Cleveland.com article, the Clinic said it's most recent 3000 space garage would cost only $36M, which is a substantially lower cost/space number than the benchmark in the report I cited upthread.  https://www.cleveland.com/architecture/index.ssf/2015/02/clinic_seeks_approval_to_build.html

 

I definitely can't say for sure that the parking rates don't cover the construction costs.  And the fact the Clinic charges employees anything substantial to use spaces it owns is itself a big deal, allowing those who commute in other ways to save some money. Better than a lot of other places.

 

And employees really don't like being charged for things!  https://www.glassdoor.com/Reviews/Cleveland-Clinic-pay-for-parking-Reviews-EI_IE17787.0,16_KH17,32.htm

Are any of these parking garages built in a way that could support a residential structure built on top?

KJP I'm not an architect so I can't speak to the viability of building housing above the garages but even if it was possible have you seen the footprint of those garages? They are HUGE. Much bigger than say, the Beacon downtown so even if it was possible the footprint is just too big to be viable IMO. 

 

 StapHanger I can''t say the Clinic subsidizes parking but I doubt it. For what it's worth the prevailing opinion among Clinic employees is the Clinic makes money on employee parking.  And it may just be sour grapes but one reason employees hate to pay for parking is because a big chunk of them drive in from the suburbs and EVERYONE knows people who work elsewhere who don't have to pay for their work parking. It's a common complaint among workers. Probably because the average employees don't compare their work place with the likes of NY, Boston, Chicago etc where it is common to pay for parking in the urban area. Most of us come from suburban Cleveland where we don't pay for parking at our jobs. So there is that underlying resentment about paying to park at the Clinic.

 

^You'll forgive me if I don't put much stock in the common sentiments of Clinic employees, who likely have zero concept of the costs involved in building structured parking.  But I completely understand the distaste they have for paying for something whose cost is usually hidden or pushed onto others.  I'd point out, though, that paying for parking is not just some NY/Boston/Chicago novelty- I'd guess most workers in Downtown Cleveland also pay something.

17 hours ago, cadmen said:

KJP I'm not an architect so I can't speak to the viability of building housing above the garages but even if it was possible have you seen the footprint of those garages? They are HUGE. Much bigger than say, the Beacon downtown so even if it was possible the footprint is just too big to be viable IMO. 

 

I'm not an architect (nor, perhaps more appropriately, an engineer) either but I want to know how many of these garages were designed and built. Were their foundations and weight-bearing structures designed and built in a manner that could support additional levels above the parking? Could the additions be built of wood to reduce weight and costs? How many floors and units could be added to one or more of these garages? If additional structural reinforcement is required, how much?

Edited February 1, 20196 yr by KJP

Stap...I'm not saying Clinic employees knowing anything about what it costs to build the parking structures because they don't. I am simply saying most think that whatever the cost there is no way the Clinic is losing money i.e. subsidizing employee parking such that employees are not paying the real cost of parking and the Clinic is losing money on the garages.

 

Now that prevailing opinion may be wrong but I will say that as an employee we were never told that the Clinic was taking a financial hit in order to help with the cost to employees. We simply had a monthly debit for parking taken out of our paychecks. When management is silent on an issue employees will come to their own conclusion - right or wrong. 

 

And of course I know that its not just Clinic employees who pay for parking but also downtown workers in any large city. I thought that was assumed. 

^I was just reacting to your reference to those other cities, and as I'm sure you know, if employees did compare themselves to people in those places, they'd be thrilled by monthly parking rates of $70 or $100.  I get your point, though. Itemized costs rub in our face and give the illusion we're paying more. If the Clinic had simply reduced salary growth by $1K/headcount, the cost to employees would be the same, but there'd probably be less complaining. Ultimately it's a labor market and behavioral economics issue. Money is fungible. Policy people like the parking charge because it at least gives employees some choice of incurring it or not. If an employer uses its market leverage to instead pay for costs by suppressing wages, that choice is gone.

Edited February 1, 20196 yr by StapHanger

KJP, to answer your question there are at least three huge parking structures with possibly more planned as the Clinic is not finished fleshing out the campus. More to come.

 

You ask some interesting questions about whether or not the existing garages can handle additional housing built on top. A better question might be "IF the garages could handle it would the Clinic be interested?" Under Cosgrove the Clinic was focused on delivering the best medical care in the most efficient manner. It wasn't focused on the neighborhood and it certainly wan't focused on housing built on garages. And that thought is reflected in Clinic architecture which many on these forums have complained about. Unlike Mayo the Clinic is not integrated into its neighborhood. Its design seems to turn its back on the community. 

 

Now that there is a new CEO that may change. I don't know because I retired so I no longer have any insight on a directional change - if any. 

CCF might not have the desire to build anything, but would they be interested in making structurally sufficient parking decks available to developers who would have the desire?

Stap you are right! Conversely $70 -$100 a month to park would be considered a great deal in a large market. Our complaints are really more of an indication of our small city thinking. Many in CLE don't know what real traffic is, what the real cost of housing is in a large city etc. In many ways we just don't get it. We compare our costs locally as in the difference between urban and suburban not between Cleveland and Boston, Chicago etc. 

You have more connections than I do KJP. If you're curious tap those connections and see if you can get an answer. As you know to be successful in the business world an idea often needs a champion. On these forums you are our champion for TOD. You are one of the leaders for density (believe me, I'm in complete agreement) but in this town I feel like we are too often swimming upstream. That being said, there has been real progress especially when you consider how steep our fall. Its just that when we compare our progress with other regions that are really growing we realize our progress pales in comparison. Still, we're here and doing our best to encourage ANY positive steps. 

 

 

I don't have any direct connections with CCF's top brass. And given the tide that needs to be turned so that we're swimming upstream less often, it will take multiple champions.

On 1/31/2019 at 2:36 PM, KJP said:

Are any of these parking garages built in a way that could support a residential structure built on top?

Maybe not on top, but offices could be wrapped around like the main visitor garage. All the employee garages have mostly finished elevator lobbies with some doors, heating,  and carpet. It's not hard to imagine a future where what is currently a green lawn separating the garages from the street gets developed as support/peripheral offices.

Sort of along these lines, the most recent mega garage (Cedar and 105th) was designed for the possibility of a retail addition to face the Opportunity Corridor. Might be possible to go up a few stories.

Cleveland Clinic proposes major medical facility in Palm Beach County

Three buildings would be constructed by the hospital.

https://www.bizjournals.com/southflorida/news/2019/02/06/cleveland-clinic-proposes-major-medical-office.html

Historical background...

 

The Miracle on East 105th

The rise and fall of Winston E. Willis’ opportunity corridor.

http://pressurelife.com/the-miracle-on-east-105th/

WATCH LIVE | State of the Cleveland Clinic address: CEO to give 5-year plan

The speech is being held at the InterContinental Hotel Ballroom on Carnegie.

https://www.wkyc.com/mobile/article/news/local/cleveland/watch-live-state-of-the-cleveland-clinic-address-ceo-to-give-5-year-plan/95-dfd29aec-7be4-422b-bcfb-8404685b8e10

Cleveland Clinic takes financial hit in 2018, CEO reports at State of the Clinic address

https://www.cleveland.com//business/2019/02/cleveland-clinic-takes-financial-hit-in-2018.html

 

Dear Cleveland Clinic:

 

Record number of visits to Cleveland Clinic could mean more spin-off benefits...if the surrounding area was walkable

 

Highmark-UPMC acrimony prompts Upper St. Clair woman to leave city for medical care

KRIS B. MAMULA

Pittsburgh Post-Gazette

[email protected]

APR 8, 2019

 

...The Ohio hospital may draw still more patient dollars from the Pittsburgh area in the years to come.

 

In February, Cleveland Clinic president and CEO Tom Mihaljevic announced plans to double the clinic’s patient volume over the next five years.

 

The health system provided care for more than 2 million people in 2018, a record for the Cleveland institution.

 

“We can’t take this demand for granted,” Dr. Mihaljevic said in a prepared statement. “It’s our moral obligation to open our doors as wide as possible for those in need.”

 

MORE:

https://www.post-gazette.com/business/bop/2019/04/08/Highmark-UPMC-Upper-Saint-Clair-cleveland-clinic-allegheny-health-network/stories/201903110104

That's an interesting quote above:  “It’$ our moral obligation to open our door$ a$ wide a$ po$$ible for tho$e in need.”

Cleveland Clinic continues its expansion in Florida:

 

"Now the city appears to be about ready to close that chapter of its efforts by picking Cleveland Clinic's Lerner Research Institute to acquire the ex-VGTI property, now called Florida Center for Bio-Sciences."

 

https://www.tcpalm.com/story/news/local/shaping-our-future/property-values/2019/05/29/cleveland-clinic-port-st-lucie-ex-vgti-property/1269369001/

Maybe someday Cleveland Clinic will consolidate its Independence business operations center and Brecksville data center, along with more than 1,200 employees, into the same building in downtown Cleveland....that is, if they want to attract young talent to its ranks.

22 minutes ago, KJP said:

Maybe someday Cleveland Clinic will consolidate its Independence business operations center and Brecksville data center, along with more than 1,200 employees, into the same building in downtown Cleveland....that is, if they want to attract young talent to its ranks.

 

This is what people in a hurry just read lol. 

Seriously though, much of the building dates from 1957. It was Republic Steel's technology center. The 142,000 sf facility was expanded by 25,000 sf in 2002 and again by 100,000 sf in about 2010. The expansions are in the back, away from Brecksville Road, where no one can see them. The building looks like junk from the road.

 

BTW, anyone know why the property is owned by the US government as it has been since at least 1991?

BTW, Cleveland Clinic also has substantial square footage/administrative office employees in the former MBNA campus on Science Park Drive in Beachwood. Combine the the Independence and Beachwood locations into an office building downtown or in University Circle and it would be a large building of 500,000+ square feet.