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UHHSCSAHS - CUYAHOGA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UHHSCSAHS - CUYAHOGA INC (EIN 34-1893452)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349304948
Schema version
2011v1.2
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)
Timestamp2012-11-14T15:03:24-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341893452EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UHHSCSAHS - CUYAHOGA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUHHSNameControl
Phone4407402180Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16935 TREELINE DRIVE NO JAddressLine1
CityBRECKSVILLECity
StateOHState
ZIP Code441413393ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALLEN TRACYName
TitlePRESIDENTTitle
Phone4407402180Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALLEN TRACYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16935 TREELINE DRIVE NO JAddressLine1
CityBRECKSVILLECity
StateOHState
ZIP Code441413393ZIPCode
FieldValueIRS element (for citing)
Gross Receipts78427411GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OUHHS/CSAHS-CUYAHOGA, INC (CUYAHOGA) IS AN ORGANIZATION JOINTLY OWNED BY THE SISTERS OF CHARITY HEALTH SYSTEM AND UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (THE MEMBERS) OPERATED FOR THE EXCLUSIVE BENEFIT OF THE MEMBERS AND THEIR RELATED SUBSIDIARIES. BOTH MEMBERS ARE TAX-EXEMPT 501(C)3 CHARITABLE ORGANIZATIONS. CUYAHOGA PROVIDES ADMINISTRATIVE SUPPORT SERVICES FOR ORGANIZATIONS OPERATED BY THE MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees1654TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY78396403ProgramServiceRevenueCY
Investment Income Prior Year1319InvestmentIncomePriorYear
Investment Income Current Year291InvestmentIncomeCurrentYear
Other Revenue Prior Year73146261OtherRevenuePriorYear
Other Revenue Current Year30717OtherRevenueCurrentYear
Total Revenue Prior Year73147580TotalRevenuePriorYear
Total Revenue Current Year78427411TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year66502725SalariesEtcPriorYear
Salaries Etc Current Year72025154SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6096576OtherExpensePriorYear
Other Expenses Current Year6811197OtherExpensesCurrentYear
Total Expenses Prior Year72599301TotalExpensesPriorYear
Total Expenses Current Year78836351TotalExpensesCurrentYear
Revenues Less Expenses Prior Year548279RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-408940RevenuesLessExpensesCY
Total Assets BOY13270046TotalAssetsBOY
Total Assets EOY16359426TotalAssetsEOY
Total Liabilities BOY9996411TotalLiabilitiesBOY
Total Liabilities EOY13594731TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3273635NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2764695NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUHHS/CSAHS-CUYAHOGA, INC (CUYAHOGA) IS AN ORGANIZATION JOINTLY OWNED BY THE SISTERS OF CHARITY HEALTH SYSTEM AND UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (THE MEMBERS) OPERATED FOR THE EXCLUSIVE BENEFIT OF THE MEMBERS AND THEIR RELATED SUBSIDIARIES. BOTH MEMBERS ARE TAX-EXEMPT 501(C)3 CHARITABLE ORGANIZATIONS. CUYAHOGA PROVIDES ADMINISTRATIVE SUPPORT SERVICES FOR ORGANIZATIONS OPERATED BY THE MEMBERS. THIS MISSION STATEMENT IS PENDING FORMAL BOARD APPROVAL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense78836351Expense
Grants0Grants
Revenue78396403Revenue
DescriptionSEE PART III, LINE 1 MISSION STATEMENT.Description
Total Program Service Expense78836351TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1654NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARY KOWTUNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4407402181TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16935 TREELINE DRIVEAddressLine1
CityBRECKSVILLECity
StateOHState
ZIP Code441413393ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PATRICK MCMAHON RESIGNED 2011
CHAIRPERSON, BOARD DIR2.00XX000
ALLEN TRACY
PRESIDENT & CEO, BOARD DIR2.00XX000
MELISSA ROGERS
CHAIRPERSON, BOARD DIR2.00XX000
PAUL TAIT
SECRETARY, BOARD DIRECTOR2.00XX000
JOHN RUSNACZYK
TREASURER, BOARD DIRECTOR2.00XX000
BRIAN QUINN
SENIOR DIRECTOR/CONTROLLER40.0013454405277X
ROBERT KALISZEWSKI
DIRECTOR OF REIMBURSEMENT40.00123152018739X
DANIEL EVANS
DIRECTOR OF TECH SERVICES40.00121285027391X
CHRISTINE SCHUTTE
DIRECTOR OF APPLICATIONS40.00106588016265X
FieldValueIRS element (for citing)
Total Reportable Comp From Org485569TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation67672TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDICAL INFORMATION TECHNOLOGY
PO BOX 74569CHICAGOIL60696IT SUPPORT1809420
HUMAN ARC
1457 EAST 40TH STREETCLEVELANDOH44103COLLECTION SERVICES474717
VELOCITY TECHNOLOGY
850 3RD AVE 1003NEW YORKNY10022IT SUPPORT425459
GLOBAL HEALTHCARE EXCHANGE
1315 WEST CENTURY DRIVELOUISVILLECO80027IT SUPPORT409678
REVENUE GROUP
3770 PARK EAST SUITE 240 PO BOX 2BEACHWOODOH44122COLLECTION SERVICES199280
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LEASED EMPLOYEE-SJMC5610006652719866527198
MEMBER REVENUES5610001186920511869205
FieldValueIRS element (for citing)
Total Program Service Revenue78396403TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column291TotalRevenueColumn
Exclusion$291ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionBANKRUPTCY/LEHMAN PROCDescription
Business Code900099BusinessCode
Total Revenue Column30717TotalRevenueColumn
Exclusion$30,717ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue30717TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column78427411TotalRevenueColumn
Related Or Exempt Function Income78396403RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$31,008ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total57264834Total
Program Services57264834ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total236577Total
Program Services236577ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14220085Total
Program Services14220085ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total303658Total
Program Services303658ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total307201Total
Program Services307201ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total156Total
Program Services156ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total343588Total
Program Services343588ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total400463Total
Program Services400463ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2425641Total
Program Services2425641ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total508196Total
Program Services508196ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total20496Total
Program Services20496ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2483Total
Program Services2483ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total894847Total
Program Services894847ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total49009Total
Program Services49009ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
COLLECTION FEES14792441479244
BANK FEES356272356272
DUES/SUBSCRIPTIONS1230712307
MISCELLANEOUS OTHER EXP1129411294

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total78836351Total
Program Services78836351ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY816525BOY
EOY967778EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1182429BOY
EOY1003789EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY694162BOY
EOY955500EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16074306LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11165936LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2797185BOY
EOY4908370EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7779745BOY
EOY8523989EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13270046BOY
EOY16359426EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2216666BOY
EOY2704510EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY2366232EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7779745BOY
EOY8523989EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9996411BOY
EOY13594731EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3273635BOY
EOY2764695EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3273635BOY
EOY2764695EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13270046BOY
EOY16359426EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-408940ReconcilationRevenueExpenses
Reconcilation Other Changes-100000ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2842152CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4323300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2947818CurrentTaxYearMinus2Years
Total10113270Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years244124172CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years254084234CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years254804865CurrentTaxYearMinus2Years
Current Tax Year78396403CurrentTaxYear
Total831409674Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7512292CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6067111CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9412849CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73146261CurrentTaxYearMinus1Year
Current Tax Year30717CurrentTaxYear
Total96169230Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years254478616CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years264474645CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years267165532CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73146261CurrentTaxYearMinus1Year
Current Tax Year78427120CurrentTaxYear
Total937692174Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509937692174PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3517254CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2274357CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years172216CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1319CurrentTaxYearMinus1Year
Current Tax Year291CurrentTaxYear
Total5965437Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3517254CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2274357CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years172216CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1319CurrentTaxYearMinus1Year
Current Tax Year291CurrentTaxYear
Total5965437Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1102260CurrentTaxYearMinus4Years
Total1102260Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years259098130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years266749002CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years267337748CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73147580CurrentTaxYearMinus1Year
Current Tax Year78427411CurrentTaxYear
Total944759871Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99250PublicSupportPercentage509
Investment Income Percentage0.00630InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis204667OtherCostOrOtherBasis
Depreciation194891Depreciation
Book Value9776BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15869639OtherCostOrOtherBasis
Depreciation10971045Depreciation
Book Value4898594BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4908370TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionST JOHN MEDICAL CENTER - LEASING ARRANGEMENTDescription
Book Value8523989BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets8523989TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionST JOHN MED CTR - LEASING/BENEFITSDescription
Amount$8,523,989Amount
FieldValueIRS element (for citing)
Total Of Amounts8523989TotalOfAmounts
Total Revenue78427411TotalRevenue
Total Expenses78836351TotalExpenses
Excess Or Deficit For Year-408940ExcessOrDeficitForYear
Other-$100,000OtherAmount
Total Adjustments-100000TotalAdjustments
Excess Or Deficit Per FS-508940ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt78427412TotRevenueEtcAuditedFinclStmt
Other Revenues1OtherRevenues
Revenue Not Rptd F9901RevenueNotRptdF990
Revenue Subtotal78427411RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99078427411TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt78836349TotExpensesEtcAuditedFinclStmt
Other Expenses Included-2OtherExpensesIncluded
Expenses Not Rptd F990-2ExpensesNotRptdF990
Expenses Subtotal78836351ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99078836351TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFER OF ASSETS FROM PRIOR YEAR; RESTRICTED DONATION PREV. RECOGNIZED -100,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ROUNDING ON AUDITED FINANCIAL STATEMENTS 1.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:ROUNDING ON AUDITED FINANCIAL STATEMENTS -2.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationPATRICK MCMAHON RECIEVED A SEVERANCE PACKAGE IN 2011 THAT TOTALED $558,450. THE PAYMENTS ARE PAID OUT OVER TIME. THE AMOUNT OF THE SEVERANCE RECEIVED IN 2011 WAS $176,126.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS TWO CORPORATE MEMBERS: SISTERS OF CHARITY HEALTH SYSTEM AND UNIVERSITY HOSPITALS HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S MEMBERS MAY ELECT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN DECISIONS OF THE GOVERNING BODY, SUCH AS APPROVAL OF BUDGETS, CAPITAL EXPENDITURES AND ACQUISITION OF LAND, MUST BE APPROVED BY THE BOARD OF THE MEMBER ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11AFTER THE 990 RETURN IS REVIEWED INTERNALLY; IT IS SUBMITTED FOR REVIEW TO OUR TAX ADVISORS. THEY REVIEW FOR COMPLETENESS AND COMMUNICATE ANY CONCERNS THAT THEY IDENTIFY WITHIN THE DOCUMENTS AND WORKSHEETS OF THE TAX RETURN. ITEMS IDENTIFIED ARE REVIEWED BY STAFF AND ANY NEEDED CORRECTIONS ARE MADE. THE RETURN IS THEN PROVIDED TO THE PRESIDENT FOR REVIEW AND APPROVAL. IT IS THEN SUBMITTED TO THE BOARD FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS IN PLACE A CONFLICT OF INTEREST POLICY AS WELL AS A NON-RETALIATION POLICY (WHISTLE-BLOWER) MANAGED THRU THE COMPLIANCE OFFICER. THE CONFLICT OF INTEREST FORMS ARE SENT OUT ANNUALLY TO ADMINISTRATION, AND OTHER LEADERSHIP EMPLOYEES AS WELL AS BOARD MEMBERS. THE FORMS ARE RETURNED TO ADMINISTRATION. ONCE RETURNED, THEY ARE REVIEWED BY THE COMPLIANCE OFFICER AND CEO TO DETERMINE IF ANYTHING WOULD BE DEEMED A POTENTIAL CONFLICT OF INTEREST. IF THERE IS A CONFLICT, THE CEO, COMPLIANCE OFFICER AND EMPLOYEE/INDIVIDUAL MEET TO DISCUSS. THE RESULTS OF THOSE MEETINGS ARE AN AGENDA ITEM AT THE ORGANIZATION'S ADMINISTRATIVE COMPLIANCE COMMITTEE MEETING AND IT IS FURTHER DISCUSSED THERE. ONCE A DECISION IS MADE REGARDING THE CONFLICT, FOLLOW-UP IS MADE BY THE COMPLIANCE OFFICER/CEO WITH THE EMPLOYEE, IF APPROPRIATE. THE ORGANIZATION ALSO DISCUSSES THE RESULTS OF THE CONFLICT OF INTERESTS WITH THE BOARD OF TRUSTEES.
HUMAN RESOURCES REVIEWS EMPLOYEE COMPENSATION LEVELS OF USING MARKET BASED RESOURCES AND ESTABLISHES COMPENSATION LEVELS TO BE WITHIN COMPETITIVE RANGE OF THE REGIONAL MARKET.
FORM 990, PART VI, SECTION C, LINE 18FORMS 990 AND 1023 ARE AVAILABLE TO PUBLIC UPON REQUEST AT THE FINANCIAL SERVICE CENTER LOCATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, THE FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO PUBLIC UPON REQUEST AT THE FINANCIAL SERVICE CENTER LOCATION.
FORM 990, PART XI, LINE 5:TRANSFER OF ASSETS FROM PRIOR YEAR; RESTRICTED DONATION PREV. RECOGNIZED -100,000. TOTAL TO FORM 990, PART XI, LINE 5: -100,000.CHANGES IN NET ASSETS OR FUND BALANCES:
SCHEDULE R, PART IIUHHS/CSAHS - CUYAHOGA, INC. HAS TWO CORPORATE MEMBERS, UNIVERSITY HOSPITALS HEALTH SYSTEM AND THE SISTERS OF CHARITY OF ST. AUGUSTINE. THE ENTIRE BOARD OF UHHS/CSAHS - CUYAHOGA, INC. ARE EMPLOYEES OF ONE OF THE CORPORATE MEMBERS AND THEREFORE RECEIVE COMPENSATION FROM ONE OF THE CORPORATE MEMBERS. NEITHER CORPORATE MEMBER MEETS THE NECESSARY ELEMENT OF CONTROL TO BE CONSIDERED A RELATED ORGANIZATION AND ARE THEREFORE NOT REPORTED ON SCHEDULE R. ACCORDING, THERE IS NO COMPENSATION REPORTED FOR THE BOARD MEMBERS SINCE THEY ARE NOT COMPENSATED BY THE ORGANIZATION OR A RELATED ORGANIZATION. AS A RESULT, ALL FOUR BOARD MEMBERS HAVE BEEN LISTED ON FORM 990, PART VI, AND LINE B AS NOT LACKING INDEPENDENCE.
FORM 990, PART VI, LINE 15HUMAN RESOURCES REVIEWS EMPLOYEE COMPENSATION LEVELS OF USING MARKET BASED RESOURCES AND ESTABLISHES COMPENSATION LEVELS TO BE WITHIN COMPETITIVE RANGE OF THE REGIONAL MARKET.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UHHSCSAHS-CUYAHOGA HOLDING COMPANY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16935 TREELINE DRIVEAddressLine1
CityBRECKSVILLECity
StateOHState
ZIP Code44141ZIPCode
FieldValueIRS element (for citing)
EIN341895400EIN
Primary ActivityHOLDING COPrimaryActivity
Legal Domicile StateOHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UHHSCSAHS CUYAHOGA INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg