Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
University Hospitals Health System Inc
Group Return
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
11100 Euclid Avenue - Attn Treasury
Dep
Room/suite
City or town, state or country, and ZIP + 4
Cleveland, OH44106
D Employer identification number

90-0059117
E Telephone number

G Gross receipts $ 1,938,446,000
F Name and address of principal officer:
Michael Szubski
3605 Warrensville Center Road
Shaker Heights,OH44122
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.UHhospitals.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?Click to see attachment
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet3829
K Form of organization:
 
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: 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.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 163
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 102
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 18,342
6 Total number of volunteers (estimate if necessary) .... 6 2,008
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 368,000
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 121,000
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 25,343,000 37,358,000
9 Program service revenue (Part VIII, line 2g) ......... 1,761,259,000 1,817,776,000
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,093,000 5,502,000
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 53,563,000 77,677,000
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,849,258,000 1,938,313,000
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 28,037,000 31,042,000
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 915,616,000 969,217,000
16a Professional fundraising fees (Part IX, column (A), line 11e).... 165,000 63,000
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet8,133,000    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 726,850,000 757,322,000
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,670,668,000 1,757,644,000
19 Revenue less expenses. Subtract line 18 from line 12...... 178,590,000 180,669,000
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,142,008,000 1,012,862,000
21 Total liabilities (Part X, line 26)............ 273,583,000 265,632,000
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 868,425,000 747,230,000
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,627,186,000 including grants of $ 31,042,000 ) (Revenue $ 1,889,049,000 )
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 2010, University Hospitals dedicated $243.5 million to community benefit programs in Northeast Ohio consisting of:- Education and training = $47.0 million- Research = $41.8 million- Charity care = $35 million- Medicaid shortfall = $85 million- Community health improvement services = $10.3 million- Other community programs and support = $38.8 million- Hospital Care Assurance Program (HCAP) receipts = ($14.4 million)Defer to Schedule H for further detail on how the System measures and reports community benefit. Community benefit for 2010 totaled $243.5 million up from $233.8 million in 2009. It is important to note that 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 2010 provision for bad debt of $52.4 million represents revenues for services provided that are deemed uncollectible.The UH health system provides work directly for about 22,500 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 $47.6 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 Cancer Hospital and emergency facilities at UH Case Medical Center and UH Ahuja Medical Center, all opening in 2011, will provide expanded employment opportunities while extending UH's mission to more patients. University Hospitals Ahuja Medical Center in Beachwood will provide 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. 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 2010 Community Benefit Report, please visit the System's website at www.UHhospitals.org.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 1,627,186,000
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
Yes
 
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
2,644
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
18,342
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
163
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
102
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OH , FL , IL , KY , MI , NY , PA , WI , WV
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
Michael A Szubski CFO UHHS
3605 Warrensville Center Road
Shaker Hts,OH44122
(216) 767-8007
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) UHCMC - Joel Adelman
Director
2.00 X           0 0 0
(2) UHCMC - Thomas W Adler
Director
2.00 X           0 0 0
(3) UHCMC - Monte Ahuja
Ex Officio Director
2.00 X           0 0 0
(4) UHCMC - William L Annable MD
Director
2.00 X           0 0 0
(5) UHCMC - Robert T Bennett
Director
2.00 X           0 0 0
(6) UHCMC - Paul H Carleton
Director
2.00 X           0 0 0
(7) UHCMC - Carole A Carr
Director
2.00 X           0 0 0
(8) UHCMC - Kevin D Cooper MD
Ex Officio Director
2.00 X           0 0 0
(9) UHCMC - Beth Curtiss
Ex Officio Director
2.00 X           0 0 0
(10) UHCMC - Pamela B Davis MD PhD
Ex Officio Director
2.00 X           0 0 0
(11) UHCMC - Ralph Della Ratta
Director
2.00 X           0 0 0
(12) UHCMC - Achilles A Demetriou MD
Ex Officio Director
2.00 X           0 0 0
(13) UHCMC - Michael Feuer
Director
2.00 X           0 0 0
(14) UHCMC - David Goldberg
Director
2.00 X           0 0 0
(15) UHCMC - Robert D Gries
Director
2.00 X           0 0 0
(16) UHCMC - Charles Hallberg
Director
2.00 X           0 0 0
(17) UHCMC - Gordon Harnett
Director
2.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) UHCMC - Richard A Horvitz
Director
2.00 X           0 0 0
(19) UHCMC - Christopher Hyland
Director
2.00 X           0 0 0
(20) UHCMC - Beth Kaufman
Ex-Officio Director
2.00 X           0 0 0
(21) UHCMC - Jerry Kelsheimer
Director
2.00 X           0 0 0
(22) UHCMC - Raymond K Lee
Director
2.00 X           0 0 0
(23) UHCMC - Adrian Maldonado
Director
2.00 X           0 0 0
(24) UHCMC - John C Morley
Director
2.00 X           0 0 0
(25) UHCMC - Patrick S Mullin
Chair/Director
2.00 X           0 0 0
(26) UHCMC - Ernest J Novak
Director
2.00 X           0 0 0
(27) UHCMC - William J O'Neill Jr
Director
2.00 X           0 0 0
(28) UHCMC - Lydia B Oppmann
Director
2.00 X           0 0 0
(29) UHCMC - Kim Meisel Pesses
Ex Off. Dir. (thru 05/10)
2.00 X           0 0 0
(30) UHCMC - Ann P Ranney
Director
2.00 X           0 0 0
(31) UHCMC - Julie Adler Raskind
Director
2.00 X           0 0 0
(32) UHCMC - Kenneth C Ricci
Director
2.00 X           0 0 0
(33) UHCMC - Robert Risman
Director
2.00 X           0 0 0
(34) UHCMC - Barbara S Robinson
Director
2.00 X           0 0 0
(35) UHCMC - Fred C Rothstein MD
President/Ex Off. Dir.
60.00 X   X       0 0 0
(36) UHCMC - Lawrence C Sherman
Director
2.00 X           0 0 0
(37) UHCMC - Michael Siegal
Director
2.00 X           0 0 0
(38) UHCMC - Hilton O Smith
Director
2.00 X           0 0 0
(39) UHCMC - Eddie Taylor
Director
2.00 X           0 0 0
(40) UHCMC - Kelly Tompkins
Director
2.00 X           0 0 0
(41) UHCMC - Penni Weinberg
Director
2.00 X           0 0 0
(42) UHCMC - Lorna Wisham
Director
2.00 X           0 0 0
(43) UHCMC - Jacqueline Woods
Director
2.00 X           0 0 0
(44) UHCMC - Christine Wynd
Ex Officio Director
2.00 X           0 0 0
(45) UHCMC - Thomas F Zenty III
Ex Officio Director
2.00 X           0 0 0
(46) AMC - Sheldon G Adelman
Director
2.00 X           0 0 0
(47) AMC - James Benedict
President/Ex Off. Dir.
60.00 X   X       514,989 0 95,491
(48) AMC - Julie Boland
Director
2.00 X           0 0 0
(49) AMC - Michael Drusinsky
Director
2.00 X           0 0 0
(50) AMC - Robert Glick
Director
2.00 X           0 0 0
(51) AMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00 X           580,341 0 84,681
(52) AMC - John Morikis
Director
2.00 X           0 0 0
(53) AMC - Thomas Murdough
Director
2.00 X           0 0 0
(54) AMC - Enid Rosenberg
Director
2.00 X           0 0 0
(55) AMC - Reggie Rucker
Director
2.00 X           0 0 0
(56) AMC - Neil Sethi
Director
2.00 X           0 0 0
(57) AMC - Margaret Singerman
Director
2.00 X           0 0 0
(58) AMC - John Sinnenberg
Director
2.00 X           0 0 0
(59) AMC - Richard Stein MD
Ex Officio Director
2.00 X           0 442,512 26,870
(60) BMC - Samuel Ake
Secretary/Director
2.00 X           0 0 0
(61) BMC - Wendolyn Grant
Director
2.00 X           0 0 0
(62) BMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00 X           0 0 0
(63) BMC - George Hawwa MD
Ex Officio Director
2.00 X           72,900 0 0
(64) BMC - James Hukill
Treasurer/Director
2.00 X           0 0 0
(65) BMC - James O Judd
Director
2.00 X           0 0 0
(66) BMC - Patrick Lally
Director
2.00 X           0 0 0
(67) BMC - Sean McKibben
Pres./Ex Off. Dir. (thru 12/10)
60.00 X   X       314,892 0 66,379
(68) BMC - Brock Milstein
Director
2.00 X           0 0 0
(69) BMC - Timothy Morgan
Director
2.00 X           0 0 0
(70) BMC - Stamy Paul
Director
2.00 X           0 0 0
(71) BMC - Philip Ridolfi
Chair/Director
2.00 X           0 0 0
(72) BMC - Michael Romito
Vice Chair/Director
2.00 X           0 0 0
(73) CMC - Terry Atkinson
Director
2.00 X           0 0 0
(74) CMC - Benjamin Bryant MD
Ex Officio Director
2.00 X           0 286,336 23,579
(75) CMC - Robert David
President/Ex Officio Dir.
30.00 X   X       147,394 0 32,349
(76) CMC - Charles Deck
Director
2.00 X           0 0 0
(77) CMC - Gerald Eighmy
Chair/Director
2.00 X           0 0 0
(78) CMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00 X           0 0 0
(79) CMC - George Kolman
Director
2.00 X           0 0 0
(80) CMC - Tim Kraus
Vice Chair/Director
2.00 X           0 0 0
(81) CMC - Lori McLaughlin
Director
2.00 X           0 0 0
(82) CMC - Karen McNeil RN
Dir. Pat. Care Svcs/Ex Off Dir.
60.00 X           102,755 0 3,434
(83) CMC - Joseph A Moroski
Director
2.00 X           0 0 0
(84) CMC - Mike Skufca MD
Director
2.00 X           0 0 0
(85) CMC - James Supplee
Director
2.00 X           0 0 0
(86) GMC - Linda Barnes Grimm
Director (thru 1/10)
2.00 X           0 0 0
(87) GMC - John Fitts
Director
2.00 X           0 0 0
(88) GMC - Robert A Forino
Director
2.00 X           0 0 0
(89) GMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00 X           0 0 0
(90) GMC - M Steven Jones
President/Ex Off. Dir.
60.00 X   X       314,083 0 74,340
(91) GMC - P James Kramer Jr
Director
2.00 X           0 0 0
(92) GMC - Peggy Kuhar
Dir. of Nursing/Ex Off Dir.
60.00 X           149,340 0 16,203
(93) GMC - Edith Lerner PhD
Director
2.00 X           0 0 0
(94) GMC - Darrell McNair
Director
2.00 X           0 0 0
(95) GMC - David M Ondrey
Chair/Director
2.00 X           0 0 0
(96) GMC - James F Patterson
Director
2.00 X           0 0 0
(97) GMC - Gregory Robinson
Treasurer/Director
2.00 X           0 0 0
(98) GMC - George W Tim Taylor
Vice Chair/Director
2.00 X           0 0 0
(99) GMC - Natalina Andreani MD
Ex Officio Director
2.00 X           11,950 30,480 0
(100) UHGMC - James Crawford
Director
2.00 X           0 0 0
(101) UHGMC - Robert David
President/Ex Officio Dir.
30.00 X   X       147,394 0 32,349
(102) UHGMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00 X           0 0 0
(103) UHGMC - Syed Hussaini MD
Ex Officio Dir.
2.00 X           0 0 0
(104) UHGMC - Cathy Knorzer
Dir. Nurs. & Clin. Svc/Ex Off
60.00 X           130,487 0 16,588
(105) UHGMC - Jeffrey Lampson
Director
2.00 X           0 0 0
(106) UHGMC - Craig Parker
Chair/Director
2.00 X           0 0 0
(107) UHGMC - Gary L Pasqualone
Director
2.00 X           0 0 0
(108) UHGMC - Willard Raymond
Director
2.00 X           0 0 0
(109) UHGMC - Robert Taylor
Director
2.00 X           0 0 0
(110) UHECC - Achilles A Demetriou MD
Ex-Officio Director
2.00 X           0 0 0
(111) UHECC - Thomas Benda
Chair/Director
2.00 X           0 0 0
(112) UHECC - Richard J Frenchie
Sec. & Treas./Director
2.00 X   X       253,692 0 20,018
(113) UHECC- Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00 X           0 0 0
(114) UHECC - Susan V Juris
President/Ex Off. Dir.
60.00 X   X       370,246 0 81,045
(115) UHECC - David Kosnosky MD
Ex Officio Director
60.00 X           0 209,408 32,173
(116) UHECC - John Male
Director
2.00 X           0 0 0
(117) UHECC - Kathleen Malec
Director
2.00 X           0 0 0
(118) UHECC - James Patterson
Director
2.00 X           0 0 0
(119) UHECC - Joanne Rogers
Dir. Intake Ctr/Ex Off. Dir. (thru 5/10)
60.00 X           96,950 0 13,268
(120) UHECC - Keith Tompkins
Director
2.00 X           0 0 0
(121) UHECC - William Wortzman
Director
2.00 X           0 0 0
(122) UHECC - William Young
Director
2.00 X           0 0 0
(123) HHINC - Thomas Benda
Chair/Director
2.00 X           0 0 0
(124) HHINC - Achilles A Demetriou MD
Ex Off. Dir. (thru 5/10)
2.00 X           0 0 0
(125) HHINC - Richard J Frenchie
Sec. & Treas./Director
2.00 X   X       0 0 0
(126) HHINC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
2.00 X           0 0 0
(127) HHINC - Susan V Juris
President/Ex Off. Dir.
2.00 X   X       0 0 0
(128) HHINC - David Kosnosky MD
Ex Officio Director
2.00 X           0 0 0
(129) HHINC - John Male
Director
2.00 X           0 0 0
(130) HHINC - Kathleen Malec
Director
2.00 X           0 0 0
(131) HHINC - James Patterson
Director
2.00 X           0 0 0
(132) HHINC - Joanne Rogers
Dir. Intake Center/Ex Officio Direc
2.00 X           0 0 0
(133) HHINC - Keith Tompkins
Director
2.00 X           0 0 0
(134) HHINC - William Wortzman
Director
2.00 X           0 0 0
(135) HHINC - William Young
Director
2.00 X           0 0 0
(136) RMC - Theodore Dalheim
Director
2.00 X           0 0 0
(137) RMC - Laurie Delgado
President/Ex Officio Dir.
60.00 X   X       399,299 0 81,635
(138) RMC - Judy Grieg
Ex Officio Dir.
2.00 X           0 0 0
(139) RMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00 X           0 0 0
(140) RMC - David E Jerome
Chair/Director
2.00 X           0 0 0
(141) RMC - Rosemary Leeming MD
Ex Officio Director
60.00 X           220,564 0 19,897
(142) RMC - Mark Plush
Director
2.00 X           0 0 0
(143) UMI - Phyllis Hall
Secretary
2.00 X   X       486,934 0 95,929
(144) UMI - Michael Nochomovitz MD
President
2.00 X   X       0 0 0
(145) UMI - Michael A Szubski
Treasurer
2.00 X   X       0 0 0
(146) HCS - Achilles A Demetriou MD
Director
2.00 X           0 0 0
(147) HCS - Keith Maitland
President/Director
60.00 X   X       269,523 0 78,148
(148) HCS - Janet L Miller Esq
Secretary/Director
2.00 X   X       0 0 0
(149) UHHS - Monte Ahuja
Chair/Director
2.00 X           0 0 0
(150) UHHS - Sheldon G Adelman
Director
2.00 X           0 0 0
(151) UHHS - Arthur F Anton
Director
2.00 X           0 0 0
(152) UHHS - Craig Arnold
Director
2.00 X           0 0 0
(153) UHHS - Andrew Banks
Director
2.00 X           0 0 0
(154) UHHS - Thomas W Benda
Ex Officio Director
2.00 X           0 0 0
(155) UHHS - April Boise
Director (thru 12/10)
2.00 X           0 0 0
(156) UHHS - Joseph Carrabba
Director
2.00 X           0 0 0
(157) UHHS - Paul Clark
Director
2.00 X           0 0 0
(158) UHHS - Christopher M Connor
Director
2.00 X           0 0 0
(159) UHHS - Margot J Copeland
Director
2.00 X           0 0 0
(160) UHHS - David A Daberko
Director
2.00 X           0 0 0
(161) UHHS - Achilles A Demetriou MD
COO/President/Ex Off. Dir.
60.00 X   X       2,154,110 0 64,452
(162) UHHS - Gerald B Eighmy
Ex Officio Director (thru 5/10)
2.00 X           0 0 0
(163) UHHS - Heather Ettinger
Director
2.00 X           0 0 0
(164) UHHS - Brian Hall
Director
2.00 X           0 0 0
(165) UHHS - James Hambrick
Vice Chair/Director
2.00 X           0 0 0
(166) UHHS - Kenneth Hardy
Director
2.00 X           0 0 0
(167) UHHS - M Ann Harlan
Director
2.00 X           0 0 0
(168) UHHS - Ronald G Harrington
Director
2.00 X           0 0 0
(169) UHHS - David Jerome
Ex Officio Dir. (thru 5/10)
2.00 X           0 0 0
(170) UHHS - James O Judd
Ex Officio Director
2.00 X           0 0 0
(171) UHHS - William E Karnatz Sr
Director (thru 5/10)
2.00 X           0 0 0
(172) UHHS - Timothy Kraus
Ex Officio Director
2.00 X           0 0 0
(173) UHHS - Joseph Lopez
Director
2.00 X           0 0 0
(174) UHHS - Henry L Meyer III
Director
2.00 X           0 0 0
(175) UHHS - Patrick Mullin
Ex Officio Director
2.00 X           0 0 0
(176) UHHS - Thomas G Murdough Jr
Director
2.00 X           0 0 0
(177) UHHS - Ernest Novak
Director
2.00 X           0 0 0
(178) UHHS - David Ondrey
Ex Officio Director
2.00 X           0 0 0
(179) UHHS - Vasu Pandrangi MD
Ex Officio Director
2.00 X           0 0 0
(180) UHHS - Craig A Parker
Ex Officio Dir. (thru 5/10)
2.00 X           0 0 0
(181) UHHS - Sandy Pianalto
Director
2.00 X           0 0 0
(182) UHHS - Mark Plush
Ex Officio Director
2.00 X           0 0 0
(183) UHHS - Richard W Pogue
Director
2.00 X           0 0 0
(184) UHHS - Alfred M Rankin Jr
Vice Chair/Director
2.00 X           0 0 0
(185) UHHS - Willard Raymond
Ex Officio Director
2.00 X           0 0 0
(186) UHHS - Philip Ridolfi
Ex Officio Dir.
2.00 X           0 0 0
(187) UHHS - Gregory Robinson
Ex Officio Director
2.00 X           0 0 0
(188) UHHS - Fred C Rothstein MD
Exec. VP UH/Ex Officio Dir
60.00 X           1,598,067 0 49,211
(189) UHHS - Robert Salata MD
Director
60.00 X           103,772 0 0
(190) UHHS - Thomas A Selden
Ex Officio Director
2.00 X           0 0 0
(191) UHHS - Jerry Sue Thornton PhD
Director
2.00 X           0 0 0
(192) UHHS - Les C Vinney
Director
2.00 X           0 0 0
(193) UHHS - Thomas F Zenty III
CEO UHHS/Ex Officio Dir.
60.00 X   X       2,283,116 0 351,062
(194) UHLSF - Ronald Dziedzicki BSN RN
Secretary/Director
2.00 X   X       0 0 0
(195) UHLSF - Mark Loos
Director (thru 5/10)
2.00 X           0 0 0
(196) UHLSF - Sonia Salvino
Director
2.00 X           0 0 0
(197) UHLSF - James J Benedict
Director (thru 5/10)
2.00 X           0 0 0
(198) UHMG - James J Benedict
Director (thru 5/10)
2.00 X           0 0 0
(199) UHMG - Brian Berman MD
Co-Chair Peds/Dir. (thru 5/10)
60.00 X           327,371 0 13,061
(200) UHMG - Eric Bieber MD
Director
2.00 X           0 0 0
(201) UHMG - Paul H Carleton
Director
2.00 X           0 0 0
(202) UHMG - Kevin Cooper MD
Director
60.00 X           273,756 0 0
(203) UHMG - Pamela B Davis MD
Director
2.00 X           0 0 0
(204) UHMG - Achilles A Demetriou MD
Director
2.00 X           0 0 0
(205) UHMG - Michael J Farrell
Director (thru 5/10)
2.00 X           0 0 0
(206) UHMG - Gordon Harnett
Director
2.00 X           0 0 0
(207) UHMG - Elliott A Kellman
Director
2.00 X           0 0 0
(208) UHMG - Michael Konstan MD
Director
60.00 X           273,652 0 9,636
(209) UHMG - Mark E Loos
Director
2.00 X           0 0 0
(210) UHMG - Nathan Levitan MD
Dir.(thru 5/10)/(See Sched. O)
2.00 X           853,022 0 43,782
(211) UHMG - Randall Marcus MD
Chair Orthopaedics/Director
60.00 X           640,578 0 20,738
(212) UHMG - Edward Michelson MD
Director (thru 5/10)
60.00 X           445,184 0 29,498
(213) UHMG - Howard Nearman MD
Director
60.00 X           424,941 0 16,900
(214) UHMG - Michael Nochomovitz MD
President/Director
60.00 X   X       1,000,188 0 43,798
(215) UHMG - William O'Neill Jr
Director
2.00 X           0 0 0
(216) UHMG - Daniel Ornt
Director
2.00 X           0 0 0
(217) UHMG - Jeffrey Ponsky MD
Dept. Chair Surgery/Director
60.00 X           666,020 0 16,655
(218) UHMG - Fred C Rothstein MD
Chair/Director
2.00 X           0 0 0
(219) UHMG - Michael A Szubski
Director
2.00 X           0 0 0
(220) UHMG - Richard A Walsh MD
Dept. Chair Med./Dir.
60.00 X           458,887 0 16,655
(221) UHCMC - Michael R Anderson MD
Chief Med. Off. (thru 5/10)
60.00     X       347,092 0 28,188
(222) UHCMC - Eric Bieber MD
Chief Medical Officer
60.00     X       613,073 0 13,061
(223) UHCMC - Ronald E Dziedzicki BSN RN
Chief Support Svcs. Officer
60.00     X       386,367 0 93,385
(224) UHCMC - Michael J Farrell
Pres. RBC & MacDonald Hosp.
60.00     X       639,507 0 120,310
(225) UHCMC - Catherine S Koppelman RN
Chief Nursing Off.
60.00     X       423,050 0 107,039
(226) UHCMC - Mark Loos
Chief Med. Surg. Svcs. Off.
60.00     X       390,058 0 74,289
(227) UHCMC - Janet L Miller Esq
Sec. & Chief Legal Officer
2.00     X       0 0 0
(228) UHCMC - Sonia Salvino
VP Finance/Treasurer
60.00     X       266,747 0 60,329
(229) HCS - Rebecca Ivcic
Treasurer
60.00     X       142,835 0 31,635
(230) UHHS - Elliot A Kellman
Sr. VP Chief HR Officer
60.00     X       869,197 0 36,529
(231) UHHS - Janet L Miller Esq
Sec. & Chief Legal Officer
60.00     X       575,546 0 127,528
(232) UHHS - Steven D Standley
Chief Admin. Officer
60.00     X       765,206 0 123,333
(233) UHHS - Michael A Szubski
Treas. & CFO
60.00     X       836,787 0 149,014
(234) UHLSF - Don M Landek
President
60.00     X       184,170 0 40,853
(235) UHMG - Harlin G Adelman
Assistant Sec. (See Sched. O)
2.00     X       407,867 0 72,962
(236) UHMG - Janet L Miller Esq
Secretary
2.00     X       0 0 0
(237) UHHS - Cliff J Coker
Pres. of JV - (See Sched.
60.00       X     420,646 0 63,059
(238) UHHS - Sherri L Bishop
SVP IR & D
60.00       X     539,446 0 118,947
(239) UHHS - Paul G Tait
SVP Strategic Planning
60.00       X     493,320 0 111,610
(240) UHCMC - Carl Lufter
Director UH Pharmacy
60.00       X     182,701 0 26,988
(241) UHHS - Nancy E Paton
SVP Marketing & Communic
60.00       X     541,939 0 55,742
(242) UHHS - Cheryl Wahl
Chief Compliance Officer
60.00       X     286,589 0 50,761
(243) UHMG - Bahman Guyuron MD
Surgeon, Plastic Surgery
60.00         X   1,242,912 0 16,655
(244) UHMG - Reuben Gobezie MD
Orthopaedic Surgeon
60.00         X   1,166,069 0 20,411
(245) UHMG - Nicholas U Ahn MD
Orthopaedic Surgeon
60.00         X   1,020,923 0 16,900
(246) UHMG - Christopher G Furey MD
Orthopaedic Surgeon
60.00         X   855,500 0 19,561
(247) UHMG - Kord S Honda MD
Dermatopathology
60.00         X   799,168 0 18,848
(248) UHCMC - John Nash
Fmr. Officer
2.00           X 120,519 0 0
(249) UHLSF - Michael R Vehovec
Fmr. Officer
2.00           X 344,506 0 56,615
(250) UHHS - Kevin V Roberts
Fmr. Officer
2.00           X 406,988 0 0
(251) UHMG - Catherine E Keating MD
Fmr. Officer
2.00           X 641,460 0 3,875
(252) UHHS - Mary Alice Annecharico
Fmr. Key Employee
60.00           X 540,227 0 51,976
(253) UHHS - Heidi Gartland
Fmr. Key Employee
60.00           X 278,031 0 61,718
(254) UHMG - Pablo R Ros MD
Fmr. Key Employee
60.00           X 619,216 0 14,100
(255) UHMG - Charles Lanzieri MD
Fmr. Key Employee
60.00           X 549,406 0 20,738
(256) UHMG - Ann Lyren MD
Fmr. Key Employee
60.00           X 198,108 0 17,842
(257) UHMG - Ross M Ungerleider MD
Fmr. Highly Comp. Employee
60.00           X 460,048 0 14,044
(258) UHMG - Matthew Kraay MD
Fmr. Highly Comp. Employee
60.00           X 787,274 0 20,738
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 35,428,895 968,736 3,429,407
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet928
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
MICROSOFT LICENSING GP
PO Box 842467
Dallas,TX752842467
IT 1,922,596
NATIONAL MARROW DONOR PROGRAM
NW 8428 PO BOX 1450
MINNEAPOLIS,MN554858428
Donor Match 1,913,106
MEDQUIST INC
PO BOX 10832
Newark,NJ071930832
Transcription/Document management 1,544,845
VORYS SATER SEYMOUR & PEASE LLP
PO Box 73487
Cleveland,OH44193
Legal 1,507,659
INO THERAPEUTICS LLC
PO BOX 642509
Pittsburgh,PA152642509
Pharmaceuticals 1,398,131
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet77
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 300,000
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
37,058,000
g Noncash contributions included in lines 1a-1f:$ 2,703,000
h Total. Add lines 1a-1f.......MediumBullet 37,358,000
 Program Service Revenue Business Code
2a Patient Services less 900,099 1,692,607,000 1,692,330,000 277,000  
b Sponsored Revenues 900,099 33,771,000 33,771,000    
c UHMG Other Clinical Re 900,099 25,278,000 25,278,000    
d UHMG Medical Director 900,099 20,057,000 20,057,000    
e UHMG Resident Teaching 900,099 19,663,000 19,663,000    
f All other program service revenue . 26,400,000 26,400,000    
g Total. Add lines 2a–2f........MediumBullet 1,817,776,000
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 2,286,000   91,000 2,195,000
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 3,216,000  
b Less: cost or other basis and sales expenses    
c Gain or (loss) 3,216,000  
d Net gain or (loss)..........MediumBullet 3,216,000     3,216,000
8a Gross income from fundraising events (not including
$ 300,000
of contributions reported on line 1c). See Part IV, line 18 ...
a 95,000
b Less: direct expenses ...b 133,000
c Net income or (loss) from fundraising events..MediumBullet -38,000   -38,000
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a Other Miscellaneous Re 900,099 71,550,000 71,550,000    
b Parking Services 900,099 6,165,000     6,165,000
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 77,715,000
12 Total revenue. See Instructions....MediumBullet 1,938,313,000 1,889,049,000 368,000 11,538,000
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 31,042,000 31,042,000
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 5,747,000   5,747,000  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 2,796,000 2,796,000    
7 Other salaries and wages 754,912,000 705,205,000 45,285,000 4,422,000
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 43,897,000 41,275,000 2,622,000  
9 Other employee benefits ....... 116,654,000 108,484,000 6,965,000 1,205,000
10 Payroll taxes ........... 45,211,000 42,513,000 2,698,000  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 575,000   574,000 1,000
c Accounting ........... 390,000   390,000  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17.. 63,000 63,000
f Investment management fees ......        
g Other ..........        
12 Advertising and promotion .... 2,268,000 1,728,000   540,000
13 Office expenses ....... 283,840,000 283,014,000   826,000
14 Information technology ...... 20,469,000 1,021,000 19,443,000 5,000
15 Royalties ..        
16 Occupancy ........... 78,936,000 78,510,000   426,000
17 Travel ............ 6,339,000 6,119,000   220,000
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 7,978,000 7,978,000    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 60,575,000 60,575,000    
23 Insurance .............. 11,764,000 11,764,000    
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Other purchased service 134,296,000 120,378,000 13,689,000 229,000
b Income tax on Unrelated 11,000 11,000    
c Bad debt expense 46,695,000 46,695,000    
d Medical/clinical purcha 36,073,000 36,073,000    
e Other 17,687,000 9,565,000 7,964,000 158,000
f All other expenses 49,426,000 32,440,000 16,948,000 38,000
25 Total functional expenses. Add lines 1 through 24f 1,757,644,000 1,627,186,000 122,325,000 8,133,000
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 20,053,000 1  
2 Savings and temporary cash investments ....... 27,010,000 2 12,399,000
3 Pledges and grants receivable, net ......... 72,384,000 3 68,614,000
4 Accounts receivable, net ......... 232,878,000 4 249,417,000
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 444,000 7 416,000
8 Inventories for sale or use .............. 23,483,000 8 23,942,000
9 Prepaid expenses and deferred charges ............ 4,499,000 9 3,758,000
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,359,315,000
b Less: accumulated depreciation. ..... 10b 875,260,000 507,602,000 10c 484,055,000
11 Investments—publicly traded securities .......... 123,561,000 11 319,000
12 Investments—other securities. See Part IV, line 11 ...... 81,215,000 12 77,088,000
13 Investments—program-related. See Part IV, line 11 .. 3,791,000 13 3,783,000
14 Intangible assets ......... 322,000 14  
15 Other assets. See Part IV, line 11 ........... 44,766,000 15 89,071,000
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,142,008,000 16 1,012,862,000
Liabilities 17 Accounts payable and accrued expenses . 85,515,000 17 79,949,000
18 Grants payable ..........   18  
19 Deferred revenue .......... 37,013,000 19 26,762,000
20 Tax-exempt bond liabilities .......... 68,826,000 20 63,353,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 154,000 23 140,000
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 82,075,000 25 95,428,000
26 Total liabilities. Add lines 17 through 25..... 273,583,000 26 265,632,000
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 678,269,000 27 549,806,000
28 Temporarily restricted net assets ..... 173,890,000 28 181,331,000
29 Permanently restricted net assets ..... 16,266,000 29 16,093,000
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 868,425,000 33 747,230,000
34 Total liabilities and net assets/fund balances ..... 1,142,008,000 34 1,012,862,000
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
1,938,313,000
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
1,757,644,000
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
180,669,000
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
868,425,000
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-301,864,000
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
747,230,000
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
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)(iv) 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 UH Foundation - 20-5999979 170(b)(1)(A)(iv) 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 - $25,239,000 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 - $27,728,000 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
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check Click to see attachment
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 4,674 7,514
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 245,176 350,376
c Total lobbying expenditures (add lines 1a and 1b) ................... 249,850 357,890
d Other exempt purpose expenditures ........................ 1,059,775,150 1,985,236,110
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 1,060,025,000 1,985,594,000
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0 0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0 0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
        6,000,000
             
c Total lobbying expenditures 447,418 469,714 384,605 357,890 1,659,627
             
d Grassroots non-taxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
        1,500,000
             
f Grassroots lobbying expenditures 1,838 9,429 10,111 7,514 28,892
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Explanation of Other Lobbying Activities: Part II-B, Line 1i: 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. $25,506 1e - No. 1f - Yes. $78,424 1g - Yes. $16,356 1h - No. 1i - No. 1j - $120,286 2a - No.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $ 265,000
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $ 671,000
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   42,979,000 42,979,000
b Buildings ................   730,808,000 449,096,000 281,712,000
c Leasehold improvements ............   16,599,000 4,172,000 12,427,000
d Equipment ................   507,056,000 404,275,000 102,781,000
e Other .................   61,873,000 17,717,000 44,156,000
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 484,055,000
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) Investements deposited with trustee bond indenture
452,000 F

(B) Beneficial interest in foundation
76,609,000 F

(C) Other
27,000 F






Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 77,088,000
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Research Institute option asset 38,619,000
(2) Other 12,786,000
(3) Medical Resident FICA Refund Receivable 37,666,000






Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 89,071,000
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
Interest payable 1,323,000
Due to third parties 15,935,000
Other current liabilities 13,577,000
Research Institute option liability 38,619,000
Other liabilities 25,974,000




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 95,428,000
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
  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 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).
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
 
ITM Marketing Inc
470 Downtown Plaza
 
Coshocton, OH43812
Professional Fundraiser   No 84,000 63,000 21,000
Total .................right arrow 84,000 63,000 21,000
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
FL, IL, KY, MI, NY, OH, PA, WI, WV
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

Golf Outing
(event type)
(b) Event #2

Gala Dinner
(event type)
(c) Other Events

3
(total number)
(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 199,000 149,000 47,000 395,000
2 Less: Charitable
contributions . . .
166,000 108,000 26,000 300,000
3 Gross income (line 1
minus line 2) . . .
33,000 41,000 21,000 95,000
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . . 1,000     1,000
7 Food and beverages . . 42,000 24,000 16,000 82,000
8 Entertainment . . .        
9 Other direct expenses . 30,000 5,000 15,000 50,000
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 133,000
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -38,000
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    35,042,288   35,042,288 2.050 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    356,961,395 286,385,331 70,576,064 4.120 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    392,003,683 286,385,331 105,618,352 6.170 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    10,295,623   10,295,623 0.600 %
f Health professions education
(from Worksheet 5) ..
    67,298,825 20,281,210 47,017,615 2.750 %
g Subsidized health services
(from Worksheet 6) ..
    23,270,284 15,293,023 7,977,261 0.470 %
h Research (from Worksheet 7)     41,757,834   41,757,834 2.440 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    30,795,062   30,795,062 1.800 %
jTotal Other Benefits ...     173,417,628 35,574,233 137,843,395 8.060 %
kTotal. Add lines 7d and 7j. ..     565,421,311 321,959,564 243,461,747 14.230 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other     40,584   40,584 0 %
10 Total     40,584   40,584  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
16,847,000
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
0
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
298,290,095
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
311,343,385
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-13,053,290
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
 
No
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?8
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 UH Case Medical Center
11100 Euclid Avenue
Cleveland,OH44106
X X   X   X X   IP Psych./IP Rehab./Skilled Nurs.
2 UH Rainbow Babies & Children's Hospital
11100 Euclid Avenue
Cleveland,OH44106
X X X X   X X    
3 UH Geauga Medical Center
13207 Ravenna Road
Chardon,OH44024
X X         X   IP Psychiatric Unit
4 UH Richmond Medical Center
27100 Chardon Road
Richmond Heights,OH44143
X X   X     X    
5 UH Bedford Medical Center
44 Blaine Avenue
Bedford,OH44146
X X         X    
6 UH Geneva Medical Center
870 West Main Street
Geneva,OH44041
X       X   X    
7 UH Extended Care Campus
12340 Bass Lake Road
Chardon,OH44024
X               LT Acute Unit/Skilled Nurs. Unit
8 UH Conneaut Medical Center
158 West Main Road
Conneaut,OH44030
X       X   X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:Not Required
Line Number of Hospital Facility (from Schedule H, Part V, Section A):8

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?39
Name and address Type of Facility (Describe)
1 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
2 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
3 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
4 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
5 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
6 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
7 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
8 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
9 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
10 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
11 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
12 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
13 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
14 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
15 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
16 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
17 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
18 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
19 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
20 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
21 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
22 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
23 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
24 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
25 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
26 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
27 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
28 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
29 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
30 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
31 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
32 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
33 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
34 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
35 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
36 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
37 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
38 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
39 UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village,OH44122
Outpatient Health Center
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    Part I, Line 3c: The amount of charity care discount granted by UH in 2010 was based on the following guidelines: Patients must be uninsured, provide financial information to qualify them for financial assistance, and if applicable agree to allow UH to apply for third-party coverage. 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 charity care.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 Charity Care 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, CHGME, 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: $23,270,284. The total amount of associated direct offsetting revenue is $15,490,792. The total amount of net community benefit expense included in line 7g is $7,779,492.
    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 = $46,695,000.
    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 boards, 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: Costing methodology used to derive Bad Debt is cost-to-charge ratio using hospital financial statements. In calculating the cost of bad debt expense, care is taken to avoid double counting of the direct and indirect costs for items accounted for elsewhere in Parts I, II, or III on Schedule H.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 $52,423,000 and $42,396,000 for the years ended December 31, 2010 and 2009, 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: A new collections policy was approved by UH's governing board during 2010. UH answered "No" to Line 9b because the collections policy was adopted in 2010 and did not apply to the largest number of patients during the tax year. The policy that was adopted in 2010 was consistent with collections procedures in effect throughout the tax year.
    Part VI, Line 2: In calendar year 2008, UH assessed community health care needs by conducting a comprehensive health needs assessment that reviewed 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 Charity Assistance Program ("Assistance Program") in a variety of ways. Signage for the state of Ohio Health Care Assurance Program (HCAP) 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 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 by 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 50 percent of its patients enrolled in the state 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. Since the 2008 needs assessment, 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.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 6: 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 7: 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 a unique 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.
Annual Community Benefit Report Part VI, Line 7 UH publishes its Annual Community Benefit Report and makes it available to the public via its website at www.UHhospitals.org. University Hospitals does not file its community benefit report in any state.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number
90-0059117
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) Alzheimers Association23215 Commerce Park Dr Ste 300
Beachwood,OH44122
34-1311175 501(c)3 5,000       General Support
(2) American Heart AssociationPO Box 1590
Hagerstown,MD217401590
13-5613797 501(c)3 180,000       General Support
(3) Arthritis Foundation of Northeastern Ohio Chapter23811 Chagrin Blvd 210
Cleveland,OH44122
34-5644884 501(c)3 33,000       General Support
(4) Audubon School3055 Martin Luther King JR Dr
Cleveland,OH44104
501(c)3 13,000       General Support
(5) Autism Speaks Inc4700 Rockside Rd Ste 408
Independence,OH44131
20-2329938 501(c)3 8,000       General Support
(6) Care Alliance Health Center1530 St Clair Ave
Cleveland,OH441142004
34-1748776 501(c)3 28,000       General Support
(7) Case Western Reserve10900 Euclid Ave
Cleveland,OH44106
34-1018992 501(c)3 29,842,000       General Support
(8) Center For Families & Children4500 Euclid Ave
Cleveland,OH44103
23-7084455 501(c)3 5,000       General Support
(9) Cleveland Central Catholic6550 Baxter Ave
Cleveland,OH44105
34-1013635 501(c)3 29,000       General Support
(10) Cleveland Playhouse8500 Euclid Ave
Cleveland,OH44106
34-1868998 501(c)3 20,000       General Support
(11) Cystic Fibrosis Foundation5001 Mayfield Rd Ste 111
Lydhurst,OH44124
13-1930701 501(c)3 16,000       General Support
(12) Daily Dose of Reading2226 Warrensville Center Rd
University Hts,OH44118
34-1935776 501(c)3 10,000       General Support
(13) Epilepsy Foundation of NE Ohio2800 Euclid Ave Ste 450
Cleveland,OH44115
23-7198807 501(c)3 8,000       General Support
(14) Free Clinic of Greater Cleveland12201 Euclid Ave
Cleveland,OH44106
23-7078501 501(c)3 25,000       General Support
(15) Greater Cleveland RTA Health LinePO Box 6566
Cleveland,OH441019931
34-1170830   115,000       General Support
(16) Hispanic Round Table1900 E 9th St Ste 3200
Cleveland,OH44114
20-0932464 501(c)3 10,000       General Support
(17) March of Dimes NE Division5425 Warner Rd Ste 10
Cleveland,OH44125
13-1846306 501(c)3 9,000       General Support
(18) Medwish IntlPO Box 181484
Cleveland,OH44118
34-1903712 501(c)3 5,000       General Support
(19) National Council of Jewish Women26055 Emery Rd
Warrensville Hts,OH44128
34-0714651 501(c)3 5,000       General Support
(20) Cleveland Center for Arts & Technology3634 Euclid Ave Ste 100
Cleveland,OH44115
27-1193704 501(c)3 184,000       General Support
(21) Northeast Ohio EqualityPO Box 91697
Cleveland,OH44101
34-2064724 501(c)3 5,000       General Support
(22) Playhouse Square Foundation10501 Euclid Ave No 200
Cleveland,OH44115
23-7304942 501(c)3 10,000       General Support
(23) Project Love23611 Chagrin Blvd Ste 380
Beachwood,OH44122
31-1795459 501(c)3 6,000       General Support
(24) Red Cross of Greater Cleveland3747 Euclid Ave
Cleveland,OH441152596
53-0196605 501(c)3 9,000       General Support
(25) Ronald Mcdonald House10415 Euclid Ave
Cleveland,OH44111
34-1269123 501(c)3 53,000       General Support
(26) Southwest General Health Foundation18697 Bagley Rd
Middleburg Hts,OH441303497
34-1465135 501(c)3 9,000       General Support
(27) Susan G Komen Race for the Cure10819 Magnolia Dr
Cleveland,OH44106
34-1793460 501(c)3 92,000       General Support
(28) The Heart Foundation32107 Lindero Canyon Rd 235
Westlake Village,CA91361
45-0471117 501(c)3 14,000       General Support
(29) Cuyahoga Community College700 Carnegie Ave
Cleveland,OH44115
34-0896630   16,000       General Support
(30) United Way Svc1331 Euclid Ave
Cleveland,OH441151854
34-6516654 501(c)3 10,000       General Support
(31) Youth & Young Adult Ministry7911 Detroit Ave
Cleveland,OH44102
34-1908590 501(c)3 10,000       General Support
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
29
3
Enter total number of other organizations ................................ . Bullet Image
2
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
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.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) AMC - James Benedict (i)
(ii)
333,726
0
148,493
0
32,770
0
82,430
0
19,189
0
616,608
0
31,645
0
(2) AMC - Richard Hanson (i)
(ii)
477,031
0
45,000
0
58,310
0
72,164
0
19,227
0
671,732
0
0
0
(3) AMC - Richard Stein MD (i)
(ii)
0
442,224
0
0
0
288
0
26,243
0
11,109
0
479,864
0
0
(4) BMC - Sean McKibben (i)
(ii)
228,228
0
74,016
0
12,648
0
52,991
0
22,935
0
390,818
0
12,142
0
(5) CMC - Benjamin Bryant MD (i)
(ii)
0
285,346
0
0
0
990
0
14,804
0
17,825
0
318,965
0
0
(6) CMC - Robert David (i)
(ii)
102,266
0
43,314
0
1,814
0
25,818
0
9,053
0
182,265
0
1,595
0
(7) GMC - M Steven Jones (i)
(ii)
247,474
0
65,368
0
1,241
0
65,036
0
13,799
0
392,918
0
0
0
(8) GMC - Peggy Kuhar (i)
(ii)
138,675
0
10,030
0
635
0
11,868
0
6,761
0
167,969
0
0
0
(9) UHGMC - Robert David (i)
(ii)
102,266
0
43,314
0
1,814
0
25,818
0
9,052
0
182,264
0
1,594
0
(10) UHECC - Richard J Frenchie (i)
(ii)
159,654
0
89,864
0
4,174
0
10,713
0
12,901
0
277,306
0
0
0
(11) UHECC - Susan V Juris (i)
(ii)
245,525
0
107,326
0
17,395
0
76,710
0
12,636
0
459,592
0
15,052
0
(12) UHECC - David Kosnosky MD (i)
(ii)
0
192,895
0
15,523
0
990
0
31,546
0
8,809
0
249,763
0
0
(13) RMC - Laurie Delgado (i)
(ii)
296,242
0
94,905
0
8,152
0
72,330
0
17,245
0
488,874
0
7,155
0
(14) RMC - Rosemary Leeming MD (i)
(ii)
215,995
0
0
0
4,569
0
6,509
0
19,738
0
246,811
0
0
0
(15) UMI - Phyllis Hall (i)
(ii)
307,409
0
177,989
0
1,536
0
82,541
0
21,876
0
591,351
0
9
0
(16) HCS - Keith Maitland (i)
(ii)
192,765
0
74,993
0
1,765
0
65,087
0
17,808
0
352,418
0
0
0
(17) UHHS - Achilles A Demetriou MD (i)
(ii)
801,410
0
920,329
0
432,371
0
55,147
0
14,140
0
2,223,397
0
426,431
0
(18) UHHS - Fred C Rothstein MD (i)
(ii)
623,414
0
716,804
0
257,849
0
39,661
0
22,395
0
1,660,123
0
248,213
0
(19) UHHS - Thomas F Zenty III (i)
(ii)
945,748
0
1,127,028
0
210,340
0
346,594
0
12,239
0
2,641,949
0
189,781
0
(20) UHMG - Brian Berman MD (i)
(ii)
294,218
0
0
0
33,153
0
0
0
24,708
0
352,079
0
0
0
(21) UHMG - Kevin Cooper MD (i)
(ii)
250,025
0
0
0
23,731
0
0
0
2,504
0
276,260
0
0
0
(22) UHMG - Michael Konstan MD (i)
(ii)
265,576
0
7,097
0
979
0
5,301
0
7,563
0
286,516
0
0
0
(23) UHMG - Nathan Levitan MD (i)
(ii)
446,319
0
232,509
0
174,194
0
35,690
0
17,860
0
906,572
0
169,768
0
(24) UHMG - Randall Marcus MD (i)
(ii)
584,309
0
0
0
56,269
0
7,350
0
23,226
0
671,154
0
0
0
(25) UHMG - Edward Michelson MD (i)
(ii)
411,768
0
0
0
33,416
0
16,437
0
21,873
0
483,494
0
0
0
(26) UHMG - Howard Nearman MD (i)
(ii)
388,958
0
0
0
35,983
0
7,350
0
20,655
0
452,946
0
0
0
(27) UHMG - Michael Nochomovitz MD (i)
(ii)
595,471
0
242,786
0
161,931
0
39,677
0
11,716
0
1,051,581
0
152,823
0
(28) UHMG - Jeffrey Ponsky MD (i)
(ii)
609,316
0
0
0
56,704
0
7,350
0
14,639
0
688,009
0
0
0
(29) UHMG - Richard A Walsh MD (i)
(ii)
420,655
0
0
0
38,232
0
7,350
0
14,269
0
480,506
0
0
0
(30) UHCMC - Michael R Anderson MD (i)
(ii)
249,785
0
96,180
0
1,127
0
15,153
0
19,491
0
381,736
0
0
0
(31) UHCMC - Eric Bieber MD (i)
(ii)
475,304
0
50,000
0
87,769
0
0
0
20,506
0
633,579
0
0
0
(32) UHCMC - Ronald E Dziedzicki BSN RN (i)
(ii)
264,832
0
120,181
0
1,354
0
80,323
0
20,534
0
487,224
0
0
0
(33) UHCMC - Michael J Farrell (i)
(ii)
437,976
0
197,218
0
4,313
0
111,006
0
16,774
0
767,287
0
0
0
(34) UHCMC - Catherine S Koppelman RN (i)
(ii)
288,560
0
130,236
0
4,254
0
93,977
0
20,123
0
537,150
0
0
0
(35) UHCMC - Mark Loos (i)
(ii)
253,930
0
114,704
0
21,424
0
61,227
0
20,205
0
471,490
0
20,581
0
(36) UHCMC - Sonia Salvino (i)
(ii)
195,975
0
70,136
0
636
0
46,941
0
20,683
0
334,371
0
0
0
(37) HCS - Rebecca Ivcic (i)
(ii)
127,494
0
11,671
0
3,670
0
22,085
0
16,325
0
181,245
0
0
0
(38) UHHS - Elliot A Kellman (i)
(ii)
370,112
0
194,936
0
304,149
0
27,224
0
16,360
0
912,781
0
298,605
0
(39) UHHS - Janet L Miller Esq (i)
(ii)
379,909
0
191,932
0
3,705
0
123,275
0
10,434
0
709,255
0
0
0
(40) UHHS - Steven D Standley (i)
(ii)
389,874
0
351,927
0
23,405
0
114,029
0
14,405
0
893,640
0
19,612
0
(41) UHHS - Michael A Szubski (i)
(ii)
523,631
0
273,419
0
39,737
0
148,387
0
6,578
0
991,752
0
36,967
0
(42) UHLSF - Don M Landek (i)
(ii)
159,053
0
16,901
0
8,216
0
31,549
0
13,522
0
229,241
0
0
0
(43) UHMG - Harlin G Adelman (i)
(ii)
275,221
0
131,729
0
917
0
59,900
0
19,755
0
487,522
0
0
0
(44) UHHS - Cliff J Coker (i)
(ii)
359,680
0
0
0
60,966
0
49,998
0
18,607
0
489,251
0
55,612
0
(45) UHHS - Sherri L Bishop (i)
(ii)
319,431
0
170,579
0
49,436
0
105,886
0
23,847
0
669,179
0
47,762
0
(46) UHHS - Paul G Tait (i)
(ii)
314,170
0
177,534
0
1,616
0
98,548
0
18,734
0
610,602
0
0
0
(47) UHCMC - Carl Lufter (i)
(ii)
159,366
0
16,526
0
6,809
0
17,683
0
13,905
0
214,289
0
0
0
(48) UHHS - Nancy E Paton (i)
(ii)
169,871
0
133,713
0
238,355
0
46,192
0
14,385
0
602,516
0
83,438
0
(49) UHHS - Cheryl Wahl (i)
(ii)
208,273
0
77,860
0
456
0
46,013
0
13,202
0
345,804
0
0
0
(50) UHMG - Bahman Guyuron MD (i)
(ii)
1,098,315
0
0
0
144,597
0
7,350
0
22,436
0
1,272,698
0
0
0
(51) UHMG - Reuben Gobezie MD (i)
(ii)
1,094,865
0
0
0
71,204
0
7,350
0
21,492
0
1,194,911
0
0
0
(52) UHMG - Nicholas U Ahn MD (i)
(ii)
938,605
0
0
0
82,318
0
7,350
0
15,626
0
1,043,899
0
0
0
(53) UHMG - Christopher G Furey MD (i)
(ii)
796,231
0
0
0
59,269
0
6,500
0
19,725
0
881,725
0
0
0
(54) UHMG - Kord S Honda MD (i)
(ii)
767,670
0
0
0
31,498
0
5,887
0
21,000
0
826,055
0
0
0
(55) UHCMC - John Nash (i)
(ii)
0
0
0
0
120,519
0
0
0
0
0
120,519
0
120,519
0
(56) UHLSF - Michael R Vehovec (i)
(ii)
211,692
0
97,866
0
34,948
0
56,615
0
2,405
0
403,526
0
34,274
0
(57) UHHS - Kevin V Roberts (i)
(ii)
0
0
0
0
406,988
0
0
0
0
0
406,988
0
406,988
0
(58) UHMG - Catherine E Keating MD (i)
(ii)
0
0
181,145
0
460,315
0
3,875
0
2,192
0
647,527
0
214,131
0
(59) UHHS - Mary Alice Annecharico (i)
(ii)
318,054
0
141,483
0
80,690
0
47,641
0
8,028
0
595,896
0
76,027
0
(60) UHHS - Heidi Gartland (i)
(ii)
200,585
0
76,296
0
1,150
0
48,657
0
21,321
0
348,009
0
0
0
(61) UHMG - Pablo R Ros MD (i)
(ii)
546,405
0
59,205
0
13,606
0
7,350
0
16,281
0
642,847
0
0
0
(62) UHMG - Charles Lanzieri MD (i)
(ii)
514,061
0
0
0
35,345
0
7,350
0
21,648
0
578,404
0
0
0
(63) UHMG - Ann Lyren MD (i)
(ii)
192,854
0
0
0
5,254
0
4,781
0
18,315
0
221,204
0
0
0
(64) UHMG - Ross M Ungerleider MD (i)
(ii)
395,927
0
0
0
64,121
0
7,350
0
13,306
0
480,704
0
0
0
(65) UHMG - Matthew Kraay MD (i)
(ii)
725,060
0
0
0
62,214
0
7,350
0
23,992
0
818,616
0
0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  Part I, Lines 4a-b The following persons received severance payments as required by their contract in 2010: - Nancy E. Paton $87,474 - Catherine Keating, M.D. $243,927 Part I, Line 4b: The following persons participated in, or received payment from a nonqualified retirement plan (457(f) or SERP) in 2010: - Harlin G. Adelman (No payments received in 2010) - Mary Alice Annecharico ($20,731-457(f), $55,295-SERP) - James J. Benedict ($31,645-457(f)) - Sherri L. Bishop ($47,762-457(f)) - Cliff J. Coker ($12,090-457(f), $43,522-SERP) - Robert G. David ($3,188-457(f)) - Laurie S. Delgado ($7,155-457(f)) - Achilles A. Demetriou, M.D. ($146,168-457(f), $280,263-SERP) - Ronald E. Dziedzicki (No payments received in 2010) - Michael J. Farrell (No payments received in 2010) - Richard J. Frenchie (No payments received in 2010) - Phyllis Hall ($9-457(f)) - Richard Hanson (No payments received in 2010) - Steven M. Jones (No payments received in 2010) - Susan V. Juris ($15,052-457(f)) - Catherine Keating, M.D. ($121,523-457(f), $92,608-SERP) - Elliot A. Kellman ($81,897-457(f), $216,709-SERP) - Catherine S. Koppelman (No payments recieved in 2010) - Don Landek (No payments received in 2010) - Nathan Levitan, M.D. ($32,583-457(f), $137,184-SERP) - Mark Loos (No payments received in 2010) - Keith Maitland (No payments received in 2010) - Sean McKibben ($12,142-457(f)) - Janet L. Miller (No payments received in 2010) - Michael L. Nochomovitz, M.D. ($26,405-457(f), $126,418-SERP) - Nancy Paton ($83,438-SERP) - Kevin. V. Roberts ($406,988-457(f)) - Fred C. Rothstein, M.D. ($47,261-457(f), $200,952-SERP) - Sonia Salvino (No payments received in 2010) - Steven D. Standley ($19,612-457(f)) - Michael A. Szubski ($36,967-457(f)) - Paul G. Tait (No payments received in 2010) - Michael R. Vehovec ($34,274-457(f)) - Thomas F. Zenty III ($189,781-457(f))
  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.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
(1) Bahman Guyuron MD 5 Highest Pai
Tail Insurance Subject to Forgiveness (Fully Reserved On Books)
  X 218,225 43,645   No Yes   Yes  
Total ...............Small Bullet $ 43,645
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Residence Inn
 
UHCMC Dir. Richard Horvitz owns many Residence Inns in the local area 171,000 Residence Inn rents rooms to UHCMC for sleep studies or other activities. These transactions were all at arms length.   No
(2) Diane Anderson Family Member of Michael Anderson, M.D. UHCMC Interim CMO 13,000 A family member of Dr. Anderson is employed by UHCMC.   No
(3)  
 
        No
(4) First Energy
 
UHCMC Dir. Ernest J. Novak is a Director of First Energy 200,000 First Energy provided energy services to UHCMC in 2010. These transactions were all at arms length.   No
(5) First Energy
 
UHCMC Dir. Lorna Wisham is employed at First Energy 200,000 First Energy provided energy services to UHCMC in 2010. These transactions were all at arms length.   No
(6) Zachary Nearman Family Member of Howard Nearman, M.D. UHMG - Director 43,000 A family member of Dr. Nearman is employed by UHMG.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Form 990 Schedule L Part II Loan Balance Fully Reserved The loan balance disclosed on Schedule L has been fully reserved on the books of the organization. As a result, no amount will appear on Form 990 Part X Line 5.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Types of Property
(a)
Check if applicable
(b)
Number of Contributions or items contributed
(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
contribution amounts
1 Art—Works of art .... X 114 265,000 Appraised FMV
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 4,000 Donor Declared FMV
5 Clothing and household
goods .......
     
6 Cars and other vehicles .. X 1 465,000 Purchase Agreement
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 52 1,930,000 Median Value/Share
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Equipment ) X 1 16,000 Appraised FMV
26 Other Right pointing arrow large image ( Miscellaneous ) X 340 23,000 Appraisal, Receipt, or Valued at $1
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Method for Determining Number of Contributors: Part I, Column (b): The numbers reported in Part I, Column (b) represent the number of items contributed.
Third Party Use: Part I, Line 32b: The organization utilizes third party vendors to solicit gifts. In addition, a third party is engaged by the organization to sell any donated securites.
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Identifier Return Reference Explanation
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 (UHHS/UHGMC Director) and Mr. Willard Raymond (UHGMC 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. is approved for filing by its governing body. The Audit and Compliance Committee has been delegated authority to review and approve Form 990 by the UH Board. In addition, the Compensation Committee and Governance and Community Benefit Committee of the Board review relevant disclosures related to each Committee's specific area. The Board receives a copy of the return in its final form before it is filed with the Internal Revenue Service. Senior management reviews and approves 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.
Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net change in temporarily restricted net assets 7,441,000. Net change in permanently restricted net assets -173,000. Equity Transfer -262,823,000. Less: restricted monies included on Form 990 Page 1, Line 8 -26,480,000. Gain/Loss from sale of discontinued operations -20,200,000. Other Changes 371,000. Total to Form 990, Part XI, Line 5: -301,864,000.
  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 UH Foundation - 20-5999979 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.
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 case 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.
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. UMI - Phyllis Hall UHMG - Harlin G. Adelman UHMG - Nathan Levitan, M.D. UHECC - Richard Frenchie
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.
Net Asset Change from 2009 to 2010 Form 990 Part I Line 22, Form 990 Part X Line 33 Intercompany balances for all UH organizations were closed out to net assets during 2010. This resulted in a large change in net assets when comparing the 2009 balance vs. the 2010 balance. Aiding the difference is that the Parent Organization (University Hospitals Health System, Inc.) files its own Form 990 and is not part of this Group Return.
Change in Investments - publicly traded securities Form 990 Part X Line 11 In June of 2010 certain investments were moved to the Parent Organizations books. The large change from 2009 to 2010 is related to this movement.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) University Mednet Physicians LLC
3605 Warrensville Center Rd
Shaker Hts,OH44122
34-1599711
Inactive OH     N/A
(2) University Hospitals Faculty Services Ltd
11100 Euclid Ave
Cleveland,OH44106
34-1872525
Inactive OH     University Hospitals Case Medical Center
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No












For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) Zeeba Surgery Center LP

29017 Cedar Road
Lyndhurst,OH44124
32-0039956
Surgery Center OH N/A
                 












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) Western Reserve Assurance Co Ltd SPC
PO Box 1051GT
George Town Grand Cayman,Cayman Islands  
CJ
98-0462740
Liability Insurance CJ N/A
C      
(2) University Hospitals Holdings Inc
11100 Euclid Avenue
Cleveland,OH44106
34-1768931
Holding Company OH N/A
C      
(3) University Hospitals Physician Services Inc
11100 Euclid Avenue
Cleveland,OH44106
34-1768929
Physician Admin. Services OH N/A
C      
(4) University Primary Care Practices Inc
11100 Euclid Avenue
Cleveland,OH44106
34-1768928
Physicians Group OH N/A
C      
(5) University Hospitals Health System MCO Inc
11100 Euclid Avenue
Cleveland,OH44106
34-1843674
Workers Comp. Managed Care Services OH N/A
C      
(6) UHHS Provider & Central Verification Organization Inc
11100 Euclid Avenue
Cleveland,OH44106
34-1908517
Medical Management OH N/A
C      
(7) Cedar Brainard Surgery Center Inc
11100 Euclid Avenue
Cleveland,OH44106
20-4957632
Holding Company OH N/A
C      
(8) University Hospitals Health Care Enterprises Inc
11100 Euclid Avenue
Cleveland,OH44106
34-1510005
Medical Management OH N/A
C      
(9) BMH Development Corporation Inc
158 West Main Street
Conneaut,OH44030
34-1346212
Land Development OH N/A
C      
(10) Conneaut Health Enterprises Inc
PO Box 648
Conneaut,OH44060
34-1503949
Inactive OH N/A
C      
(11) University Hospitals Accountable Care Organization Inc
3605 Warrensville Center Rd
Shaker Heights,OH44122
27-3970270
Health Care Model That Coordinates Patient Care OH N/A
C      
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) UH Ahuja Medical CenterUniversity Hospitals Health System

N 79,529 General Ledger
(2) UH Ahuja Medical CenterUniversity Hospitals Health System

O 106,383 General Ledger
(3) UH Ahuja Medical CenterUniversity Hospitals Health System

C 231,651 General Ledger
(4) University Hospitals Health SystemUH Ahuja Medical Center

R 1,250,210 General Ledger
(5) University Hospitals Health SystemUH Ahuja Medical Center

N 4,537,505 General Ledger
(6) University Hospitals Health SystemUH Ahuja Medical Center

L 642,467 General Ledger
(7) University Hospitals Health SystemUH Ahuja Medical Center

P 299,665 General Ledger
(8) University Hospitals Health SystemUH Ahuja Medical Center

B 31,285,477 General Ledger
(9) UH Cleveland Medical CenterUH Ahuja Medical Center

R 203,000 General Ledger
(10) UH Cleveland Medical CenterUH Ahuja Medical Center

P 242,134 General Ledger
(11) UH Medical GroupUH Ahuja Medical Center

L 197,681 General Ledger
(12) UH Conneaut Medical CenterUH Ahuja Medical Center

L 55,276 General Ledger
(13) UH Health Care EnterprisesUH Ahuja Medical Center

P 117,938 General Ledger
(14) UH Bedford Medical CenterUniversity Hospitals Health System

Q 225,538 General Ledger
(15) UH Bedford Medical CenterUniversity Hospitals Health System

P 1,051,399 General Ledger
(16) UH Bedford Medical CenterUH Cleveland Medical Center

Q 68,645 General Ledger
(17) UH Bedford Medical CenterUH Medical Group

P 227,306 General Ledger
(18) University Hospitals Health SystemUH Bedford Medical Center

R 15,660,580 General Ledger
(19) University Hospitals Health SystemUH Bedford Medical Center

N 25,340,761 General Ledger
(20) University Hospitals Health SystemUH Bedford Medical Center

O 2,329,916 General Ledger
(21) University Hospitals Health SystemUH Bedford Medical Center

L 2,948,497 General Ledger
(22) UH Cleveland Medical CenterUH Bedford Medical Center

O 893,521 General Ledger
(23) UH Laboratory Services FoundationUH Bedford Medical Center

O 340,243 General Ledger
(24) UH Medical GroupUH Bedford Medical Center

O 290,290 General Ledger
(25) UH Medical PracticesUH Bedford Medical Center

L 272,732 General Ledger
(26) UH Conneaut Medical CenterUH Health System

Q 78,098 General Ledger
(27) UH Conneaut Medical CenterUH Health System

P 93,103 General Ledger
(28) UH Conneaut Medical CenterUH Cleveland Medical Center

Q 672,294 General Ledger
(29) UH Conneaut Medical CenterUH Medical Practices

Q 124,213 General Ledger
(30) UH Health SystemUH Conneaut Medical Center

R 9,085,946 General Ledger
(31) UH Health SystemUH Conneaut Medical Center

N 12,034,546 General Ledger
(32) UH Health SystemUH Conneaut Medical Center

P 927,237 General Ledger
(33) UH Health SystemUH Conneaut Medical Center

L 2,121,146 General Ledger
(34) UH Cleveland Medical CenterUH Conneaut Medical Center

R 577,060 General Ledger
(35) UH Cleveland Medical CenterUH Conneaut Medical Center

P 193,183 General Ledger
(36) UH Laboratory Services FoundationUH Conneaut Medical Center

L 121,888 General Ledger
(37) UH Medical GroupUH Conneaut Medical Center

L 199,227 General Ledger
(38) UH Geneva Medical CenterUH Conneaut Medical Center

L 151,300 General Ledger
(39) UH Medical PracticesUH Conneaut Medical Center

L 317,237 General Ledger
(40) UH Extended Care CampusUH Health System

P 11,329,211 General Ledger
(41) UH Extended Care CampusUH Case Medical Center

Q 266,283 General Ledger
(42) UH Extended Care CampusUH Case Medical Center

C 118,443 General Ledger
(43) UH Health SystemUH Extended Care Campus

R 8,996,672 General Ledger
(44) UH Health SystemUH Extended Care Campus

P 2,395,051 General Ledger
(45) UH Health SystemUH Extended Care Campus

N 15,837,802 General Ledger
(46) UH Health SystemUH Extended Care Campus

L 1,208,013 General Ledger
(47) UH Case Medical CenterUH Extended Care Campus

L 147,691 General Ledger
(48) UH Laboratory Services FoundationUH Extended Care Campus

L 128,106 General Ledger
(49) UH Laboratory Services FoundationUH Extended Care Campus

P 87,192 General Ledger
(50) UH Geauga Medical CenterUH Extended Care Campus

L 54,772 General Ledger
(51) UH Medical PracticesUH Extended Care Campus

L 733,356 General Ledger
(52) UH Geauga Medical CenterUH Health System

Q 616,980 General Ledger
(53) UH Geauga Medical CenterUH Health System

N 51,445 General Ledger
(54) UH Geauga Medical CenterUH Health System

P 1,207,548 General Ledger
(55) UH Geauga Medical CenterUH Health System

C 18,565,795 General Ledger
(56) UH Geauga Medical CenterUH Case Medical Center

Q 81,628 General Ledger
(57) UH Geauga Medical CenterUH Case Medical Center

H 198,160 General Ledger
(58) UH Geauga Medical CenterUH Case Medical Center

C 514,181 General Ledger
(59) UH Geauga Medical CenterUH Extended Care Campus

K 54,771 General Ledger
(60) UH Geauga Medical CenterUH Medical Practices

Q 336,293 General Ledger
(61) UH Health SystemUH Geauga Medical Center

R 30,177,144 General Ledger
(62) UH Health SystemUH Geauga Medical Center

L 4,704,844 General Ledger
(63) UH Health SystemUH Geauga Medical Center

N 42,691,911 General Ledger
(64) UH Health SystemUH Geauga Medical Center

P 3,377,580 General Ledger
(65) UH Case Medical CenterUH Geauga Medical Center

P 1,015,159 General Ledger
(66) UH Case Medical CenterUH Geauga Medical Center

R 54,696 General Ledger
(67) UH Laboratory Services FoundationUH Geauga Medical Center

L 506,861 General Ledger
(68) UH Medical GroupUH Geauga Medical Center

L 1,380,329 General Ledger
(69) UH Richmond Medical CenterUH Geauga Medical Center

L 97,682 General Ledger
(70) UH Medical PracticesUH Geauga Medical Center

L 1,995,514 General Ledger
(71) UH Geneva Medical CenterUH Health System

Q 165,008 General Ledger
(72) UH Geneva Medical CenterUH Health System

O 541,533 General Ledger
(73) UH Geneva Medical CenterUH Case Medical Center

Q 151,374 General Ledger
(74) UH Geneva Medical CenterUH Medical Practice

L 183,691 General Ledger
(75) UH Health SystemUH Geneva Medical Center

R 10,711,564 General Ledger
(76) UH Health SystemUH Geneva Medical Center

N 15,851,598 General Ledger
(77) UH Health SystemUH Geneva Medical Center

P 1,669,521 General Ledger
(78) UH Health SystemUH Geneva Medical Center

L 2,700,043 General Ledger
(79) UH Case Medical CenterUH Geneva Medical Center

R 88,897 General Ledger
(80) UH Case Medical CenterUH Geneva Medical Center

P 324,157 General Ledger
(81) UH Laboratory Services FoundationUH Geneva Medical Center

L 179,893 General Ledger
(82) UH Medical GroupUH Geneva Medical Center

L 354,856 General Ledger
(83) UH Medical PracticesUH Geneva Medical Center

L 375,133 General Ledger
(84) UH Home Care ServicesUH Case Medical Center

Q 675,199 General Ledger
(85) UH Health SystemUH Home Care Services

R 10,075,672 General Ledger
(86) UH Health SystemUH Home Care Services

N 14,868,506 General Ledger
(87) UH Health SystemUH Home Care Services

P 736,632 General Ledger
(88) UH Health SystemUH Home Care Services

L 1,463,269 General Ledger
(89) UH Richmond Medical CenterUH Health System

Q 205,881 General Ledger
(90) UH Richmond Medical CenterUH Health System

O 978,077 General Ledger
(91) UH Richmond Medical CenterUH Case Medical Center

O 113,415 General Ledger
(92) UH Richmond Medical CenterUH Case Medical Center

Q 58,073 General Ledger
(93) UH Richmond Medical CenterUH Case Medical Center

K 2,636,866 General Ledger
(94) UH Richmond Medical CenterUH Medical Practices

K 161,449 General Ledger
(95) UH Health SystemUH Richmond Medical Center

R 18,135,769 General Ledger
(96) UH Health SystemUH Richmond Medical Center

L 3,348,316 General Ledger
(97) UH Health SystemUH Richmond Medical Center

N 27,465,095 General Ledger
(98) UH Health SystemUH Richmond Medical Center

P 2,069,146 General Ledger
(99) UH Health SystemUH Richmond Medical Center

C 14,103,024 General Ledger
(100) UH Case Medical CenterUH Richmond Medical Center

L 959,369 General Ledger
(101) UH Case Medical CenterUH Richmond Medical Center

P 519,927 General Ledger
(102) UH Laboratory Services FoundationUH Richmond Medical Center

L 343,561 General Ledger
(103) UH Medical GroupUH Richmond Medical Center

L 812,775 General Ledger
(104) UH Medical PracticesUH Richmond Medical Center

L 1,652,868 General Ledger
(105) UH Laboratory Services FoundationUH Health System

O 73,792 General Ledger
(106) UH Laboratory Services FoundationUH Case Medical Center

Q 462,426 General Ledger
(107) UH Laboratory Services FoundationUH Case Medical Center

N 320,896 General Ledger
(108) UH Laboratory Services FoundationUH Case Medical Center

O 2,147,451 General Ledger
(109) UH Laboratory Services FoundationUH Medical Group

K 117,587 General Ledger
(110) UH Health SystemUH Laboratory Service Foundation

R 8,175,692 General Ledger
(111) UH Health SystemUH Laboratory Service Foundation

L 1,111,940 General Ledger
(112) UH Health SystemUH Laboratory Service Foundation

N 4,046,306 General Ledger
(113) UH Health SystemUH Laboratory Service Foundation

P 245,538 General Ledger
(114) UH Cleveland Medical CenterUH Laboratory Service Foundation

R 1,348,350 General Ledger
(115) UH Cleveland Medical CenterUH Laboratory Service Foundation

N 2,962,859 General Ledger
(116) UH Cleveland Medical CenterUH Laboratory Service Foundation

L 7,375,908 General Ledger
(117) UH Cleveland Medical CenterUH Laboratory Service Foundation

P 1,187,154 General Ledger
(118) UH Cleveland Medical CenterUH Laboratory Service Foundation

H 276,597 General Ledger
(119) UH Medical GroupUH Health System

Q 92,212 General Ledger
(120) UH Medical GroupUH Health System

N 595,980 General Ledger
(121) UH Medical GroupUH Health System

O 1,315,982 General Ledger
(122) UH Medical GroupUH Cleveland Medical Center

Q 13,631,580 General Ledger
(123) UH Medical GroupUH Cleveland Medical Center

O 1,891,870 General Ledger
(124) UH Medical GroupUH Cleveland Medical Center

K 69,610,023 General Ledger
(125) UH Medical GroupUH Cleveland Medical Center

N 68,155 General Ledger
(126) UH Health SystemUH Medical Group

R 40,257,348 General Ledger
(127) UH Health SystemUH Medical Group

L 9,477,533 General Ledger
(128) UH Health SystemUH Medical Group

N 257,839,275 General Ledger
(129) UH Health SystemUH Medical Group

J 268,642 General Ledger
(130) UH Health SystemUH Medical Group

P 11,113,978 General Ledger
(131) UH Health SystemUH Medical Group

C 206,193,319 General Ledger
(132) UH Cleveland Medical CenterUH Medical Group

R 204,568 General Ledger
(133) UH Cleveland Medical CenterUH Medical Group

P 2,554,353 General Ledger
(134) UH Cleveland Medical CenterUH Medical Group

L 4,327,481 General Ledger
(135) UH Cleveland Medical CenterUH Medical Group

J 90,560 General Ledger
(136) UH Cleveland Medical CenterUH Medical Group

N 276,935 General Ledger
(137) UH Case Medical CenterUH Health System

Q 6,765,709 General Ledger
(138) UH Case Medical CenterUH Health System

N 2,217,783 General Ledger
(139) UH Case Medical CenterUH Health System

O 65,515,957 General Ledger
(140) UH Case Medical CenterUH Health System

H 179,450 General Ledger
(141) UH Health SystemUH Case Medical Center

R 174,581,820 General Ledger
(142) UH Health SystemUH Case Medical Center

N 162,621,427 General Ledger
(143) UH Health SystemUH Case Medical Center

L 86,866,867 General Ledger
(144) UH Health SystemUH Case Medical Center

H 1,055,525 General Ledger
(145) UH Health SystemUH Case Medical Center

P 10,044,973 General Ledger
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version:  






TY 2010 AffiliateListing
Name:
University Hospitals Health System Inc
Group Return
EIN: 90-0059117

Name Address EIN Name control
University Hospitals Cleveland Medical Center - dba UH Case Medical Center 11100 Euclid Avenue
Cleveland,  OH  44106
34-1567805
UNIV
University Hospitals Bedford Medical Center 44 Blaine Avenue
Bedford,  OH  44146
34-1271115
UNIV
University Hospitals Conneaut Medical Center 158 West Main Road
Conneaut,  OH  44030
34-0714550
UNIV
BMH Professional Corporation 158 West Main Road
Conneaut,  OH  44030
34-1749966
UNIV
University Hospitals Geauga Medical Center 13207 Ravenna Road
Chardon,  OH  44024
34-0816492
UNIV
University Hospitals Geneva Medical Center 870 West Main Street
Geneva,  OH  44041
34-0714461
UNIV
UHHS Heather Hill Inc 12340 Bass Lake Road
Chardon,  OH  44024
34-0771884
UNIV
UHHS - Heather Hill Rehabilitation Hospital Inc - dba UH Extended Care Camp 12340 Bass Lake Road
Chardon,  OH  44024
34-1465745
UNIV
University Hospitals Richmond Medical Center 27100 Chardon Road
Richmond Hts,  OH  44143
34-1924226
UNIV
University Mednet 23001 Euclid Avenue
Cleveland,  OH  44117
34-0750341
UNIV
University Hospitals Home Care Services Inc 4901 Galaxy Parkway
Warrensville Hts,  OH  44128
34-1527536
UNIV
University Hospitals Laboratory Services Foundation 11100 Euclid Avenue
Cleveland,  OH  44106
34-1720429
UNIV
University Hospitals Medical Group Inc 11100 Euclid Avenue
Cleveland,  OH  44106
20-4881619
UNIV
UH Foundation 11100 Euclid Avenue
Cleveland,  OH  44106
20-5999979
UNIV
University NPI Inc 11100 Euclid Avenue
Cleveland,  OH  44106
34-1571623
UNIV
Memorial Hospital Health Foundation 11100 Euclid Avenue
Cleveland,  OH  44106
34-1810018
UNIV
University Hospitals Ahuja Medical Center Inc 11100 Euclid Avenue
Cleveland,  OH  44106
26-4827222
UNIV

TY 2010 AffiliatedGroupSchedule
Name:
University Hospitals Health System Inc
Group Return
EIN: 90-0059117
Affiliated Group Business Name:
University Hospitals Cleveland Medical Center
 
Address. Either US or Foreign Type:
11100 Euclid Ave
Cleveland, OH44106    
EIN:
34-1567805
Electing Organization Checkbox:
Total Grassroots Lobbying:
4,674
Total Direct Lobbying:
245,176
Total Lobbying Expenditures:
249,850
Other Exempt Purpose Expenditures:
1,059,775,150
Total Exempt Purpose Expenditures:
1,060,025,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Bedford Medical Center
 
Address. Either US or Foreign Type:
44 Blaine Ave
Bedford, OH44146    
EIN:
34-1271115
Electing Organization Checkbox:
Total Grassroots Lobbying:
201
Total Direct Lobbying:
7,496
Total Lobbying Expenditures:
7,697
Other Exempt Purpose Expenditures:
51,729,303
Total Exempt Purpose Expenditures:
51,737,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Conneaut Medical Center
 
Address. Either US or Foreign Type:
158 West Main Rd
Conneaut, OH44030    
EIN:
34-0750341
Electing Organization Checkbox:
Total Grassroots Lobbying:
101
Total Direct Lobbying:
3,778
Total Lobbying Expenditures:
3,879
Other Exempt Purpose Expenditures:
25,739,121
Total Exempt Purpose Expenditures:
25,743,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
BMH Professional Corp
 
Address. Either US or Foreign Type:
158 West Main Rd
Conneaut, OH44030    
EIN:
34-1749966
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Geauga Medical Center
 
Address. Either US or Foreign Type:
13207 Ravenna Rd
Chardon, OH44024    
EIN:
34-0816492
Electing Organization Checkbox:
Total Grassroots Lobbying:
385
Total Direct Lobbying:
14,326
Total Lobbying Expenditures:
14,711
Other Exempt Purpose Expenditures:
94,185,289
Total Exempt Purpose Expenditures:
94,200,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Geneva Medical Center
 
Address. Either US or Foreign Type:
870 West Main St
Geneva, OH44041    
EIN:
34-0714461
Electing Organization Checkbox:
Total Grassroots Lobbying:
148
Total Direct Lobbying:
5,508
Total Lobbying Expenditures:
5,656
Other Exempt Purpose Expenditures:
34,454,344
Total Exempt Purpose Expenditures:
34,460,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Extended Care Campus
 
Address. Either US or Foreign Type:
12340 Bass Lake Road
Chardon, OH44024    
EIN:
34-1465745
Electing Organization Checkbox:
Total Grassroots Lobbying:
104
Total Direct Lobbying:
3,886
Total Lobbying Expenditures:
3,990
Other Exempt Purpose Expenditures:
29,852,010
Total Exempt Purpose Expenditures:
29,856,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UHHS - Heather Hill Inc
 
Address. Either US or Foreign Type:
12340 Bass Lake Road
Chardon, OH44024    
EIN:
34-0771884
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Richmond Medical Center
 
Address. Either US or Foreign Type:
27100 Chardon Road
Richmond Hts, OH44024    
EIN:
34-1924226
Electing Organization Checkbox:
Total Grassroots Lobbying:
243
Total Direct Lobbying:
9,057
Total Lobbying Expenditures:
9,300
Other Exempt Purpose Expenditures:
61,139,700
Total Exempt Purpose Expenditures:
61,149,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Mednet
 
Address. Either US or Foreign Type:
23001 Euclid Ave
Cleveland, OH44117    
EIN:
34-0750341
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Home Care Services Inc
 
Address. Either US or Foreign Type:
4901 Galaxy Parkway
Warrensville Hts, OH44128    
EIN:
34-1527536
Electing Organization Checkbox:
Total Grassroots Lobbying:
105
Total Direct Lobbying:
3,922
Total Lobbying Expenditures:
4,027
Other Exempt Purpose Expenditures:
27,723,973
Total Exempt Purpose Expenditures:
27,728,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Laboratory Services Foundation
 
Address. Either US or Foreign Type:
11100 Euclid Ave
Cleveland, OH44106    
EIN:
34-1720429
Electing Organization Checkbox:
Total Grassroots Lobbying:
115
Total Direct Lobbying:
4,279
Total Lobbying Expenditures:
4,394
Other Exempt Purpose Expenditures:
25,324,606
Total Exempt Purpose Expenditures:
25,329,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Medical Group Inc
 
Address. Either US or Foreign Type:
11100 Euclid Ave
Cleveland, OH44106    
EIN:
20-4881619
Electing Organization Checkbox:
Total Grassroots Lobbying:
1,141
Total Direct Lobbying:
42,483
Total Lobbying Expenditures:
43,624
Other Exempt Purpose Expenditures:
338,808,376
Total Exempt Purpose Expenditures:
338,852,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UH Foundation
 
Address. Either US or Foreign Type:
11100 Euclid Ave
Cleveland, OH44106    
EIN:
20-5999979
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University NPI Inc
 
Address. Either US or Foreign Type:
11100 Euclid Ave
Cleveland, OH44106    
EIN:
34-1571623
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
Memorial Hospital Health Foundation
 
Address. Either US or Foreign Type:
11100 Euclid Ave
Cleveland, OH44106    
EIN:
34-1810018
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Health System Inc
 
Address. Either US or Foreign Type:
11100 Euclid Ave
Cleveland, OH44106    
EIN:
34-0714775
Electing Organization Checkbox:
Total Grassroots Lobbying:
294
Total Direct Lobbying:
10,420
Total Lobbying Expenditures:
10,714
Other Exempt Purpose Expenditures:
227,939,286
Total Exempt Purpose Expenditures:
227,950,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0