TY 2012 Form 990

- TIN:

Form990

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)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0047

2012

Open to Public Inspection

A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012

BCheck if applicable: Address change Name change Initial return Terminated Amended return Application pending

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 Treasur
Suite

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 $ 2,176,279,000

F Name and address of principal officer:
Michael Szubski
3605 Warrensville Center Rd
Shaker Heights,OH44122

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

www.UHhospitals.org

H(a)

Is this a group return for
affiliates? Yes No

H(b)

Are all affiliates included?

Yes No

If "No," attach a list. (see instructions) Click to see attachment

H(c)

Group exemption number MediumBullet

3829

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation:

M State of legal domicile: OH

Part I

Summary

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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	136
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	76
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	14,359
6	Total number of volunteers (estimate if necessary) .............	6	1,962
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	544,000
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	205,000

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	58,161,000	89,840,000
9	Program service revenue (Part VIII, line 2g) .........	1,968,532,000	2,015,029,000
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	119,000	40,000
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	57,329,000	71,151,000
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	2,084,141,000	2,176,060,000
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	30,716,000	31,771,000
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)	1,050,031,000	997,592,000
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	138,000	306,000
b	Total fundraising expenses (Part IX, column (D), line 25) 10,973,000
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	829,116,000	907,762,000
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,910,001,000	1,937,431,000
19	Revenue less expenses. Subtract line 18 from line 12.......	174,140,000	238,629,000
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,508,339,000	1,533,691,000
21	Total liabilities (Part X, line 26).............	236,017,000	214,268,000
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,272,322,000	1,319,423,000

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

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ............YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2012)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response to any question in this Part III ...............

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.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ...................... Yes No

If “Yes,” describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................ Yes No

If “Yes,” describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 1,771,154,000 including grants of $ 31,771,000 ) (Revenue $ 2,077,322,000 )
	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 2012, University Hospitals dedicated more than $273.1 million to community benefit programs in Northeast Ohio consisting of: - Education and training = $50.2 million - Research = $49.4 million - Charity care = $53.2 million - Medicaid shortfall = $89.6 million - Community health improvement services = $7.3 million - Other community programs and support = $35.5 million - Hospital Care Assurance Program (HCAP) receipts = ($12.1 million) Refer to Schedule H for further detail on how the System measures and reports community benefit. Community benefit for 2012 totaled $273 million up from $267 million in 2011. In addition to charity care and insufficient funding from the Medicaid program, the System incurs significant losses related to self-pay patients who fail to make payment for services rendered or insured patients who fail to remit co-payments and deductibles as required under applicable health insurance arrangements. The 2012 provision for bad debt of $55 million represents revenues for services provided that are deemed uncollectible. The UH health system provides work directly for about 18,400 employees and physicians. As the seventh largest employer in Ohio, UH supports the economy as well as state and local governments. UH employees pay more than $55.1 million annually in state and local income taxes. At the same time, UH provides many more Community benefits directly and indirectly through new or expanded business opportunities and through important capital investments in our facilities. UH has committed - and continues to commit - millions of dollars to facilities and operations within the city of Cleveland and throughout our region, providing construction and hospital-based jobs. State-of-the-art facilities and services at UH Case Medical Center, our world-renowned academic medical center in Cleveland, provide Cleveland residents and people from throughout the region and the world with the finest in primary and specialty health care. The facilities allow us to conduct vital medical research and offer advanced training for students and health professionals. The Quentin & Elisabeth Alexander Neonatal Intensive Care Unit at UH Rainbow Babies & Children's Hospital serves our most vulnerable children. The System's Seidman Cancer Center and emergency facilities at UH Case Medical Center and UH Ahuja Medical Center, continue to provide expanded employment opportunities while extending UH's mission to more patients. New state-of-the-art outpatient health centers in the region have spurred economic growth while giving people access to the care they need close to home and expanding our community benefit programs. The System is proud to contribute to the health of our citizens and to be a positive economic force in our region. For more detailed information on the System's community benefit or to view the 2012 Community Benefit Report, please visit the System's website at www.UHhospitals.org.

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 expenses1,771,154,000

Form 990 (2012)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A Click to see attachment

........................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment

...

Yes

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 I Click to see attachment

..........

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II Click to see attachment

........

Yes

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 Click to see attachment

............................

Did the organization maintain any donor advised funds or any similar funds or accounts for which 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

........................

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 II Click to see attachment

...

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

....................

Yes

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; 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

..............

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V Click to see attachment

......

Yes

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.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI. Click to see attachment

...................

11a

Yes

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

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

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

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

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 and XII Click to see attachment

.................

12a

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 and XII is optional Click to see attachment

12b

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....

14a

Did the organization maintain an office, employees, or agents outside of the United States?.....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........

14b

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 United States? If “Yes,” complete Schedule F, Parts II and IV

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 United States? If “Yes,” complete Schedule F, Parts III and IV...

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 I (see instructions).... Click to see attachment

Yes

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

Yes

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

20a

Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment

20a

Yes

If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments

20b

Yes

Form 990 (2012)

Page 4

Part IV

Checklist of Required Schedules (continued)

Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment

Yes

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

Did the organization answer “Yes” to Part VII, Section A, line 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

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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25................

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

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

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

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

Was a loan to or by a current or former officer, director, trustee, key employee, highest 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

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment

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 current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment

28a

Yes

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

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 direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment

28c

Yes

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M.. Click to see attachment

Yes

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

Yes

Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................

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

Yes

Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment

Yes

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

Yes

If ‘Yes’ to line 35a, 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

35b

Yes

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

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 VI Click to see attachment

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2012)

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

Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..

2,518

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

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 ..................

14,359

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)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....

Yes

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, securities account, or other financial account)?..........................

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.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............

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 as charitable contributions?...

If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................

Organizations that may receive deductible contributions under section 170(c).

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?....................

Yes

If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....

Yes

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................

If “Yes,” indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................

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?............

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?..........

Did the organization make a distribution to a donor, donor advisor, or related person?.......

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

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

If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..

14b

Form 990 (2012)

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

Enter the number of voting members of the governing body at the end of the tax year .....................

136

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent ...................

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? .................

Yes

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? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Yes

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Yes

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Yes

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .........................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

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.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Yes

Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If “No,” go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

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?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

Yes

If "Yes" to line 15a or 15b, 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

Yes

If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Yes

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

FL , IL , KY , MI , NY , OH , PA , WV , WI

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 made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBullet

MICHAEL SZUBSKI3605 WARRENSVILLE CENTER RDShaker HeightsOH44122 (216) 844-1000

Form 990 (2012)

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. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

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.

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.

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 organization compensated any current officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(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
(A) Name and Title
(1) UHHS - Monte Ahuja........................................................................ Director	2.0 .......................	X		0	0	0
(2) UHHS - Sheldon G Adelman........................................................................ Director	2.0 .......................	X		0	0	0
(3) UHHS - Arthur F Anton........................................................................ Director	2.0 .......................	X		0	0	0
(4) UHHS - Craig Arnold........................................................................ Director	2.0 .......................	X		0	0	0
(5) UHHS - Katherine A Asbeck........................................................................ Director	2.0 .......................	X		0	0	0
(6) UHHS - Andrew Banks........................................................................ Director	2.0 .......................	X		0	0	0
(7) UHHS - Paul Clark........................................................................ Director	2.0 .......................	X		0	0	0
(8) UHHS - Christopher M Connor........................................................................ Director	2.0 .......................	X		0	0	0
(9) UHHS - Margot J Copeland........................................................................ Director	2.0 .......................	X		0	0	0
(10) UHHS - David A Daberko........................................................................ Director	2.0 .......................	X		0	0	0
(11) UHHS - Achilles A Demetriou MD........................................................................ Pres., COO/Ex Off Dir. (thru 1	60.0 .......................	X	X	2,309,684	0	60,668
(12) UHHS - Heather Ettinger........................................................................ Director	2.0 .......................	X		0	0	0
(13) UHHS - Matthew P Figgie........................................................................ Director (thru 3/12)	2.0 .......................	X		0	0	0
(14) UHHS - Brian Hall........................................................................ Director	2.0 .......................	X		0	0	0
(15) UHHS - James Hambrick........................................................................ Vice Chair/Director (thru 5/12	2.0 .......................	X	X	0	0	0
(16) UHHS - Kenneth Hardy........................................................................ Director	2.0 .......................	X		0	0	0
(17) UHHS - M Ann Harlan........................................................................ Director	2.0 .......................	X		0	0	0

Form 990 (2012)

