LAKE HEALTHUNIVER HOSP SEIDMAN CANCER CTR PHYSICIANS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: LAKE HEALTHUNIVER HOSP SEIDMAN CANCER CTR PHYSICIANS INC (EIN 20-2873927)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-10-05
IRS object ID: 202202789349300410
Schema version: 2021v4.1
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
Form 990
Schedule A
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-10-05T05:17:41-07:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	593827844	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Richlak Lawyer & Co	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9140 Tyler Boulevard	AddressLine1Txt
City	Mentor	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44060	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	202873927	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE HEALTHUNIVER HOSP SEIDMAN CANCER CTR PHYSICIANS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LAKE	BusinessNameControlTxt
Phone	2167678704	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3605 WARRENSVILLE CENTER ROAD-MSC 9	AddressLine1Txt
City	SHAKER HEIGHTS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44122	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL R VEHOVEC	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	2167678704	PhoneNum
Signature	2022-05-03	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	VEHOVEC	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DALE E RICHLAK CPA	PreparerPersonNm
PTIN	P00541873	PTIN
Phone	4402554400	PhoneNum
Preparation	2022-10-05	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL R VEHOVEC	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3605 WARRENSVILLE CENTER ROAD-MSC 9	AddressLine1Txt
City	SHAKER HEIGHTS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44122	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$19,851,362	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2005	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	A SUPPORTING ORGANIZATION OF THE LAKE HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER USING A MULTIDISCIPLINARY APPROACH , PROVIDES STATE-OF-THE-ART COMPREHENSIVE CANCER CARE, COMBINING QUALITY WITH COMPASSION IN A CLEAN, CONVENIENT, AND COMFORTABLE SETTING.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$33,381,578	PYProgramServiceRevenueAmt
CY Program Service Revenue	$19,758,077	CYProgramServiceRevenueAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$677,327	PYOtherRevenueAmt
CY Other Revenue	$93,285	CYOtherRevenueAmt
PY Total Revenue	$34,058,905	PYTotalRevenueAmt
CY Total Revenue	$19,851,362	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,427,059	PYOtherExpensesAmt
CY Other Expenses	$24,740,850	CYOtherExpensesAmt
PY Total Expenses	$32,427,059	PYTotalExpensesAmt
CY Total Expenses	$24,740,850	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,631,846	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,889,488	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,565,070	TotalAssetsBOYAmt
Total Assets EOY	$2,908,602	TotalAssetsEOYAmt
Total Liabilities BOY	$8,253,960	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,918,638	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,311,110	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$1,010,036	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	A SUPPORTING ORGANIZATION OF THE LAKE HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER USING A MULTIDISCIPLINARY APPROACH , PROVIDES STATE-OF-THE-ART COMPREHENSIVE CANCER CARE, COMBINING QUALITY WITH COMPASSION IN A CLEAN, CONVENIENT, AND COMFORTABLE SETTING.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$23,136,951	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$19,851,362	RevenueAmt
Desc	NON-PROFIT OUTPATIENT CANCER TREATMENT SERVICES.	Desc
Total Program Service Expenses	$23,136,951	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DALE E RICHLAK CPA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4402554400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9140 TYLER BLVD	AddressLine1Txt
City	MENTOR	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44060	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JULIE MORAN
EXECUTIVE DIRECTOR	40.00	Yes (X)	$0	$70,250	$0
MARY OGRINC
CHAIRPERSON	0.77	Yes (X)	$0	$0	$0	Yes (X)
THEODOROS TEKNOS
VICE CHAIRMAN	0.77	Yes (X)	$0	$0	$0	Yes (X)
BOB TRACZ
TRUSTEE	0.77		$0	$0	$0	Yes (X)
PAT VALENZA
TRUSTEE	0.77		$0	$0	$0	Yes (X)
LOIS TESTON
TRUSTEE	0.77		$0	$0	$0	Yes (X)
MATT KEMMANN
TRUSTEE	0.77		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$70,250	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UHHS
11100 EUCLID AVE	CLEVELAND	OH	44106	PHYSICIAN SERVICES	$1,237,123
UHHS
11100 EUCLID AVE	CLEVELAND	OH	44106	BILLING SERVICES	$1,300,612
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TN	75397	PHYSICIAN SERVICES	$1,057,885

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICES	Desc
Business	621400	BusinessCd
Total Revenue Column	$19,758,077	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$19,758,077	TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PROVIDER RELIEF FUNDS	Desc
Business	999999	BusinessCd
Total Revenue Column	$93,285	TotalRevenueColumnAmt
Related Or Exempt Func Income	$93,285	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$93,285	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,851,362	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,851,362	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,947	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$11,947	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$50,810	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$50,810	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,570,640	TotalAmt
Program Services	$2,570,640	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,099	TotalAmt
Program Services	$11,099	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$167,552	TotalAmt
Program Services	$25,477	ProgramServicesAmt
Management And General	$142,075	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$629,676	TotalAmt
Program Services	$573,006	ProgramServicesAmt
Management And General	$56,670	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,191	TotalAmt
Program Services	$3,191	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,734	TotalAmt
Program Services	$1,734	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$67,179	TotalAmt
Program Services	$67,179	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$26,783	TotalAmt
Program Services	$14,998	ProgramServicesAmt
Management And General	$11,785	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
DUES, SUBSCRIPTIONS & lICENSES	$33,620	$33,620	$0	$0
BILLING SERVICE	$1,330,612	$0	$1,330,612	$0
DRUGS & PHARMACEUTICALS	$16,776,607	$16,776,607	$0	$0
MEDICAL SUPPLIES	$210,443	$210,443	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,848,957	TotalAmt
Program Services	$2,848,957	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,740,850	TotalAmt
Program Services	$23,136,951	ProgramServicesAmt
Management And General	$1,603,899	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,868,294	BOYAmt
EOY	$281,020	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,582,329	BOYAmt
EOY	$2,627,582	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$565,480	BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,131	BOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$528,836	BOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,565,070	BOYAmt
EOY	$2,908,602	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,194,745	BOYAmt
EOY	$2,918,441	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,059,215	BOYAmt
EOY	$1,000,197	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,253,960	BOYAmt
EOY	$3,918,638	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,311,110	BOYAmt
EOY	-$1,010,036	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,311,110	BOYAmt
EOY	-$1,010,036	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,565,070	BOYAmt
EOY	$2,908,602	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$4,889,488	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$461,658	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE HEALTHUNIV HOSP SEIDMAN CANCER CTE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
EIN	311562964	EIN
Organization Type	10	OrganizationTypeCd
Governing Document Listed	Yes (true)	GoverningDocumentListedInd
Support	$2,838,136	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$2,838,136	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt
Public Support CY170	0	PublicSupportCY170Pct
Public Support Total509	$0	PublicSupportTotal509Amt
Public Support CY509	0	PublicSupportCY509Pct
Investment Income CY	0	InvestmentIncomeCYPct

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	FIXED ASSETS	AssetsDistriOrExpnssPaidDesc
Distribution	2021-12-13	DistributionDt
Fair Market Value Of Asset	$461,658	FairMarketValueOfAssetAmt
Method Of FMV Determination	BOOK VALUE	MethodOfFMVDeterminationTxt
EIN	341567805	EIN
Person	UNIVERSITY HOSPITALS CLE MED CTR	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3605 WARRENSVILLE CTR RD-MSC 9155	AddressLine1Txt
City	SHAKER HEIGHTS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44122	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(C)3	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	false	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Pt VI, Line 6	LAKE HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER PHYSICIANS, INC. (LH/UHSCCPI)HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A 501(C)3 TYPE I SUPPORTING ORGANIZATION OF LAKE HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER (LH/UHSCC) WHOSE SHARES ARE HELD IN TRUST FOR THE SOLE BENEFIT OF LH/UHSCC.
Pt VI, Line 7a	LH/UHSCC EXERCISES CONTROL OVER LH/UHSCCPI AND HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF LH/UHSCCPI.
Pt VI, Line 11b	THE 990 IS REVIEWED BY UNIVERSITY HOSPITALS ACCOUNTING DEPARTMENT AND A COPY PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING.
Pt VI, Line 12c	NO TRUSTEE HAS ANY BUSINESS DEALINGS WITH THE ORGANIZATION.
Pt VI, Line 15a	THE BOARD OF TRUSTEES DETERMINES THE EXECUTIVE DIRECTOR'S SALARY AND IS PAID THRU A COMMON PAYMASTER ARRANGEMENT WITH ITS PARENT LAKE HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER.
Pt VI, Line 15b	THERE ARE NO OTHER OFFICERS AND THE EXECUTIVE DIRECTOR DETERMINES THE OTHER SALARIES ACCORDING TO A BUDGET APPROVED BY THE BOARD OF TRUSTEES.
Pt VI, Line 19	THE DOCUMENTS ARE AVAILABLE UPON REQUEST.
Pt X	PART XII, LINE 2A PG 12 THE FINANCIAL STATEMENTS ARE COMPILED BY THE OUTSIDE ACCOUNTING FIRM RICHLAK, LAWYER & CO., MENTOR, OHIO WHICH HAS NO FINANCIAL INTEREST IN THE ORGANIZATION AND ONLY PROVIDES ACCOUNTING AND TAX SERVICES. HOWEVER, BECAUSE OF THE FIRM'S INVOLVEMENT IN THE PREPARATION OF THE FINANCIAL STATEMENTS THE FIRM IS NOT CONSIDERED INDEPENDENT ACCORDING TO THE STANDARDS OF INDEPENDENCE SET FORTH BY THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS.
Other	SCHED R, PG3, LN2(1) LAKE/HEALTH UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER PROVIDES RADIATION ONCOLOGY SERVICES. LAKE/HEALTH UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER PHYSICIANS, INC. PROVIDES MEDICAL ONCOLOGY SERVICES.
Pt III, Line 3	EFFECTIVE DECEMBER 13, 2021, THE BOARD OF LAKE HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER APPROVED THE PLAN TO CEASE THE OPERATIONS OF HEALTH/UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER AND DISTRIBUTE THE NET ASSETS TO, UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER.
Form 990, Part IX, Line 11g	PUCHASED SERVICES-PHYSICIANS 2570640. 2570640. 0. 0.
Form 990, Part IX, Line 24e	REPAIRS & MAINTENANCE 10821. 10821. 0. 0.
Form 990, Part IX, Line 24e	COMMON PAYMASTER SALARY 1930570. 1930570. 0. 0.
Form 990, Part IX, Line 24e	COMMON PAYMASTER BENEFITS 907566. 907566. 0. 0.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE HEALTHUNIVER HOSP SEIDMAN CANCER CTR	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9485 MENTOR AVE STE 3	AddressLine1Txt
City	MENTOR	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44060	ZIPCd

Field	Value	IRS element (for citing)
EIN	311562964	EIN
Primary Activities	ONCOLOGY	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Exempt Code Section	501(c)3	ExemptCodeSectionTxt
Public Charity Status	10	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE HEALTHUNIV HOSP SEIDMAN CANCER CTR (PARENT) COMMON PAYMASTER AND BENEF	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	0	TransactionTypeTxt
Involved	$2,838,136	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt