Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
University Hospitals Health System Inc
Group Return
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
11100 Euclid Avenue - Attn Treasur
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Cleveland, OH44106
D Employer identification number

90-0059117
E Telephone number

G Gross receipts $ 2,327,281,400
F Name and address of principal officer:
Michael Szubski
3605 Warrensville Center Rd
Shaker Heights,OH44122
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.UHhospitals.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions) Click to see attachment
H(c)
Group exemption number MediumBullet3829
K Form of organization:
 
L Year of formation:  
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: University Hospitals (the System) is guided by its mission "To Heal. To Teach. To Discover."
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 168
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 93
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 16,207
6 Total number of volunteers (estimate if necessary) ............. 6 2,185
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 697,000
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 384,927
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 89,840,000 53,111,000
9 Program service revenue (Part VIII, line 2g) ......... 2,015,029,000 2,106,303,000
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 40,000 71,265,000
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 71,151,000 95,729,000
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,176,060,000 2,326,408,000
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 31,771,000 34,294,000
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) 997,592,000 1,151,268,000
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 306,000 33,000
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet11,510,000    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 907,762,000 896,375,000
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,937,431,000 2,081,970,000
19 Revenue less expenses. Subtract line 18 from line 12....... 238,629,000 244,438,000
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,533,691,000 3,338,270,000
21 Total liabilities (Part X, line 26)............. 214,268,000 1,702,200,000
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,319,423,000 1,636,070,000
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
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) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: UNIVERSITY HOSPITALS' MISSION IS TO HEAL. TO TEACH. TO DISCOVER. IN PURSUIT OF THIS MISSION, UNIVERSITY HOSPITALS REMAINS AT THE FOREFRONT OF HEALTH CARE DELIVERY, PHYSICIAN EDUCATION, AND MEDICAL RESEARCH NATIONWIDE. YET WHAT MAKES UNIVERSITY HOSPITALS UNIQUE IS ITS ABILITY TO BRING EXPERTISE AND RESOURCES TOGETHER AND RESPOND TO THE INDIVIDUAL NEEDS OF EVERY PATIENT, REGARDLESS OF THEIR ABILITY TO PAY. THAT FOCUS ON THE PATIENT, COMBINED WITH A REMARKABLE LEVEL OF ACHIEVEMENT IN MEDICAL RESEARCH AND EDUCATION CONTINUES TO PROPEL UNIVERSITY HOSPITALS TO EVEN GREATER SUCCESSES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the 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 $ 2,052,570,000 including grants of $ 34,294,000 ) (Revenue $ 2,185,076,000 )
Commitment to the community remains at the core of the System's mission: To Heal. To Teach. To Discover. In 2013, University Hospitals dedicated more than $240 million to community benefit programs in Northeast Ohio consisting of: - Education and training = $53 million - Research = $27 million - Charity care = $59 million - Medicaid shortfall = $68 million - Community health improvement services = $6 million - Other community programs and support = $38 million - Hospital Care Assurance Program (HCAP) receipts = ($11 million) Refer to Schedule H for further detail on how the System measures and reports community benefit. Community benefit for 2013 totaled $240 million. 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 2013 provision for bad debt of $60 million represents revenues for services provided that are deemed uncollectible. The UH health system provides work directly for about 19,400 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 $56 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 2013 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 expensesMediumBullet2,052,570,000
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
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 IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
Yes
 
9
Did the organization report an amount in Part X, line 21 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 IVClick to see attachment..............
9
 
No
10
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 VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
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
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, 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
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
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 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, 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
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
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
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
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
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,539
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
16,207
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
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
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
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 or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
168
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.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
93
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
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? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
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
 
b
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
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
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
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 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
 
b
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
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
FL , IL , KY , MI , NY , OH , PA , WV , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
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.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletMICHAEL SZUBSKI3605 WARRENSVILLE CENTER RDShaker HeightsOH44122 (216) 844-1000
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related 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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(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 - Heather Ettinger........................................................................
Director
 2.0
.......................   		X           0 0 0
(12) UHHS - John Fitts........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(13) UHHS - Brian Hall........................................................................
Director
 2.0
.......................   		X           0 0 0
(14) UHHS - Kenneth Hardy........................................................................
Director
 2.0
.......................   		X           0 0 0
(15) UHHS - M Ann Harlan........................................................................
Director
 2.0
.......................   		X           0 0 0
(16) UHHS - Ronald G Harrington........................................................................
Director
 2.0
.......................   		X           0 0 0
(17) UHHS - Catherine M Kilbane........................................................................
Director
 2.0
.......................   		X           0 0 0
Form 990 (2013)
Form 990 (2013)
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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) UHHS - Timothy Kraus........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(19) UHHS - Joseph Lopez........................................................................
Director
 2.0
.......................   		X           0 0 0
(20) UHHS - Ramon Lugo III........................................................................
Director
 2.0
.......................   		X           0 0 0
(21) UHHS - Henry L Meyer III........................................................................
Director
 2.0
.......................   		X           0 0 0
(22) UHHS - John Morikis........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(23) UHHS - Patrick Mullin........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(24) UHHS - Ernest Novak........................................................................
Director
 2.0
.......................   		X           0 0 0
(25) UHHS - Vasu Pandrangi MD........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(26) UHHS - Gary Pasqualone........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(27) UHHS - Sandy Pianalto........................................................................
Vice Chair/Director
 2.0
.......................   		X   X       0 0 0
(28) UHHS - Mark Plush........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(29) UHHS - Richard W Pogue........................................................................
Director
 2.0
.......................   		X           0 0 0
(30) UHHS - Alfred M Rankin Jr........................................................................
Chair/Director
 2.0
.......................   		X   X       0 0 0
(31) UHHS - Willard Raymond........................................................................
Ex Off Dir. (thru 5/13)
 2.0
.......................   		X           0 0 0
(32) UHHS - Gregory Robinson........................................................................
Ex Off Dir. (thru 5/13)
 2.0
.......................   		X           0 0 0
(33) UHHS - Fred C Rothstein MD........................................................................
Pres. UHCMC/Ex Off Dir.
 60.0
.......................   		X           1,227,683 0 68,073
(34) UHHS - Robert Salata MD........................................................................
UHMG Physician/Director
 60.0
.......................   		X           89,075 0 3,067
(35) UHHS - Thomas A Selden........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(36) UHHS - Jerry Sue Thornton PhD........................................................................
Director
 2.0
.......................   		X           0 0 0
(37) UHHS - Les C Vinney........................................................................
Director
 2.0
.......................   		X           0 0 0
(38) UHHS - Thomas F Zenty III........................................................................
CEO/Ex Off Dir.
 60.0
.......................   		X   X       2,239,564 0 375,275
(39) UHCMC - Joel Adelman........................................................................
Director
 2.0
.......................   		X           0 0 0
(40) UHCMC - Thomas W Adler........................................................................
Director (thru 5/13)
 2.0
.......................   		X           0 0 0
(41) UHCMC - Robert T Bennett........................................................................
Director (thru 5/13)
 2.0
.......................   		X           0 0 0
(42) UHCMC - David Camiener........................................................................
Director
 2.0
.......................   		X           0 0 0
(43) UHCMC - Paul H Carleton........................................................................
Co-Vice Chair/Director
 2.0
.......................   		X   X       0 0 0
(44) UHCMC - Carole A Carr........................................................................
Director
 2.0
.......................   		X           0 0 0
(45) UHCMC - Pamela B Davis MD PhD........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(46) UHCMC - Ralph Della Ratta........................................................................
Director
 2.0
.......................   		X           0 0 0
(47) UHCMC - Michael Feuer........................................................................
Director
 2.0
.......................   		X           0 0 0
(48) UHCMC - David Goldberg........................................................................
Director
 2.0
.......................   		X           0 0 0
(49) UHCMC - Robert D Gries........................................................................
Director
 2.0
.......................   		X           0 0 0
(50) UHCMC - Charles Hallberg........................................................................
Director
 2.0
.......................   		X           0 0 0
(51) UHCMC - Christopher Hyland........................................................................
Co-Vice Chair/Director
 2.0
.......................   		X   X       0 0 0
(52) UHCMC - Jerry Kelsheimer........................................................................
Director
 2.0
.......................   		X           0 0 0
(53) UHCMC - Dinah Kolesar........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(54) UHCMC - Lee Koury........................................................................
Director
 2.0
.......................   		X           0 0 0
(55) UHCMC - Raymond K Lee........................................................................
Director
 2.0
.......................   		X           0 0 0
(56) UHCMC - Gene C Lovett........................................................................
Director
 2.0
.......................   		X           0 0 0
(57) UHCMC - Adrian Maldonado........................................................................
Director
 2.0
.......................   		X           0 0 0
(58) UHCMC - John C Morley........................................................................
Director
 2.0
.......................   		X           0 0 0
(59) UHCMC - Patrick S Mullin........................................................................
Chair/Director
 2.0
.......................   		X   X       0 0 0
(60) UHCMC - William J O'Neill Jr........................................................................
Director
 2.0
.......................   		X           0 0 0
(61) UHCMC - Alfred M Rankin Jr........................................................................
Ex Off Dir. (thru 5/13)
 2.0
.......................   		X           0 0 0
(62) UHCMC - Ann P Ranney........................................................................
Director
 2.0
.......................   		X           0 0 0
(63) UHCMC - Julie Adler Raskind........................................................................
Director
 2.0
.......................   		X           0 0 0
(64) UHCMC - David M Reynolds........................................................................
Director
 2.0
.......................   		X           0 0 0
(65) UHCMC - Kenneth C Ricci........................................................................
Director
 2.0
.......................   		X           0 0 0
(66) UHCMC - Robert Risman........................................................................
Director (thru 9/13)
 2.0
.......................   		X           0 0 0
(67) UHCMC - Barbara S Robinson........................................................................
Director
 2.0
.......................   		X           0 0 0
(68) UHCMC - Fred C Rothstein MD........................................................................
Pres./Ex Off Dir.
 2.0
.......................   		X   X       0 0 0
(69) UHCMC - Mairan Shaughnessy........................................................................
Director
 2.0
.......................   		X           0 0 0
(70) UHCMC - Gregory Skoda........................................................................
Director
 2.0
.......................   		X           0 0 0
(71) UHCMC - Hilton O Smith........................................................................
Director
 2.0
.......................   		X           0 0 0
(72) UHCMC - Eddie Taylor........................................................................
Director
 2.0
.......................   		X           0 0 0
(73) UHCMC - Richard Walsh MD........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(74) UHCMC - Penni Weinberg........................................................................
Director
 2.0
.......................   		X           0 0 0
(75) UHCMC - Djames W Wert........................................................................
Director
 2.0
.......................   		X           0 0 0
(76) UHCMC - Lorna Wisham........................................................................
Director
 2.0
.......................   		X           0 0 0
(77) UHCMC - Jacqueline Woods........................................................................
Director
 2.0
.......................   		X           0 0 0
(78) UHCMC - Christine Wynd........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(79) UHCMC - Thomas F Zenty III........................................................................
Ex Off Dir.
 2.0
.......................   		X           0 0 0
(80) UHMG - Eric Bieber MD........................................................................
UH CMO/Director
 2.0
.......................   		X             0 0
(81) UHMG - Paul H Carleton........................................................................
Director
 2.0
.......................   		X           0 0 0
(82) UHMG - Pamela B Davis MD Phd........................................................................
Director
 2.0
.......................   		X           0 0 0
(83) UHMG - Patricia DePompei........................................................................
Director
 2.0
.......................   		X           0 0 0
(84) UHMG - Michael Feuer........................................................................
Director
 2.0
.......................   		X           0 0 0
(85) UHMG - Charles Hallberg........................................................................
Director
 2.0
.......................   		X           0 0 0
(86) UHMG - Clifford V Harding MD........................................................................
Dept. Chair Pathology/Director
 60.0
.......................   		X           305,273 0 12,129
(87) UHMG - Robert Haynie MD........................................................................
Director
 2.0
.......................   		X           0 0 0
(88) UHMG - Elliott A Kellman........................................................................
Director
 2.0
.......................   		X           0 0 0
(89) UHMG - Michael Konstan MD........................................................................
Dept.Chair Pediatrics/Director
 60.0
.......................   		X           354,672 0 23,867
(90) UHMG - Cliff Megerian MD........................................................................
Dept. Chair Otolaryngology/Dir
 60.0
.......................   		X           649,538 0 40,165
(91) UHMG - Michael Nochomovitz MD........................................................................
Pres./Director
 60.0
.......................   		X   X       1,038,904 0 57,647
(92) UHMG - William O'Neill Jr........................................................................
Director
 2.0
.......................   		X           0 0 0
(93) UHMG - Jeffrey Ponsky MD........................................................................
Dept. Chair Surgery/Director
 60.0
.......................   		X           706,096 0 24,771
(94) UHMG - Robert Ronis........................................................................
Dept. Chair Psychiatry/Direct.
 60.0
.......................   		X           247,463 0 8,826
(95) UHMG - Fred C Rothstein MD........................................................................
Chair/Director
 2.0
.......................   		X   X       0 0 0
(96) UHMG - Michael A Szubski........................................................................
Director
 2.0
.......................   		X           0 0 0
(97) UHMG - Richard A Walsh MD........................................................................
Dept. Chair Medicine/Director
 60.0
.......................   		X           475,900 0 26,249
(98) UHLSF - Ronald Dziedzicki BSN RN........................................................................
Secretary/Director
 2.0
.......................   		X   X       0 0 0
(99) UHLSF - Sonia Salvino........................................................................
Treasurer/Director
 2.0
.......................   		X   X       0 0 0
(100) UHLSF - Nancy Tinsley........................................................................
Director
 2.0
.......................   		X           278,636 0 69,406
(101) AMC - Julie Boland........................................................................
Sec. & Treas./Dir. (thru 5/31)
 2.0
.......................   		X   X       0 0 0
(102) AMC - Richard Doody........................................................................
Director
 2.0
.......................   		X           0 0 0
(103) AMC - Michael Druzinsky........................................................................
Co-Chair/Director
 2.0
.......................   		X   X       0 0 0
(104) AMC - Robert Glick........................................................................
Sec. & Treas./Dir.
 2.0
.......................   		X   X       0 0 0
(105) AMC - Richard Hanson........................................................................
Ex Officio Director
 10.0
.......................   		X           881,735 0 162,861
(106) AMC - Susan V Juris........................................................................
Pres./Ex Officio Director
 60.0
.......................   		X   X       506,454 0 71,497
(107) AMC - John Morikis........................................................................
Vice Chair/Director
 2.0
.......................   		X   X       0 0 0
(108) AMC - Thomas Murdough........................................................................
Chair (thru 5/13)/Director
 2.0
.......................   		X   X       0 0 0
(109) AMC - Enid Rosenberg........................................................................
Director
 2.0
.......................   		X           0 0 0
(110) AMC - Reggie Rucker........................................................................
Director
 2.0
.......................   		X           0 0 0
(111) AMC - Neil Sethi........................................................................
Director
 2.0
.......................   		X           0 0 0
(112) AMC - Margaret Singerman........................................................................
Director
 2.0
.......................   		X           0 0 0
(113) AMC - John Sinnenberg........................................................................
Director
 2.0
.......................   		X           0 0 0
(114) AMC - Richard Stein........................................................................
Ex Officio Director
 2.0
.......................60.0 		X           0 432,813 61,174
(115) AMC - Dan Zelman........................................................................
Director
 2.0
.......................   		X           0 0 0
(116) UHREG - Samuel Ake........................................................................
Secretary/Director
 2.0
.......................   		X   X       0 0 0
(117) UHREG - Mary Jo Boehnlein........................................................................
Co-Chair/Ex Officio Dir.
 2.0
.......................   		X           0 0 0
(118) UHREG - Peter R Brumberas........................................................................
Director
 2.0
.......................   		X           0 0 0
(119) UHREG - Mary Ann P Correnti........................................................................
Co-Chair/Ex Officio Dir.
 2.0
.......................   		X           0 0 0
(120) UHREG - Laurie Delgado........................................................................
Pres.(thru 12/13)/Ex Off Dir
 60.0
.......................   		X   X       730,132 0 64,616
(121) UHREG - Wendolyn Grant........................................................................
Director
 2.0
.......................   		X           0 0 0
(122) UHREG - Richard Hanson........................................................................
Ex Officio Director
 10.0
.......................   		X           0 0 0
(123) UHREG - James Hukill........................................................................
Treasurer(thru 5/13)/Director
 2.0
.......................   		X   X       0 0 0
(124) UHREG - David E Jerome........................................................................
Director
 2.0
.......................   		X           0 0 0
(125) UHREG - James Judd........................................................................
Director
 2.0
.......................   		X           0 0 0
(126) UHREG - Judy Grieg........................................................................
Ex Officio Director
 2.0
.......................   		X           0 0 0
(127) UHREG - Rosemary Leeming MD........................................................................
CMO/Director
 60.0
.......................   		X           230,722 0 39,646
(128) UHREG - Brock Milstein........................................................................
Director
 2.0
.......................   		X           0 0 0
(129) UHREG - Timothy Morgan........................................................................
Director
 2.0
.......................   		X           0 0 0
(130) UHREG - Stamy Paul........................................................................
Director
 2.0
.......................   		X           0 0 0
(131) UHREG - David Rapkin MD........................................................................
Chief of Staff/Director
 60.0
.......................   		X           423,190 0 43,356
(132) CMC - Terry Atkinson........................................................................
Director
 2.0
.......................   		X           0 0 0
(133) CMC - Robert David........................................................................
Pres./Ex Officio Director
 30.0
.......................   		X   X       170,380 0 47,782
(134) CMC - Charles Deck........................................................................
Director
 2.0
.......................   		X           0 0 0
(135) CMC - Arpan Desai MD........................................................................
Director
 2.0
.......................60.0 		X           0 416,060 34,516
(136) CMC - Gerald Eighmy........................................................................
Director
 2.0
.......................   		X           0 0 0
(137) CMC - Richard A Hanson........................................................................
Secretary & Treas.
 10.0
.......................   		X   X       0 0 0
(138) CMC - George Kolman........................................................................
Director
 2.0
.......................   		X           0 0 0
(139) CMC - Reverend Tim Kraus........................................................................
Chair/Director
 2.0
.......................   		X   X       0 0 0
(140) CMC - Lori McLaughlin........................................................................
Vice Chair/Director
 2.0
.......................   		X   X       0 0 0
(141) CMC - Joseph A Moroski........................................................................
Director
 2.0
.......................   		X           0 0 0
(142) CMC - Carol Owens........................................................................
Director
 2.0
.......................   		X           0 0 0
(143) CMC - Mike Skufca DDS........................................................................
Director
 2.0
.......................   		X           0 0 0
(144) CMC - James Supplee........................................................................
Director
 2.0
.......................   		X           0 0 0
(145) ECC - Richard Hanson........................................................................
Chair/Ex Officio Director
 2.0
.......................   		X   X       0 0 0
(146) ECC - Susan V Juris........................................................................
Pres./Ex Officio Director
 2.0
.......................   		X   X       0 0 0
(147) ECC - Rebecca Ivcic........................................................................
Finance Director/Director
 2.0
.......................   		X   X       99,641 0 38,347
(148) GMC - Thomas Benda........................................................................
Director
 2.0
.......................   		X           0 0 0
(149) GMC - John Fitts........................................................................
Treasurer/Director
 2.0
.......................   		X   X       0 0 0
(150) GMC - Davina Gosnell PhD........................................................................
Ex Officio Director
 2.0
.......................   		X           0 0 0
(151) GMC - Richard Hanson........................................................................
Ex Officio Director
 10.0
.......................   		X           0 0 0
(152) GMC - B Paige Hoiser........................................................................
Director
 2.0
.......................   		X           0 0 0
(153) GMC - M Steven Jones........................................................................
Pres./Ex Officio Director
 60.0
.......................   		X   X       426,123 0 106,963
(154) GMC - P James Kamer Jr........................................................................
Vice Chair/Director
 2.0
.......................   		X   X       0 0 0
(155) GMC - Jack Male........................................................................
Director
 2.0
.......................   		X           0 0 0
(156) GMC - Darrell McNair........................................................................
Secretary/Director
 2.0
.......................   		X   X       0 0 0
(157) GMC - Denise Dee Dee Miller........................................................................
Director
 2.0
.......................   		X           0 0 0
(158) GMC - Pete C Miller........................................................................
Director
 2.0
.......................   		X           0 0 0
(159) GMC - David M Ondrey........................................................................
Director (thru 5/13)
 2.0
.......................   		X           0 0 0
(160) GMC - James F Patterson........................................................................
Director
 2.0
.......................   		X           0 0 0
(161) GMC - Gregory Robinson........................................................................
Chair (thru 5/13)/Director
 2.0
.......................   		X   X       0 0 0
(162) GMC - George W Tim Taylor........................................................................
Director
 2.0
.......................   		X           0 0 0
(163) GMC - John Tumbush MD........................................................................
Director
 2.0
.......................60.0 		X           0 196,203 29,445
(164) GMC - John W Waldeck Jr........................................................................
Director
 2.0
.......................   		X           0 0 0
(165) UHGMC - James Crawford........................................................................
Director
 2.0
.......................   		X           0 0 0
(166) UHGMC - Richard L Dana Jr........................................................................
Vice Chair/Director
 2.0
.......................   		X   X       0 0 0
(167) UHGMC - Robert David........................................................................
Pres./Ex Officio Director
 30.0
.......................   		X   X       170,380 0 47,781
(168) UHGMC - Raimantas Drublionis MD........................................................................
Ex Officio Director
 2.0
.......................60.0 		X           0 333,501 22,072
(169) UHGMC - Morgan R Griffiths Jr........................................................................
Director
 2.0
.......................   		X           0 0 0
(170) UHGMC - Richard Hanson........................................................................
Sec&Treas/Ex Officio
 10.0
.......................   		X   X       0 0 0
(171) UHGMC - Craig Parker........................................................................
Director
 2.0
.......................   		X           0 0 0
(172) UHGMC - Gary L Pasqualone........................................................................
Chair/Director
 2.0
.......................   		X   X       0 0 0
(173) UHGMC - Willard Raymond........................................................................
Chair (thru 5/13)/Director
 2.0
.......................   		X   X       0 0 0
(174) UHGMC - Robert Taylor........................................................................
Director
 2.0
.......................   		X           0 0 0
(175) HCS - Keith Maitland........................................................................
Pres./Director
 60.0
.......................   		X   X       335,100 0 72,608
(176) HCS - Richard A Hanson........................................................................
VP/Director
 10.0
.......................   		X   X       0 0 0
(177) UMI - Phyllis Hall........................................................................
Secretary/Director
 2.0
.......................   		X   X       0 0 0
(178) UMI - Michael Nochomovitz MD........................................................................
Pres./Director
 2.0
.......................   		X   X       0 0 0
(179) UMI - Michael Szubski........................................................................
Treas./Director
 2.0
.......................   		X   X       0 0 0
(180) UHACO - Eric J Bieber MD........................................................................
Pres./Director
 60.0
.......................   		X   X       793,040 0 147,041
(181) UHACO - ROSEMARY LEEMING........................................................................
Director
 2.0
.......................   		X           0 0 0
(182) UHACO - Michael Szubski........................................................................
Treas./Director
 2.0
.......................   		X   X       0 0 0
(183) UHACO - Paul Tait........................................................................
Director
 2.0
.......................   		X           0 0 0
(184) UHRBC - Eric J Bieber MD........................................................................
Pres./Director
 2.0
.......................   		X   X       0 0 0
(185) UHRBC - Brent Carson........................................................................
Treas./Director
 2.0
.......................   		X   X       267,042 0 81,671
(186) UHRBC - Patricia DePompei........................................................................
Director
 2.0
.......................   		X           0 0 0
(187) UHRBC - Marillee Gallagher MD........................................................................
Director
 2.0
.......................60.0 		X           0 330,927 22,826
(188) UHRBC - Richard Grossberg MD........................................................................
Director
 2.0
.......................   		X           305,231 0 41,996
(189) UHRBC - Dinah Kolesar........................................................................
Director
 2.0
.......................   		X           0 0 0
(190) UHRBC - Ken Lakota........................................................................
Director
 2.0
.......................   		X           127,681 0 39,314
(191) UHRBC - James Underwood MD........................................................................
Director
 2.0
.......................60.0 		X           0 143,314 41,671
(192) UHRBC - Lloyd Yeh MD........................................................................
Director
 2.0
.......................   		X           0 0 0
(193) UHCCO - Eric J Bieber MD........................................................................
Pres./Dir.
 2.0
.......................   		X   X       0 0 0
(194) UHCCO - David Cogan MD........................................................................
Director
 2.0
.......................60.0 		X           0 329,507 46,487
(195) UHCCO - James Covielo MD........................................................................
Director
 2.0
.......................60.0 		X           0 219,358 19,229
(196) UHCCO - Richard A Hanson........................................................................
Director
 2.0
.......................   		X           0 0 0
(197) UHCCO - Sean Hoynes MD........................................................................
Director
 2.0
.......................60.0 		X           0 472,008 55,552
(198) UHCCO - George Kikano MD........................................................................
Director
 2.0
.......................   		X           254,952 0 20,088
(199) UHCCO - Karen Monheim MD........................................................................
Director
 2.0
.......................2.0 		X           0 0 0
(200) UHCCO - Keith Maitland RPh........................................................................
Director
 2.0
.......................   		X           0 0 0
(201) UHCCO - Michael L Nochomovitz MD........................................................................
Director
 2.0
.......................   		X           0 0 0
(202) UHCCO - Ann Ranney........................................................................
Director
 2.0
.......................   		X           0 0 0
(203) UHCCO - Fred C Rothstein MD........................................................................
Director
 2.0
.......................   		X           0 0 0
(204) UHCCO - Warren Selman MD........................................................................
Director
 2.0
.......................   		X           0 0 0
(205) UHCCO - William Steiner II MD P........................................................................
Director
 2.0
.......................60.0 		X           0 180,938 11,880
(206) UHCCO - Paul G Tait........................................................................
Director
 2.0
.......................   		X           0 0 0
(207) UHREG - PHILIP RIDOLFI........................................................................
DIRECTOR
 2.0
.......................   		X           0 0 0
(208) UHREG - MARK PLUSH........................................................................
DIRECTOR
 2.0
.......................   		X           0 0 0
(209) AMC - sheldon adelman........................................................................
DIRECTOR
 2.0
.......................   		X           0 0 0
(210) UHHS - William L Annable MD........................................................................
Chief Quality Off.
 60.0
.......................   		    X       540,521 0 26,597
(211) UHHS - Elliot A Kellman........................................................................
Chief HRO
 60.0
.......................   		    X       739,624 0 72,348
(212) UHHS - Janet L Miller Esq........................................................................
Secretary, CLO
 60.0
.......................   		    X       1,351,936 0 58,235
(213) UHHS - Steven D Standley........................................................................
Chief Admin. Off.
 60.0
.......................   		    X       754,677 0 58,959
(214) UHHS - Michael A Szubski........................................................................
Treasurer, CFO
 60.0
.......................   		    X       1,053,009 0 207,317
(215) UHCMC - Michael Anderson MD........................................................................
Chief Medical Off.
 60.0
.......................   		    X       423,824 0 113,712
(216) UHCMC - Patricia DePompei........................................................................
Pres. RB&C/Macdonald
 60.0
.......................   		    X       470,337 0 105,370
(217) UHCMC - Ronald E Dziedzicki BSN........................................................................
Chief Support Serv. Off.
 60.0
.......................   		    X       484,963 0 117,715
(218) UHCMC - Catherine S Koppelman RN........................................................................
Chief Nursing Off.
 60.0
.......................   		    X       507,955 0 68,726
(219) UHCMC - Nathan Levitan MD........................................................................
Pres. Seidman Cancer Ctr.
 60.0
.......................   		    X       886,354 0 64,489
(220) UHCMC - Janet L Miller Esq........................................................................
Secretary, Chief Legal Off.
 2.0
.......................   		    X       0 0 0
(221) UHCMC - Sonia Salvino........................................................................
Treasurer/VP Finance
 60.0
.......................   		    X       311,445 0 81,930
(222) UHMG - Harlin G Adelman........................................................................
Assistant Secretary
 2.0
.......................   		    X       455,010 0 106,626
(223) UHMG - Phyllis Hall........................................................................
VP & Treasurer
 60.0
.......................   		    X       433,809 0 114,478
(224) UHMG - Janet L Miller Esq........................................................................
Secretary
 2.0
.......................   		    X       0 0 0
(225) UHLSF - Don M Landek........................................................................
President
 60.0
.......................   		    X       190,411 0 50,152
(226) HCS - Howard Lutz........................................................................
Sec. & Treas.
 60.0
.......................   		    X       92,816 0 20,411
(227) UHACO - Elizabeth Hammack........................................................................
Secretary
 2.0
.......................   		    X       193,556 0 30,686
(228) UHRBC - Drew Hertz MD........................................................................
Vice Pres.
 2.0
.......................   		    X       323,290 0 1,659
(229) UHRBC - Elizabeth Hammack........................................................................
Secretary
 2.0
.......................   		    X       0 0 0
(230) UHCCO - Michael Szubski........................................................................
Trasurer
 2.0
.......................   		    X       0 0 0
(231) UHCCO - Elizabeth Hammack........................................................................
Secretary
 2.0
.......................   		    X       0 0 0
(232) UHHS Sherri Bishop........................................................................
Chief Development Off.
 60.0
.......................   		      X     696,791 0 150,049
(233) UHHS - Peter S Brumleve........................................................................
Chief Marketing Off.
 60.0
.......................   		      X     505,958 0 88,986
(234) UHHCS - Kevin P Cunningham........................................................................
Pharmacy Director
 60.0
.......................   		      X     156,711 0 27,016
(235) UHHS - John V Foley........................................................................
Chief Information Off.
 60.0
.......................   		      X     466,961 0 86,632
(236) GMC - Jason E Glowczewski........................................................................
Pharmacy Director
 60.0
.......................   		      X     163,106 0 32,942
(237) AMC - Alan Hirsch MD........................................................................
CMO, Ahuja
 60.0
.......................   		      X     346,747 0 59,537
(238) UHCMC - Carl Lufter........................................................................
Pharmacy Director
 60.0
.......................   		      X     196,048 0 31,303
(239) UHHS - Cheryl Wahl........................................................................
Chief Compliance Officer
 60.0
.......................   		      X     326,478 0 68,113
(240) UHHS - William A Young........................................................................
President SJMC
 60.0
.......................   		      X     437,125 0 94,279
(241) UHHS - PAUL TAIT........................................................................
CHIEF STRATEGIC PLANNING OFF.
 60.0
.......................0.0 		      X     1,176,630 0 63,151
(242) UHMG - Bahman Guyuron MD........................................................................
Surgeon, Plastic Surgery
 60.0
.......................   		        X   1,463,326 0 30,205
(243) UHMG - Christopher Furey MD........................................................................
Orthopaedic Surgeon
 60.0
.......................   		        X   1,152,417 0 38,125
(244) UHMG - Jason D Eubanks........................................................................
Orthopaedic Surgeon
 60.0
.......................   		        X   1,120,343 0 24,218
(245) UHMG - Nicholas U Ahn MD........................................................................
Orthopaedic Surgeon
 60.0
.......................   		        X   1,095,032 0 36,280
(246) UHMG - Matthew Kraay........................................................................
Orthopaedic Surgeon
 60.0
.......................   		        X   921,187 0 44,001
(247) UHCMC - Warren Selman MD........................................................................
Physician/Director (thru 5/13)
 60.0
.......................   		          X 902,829 0 40,047
(248) UHHS - ACHILLES A DEMETRIOU MD........................................................................
PRESIDENT/COO
 0.0
.......................   		          X 502,389   52,828
(249) UHLSF - Michael R Vehovec........................................................................
Fmr. Officer
 60.0
.......................   		          X 323,495 0 76,148
(250) UHHS - Donnie Perkins........................................................................
VP Inclusion & Diversity
 60.0
.......................   		          X 261,416 0 13,746
(251) UHHS - Heidi Gartland........................................................................
Fmr. Key Employee
 60.0
.......................   		          X 310,414 0 72,555
(252) UHMG - Pablo R Ros MD........................................................................
Fmr. Key Employee
 60.0
.......................   		          X 621,551 0 32,415
(253) UHMG - Charles Lanzieri MD........................................................................
Fmr. Key Employee
 60.0
.......................   		          X 485,685 0 32,154
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 36,180,783 3,054,629 4,574,034
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,220
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. 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
MICROSOFT LICENSING GP, PO BOX 842467DALLASTX752842467 SOFTWARE 7,526,589
MACQUARIE EQUIPMENT FINANCE LLC, GPO DRAWER 67-865DETROITMI48267 LEASING 7,091,105
ACCENTURE LLP, PO BBOX 70629CHICAGOIL606730629 CONSULTING 5,409,214
CUMBERLAND CONSULTING GROUP LLC, 720 COOL SPRINGS BLVD STE 550FRANKLINTN37067 Consulting 4,601,879
MCPC IMAGING AND PRINTING LLC, PO BOX 697SANDUSKYOH44870 INFO TECHNOLOGY SVCS 4,049,185
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet97
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 0
b Membership dues....1b 0
c Fundraising events....1c 1,355,800
d Related organizations...1d 0
e Government grants (contributions)1e 0
f All other contributions, gifts, grants, and
similar amounts not included above1f 		51,755,200
g Noncash contributions included in lines
1a-1f:$ 		3,896,266
h Total. Add lines 1a-1f.......MediumBullet 53,111,000
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE LESS BAD DEBTS 900099 1,956,662,000 1,956,244,000 418,000  
b UHMG SPONSORED REVENUE 900099 46,228,000 46,228,000    
c UHMG RESIDENT TEACHING REVENUE 900099 18,629,000 18,629,000    
d UHMG OTHER CLINICAL REVENUE 900099 16,084,000 16,084,000    
e MEDICAL DIRECTOR REVENUE 900099 14,182,000 14,182,000    
f All other program service revenue . 54,518,000 54,239,000 279,000  
g Total. Add lines 2a–2f........MediumBullet 2,106,303,000
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 24,294,000     24,294,000
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 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).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   46,971,000
b Less: cost or other basis and sales expenses    
c Gain or (loss)   46,971,000
d Net gain or (loss)..........MediumBullet 46,971,000     46,971,000
8a Gross income from fundraising events (not including
$ 1,355,808
of contributions reported on line 1c). See Part IV, line 18 ..
a 439,400
b Less: direct expenses ...b 873,400
c Net income or (loss) from fundraising events..MediumBullet -434,000   -434,000
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a PARKING SERVICES 900099 3,521,000     3,521,000
b CALL CENTER 900099 1,713,000     1,713,000
c NET PREMIUM & ADMINISTRATIVE FEES 900099 885,000 885,000    
d All other revenue .... 90,044,000 90,044,000    
e Total. Add lines 11a–11d ...... MediumBullet 96,163,000
12 Total revenue. See Instructions......MediumBullet 2,326,408,000 2,196,535,000 697,000 76,065,000
Form 990 (2013)
Form 990 (2013)
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 or note to any line 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 34,294,000 34,294,000
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 .... 17,890,000   17,890,000  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 3,935,000 3,935,000    
7 Other salaries and wages 910,608,000 904,003,000   6,605,000
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 67,258,000 67,258,000    
9 Other employee benefits ....... 92,586,000 90,888,000   1,698,000
10 Payroll taxes ........... 58,991,000 58,991,000    
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,051,000 1,051,000    
c Accounting ........... 761,000 761,000    
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 33,000 33,000
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) ........ 181,822,000 181,384,000   438,000
12 Advertising and promotion .... 11,478,000 10,821,000   657,000
13 Office expenses ....... 353,902,000 352,863,000   1,039,000
14 Information technology ...... 36,833,000 36,833,000    
15 Royalties .. 0      
16 Occupancy ........... 98,752,000 98,646,000   106,000
17 Travel ............ 8,445,000 8,169,000   276,000
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 17,480,000 17,480,000    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 97,591,000 97,591,000    
23 Insurance .............. 21,914,000 21,914,000    
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 TAXES 25,524,000 25,524,000    
b RECRUITMENT 3,491,000 3,491,000    
c ADMINISTRATIVE SERVICES 3,012,000 3,012,000    
d DUES AND MEMBERSHIPS 224,000 224,000    
e All other expenses 34,095,000 33,437,000   658,000
25 Total functional expenses. Add lines 1 through 24e 2,081,970,000 2,052,570,000 17,890,000 11,510,000
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 0 1 0
2 Savings and temporary cash investments ......... 33,341,000 2 192,149,000
3 Pledges and grants receivable, net ........... 126,944,000 3 28,200,000
4 Accounts receivable, net ............. 318,886,000 4 367,865,000
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 ............. 396,000 7 370,000
8 Inventories for sale or use .............. 31,652,000 8 31,898,000
9 Prepaid expenses and deferred charges .......... 3,266,000 9 22,310,000
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,533,976,000
b Less: accumulated depreciation ..... 10b 1,324,245,000 913,014,000 10c 1,209,731,000
11 Investments—publicly traded securities .......... 3,271,000 11 332,223,000
12 Investments—other securities. See Part IV, line 11 ..... 56,416,000 12 618,807,000
13 Investments—program-related. See Part IV, line 11 ..... 5,631,000 13 367,552,000
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 40,874,000 15 167,165,000
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,533,691,000 16 3,338,270,000
Liabilities 17 Accounts payable and accrued expenses ......... 100,595,000 17 308,614,000
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 6,677,000 19 8,369,000
20 Tax-exempt bond liabilities ............. 0 20 1,086,314,000
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 39,978,000
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.................... 106,996,000 25 258,925,000
26 Total liabilities. Add lines 17 through 25......... 214,268,000 26 1,702,200,000
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 1,080,947,000 27 1,063,229,000
28 Temporarily restricted net assets ........... 220,386,000 28 255,296,000
29 Permanently restricted net assets ........... 18,090,000 29 317,545,000
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 1,319,423,000 33 1,636,070,000
34 Total liabilities and net assets/fund balances ........ 1,533,691,000 34 3,338,270,000
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,326,408,000
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,081,970,000
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
244,438,000
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,319,423,000
5
Net unrealized gains (losses) on investments ...............
5
-1,112,000
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
73,321,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,636,070,000
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
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:
b
Were the organization’s financial statements audited by an independent accountant?
2b
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:
c
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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

