Cleveland Clinic does not really operate off endowment for operating expenses. Rather, endowment is used for new construction. This is true at most nonprofit institutions.
What is happening is that they will be reimbursed at a lesser amount for procedures under Obamacare whether it be Medicare, Medicaid or insurance exchanges or due to government controls on private plans.
that's something id venture most people do not know. I certainly did not. one of the TV news readers on Fox the other day said of Obamacare: "I don't know WHAT it is". I believe he is not alone.