2016-11-15T13:00:28-06:00 2015-12-31 ERNST & YOUNG US LLP 2100 ONE PPG PLACE PITTSBURGH PA 15222 990 2015-01-01 340714775 University Hospitals Health System Inc % MICHAEL A SZUBSKI UNIV 2168441000 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 MICHAEL A SZUBSKI CFO 2167678007 2016-11-15 true ROBERT VUILLEMOT P01283296 4126447800 X 2015 2017-02-10 21:41:12Z Michael A Szubski 3605 WARRENSVILLE CENTER RD SHAKER HEIGHTS OH 44122 266557000 false 3829 X www.UHhospitals.org X 1940 OH University Hospitals (the System) is guided by its mission, "To Heal. To Teach. To Discover." 26 24 2687 0 -43566 -55516 28514000 5128000 190239000 271542000 44894000 42917000 6251000 -53030000 269898000 266557000 0 1652000 0 0 127774000 178204000 0 0 0 212645000 222329000 340419000 402185000 -70521000 -135628000 3368700000 3780484000 1884720000 2055284000 1483980000 1725200000 X 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. false false 361351000 1652000 217917000 COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. IN 2015, UNIVERSITY HOSPITALS DEDICATED MORE THAN $275 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $62 MILLION - RESEARCH = $21 MILLION - CHARITY CARE = $41 MILLION - MEDICAID SHORTFALL = $120 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $49 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RECEIPTS = ($18 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 2015 TOTALED $275 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. THE 2015 PROVISION FOR BAD DEBT OF $40 MILLION REPRESENTS REVENUES FOR SERVICES PROVIDED THAT ARE DEEMED UNCOLLECTIBLE. THE SYSTEM PROVIDES WORK DIRECTLY FOR MORE THAN 25,000 EMPLOYEES AND PHYSICIANS. DURING 2015, THE SYSTEM ACQUIRED THREE NEW MEDICAL CENTERS, ROBINSON HEALTH SYSTEM, INC. D/B/A UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER ("PORTAGE"), SAMARITAN REGIONAL HEALTH SYSTEM D/B/A UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER ("SAMARITAN"), AND UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER ("ST. JOHN"). THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, WITH SPECIAL EMPHASIS ON AREAS SUCH AS CUYAHOGA, LORAIN, GEAUGA, AND THE LAKE/ASHTABULA COUNTIES SERVICE AREA. THE SYSTEM'S NEWEST ADDITIONS, PORTAGE, SAMARITAN, AND ST. JOHN MEDICAL CENTERS PROVIDE AN EXPANDED FOOTPRINT ADDING COUNTIES SUCH AS PORTAGE, ASHLAND, AND RICHLAND. 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. 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 SEIDMAN CANCER CENTER AND EMERGENCY FACILITIES AT UH CLEVELAND MEDICAL CENTER AND UH AHUJA MEDICAL CENTER, 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 2015 COMMUNITY BENEFIT REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG. 361351000 true false false true false false false false false true true true true false true true false true false false true false false false false false false true false true true false true false false false false false false true false false false false false true true true true false false true 1791 0 true 2687 true true true true CJ false false false false false false false false X 26 24 true false false false false false false true true false false true true true true true true true true true true OH X X MICHAEL A SZUBSKI 2167678007 3605 WARRENSVILLE CTR RD Shaker Heights OH 44122 X See Sched O TR 16033-2d5 See Sched. O 0.0 0.0 X X 3039296 0 416490 See Sched O TR 16033-2d5 See Sched. O 0.0 0.0 X 0 807358 10662 See Sched O TR 16033-2d5 See Sched. O 0.0 0.0 X 7417526 0 803115 See Sched O TR 16033-2d5 See Sched. O 0.0 0.0 X 1575101 0 223222 See Sched O TR 16033-2d5 See Sched. O 0.0 0.0 X 2836668 0 206995 14868591 807358 1660484 336 true true false See Sched O TR 16033-2d5 See Sched. O TR. 1.6 373 2221000 2907000 5128000 CORPORATE ALLOCATIONS 900099 240958000 240958000 PROGRAM SERVICE REVENUE 900099 11433000 11433000 PROGRAM SERVICE RENTAL 532000 19151000 19151000 271542000 25856000 -43566 25899566 0 0 595000 595000 0 595000 595000 17061000 17061000 17061000 17061000 0 0 0 MEMBER SUBSTITUTION 900099 -78264000 -78264000 MEANINGFUL USE 900099 10150000 10150000 JV INCOME 900099 7929000 7929000 6560000 6560000 -53625000 266557000 217917000 -43566 43555566 1652000 1652000 0 0 0 17555000 17555000 56000 56000 122003000 114683000 7320000 5654000 5315000 339000 22301000 20963000 1338000 10635000 9997000 638000 0 1393000 1309000 84000 625000 587000 38000 0 0 0 27841000 26171000 1670000 13392000 12588000 804000 6070000 5706000 364000 53586000 50371000 3215000 0 14579000 13704000 875000 1426000 1340000 86000 0 0 46230000 43456000 2774000 0 36755000 34550000 2205000 -5056000 -5056000 OTHER PURCHASED SERVICES 7879000 7406000 473000 OTHER THAN TEMP DEC IN INV 6369000 5987000 382000 SWAP VALUATION ADJUSTMENT 3423000 3218000 205000 SPECIAL CHARGES 2800000 2632000 168000 5017000 4716000 301000 402185000 361351000 40834000 0 0 0 141905000 136018000 6062000 8579000 49054000 -62314000 0 0 0 0 0 0 0 -697000 36286000 13523000 695876000 312894000 335099000 382982000 397766000 1109341000 843222000 290999000 1537049000 1859531000 0 0 22257000 42522000 3368700000 3780484000 241885000 219998000 0 0 162000 440000 1166496000 1316364000 0 0 0 0 -21000 0 0 0 476198000 518482000 1884720000 2055284000 X 1138734000 1372563000 5060000 15900000 340186000 336737000 1483980000 1725200000 3368700000 3780484000 X -135628000 -40790000 417638000 X false true X true false X X 1 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 341567805 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION C, LINE 1 THE CONTROL AND MANAGEMENT OF UHHS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE UHHS' SUPPORTED ORGANIZATION, UHCMC BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM. THE SAME PERSONS MANAGE, OVERSEE AND SET POLICY FOR UHHS, UHCMC, AND THE OTHER RELATED ENTITIES WITHIN THE SYSTEM. THE SAME INDIVIDUALS HAVE RESPONSIBILITY FOR 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 PLANS AND CAPITAL BUDGETS. false true false true 1856 false true 1908 true 847 false false 4611 false Schedule C, Part II-B The University Hospitals Government & Community Relations department serves to promote and educate the communities it serves regarding healthcare related issues that may impact the health system. The department advocates on behalf of the System with elected and appointed officials at all levels: federal, state, and local. 139020000 9266000 1919000 146367000 126970000 12050000 5680000 5680000 139020000 123867000 3103000 4020000 4020000 126970000 118803000 5064000 3937667 3937667 123867000 107300000 11503000 4198000 4198000 118803000 0.11840 0.88160 false true true 49251000 49251000 181619000 61841000 119778000 12179000 8391000 3788000 409704000 239916000 169788000 43123000 2746000 40377000 382982000 INVESTMENTS - OTHER 290999000 F 290999000 INVESTMENTS IN AFFILIATES 1679203000 C PERPTUAL TRUSTS 180328000 F 1859531000 0 DUE TO THIRD PARTIES 762000 OTHER CURRENT LIABILITIES 15281000 WORKERS COMPENSATION LIABILITY 15938000 PENSION LIABILITIES 328657000 EMPLOYEE HEALTH PLAN 12642000 INTEREST RATE SWAP LIABILITY 70342000 SELF INSURED LIABILITY 23839000 OTHER LIABILITIES 51021000 518482000 X Form 990, Schedule D, 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. Form 