UNIVERSITY HOSPITALS HEALTH SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC (EIN 90-0059117)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349302128
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T09:40:32-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN346566696EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12100 One PPG PlaceAddressLine1
CityPittsburghCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900059117EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1University Hospitals Health System IncBusinessNameLine1
Business Name Line2Group ReturnBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone2167678007Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111100 Euclid Avenue - Attn TreasuryAddressLine1
Address Line2DepAddressLine2
CityClevelandCity
StateOHState
ZIP Code44106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael SzubskiName
TitleCFO UHHSTitle
Phone2168441000Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert VuillemotName
PTINP01283296PTIN
Phone4126447800Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13605 Warrensville Center RoadAddressLine1
CityShaker HeightsCity
StateOHState
ZIP Code44122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2085037000GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included0AllAffiliatesIncluded
Group Exemption Number3829GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.UHhospitals.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionUniversity 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 clinical research programs are producing significant advances in the understanding of disease and improvement of care.ActivityOrMissionDescription
Nbr Voting Members Governing Body163NbrVotingMembersGoverningBody
Nbr Independent Voting Members104NbrIndependentVotingMembers
Total Nbr Employees14553TotalNbrEmployees
Total Nbr Volunteers2002TotalNbrVolunteers
Total Gross UBI252000TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year37358000ContributionsGrantsPriorYear
Contributions Grants Current Year58161000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1817776000ProgramServiceRevenuePriorYear
Program Service Revenue CY1968532000ProgramServiceRevenueCY
Investment Income Prior Year5502000InvestmentIncomePriorYear
Investment Income Current Year119000InvestmentIncomeCurrentYear
Other Revenue Prior Year77677000OtherRevenuePriorYear
Other Revenue Current Year57329000OtherRevenueCurrentYear
Total Revenue Prior Year1938313000TotalRevenuePriorYear
Total Revenue Current Year2084141000TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year31042000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY30716000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year969217000SalariesEtcPriorYear
Salaries Etc Current Year1050031000SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year63000TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY138000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year10013000TotalFundrsngExpCurrentYear
Other Expense Prior Year757322000OtherExpensePriorYear
Other Expenses Current Year829116000OtherExpensesCurrentYear
Total Expenses Prior Year1757644000TotalExpensesPriorYear
Total Expenses Current Year1910001000TotalExpensesCurrentYear
Revenues Less Expenses Prior Year180669000RevenuesLessExpensesPriorYear
Revenues Less Expenses CY174140000RevenuesLessExpensesCY
Total Assets BOY1012862000TotalAssetsBOY
Total Assets EOY1508339000TotalAssetsEOY
Total Liabilities BOY265632000TotalLiabilitiesBOY
Total Liabilities EOY236017000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY747230000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1272322000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUniversity Hospitals' mission is To Heal. To Teach. To Discover. In pursuit of this mission, University Hospitals remains at the forefront of health care delivery, physician education, and medical research nationwide. Yet what makes University Hospitals unique is its ability to bring expertise and resources together and respond to the individual needs of every patient, regardless of their ability to pay. That focus on the patient, combined with a remarkable level of achievement in medical research and education continues to propel University Hospitals to even greater successes.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1783214000Expense
Grants30716000Grants
Revenue2019580000Revenue
DescriptionCaring for the community has been an unwavering commitment of University Hospitals ("the System") since its founding in 1866. Commitment to the community remains at the core of the System's mission: To Heal. To Teach. To Discover. In 2011, University Hospitals dedicated more than $267 million to community benefit programs in Northeast Ohio consisting of:- Education and training = $48.5 million- Research = $46.1 million- Charity care = $47.1 million- Medicaid shortfall = $89.9 million- Community health improvement services = $10.6 million- Other community programs and support = $36.3 million- Hospital Care Assurance Program (HCAP) receipts = ($11.5 million)Defer to Schedule H for further detail on how the System measures and reports community benefit. Community benefit for 2011 totaled $267 million up from $243.5 million in 2010. 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 2011 provision for bad debt of $51.6 million represents revenues for services provided that are deemed uncollectible.The UH health system provides work directly for about 19,100 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 $52.1 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.As part of our Vision 2010 strategic plan, UH has committed - and continues to commit - millions of dollars to facilities and operations within the city of Cleveland and throughout our region, providing thousands of new construction and hospital-based jobs. New 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.Vision 2010's Quentin & Elisabeth Alexander Neonatal Intensive Care Unit at University Hospitals Rainbow Babies & Children's Hospital serves our most vulnerable children. UH's new Seidman Cancer Center and emergency facilities at UH Case Medical Center and UH Ahuja Medical Center, all opened in 2011, provided expanded employment opportunities while extending UH's mission to more patients. University Hospitals Ahuja Medical Center in Beachwood has provided hundreds of new jobs. 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. University Hospitals 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 2011 Community Benefit Report, please visit the System's website at www.UHhospitals.org.Description
Total Program Service Expense1783214000TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10962676NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees14553NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members163NbrVotingGoverningBodyMembers
Number Independent Voting Members104NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Michael A Szubski CFO UHHSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2167678007TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13605 Warrensville Center RoadAddressLine1
CityShaker HtsCity
StateOHState
ZIP Code44122ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (291 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
UHCMC - Joel Adelman
Director2.00X000
UHCMC - Thomas W Adler
Director2.00X000
UHCMC - Monte Ahuja
Ex Officio Dir. (thru 5/11)2.00X000
UHCMC - William L Annable MD
Director (thru 5/11)2.00X000
UHCMC - Robert T Bennett
Director2.00X000
UHCMC - Paul H Carleton
Vice Chair/Director2.00X000
UHCMC - Carole A Carr
Director2.00X000
UHCMC - Kevin D Cooper MD
Ex Officio Dir. (thru 5/11)2.00X000
UHCMC - Beth Curtiss
Ex Officio Director2.00X000
UHCMC - Pamela B Davis MD PhD
Ex Officio Director2.00X000
UHCMC - Ralph Della Ratta
Director2.00X000
UHCMC - Achilles A Demetriou MD
Ex Officio Director2.00X000
UHCMC - Michael Feuer
Director2.00X000
UHCMC - David Goldberg
Director2.00X000
UHCMC - Robert D Gries
Director2.00X000
UHCMC - Charles Hallberg
Director2.00X000
UHCMC - Gordon Harnett
Director2.00X000
UHCMC - Richard A Horvitz
Director2.00X000
UHCMC - Christopher Hyland
Director2.00X000
UHCMC - Beth Kaufman
Ex-Officio Dir. (non voting)2.00X000
UHCMC - Jerry Kelsheimer
Director2.00X000
UHCMC - Raymond K Lee
Director2.00X000
UHCMC - Gene C Lovett
Director2.00X000
UHCMC - Adrian Maldonado
Director2.00X000
UHCMC - John C Morley
Director2.00X000
UHCMC - Patrick S Mullin
Chair/Director2.00X000
UHCMC - Ernest J Novak
Director2.00X000
UHCMC - William J O'Neill Jr
Director2.00X000
UHCMC - Lydia B Oppmann
Director2.00X000
UHCMC - Alfred M Rankin Jr
Ex Officio Director2.00X000
UHCMC - Ann P Ranney
Director2.00X000
UHCMC - Julie Adler Raskind
Director2.00X000
UHCMC - Kenneth C Ricci
Director2.00X000
UHCMC - Robert Risman
Director2.00X000
UHCMC - Barbara S Robinson
Director2.00X000
UHCMC - Fred C Rothstein MD
President/Ex Officio Dir.60.00X000X
UHCMC - Warren Selman MD
Director2.00X677453024821
UHCMC - Lawrence C Sherman
Director (thru 5/11)2.00X000
UHCMC - Michael Siegal
Director2.00X000
UHCMC - Gregory Skoda
Director2.00X000
UHCMC - Hilton O Smith
Director2.00X000
UHCMC - Eddie Taylor
Director2.00X000
UHCMC - Kelly Tompkins
Director2.00X000
UHCMC - Penni Weinberg
Director2.00X000
UHCMC - Lorna Wisham
Director2.00X000
UHCMC - Jacqueline Woods
Director2.00X000
UHCMC - Christine Wynd
Ex Officio Director2.00X000
UHCMC - Thomas F Zenty III
Ex Officio Director2.00X000
AMC - Sheldon G Adelman
Co-Chair(thru 5/11)/Vice Chair/Director2.00X000
AMC - James Benedict
Pres./Ex Off. Dir. (thru 12/11)60.00X465354087097X
AMC - Julie Boland
Sec. & Treas./Director2.00X000
AMC - Michael Drusinsky
Director2.00X000
AMC - Robert Glick
Director2.00X000
AMC - Richard Hanson
Ex Off. Dir10.00X7747100142294
AMC - John Morikis
Director2.00X000
AMC - Thomas Murdough
Co-Chair(thru 5/11)/Chair/Director2.00X000
AMC - Enid Rosenberg
Director2.00X000
AMC - Reggie Rucker
Director2.00X000
AMC - Neil Sethi
Director2.00X000
AMC - Margaret Singerman
Director2.00X000
AMC - John Sinnenberg
Director2.00X000
AMC - Richard Stein MD
Ex Officio Director2.00X044441845325
BMC - Samuel Ake
Secretary/Director2.00X000
BMC - Mary Jo Boehnlein
Ex Officio Director2.00X000
BMC - Mary Ann P Correnti
Director2.00X000
BMC - Theodore Dalheim
Director (thru 7/11)2.00X000
BMC - Laurie Delgado
Pres./Ex. Officio Director30.00X214900043529X
BMC - Wendolyn Grant
Director2.00X000
BMC - Judy Grieg
Ex Officio Director2.00X000
BMC - Richard Hanson
Ex Officio Director10.00X000
BMC - George Hawwa MD
Ex Officio Director2.00X7600000
BMC - James Hukill
Treasurer/Director2.00X000
BMC - David E Jerome
Director2.00X000
BMC - James O Judd
Director (thru 5/11)2.00X000
BMC - Patrick Lally
Director2.00X000
BMC - Rosemary Leeming MD
Ex Officio Dir. (thru 5/11)2.00X000
BMC - Kathleen Malec
Director2.00X000
BMC - Brock Milstein
Director2.00X000
BMC - Timothy Morgan
Director2.00X000
BMC - Stamy Paul
Director2.00X000
BMC - Mark Plush
Director2.00X000
BMC - Philip Ridolfi
Chair UHBMC/Director2.00X000
BMC - Michael Romito
Vice Chair (thru 6/11)/Dir. (thru 6/11)2.00X000
CMC - Terry Atkinson
Director2.00X000
CMC - Benjamin Bryant MD
Ex Officio Director2.00X028072020388
CMC - Robert David
President/Ex Officio Dir.30.00X157167037846X
CMC - Charles Deck
Director2.00X000
CMC - Gerald Eighmy
Director2.00X000
CMC - Richard Hanson
Ex Officio Dir (5/11)10.00X000
CMC - George Kolman
Director2.00X000
CMC - Reverend Tim Kraus
Chair/Director2.00X000
CMC - Lori McLaughlin
Director2.00X000
CMC - Karen McNeil RN
Ex Off. Dir./Dir. Pat. Care Svcs60.00X112646012170
CMC - Joseph A Moroski
Director2.00X000
CMC - Mike Skufca DDS
Director2.00X000
CMC - James Supplee
Director2.00X000
GMC - Thomas Benda
Director2.00X000
GMC - John Fitts
Sec. (thru 5/11)/Treas./Dir.2.00X000
GMC - Robert A Forino
Director2.00X000
GMC - Davina Gosnell Phd
Ex Officio Director2.00X000
GMC - Richard Hanson
Ex Officio Dir (5/11)10.00X000
GMC - B Page Hoiser
Director2.00X000
GMC - M Steven Jones
President/Ex Off. Dir.60.00X356887082795X
GMC - P James Kramer Jr
Treas.(thru 05/11)/Vice Chair/Director2.00X000
GMC - Peggy Kuhar
Ex Off Dir. (thru 5/11)/Dir. of Nursing60.00X157171018971
GMC - Edith Lerner PhD
Director2.00X000
GMC - Jack Male
Director2.00X000
GMC - Darrell McNair
Secretary/Director2.00X000
GMC - Pete C Miller
Director2.00X000
GMC - Denise Miller
Director2.00X000
GMC - David M Ondrey
Director2.00X000
GMC - James F Patterson
Director2.00X000
GMC - Gregory Robinson
Chair/Director2.00X000
GMC - George W Tim Taylor
Vice Chair (thru 5/11)/Director2.00X000
GMC - Natalina Andreani MD
Ex Officio Director2.00X12000220000
UHGMC - James Crawford
Director2.00X000
UHGMC - Richard L Dana Jr
Director2.00X000
UHGMC - Robert David
President/Ex Officio Dir.30.00X157169037847X
UHGMC - Morgan R Griffiths Jr
Director2.00X000
UHGMC - Richard Hanson
Ex Officio Director10.00X000
UHGMC - Syed Hussaini MD
Ex Officio Director2.00X000
UHGMC - Cathy Knorzer
Ex Off. Dir./Dir. Nurs. & Clin. Svc60.00X112330012991
UHGMC - Jeffrey Lampson
Director (thru 5/11)2.00X000
UHGMC - Craig Parker
Director2.00X000
UHGMC - Gary L Pasqualone
Director2.00X000
UHGMC - Willard Raymond
Chair/Director2.00X000
UHGMC - Robert Taylor
Director2.00X000
UHECC - Achilles A Demetriou MD
Ex Officio Dir. (thru 5/11)2.00X000
UHECC - Thomas Benda
Chair(thru 5/11)/Dir. (thru 5/11)2.00X000
UHECC - Richard J Frenchie
Sec. & Treas. (thru 5/11)/Dir. (thru 5/11)2.00X221023035966X
UHECC - Richard Hanson
Chair/Ex Officio Director10.00X000X
UHECC - Rebecca Ivcic
Sec. & Treas./Director2.00X000
UHECC - Susan V Juris
Pres./Ex Officio Dir.60.00X369787039572X
UHECC - David Kosnosky MD
Ex Officio Dir. (thru 5/11)60.00X020713749053
UHECC - John Male
Director (thru 5/11)2.00X000
UHECC - Kathleen Malec
Director (thru 5/11)2.00X000
UHECC - James Patterson
Director (thru 5/11)2.00X000
UHECC - Joanne Rogers
Dir. Intake Ctr./Ex. Off. Dir (thru 5/11)60.00X100501015721
UHECC - Keith Tompkins
Director (thru 5/11)2.00X000
UHECC - William Wortzman
Director (thru 5/11)2.00X000
UHECC - William Young
Director (thru 5/11)2.00X000
HHINC - Thomas Benda
Chair(thru 5/11)/Dir. (thru 5/11)2.00X000
HHINC - Achilles A Demetriou MD
Ex Officio Dir. (thru 5/11)2.00X000
HHINC - Richard J Frenchie
Sec. & Treas. (thru 5/11)/Dir. (thru 5/11)2.00X000X
HHINC - Richard Hanson
Chair/Ex Officio Director2.00X000
HHINC - Rebecca Ivcic
Sec. & Treas./Director2.00X000
HHINC - Susan V Juris
Pres./Ex Officio Dir.2.00X000X
HHINC - David Kosnosky MD
Ex Officio Dir. (thru 5/11)2.00X000
HHINC - John Male
Director (thru 5/11)2.00X000
HHINC - Kathleen Malec
Director (thru 5/11)2.00X000
HHINC - James Patterson
Director (thru 5/11)2.00X000
HHINC - Joanne Rogers
Dir. Intake Ctr./Ex. Off. Dir (thru 5/11)2.00X000
HHINC - Keith Tompkins
Director (thru 5/11)2.00X000
HHINC - William Wortzman
Director (thru 5/11)2.00X000
HHINC - William Young
Director (thru 5/11)2.00X000
RMC - Samuel Ake
Secretary/Director2.00X000
RMC - Mary Jo Boehnlein
Director2.00X000
RMC - Mary Ann P Correnti
Director2.00X000
RMC - Theodore Dalheim
Director (thru 7/11)2.00X000
RMC - Laurie Delgado
President/Ex Officio Dir.60.00X214900043529X
RMC - Wendolyn Grant
Director2.00X000
RMC - Judy Grieg
Ex Officio Director2.00X000
RMC - Richard Hanson
Ex Officio Director10.00X000
RMC - George Hawwa MD
Ex Officio Director2.00X000
RMC - James Hukill
Treasurer2.00X000
RMC - David E Jerome
Chair (thru 5/11)/Dir. (thru 5/11)2.00X000
RMC - James O Judd
Director (thru 5/11)2.00X000
RMC - Patrick Lally
Director2.00X000
RMC - Rosemary Leeming MD
Ex Officio Director (thru 5/11)60.00X229846024365
RMC - Kathleen Malec
Director2.00X000
RMC - Brock Milstein
Director2.00X000
RMC - Timothy Morgan
Director2.00X000
RMC - Stamy Paul
Director2.00X000
RMC - Mark Plush
Chair/Director2.00X000
RMC - Philip Ridolfi
Director2.00X000
RMC - Michael Romito
Vice Chair (thru 6/11)/Dir. (thru 6/11)2.00X000
UMI - Phyllis Hall
Secretary/Director2.00X000X
UMI - Michael Nochomovitz MD
President/Director2.00X000X
UMI - Michael A Szubski
Treasurer/Director2.00X000X
HCS - Achilles A Demetriou MD
VP (11/11)/Director2.00X000X
HCS - Richard A Hanson
VP (11/11)/Director10.00X000X
HCS - Keith Maitland
President/Director60.00X289518087499X
UHHS - Monte Ahuja
Chair (thru 5/11)/Director2.00X000
UHHS - Sheldon G Adelman
Director2.00X000
UHHS - Arthur F Anton
Director2.00X000
UHHS - Craig Arnold
Director2.00X000
UHHS - Katherine A Asbeck
Director2.00X000
UHHS - Andrew Banks
Director2.00X000
UHHS - Thomas W Benda
Ex Officio Dir. (thru 5/11)2.00X000
UHHS - Joseph Carrabba
Director (thru 5/11)2.00X000
UHHS - Paul Clark
Director2.00X000
UHHS - Christopher M Connor
Director2.00X000
UHHS - Margot J Copeland
Director2.00X000
UHHS - David A Daberko
Director2.00X000
UHHS - Achilles A Demetriou MD
President/COO/Ex Off. Dir.60.00X1542740050559X
UHHS - Heather Ettinger
Director2.00X000
UHHS - Matthew P Figgie
Director2.00X000
UHHS - Brian Hall
Director2.00X000
UHHS - James Hambrick
Vice Chair/Director2.00X000
UHHS - Kenneth Hardy
Director2.00X000
UHHS - M Ann Harlan
Director2.00X000
UHHS - Ronald G Harrington
Director2.00X000
UHHS - James O Judd
Ex Officio Director2.00X000
UHHS - Catherine M Kilbane
Director2.00X000
UHHS - Timothy Kraus
Ex Officio Director2.00X000
UHHS - Joseph Lopez
Director2.00X000
UHHS - Ramon Lugo III
Director2.00X000
UHHS - Henry L Meyer III
Director2.00X000
UHHS - Patrick Mullin
Ex Officio Director2.00X000
UHHS - Thomas G Murdough Jr
Director2.00X000
UHHS - Ernest Novak
Director2.00X000
UHHS - David Ondrey
Ex Officio Director2.00X000
UHHS - Vasu Pandrangi MD
Ex Officio Director2.00X000
UHHS - Sandy Pianalto
Director2.00X000
UHHS - Mark Plush
Ex Officio Director2.00X000
UHHS - Richard W Pogue
Director2.00X000
UHHS - Alfred M Rankin Jr
Chair (5/11)/Director2.00X000
UHHS - Willard Raymond
Ex Officio Director2.00X000
UHHS - Philip Ridolfi
Ex Officio Director2.00X000
UHHS - Gregory Robinson
Ex Officio Director2.00X000
UHHS - Fred C Rothstein MD
Ex Officio Dir/Pres. UHCMC60.00X1171362049092
UHHS - Robert Salata MD
Director60.00X10726002807
UHHS - Thomas A Selden
Ex Officio Director2.00X000
UHHS - Jerry Sue Thornton Phd
Director2.00X000
UHHS - Les C Vinney
Director2.00X000
UHHS - Thomas F Zenty III
CEO UHHS/Ex Officio Dir.60.00X16518550363952X
UHLSF - Ronald Dziedzicki BSN RN
Secretary/Director2.00X000X
UHLSF - Mark E Loos
Director (thru 3/11)2.00X000
UHLSF - Sonia Salvino
Treasurer/Director2.00X000X
UHLSF - Nancy Tinsley
Director2.00X232377056537
UHMG - Eric Bieber MD
Director2.00X000
UHMG - Paul H Carleton
Director2.00X000
UHMG - Kevin Cooper MD
Director (thru 5/11)60.00X29060300
UHMG - Pamela B Davis MD Phd
Director2.00X000
UHMG - Achilles A Demetriou MD
Director2.00X000
UHMG - Michael Feuer
Director2.00X000
UHMG - Gordon Harnett
Director2.00X000
UHMG - Elliott A Kellman
Director2.00X000
UHMG - Michael Konstan MD
Director60.00X382412011321
UHMG - Mark E Loos
Director (thru 3/11)2.00X000
UHMG - Randall Marcus MD
Dept. Chair Orthopaedics/Directo60.00X683898019145
UHMG - Howard Nearman MD
Director60.00X449927015705
UHMG - Michael Nochomovitz MD
President/Director60.00X1021474044630X
UHMG - William O'Neill Jr
Director2.00X000
UHMG - Daniel Ornt
Director (thru 12/11)2.00X000
UHMG - Jeffrey Ponsky MD
Dept. Chair Surgery/Direct60.00X737007015332
UHMG - Robert Ronis MD
Dept. Chair Psychiatry/Director60.00X26055705626
UHMG - Fred C Rothstein MD
Chair/Director2.00X000
UHMG - Michael A Szubski
Director2.00X000
UHMG - Richard A Walsh MD
Dept. Chair Med./Dir.60.00X490616015332
UHCMC - Michael R Anderson
Chief Med. Officer60.00358542037772X
UHCMC - Eric Bieber MD
Chief Med. Ofc. (thru 12/11)60.006741490109786X
UHCMC - Ronald E Dziedzicki BSN RN
Chief Support Svcs. Ofc.60.00373556092653X
UHCMC - Michael J Farrell
Pres. RBC & MacDonald Hosp60.006387670121659X
UHCMC - Catherine S Koppelman RN
Chief Nursing Officer60.004080190117735X
UHCMC - Nathan Levitan MD
President Seidman Canc. Ctr.60.00788529045958X
UHCMC - Mark E Loos
Chief Med. Surg. Svcs. Ofc. (thru 3/11)60.00411163033228X
UHCMC - Janet L Miller Esq
Sec. & Chief Legal Officer2.00000X
UHCMC - Sonia Salvino
Treasurer/VP Finance60.00280171062773X
HCS - Howard Lutz
Secretary & Treasurer60.0085745014410X
HCS - Janet L Miller Esq
Secretary (thru 11/11)2.00000X
HCS - Rebecca Ivcic
Treasurer (thru 11/11)60.00167909031100X
UHHS - William L Annable MD
Chief Quality Officer60.0032158608185X
UHHS - Elliot A Kellman
Chief Human Resources Ofc.60.00705293040333X
UHHS - Janet L Miller Esq
Secretary & Chief Legal Ofc.60.005940750132606X
UHHS - Steven D Standley
Chief Administrative Ofc.60.006111270137459X
UHHS - Michael A Szubski
Treasurer & CFO60.008377560171925X
UHLSF - Don M Landek
President60.00187476041093X
UHMG - Harlin G Adelman
Assistant Sec. (See Sched.)2.00402815095235X
UHMG - Phylliss Hall
Treasurer60.00490391097254X
UHMG - Janet L Miller Esq
Secretary2.00000X
UHHS - Cliff J Coker
Pres. of JV60.00521168052680X
UHHS - Sherri L Bishop
Chief Development Ofc.60.004857660124873X
UHHS - Paul G Tait
Chief Strategic Planning Off.60.005025640123284X
UHHS - Donnie J Perkins
VP of Inclusion & Diversity60.002398710323X
UHCMC - Carl Lufter
Director UH Pharmacy60.00182519025357X
GMC - Jason E Glowczewski
Director UH Pharmacy60.00152270019390X
UHHS - Nancy E Paton
SVP Marketing & Commun.60.00193557022557X
UHHS - Cheryl Wahl
Chief Compliance Officer60.00290237052605X
UHMG - Reuben Gobezie MD
Orthopaedic Surgeon60.001459601025115X
UHMG - Bahman Guyuron MD
Surgeon, Plastic Surgery60.001226904015331X
UHMG - Nicholas U Ahn MD
Orthopaedic Surgeon60.001122727017170X
UHMG - Mauricio S Arruda MD
Orthopaedic Surgeon60.0099989407350X
UHMG - Jason D Eubanks MD
Dermatopathology60.00963622011510X
UHLSF - Michael R Vehovec
Fmr. Officer2.00314993071967X
UHHS - Mary Alice Annecharico
Fmr. Key Employee60.00538969043028X
UHHS - Heidi Gartland
Fmr. Key Employee60.00284102055149X
UHMG - Pablo R Ros MD
Fmr. Key Employee60.00639600017287X
UHMG - Charles Lanzieri MD
Fmr. Key Employee60.00537380024821X
UHBMC - Sean McKibben
Fmr. Officer60.00295630019903X
UHMG - Ann Lyren MD
Fmr. Key Employee60.00108336010689X
FieldValueIRS element (for citing)
Total Reportable Comp From Org33118229TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs954275TotalReportableCompFrmRltdOrgs
Total Other Compensation3643370TotalOtherCompensation
Number Individuals GT100 K905NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MACQUARIE EQUIPMENT FINANCE LLC
GPO DRAWER 67-865DetroitMI48267Leasing3206765
NATIONAL MARROW DONOR PROGRAM
NW 8428 PO BOX 1450MINNEAPOLISMN554858428Donor Matching2173557
SYNTHES
PO BOX 8538 662PHILADELPHIAPA191710662Supplies1721242
INO THERAPEUTICS LLC
PO BOX 642509PittsburghPA152642509Pharmaceuticals972145
OMG LLC
PO BOX 37389LOUISVILLEKY402337389Management699088
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
Fundraising Events1683000FundraisingEvents
All Other Contributions56478000AllOtherContributions
Noncash Contributions6972000NoncashContributions
Total Contributions58161000TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Services less90009918346840001834518000166000
Sponsored Revenues9000994140500041405000
UHMG Other Clinical Re9000992725300027253000
UHMG Resident Teaching9000991966500019665000
UHMG Medical Director9000991346700013467000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column32058000TotalRevenueColumn
Related Or Exempt Function Income32058000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1968532000TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column119000TotalRevenueColumn
Unrelated Business Revenue86000UnrelatedBusinessRevenue
Exclusion$33,000ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events437000GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1683000CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses896000FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-459000TotalRevenueColumn
Exclusion-$459,000ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Other Miscellaneous Re9000995112800051128000
Parking Services9000996660000$6,660,000
FieldValueIRS element (for citing)
Total Other Revenue57788000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2084141000TotalRevenueColumn
Related Or Exempt Function Income2019494000RelatedOrExemptFunctionIncome
Unrelated Business Revenue252000UnrelatedBusinessRevenue
Exclusion$6,234,000ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total30716000Total
Program Services30716000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4623000Total
Management And General4623000ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total2531000Total
Program Services2531000ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total835142000Total
Program Services780218000ProgramServices
Management And General50025000ManagementAndGeneral
Fundraising4899000Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total48264000Total
Program Services45188000ProgramServices
Management And General3076000ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total110553000Total
Program Services102242000ProgramServices
Management And General7044000ManagementAndGeneral
Fundraising1267000Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total48918000Total
Program Services45803000ProgramServices
Management And General3115000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1037000Total
Management And General1037000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total476000Total
Management And General476000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total138000Total
Fundraising138000Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2295000Total
Program Services1361000ProgramServices
Fundraising934000Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total317448000Total
Program Services316026000ProgramServices
Fundraising1422000Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total21982000Total
Program Services1489000ProgramServices
Management And General20490000ManagementAndGeneral
Fundraising3000Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total93752000Total
Program Services87580000ProgramServices
Management And General5510000ManagementAndGeneral
Fundraising662000Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total6564000Total
Program Services6387000ProgramServices
Fundraising177000Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total9030000Total
Program Services9030000ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total66436000Total
Program Services66436000ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total16737000Total
Program Services16737000ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Other purchased service13873000012441400014001000315000
Income tax on Unrelated2900029000
Bad debt expense5164200051642000
Medical/clinical purcha3128600031286000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total71672000Total
Program Services64099000ProgramServices
Management And General7377000ManagementAndGeneral
Fundraising196000Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1910001000Total
Program Services1783214000ProgramServices
Management And General116774000ManagementAndGeneral
Fundraising10013000Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12399000BOY
EOY8457000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY68614000BOY
EOY77594000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY249417000BOY
EOY291159000EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY416000BOY
EOY423000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY23942000BOY
EOY28223000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3758000BOY
EOY3151000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1883180000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec940098000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY484055000BOY
EOY943082000EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY319000BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY77088000BOY
EOY72010000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3783000BOY
EOY4839000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY89071000BOY
EOY79401000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1012862000BOY
EOY1508339000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY79949000BOY
EOY83322000EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY26762000BOY
EOY14601000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY63353000BOY
EOY42960000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY140000BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY95428000BOY
EOY95134000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY265632000BOY
EOY236017000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY549806000BOY
EOY1066580000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY181331000BOY
EOY189763000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16093000BOY
EOY15979000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY747230000BOY
EOY1272322000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1012862000BOY
EOY1508339000EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses174140000ReconcilationRevenueExpenses
Reconcilation Other Changes350952000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
General ExplanationSchedule A, Part IV, Supplemental Information: 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 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 University Hospitals Richmond Medical Center (RMC) - 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 University Hospitals Laboratory Services Foundation (UHLSF) - 34-1720429 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 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 Memorial Hospital Health Foundation - 34-1810018 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Due to E-filing restrictions lines 11e through 11h were not able to be completed which is contrary to the Form 990 instructions. To comply with Form 990 instructions the responses to these line items are shown below. 11e - Box should be checked 11f - Box should be left blank 11g(i) - Should be marked "No" 11g(ii) - Should be marked "No" 11g(iii) - Should be marked "No" 11h - See supported organzation information below. The supporting organizations have also been provided. Supporting organization - University Hospitals Laboratory Service Foundation (i) Name of supported organization - University Hospitals Cleveland Medical Center (ii) EIN - 34-1567805 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $26,782,000 Supporting organization - University Hospitals Home Care Services, Inc. (i) Name of supported organization - University Hospitals Cleveland Medical Center (ii) EIN - 34-1567805 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $29,959,000 Supporting organization - University NPI Inc. (i) Name of supported organization - University Hospitals Cleveland Medical Center (ii) EIN - 34-1567805 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $0 Supporting organization - Memorial Hospital Health Foundation (i) Name of supported organization - University Hospitals Geneva Medical Center (ii) EIN - 34-0714461 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $0 Supporting organization - BMH Professional Corporation (i) Name of supported organization - University Hospitals Conneaut Medical Center (ii) EIN - 34-0714550 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $0GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals3910FilingOrganizationsTotals
Affiliated Group Totals6426AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals175267FilingOrganizationsTotals
Affiliated Group Totals272176AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals179177FilingOrganizationsTotals
Affiliated Group Totals278602AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1140831823FilingOrganizationsTotals
Affiliated Group Totals2134562398AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1141011000FilingOrganizationsTotals
Affiliated Group Totals2134841000AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

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

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3469714CurrentYearMinus3
Current Year Minus2384605CurrentYearMinus2
Current Year Minus1357890CurrentYearMinus1
Current Year278602CurrentYear
Total1490811Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus39429CurrentYearMinus3
Current Year Minus210111CurrentYearMinus2
Current Year Minus17514CurrentYearMinus1
Current Year6426CurrentYear
Total33480Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationSoftware Does Not Allow Part II-B to be completed if Part II-A is completed. Part II-B Disclosure 1a - No. 1b - Yes. 1c - No. 1d - Yes. $29,889 1e - No. 1f - Yes. $65,752 1g - Yes. $25,073 1h - No. 1i - No. 1j - $120,714 2a - No.Explanation

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Revenues Included139000RevenuesIncluded
Assets In Part X1079000AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Solicited Assets For Sale0SolicitedAssetsForSale

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis26031000InvestmentCostOrOtherBasis
Book Value26031000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1203466000InvestmentCostOrOtherBasis
Depreciation480149000Depreciation
Book Value723317000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis17691000InvestmentCostOrOtherBasis
Depreciation5362000Depreciation
Book Value12329000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis605823000InvestmentCostOrOtherBasis
Depreciation436681000Depreciation
Book Value169142000BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis30169000InvestmentCostOrOtherBasis
Depreciation17906000Depreciation
Book Value12263000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings943082000TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Research Institute option asset36439000
Other5296000
Medical Resident FICA Refund Receivable37666000
FieldValueIRS element (for citing)
Total Book Value Other Assets79401000TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Interest payable$1,190,000
Due to third parties$11,819,000
Other current liabilities$18,894,000
Research Institute option liability$36,439,000
Other liabilities$26,792,000
FieldValueIRS element (for citing)
Total Of Amounts95134000TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part III, Line 4:The UH art collection includes nearly 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.
Part X: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).Description of Uncertain Tax Positions Under FIN 48:

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1Pursuant Group IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15151 Belt Line Rd 900AddressLine1
CityDallasCity
StateTXState
ZIP Code75204ZIPCode
FieldValueIRS element (for citing)
ActivityProfessional FundraiserActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts214000GrossReceipts
Amount Retained By Contractor138000AmountRetainedByContractor
Net To Organization76000NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts214000TotalGrossReceipts
Total Retained By Contractors138000TotalRetainedByContractors
Total Net To Organization76000TotalNetToOrganization
Licensed StatesFLLicensedStates
Licensed StatesILLicensedStates
Licensed StatesKYLicensedStates
Licensed StatesMILicensedStates
Licensed StatesNYLicensedStates
Licensed StatesOHLicensedStates
Licensed StatesPALicensedStates
Licensed StatesWILicensedStates
Licensed StatesWVLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event15 Star DinnerNameOfEvent1
Gross Receipts Event11667000GrossReceiptsEvent1
Charitable Contributions Event11336000CharitableContributionsEvent1
Gross Revenue Event1331000GrossRevenueEvent1
Rent Facility Costs Event1204000RentFacilityCostsEvent1
Food And Beverage Event1205000FoodAndBeverageEvent1
Entertainment Event17000EntertainmentEvent1
Other Direct Expenses Event1315000OtherDirectExpensesEvent1
Name Of Event2Golf OutingNameOfEvent2
Gross Receipts Event2248000GrossReceiptsEvent2
Charitable Contributions Event2201000CharitableContributionsEvent2
Gross Revenue Event247000GrossRevenueEvent2
Food And Beverage Event294000FoodAndBeverageEvent2
Total Number Of Other Events5TotalNumberOfOtherEvents
Gross Receipts Other Events205000GrossReceiptsOtherEvents
Charitable Contrib Other Events146000CharitableContribOtherEvents
Gross Revenue Other Events59000GrossRevenueOtherEvents
Rent Facility Costs Other Events2000RentFacilityCostsOtherEvents
Food And Beverage Other Events34000FoodAndBeverageOtherEvents
Entertainment Other Events3000EntertainmentOtherEvents
Other Direct Expenses Other Events32000OtherDirectExpensesOtherEvents
Gross Receipts Total2120000GrossReceiptsTotal
Charitable Contributions Total1683000CharitableContributionsTotal
Gross Revenue Total Events437000GrossRevenueTotalEvents
Rent Facility Costs Total Events206000RentFacilityCostsTotalEvents
Food And Beverage Total Events333000FoodAndBeverageTotalEvents
Entertainment Total Events10000EntertainmentTotalEvents
Other Direct Expenses Total Events347000OtherDirectExpensesTotalEvents
Direct Expense Summary Events896000DirectExpenseSummaryEvents
Net Income Summary-459000NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense47111205TotalCommunityBenefitExpense
Net Community Benefit Expense47111205NetCommunityBenefitExpense
Percent Of Total Expense0.02540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense401497874TotalCommunityBenefitExpense
Direct Offsetting Revenue323083661DirectOffsettingRevenue
Net Community Benefit Expense78414213NetCommunityBenefitExpense
Percent Of Total Expense0.04220PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense448609079TotalCommunityBenefitExpense
Direct Offsetting Revenue323083661DirectOffsettingRevenue
Net Community Benefit Expense125525418NetCommunityBenefitExpense
Percent Of Total Expense0.06760PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10560823TotalCommunityBenefitExpense
Net Community Benefit Expense10560823NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense69192971TotalCommunityBenefitExpense
Direct Offsetting Revenue20709393DirectOffsettingRevenue
Net Community Benefit Expense48483578NetCommunityBenefitExpense
Percent Of Total Expense0.02610PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense23409049TotalCommunityBenefitExpense
Direct Offsetting Revenue17949820DirectOffsettingRevenue
Net Community Benefit Expense5459229NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense46108806TotalCommunityBenefitExpense
Net Community Benefit Expense46108806NetCommunityBenefitExpense
Percent Of Total Expense0.02480PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense30877946TotalCommunityBenefitExpense
Net Community Benefit Expense30877946NetCommunityBenefitExpense
Percent Of Total Expense0.01660PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense180149595TotalCommunityBenefitExpense
Direct Offsetting Revenue38659213DirectOffsettingRevenue
Net Community Benefit Expense141490382NetCommunityBenefitExpense
Percent Of Total Expense0.07610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense628758674TotalCommunityBenefitExpense
Direct Offsetting Revenue361742874DirectOffsettingRevenue
Net Community Benefit Expense267015800NetCommunityBenefitExpense
Percent Of Total Expense0.14370PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense12626TotalCommunityBuildingExpense
Net Community Building Expense12626NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense12626TotalCommunityBuildingExpense
Net Community Building Expense12626NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$51,642,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare312641299AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare336610763CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-23969464MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities9NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (9 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOtherChildrens HospitalChildrensHospitalCritical Access HospitalCriticalAccessHospital
