2023-11-15T14:05:16-06:00 2022-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 48226 990 2022-01-01 340714775 UNIVERSITY HOSPITALS HEALTH SYSTEM INC UNIV 2168441000 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 IRINA WOLFSON CFO 2168441000 2023-08-11 1 IRINA WOLFSON 999009999 0 SHAWNA M JANSONS P01222873 3174648600 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL A SZUBSKI 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 883654340 0 3829 X WWW.UHHOSPITALS.ORG X 1940 OH UNIVERSITY HOSPITALS (THE SYSTEM) IS GUIDED BY ITS MISSION, "TO HEAL. TO TEACH. 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PROVIDES LIMITED SUPPORT TO OTHER PUBLIC CHARITIES ON BEHALF OF ITS SUPPORTED ORGANIZATION. ALL GRANTS THAT ARE MADE THROUGH UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF ITS SUPPORTED ORGANIZATION. SCHEDULE A, PART IV, SECTION C, LINE 1: THE CONTROL AND MANAGEMENT OF UHHS (I.E. THE SUPPORTING ORGANIZATION) IS VESTED IN THE INDIVIDUALS THAT SERVE AS MEMBERS AND DIRECTORS OF UHHS PURSUANT TO ITS APPLICABLE GOVERNANCE DOCUMENTS. UHHS POSSESSES RESERVED RIGHTS WITH RESPECT TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, INCLUDING WITHOUT LIMITATION THE RIGHT TO APPROVE BUDGETS, OTHER FINANCIAL MATTERS AND STRATEGIC PLANS, APPROVE AMENDMENTS TO CONSTITUTIVE DOCUMENTS AND APPROVE THE APPOINTMENT OF OFFICERS AND DIRECTORS FOR UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER. UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER IS GOVERNED BY SYSTEM-WIDE MANAGEMENT POLICIES AND PROCEDURES, COMPLIANCE GUIDELINES, CODES OF CONDUCT AND APPROVAL OF MATTERS RELATED TO FINANCING, INVESTMENTS, LEGAL, MATERIAL ASSET SALES OR TRANSFERS, AND STRATEGIC AND CAPITAL BUDGETS. ALL OF WHICH HAVE BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS FOR UHHS. 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ARTWORK INCLUDES PAINTINGS, PHOTOS, SCULPTURES AND THE LIKE. THE UH ART COLLECTION HAS BEEN ESTABLISHED TO ENCOURAGE REFLECTION, AND TO DELIGHT, UPLIFT AND COMFORT OUR PATIENTS, VISITORS, AND EMPLOYEES. PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS VARIES DEPENDING ON DONOR STIPULATIONS. ALL SPENDING OF ENDOWMENT EARNINGS ARE DONE SO IN ACCORDANCE WITH DONOR INTENT AND APPLICABLE LAW. PART X, LINE 2: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTES FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF DECEMBER 31, 2022 AND 2021, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. 1 CENTRAL AMERICA/CARIBBEAN 0 0 INVESTMENTS 405239436 CENTRAL AMERICA AND THE CARIBBEAN 0 1 PROGRAM SERVICES OFFSHORE CAPTIVE MANAGEMENT -1679131 EAST ASIA AND THE PACIFIC 0 0 GRANTMAKING 30285 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTMAKING 437206 NORTH AMERICA 0 0 GRANTMAKING 50000 0 1 0 0 0 1 404077796 0 404077796 EAST ASIA AND THE PACIFIC GENERAL SUPPORT 30285 0 EUROPE (INCLUDING ICELAND & GREENLAND) GENERAL SUPPORT 437206 0 NORTH AMERICA GENERAL SUPPORT 50000 0 2 1 1 0 1 1 1 0 PART