990, Schedule D, Part X, Line 2 Univeristy Hospitals Health System, Inc. must recongize 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 statements 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, 2015 and 2014, University Hospitals Health System, Inc. does not have any uncertain tax positions. Central America and the Caribbean Investments 217615000 Central America and the Caribbean Program Services INSURANCE 1052000 218667000 218667000 true false true true true false true Case Western Reserve University 10900 Euclid Avenue Cleveland OH 44106 341018992 501(c)3 280000 Scholarships Regents of the University of Colorado 1800 N Grant St Denver CO 80203 846000555 501(c)3 50000 Scholarships Trustees of Columbia University in The City of New 622 West 113th Street New York NY 10025 135598093 501(c)3 50000 Scholarships University of North Carolina Chapel Hill 103 South Building Chapel Hill NC 27599 566001393 501(c)3 50000 Scholarships Mayo Clinic Rochester 200 First St SW Rochester MN 55905 416011702 501(c)3 75000 Scholarships Rockefeller University 1230 York Ave New York NY 10065 131624158 501(c)3 75000 Scholarships Johns Hopkins University 3910 Keswick Road Baltimore MD 21211 520595110 501(c)3 75000 Scholarships Trustees of the University of Pennsylvania 3451 Walnut Street Philadelphia PA 19104 231352685 501(c)3 250000 Scholarships Duke University Campus Box 90581 Durham NC 27708 560532129 501(c)3 170000 Scholarships National Jewish Health 1400 Jackson St Denver CO 80206 742044647 501(c)3 108697 Scholarships Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York NY 10065 131924236 501(c)3 197250 Scholarships Ohio State University 901 Woody Hayes Dr Columbus OH 43210 316025986 GOVT 100000 Scholarships University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Dallas TX 75390 756002868 501(c)3 20990 Scholarships Stanford University Board of Trustees of the Lelan 326 Galvez Street Stanford CA 94305 941156365 501(c)3 25000 Scholarships Rutgers The State University of New Jersey RBHS 65 Davison Rd Piscataway NJ 08854 462354111 501(c)3 25000 Scholarships University of CaliforniA San Francisco UCSF Box 0248 San Francisco CA 94143 946036493 GOVT 25000 Scholarships Children's Hospital Corporation 300 Longwood Ave Boston MA 02115 042774441 501(c)3 25000 Scholarships University of Southern California 3551 Trousdale PRKWY LA CA 90089 951642394 501(c)3 25000 Scholarships University of Kentucky Research Foundation 301 Peterson SRVC BLDG Lexington KY 40506 616033693 501(c)3 25000 Scholarships 19 0 SCHEDULE I, PART I, LINE 2 Donations made by UHHS to charitable organizations are made in furtherance of the recipient organizations' exempt purposes and are considered unrestricted with regard to use of funds. X X X X X X true true false false false false false true true true See Sched O TR 16033-2d5 See Sched. O 1192014 0 1445865 0 401417 0 404902 0 11588 0 3455786 0 0 0 See Sched O TR 16033-2d5 See Sched. O 0 779972 0 0 0 27386 0 8976 0 1686 0 818020 0 0 See Sched O TR 16033-2d5 See Sched. O 3449500 0 3290183 0 677843 0 705149 0 97966 0 8220641 0 854031 0 See Sched O TR 16033-2d5 See Sched. O 674071 0 408858 0 492172 0 173543 0 49679 0 1798323 0 74769 0 See Sched O TR 16033-2d5 See Sched. O 1072864 0 844348 0 919456 0 146364 0 60631 0 3043663 0 28327 0 Form 990, Part I, Lines 4a-b See Schedule O Treasury Regulation 1.6033-2(d)(5) Election The listing of persons and amounts for above questions are included on University Hospitals Health System, Inc. Group Return. Form 990, Schedule J, Part I, Line 7 Certain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments. Form 