Form990


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)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 01-01-2024 , and ending 12-31-2024
BCheck if applicable:
CName of organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
 
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 $ 954,911,303
F Name and address of principal officer:
BRADLEY C BOND
3605 WARRENSVILLE CENTER ROAD
SHAKER HEIGHTS,OH44122
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
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 3829
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
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 31
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 27
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 6,040
6 Total number of volunteers (estimate if necessary) ............. 6 27
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -4,801,696
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 22,331,773 15,523,864
9 Program service revenue (Part VIII, line 2g) ......... 830,014,938 740,324,399
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 43,704,398 91,521,864
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 94,074,883 107,475,188
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 990,125,992 954,845,315
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,778,155 2,508,729
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) 475,597,693 529,073,524
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 12,361,292    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 509,376,677 418,712,241
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 986,752,525 950,294,494
19 Revenue less expenses. Subtract line 18 from line 12....... 3,373,467 4,550,821
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 5,988,003,356 5,818,171,396
21 Total liabilities (Part X, line 26)............. 3,143,073,219 2,807,934,227
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,844,930,137 3,010,237,169
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



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 (2024)
Form 990 (2024)
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: SEE SCHEDULE O.
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 $ 732,837,709 including grants of $ 2,508,729 ) (Revenue $ 847,822,776 )
SEE SCHEDULE O.
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 expenses732,837,709
Form 990 (2024)
Form 990 (2024)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
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
List of Attached Documents:
// Content
.........
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
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
List of Attached Documents:
// Content
.........................
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
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
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 V......
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
List of Attached Documents:
// Content
...................
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
List of Attached Documents:
// Content
.......
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
List of Attached Documents:
// Content
.......
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
List of Attached Documents:
// Content
............
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
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
List of Attached Documents:
// Content
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
Yes
 
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
15
Yes
 
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
List of Attached Documents:
// Content
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
List of Attached Documents:
// Content
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
List of Attached Documents:
// Content
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
 
 
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
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
List of Attached Documents:
// Content
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
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
1,797
b
Enter the number of Forms W-2G included on 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
 
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
6,040
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
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: CJ
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
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
31
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
27
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
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on 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 on 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 on 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 filed
AL , AK , CO , FL , GA , HI , IL , KS , KY , MA , MD , ME , MI , MN , MS , NC , ND , NH , NJ , NM , NV , NY , OH , OK , OR , PA , RI , SC , TN , UT , VA , WA , WI
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
BRADLEY C BOND3605 WARRENSVILLE CENTER ROAD   SHAKER HEIGHTS,OH44122 (216) 844-1000
Form 990 (2024)
Form 990 (2024)
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 the 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, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) ADELMAN JOEL E......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(2) ANTONUCCI JOHN......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(3) BAUM ROBIN I......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(4) BEER ANNE......................................................................
DIRECTOR EX OFF
 2.00
.................
4.00 		X           0 0 0
(5) CARESTIO DANIEL A......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(6) CONNELL MICHELE L......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(7) DECKARD JENNIFER......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(8) GORMAN CHRISTOPHER M......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(9) HABER IRWIN G......................................................................
DIRECTOR EX OFF
 2.00
.................
8.00 		X           0 0 0
(10) HANNA IV HOWARD HOBY W......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(11) HARGAN ERIC D......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(12) HASLAM DEE......................................................................
DIRECTOR/VICE CHAIR
 2.00
.................
0.00 		X   X       0 0 0
(13) HELLER J DAVID......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(14) JAROS CAREY......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(15) JONES HAROLD V......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
(16) KELSHEIMER JERRY L......................................................................
DIRECTOR/VICE CHAIR
 2.00
.................
0.00 		X   X       0 0 0
(17) MAINARDI CESARE......................................................................
DIRECTOR
 2.00
.................
0.00 		X           0 0 0
Form 990 (2024)
Form 990 (2024)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MEGERIAN CLIFF MD........................................................................
DIRECTOR EX OFF/CEO
 50.00
.......................2.00 		X   X       4,389,348 0 59,493
(19) MIGGINS LYNN........................................................................
DIRECTOR EX OFF
 2.00
.......................6.00 		X           0 0 0
(20) MORIKIS JOHN G........................................................................
DIRECTOR/CHAIR
 2.00
.......................0.00 		X   X       0 0 0
(21) PANDRANGI VASU MD........................................................................
DIRECTOR EX OFF
 2.00
.......................0.00 		X           0 0 0
(22) PETZ HEIDI G........................................................................
DIRECTOR
 2.00
.......................0.00 		X           0 0 0
(23) POTASH M STEVEN........................................................................
DIRECTOR
 2.00
.......................0.00 		X           0 0 0
(24) PRIEMER WILLIAM A........................................................................
DIRECTOR (BEGIN 5/24)
 2.00
.......................2.00 		X           0 0 0
(25) RICHARD RONALD B........................................................................
DIRECTOR
 2.00
.......................0.00 		X           0 0 0
(26) SABIK JOSEPH MD........................................................................
DIRECTOR
 2.00
.......................50.00 		X           0 1,431,985 63,773
(27) SETHI NEIL MD........................................................................
DIRECTOR
 2.00
.......................0.00 		X           0 0 0
(28) SMITH ROBERT C........................................................................
DIRECTOR
 2.00
.......................0.00 		X           0 0 0
(29) TALTON SHEILA........................................................................
DIRECTOR
 2.00
.......................0.00 		X           0 0 0
(30) TAYLOR EDDIE JR........................................................................
DIRECTOR
 2.00
.......................4.00 		X           0 0 0
(31) YOUNG WILLIAM A JR........................................................................
DIRECTOR EX OFF
 2.00
.......................0.00 		X           0 0 0
(32) ADELMAN HARLIN G JD........................................................................
CHIEF LEGAL OFFICER/SECRETARY
 50.00
.......................2.00 		    X       1,334,770 0 67,695
(33) BIRES TRICIA........................................................................
TREASURER (BEGIN 02/24)
 50.00
.......................4.00 		    X       360,461 0 59,945
(34) BOND BRADLEY C........................................................................
CHIEF FINANCIAL OFFICER (BEGIN 02/24)
 50.00
.......................24.00 		    X       1,212,745 0 57,703
(35) HEREFORD MICHELLE........................................................................
CHIEF NURSING OFFICER
 50.00
.......................0.00 		    X       821,423 0 143,197
(36) HINCHEY PAUL R MD........................................................................
CHIEF OPERATING OFFICER
 50.00
.......................8.00 		    X       1,714,176 0 311,745
(37) PRONOVOST PETER MD........................................................................
CHIEF QUALITY OFFICER
 50.00
.......................2.00 		    X       1,495,513 0 220,772
(38) PULLIAM LAVONNE JD........................................................................
CHIEF COMPLIANCE OFFICER
 50.00
.......................0.00 		    X       507,784 0 110,997
(39) SIMON DANIEL I MD........................................................................
CHIEF SCIENTIFIC OFFICER
 50.00
.......................2.00 		    X       1,848,438 0 54,311
(40) SNOWBERGER THOMAS D........................................................................
CHIEF ADMINISTRATIVE OFFICER
 50.00
.......................2.00 		    X       2,352,304 0 179,084
(41) SYLVAN DAVID........................................................................
CHIEF STRATEGY OFFICER
 50.00
.......................4.00 		    X       750,739 0 125,807
(42) SZUBSKI MICHAEL A........................................................................
CFO/TREASURER (END 01/24)
 50.00
.......................0.00 		    X       1,833,801 0 42,272
(43) KEEGAN ARTHUR E........................................................................
CHIEF MARKETING OFFICER
 50.00
.......................0.00 		      X     753,296 0 235,906
(44) BISHOP SHERRI L ESQ........................................................................
CHIEF DEVELOPMENT OFFICER
 50.00
.......................0.00 		      X     1,051,289 0 69,567
(45) STAMLER JONATHAN MD........................................................................
PRESIDENT HDI
 50.00
.......................0.00 		        X   1,973,843 0 53,147
(46) TEKNOS THEODOROS N MD........................................................................
PRESIDENT SIEDMAN CANCER CENTER
 50.00
.......................4.00 		        X   1,778,694 0 234,274
(47) SHISHEHBOR MEHDI H DO........................................................................
PRESIDENT UH HARRINGTON HEART
 50.00
.......................0.00 		        X   1,231,956 0 188,572
(48) ANTONIADES STATHIS MPH........................................................................
PRESIDENT, UH CLEVELAND MEDICAL CENTER
 50.00
.......................6.00 		        X   1,206,896 0 237,696
(49) EARDLEY ROBERT K........................................................................
CHIEF INFORMATION OFFICER
 50.00
.......................0.00 		        X   1,040,990 0 172,936
(50) MILLER JANET L ESQ........................................................................
FORMER OFFICER
 0.00
.......................0.00 		          X 233,783 0 0
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 27,892,249 1,431,985 2,688,892
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 857
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
CSI COMPANIES

7720 BAYMEADOWS RD E
JAKSONVILLE,FL32256 		STAFFING SERVICES 95,218,077
OWENS & MINOR DIST INC

9120 LOCKWOOD BOULEVARD
MECHANICSVILLE,VA23116 		ADMINISTRATIVE SERVICES 87,422,304
NAVITUS HEALTH SOLUTIONS LLC

361 INTEGRITY DR
MADISON,WI53717 		ADMINISTRATIVE SERVICES 43,993,907
HALLMARK HEALTH CARE SOLUTIONS INC

20 CITY SQUARE SUITE 202
CHARLESTOWN,MA02129 		STAFFING TECHNOLOGY SERVICES 40,362,714
SODEXO INC & AFFILIATES

9801 WASHINGTONIAN BLVD
GAITHERSBURG,MD20878 		FACLITIES MANAGEMENT 38,050,197
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 947
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 262,316
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 15,261,548
g Noncash contributions included in lines 1a - 1f:$ 1g 6,198,651
h Total. Add lines 1a-1f....... 15,523,864
Program Service RevenueAmt Business Code
2a PROGRAM SERV REVENUES 900099 740,324,399 740,324,399    
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ..... 740,324,399
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 48,747,956   -4,801,696 53,549,652
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a    
b Less: rental expenses 6b    
c Rental income or (loss) 6c    
d Net rental income or (loss).......        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 42,773,908  
b Less: cost or other basis and sales expenses 7b 0  
c Gain or (loss) 7c 42,773,908  
d Net gain or (loss)......... 42,773,908     42,773,908
8a Gross income from fundraising events (not including $ 262,316of contributions reported on line 1c). See Part IV, line 18 ....
8a 42,799
b Less: direct expenses ... 8b 65,988
c Net income or (loss) from fundraising events.. -23,189   -23,189
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
OtherRevenueMiscAmt
Business Code
11a INTERCOMPANY TRANSFERS 900099 30,703,298 30,703,298    
b SWAP VALUATION ADJ 900099 10,817,121 10,817,121    
c            
d All other revenue .... 65,977,958 65,977,958    
e Total. Add lines 11a–11d ...... 107,498,377
12 Total revenue. See instructions..... 954,845,315 847,822,776 -4,801,696 96,300,371
Form 990 (2024)
Form 990 (2024)
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 .... 2,427,389 2,427,389
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 81,340 81,340
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 22,164,581   22,164,581  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 341,467   341,467  
7 Other salaries and wages........ 406,357,340 318,274,484 79,568,621 8,514,235
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 6,532,627 5,226,102 1,306,525  
9 Other employee benefits ....... 64,790,975 50,065,906 12,516,476 2,208,593
10 Payroll taxes ........... 28,886,534 23,109,227 5,777,307  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,640,756 1,312,605 328,151  
c Accounting ........... 890,200 712,160 178,040  
d Lobbying ........... 7,573   7,573  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 30,411,914 24,167,450 6,041,863 202,601
12 Advertising and promotion .... 20,752,799 16,337,428 4,084,357 331,014
13 Office expenses ....... 14,567,338 11,253,772 2,813,443 500,123
14 Information technology ...... 127,592,071 102,036,222 25,509,056 46,793
15 Royalties ..        
16 Occupancy ........... 23,686,033 18,872,832 4,718,208 94,993
17 Travel ............ 1,526,695 1,177,037 294,259 55,399
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 65,467,597 52,374,078 13,093,519  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 64,958,326 51,965,790 12,991,448 1,088
23 Insurance ... 601,491 601,491    
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 OTH PURCH SERVICES 54,054,732 43,132,843 10,783,211 138,678
b SPECIAL CHARGES 2,724,528 2,179,622 544,906  
c DUES AND MEMBERSHIPS 2,314,070 1,648,427 412,107 253,536
d UBI TAXES PAID 150,000 0 150,000  
e All other expenses 7,366,118 5,881,504 1,470,375 14,239
25 Total functional expenses. Add lines 1 through 24e 950,294,494 732,837,709 205,095,493 12,361,292
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
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 ........   1  
2 Savings and temporary cash investments ......... 258,262,049 2 399,138,062
3 Pledges and grants receivable, net ...... 9,601,294 3 7,613,577
4 Accounts receivable, net ............. 26,997,036 4 48,754,722
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 52,871,945 9 46,030,758
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,260,393,161
b Less: accumulated depreciation 10b 638,900,028 642,430,096 10c 621,493,133
11 Investments—publicly traded securities . 1,564,430,229 11 1,653,498,928
12 Investments—other securities. See Part IV, line 11 ..... 509,824,927 12 594,099,598
13 Investments—program-related. See Part IV, line 11 .. 2,742,035,836 13 2,273,681,763
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 181,549,944 15 173,860,855
16 Total assets. Add lines 1 through 15 (must equal line 33)... 5,988,003,356 16 5,818,171,396
Liabilities 17 Accounts payable and accrued expenses ..... 467,755,005 17 447,659,107
18 Grants payable ...   18  
19 Deferred revenue ......... 6,994,852 19 4,799,704
20 Tax-exempt bond liabilities ......... 1,688,003,969 20 1,668,906,823
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 158,405,000 23 13,035,000
24 Unsecured notes and loans payable to unrelated third parties ..   24  
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 821,914,393 25 673,533,593
26 Total liabilities. Add lines 17 through 25.. 3,143,073,219 26 2,807,934,227
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 2,225,920,277 27 2,303,461,739
28 Net assets with donor restrictions ........... 619,009,860 28 706,775,430
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 2,844,930,137 32 3,010,237,169
33 Total liabilities and net assets/fund balances ........ 5,988,003,356 33 5,818,171,396
Form 990 (2024)
Form 990 (2024)
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
954,845,315
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
950,294,494
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
4,550,821
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,844,930,137
5
Net unrealized gains (losses) on investments ...............
5
63,562,227
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
97,193,984
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
3,010,237,169
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 on
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 Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2024)
Form 990 (2024)
Additional Data


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

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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
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- 10 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) 2024

Schedule A (Form 990) 2024
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 failed 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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 5 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
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 on 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
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
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 on 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 on 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) 2024

Schedule A (Form 990) 2024
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2024

Schedule A (Form 990) 2024
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 0.015 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 0.035 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) 2024

Schedule A (Form 990) 2024
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
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 A, LINE 6: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. PROVIDES LIMITED SUPPORT TO OTHER PUBLIC CHARITIES ON BEHALF OF ITS SUPPORTED ORGANIZATION. ALL GRANTS THAT ARE MADE THROUGH UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF ITS SUPPORTED ORGANIZATION.
SCHEDULE A, PART IV, SECTION C, LINE 1: THE CONTROL AND MANAGEMENT OF UHHS (I.E. THE SUPPORTING ORGANIZATION) IS VESTED IN THE INDIVIDUALS THAT SERVE AS MEMBERS AND DIRECTORS OF UHHS PURSUANT TO ITS APPLICABLE GOVERNANCE DOCUMENTS. UHHS POSSESSES RESERVED RIGHTS WITH RESPECT TO UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, INCLUDING WITHOUT LIMITATION THE RIGHT TO APPROVE BUDGETS, OTHER FINANCIAL MATTERS AND STRATEGIC PLANS, APPROVE AMENDMENTS TO CONSTITUTIVE DOCUMENTS AND APPROVE THE APPOINTMENT OF OFFICERS AND DIRECTORS FOR UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER. UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER IS GOVERNED BY 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 AND CAPITAL BUDGETS. ALL OF WHICH HAVE BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS FOR UHHS.
Schedule A (Form 990) 2024


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Employer identification number

34-0714775
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

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

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.  
Note:  Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		Employer identification number
34-0714775
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		Employer identification number

34-0714775
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		Employer identification number

34-0714775
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (Rev. 1-2025)
Additional Data


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

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

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
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. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

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 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
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 ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

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

$  
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.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
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 right arrowexpenses, and share of excess lobbying expenditures).Click to see attachment
List of Attached Documents:
// Content

B Check right arrow
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) ...................... 0 2,030
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 0 360,800
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 0 362,830
d Other exempt purpose expenditures ............................................................................... 0 6,846,313,084
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 0 6,846,675,914
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 0 1,000,000
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................................................. 0 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................   0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................   0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2021 (b) 2022 (c) 2023 (d) 2024 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		6,000,000
c Total lobbying expenditures 361,750 356,061 306,220 362,830 1,386,861
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))		 1,500,000
f Grassroots lobbying expenditures 15,078 10,722 8,908 2,030 36,738
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
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)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, 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 (Form 990) 2024


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow 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.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 July 25, 2006, 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 right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
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
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
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 FASB 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 FASB 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 .........................right arrow $ 9,999
(ii)
Assets included in Form 990, Part X ...............................right arrow $ 9,288,554
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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
SEE SUPPLEMENTAL INFORMATION
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 .... 306,072,720 272,549,052 291,824,000 241,904,000 211,303,000
b Contributions ... 22,376,799 17,009,277 18,940,337 22,145,000 10,211,000
c Net investment earnings, gains, and losses 33,558,372 29,884,094 -24,376,524 41,936,000 24,607,000
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		15,899,469 13,369,703 13,838,761 14,161,000 4,217,000
f Administrative expenses ....          
g End of year balance ...... 346,108,422 306,072,720 272,549,052 291,824,000 241,904,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow3.500 %
b
Permanent endowment right arrow68.500 %
c
Term endowment right arrow28.000 %
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 .....   57,838,504 57,838,504
b Buildings ....   315,377,440 130,360,908 185,016,532
c Leasehold improvements   16,491,663 13,478,876 3,012,787
d Equipment ....   821,005,495 471,976,068 349,029,427
e Other .....   49,680,059 23,084,176 26,595,883
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 621,493,133
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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) OTHER SECURITIES		 13,501,000 F

(B) INVESTMENTS (TR FUNDS)		 332,434,373 F

(C) INVESTMENTS (PR FUNDS)		 248,164,225 F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow 594,099,598
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)INVESTMENT IN AFFILIATES 2,046,075,525 C
(2)PERPETUAL TRUSTS 227,606,238 F
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow 2,273,681,763
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.)...........right arrow  
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  
OTHER LIABILITIES 397,295,060
PENSION LIABILITIES 168,220,096
LIABILITY RELATED TO THE SALE OF FUTURE REVENUE 88,135,623
PROFESSIONAL LIABILITY-WRA 19,839,081
DUE TO THIRD PARTIES 43,733




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 673,533,593
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) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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
PART III, LINE 4: THE UH SYSTEM ART COLLECTION INCLUDES APPROXIMATELY 3,386 ORIGINAL WORKS OF ART, MANY DONATED OVER THE YEARS. ARTWORK INCLUDES PAINTINGS, PHOTOS, SCULPTURES AND THE LIKE. THE UH ART COLLECTION HAS BEEN ESTABLISHED TO ENCOURAGE REFLECTION, AND TO DELIGHT, UPLIFT AND COMFORT OUR PATIENTS, VISITORS, AND EMPLOYEES.
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.
PART X, LINE 2: UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. MUST RECOGNIZE 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 STATEMENTES 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, 2024 AND 2023, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


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SCHEDULE F(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right arrow Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right arrow Attach to Form 990.Right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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" on 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 the region (d) Activities conducted in region (by type) (such as, 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 the region		 (f) Total expenditures
for and investments
in the region
CENTRAL AMERICA/CARIBBEAN 0 0 INVESTMENTS   57,527,845
CENTRAL AMERICA AND THE CARIBBEAN 0 1 PROGRAM SERVICES OFFSHORE CAPTIVE MANAGEMENT -3,171,866
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS   8,211,753
NORTH AMERICA 0 0 INVESTMENTS   29
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTMAKING   81,340
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 1 62,649,101
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 1 62,649,101
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
EUROPE (INCLUDING ICELAND & GREENLAND) GENERAL SUPPORT 78,300   0    
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
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
0
3 Enter total number of other organizations or entities .......................MediumBullet
1
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
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; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
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
PART I, LINE 2: HARRINGTON DISCOVERY INSTITUTE AT UHHS CURRENTLY GRANTS AWARDS OUTSIDE OF THE U.S. IN EUROPE. EACH PROGRAM APPLICATION HAS ELIGIBILITY QUESTIONS THAT ARE ASKED OF THE APPLICANT THROUGH HARRINGTON DISCOVERY INSTITUTE'S GRANT MANAGEMENT SYSTEM, SMARTSIMPLE. APPLICANTS MUST ANSWER THE ELIGIBILITY QUESTIONS IN THE AFFIRMATIVE IN ORDER TO ADVANCE TO THE ONLINE APPLICATION FORM. THE APPLICATION FIELDS FURTHER CONFIRM THE APPLICANT'S ELIGIBILITY FOR THE GRANT, INCLUDING THEIR FACULTY STATUS AT THE ACADEMIC INSTITUTION, CONTROL OF THE PROJECT'S INTELLECTUAL PROPERTY, TYPE OF RESEARCH PROJECT (DRUG VERSUS DEVICE), STAGE OF DEVELOPMENT, AND OTHER CHARACTERISTICS OF THE RESEARCH. APPLICATIONS ARE HOUSED IN SMARTSIMPLE AND REVIEWED BY A PANEL OF REVIEWERS. THE REVIEW TEMPLATES INCLUDE MULTIPLE CHOICE QUESTIONS, OPEN-ENDED QUESTIONS, AND NUMERIC SCORING OF THE APPLICATION. APPLICATIONS ARE ASSESSED BASED ON: - QUALITY OF THE SCIENCE AND THE SCIENTIST - NOVELTY AND INNOVATIVE QUALITY OF THE WORK - POTENTIAL FOR IMPACT ON HUMAN HEALTH THE SUBMITTED REVIEWS ARE COMPILED AND THE TOTAL SCORES ARE CALCULATED. THE SCORES ARE USED AS A BASIS FOR THE SELECTION PROCESS, WHICH IS TYPICALLY A CONFERENCE CALL WHERE MINUTES ARE TAKEN. THE REVIEWER RESULTS, NUMERIC SCORES, AND NOTES FROM THE SELECTION PROCESS ARE ALL SAVED ON THE ORGANIZATION'S SHARED DRIVE. THE GRANT AGREEMENT BETWEEN HARRINGTON DISCOVERY INSTITUTE AND THE GRANTEE'S ACADEMIC INSTITUTION SPELLS OUT THE TERMS OF THE GRANT AGREEMENT. UPON EXECUTION OF THE AGREEMENT BETWEEN BOTH PARTIES, HARRINGTON DISCOVER INSTITUTE'S VP OF THERAPEUTICS DEVELOPMENT ASSIGNS A TEAM OF ADVISORS AND A PROJECT MANAGER TO THE GRANTEE. DURING THE GRANTEE'S TERM, WHICH COULD BE 1, 2 OR 3 YEARS, THE GRANTEE MEETS REGULARLY (TYPICALLY ONCE PER MONTH, OR MORE FREQUENTLY AS NEEDED) WITH THEIR PROJECT TEAM TO ADVISE THE GRANTEE ON THEIR SCIENTIFIC WORK, MONITOR USE OF GRANT FUNDS, AND EVALUATE PROGRESS TOWARDS STATED AIMS. YEARLY RENEWAL OF THE AWARD IS DEPENDENT ON THE TIMELY SUBMISSION OF A WRITTEN ANNUAL PROGRESS REPORT. ANNUAL PROGRESS REPORT INCLUDE KEY DETAILS OF THE GRANTEE'S PROJECT INCLUDING PROJECT OBJECTIVE, STATUS, MILESTONES TO BE MET, CHANGE IN KEY PERSONNEL IF APPLICABLE, PUBLICATIONS RELATED TO THE WORK, ANY NEW PATENTS FILED OR ISSUED RELATED TO WORK, NEW OR POTENTIAL SOURCES OF ADDITIONAL FUNDING, STATUS OF PARTNERING ACTIVITIES, FINANCIAL REPORTING, AND UPDATED BUDGET. YEARLY REPORTS ARE SAVED ON HARRINGTON DISCOVERY INSTITUTE'S SHARED DRIVE WITH ALL MATERIALS RELATED TO THE GRANT.
PART I, LINE 3: EXPENDITURES ARE RECORDED ON AN ACCRUAL BASIS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) (Rev. 1-2025)
Additional Data


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SCHEDULE G (Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Employer identification number

34-0714775
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

X OUT CANCER GALA
(event type) 		(b) Event #2

 
(event type) 		(c) Other events

 
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
305,115
 
 
305,115

2
Less: Contributions . . . .
262,316
 
 
262,316
3 Gross income (line 1 minus
line 2) . . . . . .
42,799
 
 
42,799



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . . 13,464     13,464
7 Food and beverages . . . 32,435     32,435
8 Entertainment . . . .        
9 Other direct expenses . . . 20,089     20,089
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 65,988
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -23,189
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
YesNo
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
YesNo
b
If "Yes," explain:
 
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
YesNo
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
YesNo
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) (Rev. 1-2025)
Additional Data


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Schedule I
(Form 990)
(Rev. January 2025)
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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) UNIVERSITY OF WISCONSIN SYSTEM
21 N PARK STREET SUITE 6301
MADISON,WI53715 		39-6006492 GOVERNMENT 403,430 0     GENERAL SUPPORT
(2) UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
104 AIRPORT DRIVE
CHAPEL HILL,NC27516 		56-6001393 501(C)(3) 300,000 0     GENERAL SUPPORT
(3) DANA-FARBER CANCER INSTITUTE INC
450 BROOKLINE AVENUE
BOSTON,MA02215 		04-2263040 501(C)(3) 290,021 0     GENERAL SUPPORT
(4) CASE WESTERN RESERVE UNIVERSITY
10900 EUCLID AVENUE
CLEVELAND,OH44106 		34-1018992 501(C)(3) 200,000 0     GENERAL SUPPORT
(5) UT SOUTHWESTERN MEDICAL CETNER
5323 HARRY HINES BLVD
DALLAS,TX75390 		75-6002868 GOVERNMENT 125,000 0     GENERAL SUPPORT
(6) JOHNS HOPKINS UNIVERSITY
3910 KESWICK ROAD SUITE N2100
BALTIMORE,MD21211 		52-0595110 501(C)(3) 112,500 0     GENERAL SUPPORT
(7) WASHINGTON UNIVERSITY
7425 FORSYTH BLVD
ST LOUIS,MO63105 		43-0653611 501(C)(3) 100,000 0     GENERAL SUPPORT
(8) DUKE UNIVERSITY
2200 W MAIN STREET SUITE 300
DURHAM,NC27705 		56-0532129 501(C)(3) 100,000 0     GENERAL SUPPORT
(9) FRED HUTCHINSON CANCER CENTER
1100 FAIRVIEW AVE N
SEATTLE,WA98109 		91-1935159 501(C)(3) 100,000 0     GENERAL SUPPORT
(10) USF RESEARCH FOUNDATION INC
3802 SPECTRUM BLVD SUITE 100
TAMPA,FL33612 		59-2959590 501(C)(3) 100,000 0     GENERAL SUPPORT
(11) THE REGENTS OF THE UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO
220 MONTGOMERY ST FL 5
SAN FRANCISCO,CA94104 		94-6036493 501(C)(3) 100,000 0     GENERAL SUPPORT
(12) WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
575 LEXINGTON AVE FL 9
NEW YORK,NY10022 		13-1623978 GOVERNMENT 100,000 0     GENERAL SUPPORT
(13) ICAHN SCHOOL OF MEDICINE AT MT SINAI
1 GUSTAVE L LEVY PL
NEW YORK,NY10029 		13-6171197 501(C)(3) 75,000 0     GENERAL SUPPORT
(14) THE UNIVERSITY OF TEXAS AT AUSTIN
110 INNER CAMPUS DRIVE
AUSTIN,TX78705 		74-6000203 501(C)(3) 65,984 0     GENERAL SUPPORT
(15) NEW YORK UNIVERSITY
70 WASHINGTON SQUARE SOUTH NEW YORK
NEW YORK,NY10012 		13-5562308 501(C)(3) 62,500 0     GENERAL SUPPORT
(16) REGENTS OF THE UNIVERSITY OF MICHIGAN
3003 S STATE ST
ANN ARBOR,MI48109 		38-6006309 501(C)(3) 62,500 0     GENERAL SUPPORT
(17) REGENTS OF THE UNIVERSITY OF CALIFORNIA DAVIS
202 COUSTEAU PL STE 185
DAVIS,CA95618 		94-6036494 501(C)(3) 50,000 0     GENERAL SUPPORT
(18) YALE UNIVERSITY
PO BOX 2038
NEW HAVEN,CT06521 		06-0646973 501(C)(3) 50,000 0     GENERAL SUPPORT
(19) SR CONSULTING LLC
5909 SHELBY OAKS DRIVE SUITE 200
MEMPHIS,TN38134 		81-1906652   33,902 0     GENERAL SUPPORT
(20) OLON RICERCA BIOSCIENCE LLC
7528 AUBURN RD
PAINESVILLE,OH44077 		82-1583049   22,500 0     GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
18
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash 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
PART I, LINE 2: UH HAS A PROCESS WHERE WE RECEIVE AND REVIEW REQUESTS FOR FUNDING, WHICH INCLUDES OUR SENIOR LEADERS. IN THAT REVIEW PROCESS WE CHECK TO BE SURE THE ORGANIZATION IS MISSION ALIGNED TO UH AND REVIEW HISTORICAL GIVING. MUCH OF OUR SUPPORT IS REVIEWED BOTH INTERNALLY AND WITH THE EXTERNAL GROUP ON AN ANNUAL BASIS.
Schedule I (Form 990) Rev. 1-2025



Additional Data


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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 on 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 on 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 nonfixed
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) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
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, 1099-MISC compensation, and/or 1099-NEC (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
1MEGERIAN CLIFF MD
DIRECTOR EX OFF/CEO 		(i)

(ii)		 2,128,879
-------------
0 		1,488,106
-------------
0 		772,363
-------------
0 		26,850
-------------
0 		32,643
-------------
0 		4,448,841
-------------
0 		0
-------------
0
2SNOWBERGER THOMAS D
CHIEF ADMINISTRATIVE OFFICER 		(i)

(ii)		 897,917
-------------
0 		452,189
-------------
0 		1,002,198
-------------
0 		160,857
-------------
0 		18,227
-------------
0 		2,531,388
-------------
0 		0
-------------
0
3STAMLER JONATHAN MD
PRESIDENT HDI 		(i)

(ii)		 1,154,082
-------------
0 		557,648
-------------
0 		262,113
-------------
0 		26,850
-------------
0 		26,297
-------------
0 		2,026,990
-------------
0 		0
-------------
0
4HINCHEY PAUL R MD
CHIEF OPERATING OFFICER 		(i)

(ii)		 1,036,516
-------------
0 		643,437
-------------
0 		34,223
-------------
0 		281,218
-------------
0 		30,527
-------------
0 		2,025,921
-------------
0 		0
-------------
0
5TEKNOS THEODOROS N MD
PRESIDENT SIEDMAN CANCER CENTER 		(i)

(ii)		 969,059
-------------
0 		596,251
-------------
0 		213,384
-------------
0 		202,950
-------------
0 		31,324
-------------
0 		2,012,968
-------------
0 		0
-------------
0
6SIMON DANIEL I MD
CHIEF SCIENTIFIC OFFICER 		(i)

(ii)		 1,024,746
-------------
0 		568,102
-------------
0 		255,590
-------------
0 		22,836
-------------
0 		31,475
-------------
0 		1,902,749
-------------
0 		0
-------------
0
7SZUBSKI MICHAEL A
CFO/TREASURER (END 01/24) 		(i)

(ii)		 225,888
-------------
0 		1,021,136
-------------
0 		586,777
-------------
0 		27,545
-------------
0 		14,727
-------------
0 		1,876,073
-------------
0 		0
-------------
0
8PRONOVOST PETER MD
CHIEF QUALITY OFFICER 		(i)

(ii)		 825,516
-------------
0 		455,301
-------------
0 		214,696
-------------
0 		220,772
-------------
0 		0
-------------
0 		1,716,285
-------------
0 		0
-------------
0
9SABIK JOSEPH MD
DIRECTOR 		(i)

(ii)		 0
-------------
1,292,416 		0
-------------
103,125 		0
-------------
36,444 		0
-------------
25,200 		0
-------------
38,573 		0
-------------
1,495,758 		0
-------------
0
10ANTONIADES STATHIS MPH
PRESIDENT, UH CLEVELAND MEDICAL CENT 		(i)

(ii)		 780,554
-------------
0 		423,589
-------------
0 		2,753
-------------
0 		205,501
-------------
0 		32,195
-------------
0 		1,444,592
-------------
0 		0
-------------
0
11SHISHEHBOR MEHDI H DO
PRESIDENT UH HARRINGTON HEART 		(i)

(ii)		 861,374
-------------
0 		342,746
-------------
0 		27,836
-------------
0 		150,399
-------------
0 		38,173
-------------
0 		1,420,528
-------------
0 		0
-------------
0
12ADELMAN HARLIN G JD
CHIEF LEGAL OFFICER/SECRETARY 		(i)

(ii)		 749,219
-------------
0 		401,796
-------------
0 		183,755
-------------
0 		30,150
-------------
0 		37,545
-------------
0 		1,402,465
-------------
0 		0
-------------
0
13BOND BRADLEY C
CHIEF FINANCIAL OFFICER (BEGIN 02/24 		(i)

(ii)		 759,935
-------------
0 		288,748
-------------
0 		164,062
-------------
0 		26,850
-------------
0 		30,853
-------------
0 		1,270,448
-------------
0 		0
-------------
0
14EARDLEY ROBERT K
CHIEF INFORMATION OFFICER 		(i)

(ii)		 589,549
-------------
0 		284,354
-------------
0 		167,087
-------------
0 		134,363
-------------
0 		38,573
-------------
0 		1,213,926
-------------
0 		0
-------------
0
15BISHOP SHERRI L ESQ
CHIEF DEVELOPMENT OFFICER 		(i)

(ii)		 549,530
-------------
0 		314,894
-------------
0 		186,865
-------------
0 		30,150
-------------
0 		39,417
-------------
0 		1,120,856
-------------
0 		0
-------------
0
16KEEGAN ARTHUR E
CHIEF MARKETING OFFICER 		(i)

(ii)		 229,303
-------------
0 		244,841
-------------
0 		279,152
-------------
0 		208,979
-------------
0 		26,927
-------------
0 		989,202
-------------
0 		0
-------------
0
17HEREFORD MICHELLE
CHIEF NURSING OFFICER 		(i)

(ii)		 552,364
-------------
0 		262,944
-------------
0 		6,115
-------------
0 		123,957
-------------
0 		19,240
-------------
0 		964,620
-------------
0 		0
-------------
0
18SYLVAN DAVID
CHIEF STRATEGY OFFICER 		(i)

(ii)		 505,198
-------------
0 		178,569
-------------
0 		66,972
-------------
0 		124,847
-------------
0 		960
-------------
0 		876,546
-------------
0 		0
-------------
0
19PULLIAM LAVONNE JD
CHIEF COMPLIANCE OFFICER 		(i)

(ii)		 343,472
-------------
0 		163,588
-------------
0 		724
-------------
0 		79,914
-------------
0 		31,083
-------------
0 		618,781
-------------
0 		0
-------------
0
20BIRES TRICIA
TREASURER (BEGIN 02/24) 		(i)

(ii)		 258,278
-------------
0 		49,258
-------------
0 		52,925
-------------
0 		46,728
-------------
0 		13,217
-------------
0 		420,406
-------------
0 		0
-------------
0
21MILLER JANET L ESQ
FORMER OFFICER 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		233,783
-------------
0 		0
-------------
0 		0
-------------
0 		233,783
-------------
0 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
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
PART I, LINE 7 MANAGEMENT INCENTIVE PLAN (MIP) PAYMENTS ARE CALCULATED ANNUALLY AS A PERCENTAGE OF BASE SALARY BASED UPON GOAL ATTAINMENT FOR EACH INCENTIVE CYCLE. THE ELIGIBLE INCENTIVE PERCENTAGE IS DEPENDENT UPON EACH INDIVIDUAL'S LEADERSHIP LEVEL IN THE ORGANIZATION.
PART I, LINE 8 CERTAIN EMPLOYEE COMPENSATION DISCLOSED IN PART VII MEET THE REQUIREMENTS OF THE INITIAL CONTRACT EXCEPTION.
PART I, LINE 4A: UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: KEEGAN, ARTHUR E.: $205,440
FORM 990, SCHEDULE J, PART II: FORM 990 REPORTING REQUIREMENTS RELATED TO ITEMS SUCH AS DEFERRED COMPENSATION PROGRAMS REQUIRE DUAL REPORTING IN SOME YEARS FOR VARIOUS PARTICIPANTS. AS SUCH, AMOUNTS MAY BE SHOWN IN PART VII AND SCHEDULE J DURING A YEAR IN WHICH THOSE AMOUNTS WERE DEFERRED, AND AGAIN IN SUBSEQUENT YEARS IN PART VII AND SCHEDULE J WHEN ACTUALLY PAID. ONLY SCHEDULE J INCLUDES A COLUMN (F), NOTING THESE AMOUNTS WERE PREVIOUSLY REPORTED.
PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN UNDER CODE 457(F). ANY AMOUNTS ULTIMATELY PAID UNDER THE PLAN TO AN ELIGIBLE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B (III) IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: ADELMAN, HARLIN G. JD ($174,416 - SERP) BOND, BRADLEY C. ($156,562 - SERP) MEGERIAN, CLIFF MD ($729,853 - SERP) SIMON, DANIEL I. MD ($240,146 - SERP) SNOWBERGER, THOMAS D. ($70,911 - SERP) SZUBSKI, MICHAEL A. ($293,356 - SERP) STAMLER, JONATHAN MD ($209,444 - SERP) EARDLEY, ROBERT K. ($136,954 - SERP) KEEGAN, ARTHUR E. ($69,193 - SERP) BISHOP, SHERRI L. ESQ. ($134,987 - SERP)
Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CAS7 06-21-2012 189,782,379 SEE PART VI FOR DESCRIPTION   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCB2 12-10-2013 124,142,966 SEE PART VI FOR DESCRIPTION   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCC0 11-06-2014 100,361,458 SEE PART VI FOR DESCRIPTION   X   X   X
D 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 67756CCZ9 03-31-2016 249,373,895 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CDF2 09-26-2018 243,220,482 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CDP0 01-23-2020 613,525,516 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CFF0 10-13-2021 270,616,002 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 10-13-2021 94,527,060 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 01-13-2023 66,410,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CFZ6 12-20-2023 57,800,000 SEE PART VI FOR DESCRIPTION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 119,025,000   6,120,000  
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 189,782,379 124,142,966 100,361,458 100,000,577
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............   1,442,966 1,221,881  
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 2,092,370 1,763,911 3,175,157 1,204,500
8 Credit enhancement from proceeds ............. 349,258      
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............   130,075,136 10,000,000 37,316,424
11 Other spent proceeds ............. 187,340,751 122,700,000 89,139,577 61,479,653
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2012 2013 2015 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		  X X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
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
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 .... 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 ......... 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? .............                
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  
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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 ..........  
  		 
  		WELLS FARGO BANK
NA 		 
 
c Term of hedge .........     10.0000000000 %  
d Was the hedge superintegrated? ......           X    
e Was the hedge terminated? ........           X    
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
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
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION - PART I, COLUMN (F) PART I, COLUMN (F) - THE SERIES 2012A BONDS ISSUED 6/21/2012 REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS ISSUED 3/24/2009. PART I, COLUMN (F) - THE SERIES 2013A AND 2013B BONDS ISSUED 12/10/2013 REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS ISSUED 5/8/2008. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2014ABC ISSUED 11/6/2014 WERE USED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AS WELL AS FOR ROUTINE CAPITAL EXPENDITURES AND TO REFUND BONDS ISSUED 4/2/2014 AND 4/17/2014. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2015ABC BONDS ISSUED 10/1/2015 WERE USED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, AS WELL AS FOR ROUTINE CAPITAL EXPENDITURES AND TO REFUND A PORTION OF BONDS ISSUED 12/27/2010 AND ALL THE OUTSTANDING DEBT ISSUED 6/1/2015. PART I, COLUMN (F) - THE SERIES 2016A BONDS ISSUED 3/31/2016 REFUNDED A PORTION OF THE SERIES 2007A BONDS ISSUED 2/7/2007. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2018ABD BONDS ISSUED 9/26/2018 WERE USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND ALL OF THE SERIES 2014C BONDS ISSUED 11/6/2014, A PORTION OF THE SECOND DRAW OF THE SERIES 2014C BONDS ISSUED 7/15/2015, AND ALL OF THE OUTSTANDING SERIES 2015DE BONDS ISSUED 12/18/2015. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2020ABCDE BONDS ISSUED 1/23/2020 WERE USED FOR BUILDING AND EQUIPPING A HOSPITAL FACILITY, AND TO REFUND PORTIONS OF BONDS ISSUED 11/6/2014 AND 9/26/2018 AND ALL OF THE OUTSTANDING BONDS ISSUED 2/7/2007, 2/12/2010, 10/23/2012, AND 10/24/2018. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2021ABCD BONDS ISSUED 10/13/2021 WERE USED TO ACQUIRE ASSETS OF LAKE HEALTH, AND TO REFUND TAXABLE DEBT ISSUED 9/16/2021. PART I, COLUMN (F) - THE SERIES 2021E BONDS ISSUED 10/13/2021 REFUNDED A PORTION OF THE SERIES 2012A BONDS ISSUED 6/21/2012. PART I, COLUMN (F) THE SERIES 2023A BONDS ISSUED 1/13/2023 REFUNDED ALL OF THE OUTSTANDING SERIES 2013A BONDS ISSUED 12/10/2013. PART I, COLUMN (F) THE SERIES 2023C BONDS ISSUED 12/20/2023 REFUNDED TAXABLE DEBT ISSUED 9/15/2023.
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION - PART IV, LINE 2C PART IV, LINE 2C, FOR THE 6/21/2012 BONDS - THE REBATE CALCULATION FOR THE SERIES 2012A BONDS WAS PERFORMED ON 7/13/2017 FOR THE COMPUTATION PERIOD ENDED 6/20/2017. PART IV, LINE 2C, FOR THE 12/10/2013 BONDS - THE REBATE CALCULATION FOR THE SERIES 2013AB BONDS WAS PERFORMED ON 12/11/2018 FOR THE COMPUTATION PERIOD ENDED 12/9/2018. PART IV, LINE 2C, FOR THE 3/31/2016 BONDS - THE REBATE CALCULATION FOR THE SERIES 2016A BONDS WAS PERFORMED ON 5/18/2021 FOR THE COMPUTATION PERIOD ENDED 3/30/2021.
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION ALL DIFFERENCES BETWEEN AMOUNTS REPORTED ON PART II, LINE 3, AND PART I, COLUMN (E) ARE DUE TO INVESTMENT EARNINGS. WITH RESPECT TO EACH OF THE ADVANCE REFUNDING ISSUES INCLUDED HEREIN (SEE PART II LINE 15), PART IV LINE 6 IS BEING ANSWERED WITHOUT REGARD TO YIELD-RESTRICTED ADVANCE REFUNDING ESCROWS FINANCED WITH PROCEEDS OF THE BONDS.
Schedule K (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CAS7 06-21-2012 189,782,379 SEE PART VI FOR DESCRIPTION   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCB2 12-10-2013 124,142,966 SEE PART VI FOR DESCRIPTION   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCC0 11-06-2014 100,361,458 SEE PART VI FOR DESCRIPTION   X   X   X
D 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 67756CCZ9 03-31-2016 249,373,895 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CDF2 09-26-2018 243,220,482 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CDP0 01-23-2020 613,525,516 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CFF0 10-13-2021 270,616,002 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 10-13-2021 94,527,060 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 01-13-2023 66,410,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CFZ6 12-20-2023 57,800,000 SEE PART VI FOR DESCRIPTION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 119,025,000   6,120,000  
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 189,782,379 124,142,966 100,361,458 100,000,577
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............   1,442,966 1,221,881  
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 2,092,370 1,763,911 3,175,157 1,204,500
8 Credit enhancement from proceeds ............. 349,258      
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............   130,075,136 10,000,000 37,316,424
11 Other spent proceeds ............. 187,340,751 122,700,000 89,139,577 61,479,653
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2012 2013 2015 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		  X X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
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
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 .... 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 ......... 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? .............                
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  
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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 ..........  
  		 
  		WELLS FARGO BANK
NA 		 
 
c Term of hedge .........     10.0000000000 %  
d Was the hedge superintegrated? ......           X    
e Was the hedge terminated? ........           X    
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
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
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION - PART I, COLUMN (F) PART I, COLUMN (F) - THE SERIES 2012A BONDS ISSUED 6/21/2012 REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS ISSUED 3/24/2009. PART I, COLUMN (F) - THE SERIES 2013A AND 2013B BONDS ISSUED 12/10/2013 REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS ISSUED 5/8/2008. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2014ABC ISSUED 11/6/2014 WERE USED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AS WELL AS FOR ROUTINE CAPITAL EXPENDITURES AND TO REFUND BONDS ISSUED 4/2/2014 AND 4/17/2014. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2015ABC BONDS ISSUED 10/1/2015 WERE USED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, AS WELL AS FOR ROUTINE CAPITAL EXPENDITURES AND TO REFUND A PORTION OF BONDS ISSUED 12/27/2010 AND ALL THE OUTSTANDING DEBT ISSUED 6/1/2015. PART I, COLUMN (F) - THE SERIES 2016A BONDS ISSUED 3/31/2016 REFUNDED A PORTION OF THE SERIES 2007A BONDS ISSUED 2/7/2007. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2018ABD BONDS ISSUED 9/26/2018 WERE USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND ALL OF THE SERIES 2014C BONDS ISSUED 11/6/2014, A PORTION OF THE SECOND DRAW OF THE SERIES 2014C BONDS ISSUED 7/15/2015, AND ALL OF THE OUTSTANDING SERIES 2015DE BONDS ISSUED 12/18/2015. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2020ABCDE BONDS ISSUED 1/23/2020 WERE USED FOR BUILDING AND EQUIPPING A HOSPITAL FACILITY, AND TO REFUND PORTIONS OF BONDS ISSUED 11/6/2014 AND 9/26/2018 AND ALL OF THE OUTSTANDING BONDS ISSUED 2/7/2007, 2/12/2010, 10/23/2012, AND 10/24/2018. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2021ABCD BONDS ISSUED 10/13/2021 WERE USED TO ACQUIRE ASSETS OF LAKE HEALTH, AND TO REFUND TAXABLE DEBT ISSUED 9/16/2021. PART I, COLUMN (F) - THE SERIES 2021E BONDS ISSUED 10/13/2021 REFUNDED A PORTION OF THE SERIES 2012A BONDS ISSUED 6/21/2012. PART I, COLUMN (F) THE SERIES 2023A BONDS ISSUED 1/13/2023 REFUNDED ALL OF THE OUTSTANDING SERIES 2013A BONDS ISSUED 12/10/2013. PART I, COLUMN (F) THE SERIES 2023C BONDS ISSUED 12/20/2023 REFUNDED TAXABLE DEBT ISSUED 9/15/2023.
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION - PART IV, LINE 2C PART IV, LINE 2C, FOR THE 6/21/2012 BONDS - THE REBATE CALCULATION FOR THE SERIES 2012A BONDS WAS PERFORMED ON 7/13/2017 FOR THE COMPUTATION PERIOD ENDED 6/20/2017. PART IV, LINE 2C, FOR THE 12/10/2013 BONDS - THE REBATE CALCULATION FOR THE SERIES 2013AB BONDS WAS PERFORMED ON 12/11/2018 FOR THE COMPUTATION PERIOD ENDED 12/9/2018. PART IV, LINE 2C, FOR THE 3/31/2016 BONDS - THE REBATE CALCULATION FOR THE SERIES 2016A BONDS WAS PERFORMED ON 5/18/2021 FOR THE COMPUTATION PERIOD ENDED 3/30/2021.
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION ALL DIFFERENCES BETWEEN AMOUNTS REPORTED ON PART II, LINE 3, AND PART I, COLUMN (E) ARE DUE TO INVESTMENT EARNINGS. WITH RESPECT TO EACH OF THE ADVANCE REFUNDING ISSUES INCLUDED HEREIN (SEE PART II LINE 15), PART IV LINE 6 IS BEING ANSWERED WITHOUT REGARD TO YIELD-RESTRICTED ADVANCE REFUNDING ESCROWS FINANCED WITH PROCEEDS OF THE BONDS.
Schedule K (Form 990) (Rev. 1-2025)

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CAS7 06-21-2012 189,782,379 SEE PART VI FOR DESCRIPTION   X   X   X
B OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCB2 12-10-2013 124,142,966 SEE PART VI FOR DESCRIPTION   X   X   X
C OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CCC0 11-06-2014 100,361,458 SEE PART VI FOR DESCRIPTION   X   X   X
D 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 67756CCZ9 03-31-2016 249,373,895 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CDF2 09-26-2018 243,220,482 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CDP0 01-23-2020 613,525,516 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CFF0 10-13-2021 270,616,002 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 10-13-2021 94,527,060 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 000000000 01-13-2023 66,410,000 SEE PART VI FOR DESCRIPTION   X   X   X
OHIO HIGHER EDUCATIONAL FACILITY COMMISSION
  		34-6849674 67756CFZ6 12-20-2023 57,800,000 SEE PART VI FOR DESCRIPTION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 119,025,000   6,120,000  
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 189,782,379 124,142,966 100,361,458 100,000,577
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............   1,442,966 1,221,881  
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 2,092,370 1,763,911 3,175,157 1,204,500
8 Credit enhancement from proceeds ............. 349,258      
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............   130,075,136 10,000,000 37,316,424
11 Other spent proceeds ............. 187,340,751 122,700,000 89,139,577 61,479,653
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2012 2013 2015 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		  X X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
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
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 .... 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 ......... 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? .............                
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  
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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 ..........  
  		 
  		WELLS FARGO BANK
NA 		 
 
c Term of hedge .........     10.0000000000 %  
d Was the hedge superintegrated? ......           X    
e Was the hedge terminated? ........           X    
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
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
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION - PART I, COLUMN (F) PART I, COLUMN (F) - THE SERIES 2012A BONDS ISSUED 6/21/2012 REFUNDED ALL OF THE OUTSTANDING SERIES 2009A BONDS ISSUED 3/24/2009. PART I, COLUMN (F) - THE SERIES 2013A AND 2013B BONDS ISSUED 12/10/2013 REFUNDED ALL OF THE OUTSTANDING SERIES 2008BDE BONDS ISSUED 5/8/2008. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2014ABC ISSUED 11/6/2014 WERE USED FOR THE ACQUISITIONS OF UH PARMA MEDICAL CENTER AND UH ELYRIA MEDICAL CENTER, AS WELL AS FOR ROUTINE CAPITAL EXPENDITURES AND TO REFUND BONDS ISSUED 4/2/2014 AND 4/17/2014. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2015ABC BONDS ISSUED 10/1/2015 WERE USED FOR THE ACQUISITION OF UH PORTAGE MEDICAL CENTER, AS WELL AS FOR ROUTINE CAPITAL EXPENDITURES AND TO REFUND A PORTION OF BONDS ISSUED 12/27/2010 AND ALL THE OUTSTANDING DEBT ISSUED 6/1/2015. PART I, COLUMN (F) - THE SERIES 2016A BONDS ISSUED 3/31/2016 REFUNDED A PORTION OF THE SERIES 2007A BONDS ISSUED 2/7/2007. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2018ABD BONDS ISSUED 9/26/2018 WERE USED FOR ROUTINE CAPITAL EXPENDITURES, AND TO REFUND ALL OF THE SERIES 2014C BONDS ISSUED 11/6/2014, A PORTION OF THE SECOND DRAW OF THE SERIES 2014C BONDS ISSUED 7/15/2015, AND ALL OF THE OUTSTANDING SERIES 2015DE BONDS ISSUED 12/18/2015. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2020ABCDE BONDS ISSUED 1/23/2020 WERE USED FOR BUILDING AND EQUIPPING A HOSPITAL FACILITY, AND TO REFUND PORTIONS OF BONDS ISSUED 11/6/2014 AND 9/26/2018 AND ALL OF THE OUTSTANDING BONDS ISSUED 2/7/2007, 2/12/2010, 10/23/2012, AND 10/24/2018. PART I, COLUMN (F) - THE PROCEEDS OF THE SERIES 2021ABCD BONDS ISSUED 10/13/2021 WERE USED TO ACQUIRE ASSETS OF LAKE HEALTH, AND TO REFUND TAXABLE DEBT ISSUED 9/16/2021. PART I, COLUMN (F) - THE SERIES 2021E BONDS ISSUED 10/13/2021 REFUNDED A PORTION OF THE SERIES 2012A BONDS ISSUED 6/21/2012. PART I, COLUMN (F) THE SERIES 2023A BONDS ISSUED 1/13/2023 REFUNDED ALL OF THE OUTSTANDING SERIES 2013A BONDS ISSUED 12/10/2013. PART I, COLUMN (F) THE SERIES 2023C BONDS ISSUED 12/20/2023 REFUNDED TAXABLE DEBT ISSUED 9/15/2023.
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION - PART IV, LINE 2C PART IV, LINE 2C, FOR THE 6/21/2012 BONDS - THE REBATE CALCULATION FOR THE SERIES 2012A BONDS WAS PERFORMED ON 7/13/2017 FOR THE COMPUTATION PERIOD ENDED 6/20/2017. PART IV, LINE 2C, FOR THE 12/10/2013 BONDS - THE REBATE CALCULATION FOR THE SERIES 2013AB BONDS WAS PERFORMED ON 12/11/2018 FOR THE COMPUTATION PERIOD ENDED 12/9/2018. PART IV, LINE 2C, FOR THE 3/31/2016 BONDS - THE REBATE CALCULATION FOR THE SERIES 2016A BONDS WAS PERFORMED ON 5/18/2021 FOR THE COMPUTATION PERIOD ENDED 3/30/2021.
FORM 990, SCHEDULE K, SUPPLEMENTAL INFORMATION ALL DIFFERENCES BETWEEN AMOUNTS REPORTED ON PART II, LINE 3, AND PART I, COLUMN (E) ARE DUE TO INVESTMENT EARNINGS. WITH RESPECT TO EACH OF THE ADVANCE REFUNDING ISSUES INCLUDED HEREIN (SEE PART II LINE 15), PART IV LINE 6 IS BEING ANSWERED WITHOUT REGARD TO YIELD-RESTRICTED ADVANCE REFUNDING ESCROWS FINANCED WITH PROCEEDS OF THE BONDS.
Schedule K (Form 990) (Rev. 1-2025)

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 section 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 the organization managers or disqualified persons during the year under section 4958. ........................... $
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $
 

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 ............... $  
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) (Rev. 1-2025)
Schedule L (Form 990) (Rev. 1-2025)
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) THE CLEVELAND BROWNS FOOTBALL TEAM SEE PART V 5,128,463 SEE PART V   No
(2) SUBSTANTIAL CONTRIBUTOR SEE PART V 1,299,000 SEE PART V   No
(3) LAURA L KUPCZYK SEE PART V 107,684 SEE PART V   No
(4) SUBSTANTIAL CONTRIBUTOR SEE PART V 54,477 SEE PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: THE CLEVELAND BROWNS FOOTBALL TEAM.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MS. DEE HASLAM IS A CURRENT DIRECTOR AND OFFICER ON THE UHHS BOARD AND OWNER OF THE CLEVELAND BROWNS FOOTBALL TEAM. UHHS IS THE MEDICAL PARTNER FOR THE CLEVELAND BROWNS FOOTBALL TEAM.(C) AMOUNT OF TRANSACTION: $5,128,463(D) DESCRIPTION OF TRANSACTION: UHHS PROVIDES MEDICAL SERVICES TO THE CLEVELAND BROWNS FOOTBALL TEAM.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UHHS.(C) AMOUNT OF TRANSACTION: $1,299,000 (D) DESCRIPTION OF TRANSACTION: THE COMPANY PROVIDES CONSTRUCTION SERVICES TO UHHS.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: LAURA L. KUPCZYK(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF TRICIA BIRES, OFFICER OF UHHS, INC.(C) AMOUNT OF TRANSACTION: $107,684(D) DESCRIPTION OF TRANSACTION: A FAMILY MEMBER OF TRICIA BIRES IS PAID BY UHHS, INC.(E) SHARING OF ORGANIZATION REVENUES? = NO.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUBSTANTIAL CONTRIBUTOR OF UHHS.(C) AMOUNT OF TRANSACTION: $54,477(D) DESCRIPTION OF TRANSACTION:SUBSTANTIAL CONTRIBUTOR OF UHHS.(E) SHARING OF ORGANIZATION REVENUES? = NO.
Schedule L (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Employer identification number

34-0714775
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 1 9,999 APPRAISAL
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 56,995 FMV
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 89 6,126,468 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( EVENT SUPPLIES ) X 1 5,189 RECEIPT
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2024)
Schedule M (Form 990) (2024)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, COLUMN (B): THE NUMBER REPORTED IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS.
Schedule M (Form 990) (2024)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Employer identification number

34-0714775
Return Reference Explanation
FORM 990, PART III, LINE 1: 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.
FORM 990, PART III, LINE 4A: COMMITMENT TO THE COMMUNITY REMAINS AT THE CORE OF THE SYSTEM'S MISSION: TO HEAL. TO TEACH. TO DISCOVER. IN 2024, UNIVERSITY HOSPITALS DEDICATED MORE THE $511 MILLION TO COMMUNITY BENEFIT PROGRAMS IN NORTHEAST OHIO CONSISTING OF: - EDUCATION AND TRAINING = $123 MILLION - RESEARCH = $74 MILLION - CHARITY CARE = $72 MILLION - MEDICAID SHORTFALL = $207 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $34 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) = ($60 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 2024 TOTALED $511 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. IN 2024, $139 MILLION REPRESENTED REVENUES FOR SERVICES PROVIDED THAT WERE DEEMED TO BE UNCOLLECTIBLE. THE SYSTEM HAS A BROAD PRESENCE THROUGHOUT NORTHEAST OHIO, INCLUDING CUYAHOGA, LORAIN, GEAUGA, ASHTABULA, PORTAGE, ASHLAND, LAKE, AND RICHLAND COUNTIES SERVICE AREAS. 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. THE UH HEALTH SYSTEM PROVIDES WORK DIRECTLY FOR 39,731 (33,691 REPORTED ON THE UH GROUP FORM 990) EMPLOYEES AND PHYSICIANS. 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 EMERGENCY FACILITIES AT OUR MEDICAL CENTERS AND THE SYSTEM'S SEIDMAN CANCER CENTER AT UH CLEVELAND MEDICAL CENTER AND VARIOUS COMMUNITY MEDICAL CENTERS, 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 2024 ANNUAL REPORT, PLEASE VISIT THE SYSTEM'S WEBSITE AT WWW.UHHOSPITALS.ORG.
FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. IS ORGANIZED SUCH THAT THE CURRENT DIRECTORS ARE THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS MAY DESIGNATE THOSE THAT SERVE AS CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE UHHS BOARD OF DIRECTORS TO REVIEW THE FORM 990. THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION SECTIONS OF THE FORM 990. 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, SECTION B, 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 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 UHHS BOARD AND/OR THE UHHS 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") AND DOCUMENTED IN THE COMMITTEE MINUTES. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT WHO PROVIDES INFORMATION TO THE COMMITTEE ON CHANGES AND TRENDS IN EXECUTIVE COMPENSATION AND OBJECTIVE THIRD PARTY INFORMATION ON COMPETITIVE AND COMPARABLE EXECUTIVE COMPENSATION AND BENEFIT LEVEL/PROGRAMS. THE CONSULTANT COLLECTS AND PROVIDES TO THE COMMITTEE, APPROPRIATE MARKET COMPENSATION AND BENEFITS INFORMATION, APPROPRIATE MARKET PRACTICES FOR COMPARABLE ORGANIZATIONS' POSITIONS AND BEST PRACTICES. THE CONSULTANT ALSO PROVIDES ADVICE ON DEVELOPING AND MODIFYING UH'S EXECUTIVE COMPENSATION PHILOSOPHY.
FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS FOR UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM.
FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST FND 17,144,000. FUNDED STATUS ADJUSTMENT 46,643,000. INVESTMENT IN SUBSIDIARIES -476,338,000. OTHER CHANGES IN FUND BALANCE 71,911,480. EQUITY TRANSFERS 441,148,504. NET ASSETS RELEASED FROM RESTRICTION -3,315,000.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
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) JWR COMMERCIAL PROPERTIES LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
 INACTIVE OH 0 0 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
(2) CHESTER ROAD COMMERCIAL PROPERTIES LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
 INACTIVE OH 0 0 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
(3) UH HEALTH SOLUTIONS LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
83-1975050 		SUPPORT SERVICES OH 0 5,000,000 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
(4) UH RESEARCH EDUCATION AND COLLABORATION LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
27-1287585 		SUPPORT SERVICES OH 0 0 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
(5) UNIVERSITY HOSPITALS CRITICAL CARE TRANSPORT LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
88-3821109 		SUPPORT SERVICES OH -8,341,348 2,663,071 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 


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)5805 EUCLID INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
81-4962989 		SUPPORT HOSPITAL OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(2)ELYRIA MEDICAL CENTER FOUNDATION
630 EAST RIVER STREET

ELYRIA,OH44035
61-1579760 		SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I EMH REGIONAL MEDICAL CENTER
 
Yes
 
(3)FUND FOR CURES UK LTD
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
 GRANT FUNDING UK N/A N/A UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(4)KETTERING MOHICAN AREA MEDICAL CENTER INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-0823455 		INACTIVE OH 501(C)(3)   SAMARITAN REGIONAL HEALTH SYSTEM
 
Yes
 
(5)LAKE HOSPITAL FOUNDATION INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1425872 		SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I LAKE HOSPITAL SYSTEM INC
 
Yes
 
(6)LHS LEGACY
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
86-2916134 		MANAGEMENT OH 501(C)(3) LINE 12C, III-FI LAKE HOSPITAL SYSTEM INC
 
Yes
 
(7)PARMA HOSPITAL HEALTH CARE FOUNDATION
7007 POWERS BLVD

PARMA,OH44129
34-1626664 		SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I PARMA COMMUNITY GENERAL HOSPITAL
 
Yes
 
(8)ROBINSON MEMORIAL HOSPITAL FOUNDATION
6847 N CHESTNUT STREET PO BOX

RAVENNA,OH44266
34-1510544 		SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I ROBINSON HEALTH SYSTEM INC
 
Yes
 
(9)SAMARITAN HOSPITAL FOUNDATION
663 EAST MAIN STREET

ASHLAND,OH44805
34-1783215 		SUPPORT HOSPITAL OH 501(C)(3) LINE 12C, III-FI SAMARITAN REGIONAL HEALTH SYSTEM
 
Yes
 
(10)THE AUXILLARY OF LAKE HOSPITAL SYSTEM INC
7590 AUBURN ROAD

CONCORD TOWNSHIP,OH44077
34-1605226 		PATIENT NEEDS AND PHYSICIAN EQUIPMENT OH 501(C)(3) LINE 3 LAKE HOSPITAL SYSTEM INC
 
Yes
 
(11)COMPREHENSIVE HEALTH CARE OF OHIO INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1492733 		HEALTHCARE OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(12)EMH REGIONAL MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-0714612 		HEALTHCARE OH 501(C)(3) LINE 3 COMPREHENSIVE HEALTHCARE OF OHIO INC
 
Yes
 
(13)LAKE HOSPITAL SYSTEM INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1425870 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(14)PARMA COMMUNITY GENERAL HOSPITAL
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-0827442 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(15)PRIMEHEALTH INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1778204 		HEALTHCARE OH 501(C)(3) LINE 3 LAKE HOSPITAL SYSTEM INC
 
Yes
 
(16)ROBINSON HEALTH SYSTEM INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
46-1382538 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(17)SAMARITAN REGIONAL HEALTH SYSTEM
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-0714535 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(18)UH REGIONAL HOSPITALS
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1924226 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(19)UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
26-4827222 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(20)UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1567805 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(21)UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-0714550 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(22)UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
90-0794903 		HEALTHCARE OH 501(C)(3) LINE 10 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(23)UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-0714461 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(24)UNIVERSITY HOSPITALS HEALTH SYSTEM - HEATHER HILL INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-0771884 		INACTIVE OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(25)UNIVERSITY HOSPITALS HOME CARE SERVICES INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1527536 		HOME CARE OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(26)UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1720429 		LAB SERVICES OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(27)UNIVERSITY HOSPITALS MEDICAL GROUP INC
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
20-4881619 		PHYSICIANS GROUP OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
(28)UNIVERSITY HOSPITALS ST JOHN MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9

SHAKER HEIGHTS,OH44122
34-1260978 		HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) CONCORD MEDICAL CAMPUS PHYSICIAN BUILDING LLC

7580 AUBURN RD
CONCORD,OH44077
26-0550261 		OFFICE SPACE OH N/A
         No     No  
(2) SAMARITAN REGIONAL PAIN MANAGEMENT LLC

1025 CENTER STREET
ASHLAND,OH44805
46-2286785 		MEDICAL SERVICES OH N/A
         No     No  
(3) UH VALUEHEALTH HOLDINGS LLC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
85-3503184 		HOLDING COMPANY OH N/A
         No     No  
(4) UHHS ENDOSCOPY HOLDINGS LLC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
83-1284090 		MEDICAL SERVICES OH N/A
         No     No  
(5) UNIVERSITY SUBURBAN REAL ESTATE LTD

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1397180 		REAL ESTATE OH UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		RELATED -1,298,562 19,002,643   No   Yes   100.000 %
(6) UNIVERSITY HOSPITAL URGENT CARE BY WELLSTREET LLC

3330 CUMBERLAND BLVD STE 825
ALTANTA,GA30339
92-1031874 		MEDICAL SERVICES GA UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		UNRELATED -4,539,641 14,085,516   No -4,532,050   No 51.000 %
(7) NEW MANNA CLG LLC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
37-1848577 		MEDICAL SERVICES OH N/A
         No     No  
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) COMPREHENSIVE VENTURES UNLIMITED INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1596060 		PHYSICIAN ADMINISTRATION OH N/A
 C       Yes  
(2) EMH MEDICAL OFFICE BUILDING IN AVON INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1935407 		REAL ESTATE OH N/A
 C       Yes  
(3) EMH PROFESSIONAL SERVICES INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1778419 		PHYSICIANS GROUP OH N/A
 C       Yes  
(4) QUALITY CARE NETWORK INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
81-1081563 		MEDICAL MANAGEMENT OH N/A
 C       Yes  
(5) USHC MANAGEMENT INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1395971 		HOLDING COMPANY OH UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		C     100.000 % Yes  
(6) UHHS PROVIDER AND CENTRAL VERIFICATION ORGANIZATION INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1908517 		MEDICAL MANAGEMENT OH N/A
 C       Yes  
(7) UNIVERSITY HOSPITALS ACCOUNTABLE CARE ORGANIZATION INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
81-3836118 		ACCOUNT CARE OH N/A
 C       Yes  
(8) UNIVERSITY HOSPITALS HOLDINGS INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1768931 		HOLDING COMPANY OH UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		C 613,653,699 131,950,226 100.000 % Yes  
(9) UNIVERSITY HOSPITALS PHYSICIAN SERVICES INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1768929 		PHYSICIAN ADMINISTRATION OH N/A
 C       Yes  
(10) UNIVERSITY PRIMARY CARE PRACTICES INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
34-1768928 		PHYSICIAN GROUP OH N/A
 C       Yes  
(11) WESTERN RESERVE ASSURANCE CO LTD SPC

PO BOX 1051 GT KY1
  GRAND CAYMAN  
CJ
98-0462740 		INSURANCE CJ UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		C     100.000 % Yes  
(12) ASTUTE SIGNALS INC

3605 WARRENSVILLE CENTER ROAD-MSC 9
SHAKER HEIGHTS,OH44122
99-4297926 		TECHNOLOGY RESEARCH OH UNIVERSITY HOSPITALS HEALTH SYSTEM INC
  		C     100.000 % Yes  
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
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
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
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) UNIVERSITY HOSPITALS PHYSICIAN SERVICES INC

 J 4,416,851 GENERAL LEDGER
(2) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER

 J 1,765,561 GENERAL LEDGER
(3) UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION

 J 877,206 GENERAL LEDGER
(4) UNIVERSITY HOSPITALS MEDICAL GROUP INC

 J 521,891 GENERAL LEDGER
(5) UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER INC

 J 494,319 GENERAL LEDGER
(6) UH REGIONAL HOSPITALS

 J 290,334 GENERAL LEDGER
(7) SAMARITAN REGIONAL HEALTH SYSTEM

 J 237,964 GENERAL LEDGER
(8) PARMA COMMUNITY GENERAL HOSPITAL

 J 52,620 GENERAL LEDGER
(9) SAMARITAN REGIONAL HEALTH SYSTEM

 K 76,857 GENERAL LEDGER
(10) UNIVERSITY HOSPITALS HOLDINGS INC

 K 64,397 GENERAL LEDGER
(11) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER

 R 307,357,738 GENERAL LEDGER
(12) UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION

 R 184,745,979 GENERAL LEDGER
(13) UNIVERSITY HOSPITALS HOME CARE SERVICES INC

 R 127,932,429 GENERAL LEDGER
(14) UNIVERSITY PRIMARY CARE PRACTICES INC

 R 125,777,487 GENERAL LEDGER
(15) UH REGIONAL HOSPITALS

 R 30,215,376 GENERAL LEDGER
(16) UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER INC

 R 24,557,199 GENERAL LEDGER
(17) UNIVERSITY HOSPITALS ST JOHN MEDICAL CENTER

 R 23,340,851 GENERAL LEDGER
(18) UNIVERSITY HOSPITALS ACCOUNTABLE CARE ORGANIZATION INC

 R 18,686,038 GENERAL LEDGER
(19) UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER

 R 11,740,778 GENERAL LEDGER
(20) UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER

 R 8,431,778 GENERAL LEDGER
(21) UNIVERSITY HOSPITAL HOLDINGS INC

 R 8,113,532 GENERAL LEDGER
(22) EMH REGIONAL MEDICAL CENTER

 R 7,900,445 GENERAL LEDGER
(23) ROBINSON HEALTH SYSTEM INC

 R 7,194,775 GENERAL LEDGER
(24) QUALITY CARE NETWORK INC

 R 4,785,987 GENERAL LEDGER
(25) 5805 EUCLID INC

 R 2,609,182 GENERAL LEDGER
(26) COMPREHENSIVE HEALTH CARE OF OHIO INC

 R 341,279 GENERAL LEDGER
(27) UNIVERSITY HOSPITALS PHYSICIAN SERVICES INC

 S 235,109,861 GENERAL LEDGER
(28) UNIVERSITY HOSPITALS MEDICAL GROUP INC

 S 198,026,954 GENERAL LEDGER
(29) LAKE HOSPITAL SYSTEM INC

 S 61,094,238 GENERAL LEDGER
(30) UNIVERSITY HOSPITALS HOLDINGS INC

 S 12,217,318 GENERAL LEDGER
(31) PARMA COMMUNITY GENERAL HOSPITAL

 S 4,301,636 GENERAL LEDGER
(32) UH REGIONAL HOSPITALS

 S 2,576,412 GENERAL LEDGER
(33) UNIVERSITY HOSPITALS URGENT CARE BY WELLSTREET LLC

 S 1,469,509 GENERAL LEDGER
(34) UNIVERSITY SUBURBAN REAL ESTATE LTD

 S 1,387,351 GENERAL LEDGER
(35) UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER

 S 1,242,631 GENERAL LEDGER
(36) FUND FOR CURES UK LTD

 S 793,305 GENERAL LEDGER
(37) PRIMEHEALTH INC

 S 60,376 GENERAL LEDGER
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) (Rev. 1-2025)

Additional Data


Software ID:  
Software Version:  






TY 2024 AffiliatedGroupSchedule
Name:
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
EIN:
34-0714775
Affiliated Group Business Name:
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
34-1567805
Electing Organization Checkbox:
Total Grassroots Lobbying:
930
Total Direct Lobbying:
165,309
Total Lobbying Expenditures:
166,239
Other Exempt Purpose Expenditures:
2,553,408,333
Total Exempt Purpose Expenditures:
2,553,574,572
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UH REGIONAL HOSPITALS
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
34-1271115
Electing Organization Checkbox:
Total Grassroots Lobbying:
70
Total Direct Lobbying:
12,448
Total Lobbying Expenditures:
12,518
Other Exempt Purpose Expenditures:
185,179,733
Total Exempt Purpose Expenditures:
185,192,251
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
Address. Either US or Foreign Type:
158 WEST MAIN RD
CONNEAUT, OH44030    
EIN:
34-0750341
Electing Organization Checkbox:
Total Grassroots Lobbying:
10
Total Direct Lobbying:
1,862
Total Lobbying Expenditures:
1,872
Other Exempt Purpose Expenditures:
33,072,415
Total Exempt Purpose Expenditures:
33,074,287
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
Address. Either US or Foreign Type:
870 WEST MAIN STREET
GENEVA, OH44041    
EIN:
34-0714461
Electing Organization Checkbox:
Total Grassroots Lobbying:
24
Total Direct Lobbying:
4,239
Total Lobbying Expenditures:
4,263
Other Exempt Purpose Expenditures:
61,984,726
Total Exempt Purpose Expenditures:
61,988,989
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS HOME CARE SERVICES
Address. Either US or Foreign Type:
4901 GALAXY PARKWAY
WARRENSVILLE HEIGHTS, OH44128    
EIN:
34-1527536
Electing Organization Checkbox:
Total Grassroots Lobbying:
168
Total Direct Lobbying:
29,909
Total Lobbying Expenditures:
30,077
Other Exempt Purpose Expenditures:
544,983,497
Total Exempt Purpose Expenditures:
545,013,574
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS LABORATORY SERVICES
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
34-1720429
Electing Organization Checkbox:
Total Grassroots Lobbying:
20
Total Direct Lobbying:
3,508
Total Lobbying Expenditures:
3,528
Other Exempt Purpose Expenditures:
54,517,828
Total Exempt Purpose Expenditures:
54,521,356
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS MEDICAL GROUP INC
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
20-4881619
Electing Organization Checkbox:
Total Grassroots Lobbying:
213
Total Direct Lobbying:
37,877
Total Lobbying Expenditures:
38,090
Other Exempt Purpose Expenditures:
821,186,775
Total Exempt Purpose Expenditures:
821,224,865
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
34-0714775
Electing Organization Checkbox:
Total Grassroots Lobbying:
42
Total Direct Lobbying:
7,531
Total Lobbying Expenditures:
7,573
Other Exempt Purpose Expenditures:
950,294,494
Total Exempt Purpose Expenditures:
950,302,067
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER
Address. Either US or Foreign Type:
11100 EUCLID AVENUE
CLEVELAND, OH44106    
EIN:
26-4827222
Electing Organization Checkbox:
Total Grassroots Lobbying:
106
Total Direct Lobbying:
18,814
Total Lobbying Expenditures:
18,920
Other Exempt Purpose Expenditures:
299,648,003
Total Exempt Purpose Expenditures:
299,666,923
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
PARMA COMMUNITY GENERAL HOSPITAL ASSOC
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-0827442
Electing Organization Checkbox:
Total Grassroots Lobbying:
75
Total Direct Lobbying:
13,329
Total Lobbying Expenditures:
13,404
Other Exempt Purpose Expenditures:
226,390,229
Total Exempt Purpose Expenditures:
226,403,633
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
COMPREHENSIVE HEALTH CARE OF OHIO INC
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-1492733
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
7
Total Lobbying Expenditures:
7
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
7
Lobbying Nontaxable Amount:
1
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
6
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
EMH REGIONAL MEDICAL CENTER
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-0714512
Electing Organization Checkbox:
Total Grassroots Lobbying:
75
Total Direct Lobbying:
13,253
Total Lobbying Expenditures:
13,328
Other Exempt Purpose Expenditures:
221,709,539
Total Exempt Purpose Expenditures:
221,722,867
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ROBINSON HEALTH SYSTEM INC
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
46-1382538
Electing Organization Checkbox:
Total Grassroots Lobbying:
59
Total Direct Lobbying:
10,482
Total Lobbying Expenditures:
10,541
Other Exempt Purpose Expenditures:
171,939,900
Total Exempt Purpose Expenditures:
171,950,441
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ST JOHN MEDICAL CENTER
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-1260978
Electing Organization Checkbox:
Total Grassroots Lobbying:
76
Total Direct Lobbying:
13,554
Total Lobbying Expenditures:
13,630
Other Exempt Purpose Expenditures:
194,672,983
Total Exempt Purpose Expenditures:
194,686,613
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
SAMARITAN REGIONAL HEALTH SYSTEM
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-0714535
Electing Organization Checkbox:
Total Grassroots Lobbying:
31
Total Direct Lobbying:
5,459
Total Lobbying Expenditures:
5,490
Other Exempt Purpose Expenditures:
88,998,997
Total Exempt Purpose Expenditures:
89,004,487
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
LAKE HOSPITAL SYSTEM INC
Address. Either US or Foreign Type:
3606 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-1425870
Electing Organization Checkbox:
Total Grassroots Lobbying:
131
Total Direct Lobbying:
23,219
Total Lobbying Expenditures:
23,350
Other Exempt Purpose Expenditures:
438,323,621
Total Exempt Purpose Expenditures:
438,346,971
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
PRIMEHEALTH INC
Address. Either US or Foreign Type:
3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS, OH44122    
EIN:
34-1778204
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
2,011
Total Exempt Purpose Expenditures:
2,011
Lobbying Nontaxable Amount:
402
Grassroots Nontaxable Amount:
101
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0