Form990
Click to see attachment
Department of the TreasuryInternal 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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
University Hospitals Health System Inc
 
% MICHAEL A SZUBSKI
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3605 WARRENSVILLE CENTER ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SHAKER HEIGHTS, OH44122
D Employer identification number

34-0714775
E Telephone number

G Gross receipts $ 266,557,000
F Name and address of principal officer:
Michael A 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)
H(c)
Group exemption number MediumBullet3829
K Form of organization:  
L Year of formation: 1940
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 26
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 24
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 2,687
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -43,566
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -55,516
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 28,514,000 5,128,000
9 Program service revenue (Part VIII, line 2g) ......... 190,239,000 271,542,000
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 44,894,000 42,917,000
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 6,251,000 -53,030,000
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 269,898,000 266,557,000
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 1,652,000
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) 127,774,000 178,204,000
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 212,645,000 222,329,000
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 340,419,000 402,185,000
19 Revenue less expenses. Subtract line 18 from line 12....... -70,521,000 -135,628,000
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,368,700,000 3,780,484,000
21 Total liabilities (Part X, line 26)............. 1,884,720,000 2,055,284,000
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,483,980,000 1,725,200,000
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 (2015)
Form 990 (2015)
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 (THE "SYSTEM") IS GUIDED BY ITS MISSION "TO HEAL. TO TEACH. TO DISCOVER." THE SYSTEM SERVES A UNIQUE ROLE IN THE COMMUNITIES IT SERVES BY PROVIDING DIVERSE POPULATIONS THROUGHOUT THE NORTHEAST OHIO REGION WITH COMPREHENSIVE HEALTH CARE - FROM PRIMARY CARE TO HIGHLY SPECIALIZED MEDICAL CARE FOR THE MOST SERIOUS OF HEALTH PROBLEMS. THE SYSTEM IS KNOWN FOR PROVIDING SUPERIOR, LEADING-EDGE HEALTH CARE ACROSS THE FULL RANGE OF MEDICAL AND SURgiCAL SPECIALITIES FROM INFANCY TO ELDER CARE. IN ADDITION TO DELIVERING QUALITY PATIENT CARE, THE SYSTEM SERVES AS A PREEMINENT TEACHING FACILITY FOR PHYSICIANS, NURSES AND ANCILLARY MEDICAL PERSONNEL. THE SYSTEM'S EXTENSIVE CLINICAL RESEARCH PROGRAMS CONTINUE TO IMPROVE THE UNDERSTANDING OF DISEASE AND ENHANCE PATIENT CARE.
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 $ 361,351,000 including grants of $ 1,652,000 ) (Revenue $ 217,917,000 )
COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. IN 2015, UNIVERSITY HOSPITALS DEDICATED MORE THAN $275 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $62 MILLION - RESEARCH = $21 MILLION - CHARITY CARE = $41 MILLION - MEDICAID SHORTFALL = $120 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $49 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RECEIPTS = ($18 MILLION). REFER TO SCHEDULE H in the uh group return FOR FURTHER DETAIL ON HOW THE SYSTEM MEASURES AND REPORTS COMMUNITY BENEFIT. COMMUNITY BENEFIT FOR 2015 TOTALED $275 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 2015 PROVISION FOR BAD DEBT OF $40 MILLION REPRESENTS REVENUES FOR SERVICES PROVIDED THAT ARE DEEMED UNCOLLECTIBLE. THE SYSTEM PROVIDES WORK DIRECTLY FOR MORE THAN 25,000 EMPLOYEES AND PHYSICIANS. DURING 2015, THE SYSTEM ACQUIRED THREE NEW MEDICAL CENTERS, ROBINSON HEALTH SYSTEM, INC. D/B/A UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER ("PORTAGE"), SAMARITAN REGIONAL HEALTH SYSTEM D/B/A UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER ("SAMARITAN"), AND UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER ("ST. JOHN"). THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, WITH SPECIAL EMPHASIS ON AREAS SUCH AS CUYAHOGA, LORAIN, GEAUGA, AND THE LAKE/ASHTABULA COUNTIES SERVICE AREA. THE SYSTEM'S NEWEST ADDITIONS, PORTAGE, SAMARITAN, AND ST. JOHN MEDICAL CENTERS PROVIDE AN EXPANDED FOOTPRINT ADDING COUNTIES SUCH AS PORTAGE, ASHLAND, AND RICHLAND. THE BREADTH OF THE SYSTEM'S SERVICE AREA IS COVERED THROUGH ITS ACADEMIC MEDICAL CENTER, COMMUNITY MEDICAL CENTERS, JOINT VENTURES, AMBULATORY HEALTH CENTERS, AND MEDICAL PRACTICES. UH PROVIDES MANY 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 CLEVELAND 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 CLEVELAND 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 2015 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 expensesMediumBullet361,351,000
Form 990 (2015)
Form 990 (2015)
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)? ...
2
 
No
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
 
No
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
 
No
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
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
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.........Click to see attachment
14b
Yes
 
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.....Click to see attachment
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...Click to see attachment
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) ....
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............
18
 
No
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...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2015)
Form 990 (2015)
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 domestic 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 or for domestic individuals 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...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
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
Yes
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) 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 "Yes," 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
 
No
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
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
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 (2015)
Form 990 (2015)
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
1,791
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
2,687
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
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2015)
Form 990 (2015)
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
26
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
24
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
 
No
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
 
No
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
 
No
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
OH
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMICHAEL A SZUBSKI3605 WARRENSVILLE CTR RD   Shaker Heights,OH44122 (216) 767-8007
Form 990 (2015)
Form 990 (2015)
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) See Sched O TR 16033-2d5......................................................................
See Sched. O
 0.0
.................
0.0 		X   X       3,039,296 0 416,490
(2) See Sched O TR 16033-2d5......................................................................
See Sched. O
 0.0
.................
0.0 		X           0 807,358 10,662
(3) See Sched O TR 16033-2d5......................................................................
See Sched. O
 0.0
.................
0.0 		    X       7,417,526 0 803,115
(4) See Sched O TR 16033-2d5......................................................................
See Sched. O
 0.0
.................
0.0 		      X     1,575,101 0 223,222
(5) See Sched O TR 16033-2d5......................................................................
See Sched. O
 0.0
.................
0.0 		          X 2,836,668 0 206,995
























Form 990 (2015)
Form 990 (2015)
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;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 14,868,591 807,358 1,660,484
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet336
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
See Sched O TR 16033-2d5,
 
  		See Sched. O TR. 1.6  
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet373
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 2,221,000
f All other contributions, gifts, grants, and similar amounts not included above1f 2,907,000
g Noncash contributions included in lines 1a-1f:$  
h Total.Add lines 1a-1f.......MediumBullet 5,128,000
Program Service RevenueAmt Business Code
2a CORPORATE ALLOCATIONS 900099 240,958,000 240,958,000    
b PROGRAM SERVICE REVENUE 900099 11,433,000 11,433,000    
c PROGRAM SERVICE RENTAL 532000 19,151,000 19,151,000    
d
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 271,542,000
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 25,856,000   -43,566 25,899,566
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   595,000
b Less: rental expenses    
c Rental income or (loss) 0 595,000
d Net rental income or (loss)......MediumBullet 595,000     595,000
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 17,061,000  
b Less: cost or other basis and sales expenses    
c Gain or (loss) 17,061,000  
d Net gain or (loss).....MediumBullet 17,061,000     17,061,000
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
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      
Business Code Miscellaneous Revenue
11a MEMBER SUBSTITUTION 900099 -78,264,000 -78,264,000    
b MEANINGFUL USE 900099 10,150,000 10,150,000    
c JV INCOME 900099 7,929,000 7,929,000    
d All other revenue .... 6,560,000 6,560,000    
e Total. Add lines 11a–11d ...... MediumBullet -53,625,000
12 Total revenue. See Instructions......MediumBullet 266,557,000 217,917,000 -43,566 43,555,566
Form 990 (2015)
Form 990 (2015)
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 domestic organizations and domestic governments. See Part IV, line 21 1,652,000 1,652,000
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 .... 17,555,000   17,555,000  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 56,000 56,000    
7 Other salaries and wages 122,003,000 114,683,000 7,320,000  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,654,000 5,315,000 339,000  
9 Other employee benefits ....... 22,301,000 20,963,000 1,338,000  
10 Payroll taxes ........... 10,635,000 9,997,000 638,000  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,393,000 1,309,000 84,000  
c Accounting ........... 625,000 587,000 38,000  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
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) 27,841,000 26,171,000 1,670,000  
12 Advertising and promotion .... 13,392,000 12,588,000 804,000  
13 Office expenses ....... 6,070,000 5,706,000 364,000  
14 Information technology ...... 53,586,000 50,371,000 3,215,000  
15 Royalties .. 0      
16 Occupancy ........... 14,579,000 13,704,000 875,000  
17 Travel ............ 1,426,000 1,340,000 86,000  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 46,230,000 43,456,000 2,774,000  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 36,755,000 34,550,000 2,205,000  
23 Insurance ... -5,056,000 -5,056,000    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a OTHER PURCHASED SERVICES 7,879,000 7,406,000 473,000  
b OTHER THAN TEMP DEC IN INV 6,369,000 5,987,000 382,000  
c SWAP VALUATION ADJUSTMENT 3,423,000 3,218,000 205,000  
d SPECIAL CHARGES 2,800,000 2,632,000 168,000  
e All other expenses 5,017,000 4,716,000 301,000  
25 Total functional expenses. Add lines 1 through 24e 402,185,000 361,351,000 40,834,000 0
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 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 0 1 0
2 Savings and temporary cash investments ......... 141,905,000 2 136,018,000
3 Pledges and grants receivable, net ...... 6,062,000 3 8,579,000
4 Accounts receivable, net ............. 49,054,000 4 -62,314,000
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 .... 0 7 0
8 Inventories for sale or use ........ 0 8 -697,000
9 Prepaid expenses and deferred charges ...... 36,286,000 9 13,523,000
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 695,876,000
b Less: accumulated depreciation 10b 312,894,000 335,099,000 10c 382,982,000
11 Investments—publicly traded securities . 397,766,000 11 1,109,341,000
12 Investments—other securities. See Part IV, line 11 ..... 843,222,000 12 290,999,000
13 Investments—program-related. See Part IV, line 11 .. 1,537,049,000 13 1,859,531,000
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 22,257,000 15 42,522,000
16 Total assets. Add lines 1 through 15 (must equal line 34)... 3,368,700,000 16 3,780,484,000
Liabilities 17 Accounts payable and accrued expenses ..... 241,885,000 17 219,998,000
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 162,000 19 440,000
20 Tax-exempt bond liabilities ......... 1,166,496,000 20 1,316,364,000
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 .. -21,000 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 476,198,000 25 518,482,000
26 Total liabilities. Add lines 17 through 25.. 1,884,720,000 26 2,055,284,000
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 1,138,734,000 27 1,372,563,000
28 Temporarily restricted net assets ........... 5,060,000 28 15,900,000
29 Permanently restricted net assets 340,186,000 29 336,737,000
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 ........... 1,483,980,000 33 1,725,200,000
34 Total liabilities and net assets/fund balances ........ 3,368,700,000 34 3,780,484,000
Form 990 (2015)
Form 990 (2015)
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
266,557,000
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
402,185,000
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-135,628,000
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,483,980,000
5
Net unrealized gains (losses) on investments ...............
5
-40,790,000
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
417,638,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,725,200,000
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
 
No
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
 
 
Form 990 (2015)
Form 990 (2015)
Additional Data


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

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number

34-0714775
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
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............. 1

g
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 (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
  		341567805 3 Yes   0 0
Total 1 0 0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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 VI.)..            
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 section 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) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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 VI.) ..            
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) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
Yes
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
No
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2015 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
SCHEDULE A, PART IV, SECTION C, LINE 1 THE CONTROL AND MANAGEMENT OF UHHS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE UHHS' SUPPORTED ORGANIZATION, UHCMC BECAUSE BOTH ENTITIES ARE PART OF AN INTEGRATED HEALTHCARE SYSTEM. THE SAME PERSONS MANAGE, OVERSEE AND SET POLICY FOR UHHS, UHCMC, AND THE OTHER RELATED ENTITIES WITHIN THE SYSTEM. THE SAME INDIVIDUALS HAVE RESPONSIBILITY FOR SYSTEM-WIDE MANAGEMENT POLICIES AND PROCEDURES, COMPLIANCE GUIDELINES, CODES OF CONDUCT, AND APPROVAL OF MATTERS RELATED TO FINANCING, INVESTMENTS, LEGAL, MATERIAL ASSET SALES OR TRANSFERS, AND STRATEGIC PLANS AND CAPITAL BUDGETS.
Schedule A (Form 990 or 990-EZ) 2015


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 BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
University Hospitals Health System Inc
 
Employer identification number

34-0714775
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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
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).
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) ...............................................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................    
c Total lobbying expenditures (add lines 1a and 1b) .......................................................................    
d Other exempt purpose expenditures .........................................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
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) ..........................................................................    
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2015


Schedule C (Form 990 or 990-EZ) 2015
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 on 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? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
1,856
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
1,908
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
847
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
4,611
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B The University Hospitals Government & Community Relations department serves to promote and educate the communities it serves regarding healthcare related issues that may impact the health system. The department advocates on behalf of the System with elected and appointed officials at all levels: federal, state, and local.
Schedule C (Form 990 or 990EZ) 2015


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," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number

34-0714775
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
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
Revenue included on 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) 2015

Schedule D (Form 990) 2015
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" on 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, for escrow or custodial account liability?
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" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 139,020,000 126,970,000 123,867,000 118,803,000 107,300,000
b Contributions ...   12,050,000 3,103,000 5,064,000 11,503,000
c Net investment earnings, gains, and losses 9,266,000 5,680,000 4,020,000 3,937,667 4,198,000
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		1,919,000 5,680,000 4,020,000 3,937,667 4,198,000
f Administrative expenses ....          
g End of year balance ...... 146,367,000 139,020,000 126,970,000 123,867,000 118,803,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet11.840 %
b
Permanent endowment SchDMd Bullet88.160 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on 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" on 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' on 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 ...   49,251,000 49,251,000
b Buildings   181,619,000 61,841,000 119,778,000
c Leasehold improvements   12,179,000 8,391,000 3,788,000
d Equipment ...   409,704,000 239,916,000 169,788,000
e Other ...   43,123,000 2,746,000 40,377,000
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 382,982,000
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on 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 - OTHER 		290,999,000 F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 290,999,000
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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)INVESTMENTS IN AFFILIATES 1,679,203,000 C
(2)PERPTUAL TRUSTS 180,328,000 F
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 1,859,531,000
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
DUE TO THIRD PARTIES 762,000
OTHER CURRENT LIABILITIES 15,281,000
WORKERS COMPENSATION LIABILITY 15,938,000
PENSION LIABILITIES 328,657,000
EMPLOYEE HEALTH PLAN 12,642,000
INTEREST RATE SWAP LIABILITY 70,342,000
SELF INSURED LIABILITY 23,839,000
OTHER LIABILITIES 51,021,000
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 518,482,000
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) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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 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.
Form 990, Schedule D, Part X, Line 2 Univeristy Hospitals Health System, Inc. must recongize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. As of December 31, 2015 and 2014, University Hospitals Health System, Inc. does not have any uncertain tax positions.
Schedule D (Form 990) 2015


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number

34-0714775
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean     Investments   217,615,000
Central America and the Caribbean     Program Services INSURANCE 1,052,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     218,667,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     218,667,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (a)(c) Region (b)(d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2015
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," on 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
2015
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number
34-0714775
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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) Case Western Reserve University
10900 Euclid Avenue
Cleveland,OH44106 		34-1018992 501(c)3 280,000       Scholarships
(2) Regents of the University of Colorado
1800 N Grant St
Denver,CO80203 		84-6000555 501(c)3 50,000       Scholarships
(3) Trustees of Columbia University in The City of New
622 West 113th Street
New York,NY10025 		13-5598093 501(c)3 50,000       Scholarships
(4) University of North Carolina Chapel Hill
103 South Building
Chapel Hill,NC27599 		56-6001393 501(c)3 50,000       Scholarships
(5) Mayo Clinic Rochester
200 First St SW
Rochester,MN55905 		41-6011702 501(c)3 75,000       Scholarships
(6) Rockefeller University
1230 York Ave
New York,NY10065 		13-1624158 501(c)3 75,000       Scholarships
(7) Johns Hopkins University
3910 Keswick Road
Baltimore,MD21211 		52-0595110 501(c)3 75,000       Scholarships
(8) Trustees of the University of Pennsylvania
3451 Walnut Street
Philadelphia,PA19104 		23-1352685 501(c)3 250,000       Scholarships
(9) Duke University
Campus Box 90581
Durham,NC27708 		56-0532129 501(c)3 170,000       Scholarships
(10) National Jewish Health
1400 Jackson St
Denver,CO80206 		74-2044647 501(c)3 108,697       Scholarships
(11) Memorial Sloan-Kettering Cancer Center
1275 York Avenue
New York,NY10065 		13-1924236 501(c)3 197,250       Scholarships
(12) Ohio State University
901 Woody Hayes Dr
Columbus,OH43210 		31-6025986 GOVT 100,000       Scholarships
(13) University of Texas Southwestern Medical Center
5323 Harry Hines Blvd
Dallas,TX75390 		75-6002868 501(c)3 20,990       Scholarships
(14) Stanford University Board of Trustees of the Lelan
326 Galvez Street
Stanford,CA94305 		94-1156365 501(c)3 25,000       Scholarships
(15) Rutgers The State University of New Jersey RBHS
65 Davison Rd
Piscataway,NJ08854 		46-2354111 501(c)3 25,000       Scholarships
(16) University of CaliforniA San Francisco
UCSF Box 0248
San Francisco,CA94143 		94-6036493 GOVT 25,000       Scholarships
(17) Children's Hospital Corporation
300 Longwood Ave
Boston,MA02115 		04-2774441 501(c)3 25,000       Scholarships
(18) University of Southern California
3551 Trousdale PRKWY
LA,CA90089 		95-1642394 501(c)3 25,000       Scholarships
(19) University of Kentucky Research Foundation
301 Peterson SRVC BLDG
Lexington,KY40506 		61-6033693 501(c)3 25,000       Scholarships
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
19
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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 UHHS 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) 2015



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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number

34-0714775
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 on 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 on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on 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 on 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" on 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) 2015

Schedule J (Form 990) 2015
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 on 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 in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1See Sched O TR 16033-2d5See Sched. O (i)

(ii)		 1,192,014
-------------
0 		1,445,865
-------------
0 		401,417
-------------
0 		404,902
-------------
0 		11,588
-------------
0 		3,455,786
-------------
0 		0
-------------
0
2See Sched O TR 16033-2d5See Sched. O (i)

(ii)		 0
-------------
779,972 		0
-------------
0 		0
-------------
27,386 		0
-------------
8,976 		0
-------------
1,686 		0
-------------
818,020 		0
-------------
0
3See Sched O TR 16033-2d5See Sched. O (i)

(ii)		 3,449,500
-------------
0 		3,290,183
-------------
0 		677,843
-------------
0 		705,149
-------------
0 		97,966
-------------
0 		8,220,641
-------------
0 		854,031
-------------
0
4See Sched O TR 16033-2d5See Sched. O (i)

(ii)		 674,071
-------------
0 		408,858
-------------
0 		492,172
-------------
0 		173,543
-------------
0 		49,679
-------------
0 		1,798,323
-------------
0 		74,769
-------------
0
5See Sched O TR 16033-2d5See Sched. O (i)

(ii)		 1,072,864
-------------
0 		844,348
-------------
0 		919,456
-------------
0 		146,364
-------------
0 		60,631
-------------
0 		3,043,663
-------------
0 		28,327
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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
Form 990, Part I, Lines 4a-b See Schedule O Treasury Regulation 1.6033-2(d)(5) Election The listing of persons and amounts for above questions are included on University Hospitals Health System, Inc. Group Return.
Form 990, 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.
Form 990, Schedule J, Part I, Line 8 Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception.
Schedule J (Form 990) 2015
Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number
34-0714775
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A CUYAHOGA COUNTY OHIO
  		34-6000817 000000000 12-31-2003 14,389,000 SEE PART VI FOR DESCRIPTION   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AYZ9 02-07-2007 290,313,879 SEE PART VI FOR DESCRIPTION   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AU42 02-12-2010 94,797,375 SEE PART VI FOR DESCRIPTION   X   X   X
D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AZH4 12-27-2010 71,125,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CAT5 06-21-2012 189,782,379 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 09-11-2012 40,710,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CBH0 10-23-2012 55,371,387 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 10-23-2012 23,775,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCB2 12-10-2013 124,142,966 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCC0 11-06-2014 100,361,458 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 07-15-2015 20,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCF3 10-01-2015 100,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 12-18-2015 91,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 4,389,000 0 32,302,375 0
2 Amount of bonds legally defeased .............. 0 0 0 21,125,000
3 Total proceeds of issue .................. 14,389,000 310,070,762 94,797,375 71,125,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 27,711,071 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 821,547 1,272,375 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 14,389,000 281,538,144 0 0
11 Other spent proceeds ............. 0 0 93,525,000 71,125,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2004 2011 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X     X X   X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X   X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
ENTITY 1 PART I, LINE A, COLUMN (F), THE SERIES 2001 BONDS WERE ORIGINALLY ISSUED ON 11/30/01 FOR CONSTRUCTION AND CAPITAL EQUIPMENT OF FACILITIES AND DEEMED REISSUED ON 12/31/03. PART I, LINE B, COLUMN (F), THE SERIES 2007A BONDS WERE USED FOR CONSTRUCTION AND EQUIPMENT RELATED TO VISION 2010 PROJECTS. PART I, LINE C, COLUMN (F), THE SERIES 2010A BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1985 BONDS, ISSUED 12/10/1985, ALL OF THE OUTSTANDING SERIES 2008A BONDS, ISSUED 05/08/2008, AND A PORTION OF THE SERIES 2008B BONDS, ISSUED 05/08/2008. PART I, LINE D, COLUMN (F), THE SERIES 2010B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 2008C BONDS ISSUED 05/08/2008. THE 2008C BOND REFUNDED THE SERIES 1996AB BONDS ISSUED 4/18/1996. PART II, LINE 3, COLUMN (B), DIFFERENCE RELATES TO INVESTMENT EARNINGS. PART IV, LINE 2C, COLUMN (A), THE SERIES 2001 REBATE CALCULATIONS WERE PERFORMED AS OF 11/15/2006 AND 11/15/2011. BASED ON COMPUTATIONS, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (B), THE SERIES 2007A REBATE CALCULATION WAS PERFORMED AS OF 02/06/2012. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (C), THE SERIES 2010A REBATE CALCULATION WAS PERFORMED AS OF 02/12/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (D), THE SERIES 2010B REBATE CALCULATION WAS PERFORMED AS OF 12/27/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. ENTITY 2 PART I, LINE A, COLUMN (F), THE SERIES 2012A BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS, ISSUED 03/24/2009. PART I, LINE B, COLUMN (F), THE SERIES 2012B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1996A BONDS, ISSUED 04/18/1996, AND ALL OF THE OUTSTANDING SERIES 1996B BONDS, ISSUED 04/18/1996. PART I, LINE C, COLUMN (F), THE SERIES 2012C BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. PART I, LINE D, COLUMN (F), THE SERIES 2012D BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. THE BONDS ARE PRIVATELY PLACED WITH A BANK COMMITMENT. ENTITY 3 PART I, LINE A, COLUMN (F), THE SERIES 2013A AND 2013B BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS, ISSUED 05/08/2008. PART I, LINE B, COLUMN (F), THE SERIES 2014ABC BONDS WERE ISSUED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AND NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED ELYRIA BONDS ORIGINALLY ISSUED 11/21/1997, 8/2/2001, AND 7/31/2008 (ALL DEEMED TO HAVE BEEN REISSUED 7/1/2011), AND PARMA BONDS ORIGINALLY ISSUED 6/16/2006. PART I, LINE C, COLUMN (F), THE SECOND DRAW ON THE SERIES 2014C BONDS REFUNDED THE REMAINING OUTSTANDING SERIES 2009C BONDS, ISSUED 8/6/2009. PART I, LINE D, COLUMN (F), THE SERIES 2015ABC BONDS WERE ISSUED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND A PORTION OF THE SERIES 2010B BONDS ORIGINALLY ISSUED 12/27/2010. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED PORTAGE (FORMERLY KNOWN AS ROBINSON MEMORIAL HOSPITAL) BONDS ORIGINALLY ISSUED 12/30/2010, 4/24/2011, AND 9/17/2012. PART II, LINE 3, COLUMN (D), DIFFERENCE RELATES TO INVESTMENT EARNINGS. ENTITY 4 PART I, LINE A, COLUMN (F), THE SERIES 2015DE BONDS WERE ISSUED FOR THE ACQUISITION OF UH SAMARITAN MEDICAL CENTER, AND THE ACQUISITION OF THE REMAINING 50% INTEREST IN UH ST. JOHN MEDICAL CENTER. THE REFUNDED BONDS RELATED TO THE ACQUISITIONS INCLUDED SAMARITAN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/19/08, 01/09/09, AND 01/27/09, AND ST. JOHN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/22/2011.
Schedule K (Form 990) 2015

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number
34-0714775
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A CUYAHOGA COUNTY OHIO
  		34-6000817 000000000 12-31-2003 14,389,000 SEE PART VI FOR DESCRIPTION   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AYZ9 02-07-2007 290,313,879 SEE PART VI FOR DESCRIPTION   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AU42 02-12-2010 94,797,375 SEE PART VI FOR DESCRIPTION   X   X   X
D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AZH4 12-27-2010 71,125,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CAT5 06-21-2012 189,782,379 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 09-11-2012 40,710,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CBH0 10-23-2012 55,371,387 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 10-23-2012 23,775,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCB2 12-10-2013 124,142,966 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCC0 11-06-2014 100,361,458 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 07-15-2015 20,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCF3 10-01-2015 100,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 12-18-2015 91,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 4,389,000 0 32,302,375 0
2 Amount of bonds legally defeased .............. 0 0 0 21,125,000
3 Total proceeds of issue .................. 14,389,000 310,070,762 94,797,375 71,125,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 27,711,071 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 821,547 1,272,375 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 14,389,000 281,538,144 0 0
11 Other spent proceeds ............. 0 0 93,525,000 71,125,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2004 2011 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X     X X   X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X   X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
ENTITY 1 PART I, LINE A, COLUMN (F), THE SERIES 2001 BONDS WERE ORIGINALLY ISSUED ON 11/30/01 FOR CONSTRUCTION AND CAPITAL EQUIPMENT OF FACILITIES AND DEEMED REISSUED ON 12/31/03. PART I, LINE B, COLUMN (F), THE SERIES 2007A BONDS WERE USED FOR CONSTRUCTION AND EQUIPMENT RELATED TO VISION 2010 PROJECTS. PART I, LINE C, COLUMN (F), THE SERIES 2010A BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1985 BONDS, ISSUED 12/10/1985, ALL OF THE OUTSTANDING SERIES 2008A BONDS, ISSUED 05/08/2008, AND A PORTION OF THE SERIES 2008B BONDS, ISSUED 05/08/2008. PART I, LINE D, COLUMN (F), THE SERIES 2010B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 2008C BONDS ISSUED 05/08/2008. THE 2008C BOND REFUNDED THE SERIES 1996AB BONDS ISSUED 4/18/1996. PART II, LINE 3, COLUMN (B), DIFFERENCE RELATES TO INVESTMENT EARNINGS. PART IV, LINE 2C, COLUMN (A), THE SERIES 2001 REBATE CALCULATIONS WERE PERFORMED AS OF 11/15/2006 AND 11/15/2011. BASED ON COMPUTATIONS, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (B), THE SERIES 2007A REBATE CALCULATION WAS PERFORMED AS OF 02/06/2012. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (C), THE SERIES 2010A REBATE CALCULATION WAS PERFORMED AS OF 02/12/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (D), THE SERIES 2010B REBATE CALCULATION WAS PERFORMED AS OF 12/27/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. ENTITY 2 PART I, LINE A, COLUMN (F), THE SERIES 2012A BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS, ISSUED 03/24/2009. PART I, LINE B, COLUMN (F), THE SERIES 2012B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1996A BONDS, ISSUED 04/18/1996, AND ALL OF THE OUTSTANDING SERIES 1996B BONDS, ISSUED 04/18/1996. PART I, LINE C, COLUMN (F), THE SERIES 2012C BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. PART I, LINE D, COLUMN (F), THE SERIES 2012D BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. THE BONDS ARE PRIVATELY PLACED WITH A BANK COMMITMENT. ENTITY 3 PART I, LINE A, COLUMN (F), THE SERIES 2013A AND 2013B BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS, ISSUED 05/08/2008. PART I, LINE B, COLUMN (F), THE SERIES 2014ABC BONDS WERE ISSUED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AND NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED ELYRIA BONDS ORIGINALLY ISSUED 11/21/1997, 8/2/2001, AND 7/31/2008 (ALL DEEMED TO HAVE BEEN REISSUED 7/1/2011), AND PARMA BONDS ORIGINALLY ISSUED 6/16/2006. PART I, LINE C, COLUMN (F), THE SECOND DRAW ON THE SERIES 2014C BONDS REFUNDED THE REMAINING OUTSTANDING SERIES 2009C BONDS, ISSUED 8/6/2009. PART I, LINE D, COLUMN (F), THE SERIES 2015ABC BONDS WERE ISSUED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND A PORTION OF THE SERIES 2010B BONDS ORIGINALLY ISSUED 12/27/2010. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED PORTAGE (FORMERLY KNOWN AS ROBINSON MEMORIAL HOSPITAL) BONDS ORIGINALLY ISSUED 12/30/2010, 4/24/2011, AND 9/17/2012. PART II, LINE 3, COLUMN (D), DIFFERENCE RELATES TO INVESTMENT EARNINGS. ENTITY 4 PART I, LINE A, COLUMN (F), THE SERIES 2015DE BONDS WERE ISSUED FOR THE ACQUISITION OF UH SAMARITAN MEDICAL CENTER, AND THE ACQUISITION OF THE REMAINING 50% INTEREST IN UH ST. JOHN MEDICAL CENTER. THE REFUNDED BONDS RELATED TO THE ACQUISITIONS INCLUDED SAMARITAN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/19/08, 01/09/09, AND 01/27/09, AND ST. JOHN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/22/2011.
Schedule K (Form 990) 2015

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number
34-0714775
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A CUYAHOGA COUNTY OHIO
  		34-6000817 000000000 12-31-2003 14,389,000 SEE PART VI FOR DESCRIPTION   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AYZ9 02-07-2007 290,313,879 SEE PART VI FOR DESCRIPTION   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AU42 02-12-2010 94,797,375 SEE PART VI FOR DESCRIPTION   X   X   X
D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AZH4 12-27-2010 71,125,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CAT5 06-21-2012 189,782,379 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 09-11-2012 40,710,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CBH0 10-23-2012 55,371,387 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 10-23-2012 23,775,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCB2 12-10-2013 124,142,966 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCC0 11-06-2014 100,361,458 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 07-15-2015 20,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCF3 10-01-2015 100,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 12-18-2015 91,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 4,389,000 0 32,302,375 0
2 Amount of bonds legally defeased .............. 0 0 0 21,125,000
3 Total proceeds of issue .................. 14,389,000 310,070,762 94,797,375 71,125,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 27,711,071 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 821,547 1,272,375 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 14,389,000 281,538,144 0 0
11 Other spent proceeds ............. 0 0 93,525,000 71,125,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2004 2011 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X     X X   X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X   X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
ENTITY 1 PART I, LINE A, COLUMN (F), THE SERIES 2001 BONDS WERE ORIGINALLY ISSUED ON 11/30/01 FOR CONSTRUCTION AND CAPITAL EQUIPMENT OF FACILITIES AND DEEMED REISSUED ON 12/31/03. PART I, LINE B, COLUMN (F), THE SERIES 2007A BONDS WERE USED FOR CONSTRUCTION AND EQUIPMENT RELATED TO VISION 2010 PROJECTS. PART I, LINE C, COLUMN (F), THE SERIES 2010A BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1985 BONDS, ISSUED 12/10/1985, ALL OF THE OUTSTANDING SERIES 2008A BONDS, ISSUED 05/08/2008, AND A PORTION OF THE SERIES 2008B BONDS, ISSUED 05/08/2008. PART I, LINE D, COLUMN (F), THE SERIES 2010B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 2008C BONDS ISSUED 05/08/2008. THE 2008C BOND REFUNDED THE SERIES 1996AB BONDS ISSUED 4/18/1996. PART II, LINE 3, COLUMN (B), DIFFERENCE RELATES TO INVESTMENT EARNINGS. PART IV, LINE 2C, COLUMN (A), THE SERIES 2001 REBATE CALCULATIONS WERE PERFORMED AS OF 11/15/2006 AND 11/15/2011. BASED ON COMPUTATIONS, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (B), THE SERIES 2007A REBATE CALCULATION WAS PERFORMED AS OF 02/06/2012. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (C), THE SERIES 2010A REBATE CALCULATION WAS PERFORMED AS OF 02/12/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (D), THE SERIES 2010B REBATE CALCULATION WAS PERFORMED AS OF 12/27/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. ENTITY 2 PART I, LINE A, COLUMN (F), THE SERIES 2012A BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS, ISSUED 03/24/2009. PART I, LINE B, COLUMN (F), THE SERIES 2012B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1996A BONDS, ISSUED 04/18/1996, AND ALL OF THE OUTSTANDING SERIES 1996B BONDS, ISSUED 04/18/1996. PART I, LINE C, COLUMN (F), THE SERIES 2012C BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. PART I, LINE D, COLUMN (F), THE SERIES 2012D BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. THE BONDS ARE PRIVATELY PLACED WITH A BANK COMMITMENT. ENTITY 3 PART I, LINE A, COLUMN (F), THE SERIES 2013A AND 2013B BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS, ISSUED 05/08/2008. PART I, LINE B, COLUMN (F), THE SERIES 2014ABC BONDS WERE ISSUED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AND NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED ELYRIA BONDS ORIGINALLY ISSUED 11/21/1997, 8/2/2001, AND 7/31/2008 (ALL DEEMED TO HAVE BEEN REISSUED 7/1/2011), AND PARMA BONDS ORIGINALLY ISSUED 6/16/2006. PART I, LINE C, COLUMN (F), THE SECOND DRAW ON THE SERIES 2014C BONDS REFUNDED THE REMAINING OUTSTANDING SERIES 2009C BONDS, ISSUED 8/6/2009. PART I, LINE D, COLUMN (F), THE SERIES 2015ABC BONDS WERE ISSUED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND A PORTION OF THE SERIES 2010B BONDS ORIGINALLY ISSUED 12/27/2010. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED PORTAGE (FORMERLY KNOWN AS ROBINSON MEMORIAL HOSPITAL) BONDS ORIGINALLY ISSUED 12/30/2010, 4/24/2011, AND 9/17/2012. PART II, LINE 3, COLUMN (D), DIFFERENCE RELATES TO INVESTMENT EARNINGS. ENTITY 4 PART I, LINE A, COLUMN (F), THE SERIES 2015DE BONDS WERE ISSUED FOR THE ACQUISITION OF UH SAMARITAN MEDICAL CENTER, AND THE ACQUISITION OF THE REMAINING 50% INTEREST IN UH ST. JOHN MEDICAL CENTER. THE REFUNDED BONDS RELATED TO THE ACQUISITIONS INCLUDED SAMARITAN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/19/08, 01/09/09, AND 01/27/09, AND ST. JOHN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/22/2011.
Schedule K (Form 990) 2015

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number
34-0714775
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A CUYAHOGA COUNTY OHIO
  		34-6000817 000000000 12-31-2003 14,389,000 SEE PART VI FOR DESCRIPTION   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AYZ9 02-07-2007 290,313,879 SEE PART VI FOR DESCRIPTION   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AU42 02-12-2010 94,797,375 SEE PART VI FOR DESCRIPTION   X   X   X
D OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756AZH4 12-27-2010 71,125,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CAT5 06-21-2012 189,782,379 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 09-11-2012 40,710,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CBH0 10-23-2012 55,371,387 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 10-23-2012 23,775,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCB2 12-10-2013 124,142,966 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCC0 11-06-2014 100,361,458 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 07-15-2015 20,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCF3 10-01-2015 100,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 12-18-2015 91,000,000 SEE PART VI FOR DESCRIPTION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 4,389,000 0 32,302,375 0
2 Amount of bonds legally defeased .............. 0 0 0 21,125,000
3 Total proceeds of issue .................. 14,389,000 310,070,762 94,797,375 71,125,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 27,711,071 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 821,547 1,272,375 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 14,389,000 281,538,144 0 0
11 Other spent proceeds ............. 0 0 93,525,000 71,125,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2004 2011 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X     X X   X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X   X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
ENTITY 1 PART I, LINE A, COLUMN (F), THE SERIES 2001 BONDS WERE ORIGINALLY ISSUED ON 11/30/01 FOR CONSTRUCTION AND CAPITAL EQUIPMENT OF FACILITIES AND DEEMED REISSUED ON 12/31/03. PART I, LINE B, COLUMN (F), THE SERIES 2007A BONDS WERE USED FOR CONSTRUCTION AND EQUIPMENT RELATED TO VISION 2010 PROJECTS. PART I, LINE C, COLUMN (F), THE SERIES 2010A BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1985 BONDS, ISSUED 12/10/1985, ALL OF THE OUTSTANDING SERIES 2008A BONDS, ISSUED 05/08/2008, AND A PORTION OF THE SERIES 2008B BONDS, ISSUED 05/08/2008. PART I, LINE D, COLUMN (F), THE SERIES 2010B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 2008C BONDS ISSUED 05/08/2008. THE 2008C BOND REFUNDED THE SERIES 1996AB BONDS ISSUED 4/18/1996. PART II, LINE 3, COLUMN (B), DIFFERENCE RELATES TO INVESTMENT EARNINGS. PART IV, LINE 2C, COLUMN (A), THE SERIES 2001 REBATE CALCULATIONS WERE PERFORMED AS OF 11/15/2006 AND 11/15/2011. BASED ON COMPUTATIONS, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (B), THE SERIES 2007A REBATE CALCULATION WAS PERFORMED AS OF 02/06/2012. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (C), THE SERIES 2010A REBATE CALCULATION WAS PERFORMED AS OF 02/12/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. PART IV, LINE 2C, COLUMN (D), THE SERIES 2010B REBATE CALCULATION WAS PERFORMED AS OF 12/27/2015. BASED ON THE COMPUTATION, NO REBATE IS DUE. ENTITY 2 PART I, LINE A, COLUMN (F), THE SERIES 2012A BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS, ISSUED 03/24/2009. PART I, LINE B, COLUMN (F), THE SERIES 2012B BONDS REDEEMED ALL OF THE OUTSTANDING SERIES 1996A BONDS, ISSUED 04/18/1996, AND ALL OF THE OUTSTANDING SERIES 1996B BONDS, ISSUED 04/18/1996. PART I, LINE C, COLUMN (F), THE SERIES 2012C BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. PART I, LINE D, COLUMN (F), THE SERIES 2012D BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2009B BONDS, ISSUED 08/09/2009, AND A PORTION OF THE OUTSTANDING SERIES 2009C BONDS, ISSUED 08/09/2009. THE BONDS ARE PRIVATELY PLACED WITH A BANK COMMITMENT. ENTITY 3 PART I, LINE A, COLUMN (F), THE SERIES 2013A AND 2013B BONDS REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS, ISSUED 05/08/2008. PART I, LINE B, COLUMN (F), THE SERIES 2014ABC BONDS WERE ISSUED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AND NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED ELYRIA BONDS ORIGINALLY ISSUED 11/21/1997, 8/2/2001, AND 7/31/2008 (ALL DEEMED TO HAVE BEEN REISSUED 7/1/2011), AND PARMA BONDS ORIGINALLY ISSUED 6/16/2006. PART I, LINE C, COLUMN (F), THE SECOND DRAW ON THE SERIES 2014C BONDS REFUNDED THE REMAINING OUTSTANDING SERIES 2009C BONDS, ISSUED 8/6/2009. PART I, LINE D, COLUMN (F), THE SERIES 2015ABC BONDS WERE ISSUED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, NEW MONEY USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND A PORTION OF THE SERIES 2010B BONDS ORIGINALLY ISSUED 12/27/2010. THE REFUNDED BONDS RELATED TO THE ACQUISITION INCLUDED PORTAGE (FORMERLY KNOWN AS ROBINSON MEMORIAL HOSPITAL) BONDS ORIGINALLY ISSUED 12/30/2010, 4/24/2011, AND 9/17/2012. PART II, LINE 3, COLUMN (D), DIFFERENCE RELATES TO INVESTMENT EARNINGS. ENTITY 4 PART I, LINE A, COLUMN (F), THE SERIES 2015DE BONDS WERE ISSUED FOR THE ACQUISITION OF UH SAMARITAN MEDICAL CENTER, AND THE ACQUISITION OF THE REMAINING 50% INTEREST IN UH ST. JOHN MEDICAL CENTER. THE REFUNDED BONDS RELATED TO THE ACQUISITIONS INCLUDED SAMARITAN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/19/08, 01/09/09, AND 01/27/09, AND ST. JOHN MEDICAL CENTER BONDS ORIGINALLY ISSUED 12/22/2011.
Schedule K (Form 990) 2015

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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number

34-0714775
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2015
Schedule L (Form 990 or 990-EZ) 2015
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) Lloyd Chelette See Part V 36,023 See Part V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Additional Information For Schedule L Part IV Responses Line 1 - Lloyd Chelette Relationship Between Interested Person and Organization: Family member of Mr. Michael A. Szubski, Treasurer/CFO UHHS Description of Transaction: A family member of Mr. Szubski is employed by UHHS.
Schedule L (Form 990 or 990-EZ) 2015


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 990-EZ 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
2015
Open to Public
Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number

34-0714775
Return Reference Explanation
Tresury Regulation 1.6033-2(D)(5) Election 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 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. GROUP RETURN.
Form 990, Part I, Line 6 VOLUNTEER INFORMATION CAN BE FOUND IN THE UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. GROUP RETURN.
Form 990, Part IV, Line 2 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 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. GROUP RETURN.
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. CHRISTOPHER M. CONNOR (UHHS DIRECTOR) AND MS. CATHERINE M. KILBANE (UHHS DIRECTOR) HAVE A BUSINESS RELATIONSHIP. MS. JERRY SUE THORNTON (UHHS DIRECTOR) AND MR. ERNEST NOVAK (UHHS DIRECTOR) HAVE A BUSINESS RELATIONSHIP. Mr. Les C. Vinney (UHHS DIRECTOR) AND MR. Richard W. Pogue (UHHS DIRECTOR) HAVE A FAMILY RELATIONSHIP.
Form 990, Part VI, Section B, LIne 11 THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW AND APPROVE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. THE GOVERNANCE AND COMMUNITY BENEFIT COMMITTEE REVIEWED AND APPROVED THE COMMUNITY BENEFIT SECTION OF THE FORM 990 (SCHEDULE H). THE UHHS BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF THE RETURN 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, Line 12c UH HAS ADOPTED FOUR CONFLICT OF INTEREST POLICIES: THE FIRST RELATES TO ALL EMPLOYEES AND AFFILIATED PHYSICIANS; THE SECOND RELATES TO UH AND ALL ITS SUBSIDIARIES AND APPLIES TO ALL DIRECTORS, OFFICERS, SUBSTANTIAL CONTRIBUTORS AND RELATED PARTIES; THE THIRD APPLIES TO PHYSICIANS AND OTHER LICENSED PRACTITIONERS. IN ADDITION, UH HAS A SEPARATE BOARD DISCLOSURE OF INTEREST POLICY. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. UH MANAGEMENT, ALL DIRECTORS, AND ALL PHYSICIANS AND ADVANCED PRACTICE PROFESSIONALS 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. THEY 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 AND KEY PERSONNEL 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, PHYSICIANS AND LICENSED PRACTITIONERS.
Form 990, Part VI, Section B, LIne 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE UHHS BOARD OF DIRECTORS. 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. COMPENSATION RELATED TO ENTITIES ACQUIRED BY UHHS DURING 2015 WAS PREVIOUSLY SET. THESE ENTITIES WILL FOLLOW UHHS POLICY FOR THE 2016 YEAR.
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.
Form 990, Part VIII, Line 2 PROGRAM SERVICE REVENUE INCLUDES CORPORATE ALLOCATIONS THAT ARE ELIMINATED UPON CONSOLIDATION (VIA OFFSETS TO EXPENSES) FOR PURPOSES OF THE AUDITED FINANCIAL STATEMENTS.
Form 990, Part XI, Line 9 INVESTMENT IN SUBSIDIARIES 357,513,000 ADDITIONAL MINIMUM LIABILITY 39,867,000 OTHER CHANGES IN FUND BALANCE 21,487,000 EQUITY TRANSFERS 12,585,000 NET ASSETS RELEASED FROM RESTRICTION ($2,909,000) CHANGE IN BENEFICIAL INTEREST FND (10,905,000) ----------------- 417,638,000 417,638,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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 Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
University Hospitals Health System Inc
 
Employer identification number

34-0714775
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
(1) Medina Community Healthcare Properties
11100 Euclid Ave
Cleveland,OH44106
34-0714775 		Real Estate OH     UHHS
 
(2) JWR Commercial Properties LLC
11100 Euclid Ave
Cleveland,OH44106
34-0714775 		Real Estate OH     UHHS
 
(3) CHESTER ROAD COMMERCIAL PROPERTIES LLC
11100 Euclid Ave
Cleveland,OH44106
 REAL ESTATE OH     UHHS
 






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
(1)PARMA HOSPITAL HEALTH CARE FOUNDATION
7007 POWERS BLVD

PARMA,OH44129
34-1626664 		SUPPORT HOSP OH 501(C)(3) 11A-TYPE I PARMA MED CR
 
Yes
 
(2)SAMARITAN PROFESSIONAL CORPORATION
1025 CENTER STREET

ASHLAND,OH44805
34-1856531 		SUPPORT HOSP OH 501(C)(3) 3 SAM REG HS
 
Yes
 










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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) SAM REG PAIN MGMT

1025 CENTER STREET
ASHLAND,OH44805
46-2286785 		MEDICAL SERVICES OH SAM REG HOSP
  		N/A 0 0     0     0 %












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) University Hospitals Holdings Inc

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1768931 		holding compa OH UHHS
  		C corp     100.000 % Yes  
(2) University Hospitals Health Care Enterpr

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1510005 		Medical Mgmt OH UH HOLDINGS
  		C corp     100.000 % Yes  
(3) University Hospitals Physician Services

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1768929 		Physician Adm OH UH HOLDINGS
  		C corp     100.000 % Yes  
(4) University Primary Care Practices

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1768928 		Phys. Group OH UH HOLDINGS
  		C corp     100.000 % Yes  
(5) UHHS Provider & Central Verification Org

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1908517 		MedICAL Mgmt. OH UH HOLDINGS
  		C corp     100.000 % Yes  
(6) University Hospitals Health System MCO

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1843674 		Workers Comp. OH UH HOLDINGS
  		C corp     100.000 % Yes  
(7) Western Reserve Assurance Co Ltd SPC

PO Box 1051 GT
George Town Grand Cayman    
CJ
98-0462740 		Insurance CJ UHHS
  		C corp     100.000 % Yes  
(8) Cedar Brainard Surgery Center Inc

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
20-4957632 		HOLDING COMPA OH UH HEAL CR ENT
  		C corp     100.000 % Yes  
(9) BMH Development Corp

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1346212 		Land Developm OH UH CON MED CTR
  		C corp     100.000 % Yes  
(10) CENTER FOR ORTHOPEDICS INC

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1665082 		PHYSICIANS GR OH COMP VENT UNLIM
  		C CORP     100.000 % Yes  
(11) COMPREHENSIVE VENTURES UNLIMITED INC

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1596060 		PHYSICIAN ADMIN OH COMP HEAL CR OH
  		C CORP     100.000 % Yes  
(12) POWERS PROFESSIONAL CORPORATION

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1735290 		HOLDING COMPA OH PARMA COMM HOSP
  		C CORP     100.000 % Yes  
(13) PRL CORPORATION

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1499245 		PHYSICIANS GR OH PARMA COMM HOSP
  		C CORP     100.000 % Yes  
(14) North Ohio Heart Inc

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
27-2574020 		PHYSICIANS GR OH COMP HEAL CR OH
  		C Corp     100.000 % Yes  
(15) EMH Professional Services Inc

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1778419 		PHYSICIAN GR OH COMP VENT UNLIM
  		C CORP     100.000 % Yes  
(16) University Hospitals Network Services

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
 INACTIVE OH N/A
 C CORP     100.000 % Yes  
(17) University Hospitals Accountable Care Or

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
81-3836118 		ACCOUNT CARE OH UH HOLDINGS
  		C Corp     100.000 % Yes  
(18) University Hospital House Calls Inc

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
45-4395029 		INACTIVE OH UH MED GROUP
  		C Corp     100.000 % Yes  
(19) Health Design Plus

1755 Georgetown Rd
Hudson,OH44236
34-1593929 		Third Party Adm OH UH HOLDINGS
  		C Corp     100.000 % Yes  
(20) St John Medical Group Inc

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
45-3245403 		Physician Adm OH ST JOHN MED
  		C Corp     100.000 % Yes  
(21) Westshore Primary Care Associates

3605 Warrensville Cntr Rd
Shaker Hghts,OH44122
34-1675567 		Physician Adm OH ST JOHN MED
  		C Corp     100.000 % Yes  
(22) GATES MEDICAL CENTER INC

3605 Warrensville Cntr Rd
SHAKER HGHTS,OH44122
34-1596059 		  OH COMP VENT UNLIM
  		C CORP     100.000 % Yes  
(23) QUALITY CARE NETWORK

3605 WARRENSVILLE CNTR RD
SHAKER HGHTS,OH44122
81-1081563 		MEDICAL MGMT OH UH HOLDINGS
  		C CORP     100.000 % Yes  
(24) COMMUNITY MEDICAL GROUP LLC

3605 Warrensville Cntr Rd
SHAKER HGHTS,OH44122
   OH UH ACT CARE ORG
  		C CORP     100.000 % Yes  
(25) UNIVERSITY HOSPITALS CANCER HOSPITAL

3605 Warrensville Cntr Rd
SHAKER HGHTS,OH44122
   OH UHHS
  		C CORP     100.000 % Yes  
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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
Yes
 
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
 
No
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
Yes
 
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 Cleveland Medical CenterUH Health System

 a 6,003,914 General Ledger
(2) UH Geauga Medical CenterUH Health System

 a 10 General Ledger
(3) UH Geneva Medical CenterUH Health System

 a 1,315 General Ledger
(4) UH Health SystemUH Cleveland Medical Center

 a 598,680 General Ledger
(5) UH Health SystemUH Cleveland Medical Center

 b 8,108,497 General Ledger
(6) UH Cleveland Medical CenterUH Health System

 c 10,915,641 General Ledger
(7) UH Cleveland Medical CenterUH Health System

 i 150,361 General Ledger
(8) UH Health SystemUH Cleveland Medical Center

 i 1,720,690 General Ledger
(9) UH Health SystemElyria Medical Center

 l 2,113,034 General Ledger
(10) UH Health SystemParma Medical Center

 l 1,876,523 General Ledger
(11) UH Health SystemUH Ahuja Medical Center

 l 1,119,106 General Ledger
(12) UH Health SystemUH Cleveland Medical Center

 l 10,362,088 General Ledger
(13) UH Health SystemUH Conneaut Medical Center

 l 261,128 General Ledger
(14) UH Health SystemUH Geauga Medical Center

 l 682,644 General Ledger
(15) UH Health SystemUH Geneva Medical Center

 l 346,139 General Ledger
(16) UH Health SystemUH Laboratory Service Founda

 l 141,243 General Ledger
(17) UH Health SystemUH Medical Group

 l 2,317,702 General Ledger
(18) UH Health SystemUH Regional Hospitals

 l 877,830 General Ledger
(19) UH Health SystemUH UH Homecare Services

 l 151,131 General Ledger
(20) Elyria Medical CenterUH Health System

 m 567,669 General Ledger
(21) Parma Medical CenterUH Health System

 m 2,773,613 General Ledger
(22) UH Ahuja Medical CenterUH Health System

 m 87,700 General Ledger
(23) UH Cleveland Medical CenterUH Health System

 m 893,894 General Ledger
(24) UH Geauga Medical CenterUH Health System

 m 74,214 General Ledger
(25) UH Laboratory Service FoundationUH Health Sy

 m 1,280,195 General Ledger
(26) UH Medical GroupUH Health System

 m 21,294,241 General Ledger
(27) UH Regional HospitalsUH Health System

 m 6,874,896 General Ledger
(28) UH Ahuja Medical CenterUH Health System

 o 61,624 General Ledger
(29) UH Cleveland Medical CenterUH Health System

 o 378,444 General Ledger
(30) UH Health SystemElyria Medical Center

 o 6,667,186 General Ledger
(31) UH Health SystemParma Medical Center

 o 6,132,485 General Ledger
(32) UH Health SystemUH Homecare Services

 o 1,354,991 General Ledger
(33) UH Health SystemUH Ahuja Medical Center

 o 4,527,718 General Ledger
(34) UH Health SystemUH Cleveland Medical Center

 o 23,547,335 General Ledger
(35) UH Health SystemUH Conneaut Medical Center

 o 857,606 General Ledger
(36) UH Health SystemUH Geauga Medical Center

 o 3,893,424 General Ledger
(37) UH Health SystemUH Geneva Medical Center

 o 1,146,548 General Ledger
(38) UH Health SystemUH Laboratory Service Founda

 o 301,807 General Ledger
(39) UH Health SystemUH Medical Group

 o 3,406,445 General Ledger
(40) UH Health SystemUH Regional Hospitals

 o 3,488,192 General Ledger
(41) Elyria Medical CenterUH Health System

 p 343,758 General Ledger
(42) Homecare ServicesUH Health System

 p 183,991 General Ledger
(43) Parma Medical CenterUH Health System

 p 721,342 General Ledger
(44) UH Ahuja Medical CenterUH Health System

 p 949,104 General Ledger
(45) UH Cleveland Medical CenterUH Health System

 p 26,620,128 General Ledger
(46) UH Conneaut Medical CenterUH Health System

 p 126,611 General Ledger
(47) UH Geauga Medical CenterUH Health System

 p 970,598 General Ledger
(48) UH Geneva Medical CenterUH Health System

 p 177,657 General Ledger
(49) UH Laboratory Service FoundationUH Health Sy

 p 124,500 General Ledger
(50) UH Medical GroupUH Health System

 p 1,179,098 General Ledger
(51) UH Regional HospitalsUH Health System

 p 596,364 General Ledger
(52) UH Health SystemElyria Medical Center

 q 2,442,867 General Ledger
(53) UH Health SystemParma Medical Center

 q 2,488,422 General Ledger
(54) UH Health SystemUH Homecare Services

 q 477,599 General Ledger
(55) UH Health SystemUH Ahuja Medical Center

 q 1,480,037 General Ledger
(56) UH Health SystemUH Cleveland Medical Center

 q 38,217,407 General Ledger
(57) UH Health SystemUH Conneaut Medical Center

 q 342,778 General Ledger
(58) UH Health SystemUH Geauga Medical Center

 q 1,871,721 General Ledger
(59) UH Health SystemUH Geneva Medical Center

 q 366,778 General Ledger
(60) UH Health SystemUH Medical Group

 q 3,002,787 General Ledger
(61) UH Health SystemUH Regional Hospitals

 q 1,537,214 General Ledger
(62) UH Health SystemElyria Medical Center

 r 2,744,014 General Ledger
(63) UH Health SystemParma Medical Center

 r 2,619,557 General Ledger
(64) UH Health SystemUH Homecare Services

 r 1,603,607 General Ledger
(65) UH Health SystemUH Ahuja Medical Center

 r 4,690,738 General Ledger
(66) UH Health SystemUH Cleveland Medical Center

 r 41,376,292 General Ledger
(67) UH Health SystemUH Conneaut Medical Center

 r 670,777 General Ledger
(68) UH Health SystemUH Geauga Medical Center

 r 4,071,687 General Ledger
(69) UH Health SystemUH Geneva Medical Center

 r 1,277,795 General Ledger
(70) UH Health SystemUH Laboratory Service Founda

 r 1,161,491 General Ledger
(71) UH Health SystemUH Medical Group

 r 1,405,069 General Ledger
(72) UH Health SystemUH Regional Hospitals

 r 2,343,963 General Ledger
(73) Homecare ServicesUH Health System

 s 3,889,522 General Ledger
(74) Parma Medical CenterUH Health System

 s 242,176 General Ledger
(75) UH Ahuja Medical CenterUH Health System

 s 18,310,323 General Ledger
(76) UH Cleveland Medical CenterUH Health System

 s 142,104,583 General Ledger
(77) UH Conneaut Medical CenterUH Health System

 s 2,433,195 General Ledger
(78) UH Geauga Medical CenterUH Health System

 s 12,817,434 General Ledger
(79) UH Geneva Medical CenterUH Health System

 s 3,623,364 General Ledger
(80) UH Medical GroupUH Health System

 s 942,121 General Ledger
(81) UH Regional HospitalsUH Health System

 s 551,046 General Ledger
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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) 2015
Schedule R (Form 990) 2015
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) 2015

Additional Data


Software ID:  
Software Version: