2013-11-25T12:08:52-06:00
2012-12-31
ERNST & YOUNG US LLP
2100 ONE PPG PLACE
PITTSBURGH
PA
15222
990
2012-01-01
900059117
University Hospitals Health System Inc
Group Return
% MICHAEL SZUBSKI
UNIV
2168441000
11100 Euclid Avenue - Attn Treasur
Suite
Cleveland
OH
44106
MICHAEL A SZUBSKI
CFO
2168441000
2013-11-13
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4126447800
2012
2016-02-25 16:41:14Z
Michael Szubski
3605 Warrensville Center Rd
Shaker Heights
OH
44122
2176279000
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false
3829
X
www.UHhospitals.org
X
OH
University Hospitals (the System) is guided by its mission To Heal, To Teach. To Discover.
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University 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.
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Caring 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.
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MICHAEL SZUBSKI
2168441000
3605 WARRENSVILLE CENTER RD
Shaker Heights
OH
44122
X
UHHS - Monte Ahuja
Director
2.0
X
0
0
0
UHHS - Sheldon G Adelman
Director
2.0
X
0
0
0
UHHS - Arthur F Anton
Director
2.0
X
0
0
0
UHHS - Craig Arnold
Director
2.0
X
0
0
0
UHHS - Katherine A Asbeck
Director
2.0
X
0
0
0
UHHS - Andrew Banks
Director
2.0
X
0
0
0
UHHS - Paul Clark
Director
2.0
X
0
0
0
UHHS - Christopher M Connor
Director
2.0
X
0
0
0
UHHS - Margot J Copeland
Director
2.0
X
0
0
0
UHHS - David A Daberko
Director
2.0
X
0
0
0
UHHS - Achilles A Demetriou MD
Pres., COO/Ex Off Dir. (thru 1
60.0
X
X
2309684
0
60668
UHHS - Heather Ettinger
Director
2.0
X
0
0
0
UHHS - Matthew P Figgie
Director (thru 3/12)
2.0
X
0
0
0
UHHS - Brian Hall
Director
2.0
X
0
0
0
UHHS - James Hambrick
Vice Chair/Director (thru 5/12
2.0
X
X
0
0
0
UHHS - Kenneth Hardy
Director
2.0
X
0
0
0
UHHS - M Ann Harlan
Director
2.0
X
0
0
0
UHHS - Ronald G Harrington
Director
2.0
X
0
0
0
UHHS - James O Judd
Ex Off Dir. (thru 5/12)
2.0
X
0
0
0
UHHS - Catherine M Kilbane
Director
2.0
X
0
0
0
UHHS - Timothy Kraus
Ex Off Dir.
2.0
X
0
0
0
UHHS - Joseph Lopez
Director
2.0
X
0
0
0
UHHS - Ramon Lugo III
Director
2.0
X
0
0
0
UHHS - Henry L Meyer III
Director
2.0
X
0
0
0
UHHS - Patrick Mullin
Ex Off Dir.
2.0
X
0
0
0
UHHS - Thomas G Murdough Jr
Director (thru 5/12)
2.0
X
0
0
0
UHHS - Ernest Novak
Director
2.0
X
0
0
0
UHHS - David Ondrey
Ex Off Dir. (thru 5/12)
2.0
X
0
0
0
UHHS - Vasu Pandrangi MD
Ex Off Dir.
2.0
X
0
0
0
UHHS - Sandy Pianalto
Vice Chair/Director
2.0
X
X
0
0
0
UHHS - Mark Plush
Ex Off Dir.
2.0
X
0
0
0
UHHS - Richard W Pogue
Director
2.0
X
0
0
0
UHHS - Alfred M Rankin Jr
Director
2.0
X
0
0
0
UHHS - Willard Raymond
Ex Off Dir.
2.0
X
0
0
0
UHHS - Philip Ridolfi
Ex Off Dir. (thru 5/12)
2.0
X
0
0
0
UHHS - Gregory Robinson
Ex Off Dir.
2.0
X
0
0
0
UHHS - Fred C Rothstein MD
Pres. UHCMC/Ex Off Dir.
60.0
X
1841673
0
67715
UHHS - Robert Salata MD
UHMG Physician/Director
60.0
X
96569
0
3336
UHHS - Thomas A Selden
Ex Off Dir.
2.0
X
0
0
0
UHHS - Jerry Sue Thornton PhD
Director
2.0
X
0
0
0
UHHS - Les C Vinney
Director
2.0
X
0
0
0
UHHS - Thomas F Zenty III
CEO/Ex Off Dir.
60.0
X
X
4126251
0
371341
UHCMC - Joel Adelman
Director
2.0
X
0
0
0
UHCMC - Thomas W Adler
Director
2.0
X
0
0
0
UHCMC - Robert T Bennett
Director
2.0
X
0
0
0
UHCMC - David Camiener
Director
2.0
X
0
0
0
UHCMC - Paul H Carleton
Co-Vice Chair/Director
2.0
X
X
0
0
0
UHCMC - Carole A Carr
Director
2.0
X
0
0
0
UHCMC - Beth Curtiss
Ex Off Dir. (thru 5/12)
2.0
X
0
0
0
UHCMC - Pamela B Davis MD PhD
Ex Off Dir.
2.0
X
0
0
0
UHCMC - Ralph Della Ratta
Director
2.0
X
0
0
0
UHCMC - Achilles A Demetriou MD
Ex Off Dir. (thru 12/12)
2.0
X
0
0
0
UHCMC - Michael Feuer
Director
2.0
X
0
0
0
UHCMC - David Goldberg
Director
2.0
X
0
0
0
UHCMC - Robert D Gries
Director
2.0
X
0
0
0
UHCMC - Charles Halberg
Director
2.0
X
0
0
0
UHCMC - Gordon Harnett
Director (thru 5/12)
2.0
X
0
0
0
UHCMC - Richard A Horvitz
Director (thru 5/12)
2.0
X
0
0
0
UHCMC - Christopher Hyland
Co-Vice Chair/Director
2.0
X
X
0
0
0
UHCMC - Beth Kaufman
Ex Off Dir./Non Voting (thru 5
2.0
X
0
0
0
UHCMC - Jerry Kelsheimer
Director
2.0
X
0
0
0
UHCMC - Dinah Kolesar
Ex Off Dir.
2.0
X
0
0
0
UHCMC - Lee Koury
Director
2.0
X
0
0
0
UHCMC - Raymond K Lee
Director
2.0
X
0
0
0
UHCMC - Gene C Lovett
Director
2.0
X
0
0
0
UHCMC - Adrian Maldonado
Director
2.0
X
0
0
0
UHCMC - John C Morley
Director
2.0
X
0
0
0
UHCMC - Patrick S Mullin
Chair/Director
2.0
X
X
0
0
0
UHCMC - Ernest J Novak
Director (thru 5/12)
2.0
X
0
0
0
UHCMC - William J O'Neill Jr
Director
2.0
X
0
0
0
UHCMC - Lydia B Oppmann
Director (thru 5/12)
2.0
X
0
0
0
UHCMC - Alfred M Rankin Jr
Ex Off Dir.
