2013-11-15T14:33:07-06:00 2012-12-31 ERNST & YOUNG US LLP 2100 ONE PPG PLACE PITTSBURGH PA 15222 990 2012-01-01 340714775 University Hospitals Health System Inc % MICHAEL A SZUBSKI UNIV 2168441000 11100 Euclid Avenue Suite Cleveland OH 44106 Michael A Szubski 2168441000 2013-11-13 true 4126447800 2012 2016-03-07 17:11:31Z Michael A Szubski 11100 Euclid Ave Cleveland OH 44106 243990000 false 3829 X www.UHhospitals.org X 1940 OH University Hospitals (the System) is guided by its mission "To Heal. To Teach. To Discover." 36 27 1533 120000 73039 10718000 3783000 154204000 177333000 40657000 33460000 19261000 29414000 224840000 243990000 0 0 0 0 89235000 100811000 0 0 0 184511000 208239000 273746000 309050000 -48906000 -65060000 2548352000 2649660000 1468361000 1542910000 1079991000 1106750000 X University Hospitals (the System) is guided by its mission "To Heal. To Teach. To Discover." The System serves a unique role in its 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. University Hospitals is known for providing superior, leading-edge health care across the full range of medical and surgical specialties for both adults and children. In addition to delivering quality patient care, the System serves as a key teaching facility for physicians, nurses and ancillary medical personnel. The System's extensive laboratory and clinical research programs are producing significant advances in the understanding of disease and improvement of care. false false 290789000 206098000 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 = $77.5 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. 290789000 true false false true false false false false false true true true true false true true false true false false true false false false false false false false false true true false false false false false false false true true true false false false false true true true true false false true 2518 0 true 1533 true true true true CJ false false false false false false false false false X 36 27 true false false false false false false true true false false true true true true true true true true true true OH X X MICHAEL A SZUBSKI 2167678007 3605 WARRENSVILLE CENTER ROAD Shaker Heights OH 44122 X See Sched O TR 16033-2d5 60.0 X X 6436000 0 432000 See Sched O TR 16033-2d5 60.0 X 1939000 0 72000 See Sched O TR 16033-2d5 60.0 X 4844000 0 997000 See Sched O TR 16033-2d5 60.0 X 2775000 0 847000 15994000 0 2348000 192 false true false See Sched O TR 16033-2d5 See Sched. O TR. 1.6 8985747 37 3783000 3783000 IT&S ALLOCATION 900099 70054000 70054000 GENERAL ADMINISTRATIVE 900099 23711000 23711000 REVENUE CYCLE 900099 21594000 21594000 PROGRAM SERVICE RENTAL 532000 16487000 16487000 MARKETING 900099 12176000 12176000 33311000 33311000 177333000 15588000 77000 15511000 0 0 776000 776000 0 776000 43000 733000 17872000 17872000 17872000 0 0 0 OTHER REVENUE 900099 28765000 28765000 EQUITY INCOME IN LIMITED PARTNERHIPS 900099 -127000 -127000 28638000 243990000 206098000 120000 16117000 0 0 0 0 16889000 16889000 45000 45000 65866000 65866000 4623000 4623000 7406000 7406000 5982000 5982000 0 1013000 1013000 359000 359000 0 0 0 17936000 17936000 15032000 15032000 8009000 8009000 34826000 34826000 0 9539000 9539000 1335000 1335000 0 0 40566000 40566000 0 29348000 29348000 168000 168000 LOSS ON EXTINGUISHMENT OF DEBT 38588000 38588000 OTHER THAN TEMPORARY DECLINE 7925000 7925000 IMPAIRMENTS 3074000 3074000 OTHER EXPENSE 521000 521000 309050000 290789000 18261000 0 0 0 106928000 143352000 11825000 11195000 7729000 15873000 0 0 0 0 0 0 0 0 15144000 19265000 527197000 213003000 325486000 314194000 323126000 331451000 420185000 438330000 1311772000 1350910000 0 0 26157000 25090000 2548352000 2649660000 145605000 150964000 0 0 247000 247000 857358000 910066000 0 0 0 0 126343000 75476000 15000000 0 323808000 406157000 1468361000 1542910000 X 801939000 813264000 4393000 5585000 273659000 287901000 1079991000 1106750000 2548352000 2649660000 X -65060000 23881000 67938000 X false true X true true true X X X false false false UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 341567805 03 true true true 188313000 1 188313000 false true false true 2856 false true 6792 true 2181 false false 11829 false 118803000 5064000 3937667 3937667 123867000 107300000 11503000 4198000 4198000 118803000 103637000 3508000 1680000 1525000 107300000 95272000 6956000 4047000 2638000 103637000 91339000 10854000 -4675000 2246000 95272000 0.14250 0.85750 false false 45507000 45507000 146558000 42745000 103813000 1575000 1104000 471000 436853000 167810000 269043000 -103296000 1344000 -104640000 314194000 INVESTMENTS - ALTERNATIVES 438045000 F INVESTMENTS DEP. WITH TRUSTEE 127000 F OTHER 158000 F 438330000 INVESTMENTS IN AFFILIATES 1183162000 C BENEFICIAL INT. IN FOUNDATION 167748000 F 1350910000 0 INTEREST PAYABLE 15082000 PAYABLES TO AFFILIATES 16045000 WORKERS COMPENSATION LIBILITIES 14078000 PENSION LIABILITIES 220212000 EMPLOYEE HEALTH PLAN 10569000 SELF INSURED LIABILITY 31070000 INTEREST RATE SWAP LIABILITY 61411000 OTHER LIABILITIES 37690000 406157000 X Form 990, Schedule D, Part V, Line 4 The intended use of the Organization's endowment funds varies depending on donor stipulations. All spending of endowment earnings are done so in accordance with donor intent and applicable law. Form 990, Schedule D, Part X, Line 2 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 (see note 19). Central America and the Caribbean 0 0 Investments 141618000 Central America and the Caribbean 0 0 Program Services Insurance 1650000 0 0 0 0 143268000 143268000 true false true false false false X X X X X X true true false false false false false true true true See Sched O TR 16033-2d5 1908000 0 2647000 0 1881000 0 408000 0 24000 0 6868000 0 945000 0 See Sched O TR 16033-2d5 727000 0 899000 0 313000 0 47000 0 25000 0 2011000 0 82000 0 See Sched O TR 16033-2d5 2191000 0 2022000 0 631000 0 908000 0 89000 0 5841000 0 316000 0 See Sched O TR 16033-2d5 1754000 0 867000 0 154000 0 727000 0 120000 0 3622000 0 0 0 Form 990, Part I, Lines 4a-b See Schedule O Treasury Regulation 1.6033-2(d)(5) Election The listing of persons and amounts for above questions are included on University Hospitals Health System, Inc. Group Return. Form 990, Schedule J, Part I, Line 7 Certain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments. Form 990, Schedule J, Part I, Line 8 Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception. A Ohio Higher Education Facility Commission 346849674 2012-10-23 23775000 See Part VI for Description false false false B Ohio Higher Education Facility Commission 346849674 67756CBHO 2012-10-23 55371387 See Part VI for Description false false false C Ohio Higher Education Facility Commission 346849674 2012-09-11 40710000 See Part VI for Description false false false D Ohio Higher Education Facility Commission 346849674 67756CAS7 2012-06-21 189782379 See Part VI for Description false false false A 0 0 195000 0 0 0 195000 0 0 0 0 0 2012 true false true true B 0 0 55371387 0 0 54631360 740026 0 0 0 0 0 2012 true true true true C 0 0 40710000 0 0 0 170000 0 0 0 40540000 0 2012 true false true true D 0 0 189782379 0 0 187340758 2092370 349258 0 0 0 0 2012 false true true true A false false true true true true 0.00000 0.00000 0.00000 false false false true B false false true true true true 0.00000 0.00000 0.00000 false false false true C false false true true true true 0.00000 0.00000 0.00000 false false false true D false false true true true true 0.00000 0.00000 0.00000 false false false true A false true true true false 0 false 0 false true B false true true false false 0 false 0 false true C false true true true false 0 false 0 false true D false true true false false 0 false 0 false true A true B true C true D true Schedule K, Part I, Lines A-D, Col (f), Pages 1-3 Form 990, Schedule K, Part VI Line A, Column (f), The series 2012D Bonds refunded a portion of the outstanding Series 2009B Bonds, issued 08/06/2009, and the 2009C Bonds, issued 08/06/2009. The Bonds are privately placed with a bank commitment for proceeds to refund $7,890 and $15,960, of the 2009B&C bonds in January 2013, and January 2014, respectively. Line B, Column (f), The series 2012C Bonds refunded a portion of the outstanding Series 2009B Bonds, issued 08/06/2009, and the 2009C Bonds, issued 08/06/2009. Line C, Column (f), The series 2012B Bonds redeemed all of the outstanding Series 1996A Bonds, issued 04/18/1996, and 1996B Bonds, issued 04/18/1996. Line D, Column (f), The series 2012A Bonds refunded all of the outstanding Series 2009A Bonds, issued 03/24/2009. Line A (pg 2), Column (f), The series 2010B Bonds redeemed all of the outstanding Series 2008C Bonds issued 05/08/2008. Line B (pg 2), Column (f), The series 2010A Bonds redeemed all of the outstanding Series 1985 Bonds, issued 12/10/1985, and Series 2008A Bonds, issued 05/08/2008 and a portion of the Series 2008B Bonds, issued 05/08/2008. Line C (pg 2), Column (f), The series 2009BC Bonds were used for Construction and equipment related to Vision 2010 projects; Refunded a portion of series 1996A Bonds issued 04/18/1996. Line D (pg 2), Column (f), The series 2008A-E Bonds were used for Construction and equipment related to Vision 2010 projects; Refunded series 1999A Bonds issued 07/15/1999, 1999C Bond issued 07/15/1999, 2007B Bonds issued 02/07/2007, 2007C Bonds issued 02/22/2007. Line A (pg 3), Column (f), The series 2007A Bonds were used for Construction and equipment related to Vision 2010 projects. Line B (pg 3), Column (f), The series 2001 Bonds were Reissued bonds used for construction and capital equipment of facilities. 2010 projects. Schedule K, Part I, Column (f) 0 Other Information Vision 2010 Projects include: new Center for Emergency Medicine, new Cancer Hospital, new NICU, new Suburban Medical Center, two new ambulatory facilities, electronic medical record, new parking garage, expansion of Geauga Medical Center, and upgrades to a management services center. Schedule K, Part II, Line 3 vs. Part I Column (e) Discrepancies 0 The cumulative investment earnings account for the difference between the Bond Proceeds and the Bond Issue Price for the following Bond Issues: Part I, Line C (PG 2), Series issued 8/6/2009 Part I, Line D (PG 2), Series issued 5/8/2008 Part I, Line A (PG 3), Series issued 2/7/2007 Schedule K, Entity 3, Part IV, Column A, Line 2c 0 Rebate calculation as of 2/6/2012. Based on the computation, no rebate due. Schedule K, Entity 3, Part IV, Column B, Line 2c 0 Rebate calculation as of 11/15/2006 and 11/15/2011. Based on the computation, no rebate due. A Ohio Higher Educational Facility Commission 346849674 67756A2H4 2010-12-27 71125000 See Part VI for Description false false false B Ohio Higher Educational Facility Commission 346849674 67756AU42 2010-02-12 94797375 See Part VI for Description false false false C Ohio Higher Educational Facility Commission 346849674 67756AN99 2009-08-06 100914641 See Part VI for Description false false false D Ohio Higher Educational Facility Commission 346849674 67756AC26 2008-05-08 275000000 See Part VI for Description false false false A 0 0 71125000 0 0 0 0 0 0 0 71125000 0 2010 true false true true B 11005000 0 94797375 0 0 0 1272375 0 0 0 93315439 0 2010 true false true true C 0 79146000 100968915 8392992 4572581 0 2013773 0 0 40302152 50260000 0 2011 true false true true D 152300000 0 275559287 0 0 0 1548556 49825 0 55651301 218309605 0 2011 true false true true A false false true true true true 0.00000 0.00000 0.00000 false false false true B false false true true true true 0.00000 0.00000 0.00000 false false false true C false false true true true true 0.00000 0.00000 0.00000 false false false true D false false true true true true 0.00000 0.00000 0.00000 false false false true A false true true true false 0 false 0 false true B false true true false false 0 false 0 false true C false true true false false 0 false 0 false true D false true true true true Merrill Lynch & Citi 22.9 true true false 0 false true A true B true C true D true A Ohio Higher Educational Facility Commission 346849674 67756AYY2 2007-02-07 290313879 See Part VI for Description false false false B Cuyahoga County Ohio 346000817 2003-12-31 14389000 See Part VI for Description false false false A 0 0 310070762 0 27711071 0 595618 2043273 0 307431871 0 0 2011 true false true true B 4389000 0 14389000 0 0 0 0 0 0 14389000 0 0 2004 true false true true A false false true true true true 0.00000 0.00000 0.00000 false false false true B false false true true true true 0.00000 0.00000 0.00000 false false false true A false false true false false false 0 false 0 false true B false false true false true 0 false 0 false true A true B true KeycorpKeyBank Foundation See Part V 1882000 See Part V false PNC Bank See Part V 433000 See Part V false Keycorp See Part V 1882000 See Part V false First Energy Corp See Part V 1860000 See Part V false Lloyd Chelette See Part V 46000 See Part V false Additional Information For Schedule L Part IV Responses Form 990, Schedule L, Part IV Line 1 KeyCorp/KeyBank Foundation Relationship Between Interested Person and Organization: UHHS - Director Ms. Margot Copeland is employed by KeyCorp as an Exec. VP. Description of Transaction: KeyCorp is the parent organization of KeyBank. KeyBank provided banking, investment manager, and trust services to UHHS. These transactions were all at arms length. Line 2 PNC Bank Relationship Between Interested Person and Organization: UHHS - Director Mr. Paul Clark is the Pres. of Northern Ohio Banking at PNC. Description of Transaction: PNC Bank provides banking services to UHHS. These transactions were all at arms length. Line 3 KeyCorp Relationship Between Interested Person and Organization: UHHS - Director Mr. Henry Meyer III is the Retired Chairman/CEO of KeyCorp. Description of Transaction: KeyCorp is the parent organization of KeyBank. KeyBank provided banking, investment manager, and trust services to UHHS. These transactions were all at arms length. Line 4 FirstEnergy Relationship Between Interested Person and Organization: UHHS - Director Mr. Ernest Novak is a Director for FirstEnergy Corp. Description of Transaction: First Energy and its subsidiary The Illuminating Co. provides electrical power to UHHS. These transactions were all at arms length. Line 5 Lloyd Chelette Relationship Between Interested Person and Organization: Family member of Mr. Michael A. Szubski, Treasurer/CFO UHHS Description of Transaction: A family member of Mr. Szubski is employed by UHHS. Treasury Regulation 1.6033-2(D)(5) Election Pursuant to Treasury Regulation Section 1.6033-2(d)(5), University Hospitals Health System, Inc. ("Parent Organization") has elected to report information about contributions, gifts and grants, and compensation and other information about officers, directors, trustees, key employees, certain highly compensated employees, and certain professional contractors on a consolidated basis for all the members of its Group Exemption, including the Parent Organization, on University Hospitals Health System, Inc. Group Return. Form 990, Part I, Line 6 Volunteer Information can be found in the University Hospitals Health System, Inc. Group Return. form 990, Part IV, Line 2 University Hospitals Health System, Inc. ("Parent Organization") has elected to report information about contributions, gifts and grants, and compensation and other information about officers, directors, trustees, key employees, certain highly compensated employees, and certain professional contractors on a consolidated basis for all the members of its Group Exemption, including the Parent Organization, on University Hospitals Health System, Inc. Group Return. Form 990, Part VI, Section A, Line 2 The following information regarding family and business relationships was obtained while reviewing conflict of interest questionnaire responses received from Directors, Officers, and Key Employees. University Hospitals relies upon these questionnaire responses to determine these relationships. Mr. Christopher Connor (UHHS Director) and Mr. Arthur Anton (UHHS Director) have a business relationship. Ms. Margot Copeland (UHHS Director) and Mr. Henry Meyer III (UHHS Director) have a business relationship. Form 990, Part VI, Section B, Line 11 The Form 990 for University Hospitals Health System, Inc. is approved for filing by its 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. 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. Form 990, Part VIII, Line 2 Program Service Revenue includes Corporate Allocations that are eliminated upon consolidation (via offsets to expenses) for purposes of the Audited Financial Statements. Form 990, Part XI, Line 9 Changes In Net Assets Net change in temporarily restricted net assets $1,192,000 Net change in permanently restricted net assets $14,242,000 Net change in investment in subsidiaries $130,124,000 Pension liability adjustment $(72,697,000) Less: restricted income included on line 1f $(3,783,000) Other changes $(1,138,000) Total to Form 990, Part XI, Line 9 $67,940,000 University Hospitals Professionals Ltd 11100 Euclid Ave Cleveland OH 44106 010716790 Inactive OH NA Medina Community Healthcare Properties 11100 Euclid Ave Cleveland OH 44106 340714775 Real Estate OH NA Auburn Road Development Company LLC 11100 Euclid Ave Cleveland OH 44106 340714775 Real Estate OH NA 4A Properties LLC 11100 Euclid Ave Cleveland OH 44106 340714775 Real Estate OH NA Clague Road Properites LLC 11100 Euclid Ave Cleveland OH 44106 340714775 Real Estate OH NA University Hospitals at Landerbrook Ltd 11100 Euclid Ave Cleveland OH 44106 340714775 Real Estate OH NA JWR Commercial Properties LLC 11100 Euclid Ave Cleveland OH 44106 340714775 Real Estate OH NA University Hospitals Holdings Inc 11100 Euclid Ave Cleveland OH 44106 341768931 Physician Admin. OH NA C corp 0 0 1.00000 University Hospitals Health Care Enterpr 11100 Euclid Ave Cleveland OH 44106 341510005 Medical Mgmt OH Univ Hosp Hol C corp 3999000 14089000 1.00000 University Hospital Physician Services 11100 Euclid Ave Cleveland OH 44138 341768929 Physician Admin OH Univ Hosp Hol C corp 21106000 7261000 University Primary Care Practices 11100 Euclid Ave Cleveland OH 44106 341768928 Phys. Group OH Univ Hosp Hol C corp 230363000 28591000 1.00000 UHHS Provider & Central Verification Org 11100 Euclid Ave Cleveland OH 44106 341908517 Med. Mgmt. OH Univ Hosp Hol C corp 2238000 4000 1.00000 University Hospitals Health System MCO 11100 Euclid Ave Cleveland OH 44106 341843674 Workers Comp. MCS OH Univ Hosp Hol C corp 3226000 209000 1.00000 Western Reserve Assurance Co Ltd SPC PO Box 1051 GT George Town Grand Cayman CJ 980462740 Insurance CJ NA C corp 1.00000 Cedar Brainard Surgery Center Inc 11100 Euclid Ave Cleveland OH 44106 204957632 Inv. in Surg. Ctr OH Univ Hosp Hol C corp 2263000 862000 1.00000 BMH Development 158 West Main St Conneaut OH 44030 341346212 Land Development OH UH Conn Med Ctr C corp 67000 396000 1.00000 Conneaut Health Enterprises Inc PO Box 648 Conneaut OH 44030 341503949 Coord. Pat. 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