2013-05-14T09:43:23-05:00 2012-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2011-07-01 311435820 UC Health UCHE 5135856000 3200 Burnet Avenue Cincinnati OH 45229 Charity N Fannin 5135856000 2013-05-14 1 James W Sowar P00529407 5137847100 2011 2016-02-24 21:20:13Z Hugh R Hinds Jr 3200 Burnet Avenue Cincinnati OH 45229 120643005 0 X www.uchealth.com X 1996 OH UC Health provides services and support to a health system serving the Greater Cincinnati area. 9 9 965 9 520540 -1732065 1248177 68331 120994469 101498393 11967076 14724247 11845001 3488641 146054723 119779612 898661 387395 0 0 71463460 49757024 0 0 0 59284307 53408266 131646428 103552685 14408295 16226927 559501277 1207074517 543752354 712343857 15748923 494730660 X UC Health provides services and support to a health system serving the greater Cincinnati area. Additionally, it provides governance, management oversight, and strategic leadership to enable the members of UC Health to focus resources on achieving their charitable missions. 0 0 79111461 387895 93988608 Provision of management services to area hospitals to utilize economies of scale, share expert knowledge and skills, in order to promote and provide quality health care to the community. 395000 Community building activities include the cost of programs that improve the physical environment, promote economic development, support community businesses and other organizations and develop leadership and other skills to benefit the community. 106374 Financial contributions of cash and in-kind donations on behalf of the poor and needy to community agencies and to special system-wide funds used for charitable activities as well as resources contributed directly to programs for efforts on behalf of the poor and needy. 79612835 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 572 0 1 965 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Charity N Fannin 5135859835 3200 Burnet Avenue Cincinnati OH 45229 George L Strike 5.00 X X 0 0 0 C Francis Barrett Esq 5.00 X 0 0 0 Margaret E Buchanan 5.00 X X 0 0 0 Joseph Broderick MD 5.00 X 0 0 0 Sandra Heimann 5.00 X 0 0 0 William Hurford MD 5.00 X 0 0 0 Rev Damon Lynch Jr 5.00 X 0 0 0 Myles Pensak MD 5.00 X 0 0 0 Creighton B Wright MD 5.00 X 0 0 0 Jeffrey L Wyler 5.00 X 0 0 0 James Kingsbury 60.00 X 1329448 0 46824 Hugh R Hinds Jr 60.00 X 1004464 0 408390 Faheemah Muhammad 60.00 X 72567 0 16906 Gayla Harvey 60.00 X 631964 0 185291 Deborah Endres 60.00 X 644944 0 578200 Dennis Robb 60.00 X 610593 0 135277 Joseph Bateman 60.00 X 483507 0 125687 Jay Brown 60.00 X 458964 0 66360 Kenneth Hanover former 0.00 X 652320 0 59456 5888771 0 1622391 131 1 1 0 Tri-State Clinical Laboratory LLC 612 Tennessee Ave Cincinnati OH 45229 Laboratory Services 4413003 Triversity Group LLC One North Commerce Park Drive Cincinnati OH 45215 Construction 3617508 Deloitte & Touche LLP 4140 Collection Center Drive Chicago IL 606930041 Accounting Services 943229 Megen Beischel LLC 11130 Ashburn Road Cincinnati OH 45240 Construction 718036 Huron Consulting Services LLC 550 W Van Vuren Street Chicago IL 60607 Consulting 468421 27 68331 68331 Management Services 561000 92900465 92341208 559257 Administrative Svcs 561000 991987 6210 985777 Management Fees 561000 802610 802610 Transcription 561000 201731 159209 42522 6601600 6601600 101498393 12481386 12481386 1218634 0 1218634 1218634 80100 1138534 2352804 753450 0 863393 2352804 -109943 2242861 2242861 Settlement Recoveries 900099 885457 885457 Other Invest. Revenue 561000 698969 -167549 866518 Other Revenue 561000 685581 685581 2270007 119779612 93988608 520540 25202133 387395 387395 2322146 1857717 464429 35684343 28547474 7136869 8531475 6825180 1706295 3219060 2575248 643812 3284402 3284402 752239 752239 35342350 28273880 7068470 65734 52587 13147 2640004 2112004 528000 2199335 1759468 439867 32935 26348 6587 118671 94937 23734 6163530 4930824 1232706 -2363588 -1890870 -472718 Sponsorships & Outreach 1969344 1497996 471348 Dues & Licenses 813049 650439 162610 Maintenance and Repair 653000 522400 130600 Recruitment 306000 244800 61200 1431261 1145008 286253 103552685 79612835 23939850 0 20055364 34929374 11586543 176837129 31402 9585831 12992716 8940449 10668136 1009721514 587070735 31629472 422650779 421206140 462277939 22959082 50187949 344492 33506994 36186003 559501277 1207074517 83684897 108130854 222623 205155663 291615721 25033752 2354161 254911794 284986746 543752354 712343857 X 15748923 486157447 4826495 3746718 15748923 494730660 559501277 1207074517 X 16226927 462754810 X 0 1 1 X 0 X X X 0 0 0 West Chester Medical Center 311588499 3 - Hospital 1 1 1 0 University Hospital Inc 311479038 3 - Hospital 1 1 1 0 Univ of Cin Physicians Company 311405915 9 1 1 1 0 Drake Center Inc 311273012 3 - Hospital 1 1 1 0 4 0 Schedule A, Part IV, Supplemental Information: Part I, Line 11(h)(vii): Amount of Support: Support totaling of $103,552,685 is provided to the following supported organizations: University Hospital, Inc., West Chester Medical Center, Drake Center, Inc., and University of Cincinnati Physicians Company. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 26528867 26528867 442833080 233277346 209555734 6623755 2519894 4103861 189136 433778936 299879646 134088426 99767740 51393849 48373891 422650779 Benefit Related Liabilities 167440790 Due to Related Organizations 5142060 Professional Liabilities 30119865 Due to Third Party Payors 57818875 Asset Retirement Obligations 8936230 Workers Compensation 2122882 Tax Withholdings 5390 Accrued Employee Benefits 1295600 Other Liabilities 12105054 284986746 0 Abercrumbie Group 10301 Giverny Boulevard Cincinnati OH 45241 300520187 10000 Sponsorship of a Celebration of Black Music and a Salute to African American men American Cancer Society Route 422 and SIPE Avenue Hershey PA 17033 251798733 501(c)(3) 51530 Sponsor/Donations American Diabetes Association 644 Linn Street Cincinnati OH 45209 131623888 501(c)(3) 15000 Sponsorship American Heart Association Inc PO Box 1590 Hagerstown MD 217411590 135613797 501(c)(3) 126000 Sponsor/Donations Community Foundation of West Chester 5641 Union Centre Drive West Chester OH 45069 311661966 501(c)(3) 5200 Sponsorship of Various Events Cybervillage USA Inc PO Box 46929 Cincinnati OH 45246 311575735 501(c)(3) 5500 Midwest Regional Black Family Reunion Celebration Hispanics Avanzando Hispanics 537 E Pete Rose Way Cincinnati OH 45230 542159187 501(c)(3) 10000 General Support Juvenile Diabetes Research 8050 Hosbrook Road Cincinnati OH 45236 231907729 501(c)(3) 15000 Table Sponsorship Mayfield Education and Research Foundation 506 Oak Street Cincinnati OH 45219 310921099 501(c)(3) 20000 General Support NAACP PO Box 1295 Covington KY 41012 616052600 501(c)(3) 10000 General Support United Way of Greater Cincinnati 2400 Reading Road Cincinnati OH 45202 310537502 501(c)(3) 19665 General Support University of Cincinnati PO Box 670357 Cincinnati OH 45267 316000989 Govt. Entity 75000 Hosted Princeton Conference which is Held Annually for the Neurosciences Community Urban League of Greater Cincinnati Inc 3458 Reading Road Cincinnati OH 452293128 310565428 501(c)(3) 8000 General Support Village Life Outreach Project Inc 3306 Ruther Ave Cincinnati OH 45220 201582097 501(c)(3) 6500 General Support 13 1 X X 1 1 X X X X X X 1 1 1 0 0 0 0 0 0 James Kingsbury 783893 0 348750 0 196805 0 35206 0 11618 0 1376272 0 0 0 Hugh R Hinds Jr 420720 0 580372 0 3372 0 390785 0 17605 0 1412854 0 0 0 Gayla Harvey 296842 0 325981 0 9141 0 168038 0 17253 0 817255 0 0 0 Deborah Endres 307587 0 329665 0 7692 0 571213 0 6987 0 1223144 0 0 0 Dennis Robb 234832 0 258995 0 116766 0 128686 0 6591 0 745870 0 0 0 Joseph Bateman 276652 0 203988 0 2867 0 119667 0 6020 0 609194 0 0 0 Jay Brown 236040 0 221006 0 1918 0 63780 0 2580 0 525324 0 0 0 Kenneth Hanover former 0 0 0 0 652320 0 59456 0 0 0 711776 0 0 0 Part I, Line 1a An executive receives a housing allowance and club membership dues. The personal use portion of these benefits are treated as taxable compensation to the executive. Supplemental Information Part III Line 1, Line 4a: Severance Payments: Kenneth Hanover (former) - $652,320 Supplemental Information Part III Line 1, Line 4b: SERP Payment: Dennis Robb - $112,631 Supplemental Information Part III Part I, Line 4c: The distribution from a KESOP plan was made to James Kingsbury amounting to $142,869. Supplemental Information Part III Part II: During calendar year 2011, certain employees received a retention bonus for multi-year service commitments throughout the unwinding period of the former "Health Alliance". This retention bonus was paid in fulfillment of their duties to support operations and fulfill the mission of the organization to serve the health care needs of its patients at a time when key executives were departing. The retention bonus arrangements were reviewed and approved by the UC Health Compensation Committee. County of Butler OH 316000061 123550GB5 2010-11-04 204957604 Hospital Facilities 0 0 0 Port of Greater Cincinnati Development Auth 311752368 2012-06-29 24200000 Refinance revenue bonds and purchase assets 0 0 0 204957604 18688850 3219925 183048829 2011 0 0 1 1 24200000 299957 23900043 0 0 1 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 Form 990, Part VI, Section A, line 6 UC Health has a single corporate member, UC Healthcare System. Form 990, Part VI, Section A, line 7a UC Health has a single corporate member, UC Healthcare System, who has the ability to elect members to the governing body of UC Health. Form 990, Part VI, Section B, line 11 A copy of the Form 990 has been provided to each of UC Health's Audit Committee Members. UC Health's Audit Committee demonstrated review of the Form 990 by a vote to approve the Form 990 for review by the full Board of Directors. The Form 990 is then provided to the Board Members for review, prior to filing. Form 990, Part VI, Section B, line 12c On an annual basis and as new individuals are appointed or hired, the corporate internal audit department of UC Health conducts a survey which is distributed to all Board of Directors, physicians and management. The corporate internal audit department collects and reviews all responses, utilizing the assistance of legal counsel, as needed. The corporate internal audit department reports compliance with the policy and non-responses to the Senior Management and Audit Committee of UC Health. Form 990, Part VI, Section B, line 15 UC Health utilizes information from independent compensation consultants and compensation surveys to determine the compensation of Senior Vice Presidents, the Chief Financial Officer, and the Chief Executive Officer. The compensation is approved by the compensation committee of the UC Health's Board. The compensation of the Chief Executive Officer is evidenced by a written employment contract. The compensation of all other individuals is also determined at fair market value. Form 990, Part VI, Section C, line 19 The organization will provide any documents open for public inspection upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -6,842,479. Change in Pension Liabilities -83,876,414. Transfer of Net Assets to Drake Center, LLC -29,029,281. Transfer of Net Assets to Drake Development, LLC 1,018,359. Transfer of Net Assets to University of Cincinnati Physicians Company, LLC 144,746,721. Transfer of Net Assets to West Chester Medical Center, LLC -15,242,762. Transfer of Net Assets to University Hospital, LLC 451,980,666. Total to Form 990, Part XI, Line 5: 462,754,810. UC Healthcare System 3200 Burnet Avenue Cincinnati OH 45229 273850988 Support Services OH Section 501(c)(3) Schedule A, Line 11c N/A 0 Alliance Liability Self Insurance Trust 3200 Burnet Avenue Cincinnati OH 45229 311534045 Support Services OH Section 501(c)(3) Schedule A, Line 11a UC Health 1 Drake Center Inc 151 West Galbraith Road Cincinnati OH 452161015 311273012 Health Care Services OH Section 501(c)(3) Schedule A, Line 3 UC Health 1 Drake Development Inc 165 West Galbraith Road Cincinnati OH 452161015 311658885 Health Care Services OH Section 501(c)(3) Schedule A, Line 9 Drake Center Inc 1 The Drake Foundation 151 West Galbraith Road Cincinnati OH 452161015 311579572 Support Services OH Section 501(c)(3) Schedule A, Line 11a Drake Center Inc 1 University Hospital Inc 234 Goodman Street Cincinnati OH 45219 311479038 Health Care Services OH Section 501(c)(3) Schedule A, Line 3 UC Health 1 University Hospital Foundation Inc 234 Goodman Street Cincinnati OH 45219 261594868 Fundraising OH Section 501(c)(3) Schedule A, Line 11a University Hospital Inc 1 University of Cincinnati Physicians Company 3200 Burnet Avenue Cincinnati OH 45229 311405915 Health Care Services OH Section 501(c)(3) Schedule A, Line 9 UC Health 1 West Chester Medical Center 7700 University Drive Cincinnati OH 45069 311588499 Health Care Services OH Section 501(c)(3) Schedule A, Line 3 UC Health 1 JHHA Real Estate LLC 3200 Burnet Avenue Cincinnati OH 45229 272460325 Real Estate OH UC Health Unrelated -50459 4655098 0 0 0.54890 UC Health Assurance Company PO Box 1051 GT Grand Cayman CJ Insurance CJ UC Health C 10108220 64287888 1.00000 Midwest Laundry Inc 3200 Burnet Avenue Cincinnati OH 45229 311309029 Commercial Laundry OH UC Health C 118085 4181674 1.00000 Jewish Hospital Services Inc 3200 Burnet Avenue Cincinnati OH 45229 311049967 Miscellaneous Services OH UC Health C 1.00000 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 0 University of Cincinnati Physicians Company D 3000000 Fair Value University of Cincinnati Physicians Company K 5532417 Fair Value UC Healthcare System L 120000 Fair Value UC Healthcare System K 3447385 Fair Value