2011-11-15T08:00:40-06:00
2010-12-31
ERNST & YOUNG US LLP
111 Monument Circle Suite 2380
Indianapolis
IN
46204
990
2010-01-01
900059117
University Hospitals Health System Inc
Group Return
UNIV
2167678007
11100 Euclid Avenue - Attn Treasury
Dep
Cleveland
OH
44106
Michael Szubski
CFO UHHS
2168441000
2011-11-15
1
ERNST YOUNG US LLP
3176817000
2010
2016-02-24 21:20:13Z
Michael Szubski
3605 Warrensville Center Road
Shaker Heights
OH
44122
1938446000
1
0
3829
X
www.UHhospitals.org
X
University Hospitals (the System) is guided by its mission To Heal. To Teach. To Discover. The System serves a unique role in its community by providing diverse populations throughout the Northeast Ohio region with comprehensive health care - from primary care to highly specialized medical care for the most serious of health problems. University Hospitals is known for providing superior, leading-edge health care across the full range of medical and surgical specialties for both adults and children. In addition to delivering quality patient care, the System serves as a key teaching facility for physicians, nurses and ancillary medical personnel. The System's extensive clinical research programs are producing significant advances in the understanding of disease and improvement of care.
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University Hospitals' mission is To Heal. To Teach. To Discover. In pursuit of this mission, University Hospitals remains at the forefront of health care delivery, physician education, and medical research nationwide. Yet what makes University Hospitals unique is its ability to bring expertise and resources together and respond to the individual needs of every patient, regardless of their ability to pay. That focus on the patient, combined with a remarkable level of achievement in medical research and education continues to propel University Hospitals to even greater successes.
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Caring for the community has been an unwavering commitment of University Hospitals ("the System") since its founding in 1866. Commitment to the community remains at the core of the System's mission: To Heal. To Teach. To Discover. In 2010, University Hospitals dedicated $243.5 million to community benefit programs in Northeast Ohio consisting of:- Education and training = $47.0 million- Research = $41.8 million- Charity care = $35 million- Medicaid shortfall = $85 million- Community health improvement services = $10.3 million- Other community programs and support = $38.8 million- Hospital Care Assurance Program (HCAP) receipts = ($14.4 million)Defer to Schedule H for further detail on how the System measures and reports community benefit. Community benefit for 2010 totaled $243.5 million up from $233.8 million in 2009. It is important to note that in addition to charity care and insufficient funding from the Medicaid program, the System incurs significant losses related to self-pay patients who fail to make payment for services rendered or insured patients who fail to remit co-payments and deductibles as required under applicable health insurance arrangements. The 2010 provision for bad debt of $52.4 million represents revenues for services provided that are deemed uncollectible.The UH health system provides work directly for about 22,500 employees and physicians. As the seventh largest employer in Ohio, UH supports the economy as well as state and local governments. UH employees pay more than $47.6 million annually in state and local income taxes. At the same time, UH provides many more Community benefits directly and indirectly through new or expanded business opportunities and through important capital investments in our facilities.As part of our Vision 2010 strategic plan, UH has committed - and continues to commit - millions of dollars to facilities and operations within the city of Cleveland and throughout our region, providing thousands of new construction and hospital-based jobs. New facilities and services at UH Case Medical Center, our world-renowned academic medical center in Cleveland, provide Cleveland residents and people from throughout the region and the world with the finest in primary and specialty health care. The facilities allow us to conduct vital medical research and offer advanced training for students and health professionals.Vision 2010's Quentin & Elisabeth Alexander Neonatal Intensive Care Unit at University Hospitals Rainbow Babies & Children's Hospital serves our most vulnerable children. UH's new Cancer Hospital and emergency facilities at UH Case Medical Center and UH Ahuja Medical Center, all opening in 2011, will provide expanded employment opportunities while extending UH's mission to more patients. University Hospitals Ahuja Medical Center in Beachwood will provide hundreds of new jobs. New state-of-the-art outpatient health centers in the region have spurred economic growth while giving people access to the care they need close to home. University Hospitals is proud to contribute to the health of our citizens and to be a positive economic force in our region.For more detailed information on the System's community benefit or to view the 2010 Community Benefit Report, please visit the System's website at www.UHhospitals.org.