2.0
X
0
0
0
UHCMC - Ann P Ranney
Director
2.0
X
0
0
0
UHCMC - Julie Adler Raskind
Director
2.0
X
0
0
0
UHCMC - Kenneth C Ricci
Director
2.0
X
0
0
0
UHCMC - Robert Risman
Director
2.0
X
0
0
0
UHCMC - Barbara S Robinson
Director
2.0
X
0
0
0
UHCMC - Fred C Rothstein MD
Pres./Ex Off Dir.
2.0
X
X
0
0
0
UHCMC - Warren Selman MD
Physician/Director (thru 5/12)
60.0
X
961433
0
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UHCMC - Mairan Shaughnessy
Director
2.0
X
0
0
0
UHCMC - Michael Siegal
Director (thru 7/12)
2.0
X
0
0
0
UHCMC - Gregory Skoda
Director
2.0
X
0
0
0
UHCMC - Hilton O Smith
Director
2.0
X
0
0
0
UHCMC - Eddie Taylor
Director
2.0
X
0
0
0
UHCMC - Kelly Tompkins
Director (thru 5/12)
2.0
X
0
0
0
UHCMC - Richard Walsh MD
Ex Off Dir.
2.0
X
0
0
0
UHCMC - Penni Weinberg
Director
2.0
X
0
0
0
UHCMC - Lorna Wisham
Director
2.0
X
0
0
0
UHCMC - Jacqueline Woods
Director
2.0
X
0
0
0
UHCMC - Christine Wynd
Ex Off Dir.
2.0
X
0
0
0
UHCMC - Thomas F Zenty III
Ex Off Dir.
2.0
X
0
0
0
UHMG - Eric Bieber MD
UH CMO/Director
60.0
X
735157
0
143561
UHMG - Paul H Carleton
Director
2.0
X
0
0
0
UHMG - Pamela B Davis MD Phd
Director
2.0
X
0
0
0
UHMG - Achilles Demetriou MD
Director (thru 12/12)
2.0
X
0
0
0
UHMG - Michael Feuer
Director
2.0
X
0
0
0
UHMG - Charles Hallberg
Director
2.0
X
0
0
0
UHMG - Clifford V Harding MD
Dept. Chair Pathology/Director
60.0
X
291180
0
10056
UHMG - Gordon Harnett
Director (thru 5/12)
2.0
X
0
0
0
UHMG - Robert Haynie MD
Director
2.0
X
0
0
0
UHMG - Elliott A Kellman
Director
2.0
X
0
0
0
UHMG - Michael Konstan MD
Dept. Chair Pediatrics/Directo
60.0
X
360158
0
24344
UHMG - Randall Marcus MD
Dept. Chair Orthopaedics/Direc
60.0
X
685948
0
39241
UHMG - Cliff Megerian MD
Dept. Chair Otolaryngology/Dir
60.0
X
586126
0
34567
UHMG - Howard Nearman MD
Dept. Chair Anesthesia/Directo
60.0
X
425882
0
36398
UHMG - Michael Nochomovitz MD
Pres./Director
60.0
X
X
1534252
0
54902
UHMG - William O'Neill Jr
Director
2.0
X
0
0
0
UHMG - Jeffrey Ponsky MD
Dept. Chair Surgery/Director
60.0
X
725557
0
30328
UHMG - Robert Ronis
Dept. Chair Psychiatry/Directo
60.0
X
225231
0
12179
UHMG - Fred C Rothstein MD
Chair/Director
2.0
X
X
0
0
0
UHMG - Michael A Szubski
Director
2.0
X
0
0
0
UHMG - Richard A Walsh MD
Dept. Chair Medicine/Director
60.0
X
479156
0
30025
UHLSF - Ronald Dziedzicki BSN RN
Secretary/Director
2.0
X
X
0
0
0
UHLSF - Sonia Salvino
Treasurer/Director
2.0
X
X
0
0
0
UHLSF - Nancy Tinsley
Director
2.0
X
276601
0
66974
AMC - Sheldon G Adelman
Vice Chair (thru 5/12)Director
2.0
X
X
0
0
0
AMC - Julie Boland
Sec. & Treas./Director
2.0
X
X
0
0
0
AMC - Michael Drusinsky
Director
2.0
X
0
0
0
AMC - Robert Glick
Director
2.0
X
0
0
0
AMC - Richard Hanson
Ex Officio Director
10.0
X
917268
0
354577
AMC - John Morikis
Vice Chair/Director
2.0
X
X
0
0
0
AMC - Thomas Murdough
Chair/Director
2.0
X
X
0
0
0
AMC - Enid Rosenberg
Director
2.0
X
0
0
0
AMC - Reggie Rucker
Director
2.0
X
0
0
0
AMC - Neil Sethi
Director
2.0
X
0
0
0
AMC - Margaret Singerman
Director
2.0
X
0
0
0
AMC - John Sinnenberg
Director
2.0
X
0
0
0
AMC - Richard Stein
Ex Officio Director
60.0
X
0
439620
66782
UHREG - Samuel Ake
Secretary/Director
2.0
X
X
0
0
0
UHREG - Mary Jo Boehnlein
Ex Officio Director
2.0
X
0
0
0
UHREG - Mary Ann P Correnti
Director
2.0
X
0
0
0
UHREG - Laurie Delgado
Pres./Ex Officio Director
60.0
X
X
443719
0
106906
UHREG - Wendolyn Grant
Director
2.0
X
0
0
0
UHREG - Richard Hanson
Ex Officio Director
10.0
X
0
0
0
UHREG - George Hawwa MD
Ex Officio Director (thru 5/12
60.0
X
53750
0
0
UHREG - James Hukill
Treasurer/Director
2.0
X
X
0
0
0
UHREG - David E Jerome
Director
2.0
X
0
0
0
UHREG - Judy Grieg
Ex Officio Director
2.0
X
0
0
0
UHREG - Patrick Lally
Director (thru 5/12)
2.0
X
0
0
0
UHREG - Kathleen Malec
Director (thru 5/12)
2.0
X
0
0
0
UHREG - Brock Milstein
Director
2.0
X
0
0
0
UHREG - Timothy Morgan
Director
2.0
X
0
0
0
UHREG - Stamy Paul
Director
2.0
X
0
0
0
UHREG - Mark Plush
Co-Chair (thru 5/12)/Director
2.0
X
X
0
0
0
UHREG - Philip Ridolfi
Co-Chair (thru 5/12)/Director
2.0
X
X
0
0
0
UHREG - Joseph Shawi MD
Vice Chief of Staff/Director (
60.0
X
0
200073
26938
CMC - Terry Atkinson
Director
2.0
X
0
0
0
CMC - Benjamin Bryant MD
Ex Officio Director (thru 5/12
60.0
X
0
281362
51403
CMC - Robert David
Pres./Ex Officio Director
30.0
X
X
175717
0
46768
CMC - Charles Deck
Director
2.0
X
0
0
0
CMC - Arpan Desai MD
Director
2.0
X
0
481139
28814
CMC - Gerald Eighmy
Director
2.0
X
0
0
0
CMC - Richard A Hanson
Secretary & Treas. (thru 8/12)
10.0
X
X
0
0
0
CMC - George Kolman
Director
2.0
X
0
0
0
CMC - Reverend Tim Kraus
Chair/Director
2.0
X
X
0
0
0
CMC - Lori McLaughlin
Director
2.0
X
0
0
0
CMC - Karen McNeil
Ex Officio Director (thru 5/12
2.0
X
135586
0
16386
CMC - Joseph A Moroski
Director
2.0
X
0
0
0
CMC - Carol Owens
Director
2.0
X
0
0
0
CMC - Mike Skufca DDS
Director
2.0
X
0
0
0
CMC - James Supplee
Director
2.0
X
0
0
0
ECC - Richard Hanson
Chair/Ex Officio Director
2.0
X
X
0
0
0
ECC - Susan V Juris
Pres./Ex Officio Director
2.0
X
X
0
0
0
ECC - Rebecca Ivcic
Finance Director/Director
2.0
X
151461
0
46006
GMC - Natalina Andreani MD
Ex Officio Director (thru 5/12
60.0
X
10500
20160
0
GMC - Thomas Benda
Director
2.0
X
0
0
0
GMC - Rose Dotson MD
Ex Officio Director (thru 11/1
60.0
X
0
285442
12033
GMC - John Fitts
Treasurer/Director
2.0
X
X
0
0
0
GMC - Robert A Forino
Director (thru 5/12)
2.0
X
0
0
0
GMC - Davina Gosnell PhD Ex Off D
Ex Officio Director
2.0
X
0
0
0
GMC - Richard Hanson Ex Off Dir
Ex Officio Director
10.0
X
0
0
0
GMC - B Paige Hoiser
Director
2.0
X
0
0
0
GMC - M Steven Jones Ex Off Dir
Pres./Ex Officio Director
60.0
X
X
429700
0
103115
GMC - P James Kamer Jr
Vice Chair/Director
2.0
X
X
0
0
0
GMC - Edith Lerner PhD
Director (thru 5/12)
2.0
X
0
0
0
GMC - Jack Male
Director
2.0
X
0
0
0
GMC - Darrell McNair
Secretary/Director
2.0
X
X
0
0
0
GMC - Denise Miller
Director
2.0
X
0
0
0
GMC - Pete C Miller
Director
2.0
X
0
0
0
GMC - David M Ondrey
Director
2.0
X
0
0
0
GMC - James F Patterson
Director
30.0
X
0
0
0
GMC - Gregory Robinson
Chair/Director
2.0
X
X
0
0
0
GMC - George W Tim Taylor
Director
2.0
X
0
0
0
UHGMC - James Crawford
Director
2.0
X
0
0
0
UHGMC - Richard L Dana Jr
Director
2.0
X
0
0
0
UHGMC - Robert David
Pres./Ex Officio Director
30.0
X
X
175716
0
46766
UHGMC - Raimantas Drublionis MD
Ex Officio Director
60.0
X
0
289134
1659
UHGMC - Morgan R Griffiths Jr
Director
2.0
X
0
0
0
UHGMC - Richard Hanson
Sec. & Treas. (thru 8/12)/Ex O
10.0
X
X
0
0
0
UHGMC - Syed Hussaini MD
Ex Officio Director (thru 5/12
2.0
X
0
0
0
UHGMC - Cathy Knorzer
Ex Officio Director (thru 1/12
2.0
X
0
0
0
UHGMC - Jeffrey Lampson
Director (thru 5/12)
2.0
X
0
0
0
UHGMC - Craig Parker
Director
2.0
X
0
0
0
UHGMC - Gary L Pasqualone
Director
2.0
X
0
0
0
UHGMC - Willard Raymond
Chair/Director
2.0
X
X
0
0
0
UHGMC - Robert Taylor
Director
2.0
X
0
0
0
HCS - Achilles A Demetriou MD
VP (thru 12/12)/Director
2.0
X
X
0
0
0
HCS - Keith Maitland
Pres./Director
60.0
X
X
456382
0
66111
HCS - Richard A Hanson
VP/Director
10.0
X
X
0
0
0
UMI - Phyllis Hall
Secretary/Director
2.0
X
X
0
0
0
UMI - Michael Nochomovitz MD
Pres./Director
2.0
X
X
0
0
0
UMI - Michael Szubski
Treas./Director
2.0
X
X
0
0
0
UHHS - William L Annable MD
Chief Quality Off.
60.0
X
551780
0
21767
UHHS - Elliot A Kellman
Chief HRO
60.0
X
1083333
0
62840
UHHS - Janet L Miller Esq
Secretary, CLO
60.0
X
814833
0
359460
UHHS - Steven D Standley
Chief Admin. Off.
60.0
X
1328732
0
55479
UHHS - Michael A Szubski
Treasurer, CFO
60.0
X
1063405
0
496877
UHCMC - Michael Anderson MD
Chief Medical Off.
60.0
X
444314
0
104208
UHCMC - Patricia DePompei
Pres. RB&C/Macdonald
60.0
X
345699
0
64315
UHCMC - Ronald E Dziedzicki BSN
Chief Support Serv. Off.
60.0
X
395386
0
105834
UHCMC - Michael J Farrell
Pres. RB&C/Macdonald (thru 4/1
60.0
X
322264
0
89021
UHCMC - Catherine S Koppelman RN
Chief Nursing Off.
60.0
X
731919
0
72391
UHCMC - Nathan Levitan MD
Pres. Seidman Cancer Ctr.
60.0
X
834982
0
60521
UHCMC - Janet L Miller Esq
Secretary, Chief Legal Off.
2.0
X
0
0
0
UHCMC - Sonia Salvino
Treasurer/VP Finance
60.0
X
303118
0
79184
UHMG - Harlin G Adelman
Assistant Secretary
2.0
X
419731
0
104930
UHMG - Phyllis Hall
VP & Treasurer
60.0
X
450605
0
112641
UHMG - Janet L Miller Esq
Secretary
2.0
X
0
0
0
UHLSF - Don M Landek
President
60.0
X
191686
0
48396
AMC - Susan V Juris
Pres./Ex Officio Director
60.0
X
627693
0
51133
HCS - Howard Lutz
Sec. & Treas.
60.0
X
88909
0
14866
UHHS Sherri Bishop
Chief Development Off.
60.0
X
607871
0
327474
UHHS - Peter S Brumleve
Chief Marketing Off.
60.0
X
299497
0
33158
UHHCS - Kevin P Cunningham
Pharmacy Director
60.0
X
153816
0
24309
UHHS - John V Foley
Chief Information Off.
60.0
X
296121
0
28897
GMC - Jason E Glowczewski
Pharmacy Director
60.0
X
156570
0
38233
AMC - Alan Hirsch MD
CMO, Ahuja
60.0
X
340177
0
53472
UHCMC - Carl Lufter
Pharmacy Director
60.0
X
191977
0
30833
UHHS - Donnie Perkins
VP Inclusion & Diversity
60.0
X
278944
0
2802
UHHS - Paul G Tait
Chief Strategic Planning Off.
60.0
X
642046
0
319748
UHHS - Cheryl Wahl
Chief Compliance Officer
60.0
X
307592
0
67143
UHHS - William A Young
President SJMC
60.0
X
343876
0
67477
UHHS - Cliff J Coker
Pres. of JV (thru 1/1/12)
X
142274
0
97512
UHMG - Bahman Guyuron MD
Surgeon, Plastic Surgery
60.0
X
1247217
0
41816
UHMG - Nicholas U Ahn MD
Orthopaedic Surgeon
60.0
X
1065826
0
34201
UHMG - Jason D Eubanks
Orthopaedic Surgeon
60.0
X
1027648
0
22997
UHMG - Kord S Honda
Dermatopathology
60.0
X
1002147
0
43791
UHMG - Matthew Kraay
Orthopaedic Surgeon
60.0
X
843233
0
46604
UHLSF - Michael R Vehovec
Fmr. Officer
X
335777
0
74148
37891655
1996930
5258541
913
true
true
false
Macquarie Equipment Finance LLC
GPO Drawer 67-865
DETROIT
MI
48267
Leasing
6817811
Microsoft Licensing GP
PO Box 842467
DALLAS
TX
752842467
Software
2565677
National Marrow Donor Program
NW 8428 PO Box 1450
MINNEAPOLIS
MN
554858428
Donor Matching
2151496
Deloitte Consulting LLP
4638 Collections Center Dr
CHICAGO
IL
60693
Consulting
1671972
Advizex Tech LLC
4019 Solutions Center
CHICAGO
IL
606774000
IT
1523483
77
503000
89337000
3928000
89840000
NET PATIENT SERVICE REVENUE LESS BAD DEBTS
900099
1900068000
1899743000
325000
SPONSORED REVENUES
900099
41934000
41934000
UHMG RESIDENT TEACHING REVENUE
900099
18450000
18450000
UHMG OTHER CLINICAL REVENUE
900099
16074000
16074000
UHMG MEDICAL DIRECTOR REVENUE
900099
13772000
13772000
24731000
24731000
2015029000
40000
40000
0
0
0
0
0
0
142000
503000
219000
-77000
-77000
0
0
OTHER MISCELLANEOUS REVENUES
900099
62837000
62618000
219000
PARKING SERVICES
900099
6679000
6679000
CALL CENTER
900099
1712000
1712000
71228000
2176060000
2077322000
544000
8354000
X
31771000
31771000
0
0
0
5165000
5165000
3621000
3621000
798785000
793066000
5719000
49786000
49786000
90198000
88730000
1468000
50037000
50037000
0
62000
62000
372000
372000
0
306000
306000
0
314245000
163828000
150139000
278000
2130000
1517000
613000
333470000
332199000
1271000
1266000
1223000
43000
0
98417000
98140000
277000
7093000
6899000
194000
0
0
5246000
5246000
0
71266000
71266000
33156000
33156000
OTHER TAXES
22277000
22277000
RECRUITMENT
2518000
2518000
ADMINISTRATIVE SERVICES
3531000
3531000
DUES AND MEMBERSHIPS
120000
120000
12593000
11789000
804000
1937431000
1771154000
155304000
10973000
0
0
8457000
33341000
77594000
126944000
291159000
318886000
0
0
0
0
423000
396000
28223000
31652000
3151000
3266000
1926395000
1013381000
943082000
913014000
0
3271000
72010000
56416000
4839000
5631000
0
0
79401000
40874000
1508339000
1533691000
83322000
100595000
0
0
14601000
6677000
42960000
0
0
0
0
0
0
0
0
0
95134000
106996000
236017000
214268000
X
1066580000
1080947000
189763000
220386000
15979000
18090000
1272322000
1319423000
1508339000
1533691000
X
238629000
-191528000
X
false
true
X
true
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true
X
Public 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: $0
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
X
4108
6683
171280
285833
175388
292516
1141064612
2246189484
1141240000
2246482000
1000000
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250000
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1000000
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384605
357890
278602
175388
1196485
250000
250000
250000
250000
1000000
1500000
10111
7514
6426
4108
28159
23629
85764
19816
Form 990, Schedule C, Part II-B
Software 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.
70000
1125000
X
false
118803000
5064000
3938000
3938000
123867000
107300000
11503000
4198000
4198000
118803000
103637000
3508000
1680000
1680000
107145000
95272000
6956000
4047000
2638000
103637000
91339000
10854000
-4675000
2246000
95272000
0.14250
0.85750
false
true
true
26031000
26031000
1216737000
514998000
701739000
19468000
7414000
12054000
625306000
471390000
153916000
38853000
19579000
19274000
913014000
0
RESEARCH INST OPTION LIABILITY
34613000
DUE TO THIRD PARTIES
21205000
INTEREST PAYABLE
110000
OTHER CURRENT LIABILITIES
25115000
OTHER LIABILITIES
25953000
106996000
X
Form 990, Schedule D, Part III, Line 4
The 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 4
The intended use of the organization's endowment funds varies depending on donor stipulations. All spending of endowment earnings are done so in accordance with donor intent and applicable law. 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 2
The 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.
X
X
true
Pursuant Group
5151 Belt Line Road
Dallas
TX
75254
Prof. Fundr
false
198596
231108
-32512
Summit Business Development
2351 ARLINTON RD STE D
Akron
OH
44139
Telephone
false
64578
74875
-10297
263174
305983
-42809
FL
IL
KY
MI
NY
OH
PA
WV
WI
Golf Outing
269254
200284
68970
129919
1345
Gala
128315
103350
24965
16481
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3
247675
199550
48125
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503184
142060
193322
25278
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53236653
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47551000
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325127862
363554016
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7
1
UH Case Medical Center
11100 Euclid Avenue
Cleveland
OH
44106
X
X
X
X
X
IP Psych./IP Rehab./ Skilled Nursing
A
2
UH Rainbow Babies & Children's Hospit
11100 Euclid Avenue
Cleveland
OH
44106
X
X
X
X
X
X
A
3
UH Geauga Medical Center
13207 Ravenna Road
Chardon
OH
44024
X
X
X
IP Psychiatric Unit
A
4
UH Ahuja Medical Center
3999 Richmond Road
Beachwood
OH
44122
X
X
X
A
5
UH Regional Hospitals
27100 Chardon Road
Richmond Heights
OH
44143
X
X
X
X
A
6
UH Geneva Medical Center
870 West Main Street
Geneva
OH
44041
X
X
X
A
7
UH Conneaut Medical Center
158 West Main Road
Conneaut
OH
44030
X
X
X
A
A
true
true
250.
true
400.
true
X
X
X
X
X
X
X
X
true
true
X
true
false
X
X
X
true
X
false
false
31
UH Chagrin Highlands Medical Center
3909 Orange Place
Orange Village
OH
44122
Outpatient Health Center
UH Westlake Health Center Bldg A
960 Clague Road
Westlake
OH
44145
Outpatient Health & Surg. Ctr
UH Landerbrook Health Center
5885 Landerbrook Drive
Mayfield Heights
OH
44124
Outpatient Health Center
UH Twinsburg Health Center
8819 Commons Blvd Suite 100
Twinsburg
OH
44087
Outpatient Health Center
UH Mentor Health Center
9000 Mentor Avenue
Mentor
OH
44060
Outpatient Health & Surg. Ctr
UH Concord Health Center
7500 Auburn Road
PainsvilleConcord JED
OH
44077
Outpatient Health Center
UH Ahuja Med Office Bldg
1000 Auburn Dr
Beachwood
OH
44122
Outpatient Health Center
UH Sharon Health Center
5133 Ridge Rd
Wadsworth
OH
44281
Outpatient Health Center
UH Adult Sleep Lab Center
3628 Park East Dr
Beachwood
OH
44122
Outpatient Health Center
UH Medina Health Center
4001 Carrick Dr
Medina
OH
44256
Outpatient Health Center
UH Health Center Landerbrook
5850 Landerbrook Drive
Mayfield Heights
OH
44124
Outpatient Health Center
UH Euclid Health Center
18599 Lake Shore Blvd
Euclid
OH
44119
Outpatient Health Center
UH St John Westshore MOB
29000 Center Ridge Road
Westlake
OH
44145
Outpatient Health Center
UH Lyndhurst Surgery Center
29017 Cedar Road
Lyndhurst
OH
44124
Outpatient Health Center
UH Physical Therapy Office
4480 Richmond Road
Warrensville Heights
OH
44122
Outpatient Rehab. Center
UH Mayfield Village Health Center
730 SOM Center Road Suite 110
Mayfield Village
OH
44143
Outpatient Health Center
UH Madison Health Center
701 North Lake Street
Madison
OH
44057
Outpatient Health Center
UH Hudson Health Center
5778 Darrow Road
Hudson
OH
44236
Outpatient Health Center
UH University Suburban Health Center
1611 South Green Road
South Euclid
OH
44121
Outpatient Health Center
UH St John Med Center Womens Health Ct
29325 Health Campus Drive Suite 1
Westlake
OH
44145
Outpatient Health Center
UH Cedars on the Green Peds Rehab Ctr
2054 So Green Road
South Euclid
OH
44141
Outpatient Rehab. Center
UH Otis Moss Health Center
8819 Quincy Avenue
Cleveland
OH
44106
Outpatient Health Center
UH Crocker Corp Ctr
2055 Crocker Road
Westlake
OH
44145
Outpatient Health Center
UH Ashtabula Health Center
2131 Lake Avenue
Ashtabula
OH
44004
Outpatient Health Center
UH Bedford Medical Office Center
50 Blaine Avenue
Bedford
OH
44146
Outpatient Health Center
UH Park East
3619 Park East Drive
Beachwood
OH
44122
Outpatient Health Center
UH Westlake Health Center Bldg B
950 Clague Road
Westlake
OH
44145
Outpatient Health Center
UH Aurora Health Center
55 North Chillicothe Road
Aurora
OH
44202
Outpatient Health Center
UH Bainbridge Health Center
8185 East Washington Street
Bainbridge
OH
44023
Outpatient Health Center
UH Chesterland Medical Center
8055 Mayfield Rd
Chesterland
OH
44026
Outpatient Health Center
UH Park West Surgical Center
1 Park West Blvd
Akron
OH
44320
Outpatient Health Center
Part I, Line 3c
The 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 6a
The 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 7
Amounts 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 7g
Line 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 II
Although 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 4
The 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 8
Costs 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 9b
University 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 12h
Another 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 14g
UH 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 2
In 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 3
UH 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 4
The 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 5
Governed 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 6
University 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.
false
AIDS Taskforce of Greater Cleveland
2728 EUCLID AVE STE 400
Cleveland
OH
44115
341433612
501(c)3
15000
General Support
Alzheimers Association
23215 Commerce Park Dr Ste 300
Beachwood
OH
44122
341311175
501(c)3
12000
General Support
AMER DIABETES ASSN
PO BOX 631762
BALTIMORE
MD
212631762
131623888
501(c)3
10000
General Support
American Heart Association
PO Box 1590
Hagerstown
MD
217401590
135613797
501(c)3
108000
General Support
American Liver Foundation
921 E 86th St Ste 150
Indianapolis
IN
46240
501(c)3
14000
General Support
American Red Cross
3747 Euclid Ave
Cleveland
OH
44115
501(c)3
15000
General Support
Arthritis Foundation
4630 Richmond Rd Ste 240
Cleveland
OH
44128
501(c)3
25000
General Support
Autism Speaks Inc
4700 Rockside Rd Ste 408
Independence
OH
44131
202329938
501(c)3
8000
General Support
Case Western Reserve
10900 Euclid Ave
Cleveland
OH
44106
341018992
501(c)3
30171000
General Support
Childrens Museum of Cleveland
10730 Euclid Ave
Cleveland
OH
44106
501(c)3
10000
General Support
Childrens Tumor Foundation
5647 Faraday Road
Lydhurst
OH
44124
501(c)3
10000
General Support
Cleveland Central Catholic
6550 Baxter Ave
Cleveland
OH
44105
341013635
501(c)3
20000
General Support
Cleveland Center for Arts & Technology
3634 Euclid Ave Ste 100
Cleveland
OH
44115
501(c)3
200000
General Support
Cleveland Foodbank
15500 South Waterloo Rd
Cleveland
OH
44110
341292848
501(c)3
10000
General Support
Cleveland Rape Crisis Center
526 Superior Ave 1400
Cleveland
OH
44114
501(c)3
8000
General Support
Cleveland School of Science and Medicine
1422 Euclid Ave Ste 1300
Cleveland
OH
44115
501(c)3
13000
General Support
Crohns Colitis Foundation
4700 Rockside Rd Ste 425
Independence
OH
44131
501(c)3
16000
General Support
Cuyahoga Community College Foundation
700 Carnegie Ave
Cleveland
OH
44115
501(c)3
25000
General Support
Cystic Fibrosis Foundation
5001 Mayfield Rd Ste 111
Lydhurst
OH
44124
131930701
501(c)3
12000
General Support
Epilepsy Foundation of NE Ohio
2800 Euclid Ave Ste 450
Cleveland
OH
44115
237198807
501(c)3
11000
General Support
Free Clinic of Greater Cleveland
12201 Euclid Ave
Cleveland
OH
44106
237078501
501(c)3
30000
General Support
Gathering Place
23300 Commerce Park Dr
Cleveland
OH
44122
501(c)3
100000
General Support
Harvest for Hunger
15500 South Waterloo Rd
Cleveland
OH
44110
501(c)3
10000
General Support
Juvenile Diabetes
6100 Rockside Woods Blvd
Independence
OH
44131
501(c)3
20000
General Support
Kidney Foundation of Ohio
2831 Prospect Ave
Cleveland
OH
44115
501(c)3
12000
General Support
March of Dimes of NE Ohio
5425 Warner Rd Ste 10
Cleveland
OH
44125
501(c)3
10000
General Support
Medwish Intl
PO Box 181484
Cleveland
OH
44118
341903712
501(c)3
10000
General Support
MILESTONES ORGANIZATION
23880 COMMERCE PARK STE 2
Beachwood
OH
44122
200721205
501(c)3
8000
General Support
Nat'l Multiple Sclerosis Society
6155 Rockside Rd Ste 202
Independence
OH
44131
501(c)3
10000
General Support
Ronald Mcdonald House
10415 Euclid Ave
Cleveland
OH
44111
341269123
501(c)3
69000
General Support
St Vincent Charity Foundation
2475 East 220nd St
Cleveland
OH
44115
501(c)3
10000
General Support
Susan G Komen Race for the Cure
26210 Emery Rd Ste 307
Cleveland
OH
44128
341793460
501(c)3
75000
General Support
Suicide Prevention & Alliance Center
29425 Chagrin Blvd Ste 306
Cleveland
OH
44122
501(c)3
10000
General Support
United Negro College Fund
2000 Auburn Dr Ste 200
Cleveland
OH
44122
501(c)3
25000
General Support
34
Schedule I, Part I, Line 2
Donations 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.
X
X
X
X
X
X
false
true
false
false
false
false
false
true
true
true
UHHS - William L Annable MD
Chief Quality Off.
330576
0
152453
0
68751
0
7500
0
14267
0
573547
0
0
0
UHHS - Achilles A Demetriou MD
Pres., COO/Ex Off Dir. (thru 1
844666
0
1154632
0
310386
0
46942
0
13726
0
2370352
0
0
0
UHHS - Elliot A Kellman
Chief HRO
416463
0
536160
0
130710
0
43180
0
19660
0
1146173
0
0
0
UHHS - Janet L Miller Esq
Secretary, CLO
415828
0
327503
0
71502
0
349327
0
10133
0
1174293
0
66820
0
UHHS - Fred C Rothstein MD
Pres. UHCMC/Ex Off Dir.
640803
0
898782
0
302088
0
43845
0
23870
0
1909388
0
81927
0
UHHS - Steven D Standley
Chief Admin. Off.
433540
0
539643
0
355549
0
41550
0
13929
0
1384211
0
249467
0
UHHS - Michael A Szubski
Treasurer, CFO
593611
0
466448
0
3346
0
466147
0
30730
0
1560282
0
0
0
UHHS - Thomas F Zenty III
CEO/Ex Off Dir.
1063037
0
1492185
0
1571029
0
360880
0
10461
0
4497592
0
944942
0
UHCMC - Michael Anderson MD
Chief Medical Off.
311251
0
97835
0
35228
0
71639
0
32569
0
548522
0
0
0
UHCMC - Patricia DePompei
Pres. RB&C/Macdonald
269251
0
74182
0
2266
0
37032
0
27283
0
410014
0
0
0
UHCMC - Ronald E Dziedzicki BSN
Chief Support Serv. Off.
272755
0
118957
0
3674
0
87264
0
18570
0
501220
0
0
0
UHCMC - Michael J Farrell
Pres. RB&C/Macdonald (thru 4/1
125591
0
195210
0
1463
0
78961
0
10060
0
411285
0
0
0
UHCMC - Catherine S Koppelman R
Chief Nursing Off.
302732
0
143108
0
286079
0
46152
0
26239
0
804310
0
187639
0
UHCMC - Nathan Levitan MD
Pres. Seidman Cancer Ctr.
460710
0
229339
0
144933
0
41258
0
19263
0
895503
0
0
0
UHCMC - Sonia Salvino
Treasurer/VP Finance
224640
0
77431
0
1047
0
57594
0
21590
0
382302
0
0
0
UHCMC - Warren Selman MD
Physician/Director (thru 5/12)
847548
0
51890
0
61995
0
8142
0
32022
0
1001597
0
0
0
UHMG - Harlin G Adelman
Assistant Secretary
279803
0
138278
0
1650
0
75502
0
29428
0
524661
0
0
0
UHMG - Eric Bieber MD
UH CMO/Director
502222
0
229665
0
3270
0
113335
0
30226
0
878718
0
0
0
UHMG - Phyllis Hall
VP & Treasurer
307993
0
139803
0
2809
0
90571
0
22070
0
563246
0
0
0
UHMG - Clifford V Harding MD
Dept. Chair Pathology/Director
223352
0
31886
0
35942
0
6750
0
3306
0
301236
0
0
0
UHMG - Michael Konstan MD
Dept. Chair Pediatrics/Directo
287922
0
0
0
72236
0
13838
0
10506
0
384502
0
0
0
UHMG - Randall Marcus MD
Dept. Chair Orthopaedics/Direc
570585
0
45755
0
69608
0
16501
0
22740
0
725189
0
0
0
UHMG - Cliff Megerian MD
Dept. Chair Otolaryngology/Dir
541004
0
0
0
45122
0
7500
0
27067
0
620693
0
0
0
UHMG - Howard Nearman MD
Dept. Chair Anesthesia/Directo
342683
0
31886
0
51313
0
15345
0
21053
0
462280
0
0
0
UHMG - Michael Nochomovitz MD
Pres./Director
612873
0
770050
0
151329
0
43921
0
10981
0
1589154
0
0
0
UHMG - Jeffrey Ponsky MD
Dept. Chair Surgery/Director
601366
0
45622
0
78569
0
16602
0
13726
0
755885
0
0
0
UHMG - Robert Ronis
Dept. Chair Psychiatry/Directo
167038
0
31886
0
26307
0
10504
0
1675
0
237410
0
0
0
UHMG - Richard A Walsh MD
Dept. Chair Medicine/Director
374928
0
45622
0
58606
0
15889
0
14136
0
509181
0
0
0
UHLSF - Don M Landek
President
165581
0
16319
0
9786
0
34538
0
13858
0
240082
0
0
0
UHLSF - Nancy Tinsley
Director
207851
0
67950
0
800
0
59012
0
7962
0
343575
0
0
0
AMC - Richard Hanson
Ex Officio Director
532654
0
378061
0
6553
0
323079
0
31498
0
1271845
0
0
0
AMC - Susan V Juris
Pres./Ex Officio Director
322750
0
113322
0
191621
0
39780
0
11353
0
678826
0
83944
0
AMC - Richard Stein
Ex Officio Director
0
435450
0
0
0
4170
0
31705
0
35077
0
506402
0
0
UHREG - Laurie Delgado
Pres./Ex Officio Director
319421
0
122308
0
1990
0
85338
0
21568
0
550625
0
0
0
UHREG - Joseph Shawi MD
Vice Chief of Staff/Director (
0
198117
0
0
0
1956
0
0
0
26938
0
227011
0
0
CMC - Benjamin Bryant MD
Ex Officio Director (thru 5/12
0
277236
0
0
0
4126
0
33193
0
18210
0
332765
0
0
CMC - Robert David
Pres./Ex Officio Director
117558
0
57396
0
763
0
33147
0
13621
0
222485
0
0
0
CMC - Arpan Desai MD
Director
0
479421
0
0
0
1718
0
0
0
28814
0
509953
0
0
CMC - Karen McNeil
Ex Officio Director (thru 5/12
121376
0
13209
0
1001
0
14892
0
1494
0
151972
0
0
0
ECC - Rebecca Ivcic
Finance Director/Director
132127
0
13760
0
5574
0
28450
0
17556
0
197467
0
0
0
GMC - Rose Dotson MD
Ex Officio Director (thru 11/1
0
281997
0
0
0
3445
0
0
0
12033
0
297475
0
0
GMC - M Steven Jones Ex Off Dir
Pres./Ex Officio Director
300876
0
124737
0
4087
0
89398
0
13717
0
532815
0
0
0
UHGMC - Robert David
Pres./Ex Officio Director
117557
0
57396
0
763
0
33146
0
13620
0
222482
0
0
0
UHGMC - Raimantas Drublionis MD
Ex Officio Director
0
288592
0
0
0
542
0
0
0
1659
0
290793
0
0
HCS - Keith Maitland
Pres./Director
207232
0
92898
0
156252
0
38456
0
27655
0
522493
0
99206
0
UHMG - Bahman Guyuron MD
Surgeon, Plastic Surgery
988977
0
143230
0
115010
0
20702
0
21114
0
1289033
0
0
0
UHMG - Nicholas U Ahn MD
Orthopaedic Surgeon
960047
0
0
0
105779
0
14874
0
19327
0
1100027
0
0
0
UHMG - Jason D Eubanks
Orthopaedic Surgeon
953775
0
0
0
73873
0
14430
0
8567
0
1050645
0
0
0
UHMG - Kord S Honda
Dermatopathology
926447
0
0
0
75700
0
11932
0
31859
0
1045938
0
0
0
UHMG - Matthew Kraay
Orthopaedic Surgeon
769067
0
0
0
74166
0
15378
0
31226
0
889837
0
0
0
UHHS Sherri Bishop
Chief Development Off.
333036
0
271860
0
2975
0
293770
0
33704
0
935345
0
0
0
UHHS - Peter S Brumleve
Chief Marketing Off.
177286
0
100930
0
21281
0
26813
0
6345
0
332655
0
0
0
UHHCS - Kevin P Cunningham
Pharmacy Director
138795
0
14290
0
731
0
5348
0
18961
0
178125
0
0
0
UHHS - John V Foley
Chief Information Off.
160380
0
50000
0
85741
0
20000
0
8897
0
325018
0
0
0
GMC - Jason E Glowczewski
Pharmacy Director
144834
0
10439
0
1297
0
9528
0
28705
0
194803
0
0
0
AMC - Alan Hirsch MD
CMO, Ahuja
299913
0
26230
0
14034
0
27987
0
25485
0
393649
0
0
0
UHCMC - Carl Lufter
Pharmacy Director
164489
0
16479
0
11009
0
16443
0
14390
0
222810
0
0
0
UHHS - Donnie Perkins
VP Inclusion & Diversity
189053
0
51540
0
38351
0
0
2802
0
281746
0
0
0
UHHS - Paul G Tait
Chief Strategic Planning Off.
357879
0
281168
0
2999
0
292839
0
26909
0
961794
0
0
0
UHHS - Cheryl Wahl
Chief Compliance Officer
220637
0
86018
0
937
0
53816
0
13327
0
374735
0
0
0
UHHS - William A Young
President SJMC
316382
0
25000
0
2494
0
39000
0
28477
0
411353
0
0
0
UHHS - Cliff J Coker
Pres. of JV (thru 1/1/12)
0
0
136034
0
6240
0
0
0
0
0
142274
0
97512
0
UHLSF - Michael R Vehovec
Fmr. Officer
226875
0
107784
0
1118
0
72162
0
1986
0
409925
0
0
0
Schedule J, Part I, Line 4b
Part 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 persons
Schedule J, Part I, Line 7
Certain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments.
Initial Contract Excepton
Schedule J, Part I, Line 8
Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception.
Residence Inn
See Part V
184000
See Part V
false
Diane Anderson
See Part V
14000
See Part V
false
First Energy
See Part V
143000
See Part V
false
First Energy
See Part V
143000
See Part V
false
Turner Construction
See Part V
1965000
See Part V
false
Lee Ponsky MD
See Part V
493000
See Part V
false
Todd Ponsky MD
See Part V
165000
See Part V
false
Diana Ponsky MD
See Part V
195000
See Part V
false
Additional Information For Schedule L Part IV Responses
Schedule L Part IV
Line 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.
X
23
69592
Appraisals
X
10
FMV
X
3517
FMV/Receipt
X
58
3653035
Med. Value at Transf
X
1
57729
Sale
X
2
8470
FMV
X
Miscellaneous
201
135899
FMV
false
true
false
Form 990, Schedule M, Part I, Column (b):
the numbers reported in Part I, Column (b) represent the number of items contributed.
UH Entity DBA Names/Acronyms
The 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 6
The 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 2a
University 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 2
The following information regarding family and business relationships was obtained while reviewing conflict of interest questionnaire responses received from Directors, Officers, and Key Employees. University Hospitals relies upon these questionnaire responses to determine these relationships. Mr. 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 6
University 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 7a
University 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 7b
Certain 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 11
The 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 12c
UH 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 15
Executive compensation is approved by the Compensation Committee of the Board (the "Committee"). The Committee has retained an independent compensation consultant who provides information to the Committee on changes and trends in executive compensation and objective third party information on competitive and comparable executive compensation and benefit level/programs. The Consultant collects and provides to the Committee, appropriate market compensation and benefits information, appropriate market practices for comparable organizations' positions and best practices. The Consultant also provides advice on developing and modifying UH's executive compensation philosophy.
Form 990, Part VI, Section C, Line 19
The Financial Statements for University Hospitals Health System, Inc. and its Subsidiaries are made publicly available through the use of DAC Bond (disclosure dissemination agent) and can be found on the internet at www.dacbond.com The organization's governing documents and conflict of interest policy may be made available upon request.
Form 990, Part VII, Section A
The 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 Hanson
Mr. 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 2012
The 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 Assets
Net 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 Expense
Consulting 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.
University Mednet Physicians LLC
3605 Warrensville Center Road
Shaker Hts
OH
44122
341599711
Inactive
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0
0
Univ Mednet
University Hospitals Faculty Services
11100 Euclid Ave
Cleveland
OH
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341872525
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UHCMC
BioU LLC
3605 Warrensville Center Rd - MSC
Shaker Heights
OH
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273995417
Developing Therap
DE
NA
N/A
Western Reserve Assurance Co Ltd SPC
23 Lime Tree Bay Ave PO Box 1051GT
Grand Cayman
CJ
KY1 - 1102
980462740
Liability Insur.
CJ
N/A
C corp
University Hospitals Holdings Inc
11100 Euclid Ave
Cleveland
OH
44106
341768931
Holding Company
OH
N/A
C corp
University Hospitals Physician Services
11100 Euclid Ave
Cleveland
OH
44106
341768929
Physician Admin.
OH
N/A
C corp
University Primary Care Practices Inc
11100 Euclid Ave
Cleveland
OH
44106
341768928
Physicians Group
OH
N/A
C corp
University Hospitals Health System MCO
11100 Euclid Ave
Cleveland
OH
44106
341843674
Workers Comp.
OH
N/A
C corp
UHHS Provder & Ceentral Verification Org
11100 Euclid Ave
Cleveland
OH
44106
341908517
Medical Mgmt.
OH
N/A
C corp
Cedar Brainard Surgery Center Inc
11100 Euclid Ave
Cleveland
OH
44106
204957632
Holding Company
OH
N/A
C corp
University Hospitals Health Care Enterpr
11100 Euclid Ave
Cleveland
OH
44106
341510005
Medical Mgmt
OH
N/A
C corp
BMH Development Corp
158 West Main Street
Conneaut
OH
44030
341346212
Land Development
OH
N/A
C corp
Conneaut Health Enterprises Inc
PO Box 648
Conneaut
OH
44060
341503949
Inactive
OH
N/A
C corp
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UH Geauga Medical CenterUH Health System
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1108687
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UH Geauga Medical CenterUH Health System
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UH Richmond Medical CenterUH Health System
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UH Health SystemUH Reg Hosp - Richmond
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UH Health SystemUH Reg Hosp - Richmond
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UH Cleveland Medical CenterUH Reg Hosp - R
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UH Medical GroupUH Reg Hosp - Richmond
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UH Laboratory Service FoundationUH Health Sy
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UH Case Medical CenterUH Health System
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18558725
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University Hospitals Cleveland Medi
11100 Euclid Avenue
Cleveland
OH
44106
341567805
UNIV
University Hospitals Bedford Medica
44 Blaine Avenue
Bedford
OH
44146
341271115
UNIV
University Hospitals Medical Group
11100 Euclid Avenue
Cleveland
OH
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204881619
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University Hospitals Ahuja Medical
11100 Euclid Avenue
Cleveland
OH
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264827222
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University Hospitals Conneaut Medic
158 W Main Rd
Conneaut
OH
44030
340714550
UNIV
University Hospitals Geneva Medical
870 W Main St
Geneva
OH
44041
340714461
UNIV
University Hospitals Geauga Medical
13207 Ravenna Rd
Chardon
OH
44024
340816492
UNIV
UH Regional Hospitals
27100 Chardon Rd
RICHMOND HTS
OH
44143
341924226
UHRE
University Hospitals Home Care Serv
4901 Galaxy Parkway
Warrensville Heights
OH
44128
341527536
UNIV
University Mednet Inc
11100 Euclid Avenue
Cleveland
OH
44106
340750341
UNIV
University Hospitals Health System
11100 Euclid Avenue
Cleveland
OH
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340771884
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University Hospitals Health System
11100 Euclid Avenue
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OH
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University NPI Inc
11100 Euclid Avenue
Cleveland
OH
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University Hospitals Laboratory Ser
11100 Euclid Avenue
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OH
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BMH Professional Corporation
11100 Euclid Avenue
Cleveland
OH
44106
341749966
BMHP
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11100 Euclid Avenue
Cleveland
OH
44106
341810018
UNIV
University Hospitals Rainbow Care C
3605 Warrensville Center Rd
Shaker Heights
OH
44122
461074672
UNIV
University Hospitals Clevela
11100 Euclid Avenue
Cleveland
OH
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University Hospitals Bedford
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Bedford
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University Hospitals Conneau
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0
BMH Professional Corp
158 West Main Rd
Conneaut
OH
44030
341749966
0
0
0
0
0
0
0
0
0
0
University Hospitals Geauga
13207 Ravenna Rd
Chardon
OH
44024
340816492
15366
338
15704
101227296
101243000
1000000
250000
0
0
0
University Hospitals Geneva
870 West Main St
Geneva
OH
44041
340714461
5319
117
5436
31729564
31735000
1000000
250000
0
0
0
University Hospitals Extende
12340 Bass Lake Road
Chardon
OH
44024
341465745
0
0
0
0
0
0
0
0
0
0
UHHS - Heather Hill Inc
12340 Bass Lake Road
Chardon
OH
44024
340771884
0
0
0
0
0
0
0
0
0
0
UH Regional Hospitals
27100 Chardon Road
Richmond Hts
OH
44143
341924226
13075
287
13362
99011638
99025000
1000000
250000
0
0
0
University Mednet
23001 Euclid Ave
Cleveland
OH
44117
340750341
0
0
0
0
0
0
0
0
0
0
University Hospitals Home Ca
4901 Galaxy Parkway
Warrensville Center Rd
OH
44128
341527536
4471
98
4569
30725431
30730000
1000000
250000
0
0
0
University Hospitals Laborat
11100 Euclid Ave
Cleveland
OH
44106
341720429
3800
83
3883
25653117
25657000
1000000
250000
0
0
0
University Hospitals Medical
11100 Euclid Ave
Cleveland
OH
44106
204881619
40889
898
41787
339606213
339648000
1000000
250000
0
0
0
University NPI Inc
11100 Euclid Ave
Cleveland
OH
44106
341571623
0
0
0
0
0
0
0
0
0
0
Memorial Hospital Health Fou
11100 Euclid Ave
Cleveland
OH
44106
341810018
0
0
0
0
0
0
0
0
0
0
University Hospitals Health
11100 Euclid Ave
Cleveland
OH
44106
340714775
8973
255
9228
309041772
309051000
1000000
250000
0
0
0
University Hospitals Ahuja M
11100 Euclid Ave
Cleveland
OH
44106
264827222
18830
414
19244
112837756
112857000
1000000
250000
0
0
0
University Hospitals Account
3605 Warrensville Center Rd
Shaker Hts
OH
44122
273970270
0
0
0
0
0
0
0
0
0
0
University Hospitals Coordin
3605 Warrensville Center Rd
Shaker Hts
OH
44122
900794903
0
0
0
0
0
0
0
0
0
0
University Hospitals Rainbow
3605 Warrensville Center Rd
Shaker Hts
OH
44122
461074672
0
0
0
0
0
0
0
0
0
0