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ROBINSON MEMORIAL HOSPITAL FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ROBINSON MEMORIAL HOSPITAL FOUNDATION (EIN 34-1510544)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-08
IRS object ID
202313129349301976
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-08T10:23:09-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341510544EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBINSON MEMORIAL HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROBIBusinessNameControlTxt
Phone3302972331PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16847 N CHESTNUT STREET PO BOX 1204AddressLine1Txt
CityRAVENNACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44266ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL A SZUBSKIPersonNm
Person TitleCFO, UHHSPersonTitleTxt
Phone3302972331PhoneNum
Signature2023-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastSZUBSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNA M JANSONSPreparerPersonNm
PTINP01222873PTIN
Phone3174648600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PORTAGE MEDICAL CENTER FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDANIEL R RIEMENSCHNEIDERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16847 N CHESTNUT STREET PO BOX 1204AddressLine1Txt
CityRAVENNACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44266ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,734,917GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ROBINSONMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionSUPPORT AND ASSIST THE MISSION OF UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER.ActivityOrMissionDesc
Voting Members Governing Body33VotingMembersGoverningBodyCnt
Voting Members Independent31VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers31TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$688,717PYContributionsGrantsAmt
CY Contributions Grants$638,580CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$428,884PYInvestmentIncomeAmt
CY Investment Income$87,772CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,117,601PYTotalRevenueAmt
CY Total Revenue$726,352CYTotalRevenueAmt
PY Grants And Similar Paid$327,821PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,091,248CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$142,833PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$152,445CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,997PYOtherExpensesAmt
CY Other Expenses$8,672CYOtherExpensesAmt
PY Total Expenses$481,651PYTotalExpensesAmt
CY Total Expenses$1,252,365CYTotalExpensesAmt
PY Revenues Less Expenses$635,950PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$526,013CYRevenuesLessExpensesAmt
Total Assets BOY$6,388,348TotalAssetsBOYAmt
Total Assets EOY$5,960,898TotalAssetsEOYAmt
Total Liabilities BOY$419,502TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,487,679TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,968,846NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,473,219NetAssetsOrFundBalancesEOYAmt
MissionSUPPORT AND ASSIST UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER IN ITS EFFORTS TO SERVE THE NEEDS OF PORTAGE COUNTY RESIDENTS AND ITS SURROUNDING COMMUNITIES BY PROVIDING FUNDING FOR ENHANCED OR ADDITIONAL PROGRAMS THAT OTHERWISE MIGHT NOT BE AVAILABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,222,198ExpenseAmt
Grant$1,070,748GrantAmt
DescTHE FOUNDATION GRANTS ASSISTANCE TO UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER TO FURTHER ENHANCE THE MEDICAL CENTER'S MISSION AND COMMUNITY BENEFIT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$20,500ExpenseAmt
Grant$20,500GrantAmt
DescTHE FOUNDATION GRANTS SCHOLARSHIPS TO INDIVIDUALS OF THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,242,698TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members33GoverningBodyVotingMembersCnt
Independent Voting Member31IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT GOEBELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2168441000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13605 WARRENSVILLE CENTER ROADAddressLine1Txt
CitySHAKER HEIGHTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BOYKIN ROXIA
DIRECTOR/TREASURER/SECRETARY2.000.00Yes (X)Yes (X)$0$0$0
RIEMENSCHNEIDER DANIEL R CPA
DIRECTOR/PRESIDENT/VP FINANCE2.004.00Yes (X)Yes (X)$0$0$0
RYAN JOHN
DIRECTOR/VICE PRESIDENT2.000.00Yes (X)Yes (X)$0$0$0
AMBUSKE GAIL
DIRECTOR2.000.00Yes (X)$0$0$0
BENOIT WILLIAM
DIRECTOR2.0054.00Yes (X)$0$605,545$49,382
BOND BRADLEY C
DIRECTOR2.0072.00Yes (X)$0$768,261$51,924
CAN ERROL
DIRECTOR2.000.00Yes (X)$0$0$0
CONLEY KAREN
DIRECTOR2.000.00Yes (X)$0$0$0
DIX DAVID
DIRECTOR2.000.00Yes (X)$0$0$0
EGDELL ROBERT W MD
DIRECTOR (END 01/22)2.000.00Yes (X)$0$0$0
ENLOW LOIS
DIRECTOR (END 09/22)2.000.00Yes (X)$0$0$0
FERNER GREGORY E MD
DIRECTOR2.000.00Yes (X)$0$0$0
FLEMING STEVE
DIRECTOR2.000.00Yes (X)$0$0$0
FOWLER JEFFREY R
DIRECTOR2.000.00Yes (X)$0$0$0
GIULITTO JUDGE JOSEPH
DIRECTOR2.000.00Yes (X)$0$0$0
GORDON SHAWN
DIRECTOR2.000.00Yes (X)$0$0$0
GRAY WISE DONNA
DIRECTOR2.000.00Yes (X)$0$0$0
GUSZ JOHN R MD
DIRECTOR (END 05/22)2.002.00Yes (X)$0$0$0
HAYES JUDGE JERRY L
DIRECTOR2.000.00Yes (X)$0$0$0
JOHNSON-MALLARD VERSIE
DIRECTOR (BEGIN 06/22)2.000.00Yes (X)$0$0$0
JOY DAVID
DIRECTOR (END 05/22)2.000.00Yes (X)$0$0$0
LAWLESS-ANDRIC DANA
DIRECTOR2.000.00Yes (X)$0$0$0
MADONIO CHARLES CHAS
DIRECTOR2.000.00Yes (X)$0$0$0
MAZANETZ MIKE
DIRECTOR (BEGIN 06/22)2.000.00Yes (X)$0$0$0
MEYERS JEFFREY G
DIRECTOR2.000.00Yes (X)$0$0$0
MINOTT HOWARD
DIRECTOR2.000.00Yes (X)$0$0$0
POPP ANDREW
DIRECTOR2.000.00Yes (X)$0$0$0
SLATTERY LORI
DIRECTOR2.000.00Yes (X)$0$0$0
SMITH RANDALL
DIRECTOR2.000.00Yes (X)$0$0$0
SNODE MARTY
DIRECTOR2.000.00Yes (X)$0$0$0
SORRICK ROXANNE
DIRECTOR2.000.00Yes (X)$0$0$0
STANDARDI ROBERT
DIRECTOR (BEGIN 06/22)2.000.00Yes (X)$0$0$0
TSAI RN BRANDY
DIRECTOR2.000.00Yes (X)$0$0$0
WALTER JAMES
DIRECTOR2.000.00Yes (X)$0$0$0
WASHBURRN DAN
DIRECTOR2.000.00Yes (X)$0$0$0
WELLING NORMA
DIRECTOR2.000.00Yes (X)$0$0$0
WHITE EDDYE RENEE
DIRECTOR2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,373,806TotReportableCompRltdOrgAmt
Total Other Compensation$101,306TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$638,580RelatedOrganizationsAmt
Total Contributions$638,580TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,153TotalRevenueColumnAmt
Exclusion$110,153ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$986,184SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,008,565SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$22,381SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,381TotalRevenueColumnAmt
Exclusion-$22,381ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$726,352TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$87,772ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,070,748TotalAmt
Program Services$1,070,748ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$20,500TotalAmt
Program Services$20,500ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$141,923TotalAmt
Program Services$133,407ProgramServicesAmt
Management And General$8,516ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total-$2,081TotalAmt
Program Services-$1,956ProgramServicesAmt
Management And General-$125ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,603TotalAmt
Program Services$11,847ProgramServicesAmt
Management And General$756ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$328TotalAmt
Program Services$307ProgramServicesAmt
Management And General$21ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,040TotalAmt
Program Services$3,798ProgramServicesAmt
Management And General$242ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LICENSE FEES & DUES$1,872$1,760$112
PURCHASED SERVICES$1,758$1,653$105
PRINTING & POSTAGE$602$566$36
CATERING$62$59$3

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10TotalAmt
Program Services$9ProgramServicesAmt
Management And General$1ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,252,365TotalAmt
Program Services$1,242,698ProgramServicesAmt
Management And General$9,667ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,088,957BOYAmt
EOY$990,015EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$99,722BOYAmt
EOY$139,588EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,321LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,321LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,199,169BOYAmt
EOY$4,830,795EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,388,348BOYAmt
EOY$5,960,898EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$69,502BOYAmt
EOY$199,890EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$350,000BOYAmt
EOY$1,287,789EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$419,502BOYAmt
EOY$1,487,679EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$938,664BOYAmt
EOY$78,947EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,030,182BOYAmt
EOY$4,394,272EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,968,846BOYAmt
EOY$4,473,219EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,388,348BOYAmt
EOY$5,960,898EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$526,013ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$870,671NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$98,943OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ROBINSON HEALTH SYSTEM INC (DBA UH PORTAGE MEDICAL CENTER)BusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN451382538EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$1,070,748SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,070,748SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,030,182BeginningYearBalanceAmt
Contributions$506,690ContributionsAmt
Investment Earnings Or Losses-$387,154InvestmentEarningsOrLossesAmt
Other Expenditures$755,446OtherExpendituresAmt
End Year Balance$4,394,272EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,349,267BeginningYearBalanceAmt
Contributions$559,430ContributionsAmt
Investment Earnings Or Losses$433,564InvestmentEarningsOrLossesAmt
Other Expenditures$312,079OtherExpendituresAmt
End Year Balance$5,030,182EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,518,057BeginningYearBalanceAmt
Contributions$361,117ContributionsAmt
Investment Earnings Or Losses$310,618InvestmentEarningsOrLossesAmt
Other Expenditures$840,525OtherExpendituresAmt
End Year Balance$4,349,267EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,734,106BeginningYearBalanceAmt
Contributions$905,430ContributionsAmt
Investment Earnings Or Losses$587,187InvestmentEarningsOrLossesAmt
Other Expenditures$708,666OtherExpendituresAmt
End Year Balance$4,518,057EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,254,529BeginningYearBalanceAmt
Contributions$1,165,981ContributionsAmt
Investment Earnings Or Losses-$177,049InvestmentEarningsOrLossesAmt
Other Expenditures$1,509,355OtherExpendituresAmt
End Year Balance$3,734,106EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.28290PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.71710TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,321OtherCostOrOtherBasisAmt
Depreciation$8,321DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLONG TERM PLEDGES PAYABLEDesc
Amt$1,287,789Amt
FieldValueIRS element (for citing)
Total Liability$1,287,789TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ENDOWMENT FUNDS SUPPORT INDIGENT PROGRAMS, SUCH AS HOME CARE, HOSPICE AND SCHOLARSHIP PROGRAMS FOCUSED ON ENHANCING CAREERS IN HEALTH CARE AND CONTINUING EDUCATION PROGRAMS FOR THE MEDICAL CENTER.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBINSON HEALTH SYSTEM INC (DBA UH PORTAGE MEDICAL CENTER)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13605 WARRENSVILLE CENTER ROADAddressLine1Txt
CitySHAKER HEIGHTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44122ZIPCd
FieldValueIRS element (for citing)
Recipient EIN461382538RecipientEIN
IRC Section501 (C)(3)IRCSectionDesc
Cash Grant$1,070,748CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient17RecipientCnt
Cash Grant$20,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationROBINSON MEMORIAL HOSPITAL FOUNDATION 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 ROBINSON MEMORIAL HOSPITAL FOUNDATION AND REVIEW HISTORICAL GIVING. MUCH OF OUR SUPPORT IS REVIEWED BOTH INTERNALLY AND WITH THE EXTERNAL GROUP ON AN ANNUAL BASIS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BOND BRADLEY C
DIRECTOR$0$434,302$0$224,952$0$109,007$0$24,400$0$27,524$0$820,185$0$0
BENOIT WILLIAM
DIRECTOR$0$389,276$0$177,073$0$39,196$0$21,350$0$28,032$0$654,927$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationELIGIBLE 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. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ROBINSON HEALTH SYSTEM, INC. IS THE SOLE INSTITUTIONAL MEMBER OF ROBINSON MEMORIAL HOSPITAL FOUNDATION. ADDITIONALLY, THE BOARD OF DIRECTORS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION ARE INDIVIDUAL MEMBERS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7AROBINSON HEALTH SYSTEM, INC. IS THE SOLE INSTITUTIONAL MEMBER OF ROBINSON MEMORIAL HOSPITAL FOUNDATION. AS THE SOLE INSTITUTIONAL MEMBER, ROBINSON HEALTH SYSTEM, INC., HAS THE RIGHT TO (A) ELECT A MAJORITY OF MEMBERS OF THE BOARD OF DIRECTORS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION THAT ARE EITHER EX-OFFICIO HOSPITAL DIRECTORS, UH APPOINTEES, OR ELECTED BY ROBINSON HEALTH SYSTEM, INC. AND (B) FILL ANY VACANCY ON THE BOARD OF DIRECTORS TO ENSURE THE MAJORITY AS MENTIONED EARLIER. THE INDIVIDUAL MEMBERS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION HAVE THE RIGHT TO (A) ELECT THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION BY A TWO-THIRDS AFFIRMATIVE VOTE OF THE INDIVIDUAL MEMBERS AND (B) FILL ANY REMAINING VACANCY ON THE BOARD OF DIRECTORS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION BY A TWO-THIRDS AFFIRMATIVE VOTE OF THE INDIVIDUAL MEMBERS. ADDITIONALLY, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (UHHS), AS THE MEMBER OF ROBINSON HEALTH SYSTEM, INC., IN ITS DISCRETION HAS THE POWER TO APPOINT AND REMOVE UP TO THREE VOTING DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT THIRD-PARTY PUBLIC ACCOUNTING FIRM. MANAGEMENT REVIEWS THE 990 BEFORE THE COMPLETE COPY IS MADE AVAILABLE TO THE FOUNDATION BOARD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE SYSTEM HAS ADOPTED SIX CONFLICT OF INTEREST POLICIES THAT SET FORTH GUIDELINES RELATED TO TRANSACTIONS WITH DISQUALIFIED PERSONS (AS DEFINED IN APPLICABLE FEDERAL REGULATION). THESE POLICIES APPLY TO ALL EMPLOYEES, EMPLOYED PHYSICIANS AND OTHER LICENSED PRACTITIONERS (EXCLUDING PHYSICIAN TRAINEES), DIRECTORS, OFFICERS, AND RELATED PARTIES TO UH AND ITS WHOLLY-OWNED SUBSIDIARIES. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. DESIGNATED INDIVIDUALS, (E.G., UH MANAGEMENT, DIRECTORS, EMPLOYED 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 UH BOARD AND/OR THE UH BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY FOR ROBINSON MEMORIAL HOSPITAL FOUNDATION ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:LOSS ON UNCOLLECTIBLE PLEDGES -98,943.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
UNIVERSITY HOSPITALS HEALTH SYSTEM INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122340714775SUPPORT SYSTEMOH501(C)(3)LINE 30
5805 EUCLID INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122814962989SUPPORT HOSPITALOH501(C)(3)LINE 12B, IIYes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
ELYRIA MEDICAL CENTER FOUNDATION
630 EAST RIVER STREETELYRIAOH44035611579760SUPPORT HOSPITALOH501(C)(3)LINE 12A, IYes (1)ELYRIA MEDICAL CENTER
FUND FOR CURES UK LTD
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122GRANT FUNDINGN/AN/AYes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INCUK
KETTERING MOHICAN AREA MEDICAL CENTER INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122340823455INACTIVEOH501(C)(3)Yes (1)
LAKE HEALTH - UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122311562964HEALTHCAREOH501(C)(3)LINE 10Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
LAKE HEALTH - UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER PHYSICIANS INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122202873927SUPPORT HOSPITALOH501(C)(3)LINE 12A, IYes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
LAKE HOSPITAL FOUNDATION INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341425872SUPPORT HOSPITALOH501(C)(3)LINE 12A, IYes (1)LAKE HOSPITAL SYSTEM INC
LHS LEGACY
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122862916134MANAGEMENTOH501(C)(3)LINE 12C, III-FIYes (1)LAKE HOSPITAL SYSTEM INC
PARMA HOSPITAL HEALTH CARE FOUNDATION
7007 POWERS BLVDPARMAOH44129341626664SUPPORT HOSPITALOH501(C)(3)LINE 12A, IYes (1)PARMA COMMUNITY MEDICAL CENTER
SAMARITAN HOSPITAL FOUNDATION
663 EAST MAIN STREETASHLANDOH44805341783215SUPPORT HOSPITALOH501(C)(3)LINE 12C, III-FIYes (1)SAMARITAN REGIONAL MEDICAL CENTER
THE AUXILLARY OF LAKE HOSPITAL SYSTEM INC
7590 AUBURN ROADCONCORD TOWNSHIPOH44077341605226PATIENT NEEDS AND PHYSICIAN EQUIPMENTOH501(C)(3)LINE 3Yes (1)LAKE HOSPITAL SYSTEM INC
COMPREHENSIVE HEALTH CARE OF OHIO INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341492733HEALTHCAREOH501(C)(3)LINE 12B, IIYes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
EMH REGIONAL MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122340714612HEALTHCAREOH501(C)(3)LINE 3Yes (1)COMPREHENSIVE HEALTHCARE OF OHIO INC
LAKE HOSPITAL SYSTEM INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341425870HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
PARMA COMMUNITY GENERAL HOSPITAL
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122340827442HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
PRIMEHEALTH INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341778204HEALTHCAREOH501(C)(3)LINE 3Yes (1)LAKE HOSPITAL SYSTEM INC
ROBINSON HEALTH SYSTEM INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122461382538HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
SAMARITAN REGIONAL HEALTH SYSTEM
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122340714535HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UH REGIONAL HOSPITALS
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341924226HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122264827222HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341567805HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122340714550HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122900794903HEALTHCAREOH501(C)(3)LINE 10Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122340714461HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS HEALTH SYSTEM - HEATHER HILL INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122340771884INACTIVEOH501(C)(3)LINE 12B, IIYes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS HOME CARE SERVICES INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341527536HOME CAREOH501(C)(3)LINE 12B, IIYes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341720429LAB SERVICESOH501(C)(3)LINE 12B, IIYes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS MEDICAL GROUP INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122204881619PHYSICIANS GROUPOH501(C)(3)LINE 12B, IIYes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC
UNIVERSITY HOSPITALS ST JOHN MEDICAL CENTER
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341260978HEALTHCAREOH501(C)(3)LINE 3Yes (1)UNIVERSITY HOSPITALS HEALTH SYSTEM INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CONCORD MEDICAL CAMPUS PHYSICIAN BUILDING LLC
7580 AUBURN RDCONCORDOH44077260550261OFFICE SPACEOHN/A00
NEW MANNA CLG LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122371848577MEDICAL SERVICESOHN/A00
SAMARITAN REGIONAL PAIN MANAGEMENT LLC
1025 CENTER STREETASHLANDOH44805462286785MEDICAL SERVICESOHN/A00
UH CANTON ENDOSCOPY LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122830638696MEDICAL SERVICESOHN/A00
UH CLINICAL ASSOCIATES LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122843169305MEDICAL SERVICESOHN/A00
UH VALUEHEALTH HOLDINGS LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122853503184HOLDING COMPANYOHN/A00
UHHS ENDOSCOPY HOLDINGS LLC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122831284090MEDICAL SERVICESOHN/A00
UNIVERSITY SUBURBAN REAL ESTATE LTD
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341397180REAL ESTATEOHN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
COMPREHENSIVE VENTURES UNLIMITED INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341596060PHYSICIAN ADMINISTRATIONOHN/ACYes (1)
EMH MEDICAL OFFICE BUILDING IN AVON INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341935407REAL ESTATEOHN/ACYes (1)
EMH PROFESSIONAL SERVICES INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341778419PHYSICIANS GROUPOHN/ACYes (1)
LHS ASSURANCE LTD
980456229INSURANCEN/ACYes (1)23 LIME TREE BAY AVENUEGEORGE TOWNGRAND CAYMANCJCJ
NORTH OHIO HEART INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122272574020PHYSICIANS GROUPOHN/ACYes (1)
POWERS PROFESSIONAL CORPORATION
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341735290PHYSICIANS GROUPOHN/ACYes (1)
PRL CORPORATION
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341499245PHYSICIANS GROUPOHN/ACYes (1)
QUALITY CARE NETWORK INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122811081563MEDICAL MANAGEMENTOHN/ACYes (1)
USHC MANAGEMENT INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341395971HOLDING COMPANYOHN/ACYes (1)
UHHS PROVIDER AND CENTRAL VERIFICATION ORGANIZATION INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341908517MEDICAL MANAGEMENTOHN/ACYes (1)
UNIVERSITY HOSPITALS ACCOUNTABLE CARE ORGANIZATION INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122813836118ACCOUNT CAREOHN/ACYes (1)
UNIVERSITY HOSPITALS HOLDINGS INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341768931HOLDING COMPANYOHN/ACYes (1)
UNIVERSITY HOSPITALS PHYSICIAN SERVICES INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341768929PHYSICIAN ADMINISTRATIONOHN/ACYes (1)
UNIVERSITY PRIMARY CARE PRACTICES INC
3605 WARRENSVILLE CENTER ROAD-MSC 9SHAKER HEIGHTSOH44122341768928PHYSICIAN GROUPOHN/ACYes (1)
WESTERN RESERVE ASSURANCE CO LTD SPC
980462740INSURANCEN/ACYes (1)PO BOX 1051 GT KY1GRAND CAYMANCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ROBINSON HEALTH SYSTEM INC
B$1,070,748GENERAL LEDGER
ROBINSON HEALTH SYSTEM INC
C$638,580GENERAL LEDGER