2012-11-15T09:40:32-06:00 2011-12-31 346566696 ERNST & YOUNG US LLP 2100 One PPG Place Pittsburgh PA 15222 990 2011-01-01 900059117 University Hospitals Health System Inc Group Return UNIV 2167678007 11100 Euclid Avenue - Attn Treasury Dep Cleveland OH 44106 Michael Szubski 2168441000 2012-11-15 1 Robert Vuillemot P01283296 4126447800 2011 2016-02-24 21:20:13Z Michael Szubski 3605 Warrensville Center Road Shaker Heights OH 44122 2085037000 1 0 3829 X www.UHhospitals.org X University Hospitals (the System) is guided by its mission To Heal. To Teach. To Discover. The System serves a unique role in its community by providing diverse populations throughout the Northeast Ohio region with comprehensive health care - from primary care to highly specialized medical care for the most serious of health problems. University Hospitals is known for providing superior, leading-edge health care across the full range of medical and surgical specialties for both adults and children. In addition to delivering quality patient care, the System serves as a key teaching facility for physicians, nurses and ancillary medical personnel. The System's extensive clinical research programs are producing significant advances in the understanding of disease and improvement of care. 163 104 14553 2002 252000 0 37358000 58161000 1817776000 1968532000 5502000 119000 77677000 57329000 1938313000 2084141000 31042000 30716000 0 0 969217000 1050031000 63000 138000 10013000 757322000 829116000 1757644000 1910001000 180669000 174140000 1012862000 1508339000 265632000 236017000 747230000 1272322000 X University Hospitals' mission is To Heal. To Teach. To Discover. In pursuit of this mission, University Hospitals remains at the forefront of health care delivery, physician education, and medical research nationwide. Yet what makes University Hospitals unique is its ability to bring expertise and resources together and respond to the individual needs of every patient, regardless of their ability to pay. That focus on the patient, combined with a remarkable level of achievement in medical research and education continues to propel University Hospitals to even greater successes. 0 0 1783214000 30716000 2019580000 Caring for the community has been an unwavering commitment of University Hospitals ("the System") since its founding in 1866. Commitment to the community remains at the core of the System's mission: To Heal. To Teach. To Discover. In 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. 1783214000 1 1 0 1 0 0 0 1 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 X 2676 0 1 14553 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 163 104 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 FL IL KY MI NY PA WI WV OH X X Michael A Szubski CFO UHHS 2167678007 3605 Warrensville Center Road Shaker Hts OH 44122 X UHCMC - Joel Adelman 2.00 X 0 0 0 UHCMC - Thomas W Adler 2.00 X 0 0 0 UHCMC - Monte Ahuja 2.00 X 0 0 0 UHCMC - William L Annable MD 2.00 X 0 0 0 UHCMC - Robert T Bennett 2.00 X 0 0 0 UHCMC - Paul H Carleton 2.00 X 0 0 0 UHCMC - Carole A Carr 2.00 X 0 0 0 UHCMC - Kevin D Cooper MD 2.00 X 0 0 0 UHCMC - Beth Curtiss 2.00 X 0 0 0 UHCMC - Pamela B Davis MD PhD 2.00 X 0 0 0 UHCMC - Ralph Della Ratta 2.00 X 0 0 0 UHCMC - Achilles A Demetriou MD 2.00 X 0 0 0 UHCMC - Michael Feuer 2.00 X 0 0 0 UHCMC - David Goldberg 2.00 X 0 0 0 UHCMC - Robert D Gries 2.00 X 0 0 0 UHCMC - Charles Hallberg 2.00 X 0 0 0 UHCMC - Gordon Harnett 2.00 X 0 0 0 UHCMC - Richard A Horvitz 2.00 X 0 0 0 UHCMC - Christopher Hyland 2.00 X 0 0 0 UHCMC - Beth Kaufman 2.00 X 0 0 0 UHCMC - Jerry Kelsheimer 2.00 X 0 0 0 UHCMC - Raymond K Lee 2.00 X 0 0 0 UHCMC - Gene C Lovett 2.00 X 0 0 0 UHCMC - Adrian Maldonado 2.00 X 0 0 0 UHCMC - John C Morley 2.00 X 0 0 0 UHCMC - Patrick S Mullin 2.00 X 0 0 0 UHCMC - Ernest J Novak 2.00 X 0 0 0 UHCMC - William J O'Neill Jr 2.00 X 0 0 0 UHCMC - Lydia B Oppmann 2.00 X 0 0 0 UHCMC - Alfred M Rankin Jr 2.00 X 0 0 0 UHCMC - Ann P Ranney 2.00 X 0 0 0 UHCMC - Julie Adler Raskind 2.00 X 0 0 0 UHCMC - Kenneth C Ricci 2.00 X 0 0 0 UHCMC - Robert Risman 2.00 X 0 0 0 UHCMC - Barbara S Robinson 2.00 X 0 0 0 UHCMC - Fred C Rothstein MD 60.00 X X 0 0 0 UHCMC - Warren Selman MD 2.00 X 677453 0 24821 UHCMC - Lawrence C Sherman 2.00 X 0 0 0 UHCMC - Michael Siegal 2.00 X 0 0 0 UHCMC - Gregory Skoda 2.00 X 0 0 0 UHCMC - Hilton O Smith 2.00 X 0 0 0 UHCMC - Eddie Taylor 2.00 X 0 0 0 UHCMC - Kelly Tompkins 2.00 X 0 0 0 UHCMC - Penni Weinberg 2.00 X 0 0 0 UHCMC - Lorna Wisham 2.00 X 0 0 0 UHCMC - Jacqueline Woods 2.00 X 0 0 0 UHCMC - Christine Wynd 2.00 X 0 0 0 UHCMC - Thomas F Zenty III 2.00 X 0 0 0 AMC - Sheldon G Adelman 2.00 X 0 0 0 AMC - James Benedict 60.00 X X 465354 0 87097 AMC - Julie Boland 2.00 X 0 0 0 AMC - Michael Drusinsky 2.00 X 0 0 0 AMC - Robert Glick 2.00 X 0 0 0 AMC - Richard Hanson 10.00 X 774710 0 142294 AMC - John Morikis 2.00 X 0 0 0 AMC - Thomas Murdough 2.00 X 0 0 0 AMC - Enid Rosenberg 2.00 X 0 0 0 AMC - Reggie Rucker 2.00 X 0 0 0 AMC - Neil Sethi 2.00 X 0 0 0 AMC - Margaret Singerman 2.00 X 0 0 0 AMC - John Sinnenberg 2.00 X 0 0 0 AMC - Richard Stein MD 2.00 X 0 444418 45325 BMC - Samuel Ake 2.00 X 0 0 0 BMC - Mary Jo Boehnlein 2.00 X 0 0 0 BMC - Mary Ann P Correnti 2.00 X 0 0 0 BMC - Theodore Dalheim 2.00 X 0 0 0 BMC - Laurie Delgado 30.00 X X 214900 0 43529 BMC - Wendolyn Grant 2.00 X 0 0 0 BMC - Judy Grieg 2.00 X 0 0 0 BMC - Richard Hanson 10.00 X 0 0 0 BMC - George Hawwa MD 2.00 X 76000 0 0 BMC - James Hukill 2.00 X 0 0 0 BMC - David E Jerome 2.00 X 0 0 0 BMC - James O Judd 2.00 X 0 0 0 BMC - Patrick Lally 2.00 X 0 0 0 BMC - Rosemary Leeming MD 2.00 X 0 0 0 BMC - Kathleen Malec 2.00 X 0 0 0 BMC - Brock Milstein 2.00 X 0 0 0 BMC - Timothy Morgan 2.00 X 0 0 0 BMC - Stamy Paul 2.00 X 0 0 0 BMC - Mark Plush 2.00 X 0 0 0 BMC - Philip Ridolfi 2.00 X 0 0 0 BMC - Michael Romito 2.00 X 0 0 0 CMC - Terry Atkinson 2.00 X 0 0 0 CMC - Benjamin Bryant MD 2.00 X 0 280720 20388 CMC - Robert David 30.00 X X 157167 0 37846 CMC - Charles Deck 2.00 X 0 0 0 CMC - Gerald Eighmy 2.00 X 0 0 0 CMC - Richard Hanson 10.00 X 0 0 0 CMC - George Kolman 2.00 X 0 0 0 CMC - Reverend Tim Kraus 2.00 X 0 0 0 CMC - Lori McLaughlin 2.00 X 0 0 0 CMC - Karen McNeil RN 60.00 X 112646 0 12170 CMC - Joseph A Moroski 2.00 X 0 0 0 CMC - Mike Skufca DDS 2.00 X 0 0 0 CMC - James Supplee 2.00 X 0 0 0 GMC - Thomas Benda 2.00 X 0 0 0 GMC - John Fitts 2.00 X 0 0 0 GMC - Robert A Forino 2.00 X 0 0 0 GMC - Davina Gosnell Phd 2.00 X 0 0 0 GMC - Richard Hanson 10.00 X 0 0 0 GMC - B Page Hoiser 2.00 X 0 0 0 GMC - M Steven Jones 60.00 X X 356887 0 82795 GMC - P James Kramer Jr 2.00 X 0 0 0 GMC - Peggy Kuhar 60.00 X 157171 0 18971 GMC - Edith Lerner PhD 2.00 X 0 0 0 GMC - Jack Male 2.00 X 0 0 0 GMC - Darrell McNair 2.00 X 0 0 0 GMC - Pete C Miller 2.00 X 0 0 0 GMC - Denise Miller 2.00 X 0 0 0 GMC - David M Ondrey 2.00 X 0 0 0 GMC - James F Patterson 2.00 X 0 0 0 GMC - Gregory Robinson 2.00 X 0 0 0 GMC - George W Tim Taylor 2.00 X 0 0 0 GMC - Natalina Andreani MD 2.00 X 12000 22000 0 UHGMC - James Crawford 2.00 X 0 0 0 UHGMC - Richard L Dana Jr 2.00 X 0 0 0 UHGMC - Robert David 30.00 X X 157169 0 37847 UHGMC - Morgan R Griffiths Jr 2.00 X 0 0 0 UHGMC - Richard Hanson 10.00 X 0 0 0 UHGMC - Syed Hussaini MD 2.00 X 0 0 0 UHGMC - Cathy Knorzer 60.00 X 112330 0 12991 UHGMC - Jeffrey Lampson 2.00 X 0 0 0 UHGMC - Craig Parker 2.00 X 0 0 0 UHGMC - Gary L Pasqualone 2.00 X 0 0 0 UHGMC - Willard Raymond 2.00 X 0 0 0 UHGMC - Robert Taylor 2.00 X 0 0 0 UHECC - Achilles A Demetriou MD 2.00 X 0 0 0 UHECC - Thomas Benda 2.00 X 0 0 0 UHECC - Richard J Frenchie 2.00 X X 221023 0 35966 UHECC - Richard Hanson 10.00 X X 0 0 0 UHECC - Rebecca Ivcic 2.00 X 0 0 0 UHECC - Susan V Juris 60.00 X X 369787 0 39572 UHECC - David Kosnosky MD 60.00 X 0 207137 49053 UHECC - John Male 2.00 X 0 0 0 UHECC - Kathleen Malec 2.00 X 0 0 0 UHECC - James Patterson 2.00 X 0 0 0 UHECC - Joanne Rogers 60.00 X 100501 0 15721 UHECC - Keith Tompkins 2.00 X 0 0 0 UHECC - William Wortzman 2.00 X 0 0 0 UHECC - William Young 2.00 X 0 0 0 HHINC - Thomas Benda 2.00 X 0 0 0 HHINC - Achilles A Demetriou MD 2.00 X 0 0 0 HHINC - Richard J Frenchie 2.00 X X 0 0 0 HHINC - Richard Hanson 2.00 X 0 0 0 HHINC - Rebecca Ivcic 2.00 X 0 0 0 HHINC - Susan V Juris 2.00 X X 0 0 0 HHINC - David Kosnosky MD 2.00 X 0 0 0 HHINC - John Male 2.00 X 0 0 0 HHINC - Kathleen Malec 2.00 X 0 0 0 HHINC - James Patterson 2.00 X 0 0 0 HHINC - Joanne Rogers 2.00 X 0 0 0 HHINC - Keith Tompkins 2.00 X 0 0 0 HHINC - William Wortzman 2.00 X 0 0 0 HHINC - William Young 2.00 X 0 0 0 RMC - Samuel Ake 2.00 X 0 0 0 RMC - Mary Jo Boehnlein 2.00 X 0 0 0 RMC - Mary Ann P Correnti 2.00 X 0 0 0 RMC - Theodore Dalheim 2.00 X 0 0 0 RMC - Laurie Delgado 60.00 X X 214900 0 43529 RMC - Wendolyn Grant 2.00 X 0 0 0 RMC - Judy Grieg 2.00 X 0 0 0 RMC - Richard Hanson 10.00 X 0 0 0 RMC - George Hawwa MD 2.00 X 0 0 0 RMC - James Hukill 2.00 X 0 0 0 RMC - David E Jerome 2.00 X 0 0 0 RMC - James O Judd 2.00 X 0 0 0 RMC - Patrick Lally 2.00 X 0 0 0 RMC - Rosemary Leeming MD 60.00 X 229846 0 24365 RMC - Kathleen Malec 2.00 X 0 0 0 RMC - Brock Milstein 2.00 X 0 0 0 RMC - Timothy Morgan 2.00 X 0 0 0 RMC - Stamy Paul 2.00 X 0 0 0 RMC - Mark Plush 2.00 X 0 0 0 RMC - Philip Ridolfi 2.00 X 0 0 0 RMC - Michael Romito 2.00 X 0 0 0 UMI - Phyllis Hall 2.00 X X 0 0 0 UMI - Michael Nochomovitz MD 2.00 X X 0 0 0 UMI - Michael A Szubski 2.00 X X 0 0 0 HCS - Achilles A Demetriou MD 2.00 X X 0 0 0 HCS - Richard A Hanson 10.00 X X 0 0 0 HCS - Keith Maitland 60.00 X X 289518 0 87499 UHHS - Monte Ahuja 2.00 X 0 0 0 UHHS - Sheldon G Adelman 2.00 X 0 0 0 UHHS - Arthur F Anton 2.00 X 0 0 0 UHHS - Craig Arnold 2.00 X 0 0 0 UHHS - Katherine A Asbeck 2.00 X 0 0 0 UHHS - Andrew Banks 2.00 X 0 0 0 UHHS - Thomas W Benda 2.00 X 0 0 0 UHHS - Joseph Carrabba 2.00 X 0 0 0 UHHS - Paul Clark 2.00 X 0 0 0 UHHS - Christopher M Connor 2.00 X 0 0 0 UHHS - Margot J Copeland 2.00 X 0 0 0 UHHS - David A Daberko 2.00 X 0 0 0 UHHS - Achilles A Demetriou MD 60.00 X X 1542740 0 50559 UHHS - Heather Ettinger 2.00 X 0 0 0 UHHS - Matthew P Figgie 2.00 X 0 0 0 UHHS - Brian Hall 2.00 X 0 0 0 UHHS - James Hambrick 2.00 X 0 0 0 UHHS - Kenneth Hardy 2.00 X 0 0 0 UHHS - M Ann Harlan 2.00 X 0 0 0 UHHS - Ronald G Harrington 2.00 X 0 0 0 UHHS - James O Judd 2.00 X 0 0 0 UHHS - Catherine M Kilbane 2.00 X 0 0 0 UHHS - Timothy Kraus 2.00 X 0 0 0 UHHS - Joseph Lopez 2.00 X 0 0 0 UHHS - Ramon Lugo III 2.00 X 0 0 0 UHHS - Henry L Meyer III 2.00 X 0 0 0 UHHS - Patrick Mullin 2.00 X 0 0 0 UHHS - Thomas G Murdough Jr 2.00 X 0 0 0 UHHS - Ernest Novak 2.00 X 0 0 0 UHHS - David Ondrey 2.00 X 0 0 0 UHHS - Vasu Pandrangi MD 2.00 X 0 0 0 UHHS - Sandy Pianalto 2.00 X 0 0 0 UHHS - Mark Plush 2.00 X 0 0 0 UHHS - Richard W Pogue 2.00 X 0 0 0 UHHS - Alfred M Rankin Jr 2.00 X 0 0 0 UHHS - Willard Raymond 2.00 X 0 0 0 UHHS - Philip Ridolfi 2.00 X 0 0 0 UHHS - Gregory Robinson 2.00 X 0 0 0 UHHS - Fred C Rothstein MD 60.00 X 1171362 0 49092 UHHS - Robert Salata MD 60.00 X 107260 0 2807 UHHS - Thomas A Selden 2.00 X 0 0 0 UHHS - Jerry Sue Thornton Phd 2.00 X 0 0 0 UHHS - Les C Vinney 2.00 X 0 0 0 UHHS - Thomas F Zenty III 60.00 X X 1651855 0 363952 UHLSF - Ronald Dziedzicki BSN RN 2.00 X X 0 0 0 UHLSF - Mark E Loos 2.00 X 0 0 0 UHLSF - Sonia Salvino 2.00 X X 0 0 0 UHLSF - Nancy Tinsley 2.00 X 232377 0 56537 UHMG - Eric Bieber MD 2.00 X 0 0 0 UHMG - Paul H Carleton 2.00 X 0 0 0 UHMG - Kevin Cooper MD 60.00 X 290603 0 0 UHMG - Pamela B Davis MD Phd 2.00 X 0 0 0 UHMG - Achilles A Demetriou MD 2.00 X 0 0 0 UHMG - Michael Feuer 2.00 X 0 0 0 UHMG - Gordon Harnett 2.00 X 0 0 0 UHMG - Elliott A Kellman 2.00 X 0 0 0 UHMG - Michael Konstan MD 60.00 X 382412 0 11321 UHMG - Mark E Loos 2.00 X 0 0 0 UHMG - Randall Marcus MD 60.00 X 683898 0 19145 UHMG - Howard Nearman MD 60.00 X 449927 0 15705 UHMG - Michael Nochomovitz MD 60.00 X X 1021474 0 44630 UHMG - William O'Neill Jr 2.00 X 0 0 0 UHMG - Daniel Ornt 2.00 X 0 0 0 UHMG - Jeffrey Ponsky MD 60.00 X 737007 0 15332 UHMG - Robert Ronis MD 60.00 X 260557 0 5626 UHMG - Fred C Rothstein MD 2.00 X 0 0 0 UHMG - Michael A Szubski 2.00 X 0 0 0 UHMG - Richard A Walsh MD 60.00 X 490616 0 15332 UHCMC - Michael R Anderson 60.00 X 358542 0 37772 UHCMC - Eric Bieber MD 60.00 X 674149 0 109786 UHCMC - Ronald E Dziedzicki BSN RN 60.00 X 373556 0 92653 UHCMC - Michael J Farrell 60.00 X 638767 0 121659 UHCMC - Catherine S Koppelman RN 60.00 X 408019 0 117735 UHCMC - Nathan Levitan MD 60.00 X 788529 0 45958 UHCMC - Mark E Loos 60.00 X 411163 0 33228 UHCMC - Janet L Miller Esq 2.00 X 0 0 0 UHCMC - Sonia Salvino 60.00 X 280171 0 62773 HCS - Howard Lutz 60.00 X 85745 0 14410 HCS - Janet L Miller Esq 2.00 X 0 0 0 HCS - Rebecca Ivcic 60.00 X 167909 0 31100 UHHS - William L Annable MD 60.00 X 321586 0 8185 UHHS - Elliot A Kellman 60.00 X 705293 0 40333 UHHS - Janet L Miller Esq 60.00 X 594075 0 132606 UHHS - Steven D Standley 60.00 X 611127 0 137459 UHHS - Michael A Szubski 60.00 X 837756 0 171925 UHLSF - Don M Landek 60.00 X 187476 0 41093 UHMG - Harlin G Adelman 2.00 X 402815 0 95235 UHMG - Phylliss Hall 60.00 X 490391 0 97254 UHMG - Janet L Miller Esq 2.00 X 0 0 0 UHHS - Cliff J Coker 60.00 X 521168 0 52680 UHHS - Sherri L Bishop 60.00 X 485766 0 124873 UHHS - Paul G Tait 60.00 X 502564 0 123284 UHHS - Donnie J Perkins 60.00 X 239871 0 323 UHCMC - Carl Lufter 60.00 X 182519 0 25357 GMC - Jason E Glowczewski 60.00 X 152270 0 19390 UHHS - Nancy E Paton 60.00 X 193557 0 22557 UHHS - Cheryl Wahl 60.00 X 290237 0 52605 UHMG - Reuben Gobezie MD 60.00 X 1459601 0 25115 UHMG - Bahman Guyuron MD 60.00 X 1226904 0 15331 UHMG - Nicholas U Ahn MD 60.00 X 1122727 0 17170 UHMG - Mauricio S Arruda MD 60.00 X 999894 0 7350 UHMG - Jason D Eubanks MD 60.00 X 963622 0 11510 UHLSF - Michael R Vehovec 2.00 X 314993 0 71967 UHHS - Mary Alice Annecharico 60.00 X 538969 0 43028 UHHS - Heidi Gartland 60.00 X 284102 0 55149 UHMG - Pablo R Ros MD 60.00 X 639600 0 17287 UHMG - Charles Lanzieri MD 60.00 X 537380 0 24821 UHBMC - Sean McKibben 60.00 X 295630 0 19903 UHMG - Ann Lyren MD 60.00 X 108336 0 10689 33118229 954275 3643370 905 1 1 0 MACQUARIE EQUIPMENT FINANCE LLC GPO DRAWER 67-865 Detroit MI 48267 Leasing 3206765 NATIONAL MARROW DONOR PROGRAM NW 8428 PO BOX 1450 MINNEAPOLIS MN 554858428 Donor Matching 2173557 SYNTHES PO BOX 8538 662 PHILADELPHIA PA 191710662 Supplies 1721242 INO THERAPEUTICS LLC PO BOX 642509 Pittsburgh PA 152642509 Pharmaceuticals 972145 OMG LLC PO BOX 37389 LOUISVILLE KY 402337389 Management 699088 35 1683000 56478000 6972000 58161000 Patient Services less 900099 1834684000 1834518000 166000 Sponsored Revenues 900099 41405000 41405000 UHMG Other Clinical Re 900099 27253000 27253000 UHMG Resident Teaching 900099 19665000 19665000 UHMG Medical Director 900099 13467000 13467000 32058000 32058000 1968532000 119000 86000 33000 437000 1683000 896000 -459000 -459000 Other Miscellaneous Re 900099 51128000 51128000 Parking Services 900099 6660000 6660000 57788000 2084141000 2019494000 252000 6234000 30716000 30716000 4623000 4623000 2531000 2531000 835142000 780218000 50025000 4899000 48264000 45188000 3076000 110553000 102242000 7044000 1267000 48918000 45803000 3115000 1037000 1037000 476000 476000 138000 138000 2295000 1361000 934000 317448000 316026000 1422000 21982000 1489000 20490000 3000 93752000 87580000 5510000 662000 6564000 6387000 177000 9030000 9030000 66436000 66436000 16737000 16737000 Other purchased service 138730000 124414000 14001000 315000 Income tax on Unrelated 29000 29000 Bad debt expense 51642000 51642000 Medical/clinical purcha 31286000 31286000 71672000 64099000 7377000 196000 1910001000 1783214000 116774000 10013000 12399000 8457000 68614000 77594000 249417000 291159000 416000 423000 23942000 28223000 3758000 3151000 1883180000 940098000 484055000 943082000 319000 0 77088000 72010000 3783000 4839000 89071000 79401000 1012862000 1508339000 79949000 83322000 26762000 14601000 63353000 42960000 140000 0 95428000 95134000 265632000 236017000 X 549806000 1066580000 181331000 189763000 16093000 15979000 747230000 1272322000 1012862000 1508339000 X 174140000 350952000 X 0 1 1 X 1 1 X Schedule 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 - $0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 3910 6426 175267 272176 179177 278602 1140831823 2134562398 1141011000 2134841000 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 469714 384605 357890 278602 1490811 250000 250000 250000 250000 1000000 1500000 9429 10111 7514 6426 33480 Explanation of Lobbying Activities: Part II-B, Line 1: Software 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. 139000 1079000 X 0 26031000 26031000 1203466000 480149000 723317000 17691000 5362000 12329000 605823000 436681000 169142000 30169000 17906000 12263000 943082000 Research Institute option asset 36439000 Other 5296000 Medical Resident FICA Refund Receivable 37666000 79401000 Interest payable 1190000 Due to third parties 11819000 Other current liabilities 18894000 Research Institute option liability 36439000 Other liabilities 26792000 95134000 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. Description of Uncertain Tax Positions Under FIN 48: 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). X X X X X X 1 Pursuant Group Inc 5151 Belt Line Rd 900 Dallas TX 75204 Professional Fundraiser 0 214000 138000 76000 214000 138000 76000 FL IL KY MI NY OH PA WI WV 5 Star Dinner 1667000 1336000 331000 204000 205000 7000 315000 Golf Outing 248000 201000 47000 94000 5 205000 146000 59000 2000 34000 3000 32000 2120000 1683000 437000 206000 333000 10000 347000 896000 -459000 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 47111205 47111205 0.02540 401497874 323083661 78414213 0.04220 448609079 323083661 125525418 0.06760 10560823 10560823 0.00570 69192971 20709393 48483578 0.02610 23409049 17949820 5459229 0.00290 46108806 46108806 0.02480 30877946 30877946 0.01660 180149595 38659213 141490382 0.07610 628758674 361742874 267015800 0.14370 12626 12626 0.00000 12626 12626 0 51642000 0 312641299 336610763 -23969464 X 1 1 9 1 UH Case Medical Center

11100 Euclid Avenue Cleveland OH 44106

X X X X X IP Psych./IP Rehab./Skilled Nurs. 2 UH Rainbow Babies & Children's Hospital

11100 Euclid Avenue Cleveland OH 44106

X X X X X X 3 UH Geauga Medical Center

13207 Ravenna Road Chardon OH 44024

X X X IP Psychiatric Unit 4 UH Ahuja Medical Center

3999 Richmond Road Beachwood OH 44122

X X X 5 UH Richmond Medical Center

27100 Chardon Road Richmond Heights OH 44143

X X X X 6 UH Bedford Medical Center

44 Blaine Avenue Bedford OH 44146

X X X 7 UH Geneva Medical Center

870 West Main Street Geneva OH 44041

X X X 8 UH Conneaut Medical Center

158 West Main Road Conneaut OH 44030

X X X 9 UH Extended Care Campus

12340 Bass Lake Road Chardon OH 44024

X LT Acute Unit/Skilled Nurs. Unit UH Case Medical Center 1 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 UH Rainbow Babies & Children's Hospitals 2 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 UH Geauga Medical Center 3 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 UH Ahuja Medical Center 4 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 UH Richmond Medical Center 5 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 UH Bedford Medical Center 6 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 UH Geneva Medical Center 7 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 UH Conneaut Medical Center 8 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 UH Extended Care Campus 9 1 1 250.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X 1 0 1 X 0 0 26 UH Chagrin Highlands Health Center

3909 Orange Place Orange Village OH 44122

Outpatient Health Center UH Westlake Health Center

960 Clague Road Westlake OH 44145

Outpatient Health & Surgery Center UH Landerbrook Health Center 2

5885 Landerbrook Drive Mayfield Heights OH 44124

Outpatient Health Center UH Mentor Health Center

9000 Mentor Avenue Mentor OH 44060

Outpatient Health & Surgery Center UH Concord Health Center

7500 Auburn Road PainsvilleConcord J OH 44077

Outpatient Health Center UH Twinsburg Health Center

8819 Commons Blvd Suite Twinsburg OH 44087

Outpatient Health Center UH Medina Health Center

4001 Carrick Dr Medina OH 44256

Outpatient Health Center UH Sharon Health Center

5133 Ridge Rd Wadsworth OH 44281

Outpatient Health Center UH Euclid Health Center

18599 Lake Shore Blvd Euclid OH 44119

Outpatient Health Center UH Adult Sleep Lab Center

3628 Park East Dr Beachwood OH 44122

Outpatient Health Center UH Ahuja Medical Office

1000 Auburn Dr Beachwood OH 44122

Outpatient Health Center UH Landerbrook Health Center

5850 Landerbrook Drive Mayfield Heights OH 44124

Outpatient Health Center UH Mayfield Village Health Center

730 SOM Center Road Suite 110 Mayfield Village OH 44143

Outpatient Health Center UH Physical Therapy Office

4480 Richmond Road Warrensville Heights OH 44122

Outpatient Rehabilitation Center UH Madison Health Center

701 North Lake Street Madison OH 44057

Outpatient Health Center UH Hudson Health Center

5778 Darrow Road Hudson OH 44236

Outpatient Health Center UH University Suburban Health Center

1611 South Green Road South Euclid OH 44121

Outpatient Health Center UH Cedars on the Green Peds Rehab Center

2054 So Green Road South Euclid OH 44141

Outpatient Rehabilitation Center UH Otis Moss Jr Health Center

8819 Quincy Avenue Cleveland OH 44106

Outpatient Health Center UH Bedford Medical Office Center

50 Blaine Avenue Bedford OH 44146

Outpatient Health Center UH Park East

3619 Park East Drive Beachwood OH 44122

Outpatient Health Center UH Westlake Health Center B

950 Clague Road Westlake OH 44145

Outpatient Health Center UH Ashtabula Health Center

2131 Lake Avenue Ashtabula OH 44004

Outpatient Health Center UH Chesterland Health Center

8055 Mayfield Rd Chesterland OH 44026

Outpatient Health Center UH Bainbridge Health Center

8185 East Washington Street Bainbridge OH 44023

Outpatient Health Center UH Park West Surgical Center

1 Park West Blvd Akron OH 44320

Outpatient Health Center Part I, Line 3c: The amount of financial assistance discount granted by UH in 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. 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 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 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 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. 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. 0 ADULT CONGENITAL HEART ASSN 6757 GREENE ST Ste 300 PHILADELPHIA PA 19119 043447959 501(c)3 5000 General Support Ace Mentor Program of America Inc 400 MAIN ST STE 400 STAMFORD CT 06901 510465877 501(c)3 8000 General Support Achievement Centers for Children 11001 BUCKEYE RD Cleveland OH 441043886 340714766 501(c)3 9000 General Support AIDS Taskforce of Greater Cleveland 2728 EUCLID AVE STE 400 Cleveland OH 44115 341433612 501(c)3 5000 General Support Alzheimers Association 23215 Commerce Park Dr Ste 300 Beachwood OH 44122 341311175 501(c)3 9000 General Support AMER DIABETES ASSN PO BOX 631762 BALTIMORE MD 212631762 131623888 501(c)3 5000 General Support American Heart Association PO Box 1590 Hagerstown MD 217401590 135613797 501(c)3 8000 General Support Autism Speaks Inc 4700 Rockside Rd Ste 408 Independence OH 44131 202329938 501(c)3 8000 General Support Case Western Reserve 10900 Euclid Ave Cleveland OH 44106 341018992 501(c)3 29840000 General Support Celebrate Westlake 6224 Sandpiper Lane North Olmsted OH 44070 341703289 501(c)3 10000 General Support Center For Families & Children 4500 Euclid Ave Cleveland OH 44103 237084455 501(c)3 5000 General Support Cleveland Central Catholic 6550 Baxter Ave Cleveland OH 44105 341013635 501(c)3 8000 General Support Cleveland Foodbank 15500 South Waterloo Rd Cleveland OH 44110 341292848 501(c)3 10000 General Support Cleveland Hearing & Speech Center 11635 Euclid Ave Cleveland OH 44106 340714648 501(c)3 6000 General Support Cystic Fibrosis Foundation 5001 Mayfield Rd Ste 111 Lydhurst OH 44124 131930701 501(c)3 12000 General Support Epilepsy Foundation of NE Ohio 2800 Euclid Ave Ste 450 Cleveland OH 44115 237198807 501(c)3 8000 General Support FLYING HORSE FARMS 3 EASTON OVAL STE 330 COLUMBUS OH 43219 203498125 501(c)3 5000 General Support Free Clinic of Greater Cleveland 12201 Euclid Ave Cleveland OH 44106 237078501 501(c)3 75000 General Support HATTIE LARLHAM FOUND 9772 DIAGONAL RD MANTUA OH 442559128 341897312 501(c)3 5000 General Support Huntington's Disease Society 505 EIGHTH AVE STE 902 NEW YORK NY 10018 133349872 501(c)3 5000 General Support JOHN CARROLL UNIV 20700 N PARK BLVD UNIVERSITY HTS OH 44118 340714681 501(c)3 10000 General Support Lakewood Community Service Center 14230 MADISON AVE Lakewood OH 44107 341446497 501(c)3 5000 General Support Leukemia & Lymphoma Society 902 WESTPOINT PKWY Ste 300 Cleveland OH 44145 135644916 501(c)3 5000 General Support LifeBanc PO BOX 931031 CLEVELAND OH 44193 341525159 501(c)3 25000 General Support M C CHATMAN CENTER FOR 3582 LUDGATE RD Shaker Hts OH 44120 550834175 501(c)3 5000 General Support Medwish Intl PO Box 181484 Cleveland OH 44118 341903712 501(c)3 10000 General Support MILESTONES ORGANIZATION 23880 COMMERCE PARK STE 2 Beachwood OH 44122 200721205 501(c)3 6000 General Support Northeast Ohio Equality PO Box 91697 Cleveland OH 44101 342064724 501(c)3 5000 General Support Playhouse Square Foundation 10501 Euclid Ave No 200 Cleveland OH 44115 237304942 501(c)3 15000 General Support Project Love 23611 Chagrin Blvd Ste 380 Beachwood OH 44122 311795459 501(c)3 5000 General Support Ronald Mcdonald House 10415 Euclid Ave Cleveland OH 44111 341269123 501(c)3 324000 General Support Southwest General Health Foundation 18697 Bagley Rd Middleburg Hts OH 441303497 341465135 501(c)3 10000 General Support Susan G Komen Race for the Cure 10819 Magnolia Dr Cleveland OH 44106 341793460 501(c)3 15000 General Support Veggie U 12304 SR13 Milan OH 44846 043712962 5000 General Support VOICES FOR OHIOS CHILDREN 3634 EUCLID AVE STE 101 Cleveland OH 44115 341490500 501(c)3 8000 General Support Cuyahoga Community College 700 Carnegie Ave Cleveland OH 44115 340896630 14000 General Support 34 2 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. X X X X X X 1 1 0 0 0 0 0 1 1 1 UHCMC - Warren Selman MD 565477 0 35550 0 76426 0 7350 0 29578 0 714381 0 0 0 AMC - James Benedict 320222 0 143843 0 1289 0 70354 0 23956 0 559664 0 0 0 AMC - Richard Hanson 525864 0 230250 0 18596 0 124823 0 26605 0 926138 0 0 0 AMC - Richard Stein MD 0 440308 0 0 0 4110 0 27854 0 28894 0 501166 0 0 BMC - Laurie Delgado 158022 0 56102 0 776 0 39538 0 8438 0 262876 0 0 0 CMC - Benjamin Bryant MD 0 279730 0 0 0 990 0 20388 0 9620 0 310728 0 0 CMC - Robert David 114948 0 41600 0 619 0 29111 0 12639 0 198917 0 0 0 GMC - M Steven Jones 254016 0 99846 0 3025 0 74813 0 13168 0 444868 0 0 0 GMC - Peggy Kuhar 143177 0 12518 0 1476 0 15000 0 6959 0 179130 0 0 0 UHGMC - Robert David 114949 0 41601 0 619 0 29111 0 12639 0 198919 0 0 0 UHECC - Richard J Frenchie 162217 0 51225 0 7581 0 27985 0 12461 0 261469 0 0 0 UHECC - Susan V Juris 247593 0 119851 0 2343 0 35601 0 10386 0 415774 0 0 0 UHECC - David Kosnosky MD 0 193887 0 11780 0 1470 0 37258 0 20465 0 264860 0 0 RMC - Laurie Delgado 158021 0 56103 0 776 0 39539 0 8437 0 262876 0 0 0 RMC - Rosemary Leeming MD 208738 0 0 0 21108 0 6600 0 31202 0 267648 0 0 0 HCS - Keith Maitland 206149 0 81424 0 1945 0 69735 0 24894 0 384147 0 0 0 UHHS - Achilles A Demetriou MD 830133 0 424509 0 288098 0 42577 0 14715 0 1600032 0 0 0 UHHS - Fred C Rothstein MD 635320 0 330564 0 205478 0 40737 0 22922 0 1235021 0 0 0 UHHS - Thomas F Zenty III 1052920 0 561555 0 37380 0 359792 0 12472 0 2024119 0 0 0 UHLSF - Nancy Tinsley 188900 0 42435 0 1042 0 39796 0 30089 0 302262 0 0 0 UHMG - Kevin Cooper MD 200813 0 35550 0 54240 0 0 0 2264 0 292867 0 0 0 UHMG - Michael Konstan MD 291024 0 35550 0 55838 0 7350 0 7812 0 397574 0 0 0 UHMG - Randall Marcus MD 565545 0 35550 0 82803 0 7350 0 22440 0 713688 0 0 0 UHMG - Howard Nearman MD 343489 0 35550 0 70888 0 7350 0 20891 0 478168 0 0 0 UHMG - Michael Nochomovitz MD 603233 0 276300 0 141941 0 40853 0 11742 0 1074069 0 0 0 UHMG - Jeffrey Ponsky MD 602060 0 35550 0 99397 0 7350 0 14111 0 758468 0 0 0 UHMG - Robert Ronis MD 187060 0 35550 0 37947 0 5626 0 2357 0 268540 0 0 0 UHMG - Richard A Walsh MD 375485 0 35550 0 79581 0 7350 0 14060 0 512026 0 0 0 UHCMC - Michael R Anderson 280863 0 76496 0 1183 0 20301 0 25691 0 404534 0 0 0 UHCMC - Eric Bieber MD 473078 0 193410 0 7661 0 92021 0 33964 0 800134 0 0 0 UHCMC - Ronald E Dziedzicki BSN RN 269299 0 102394 0 1863 0 81068 0 19737 0 474361 0 0 0 UHCMC - Michael J Farrell 445709 0 167202 0 25856 0 113677 0 15813 0 768257 0 0 0 UHCMC - Catherine S Koppelman RN 296751 0 106821 0 4447 0 100264 0 26197 0 534480 0 0 0 UHCMC - Nathan Levitan MD 455368 0 196434 0 136727 0 37603 0 19172 0 845304 0 0 0 UHCMC - Mark E Loos 60786 0 99654 0 250723 0 15757 0 23912 0 450832 0 0 0 UHCMC - Sonia Salvino 218277 0 60933 0 961 0 50695 0 20894 0 351760 0 0 0 HCS - Rebecca Ivcic 130644 0 32153 0 5112 0 22744 0 16040 0 206693 0 0 0 UHHS - William L Annable MD 273002 0 0 0 48584 0 203 0 13552 0 335341 0 0 0 UHHS - Elliot A Kellman 410032 0 175945 0 119316 0 31978 0 19263 0 756534 0 0 0 UHHS - Janet L Miller Esq 409950 0 180122 0 4003 0 128640 0 10721 0 733436 0 0 0 UHHS - Steven D Standley 426311 0 180677 0 4139 0 129477 0 13923 0 754527 0 0 0 UHHS - Michael A Szubski 585430 0 249190 0 3136 0 156995 0 25543 0 1020294 0 0 0 UHLSF - Don M Landek 162224 0 13138 0 12114 0 33111 0 13074 0 233661 0 0 0 UHMG - Harlin G Adelman 279717 0 121678 0 1420 0 77764 0 25863 0 506442 0 0 0 UHMG - Phylliss Hall 298895 0 183319 0 8177 0 85459 0 21347 0 597197 0 0 0 UHHS - Cliff J Coker 365434 0 90103 0 65631 0 35209 0 24541 0 580918 0 0 0 UHHS - Sherri L Bishop 330065 0 153961 0 1740 0 107401 0 29778 0 622945 0 0 0 UHHS - Paul G Tait 351656 0 149076 0 1832 0 105812 0 24848 0 633224 0 0 0 UHHS - Donnie J Perkins 169807 0 20000 0 50064 0 0 0 4635 0 244506 0 0 0 UHCMC - Carl Lufter 162472 0 13006 0 7041 0 17375 0 13221 0 213115 0 0 0 GMC - Jason E Glowczewski 140759 0 7986 0 3525 0 7769 0 20626 0 180665 0 0 0 UHHS - Nancy E Paton 0 0 0 0 193557 0 16290 0 8623 0 218470 0 0 0 UHHS - Cheryl Wahl 215735 0 73998 0 504 0 48357 0 13335 0 351929 0 0 0 UHMG - Reuben Gobezie MD 1311543 0 0 0 148058 0 7350 0 27569 0 1494520 0 0 0 UHMG - Bahman Guyuron MD 989527 0 35550 0 201827 0 7350 0 22686 0 1256940 0 0 0 UHMG - Nicholas U Ahn MD 999454 0 0 0 123273 0 7350 0 17043 0 1147120 0 0 0 UHMG - Mauricio S Arruda MD 911444 0 0 0 88450 0 7350 0 5058 0 1012302 0 0 0 UHMG - Jason D Eubanks MD 865259 0 0 0 98363 0 7350 0 9878 0 980850 0 0 0 UHLSF - Michael R Vehovec 220896 0 93012 0 1085 0 71967 0 2603 0 389563 0 0 0 UHHS - Mary Alice Annecharico 337684 0 141101 0 60184 0 39222 0 8964 0 587155 0 0 0 UHHS - Heidi Gartland 212293 0 70889 0 920 0 50984 0 10250 0 345336 0 0 0 UHMG - Pablo R Ros MD 522515 0 35550 0 81535 0 7350 0 21416 0 668366 0 0 0 UHMG - Charles Lanzieri MD 469899 0 0 0 67481 0 7350 0 28185 0 572915 0 0 0 UHBMC - Sean McKibben 124378 0 64991 0 106261 0 10280 0 15731 0 321641 0 0 0 UHMG - Ann Lyren MD 81670 0 19167 0 7499 0 1997 0 11151 0 121484 0 0 0 Part I, Lines 4a-b The 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 7 Certain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments. Part I, Line 8 Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception. Residence Inn UHCMC Dir. Richard Horvitz owns many Residence Inns in the local area 184000 Residence 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 CMO 12000 A family member of Dr. Anderson is employed by UHCMC. 0 First Energy UHCMC Dir. Ernest J. Novak is a Director of First Energy 138000 First 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 Energy 138000 First 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 - Director 503000 A family member of Dr. Ponsky is employed by UHMG. 0 Todd Ponsky Family Member of Jeffrey Ponsky, M.D. UHMG - Director 478000 A family member of Dr. Ponsky is employed by UHMG. 0 Diana Ponsky Family Member of Jeffrey Ponsky, M.D. UHMG - Director 179000 A family member of Dr. Ponsky is employed by UHMG. 0 X 52 159000 Appraised FMV X 284 4958000 Median Value At Transfer X 1 1750000 Appraised FMV X Transport 2 16000 Appraised FMV X Miscellaneous 264 108000 Appraisal, Receipt, or Valued at $1 0 1 1 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. Volunteer Information Form 990 Part I Line 6 The total number of volunteers is provided by each UH Medical Center's volunteer coordinator. Volunteers provide assistance in many different departments throughout the UH medical centers. The roles of a volunteer fall into three categories: patient contact, limited patient contact and no patient contact. Roles in the patient contact category include those where the volunteer is working directly with a patient or the patient's family. Examples of volunteer roles from this category include but are not limited to pastoral care volunteers and newborn nursery volunteers. Volunteers who serve in roles where there is limited patient contact work in areas where they may be working more with hospital staff than our patients or visitors. Examples of volunteer roles under the limited patient contact include but are not limited to flower delivery volunteers and Atrium gift shop volunteers. And finally, examples of volunteer roles from the no patient contact category include but are not limited to mailroom and clerical volunteers (working in offices throughout the UH medical centers). Endowment Activity Form 990 Part IV Line 10 All 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 Agent Form 990 Part V Line 2a University Hospitals Health System, Inc. acts as a common pay agent for the various entities that comprise the System. As a result the number of employees reported on Form W-3 will be different than what is shown in Part V Line 2a because this Group Return does not encompass all entities for which the Parent acts as a common pay agent. Form 990, Part VI, Section A, line 2 The following information regarding family and business relationships was obtained while reviewing conflict of interest questionnaire responses received from Directors, Officers, and Key Employees. University Hospitals relies upon these questionnaire responses to determine these relationships. Mr. James Supplee (CMC Director) and Mr. Charles Deck (CMC Director) have a business relationship. Mr. 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 6 University Hospitals Health System, Inc. is the Sole Member of the organizations included in this return. Its rights include electing the Board of Directors and approving significant decisions of each organization's Board. Form 990, Part VI, Section A, line 7a University Hospitals Health System, Inc. (Sole Member) elects the Board of Directors, including the designation of the Directors to be the Chairperson and Vice Chairperson of the Board. Form 990, Part VI, Section A, line 7b Certain decisions of each organization's governing body are subject to approval by University Hospitals Health System, Inc. (Sole Member). Examples include approving matters relating to finances and financing, matters relating to investments, legal matters, material assets sales or transfers, strategic plan, officers, and Directors to the Organizations Board. Form 990, Part VI, Section B, line 11 The Form 990 for University Hospitals Health System, Inc. Group Return is approved for filing by University Hospitals Health System Inc.'s (Parent Organization) governing body. The Audit and Compliance Committee has been delegated authority to review and approve Form 990 by the UH Board. The Compensation Committee reviews relevant disclosures related to compensation sections of the return. The Governance and Community Benefit Committee reviews and approves the 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 12c UH has adopted three Conflict of Interest ("COI") policies: the first relates to UH and all its subsidiaries and applies to all directors, officers, other disqualified persons, pursuant to the intermediate sanctions regulations, the second applies to UH management (supervisors and above) and the third applies to physicians. UH regularly and consistently monitors and enforces compliance with the COI policies. 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 15 Executive compensation is approved by the Compensation Committee of the Board (the "Committee"). The Committee has retained an independent compensation consultant who provides information to the Committee on changes and trends in executive compensation and objective third party information on competitive and comparable executive compensation and benefit level/programs. The Consultant collects and provides to the Committee, appropriate market compensation and benefits information, appropriate market practices for comparable organizations' positions and best practices. The Consultant also provides advice on developing and modifying UH's executive compensation philosophy. Form 990, Part VI, Section C, line 19 The Financial Statements for University Hospitals Health System, Inc. and its Subsidiaries are made publicly available through the use of DAC Bond (disclosure dissemination agent) and can be found on the internet at www.dacbond.com. The organization's governing documents and conflict of interest policy may be made available upon request. Compensation disclosed for Employees showing only 2 hours work per week: Form 990 Part VII Section A The individuals listed below serving as current Officers/Directors are also employees of other UH entities included in this Group Return. The hours listed in this section reflect only the individual's time spent directly related to the activity of the board on which they serve. UHMG - Harlin G. Adelman UHECC - Richard Frenchie UHLSF - Nancy Tinsley Compensation disclosed for Richard Hanson Form 990 Part VII Section A Mr. Richard Hanson is University Hospitals President of Community Hospitals & Ambulatory Networks. In this role he oversees all of the community hospitals. He also serves on all of the community hospitals boards. Mr. Hanson serves on multiple boards, however, his total compensation is being reported only on one board. If an allocation of compensation were made to each entity a disclosure would not be necessary. Hours Disclosed For Fredrick C. Rothstein, M.D. - UHCMC Pres./Ex Off. Dir. Form 990 Part VII Section A Dr. Rothstein is the President of University Hospitals Cleveland Medical Center (UHCMC) of which he is listed as an Officer and a Director. Dr. Rothstein also is 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/Acronyms The list below shows all the entities included in this Group Return along with any applicable dba names and/or acronyms that will be used throughout this return. For purposes of this Group Return University Hospitals is at times notes as "UH". University Hospitals Cleveland Medical Center (UHCMC) - 34-1567805 dba University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106 University Hospitals Ahuja Medical Center, Inc. (AMC) - 26-4827222 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Bedford Medical Center (BMC) - 34-1271115 44 Blaine Avenue Bedford, OH 44146 University Hospitals Conneaut Medical Center (CMC) - 34-0714550 158 West Main Road Conneaut, OH 44030 BMH Professional Corporation (BMHPC) - 34-1749966 158 West Main Road Conneaut, OH 44030 University Hospitals Geauga Medical Center (GMC) - 34-0816492 13207 Ravenna Road Chardon, OH 44024 University Hospitals Geneva Medical Center (UHGMC) - 34-0714461 870 West Main Street Geneva, OH 44041 UHHS Heather Hill Inc. (HHI) - 34-0771884 12340 Bass Lake Road Chardon, OH 44024 UHHS - Heather Hill Rehabilitation Hospital Inc. (UHECC) - 34-1465745 dba University Hospitals Extended Care Campus 12340 Bass Lake Road Chardon, OH 44024 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. University Mednet Physicians LLC 3605 Warrensville Center Rd Shaker Hts OH 44122 341599711 Inactive OH N/A University Hospitals Faculty Services Ltd 11100 Euclid Ave Cleveland OH 44106 341872525 Inactive OH University Hospitals Case Medical Center Zeeba Surgery Center LP 29017 Cedar Road Lyndhurst OH 44124 320039956 Surgery Center OH N/A Western Reserve Assurance Co Ltd SPC PO Box 1051GT George Town Grand Cayman Cayman Islands CJ 980462740 Liability Insurance CJ N/A C University Hospitals Holdings Inc 11100 Euclid Avenue Cleveland OH 44106 341768931 Holding Company OH N/A C University Hospitals Physician Services Inc 11100 Euclid Avenue Cleveland OH 44106 341768929 Physician Admin. Services OH N/A C University Primary Care Practices Inc 11100 Euclid Avenue Cleveland OH 44106 341768928 Physicians Group OH N/A C University Hospitals Health System MCO Inc 11100 Euclid Avenue Cleveland OH 44106 341843674 Workers Comp. Managed Care Services OH N/A C UHHS Provider & Central Verification Organization Inc 11100 Euclid Avenue Cleveland OH 44106 341908517 Medical Management OH N/A C Cedar Brainard Surgery Center Inc 11100 Euclid Avenue Cleveland OH 44106 204957632 Holding Company OH N/A C University Hospitals Health Care Enterprises Inc 11100 Euclid Avenue Cleveland OH 44106 341510005 Medical Management OH N/A C BMH Development Corporation Inc 158 West Main Street Conneaut OH 44030 341346212 Land Development OH N/A C Conneaut Health Enterprises Inc PO Box 648 Conneaut OH 44060 341503949 Inactive OH N/A C University Hospitals Accountable Care Organization Inc 3605 Warrensville Center Rd Shaker Heights OH 44122 273970270 Health Care Model That Coordinates Patient Care OH N/A C 0 1 1 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 UH Ahuja Medical CenterUniversity Hospitals Health System O 215154 General Ledger University Hospitals Health SystemUH Ahuja Medical Center R 1250210 General Ledger University Hospitals Health SystemUH Ahuja Medical Center L 7015932 General Ledger University Hospitals Health SystemUH Ahuja Medical Center P 4837170 General Ledger University Hospitals Health SystemUH Ahuja Medical Center C 270569296 General Ledger UH Cleveland Medical CenterUH Ahuja Medical Center R 203000 General Ledger UH Cleveland Medical CenterUH Ahuja Medical Center P 246444 General Ledger UH Medical GroupUH Ahuja Medical Center L 197681 General Ledger UH Conneaut Medical CenterUH Ahuja Medical Center L 55276 General Ledger UH Health Care EnterprisesUH Ahuja Medical Center P 117938 General Ledger UH Bedford Medical CenterUniversity Hospitals Health System Q 258202 General Ledger UH Bedford Medical CenterUniversity Hospitals Health System P 1161622 General Ledger UH Bedford Medical CenterUH Cleveland Medical Center Q 99837 General Ledger UH Bedford Medical CenterUH Cleveland Medical Center O 70000 General Ledger UH Bedford Medical CenterUH Cleveland Medical Center K 177427 General Ledger UH Bedford Medical CenterUH Medical Group P 243244 General Ledger UH Bedford Medical CenterUH Medical Practices P 97551 General Ledger University Hospitals Health SystemUH Bedford Medical Center R 15033077 General Ledger University Hospitals Health SystemUH Bedford Medical Center O 26502006 General Ledger University Hospitals Health SystemUH Bedford Medical Center L 3226627 General Ledger University Hospitals Health SystemUH Bedford Medical Center C 1436444 General Ledger UH Cleveland Medical CenterUH Bedford Medical Center O 1040728 General Ledger UH Laboratory Services FoundationUH Bedford Medical Center O 272327 General Ledger UH Medical GroupUH Bedford Medical Center O 320047 General Ledger UH Medical PracticesUH Bedford Medical Center L 307607 General Ledger UH Home Care ServicesUH Bedford Medical Center L 52468 General Ledger UH Conneaut Medical CenterUH Health System Q 105278 General Ledger UH Conneaut Medical CenterUH Health System P 219631 General Ledger UH Conneaut Medical CenterUH Geneva Medical Center O 149611 General Ledger UH Conneaut Medical CenterUH Medical Practices Q 99762 General Ledger UH Health SystemUH Conneaut Medical Center R 8822443 General Ledger UH Health SystemUH Conneaut Medical Center P 13356357 General Ledger UH Health SystemUH Conneaut Medical Center L 2321233 General Ledger UH Cleveland Medical CenterUH Conneaut Medical Center P 167297 General Ledger UH Laboratory Services FoundationUH Conneaut Medical Center L 107587 General Ledger UH Medical GroupUH Conneaut Medical Center L 174470 General Ledger UH Geneva Medical CenterUH Conneaut Medical Center L 62163 General Ledger UH Medical PracticesUH Conneaut Medical Center L 301322 General Ledger UH Extended Care CampusUH Health System P 572543 General Ledger UH Extended Care CampusUH Case Medical Center Q 59908 General Ledger UH Extended Care CampusUH Medical Practices K 57790 General Ledger UH Extended Care CampusUH Geauga Medical Center H 462326 General Ledger UH Health SystemUH Extended Care Campus R 4894997 General Ledger UH Health SystemUH Extended Care Campus P 6900358 General Ledger UH Health SystemUH Extended Care Campus C 7867640 General Ledger UH Case Medical CenterUH Extended Care Campus R 78990 General Ledger UH Medical PracticesUH Extended Care Campus L 128051 General Ledger UH Geauga Medical CenterUH Health System Q 892395 General Ledger UH Geauga Medical CenterUH Health System P 1809959 General Ledger UH Geauga Medical CenterUH Case Medical Center Q 406924 General Ledger UH Geauga Medical CenterUH Case Medical Center P 57694 General Ledger UH Geauga Medical CenterUH Medical Practices P 72926 General Ledger UH Health SystemUH Geauga Medical Center R 35229861 General Ledger UH Health SystemUH Geauga Medical Center L 5148650 General Ledger UH Health SystemUH Geauga Medical Center P 49996928 General Ledger UH Case Medical CenterUH Geauga Medical Center P 1431713 General Ledger UH Case Medical CenterUH Geauga Medical Center L 252013 General Ledger UH Laboratory Services FoundationUH Geauga Medical Center L 707979 General Ledger UH Medical GroupUH Geauga Medical Center L 1019381 General Ledger UH Richmond Medical CenterUH Geauga Medical Center P 99242 General Ledger UH Medical PracticesUH Geauga Medical Center L 1687459 General Ledger UH Geneva Medical CenterUH Health System Q 623096 General Ledger UH Geneva Medical CenterUH Health System O 475176 General Ledger UH Geneva Medical CenterUH Case Medical Center Q 226465 General Ledger UH Geneva Medical CenterUH Case Medical Center O 89312 General Ledger UH Geneva Medical CenterUH Medical Practice Q 143196 General Ledger UH Health SystemUH Geneva Medical Center R 12507572 General Ledger UH Health SystemUH Geneva Medical Center P 17226019 General Ledger UH Health SystemUH Geneva Medical Center L 2954737 General Ledger UH Case Medical CenterUH Geneva Medical Center R 89747 General Ledger UH Case Medical CenterUH Geneva Medical Center P 361471 General Ledger UH Laboratory Services FoundationUH Geneva Medical Center L 175712 General Ledger UH Medical GroupUH Geneva Medical Center L 372834 General Ledger UH Richmond Medical CenterUH Geneva Medical Center P 308561 General Ledger UH Home Care ServicesUH Health System O 377852 General Ledger UH Home Care ServicesUH Case Medical Center O 763836 General Ledger UH Home Care ServicesUH Case Medical Center K 675390 General Ledger UH Health SystemUH Home Care Services R 11503837 General Ledger UH Health SystemUH Home Care Services P 16873222 General Ledger UH Health SystemUH Home Care Services L 1601298 General Ledger UH Richmond Medical CenterUH Health System Q 273706 General Ledger UH Richmond Medical CenterUH Health System O 1060208 General Ledger UH Richmond Medical CenterUH Case Medical Center O 2950532 General Ledger UH Richmond Medical CenterUH Case Medical Center Q 87584 General Ledger UH Richmond Medical CenterUH Case Medical Center K 838517 General Ledger UH Richmond Medical CenterUH Medical Practices K 213390 General Ledger UH Richmond Medical CenterUH Medical Practices K 96247 General Ledger UH Health SystemUH Richmond Medical Center R 17913591 General Ledger UH Health SystemUH Richmond Medical Center L 3664052 General Ledger UH Health SystemUH Richmond Medical Center P 31032682 General Ledger UH Health SystemUH Richmond Medical Center C 729312 General Ledger UH Case Medical CenterUH Richmond Medical Center P 1402339 General Ledger UH Laboratory Services FoundationUH Richmond Medical Center L 291193 General Ledger UH Medical GroupUH Richmond Medical Center L 828574 General Ledger UH Medical PracticesUH Richmond Medical Center L 1969033 General Ledger UH Laboratory Services FoundationUH Health System P 107043 General Ledger UH Laboratory Services FoundationUH Case Medical Center Q 158893 General Ledger UH Laboratory Services FoundationUH Case Medical Center O 1796662 General Ledger UH Health SystemUH Laboratory Service Foundation R 8192303 General Ledger UH Health SystemUH Laboratory Service Foundation L 1216829 General Ledger UH Health SystemUH Laboratory Service Foundation P 4858581 General Ledger UH Cleveland Medical CenterUH Laboratory Service Foundation R 542315 General Ledger UH Cleveland Medical CenterUH Laboratory Service Foundation L 481919 General Ledger UH Cleveland Medical CenterUH Laboratory Service Foundation P 10263912 General Ledger UH Medical GroupUH Laboratory Service Foundation P 220841 General Ledger UH Medical GroupUH Health System Q 306852 General Ledger UH Medical GroupUH Health System O 1826275 General Ledger UH Medical GroupUH Cleveland Medical Center Q 9022855 General Ledger UH Medical GroupUH Cleveland Medical Center O 66323900 General Ledger UH Medical GroupUH Cleveland Medical Center K 2361822 General Ledger UH Health SystemUH Medical Group R 5072898 General Ledger UH Health SystemUH Medical Group P 1381173 General Ledger UH Health SystemUH Medical Group L 10371544 General Ledger UH Health SystemUH Medical Group C 55803813 General Ledger UH Cleveland Medical CenterUH Medical Group P 160652 General Ledger UH Cleveland Medical CenterUH Medical Group L 343320 General Ledger UH Case Medical CenterUH Health System Q 5326354 General Ledger UH Case Medical CenterUH Health System O 74114672 General Ledger UH Case Medical CenterUH Medical Practice Q 145636 General Ledger UH Case Medical CenterUH Medical Practice O 73685 General Ledger UH Case Medical CenterUH Physician Practices O 5979787 General Ledger UH Case Medical CenterUH Physician Practices H 202139 General Ledger UH Case Medical CenterUH Physician Practices K 10323135 General Ledger UH Health SystemUH Case Medical Center R 403658765 General Ledger UH Health SystemUH Case Medical Center L 91560974 General Ledger UH Health SystemUH Case Medical Center H 222027176 General Ledger UH Health SystemUH Case Medical Center P 596669336 General Ledger UH Health SystemUH Case Medical Center L 15278572 General Ledger UH Health SystemUH Case Medical Center C 76854329 General Ledger UH Medical PracticesUH Case Medical Center R 2709193 General Ledger UH Medical PracticesUH Case Medical Center P 1354035 General Ledger UH Physician ServicesUH Case Medical Center L 261499 General Ledger UH Physician ServicesUH Case Medical Center P 315034 General Ledger University Hospitals Cleveland Medical Center - dba UH Case Medical Center 11100 Euclid Avenue Cleveland OH 44106 341567805 UNIV University Hospitals Bedford Medical Center 44 Blaine Avenue Bedford OH 44146 341271115 UNIV University Hospitals Conneaut Medical Center 158 West Main Road Conneaut OH 44030 340714550 UNIV BMH Professional Corporation 158 West Main Road Conneaut OH 44030 341749966 UNIV University Hospitals Geauga Medical Center 13207 Ravenna Road Chardon OH 44024 340816492 UNIV University Hospitals Geneva Medical Center 870 West Main Street Geneva OH 44041 340714461 UNIV UHHS Heather Hill Inc 12340 Bass Lake Road Chardon OH 44024 340771884 UNIV UHHS - Heather Hill Rehabilitation Hospital Inc - dba UH Extended Care Camp 12340 Bass Lake Road Chardon OH 44024 341465745 UNIV University Hospitals Richmond Medical Center 27100 Chardon Road Richmond Hts OH 44143 341924226 UNIV University Mednet 23001 Euclid Avenue Cleveland OH 44117 340750341 UNIV University Hospitals Home Care Services Inc 4901 Galaxy Parkway Warrensville Hts OH 44128 341527536 UNIV University Hospitals Laboratory Services Foundation 11100 Euclid Avenue Cleveland OH 44106 341720429 UNIV University Hospitals Medical Group Inc 11100 Euclid Avenue Cleveland OH 44106 204881619 UNIV University NPI Inc 11100 Euclid Avenue Cleveland OH 44106 341571623 UNIV Memorial Hospital Health Foundation 11100 Euclid Avenue Cleveland OH 44106 341810018 UNIV University Hospitals Ahuja Medical Center Inc 11100 Euclid Avenue Cleveland OH 44106 264827222 UNIV University Hospitals Cleveland Medical Center 11100 Euclid Ave Cleveland OH 44106 341567805 X 3910 175267 179177 1140831823 1141011000 1000000 250000 0 0 0 University Hospitals Bedford Medical Center 44 Blaine Ave Bedford OH 44146 341271115 144 5705 5849 49708152 49714001 1000000 250000 0 0 0 University Hospitals Conneaut Medical Center 158 West Main Rd Conneaut OH 44030 340750341 90 3537 3627 25567373 25571000 1000000 250000 0 0 0 BMH Professional Corp 158 West Main Rd Conneaut OH 44030 341749966 0 0 0 0 0 0 0 0 0 0 University Hospitals Geauga Medical Center 13207 Ravenna Rd Chardon OH 44024 340816492 344 13603 13947 100661053 100675000 1000000 250000 0 0 0 University Hospitals Geneva Medical Center 870 West Main St Geneva OH 44041 340714461 125 4944 5069 34627931 34633000 1000000 250000 0 0 0 University Hospitals Extended Care Campus 12340 Bass Lake Road Chardon OH 44024 341465745 31 1213 1244 8595756 8597000 579850 144963 0 0 0 UHHS - Heather Hill Inc 12340 Bass Lake Road Chardon OH 44024 340771884 0 0 0 0 0 0 0 0 0 0 University Hospitals Richmond Medical Center 27100 Chardon Road Richmond Hts OH 44024 341924226 184 7248 7432 58418568 58426000 1000000 250000 0 0 0 University Mednet 23001 Euclid Ave Cleveland OH 44117 340750341 0 0 0 0 0 0 0 0 0 0 University Hospitals Home Care Services Inc 4901 Galaxy Parkway Warrensville Hts OH 44128 341527536 97 3841 3938 29955062 29959000 1000000 250000 0 0 0 University Hospitals Laboratory Services Foundation 11100 Euclid Ave Cleveland OH 44106 341720429 88 3478 3566 26778434 26782000 1000000 250000 0 0 0 University Hospitals Medical Group Inc 11100 Euclid Ave Cleveland OH 44106 204881619 971 38334 39305 348492696 348532001 1000000 250000 0 0 0 University NPI Inc 11100 Euclid Ave Cleveland OH 44106 341571623 0 0 0 0 0 0 0 0 0 0 Memorial Hospital Health Foundation 11100 Euclid Ave Cleveland OH 44106 341810018 0 0 0 0 0 0 0 0 0 0 University Hospitals Health System Inc 11100 Euclid Ave Cleveland OH 44106 340714775 216 6084 6300 224833700 224840000 1000000 250000 0 0 0 University Hospitals Ahuja Medical Center 11100 Euclid Ave Cleveland OH 44106 264827222 226 8922 9148 86085852 86095000 1000000 250000 0 0 0