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Cleveland Clinic Health System Obligated Group - FMSbonds.com

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<strong>Cleveland</strong> <strong>Clinic</strong> <strong>Health</strong> <strong>System</strong>Notes to Consolidated Financial Statements (continued)12. Pensions and Other Postretirement Benefits (continued)The <strong>System</strong> uses a direct cost approach to estimate its postretirement benefit obligation forinternally provided services. Externally provided service liabilities are based on the <strong>System</strong>’shistorical cost experience. The annual assumed health care cost trend rate for internally providedservices is 8.25% and is assumed to decrease by approximately 0.50% per year to an ultimaterate of 4.75% in 2013. The health care cost trend rate for externally provided services is 9.25%and is assumed to decrease by approximately 0.50% per year to an ultimate rate of 5.75% in2013 and thereafter. A one-percentage-point increase or decrease in the health care cost trend ratewould have increased or decreased the December 31, 2007 service and interest costs in total by$2.1 million and $1.5 million, respectively, and the December 31, 2006 accumulatedpostretirement benefit obligation by $2.0 million and $1.4 million, respectively.The <strong>System</strong>’s investment strategy for its pension asset balances the liquidity needs of the pensionplans with the long-term return goals necessary to satisfy future pension obligations. The targetasset allocation seeks to capture the equity premium granted by the capital markets over thelong-term while ensuring security of principal to meet near term expenses and obligationsthrough the fixed in<strong>com</strong>e allocation. The target allocation percentages of the investment pool tovarious sectors of the equity (40–80% target) and fixed in<strong>com</strong>e (20–45% target) markets oralternative investments (0–20% target) are designed to reduce volatility in the portfolio.The <strong>System</strong>’s pension portfolio return assumption of 8.5% is based on the targeted weightedaverage return of <strong>com</strong>parative market indices for the asset classes represented in the portfolioand discounted for pension expenses.The <strong>System</strong> expects to make contributions of $105.5 million to the defined benefit pension plansin 2008. Additional funding for other postretirement benefit plans is expected to be $2.3 millionin 2008. Pension and other postretirement benefit payments over the next five years, net of theaverage annual Medicare Part D subsidy of approximately $4.3 million, are estimated as follows:2008 – $54.2 million; 2009 – $54.0 million; 2010 – $55.7 million; 2011 – $59.3 million; 2012 –$70.0 million; and in the aggregate for the five years thereafter is $468.2 million.No plan assets are expected to be returned to the employer during 2008.33

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