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FL
IL
KY
MI
NY
PA
WI
WV
X
X
Michael A Szubski CFO UHHS
2167678007
3605 Warrensville Center Road
Shaker Hts
OH
44122
X
UHCMC - Joel Adelman
Director
2.00
X
0
0
0
UHCMC - Thomas W Adler
Director
2.00
X
0
0
0
UHCMC - Monte Ahuja
Ex Officio Director
2.00
X
0
0
0
UHCMC - William L Annable MD
Director
2.00
X
0
0
0
UHCMC - Robert T Bennett
Director
2.00
X
0
0
0
UHCMC - Paul H Carleton
Director
2.00
X
0
0
0
UHCMC - Carole A Carr
Director
2.00
X
0
0
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UHCMC - Kevin D Cooper MD
Ex Officio Director
2.00
X
0
0
0
UHCMC - Beth Curtiss
Ex Officio Director
2.00
X
0
0
0
UHCMC - Pamela B Davis MD PhD
Ex Officio Director
2.00
X
0
0
0
UHCMC - Ralph Della Ratta
Director
2.00
X
0
0
0
UHCMC - Achilles A Demetriou MD
Ex Officio Director
2.00
X
0
0
0
UHCMC - Michael Feuer
Director
2.00
X
0
0
0
UHCMC - David Goldberg
Director
2.00
X
0
0
0
UHCMC - Robert D Gries
Director
2.00
X
0
0
0
UHCMC - Charles Hallberg
Director
2.00
X
0
0
0
UHCMC - Gordon Harnett
Director
2.00
X
0
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0
UHCMC - Richard A Horvitz
Director
2.00
X
0
0
0
UHCMC - Christopher Hyland
Director
2.00
X
0
0
0
UHCMC - Beth Kaufman
Ex-Officio Director
2.00
X
0
0
0
UHCMC - Jerry Kelsheimer
Director
2.00
X
0
0
0
UHCMC - Raymond K Lee
Director
2.00
X
0
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0
UHCMC - Adrian Maldonado
Director
2.00
X
0
0
0
UHCMC - John C Morley
Director
2.00
X
0
0
0
UHCMC - Patrick S Mullin
Chair/Director
2.00
X
0
0
0
UHCMC - Ernest J Novak
Director
2.00
X
0
0
0
UHCMC - William J O'Neill Jr
Director
2.00
X
0
0
0
UHCMC - Lydia B Oppmann
Director
2.00
X
0
0
0
UHCMC - Kim Meisel Pesses
Ex Off. Dir. (thru 05/10)
2.00
X
0
0
0
UHCMC - Ann P Ranney
Director
2.00
X
0
0
0
UHCMC - Julie Adler Raskind
Director
2.00
X
0
0
0
UHCMC - Kenneth C Ricci
Director
2.00
X
0
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0
UHCMC - Robert Risman
Director
2.00
X
0
0
0
UHCMC - Barbara S Robinson
Director
2.00
X
0
0
0
UHCMC - Fred C Rothstein MD
President/Ex Off. Dir.
60.00
X
X
0
0
0
UHCMC - Lawrence C Sherman
Director
2.00
X
0
0
0
UHCMC - Michael Siegal
Director
2.00
X
0
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0
UHCMC - Hilton O Smith
Director
2.00
X
0
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0
UHCMC - Eddie Taylor
Director
2.00
X
0
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0
UHCMC - Kelly Tompkins
Director
2.00
X
0
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0
UHCMC - Penni Weinberg
Director
2.00
X
0
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0
UHCMC - Lorna Wisham
Director
2.00
X
0
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0
UHCMC - Jacqueline Woods
Director
2.00
X
0
0
0
UHCMC - Christine Wynd
Ex Officio Director
2.00
X
0
0
0
UHCMC - Thomas F Zenty III
Ex Officio Director
2.00
X
0
0
0
AMC - Sheldon G Adelman
Director
2.00
X
0
0
0
AMC - James Benedict
President/Ex Off. Dir.
60.00
X
X
514989
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95491
AMC - Julie Boland
Director
2.00
X
0
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0
AMC - Michael Drusinsky
Director
2.00
X
0
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AMC - Robert Glick
Director
2.00
X
0
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AMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00
X
580341
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Director
2.00
X
0
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AMC - Thomas Murdough
Director
2.00
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AMC - Enid Rosenberg
Director
2.00
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AMC - Reggie Rucker
Director
2.00
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AMC - Neil Sethi
Director
2.00
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AMC - Margaret Singerman
Director
2.00
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AMC - John Sinnenberg
Director
2.00
X
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AMC - Richard Stein MD
Ex Officio Director
2.00
X
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26870
BMC - Samuel Ake
Secretary/Director
2.00
X
0
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BMC - Wendolyn Grant
Director
2.00
X
0
0
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BMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00
X
0
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BMC - George Hawwa MD
Ex Officio Director
2.00
X
72900
0
0
BMC - James Hukill
Treasurer/Director
2.00
X
0
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0
BMC - James O Judd
Director
2.00
X
0
0
0
BMC - Patrick Lally
Director
2.00
X
0
0
0
BMC - Sean McKibben
Pres./Ex Off. Dir. (thru 12/10)
60.00
X
X
314892
0
66379
BMC - Brock Milstein
Director
2.00
X
0
0
0
BMC - Timothy Morgan
Director
2.00
X
0
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BMC - Stamy Paul
Director
2.00
X
0
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BMC - Philip Ridolfi
Chair/Director
2.00
X
0
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0
BMC - Michael Romito
Vice Chair/Director
2.00
X
0
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CMC - Terry Atkinson
Director
2.00
X
0
0
0
CMC - Benjamin Bryant MD
Ex Officio Director
2.00
X
0
286336
23579
CMC - Robert David
President/Ex Officio Dir.
30.00
X
X
147394
0
32349
CMC - Charles Deck
Director
2.00
X
0
0
0
CMC - Gerald Eighmy
Chair/Director
2.00
X
0
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CMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00
X
0
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CMC - George Kolman
Director
2.00
X
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CMC - Tim Kraus
Vice Chair/Director
2.00
X
0
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CMC - Lori McLaughlin
Director
2.00
X
0
0
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CMC - Karen McNeil RN
Dir. Pat. Care Svcs/Ex Off Dir.
60.00
X
102755
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3434
CMC - Joseph A Moroski
Director
2.00
X
0
0
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CMC - Mike Skufca MD
Director
2.00
X
0
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CMC - James Supplee
Director
2.00
X
0
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GMC - Linda Barnes Grimm
Director (thru 1/10)
2.00
X
0
0
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GMC - John Fitts
Director
2.00
X
0
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GMC - Robert A Forino
Director
2.00
X
0
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GMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00
X
0
0
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GMC - M Steven Jones
President/Ex Off. Dir.
60.00
X
X
314083
0
74340
GMC - P James Kramer Jr
Director
2.00
X
0
0
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GMC - Peggy Kuhar
Dir. of Nursing/Ex Off Dir.
60.00
X
149340
0
16203
GMC - Edith Lerner PhD
Director
2.00
X
0
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GMC - Darrell McNair
Director
2.00
X
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GMC - David M Ondrey
Chair/Director
2.00
X
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GMC - James F Patterson
Director
2.00
X
0
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GMC - Gregory Robinson
Treasurer/Director
2.00
X
0
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GMC - George W Tim Taylor
Vice Chair/Director
2.00
X
0
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GMC - Natalina Andreani MD
Ex Officio Director
2.00
X
11950
30480
0
UHGMC - James Crawford
Director
2.00
X
0
0
0
UHGMC - Robert David
President/Ex Officio Dir.
30.00
X
X
147394
0
32349
UHGMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00
X
0
0
0
UHGMC - Syed Hussaini MD
Ex Officio Dir.
2.00
X
0
0
0
UHGMC - Cathy Knorzer
Dir. Nurs. & Clin. Svc/Ex Off
60.00
X
130487
0
16588
UHGMC - Jeffrey Lampson
Director
2.00
X
0
0
0
UHGMC - Craig Parker
Chair/Director
2.00
X
0
0
0
UHGMC - Gary L Pasqualone
Director
2.00
X
0
0
0
UHGMC - Willard Raymond
Director
2.00
X
0
0
0
UHGMC - Robert Taylor
Director
2.00
X
0
0
0
UHECC - Achilles A Demetriou MD
Ex-Officio Director
2.00
X
0
0
0
UHECC - Thomas Benda
Chair/Director
2.00
X
0
0
0
UHECC - Richard J Frenchie
Sec. & Treas./Director
2.00
X
X
253692
0
20018
UHECC- Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00
X
0
0
0
UHECC - Susan V Juris
President/Ex Off. Dir.
60.00
X
X
370246
0
81045
UHECC - David Kosnosky MD
Ex Officio Director
60.00
X
0
209408
32173
UHECC - John Male
Director
2.00
X
0
0
0
UHECC - Kathleen Malec
Director
2.00
X
0
0
0
UHECC - James Patterson
Director
2.00
X
0
0
0
UHECC - Joanne Rogers
Dir. Intake Ctr/Ex Off. Dir. (thru 5/10)
60.00
X
96950
0
13268
UHECC - Keith Tompkins
Director
2.00
X
0
0
0
UHECC - William Wortzman
Director
2.00
X
0
0
0
UHECC - William Young
Director
2.00
X
0
0
0
HHINC - Thomas Benda
Chair/Director
2.00
X
0
0
0
HHINC - Achilles A Demetriou MD
Ex Off. Dir. (thru 5/10)
2.00
X
0
0
0
HHINC - Richard J Frenchie
Sec. & Treas./Director
2.00
X
X
0
0
0
HHINC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
2.00
X
0
0
0
HHINC - Susan V Juris
President/Ex Off. Dir.
2.00
X
X
0
0
0
HHINC - David Kosnosky MD
Ex Officio Director
2.00
X
0
0
0
HHINC - John Male
Director
2.00
X
0
0
0
HHINC - Kathleen Malec
Director
2.00
X
0
0
0
HHINC - James Patterson
Director
2.00
X
0
0
0
HHINC - Joanne Rogers
Dir. Intake Center/Ex Officio Direc
2.00
X
0
0
0
HHINC - Keith Tompkins
Director
2.00
X
0
0
0
HHINC - William Wortzman
Director
2.00
X
0
0
0
HHINC - William Young
Director
2.00
X
0
0
0
RMC - Theodore Dalheim
Director
2.00
X
0
0
0
RMC - Laurie Delgado
President/Ex Officio Dir.
60.00
X
X
399299
0
81635
RMC - Judy Grieg
Ex Officio Dir.
2.00
X
0
0
0
RMC - Richard Hanson
Pres Com. Hosp/Ex Off. Dir.
10.00
X
0
0
0
RMC - David E Jerome
Chair/Director
2.00
X
0
0
0
RMC - Rosemary Leeming MD
Ex Officio Director
60.00
X
220564
0
19897
RMC - Mark Plush
Director
2.00
X
0
0
0
UMI - Phyllis Hall
Secretary
2.00
X
X
486934
0
95929
UMI - Michael Nochomovitz MD
President
2.00
X
X
0
0
0
UMI - Michael A Szubski
Treasurer
2.00
X
X
0
0
0
HCS - Achilles A Demetriou MD
Director
2.00
X
0
0
0
HCS - Keith Maitland
President/Director
60.00
X
X
269523
0
78148
HCS - Janet L Miller Esq
Secretary/Director
2.00
X
X
0
0
0
UHHS - Monte Ahuja
Chair/Director
2.00
X
0
0
0
UHHS - Sheldon G Adelman
Director
2.00
X
0
0
0
UHHS - Arthur F Anton
Director
2.00
X
0
0
0
UHHS - Craig Arnold
Director
2.00
X
0
0
0
UHHS - Andrew Banks
Director
2.00
X
0
0
0
UHHS - Thomas W Benda
Ex Officio Director
2.00
X
0
0
0
UHHS - April Boise
Director (thru 12/10)
2.00
X
0
0
0
UHHS - Joseph Carrabba
Director
2.00
X
0
0
0
UHHS - Paul Clark
Director
2.00
X
0
0
0
UHHS - Christopher M Connor
Director
2.00
X
0
0
0
UHHS - Margot J Copeland
Director
2.00
X
0
0
0
UHHS - David A Daberko
Director
2.00
X
0
0
0
UHHS - Achilles A Demetriou MD
COO/President/Ex Off. Dir.