I, LINE 2: HARRINGTON DISCOVERY INSTITUTE AT UHHS CURRENTLY GRANTS AWARDS OUTSIDE OF THE U.S. IN CANADA AND THE UNITED KINGDOM. EACH PROGRAM APPLICATION HAS ELIGIBILITY QUESTIONS THAT ARE ASKED OF THE APPLICANT THROUGH HARRINGTON DISCOVERY INSTITUTE'S GRANT MANAGEMENT SYSTEM, SMARTSIMPLE. APPLICANTS MUST ANSWER THE ELIGIBILITY QUESTIONS IN THE AFFIRMATIVE IN ORDER TO ADVANCE TO THE ONLINE APPLICATION FORM. THE APPLICATION FIELDS FURTHER CONFIRM THE APPLICANT'S ELIGIBILITY FOR THE GRANT, INCLUDING THEIR FACULTY STATUS AT THE ACADEMIC INSTITUTION, CONTROL OF THE PROJECT'S INTELLECTUAL PROPERTY, TYPE OF RESEARCH PROJECT (DRUG VERSUS DEVICE), STAGE OF DEVELOPMENT, AND OTHER CHARACTERISTICS OF THE RESEARCH. APPLICATIONS ARE HOUSED IN SMARTSIMPLE AND REVIEWED BY A PANEL OF REVIEWERS. THE REVIEW TEMPLATES INCLUDE MULTIPLE CHOICE QUESTIONS, OPEN-ENDED QUESTIONS, AND NUMERIC SCORING OF THE APPLICATION. APPLICATIONS ARE ASSESSED BASED ON: - QUALITY OF THE SCIENCE AND THE SCIENTIST - NOVELTY AND INNOVATIVE QUALITY OF THE WORK - POTENTIAL FOR IMPACT ON HUMAN HEALTH THE SUBMITTED REVIEWS ARE COMPILED AND THE TOTAL SCORES ARE CALCULATED. THE SCORES ARE USED AS A BASIS FOR THE SELECTION PROCESS, WHICH IS TYPICALLY A CONFERENCE CALL WHERE MINUTES ARE TAKEN. THE REVIEWER RESULTS, NUMERIC SCORES, AND NOTES FROM THE SELECTION PROCESS ARE ALL SAVED ON THE ORGANIZATION'S SHARED DRIVE. THE GRANT AGREEMENT BETWEEN HARRINGTON DISCOVERY INSTITUTE AND THE GRANTEE'S ACADEMIC INSTITUTION SPELLS OUT THE TERMS OF THE GRANT AGREEMENT. UPON EXECUTION OF THE AGREEMENT BETWEEN BOTH PARTIES, HARRINGTON DISCOVER INSTITUTE'S VP OF THERAPEUTICS DEVELOPMENT ASSIGNS A TEAM OF ADVISORS AND A PROJECT MANAGER TO THE GRANTEE. DURING THE GRANTEE'S TERM, WHICH COULD BE 1, 2 OR 3 YEARS, THE GRANTEE MEETS REGULARLY (TYPICALLY ONCE PER MONTH, OR MORE FREQUENTLY AS NEEDED) WITH THEIR PROJECT TEAM TO ADVISE THE GRANTEE ON THEIR SCIENTIFIC WORK, MONITOR USE OF GRANT FUNDS, AND EVALUATE PROGRESS TOWARDS STATED AIMS. YEARLY RENEWAL OF THE AWARD IS DEPENDENT ON THE TIMELY SUBMISSION OF A WRITTEN ANNUAL PROGRESS REPORT. ANNUAL PROGRESS REPORT INCLUDE KEY DETAILS OF THE GRANTEE'S PROJECT INCLUDING PROJECT OBJECTIVE, STATUS, MILESTONES TO BE MET, CHANGE IN KEY PERSONNEL IF APPLICABLE, PUBLICATIONS RELATED TO THE WORK, ANY NEW PATENTS FILED OR ISSUED RELATED TO WORK, NEW OR POTENTIAL SOURCES OF ADDITIONAL FUNDING, STATUS OF PARTNERING ACTIVITIES, FINANCIAL REPORTING, AND UPDATED BUDGET. YEARLY REPORTS ARE SAVED ON HARRINGTON DISCOVERY INSTITUTE'S SHARED DRIVE WITH ALL MATERIALS RELATED TO THE GRANT. PART I, LINE 3: EXPENDITURES ARE RECORDED ON AN ACCRUAL BASIS. PART III ACCOUNTING METHOD: 1 REGENTS OF THE UNIVERSITY OF CALIFORNIA AT SAN DIEGO 9500 GILMAN DR LA JOLLA CA 92093 956006144 501(C)(3) 925481 0 GENERAL SUPPORT CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVENUE CLEVELAND OH 44106 341018992 501(C)(3) 488043 0 GENERAL SUPPORT THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNVERSITY 485 BROADWAY MAIL CODE 8838 REDWOOD CITY CA 94063 941156365 501(C)(3) 200000 0 GENERAL SUPPORT THE UNIVERSITY OF TEXAS AT AUSTIN 110 INNER CAMPUS DRIVE AUSTIN TX 78705 746000203 501(C)(3) 186472 0 GENERAL SUPPORT TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 622 WEST 113TH STREET MAIL CODE 8741 NEW YORK NY 100277922 135598093 501(C)(3) 160000 0 GENERAL SUPPORT DANA-FARBER CANCER INSTITUTE INC 450 BROOKLINE AVENUE BOSTON MA 02215 042263040 501(C)(3) 131000 0 GENERAL SUPPORT THE JACKSON LABORATORY 600 MAIN STREET BAR HARBOR ME 04609 010211513 501(C)(3) 114162 0 GENERAL SUPPORT THE REGENTS OF THE UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO 220 MONTGOMERY ST FL 5 SAN FRANCISCO CA 94104 946036493 501(C)(3) 100000 0 GENERAL SUPPORT UNIVERSITY OF PITTSBURGH PARK PLAZA 128 NORTH CRAIG STREET PITTSBURGH PA 15260 250965591 501(C)(3) 100000 0 GENERAL SUPPORT PSYCHOGENICS INC 215 COLLEGE ROAD PARAMUS NJ 07652 141989159 99800 0 GENERAL SUPPORT INTEGRATED DNA TECH INC 1710 COMMERCIAL PARK CORALVILLE IA 52241 421301142 74451 0 GENERAL SUPPORT GEORGETOWN UNIVERSITY 37TH AND O STS NW WASHINGTON DC 20007 530196603 501(C)(3) 50000 0 GENERAL SUPPORT MEMORIAL SLOAN KETTERING CANCER CENTER PO BOX 27106 GIFT ADMINISTRATION NEW YORK NY 10087 131924236 501(C)(3) 50000 0 GENERAL SUPPORT UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL 103 SOUTH BUILDING CAMPUS BOX 9100 CHAPEL HILL NC 27599 566001393 501(C)(3) 50000 0 GENERAL SUPPORT WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY 1300 YORK AVENUE NEW YORK NY 10065 131623978 501(C)(3) 50000 0 GENERAL SUPPORT YALE UNIVERSITY PO BOX 2038 NEW HAVEN CT 06521 060646973 501(C)(3) 50000 0 GENERAL SUPPORT CHARLES RIVER LABORATORIES 640 N ELIZABETH STREET SPENCERVILLE OH 45887 760509980 47216 0 GENERAL SUPPORT CYAGEN US INC 2255 MARTIN AVENUE SUITE E SANTA CLARA CA 95050 824308467 31197 0 GENERAL SUPPORT RICERCA BIOSCIENCES LLC 7528 AUBURN ROAD CONCORD OH 44077 341911003 22500 0 GENERAL SUPPORT 14 5 PART I, LINE 2: UH HAS A PROCESS WHERE WE RECEIVE AND REVIEW REQUESTS FOR FUNDING, WHICH INCLUDES OUR SENIOR LEADERS. IN THAT REVIEW PROCESS WE CHECK TO BE SURE THE ORGANIZATION IS MISSION ALIGNED TO UH AND REVIEW HISTORICAL GIVING. MUCH OF OUR SUPPORT IS REVIEWED BOTH INTERNALLY AND WITH THE EXTERNAL GROUP ON AN ANNUAL BASIS. X X X X X 1 1 0 0 0 0 0 1 1 1 MEGERIAN CLIFF MD DIRECTOR EX OFFICIO/CEO 1625391 0 2791762 0 613632 0 24400 0 29113 0 5084298 0 0 0 MOORE-HARDY CYNTHIA PRESIDENT LAKE HEALTH SYSTEM 806202 0 181920 0 1519977 0 1763586 0 7877 0 4279562 0 0 0 SIMON DANIEL I MD CHIEF SCIENTIFIC OFFICER 1024326 0 2129598 0 263338 0 21706 0 28665 0 3467633 0 0 0 SZUBSKI MICHAEL A CHIEF FINANCIAL OFFICER/TREASURER 966900 0 2076002 0 273582 0 27450 0 28039 0 3371973 0 0 0 SNOWBERGER THOMAS D CHIEF ADMINISTRATIVE OFFICER 695021 0 1673343 0 164730 0 22875 0 16442 0 2572411 0 0 0 TEKNOS THEODOROS N PRESIDENT SIEDMAN CANCER CENTER 898513 0 825147 0 67189 0 22875 0 27887 0 