FURP.ORG / PUBLIC DATA EXPLORER

UNIVERSITY HOSPITALS HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC (EIN 90-0059117)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-25
IRS object ID
201313299349300521
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-25T12:08:52-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12100 ONE PPG PLACEAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900059117EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1University Hospitals Health System IncBusinessNameLine1
Business Name Line2Group ReturnBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% MICHAEL SZUBSKIInCareOfName
Name ControlUNIVNameControl
Phone2168441000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111100 Euclid Avenue - Attn TreasurAddressLine1
Address Line2SuiteAddressLine2
CityClevelandCity
StateOHState
ZIP Code44106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL A SZUBSKIName
TitleCFOTitle
Phone2168441000Phone
Date Signed2013-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4126447800Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael SzubskiNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13605 Warrensville Center RdAddressLine1
CityShaker HeightsCity
StateOHState
ZIP Code44122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2176279000GrossReceipts
Group Return For AffiliatestrueGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number3829GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.UHhospitals.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionUniversity Hospitals (the System) is guided by its mission To Heal, To Teach. To Discover.ActivityOrMissionDescription
Nbr Voting Members Governing Body136NbrVotingMembersGoverningBody
Nbr Independent Voting Members76NbrIndependentVotingMembers
Total Nbr Employees14359TotalNbrEmployees
Total Nbr Volunteers1962TotalNbrVolunteers
Total Gross UBI544000TotalGrossUBI
Net Unrelated Business Txbl Income205000NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year58161000ContributionsGrantsPriorYear
Contributions Grants Current Year89840000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1968532000ProgramServiceRevenuePriorYear
Program Service Revenue CY2015029000ProgramServiceRevenueCY
Investment Income Prior Year119000InvestmentIncomePriorYear
Investment Income Current Year40000InvestmentIncomeCurrentYear
Other Revenue Prior Year57329000OtherRevenuePriorYear
Other Revenue Current Year71151000OtherRevenueCurrentYear
Total Revenue Prior Year2084141000TotalRevenuePriorYear
Total Revenue Current Year2176060000TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year30716000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY31771000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1050031000SalariesEtcPriorYear
Salaries Etc Current Year997592000SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year138000TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY306000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year10973000TotalFundrsngExpCurrentYear
Other Expense Prior Year829116000OtherExpensePriorYear
Other Expenses Current Year907762000OtherExpensesCurrentYear
Total Expenses Prior Year1910001000TotalExpensesPriorYear
Total Expenses Current Year1937431000TotalExpensesCurrentYear
Revenues Less Expenses Prior Year174140000RevenuesLessExpensesPriorYear
Revenues Less Expenses CY238629000RevenuesLessExpensesCY
Total Assets BOY1508339000TotalAssetsBOY
Total Assets EOY1533691000TotalAssetsEOY
Total Liabilities BOY236017000TotalLiabilitiesBOY
Total Liabilities EOY214268000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1272322000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1319423000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUniversity Hospitals' mission is To Heal. To Teach. To Discover. In pursuit of this mission, University Hospitals remains at the forefront of health care delivery, physician education, and medical research nationwide. Yet what makes University Hospitals unique is its ability to bring expertise and resources together and respond to the individual needs of every patient, regardless of their ability to pay. That focus on the patient, combined with a remarkable level of achievement in medical research and education continues to propel University Hospitals to even greater successes.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1771154000Expense
Grants31771000Grants
Revenue2077322000Revenue
DescriptionCaring for the community has been an unwavering commitment of University Hospitals ("the System") since its founding in 1866. Commitment to the community remains at the core of the System's mission: To Heal. To Teach. To Discover. In 2012, University Hospitals dedicated more than $273.1 million to community benefit programs in Northeast Ohio consisting of: - Education and training = $50.2 million - Research = $49.4 million - Charity care = $53.2 million - Medicaid shortfall = $89.6 million - Community health improvement services = $7.3 million - Other community programs and support = $35.5 million - Hospital Care Assurance Program (HCAP) receipts = ($12.1 million) Refer to Schedule H for further detail on how the System measures and reports community benefit. Community benefit for 2012 totaled $273 million up from $267 million in 2011. 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 2012 provision for bad debt of $55 million represents revenues for services provided that are deemed uncollectible. The UH health system provides work directly for about 18,400 employees and physicians. As the seventh largest employer in Ohio, UH supports the economy as well as state and local governments. UH employees pay more than $55.1 million annually in state and local income taxes. At the same time, UH provides many more 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 Case 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 Case 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 2012 Community Benefit Report, please visit the System's website at www.UHhospitals.org.Description
Total Program Service Expense1771154000TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10962518NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees14359NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members136NbrVotingGoverningBodyMembers
Number Independent Voting Members76NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL SZUBSKINamePerson
Telephone Number2168441000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13605 WARRENSVILLE CENTER RDAddressLine1
CityShaker HeightsCity
StateOHState
ZIP Code44122ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (239 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
UHHS - Monte Ahuja
Director2.0X000
UHHS - Sheldon G Adelman
Director2.0X000
UHHS - Arthur F Anton
Director2.0X000
UHHS - Craig Arnold
Director2.0X000
UHHS - Katherine A Asbeck
Director2.0X000
UHHS - Andrew Banks
Director2.0X000
UHHS - Paul Clark
Director2.0X000
UHHS - Christopher M Connor
Director2.0X000
UHHS - Margot J Copeland
Director2.0X000
UHHS - David A Daberko
Director2.0X000
UHHS - Achilles A Demetriou MD
Pres., COO/Ex Off Dir. (thru 160.0X2309684060668X
UHHS - Heather Ettinger
Director2.0X000
UHHS - Matthew P Figgie
Director (thru 3/12)2.0X000
UHHS - Brian Hall
Director2.0X000
UHHS - James Hambrick
Vice Chair/Director (thru 5/122.0X000X
UHHS - Kenneth Hardy
Director2.0X000
UHHS - M Ann Harlan
Director2.0X000
UHHS - Ronald G Harrington
Director2.0X000
UHHS - James O Judd
Ex Off Dir. (thru 5/12)2.0X000
UHHS - Catherine M Kilbane
Director2.0X000
UHHS - Timothy Kraus
Ex Off Dir.2.0X000
UHHS - Joseph Lopez
Director2.0X000
UHHS - Ramon Lugo III
Director2.0X000
UHHS - Henry L Meyer III
Director2.0X000
UHHS - Patrick Mullin
Ex Off Dir.2.0X000
UHHS - Thomas G Murdough Jr
Director (thru 5/12)2.0X000
UHHS - Ernest Novak
Director2.0X000
UHHS - David Ondrey
Ex Off Dir. (thru 5/12)2.0X000
UHHS - Vasu Pandrangi MD
Ex Off Dir.2.0X000
UHHS - Sandy Pianalto
Vice Chair/Director2.0X000X
UHHS - Mark Plush
Ex Off Dir.2.0X000
UHHS - Richard W Pogue
Director2.0X000
UHHS - Alfred M Rankin Jr
Director2.0X000
UHHS - Willard Raymond
Ex Off Dir.2.0X000
UHHS - Philip Ridolfi
Ex Off Dir. (thru 5/12)2.0X000
UHHS - Gregory Robinson
Ex Off Dir.2.0X000
UHHS - Fred C Rothstein MD
Pres. UHCMC/Ex Off Dir.60.0X1841673067715
UHHS - Robert Salata MD
UHMG Physician/Director60.0X9656903336
UHHS - Thomas A Selden
Ex Off Dir.2.0X000
UHHS - Jerry Sue Thornton PhD
Director2.0X000
UHHS - Les C Vinney
Director2.0X000
UHHS - Thomas F Zenty III
CEO/Ex Off Dir.60.0X41262510371341X
UHCMC - Joel Adelman
Director2.0X000
UHCMC - Thomas W Adler
Director2.0X000
UHCMC - Robert T Bennett
Director2.0X000
UHCMC - David Camiener
Director2.0X000
UHCMC - Paul H Carleton
Co-Vice Chair/Director2.0X000X
UHCMC - Carole A Carr
Director2.0X000
UHCMC - Beth Curtiss
Ex Off Dir. (thru 5/12)2.0X000
UHCMC - Pamela B Davis MD PhD
Ex Off Dir.2.0X000
UHCMC - Ralph Della Ratta
Director2.0X000
UHCMC - Achilles A Demetriou MD
Ex Off Dir. (thru 12/12)2.0X000
UHCMC - Michael Feuer
Director2.0X000
UHCMC - David Goldberg
Director2.0X000
UHCMC - Robert D Gries
Director2.0X000
UHCMC - Charles Halberg
Director2.0X000
UHCMC - Gordon Harnett
Director (thru 5/12)2.0X000
UHCMC - Richard A Horvitz
Director (thru 5/12)2.0X000
UHCMC - Christopher Hyland
Co-Vice Chair/Director2.0X000X
UHCMC - Beth Kaufman
Ex Off Dir./Non Voting (thru 52.0X000
UHCMC - Jerry Kelsheimer
Director2.0X000
UHCMC - Dinah Kolesar
Ex Off Dir.2.0X000
UHCMC - Lee Koury
Director2.0X000
UHCMC - Raymond K Lee
Director2.0X000
UHCMC - Gene C Lovett
Director2.0X000
UHCMC - Adrian Maldonado
Director2.0X000
UHCMC - John C Morley
Director2.0X000
UHCMC - Patrick S Mullin
Chair/Director2.0X000X
UHCMC - Ernest J Novak
Director (thru 5/12)2.0X000
UHCMC - William J O'Neill Jr
Director2.0X000
UHCMC - Lydia B Oppmann
Director (thru 5/12)2.0X000
UHCMC - Alfred M Rankin Jr
Ex Off Dir.2.0X000
UHCMC - Ann P Ranney
Director2.0X000
UHCMC - Julie Adler Raskind
Director2.0X000
UHCMC - Kenneth C Ricci
Director2.0X000
UHCMC - Robert Risman
Director2.0X000
UHCMC - Barbara S Robinson
Director2.0X000
UHCMC - Fred C Rothstein MD
Pres./Ex Off Dir.2.0X000X
UHCMC - Warren Selman MD
Physician/Director (thru 5/12)60.0X961433040164
UHCMC - Mairan Shaughnessy
Director2.0X000
UHCMC - Michael Siegal
Director (thru 7/12)2.0X000
UHCMC - Gregory Skoda
Director2.0X000
UHCMC - Hilton O Smith
Director2.0X000
UHCMC - Eddie Taylor
Director2.0X000
UHCMC - Kelly Tompkins
Director (thru 5/12)2.0X000
UHCMC - Richard Walsh MD
Ex Off Dir.2.0X000
UHCMC - Penni Weinberg
Director2.0X000
UHCMC - Lorna Wisham
Director2.0X000
UHCMC - Jacqueline Woods
Director2.0X000
UHCMC - Christine Wynd
Ex Off Dir.2.0X000
UHCMC - Thomas F Zenty III
Ex Off Dir.2.0X000
UHMG - Eric Bieber MD
UH CMO/Director60.0X7351570143561
UHMG - Paul H Carleton
Director2.0X000
UHMG - Pamela B Davis MD Phd
Director2.0X000
UHMG - Achilles Demetriou MD
Director (thru 12/12)2.0X000
UHMG - Michael Feuer
Director2.0X000
UHMG - Charles Hallberg
Director2.0X000
UHMG - Clifford V Harding MD
Dept. Chair Pathology/Director60.0X291180010056
UHMG - Gordon Harnett
Director (thru 5/12)2.0X000
UHMG - Robert Haynie MD
Director2.0X000
UHMG - Elliott A Kellman
Director2.0X000
UHMG - Michael Konstan MD
Dept. Chair Pediatrics/Directo60.0X360158024344
UHMG - Randall Marcus MD
Dept. Chair Orthopaedics/Direc60.0X685948039241
UHMG - Cliff Megerian MD
Dept. Chair Otolaryngology/Dir60.0X586126034567
UHMG - Howard Nearman MD
Dept. Chair Anesthesia/Directo60.0X425882036398
UHMG - Michael Nochomovitz MD
Pres./Director60.0X1534252054902X
UHMG - William O'Neill Jr
Director2.0X000
UHMG - Jeffrey Ponsky MD
Dept. Chair Surgery/Director60.0X725557030328
UHMG - Robert Ronis
Dept. Chair Psychiatry/Directo60.0X225231012179
UHMG - Fred C Rothstein MD
Chair/Director2.0X000X
UHMG - Michael A Szubski
Director2.0X000
UHMG - Richard A Walsh MD
Dept. Chair Medicine/Director60.0X479156030025
UHLSF - Ronald Dziedzicki BSN RN
Secretary/Director2.0X000X
UHLSF - Sonia Salvino
Treasurer/Director2.0X000X
UHLSF - Nancy Tinsley
Director2.0X276601066974
AMC - Sheldon G Adelman
Vice Chair (thru 5/12)Director2.0X000X
AMC - Julie Boland
Sec. & Treas./Director2.0X000X
AMC - Michael Drusinsky
Director2.0X000
AMC - Robert Glick
Director2.0X000
AMC - Richard Hanson
Ex Officio Director10.0X9172680354577
AMC - John Morikis
Vice Chair/Director2.0X000X
AMC - Thomas Murdough
Chair/Director2.0X000X
AMC - Enid Rosenberg
Director2.0X000
AMC - Reggie Rucker
Director2.0X000
AMC - Neil Sethi
Director2.0X000
AMC - Margaret Singerman
Director2.0X000
AMC - John Sinnenberg
Director2.0X000
AMC - Richard Stein
Ex Officio Director60.0X043962066782
UHREG - Samuel Ake
Secretary/Director2.0X000X
UHREG - Mary Jo Boehnlein
Ex Officio Director2.0X000
UHREG - Mary Ann P Correnti
Director2.0X000
UHREG - Laurie Delgado
Pres./Ex Officio Director60.0X4437190106906X
UHREG - Wendolyn Grant
Director2.0X000
UHREG - Richard Hanson
Ex Officio Director10.0X000
UHREG - George Hawwa MD
Ex Officio Director (thru 5/1260.0X5375000
UHREG - James Hukill
Treasurer/Director2.0X000X
UHREG - David E Jerome
Director2.0X000
UHREG - Judy Grieg
Ex Officio Director2.0X000
UHREG - Patrick Lally
Director (thru 5/12)2.0X000
UHREG - Kathleen Malec
Director (thru 5/12)2.0X000
UHREG - Brock Milstein
Director2.0X000
UHREG - Timothy Morgan
Director2.0X000
UHREG - Stamy Paul
Director2.0X000
UHREG - Mark Plush
Co-Chair (thru 5/12)/Director2.0X000X
UHREG - Philip Ridolfi
Co-Chair (thru 5/12)/Director2.0X000X
UHREG - Joseph Shawi MD
Vice Chief of Staff/Director (60.0X020007326938
CMC - Terry Atkinson
Director2.0X000
CMC - Benjamin Bryant MD
Ex Officio Director (thru 5/1260.0X028136251403
CMC - Robert David
Pres./Ex Officio Director30.0X175717046768X
CMC - Charles Deck
Director2.0X000
CMC - Arpan Desai MD
Director2.0X048113928814
CMC - Gerald Eighmy
Director2.0X000
CMC - Richard A Hanson
Secretary & Treas. (thru 8/12)10.0X000X
CMC - George Kolman
Director2.0X000
CMC - Reverend Tim Kraus
Chair/Director2.0X000X
CMC - Lori McLaughlin
Director2.0X000
CMC - Karen McNeil
Ex Officio Director (thru 5/122.0X135586016386
CMC - Joseph A Moroski
Director2.0X000
CMC - Carol Owens
Director2.0X000
CMC - Mike Skufca DDS
Director2.0X000
CMC - James Supplee
Director2.0X000
ECC - Richard Hanson
Chair/Ex Officio Director2.0X000X
ECC - Susan V Juris
Pres./Ex Officio Director2.0X000X
ECC - Rebecca Ivcic
Finance Director/Director2.0X151461046006
GMC - Natalina Andreani MD
Ex Officio Director (thru 5/1260.0X10500201600
GMC - Thomas Benda
Director2.0X000
GMC - Rose Dotson MD
Ex Officio Director (thru 11/160.0X028544212033
GMC - John Fitts
Treasurer/Director2.0X000X
GMC - Robert A Forino
Director (thru 5/12)2.0X000
GMC - Davina Gosnell PhD Ex Off D
Ex Officio Director2.0X000
GMC - Richard Hanson Ex Off Dir
Ex Officio Director10.0X000
GMC - B Paige Hoiser
Director2.0X000
GMC - M Steven Jones Ex Off Dir
Pres./Ex Officio Director60.0X4297000103115X
GMC - P James Kamer Jr
Vice Chair/Director2.0X000X
GMC - Edith Lerner PhD
Director (thru 5/12)2.0X000
GMC - Jack Male
Director2.0X000
GMC - Darrell McNair
Secretary/Director2.0X000X
GMC - Denise Miller
Director2.0X000
GMC - Pete C Miller
Director2.0X000
GMC - David M Ondrey
Director2.0X000
GMC - James F Patterson
Director30.0X000
GMC - Gregory Robinson
Chair/Director2.0X000X
GMC - George W Tim Taylor
Director2.0X000
UHGMC - James Crawford
Director2.0X000
UHGMC - Richard L Dana Jr
Director2.0X000
UHGMC - Robert David
Pres./Ex Officio Director30.0X175716046766X
UHGMC - Raimantas Drublionis MD
Ex Officio Director60.0X02891341659
UHGMC - Morgan R Griffiths Jr
Director2.0X000
UHGMC - Richard Hanson
Sec. & Treas. (thru 8/12)/Ex O10.0X000X
UHGMC - Syed Hussaini MD
Ex Officio Director (thru 5/122.0X000
UHGMC - Cathy Knorzer
Ex Officio Director (thru 1/122.0X000
UHGMC - Jeffrey Lampson
Director (thru 5/12)2.0X000
UHGMC - Craig Parker
Director2.0X000
UHGMC - Gary L Pasqualone
Director2.0X000
UHGMC - Willard Raymond
Chair/Director2.0X000X
UHGMC - Robert Taylor
Director2.0X000
HCS - Achilles A Demetriou MD
VP (thru 12/12)/Director2.0X000X
HCS - Keith Maitland
Pres./Director60.0X456382066111X
HCS - Richard A Hanson
VP/Director10.0X000X
UMI - Phyllis Hall
Secretary/Director2.0X000X
UMI - Michael Nochomovitz MD
Pres./Director2.0X000X
UMI - Michael Szubski
Treas./Director2.0X000X
UHHS - William L Annable MD
Chief Quality Off.60.0551780021767X
UHHS - Elliot A Kellman
Chief HRO60.01083333062840X
UHHS - Janet L Miller Esq
Secretary, CLO60.08148330359460X
UHHS - Steven D Standley
Chief Admin. Off.60.01328732055479X
UHHS - Michael A Szubski
Treasurer, CFO60.010634050496877X
UHCMC - Michael Anderson MD
Chief Medical Off.60.04443140104208X
UHCMC - Patricia DePompei
Pres. RB&C/Macdonald60.0345699064315X
UHCMC - Ronald E Dziedzicki BSN
Chief Support Serv. Off.60.03953860105834X
UHCMC - Michael J Farrell
Pres. RB&C/Macdonald (thru 4/160.0322264089021X
UHCMC - Catherine S Koppelman RN
Chief Nursing Off.60.0731919072391X
UHCMC - Nathan Levitan MD
Pres. Seidman Cancer Ctr.60.0834982060521X
UHCMC - Janet L Miller Esq
Secretary, Chief Legal Off.2.0000X
UHCMC - Sonia Salvino
Treasurer/VP Finance60.0303118079184X
UHMG - Harlin G Adelman
Assistant Secretary2.04197310104930X
UHMG - Phyllis Hall
VP & Treasurer60.04506050112641X
UHMG - Janet L Miller Esq
Secretary2.0000X
UHLSF - Don M Landek
President60.0191686048396X
AMC - Susan V Juris
Pres./Ex Officio Director60.0627693051133X
HCS - Howard Lutz
Sec. & Treas.60.088909014866X
UHHS Sherri Bishop
Chief Development Off.60.06078710327474X
UHHS - Peter S Brumleve
Chief Marketing Off.60.0299497033158X
UHHCS - Kevin P Cunningham
Pharmacy Director60.0153816024309X
UHHS - John V Foley
Chief Information Off.60.0296121028897X
GMC - Jason E Glowczewski
Pharmacy Director60.0156570038233X
AMC - Alan Hirsch MD
CMO, Ahuja60.0340177053472X
UHCMC - Carl Lufter
Pharmacy Director60.0191977030833X
UHHS - Donnie Perkins
VP Inclusion & Diversity60.027894402802X
UHHS - Paul G Tait
Chief Strategic Planning Off.60.06420460319748X
UHHS - Cheryl Wahl
Chief Compliance Officer60.0307592067143X
UHHS - William A Young
President SJMC60.0343876067477X
UHHS - Cliff J Coker
Pres. of JV (thru 1/1/12)142274097512X
UHMG - Bahman Guyuron MD
Surgeon, Plastic Surgery60.01247217041816X
UHMG - Nicholas U Ahn MD
Orthopaedic Surgeon60.01065826034201X
UHMG - Jason D Eubanks
Orthopaedic Surgeon60.01027648022997X
UHMG - Kord S Honda
Dermatopathology60.01002147043791X
UHMG - Matthew Kraay
Orthopaedic Surgeon60.0843233046604X
UHLSF - Michael R Vehovec
Fmr. Officer335777074148X
FieldValueIRS element (for citing)
Total Reportable Comp From Org37891655TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1996930TotalReportableCompFrmRltdOrgs
Total Other Compensation5258541TotalOtherCompensation
Number Individuals GT100 K913NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Macquarie Equipment Finance LLC
GPO Drawer 67-865DETROITMI48267Leasing6817811
Microsoft Licensing GP
PO Box 842467DALLASTX752842467Software2565677
National Marrow Donor Program
NW 8428 PO Box 1450MINNEAPOLISMN554858428Donor Matching2151496
Deloitte Consulting LLP
4638 Collections Center DrCHICAGOIL60693Consulting1671972
Advizex Tech LLC
4019 Solutions CenterCHICAGOIL606774000IT1523483
FieldValueIRS element (for citing)
Number Of Contractors GT100 K77NumberOfContractorsGT100K
Fundraising Events503000FundraisingEvents
All Other Contributions89337000AllOtherContributions
Noncash Contributions3928000NoncashContributions
Total Contributions89840000TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE LESS BAD DEBTS90009919000680001899743000325000
SPONSORED REVENUES9000994193400041934000
UHMG RESIDENT TEACHING REVENUE9000991845000018450000
UHMG OTHER CLINICAL REVENUE9000991607400016074000
UHMG MEDICAL DIRECTOR REVENUE9000991377200013772000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column24731000TotalRevenueColumn
Related Or Exempt Function Income24731000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2015029000TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column40000TotalRevenueColumn
Exclusion$40,000ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events142000GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events503000CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses219000FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-77000TotalRevenueColumn
Exclusion-$77,000ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
OTHER MISCELLANEOUS REVENUES9000996283700062618000219000
PARKING SERVICES9000996679000$6,679,000
CALL CENTER9000991712000$1,712,000
FieldValueIRS element (for citing)
Total Other Revenue71228000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2176060000TotalRevenueColumn
Related Or Exempt Function Income2077322000RelatedOrExemptFunctionIncome
Unrelated Business Revenue544000UnrelatedBusinessRevenue
Exclusion$8,354,000ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total31771000Total
Program Services31771000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5165000Total
Management And General5165000ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total3621000Total
Program Services3621000ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total798785000Total
Program Services793066000ProgramServices
Fundraising5719000Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total49786000Total
Program Services49786000ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total90198000Total
Program Services88730000ProgramServices
Fundraising1468000Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total50037000Total
Program Services50037000ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total62000Total
Program Services62000ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total372000Total
Program Services372000ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total306000Total
Fundraising306000Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total314245000Total
Program Services163828000ProgramServices
Management And General150139000ManagementAndGeneral
Fundraising278000Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2130000Total
Program Services1517000ProgramServices
Fundraising613000Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total333470000Total
Program Services332199000ProgramServices
Fundraising1271000Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1266000Total
Program Services1223000ProgramServices
Fundraising43000Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total98417000Total
Program Services98140000ProgramServices
Fundraising277000Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total7093000Total
Program Services6899000ProgramServices
Fundraising194000Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total5246000Total
Program Services5246000ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total71266000Total
Program Services71266000ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total33156000Total
Program Services33156000ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
OTHER TAXES2227700022277000
RECRUITMENT25180002518000
ADMINISTRATIVE SERVICES35310003531000
DUES AND MEMBERSHIPS120000120000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12593000Total
Program Services11789000ProgramServices
Fundraising804000Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1937431000Total
Program Services1771154000ProgramServices
Management And General155304000ManagementAndGeneral
Fundraising10973000Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8457000BOY
EOY33341000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY77594000BOY
EOY126944000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY291159000BOY
EOY318886000EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY423000BOY
EOY396000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY28223000BOY
EOY31652000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3151000BOY
EOY3266000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1926395000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1013381000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY943082000BOY
EOY913014000EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY3271000EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY72010000BOY
EOY56416000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4839000BOY
EOY5631000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY79401000BOY
EOY40874000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1508339000BOY
EOY1533691000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY83322000BOY
EOY100595000EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY14601000BOY
EOY6677000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY42960000BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY95134000BOY
EOY106996000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY236017000BOY
EOY214268000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1066580000BOY
EOY1080947000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY189763000BOY
EOY220386000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15979000BOY
EOY18090000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1272322000BOY
EOY1319423000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1508339000BOY
EOY1533691000EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses238629000ReconcilationRevenueExpenses
Reconcilation Other Changes-191528000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
General ExplanationPublic charity classification of each Group Member is shown below: University Hospitals Cleveland Medical Center (UHCMC) - 34-1567805 dba University Hospitals Case Medical Center 170(b)(1)(A)(iii) 11100 Euclid Ave Cleveland, OH 44106 University Hospitals Bedford Medical Center (BMC) - 34-1271115 170(b)(1)(A)(iii) 44 Blaine Avenue Bedford, OH 44146 University Hospitals Conneaut Medical Center (CMC) - 34-0714550 170(b)(1)(A)(iii) 158 West Main Road Conneaut, OH 44030 BMH Professional Corporation (BMHPC) - 34-1749966 509(a)(3) 158 West Main Road Conneaut, OH 44030 Part I Line 11h (i) Name of supported organization: University Hospitals Conneaut Medical Center (ii) EIN of supported organization: 34-0714550 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0 University Hospitals Geauga Medical Center (GMC) - 34-0816492 170(b)(1)(A)(iii) 13207 Ravenna Road Chardon, OH 44024 University Hospitals Geneva Medical Center (UHGMC) - 34-0714461 170(b)(1)(A)(iii) 870 West Main Street Geneva, OH 44041 University Hospitals Ahuja Medical Center - 26-4827222 170(b)(1)(A)(iii) 3999 Richmond Road Beachwood, OH 44122 UHHS Heather Hill Inc. (HHI)- 34-0771884 170(b)(1)(A)(vi) 12340 Bass Lake Road Chardon, OH 44024 UHHS - Heather Hill Rehabilitation Hospital Inc. (UHECC) - 34-1465745 dba University Hospitals Extended Care Campus 170(b)(1)(A)(iii) 12340 Bass Lake Road Chardon, OH 44024 UH Regional Hospitals - 34-1924226 170(b)(1)(A)(iii) 27100 Chardon Road Richmond Hts, OH 44143 University Mednet (UMI) - 34-0750341 170(b)(1)(A)(iii) 23001 Euclid Avenue Cleveland, OH 44117 University Hospitals Home Care Services, Inc. (HCS) - 34-1527536 509(a)(3) 4901 Galaxy Parkway Warrensville Hts, OH 44128 Part I Line 11h (i) Name of supported organization: University Hospitals Cleveland Medical Center (ii) EIN of supported organization: 34-1567805 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $30,730,000 University Hospitals Laboratory Services Foundation (UHLSF) - 34-1720429 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Part I Line 11h (i) Name of supported organization: University Hospitals Cleveland Medical Center (ii) EIN of supported organization: 34-1567805 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $25,657,000 University Hospitals Medical Group, Inc. (UHMG) - 20-4881619 170(b)(1)(A)(iii) 11100 Euclid Avenue Cleveland, OH 44106 University NPI Inc. - 34-1571623 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Part I Line 11h (i) Name of supported organization: University Hospitals Cleveland Medical Center (ii) EIN of supported organization: 34-1567805 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0 Memorial Hospital Health Foundation - 34-1810018 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Part I Line 11h (i) Name of supported organization: University Hospitals Geneva Medical Center (ii) EIN of supported organization: 34-0714461 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0 University Hospitals Accountable Care Organization Inc. - 27-3970270 170(b)(1)(A)(iii) 3605 Warrensville Center Rd. - MSC 9155 Shaker Heights, OH 44122 University Hospitals Coordinated Care Organization - 90-0794903 509(a)(3) 3605 Warrensville Center Rd. - MSC 9155 Shaker Heights, OH 44122 Part I Line 11h (i) Name of supported organization: University Hospitals Accountable Care Organization (ii) EIN of supported organization: 27-3970270 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0 University Hospitals Rainbow Care Connection Inc. - 46-1074672 509(a)(3) 3605 Warrensville Center Rd. - MSC 9155 Shaker Heights, OH 44122 Part I Line 11h (i) Name of supported organization: University Hospitals Accountable Care Organization (ii) EIN of supported organization: 27-3970270 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals4108FilingOrganizationsTotals
Affiliated Group Totals6683AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals171280FilingOrganizationsTotals
Affiliated Group Totals285833AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals175388FilingOrganizationsTotals
Affiliated Group Totals292516AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1141064612FilingOrganizationsTotals
Affiliated Group Totals2246189484AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1141240000FilingOrganizationsTotals
Affiliated Group Totals2246482000AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3384605CurrentYearMinus3
Current Year Minus2357890CurrentYearMinus2
Current Year Minus1278602CurrentYearMinus1
Current Year175388CurrentYear
Total1196485Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus310111CurrentYearMinus3
Current Year Minus27514CurrentYearMinus2
Current Year Minus16426CurrentYearMinus1
Current Year4108CurrentYear
Total28159Total
FieldValueIRS element (for citing)
Mailings Members$23,629MailingsMembersAmount
Grants Other Organizations$85,764GrantsOtherOrganizationsAmount
Direct Contact Legislators$19,816DirectContactLegislatorsAmount

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule C, Part II-BIdentifier
ExplanationSoftware limitiation would not allow completion of Part II-B. It is presented below. 1a - No. 1b - Yes. 1c - No. 1d - Yes. $23,629 1e - No. 1f - Yes. $85,764 1g - Yes. $19,816 1h - No. 1i - No. 1j - $129,209 2a - No.Explanation

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Revenues Included70000RevenuesIncluded
Assets In Part X1125000AssetsInPartX
FieldValueIRS element (for citing)
Held Works Of Art AmtsHeldWorksOfArtAmts
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Solicited Assets For SalefalseSolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance118803000BeginningOfYearBalance
Contributions5064000Contributions
Investment Earnings Or Losses3938000InvestmentEarningsOrLosses
Other Expenditures3938000OtherExpenditures
End Of Year Balance123867000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance107300000BeginningOfYearBalance
Contributions11503000Contributions
Investment Earnings Or Losses4198000InvestmentEarningsOrLosses
Other Expenditures4198000OtherExpenditures
End Of Year Balance118803000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance103637000BeginningOfYearBalance
Contributions3508000Contributions
Investment Earnings Or Losses1680000InvestmentEarningsOrLosses
Other Expenditures1680000OtherExpenditures
End Of Year Balance107145000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance95272000BeginningOfYearBalance
Contributions6956000Contributions
Investment Earnings Or Losses4047000InvestmentEarningsOrLosses
Other Expenditures2638000OtherExpenditures
End Of Year Balance103637000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance91339000BeginningOfYearBalance
Contributions10854000Contributions
Investment Earnings Or Losses-4675000InvestmentEarningsOrLosses
Other Expenditures2246000OtherExpenditures
End Of Year Balance95272000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.14250BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.85750PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis26031000OtherCostOrOtherBasis
Book Value26031000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1216737000OtherCostOrOtherBasis
Depreciation514998000Depreciation
Book Value701739000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis19468000OtherCostOrOtherBasis
Depreciation7414000Depreciation
Book Value12054000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis625306000OtherCostOrOtherBasis
Depreciation471390000Depreciation
Book Value153916000BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38853000OtherCostOrOtherBasis
Depreciation19579000Depreciation
Book Value19274000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings913014000TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
RESEARCH INST OPTION LIABILITY$34,613,000
DUE TO THIRD PARTIES$21,205,000
INTEREST PAYABLE$110,000
OTHER CURRENT LIABILITIES$25,115,000
OTHER LIABILITIES$25,953,000
FieldValueIRS element (for citing)
Total Of Amounts106996000TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Schedule D, Part III, Line 4The UH art collection includes approximately 2,000 original works of art, many donated over the years. 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.
Form 990, Schedule D, Part V, Line 4The 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. Endowments are held on the books of the Parent organization of the Group members. Spending allocations are made to the proper UH entity by the Parent to comply with donor wishes.
Form 990, Schedule D, Part X, Line 2The System and most of its subsidiaries, including UHCMC, are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (Code) and are exempt from federal income tax pursuant to Section 501(a) of the Code. The System also has certain subsidiaries that are taxable for federal income tax purposes.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Name Of IndividualNameOfIndividualAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
Pursuant Group5151 Belt Line RoadDallasTX75254Prof. Fundrfalse198596231108-32512
Summit Business Development2351 ARLINTON RD STE DAkronOH44139Telephonefalse6457874875-10297
FieldValueIRS element (for citing)
Total Gross Receipts263174TotalGrossReceipts
Total Retained By Contractors305983TotalRetainedByContractors
Total Net To Organization-42809TotalNetToOrganization
Licensed StatesFLLicensedStates
Licensed StatesILLicensedStates
Licensed StatesKYLicensedStates
Licensed StatesMILicensedStates
Licensed StatesNYLicensedStates
Licensed StatesOHLicensedStates
Licensed StatesPALicensedStates
Licensed StatesWVLicensedStates
Licensed StatesWILicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf OutingNameOfEvent1
Gross Receipts Event1269254GrossReceiptsEvent1
Charitable Contributions Event1200284CharitableContributionsEvent1
Gross Revenue Event168970GrossRevenueEvent1
Food And Beverage Event1129919FoodAndBeverageEvent1
Other Direct Expenses Event11345OtherDirectExpensesEvent1
Name Of Event2GalaNameOfEvent2
Gross Receipts Event2128315GrossReceiptsEvent2
Charitable Contributions Event2103350CharitableContributionsEvent2
Gross Revenue Event224965GrossRevenueEvent2
Food And Beverage Event216481FoodAndBeverageEvent2
Other Direct Expenses Event25255OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events247675GrossReceiptsOtherEvents
Charitable Contrib Other Events199550CharitableContribOtherEvents
Gross Revenue Other Events48125GrossRevenueOtherEvents
Food And Beverage Other Events46922FoodAndBeverageOtherEvents
Other Direct Expenses Other Events18678OtherDirectExpensesOtherEvents
Gross Receipts Total645244GrossReceiptsTotal
Charitable Contributions Total503184CharitableContributionsTotal
Gross Revenue Total Events142060GrossRevenueTotalEvents
Food And Beverage Total Events193322FoodAndBeverageTotalEvents
Other Direct Expenses Total Events25278OtherDirectExpensesTotalEvents
Direct Expense Summary Events218600DirectExpenseSummaryEvents
Net Income Summary-76540NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense53236653TotalCommunityBenefitExpense
Net Community Benefit Expense53236653NetCommunityBenefitExpense
Percent Of Total Expense0.02750PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense434471309TotalCommunityBenefitExpense
Direct Offsetting Revenue357011070DirectOffsettingRevenue
Net Community Benefit Expense77460239NetCommunityBenefitExpense
Percent Of Total Expense0.04000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense487707962TotalCommunityBenefitExpense
Direct Offsetting Revenue357011070DirectOffsettingRevenue
Net Community Benefit Expense130696892NetCommunityBenefitExpense
Percent Of Total Expense0.06750PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense7251655TotalCommunityBenefitExpense
Net Community Benefit Expense7251655NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense71546837TotalCommunityBenefitExpense
Direct Offsetting Revenue21346428DirectOffsettingRevenue
Net Community Benefit Expense50200409NetCommunityBenefitExpense
Percent Of Total Expense0.02590PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense17940137TotalCommunityBenefitExpense
Direct Offsetting Revenue13882799DirectOffsettingRevenue
Net Community Benefit Expense4057338NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense49385925TotalCommunityBenefitExpense
Net Community Benefit Expense49385925NetCommunityBenefitExpense
Percent Of Total Expense0.02550PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense31518554TotalCommunityBenefitExpense
Net Community Benefit Expense31518554NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense177643108TotalCommunityBenefitExpense
Direct Offsetting Revenue35229227DirectOffsettingRevenue
Net Community Benefit Expense142413881NetCommunityBenefitExpense
Percent Of Total Expense0.07350PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense665351070TotalCommunityBenefitExpense
Direct Offsetting Revenue392240297DirectOffsettingRevenue
Net Community Benefit Expense273110773NetCommunityBenefitExpense
Percent Of Total Expense0.14100PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense33319TotalCommunityBuildingExpense
Net Community Building Expense33319NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense33319TotalCommunityBuildingExpense
Net Community Building Expense33319NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$47,551,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare325127862AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare363554016CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-38426154MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities7NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOtherFacility Reporting GroupFacilityReportingGroupChildrens HospitalChildrensHospitalCritical Access HospitalCriticalAccessHospital
UH Case Medical Center
111100 Euclid AvenueClevelandOH44106XXXXXIP Psych./IP Rehab./ Skilled NursingA
UH Rainbow Babies & Children's Hospit
211100 Euclid AvenueClevelandOH44106XXXXXAX
UH Geauga Medical Center
313207 Ravenna RoadChardonOH44024XXXIP Psychiatric UnitA
UH Ahuja Medical Center
43999 Richmond RoadBeachwoodOH44122XXXA
UH Regional Hospitals
527100 Chardon RoadRichmond HeightsOH44143XXXXA
UH Geneva Medical Center
6870 West Main StreetGenevaOH44041XXAX
UH Conneaut Medical Center
7158 West Main RoadConneautOH44030XXAX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities31NumberOfOtherFacilities

Other Facilities OtherFacilities (31 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
UH Chagrin Highlands Medical Center
3909 Orange PlaceOrange VillageOH44122Outpatient Health Center
UH Westlake Health Center Bldg A
960 Clague RoadWestlakeOH44145Outpatient Health & Surg. Ctr
UH Landerbrook Health Center
5885 Landerbrook DriveMayfield HeightsOH44124Outpatient Health Center
UH Twinsburg Health Center
8819 Commons Blvd Suite 100TwinsburgOH44087Outpatient Health Center
UH Mentor Health Center
9000 Mentor AvenueMentorOH44060Outpatient Health & Surg. Ctr
UH Concord Health Center
7500 Auburn RoadPainsvilleConcord JEDOH44077Outpatient Health Center
UH Ahuja Med Office Bldg
1000 Auburn DrBeachwoodOH44122Outpatient Health Center
UH Sharon Health Center
5133 Ridge RdWadsworthOH44281Outpatient Health Center
UH Adult Sleep Lab Center
3628 Park East DrBeachwoodOH44122Outpatient Health Center
UH Medina Health Center
4001 Carrick DrMedinaOH44256Outpatient Health Center
UH Health Center Landerbrook
5850 Landerbrook DriveMayfield HeightsOH44124Outpatient Health Center
UH Euclid Health Center
18599 Lake Shore BlvdEuclidOH44119Outpatient Health Center
UH St John Westshore MOB
29000 Center Ridge RoadWestlakeOH44145Outpatient Health Center
UH Lyndhurst Surgery Center
29017 Cedar RoadLyndhurstOH44124Outpatient Health Center
UH Physical Therapy Office
4480 Richmond RoadWarrensville HeightsOH44122Outpatient Rehab. Center
UH Mayfield Village Health Center
730 SOM Center Road Suite 110Mayfield VillageOH44143Outpatient Health Center
UH Madison Health Center
701 North Lake StreetMadisonOH44057Outpatient Health Center
UH Hudson Health Center
5778 Darrow RoadHudsonOH44236Outpatient Health Center
UH University Suburban Health Center
1611 South Green RoadSouth EuclidOH44121Outpatient Health Center
UH St John Med Center Womens Health Ct
29325 Health Campus Drive Suite 1WestlakeOH44145Outpatient Health Center
UH Cedars on the Green Peds Rehab Ctr
2054 So Green RoadSouth EuclidOH44141Outpatient Rehab. Center
UH Otis Moss Health Center
8819 Quincy AvenueClevelandOH44106Outpatient Health Center
UH Crocker Corp Ctr
2055 Crocker RoadWestlakeOH44145Outpatient Health Center
UH Ashtabula Health Center
2131 Lake AvenueAshtabulaOH44004Outpatient Health Center
UH Bedford Medical Office Center
50 Blaine AvenueBedfordOH44146Outpatient Health Center
UH Park East
3619 Park East DriveBeachwoodOH44122Outpatient Health Center
UH Westlake Health Center Bldg B
950 Clague RoadWestlakeOH44145Outpatient Health Center
UH Aurora Health Center
55 North Chillicothe RoadAuroraOH44202Outpatient Health Center
UH Bainbridge Health Center
8185 East Washington StreetBainbridgeOH44023Outpatient Health Center
UH Chesterland Medical Center
8055 Mayfield RdChesterlandOH44026Outpatient Health Center
UH Park West Surgical Center
1 Park West BlvdAkronOH44320Outpatient Health Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierExplanationExplanation
Part I, Line 3cThe amount of financial assistance discount granted by UH in 2012 was based on the following guidelines: Patients must be uninsured, provide financial information to qualify them for financial assistance, if applicable, agree to allow UH to apply for third-party coverage, and financial assistance discounts were based on amounts generally billed. If it is determined that any patient, including an uninsured charity patient, is unable to pay any account balances owed, the patient shall be determined to be medically indigent. Medically indigent patient balances shall be fully discounted and designated as financial assistance. UH participates in Ohio's Hospital Care Assurance Program (HCAP). Through HCAP, UH provides basic, medically necessary hospital-level services free of charge to Ohio residents whose income is below the poverty level (below 100 percent of the FPG). Patients who meet that income criterion must fill out and sign an application for HCAP.
Part I, Line 6aThe Parent organization, University Hospitals (34-0714775), prepares an Annual Community Benefit Report that encompasses all of University Hospitals Health System including the subordinate organizations completing Schedule H.
Part I, Line 7Amounts calculated and reported in this table were derived from the most accurate, available sources. A cost-to-charge ratio was used to determine Financial Assistance cost using hospital financial statements. Medicaid shortfall for group subordinates was calculated; 1) based on the tax year's Medicaid cost report adjusted to reflect full costs to direct offsetting revenue from the Medicaid cost report, or 2) based on a cost-to-charge ratio and Medicaid revenues derived using financial statements. Included in this Medicaid shortfall is the Ohio State Children's Health Insurance Program (SCHIP) shortfall. Community health improvement and community benefit operations costs have been reported based on actual direct costs using actual or average employee compensation rates and adding indirect costs which are calculated by a cost accounting system as a percentage of total cost. The Medicare Cost Report, adjusted to reflect full costs, was used to determine gross community benefit expense amounts for Health Professions Education; direct offsetting revenues are included from Medicare, Children's Hospitals Graduate Medical Education, and Medicaid for direct medical education. Research amounts were also based on the Medicare Cost Report, adjusted to reflect full costs, using costs assigned to Research cost centers, less industry-sponsored research direct and indirect costs. The expense of restricted cash contributions is reported based on the actual value of the contribution before indirect cost; restricted in-kind contributions are reported at fair market value. In calculating gross and net community benefit expenses, care was taken to avoid double-counting community benefit expenses.
Part I, Line 7gLine 7g includes the costs and direct offsetting revenue associated with certain physician clinics that qualify to be reported as a subsidized health service. The total amount of gross community benefit expense included in line 7g for these clinics is: $17,940,137. The total amount of associated direct offsetting revenue is $13,882,799. The total amount of net community benefit expense included in line 7g is $4,057,338.
Part IIAlthough difficult to measure and not reported numerically, UH benefits the community through important community building activities that ultimately promote improved health and well-being for the surrounding population. Guided by our community health needs assessments and community hospital boards of directors, UH continues to meet community needs through economic development opportunities, local, regional and national disaster preparedness efforts, advocacy and coalition building, among others.
Part III, Line 4The hospitals financial statements are used to determine the bad debt expense as reported on line 2. Text to Audited Financial Statement Footnote - Provision for Bad Debt; In addition to charity care and insufficient funding from the Medicaid program, there are 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 provision for bad debts represents revenues for services provided that are deemed to be uncollectible. Provision for bad debts totaled $54,983,000 and $57,304,000 for the years ended December 31, 2012 and 2011, respectively. End text to footnote. The bad debt expense disclosed on the Audited Financial Statements includes amounts for entities (for profits) that are not included in this return.
Part III, Line 8Costs were derived using the Medicare Cost Report. As a safety-net to the community, UH hospitals provided services to many low-income Medicare recipients. The Medicare losses sustained at these hospitals are a result of Medicare reimbursing at less than operating costs. IRS Rev. Rul. 69-545, which established the community benefit standard for hospitals, provides that if a hospital serves patients covered by governmental health benefits (including Medicare), then this indicates the hospital operates to promote the health of the community. In turn, treating Medicare patients is considered a community benefit.
Part III, Line 9bUniversity Hospitals utilizes a single process to bill and collect for all patient payment portions of claims. All self-pay account balances are treated the same way regardless of whether the patient is insured or uninsured.
Part V, Section B, Line 12hAnother factor used in determining amounts charged to UH patients include residency criteria. To qualify for Financial Assistance at a UH facility a patient must be a resident of Northeast Ohio (UH's service area comprises an eight county region) or be a patient in a UH hospital facility's primary and secondary service area seeking treatment at one of UH's wholly-owned and operated hospital facilities that provide patient care.
Part V, Section B, Line 14gUH provides a summary of its Financial Assistance Policy rather than the entire detailed policy. The summary makes it easier for our patients to read and understand. This summary is publicized through the UH website, on all patient statements and bills, in areas of hospital registration and financial counseling, in patient access or financial assistance offices, through financial counselors, and through other methods as required by state or federal law. Policy posted on the website was not based on the notice of proposed rulemaking (NPRM) that was issued by the IRS on June 22, 2012, because that NPRM was not yet available.
Part VI, Line 2In calendar year 2012, UH assessed community health care needs by reviewing demographics, household income, ambulatory care sensitive discharges, health status and access indicators, federally designated areas and facilities, and local data sources for the respective communities served by each of the hospitals in the UH system. The needs assessments have been used to guide UH community benefit program development and to inform strategic planning.
Part VI, Line 3UH informs and educates patients and persons who may be billed for patient care about options for resolution of their balances, including assistance under government programs and under the UH Financial Assistance Program ("Assistance Program") in a variety of ways. Signage for the state of Ohio Health Care Assurance Program (HCAP) and the UH Patient Financial Assistance program can be found in locations where patients register for care, patient access areas, and various points of entry such as our emergency departments. Supplemental brochures that reflect the UH Patient Financial Assistance Program and the HCAP program are also available. Information about the Assistance Program can also be found on the UH website in addition to being provided on the backs of patient statements, including a toll free phone number to call for assistance from one of our financial counselors.
Part VI, Line 4The UH service area spans Northeast Ohio, and our clinical, education, research, and outreach programs benefit communities that extend well beyond this region. The main campus facility, UH Case Medical Center, is located in the city of Cleveland and provides high-quality health care in an urban setting for a diverse population that includes many low-income residents. UH Rainbow Babies & Children's Hospital (Rainbow) serves as a safety-net for Cleveland's children, with more than 60 percent of its patients enrolled in the state of Ohio Medicaid program. Based on the 2008 needs assessment, the UH Primary Service Area (PSA) included about 3 million persons, and its Secondary Service Area (SSA) included a population of approximately 1.2 million persons for a total service area population of approximately 4.2 million. The PSA encompasses an eight-county region including Ashtabula, Cuyahoga, Geauga, Lake, Lorain, Medina, Portage and Summit (referred to as the "eight-county region"). The SSA encompasses seven counties including Ashland, Erie, Huron, Mahoning, Stark, Trumbull, and Wayne. Seventy percent of the UH service area population is located in the PSA, while the remaining 30 percent is located in the SSA. With approximately 1.3 million residents, Cuyahoga County accounts for 31 percent of the population comprising UH service area counties. UH continually invests in access to care for low income and vulnerable populations. Four UH Health Clinics are located in areas designated as Health Professional Shortage Areas (HPSAs) by the Health Resources and Services Administration (HRSA). These clinics include the Douglas Moore Health Clinic, Women's Health Center, Rainbow Ambulatory Practice, and Family Medicine Clinic, all located on the UH Case Medical Center campus. HRSA also designates Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs) based on specific criteria. Twenty-five areas within the UH service area including Cuyahoga, Lorain, and Summit Counties qualify as MUAs, while one population in Kent, Portage County is a designated MUP. Cuyahoga County alone accounts for 20 MUAs located in 13 zip codes, representing 12 towns. The UH System's two critical access hospitals in Ashtabula County sit in Appalachia, as designated by the Appalachian Regional Commission.
Part VI, Line 5Governed by a Board of Directors comprised primarily of persons residing in the UH Primary Service Area, UH continues to reinvest in itself and the community through enhanced clinical services, educational programs, research, and capital improvements that meet the health care needs of communities and patients it serves. UH provides an outstanding balance of high-quality clinical care within its walls, and community health outreach to local populations. As indicated in the above response to Part VI, Line 4, UH has made significant investments in access to care for low income and vulnerable populations. Four UH Health Clinics are located in areas designated as Health Professional Shortage Areas (HPSAs) by the Health Resources and Services Administration (HRSA). These clinics include the Douglas Moore Health Clinic, Women's Health Center, Rainbow Ambulatory Practice, and Family Medicine Clinic, all located on the UH Case Medical Center campus. HRSA also designates Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs) based on specific criteria. Twenty-five areas within the UH service area including Cuyahoga, Lorain, and Summit Counties qualify as MUAs, while one population in Kent, Portage County is a designated MUP. Cuyahoga County alone accounts for 20 MUAs located in 13 zip codes, representing 12 towns. The UH System's two critical access hospitals in Ashtabula County sit in Appalachia, as designated by the Appalachian Regional Commission. UH is committed to training the next generation of physicians, nurses, specialists and other allied health care providers annually. Many of these students and trainees complete their education and take their knowledge and expertise to other parts of the state or country, thereby benefiting other communities. UH works to increase health and medical knowledge through government and non-profit funded research. The shared knowledge derived from these efforts improves the health and well-being of people throughout the nation and the world when they lead to new standards of care, new medical devices, or breakthroughs in tackling diseases.
Part VI, Line 6University Hospitals (parent organization) together with its affiliates and subsidiaries is an integrated, health care delivery system. The System includes an academic medical center, five wholly-owned community hospital locations, two of which are critical access facilities, a nationally recognized children's hospital, a nationally recognized cancer center, ambulatory health care centers and physician practice offices throughout the region. The System also provides skilled nursing, elder health, rehabilitation and home care services. UH serves an essential role in the community 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. It provides the same quality and compassionate service to all, no matter their income, ability to pay or socioeconomic status. UH cares for the well-insured and the uninsured; men, women and children from every community in the region, from urban centers, small towns, rural areas and suburbs.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (34 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AIDS Taskforce of Greater Cleveland
2728 EUCLID AVE STE 400ClevelandOH44115341433612501(c)315000General Support
Alzheimers Association
23215 Commerce Park Dr Ste 300BeachwoodOH44122341311175501(c)312000General Support
AMER DIABETES ASSN
PO BOX 631762BALTIMOREMD212631762131623888501(c)310000General Support
American Heart Association
PO Box 1590HagerstownMD217401590135613797501(c)3108000General Support
American Liver Foundation
921 E 86th St Ste 150IndianapolisIN46240501(c)314000General Support
American Red Cross
3747 Euclid AveClevelandOH44115501(c)315000General Support
Arthritis Foundation
4630 Richmond Rd Ste 240ClevelandOH44128501(c)325000General Support
Autism Speaks Inc
4700 Rockside Rd Ste 408IndependenceOH44131202329938501(c)38000General Support
Case Western Reserve
10900 Euclid AveClevelandOH44106341018992501(c)330171000General Support
Childrens Museum of Cleveland
10730 Euclid AveClevelandOH44106501(c)310000General Support
Childrens Tumor Foundation
5647 Faraday RoadLydhurstOH44124501(c)310000General Support
Cleveland Central Catholic
6550 Baxter AveClevelandOH44105341013635501(c)320000General Support
Cleveland Center for Arts & Technology
3634 Euclid Ave Ste 100ClevelandOH44115501(c)3200000General Support
Cleveland Foodbank
15500 South Waterloo RdClevelandOH44110341292848501(c)310000General Support
Cleveland Rape Crisis Center
526 Superior Ave 1400ClevelandOH44114501(c)38000General Support
Cleveland School of Science and Medicine
1422 Euclid Ave Ste 1300ClevelandOH44115501(c)313000General Support
Crohns Colitis Foundation
4700 Rockside Rd Ste 425IndependenceOH44131501(c)316000General Support
Cuyahoga Community College Foundation
700 Carnegie AveClevelandOH44115501(c)325000General Support
Cystic Fibrosis Foundation
5001 Mayfield Rd Ste 111LydhurstOH44124131930701501(c)312000General Support
Epilepsy Foundation of NE Ohio
2800 Euclid Ave Ste 450ClevelandOH44115237198807501(c)311000General Support
Free Clinic of Greater Cleveland
12201 Euclid AveClevelandOH44106237078501501(c)330000General Support
Gathering Place
23300 Commerce Park DrClevelandOH44122501(c)3100000General Support
Harvest for Hunger
15500 South Waterloo RdClevelandOH44110501(c)310000General Support
Juvenile Diabetes
6100 Rockside Woods BlvdIndependenceOH44131501(c)320000General Support
Kidney Foundation of Ohio
2831 Prospect AveClevelandOH44115501(c)312000General Support
March of Dimes of NE Ohio
5425 Warner Rd Ste 10ClevelandOH44125501(c)310000General Support
Medwish Intl
PO Box 181484ClevelandOH44118341903712501(c)310000General Support
MILESTONES ORGANIZATION
23880 COMMERCE PARK STE 2BeachwoodOH44122200721205501(c)38000General Support
Nat'l Multiple Sclerosis Society
6155 Rockside Rd Ste 202IndependenceOH44131501(c)310000General Support
Ronald Mcdonald House
10415 Euclid AveClevelandOH44111341269123501(c)369000General Support
St Vincent Charity Foundation
2475 East 220nd StClevelandOH44115501(c)310000General Support
Susan G Komen Race for the Cure
26210 Emery Rd Ste 307ClevelandOH44128341793460501(c)375000General Support
Suicide Prevention & Alliance Center
29425 Chagrin Blvd Ste 306ClevelandOH44122501(c)310000General Support
United Negro College Fund
2000 Auburn Dr Ste 200ClevelandOH44122501(c)325000General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants34TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule I, Part I, Line 2Identifier
ExplanationDonations made by members of the Group Return to charitable organizations are made in furtherance of the recipient organizations' exempt purposes and are considered unrestricted with regard to use of funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptiontrueInitialContractException
Rebuttable Presumption ProceduretrueRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (63 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
UHHS - William L Annable MD
Chief Quality Off.3305760152453068751075000142670573547000
UHHS - Achilles A Demetriou MD
Pres., COO/Ex Off Dir. (thru 184466601154632031038604694201372602370352000
UHHS - Elliot A Kellman
Chief HRO4164630536160013071004318001966001146173000
UHHS - Janet L Miller Esq
Secretary, CLO41582803275030715020349327010133011742930668200
UHHS - Fred C Rothstein MD
Pres. UHCMC/Ex Off Dir.64080308987820302088043845023870019093880819270
UHHS - Steven D Standley
Chief Admin. Off.433540053964303555490415500139290138421102494670
UHHS - Michael A Szubski
Treasurer, CFO593611046644803346046614703073001560282000
UHHS - Thomas F Zenty III
CEO/Ex Off Dir.1063037014921850157102903608800104610449759209449420
UHCMC - Michael Anderson MD
Chief Medical Off.3112510978350352280716390325690548522000
UHCMC - Patricia DePompei
Pres. RB&C/Macdonald269251074182022660370320272830410014000
UHCMC - Ronald E Dziedzicki BSN
Chief Support Serv. Off.2727550118957036740872640185700501220000
UHCMC - Michael J Farrell
Pres. RB&C/Macdonald (thru 4/11255910195210014630789610100600411285000
UHCMC - Catherine S Koppelman R
Chief Nursing Off.30273201431080286079046152026239080431001876390
UHCMC - Nathan Levitan MD
Pres. Seidman Cancer Ctr.460710022933901449330412580192630895503000
UHCMC - Sonia Salvino
Treasurer/VP Finance224640077431010470575940215900382302000
UHCMC - Warren Selman MD
Physician/Director (thru 5/12)8475480518900619950814203202201001597000
UHMG - Harlin G Adelman
Assistant Secretary2798030138278016500755020294280524661000
UHMG - Eric Bieber MD
UH CMO/Director50222202296650327001133350302260878718000
UHMG - Phyllis Hall
VP & Treasurer3079930139803028090905710220700563246000
UHMG - Clifford V Harding MD
Dept. Chair Pathology/Director22335203188603594206750033060301236000
UHMG - Michael Konstan MD
Dept. Chair Pediatrics/Directo287922000722360138380105060384502000
UHMG - Randall Marcus MD
Dept. Chair Orthopaedics/Direc5705850457550696080165010227400725189000
UHMG - Cliff Megerian MD
Dept. Chair Otolaryngology/Dir54100400045122075000270670620693000
UHMG - Howard Nearman MD
Dept. Chair Anesthesia/Directo3426830318860513130153450210530462280000
UHMG - Michael Nochomovitz MD
Pres./Director6128730770050015132904392101098101589154000
UHMG - Jeffrey Ponsky MD
Dept. Chair Surgery/Director6013660456220785690166020137260755885000
UHMG - Robert Ronis
Dept. Chair Psychiatry/Directo167038031886026307010504016750237410000
UHMG - Richard A Walsh MD
Dept. Chair Medicine/Director3749280456220586060158890141360509181000
UHLSF - Don M Landek
President165581016319097860345380138580240082000
UHLSF - Nancy Tinsley
Director2078510679500800059012079620343575000
AMC - Richard Hanson
Ex Officio Director532654037806106553032307903149801271845000
AMC - Susan V Juris
Pres./Ex Officio Director3227500113322019162103978001135306788260839440
AMC - Richard Stein
Ex Officio Director04354500004170031705035077050640200
UHREG - Laurie Delgado
Pres./Ex Officio Director3194210122308019900853380215680550625000
UHREG - Joseph Shawi MD
Vice Chief of Staff/Director (0198117000195600026938022701100
CMC - Benjamin Bryant MD
Ex Officio Director (thru 5/1202772360004126033193018210033276500
CMC - Robert David
Pres./Ex Officio Director11755805739607630331470136210222485000
CMC - Arpan Desai MD
Director0479421000171800028814050995300
CMC - Karen McNeil
Ex Officio Director (thru 5/1212137601320901001014892014940151972000
ECC - Rebecca Ivcic
Finance Director/Director132127013760055740284500175560197467000
GMC - Rose Dotson MD
Ex Officio Director (thru 11/10281997000344500012033029747500
GMC - M Steven Jones Ex Off Dir
Pres./Ex Officio Director3008760124737040870893980137170532815000
UHGMC - Robert David
Pres./Ex Officio Director11755705739607630331460136200222482000
UHGMC - Raimantas Drublionis MD
Ex Officio Director02885920005420001659029079300
HCS - Keith Maitland
Pres./Director207232092898015625203845602765505224930992060
UHMG - Bahman Guyuron MD
Surgeon, Plastic Surgery9889770143230011501002070202111401289033000
UHMG - Nicholas U Ahn MD
Orthopaedic Surgeon96004700010577901487401932701100027000
UHMG - Jason D Eubanks
Orthopaedic Surgeon953775000738730144300856701050645000
UHMG - Kord S Honda
Dermatopathology9264470007570001193203185901045938000
UHMG - Matthew Kraay
Orthopaedic Surgeon769067000741660153780312260889837000
UHHS Sherri Bishop
Chief Development Off.33303602718600297502937700337040935345000
UHHS - Peter S Brumleve
Chief Marketing Off.1772860100930021281026813063450332655000
UHHCS - Kevin P Cunningham
Pharmacy Director1387950142900731053480189610178125000
UHHS - John V Foley
Chief Information Off.160380050000085741020000088970325018000
GMC - Jason E Glowczewski
Pharmacy Director14483401043901297095280287050194803000
AMC - Alan Hirsch MD
CMO, Ahuja2999130262300140340279870254850393649000
UHCMC - Carl Lufter
Pharmacy Director1644890164790110090164430143900222810000
UHHS - Donnie Perkins
VP Inclusion & Diversity1890530515400383510028020281746000
UHHS - Paul G Tait
Chief Strategic Planning Off.35787902811680299902928390269090961794000
UHHS - Cheryl Wahl
Chief Compliance Officer22063708601809370538160133270374735000
UHHS - William A Young
President SJMC316382025000024940390000284770411353000
UHHS - Cliff J Coker
Pres. of JV (thru 1/1/12)0013603406240000001422740975120
UHLSF - Michael R Vehovec
Fmr. Officer226875010778401118072162019860409925000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Schedule J, Part I, Line 4bPart I, Line 4b: The following persons participated in, or received payment from a nonqualified retirement plan (457(f) or SERP) in 2012: - Harlin G. Adelman (No payments received in 2012) - Michael R. Anderson, M.D. (No payments received in 2012) - William L. Annable ($58,464-SERP) - Eric Bieber, M.D. (No payments received in 2012) - Sherri L. Bishop (No payments received in 2012) - Peter Brumleve (No payments received in 2012) - Cliff J. Coker ($6,240-SERP) - Robert G. David (No payments received in 2012) - Laurie S. Delgado (No payments received in 2012) - Achilles A. Demetriou, M.D. ($298,068-SERP) - Ronald E. Dziedzicki (No payments received in 2012) - Michael J. Farrell (No payments received in 2012) - John V. Foley (No payments received in 2012) - Richard J. Frenchie ($4,265-SERP) - Heidi Gartland (No payments received in 2012) - Phyllis Hall (No payments received in 2012) - Richard Hanson (No payments received in 2012) - Steven M. Jones (No payments received in 2012) - Susan V. Juris ($188,189-SERP) - Elliot A. Kellman ($123,870-SERP) - Catherine S. Koppelman ($281,196) - Nathan Levitan, M.D. ($139,815-SERP) - Keith Maitland ($154,296-SERP) - Janet L. Miller ($66,820-457f) - Michael L. Nochomovitz, M.D. ($141,932-SERP) - Donnie J. Perkins - ($25,443-SERP) - Fred C. Rothstein, M.D. ($209,325-SERP/$81,927-457f) - Sonia Salvino (No payments received in 2012) - Steven D. Standley ($351,390-SERP) - Michael A. Szubski (No payments received in 2012) - Paul G. Tait (No payments received in 2012) - Nancy Tinsley (No payments received in 2012) - Allen Tracy (No payments received in 2012) - Michael R. Vehovec (No payments received in 2012) - Cheryl Wahl (No payments received in 2012) - William Young (No payments received in 2012) - Thomas F. Zenty III ($1,549,348-SERP)
No-fixed payments to disclosed personsCertain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments.Schedule J, Part I, Line 7
Initial Contract ExceptonCertain employee compensation disclosed in Part VII meet the requirements of the initial contract exception.Schedule J, Part I, Line 8

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Residence Inn
See Part V184000See Part Vfalse
Diane Anderson
See Part V14000See Part Vfalse
First Energy
See Part V143000See Part Vfalse
First Energy
See Part V143000See Part Vfalse
Turner Construction
See Part V1965000See Part Vfalse
Lee Ponsky MD
See Part V493000See Part Vfalse
Todd Ponsky MD
See Part V165000See Part Vfalse
Diana Ponsky MD
See Part V195000See Part Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierAdditional Information For Schedule L Part IV ResponsesIdentifier
Return ReferenceSchedule L Part IVReturnReference
ExplanationLine 1 Residence Inn Relationship Between Interested Person and Organization: UHCMC Director Richard Horvitz owns many Residence Inns in the local area. Description of Transaction: Residence Inn rents rooms to UHCMC for sleep studies or other activities. These transactions were all at arms length. Line 2 Diane Anderson Relationship Between Interested Person and Organization: Family Member of Michael Anderson, M.D. UHCMC CMO. Description of Transaction: A family member of Dr. Anderson is employed by UHCMC. Line 3 First Energy Relationship Between Interested Person and Organization: UHCMC Director Ernest J. Novak is a Director of First Energy. Description of Transaction: First Energy subsidiary The Illuminating Co. provided energy services to UHCMC in 2012. These transactions were all at arms length. Line 4 First Energy Relationship Between Interested Person and Organization: UHCMC Director Lorna Wisham is employed at First Energy. Description of Transaction: First Energy subsidiary The Illuminating Co. provided energy services to UHCMC in 2012. These transactions were all at arms length. Line 5 Turner Construction Co. Relationship Between Interested Person and Organization: UHCMC Director Hilton O. Smith is employed at Turner Construction Co. Description of Transaction: Turner Construction Co. provided construction related services to UHCMC in 2012. These transactions were all at arms length. Line 6 Lee Ponsky, M.D. Relationship Between Interested Person and Organization: Family Member of Jeffrey Ponsky, M.D. UHMG Director. Description of Transaction: A family member of Dr. Ponsky is employed by UHMG. Line 7 Todd Ponsky, M.D. Relationship Between Interested Person and Organization: Family Member of Jeffrey Ponsky, M.D. UHMG Director. Description of Transaction: A family member of Dr. Ponsky is employed by UHMG. Line 8 Diana Ponsky, M.D. Relationship Between Interested Person and Organization: Family Member of Jeffrey Ponsky, M.D. UHMG Director. Description of Transaction: A family member of Dr. Ponsky is employed by UHMG.Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions23NumberOfContributions
Noncash Contribs Rptd F99069592NoncashContribsRptdF990
Method Of Determining RevenuesAppraisalsMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99010NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9903517NoncashContribsRptdF990
Method Of Determining RevenuesFMV/ReceiptMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions58NumberOfContributions
Noncash Contribs Rptd F9903653035NoncashContribsRptdF990
Method Of Determining RevenuesMed. Value at TransfMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99057729NoncashContribsRptdF990
Method Of Determining RevenuesSaleMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
CollectiblesCollectibles
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9908470NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMiscellaneousDescription
Number Of Contributions201NumberOfContributions
Noncash Contribs Rptd F990135899NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule M, Part I, Column (b):Identifier
Explanationthe numbers reported in Part I, Column (b) represent the number of items contributed.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifierExplanationExplanation
UH Entity DBA Names/AcronymsThe list below shows all the entities included in this Group Return along with any applicable dba names and/or acronyms that will be used throughout this return. For purposes of this Group Return University Hospitals is at times notes as "UH". University Hospitals Cleveland Medical Center (UHCMC) - 34-1567805 dba University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106 University Hospitals Ahuja Medical Center, Inc. (AMC) - 26-4827222 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Bedford Medical Center (BMC) - 34-1271115 44 Blaine Avenue Bedford, OH 44146 University Hospitals Conneaut Medical Center (CMC) - 34-0714550 158 West Main Road Conneaut, OH 44030 BMH Professional Corporation (BMHPC) - 34-1749966 158 West Main Road Conneaut, OH 44030 University Hospitals Geauga Medical Center (GMC) - 34-0816492 13207 Ravenna Road Chardon, OH 44024 University Hospitals Geneva Medical Center (UHGMC) - 34-0714461 870 West Main Street Geneva, OH 44041 UHHS Heather Hill Inc. (HHI) - 34-0771884 12340 Bass Lake Road Chardon, OH 44024 UHHS - Heather Hill Rehabilitation Hospital Inc. (UHECC) - 34-1465745 dba University Hospitals Extended Care Campus 12340 Bass Lake Road Chardon, OH 44024 UH Regional Hospitals (UHRH) - 34-1924226 27100 Chardon Road Richmond Hts, OH 44143 University Mednet (UMI) - 34-0750341 23001 Euclid Avenue Cleveland, OH 44117 University Hospitals Home Care Services, Inc. (HCS) - 34-1527536 4901 Galaxy Parkway Warrensville Hts, OH 44128 University Hospitals Laboratory Services Foundation (UHLSF) - 34-1720429 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Medical Group (UHMG) - 20-4881619 11100 Euclid Avenue Cleveland, OH 44106 University NPI Inc. - 34-1571623 11100 Euclid Avenue Cleveland, OH 44106 Memorial Hospital Health Foundation - 34-1810018 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Accountable Care Organization Inc. 3605 Warrensville Center Rd - MSC 9155 Shaker Hts, OH 44122 University Hospitals Coordinated Care Organization 3605 Warrensville Center Rd - MSC 9155 Shaker Hts, OH 44122 University Hospitals Rainbow Care Connection Inc. 3605 Warrensville Center Rd - MSC 9155 Shaker Hts, OH 44122
Treasury Regulation Section 1.6033-2(d)(5)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 the University Hospitals Health System, Inc. Group Return.
Form 990, Part I, Line 6The total number of volunteers is provided by each UH Medical Center's volunteer coordinator. Volunteers provide assistance in many different departments throughout the UH medical centers. The roles of a volunteer fall into three categories: patient contact, limited patient contact and no patient contact. Roles in the patient contact category include those where the volunteer is working directly with a patient or the patient's family. Examples of volunteer roles from this category include but are not limited to pastoral care volunteers and newborn nursery volunteers. Volunteers who serve in roles where there is limited patient contact work in areas where they may be working more with hospital staff than our patients or visitors. Examples of volunteer roles under the limited patient contact include but are not limited to flower delivery volunteers and Atrium gift shop volunteers. And finally, examples of volunteer roles from the no patient contact category include but are not limited to mailroom and clerical volunteers (working in offices throughout the UH medical centers).
Part V, Line 2aUniversity Hospitals Health System, Inc. acts as a common pay agent for the various entities that comprise the System. As a result the number of employees reported on Form W-3 will be different than what is shown in Part V Line 2a because this Group Return does not encompass all entities for which the Parent acts as a common pay agent.
Form 990, Part VI, Section A, Line 2The 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. James Supplee (CMC Director) and Mr. Charles Deck (CMC Director) have a business relationship. Mr. Craig Parker (UHGMC Director) and Mr. Willard Raymond (UHGMC Director) have a business relationship. Mr. Ralph Della Ratta (UHCMC Director) and Mr. Michael Siegel (UHCMC Director) have a business relationship. Mr. Richard Horvitz (UHCMC Director) and Mr. Ralph Della Ratta (UHCMC Director) have a business relationship. Mr. John Morley (UHCMC Director) and Mr. William O'Neill Jr. (UHCMC Director) have a business relationship. Mr. Fred C. Rothstein, M.D. (UHCMC Director) and Mr. Michael Feuer (UHCMC Director) have a business relationship. Mr. Lee Koury (UHCMC Director) and Mr. Gregory Skoda (UHCMC Director) have a business relationship.
Form 990, Part VI, Section A, Line 6University Hospitals Health System, Inc. is the Sole Member of the organizations included in this return. Its rights include electing the Board of Directors and approving significant decisions of each organization's Board.
Form 990, Part VI, Section A, Line 7aUniversity Hospitals Health System, Inc. (Sole Member) elects the Board of Directors, including the designation of the Directors to be the Chairperson and Vice Chairperson of the Board.
Form 990, Part VI, Section A, Line 7bCertain decisions of each organization's governing body are subject to approval by University Hospitals Health System, Inc. (Sole Member). Examples include approving matters relating to finances and financing, matters relating to investments, legal matters, material assets sales or transfers, strategic plan, officers, and Directors to the Organizations Board.
form 990, Part VI, Section B, Line 11The Form 990 for University Hospitals Health System, Inc. Group Return is approved for filing by University Hospitals Health System Inc.'s (Parent Organization) governing body. The Audit and Compliance Committee has been delegated authority to review and approve Form 990 by the UH Board. The Compensation Committee reviews relevant disclosures related to compensation sections of the return. The Governance and Community Benefit Committee reviews and approves the Governance and Community Benefit sections of the return. The Board receives a complete copy of the return to review 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 12cUH has adopted three Conflict of Interest ("COI") policies: the first relates to UH and all its subsidiaries and applies to all directors, officers, other disqualified persons, pursuant to the intermediate sanctions regulations, the second applies to UH management (supervisors and above) and the third applies to physicians. UH regularly and consistently monitors and enforces compliance with the COI policies. Individuals to which the COI policies apply are required to complete an annual disclosure and provide information regarding any interests that may be potential conflicts pursuant to the COI policies. Individuals covered by the policies 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 conflicts are reviewed and approved, if appropriate, by the Audit and Compliance Committee of the UH Board. If a conflict exists with a Director, certain restrictions may be imposed, such as excusing the Director from voting with regard to a proposed transaction. Education regarding conflicts of interest is included in the annual compliance training that includes all Directors, employees and physicians.
form 990, Part VI, Section B, Line 15Executive 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.
Form 990, Part VI, Section C, Line 19The 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 The organization's governing documents and conflict of interest policy may be made available upon request.
Form 990, Part VII, Section AThe individuals listed below serving as current Officers/Directors are also employees of other UH entities included in this Group Return. The hours listed in this section reflect only the individual's time spent directly related to the activity of the board on which they serve. UHMG - Harlin G. Adelman UHECC - Rebecca Ivcic UHLSF - Nancy Tinsley
Form 990, Part VII, Section A, Compensation for Richard HansonMr. Richard Hanson is University Hospitals President of Community Hospitals & Ambulatory Networks. In this role he oversees all of the community hospitals. He also serves on all of the community hospitals' boards. Mr. Hanson serves on multiple boards, however, his total compensation is being reported only on one board. If an allocation of compensation were made to each entity a disclosure would not be necessary.
Form 990, Part VII, Section A, Frederick C. Rothstein, M.D.Dr. Rothstein is the President of University Hospitals Cleveland Medical Center (UHCMC) of which he is listed as an Officer and a Director. Dr. Rothstein also is an Executive Vice President of University Hospitals Health System, Inc. (UHHS) and serves on its Board as Director. Dr. Rothstein is paid by UHHS and as such his compensation is disclosed in relation to the UHHS Board. To avoid any confusion his hours per week are listed at 60 for both UHCMC and UHHS.
Form 990, Part VII, Section A, Increase in Executive Compensation in 2012The 2012 increase in UH executive compensation was primarily driven by payouts from a long term incentive plan (LTIP) in addition to payouts from a supplemental employee retirement plan (SERP) that occurred in 2012 and not in 2011. The LTIP was available for select executive positions of which the payouts covered a 3-year period, were based on predetermined benchmarks to support the UH mission, and were ultimately approved by the appropriate committee of the UHHS Board. The LTIP payouts do not represent annual earnings as payment was for multiple years of performance. Therefore, year-over-year compensation comparisons for select executives are difficult. The SERP is a retirement plan earned over multiple years of career service which vests according to a predetermined schedule. The SERP payouts do not represent annual earnings as the payments are for multiple years of service. Therefore, year-over-year compensation comparisons for select executives are difficult.
Form 990, Part XI, Line 5, Changes in Net AssetsNet Change in Temporarily Restricted Net Assets $30,623,000 Net Change in Permanently Restricted Net Assets $2,111,000 Equity Transfer ($151,032,000) Less: Rest. Gifts Included on Form 990, Pg 1, Ln 8 ($80,857,000) Other Changes $7,627,000 Total to Form 990, Part XI, Line 5 ($191,528,000)
Form 990, Part IX, Line 11g, Breakdown of ExpenseConsulting Fees $4,112,000 Medical/Clinical Purchased Services $35,112,000 Other Purchased Services $275,021,000 Total To Form 990, Part IX, Line 11g $314,245,000
Form 990, Line H(b)It was discovered during the e-filing of this Group return that University Hospitals Accountable Care Organization ("UHACO"; EIN: 27-3970270) erroneously had its tax-exempt status revoked by the IRS and that University Hospitals Coordinated Care ("UHCC", EIN: 90-0794903) had not properly been updated in the IRS systems as a part of Group Exemption Number 3829. Although the IRS has agreed to reinstate UHACO's tax-exempt status and University Hospitals has communicated with the IRS to include UHCC in the group exemption, such updates will not occur until after the ten day e-filing perfection period. Furthermore, it appears unlikely that we will receive a reply to our request to paper file the Group return within the ten day e-filing perfection period. Therefore, in the interest of filing the Group return on a timely basis, we have removed both the four letter name control for these entities and the names and EINs from the affiliate listing from this e-filed return. However, in order to file a complete and accurate return, UHACO's and UHCC's information is still reported included in the Group return. We respectfully request that this e-filed Group return be accepted as satisfying the 2012 annual return filing requirements for all Group affiliates, including UHACO and UHCC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
University Mednet Physicians LLC
3605 Warrensville Center RoadShaker HtsOH44122341599711InactiveOH00Univ Mednet
University Hospitals Faculty Services
11100 Euclid AveClevelandOH44106341872525InactiveOH00UHCMC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BioU LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13605 Warrensville Center Rd - MSCAddressLine1
CityShaker HeightsCity
StateOHState
ZIP Code44122ZIPCode
FieldValueIRS element (for citing)
EIN273995417EIN
Primary ActivityDeveloping TherapPrimaryActivity
Legal Domicile StateDELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
Western Reserve Assurance Co Ltd SPC
23 Lime Tree Bay Ave PO Box 1051GTGrand CaymanCJKY1 - 1102980462740Liability Insur.CJN/AC corp
University Hospitals Holdings Inc
341768931Holding CompanyN/AC corp11100 Euclid AveClevelandOH44106OH
University Hospitals Physician Services
341768929Physician Admin.N/AC corp11100 Euclid AveClevelandOH44106OH
University Primary Care Practices Inc
341768928Physicians GroupN/AC corp11100 Euclid AveClevelandOH44106OH
University Hospitals Health System MCO
341843674Workers Comp.N/AC corp11100 Euclid AveClevelandOH44106OH
UHHS Provder & Ceentral Verification Org
341908517Medical Mgmt.N/AC corp11100 Euclid AveClevelandOH44106OH
Cedar Brainard Surgery Center Inc
204957632Holding CompanyN/AC corp11100 Euclid AveClevelandOH44106OH
University Hospitals Health Care Enterpr
341510005Medical MgmtN/AC corp11100 Euclid AveClevelandOH44106OH
BMH Development Corp
341346212Land DevelopmentN/AC corp158 West Main StreetConneautOH44030OH
Conneaut Health Enterprises Inc
341503949InactiveN/AC corpPO Box 648ConneautOH44060OH
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (91 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UH Ahuja Medical CenterUniversity Hospitals
S1724043General Ledger
UH Ahuja Medical CenterUniversity Hospitals
P6344396General Ledger
UH Ahuja Medical CenterUH Cleveland Medical
C1055003General Ledger
University Hospitals Health SystemUH Ahuja M
I3705324General Ledger
University Hospitals Health SystemUH Ahuja M
R34617933General Ledger
University Hospitals Health SystemUH Ahuja M
Q8936268General Ledger
UH Cleveland Medical CenterUH Ahuja Medical
Q305431General Ledger
UH Medical PractivesUH Ahuja Medical Center
Q207740General Ledger
UH Physician ServicesUH Ahuja Medical Center
Q93025General Ledger
UH Reg Hosp - Bedford University Hospital
S63780General Ledger
UH Reg Hosp - BedfordUniversity Hospital
P870862General Ledger
UH Reg Hosp - BedfordUH Cleveland Medica
S215142General Ledger
UH Health SystemUH Reg Hosp - Bedford
R13254745General Ledger
UH Health SystemUH Reg Hosp - Bedford
M4189516General Ledger
UH Health SystemUH Reg Hosp - Bedford
Q26348747General Ledger
UH Cleveland Medical CtrUH Reg Hosp - Bedf
Q69761General Ledger
UH Reg Hosp -RichmondUH Reg Hosp - Bedfo
Q129399General Ledger
UH Medical PracticesUH Reg Hosp - Bedford
Q165712General Ledger
UH Conneaut Medical CenterUH Health System
S144537General Ledger
UH Conneaut Medical CenterUH Health System
P711496General Ledger
UH Health SystemUH Conneaut Medical Center
R8931095General Ledger
UH Health SystemUH Conneaut Medical Center
M2772238General Ledger
UH Health SystemUH Conneaut Medical Center
Q13359621General Ledger
UH Medical PracticesUH Conneaut Medical Cent
Q61560General Ledger
UH Extended Care CampusUH Health System
P750183General Ledger
UH Health SystemUH Extended Care Campus
R2240580General Ledger
UH Health SystemUH Extended Care Campus
Q238553General Ledger
UH Health SystemUH Extended Care Campus
C1767835General Ledger
UH Geauga Medical CenterUH Health System
S1108687General Ledger
UH Geauga Medical CenterUH Health System
I58524General Ledger
UH Geauga Medical CenterUH Health System
P6424656General Ledger
UH Health SystemUH Geauga Medical Center
R42218930General Ledger
UH Health SystemUH Geauga Medical Center
M6650960General Ledger
UH Health SystemUH Geauga Medical Center
Q51489690General Ledger
UH Health SystemUH Geauga Medical Center
I74575General Ledger
UH Cleveland Medical CenterUH Geauga Medical
Q262610General Ledger
UH Medical PracticesUH Geauga Medical Center
Q182044General Ledger
UH Medical GroupUH Geauga Medical Center
Q61428General Ledger
UH Geneva Medical CenterUH Health System
S299928General Ledger
UH Geneva Medical CenterUH Health System
P1155454General Ledger
UH Health SystemUH Geneva Medical Center
R11562464General Ledger
UH Health SystemUH Geneva Medical Center
L3597541General Ledger
UH Health SystemUH Geneva Medical Center
Q16278784General Ledger
UH Medical PracticesUH Geneva Medical Center
Q51475General Ledger
UH Home Care ServicesUH Health System
P1160633General Ledger
UH Health SystemUH Home Care Services
R13152418General Ledger
UH Health SystemUH Home Care Services
L1626963General Ledger
UH Health SystemUH Home Care Services
Q17473008General Ledger
UH Richmond Medical CenterUH Health System
S489111General Ledger
UH Richmond Medical CenterUH Health System
P4571015General Ledger
UH Richmond Medical CenterUH Cleveland Medic
P248555General Ledger
UH Health SystemUH Reg Hosp - Richmond
R18003143General Ledger
UH Health SystemUH Reg Hosp - Richmond
L4611524General Ledger
UH Health SystemUH Reg Hosp - Richmond
Q29791881General Ledger
UH Health SystemUH Reg Hosp - Richmond
B21611589General Ledger
UH Cleveland Medical CenterUH Reg Hosp - R
Q94241General Ledger
UH Medical PracticesUH Reg Hosp - Richmond
Q180472General Ledger
UH Medical GroupUH Reg Hosp - Richmond
Q91932General Ledger
UH Laboratory Service FoundationUH Health Sy
P1410521General Ledger
UH Health SystemUH Laboratory Services Found
R8628671General Ledger
UH Health SystemUH Laboratory Services Found
L1231284General Ledger
UHCleveland Medical CenterUH Laboratory Serv
Q1191028General Ledger
UH Medical GroupUH Health System
P11595991General Ledger
UH Medical GroupUH Cleveland Medical Center
S1174540General Ledger
UH Medical GroupUH Cleveland Medical Center
P4851148General Ledger
UH Medical GroupUH Cleveland Medical Center
I55474General Ledger
UH Medical GroupUH Medical Practices
P117856General Ledger
UH Medical GroupUH Physician Services
P92541General Ledger
UH Health SystemUH Medical Group
R23626047General Ledger
UH Health SystemUH Medical Group
L10578867General Ledger
UH Health SystemUH Medical Group
Q293410854General Ledger
UH Health SystemUH Medical Group
B46475775General Ledger
UH Cleveland Medical CenterUH Medical Group
Q612487General Ledger
UH Medical GroupUH Medical Group
Q94114General Ledger
UH Physician ServicesUH Medical Group
Q404513General Ledger
UH Case Medical CenterUH Health System
S18558725General Ledger
UH Case Medical CenterUH Health System
P138900189General Ledger
UH Case Medical CenterUH Health System
I168073General Ledger
UH Case Medical CenterUH Health System
C11068097General Ledger
UH Case Medical CenterUH Medical Practices
P122997General Ledger
UH Case Medical CenterUH Physician Services
P535614General Ledger
UH Case Medical CenterCedar Brainard Surgery
P151548General Ledger
UH Health SystemUH Case Medical Center
R748800124General Ledger
UH Health SystemUH Case Medical Center
L104191128General Ledger
UH Health SystemUH Case Medical Center
Q1306284410General Ledger
UH Health SystemUH Case Medical Center
I13889069General Ledger
UH Health SystemUH Case Medical Center
B28487186General Ledger
UH Medical PracticesUH Case Medical Center
R4332851General Ledger
UH Medical PracticesUH Case Medical Center
Q1659741General Ledger
UH Physician ServicesUH Case Medical Center
Q344773General Ledger
Cedar Brainard Surgery CenterUH Case Medical
Q465517General Ledger

Affiliate Listing AffiliateListing

Affiliate Affiliate (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINName ControlNameControl
University Hospitals Cleveland Medi
11100 Euclid AvenueClevelandOH44106341567805UNIV
University Hospitals Bedford Medica
44 Blaine AvenueBedfordOH44146341271115UNIV
University Hospitals Medical Group
11100 Euclid AvenueClevelandOH44106204881619UNIV
University Hospitals Ahuja Medical
11100 Euclid AvenueClevelandOH44106264827222UNIV
University Hospitals Conneaut Medic
158 W Main RdConneautOH44030340714550UNIV
University Hospitals Geneva Medical
870 W Main StGenevaOH44041340714461UNIV
University Hospitals Geauga Medical
13207 Ravenna RdChardonOH44024340816492UNIV
UH Regional Hospitals
27100 Chardon RdRICHMOND HTSOH44143341924226UHRE
University Hospitals Home Care Serv
4901 Galaxy ParkwayWarrensville HeightsOH44128341527536UNIV
University Mednet Inc
11100 Euclid AvenueClevelandOH44106340750341UNIV
University Hospitals Health System
11100 Euclid AvenueClevelandOH44106340771884UNIV
University Hospitals Health System
11100 Euclid AvenueClevelandOH44106341465745UNIV
University NPI Inc
11100 Euclid AvenueClevelandOH44106341571623UNIV
University Hospitals Laboratory Ser
11100 Euclid AvenueClevelandOH44106341720429UNIV
BMH Professional Corporation
11100 Euclid AvenueClevelandOH44106341749966BMHP
Memorial Hospital Health Foundation
11100 Euclid AvenueClevelandOH44106341810018UNIV
University Hospitals Rainbow Care C
3605 Warrensville Center RdShaker HeightsOH44122461074672UNIV

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
University Hospitals Clevela
11100 Euclid AvenueClevelandOH44106341567805X410817128017538811410646121141240000$1,000,000$250,000000
University Hospitals Bedford
44 Blaine AvenBedfordOH441463412711150004638086046380860$1,000,000$250,000000
University Hospitals Conneau
158 West Main RdConneautOH4403034075034138298439132495308724957000$1,000,000$250,000000
BMH Professional Corp
158 West Main RdConneautOH4403034174996600000$0$0000
University Hospitals Geauga
13207 Ravenna RdChardonOH440243408164921536633815704101227296101243000$1,000,000$250,000000
University Hospitals Geneva
870 West Main StGenevaOH44041340714461531911754363172956431735000$1,000,000$250,000000
University Hospitals Extende
12340 Bass Lake RoadChardonOH4402434146574500000$0$0000
UHHS - Heather Hill Inc
12340 Bass Lake RoadChardonOH4402434077188400000$0$0000
UH Regional Hospitals
27100 Chardon RoadRichmond HtsOH4414334192422613075287133629901163899025000$1,000,000$250,000000
University Mednet
23001 Euclid AveClevelandOH4411734075034100000$0$0000
University Hospitals Home Ca
4901 Galaxy ParkwayWarrensville Center RdOH4412834152753644719845693072543130730000$1,000,000$250,000000
University Hospitals Laborat
11100 Euclid AveClevelandOH4410634172042938008338832565311725657000$1,000,000$250,000000
University Hospitals Medical
11100 Euclid AveClevelandOH441062048816194088989841787339606213339648000$1,000,000$250,000000
University NPI Inc
11100 Euclid AveClevelandOH4410634157162300000$0$0000
Memorial Hospital Health Fou
11100 Euclid AveClevelandOH4410634181001800000$0$0000
University Hospitals Health
11100 Euclid AveClevelandOH4410634071477589732559228309041772309051000$1,000,000$250,000000
University Hospitals Ahuja M
11100 Euclid AveClevelandOH441062648272221883041419244112837756112857000$1,000,000$250,000000
University Hospitals Account
3605 Warrensville Center RdShaker HtsOH4412227397027000000$0$0000
University Hospitals Coordin
3605 Warrensville Center RdShaker HtsOH4412290079490300000$0$0000
University Hospitals Rainbow
3605 Warrensville Center RdShaker HtsOH4412246107467200000$0$0000