UH Case Medical Center
111100 Euclid AvenueClevelandOH44106XXXXXIP Psych./IP Rehab./Skilled Nurs.
UH Rainbow Babies & Children's Hospital
211100 Euclid AvenueClevelandOH44106XXXXXX
UH Geauga Medical Center
313207 Ravenna RoadChardonOH44024XXXIP Psychiatric Unit
UH Ahuja Medical Center
43999 Richmond RoadBeachwoodOH44122XXX
UH Richmond Medical Center
527100 Chardon RoadRichmond HeightsOH44143XXXX
UH Bedford Medical Center
644 Blaine AvenueBedfordOH44146XXX
UH Geneva Medical Center
7870 West Main StreetGenevaOH44041XXX
UH Conneaut Medical Center
8158 West Main RoadConneautOH44030XXX
UH Extended Care Campus
912340 Bass Lake RoadChardonOH44024XLT Acute Unit/Skilled Nurs. Unit

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (9 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyMedicare RateMedicareRateAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
UH Case Medical Center
111250.0000000000001400.0000000000001XXXXXXXX11X101X00
UH Rainbow Babies & Children's Hospitals
211250.0000000000001400.0000000000001XXXXXXXX11X101X00
UH Geauga Medical Center
311250.0000000000001400.0000000000001XXXXXXXX11X101X00
UH Ahuja Medical Center
411250.0000000000001400.0000000000001XXXXXXXX11X101X00
UH Richmond Medical Center
511250.0000000000001400.0000000000001XXXXXXXX11X101X00
UH Bedford Medical Center
611250.0000000000001400.0000000000001XXXXXXXX11X101X00
UH Geneva Medical Center
711250.0000000000001400.0000000000001XXXXXXXX11X101X00
UH Conneaut Medical Center
811250.0000000000001400.0000000000001XXXXXXXX11X101X00
UH Extended Care Campus
911250.0000000000001400.0000000000001XXXXXXXX11X101X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities26NumberOfOtherFacilities

Other Facilities OtherFacilities (26 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
UH Chagrin Highlands Health Center
3909 Orange PlaceOrange VillageOH44122Outpatient Health Center
UH Westlake Health Center
960 Clague RoadWestlakeOH44145Outpatient Health & Surgery Center
UH Landerbrook Health Center 2
5885 Landerbrook DriveMayfield HeightsOH44124Outpatient Health Center
UH Mentor Health Center
9000 Mentor AvenueMentorOH44060Outpatient Health & Surgery Center
UH Concord Health Center
7500 Auburn RoadPainsvilleConcord JOH44077Outpatient Health Center
UH Twinsburg Health Center
8819 Commons Blvd SuiteTwinsburgOH44087Outpatient Health Center
UH Medina Health Center
4001 Carrick DrMedinaOH44256Outpatient Health Center
UH Sharon Health Center
5133 Ridge RdWadsworthOH44281Outpatient Health Center
UH Euclid Health Center
18599 Lake Shore BlvdEuclidOH44119Outpatient Health Center
UH Adult Sleep Lab Center
3628 Park East DrBeachwoodOH44122Outpatient Health Center
UH Ahuja Medical Office
1000 Auburn DrBeachwoodOH44122Outpatient Health Center
UH Landerbrook Health Center
5850 Landerbrook DriveMayfield HeightsOH44124Outpatient Health Center
UH Mayfield Village Health Center
730 SOM Center Road Suite 110Mayfield VillageOH44143Outpatient Health Center
UH Physical Therapy Office
4480 Richmond RoadWarrensville HeightsOH44122Outpatient Rehabilitation Center
UH Madison Health Center
701 North Lake StreetMadisonOH44057Outpatient Health Center
UH Hudson Health Center
5778 Darrow RoadHudsonOH44236Outpatient Health Center
UH University Suburban Health Center
1611 South Green RoadSouth EuclidOH44121Outpatient Health Center
UH Cedars on the Green Peds Rehab Center
2054 So Green RoadSouth EuclidOH44141Outpatient Rehabilitation Center
UH Otis Moss Jr Health Center
8819 Quincy AvenueClevelandOH44106Outpatient Health Center
UH Bedford Medical Office Center
50 Blaine AvenueBedfordOH44146Outpatient Health Center
UH Park East
3619 Park East DriveBeachwoodOH44122Outpatient Health Center
UH Westlake Health Center B
950 Clague RoadWestlakeOH44145Outpatient Health Center
UH Ashtabula Health Center
2131 Lake AvenueAshtabulaOH44004Outpatient Health Center
UH Chesterland Health Center
8055 Mayfield RdChesterlandOH44026Outpatient Health Center
UH Bainbridge Health Center
8185 East Washington StreetBainbridgeOH44023Outpatient Health Center
UH Park West Surgical Center
1 Park West BlvdAkronOH44320Outpatient Health Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (32 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 3c: The amount of financial assistance discount granted by UH in 2011 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 discount 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: $23,409,049. The total amount of associated direct offsetting revenue is $17,949,820. The total amount of net community benefit expense included in line 7g is $5,459,229.
Part I, L7 Col(f): Bad debt expense reported in Part IX, Line 25 but subtracted for purposes of calculating the percentages for this column = $51,833,000.
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 $57,304,000 and $52,423,000 for the years ended December 31, 2011 and 2010, respectively. End text to footnote.
Part III, Line 8: Costs were derived using the Medicare Cost Report. As a safety-net to the community, UH hospitals provide 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 established the community benefit standard for hospitals which indicates 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 should be 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 11h: 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.UH Case Medical Center
Part V, Section B, Line 11h: 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.UH Rainbow Babies & Children's Hospitals
Part V, Section B, Line 11h: 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.UH Geauga Medical Center
Part V, Section B, Line 11h: 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.UH Ahuja Medical Center
Part V, Section B, Line 11h: 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.UH Richmond Medical Center
Part V, Section B, Line 11h: 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.UH Bedford Medical Center
Part V, Section B, Line 11h: 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.UH Geneva Medical Center
Part V, Section B, Line 11h: 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.UH Conneaut Medical Center
Part V, Section B, Line 11h: 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.UH Extended Care Campus
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Case Medical Center
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Rainbow Babies & Children's Hospitals
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Geauga Medical Center
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Ahuja Medical Center
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Richmond Medical Center
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Bedford Medical Center
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Geneva Medical Center
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Conneaut Medical Center
Part V, Section B, Line 13g: 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. The summarized Financial Assistance 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.UH Extended Care Campus
Part VI, Line 2: In calendar year 2008, 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 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.The 2008 needs assessment indicated that accross across Northern Ohio, 25 percent of households are estimated to have incomes less than $25,000; 53 percent less than $50,000.
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 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, six wholly-owned community hospitals, two of which are critical access facilities, ambulatory health care centers and physician practice offices throughout the region. The System also provides skilled nursing, elder health, rehabilitation and home care services. UH serves an essential role in the community by providing diverse populations throughout the Northeast Ohio region with comprehensive health care - from primary care to highly specialized medical care for the most serious of health problems. It provides the same quality and compassionate service to all, no matter their income, ability to pay or socioeconomic status. UH cares for the well-insured and the uninsured; men, women and children from every community in the region, from urban centers, small towns, rural areas and suburbs.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ADULT CONGENITAL HEART ASSN
6757 GREENE ST Ste 300PHILADELPHIAPA19119043447959501(c)35000General Support
Ace Mentor Program of America Inc
400 MAIN ST STE 400STAMFORDCT06901510465877501(c)38000General Support
Achievement Centers for Children
11001 BUCKEYE RDClevelandOH441043886340714766501(c)39000General Support
AIDS Taskforce of Greater Cleveland
2728 EUCLID AVE STE 400ClevelandOH44115341433612501(c)35000General Support
Alzheimers Association
23215 Commerce Park Dr Ste 300BeachwoodOH44122341311175501(c)39000General Support
AMER DIABETES ASSN
PO BOX 631762BALTIMOREMD212631762131623888501(c)35000General Support
American Heart Association
PO Box 1590HagerstownMD217401590135613797501(c)38000General Support
Autism Speaks Inc
4700 Rockside Rd Ste 408IndependenceOH44131202329938501(c)38000General Support
Case Western Reserve
10900 Euclid AveClevelandOH44106341018992501(c)329840000General Support
Celebrate Westlake
6224 Sandpiper LaneNorth OlmstedOH44070341703289501(c)310000General Support
Center For Families & Children
4500 Euclid AveClevelandOH44103237084455501(c)35000General Support
Cleveland Central Catholic
6550 Baxter AveClevelandOH44105341013635501(c)38000General Support
Cleveland Foodbank
15500 South Waterloo RdClevelandOH44110341292848501(c)310000General Support
Cleveland Hearing & Speech Center
11635 Euclid AveClevelandOH44106340714648501(c)36000General Support
Cystic Fibrosis Foundation
5001 Mayfield Rd Ste 111LydhurstOH44124131930701501(c)312000General Support
Epilepsy Foundation of NE Ohio
2800 Euclid Ave Ste 450ClevelandOH44115237198807501(c)38000General Support
FLYING HORSE FARMS
3 EASTON OVAL STE 330COLUMBUSOH43219203498125501(c)35000General Support
Free Clinic of Greater Cleveland
12201 Euclid AveClevelandOH44106237078501501(c)375000General Support
HATTIE LARLHAM FOUND
9772 DIAGONAL RDMANTUAOH442559128341897312501(c)35000General Support
Huntington's Disease Society
505 EIGHTH AVE STE 902NEW YORKNY10018133349872501(c)35000General Support
JOHN CARROLL UNIV
20700 N PARK BLVDUNIVERSITY HTSOH44118340714681501(c)310000General Support
Lakewood Community Service Center
14230 MADISON AVELakewoodOH44107341446497501(c)35000General Support
Leukemia & Lymphoma Society
902 WESTPOINT PKWY Ste 300ClevelandOH44145135644916501(c)35000General Support
LifeBanc
PO BOX 931031CLEVELANDOH44193341525159501(c)325000General Support
M C CHATMAN CENTER FOR
3582 LUDGATE RDShaker HtsOH44120550834175501(c)35000General Support
Medwish Intl
PO Box 181484ClevelandOH44118341903712501(c)310000General Support
MILESTONES ORGANIZATION
23880 COMMERCE PARK STE 2BeachwoodOH44122200721205501(c)36000General Support
Northeast Ohio Equality
PO Box 91697ClevelandOH44101342064724501(c)35000General Support
Playhouse Square Foundation
10501 Euclid Ave No 200ClevelandOH44115237304942501(c)315000General Support
Project Love
23611 Chagrin Blvd Ste 380BeachwoodOH44122311795459501(c)35000General Support
Ronald Mcdonald House
10415 Euclid AveClevelandOH44111341269123501(c)3324000General Support
Southwest General Health Foundation
18697 Bagley RdMiddleburg HtsOH441303497341465135501(c)310000General Support
Susan G Komen Race for the Cure
10819 Magnolia DrClevelandOH44106341793460501(c)315000General Support
Veggie U
12304 SR13MilanOH448460437129625000General Support
VOICES FOR OHIOS CHILDREN
3634 EUCLID AVE STE 101ClevelandOH44115341490500501(c)38000General Support
Cuyahoga Community College
700 Carnegie AveClevelandOH4411534089663014000General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants34TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Donations made by members of the Group Return to charitable organizations are made in furtherance of the recipients organizations exempt purposes and are considered unrestricted with regard to use of funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception1InitialContractException
Rebuttable Presumption Procedure1RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (65 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
UHCMC - Warren Selman MD
565477035550076426073500295780714381000
AMC - James Benedict
3202220143843012890703540239560559664000
AMC - Richard Hanson
525864023025001859601248230266050926138000
AMC - Richard Stein MD
04403080004110027854028894050116600
BMC - Laurie Delgado
1580220561020776039538084380262876000
CMC - Benjamin Bryant MD
027973000099002038809620031072800
CMC - Robert David
11494804160006190291110126390198917000
GMC - M Steven Jones
254016099846030250748130131680444868000
GMC - Peggy Kuhar
14317701251801476015000069590179130000
UHGMC - Robert David
11494904160106190291110126390198919000
UHECC - Richard J Frenchie
162217051225075810279850124610261469000
UHECC - Susan V Juris
2475930119851023430356010103860415774000
UHECC - David Kosnosky MD
019388701178001470037258020465026486000
RMC - Laurie Delgado
1580210561030776039539084370262876000
RMC - Rosemary Leeming MD
20873800021108066000312020267648000
HCS - Keith Maitland
206149081424019450697350248940384147000
UHHS - Achilles A Demetriou MD
8301330424509028809804257701471501600032000
UHHS - Fred C Rothstein MD
6353200330564020547804073702292201235021000
UHHS - Thomas F Zenty III
10529200561555037380035979201247202024119000
UHLSF - Nancy Tinsley
188900042435010420397960300890302262000
UHMG - Kevin Cooper MD
20081303555005424000022640292867000
UHMG - Michael Konstan MD
29102403555005583807350078120397574000
UHMG - Randall Marcus MD
565545035550082803073500224400713688000
UHMG - Howard Nearman MD
343489035550070888073500208910478168000
UHMG - Michael Nochomovitz MD
6032330276300014194104085301174201074069000
UHMG - Jeffrey Ponsky MD
602060035550099397073500141110758468000
UHMG - Robert Ronis MD
18706003555003794705626023570268540000
UHMG - Richard A Walsh MD
375485035550079581073500140600512026000
UHCMC - Michael R Anderson
280863076496011830203010256910404534000
UHCMC - Eric Bieber MD
4730780193410076610920210339640800134000
UHCMC - Ronald E Dziedzicki BSN RN
2692990102394018630810680197370474361000
UHCMC - Michael J Farrell
445709016720202585601136770158130768257000
UHCMC - Catherine S Koppelman RN
29675101068210444701002640261970534480000
UHCMC - Nathan Levitan MD
455368019643401367270376030191720845304000
UHCMC - Mark E Loos
6078609965402507230157570239120450832000
UHCMC - Sonia Salvino
21827706093309610506950208940351760000
HCS - Rebecca Ivcic
130644032153051120227440160400206693000
UHHS - William L Annable MD
2730020004858402030135520335341000
UHHS - Elliot A Kellman
410032017594501193160319780192630756534000
UHHS - Janet L Miller Esq
40995001801220400301286400107210733436000
UHHS - Steven D Standley
42631101806770413901294770139230754527000
UHHS - Michael A Szubski
585430024919003136015699502554301020294000
UHLSF - Don M Landek
1622240131380121140331110130740233661000
UHMG - Harlin G Adelman
2797170121678014200777640258630506442000
UHMG - Phylliss Hall
2988950183319081770854590213470597197000
UHHS - Cliff J Coker
3654340901030656310352090245410580918000
UHHS - Sherri L Bishop
33006501539610174001074010297780622945000
UHHS - Paul G Tait
35165601490760183201058120248480633224000
UHHS - Donnie J Perkins
16980702000005006400046350244506000
UHCMC - Carl Lufter
162472013006070410173750132210213115000
GMC - Jason E Glowczewski
1407590798603525077690206260180665000
UHHS - Nancy E Paton
0000193557016290086230218470000
UHHS - Cheryl Wahl
21573507399805040483570133350351929000
UHMG - Reuben Gobezie MD
13115430001480580735002756901494520000
UHMG - Bahman Guyuron MD
98952703555002018270735002268601256940000
UHMG - Nicholas U Ahn MD
9994540001232730735001704301147120000
UHMG - Mauricio S Arruda MD
91144400088450073500505801012302000
UHMG - Jason D Eubanks MD
8652590009836307350098780980850000
UHLSF - Michael R Vehovec
22089609301201085071967026030389563000
UHHS - Mary Alice Annecharico
3376840141101060184039222089640587155000
UHHS - Heidi Gartland
21229307088909200509840102500345336000
UHMG - Pablo R Ros MD
522515035550081535073500214160668366000
UHMG - Charles Lanzieri MD
46989900067481073500281850572915000
UHBMC - Sean McKibben
12437806499101062610102800157310321641000
UHMG - Ann Lyren MD
8167001916707499019970111510121484000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Lines 4a-bThe following persons received severance payments as required by contract in 2011: - Mark Loos $154,107 - Nancy E. Paton $194,941 Part I, Line 4b: The following persons participated in, or received payment from a nonqualified retirement plan (457(f) or SERP) in 2011: - Harlin G. Adelman (No payments received in 2011) - William L. Annable ($39,000-SERP) - Mary Alice Annecharico ($50,526-SERP) - James J. Benedict (No payments received in 2011) - Eric Bieber, M.D. (No payments received in 2011) - Sherri L. Bishop (No payments received in 2011) - Cliff J. Coker (No payments received in 2011) - Robert G. David (No payments received in 2011) - Laurie S. Delgado (No payments received in 2011) - Achilles A. Demetriou, M.D. ($276,668-SERP) - Ronald E. Dziedzicki (No payments received in 2011) - Michael J. Farrell ($21,311-457(f)) - Richard J. Frenchie (No payments received in 2011) - Heidi Gartland (No payments received in 2011) - Phyllis Hall (No payments received in 2011) - Richard Hanson (No payments received in 2011) - Steven M. Jones (No payments received in 2011) - Susan V. Juris (No payments received in 2011) - Elliot A. Kellman ($112,896-SERP) - Catherine S. Koppelman (No payments recieved in 2011) - Don Landek (No payments received in 2011) - Nathan Levitan, M.D. ($131,960-SERP) - Mark Loos ($95,748-SERP) - Keith Maitland (No payments received in 2011) - Sean McKibben ($83,809-SERP) - Janet L. Miller (No payments received in 2011) - Michael L. Nochomovitz, M.D. (No payments received in 2011) - Donnie J. Perkins - ($17,063-SERP) - Nancy Paton (No payments received in 2011) - Fred C. Rothstein, M.D. ($195,430-SERP) - Sonia Salvino (No payments received in 2011) - Steven D. Standley (No payments received in 2011) - Michael A. Szubski (No payments received in 2011) - Paul G. Tait (No payments received in 2011) - Nancy Tinsley (No payments received in 2011) - Michael R. Vehovec (No payments received in 2011) - Cheryl Wahl (No payments received in 2011) - Thomas F. Zenty III (No payments received in 2011)
Part I, Line 7Certain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments.
Part I, Line 8Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Residence Inn
UHCMC Dir. Richard Horvitz owns many Residence Inns in the local area184000Residence Inn rents rooms to UHCMC for sleep studies or other activities. These transactions were all at arms length.0
Diane Anderson
Family Member of Michael Anderson, M.D. UHCMC CMO12000A family member of Dr. Anderson is employed by UHCMC.0
First Energy
UHCMC Dir. Ernest J. Novak is a Director of First Energy138000First Energy subsidiary The Illuminating Co. provided energy services to UHCMC in 2011. These transactions were all at arms length.0
First Energy
UHCMC Dir. Lorna Wisham is employed at First Energy138000First Energy subsidiary The Illuminating Co. provided energy services to UHCMC in 2011. These transactions were all at arms length.0
Lee Ponsky
Family Member of Jeffrey Ponsky, M.D. UHMG - Director503000A family member of Dr. Ponsky is employed by UHMG.0
Todd Ponsky
Family Member of Jeffrey Ponsky, M.D. UHMG - Director478000A family member of Dr. Ponsky is employed by UHMG.0
Diana Ponsky
Family Member of Jeffrey Ponsky, M.D. UHMG - Director179000A family member of Dr. Ponsky is employed by UHMG.0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions52NumberOfContributions
Noncash Contribs Rptd F990159000NoncashContribsRptdF990
Method Of Determining RevenuesAppraised FMVMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions284NumberOfContributions
Noncash Contribs Rptd F9904958000NoncashContribsRptdF990
Method Of Determining RevenuesMedian Value At TransferMethodOfDeterminingRevenues

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901750000NoncashContribsRptdF990
Method Of Determining RevenuesAppraised FMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XTransport216000Appraised FMV
XMiscellaneous264108000Appraisal, Receipt, or Valued at $1
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Method for Determining Number of Contributors:Part I, Column (b):The numbers reported in Part I, Column (b) represent the number of items contributed.
Third Party Use:Part I, Line 32b:The organization utilizes third party vendors to solicit gifts. In addition, a third party is engaged by the organization to sell any donated securites.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Volunteer InformationForm 990 Part I Line 6The total number of volunteers is provided by each UH Medical Center's volunteer coordinator. Volunteers provide assistance in many different departments throughout the UH medical centers. The roles of a volunteer fall into three categories: patient contact, limited patient contact and no patient contact. Roles in the patient contact category include those where the volunteer is working directly with a patient or the patient's family. Examples of volunteer roles from this category include but are not limited to pastoral care volunteers and newborn nursery volunteers. Volunteers who serve in roles where there is limited patient contact work in areas where they may be working more with hospital staff than our patients or visitors. Examples of volunteer roles under the limited patient contact include but are not limited to flower delivery volunteers and Atrium gift shop volunteers. And finally, examples of volunteer roles from the no patient contact category include but are not limited to mailroom and clerical volunteers (working in offices throughout the UH medical centers).
Endowment ActivityForm 990 Part IV Line 10All 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.
Common Pay AgentForm 990 Part V Line 2aUniversity Hospitals Health System, Inc. acts as a common pay agent for the various entities that comprise the System. As a result the number of employees reported on Form W-3 will be different than what is shown in Part V Line 2a because this Group Return does not encompass all entities for which the Parent acts as a common pay agent.
Form 990, Part VI, Section A, line 2The following information regarding family and business relationships was obtained while reviewing conflict of interest questionnaire responses received from Directors, Officers, and Key Employees. University Hospitals relies upon these questionnaire responses to determine these relationships. Mr. James Supplee (CMC Director) and Mr. Charles Deck (CMC Director) have a business relationship. Mr. 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. Thomas Adler (UHCMC Director) and Mr. Lawrence Sherman (UHCMC Director) have a business relationship. Mr. John Morley (UHCMC Director) and Mr. William O'Neill Jr. (UHCMC Director) have a business relationship. Mr. Craig Parker (UHGMC Director) and Mr. Willard Raymond (UHGMC Director) have a business relationship. Mr. Fred C. Rothstein, M.D. (UHCMC Director) and Mr. Michael Feuer (UHCMC Director) have a business relationship.
Form 990, Part VI, Section A, line 6University Hospitals Health System, Inc. is the Sole Member of the organizations included in this return. Its rights include electing the Board of Directors and approving significant decisions of each organization's Board.
Form 990, Part VI, Section A, line 7aUniversity Hospitals Health System, Inc. (Sole Member) elects the Board of Directors, including the designation of the Directors to be the Chairperson and Vice Chairperson of the Board.
Form 990, Part VI, Section A, line 7bCertain decisions of each organization's governing body are subject to approval by University Hospitals Health System, Inc. (Sole Member). Examples include approving matters relating to finances and financing, matters relating to investments, legal matters, material assets sales or transfers, strategic plan, officers, and Directors to the Organizations Board.
Form 990, Part VI, Section B, line 11The Form 990 for University Hospitals Health System, Inc. Group Return is approved for filing by University Hospitals Health System Inc.'s (Parent Organization) governing body. The Audit and Compliance Committee has been delegated authority to review and approve Form 990 by the UH Board. The Compensation Committee reviews relevant disclosures related to compensation sections of the return. The Governance and Community Benefit Committee reviews and approves the Community Benefit sections of the return. The Board receives a copy of the return in its final form to review before it is filed with the Internal Revenue Service. Certain members of Senior management review the form while overseeing this process.
Form 990, Part VI, Section B, line 12cUH has adopted three Conflict of Interest ("COI") policies: the first relates to UH and all its subsidiaries and applies to all directors, officers, other disqualified persons, pursuant to the intermediate sanctions regulations, the second applies to UH management (supervisors and above) and the third applies to physicians. UH regularly and consistently monitors and enforces compliance with the COI policies. All 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 by the Audit and Compliance Committee of the UH Board. If a conflict exists with a Director, certain restrictions may be imposed, such as excusing the Director from voting with regard to a proposed transaction. Education regarding conflicts of interest is included in the annual compliance training that includes all Directors, employees and physicians.
Form 990, Part VI, Section B, line 15Executive compensation is approved by the Compensation Committee of the Board (the "Committee"). The Committee has retained an independent compensation consultant who provides information to the Committee on changes and trends in executive compensation and objective third party information on competitive and comparable executive compensation and benefit level/programs. The Consultant collects and provides to the Committee, appropriate market compensation and benefits information, appropriate market practices for comparable organizations' positions and best practices. The Consultant also provides advice on developing and modifying UH's executive compensation philosophy.
Form 990, Part VI, Section C, line 19The Financial Statements for University Hospitals Health System, Inc. and its Subsidiaries are made publicly available through the use of DAC Bond (disclosure dissemination agent) and can be found on the internet at www.dacbond.com. The organization's governing documents and conflict of interest policy may be made available upon request.
Compensation disclosed for Employees showing only 2 hours work per week:Form 990 Part VII Section AThe individuals listed below serving as current Officers/Directors are also employees of other UH entities included in this Group Return. The hours listed in this section reflect only the individual's time spent directly related to the activity of the board on which they serve. UHMG - Harlin G. Adelman UHECC - Richard Frenchie UHLSF - Nancy Tinsley
Compensation disclosed for Richard HansonForm 990 Part VII Section AMr. 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.
Hours Disclosed For Fredrick C. Rothstein, M.D. - UHCMC Pres./Ex Off. Dir.Form 990 Part VII Section ADr. 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 a 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 on this Board. To avoid any confusion his hours per week is listed at 60 for both UHCMC and UHHS.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Net change in temporarily restricted net assets 8,437,000. Net change in permanently restricted net assets -114,000. Equity Transfer 385,402,000. Less: restricted monies included on Form 990 Page 1, Line 8 -43,749,000. Gain/Loss from sale of discontinued operations 42,000. Other Changes 934,000. Total to Form 990, Part XI, Line 5: 350,952,000.
UH Entity DBA Names/AcronymsThe list below shows all the entities included in this Group Return along with any applicable dba names and/or acronyms that will be used throughout this return. For purposes of this Group Return University Hospitals is at times notes as "UH". University Hospitals Cleveland Medical Center (UHCMC) - 34-1567805 dba University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106 University Hospitals Ahuja Medical Center, Inc. (AMC) - 26-4827222 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Bedford Medical Center (BMC) - 34-1271115 44 Blaine Avenue Bedford, OH 44146 University Hospitals Conneaut Medical Center (CMC) - 34-0714550 158 West Main Road Conneaut, OH 44030 BMH Professional Corporation (BMHPC) - 34-1749966 158 West Main Road Conneaut, OH 44030 University Hospitals Geauga Medical Center (GMC) - 34-0816492 13207 Ravenna Road Chardon, OH 44024 University Hospitals Geneva Medical Center (UHGMC) - 34-0714461 870 West Main Street Geneva, OH 44041 UHHS Heather Hill Inc. (HHI) - 34-0771884 12340 Bass Lake Road Chardon, OH 44024 UHHS - Heather Hill Rehabilitation Hospital Inc. (UHECC) - 34-1465745 dba University Hospitals Extended Care Campus 12340 Bass Lake Road Chardon, OH 44024 University Hospitals Richmond Medical Center (RMC) - 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
Election to report certain Information on consolidated basis.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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
University Mednet Physicians LLC
3605 Warrensville Center RdShaker HtsOH44122341599711InactiveOHN/A
University Hospitals Faculty Services Ltd
11100 Euclid AveClevelandOH44106341872525InactiveOHUniversity Hospitals Case Medical Center

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Zeeba Surgery Center LPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line129017 Cedar RoadAddressLine1
CityLyndhurstCity
StateOHState
ZIP Code44124ZIPCode
FieldValueIRS element (for citing)
EIN320039956EIN
Primary ActivitySurgery CenterPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (11 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
Western Reserve Assurance Co Ltd SPC
PO Box 1051GTGeorge Town Grand CaymanCayman IslandsCJ980462740Liability InsuranceCJN/AC
University Hospitals Holdings Inc
341768931Holding CompanyN/AC11100 Euclid AvenueClevelandOH44106OH
University Hospitals Physician Services Inc
341768929Physician Admin. ServicesN/AC11100 Euclid AvenueClevelandOH44106OH
University Primary Care Practices Inc
341768928Physicians GroupN/AC11100 Euclid AvenueClevelandOH44106OH
University Hospitals Health System MCO Inc
341843674Workers Comp. Managed Care ServicesN/AC11100 Euclid AvenueClevelandOH44106OH
UHHS Provider & Central Verification Organization Inc
341908517Medical ManagementN/AC11100 Euclid AvenueClevelandOH44106OH
Cedar Brainard Surgery Center Inc
204957632Holding CompanyN/AC11100 Euclid AvenueClevelandOH44106OH
University Hospitals Health Care Enterprises Inc
341510005Medical ManagementN/AC11100 Euclid AvenueClevelandOH44106OH
BMH Development Corporation Inc
341346212Land DevelopmentN/AC158 West Main StreetConneautOH44030OH
Conneaut Health Enterprises Inc
341503949InactiveN/ACPO Box 648ConneautOH44060OH
University Hospitals Accountable Care Organization Inc
273970270Health Care Model That Coordinates Patient CareN/AC3605 Warrensville Center RdShaker HeightsOH44122OH
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (133 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UH Ahuja Medical CenterUniversity Hospitals Health System
O215154General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
R1250210General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
L7015932General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
P4837170General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
C270569296General Ledger
UH Cleveland Medical CenterUH Ahuja Medical Center
R203000General Ledger
UH Cleveland Medical CenterUH Ahuja Medical Center
P246444General Ledger
UH Medical GroupUH Ahuja Medical Center
L197681General Ledger
UH Conneaut Medical CenterUH Ahuja Medical Center
L55276General Ledger
UH Health Care EnterprisesUH Ahuja Medical Center
P117938General Ledger
UH Bedford Medical CenterUniversity Hospitals Health System
Q258202General Ledger
UH Bedford Medical CenterUniversity Hospitals Health System
P1161622General Ledger
UH Bedford Medical CenterUH Cleveland Medical Center
Q99837General Ledger
UH Bedford Medical CenterUH Cleveland Medical Center
O70000General Ledger
UH Bedford Medical CenterUH Cleveland Medical Center
K177427General Ledger
UH Bedford Medical CenterUH Medical Group
P243244General Ledger
UH Bedford Medical CenterUH Medical Practices
P97551General Ledger
University Hospitals Health SystemUH Bedford Medical Center
R15033077General Ledger
University Hospitals Health SystemUH Bedford Medical Center
O26502006General Ledger
University Hospitals Health SystemUH Bedford Medical Center
L3226627General Ledger
University Hospitals Health SystemUH Bedford Medical Center
C1436444General Ledger
UH Cleveland Medical CenterUH Bedford Medical Center
O1040728General Ledger
UH Laboratory Services FoundationUH Bedford Medical Center
O272327General Ledger
UH Medical GroupUH Bedford Medical Center
O320047General Ledger
UH Medical PracticesUH Bedford Medical Center
L307607General Ledger
UH Home Care ServicesUH Bedford Medical Center
L52468General Ledger
UH Conneaut Medical CenterUH Health System
Q105278General Ledger
UH Conneaut Medical CenterUH Health System
P219631General Ledger
UH Conneaut Medical CenterUH Geneva Medical Center
O149611General Ledger
UH Conneaut Medical CenterUH Medical Practices
Q99762General Ledger
UH Health SystemUH Conneaut Medical Center
R8822443General Ledger
UH Health SystemUH Conneaut Medical Center
P13356357General Ledger