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 (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(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
(A) Name and Title
(18) UHHS - Ronald G Harrington........................................................................ Director	2.0 .......................	X					0	0	0
(19) UHHS - James O Judd........................................................................ Ex Off Dir. (thru 5/12)	2.0 .......................	X					0	0	0
(20) UHHS - Catherine M Kilbane........................................................................ Director	2.0 .......................	X					0	0	0
(21) UHHS - Timothy Kraus........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(22) UHHS - Joseph Lopez........................................................................ Director	2.0 .......................	X					0	0	0
(23) UHHS - Ramon Lugo III........................................................................ Director	2.0 .......................	X					0	0	0
(24) UHHS - Henry L Meyer III........................................................................ Director	2.0 .......................	X					0	0	0
(25) UHHS - Patrick Mullin........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(26) UHHS - Thomas G Murdough Jr........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(27) UHHS - Ernest Novak........................................................................ Director	2.0 .......................	X					0	0	0
(28) UHHS - David Ondrey........................................................................ Ex Off Dir. (thru 5/12)	2.0 .......................	X					0	0	0
(29) UHHS - Vasu Pandrangi MD........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(30) UHHS - Sandy Pianalto........................................................................ Vice Chair/Director	2.0 .......................	X	X				0	0	0
(31) UHHS - Mark Plush........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(32) UHHS - Richard W Pogue........................................................................ Director	2.0 .......................	X					0	0	0
(33) UHHS - Alfred M Rankin Jr........................................................................ Director	2.0 .......................	X					0	0	0
(34) UHHS - Willard Raymond........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(35) UHHS - Philip Ridolfi........................................................................ Ex Off Dir. (thru 5/12)	2.0 .......................	X					0	0	0
(36) UHHS - Gregory Robinson........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(37) UHHS - Fred C Rothstein MD........................................................................ Pres. UHCMC/Ex Off Dir.	60.0 .......................	X					1,841,673	0	67,715
(38) UHHS - Robert Salata MD........................................................................ UHMG Physician/Director	60.0 .......................	X					96,569	0	3,336
(39) UHHS - Thomas A Selden........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(40) UHHS - Jerry Sue Thornton PhD........................................................................ Director	2.0 .......................	X					0	0	0
(41) UHHS - Les C Vinney........................................................................ Director	2.0 .......................	X					0	0	0
(42) UHHS - Thomas F Zenty III........................................................................ CEO/Ex Off Dir.	60.0 .......................	X	X				4,126,251	0	371,341
(43) UHCMC - Joel Adelman........................................................................ Director	2.0 .......................	X					0	0	0
(44) UHCMC - Thomas W Adler........................................................................ Director	2.0 .......................	X					0	0	0
(45) UHCMC - Robert T Bennett........................................................................ Director	2.0 .......................	X					0	0	0
(46) UHCMC - David Camiener........................................................................ Director	2.0 .......................	X					0	0	0
(47) UHCMC - Paul H Carleton........................................................................ Co-Vice Chair/Director	2.0 .......................	X	X				0	0	0
(48) UHCMC - Carole A Carr........................................................................ Director	2.0 .......................	X					0	0	0
(49) UHCMC - Beth Curtiss........................................................................ Ex Off Dir. (thru 5/12)	2.0 .......................	X					0	0	0
(50) UHCMC - Pamela B Davis MD PhD........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(51) UHCMC - Ralph Della Ratta........................................................................ Director	2.0 .......................	X					0	0	0
(52) UHCMC - Achilles A Demetriou MD........................................................................ Ex Off Dir. (thru 12/12)	2.0 .......................	X					0	0	0
(53) UHCMC - Michael Feuer........................................................................ Director	2.0 .......................	X					0	0	0
(54) UHCMC - David Goldberg........................................................................ Director	2.0 .......................	X					0	0	0
(55) UHCMC - Robert D Gries........................................................................ Director	2.0 .......................	X					0	0	0
(56) UHCMC - Charles Halberg........................................................................ Director	2.0 .......................	X					0	0	0
(57) UHCMC - Gordon Harnett........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(58) UHCMC - Richard A Horvitz........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(59) UHCMC - Christopher Hyland........................................................................ Co-Vice Chair/Director	2.0 .......................	X	X				0	0	0
(60) UHCMC - Beth Kaufman........................................................................ Ex Off Dir./Non Voting (thru 5	2.0 .......................	X					0	0	0
(61) UHCMC - Jerry Kelsheimer........................................................................ Director	2.0 .......................	X					0	0	0
(62) UHCMC - Dinah Kolesar........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(63) UHCMC - Lee Koury........................................................................ Director	2.0 .......................	X					0	0	0
(64) UHCMC - Raymond K Lee........................................................................ Director	2.0 .......................	X					0	0	0
(65) UHCMC - Gene C Lovett........................................................................ Director	2.0 .......................	X					0	0	0
(66) UHCMC - Adrian Maldonado........................................................................ Director	2.0 .......................	X					0	0	0
(67) UHCMC - John C Morley........................................................................ Director	2.0 .......................	X					0	0	0
(68) UHCMC - Patrick S Mullin........................................................................ Chair/Director	2.0 .......................	X	X				0	0	0
(69) UHCMC - Ernest J Novak........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(70) UHCMC - William J O'Neill Jr........................................................................ Director	2.0 .......................	X					0	0	0
(71) UHCMC - Lydia B Oppmann........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(72) UHCMC - Alfred M Rankin Jr........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(73) UHCMC - Ann P Ranney........................................................................ Director	2.0 .......................	X					0	0	0
(74) UHCMC - Julie Adler Raskind........................................................................ Director	2.0 .......................	X					0	0	0
(75) UHCMC - Kenneth C Ricci........................................................................ Director	2.0 .......................	X					0	0	0
(76) UHCMC - Robert Risman........................................................................ Director	2.0 .......................	X					0	0	0
(77) UHCMC - Barbara S Robinson........................................................................ Director	2.0 .......................	X					0	0	0
(78) UHCMC - Fred C Rothstein MD........................................................................ Pres./Ex Off Dir.	2.0 .......................	X	X				0	0	0
(79) UHCMC - Warren Selman MD........................................................................ Physician/Director (thru 5/12)	60.0 .......................	X					961,433	0	40,164
(80) UHCMC - Mairan Shaughnessy........................................................................ Director	2.0 .......................	X					0	0	0
(81) UHCMC - Michael Siegal........................................................................ Director (thru 7/12)	2.0 .......................	X					0	0	0
(82) UHCMC - Gregory Skoda........................................................................ Director	2.0 .......................	X					0	0	0
(83) UHCMC - Hilton O Smith........................................................................ Director	2.0 .......................	X					0	0	0
(84) UHCMC - Eddie Taylor........................................................................ Director	2.0 .......................	X					0	0	0
(85) UHCMC - Kelly Tompkins........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(86) UHCMC - Richard Walsh MD........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(87) UHCMC - Penni Weinberg........................................................................ Director	2.0 .......................	X					0	0	0
(88) UHCMC - Lorna Wisham........................................................................ Director	2.0 .......................	X					0	0	0
(89) UHCMC - Jacqueline Woods........................................................................ Director	2.0 .......................	X					0	0	0
(90) UHCMC - Christine Wynd........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(91) UHCMC - Thomas F Zenty III........................................................................ Ex Off Dir.	2.0 .......................	X					0	0	0
(92) UHMG - Eric Bieber MD........................................................................ UH CMO/Director	60.0 .......................	X					735,157	0	143,561
(93) UHMG - Paul H Carleton........................................................................ Director	2.0 .......................	X					0	0	0
(94) UHMG - Pamela B Davis MD Phd........................................................................ Director	2.0 .......................	X					0	0	0
(95) UHMG - Achilles Demetriou MD........................................................................ Director (thru 12/12)	2.0 .......................	X					0	0	0
(96) UHMG - Michael Feuer........................................................................ Director	2.0 .......................	X					0	0	0
(97) UHMG - Charles Hallberg........................................................................ Director	2.0 .......................	X					0	0	0
(98) UHMG - Clifford V Harding MD........................................................................ Dept. Chair Pathology/Director	60.0 .......................	X					291,180	0	10,056
(99) UHMG - Gordon Harnett........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(100) UHMG - Robert Haynie MD........................................................................ Director	2.0 .......................	X					0	0	0
(101) UHMG - Elliott A Kellman........................................................................ Director	2.0 .......................	X					0	0	0
(102) UHMG - Michael Konstan MD........................................................................ Dept. Chair Pediatrics/Directo	60.0 .......................	X					360,158	0	24,344
(103) UHMG - Randall Marcus MD........................................................................ Dept. Chair Orthopaedics/Direc	60.0 .......................	X					685,948	0	39,241
(104) UHMG - Cliff Megerian MD........................................................................ Dept. Chair Otolaryngology/Dir	60.0 .......................	X					586,126	0	34,567
(105) UHMG - Howard Nearman MD........................................................................ Dept. Chair Anesthesia/Directo	60.0 .......................	X					425,882	0	36,398
(106) UHMG - Michael Nochomovitz MD........................................................................ Pres./Director	60.0 .......................	X	X				1,534,252	0	54,902
(107) UHMG - William O'Neill Jr........................................................................ Director	2.0 .......................	X					0	0	0
(108) UHMG - Jeffrey Ponsky MD........................................................................ Dept. Chair Surgery/Director	60.0 .......................	X					725,557	0	30,328
(109) UHMG - Robert Ronis........................................................................ Dept. Chair Psychiatry/Directo	60.0 .......................	X					225,231	0	12,179
(110) UHMG - Fred C Rothstein MD........................................................................ Chair/Director	2.0 .......................	X	X				0	0	0
(111) UHMG - Michael A Szubski........................................................................ Director	2.0 .......................	X					0	0	0
(112) UHMG - Richard A Walsh MD........................................................................ Dept. Chair Medicine/Director	60.0 .......................	X					479,156	0	30,025
(113) UHLSF - Ronald Dziedzicki BSN RN........................................................................ Secretary/Director	2.0 .......................	X	X				0	0	0
(114) UHLSF - Sonia Salvino........................................................................ Treasurer/Director	2.0 .......................	X	X				0	0	0
(115) UHLSF - Nancy Tinsley........................................................................ Director	2.0 .......................	X					276,601	0	66,974
(116) AMC - Sheldon G Adelman........................................................................ Vice Chair (thru 5/12)Director	2.0 .......................	X	X				0	0	0
(117) AMC - Julie Boland........................................................................ Sec. & Treas./Director	2.0 .......................	X	X				0	0	0
(118) AMC - Michael Drusinsky........................................................................ Director	2.0 .......................	X					0	0	0
(119) AMC - Robert Glick........................................................................ Director	2.0 .......................	X					0	0	0
(120) AMC - Richard Hanson........................................................................ Ex Officio Director	10.0 .......................	X					917,268	0	354,577
(121) AMC - John Morikis........................................................................ Vice Chair/Director	2.0 .......................	X	X				0	0	0
(122) AMC - Thomas Murdough........................................................................ Chair/Director	2.0 .......................	X	X				0	0	0
(123) AMC - Enid Rosenberg........................................................................ Director	2.0 .......................	X					0	0	0
(124) AMC - Reggie Rucker........................................................................ Director	2.0 .......................	X					0	0	0
(125) AMC - Neil Sethi........................................................................ Director	2.0 .......................	X					0	0	0
(126) AMC - Margaret Singerman........................................................................ Director	2.0 .......................	X					0	0	0
(127) AMC - John Sinnenberg........................................................................ Director	2.0 .......................	X					0	0	0
(128) AMC - Richard Stein........................................................................ Ex Officio Director	60.0 .......................	X					0	439,620	66,782
(129) UHREG - Samuel Ake........................................................................ Secretary/Director	2.0 .......................	X	X				0	0	0
(130) UHREG - Mary Jo Boehnlein........................................................................ Ex Officio Director	2.0 .......................	X					0	0	0
(131) UHREG - Mary Ann P Correnti........................................................................ Director	2.0 .......................	X					0	0	0
(132) UHREG - Laurie Delgado........................................................................ Pres./Ex Officio Director	60.0 .......................	X	X				443,719	0	106,906
(133) UHREG - Wendolyn Grant........................................................................ Director	2.0 .......................	X					0	0	0
(134) UHREG - Richard Hanson........................................................................ Ex Officio Director	10.0 .......................	X					0	0	0
(135) UHREG - George Hawwa MD........................................................................ Ex Officio Director (thru 5/12	60.0 .......................	X					53,750	0	0
(136) UHREG - James Hukill........................................................................ Treasurer/Director	2.0 .......................	X	X				0	0	0
(137) UHREG - David E Jerome........................................................................ Director	2.0 .......................	X					0	0	0
(138) UHREG - Judy Grieg........................................................................ Ex Officio Director	2.0 .......................	X					0	0	0
(139) UHREG - Patrick Lally........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(140) UHREG - Kathleen Malec........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(141) UHREG - Brock Milstein........................................................................ Director	2.0 .......................	X					0	0	0
(142) UHREG - Timothy Morgan........................................................................ Director	2.0 .......................	X					0	0	0
(143) UHREG - Stamy Paul........................................................................ Director	2.0 .......................	X					0	0	0
(144) UHREG - Mark Plush........................................................................ Co-Chair (thru 5/12)/Director	2.0 .......................	X	X				0	0	0
(145) UHREG - Philip Ridolfi........................................................................ Co-Chair (thru 5/12)/Director	2.0 .......................	X	X				0	0	0
(146) UHREG - Joseph Shawi MD........................................................................ Vice Chief of Staff/Director (	60.0 .......................	X					0	200,073	26,938
(147) CMC - Terry Atkinson........................................................................ Director	2.0 .......................	X					0	0	0
(148) CMC - Benjamin Bryant MD........................................................................ Ex Officio Director (thru 5/12	60.0 .......................	X					0	281,362	51,403
(149) CMC - Robert David........................................................................ Pres./Ex Officio Director	30.0 .......................	X	X				175,717	0	46,768
(150) CMC - Charles Deck........................................................................ Director	2.0 .......................	X					0	0	0
(151) CMC - Arpan Desai MD........................................................................ Director	2.0 .......................	X					0	481,139	28,814
(152) CMC - Gerald Eighmy........................................................................ Director	2.0 .......................	X					0	0	0
(153) CMC - Richard A Hanson........................................................................ Secretary & Treas. (thru 8/12)	10.0 .......................	X	X				0	0	0
(154) CMC - George Kolman........................................................................ Director	2.0 .......................	X					0	0	0
(155) CMC - Reverend Tim Kraus........................................................................ Chair/Director	2.0 .......................	X	X				0	0	0
(156) CMC - Lori McLaughlin........................................................................ Director	2.0 .......................	X					0	0	0
(157) CMC - Karen McNeil........................................................................ Ex Officio Director (thru 5/12	2.0 .......................	X					135,586	0	16,386
(158) CMC - Joseph A Moroski........................................................................ Director	2.0 .......................	X					0	0	0
(159) CMC - Carol Owens........................................................................ Director	2.0 .......................	X					0	0	0
(160) CMC - Mike Skufca DDS........................................................................ Director	2.0 .......................	X					0	0	0
(161) CMC - James Supplee........................................................................ Director	2.0 .......................	X					0	0	0
(162) ECC - Richard Hanson........................................................................ Chair/Ex Officio Director	2.0 .......................	X	X				0	0	0
(163) ECC - Susan V Juris........................................................................ Pres./Ex Officio Director	2.0 .......................	X	X				0	0	0
(164) ECC - Rebecca Ivcic........................................................................ Finance Director/Director	2.0 .......................	X					151,461	0	46,006
(165) GMC - Natalina Andreani MD........................................................................ Ex Officio Director (thru 5/12	60.0 .......................	X					10,500	20,160	0
(166) GMC - Thomas Benda........................................................................ Director	2.0 .......................	X					0	0	0
(167) GMC - Rose Dotson MD........................................................................ Ex Officio Director (thru 11/1	60.0 .......................	X					0	285,442	12,033
(168) GMC - John Fitts........................................................................ Treasurer/Director	2.0 .......................	X	X				0	0	0
(169) GMC - Robert A Forino........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(170) GMC - Davina Gosnell PhD Ex Off D........................................................................ Ex Officio Director	2.0 .......................	X					0	0	0
(171) GMC - Richard Hanson Ex Off Dir........................................................................ Ex Officio Director	10.0 .......................	X					0	0	0
(172) GMC - B Paige Hoiser........................................................................ Director	2.0 .......................	X					0	0	0
(173) GMC - M Steven Jones Ex Off Dir........................................................................ Pres./Ex Officio Director	60.0 .......................	X	X				429,700	0	103,115
(174) GMC - P James Kamer Jr........................................................................ Vice Chair/Director	2.0 .......................	X	X				0	0	0
(175) GMC - Edith Lerner PhD........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(176) GMC - Jack Male........................................................................ Director	2.0 .......................	X					0	0	0
(177) GMC - Darrell McNair........................................................................ Secretary/Director	2.0 .......................	X	X				0	0	0
(178) GMC - Denise Miller........................................................................ Director	2.0 .......................	X					0	0	0
(179) GMC - Pete C Miller........................................................................ Director	2.0 .......................	X					0	0	0
(180) GMC - David M Ondrey........................................................................ Director	2.0 .......................	X					0	0	0
(181) GMC - James F Patterson........................................................................ Director	30.0 .......................	X					0	0	0
(182) GMC - Gregory Robinson........................................................................ Chair/Director	2.0 .......................	X	X				0	0	0
(183) GMC - George W Tim Taylor........................................................................ Director	2.0 .......................	X					0	0	0
(184) UHGMC - James Crawford........................................................................ Director	2.0 .......................	X					0	0	0
(185) UHGMC - Richard L Dana Jr........................................................................ Director	2.0 .......................	X					0	0	0
(186) UHGMC - Robert David........................................................................ Pres./Ex Officio Director	30.0 .......................	X	X				175,716	0	46,766
(187) UHGMC - Raimantas Drublionis MD........................................................................ Ex Officio Director	60.0 .......................	X					0	289,134	1,659
(188) UHGMC - Morgan R Griffiths Jr........................................................................ Director	2.0 .......................	X					0	0	0
(189) UHGMC - Richard Hanson........................................................................ Sec. & Treas. (thru 8/12)/Ex O	10.0 .......................	X	X				0	0	0
(190) UHGMC - Syed Hussaini MD........................................................................ Ex Officio Director (thru 5/12	2.0 .......................	X					0	0	0
(191) UHGMC - Cathy Knorzer........................................................................ Ex Officio Director (thru 1/12	2.0 .......................	X					0	0	0
(192) UHGMC - Jeffrey Lampson........................................................................ Director (thru 5/12)	2.0 .......................	X					0	0	0
(193) UHGMC - Craig Parker........................................................................ Director	2.0 .......................	X					0	0	0
(194) UHGMC - Gary L Pasqualone........................................................................ Director	2.0 .......................	X					0	0	0
(195) UHGMC - Willard Raymond........................................................................ Chair/Director	2.0 .......................	X	X				0	0	0
(196) UHGMC - Robert Taylor........................................................................ Director	2.0 .......................	X					0	0	0
(197) HCS - Achilles A Demetriou MD........................................................................ VP (thru 12/12)/Director	2.0 .......................	X	X				0	0	0
(198) HCS - Keith Maitland........................................................................ Pres./Director	60.0 .......................	X	X				456,382	0	66,111
(199) HCS - Richard A Hanson........................................................................ VP/Director	10.0 .......................	X	X				0	0	0
(200) UMI - Phyllis Hall........................................................................ Secretary/Director	2.0 .......................	X	X				0	0	0
(201) UMI - Michael Nochomovitz MD........................................................................ Pres./Director	2.0 .......................	X	X				0	0	0
(202) UMI - Michael Szubski........................................................................ Treas./Director	2.0 .......................	X	X				0	0	0
(203) UHHS - William L Annable MD........................................................................ Chief Quality Off.	60.0 .......................		X				551,780	0	21,767
(204) UHHS - Elliot A Kellman........................................................................ Chief HRO	60.0 .......................		X				1,083,333	0	62,840
(205) UHHS - Janet L Miller Esq........................................................................ Secretary, CLO	60.0 .......................		X				814,833	0	359,460
(206) UHHS - Steven D Standley........................................................................ Chief Admin. Off.	60.0 .......................		X				1,328,732	0	55,479
(207) UHHS - Michael A Szubski........................................................................ Treasurer, CFO	60.0 .......................		X				1,063,405	0	496,877
(208) UHCMC - Michael Anderson MD........................................................................ Chief Medical Off.	60.0 .......................		X				444,314	0	104,208
(209) UHCMC - Patricia DePompei........................................................................ Pres. RB&C/Macdonald	60.0 .......................		X				345,699	0	64,315
(210) UHCMC - Ronald E Dziedzicki BSN........................................................................ Chief Support Serv. Off.	60.0 .......................		X				395,386	0	105,834
(211) UHCMC - Michael J Farrell........................................................................ Pres. RB&C/Macdonald (thru 4/1	60.0 .......................		X				322,264	0	89,021
(212) UHCMC - Catherine S Koppelman RN........................................................................ Chief Nursing Off.	60.0 .......................		X				731,919	0	72,391
(213) UHCMC - Nathan Levitan MD........................................................................ Pres. Seidman Cancer Ctr.	60.0 .......................		X				834,982	0	60,521
(214) UHCMC - Janet L Miller Esq........................................................................ Secretary, Chief Legal Off.	2.0 .......................		X				0	0	0
(215) UHCMC - Sonia Salvino........................................................................ Treasurer/VP Finance	60.0 .......................		X				303,118	0	79,184
(216) UHMG - Harlin G Adelman........................................................................ Assistant Secretary	2.0 .......................		X				419,731	0	104,930
(217) UHMG - Phyllis Hall........................................................................ VP & Treasurer	60.0 .......................		X				450,605	0	112,641
(218) UHMG - Janet L Miller Esq........................................................................ Secretary	2.0 .......................		X				0	0	0
(219) UHLSF - Don M Landek........................................................................ President	60.0 .......................		X				191,686	0	48,396
(220) AMC - Susan V Juris........................................................................ Pres./Ex Officio Director	60.0 .......................		X				627,693	0	51,133
(221) HCS - Howard Lutz........................................................................ Sec. & Treas.	60.0 .......................		X				88,909	0	14,866
(222) UHHS Sherri Bishop........................................................................ Chief Development Off.	60.0 .......................			X			607,871	0	327,474
(223) UHHS - Peter S Brumleve........................................................................ Chief Marketing Off.	60.0 .......................			X			299,497	0	33,158
(224) UHHCS - Kevin P Cunningham........................................................................ Pharmacy Director	60.0 .......................			X			153,816	0	24,309
(225) UHHS - John V Foley........................................................................ Chief Information Off.	60.0 .......................			X			296,121	0	28,897
(226) GMC - Jason E Glowczewski........................................................................ Pharmacy Director	60.0 .......................			X			156,570	0	38,233
(227) AMC - Alan Hirsch MD........................................................................ CMO, Ahuja	60.0 .......................			X			340,177	0	53,472
(228) UHCMC - Carl Lufter........................................................................ Pharmacy Director	60.0 .......................			X			191,977	0	30,833
(229) UHHS - Donnie Perkins........................................................................ VP Inclusion & Diversity	60.0 .......................			X			278,944	0	2,802
(230) UHHS - Paul G Tait........................................................................ Chief Strategic Planning Off.	60.0 .......................			X			642,046	0	319,748
(231) UHHS - Cheryl Wahl........................................................................ Chief Compliance Officer	60.0 .......................			X			307,592	0	67,143
(232) UHHS - William A Young........................................................................ President SJMC	60.0 .......................			X			343,876	0	67,477
(233) UHHS - Cliff J Coker........................................................................ Pres. of JV (thru 1/1/12)	.......................			X			142,274	0	97,512
(234) UHMG - Bahman Guyuron MD........................................................................ Surgeon, Plastic Surgery	60.0 .......................				X		1,247,217	0	41,816
(235) UHMG - Nicholas U Ahn MD........................................................................ Orthopaedic Surgeon	60.0 .......................				X		1,065,826	0	34,201
(236) UHMG - Jason D Eubanks........................................................................ Orthopaedic Surgeon	60.0 .......................				X		1,027,648	0	22,997
(237) UHMG - Kord S Honda........................................................................ Dermatopathology	60.0 .......................				X		1,002,147	0	43,791
(238) UHMG - Matthew Kraay........................................................................ Orthopaedic Surgeon	60.0 .......................				X		843,233	0	46,604
(239) UHLSF - Michael R Vehovec........................................................................ Fmr. Officer	.......................					X	335,777	0	74,148

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	37,891,655	1,996,930	5,258,541

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

913

Yes

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 ..............

Yes

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...........................

Yes

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 ........

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation
Macquarie Equipment Finance LLC, GPO Drawer 67-865DETROITMI48267	Leasing	6,817,811
Microsoft Licensing GP, PO Box 842467DALLASTX752842467	Software	2,565,677
National Marrow Donor Program, NW 8428 PO Box 1450MINNEAPOLISMN554858428	Donor Matching	2,151,496
Deloitte Consulting LLP, 4638 Collections Center DrCHICAGOIL60693	Consulting	1,671,972
Advizex Tech LLC, 4019 Solutions CenterCHICAGOIL606774000	IT	1,523,483
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 77

Form 990 (2012)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response to any question in this Part VIII ..............

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		503,000
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		89,337,000

g	Noncash contributions included in lines 1a-1f:$		3,928,000
h	Total. Add lines 1a-1f.......			89,840,000
			Business Code
2a	NET PATIENT SERVICE REVENUE LESS BAD DEBTS		900099	1,900,068,000	1,899,743,000	325,000
b	SPONSORED REVENUES		900099	41,934,000	41,934,000
c	UHMG RESIDENT TEACHING REVENUE		900099	18,450,000	18,450,000
d	UHMG OTHER CLINICAL REVENUE		900099	16,074,000	16,074,000
e	UHMG MEDICAL DIRECTOR REVENUE		900099	13,772,000	13,772,000
f	All other program service revenue .			24,731,000	24,731,000
g	Total. Add lines 2a–2f........			2,015,029,000
3	Investment income (including dividends, interest, and other similar amounts).......			40,000			40,000
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........			0
8a	Gross income from fundraising events (not including $ 503,000 of contributions reported on line 1c). See Part IV, line 18 ..
	a		142,000
b	Less: direct expenses ...b		219,000
c	Net income or (loss) from fundraising events..			-77,000			-77,000
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...			0
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..			0
Miscellaneous Revenue			Business Code
11a	OTHER MISCELLANEOUS REVENUES		900099	62,837,000	62,618,000	219,000
b	PARKING SERVICES		900099	6,679,000			6,679,000
c	CALL CENTER		900099	1,712,000			1,712,000
d	All other revenue ....
e	Total. Add lines 11a–11d ......			71,228,000
12	Total revenue. See Instructions......			2,176,060,000	2,077,322,000	544,000	8,354,000

Form 990 (2012)

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).Check if Schedule O contains a response to any question in this Part IX ...............

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 United States. See Part IV, line 21	31,771,000	31,771,000
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	5,165,000		5,165,000
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	3,621,000	3,621,000
7	Other salaries and wages	798,785,000	793,066,000		5,719,000
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	49,786,000	49,786,000
9	Other employee benefits .......	90,198,000	88,730,000		1,468,000
10	Payroll taxes ...........	50,037,000	50,037,000
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	62,000	62,000
c	Accounting ...........	372,000	372,000
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	306,000			306,000
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	314,245,000	163,828,000	150,139,000	278,000
12	Advertising and promotion ....	2,130,000	1,517,000		613,000
13	Office expenses .......	333,470,000	332,199,000		1,271,000
14	Information technology ......	1,266,000	1,223,000		43,000
15	Royalties ..	0
16	Occupancy ...........	98,417,000	98,140,000		277,000
17	Travel ............	7,093,000	6,899,000		194,000
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	5,246,000	5,246,000
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	71,266,000	71,266,000
23	Insurance ..............	33,156,000	33,156,000
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	OTHER TAXES	22,277,000	22,277,000
b	RECRUITMENT	2,518,000	2,518,000
c	ADMINISTRATIVE SERVICES	3,531,000	3,531,000
d	DUES AND MEMBERSHIPS	120,000	120,000
e	All other expenses	12,593,000	11,789,000		804,000
25	Total functional expenses. Add lines 1 through 24e	1,937,431,000	1,771,154,000	155,304,000	10,973,000
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Form 990 (2012)

Page 11


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			0	1	0
2	Savings and temporary cash investments .........			8,457,000	2	33,341,000
3	Pledges and grants receivable, net ...........			77,594,000	3	126,944,000
4	Accounts receivable, net .............			291,159,000	4	318,886,000
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			423,000	7	396,000
8	Inventories for sale or use ..............			28,223,000	8	31,652,000
9	Prepaid expenses and deferred charges ..........			3,151,000	9	3,266,000
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,926,395,000
b	Less: accumulated depreciation .....	10b	1,013,381,000	943,082,000	10c	913,014,000
11	Investments—publicly traded securities ..........			0	11	3,271,000
12	Investments—other securities. See Part IV, line 11 .....			72,010,000	12	56,416,000
13	Investments—program-related. See Part IV, line 11 .....			4,839,000	13	5,631,000
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			79,401,000	15	40,874,000
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,508,339,000	16	1,533,691,000
17	Accounts payable and accrued expenses .........			83,322,000	17	100,595,000
18	Grants payable .................			0	18	0
19	Deferred revenue ................			14,601,000	19	6,677,000
20	Tax-exempt bond liabilities .............			42,960,000	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			95,134,000	25	106,996,000
26	Total liabilities. Add lines 17 through 25.........			236,017,000	26	214,268,000
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,066,580,000	27	1,080,947,000
28	Temporarily restricted net assets ...........			189,763,000	28	220,386,000
29	Permanently restricted net assets ...........			15,979,000	29	18,090,000
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			1,272,322,000	33	1,319,423,000
34	Total liabilities and net assets/fund balances ........			1,508,339,000	34	1,533,691,000

Form 990 (2012)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response to any question in this Part XI ...............

Total revenue (must equal Part VIII, column (A), line 12) ............

2,176,060,000

Total expenses (must equal Part IX, column (A), line 25) ............

1,937,431,000

Revenue less expenses. Subtract line 2 from line 1 ..............

238,629,000

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..

1,272,322,000

Net unrealized gains (losses) on investments ...............

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

-191,528,000

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))

1,319,423,000

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response to any question in this Part XII ..............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If “Yes,” to line 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?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

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?

Yes

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

Yes

Form 990 (2012)

Form 990, Special Condition Description:

Special Condition Description

Additional Data

Software ID:
Software Version:

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of 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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation
Public charity classification of each Group Member is shown below: University Hospitals Cleveland Medical Center (UHCMC) - 34-1567805 dba University Hospitals Case Medical Center 170(b)(1)(A)(iii) 11100 Euclid Ave Cleveland, OH 44106 University Hospitals Bedford Medical Center (BMC) - 34-1271115 170(b)(1)(A)(iii) 44 Blaine Avenue Bedford, OH 44146 University Hospitals Conneaut Medical Center (CMC) - 34-0714550 170(b)(1)(A)(iii) 158 West Main Road Conneaut, OH 44030 BMH Professional Corporation (BMHPC) - 34-1749966 509(a)(3) 158 West Main Road Conneaut, OH 44030 Part I Line 11h (i) Name of supported organization: University Hospitals Conneaut Medical Center (ii) EIN of supported organization: 34-0714550 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0 University Hospitals Geauga Medical Center (GMC) - 34-0816492 170(b)(1)(A)(iii) 13207 Ravenna Road Chardon, OH 44024 University Hospitals Geneva Medical Center (UHGMC) - 34-0714461 170(b)(1)(A)(iii) 870 West Main Street Geneva, OH 44041 University Hospitals Ahuja Medical Center - 26-4827222 170(b)(1)(A)(iii) 3999 Richmond Road Beachwood, OH 44122 UHHS Heather Hill Inc. (HHI)- 34-0771884 170(b)(1)(A)(vi) 12340 Bass Lake Road Chardon, OH 44024 UHHS - Heather Hill Rehabilitation Hospital Inc. (UHECC) - 34-1465745 dba University Hospitals Extended Care Campus 170(b)(1)(A)(iii) 12340 Bass Lake Road Chardon, OH 44024 UH Regional Hospitals - 34-1924226 170(b)(1)(A)(iii) 27100 Chardon Road Richmond Hts, OH 44143 University Mednet (UMI) - 34-0750341 170(b)(1)(A)(iii) 23001 Euclid Avenue Cleveland, OH 44117 University Hospitals Home Care Services, Inc. (HCS) - 34-1527536 509(a)(3) 4901 Galaxy Parkway Warrensville Hts, OH 44128 Part I Line 11h (i) Name of supported organization: University Hospitals Cleveland Medical Center (ii) EIN of supported organization: 34-1567805 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $30,730,000 University Hospitals Laboratory Services Foundation (UHLSF) - 34-1720429 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Part I Line 11h (i) Name of supported organization: University Hospitals Cleveland Medical Center (ii) EIN of supported organization: 34-1567805 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $25,657,000 University Hospitals Medical Group, Inc. (UHMG) - 20-4881619 170(b)(1)(A)(iii) 11100 Euclid Avenue Cleveland, OH 44106 University NPI Inc. - 34-1571623 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Part I Line 11h (i) Name of supported organization: University Hospitals Cleveland Medical Center (ii) EIN of supported organization: 34-1567805 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0 Memorial Hospital Health Foundation - 34-1810018 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Part I Line 11h (i) Name of supported organization: University Hospitals Geneva Medical Center (ii) EIN of supported organization: 34-0714461 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0 University Hospitals Accountable Care Organization Inc. - 27-3970270 170(b)(1)(A)(iii) 3605 Warrensville Center Rd. - MSC 9155 Shaker Heights, OH 44122 University Hospitals Coordinated Care Organization - 90-0794903 509(a)(3) 3605 Warrensville Center Rd. - MSC 9155 Shaker Heights, OH 44122 Part I Line 11h (i) Name of supported organization: University Hospitals Accountable Care Organization (ii) EIN of supported organization: 27-3970270 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0 University Hospitals Rainbow Care Connection Inc. - 46-1074672 509(a)(3) 3605 Warrensville Center Rd. - MSC 9155 Shaker Heights, OH 44122 Part I Line 11h (i) Name of supported organization: University Hospitals Accountable Care Organization (ii) EIN of supported organization: 27-3970270 (iii) Type of org. (described on lines 1-9 above or IRC section): 170(B)(1)(A)(III) (iv) Is the supported org. listed in your governing documents?: Yes (v) Did you notify the supported org. of your support?: Yes (vi) Is the supported org. organized in the US?: Yes (vii) Amount of monetary support: $0

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the 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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization University Hospitals Health System Inc Group Return

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization University Hospitals Health System Inc Group Return

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

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
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose 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

(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

(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

(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) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

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 35c (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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). Click to see attachment

B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

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) ......	4,108	6,683
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	171,280	285,833
c	Total lobbying expenditures (add lines 1a and 1b) ...................	175,388	292,516
d	Other exempt purpose expenditures ........................	1,141,064,612	2,246,189,484
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	1,141,240,000	2,246,482,000
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-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -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? ......................................		Yes No

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable 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	384,605	357,890	278,602	175,388	1,196,485

d	Grassroots nontaxable 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	10,111	7,514	6,426	4,108	28,159

Schedule C (Form 990 or 990-EZ) 2012

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)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

23,629

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

85,764

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

19,816

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Form 990, Schedule C, Part II-B		Software limitiation would not allow completion of Part II-B. It is presented below. 1a - No. 1b - Yes. 1c - No. 1d - Yes. $23,629 1e - No. 1f - Yes. $85,764 1g - Yes. $19,816 1h - No. 1i - No. 1j - $129,209 2a - No.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

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 ........

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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

$ 70,000

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

$ 1,125,000

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 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	118,803,000	107,300,000	103,637,000	95,272,000	91,339,000
b	Contributions ........	5,064,000	11,503,000	3,508,000	6,956,000	10,854,000
c	Net investment earnings, gains, and losses	3,938,000	4,198,000	1,680,000	4,047,000	-4,675,000
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	3,938,000	4,198,000	1,680,000	2,638,000	2,246,000
f	Administrative expenses ....
g	End of year balance ......	123,867,000	118,803,000	107,145,000	103,637,000	95,272,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

14.250 %

Permanent endowment SchDMd Bullet

85.750 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	26,031,000		26,031,000
b	Buildings ................	1,216,737,000	514,998,000	701,739,000
c	Leasehold improvements ............	19,468,000	7,414,000	12,054,000
d	Equipment ................	625,306,000	471,390,000	153,916,000
e	Other .................	38,853,000	19,579,000	19,274,000
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				913,014,000

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther 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
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram 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) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
RESEARCH INST OPTION LIABILITY		34,613,000
DUE TO THIRD PARTIES		21,205,000
INTEREST PAYABLE		110,000
OTHER CURRENT LIABILITIES		25,115,000
OTHER LIABILITIES		25,953,000




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		106,996,000
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI 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 XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII 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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Form 990, Schedule D, Part III, Line 4		The UH art collection includes approximately 2,000 original works of art, many donated over the years. Artwork includes paintings, photos, sculptures and the like. The UH art collection has been established to encourage reflection, and to delight, uplift and comfort our patients, visitors, and employees.
Form 990, Schedule D, Part V, Line 4		The intended use of the organization's endowment funds varies depending on donor stipulations. All spending of endowment earnings are done so in accordance with donor intent and applicable law. Endowments are held on the books of the Parent organization of the Group members. Spending allocations are made to the proper UH entity by the Parent to comply with donor wishes.
Form 990, Schedule D, Part X, Line 2		The System and most of its subsidiaries, including UHCMC, are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (Code) and are exempt from federal income tax pursuant to Section 501(a) of the Code. The System also has certain subsidiaries that are taxable for federal income tax purposes.

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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. Form 990-EZ filers are not required to complete this part. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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.

(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
	Pursuant Group 5151 Belt Line Road Dallas, TX75254	Prof. Fundr		No	198,596	231,108	-32,512
	Summit Business Development 2351 ARLINTON RD STE D Akron, OH44139	Telephone		No	64,578	74,875	-10,297








Total .................					263,174	305,983	-42,809

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, WV, WI

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2012

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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Golf Outing (event type)	(b) Event #2 Gala (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	269,254	128,315	247,675	645,244
2	Less: Contributions . .	200,284	103,350	199,550	503,184
3	Gross income (line 1 minus line 2) . . .	68,970	24,965	48,125	142,060
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .
7	Food and beverages .	129,919	16,481	46,922	193,322
8	Entertainment . . .
9	Other direct expenses .	1,345	5,255	18,678	25,278
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				218,600
11	Net income summary. Combine line 3, column (d), and line 10. ..........				-76,540

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2012

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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

Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2012

Open to Public Inspection

Name of the organization

University Hospitals Health System Inc
Group Return

Employer identification number

90-0059117

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	53,236,653		53,236,653	2.750 %
b	Medicaid (from Worksheet 3, column a) ....	434,471,309	357,011,070	77,460,239	4.000 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	487,707,962	357,011,070	130,696,892	6.750 %
Other Benefits		7,251,655		7,251,655	0.370 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	7,251,655		7,251,655	0.370 %
f	Health professions education (from Worksheet 5) ..	71,546,837	21,346,428	50,200,409	2.590 %
g	Subsidized health services (from Worksheet 6) ..	17,940,137	13,882,799	4,057,338	0.210 %
h	Research (from Worksheet 7)	49,385,925		49,385,925	2.550 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	31,518,554		31,518,554	1.630 %
j	Total. Other Benefits ..	177,643,108	35,229,227	142,413,881	7.350 %
k	Total. Add lines 7d and 7j .	665,351,070	392,240,297	273,110,773	14.100 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(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	33,319	33,319	0 %
10	Total	33,319	33,319	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

47,551,000

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

325,127,862

Enter Medicare allowable costs of care relating to payments on line 5.....

363,554,016

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-38,426,154

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?7 Name, address, and primary website address									Other (Describe)	Facility reporting group
1	UH Case Medical Center 11100 Euclid Avenue Cleveland,OH44106	X	X		X		X	X	IP Psych./IP Rehab./ Skilled Nursing	A
2	UH Rainbow Babies & Children's Hospit 11100 Euclid Avenue Cleveland,OH44106	X	X	X	X		X	X		A
3	UH Geauga Medical Center 13207 Ravenna Road Chardon,OH44024	X	X					X	IP Psychiatric Unit	A
4	UH Ahuja Medical Center 3999 Richmond Road Beachwood,OH44122	X	X					X		A
5	UH Regional Hospitals 27100 Chardon Road Richmond Heights,OH44143	X	X		X			X		A
6	UH Geneva Medical Center 870 West Main Street Geneva,OH44041	X				X		X		A
7	UH Conneaut Medical Center 158 West Main Road Conneaut,OH44030	X				X		X		A

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 250.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?31
Name and address		Type of Facility (describe)
1	UH Chagrin Highlands Medical Center 3909 Orange Place Orange Village,OH44122	Outpatient Health Center
2	UH Westlake Health Center Bldg A 960 Clague Road Westlake,OH44145	Outpatient Health & Surg. Ctr
3	UH Landerbrook Health Center 5885 Landerbrook Drive Mayfield Heights,OH44124	Outpatient Health Center
4	UH Twinsburg Health Center 8819 Commons Blvd Suite 100 Twinsburg,OH44087	Outpatient Health Center
5	UH Mentor Health Center 9000 Mentor Avenue Mentor,OH44060	Outpatient Health & Surg. Ctr
6	UH Concord Health Center 7500 Auburn Road PainsvilleConcord JED,OH44077	Outpatient Health Center
7	UH Ahuja Med Office Bldg 1000 Auburn Dr Beachwood,OH44122	Outpatient Health Center
8	UH Sharon Health Center 5133 Ridge Rd Wadsworth,OH44281	Outpatient Health Center
9	UH Adult Sleep Lab Center 3628 Park East Dr Beachwood,OH44122	Outpatient Health Center
10	UH Medina Health Center 4001 Carrick Dr Medina,OH44256	Outpatient Health Center
11	UH Health Center Landerbrook 5850 Landerbrook Drive Mayfield Heights,OH44124	Outpatient Health Center
12	UH Euclid Health Center 18599 Lake Shore Blvd Euclid,OH44119	Outpatient Health Center
13	UH St John Westshore MOB 29000 Center Ridge Road Westlake,OH44145	Outpatient Health Center
14	UH Lyndhurst Surgery Center 29017 Cedar Road Lyndhurst,OH44124	Outpatient Health Center
15	UH Physical Therapy Office 4480 Richmond Road Warrensville Heights,OH44122	Outpatient Rehab. Center
16	UH Mayfield Village Health Center 730 SOM Center Road Suite 110 Mayfield Village,OH44143	Outpatient Health Center
17	UH Madison Health Center 701 North Lake Street Madison,OH44057	Outpatient Health Center
18	UH Hudson Health Center 5778 Darrow Road Hudson,OH44236	Outpatient Health Center
19	UH University Suburban Health Center 1611 South Green Road South Euclid,OH44121	Outpatient Health Center
20	UH St John Med Center Womens Health Ct 29325 Health Campus Drive Suite 1 Westlake,OH44145	Outpatient Health Center
21	UH Cedars on the Green Peds Rehab Ctr 2054 So Green Road South Euclid,OH44141	Outpatient Rehab. Center
22	UH Otis Moss Health Center 8819 Quincy Avenue Cleveland,OH44106	Outpatient Health Center
23	UH Crocker Corp Ctr 2055 Crocker Road Westlake,OH44145	Outpatient Health Center
24	UH Ashtabula Health Center 2131 Lake Avenue Ashtabula,OH44004	Outpatient Health Center
25	UH Bedford Medical Office Center 50 Blaine Avenue Bedford,OH44146	Outpatient Health Center
26	UH Park East 3619 Park East Drive Beachwood,OH44122	Outpatient Health Center
27	UH Westlake Health Center Bldg B 950 Clague Road Westlake,OH44145	Outpatient Health Center
28	UH Aurora Health Center 55 North Chillicothe Road Aurora,OH44202	Outpatient Health Center
29	UH Bainbridge Health Center 8185 East Washington Street Bainbridge,OH44023	Outpatient Health Center
30	UH Chesterland Medical Center 8055 Mayfield Rd Chesterland,OH44026	Outpatient Health Center
31	UH Park West Surgical Center 1 Park West Blvd Akron,OH44320	Outpatient Health Center

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
Part I, Line 3c		The amount of financial assistance discount granted by UH in 2012 was based on the following guidelines: Patients must be uninsured, provide financial information to qualify them for financial assistance, if applicable, agree to allow UH to apply for third-party coverage, and financial assistance discounts were based on amounts generally billed. If it is determined that any patient, including an uninsured charity patient, is unable to pay any account balances owed, the patient shall be determined to be medically indigent. Medically indigent patient balances shall be fully discounted and designated as financial assistance. UH participates in Ohio's Hospital Care Assurance Program (HCAP). Through HCAP, UH provides basic, medically necessary hospital-level services free of charge to Ohio residents whose income is below the poverty level (below 100 percent of the FPG). Patients who meet that income criterion must fill out and sign an application for HCAP.
Part I, Line 6a		The Parent organization, University Hospitals (34-0714775), prepares an Annual Community Benefit Report that encompasses all of University Hospitals Health System including the subordinate organizations completing Schedule H.
Part I, Line 7		Amounts calculated and reported in this table were derived from the most accurate, available sources. A cost-to-charge ratio was used to determine Financial Assistance cost using hospital financial statements. Medicaid shortfall for group subordinates was calculated; 1) based on the tax year's Medicaid cost report adjusted to reflect full costs to direct offsetting revenue from the Medicaid cost report, or 2) based on a cost-to-charge ratio and Medicaid revenues derived using financial statements. Included in this Medicaid shortfall is the Ohio State Children's Health Insurance Program (SCHIP) shortfall. Community health improvement and community benefit operations costs have been reported based on actual direct costs using actual or average employee compensation rates and adding indirect costs which are calculated by a cost accounting system as a percentage of total cost. The Medicare Cost Report, adjusted to reflect full costs, was used to determine gross community benefit expense amounts for Health Professions Education; direct offsetting revenues are included from Medicare, Children's Hospitals Graduate Medical Education, and Medicaid for direct medical education. Research amounts were also based on the Medicare Cost Report, adjusted to reflect full costs, using costs assigned to Research cost centers, less industry-sponsored research direct and indirect costs. The expense of restricted cash contributions is reported based on the actual value of the contribution before indirect cost; restricted in-kind contributions are reported at fair market value. In calculating gross and net community benefit expenses, care was taken to avoid double-counting community benefit expenses.
Part I, Line 7g		Line 7g includes the costs and direct offsetting revenue associated with certain physician clinics that qualify to be reported as a subsidized health service. The total amount of gross community benefit expense included in line 7g for these clinics is: $17,940,137. The total amount of associated direct offsetting revenue is $13,882,799. The total amount of net community benefit expense included in line 7g is $4,057,338.
Part II		Although difficult to measure and not reported numerically, UH benefits the community through important community building activities that ultimately promote improved health and well-being for the surrounding population. Guided by our community health needs assessments and community hospital boards of directors, UH continues to meet community needs through economic development opportunities, local, regional and national disaster preparedness efforts, advocacy and coalition building, among others.
Part III, Line 4		The hospitals financial statements are used to determine the bad debt expense as reported on line 2. Text to Audited Financial Statement Footnote - Provision for Bad Debt; In addition to charity care and insufficient funding from the Medicaid program, there are significant losses related to self-pay patients who fail to make payment for services rendered or insured patients who fail to remit co-payments and deductibles as required under applicable health insurance arrangements. The provision for bad debts represents revenues for services provided that are deemed to be uncollectible. Provision for bad debts totaled $54,983,000 and $57,304,000 for the years ended December 31, 2012 and 2011, respectively. End text to footnote. The bad debt expense disclosed on the Audited Financial Statements includes amounts for entities (for profits) that are not included in this return.
Part III, Line 8		Costs were derived using the Medicare Cost Report. As a safety-net to the community, UH hospitals provided services to many low-income Medicare recipients. The Medicare losses sustained at these hospitals are a result of Medicare reimbursing at less than operating costs. IRS Rev. Rul. 69-545, which established the community benefit standard for hospitals, provides that if a hospital serves patients covered by governmental health benefits (including Medicare), then this indicates the hospital operates to promote the health of the community. In turn, treating Medicare patients is considered a community benefit.
Part III, Line 9b		University Hospitals utilizes a single process to bill and collect for all patient payment portions of claims. All self-pay account balances are treated the same way regardless of whether the patient is insured or uninsured.
Part V, Section B, Line 12h		Another factor used in determining amounts charged to UH patients include residency criteria. To qualify for Financial Assistance at a UH facility a patient must be a resident of Northeast Ohio (UH's service area comprises an eight county region) or be a patient in a UH hospital facility's primary and secondary service area seeking treatment at one of UH's wholly-owned and operated hospital facilities that provide patient care.
Part V, Section B, Line 14g		UH provides a summary of its Financial Assistance Policy rather than the entire detailed policy. The summary makes it easier for our patients to read and understand. This summary is publicized through the UH website, on all patient statements and bills, in areas of hospital registration and financial counseling, in patient access or financial assistance offices, through financial counselors, and through other methods as required by state or federal law. Policy posted on the website was not based on the notice of proposed rulemaking (NPRM) that was issued by the IRS on June 22, 2012, because that NPRM was not yet available.
Part VI, Line 2		In calendar year 2012, UH assessed community health care needs by reviewing demographics, household income, ambulatory care sensitive discharges, health status and access indicators, federally designated areas and facilities, and local data sources for the respective communities served by each of the hospitals in the UH system. The needs assessments have been used to guide UH community benefit program development and to inform strategic planning.
Part VI, Line 3		UH informs and educates patients and persons who may be billed for patient care about options for resolution of their balances, including assistance under government programs and under the UH Financial Assistance Program ("Assistance Program") in a variety of ways. Signage for the state of Ohio Health Care Assurance Program (HCAP) and the UH Patient Financial Assistance program can be found in locations where patients register for care, patient access areas, and various points of entry such as our emergency departments. Supplemental brochures that reflect the UH Patient Financial Assistance Program and the HCAP program are also available. Information about the Assistance Program can also be found on the UH website in addition to being provided on the backs of patient statements, including a toll free phone number to call for assistance from one of our financial counselors.
Part VI, Line 4		The UH service area spans Northeast Ohio, and our clinical, education, research, and outreach programs benefit communities that extend well beyond this region. The main campus facility, UH Case Medical Center, is located in the city of Cleveland and provides high-quality health care in an urban setting for a diverse population that includes many low-income residents. UH Rainbow Babies & Children's Hospital (Rainbow) serves as a safety-net for Cleveland's children, with more than 60 percent of its patients enrolled in the state of Ohio Medicaid program. Based on the 2008 needs assessment, the UH Primary Service Area (PSA) included about 3 million persons, and its Secondary Service Area (SSA) included a population of approximately 1.2 million persons for a total service area population of approximately 4.2 million. The PSA encompasses an eight-county region including Ashtabula, Cuyahoga, Geauga, Lake, Lorain, Medina, Portage and Summit (referred to as the "eight-county region"). The SSA encompasses seven counties including Ashland, Erie, Huron, Mahoning, Stark, Trumbull, and Wayne. Seventy percent of the UH service area population is located in the PSA, while the remaining 30 percent is located in the SSA. With approximately 1.3 million residents, Cuyahoga County accounts for 31 percent of the population comprising UH service area counties. UH continually invests in access to care for low income and vulnerable populations. Four UH Health Clinics are located in areas designated as Health Professional Shortage Areas (HPSAs) by the Health Resources and Services Administration (HRSA). These clinics include the Douglas Moore Health Clinic, Women's Health Center, Rainbow Ambulatory Practice, and Family Medicine Clinic, all located on the UH Case Medical Center campus. HRSA also designates Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs) based on specific criteria. Twenty-five areas within the UH service area including Cuyahoga, Lorain, and Summit Counties qualify as MUAs, while one population in Kent, Portage County is a designated MUP. Cuyahoga County alone accounts for 20 MUAs located in 13 zip codes, representing 12 towns. The UH System's two critical access hospitals in Ashtabula County sit in Appalachia, as designated by the Appalachian Regional Commission.
Part VI, Line 5		Governed by a Board of Directors comprised primarily of persons residing in the UH Primary Service Area, UH continues to reinvest in itself and the community through enhanced clinical services, educational programs, research, and capital improvements that meet the health care needs of communities and patients it serves. UH provides an outstanding balance of high-quality clinical care within its walls, and community health outreach to local populations. As indicated in the above response to Part VI, Line 4, UH has made significant investments in access to care for low income and vulnerable populations. Four UH Health Clinics are located in areas designated as Health Professional Shortage Areas (HPSAs) by the Health Resources and Services Administration (HRSA). These clinics include the Douglas Moore Health Clinic, Women's Health Center, Rainbow Ambulatory Practice, and Family Medicine Clinic, all located on the UH Case Medical Center campus. HRSA also designates Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs) based on specific criteria. Twenty-five areas within the UH service area including Cuyahoga, Lorain, and Summit Counties qualify as MUAs, while one population in Kent, Portage County is a designated MUP. Cuyahoga County alone accounts for 20 MUAs located in 13 zip codes, representing 12 towns. The UH System's two critical access hospitals in Ashtabula County sit in Appalachia, as designated by the Appalachian Regional Commission. UH is committed to training the next generation of physicians, nurses, specialists and other allied health care providers annually. Many of these students and trainees complete their education and take their knowledge and expertise to other parts of the state or country, thereby benefiting other communities. UH works to increase health and medical knowledge through government and non-profit funded research. The shared knowledge derived from these efforts improves the health and well-being of people throughout the nation and the world when they lead to new standards of care, new medical devices, or breakthroughs in tackling diseases.
Part VI, Line 6		University Hospitals (parent organization) together with its affiliates and subsidiaries is an integrated, health care delivery system. The System includes an academic medical center, five wholly-owned community hospital locations, two of which are critical access facilities, a nationally recognized children's hospital, a nationally recognized cancer center, ambulatory health care centers and physician practice offices throughout the region. The System also provides skilled nursing, elder health, rehabilitation and home care services. UH serves an essential role in the community by providing diverse populations throughout the Northeast Ohio region with comprehensive health care - from primary care to highly specialized medical care for the most serious of health problems. It provides the same quality and compassionate service to all, no matter their income, ability to pay or socioeconomic status. UH cares for the well-insured and the uninsured; men, women and children from every community in the region, from urban centers, small towns, rural areas and suburbs.

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

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

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? ....................................

Yes No

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. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AIDS Taskforce of Greater Cleveland 2728 EUCLID AVE STE 400 Cleveland,OH44115	34-1433612	501(c)3	15,000	General Support
(2) Alzheimers Association 23215 Commerce Park Dr Ste 300 Beachwood,OH44122	34-1311175	501(c)3	12,000	General Support
(3) AMER DIABETES ASSN PO BOX 631762 BALTIMORE,MD212631762	13-1623888	501(c)3	10,000	General Support
(4) American Heart Association PO Box 1590 Hagerstown,MD217401590	13-5613797	501(c)3	108,000	General Support
(5) American Liver Foundation 921 E 86th St Ste 150 Indianapolis,IN46240		501(c)3	14,000	General Support
(6) American Red Cross 3747 Euclid Ave Cleveland,OH44115		501(c)3	15,000	General Support
(7) Arthritis Foundation 4630 Richmond Rd Ste 240 Cleveland,OH44128		501(c)3	25,000	General Support
(8) Autism Speaks Inc 4700 Rockside Rd Ste 408 Independence,OH44131	20-2329938	501(c)3	8,000	General Support
(9) Case Western Reserve 10900 Euclid Ave Cleveland,OH44106	34-1018992	501(c)3	30,171,000	General Support
(10) Childrens Museum of Cleveland 10730 Euclid Ave Cleveland,OH44106		501(c)3	10,000	General Support
(11) Childrens Tumor Foundation 5647 Faraday Road Lydhurst,OH44124		501(c)3	10,000	General Support
(12) Cleveland Central Catholic 6550 Baxter Ave Cleveland,OH44105	34-1013635	501(c)3	20,000	General Support
(13) Cleveland Center for Arts & Technology 3634 Euclid Ave Ste 100 Cleveland,OH44115		501(c)3	200,000	General Support
(14) Cleveland Foodbank 15500 South Waterloo Rd Cleveland,OH44110	34-1292848	501(c)3	10,000	General Support
(15) Cleveland Rape Crisis Center 526 Superior Ave 1400 Cleveland,OH44114		501(c)3	8,000	General Support
(16) Cleveland School of Science and Medicine 1422 Euclid Ave Ste 1300 Cleveland,OH44115		501(c)3	13,000	General Support
(17) Crohns Colitis Foundation 4700 Rockside Rd Ste 425 Independence,OH44131		501(c)3	16,000	General Support
(18) Cuyahoga Community College Foundation 700 Carnegie Ave Cleveland,OH44115		501(c)3	25,000	General Support
(19) Cystic Fibrosis Foundation 5001 Mayfield Rd Ste 111 Lydhurst,OH44124	13-1930701	501(c)3	12,000	General Support
(20) Epilepsy Foundation of NE Ohio 2800 Euclid Ave Ste 450 Cleveland,OH44115	23-7198807	501(c)3	11,000	General Support
(21) Free Clinic of Greater Cleveland 12201 Euclid Ave Cleveland,OH44106	23-7078501	501(c)3	30,000	General Support
(22) Gathering Place 23300 Commerce Park Dr Cleveland,OH44122		501(c)3	100,000	General Support
(23) Harvest for Hunger 15500 South Waterloo Rd Cleveland,OH44110		501(c)3	10,000	General Support
(24) Juvenile Diabetes 6100 Rockside Woods Blvd Independence,OH44131		501(c)3	20,000	General Support
(25) Kidney Foundation of Ohio 2831 Prospect Ave Cleveland,OH44115		501(c)3	12,000	General Support
(26) March of Dimes of NE Ohio 5425 Warner Rd Ste 10 Cleveland,OH44125		501(c)3	10,000	General Support
(27) Medwish Intl PO Box 181484 Cleveland,OH44118	34-1903712	501(c)3	10,000	General Support
(28) MILESTONES ORGANIZATION 23880 COMMERCE PARK STE 2 Beachwood,OH44122	20-0721205	501(c)3	8,000	General Support
(29) Nat'l Multiple Sclerosis Society 6155 Rockside Rd Ste 202 Independence,OH44131		501(c)3	10,000	General Support
(30) Ronald Mcdonald House 10415 Euclid Ave Cleveland,OH44111	34-1269123	501(c)3	69,000	General Support
(31) St Vincent Charity Foundation 2475 East 220nd St Cleveland,OH44115		501(c)3	10,000	General Support
(32) Susan G Komen Race for the Cure 26210 Emery Rd Ste 307 Cleveland,OH44128	34-1793460	501(c)3	75,000	General Support
(33) Suicide Prevention & Alliance Center 29425 Chagrin Blvd Ste 306 Cleveland,OH44122		501(c)3	10,000	General Support
(34) United Negro College Fund 2000 Auburn Dr Ste 200 Cleveland,OH44122		501(c)3	25,000	General Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

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.
Part III can be duplicated 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, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
Schedule I, Part I, Line 2		Donations made by members of the Group Return to charitable organizations are made in furtherance of the recipient organizations' exempt purposes and are considered unrestricted with regard to use of funds.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

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

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

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? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

Yes

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

Yes

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)UHHS - William L Annable MDChief Quality Off.	(i) (ii)	330,576 0	152,453 0	68,751 0	7,500 0	14,267 0	573,547 0	0 0
(2)UHHS - Achilles A Demetriou MDPres., COO/Ex Off Dir. (thru 1	(i) (ii)	844,666 0	1,154,632 0	310,386 0	46,942 0	13,726 0	2,370,352 0	0 0
(3)UHHS - Elliot A KellmanChief HRO	(i) (ii)	416,463 0	536,160 0	130,710 0	43,180 0	19,660 0	1,146,173 0	0 0
(4)UHHS - Janet L Miller EsqSecretary, CLO	(i) (ii)	415,828 0	327,503 0	71,502 0	349,327 0	10,133 0	1,174,293 0	66,820 0
(5)UHHS - Fred C Rothstein MDPres. UHCMC/Ex Off Dir.	(i) (ii)	640,803 0	898,782 0	302,088 0	43,845 0	23,870 0	1,909,388 0	81,927 0
(6)UHHS - Steven D StandleyChief Admin. Off.	(i) (ii)	433,540 0	539,643 0	355,549 0	41,550 0	13,929 0	1,384,211 0	249,467 0
(7)UHHS - Michael A SzubskiTreasurer, CFO	(i) (ii)	593,611 0	466,448 0	3,346 0	466,147 0	30,730 0	1,560,282 0	0 0
(8)UHHS - Thomas F Zenty IIICEO/Ex Off Dir.	(i) (ii)	1,063,037 0	1,492,185 0	1,571,029 0	360,880 0	10,461 0	4,497,592 0	944,942 0
(9)UHCMC - Michael Anderson MDChief Medical Off.	(i) (ii)	311,251 0	97,835 0	35,228 0	71,639 0	32,569 0	548,522 0	0 0
(10)UHCMC - Patricia DePompeiPres. RB&C/Macdonald	(i) (ii)	269,251 0	74,182 0	2,266 0	37,032 0	27,283 0	410,014 0	0 0
(11)UHCMC - Ronald E Dziedzicki BSNChief Support Serv. Off.	(i) (ii)	272,755 0	118,957 0	3,674 0	87,264 0	18,570 0	501,220 0	0 0
(12)UHCMC - Michael J FarrellPres. RB&C/Macdonald (thru 4/1	(i) (ii)	125,591 0	195,210 0	1,463 0	78,961 0	10,060 0	411,285 0	0 0
(13)UHCMC - Catherine S Koppelman RChief Nursing Off.	(i) (ii)	302,732 0	143,108 0	286,079 0	46,152 0	26,239 0	804,310 0	187,639 0
(14)UHCMC - Nathan Levitan MDPres. Seidman Cancer Ctr.	(i) (ii)	460,710 0	229,339 0	144,933 0	41,258 0	19,263 0	895,503 0	0 0
(15)UHCMC - Sonia SalvinoTreasurer/VP Finance	(i) (ii)	224,640 0	77,431 0	1,047 0	57,594 0	21,590 0	382,302 0	0 0
(16)UHCMC - Warren Selman MDPhysician/Director (thru 5/12)	(i) (ii)	847,548 0	51,890 0	61,995 0	8,142 0	32,022 0	1,001,597 0	0 0
(17)UHMG - Harlin G AdelmanAssistant Secretary	(i) (ii)	279,803 0	138,278 0	1,650 0	75,502 0	29,428 0	524,661 0	0 0
(18)UHMG - Eric Bieber MDUH CMO/Director	(i) (ii)	502,222 0	229,665 0	3,270 0	113,335 0	30,226 0	878,718 0	0 0
(19)UHMG - Phyllis HallVP & Treasurer	(i) (ii)	307,993 0	139,803 0	2,809 0	90,571 0	22,070 0	563,246 0	0 0
(20)UHMG - Clifford V Harding MDDept. Chair Pathology/Director	(i) (ii)	223,352 0	31,886 0	35,942 0	6,750 0	3,306 0	301,236 0	0 0
(21)UHMG - Michael Konstan MDDept. Chair Pediatrics/Directo	(i) (ii)	287,922 0	0 0	72,236 0	13,838 0	10,506 0	384,502 0	0 0
(22)UHMG - Randall Marcus MDDept. Chair Orthopaedics/Direc	(i) (ii)	570,585 0	45,755 0	69,608 0	16,501 0	22,740 0	725,189 0	0 0
(23)UHMG - Cliff Megerian MDDept. Chair Otolaryngology/Dir	(i) (ii)	541,004 0	0 0	45,122 0	7,500 0	27,067 0	620,693 0	0 0
(24)UHMG - Howard Nearman MDDept. Chair Anesthesia/Directo	(i) (ii)	342,683 0	31,886 0	51,313 0	15,345 0	21,053 0	462,280 0	0 0
(25)UHMG - Michael Nochomovitz MDPres./Director	(i) (ii)	612,873 0	770,050 0	151,329 0	43,921 0	10,981 0	1,589,154 0	0 0
(26)UHMG - Jeffrey Ponsky MDDept. Chair Surgery/Director	(i) (ii)	601,366 0	45,622 0	78,569 0	16,602 0	13,726 0	755,885 0	0 0
(27)UHMG - Robert RonisDept. Chair Psychiatry/Directo	(i) (ii)	167,038 0	31,886 0	26,307 0	10,504 0	1,675 0	237,410 0	0 0
(28)UHMG - Richard A Walsh MDDept. Chair Medicine/Director	(i) (ii)	374,928 0	45,622 0	58,606 0	15,889 0	14,136 0	509,181 0	0 0
(29)UHLSF - Don M LandekPresident	(i) (ii)	165,581 0	16,319 0	9,786 0	34,538 0	13,858 0	240,082 0	0 0
(30)UHLSF - Nancy TinsleyDirector	(i) (ii)	207,851 0	67,950 0	800 0	59,012 0	7,962 0	343,575 0	0 0
(31)AMC - Richard HansonEx Officio Director	(i) (ii)	532,654 0	378,061 0	6,553 0	323,079 0	31,498 0	1,271,845 0	0 0
(32)AMC - Susan V JurisPres./Ex Officio Director	(i) (ii)	322,750 0	113,322 0	191,621 0	39,780 0	11,353 0	678,826 0	83,944 0
(33)AMC - Richard SteinEx Officio Director	(i) (ii)	0 435,450	0 0	0 4,170	0 31,705	0 35,077	0 506,402	0 0
(34)UHREG - Laurie DelgadoPres./Ex Officio Director	(i) (ii)	319,421 0	122,308 0	1,990 0	85,338 0	21,568 0	550,625 0	0 0
(35)UHREG - Joseph Shawi MDVice Chief of Staff/Director (	(i) (ii)	0 198,117	0 0	0 1,956	0 0	0 26,938	0 227,011	0 0
(36)CMC - Benjamin Bryant MDEx Officio Director (thru 5/12	(i) (ii)	0 277,236	0 0	0 4,126	0 33,193	0 18,210	0 332,765	0 0
(37)CMC - Robert DavidPres./Ex Officio Director	(i) (ii)	117,558 0	57,396 0	763 0	33,147 0	13,621 0	222,485 0	0 0
(38)CMC - Arpan Desai MDDirector	(i) (ii)	0 479,421	0 0	0 1,718	0 0	0 28,814	0 509,953	0 0
(39)CMC - Karen McNeilEx Officio Director (thru 5/12	(i) (ii)	121,376 0	13,209 0	1,001 0	14,892 0	1,494 0	151,972 0	0 0
(40)ECC - Rebecca IvcicFinance Director/Director	(i) (ii)	132,127 0	13,760 0	5,574 0	28,450 0	17,556 0	197,467 0	0 0
(41)GMC - Rose Dotson MDEx Officio Director (thru 11/1	(i) (ii)	0 281,997	0 0	0 3,445	0 0	0 12,033	0 297,475	0 0
(42)GMC - M Steven Jones Ex Off DirPres./Ex Officio Director	(i) (ii)	300,876 0	124,737 0	4,087 0	89,398 0	13,717 0	532,815 0	0 0
(43)UHGMC - Robert DavidPres./Ex Officio Director	(i) (ii)	117,557 0	57,396 0	763 0	33,146 0	13,620 0	222,482 0	0 0
(44)UHGMC - Raimantas Drublionis MDEx Officio Director	(i) (ii)	0 288,592	0 0	0 542	0 0	0 1,659	0 290,793	0 0
(45)HCS - Keith MaitlandPres./Director	(i) (ii)	207,232 0	92,898 0	156,252 0	38,456 0	27,655 0	522,493 0	99,206 0
(46)UHMG - Bahman Guyuron MDSurgeon, Plastic Surgery	(i) (ii)	988,977 0	143,230 0	115,010 0	20,702 0	21,114 0	1,289,033 0	0 0
(47)UHMG - Nicholas U Ahn MDOrthopaedic Surgeon	(i) (ii)	960,047 0	0 0	105,779 0	14,874 0	19,327 0	1,100,027 0	0 0
(48)UHMG - Jason D EubanksOrthopaedic Surgeon	(i) (ii)	953,775 0	0 0	73,873 0	14,430 0	8,567 0	1,050,645 0	0 0
(49)UHMG - Kord S HondaDermatopathology	(i) (ii)	926,447 0	0 0	75,700 0	11,932 0	31,859 0	1,045,938 0	0 0
(50)UHMG - Matthew KraayOrthopaedic Surgeon	(i) (ii)	769,067 0	0 0	74,166 0	15,378 0	31,226 0	889,837 0	0 0
(51)UHHS Sherri BishopChief Development Off.	(i) (ii)	333,036 0	271,860 0	2,975 0	293,770 0	33,704 0	935,345 0	0 0
(52)UHHS - Peter S BrumleveChief Marketing Off.	(i) (ii)	177,286 0	100,930 0	21,281 0	26,813 0	6,345 0	332,655 0	0 0
(53)UHHCS - Kevin P CunninghamPharmacy Director	(i) (ii)	138,795 0	14,290 0	731 0	5,348 0	18,961 0	178,125 0	0 0
(54)UHHS - John V FoleyChief Information Off.	(i) (ii)	160,380 0	50,000 0	85,741 0	20,000 0	8,897 0	325,018 0	0 0
(55)GMC - Jason E GlowczewskiPharmacy Director	(i) (ii)	144,834 0	10,439 0	1,297 0	9,528 0	28,705 0	194,803 0	0 0
(56)AMC - Alan Hirsch MDCMO, Ahuja	(i) (ii)	299,913 0	26,230 0	14,034 0	27,987 0	25,485 0	393,649 0	0 0
(57)UHCMC - Carl LufterPharmacy Director	(i) (ii)	164,489 0	16,479 0	11,009 0	16,443 0	14,390 0	222,810 0	0 0
(58)UHHS - Donnie PerkinsVP Inclusion & Diversity	(i) (ii)	189,053 0	51,540 0	38,351 0	0	2,802 0	281,746 0	0 0
(59)UHHS - Paul G TaitChief Strategic Planning Off.	(i) (ii)	357,879 0	281,168 0	2,999 0	292,839 0	26,909 0	961,794 0	0 0
(60)UHHS - Cheryl WahlChief Compliance Officer	(i) (ii)	220,637 0	86,018 0	937 0	53,816 0	13,327 0	374,735 0	0 0
(61)UHHS - William A YoungPresident SJMC	(i) (ii)	316,382 0	25,000 0	2,494 0	39,000 0	28,477 0	411,353 0	0 0
(62)UHHS - Cliff J CokerPres. of JV (thru 1/1/12)	(i) (ii)	0 0	136,034 0	6,240 0	0 0	0 0	142,274 0	97,512 0
(63)UHLSF - Michael R VehovecFmr. Officer	(i) (ii)	226,875 0	107,784 0	1,118 0	72,162 0	1,986 0	409,925 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Schedule J, Part I, Line 4b		Part I, Line 4b: The following persons participated in, or received payment from a nonqualified retirement plan (457(f) or SERP) in 2012: - Harlin G. Adelman (No payments received in 2012) - Michael R. Anderson, M.D. (No payments received in 2012) - William L. Annable ($58,464-SERP) - Eric Bieber, M.D. (No payments received in 2012) - Sherri L. Bishop (No payments received in 2012) - Peter Brumleve (No payments received in 2012) - Cliff J. Coker ($6,240-SERP) - Robert G. David (No payments received in 2012) - Laurie S. Delgado (No payments received in 2012) - Achilles A. Demetriou, M.D. ($298,068-SERP) - Ronald E. Dziedzicki (No payments received in 2012) - Michael J. Farrell (No payments received in 2012) - John V. Foley (No payments received in 2012) - Richard J. Frenchie ($4,265-SERP) - Heidi Gartland (No payments received in 2012) - Phyllis Hall (No payments received in 2012) - Richard Hanson (No payments received in 2012) - Steven M. Jones (No payments received in 2012) - Susan V. Juris ($188,189-SERP) - Elliot A. Kellman ($123,870-SERP) - Catherine S. Koppelman ($281,196) - Nathan Levitan, M.D. ($139,815-SERP) - Keith Maitland ($154,296-SERP) - Janet L. Miller ($66,820-457f) - Michael L. Nochomovitz, M.D. ($141,932-SERP) - Donnie J. Perkins - ($25,443-SERP) - Fred C. Rothstein, M.D. ($209,325-SERP/$81,927-457f) - Sonia Salvino (No payments received in 2012) - Steven D. Standley ($351,390-SERP) - Michael A. Szubski (No payments received in 2012) - Paul G. Tait (No payments received in 2012) - Nancy Tinsley (No payments received in 2012) - Allen Tracy (No payments received in 2012) - Michael R. Vehovec (No payments received in 2012) - Cheryl Wahl (No payments received in 2012) - William Young (No payments received in 2012) - Thomas F. Zenty III ($1,549,348-SERP)
No-fixed payments to disclosed persons	Schedule J, Part I, Line 7	Certain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments.
Initial Contract Excepton	Schedule J, Part I, Line 8	Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Residence Inn	See Part V	184,000	See Part V		No
(2) Diane Anderson	See Part V	14,000	See Part V		No
(3) First Energy	See Part V	143,000	See Part V		No
(4) First Energy	See Part V	143,000	See Part V		No
(5) Turner Construction	See Part V	1,965,000	See Part V		No
(6) Lee Ponsky MD	See Part V	493,000	See Part V		No
(7) Todd Ponsky MD	See Part V	165,000	See Part V		No
(8) Diana Ponsky MD	See Part V	195,000	See Part V		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
Additional Information For Schedule L Part IV Responses	Schedule L Part IV	Line 1 Residence Inn Relationship Between Interested Person and Organization: UHCMC Director Richard Horvitz owns many Residence Inns in the local area. Description of Transaction: Residence Inn rents rooms to UHCMC for sleep studies or other activities. These transactions were all at arms length. Line 2 Diane Anderson Relationship Between Interested Person and Organization: Family Member of Michael Anderson, M.D. UHCMC CMO. Description of Transaction: A family member of Dr. Anderson is employed by UHCMC. Line 3 First Energy Relationship Between Interested Person and Organization: UHCMC Director Ernest J. Novak is a Director of First Energy. Description of Transaction: First Energy subsidiary The Illuminating Co. provided energy services to UHCMC in 2012. These transactions were all at arms length. Line 4 First Energy Relationship Between Interested Person and Organization: UHCMC Director Lorna Wisham is employed at First Energy. Description of Transaction: First Energy subsidiary The Illuminating Co. provided energy services to UHCMC in 2012. These transactions were all at arms length. Line 5 Turner Construction Co. Relationship Between Interested Person and Organization: UHCMC Director Hilton O. Smith is employed at Turner Construction Co. Description of Transaction: Turner Construction Co. provided construction related services to UHCMC in 2012. These transactions were all at arms length. Line 6 Lee Ponsky, M.D. Relationship Between Interested Person and Organization: Family Member of Jeffrey Ponsky, M.D. UHMG Director. Description of Transaction: A family member of Dr. Ponsky is employed by UHMG. Line 7 Todd Ponsky, M.D. Relationship Between Interested Person and Organization: Family Member of Jeffrey Ponsky, M.D. UHMG Director. Description of Transaction: A family member of Dr. Ponsky is employed by UHMG. Line 8 Diana Ponsky, M.D. Relationship Between Interested Person and Organization: Family Member of Jeffrey Ponsky, M.D. UHMG Director. Description of Transaction: A family member of Dr. Ponsky is employed by UHMG.

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2012

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) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	23	69,592	Appraisals
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		10	FMV
5 Clothing and household goods .......	X		3,517	FMV/Receipt
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	58	3,653,035	Med. Value at Transf
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 ...	X	1	57,729	Sale
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	2	8,470	FMV
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Miscellaneous )	X	201	135,899	FMV
26 Other ( )
27 Other ( )
28 Other ( )

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 ...

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2012)

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Form 990, Schedule M, Part I, Column (b):		the numbers reported in Part I, Column (b) represent the number of items contributed.

Schedule M (Form 990) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

Open to Public
Inspection

Name of the organization

University Hospitals Health System Inc
Group Return

Employer identification number

90-0059117

Identifier	Return Reference	Explanation
UH Entity DBA Names/Acronyms		The list below shows all the entities included in this Group Return along with any applicable dba names and/or acronyms that will be used throughout this return. For purposes of this Group Return University Hospitals is at times notes as "UH". University Hospitals Cleveland Medical Center (UHCMC) - 34-1567805 dba University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106 University Hospitals Ahuja Medical Center, Inc. (AMC) - 26-4827222 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Bedford Medical Center (BMC) - 34-1271115 44 Blaine Avenue Bedford, OH 44146 University Hospitals Conneaut Medical Center (CMC) - 34-0714550 158 West Main Road Conneaut, OH 44030 BMH Professional Corporation (BMHPC) - 34-1749966 158 West Main Road Conneaut, OH 44030 University Hospitals Geauga Medical Center (GMC) - 34-0816492 13207 Ravenna Road Chardon, OH 44024 University Hospitals Geneva Medical Center (UHGMC) - 34-0714461 870 West Main Street Geneva, OH 44041 UHHS Heather Hill Inc. (HHI) - 34-0771884 12340 Bass Lake Road Chardon, OH 44024 UHHS - Heather Hill Rehabilitation Hospital Inc. (UHECC) - 34-1465745 dba University Hospitals Extended Care Campus 12340 Bass Lake Road Chardon, OH 44024 UH Regional Hospitals (UHRH) - 34-1924226 27100 Chardon Road Richmond Hts, OH 44143 University Mednet (UMI) - 34-0750341 23001 Euclid Avenue Cleveland, OH 44117 University Hospitals Home Care Services, Inc. (HCS) - 34-1527536 4901 Galaxy Parkway Warrensville Hts, OH 44128 University Hospitals Laboratory Services Foundation (UHLSF) - 34-1720429 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Medical Group (UHMG) - 20-4881619 11100 Euclid Avenue Cleveland, OH 44106 University NPI Inc. - 34-1571623 11100 Euclid Avenue Cleveland, OH 44106 Memorial Hospital Health Foundation - 34-1810018 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Accountable Care Organization Inc. 3605 Warrensville Center Rd - MSC 9155 Shaker Hts, OH 44122 University Hospitals Coordinated Care Organization 3605 Warrensville Center Rd - MSC 9155 Shaker Hts, OH 44122 University Hospitals Rainbow Care Connection Inc. 3605 Warrensville Center Rd - MSC 9155 Shaker Hts, OH 44122
Treasury Regulation Section 1.6033-2(d)(5)		Pursuant to Treasury Regulation Section 1.6033-2(d)(5), University Hospitals Health System, Inc. ("Parent Organization") has elected to report information about contributions, gifts and grants, and compensation and other information about officers, directors, trustees, key employees, certain highly compensated employees, and certain professional contractors on a consolidated basis for all the members of its Group Exemption, including the Parent Organization, on the University Hospitals Health System, Inc. Group Return.
Form 990, Part I, Line 6		The total number of volunteers is provided by each UH Medical Center's volunteer coordinator. Volunteers provide assistance in many different departments throughout the UH medical centers. The roles of a volunteer fall into three categories: patient contact, limited patient contact and no patient contact. Roles in the patient contact category include those where the volunteer is working directly with a patient or the patient's family. Examples of volunteer roles from this category include but are not limited to pastoral care volunteers and newborn nursery volunteers. Volunteers who serve in roles where there is limited patient contact work in areas where they may be working more with hospital staff than our patients or visitors. Examples of volunteer roles under the limited patient contact include but are not limited to flower delivery volunteers and Atrium gift shop volunteers. And finally, examples of volunteer roles from the no patient contact category include but are not limited to mailroom and clerical volunteers (working in offices throughout the UH medical centers).
Part V, Line 2a		University Hospitals Health System, Inc. acts as a common pay agent for the various entities that comprise the System. As a result the number of employees reported on Form W-3 will be different than what is shown in Part V Line 2a because this Group Return does not encompass all entities for which the Parent acts as a common pay agent.
Form 990, Part VI, Section A, Line 2		The following information regarding family and business relationships was obtained while reviewing conflict of interest questionnaire responses received from Directors, Officers, and Key Employees. University Hospitals relies upon these questionnaire responses to determine these relationships. Mr. James Supplee (CMC Director) and Mr. Charles Deck (CMC Director) have a business relationship. Mr. Craig Parker (UHGMC Director) and Mr. Willard Raymond (UHGMC Director) have a business relationship. Mr. Ralph Della Ratta (UHCMC Director) and Mr. Michael Siegel (UHCMC Director) have a business relationship. Mr. Richard Horvitz (UHCMC Director) and Mr. Ralph Della Ratta (UHCMC Director) have a business relationship. Mr. John Morley (UHCMC Director) and Mr. William O'Neill Jr. (UHCMC Director) have a business relationship. Mr. Fred C. Rothstein, M.D. (UHCMC Director) and Mr. Michael Feuer (UHCMC Director) have a business relationship. Mr. Lee Koury (UHCMC Director) and Mr. Gregory Skoda (UHCMC Director) have a business relationship.
Form 990, Part VI, Section A, Line 6		University Hospitals Health System, Inc. is the Sole Member of the organizations included in this return. Its rights include electing the Board of Directors and approving significant decisions of each organization's Board.
Form 990, Part VI, Section A, Line 7a		University Hospitals Health System, Inc. (Sole Member) elects the Board of Directors, including the designation of the Directors to be the Chairperson and Vice Chairperson of the Board.
Form 990, Part VI, Section A, Line 7b		Certain decisions of each organization's governing body are subject to approval by University Hospitals Health System, Inc. (Sole Member). Examples include approving matters relating to finances and financing, matters relating to investments, legal matters, material assets sales or transfers, strategic plan, officers, and Directors to the Organizations Board.
form 990, Part VI, Section B, Line 11		The Form 990 for University Hospitals Health System, Inc. Group Return is approved for filing by University Hospitals Health System Inc.'s (Parent Organization) governing body. The Audit and Compliance Committee has been delegated authority to review and approve Form 990 by the UH Board. The Compensation Committee reviews relevant disclosures related to compensation sections of the return. The Governance and Community Benefit Committee reviews and approves the Governance and Community Benefit sections of the return. The Board receives a complete copy of the return to review before it is filed with the Internal Revenue Service. Certain members of Senior management review the form while overseeing this process.
form 990, Part VI, Section B, Line 12c		UH has adopted three Conflict of Interest ("COI") policies: the first relates to UH and all its subsidiaries and applies to all directors, officers, other disqualified persons, pursuant to the intermediate sanctions regulations, the second applies to UH management (supervisors and above) and the third applies to physicians. UH regularly and consistently monitors and enforces compliance with the COI policies. Individuals to which the COI policies apply are required to complete an annual disclosure and provide information regarding any interests that may be potential conflicts pursuant to the COI policies. Individuals covered by the policies are required to provide any changes to or new disclosures should they occur. All disclosures and subsequent updates to disclosures are reviewed by the UH Compliance and Ethics Department. Board-level conflicts are reviewed and approved, if appropriate, by the Audit and Compliance Committee of the UH Board. If a conflict exists with a Director, certain restrictions may be imposed, such as excusing the Director from voting with regard to a proposed transaction. Education regarding conflicts of interest is included in the annual compliance training that includes all Directors, employees and physicians.
form 990, Part VI, Section B, Line 15		Executive compensation is approved by the Compensation Committee of the Board (the "Committee"). The Committee has retained an independent compensation consultant who provides information to the Committee on changes and trends in executive compensation and objective third party information on competitive and comparable executive compensation and benefit level/programs. The Consultant collects and provides to the Committee, appropriate market compensation and benefits information, appropriate market practices for comparable organizations' positions and best practices. The Consultant also provides advice on developing and modifying UH's executive compensation philosophy.
Form 990, Part VI, Section C, Line 19		The Financial Statements for University Hospitals Health System, Inc. and its Subsidiaries are made publicly available through the use of DAC Bond (disclosure dissemination agent) and can be found on the internet at www.dacbond.com The organization's governing documents and conflict of interest policy may be made available upon request.
Form 990, Part VII, Section A		The individuals listed below serving as current Officers/Directors are also employees of other UH entities included in this Group Return. The hours listed in this section reflect only the individual's time spent directly related to the activity of the board on which they serve. UHMG - Harlin G. Adelman UHECC - Rebecca Ivcic UHLSF - Nancy Tinsley
Form 990, Part VII, Section A, Compensation for Richard Hanson		Mr. Richard Hanson is University Hospitals President of Community Hospitals & Ambulatory Networks. In this role he oversees all of the community hospitals. He also serves on all of the community hospitals' boards. Mr. Hanson serves on multiple boards, however, his total compensation is being reported only on one board. If an allocation of compensation were made to each entity a disclosure would not be necessary.
Form 990, Part VII, Section A, Frederick C. Rothstein, M.D.		Dr. Rothstein is the President of University Hospitals Cleveland Medical Center (UHCMC) of which he is listed as an Officer and a Director. Dr. Rothstein also is an Executive Vice President of University Hospitals Health System, Inc. (UHHS) and serves on its Board as Director. Dr. Rothstein is paid by UHHS and as such his compensation is disclosed in relation to the UHHS Board. To avoid any confusion his hours per week are listed at 60 for both UHCMC and UHHS.
Form 990, Part VII, Section A, Increase in Executive Compensation in 2012		The 2012 increase in UH executive compensation was primarily driven by payouts from a long term incentive plan (LTIP) in addition to payouts from a supplemental employee retirement plan (SERP) that occurred in 2012 and not in 2011. The LTIP was available for select executive positions of which the payouts covered a 3-year period, were based on predetermined benchmarks to support the UH mission, and were ultimately approved by the appropriate committee of the UHHS Board. The LTIP payouts do not represent annual earnings as payment was for multiple years of performance. Therefore, year-over-year compensation comparisons for select executives are difficult. The SERP is a retirement plan earned over multiple years of career service which vests according to a predetermined schedule. The SERP payouts do not represent annual earnings as the payments are for multiple years of service. Therefore, year-over-year compensation comparisons for select executives are difficult.
Form 990, Part XI, Line 5, Changes in Net Assets		Net Change in Temporarily Restricted Net Assets $30,623,000 Net Change in Permanently Restricted Net Assets $2,111,000 Equity Transfer ($151,032,000) Less: Rest. Gifts Included on Form 990, Pg 1, Ln 8 ($80,857,000) Other Changes $7,627,000 Total to Form 990, Part XI, Line 5 ($191,528,000)
Form 990, Part IX, Line 11g, Breakdown of Expense		Consulting Fees $4,112,000 Medical/Clinical Purchased Services $35,112,000 Other Purchased Services $275,021,000 Total To Form 990, Part IX, Line 11g $314,245,000
Form 990, Line H(b)		It was discovered during the e-filing of this Group return that University Hospitals Accountable Care Organization ("UHACO"; EIN: 27-3970270) erroneously had its tax-exempt status revoked by the IRS and that University Hospitals Coordinated Care ("UHCC", EIN: 90-0794903) had not properly been updated in the IRS systems as a part of Group Exemption Number 3829. Although the IRS has agreed to reinstate UHACO's tax-exempt status and University Hospitals has communicated with the IRS to include UHCC in the group exemption, such updates will not occur until after the ten day e-filing perfection period. Furthermore, it appears unlikely that we will receive a reply to our request to paper file the Group return within the ten day e-filing perfection period. Therefore, in the interest of filing the Group return on a timely basis, we have removed both the four letter name control for these entities and the names and EINs from the affiliate listing from this e-filed return. However, in order to file a complete and accurate return, UHACO's and UHCC's information is still reported included in the Group return. We respectfully request that this e-filed Group return be accepted as satisfying the 2012 annual return filing requirements for all Group affiliates, including UHACO and UHCC.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) 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 Road Shaker Hts,OH44122 34-1599711	Inactive	OH	0	0	Univ Mednet
(2) University Hospitals Faculty Services 11100 Euclid Ave Cleveland,OH44106 34-1872525	Inactive	OH	0	0	UHCMC

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
(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	Yes	No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BioU LLC 3605 Warrensville Center Rd - MSC Shaker Heights,OH44122 27-3995417	Developing Therap	DE	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) Western Reserve Assurance Co Ltd SPC 23 Lime Tree Bay Ave PO Box 1051GT Grand Cayman KY1 - 1102 CJ 98-0462740	Liability Insur.	CJ	N/A	C corp
(2) University Hospitals Holdings Inc 11100 Euclid Ave Cleveland,OH44106 34-1768931	Holding Company	OH	N/A	C corp
(3) University Hospitals Physician Services 11100 Euclid Ave Cleveland,OH44106 34-1768929	Physician Admin.	OH	N/A	C corp
(4) University Primary Care Practices Inc 11100 Euclid Ave Cleveland,OH44106 34-1768928	Physicians Group	OH	N/A	C corp
(5) University Hospitals Health System MCO 11100 Euclid Ave Cleveland,OH44106 34-1843674	Workers Comp.	OH	N/A	C corp
(6) UHHS Provder & Ceentral Verification Org 11100 Euclid Ave Cleveland,OH44106 34-1908517	Medical Mgmt.	OH	N/A	C corp
(7) Cedar Brainard Surgery Center Inc 11100 Euclid Ave Cleveland,OH44106 20-4957632	Holding Company	OH	N/A	C corp
(8) University Hospitals Health Care Enterpr 11100 Euclid Ave Cleveland,OH44106 34-1510005	Medical Mgmt	OH	N/A	C corp
(9) BMH Development Corp 158 West Main Street Conneaut,OH44030 34-1346212	Land Development	OH	N/A	C corp
(10) Conneaut Health Enterprises Inc PO Box 648 Conneaut,OH44060 34-1503949	Inactive	OH	N/A	C corp

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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-s)	(c) Amount involved	(d) Method of determining amount involved
(1) UH Ahuja Medical CenterUniversity Hospitals	S	1,724,043	General Ledger
(2) UH Ahuja Medical CenterUniversity Hospitals	P	6,344,396	General Ledger
(3) UH Ahuja Medical CenterUH Cleveland Medical	C	1,055,003	General Ledger
(4) University Hospitals Health SystemUH Ahuja M	I	3,705,324	General Ledger
(5) University Hospitals Health SystemUH Ahuja M	R	34,617,933	General Ledger
(6) University Hospitals Health SystemUH Ahuja M	Q	8,936,268	General Ledger
(7) UH Cleveland Medical CenterUH Ahuja Medical	Q	305,431	General Ledger
(8) UH Medical PractivesUH Ahuja Medical Center	Q	207,740	General Ledger
(9) UH Physician ServicesUH Ahuja Medical Center	Q	93,025	General Ledger
(10) UH Reg Hosp - Bedford University Hospital	S	63,780	General Ledger
(11) UH Reg Hosp - BedfordUniversity Hospital	P	870,862	General Ledger
(12) UH Reg Hosp - BedfordUH Cleveland Medica	S	215,142	General Ledger
(13) UH Health SystemUH Reg Hosp - Bedford	R	13,254,745	General Ledger
(14) UH Health SystemUH Reg Hosp - Bedford	M	4,189,516	General Ledger
(15) UH Health SystemUH Reg Hosp - Bedford	Q	26,348,747	General Ledger
(16) UH Cleveland Medical CtrUH Reg Hosp - Bedf	Q	69,761	General Ledger
(17) UH Reg Hosp -RichmondUH Reg Hosp - Bedfo	Q	129,399	General Ledger
(18) UH Medical PracticesUH Reg Hosp - Bedford	Q	165,712	General Ledger
(19) UH Conneaut Medical CenterUH Health System	S	144,537	General Ledger
(20) UH Conneaut Medical CenterUH Health System	P	711,496	General Ledger
(21) UH Health SystemUH Conneaut Medical Center	R	8,931,095	General Ledger
(22) UH Health SystemUH Conneaut Medical Center	M	2,772,238	General Ledger
(23) UH Health SystemUH Conneaut Medical Center	Q	13,359,621	General Ledger
(24) UH Medical PracticesUH Conneaut Medical Cent	Q	61,560	General Ledger
(25) UH Extended Care CampusUH Health System	P	750,183	General Ledger
(26) UH Health SystemUH Extended Care Campus	R	2,240,580	General Ledger
(27) UH Health SystemUH Extended Care Campus	Q	238,553	General Ledger
(28) UH Health SystemUH Extended Care Campus	C	1,767,835	General Ledger
(29) UH Geauga Medical CenterUH Health System	S	1,108,687	General Ledger
(30) UH Geauga Medical CenterUH Health System	I	58,524	General Ledger
(31) UH Geauga Medical CenterUH Health System	P	6,424,656	General Ledger
(32) UH Health SystemUH Geauga Medical Center	R	42,218,930	General Ledger
(33) UH Health SystemUH Geauga Medical Center	M	6,650,960	General Ledger
(34) UH Health SystemUH Geauga Medical Center	Q	51,489,690	General Ledger
(35) UH Health SystemUH Geauga Medical Center	I	74,575	General Ledger
(36) UH Cleveland Medical CenterUH Geauga Medical	Q	262,610	General Ledger
(37) UH Medical PracticesUH Geauga Medical Center	Q	182,044	General Ledger
(38) UH Medical GroupUH Geauga Medical Center	Q	61,428	General Ledger
(39) UH Geneva Medical CenterUH Health System	S	299,928	General Ledger
(40) UH Geneva Medical CenterUH Health System	P	1,155,454	General Ledger
(41) UH Health SystemUH Geneva Medical Center	R	11,562,464	General Ledger
(42) UH Health SystemUH Geneva Medical Center	L	3,597,541	General Ledger
(43) UH Health SystemUH Geneva Medical Center	Q	16,278,784	General Ledger
(44) UH Medical PracticesUH Geneva Medical Center	Q	51,475	General Ledger
(45) UH Home Care ServicesUH Health System	P	1,160,633	General Ledger
(46) UH Health SystemUH Home Care Services	R	13,152,418	General Ledger
(47) UH Health SystemUH Home Care Services	L	1,626,963	General Ledger
(48) UH Health SystemUH Home Care Services	Q	17,473,008	General Ledger
(49) UH Richmond Medical CenterUH Health System	S	489,111	General Ledger
(50) UH Richmond Medical CenterUH Health System	P	4,571,015	General Ledger
(51) UH Richmond Medical CenterUH Cleveland Medic	P	248,555	General Ledger
(52) UH Health SystemUH Reg Hosp - Richmond	R	18,003,143	General Ledger
(53) UH Health SystemUH Reg Hosp - Richmond	L	4,611,524	General Ledger
(54) UH Health SystemUH Reg Hosp - Richmond	Q	29,791,881	General Ledger
(55) UH Health SystemUH Reg Hosp - Richmond	B	21,611,589	General Ledger
(56) UH Cleveland Medical CenterUH Reg Hosp - R	Q	94,241	General Ledger
(57) UH Medical PracticesUH Reg Hosp - Richmond	Q	180,472	General Ledger
(58) UH Medical GroupUH Reg Hosp - Richmond	Q	91,932	General Ledger
(59) UH Laboratory Service FoundationUH Health Sy	P	1,410,521	General Ledger
(60) UH Health SystemUH Laboratory Services Found	R	8,628,671	General Ledger
(61) UH Health SystemUH Laboratory Services Found	L	1,231,284	General Ledger
(62) UHCleveland Medical CenterUH Laboratory Serv	Q	1,191,028	General Ledger
(63) UH Medical GroupUH Health System	P	11,595,991	General Ledger
(64) UH Medical GroupUH Cleveland Medical Center	S	1,174,540	General Ledger
(65) UH Medical GroupUH Cleveland Medical Center	P	4,851,148	General Ledger
(66) UH Medical GroupUH Cleveland Medical Center	I	55,474	General Ledger
(67) UH Medical GroupUH Medical Practices	P	117,856	General Ledger
(68) UH Medical GroupUH Physician Services	P	92,541	General Ledger
(69) UH Health SystemUH Medical Group	R	23,626,047	General Ledger
(70) UH Health SystemUH Medical Group	L	10,578,867	General Ledger
(71) UH Health SystemUH Medical Group	Q	293,410,854	General Ledger
(72) UH Health SystemUH Medical Group	B	46,475,775	General Ledger
(73) UH Cleveland Medical CenterUH Medical Group	Q	612,487	General Ledger
(74) UH Medical GroupUH Medical Group	Q	94,114	General Ledger
(75) UH Physician ServicesUH Medical Group	Q	404,513	General Ledger
(76) UH Case Medical CenterUH Health System	S	18,558,725	General Ledger
(77) UH Case Medical CenterUH Health System	P	138,900,189	General Ledger
(78) UH Case Medical CenterUH Health System	I	168,073	General Ledger
(79) UH Case Medical CenterUH Health System	C	11,068,097	General Ledger
(80) UH Case Medical CenterUH Medical Practices	P	122,997	General Ledger
(81) UH Case Medical CenterUH Physician Services	P	535,614	General Ledger
(82) UH Case Medical CenterCedar Brainard Surgery	P	151,548	General Ledger
(83) UH Health SystemUH Case Medical Center	R	748,800,124	General Ledger
(84) UH Health SystemUH Case Medical Center	L	104,191,128	General Ledger
(85) UH Health SystemUH Case Medical Center	Q	1,306,284,410	General Ledger
(86) UH Health SystemUH Case Medical Center	I	13,889,069	General Ledger
(87) UH Health SystemUH Case Medical Center	B	28,487,186	General Ledger
(88) UH Medical PracticesUH Case Medical Center	R	4,332,851	General Ledger
(89) UH Medical PracticesUH Case Medical Center	Q	1,659,741	General Ledger
(90) UH Physician ServicesUH Case Medical Center	Q	344,773	General Ledger
(91) Cedar Brainard Surgery CenterUH Case Medical	Q	465,517	General Ledger

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

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:

- TIN:

TY 2012 AffiliateListing

Name:

University Hospitals Health System Inc

Group Return

EIN: 90-0059117

Name	Address	EIN	Name control
University Hospitals Cleveland Medi	11100 Euclid Avenue Cleveland, OH 44106	34-1567805	UNIV
University Hospitals Bedford Medica	44 Blaine Avenue Bedford, OH 44146	34-1271115	UNIV
University Hospitals Medical Group	11100 Euclid Avenue Cleveland, OH 44106	20-4881619	UNIV
University Hospitals Ahuja Medical	11100 Euclid Avenue Cleveland, OH 44106	26-4827222	UNIV
University Hospitals Conneaut Medic	158 W Main Rd Conneaut, OH 44030	34-0714550	UNIV
University Hospitals Geneva Medical	870 W Main St Geneva, OH 44041	34-0714461	UNIV
University Hospitals Geauga Medical	13207 Ravenna Rd Chardon, OH 44024	34-0816492	UNIV
UH Regional Hospitals	27100 Chardon Rd RICHMOND HTS, OH 44143	34-1924226	UHRE
University Hospitals Home Care Serv	4901 Galaxy Parkway Warrensville Heights, OH 44128	34-1527536	UNIV
University Mednet Inc	11100 Euclid Avenue Cleveland, OH 44106	34-0750341	UNIV
University Hospitals Health System	11100 Euclid Avenue Cleveland, OH 44106	34-0771884	UNIV
University Hospitals Health System	11100 Euclid Avenue Cleveland, OH 44106	34-1465745	UNIV
University NPI Inc	11100 Euclid Avenue Cleveland, OH 44106	34-1571623	UNIV
University Hospitals Laboratory Ser	11100 Euclid Avenue Cleveland, OH 44106	34-1720429	UNIV
BMH Professional Corporation	11100 Euclid Avenue Cleveland, OH 44106	34-1749966	BMHP
Memorial Hospital Health Foundation	11100 Euclid Avenue Cleveland, OH 44106	34-1810018	UNIV
University Hospitals Rainbow Care C	3605 Warrensville Center Rd Shaker Heights, OH 44122	46-1074672	UNIV