1841611 0 0 0 STAMLER JONATHAN PRESIDENT HDI 1020615 0 441035 0 209385 0 22875 0 17540 0 1711450 0 0 0 PRONOVOST PETER MD CHIEF QUALITY OFFICER 789441 0 716115 0 28601 0 22875 0 453 0 1557485 0 0 0 SABIK JOSEPH MD DIRECTOR 0 1293098 0 112500 0 36444 0 22875 0 27439 0 1492356 0 0 HINCHEY PAUL ROBERT CHIEF OPERATING OFFICER(BEGIN 12/22) 877891 0 541893 0 25816 0 20315 0 18156 0 1484071 0 0 0 BECK ERIC H DO MPH CHIEF OPERATING OFFICER (END 05/22) 453195 0 1010600 0 1265 0 4271 0 14700 0 1484031 0 0 0 TAIT PAUL G CHIEF STRATEGY OFFICER 641589 0 584326 0 190406 0 27450 0 27652 0 1471423 0 0 0 ADELMAN HARLIN G ESQ CLO/SEC/INTERIM CCO (05/22-06/22) 650037 0 569256 0 189112 0 27450 0 28094 0 1463949 0 0 0 BISHOP SHERRI L CHIEF DEVELOPMENT OFFICER 506463 0 621590 0 155448 0 27450 0 28702 0 1339653 0 0 0 SHISHEHBOR MEHDI H PRESIDENT UH HARRINGTON HEART 824837 0 405900 0 25194 0 21350 0 28537 0 1305818 0 0 0 KEEGAN ARTHUR E CHIEF MARKETING OFFICER 410606 0 429950 0 377810 0 22875 0 16442 0 1257683 0 0 0 DEPOMPEI PATRICIA M PRESIDENT UH RAINBOW BABIES 523868 0 447127 0 132537 0 27450 0 18284 0 1149266 0 0 0 HEREFORD MICHELLE CHIEF NURSING OFFICER 525276 0 291086 0 61729 0 17184 0 8354 0 903629 0 0 0 PANDRANGI VASU MD DIRECTOR EX OFFICIO 0 601973 0 1250 0 13658 0 87654 0 10133 0 714668 0 0 BRIEN WILLIAM W MD FORMER OFFICER 0 0 0 0 407662 0 0 0 439 0 408101 0 408101 0 PULLIAM LAVONNE E JD CHIEF COMPLIANCE OFFICER 165103 0 8 0 25275 0 8560 0 3565 0 202511 0 0 0 STANDLEY STEVEN D FORMER OFFICER 0 0 0 0 186632 0 0 0 0 0 186632 0 0 0 PART I, LINE 7 MANAGEMENT INCENTIVE PLAN (MIP) PAYMENTS ARE CALCULATED ANNUALLY AS A PERCENTAGE OF BASE SALARY BASED UPON GOAL ATTAINMENT FOR EACH INCENTIVE CYCLE. THE ELIGIBLE INCENTIVE PERCENTAGE IS DEPENDENT UPON EACH INDIVIDUAL'S LEADERSHIP LEVEL IN THE ORGANIZATION. PART I, LINE 8 CERTAIN EMPLOYEE COMPENSATION DISCLOSED IN PART VII MEET THE REQUIREMENTS OF THE INITIAL CONTRACT EXCEPTION. PART I, LINE 4A: UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: BRIEN, WILLIAM W. MD: $408,101 PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN UNDER CODE 457(F). ANY AMOUNTS ULTIMATELY PAID UNDER THE PLAN TO AN ELIGIBLE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B (III) IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: STANDLEY, STEVEN D. ($186,632 - SERP) KEEGAN, ARTHUR E. ($286,242 - SERP) FORM 990, SCHEDULE J, PART II: FORM 990 REPORTING REQUIREMENTS RELATED TO ITEMS SUCH AS DEFERRED COMPENSATION PROGRAMS REQUIRE DUAL REPORTING IN SOME YEARS FOR VARIOUS PARTICIPANTS. AS SUCH, AMOUNTS MAY BE SHOWN IN PART VII AND SCHEDULE J DURING A YEAR IN WHICH THOSE AMOUNTS WERE DEFERRED, AND AGAIN IN SUBSEQUENT YEARS IN PART VII AND SCHEDULE J WHEN ACTUALLY PAID. ONLY SCHEDULE J INCLUDES A COLUMN (F), NOTING THESE AMOUNTS WERE PREVIOUSLY REPORTED. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CAS7 2012-06-21 189782379 SEE PART VI FOR DESCRIPTION 1 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CCB2 2013-12-10 124142966 SEE PART VI FOR DESCRIPTION 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CCC0 2014-11-06 100361458 SEE PART VI FOR DESCRIPTION 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CCF3 2015-10-01 100000000 SEE PART VI FOR DESCRIPTION 0 0 0 A 27440000 91585000 189782379 2092370 349258 187340751 2012 0 1 1 1 B 24160000 124142966 1442966 122700000 2013 1 0 1 1 C 25000000 100361458 1221881 10000000 89139577 2015 1 0 1 1 D 100000577 1204500 37316424 61479653 2015 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION - PART I, COLUMN (F) PART I, COLUMN (F) - THE SERIES 2012A BONDS ISSUED 6/21/2012 REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS ISSUED 3/24/2009. PART I, COLUMN (F) - THE SERIES 2013A AND 2013B BONDS ISSUED 12/10/2013 REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS ISSUED 5/8/2008. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2014ABC ISSUED 11/6/2014 WERE USED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AS WELL AS FOR ROUTINE CAPITAL EXPENDITURES AND TO REFUND BONDS ISSUED 4/2/2014 AND 4/17/2014. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2015ABC BONDS ISSUED 10/1/2015 WERE USED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, AS WELL AS FOR ROUTINE CAPITAL EXPENDITURES AND TO REFUND A PORTION OF BONDS ISSUED 12/27/2010 AND ALL THE OUTSTANDING DEBT ISSUED 6/1/2015. PART I, COLUMN (F) - THE SERIES 2016A BONDS ISSUED 3/31/2016 REFUNDED A PORTION OF THE SERIES 2007A BONDS ISSUED 2/7/2007. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2018ABD BONDS ISSUED 9/26/2018 WERE USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND ALL OF THE SERIES 2014C BONDS ISSUED 11/6/2014, A PORTION OF THE SECOND DRAW OF THE SERIES 2014C BONDS ISSUED 7/15/2015, AND ALL OF THE OUTSTANDING SERIES 2015DE BONDS ISSUED 12/18/2015. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2020ABCDE BONDS ISSUED 1/23/2020 WERE USED FOR BUILDING AND EQUIPPING A HOSPITAL FACILITY, AND TO REFUND PORTIONS OF BONDS ISSUED 11/6/2014 AND 9/26/2018 AND ALL OF THE OUTSTANDING BONDS ISSUED 2/7/2007, 2/12/2010, 10/23/2012, AND 10/24/2018. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2021ABCD BONDS ISSUED 10/13/2021 WERE USED TO ACQUIRE ASSETS OF LAKE HEALTH, AND TO REFUND TAXABLE DEBT ISSUED 9/16/2021. PART I, COLUMN (F) - THE SERIES 2021E BONDS ISSUED 10/13/2021 REFUNDED A PORTION OF THE SERIES 2012A BONDS ISSUED 6/21/2012. FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION - PART IV, LINE 2C PART IV, LINE 2C, FOR THE 6/21/2012 BONDS - THE REBATE CALCULATION FOR THE SERIES 2012A BONDS WAS PERFORMED ON 7/13/2017 FOR THE COMPUTATION PERIOD ENDED 6/20/2017. PART IV, LINE 2C, FOR THE 12/10/2013 BONDS - THE REBATE CALCULATION FOR THE SERIES 2013AB BONDS WAS PERFORMED ON 12/11/2018 FOR THE COMPUTATION PERIOD ENDED 12/9/2018. PART IV, LINE 2C, FOR THE 3/31/2016 BONDS - THE REBATE CALCULATION FOR THE SERIES 2016A BONDS WAS PERFORMED ON 5/18/2021 FOR THE COMPUTATION PERIOD ENDED 3/30/2021. FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION ALL DIFFERENCES BETWEEN AMOUNTS REPORTED ON PART II, LINE 3, AND PART I, COLUMN (E) ARE DUE TO INVESTMENT EARNINGS. WITH RESPECT TO EACH OF THE ADVANCE REFUNDING ISSUES INCLUDED HEREIN (SEE PART II LINE 15), PART IV LINE 6 IS BEING ANSWERED WITHOUT REGARD TO YIELD-RESTRICTED ADVANCE REFUNDING ESCROWS FINANCED WITH PROCEEDS OF THE BONDS. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CCZ9 2016-03-31 249373895 SEE PART VI FOR DESCRIPTION 0 0 0 B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CDF2 2018-09-26 243220482 SEE PART VI FOR DESCRIPTION 0 0 0 C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CDP0 2020-01-23 613525516 SEE PART VI FOR DESCRIPTION 0 0 0 D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CFF0 2021-10-13 270616002 SEE PART VI FOR DESCRIPTION 0 0 0 A 249373895 1924715 247449180 2016 0 1 1 1 B 113000000 245082583 292106 1763911 130075136 112951430 2019 1 0 1 1 C 614219000 3175157 268646129 311515000 30882714 1 0 0 1 D 270616002 2447592 206802909 61365501 2021 0 1 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 1 WELLS FARGO BANK NA 0.100000000000 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 000000000 2021-10-13 94527060 SEE PART VI FOR DESCRIPTION 0 0 0 A 94527060 852159 93674901 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 THE CLEVELAND BROWNS FOOTBALL TEAM SEE PART V 3842327 SEE PART V 0 LLOYD CHELETTE SEE PART V 42184 SEE PART V 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: THE CLEVELAND BROWNS FOOTBALL TEAM.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MS. DEE HASLAM IS A CURRENT DIRECTOR AND OFFICER ON THE UHHS BOARD AND OWNER OF THE CLEVELAND BROWNS FOOTBALL TEAM. UHHS IS THE MEDICAL PARTNER FOR THE CLEVELAND BROWNS FOOTBALL TEAM.(C) AMOUNT OF TRANSACTION: $3,842,327(D) DESCRIPTION OF TRANSACTION: UHHS PROVIDES MEDICAL SERVICES TO THE CLEVELAND BROWNS FOOTBALL TEAM.(E) SHARING OF ORGANIZATION REVENUES? = NO. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: LLOYD CHELETTE.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MR. MICHAEL A. SZUBSKI, UHHS CFO.(C) AMOUNT OF TRANSACTION: $42,184.(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF MICHAEL SZUBSKI IS EMPLOYED BY UNIVERSITY HOSPITALS HEALTH SYSTEM, INC.(E) SHARING OF ORGANIZATION REVENUES? = NO X 12 532739 APPRAISAL/RECEIPT X 45 3929281 FMV X 4 446250 APPRAISAL/FMV X MISC. 1 50496 FMV X TRANSMITTERS 1 46340 FMV X CATERING 1 5614 FMV X FITNESS EQUIP. 1 2948 FMV 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART III, LINE 1: UNIVERSITY HOSPITALS (THE "SYSTEM") IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. TO DISCOVER." THE SYSTEM SERVES A UNIQUE ROLE IN THE COMMUNITIES IT SERVES BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. THE SYSTEM IS KNOWN FOR PROVIDING SUPERIOR, LEADING-EDGE HEALTH CARE ACROSS THE FULL RANGE OF MEDICAL AND SURGICAL SPECIALITIES FROM INFANCY TO ELDER CARE. IN ADDITION TO DELIVERING QUALITY PATIENT CARE, THE SYSTEM SERVES AS A PREEMINENT TEACHING FACILITY FOR PHYSICIANS, NURSES AND ANCILLARY MEDICAL PERSONNEL. THE SYSTEM'S EXTENSIVE CLINICAL RESEARCH PROGRAMS CONTINUE TO IMPROVE THE UNDERSTANDING OF DISEASE AND ENHANCE PATIENT CARE. FORM 990, PART III, LINE 4A: COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. IN 2022, UNIVERSITY HOSPITALS DEDICATED MORE THE $531 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $102 MILLION - RESEARCH = $59 MILLION - CHARITY CARE = $53 MILLION - MEDICAID SHORTFALL = $340 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $31 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) = ($55 MILLION) REFER TO SCHEDULE H IN THE UH GROUP RETURN FOR FURTHER DETAIL ON HOW THE SYSTEM MEASURES AND REPORTS COMMUNITY BENEFIT. COMMUNITY BENEFIT FOR 2022 TOTALED $531 MILLION. IN ADDITION TO CHARITY CARE AND INSUFFICIENT FUNDING FROM THE MEDICAID PROGRAM, THE SYSTEM INCURS SIGNIFICANT LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENT FOR SERVICES RENDERED OR INSURED PATIENTS WHO FAIL TO REMIT CO-PAYMENTS AND DEDUCTIBLES AS REQUIRED UNDER APPLICABLE HEALTH INSURANCE ARRANGEMENTS. IN 2022, $131 MILLION REPRESENTED REVENUES FOR SERVICES PROVIDED THAT WERE DEEMED TO BE UNCOLLECTIBLE. THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, INCLUDING CUYAHOGA, LORAIN, GEAUGA, ASHTABULA, PORTAGE, ASHLAND, LAKE, AND RICHLAND COUNTIES SERVICE AREAS. THE BREADTH OF THE SYSTEM'S SERVICE AREA IS COVERED THROUGH ITS ACADEMIC MEDICAL CENTER, COMMUNITY MEDICAL CENTERS, JOINT VENTURES, AMBULATORY HEALTH CENTERS AND MEDICAL PRACTICES. THE UH HEALTH SYSTEM PROVIDES WORK DIRECTLY FOR 39,761 (33,666 REPORTED ON THE UH GROUP FORM 990) EMPLOYEES AND PHYSICIANS. UH PROVIDES MANY COMMUNITY BENEFITS DIRECTLY AND INDIRECTLY THROUGH NEW OR EXPANDED BUSINESS OPPORTUNITIES AND THROUGH IMPORTANT CAPITAL INVESTMENTS IN OUR FACILITIES. UH HAS COMMITTED - AND CONTINUES TO COMMIT - MILLIONS OF DOLLARS TO FACILITIES AND OPERATIONS WITHIN THE CITY OF CLEVELAND AND THROUGHOUT OUR REGION, PROVIDING CONSTRUCTION AND HOSPITAL-BASED JOBS. STATE-OF-THE-ART FACILITIES AND SERVICES AT UH CLEVELAND MEDICAL CENTER, OUR WORLD-RENOWNED ACADEMIC MEDICAL CENTER IN CLEVELAND, PROVIDE CLEVELAND RESIDENTS AND PEOPLE FROM THROUGHOUT THE REGION AND THE WORLD WITH THE FINEST IN PRIMARY AND SPECIALTY HEALTH CARE. THE FACILITIES ALLOW US TO CONDUCT VITAL MEDICAL RESEARCH AND OFFER ADVANCED TRAINING FOR STUDENTS AND HEALTH PROFESSIONALS. THE QUENTIN & ELISABETH ALEXANDER NEONATAL INTENSIVE CARE UNIT AT UH RAINBOW BABIES & CHILDREN'S HOSPITAL SERVES OUR MOST VULNERABLE CHILDREN. THE SYSTEM'S EMERGENCY FACILITIES AT OUR MEDICAL CENTERS AND THE SYSTEM'S SEIDMAN CANCER CENTER AT UH CLEVELAND MEDICAL CENTER AND VARIOUS COMMUNITY MEDICAL CENTERS, CONTINUE TO PROVIDE EXPANDED EMPLOYMENT OPPORTUNITIES WHILE EXTENDING UH'S MISSION TO MORE PATIENTS. NEW STATE-OF-THE-ART OUTPATIENT HEALTH CENTERS IN THE REGION HAVE SPURRED ECONOMIC GROWTH WHILE GIVING PEOPLE ACCESS TO THE CARE THEY NEED CLOSE TO HOME AND EXPANDING OUR COMMUNITY BENEFIT PROGRAMS. THE SYSTEM IS PROUD TO CONTRIBUTE TO THE HEALTH OF OUR CITIZENS AND TO BE A POSITIVE ECONOMIC FORCE IN OUR REGION. FOR MORE DETAILED INFORMATION ON THE SYSTEM'S COMMUNITY BENEFIT OR TO VIEW THE 2022 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG. FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. IS ORGANIZED SUCH THAT THE CURRENT DIRECTORS ARE THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS MAY DESIGNATE THOSE THAT SERVE AS CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW THE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. THE UHHS BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. CERTAIN MEMBERS OF SENIOR MANAGEMENT REVIEW THE FORM WHILE OVERSEEING THIS PROCESS. FORM 990, PART VI, SECTION B, LINE 12C UH HAS ADOPTED FOUR CONFLICT OF INTEREST POLICIES: THE FIRST RELATES TO ALL EMPLOYEES AND AFFILIATED PHYSICIANS; THE SECOND RELATES TO UH AND ALL ITS SUBSIDIARIES AND APPLIES TO ALL DIRECTORS, OFFICERS, SUBSTANTIAL CONTRIBUTORS AND RELATED PARTIES; THE THIRD APPLIES TO PHYSICIANS AND OTHER LICENSED PRACTITIONERS. IN ADDITION, UH HAS A SEPARATE BOARD DISCLOSURE OF INTEREST POLICY. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. UH MANAGEMENT, ALL DIRECTORS, AND ALL PHYSICIANS AND ADVANCED PRACTICE PROFESSIONALS ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE CONFLICT OF INTEREST POLICIES. THEY ARE REQUIRED TO PROVIDE ANY CHANGES OR NEW DISCLOSURES SHOULD THEY OCCUR. ALL DISCLOSURES AND SUBSEQUENT UPDATES TO DISCLOSURES ARE REVIEWED BY THE UH COMPLIANCE AND ETHICS DEPARTMENT. BOARD-LEVEL AND KEY PERSONNEL CONFLICTS ARE REVIEWED AND APPROVED, IF APPROPRIATE, BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE UHHS BOARD AND/OR THE UHHS BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE UHHS BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD (THE "COMMITTEE") AND DOCUMENTED IN THE COMMITTEE MINUTES. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT WHO PROVIDES INFORMATION TO THE COMMITTEE ON CHANGES AND TRENDS IN EXECUTIVE COMPENSATION AND OBJECTIVE THIRD PARTY INFORMATION ON COMPETITIVE AND COMPARABLE EXECUTIVE COMPENSATION AND BENEFIT LEVEL/PROGRAMS. THE CONSULTANT COLLECTS AND PROVIDES TO THE COMMITTEE, APPROPRIATE MARKET COMPENSATION AND BENEFITS INFORMATION, APPROPRIATE MARKET PRACTICES FOR COMPARABLE ORGANIZATIONS' POSITIONS AND BEST PRACTICES. THE CONSULTANT ALSO PROVIDES ADVICE ON DEVELOPING AND MODIFYING UH'S EXECUTIVE COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS FOR UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST FND -42,661,000. FUNDED STATUS ADJUSTMENT 70,961,000. INVESTMENT IN SUBSIDIARIES 189,618,000. OTHER CHANGES IN FUND BALANCE -9,010,498. EQUITY TRANSFERS -427,672,777. NET ASSETS RELEASED FROM RESTRICTION 1,573,000. PENSION SETTLEMENT COSTS 71,260,576. 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