UH Health SystemUH Conneaut Medical Center
L2321233General Ledger
UH Cleveland Medical CenterUH Conneaut Medical Center
P167297General Ledger
UH Laboratory Services FoundationUH Conneaut Medical Center
L107587General Ledger
UH Medical GroupUH Conneaut Medical Center
L174470General Ledger
UH Geneva Medical CenterUH Conneaut Medical Center
L62163General Ledger
UH Medical PracticesUH Conneaut Medical Center
L301322General Ledger
UH Extended Care CampusUH Health System
P572543General Ledger
UH Extended Care CampusUH Case Medical Center
Q59908General Ledger
UH Extended Care CampusUH Medical Practices
K57790General Ledger
UH Extended Care CampusUH Geauga Medical Center
H462326General Ledger
UH Health SystemUH Extended Care Campus
R4894997General Ledger
UH Health SystemUH Extended Care Campus
P6900358General Ledger
UH Health SystemUH Extended Care Campus
C7867640General Ledger
UH Case Medical CenterUH Extended Care Campus
R78990General Ledger
UH Medical PracticesUH Extended Care Campus
L128051General Ledger
UH Geauga Medical CenterUH Health System
Q892395General Ledger
UH Geauga Medical CenterUH Health System
P1809959General Ledger
UH Geauga Medical CenterUH Case Medical Center
Q406924General Ledger
UH Geauga Medical CenterUH Case Medical Center
P57694General Ledger
UH Geauga Medical CenterUH Medical Practices
P72926General Ledger
UH Health SystemUH Geauga Medical Center
R35229861General Ledger
UH Health SystemUH Geauga Medical Center
L5148650General Ledger
UH Health SystemUH Geauga Medical Center
P49996928General Ledger
UH Case Medical CenterUH Geauga Medical Center
P1431713General Ledger
UH Case Medical CenterUH Geauga Medical Center
L252013General Ledger
UH Laboratory Services FoundationUH Geauga Medical Center
L707979General Ledger
UH Medical GroupUH Geauga Medical Center
L1019381General Ledger
UH Richmond Medical CenterUH Geauga Medical Center
P99242General Ledger
UH Medical PracticesUH Geauga Medical Center
L1687459General Ledger
UH Geneva Medical CenterUH Health System
Q623096General Ledger
UH Geneva Medical CenterUH Health System
O475176General Ledger
UH Geneva Medical CenterUH Case Medical Center
Q226465General Ledger
UH Geneva Medical CenterUH Case Medical Center
O89312General Ledger
UH Geneva Medical CenterUH Medical Practice
Q143196General Ledger
UH Health SystemUH Geneva Medical Center
R12507572General Ledger
UH Health SystemUH Geneva Medical Center
P17226019General Ledger
UH Health SystemUH Geneva Medical Center
L2954737General Ledger
UH Case Medical CenterUH Geneva Medical Center
R89747General Ledger
UH Case Medical CenterUH Geneva Medical Center
P361471General Ledger
UH Laboratory Services FoundationUH Geneva Medical Center
L175712General Ledger
UH Medical GroupUH Geneva Medical Center
L372834General Ledger
UH Richmond Medical CenterUH Geneva Medical Center
P308561General Ledger
UH Home Care ServicesUH Health System
O377852General Ledger
UH Home Care ServicesUH Case Medical Center
O763836General Ledger
UH Home Care ServicesUH Case Medical Center
K675390General Ledger
UH Health SystemUH Home Care Services
R11503837General Ledger
UH Health SystemUH Home Care Services
P16873222General Ledger
UH Health SystemUH Home Care Services
L1601298General Ledger
UH Richmond Medical CenterUH Health System
Q273706General Ledger
UH Richmond Medical CenterUH Health System
O1060208General Ledger
UH Richmond Medical CenterUH Case Medical Center
O2950532General Ledger
UH Richmond Medical CenterUH Case Medical Center
Q87584General Ledger
UH Richmond Medical CenterUH Case Medical Center
K838517General Ledger
UH Richmond Medical CenterUH Medical Practices
K213390General Ledger
UH Richmond Medical CenterUH Medical Practices
K96247General Ledger
UH Health SystemUH Richmond Medical Center
R17913591General Ledger
UH Health SystemUH Richmond Medical Center
L3664052General Ledger
UH Health SystemUH Richmond Medical Center
P31032682General Ledger
UH Health SystemUH Richmond Medical Center
C729312General Ledger
UH Case Medical CenterUH Richmond Medical Center
P1402339General Ledger
UH Laboratory Services FoundationUH Richmond Medical Center
L291193General Ledger
UH Medical GroupUH Richmond Medical Center
L828574General Ledger
UH Medical PracticesUH Richmond Medical Center
L1969033General Ledger
UH Laboratory Services FoundationUH Health System
P107043General Ledger
UH Laboratory Services FoundationUH Case Medical Center
Q158893General Ledger
UH Laboratory Services FoundationUH Case Medical Center
O1796662General Ledger
UH Health SystemUH Laboratory Service Foundation
R8192303General Ledger
UH Health SystemUH Laboratory Service Foundation
L1216829General Ledger
UH Health SystemUH Laboratory Service Foundation
P4858581General Ledger
UH Cleveland Medical CenterUH Laboratory Service Foundation
R542315General Ledger
UH Cleveland Medical CenterUH Laboratory Service Foundation
L481919General Ledger
UH Cleveland Medical CenterUH Laboratory Service Foundation
P10263912General Ledger
UH Medical GroupUH Laboratory Service Foundation
P220841General Ledger
UH Medical GroupUH Health System
Q306852General Ledger
UH Medical GroupUH Health System
O1826275General Ledger
UH Medical GroupUH Cleveland Medical Center
Q9022855General Ledger
UH Medical GroupUH Cleveland Medical Center
O66323900General Ledger
UH Medical GroupUH Cleveland Medical Center
K2361822General Ledger
UH Health SystemUH Medical Group
R5072898General Ledger
UH Health SystemUH Medical Group
P1381173General Ledger
UH Health SystemUH Medical Group
L10371544General Ledger
UH Health SystemUH Medical Group
C55803813General Ledger
UH Cleveland Medical CenterUH Medical Group
P160652General Ledger
UH Cleveland Medical CenterUH Medical Group
L343320General Ledger
UH Case Medical CenterUH Health System
Q5326354General Ledger
UH Case Medical CenterUH Health System
O74114672General Ledger
UH Case Medical CenterUH Medical Practice
Q145636General Ledger
UH Case Medical CenterUH Medical Practice
O73685General Ledger
UH Case Medical CenterUH Physician Practices
O5979787General Ledger
UH Case Medical CenterUH Physician Practices
H202139General Ledger
UH Case Medical CenterUH Physician Practices
K10323135General Ledger
UH Health SystemUH Case Medical Center
R403658765General Ledger
UH Health SystemUH Case Medical Center
L91560974General Ledger
UH Health SystemUH Case Medical Center
H222027176General Ledger
UH Health SystemUH Case Medical Center
P596669336General Ledger
UH Health SystemUH Case Medical Center
L15278572General Ledger
UH Health SystemUH Case Medical Center
C76854329General Ledger
UH Medical PracticesUH Case Medical Center
R2709193General Ledger
UH Medical PracticesUH Case Medical Center
P1354035General Ledger
UH Physician ServicesUH Case Medical Center
L261499General Ledger
UH Physician ServicesUH Case Medical Center
P315034General Ledger

Affiliate Listing AffiliateListing

Affiliate Affiliate (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINName ControlNameControl
University Hospitals Cleveland Medical Center - dba UH Case Medical Center
11100 Euclid AvenueClevelandOH44106341567805UNIV
University Hospitals Bedford Medical Center
44 Blaine AvenueBedfordOH44146341271115UNIV
University Hospitals Conneaut Medical Center
158 West Main RoadConneautOH44030340714550UNIV
BMH Professional Corporation
158 West Main RoadConneautOH44030341749966UNIV
University Hospitals Geauga Medical Center
13207 Ravenna RoadChardonOH44024340816492UNIV
University Hospitals Geneva Medical Center
870 West Main StreetGenevaOH44041340714461UNIV
UHHS Heather Hill Inc
12340 Bass Lake RoadChardonOH44024340771884UNIV
UHHS - Heather Hill Rehabilitation Hospital Inc - dba UH Extended Care Camp
12340 Bass Lake RoadChardonOH44024341465745UNIV
University Hospitals Richmond Medical Center
27100 Chardon RoadRichmond HtsOH44143341924226UNIV
University Mednet
23001 Euclid AvenueClevelandOH44117340750341UNIV
University Hospitals Home Care Services Inc
4901 Galaxy ParkwayWarrensville HtsOH44128341527536UNIV
University Hospitals Laboratory Services Foundation
11100 Euclid AvenueClevelandOH44106341720429UNIV
University Hospitals Medical Group Inc
11100 Euclid AvenueClevelandOH44106204881619UNIV
University NPI Inc
11100 Euclid AvenueClevelandOH44106341571623UNIV
Memorial Hospital Health Foundation
11100 Euclid AvenueClevelandOH44106341810018UNIV
University Hospitals Ahuja Medical Center Inc
11100 Euclid AvenueClevelandOH44106264827222UNIV

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
University Hospitals Cleveland Medical Center
11100 Euclid AveClevelandOH44106341567805X391017526717917711408318231141011000$1,000,000$250,000000
University Hospitals Bedford Medical Center
44 Blaine AveBedfordOH44146341271115144570558494970815249714001$1,000,000$250,000000
University Hospitals Conneaut Medical Center
158 West Main RdConneautOH4403034075034190353736272556737325571000$1,000,000$250,000000
BMH Professional Corp
158 West Main RdConneautOH4403034174996600000$0$0000
University Hospitals Geauga Medical Center
13207 Ravenna RdChardonOH440243408164923441360313947100661053100675000$1,000,000$250,000000
University Hospitals Geneva Medical Center
870 West Main StGenevaOH44041340714461125494450693462793134633000$1,000,000$250,000000
University Hospitals Extended Care Campus
12340 Bass Lake RoadChardonOH44024341465745311213124485957568597000$579,850$144,963000
UHHS - Heather Hill Inc
12340 Bass Lake RoadChardonOH4402434077188400000$0$0000
University Hospitals Richmond Medical Center
27100 Chardon RoadRichmond HtsOH44024341924226184724874325841856858426000$1,000,000$250,000000
University Mednet
23001 Euclid AveClevelandOH4411734075034100000$0$0000
University Hospitals Home Care Services Inc
4901 Galaxy ParkwayWarrensville HtsOH4412834152753697384139382995506229959000$1,000,000$250,000000
University Hospitals Laboratory Services Foundation
11100 Euclid AveClevelandOH4410634172042988347835662677843426782000$1,000,000$250,000000
University Hospitals Medical Group Inc
11100 Euclid AveClevelandOH441062048816199713833439305348492696348532001$1,000,000$250,000000
University NPI Inc
11100 Euclid AveClevelandOH4410634157162300000$0$0000
Memorial Hospital Health Foundation
11100 Euclid AveClevelandOH4410634181001800000$0$0000
University Hospitals Health System Inc
11100 Euclid AveClevelandOH4410634071477521660846300224833700224840000$1,000,000$250,000000
University Hospitals Ahuja Medical Center
11100 Euclid AveClevelandOH44106264827222226892291488608585286095000$1,000,000$250,000000

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