990, Schedule J, Part I, Line 8 Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception. A CUYAHOGA COUNTY OHIO 346000817 000000000 2003-12-31 14389000 SEE PART VI FOR DESCRIPTION false false false B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AYZ9 2007-02-07 290313879 SEE PART VI FOR DESCRIPTION false false false C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AU42 2010-02-12 94797375 SEE PART VI FOR DESCRIPTION false false false D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756AZH4 2010-12-27 71125000 SEE PART VI FOR DESCRIPTION false false false A 4389000 0 14389000 0 0 0 0 0 0 14389000 0 0 2004 true false true true B 0 0 310070762 0 27711071 0 821547 0 0 281538144 0 0 2011 false false true true C 32302375 0 94797375 0 0 0 1272375 0 0 0 93525000 0 2010 true false true true D 0 21125000 71125000 0 0 0 0 0 0 0 71125000 0 2010 true false true true A false true true true true true 0.00000 0.00000 0.00000 false false false true B false true true true true true 0.00000 0.00000 0.00000 false false false true C false true true true true true 0.00000 0.00000 0.00000 false false false true D 0 A false false true true true false 0 false 0 false true B false false true true false false 0 false 0 false true C false false true true false false 0 false 0 false true D false false true true true false 0 false 0 false true A true B true C true D true ENTITY 1 PART I, LINE A, COLUMN (F), THE SERIES 2001 BONDS WERE ORIGINALLY ISSUED ON 11/30/01 FOR CONSTRUCTION AND CAPITAL EQUIPMENT OF FACILITIES AND DEEMED REISSUED ON 12/31/03. PART I, LINE B, COLUMN (F), THE SERIES 2007A BONDS WERE USED FOR CONSTRUCTION AND EQUIPMENT RELATED TO VISION 2010 PROJECTS. PART I, LINE C, COLUMN (F), THE SERIES 2010A BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1985 BONDS, ISSUED 12/10/1985, ALL OF THE OUTSTANDING SERIES 2008A BONDS, ISSUED 05/08/2008, AND A PORTION OF THE SERIES 2008B BONDS, ISSUED 05/08/2008. PART I, LINE D, COLUMN (F), THE SERIES 2010B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 2008C BONDS ISSUED 05/08/2008. THE 2008C BOND REFUNDED THE SERIES 1996AB BONDS ISSUED 4/18/1996. PART II, LINE 3, COLUMN (B), DIFFERENCE RELATES TO INVESTMENT EARNINGS. PART IV, LINE 2C, COLUMN (A), THE SERIES 2001 REBATE CALCULATIONS WERE PERFORMED AS OF 11/15/2006 AND 11/15/2011. BASED ON COMPUTATIONS, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (B), THE SERIES 2007A REBATE CALCULATION WAS PERFORMED AS OF 02/06/2012. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (C), THE SERIES 2010A REBATE CALCULATION WAS PERFORMED AS OF 02/12/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (D), THE SERIES 2010B REBATE CALCULATION WAS PERFORMED AS OF 12/27/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. ENTITY 2 PART I, LINE A, COLUMN (F), THE SERIES 2012A BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS, ISSUED 03/24/2009. PART I, LINE B, COLUMN (F), THE SERIES 2012B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1996A BONDS, ISSUED 04/18/1996, AND ALL OF THE OUTSTANDING SERIES 1996B BONDS, ISSUED 04/18/1996. PART I, LINE C, COLUMN (F), THE SERIES 2012C BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. PART I, LINE D, COLUMN (F), THE SERIES 2012D BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. THE BONDS ARE PRIVATELY PLACED WITH A BANK COMMITMENT. ENTITY 3 PART I, LINE A, COLUMN (F), THE SERIES 2013A AND 2013B BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS, ISSUED 05/08/2008. PART I, LINE B, COLUMN (F), THE SERIES 2014ABC BONDS WERE ISSUED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AND NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED ELYRIA BONDS ORIGINALLY ISSUED 11/21/1997, 8/2/2001, AND 7/31/2008 (ALL DEEMED TO HAVE BEEN REISSUED 7/1/2011), AND PARMA BONDS ORIGINALLY ISSUED 6/16/2006. PART I, LINE C, COLUMN (F), THE SECOND DRAW ON THE SERIES 2014C BONDS REFUNDED THE REMAINING OUTSTANDING SERIES 2009C BONDS, ISSUED 8/6/2009. PART I, LINE D, COLUMN (F), THE SERIES 2015ABC BONDS WERE ISSUED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND A PORTION OF THE SERIES 2010B BONDS ORIGINALLY ISSUED 12/27/2010. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED PORTAGE (FORMERLY KNOWN AS ROBINSON MEMORIAL HOSPITAL) BONDS ORIGINALLY ISSUED 12/30/2010, 4/24/2011, AND 9/17/2012. PART II, LINE 3, COLUMN (D), DIFFERENCE RELATES TO INVESTMENT EARNINGS. ENTITY 4 PART I, LINE A, COLUMN (F), THE SERIES 2015DE BONDS WERE ISSUED FOR THE ACQUISITION OF UH SAMARITAN MEDICAL CENTER, AND THE ACQUISITION OF THE REMAINING 50% INTEREST IN UH ST. JOHN MEDICAL CENTER. THE REFUNDED BONDS RELATED TO THE ACQUISITIONS INCLUDED SAMARITAN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/19/08, 01/09/09, AND 01/27/09, AND ST. JOHN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/22/2011. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CAT5 2012-06-21 189782379 SEE PART VI FOR DESCRIPTION false false false B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 000000000 2012-09-11 40710000 SEE PART VI FOR DESCRIPTION false false false C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CBH0 2012-10-23 55371387 SEE PART VI FOR DESCRIPTION false false false D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 000000000 2012-10-23 23775000 SEE PART VI FOR DESCRIPTION false false false A 12337379 0 189782379 0 0 0 2092370 349258 0 0 187340751 0 2012 false true true true B 20255000 0 40710000 0 0 0 170000 0 0 0 40540000 0 2012 true false true true C 0 0 55371387 0 0 0 740026 0 0 0 54631361 0 2012 true true true true D 495000 0 23775000 0 0 0 195000 0 0 0 23580000 0 2012 true false true true A false true true true true true 0.00000 0.00000 0.00000 false false false true B 0 C false true true true true true 0.00000 0.00000 0.00000 false false false true D false true true true true true 0.00000 0.00000 0.00000 false false false true A false true false false false false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CCB2 2013-12-10 124142966 SEE PART VI FOR DESCRIPTION false false false B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CCC0 2014-11-06 100361458 SEE PART VI FOR DESCRIPTION false false false C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 000000000 2015-07-15 20000000 SEE PART VI FOR DESCRIPTION false false false D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CCF3 2015-10-01 100000000 SEE PART VI FOR DESCRIPTION false false false A 0 0 124142966 0 0 0 0 0 0 0 124142966 0 2013 true false true true B 0 0 100361458 0 0 0 467980 0 0 10000000 89893477 0 2015 true false false true C 0 0 20000000 0 0 0 0 0 0 0 20000000 0 2015 true false false true D 0 0 100000577 0 0 0 1204500 0 0 0 98796077 0 2015 true false false true A false true true true true true 0.00000 0.00000 0.00000 false false false true B false true true true true true 0.00000 0.00000 0.00000 false false false true C false true true true true true 0.00000 0.00000 0.00000 false false false true D false true true true true true 0.00000 0.00000 0.00000 false false false true A false true false false true false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 000000000 2015-12-18 91000000 SEE PART VI FOR DESCRIPTION false false false A 0 0 91000000 0 0 0 389084 0 0 0 90610916 0 2015 true false false true A false true true true true true 0.00000 0.00000 0.00000 false false false true A false true false false true false 0 false 0 false true A true Lloyd Chelette See Part V 36023 See Part V false Additional Information For Schedule L Part IV Responses Line 1 - Lloyd Chelette Relationship Between Interested Person and Organization: Family member of Mr. Michael A. Szubski, Treasurer/CFO UHHS Description of Transaction: A family member of Mr. Szubski is employed by UHHS. Tresury Regulation 1.6033-2(D)(5) Election PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("PARENT ORGANIZATION") HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS AND GRANTS, AND COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, CERTAIN HIGHLY COMPENSATED EMPLOYEES, AND CERTAIN PROFESSIONAL CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL THE MEMBERS OF ITS GROUP EXEMPTION, INCLUDING THE PARENT ORGANIZATION, ON UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. GROUP RETURN. Form 990, Part I, Line 6 VOLUNTEER INFORMATION CAN BE FOUND IN THE UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. GROUP RETURN. Form 990, Part IV, Line 2 PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ("PARENT ORGANIZATION") HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS AND GRANTS, AND COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, CERTAIN HIGHLY COMPENSATED EMPLOYEES, AND CERTAIN PROFESSIONAL CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL THE MEMBERS OF ITS GROUP EXEMPTION, INCLUDING THE PARENT ORGANIZATION, ON UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. GROUP RETURN. Form 990, Part VI, Section A, Line 2 THE FOLLOWING INFORMATION REGARDING FAMILY AND BUSINESS RELATIONSHIPS WAS OBTAINED WHILE REVIEWING CONFLICT OF INTEREST QUESTIONNAIRE RESPONSES RECEIVED FROM DIRECTORS, OFFICERS, AND KEY EMPLOYEES. UNIVERSITY HOSPITALS RELIES UPON THESE QUESTIONNAIRE RESPONSES TO DETERMINE THESE RELATIONSHIPS. MR. CHRISTOPHER M. CONNOR (UHHS DIRECTOR) AND MS. CATHERINE M. KILBANE (UHHS DIRECTOR) HAVE A BUSINESS RELATIONSHIP. MS. JERRY SUE THORNTON (UHHS DIRECTOR) AND MR. ERNEST NOVAK (UHHS DIRECTOR) HAVE A BUSINESS RELATIONSHIP. Mr. Les C. Vinney (UHHS DIRECTOR) AND MR. Richard W. Pogue (UHHS DIRECTOR) HAVE A FAMILY RELATIONSHIP. Form 990, Part VI, Section B, LIne 11 THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW AND APPROVE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. THE GOVERNANCE AND COMMUNITY BENEFIT COMMITTEE REVIEWED AND APPROVED THE COMMUNITY BENEFIT SECTION OF THE FORM 990 (SCHEDULE H). 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, 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 TO 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 UH BOARD AND/OR THE UH 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"). 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. COMPENSATION RELATED TO ENTITIES ACQUIRED BY UHHS DURING 2015 WAS PREVIOUSLY SET. THESE ENTITIES WILL FOLLOW UHHS POLICY FOR THE 2016 YEAR. 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 VIII, Line 2 PROGRAM SERVICE REVENUE INCLUDES CORPORATE ALLOCATIONS THAT ARE ELIMINATED UPON CONSOLIDATION (VIA OFFSETS TO EXPENSES) FOR PURPOSES OF THE AUDITED FINANCIAL STATEMENTS. Form 990, Part XI, Line 9 INVESTMENT IN SUBSIDIARIES 357,513,000 ADDITIONAL MINIMUM LIABILITY 39,867,000 OTHER CHANGES IN FUND BALANCE 21,487,000 EQUITY TRANSFERS 12,585,000 NET ASSETS RELEASED FROM RESTRICTION ($2,909,000) CHANGE IN BENEFICIAL INTEREST FND (10,905,000) ----------------- 417,638,000 417,638,000 Medina Community Healthcare Properties 11100 Euclid Ave Cleveland OH 44106 340714775 Real Estate OH UHHS JWR Commercial Properties LLC 11100 Euclid Ave Cleveland OH 44106 340714775 Real Estate OH UHHS CHESTER ROAD COMMERCIAL PROPERTIES LLC 11100 Euclid Ave Cleveland OH 44106 REAL ESTATE OH UHHS PARMA HOSPITAL HEALTH CARE FOUNDATION 7007 POWERS BLVD PARMA OH 44129 341626664 SUPPORT HOSP OH 501(C)(3) 11A-TYPE I PARMA MED CR true SAMARITAN PROFESSIONAL CORPORATION 1025 CENTER STREET ASHLAND OH 44805 341856531 SUPPORT HOSP OH 501(C)(3) 3 SAM REG HS true SAM REG PAIN MGMT 1025 CENTER STREET ASHLAND OH 44805 462286785 MEDICAL SERVICES OH SAM REG HOSP N/A 0 0 0 0.00000 University Hospitals Holdings Inc 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341768931 holding compa OH UHHS C corp 1.00000 true University Hospitals Health Care Enterpr 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341510005 Medical Mgmt OH UH HOLDINGS C corp 1.00000 true University Hospitals Physician Services 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341768929 Physician Adm OH UH HOLDINGS C corp 1.00000 true University Primary Care Practices 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341768928 Phys. Group OH UH HOLDINGS C corp 1.00000 true UHHS Provider & Central Verification Org 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341908517 MedICAL Mgmt. OH UH HOLDINGS C corp 1.00000 true University Hospitals Health System MCO 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341843674 Workers Comp. OH UH HOLDINGS C corp 1.00000 true Western Reserve Assurance Co Ltd SPC PO Box 1051 GT George Town Grand Cayman CJ 980462740 Insurance CJ UHHS C corp 1.00000 true Cedar Brainard Surgery Center Inc 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 204957632 HOLDING COMPA OH UH HEAL CR ENT C corp 1.00000 true BMH Development Corp 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341346212 Land Developm OH UH CON MED CTR C corp 1.00000 true CENTER FOR ORTHOPEDICS INC 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341665082 PHYSICIANS GR OH COMP VENT UNLIM C CORP 1.00000 true COMPREHENSIVE VENTURES UNLIMITED INC 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341596060 PHYSICIAN ADMIN OH COMP HEAL CR OH C CORP 1.00000 true POWERS PROFESSIONAL CORPORATION 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341735290 HOLDING COMPA OH PARMA COMM HOSP C CORP 1.00000 true PRL CORPORATION 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341499245 PHYSICIANS GR OH PARMA COMM HOSP C CORP 1.00000 true North Ohio Heart Inc 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 272574020 PHYSICIANS GR OH COMP HEAL CR OH C Corp 1.00000 true EMH Professional Services Inc 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 341778419 PHYSICIAN GR OH COMP VENT UNLIM C CORP 1.00000 true University Hospitals Network Services 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 INACTIVE OH N/A C CORP 1.00000 true University Hospitals Accountable Care Or 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 813836118 ACCOUNT CARE OH UH HOLDINGS C Corp 1.00000 true University Hospital House Calls Inc 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 454395029 INACTIVE OH UH MED GROUP C Corp 1.00000 true Health Design Plus 1755 Georgetown Rd Hudson OH 44236 341593929 Third Party Adm OH UH HOLDINGS C Corp 1.00000 true St John Medical Group Inc 3605 Warrensville Cntr Rd Shaker Hghts OH 44122 453245403 Physician Adm OH ST JOHN MED C Corp 1.00000 true Westshore Primary Care Associates 3605 Warrensville Cntr Rd Shaker Hghts 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