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

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. 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
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
University Hospitals Health System Inc
Group Return 		Employer identification number

90-0059117
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, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
University Hospitals Health System Inc
Group Return 		Employer identification number

90-0059117
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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
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 (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


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

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

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

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

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










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
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 Bulletexpenses, and share of excess lobbying expenditures).Click to see attachment
B Check SchCMd Bullet
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) ...... 882 947
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 127,536 135,299
c Total lobbying expenditures (add lines 1a and 1b) ................... 128,418 136,246
d Other exempt purpose expenditures ........................ 248,858,000 2,247,480,524
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 248,986,418 2,247,616,770
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? ......................................

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) 2010 (b) 2011 (c) 2012 (d) 2013 (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 357,890 278,602 175,388 173,650 985,530
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 7,514 6,426 4,108 947 18,995
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
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)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
25,768
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
105,422
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
22,114
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) 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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
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.
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 $25,768 1e - No 1f - Yes $105,422 1g - Yes $22,114 1h - No 1i - No 1j - Yes $153,304 2a - No
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a 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.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
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.
1a
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.
b
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 $ 186,000
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $ 1,144,000
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part 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 .... 123,867,000 118,803,000 107,300,000 103,637,000 95,272,000
b Contributions ........ 3,103,000 5,064,000 11,503,000 3,508,000 6,956,000
c Net investment earnings, gains, and losses 4,020,000 3,938,000 4,198,000 1,680,000 4,047,000
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		4,020,000 3,938,000 4,198,000 1,680,000 2,638,000
f Administrative expenses ....          
g End of year balance ...... 126,970,000 123,867,000 118,803,000 107,145,000 103,637,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet13.900 %
b
Permanent endowment SchDMd Bullet86.100 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   70,070,000 70,070,000
b Buildings ................   1,374,588,000 596,201,000 778,387,000
c Leasehold improvements ............   21,703,000 10,141,000 11,562,000
d Equipment ................   1,018,203,000 692,262,000 325,941
e Other .................   49,412,000 25,641,000 23,771,000
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 884,115,941
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) INVESTMENTS 		618,116,000 F

(B) INVESTMENT DEPOSITED W/TRUSTEE 		691,000 F







Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 618,807,000
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) BENEFICIAL INT. IN FOUNDATION 253,123,000 F
(2) INVESTMENT IN AFFILIATES 114,429,000 C







Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 367,552,000
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) RESEARCH INST OPTION ASSET 32,656,000
(2) SECURITIES LENDING INVESTMENT 33,013,000
(3) OTHER ASSETS 101,496,000






Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 167,165,000
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
RESEARCH INST OPTION LIABILITY 32,656,000
DUE TO THIRD PARTIES 28,656,000
INTEREST PAYABLE 15,017,000
OTHER CURRENT LIABILITIES 15,720,000
OTHER LIABILITIES 4,129,000
ACCRUED WORKERS COMP LIABILITY 52,596,000
INTEREST RATE SWAP LIABILITY 36,817,000
SELF INSURED LIABILITY 23,538,000
NON FUNDED LOSS COST 19,102,000
DUE TO AFFILIATES 11,820,000
EMPLOYEE HEALTH PLAN 9,619,000
PENSION LIABILITY 9,255,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 258,925,000
2. Liability for uncertain tax positions 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) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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
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.
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 (see note 18).
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(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
SFI NON-PROFIT
7800 THIRD STREET N 900
 
ST PAUL, MN55128 		PHONE SOLIC   No 8,403 32,945 -24,542
             
             
             
             
             
             
             
             
             
Total .................right arrow 8,403 32,945 -24,542
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
All States
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
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

GALA
(event type) 		(b) Event #2

GALA
(event type) 		(c) Other events

2
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 1,519,837 166,628 108,742 1,795,207
2 Less: Contributions . . 1,172,697 130,903 52,208 1,355,808
3 Gross income (line 1
minus line 2) . . . 		347,140 35,725 56,534 439,399
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . 461,109 24,813 34,584 520,506
8 Entertainment . . .        
9 Other direct expenses . 335,815 6,954 10,116 352,885
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 873,391
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -433,992
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. 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).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: .........
3b
Yes
 
%
c
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.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    59,370,960   59,370,960 2.990 %
b Medicaid (from Worksheet 3,
column a) .... 		    429,137,993 371,960,225 57,177,768 2.880 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    488,508,953 371,960,225 116,548,728 5.870 %
Other Benefits
     5,488,367   5,488,367 0.280 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    75,580,225 22,640,350 52,939,875 2.670 %
g Subsidized health services
(from Worksheet 6) .. 		    22,289,263 18,653,735 3,635,528 0.180 %
h Research (from Worksheet 7)     57,588,832 30,953,766 26,635,066 1.340 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    34,207,272   34,207,272 1.720 %
j Total. Other Benefits ..     195,153,959 72,247,851 122,906,108 6.190 %
k Total. Add lines 7d and 7j .     683,662,912 444,208,076 239,454,836 12.060 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other     437,898   437,898 0.030 %
10 Total     437,898   437,898 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
50,880,000
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
328,205,350
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
366,685,981
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-38,480,631
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

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) 2013
Schedule H (Form 990) 2013
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, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other 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) 2013
Schedule H (Form 990) 2013
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  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		 
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests 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 .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 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 ........ 7   No
8a 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)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c 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) 2013
Schedule H (Form 990) 2013
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
b
c
d
e
f
g
h
i
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
b
c
d
e
f
g
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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
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 individual’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
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
University Hospitals Case Medical Center Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 44 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Case Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Achievement Centers for Children Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County American Diabetes Association Ashtabula County Health Department Bellefaire JCB Benjamin Rose Institute on Aging Center for Families and Children City of Beachwood City of Bedford City of Cleveland, Ward 9 Cleveland Department of Public Health Cuyahoga County Office of Early Childhood Invest in Children Department of Public Safety, Cleveland Geauga County General Health District Lake County General Health District Lorain County Board of Mental Health Lorain Free Clinic Medina County Health Department Mental Health and Recovery Board of Portage County Neighborhood Family Practice North Coast Health Ministry Ohio Commission on Minority Health Summit County Public Health The Center for Health Affairs The Free Medical Clinic of Greater Cleveland The Gathering Place Trumbull County Health Department UH Case Medical Center UH EMS Training & Disaster Preparedness Institute UH Seidman Cancer Center Part V, Section B, Line 4 The University Hospitals Case Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Conneaut Medical Center, UH Geauga Medical Center, UH Geneva Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Implementation Strategy did not address the following two (2) community health needs identified in the 2012 CHNA: A) Lack of Affordable and Accessible Dental Services: The Hospital does not offer adult dental services and, therefore, will not address this specific need. The Hospital collaborates closely with Case Western Reserve University School of Dental Medicine to refer patients for free dental care. B) Lack of Transportation to Health Services: The Hospital does not have a transportation program; however, on occasion the Hospital will assist patients with transportation to the Hospital consistent with federal regulatory guidelines.
University Hospitals Rainbow Babies and Children's Hospital Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 44 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Rainbow Babies & Children's Hospital-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Achievement Centers for Children Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County American Diabetes Association Ashtabula County Health Department Bedford City Schools Bellefaire JCB Catholic Charities, Elyria Center for Families and Children City of Beachwood City of Bedford City of Cleveland, Ward 9 Cleveland Department of Public Health Cuyahoga County Office of Early Childhood Invest in Children Department of Public Safety, Cleveland Geauga County General Health District Lake County General Health District Lorain County Board of Mental Health Lorain Free Clinic Medina County Health Department Mental Health and Recovery Board of Portage County Neighborhood Family Practice North Coast Health Ministry North Olmsted Schools Ohio Commission on Minority Health Summit County Public Health The Center for Health Affairs The Free Medical Clinic of Greater Cleveland The Gathering Place Trumbull County Health Department Part V, Section B, Line 4 The University Hospitals Rainbow Babies & Children's Hospital CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Conneaut Medical Center, UH Geauga Medical Center, UH Geneva Medical Center, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following seven (7) community health needs identified in the 2012 CHNA: A) Lack of Transportation to Health Services: The Hospital does not have a transportation program; however, on occasion the Hospital will assist patients with transportation to the Hospital consistent with federal regulatory guidelines. B) High Rates of Sexual Violence: The Cleveland Rape Crisis Center addresses issues related to sexual violence against both women and men. The Hospital provides sexual assault nurse examiners in its pediatric emergency department. C) High Rates of Smoking: The Hospital provides a free smoking cessation program for its employees who desire to stop smoking; it does not have a smoking cessation program targeting youth in the community. D) High Rates of Unsafe Sex: Sex education is not within the Hospital's scope of clinical outreach; however, there are programs available at UH Case Medical Center, such as the John T. Carey Special Immunology Unit, that provide HIV care, education and research through a subsidized clinical program. The staff provides education and speakers to high schools, community centers and other forums on the importance of safe sex in the prevention of HIV/AIDS. E) Prevalent Alcohol and Drug Use: A number of community organizations address youth drug abuse prevention and treatment, including Catholic Charities Chemical Dependency Services, the Covenant, New Directions, Northern Ohio Recovery Association and Recovery Resources. F) High Rates of Unemployment and Financial Hardship: While the Hospital is a significant employer within its PSA, unemployment and financial hardship are not a part of the Hospital's Mission. G) Low Educational Achievement: Addressing educational achievement is not a part of the Hospital's Mission.
University Hospitals Geauga Medical Center Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 16 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Geauga Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: American Diabetes Association Ashtabula County Health Department Bellefaire JCB Geauga County General Health District Lake County General Health District North Coast Health Ministry Ohio Commission of Minority Health The Center for Health Affairs Part V, Section B, Line 4 The University Hospitals Geauga Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Conneaut Medical Center, UH Geneva Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following three (3) community health needs identified in the 2012 CHNA: A) Poor Air Quality: Air quality is managed primarily by the Ohio Environmental Protection Agency, county health department air pollution programs, and the Ohio Department of Health; B) High Rates of Unemployment and Financial Hardship; C) Low Educational Achievement: Educational needs of the community are met by the school district. The Hospital does not have as a part of its Mission the improvement of the population's general education.
University Hospitals Ahuja Medical Center Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 29 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Ahuja Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Achievement Centers for Children Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County American Diabetes Association Bellefaire JCB Benjamin Rose Institute on Aging Center for Families and Children City of Beachwood City of Bedford Cleveland Department of Public Health Cuyahoga County Office of Early Childhood Invest in Children Lake County General Health District Medina County Health Department Mental Health and Recovery Board of Portage County Neighboring Family Practice North Coast Health Ministry Ohio Commission of Minority Health Summit County Public Health The Center for Health Affairs The Free Medical Clinic of Greater Cleveland The Gathering Place Part V, Section B, Line 4 The University Hospitals Ahuja Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Geauga Medical Center, UH Conneaut Medical Center, UH Geneva Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following seven (7) community health needs identified in the 2012 CHNA: A) Lack of Accessible and Affordable Dental Care: The Hospital does not offer dental care; B) Lack of Transportation to Health Services: The Hospital is accessible via public transportation; C) High Rates of Unsafe Sex: The Hospital does not offer obstetric/gynecological services or counseling in unsafe sexual practices; D) Prevalent Drug Use: Drug and alcohol prevention and recovery services are provided by community agencies, including the Moore Counseling Services and Alcoholics Anonymous; E) Poor Infant and Maternal Care: The Hospital does not offer maternal-fetal services; F) Poor Air Quality: Air quality is managed primarily by the Ohio Environmental Protection Agency, county health department air pollution programs, and the Ohio Department of Health. Air quality improvement is not part of the Hospital's Mission; G) Low Educational Achievement: These needs are addressed by the school districts. Improved education of the general population is not part of the Hospital's Mission.
UH Regional Hospitals Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 33 interviews for the Bedford Campus and 25 interviews for the Richmond Campus. These stakeholders represent the broad interests of each community, including public health officials and experts, and UH Regional Hospitals-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted for the Bedford campus include: Cleveland Department of Public Health Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County North Coast Health Ministry Summit County Public Health The Free Medical Clinic of Greater Cleveland American Diabetes Association Ohio Commission on Minority Health Cuyahoga County Office of Early Childhood Invest in Children City of Beachwood City of Bedford Heights City of Bedford The Gathering Place Bedford City Schools Bellefaire JCB Center for Families and Children Achievement Centers for Children Benjamin Rose Institute on Aging Neighborhood Family Practice Center for Families and Children Maple Heights Senior Center The Center for Health Affairs Organizations and groups consulted for the Richmond campus include: Cleveland Department of Public Health Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County North Coast Health Ministry Lake County General Health District The Free Medical Clinic of Greater Cleveland American Diabetes Association The Gathering Place Ohio Commission on Minority Health Cuyahoga County Office of Early Childhood Invest in Children The Gathering Place Bellefaire JCB Center for Families and Children Achievement Centers for Children Benjamin Rose Institute on Aging Neighborhood Family Practice Center for Families and Children The Center for Health Affairs City of Beachwood City of Bedford Part V, Section B, Line 4 The UH Regional Hospitals' CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Conneaut Medical Center, UH Geauga Medical Center, UH Geneva Medical Center, and UH Rainbow Babies & Children's Hospital. Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following community health needs identified in the 2012 CHNA including eleven (11) for the Bedford Campus and eight (8) for the Richmond Campus: Bedford Campus A) Access to Affordable Dental Care: The Bedford Campus does not offer dental services. B) High Rates of Emergency Room Use: The Bedford Campus has no current plans to change its emergency services at this time. C) Lack of Transportation to Health Services: The Bedford Campus does not offer transportation services. D) Lack of Accessible and Affordable Prescription Medications: The Bedford Campus does not have a retail pharmacy on site. E) Poor Mental and Behavioral Health Status and Lack of Services: This need is addressed by other community agencies, including the Mental Health Assessment Service, community psychiatric supportive treatment, and behavioral health counseling and therapy service through REACH Counseling Services. F) Physical Environment Needs - Poor Air Quality: The improvement of physical environmental needs is not part of the Hospital's Mission at the Bedford Campus. G) Prevalent Drug Use: Drug and alcohol prevention and recovery services are provided by community agencies, including the Number 12 Foundation and Alcoholics Anonymous and are not part of the Hospital's Mission at the Bedford Campus. H) High Rates of Unemployment and Financial Hardship. I) Unsafe Sex: This is addressed by the Planned Parenthood Regional Medical Center and is not part of the Hospital's Mission at the Bedford Campus. J) Child Mortality and Child Motor Vehicle Deaths: The Bedford Campus does not offer pediatric services; however, UH Rainbow Babies & Children's Hospital (Rainbow) provides extensive programming, outreach and prevention activities to address these needs in the Bedford Campus' PSA and SSA including proper car safety seat installation education, support of the national Click It or Ticket campaign, the provision of Impaired Driver Education. The Rainbow Injury Prevention Center is the lead agency for the Cuyahoga County DUI Task Force and the Speed, Reckless and Aggressive Driving (SRAD) Reduction Task Force, which are comprised of local law enforcement agencies, judges, prosecutors, political leaders, businesses, schools and community members who work together to reduce drunk and drugged driving and improve traffic safety through a combination of community education and enforcement efforts. The Rainbow Injury Prevention Center also protects child passengers throughout Northeast Ohio by aiding parents and caregivers about how best to restrain their child passengers, providing assistance with the proper use and installation of car seats, and working to ensure that all families, regardless of their financial circumstances, have access to the resources that promote safe travel for children. K) Low Educational Achievement: This identified need is primarily addressed by the Bedford School District and the State of Ohio. The Hospital does not have as part of its Mission the improvement of the population's general education. Richmond Campus A) Lack of Access to Affordable Dental Care: The Richmond Campus does not offer dental services. B) Lack of Transportation to Health Services: The Richmond Campus does not offer transportation services. C) Prevalent Drug Use: Drug and alcohol prevention and recovery services are provided by community agencies, including the Moore Counseling Services and Alcoholics Anonymous. D) Poor Air Quality: Air quality is managed primarily by the Ohio Environmental Protection Agency, county health department air pollution programs, and the Ohio Department of Health. E) High Rates of Unemployment and Financial Hardship: The Richmond Campus continues to be one of the largest employers in its community. F) High Rates of Unsafe Sex: This health need is primarily addressed through outreach programs supported by the Cuyahoga County Board of Health and is not part of the Hospital's outreach services. G) High Rates of Suicide: While the Richmond Campus is home to the UH Case Medical Center's inpatient psychiatric unit, the Richmond Campus does not provide suicide prevention services as part of its Mission. H) Low Educational Achievement: This need is primarily addressed by the Richmond Heights School District and the State of Ohio. The Hospital does not have as part of its Mission the improvement of the population's general education.
University Hospitals Geneva Medical Center Part V, section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 16 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Geneva Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Lake County General Health District Ashtabula County Health Department American Diabetes Association Ohio Commission on Minority Health Bellfaire JCB Center for Families and Children Benjamin Rose Institute on Aging The Center for Health Affairs Part V, Section B, Line 4 The University Hospitals Geneva Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Conneaut Medical Center, UH Geauga Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following seven (7) community health needs identified in the 2012 CHNA: A) Lack of Accessible and Affordable Dental Care: The Hospital does not offer dental care services. B) Infant and Maternal Care - Related Community Health Needs: The Hospital does not offer fetal/maternal services. C) Mental and Behavioral Health Needs: The Hospital does not offer mental and behavioral health services. D) High Rates of Suicide: The Hospital does not offer mental and behavioral health services. These services are addressed by other agencies within the community such as Community Counseling and Signature Health. E) Poor Air Quality: Air quality is an issue that is managed primarily by the Ohio Environmental Protection Agency, county health department air pollution programs and the Ohio Department of Health. Improvement of air quality is not a part of the Hospital's Mission. F) High Rates of Unemployment and Financial Hardship. G) Low Educational Achievement: Educational needs of the community are met by the local school districts and Ohio Department of Education. The Hospital does not have as a part of its Mission the improvement of the population's general education.
University Hospitals Conneaut Medical Center Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 14 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Conneaut Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Ashtabula County Health Department American Diabetes Association Ohio Commission on Minority Health Bellfaire JCB Center for Families and Children Benjamin Rose Institute on Aging The Center for Health Affairs Part V, Section B, Line 4 The University Hospitals Conneaut Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Geauga Medical Center, UH Geneva Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following four (4) community health needs identified in the 2012 CHNA: A) Infant and Maternal Care - Related Community Health Needs: The Hospital does not offer fetal/maternal services. B) Mental and Behavioral Health Needs: The Hospital does not offer mental and behavioral health services. C) Social and Economic Factors - Low Educational Achievement: Educational needs of the community are met by the school district. The Hospital does not have as a part of its Mission the improvement of the population's general education. D) High Rates of Unemployment and Financial Hardship: The Hospital continues to be one of the largest employers in its community.
Part V, line 12i To further clarify 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, Line 14g UH provides a summary of its Financial Assistance Policy on its website rather than the entire detailed policy. The summary is simpler for patients to read and understand. This summary is publicized through the UH website, on all patient statements/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. UH provides a copy of the entire financial assistance policy upon request.
Part V, Line 18 No boxes are checked for this line due to the fact that no UH hospital facilities or other organizations engaged in any of the actions described in Part V, Line 17.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. 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 Medical Center - A
960 Clague Road
Westlake,OH44145 		Outpatien Health Center & surgical center
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 Sharon Health Center
5133 Ridge Rd
Wadsworth,OH44281 		Outpatient Health Center
6 UH Mentor Health Center
9000 Mentor Avenue
Mentor,OH44060 		Outpatien Health Center & Surgical Center
7 UH Concord Health Center
7500 Auburn Road
PainsvilleConcord JED,OH44077 		Outpatient Health Center
8 UH Ahuja Medical Office Building
1000 Auburn Dr
Beachwood,OH44122 		Outpatient Health Center
9 UH Lyndhurst Surgery Center
29017 Cedar Road
Lyndhurst,OH44124 		Outpatient Health Center
10 UH ST John Medical Office Building
29000 Center Ridge Road
Westlake,OH44145 		Outpatient Health Center
11 UH Medina Health Center
4001 Carrick Dr
Medina,OH44256 		Outpatient Health Center
12 UH Health Center-Landerbrook
5850 Landerbrook Drive
Mayfield Heights,OH44124 		Outpatient Health Center
13 UH Adult Sleep Lab East
3628 Park East Dr
Beachwood,OH44122 		Outpatient Health Center
14 UH Crocker Corp Ctr
2055 Crocker Road
Westlake,OH44145 		Outpatient Health Center
15 UH Euclid Health Center
18599 Lake Shore Blvd
Euclid,OH44119 		Outpatient Health Center
16 UH Geauga Physical Therapy
12460 Lake Bass Road
Chardon,OH44024 		Outpatient Health Center
17 UH Rehab & Sports Med - Warrensville
4480 Richmond Road
Warrensville Heights,OH44122 		Outpatient Health Center
18 UH Mayfield Village Health Center
730 SOM Center Road Suite 110
Mayfield Village,OH44143 		Outpatient Health Center
19 UH University Suburban Health Center
1611 South Green Road
South Euclid,OH44121 		Outpatient Health Center
20 UH Hudson Health Center
5778 Darrow Road
Hudson,OH44236 		Outpatient Health Center
21 UH Madison Clinic
701 North Lake Street
Madison,OH44057 		Outpatient Health Center
22 UH Ashtabula Medical Arts Center
2131 Lake Avenue
Ashtabula,OH44004 		Outpatient Health Center
23 UH Cedars on the Green
2054 So Green Road
South Euclid,OH44141 		Outpatient Health Center
24 UH Otis Moss
8819 Quincy Avenue
Cleveland,OH44106 		Outpatient Health Center
25 UH Bedford Medical Office Center
50 Blaine Avenue
Bedford,OH44146 		Outpatient Health Center
26 UH Centre Pointe Bldg - Solon Health Ctr
34055 Solon Road
Solon,OH44139 		Outpatient Health Center
27 UH Aurora Health Center
55 North Chillicothe Road
Aurora,OH44202 		Outpatient Health Center
28 UH Park East
3619 Park East Drive
Beachwood,OH44122 		Outpatient Health Center
29 UH JCC - Jewish Community Center
26001 South Woodland Road
Beachwood,OH44122 		Outpatient Health Center
30 UH SCC at Medina
970 East Washington Street
Medina,OH44256 		Outpatient Health Center
31 UH Park West Surgical Center
1 Park West Blvd
Akron,OH44320 		Outpatient Health Center
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
University Hospitals Case Medical Center Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 44 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Case Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Achievement Centers for Children Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County American Diabetes Association Ashtabula County Health Department Bellefaire JCB Benjamin Rose Institute on Aging Center for Families and Children City of Beachwood City of Bedford City of Cleveland, Ward 9 Cleveland Department of Public Health Cuyahoga County Office of Early Childhood Invest in Children Department of Public Safety, Cleveland Geauga County General Health District Lake County General Health District Lorain County Board of Mental Health Lorain Free Clinic Medina County Health Department Mental Health and Recovery Board of Portage County Neighborhood Family Practice North Coast Health Ministry Ohio Commission on Minority Health Summit County Public Health The Center for Health Affairs The Free Medical Clinic of Greater Cleveland The Gathering Place Trumbull County Health Department UH Case Medical Center UH EMS Training & Disaster Preparedness Institute UH Seidman Cancer Center Part V, Section B, Line 4 The University Hospitals Case Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Conneaut Medical Center, UH Geauga Medical Center, UH Geneva Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Implementation Strategy did not address the following two (2) community health needs identified in the 2012 CHNA: A) Lack of Affordable and Accessible Dental Services: The Hospital does not offer adult dental services and, therefore, will not address this specific need. The Hospital collaborates closely with Case Western Reserve University School of Dental Medicine to refer patients for free dental care. B) Lack of Transportation to Health Services: The Hospital does not have a transportation program; however, on occasion the Hospital will assist patients with transportation to the Hospital consistent with federal regulatory guidelines.
University Hospitals Rainbow Babies and Children's Hospital Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 44 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Rainbow Babies & Children's Hospital-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Achievement Centers for Children Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County American Diabetes Association Ashtabula County Health Department Bedford City Schools Bellefaire JCB Catholic Charities, Elyria Center for Families and Children City of Beachwood City of Bedford City of Cleveland, Ward 9 Cleveland Department of Public Health Cuyahoga County Office of Early Childhood Invest in Children Department of Public Safety, Cleveland Geauga County General Health District Lake County General Health District Lorain County Board of Mental Health Lorain Free Clinic Medina County Health Department Mental Health and Recovery Board of Portage County Neighborhood Family Practice North Coast Health Ministry North Olmsted Schools Ohio Commission on Minority Health Summit County Public Health The Center for Health Affairs The Free Medical Clinic of Greater Cleveland The Gathering Place Trumbull County Health Department Part V, Section B, Line 4 The University Hospitals Rainbow Babies & Children's Hospital CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Conneaut Medical Center, UH Geauga Medical Center, UH Geneva Medical Center, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following seven (7) community health needs identified in the 2012 CHNA: A) Lack of Transportation to Health Services: The Hospital does not have a transportation program; however, on occasion the Hospital will assist patients with transportation to the Hospital consistent with federal regulatory guidelines. B) High Rates of Sexual Violence: The Cleveland Rape Crisis Center addresses issues related to sexual violence against both women and men. The Hospital provides sexual assault nurse examiners in its pediatric emergency department. C) High Rates of Smoking: The Hospital provides a free smoking cessation program for its employees who desire to stop smoking; it does not have a smoking cessation program targeting youth in the community. D) High Rates of Unsafe Sex: Sex education is not within the Hospital's scope of clinical outreach; however, there are programs available at UH Case Medical Center, such as the John T. Carey Special Immunology Unit, that provide HIV care, education and research through a subsidized clinical program. The staff provides education and speakers to high schools, community centers and other forums on the importance of safe sex in the prevention of HIV/AIDS. E) Prevalent Alcohol and Drug Use: A number of community organizations address youth drug abuse prevention and treatment, including Catholic Charities Chemical Dependency Services, the Covenant, New Directions, Northern Ohio Recovery Association and Recovery Resources. F) High Rates of Unemployment and Financial Hardship: While the Hospital is a significant employer within its PSA, unemployment and financial hardship are not a part of the Hospital's Mission. G) Low Educational Achievement: Addressing educational achievement is not a part of the Hospital's Mission.
University Hospitals Geauga Medical Center Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 16 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Geauga Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: American Diabetes Association Ashtabula County Health Department Bellefaire JCB Geauga County General Health District Lake County General Health District North Coast Health Ministry Ohio Commission of Minority Health The Center for Health Affairs Part V, Section B, Line 4 The University Hospitals Geauga Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Conneaut Medical Center, UH Geneva Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following three (3) community health needs identified in the 2012 CHNA: A) Poor Air Quality: Air quality is managed primarily by the Ohio Environmental Protection Agency, county health department air pollution programs, and the Ohio Department of Health; B) High Rates of Unemployment and Financial Hardship; C) Low Educational Achievement: Educational needs of the community are met by the school district. The Hospital does not have as a part of its Mission the improvement of the population's general education.
University Hospitals Ahuja Medical Center Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 29 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Ahuja Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Achievement Centers for Children Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County American Diabetes Association Bellefaire JCB Benjamin Rose Institute on Aging Center for Families and Children City of Beachwood City of Bedford Cleveland Department of Public Health Cuyahoga County Office of Early Childhood Invest in Children Lake County General Health District Medina County Health Department Mental Health and Recovery Board of Portage County Neighboring Family Practice North Coast Health Ministry Ohio Commission of Minority Health Summit County Public Health The Center for Health Affairs The Free Medical Clinic of Greater Cleveland The Gathering Place Part V, Section B, Line 4 The University Hospitals Ahuja Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Geauga Medical Center, UH Conneaut Medical Center, UH Geneva Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following seven (7) community health needs identified in the 2012 CHNA: A) Lack of Accessible and Affordable Dental Care: The Hospital does not offer dental care; B) Lack of Transportation to Health Services: The Hospital is accessible via public transportation; C) High Rates of Unsafe Sex: The Hospital does not offer obstetric/gynecological services or counseling in unsafe sexual practices; D) Prevalent Drug Use: Drug and alcohol prevention and recovery services are provided by community agencies, including the Moore Counseling Services and Alcoholics Anonymous; E) Poor Infant and Maternal Care: The Hospital does not offer maternal-fetal services; F) Poor Air Quality: Air quality is managed primarily by the Ohio Environmental Protection Agency, county health department air pollution programs, and the Ohio Department of Health. Air quality improvement is not part of the Hospital's Mission; G) Low Educational Achievement: These needs are addressed by the school districts. Improved education of the general population is not part of the Hospital's Mission.
UH Regional Hospitals Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 33 interviews for the Bedford Campus and 25 interviews for the Richmond Campus. These stakeholders represent the broad interests of each community, including public health officials and experts, and UH Regional Hospitals-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted for the Bedford campus include: Cleveland Department of Public Health Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County North Coast Health Ministry Summit County Public Health The Free Medical Clinic of Greater Cleveland American Diabetes Association Ohio Commission on Minority Health Cuyahoga County Office of Early Childhood Invest in Children City of Beachwood City of Bedford Heights City of Bedford The Gathering Place Bedford City Schools Bellefaire JCB Center for Families and Children Achievement Centers for Children Benjamin Rose Institute on Aging Neighborhood Family Practice Center for Families and Children Maple Heights Senior Center The Center for Health Affairs Organizations and groups consulted for the Richmond campus include: Cleveland Department of Public Health Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County North Coast Health Ministry Lake County General Health District The Free Medical Clinic of Greater Cleveland American Diabetes Association The Gathering Place Ohio Commission on Minority Health Cuyahoga County Office of Early Childhood Invest in Children The Gathering Place Bellefaire JCB Center for Families and Children Achievement Centers for Children Benjamin Rose Institute on Aging Neighborhood Family Practice Center for Families and Children The Center for Health Affairs City of Beachwood City of Bedford Part V, Section B, Line 4 The UH Regional Hospitals' CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Conneaut Medical Center, UH Geauga Medical Center, UH Geneva Medical Center, and UH Rainbow Babies & Children's Hospital. Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following community health needs identified in the 2012 CHNA including eleven (11) for the Bedford Campus and eight (8) for the Richmond Campus: Bedford Campus A) Access to Affordable Dental Care: The Bedford Campus does not offer dental services. B) High Rates of Emergency Room Use: The Bedford Campus has no current plans to change its emergency services at this time. C) Lack of Transportation to Health Services: The Bedford Campus does not offer transportation services. D) Lack of Accessible and Affordable Prescription Medications: The Bedford Campus does not have a retail pharmacy on site. E) Poor Mental and Behavioral Health Status and Lack of Services: This need is addressed by other community agencies, including the Mental Health Assessment Service, community psychiatric supportive treatment, and behavioral health counseling and therapy service through REACH Counseling Services. F) Physical Environment Needs - Poor Air Quality: The improvement of physical environmental needs is not part of the Hospital's Mission at the Bedford Campus. G) Prevalent Drug Use: Drug and alcohol prevention and recovery services are provided by community agencies, including the Number 12 Foundation and Alcoholics Anonymous and are not part of the Hospital's Mission at the Bedford Campus. H) High Rates of Unemployment and Financial Hardship. I) Unsafe Sex: This is addressed by the Planned Parenthood Regional Medical Center and is not part of the Hospital's Mission at the Bedford Campus. J) Child Mortality and Child Motor Vehicle Deaths: The Bedford Campus does not offer pediatric services; however, UH Rainbow Babies & Children's Hospital (Rainbow) provides extensive programming, outreach and prevention activities to address these needs in the Bedford Campus' PSA and SSA including proper car safety seat installation education, support of the national Click It or Ticket campaign, the provision of Impaired Driver Education. The Rainbow Injury Prevention Center is the lead agency for the Cuyahoga County DUI Task Force and the Speed, Reckless and Aggressive Driving (SRAD) Reduction Task Force, which are comprised of local law enforcement agencies, judges, prosecutors, political leaders, businesses, schools and community members who work together to reduce drunk and drugged driving and improve traffic safety through a combination of community education and enforcement efforts. The Rainbow Injury Prevention Center also protects child passengers throughout Northeast Ohio by aiding parents and caregivers about how best to restrain their child passengers, providing assistance with the proper use and installation of car seats, and working to ensure that all families, regardless of their financial circumstances, have access to the resources that promote safe travel for children. K) Low Educational Achievement: This identified need is primarily addressed by the Bedford School District and the State of Ohio. The Hospital does not have as part of its Mission the improvement of the population's general education. Richmond Campus A) Lack of Access to Affordable Dental Care: The Richmond Campus does not offer dental services. B) Lack of Transportation to Health Services: The Richmond Campus does not offer transportation services. C) Prevalent Drug Use: Drug and alcohol prevention and recovery services are provided by community agencies, including the Moore Counseling Services and Alcoholics Anonymous. D) Poor Air Quality: Air quality is managed primarily by the Ohio Environmental Protection Agency, county health department air pollution programs, and the Ohio Department of Health. E) High Rates of Unemployment and Financial Hardship: The Richmond Campus continues to be one of the largest employers in its community. F) High Rates of Unsafe Sex: This health need is primarily addressed through outreach programs supported by the Cuyahoga County Board of Health and is not part of the Hospital's outreach services. G) High Rates of Suicide: While the Richmond Campus is home to the UH Case Medical Center's inpatient psychiatric unit, the Richmond Campus does not provide suicide prevention services as part of its Mission. H) Low Educational Achievement: This need is primarily addressed by the Richmond Heights School District and the State of Ohio. The Hospital does not have as part of its Mission the improvement of the population's general education.
University Hospitals Geneva Medical Center Part V, section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 16 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Geneva Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Lake County General Health District Ashtabula County Health Department American Diabetes Association Ohio Commission on Minority Health Bellfaire JCB Center for Families and Children Benjamin Rose Institute on Aging The Center for Health Affairs Part V, Section B, Line 4 The University Hospitals Geneva Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Conneaut Medical Center, UH Geauga Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following seven (7) community health needs identified in the 2012 CHNA: A) Lack of Accessible and Affordable Dental Care: The Hospital does not offer dental care services. B) Infant and Maternal Care - Related Community Health Needs: The Hospital does not offer fetal/maternal services. C) Mental and Behavioral Health Needs: The Hospital does not offer mental and behavioral health services. D) High Rates of Suicide: The Hospital does not offer mental and behavioral health services. These services are addressed by other agencies within the community such as Community Counseling and Signature Health. E) Poor Air Quality: Air quality is an issue that is managed primarily by the Ohio Environmental Protection Agency, county health department air pollution programs and the Ohio Department of Health. Improvement of air quality is not a part of the Hospital's Mission. F) High Rates of Unemployment and Financial Hardship. G) Low Educational Achievement: Educational needs of the community are met by the local school districts and Ohio Department of Education. The Hospital does not have as a part of its Mission the improvement of the population's general education.
University Hospitals Conneaut Medical Center Part V, Section B, Line 1j In addition to the reporting the items described in Part V, Section B, lines 1a through 1i, the 2012 CHNA examines economic indicators, such as poverty, unemployment, state budget developments, and household income; and health status indicators from sources such as County Health Rankings, the Community Health Status Indicators Project, the Ohio Department of Health, the U.S. Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS), the Dignity Health Community Needs Index, and the U.S. Department of Agriculture. Data from the U.S. Health Resources and Services Administration (HRSA) regarding federally qualified health centers, medically underserved areas and populations, and health professional shortage areas also were assessed. Qualifications of the firm who conducted the CHNA and a list of collaborating organizations also were included. Part V, Section B, Line 3 The assessment took into account information obtained from 14 interviews with stakeholders who represent the broad interests of the community, including public health officials and experts, and UH Conneaut Medical Center-affiliated clinicians, administrators, and staff. Interviews were conducted in March, April, May, and June of 2010 and in November and December of 2011. Organizations and groups consulted include: Ashtabula County Health Department American Diabetes Association Ohio Commission on Minority Health Bellfaire JCB Center for Families and Children Benjamin Rose Institute on Aging The Center for Health Affairs Part V, Section B, Line 4 The University Hospitals Conneaut Medical Center CHNA was conducted in collaboration with the other University Hospitals facilities: UH Case Medical Center, UH Ahuja Medical Center, UH Bedford Medical Center (a campus of UH Regional Hospitals), UH Geauga Medical Center, UH Geneva Medical Center, UH Rainbow Babies & Children's Hospital, and UH Richmond Medical Center (a campus of UH Regional Hospitals). Part V, Section B, Line 5a The CHNA can be accessed at: http://www.uhhospitals.org/about/community-benefit/community-health-needs- assessment Part V, Section B, Line 7 No hospital facility can address all of the health needs present in its community. The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical, teaching and research activities and to provide a wide range of community benefits. The Strategy does not address the following four (4) community health needs identified in the 2012 CHNA: A) Infant and Maternal Care - Related Community Health Needs: The Hospital does not offer fetal/maternal services. B) Mental and Behavioral Health Needs: The Hospital does not offer mental and behavioral health services. C) Social and Economic Factors - Low Educational Achievement: Educational needs of the community are met by the school district. The Hospital does not have as a part of its Mission the improvement of the population's general education. D) High Rates of Unemployment and Financial Hardship: The Hospital continues to be one of the largest employers in its community.
Part V, line 12i To further clarify 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, Line 14g UH provides a summary of its Financial Assistance Policy on its website rather than the entire detailed policy. The summary is simpler for patients to read and understand. This summary is publicized through the UH website, on all patient statements/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. UH provides a copy of the entire financial assistance policy upon request.
Part V, Line 18 No boxes are checked for this line due to the fact that no UH hospital facilities or other organizations engaged in any of the actions described in Part V, Line 17.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number
90-0059117
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. 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 (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) American Cancer Society
10501 Euclid Ave
Cleveland,OH44106 		25-1798733 501(c)3 20,000       General Support
(2) American Heart Association
PO Box 1590
Hagerstown,MD217401590 		13-5613797 501(c)3 13,000       General Support
(3) American Liver Foundation
921 E 86th
Indianapolis,IN46240 		36-2883000 501(c)3 14,000       General Support
(4) Arthritis Foundation
4630 Richmond Rd
Cleveland,OH44128 		58-1341679 501(c)3 15,000       General Support
(5) Autism Speaks Inc
4700 Rockside Rd
Independence,OH44131 		20-2329938 501(c)3 8,000       General Support
(6) Case Western Reserve
10900 Euclid Ave
Cleveland,OH44106 		34-1018992 501(c)3 33,246,000       General Support
(7) Cleveland Foodbank
15500 South Waterloo Rd
Cleveland,OH44110 		34-1292848 501(c)3 8,000       General Support
(8) Cleveland Hearing & Speech Center
11635 Euclid Ave
Cleveland,OH44106 		34-0714648 501(c)3 6,000       General Support
(9) Cleveland Rape Crisis Center
526 Superior Ave 1400
Cleveland,OH44114 		51-0164315 501(c)3 10,000       General Support
(10) Crohns Colitis Foundation
4700 Rockside Rd
Independence,OH44131 		13-6193105 501(c)3 10,000       General Support
(11) Cuyahoga Community College Foundation
700 Carnegie Ave
Cleveland,OH44115 		34-0896630 501(c)3 38,000       General Support
(12) Epilepsy Foundation of NE Ohio
2800 Euclid Ave Ste 450
Cleveland,OH44115 		23-7198807 501(c)3 10,000       General Support
(13) FLYING HORSE FARMS
3 EASTON OVAL STE 330
COLUMBUS,OH43219 		20-3498125 501(c)3 15,000       General Support
(14) Gathering Place
23300 Commerce Park Dr
Cleveland,OH44122 		34-1879035 501(c)3 100,000       General Support
(15) Hattie Larham Foundation
9772 Daigonal Rd
Mantua,OH44255 		34-1897312 501(c)3 10,000       General Support
(16) Kidney Foundation of Ohio
2831 Prospect Ave
Cleveland,OH44115 		34-0827748 501(c)3 20,000       General Support
(17) March of Dimes of NE Ohio
5425 Warner Rd Ste 10
Cleveland,OH44125 		13-1846366 501(c)3 15,000       General Support
(18) Medwish Intl
PO Box 181484
Cleveland,OH44118 		34-1903712 501(c)3 10,000       General Support
(19) MILESTONES ORGANIZATION
23880 COMMERCE PARK
Beachwood,OH44122 		20-0721205 501(c)3 10,000       General Support
(20) Playhouse Square Foundation
1501 Euclid Ave Ste 200
Cleveland,OH44115 		23-7304942 501(c)3 30,000       General Support
(21) Ronald Mcdonald House
10415 Euclid Ave
Cleveland,OH44111 		34-1269123 501(c)3 210,000       General Support
(22) Susan G Komen Race for the Cure
26210 Emery Rd Ste 307
Cleveland,OH44128 		34-1793460 501(c)3 75,000       General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
22
3
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) 2013

Schedule I (Form 990) 2013
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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
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) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)UHHS - William L Annable MDChief Quality Off. (i)
(ii)		 340,380
0 		133,060
0 		67,081
0 		12,618
0 		13,979
0 		567,118
0 		0
0
(2)UHHS - Elliot A KellmanChief HRO (i)
(ii)		 420,502
0 		189,856
0 		129,266
0 		52,742
0 		19,606
0 		811,972
0 		0
0
(3)UHHS - Janet L Miller EsqSecretary, CLO (i)
(ii)		 419,810
0 		396,232
0 		535,894
0 		48,042
0 		10,193
0 		1,410,171
0 		584,844
0
(4)UHHS - Fred C Rothstein MDPres. UHCMC/Ex Off Dir. (i)
(ii)		 645,882
0 		326,438
0 		255,363
0 		46,602
0 		21,471
0 		1,295,756
0 		41,391
0
(5)UHHS - Steven D StandleyChief Admin. Off. (i)
(ii)		 437,326
0 		194,977
0 		122,374
0 		45,320
0 		13,639
0 		813,636
0 		18,900
0
(6)UHHS - Michael A SzubskiTreasurer, CFO (i)
(ii)		 598,983
0 		415,131
0 		38,895
0 		177,365
0 		29,952
0 		1,260,326
0 		145,997
0
(7)UHHS - Thomas F Zenty IIICEO/Ex Off Dir. (i)
(ii)		 1,073,404
0 		594,891
0 		571,269
0 		364,727
0 		10,548
0 		2,614,839
0 		299,683
0
(8)UHCMC - Michael Anderson MDChief Medical Off. (i)
(ii)		 316,403
0 		100,321
0 		7,100
0 		78,628
0 		35,084
0 		537,536
0 		0
0
(9)UHCMC - Patricia DePompeiPres. RB&C/Macdonald (i)
(ii)		 365,051
0 		103,066
0 		2,220
0 		74,423
0 		30,947
0 		575,707
0 		0
0
(10)UHCMC - Ronald E Dziedzicki BSNChief Support Serv. Off. (i)
(ii)		 370,355
0 		110,141
0 		4,467
0 		102,049
0 		15,666
0 		602,678
0 		0
0
(11)UHCMC - Catherine S Koppelman RChief Nursing Off. (i)
(ii)		 315,560
0 		121,369
0 		71,026
0 		49,436
0 		19,290
0 		576,681
0 		0
0
(12)UHCMC - Nathan Levitan MDPres. Seidman Cancer Ctr. (i)
(ii)		 520,549
0 		211,822
0 		153,983
0 		45,034
0 		19,455
0 		950,843
0 		0
0
(13)UHCMC - Sonia SalvinoTreasurer/VP Finance (i)
(ii)		 237,560
0 		72,395
0 		1,490
0 		62,265
0 		19,665
0 		393,375
0 		0
0
(14)UHCMC - Warren Selman MDPhysician/Director (thru 5/13) (i)
(ii)		 814,680
0 		26,708
0 		61,441
0 		13,599
0 		26,448
0 		942,876
0 		0
0
(15)UHMG - Harlin G AdelmanAssistant Secretary (i)
(ii)		 284,055
0 		120,972
0 		49,983
0 		77,821
0 		28,805
0 		561,636
0 		18,967
0
(16)UHMG - Phyllis HallVP & Treasurer (i)
(ii)		 310,979
0 		120,624
0 		2,206
0 		92,571
0 		21,907
0 		548,287
0 		0
0
(17)UHMG - Clifford V Harding MDDept. Chair Pathology/Director (i)
(ii)		 223,352
0 		45,979
0 		35,942
0 		8,823
0 		3,306
0 		317,402
0 		0
0
(18)UHMG - Michael Konstan MDDept.Chair Pediatrics/Director (i)
(ii)		 287,764
0 		26,708
0 		40,200
0 		13,319
0 		10,548
0 		378,539
0 		0
0
(19)UHMG - Randall Marcus MDDept.Chair Orthopaedics/Direct (i)
(ii)		 628,605
0 		38,311
0 		70,193
0 		12,662
0 		22,387
0 		772,158
0 		0
0
(20)UHMG - Cliff Megerian MDDept. Chair Otolaryngology/Dir (i)
(ii)		 578,786
0 		23,356
0 		47,396
0 		13,687
0 		26,478
0 		689,703
0 		0
0
(21)UHMG - Howard Nearman MDDept. Chair Anesthesia/Directo (i)
(ii)		 391,853
0 		35,510
0 		60,413
0 		12,440
0 		20,295
0 		520,511
0 		0
0
(22)UHMG - Michael Nochomovitz MDPres./Director (i)
(ii)		 618,867
0 		275,552
0 		144,485
0 		46,658
0 		10,989
0 		1,096,551
0 		0
0
(23)UHMG - Jeffrey Ponsky MDDept. Chair Surgery/Director (i)
(ii)		 588,921
0 		26,708
0 		90,467
0 		11,333
0 		13,438
0 		730,867
0 		0
0
(24)UHMG - Robert RonisDept. Chair Psychiatry/Direct. (i)
(ii)		 174,859
0 		46,712
0 		25,892
0 		7,215
0 		1,611
0 		256,289
0 		0
0
(25)UHMG - Richard A Walsh MDDept. Chair Medicine/Director (i)
(ii)		 374,982
0 		42,312
0 		58,606
0 		12,401
0 		13,848
0 		502,149
0 		0
0
(26)UHLSF - Don M LandekPresident (i)
(ii)		 166,550
0 		14,813
0 		9,048
0 		36,878
0 		13,274
0 		240,563
0 		0
0
(27)UHLSF - Nancy TinsleyDirector (i)
(ii)		 211,416
0 		66,168
0 		1,052
0 		63,891
0 		5,515
0 		348,042
0 		0
0
(28)AMC - Richard HansonEx Officio Director (i)
(ii)		 541,735
0 		334,451
0 		5,549
0 		133,194
0 		29,667
0 		1,044,596
0 		90,979
0
(29)AMC - Susan V JurisPres./Ex Officio Director (i)
(ii)		 323,432
0 		120,858
0 		62,164
0 		43,820
0 		27,677
0 		577,951
0 		0
0
(30)AMC - Richard SteinEx Officio Director (i)
(ii)		 0
428,943 		0
0 		0
3,870 		0
35,517 		0
25,657 		0
493,987 		0
0
(31)UHREG - Laurie DelgadoPres.(thru 12/13)/Ex Off Dir (i)
(ii)		 321,826
0 		121,965
0 		286,341
0 		36,033
0 		28,583
0 		794,748
0 		253,493
0
(32)UHREG - Rosemary Leeming MDCMO/Director (i)
(ii)		 196,786
0 		0
0 		33,936
0 		11,530
0 		28,116
0 		270,368
0 		0
0
(33)UHREG - David Rapkin MDChief of Staff/Director (i)
(ii)		 387,669
0 		0
0 		35,521
0 		12,487
0 		30,869
0 		466,546
0 		0
0
(34)UHREG - Joseph Shawi MDVice Chief of Staff/Director (i)
(ii)		 0
189,394 		0
0 		0
1,858 		0
25,770 		0
30,327 		0
247,349 		0
0
(35)CMC - Benjamin Bryant MDEx Officio Director(thru 5/12) (i)
(ii)		 0
290,870 		0
0 		0
8,153 		0
41,160 		0
17,971 		0
358,154 		0
0
(36)CMC - Robert DavidPres./Ex Officio Director (i)
(ii)		 119,303
0 		50,669
0 		408
0 		34,366
0 		13,416
0 		218,162
0 		0
0
(37)CMC - Arpan Desai MDDirector (i)
(ii)		 0
414,629 		0
0 		0
1,431 		0
6,147 		0
28,369 		0
450,576 		0
0
(38)CMC - Karen McNeilEx Officio Director(thru 5/12) (i)
(ii)		 129,776
0 		11,666
0 		1,142
0 		14,892
0 		1,567
0 		159,043
0 		0
0
(39)GMC - M Steven JonesPres./Ex Officio Director (i)
(ii)		 305,484
0 		117,683
0 		2,956
0 		93,570
0 		13,393
0 		533,086
0 		0
0
(40)GMC - John Tumbush MDDirector (i)
(ii)		 0
194,382 		0
0 		0
1,821 		0
27,015 		0
2,430 		0
225,648 		0
0
(41)UHGMC - Robert DavidPres./Ex Officio Director (i)
(ii)		 119,302
0 		50,670
0 		408
0 		34,365
0 		13,416
0 		218,161
0 		0
0
(42)UHGMC - Raimantas Drublionis MDEx Officio Director (i)
(ii)		 0
332,866 		0
0 		0
635 		0
20,413 		0
1,659 		0
355,573 		0
0
(43)HCS - Keith MaitlandPres./Director (i)
(ii)		 205,987
0 		90,279
0 		38,834
0 		42,306
0 		30,302
0 		407,708
0 		0
0
(44)UHACO - Eric J Bieber MDPres./Director (i)
(ii)		 523,294
0 		266,776
0 		2,970
0 		125,866
0 		21,175
0 		940,081
0 		0
0
(45)UHACO - Elizabeth HammackSecretary (i)
(ii)		 170,084
0 		16,198
0 		7,274
0 		14,773
0 		15,913
0 		224,242
0 		0
0
(46)UHRBC - Brent CarsonTreas./Director (i)
(ii)		 199,019
0 		66,644
0 		1,379
0 		53,191
0 		28,480
0 		348,713
0 		0
0
(47)UHRBC - Marillee Gallagher MDDirector (i)
(ii)		 0
326,274 		0
0 		0
4,653 		0
15,717 		0
7,109 		0
353,753 		0
0
(48)UHRBC - Richard Grossberg MDDirector (i)
(ii)		 304,311
0 		0
0 		920
0 		12,813
0 		29,183
0 		347,227
0 		0
0
(49)UHRBC - Ken LakotaDirector (i)
(ii)		 114,279
0 		10,638
0 		2,764
0 		12,380
0 		26,934
0 		166,995
0 		0
0
(50)UHRBC - James Underwood MDDirector (i)
(ii)		 0
142,771 		0
0 		0
543 		0
13,996 		0
27,675 		0
184,985 		0
0
(51)UHRBC - Drew Hertz MDVice Pres. (i)
(ii)		 302,289
0 		20,000
0 		1,001
0 		0
0 		1,659
0 		324,949
0 		0
0
(52)UHCCO - David Cogan MDDirector (i)
(ii)		 0
300,736 		0
20,938 		0
7,833 		0
33,117 		0
13,370 		0
375,994 		0
0
(53)UHCCO - James Covielo MDDirector (i)
(ii)		 0
218,607 		0
0 		0
751 		0
0 		0
19,229 		0
238,587 		0
0
(54)UHCCO - Sean Hoynes MDDirector (i)
(ii)		 0
345,799 		0
125,000 		0
1,209 		0
25,157 		0
30,395 		0
527,560 		0
0
(55)UHCCO - George Kikano MDDirector (i)
(ii)		 184,792
0 		41,911
0 		28,249
0 		9,234
0 		10,854
0 		275,040
0 		0
0
(56)UHCCO - William Steiner II MDDirector (i)
(ii)		 0
178,024 		0
0 		0
2,914 		0
0 		0
11,880 		0
192,818 		0
0
(57)UHMG - Bahman Guyuron MDSurgeon, Plastic Surgery (i)
(ii)		 954,506
0 		395,913
0 		112,907
0 		11,978
0 		18,227
0 		1,493,531
0 		0
0
(58)UHMG - Christopher Furey MDOrthopaedic Surgeon (i)
(ii)		 1,084,398
0 		0
0 		68,019
0 		13,687
0 		24,438
0 		1,190,542
0 		0
0
(59)UHMG - Jason D EubanksOrthopaedic Surgeon (i)
(ii)		 1,046,441
0 		0
0 		73,902
0 		13,779
0 		10,439
0 		1,144,561
0 		0
0
(60)UHMG - Nicholas U Ahn MDOrthopaedic Surgeon (i)
(ii)		 989,513
0 		0
0 		105,519
0 		13,584
0 		22,696
0 		1,131,312
0 		0
0
(61)UHMG - Matthew KraayOrthopaedic Surgeon (i)
(ii)		 847,414
0 		0
0 		73,773
0 		13,403
0 		30,598
0 		965,188
0 		0
0
(62)UHHS Sherri BishopChief Development Off. (i)
(ii)		 337,503
0 		357,394
0 		1,894
0 		118,169
0 		31,880
0 		846,840
0 		88,142
0
(63)UHHS - Peter S BrumleveChief Marketing Off. (i)
(ii)		 386,540
0 		79,191
0 		40,227
0 		75,939
0 		13,047
0 		594,944
0 		0
0
(64)UHHCS - Kevin P CunninghamPharmacy Director (i)
(ii)		 142,290
0 		13,956
0 		465
0 		8,311
0 		18,705
0 		183,727
0 		0
0
(65)UHHS - John V FoleyChief Information Off. (i)
(ii)		 394,612
0 		70,069
0 		2,280
0 		61,408
0 		25,224
0 		553,593
0 		0
0
(66)GMC - Jason E GlowczewskiPharmacy Director (i)
(ii)		 153,838
0 		8,505
0 		763
0 		11,841
0 		21,101
0 		196,048
0 		0
0
(67)AMC - Alan Hirsch MDCMO, Ahuja (i)
(ii)		 306,984
0 		25,734
0 		14,029
0 		34,320
0 		25,217
0 		406,284
0 		0
0
(68)UHCMC - Carl LufterPharmacy Director (i)
(ii)		 168,920
0 		15,317
0 		11,811
0 		17,307
0 		13,996
0 		227,351
0 		0
0
(69)UHHS - Donnie PerkinsVP Inclusion & Diversity (i)
(ii)		 189,036
0 		46,129
0 		26,251
0 		10,915
0 		2,831
0 		275,162
0 		0
0
(70)UHHS - Cheryl WahlChief Compliance Officer (i)
(ii)		 226,540
0 		99,302
0 		636
0 		57,409
0 		10,704
0 		394,591
0 		0
0
(71)UHHS - William A YoungPresident SJMC (i)
(ii)		 316,177
0 		118,488
0 		2,460
0 		65,620
0 		28,659
0 		531,404
0 		0
0
(72)UHHS - Heidi GartlandFmr. Key Employee (i)
(ii)		 233,292
0 		75,558
0 		1,564
0 		61,104
0 		11,451
0 		382,969
0 		0
0
(73)UHMG - Pablo R Ros MDFmr. Key Employee (i)
(ii)		 530,697
0 		26,708
0 		64,146
0 		13,889
0 		18,526
0 		653,966
0 		0
0
(74)UHMG - Charles Lanzieri MDFmr. Key Employee (i)
(ii)		 437,427
0 		0
0 		48,258
0 		12,903
0 		19,251
0 		517,839
0 		0
0
(75)UHLSF - Michael R VehovecFmr. Officer (i)
(ii)		 230,228
0 		92,126
0 		1,141
0 		74,157
0 		1,991
0 		399,643
0 		0
0
(76)UHHS - PAUL TAITCHIEF STRATEGIC PLANNING OFF. (i)
(ii)		 361,526
0 		356,471
0 		458,633
0 		37,067
0 		26,084
0 		1,239,781
0 		472,618
0
(77)UHHS - ACHILLES A DEMETRIOU MDPRESIDENT/COO (i)
(ii)		 0
  		425,434
  		76,955
  		42,735
  		10,093
  		555,217
  		0
 
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
Schedule J, Part I, Line 4b The following persons participated in, or received payment from a nonqualified retirement plan (457(f) or SERP) in 2013: - Harlin G. Adelman (No payments received in 2013) - Michael R. Anderson, M.D. (No payments received in 2013) - William L. Annable ($57,307-SERP) - Eric Bieber, M.D. (No payments received in 2013) - Sherri L. Bishop (No payments received in 2013) - Peter Brumleve (No payments received in 2013) - Robert G. David (No payments received in 2013) - Laurie S. Delgado ($245,656-SERP, $26,092-457f) - Achilles A. Demetriou, M.D. ($55,101-SERP) - Patricia M. Depompei (No payments received in 2013) - Ronald E. Dziedzicki (No payments received in 2013) - John V. Foley (No payments received in 2013) - Phyllis Hall (No payments received in 2013) - Richard Hanson (No payments received in 2013) - Steven M. Jones (No payments received in 2013) - Susan V. Juris ($54,283-SERP) - Elliot A. Kellman ($117,792-SERP) - Catherine S. Koppelman ($66,381-SERP) - Nathan Levitan, M.D. ($148,364-SERP) - Keith Maitland ($36,808-SERP) - Janet L. Miller ($505,431-SERP, $25,459-457F) - Michael L. Nochomovitz, M.D. ($134,969-SERP) - Fred C. Rothstein, M.D. ($196,757-SERP, $48,266-457f) - Sonia Salvino (No payments received in 2013) - Steven D. Standley ($95,502-SERP, 22,548-457f) - Michael A. Szubski (No payments received in 2013) - Paul G. Tait ($454,613-SERP) - Nancy Tinsley (No payments received in 2013) - Allen Tracy (No payments received in 2013) - Michael R. Vehovec (No payments received in 2013) - Cheryl Wahl (No payments received in 2013) - William Young (No payments received in 2013) - Thomas F. Zenty III ($334,606-SERP, $215,542-457f)
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.
Schedule J, Part I, Line 8 Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception.
SCHEDULE J, PART II FORM 990 REPORTING REQUIREMENTS RELATED TO ITEMS SUCH AS DEFERRED COMPENSATION PROGRAMS REQUIRE DUAL REPORTING IN SOME YEARS FOR VARIOUS PARTICIPANTS. AS SUCH, AMOUNTS MAY BE SHOWN IN PART VII AND SCHEDULE J DURING A YEAR IN WHICH THOSE AMOUNTS WERE DEFERRED, AND AGAIN IN SUBSEQUENT YEARS IN PART VII AND SCHEDULE J WHEN ACTUALLY PAID. ONLY SCHEDULE J INCLUDES A COLUMN (F), NOTING THESE AMOUNTS WERE PREVIOUSLY REPORTED.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

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





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

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-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?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
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) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Residence Inn See Part V 193,000 See Part V   No
(2) First Energy See Part V 228,000 See Part V   No
(3) First Energy See Part V 228,000 See Part V   No
(4) Lee Ponsky MD See Part V 11,000 See Part V   No
(5) Diana Ponsky MD See Part V 166,000 See Part V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L Part IV Line 1 Residence Inn Relationship Between Interested Person and Organization: Former 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 First Energy Relationship Between Interested Person and Organization: Former 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 2013. These transactions were all at arms length. Line 3 First Energy Relationship Between Interested Person and Organization: Former UHCMC Director Lorna Wisham is employed at First Energy. Description of Transaction: First Energy subsidiary The Illuminating Co. provided energy services to UHCMC in 2013. These transactions were all at arms length. Line 4 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 5 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. In accordance with IRS requirements, business transactions involving individuals and entities that are interested persons with respect to University Hospitals Health System, Inc. (EIN: 34-0714775) are reported on Part IV of the Schedule L included with the separate Form 990 filed by University Hospitals Health System Inc.
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 42 186,162 Appraisals
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 39 FMV
5 Clothing and household
goods ....... 		X 4,049 FMV/Receipt
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 69 1,698,164 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 ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies . X 3 57,780 FMV
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Miscellaneous ) X 307 463,719 FMV
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
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) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. 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.
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) (2013)
Additional Data


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

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

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

90-0059117
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 noted 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. 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 GOVERNING RESPONSIBILITIES ARE RESERVED AT THE PARENT ORGANIZATION, 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 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 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 Conflict of Interest policies. Individuals to which the Conflict of Interest policies apply are required to complete an annual disclosure and provide information regarding any interests that may be potential conflicts pursuant to the Conflict of Interest 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 and/or the UH Board. If a conflict exists with a Director, certain restrictions may be imposed, such as excusing the Director from the room during discussion and/or 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 UHACO - Elizabeth Hammack UHRBC - Brent Carson UHRBC - Richard Grossberg, M.D. UHRBC - Ken Lakota UHRBC - Drew Hertz, M.D. UHCCO - George Kikano, M.D.
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 XI, Line 9, Changes in Net Assets Net Change in Temporarily Restricted Net Assets $29,325,000 Net Change in Permanently Restricted Net Assets $11,570,000 Equity Transfer ($25,681,000) Less: Rest. Gifts Included on Form 990, Pg 1, Ln 8 ($43,442,000) Investments in Subsidiaries ($18,345,000) Additional Minimum Liability $70,615,000 NA Released for PPE $7,017,000 Other Changes $42,262,000 Total to Form 990, Part XI, Line 9 $73,321,000
Form 990, Part IX, Line 11g, Breakdown of Expense Collection Agency Fees $6,795,000 Consulting Fees $28,248,000 Medical/Clinical Purchased Services $36,067,000 Other Purchased Services $110,712,000 Total To Form 990, Part IX, Line 11g $181,822,000 IN ORDER TO PROVIDE A MORE COMPLETE AND ACCURATE PICTURE OF UNIVERSITY HOSPITALS HEALTH SYSTEM'S FINANCIAL INFORMATION, UH HAS INCLUDED ALL FINANCIAL DATA FOR BOTH THE CONSOLIDATED GROUP AND PARENT ORGANIZATION IN THIS FORM 990 FOR PARTS VIII, IX AND X, INCLUDING SUPPLEMENTAL INFORMATION REQUIRED IN SCHEDULE D. ANY PRIOR YEAR INFORMATION REPORTED FOR THESE SECTIONS HAS NOT BEEN ADJUSTED TO INCLUDE THE UHHS PARENT INFORMATION WHICH MAY RESULT IN LARGE VARIANCES FROM YEAR TO YEAR. THE PRIOR YEAR INFORMATION HAS BEEN REPORTED AS IT WAS FILED FOR THE 2012 REPORTING YEAR. PLEASE REFER TO THE AUDITED FINANCIAL STATEMETNS ATTACHED TO THIS RETURN AND THE SEPARATELY FILED FORM 990 FOR THE UH PARENT FOR ADDITIONAL INFORMATION. Form 990, Parts VIII, IX, and X Form 990 Reconciliation of Group Presentation UHHS Group and UHHS Group UHHS Parent (without UHHS Part VIII Combined UH Parent Eliminations Parent) Line 1h 53,111,000 10,021,000 - 43,090,000 Line 2g 2,106,303,000 184,299,000 (165,866,000) - Line 3 24,294,000 24,250,000 - 44,000 Line 7a 46,971,000 46,971,000 - - Line 8c (434,000) - - (434,000) Line 11e 96,163,000 38,916 - - Line 12 2,326,408,000 305,182,000 (165,866,000) 2,187,092,000 *Total revenue reported on line 12 of $2,326,408,000 consisted of $2,196,535,000 exempt function expense, $697,000 of unrelated business revenue, and $76,065,000 of revenue excluded from tax under sections 512-514. UHHS Group and UHHS Group UHHS Parent (without UHHS Part ix Combined UH Parent Eliminations Parent) Line 1 34,294,000 - - 34,294,000 Line 5 17,890,000 11,262,000 - 6,628,000 LINE 6 3,935,000 44,000 - 3,891,000 Line 7 910,608,000 77,362,000 - 833,246,000 Line 8 67,258,000 16,200,000 - 51,058,000 Line 9 92,586,000 4,990,000 - 87,596,000 Line 10 58,991,000 6,788,000 - 52,203,000 Line 11b 1,051,000 1,041,000 - 10,000 Line 11c 761,000 376,000 - 385,000 Line 11e 33,000 - - 33,000 Line 11 181,822,000 - (165,866,000) 316,443,000 Line 12 11,478,000 9,399,000 - 2,079,000 Line 13 353,902,000 7,497,000 - 346,405,000 Line 14 36,833,000 34,835,000 - 1,998,000 Line 16 98,752,000 4,754,000 - 93,998,000 Line 17 8,445,000 1,397,000 - 7,048,000 Line 20 17,480,000 17,481,000 - (1,000) Line 22 97,591,000 29,520,000 - 68,071,000 Line 23 21,914,000 (10,097,000) - 32,011,000 Line 24 66,346,000 17,487,000 - 48,859,000 Line 25 2,081,970,000 261,581,000 (165,866,000) 1,986,255,000 *Total functional expenses reported on line 25 of $2,081,970,000 consisted of $2,052,570,000 program service expenses, $17,890,000 of management and general expenses, and $11,510,000 of fundraising expenses. UHHS Group and UHHS Group UHHS Parent (without UHHS Part X Combined UH Parent Eliminations Parent) Line 2 192,149,000 178,521,000 - 13,628,000 Line 3 28,200,000 8,681,000 - 19,519,000 Line 4 367,865,000 12,936,000 - 354,929,000 Line 7 370,000 - - 370,000 Line 8 31,898,000 - - 31,898,000 Line 9 22,310,000 18,352,000 - 3,958,000 Line 10c 1,209,731,000 313,569,000 - 896,162,000 Line 11 332,223,000 332,223,000 - - Line 12 618,807,000 618,517,000 - 290,000 Line 13 367,552,000 1,362,438,000 (1,064,536,000) 69,650,000 Line 15 167,165,000 29,402,000 - 137,763,000 Line 16 3,338,270,000 2,874,639,000 (1,064,536,000) 1,528,167,000 Line 17 308,614,000 196,019,000 - 112,595,000 Line 19 8,369,000 (338,000) - 8,707,000 Line 20 1,086,314,000 1,086,314,000 - - Line 23 39,978,000 39,978,000 - - Line 25 258,925,000 163,025,000 - 95,900,000 Line 26 1,702,200,000 1,484,998,000 - 217,202,000 Line 27 1,063,229,000 1,063,599,000 (1,064,536,000) 1,064,166,000 Line 28 255,296,000 28,142,000 - 227,154,000 Line 29 317,545,000 297,900,000 - 19,645,000 Line 33 1,636,070,000 1,389,641,000 (1,064,536,000) 1,310,965,000 Line 34 3,338,270,000 2,874,639,000 (1,064,536,000) 1,528,167,000
TAX EXEMPT BOND INFORMATION THE UH SYSTEM'S TAX-EXEMPT BONDS WERE ISSUED IN THE NAME OF THE PARENT ORGANIZATION, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (EIN: 34-0714775). THEREFORE, THE IRS REQUIRES THAT INFORMATION RELATED TO THESE BONDS BE REPORTED ON SCHEDULE K, SUPPLEMENTAL INFORMATION OF TAX-EXEMPT BONDS, INCLUDED WITH THE SEPARATE FORM 990 FILED BY THE UH PARENT ORGANIZAITON. The UH System has the following tax-exempt bond issues outstanding: -2013 Ohio Higher Education Facility Commission Bonds; Issue Price: $124,142,966 -2012 Ohio Higher Education Facility Commission Bonds; Issue Price: $23,775,000 -2012 Ohio Higher Education Facility Commission Bonds; Issue Price: $55,371,387 -2012 Ohio Higher Education Facility Commission Bonds; Issue Price: $40,710,000 -2012 Ohio Higher Education Facility Commission Bonds; Issue Price: $189,782,379 -2010 Ohio Higher Education Facility Commission Bonds; Issue Price: $71,125,000 -2010 Ohio Higher Education Facility Commission Bonds; Issue Price: $94,797,375 -2009 Ohio Higher Education Facility Commission Bonds; Issue Price: $100,914,641 -2007 Ohio Higher Education Facility Commission Bonds; Issue Price: $290,313,879 -2003 Cuyahoga County, Ohio Bonds; Issue Price: $14,389,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
Group Return
Employer identification number

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










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No
(1) Biomotiv 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" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
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  
C corp          
(2) University Hospitals Holdings Inc

11100 Euclid Ave
Cleveland,OH44106
34-1768931 		Holding Company OH  
C corp          
(3) University Hospitals Physician Services

11100 Euclid Ave
Cleveland,OH44106
34-1768929 		Physician Admin. OH  
C corp          
(4) University Primary Care Practices Inc

11100 Euclid Ave
Cleveland,OH44106
34-1768928 		Physicians Group OH  
C corp          
(5) University Hospitals Health System MCO

11100 Euclid Ave
Cleveland,OH44106
34-1843674 		Workers Comp. OH  
C corp          
(6) UHHS Provder & Ceentral Verification Org

11100 Euclid Ave
Cleveland,OH44106
34-1908517 		Medical Mgmt. OH  
C corp          
(7) Cedar Brainard Surgery Center Inc

11100 Euclid Ave
Cleveland,OH44106
20-4957632 		Holding Company OH  
C corp          
(8) University Hospitals Health Care Enterpr

11100 Euclid Ave
Cleveland,OH44106
34-1510005 		Medical Mgmt OH  
C corp          
(9) BMH Development Corp

158 West Main Street
Conneaut,OH44030
34-1346212 		Land Development OH  
C corp          
(10) Conneaut Health Enterprises Inc

PO Box 648
Conneaut,OH44060
34-1503949 		Inactive OH  
C corp          
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) UH Ahuja Medical CenterUniversity Hospitals

 S 58,519,176 General Ledger
(2) UH Ahuja Medical CenterUniversity Hospitals

 P 6,380,149 General Ledger
(3) UH Ahuja Medical CenterUniversity Hospitals

 M 120,410 General Ledger
(4) UH Ahuja Medical CenterUH Cleveland Medical

 S 66,242 General Ledger
(5) UH Ahuja Medical CenterUH Cleveland Medical

 C 1,107,222 General Ledger
(6) UH Ahuja Medical CenterUH Cleveland Medical

 P 1,093,068 General Ledger
(7) UH Ahuja Medical CenterUH Laboratory Service

 M 99,105 General Ledger
(8) UH Ahuja Medical CenterUH Regional Hospitals

 S 88,145 General Ledger
(9) UH Ahuja Medical CenterUH Regional Hospitals

 P 93,586 General Ledger
(10) UH Ahuja Medical CenterUH Physician Services

 P 249,870 General Ledger
(11) University Hospitals Health SystemUH Ahuja M

 R 41,591,410 General Ledger
(12) University Hospitals Health SystemUH Ahuja M

 L 9,450,336 General Ledger
(13) University Hospitals Health SystemUH Ahuja M

 P 10,698,026 General Ledger
(14) University Hospitals Health SystemUH Ahuja M

 O 37,548,385 General Ledger
(15) UH Cleveland Medical CenterUH Ahuja Medical

 I 305,431 General Ledger
(16) UH Cleveland Medical CenterUH Ahuja Medical

 R 75,580 General Ledger
(17) UH Cleveland Medical CenterUH Ahuja Medical

 P 5,103,985 General Ledger
(18) UH Cleveland Medical CenterUH Ahuja Medical

 B 125,000 General Ledger
(19) UH Laboratory ServicesUH Ahuja Medical Cente

 L 554,245 General Ledger
(20) UH Regional HospitalsUH Ahuja Medical Center

 P 95,509 General Ledger
(21) UH Medical PractivesUH Ahuja Medical Center

 L 2,679,728 General Ledger
(22) UH Medical GroupUH Ahuja Medical Center

 L 131,657 General Ledger
(23) UH Conneaut Medical CenterUH Health System

 S 213,363 General Ledger
(24) UH Conneaut Medical CenterUH Health System

 R 15,219,300 General Ledger
(25) UH Conneaut Medical CenterUH Health System

 P 748,165 General Ledger
(26) UH Conneaut Medical CenterUH Cleveland Medic

 S 82,458 General Ledger
(27) UH Conneaut Medical CenterUH Cleveland Medic

 P 59,025 General Ledger
(28) UH Conneaut Medical CenterUH Geneva Medical

 P 80,860 General Ledger
(29) UH Conneaut Medical CenterUH Medical Practic

 S 59,629 General Ledger
(30) UH Health SystemUH Conneaut Medical Center

 R 11,708,871 General Ledger
(31) UH Health SystemUH Conneaut Medical Center

 M 2,899,824 General Ledger
(32) UH Health SystemUH Conneaut Medical Center

 Q 12,818,115 General Ledger
(33) UH Cleveland Medical CenterUH Conneaut Medic

 Q 302,889 General Ledger
(34) UH Laboratory ServicesUH Conneaut Medical

 L 84,735 General Ledger
(35) UH Regional HospitalsUH Conneaut Medical Cen

 Q 179,565 General Ledger
(36) UH Geneva Medical CenterUH Conneaut Medical

 Q 87,200 General Ledger
(37) UH Medical PracticesUH Conneaut Medical Cen

 Q 382,926 General Ledger
(38) UH Geneva Medical CenterUH Health System

 S 20,943,803 General Ledger
(39) UH Geneva Medical CenterUH Health System

 P 1,033,838 General Ledger
(40) UH Geneva Medical CenterUH Cleveland Medical

 S 336,255 General Ledger
(41) UH Geneva Medical CenterUH Cleveland Medical

 P 2,009,472 General Ledger
(42) UH Geneva Medical CenterUH Cleveland Medical

 C 53,287 General Ledger
(43) UH Geneva Medical CenterUH Medical Practices

 S 113,068 General Ledger
(44) UH Health SystemUH Geneva Medical Center

 R 17,154,099 General Ledger
(45) UH Health SystemUH Geneva Medical Center

 L 3,806,844 General Ledger
(46) UH Health SystemUH Geneva Medical Center

 Q 17,039,455 General Ledger
(47) UH Cleveland Medical CenterUH Geneva Medical

 R 244,628 General Ledger
(48) UH Cleveland Medical CenterUH Geneva Medical

 Q 2,623,913 General Ledger
(49) UH Laboratory ServicesUH Geneva Medical Cent

 L 155,535 General Ledger
(50) UH Medical PracticesUH Geneva Medical Center

 L 514,163 General Ledger
(51) UH Medical GroupUH Geneva Medical Center

 L 239,584 General Ledger
(52) UH Laboratory Service FoundationUH Health

 R 2,102,887 General Ledger
(53) UH Laboratory Service FoundationUH Health

 Q 1,208,480 General Ledger
(54) UH Laboratory Service FoundationUH Cleveland

 R 2,407,749 General Ledger
(55) UH Laboratory Service FoundationUH Cleveland

 Q 12,632,522 General Ledger
(56) UH Laboratory Service FoundationUH Regional

 L 584,555 General Ledger
(57) UH Laboratory Service FoundationUH Geauga

 L 449,347 General Ledger
(58) UH Laboratory Service FoundationUH Physician

 L 52,131 General Ledger
(59) UH Health SystemUH Laboratory Services Found

 I 257,729 General Ledger
(60) UH Health SystemUH Laboratory Services Found

 R 9,410,838 General Ledger
(61) UH Health SystemUH Laboratory Services Found

 Q 8,032,942 General Ledger
(62) UHCleveland Medical CenterUH Laboratory Serv

 R 521,592 General Ledger
(63) UHCleveland Medical CenterUH Laboratory Serv

 Q 15,174,564 General Ledger
(64) UH Medical GroupUH Laboratory Services Found

 L 217,794 General Ledger
(65) UH Home Care ServicesUH Laboratory Services

 L 58,017 General Ledger
(66) UH Geauga Medical CenterUH Health System

 S 47,609,759 General Ledger
(67) UH Geauga Medical CenterUH Health System

 P 6,505,488 General Ledger
(68) UH Geauga Medical CenterUH Cleveland Medical

 S 697,425 General Ledger
(69) UH Geauga Medical CenterUH Cleveland Medical

 P 982,373 General Ledger
(70) UH Geauga Medical CenterUH Cleveland Medical

 B 323,399 General Ledger
(71) UH Geauga Medical CenterUH Regional Hospital

 P 212,856 General Ledger
(72) UH Geauga Medical CenterUH Medical Practices

 M 154,092 General Ledger
(73) UH Health SystemUH Geauga Medical Center

 R 40,163,278 General Ledger
(74) UH Health SystemUH Geauga Medical Center

 M 7,050,948 General Ledger
(75) UH Health SystemUH Geauga Medical Center

 Q 59,167,588 General Ledger
(76) UH Cleveland Medical CenterUH Geauga Medical

 R 94,088 General Ledger
(77) UH Cleveland Medical CenterUH Geauga Medical

 Q 3,496,787 General Ledger
(78) UH Medical PracticesUH Geauga Medical Center

 Q 222,547 General Ledger
(79) UH Medical PracticesUH Geauga Medical Center

 M 2,215,462 General Ledger
(80) UH Physician ServicesUH Geauga Medical Cente

 M 60,645 General Ledger
(81) UH Medical GroupUH Geauga Medical Center

 M 678,140 General Ledger
(82) UH Home Care ServicesUH Health System

 S 10,347,273 General Ledger
(83) UH Home Care ServicesUH Health System

 P 2,045,230 General Ledger
(84) UH Home Care ServicesUH Cleveland Medical

 S 267,005 General Ledger
(85) UH Home Care ServicesUH Cleveland Medical

 P 1,358,927 General Ledger
(86) UH Health SystemUH Home Care Services

 R 14,704,823 General Ledger
(87) UH Health SystemUH Home Care Services

 L 1,692,503 General Ledger
(88) UH Health SystemUH Home Care Services

 Q 19,188,098 General Ledger
(89) UH Cleveland Medical CenterUH Home Care Serv

 Q 126,593 General Ledger
(90) UH Medical GroupUH Home Care Services

 Q 260,728 General Ledger
(91) UH Regional HospitalsUniversity Hospitals

 S 37,585,674 General Ledger
(92) UH Regional HospitalsUniversity Hospitals

 P 5,442,158 General Ledger
(93) UH Regional HospitalsUH Cleveland Medical

 S 1,601,052 General Ledger
(94) UH Regional HospitalsUH Cleveland Medical

 P 4,393,032 General Ledger
(95) UH Regional HospitalsUH Cleveland Medical

 B 215,165 General Ledger
(96) UH Regional HospitalsUH Medical Practices

 M 267,636 General Ledger
(97) UH Regional HospitalsUH Medical Practices

 P 76,780 General Ledger
(98) UH Health SystemUH Regional Hospitals

 R 35,438,457 General Ledger
(99) UH Health SystemUH Regional Hospitals

 L 9,312,408 General Ledger
(100) UH Health SystemUH Regional Hospitals

 Q 56,624,727 General Ledger
(101) UH Cleveland Medical CenterUH Regional

 R 166,264 General Ledger
(102) UH Cleveland Medical CenterUH Regional

 Q 2,868,277 General Ledger
(103) UH Cleveland Medical CenterUH Regional

 C 119,689 General Ledger
(104) UH Cleveland Medical CenterUH Regional

 L 554,302 General Ledger
(105) UH Medical PracticesUH Regional Hospitals

 L 2,413,967 General Ledger
(106) UH Medical GroupUH Regional Hospitals

 L 1,442,689 General Ledger
(107) UH Medical GroupUH Health System

 R 325,715 General Ledger
(108) UH Medical GroupUH Health System

 P 100,870,029 General Ledger
(109) UH Medical GroupUH Cleveland Medical Center

 S 9,232,974 General Ledger
(110) UH Medical GroupUH Cleveland Medical Center

 P 4,260,093 General Ledger
(111) UH Medical GroupUH Cleveland Medical Center

 A 1,936,816 General Ledger
(112) UH Medical GroupUH Cleveland Medical Center

 L 58,905,128 General Ledger
(113) UH Medical GroupUH Medical Practices

 P 1,924,994 General Ledger
(114) UH Medical GroupUH Physician Services

 P 822,811 General Ledger
(115) UH Health SystemUH Medical Group

 I 1,121,116 General Ledger
(116) UH Health SystemUH Medical Group

 R 26,329,512 General Ledger
(117) UH Health SystemUH Medical Group

 L 10,656,216 General Ledger
(118) UH Health SystemUH Medical Group

 Q 258,925,001 General Ledger
(119) UH Cleveland Medical CenterUH Medical Group

 Q 14,416,352 General Ledger
(120) UH Medical GroupUH Medical Group

 Q 896,930 General Ledger
(121) UH Physician ServicesUH Medical Group

 Q 3,643,581 General Ledger
(122) UH Physician ServicesUH Medical Group

 I 70,303 General Ledger
(123) UH Case Medical CenterUH Health System

 I 319,701 General Ledger
(124) UH Case Medical CenterUH Health System

 R 411,143,401 General Ledger
(125) UH Case Medical CenterUH Health System

 P 301,676,801 General Ledger
(126) UH Case Medical CenterUH Health System

 B 28,677,066 General Ledger
(127) UH Case Medical CenterUH Medical Practices

 P 452,135 General Ledger
(128) UH Health SystemUH Case Medical Center

 I 185,524 General Ledger
(129) UH Health SystemUH Case Medical Center

 R 422,195,434 General Ledger
(130) UH Health SystemUH Case Medical Center

 L 107,316,864 General Ledger
(131) UH Health SystemUH Case Medical Center

 Q 759,429,177 General Ledger
(132) UH Health SystemUH Case Medical Center

 C 15,759,154 General Ledger
(133) UH Medical PracticesUH Case Medical Center

 R 6,825,714 General Ledger
(134) UH Medical PracticesUH Case Medical Center

 Q 220,632 General Ledger
(135) UH Medical PracticesUH Case Medical Center

 M 2,809,211 General Ledger
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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 V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID:  
Software Version:  






TY 2013 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
COORDINATED CARE ORGANIZATION 3605 WARRENSVILLE CENTER ROAD
Shaker Heights,
OH
44122
90-0794903
 UNIV
UNIVERSITY HOSPITALS ACCOUNTABLE CA 3605 WARRENSVILLE CENTER RD-MS 9155
SHAKER HEIGHTS,
OH
44122
27-3970270
 UNIV

TY 2013 AffiliatedGroupSchedule
Name:
University Hospitals Health System Inc
Group Return
EIN: 90-0059117
Affiliated Group Business Name:
University Hospitals Clevela
 
Address. Either US or Foreign Type:
11100 Euclid Avenue


Cleveland,
OH
44106



 
 
EIN:
34-1567805
Electing Organization Checkbox:
Total Grassroots Lobbying:
1,594
Total Direct Lobbying:
217,636
Total Lobbying Expenditures:
219,230
Other Exempt Purpose Expenditures:
1,189,822,770
Total Exempt Purpose Expenditures:
1,190,042,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Bedford
 
Address. Either US or Foreign Type:
44 Blaine Aven


Bedford,
OH
44146



 
 
EIN:
34-1271115
Electing Organization Checkbox:
Total Grassroots Lobbying:
47
Total Direct Lobbying:
6,730
Total Lobbying Expenditures:
6,777
Other Exempt Purpose Expenditures:
46,430,223
Total Exempt Purpose Expenditures:
46,437,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Conneau
 
Address. Either US or Foreign Type:
158 West Main Rd


Conneaut,
OH
44030



 
 
EIN:
34-0750341
Electing Organization Checkbox:
Total Grassroots Lobbying:
30
Total Direct Lobbying:
4,373
Total Lobbying Expenditures:
4,403
Other Exempt Purpose Expenditures:
24,890,597
Total Exempt Purpose Expenditures:
24,895,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
BMH Professional Corp
 
Address. Either US or Foreign Type:
158 West Main Rd


Conneaut,
OH
44030



 
 
EIN:
34-1749966
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Geauga
 
Address. Either US or Foreign Type:
13207 Ravenna Rd


Chardon,
OH
44024



 
 
EIN:
34-0816492
Electing Organization Checkbox:
Total Grassroots Lobbying:
133
Total Direct Lobbying:
19,231
Total Lobbying Expenditures:
19,364
Other Exempt Purpose Expenditures:
106,299,636
Total Exempt Purpose Expenditures:
106,319,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Geneva
 
Address. Either US or Foreign Type:
870 West Main St


Geneva,
OH
44041



 
 
EIN:
34-0714461
Electing Organization Checkbox:
Total Grassroots Lobbying:
39
Total Direct Lobbying:
5,643
Total Lobbying Expenditures:
5,682
Other Exempt Purpose Expenditures:
30,973,318
Total Exempt Purpose Expenditures:
30,979,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Extende
 
Address. Either US or Foreign Type:
12340 Bass Lake Road


Chardon,
OH
44024



 
 
EIN:
34-1465745
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UHHS - Heather Hill Inc
 
Address. Either US or Foreign Type:
12340 Bass Lake Road


Chardon,
OH
44024



 
 
EIN:
34-0771884
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UH Regional Hospitals
 
Address. Either US or Foreign Type:
27100 Chardon Road


Richmond Hts,
OH
44143



 
 
EIN:
34-1924226
Electing Organization Checkbox:
Total Grassroots Lobbying:
57
Total Direct Lobbying:
8,203
Total Lobbying Expenditures:
8,260
Other Exempt Purpose Expenditures:
53,236,740
Total Exempt Purpose Expenditures:
53,245,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Mednet
 
Address. Either US or Foreign Type:
23001 Euclid Ave


Cleveland,
OH
44117



 
 
EIN:
34-0750341
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Home Ca
 
Address. Either US or Foreign Type:
4901 Galaxy Parkway


Warrensville Center Rd,
OH
44128



 
 
EIN:
34-1527536
Electing Organization Checkbox:
Total Grassroots Lobbying:
38
Total Direct Lobbying:
5,523
Total Lobbying Expenditures:
5,561
Other Exempt Purpose Expenditures:
33,428,439
Total Exempt Purpose Expenditures:
33,434,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Laborat
 
Address. Either US or Foreign Type:
11100 Euclid Ave


Cleveland,
OH
44106



 
 
EIN:
34-1720429
Electing Organization Checkbox:
Total Grassroots Lobbying:
29
Total Direct Lobbying:
4,228
Total Lobbying Expenditures:
4,257
Other Exempt Purpose Expenditures:
26,072,743
Total Exempt Purpose Expenditures:
26,077,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Medical
 
Address. Either US or Foreign Type:
11100 Euclid Ave


Cleveland,
OH
44106



 
 
EIN:
20-4881619
Electing Organization Checkbox:
Total Grassroots Lobbying:
335
Total Direct Lobbying:
48,503
Total Lobbying Expenditures:
48,838
Other Exempt Purpose Expenditures:
349,362,162
Total Exempt Purpose Expenditures:
349,411,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University NPI Inc
 
Address. Either US or Foreign Type:
11100 Euclid Ave


Cleveland,
OH
44106



 
 
EIN:
34-1571623
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
Memorial Hospital Health Fou
 
Address. Either US or Foreign Type:
11100 Euclid Ave


Cleveland,
OH
44106



 
 
EIN:
34-1810018
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Health
 
Address. Either US or Foreign Type:
11100 Euclid Ave


Cleveland,
OH
44106



 
 
EIN:
34-0714775
Electing Organization Checkbox:
Total Grassroots Lobbying:
65
Total Direct Lobbying:
7,763
Total Lobbying Expenditures:
7,828
Other Exempt Purpose Expenditures:
261,573,172
Total Exempt Purpose Expenditures:
261,581,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Ahuja M
 
Address. Either US or Foreign Type:
11100 Euclid Ave


Cleveland,
OH
44106



 
 
EIN:
26-4827222
Electing Organization Checkbox:
Total Grassroots Lobbying:
174
Total Direct Lobbying:
25,091
Total Lobbying Expenditures:
25,265
Other Exempt Purpose Expenditures:
124,289,735
Total Exempt Purpose Expenditures:
124,315,000
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Account
 
Address. Either US or Foreign Type:
3605 Warrensville Center Rd


Shaker Hts,
OH
44122



 
 
EIN:
27-3970270
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
11
Total Lobbying Expenditures:
11
Other Exempt Purpose Expenditures:
67,989
Total Exempt Purpose Expenditures:
68,000
Lobbying Nontaxable Amount:
13,600
Grassroots Nontaxable Amount:
3,400
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Coordin
 
Address. Either US or Foreign Type:
3605 Warrensville Center Rd


Shaker Hts,
OH
44122



 
 
EIN:
90-0794903
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,033,000
Total Exempt Purpose Expenditures:
1,033,000
Lobbying Nontaxable Amount:
178,300
Grassroots Nontaxable Amount:
44,575
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University Hospitals Rainbow
 
Address. Either US or Foreign Type:
3605 Warrensville Center Rd


Shaker Hts,
OH
44122



 
 
EIN:
46-1074672
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0