60.00
X
X
2154110
0
64452
UHHS - Gerald B Eighmy
Ex Officio Director (thru 5/10)
2.00
X
0
0
0
UHHS - Heather Ettinger
Director
2.00
X
0
0
0
UHHS - Brian Hall
Director
2.00
X
0
0
0
UHHS - James Hambrick
Vice Chair/Director
2.00
X
0
0
0
UHHS - Kenneth Hardy
Director
2.00
X
0
0
0
UHHS - M Ann Harlan
Director
2.00
X
0
0
0
UHHS - Ronald G Harrington
Director
2.00
X
0
0
0
UHHS - David Jerome
Ex Officio Dir. (thru 5/10)
2.00
X
0
0
0
UHHS - James O Judd
Ex Officio Director
2.00
X
0
0
0
UHHS - William E Karnatz Sr
Director (thru 5/10)
2.00
X
0
0
0
UHHS - Timothy Kraus
Ex Officio Director
2.00
X
0
0
0
UHHS - Joseph Lopez
Director
2.00
X
0
0
0
UHHS - Henry L Meyer III
Director
2.00
X
0
0
0
UHHS - Patrick Mullin
Ex Officio Director
2.00
X
0
0
0
UHHS - Thomas G Murdough Jr
Director
2.00
X
0
0
0
UHHS - Ernest Novak
Director
2.00
X
0
0
0
UHHS - David Ondrey
Ex Officio Director
2.00
X
0
0
0
UHHS - Vasu Pandrangi MD
Ex Officio Director
2.00
X
0
0
0
UHHS - Craig A Parker
Ex Officio Dir. (thru 5/10)
2.00
X
0
0
0
UHHS - Sandy Pianalto
Director
2.00
X
0
0
0
UHHS - Mark Plush
Ex Officio Director
2.00
X
0
0
0
UHHS - Richard W Pogue
Director
2.00
X
0
0
0
UHHS - Alfred M Rankin Jr
Vice Chair/Director
2.00
X
0
0
0
UHHS - Willard Raymond
Ex Officio Director
2.00
X
0
0
0
UHHS - Philip Ridolfi
Ex Officio Dir.
2.00
X
0
0
0
UHHS - Gregory Robinson
Ex Officio Director
2.00
X
0
0
0
UHHS - Fred C Rothstein MD
Exec. VP UH/Ex Officio Dir
60.00
X
1598067
0
49211
UHHS - Robert Salata MD
Director
60.00
X
103772
0
0
UHHS - Thomas A Selden
Ex Officio Director
2.00
X
0
0
0
UHHS - Jerry Sue Thornton PhD
Director
2.00
X
0
0
0
UHHS - Les C Vinney
Director
2.00
X
0
0
0
UHHS - Thomas F Zenty III
CEO UHHS/Ex Officio Dir.
60.00
X
X
2283116
0
351062
UHLSF - Ronald Dziedzicki BSN RN
Secretary/Director
2.00
X
X
0
0
0
UHLSF - Mark Loos
Director (thru 5/10)
2.00
X
0
0
0
UHLSF - Sonia Salvino
Director
2.00
X
0
0
0
UHLSF - James J Benedict
Director (thru 5/10)
2.00
X
0
0
0
UHMG - James J Benedict
Director (thru 5/10)
2.00
X
0
0
0
UHMG - Brian Berman MD
Co-Chair Peds/Dir. (thru 5/10)
60.00
X
327371
0
13061
UHMG - Eric Bieber MD
Director
2.00
X
0
0
0
UHMG - Paul H Carleton
Director
2.00
X
0
0
0
UHMG - Kevin Cooper MD
Director
60.00
X
273756
0
0
UHMG - Pamela B Davis MD
Director
2.00
X
0
0
0
UHMG - Achilles A Demetriou MD
Director
2.00
X
0
0
0
UHMG - Michael J Farrell
Director (thru 5/10)
2.00
X
0
0
0
UHMG - Gordon Harnett
Director
2.00
X
0
0
0
UHMG - Elliott A Kellman
Director
2.00
X
0
0
0
UHMG - Michael Konstan MD
Director
60.00
X
273652
0
9636
UHMG - Mark E Loos
Director
2.00
X
0
0
0
UHMG - Nathan Levitan MD
Dir.(thru 5/10)/(See Sched. O)
2.00
X
853022
0
43782
UHMG - Randall Marcus MD
Chair Orthopaedics/Director
60.00
X
640578
0
20738
UHMG - Edward Michelson MD
Director (thru 5/10)
60.00
X
445184
0
29498
UHMG - Howard Nearman MD
Director
60.00
X
424941
0
16900
UHMG - Michael Nochomovitz MD
President/Director
60.00
X
X
1000188
0
43798
UHMG - William O'Neill Jr
Director
2.00
X
0
0
0
UHMG - Daniel Ornt
Director
2.00
X
0
0
0
UHMG - Jeffrey Ponsky MD
Dept. Chair Surgery/Director
60.00
X
666020
0
16655
UHMG - Fred C Rothstein MD
Chair/Director
2.00
X
0
0
0
UHMG - Michael A Szubski
Director
2.00
X
0
0
0
UHMG - Richard A Walsh MD
Dept. Chair Med./Dir.
60.00
X
458887
0
16655
UHCMC - Michael R Anderson MD
Chief Med. Off. (thru 5/10)
60.00
X
347092
0
28188
UHCMC - Eric Bieber MD
Chief Medical Officer
60.00
X
613073
0
13061
UHCMC - Ronald E Dziedzicki BSN RN
Chief Support Svcs. Officer
60.00
X
386367
0
93385
UHCMC - Michael J Farrell
Pres. RBC & MacDonald Hosp.
60.00
X
639507
0
120310
UHCMC - Catherine S Koppelman RN
Chief Nursing Off.
60.00
X
423050
0
107039
UHCMC - Mark Loos
Chief Med. Surg. Svcs. Off.
60.00
X
390058
0
74289
UHCMC - Janet L Miller Esq
Sec. & Chief Legal Officer
2.00
X
0
0
0
UHCMC - Sonia Salvino
VP Finance/Treasurer
60.00
X
266747
0
60329
HCS - Rebecca Ivcic
Treasurer
60.00
X
142835
0
31635
UHHS - Elliot A Kellman
Sr. VP Chief HR Officer
60.00
X
869197
0
36529
UHHS - Janet L Miller Esq
Sec. & Chief Legal Officer
60.00
X
575546
0
127528
UHHS - Steven D Standley
Chief Admin. Officer
60.00
X
765206
0
123333
UHHS - Michael A Szubski
Treas. & CFO
60.00
X
836787
0
149014
UHLSF - Don M Landek
President
60.00
X
184170
0
40853
UHMG - Harlin G Adelman
Assistant Sec. (See Sched. O)
2.00
X
407867
0
72962
UHMG - Janet L Miller Esq
Secretary
2.00
X
0
0
0
UHHS - Cliff J Coker
Pres. of JV - (See Sched.
60.00
X
420646
0
63059
UHHS - Sherri L Bishop
SVP IR & D
60.00
X
539446
0
118947
UHHS - Paul G Tait
SVP Strategic Planning
60.00
X
493320
0
111610
UHCMC - Carl Lufter
Director UH Pharmacy
60.00
X
182701
0
26988
UHHS - Nancy E Paton
SVP Marketing & Communic
60.00
X
541939
0
55742
UHHS - Cheryl Wahl
Chief Compliance Officer
60.00
X
286589
0
50761
UHMG - Bahman Guyuron MD
Surgeon, Plastic Surgery
60.00
X
1242912
0
16655
UHMG - Reuben Gobezie MD
Orthopaedic Surgeon
60.00
X
1166069
0
20411
UHMG - Nicholas U Ahn MD
Orthopaedic Surgeon
60.00
X
1020923
0
16900
UHMG - Christopher G Furey MD
Orthopaedic Surgeon
60.00
X
855500
0
19561
UHMG - Kord S Honda MD
Dermatopathology
60.00
X
799168
0
18848
UHCMC - John Nash
Fmr. Officer
2.00
X
120519
0
0
UHLSF - Michael R Vehovec
Fmr. Officer
2.00
X
344506
0
56615
UHHS - Kevin V Roberts
Fmr. Officer
2.00
X
406988
0
0
UHMG - Catherine E Keating MD
Fmr. Officer
2.00
X
641460
0
3875
UHHS - Mary Alice Annecharico
Fmr. Key Employee
60.00
X
540227
0
51976
UHHS - Heidi Gartland
Fmr. Key Employee
60.00
X
278031
0
61718
UHMG - Pablo R Ros MD
Fmr. Key Employee
60.00
X
619216
0
14100
UHMG - Charles Lanzieri MD
Fmr. Key Employee
60.00
X
549406
0
20738
UHMG - Ann Lyren MD
Fmr. Key Employee
60.00
X
198108
0
17842
UHMG - Ross M Ungerleider MD
Fmr. Highly Comp. Employee
60.00
X
460048
0
14044
UHMG - Matthew Kraay MD
Fmr. Highly Comp. Employee
60.00
X
787274
0
20738
35428895
968736
3429407
928
1
1
0
MICROSOFT LICENSING GP
PO Box 842467
Dallas
TX
752842467
IT
1922596
NATIONAL MARROW DONOR PROGRAM
NW 8428 PO BOX 1450
MINNEAPOLIS
MN
554858428
Donor Match
1913106
MEDQUIST INC
PO BOX 10832
Newark
NJ
071930832
Transcription/Document management
1544845
VORYS SATER SEYMOUR & PEASE LLP
PO Box 73487
Cleveland
OH
44193
Legal
1507659
INO THERAPEUTICS LLC
PO BOX 642509
Pittsburgh
PA
152642509
Pharmaceuticals
1398131
77
300000
37058000
2703000
37358000
Patient Services less
900099
1692607000
1692330000
277000
Sponsored Revenues
900099
33771000
33771000
UHMG Other Clinical Re
900099
25278000
25278000
UHMG Medical Director
900099
20057000
20057000
UHMG Resident Teaching
900099
19663000
19663000
26400000
26400000
1817776000
2286000
91000
2195000
3216000
3216000
3216000
3216000
95000
300000
133000
-38000
-38000
Other Miscellaneous Re
900099
71550000
71550000
Parking Services
900099
6165000
6165000
77715000
1938313000
1889049000
368000
11538000
31042000
31042000
5747000
5747000
2796000
2796000
754912000
705205000
45285000
4422000
43897000
41275000
2622000
116654000
108484000
6965000
1205000
45211000
42513000
2698000
575000
574000
1000
390000
390000
63000
63000
2268000
1728000
540000
283840000
283014000
826000
20469000
1021000
19443000
5000
78936000
78510000
426000
6339000
6119000
220000
7978000
7978000
60575000
60575000
11764000
11764000
Other purchased service
134296000
120378000
13689000
229000
Income tax on Unrelated
11000
11000
Bad debt expense
46695000
46695000
Medical/clinical purcha
36073000
36073000
Other
17687000
9565000
7964000
158000
49426000
32440000
16948000
38000
1757644000
1627186000
122325000
8133000
20053000
27010000
12399000
72384000
68614000
232878000
249417000
444000
416000
23483000
23942000
4499000
3758000
1359315000
875260000
507602000
484055000
123561000
319000
81215000
77088000
3791000
3783000
322000
44766000
89071000
1142008000
1012862000
85515000
79949000
37013000
26762000
68826000
63353000
154000
140000
82075000
95428000
273583000
265632000
X
678269000
549806000
173890000
181331000
16266000
16093000
868425000
747230000
1142008000
1012862000
X
180669000
-301864000
X
0
1
1
X
1
1
X
Schedule A, Part IV, Supplemental Information: Public charity classification of each Group Member is shown below: University Hospitals Cleveland Medical Center (UHCMC) - 34-1567805 dba University Hospitals Case Medical Center 170(b)(1)(A)(iii) 11100 Euclid Ave Cleveland, OH 44106 University Hospitals Bedford Medical Center (BMC) - 34-1271115 170(b)(1)(A)(iii) 44 Blaine Avenue Bedford, OH 44146 University Hospitals Conneaut Medical Center (CMC) - 34-0714550 170(b)(1)(A)(iii) 158 West Main Road Conneaut, OH 44030 BMH Professional Corporation (BMHPC) - 34-1749966 509(a)(3) 158 West Main Road Conneaut, OH 44030 University Hospitals Geauga Medical Center (GMC) - 34-0816492 170(b)(1)(A)(iii) 13207 Ravenna Road Chardon, OH 44024 University Hospitals Geneva Medical Center (UHGMC) - 34-0714461 170(b)(1)(A)(iii) 870 West Main Street Geneva, OH 44041 University Hospitals Ahuja Medical Center - 26-4827222 170(b)(1)(A)(iii) 3999 Richmond Road Beachwood, OH 44122 UHHS Heather Hill Inc. (HHI)- 34-0771884 170(b)(1)(A)(iv) 12340 Bass Lake Road Chardon, OH 44024 UHHS - Heather Hill Rehabilitation Hospital Inc. (UHECC) - 34-1465745 dba University Hospitals Extended Care Campus 170(b)(1)(A)(iii) 12340 Bass Lake Road Chardon, OH 44024 University Hospitals Richmond Medical Center (RMC) - 34-1924226 170(b)(1)(A)(iii) 27100 Chardon Road Richmond Hts, OH 44143 University Mednet (UMI) - 34-0750341 170(b)(1)(A)(iii) 23001 Euclid Avenue Cleveland, OH 44117 University Hospitals Home Care Services, Inc. (HCS) - 34-1527536 509(a)(3) 4901 Galaxy Parkway Warrensville Hts, OH 44128 University Hospitals Laboratory Services Foundation (UHLSF) - 34-1720429 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Medical Group, Inc. (UHMG) - 20-4881619 170(b)(1)(A)(iii) 11100 Euclid Avenue Cleveland, OH 44106 UH Foundation - 20-5999979 170(b)(1)(A)(iv) 11100 Euclid Avenue Cleveland, OH 44106 University NPI Inc. - 34-1571623 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Memorial Hospital Health Foundation - 34-1810018 509(a)(3) 11100 Euclid Avenue Cleveland, OH 44106 Due to E-filing restrictions lines 11e through 11h were not able to be completed which is contrary to the Form 990 instructions. To comply with Form 990 instructions the responses to these line items are shown below. 11e - Box should be checked 11f - Box should be left blank 11g(i) - Should be marked "No" 11g(ii) - Should be marked "No" 11g(iii) - Should be marked "No" 11h - See supported organzation information below. The supporting organizations have also been provided. Supporting organization - University Hospitals Laboratory Service Foundation (i) Name of supported organization - University Hospitals Cleveland Medical Center (ii) EIN - 34-1567805 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $25,239,000 Supporting organization - University Hospitals Home Care Services, Inc. (i) Name of supported organization - University Hospitals Cleveland Medical Center (ii) EIN - 34-1567805 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $27,728,000 Supporting organization - University NPI Inc. (i) Name of supported organization - University Hospitals Cleveland Medical Center (ii) EIN - 34-1567805 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $0 Supporting organization - Memorial Hospital Health Foundation (i) Name of supported organization - University Hospitals Geneva Medical Center (ii) EIN - 34-0714461 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $0 Supporting organization - BMH Professional Corporation (i) Name of supported organization - University Hospitals Conneaut Medical Center (ii) EIN - 34-0714550 (iii) Type of organization - 170(B)(1)(A)(III) (iv) Is the organization in col (i) listed in your governing document - Yes (v) Did you notify the organization in col. (i) of your support - Yes (vi) Is the organization in col. (i) organized in the U.S. - Yes (vii) Amount of support - $0
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
RESTRICTED
X
4674
7514
245176
350376
249850
357890
1059775150
1985236110
1060025000
1985594000
1000000
1000000
250000
250000
0
0
0
0
1000000
1000000
1000000
1000000
4000000
6000000
447418
469714
384605
357890
1659627
250000
250000
250000
250000
1000000
1500000
1838
9429
10111
7514
28892
Explanation of Other Lobbying Activities:
Part II-B, Line 1i:
Software Does Not Allow Part II-B to be completed if Part II-A is completed. Part II-B Disclosure 1a - No. 1b - Yes. 1c - No. 1d - Yes. $25,506 1e - No. 1f - Yes. $78,424 1g - Yes. $16,356 1h - No. 1i - No. 1j - $120,286 2a - No.
265000
671000
X
0
42979000
42979000
730808000
449096000
281712000
16599000
4172000
12427000
507056000
404275000
102781000
61873000
17717000
44156000
484055000
Investements deposited with trustee bond indenture
452000
F
Beneficial interest in foundation
76609000
F
Other
27000
F
77088000
Research Institute option asset
38619000
Other
12786000
Medical Resident FICA Refund Receivable
37666000
89071000
Interest payable
1323000
Due to third parties
15935000
Other current liabilities
13577000
Research Institute option liability
38619000
Other liabilities
25974000
95428000
Part III, Line 4:
The UH art collection includes nearly 2,000 original works of art, many donated over the years. Artwork includes paintings, photos, sculptures and the like. The UH art collection has been established to encourage reflection, and to delight, uplift and comfort our patients, visitors and employees.
Description of Uncertain Tax Positions Under FIN 48:
Part X:
The System and most of its subsidiaries, including UHCMC, are not-for-profit corporations as described in 501(c)(3) of the Internal Revenue Code (Code) and are exempt from federal income tax pursuant to Section 501(a) of the Code. The System also has certain subsidiaries that are taxable for federal income tax purposes (see note 19).
X
X
X
X
X
X
1
ITM Marketing Inc
470 Downtown Plaza
Coshocton
OH
43812
Professional Fundraiser
0
84000
63000
21000
84000
63000
21000
FL
IL
KY
MI
NY
OH
PA
WI
WV
Golf Outing
199000
166000
33000
1000
42000
30000
Gala Dinner
149000
108000
41000
24000
5000
3
47000
26000
21000
16000
15000
395000
300000
95000
1000
82000
50000
133000
-38000
1
1
X
1
X
1
X
1
1
1
0
1
1
35042288
35042288
0.02050
356961395
286385331
70576064
0.04120
392003683
286385331
105618352
0.06170
10295623
10295623
0.00600
67298825
20281210
47017615
0.02750
23270284
15293023
7977261
0.00470
41757834
41757834
0.02440
30795062
30795062
0.01800
173417628
35574233
137843395
0.08060
565421311
321959564
243461747
0.14230
40584
40584
0.00000
40584
40584
0
16847000
0
298290095
311343385
-13053290
X
1
0
8
1
UH Case Medical Center
11100 Euclid Avenue
Cleveland
OH
44106
X
X
X
X
X
IP Psych./IP Rehab./Skilled Nurs.
2
UH Rainbow Babies & Children's Hospital
11100 Euclid Avenue
Cleveland
OH
44106
X
X
X
X
X
X
3
UH Geauga Medical Center
13207 Ravenna Road
Chardon
OH
44024
X
X
X
IP Psychiatric Unit
4
UH Richmond Medical Center
27100 Chardon Road
Richmond Heights
OH
44143
X
X
X
X
5
UH Bedford Medical Center
44 Blaine Avenue
Bedford
OH
44146
X
X
X
6
UH Geneva Medical Center
870 West Main Street
Geneva
OH
44041
X
X
X
7
UH Extended Care Campus
12340 Bass Lake Road
Chardon
OH
44024
X
LT Acute Unit/Skilled Nurs. Unit
8
UH Conneaut Medical Center
158 West Main Road
Conneaut
OH
44030
X
X
X
Not Required
8
39
UH Chagrin Highlands Health Center
3909 Orange Place
Orange Village
OH
44122
Outpatient Health Center
UH Westlake Health Center
960 Clague Road
Westlake
OH
44145
Outpatient Health & Surgery Center
UH Landerbrook Health Center
5850 Landerbrook Drive
Mayfield Heights
OH
44124
Outpatient Health Center
UH Mentor Health Center
9000 Mentor Avenue
Mentor
OH
44060
Outpatient Health & Surgery Center
UH Twinsburg Health Center
8819 Commons Blvd
Twinsburg
OH
44087
Outpatient Health Center
UH Concord Health Center
7500 Auburn Road
Concord Twp
OH
44077
Outpatient Health Center
UH Euclid Health Center
18599 Lakeshore Blvd
Euclid
OH
44119
Outpatient Health Center
UH Medina Health Center
4001 Carrick Drive
Medina
OH
44256
Outpatient Health Center
UH Hudson Health Center
5778 Darrow Rd
Hudson
OH
44236
Outpatient Health Center
UH Mayfield Village Health Center
730 Som Center Road
Mayfield Heights
OH
44143
Outpatient Health Center
UH Lab Service Foundation Outpatient Fa
22750 Rockside Road
Bedford
OH
44146
Outpatient Hospital Facility
UH Bainbridge Health Center
8185 East Washington Street
Bainbridge
OH
44023
Outpatient Health Center
UH Chesterland Health Center
8055 Mayfield Road
Chesterland
OH
44026
Outpatient Health Center
UH Madison Health Center
701 North Lake Street
Madison
OH
44057
Outpatient Health Center
UH Bedford Outpatient Facility
88 Center Street
Bedford
OH
44146
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
3609/3619 Park East Drive
Beachwood
OH
44122
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
3628 Park East Drive
Beachwood
OH
44122
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
12628 Chilicothe Road
Chesterland
OH
44026
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
10524 Euclid Ave
Cleveland
OH
44106
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
5885 Landerbrook Drive
Mayfield Heights
OH
44124
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
2054 South Green Road
South Euclid
OH
44121
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
4480 Richmond Road
Warrensville Hts
OH
44128
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
950 Clague Road
Westlake
OH
44145
Outpatient Hospital Facility
UH Case Medical Center Outpatient Fac
34881 Euclid Ave
Willoughby
OH
44094
Outpatient Hospital Facility
UH Geauga Outpatient Facility
13221 Ravenna Road
Chardon
OH
44024
Outpatient Hospital Facility
UH Geneva Outpatient Facility
2131 Lake Ave
Ashtabula
OH
44004
Outpatient Hospital Facility
UH Geneva Outpatient Facility
810 West Main Street
Geneva
OH
44041
Outpatient Hospital Facility
UH Geneva Outpatient Facility
890 West Main Street
Geneva
OH
44041
Outpatient Hospital Facility
UH Geneva Outpatient Facility
4888 North Broadway
GenevaontheLake
OH
44041
Outpatient Hospital Facility
UH Geneva Outpatient Facility
470 Bacon Road
Painesville
OH
44077
Outpatient Hospital Facility
UH Geneva Outpatient Facility
701 North Lake Street
Madison
OH
44057
Outpatient Hospital Facility
UH Mantua Health Center
10803 Main Street
Mantua
OH
44255
Outpatient Health Center
UH Otis Moss Jr Health Center
8819 Quincy Avenue
Cleveland
OH
44106
Outpatient Health Center
UH Richmond Outpatient Facility
27155 Chardon Road
Richmond Heights
OH
44143
Outpatient Hospital Facility
UH Richmond Outpatient Facility
6103 Landerhaven Drive
Mayfield Heights
OH
44124
Outpatient Hospital Facility
UH Rock Creek Health Center
3330 South Main Street
Rock Creek
OH
44084
Outpatient Health Center
UH Sharon Health Center
5133 Ridge Road
Wadsworth
OH
44281
Outpatient Health Center
UH Suburban Health Center
1611 South Green Road
South Euclid
OH
44121
Outpatient Health Center
UH Willoughby Health Center
4212 Chillicothe Road
Willoughby
OH
44094
Outpatient Health Center
Part I, Line 3c: The amount of charity care discount granted by UH in 2010 was based on the following guidelines: Patients must be uninsured, provide financial information to qualify them for financial assistance, and if applicable agree to allow UH to apply for third-party coverage. If it is determined that any patient, including an uninsured charity patient, is unable to pay any account balances owed, the patient shall be determined to be medically indigent. Medically indigent patient balances shall be fully discounted and designated as charity care.UH participates in Ohio's Hospital Care Assurance Program (HCAP). Through HCAP, UH provides basic, medically necessary hospital-level services free of charge to Ohio residents whose income is below the poverty level (below 100 percent of the FPG). Patients who meet that income criterion must fill out and sign an application for HCAP.
Part I, Line 6a: The Parent organization, University Hospitals (34-0714775), prepares an Annual Community Benefit Report that encompasses all of University Hospitals Health System including the subordinate organizations completing Schedule H.
Part I, Line 7: Amounts calculated and reported in this table were derived from the most accurate, available sources. A cost-to-charge ratio was used to determine Charity Care cost using hospital financial statements. Medicaid shortfall for group subordinates was calculated; 1) based on the tax year's Medicaid cost report adjusted to reflect full costs to direct offsetting revenue from the Medicaid cost report, or 2) based on a cost-to-charge ratio and Medicaid revenues derived using financial statements. Included in this Medicaid shortfall is the Ohio State Children's Health Insurance Program (SCHIP) shortfall. Community health improvement and community benefit operations costs have been reported based on actual direct costs using actual or average employee compensation rates and adding indirect costs which are calculated by a cost accounting system as a percentage of total cost. The Medicare Cost Report, adjusted to reflect full costs, was used to determine gross community benefit expense amounts for Health Professions Education; direct offsetting revenues are included from Medicare, CHGME, and Medicaid for direct medical education. Research amounts were also based on the Medicare Cost Report, adjusted to reflect full costs, using costs assigned to Research cost centers, less industry-sponsored research direct and indirect costs. The expense of restricted cash contributions is reported based on the actual value of the contribution before indirect cost; restricted in-kind contributions are reported at fair market value. In calculating gross and net community benefit expenses, care was taken to avoid double-counting community benefit expenses.
Part I, Line 7g: Line 7g includes the costs and direct offsetting revenue associated with certain physician clinics that qualify to be reported as a subsidized health service. The total amount of gross community benefit expense included in line 7g for these clinics is: $23,270,284. The total amount of associated direct offsetting revenue is $15,490,792. The total amount of net community benefit expense included in line 7g is $7,779,492.
Part I, L7 Col(f): Bad debt expense reported in Part IX, Line 25 but subtracted for purposes of calculating the percentages for this column = $46,695,000.
Part II: Although difficult to measure and not reported numerically, UH benefits the community through important community building activities that ultimately promote improved health and well-being for the surrounding population. Guided by our community health needs assessments and community boards, UH continues to meet community needs through economic development opportunities, local, regional and national disaster preparedness efforts, advocacy and coalition building, among others.
Part III, Line 4: Costing methodology used to derive Bad Debt is cost-to-charge ratio using hospital financial statements. In calculating the cost of bad debt expense, care is taken to avoid double counting of the direct and indirect costs for items accounted for elsewhere in Parts I, II, or III on Schedule H.Text to Audited Financial Statement Footnote - Provision for Bad Debt; In addition to charity care and insufficient funding from the Medicaid program, there are significant losses related to self-pay patients who fail to make payment for services rendered or insured patients who fail to remit co-payments and deductibles as required under applicable health insurance arrangements. The provision for bad debts represents revenues for services provided that are deemed to be uncollectible. Provision for bad debts totaled $52,423,000 and $42,396,000 for the years ended December 31, 2010 and 2009, respectively. End text to footnote.
Part III, Line 8: Costs were derived using the Medicare Cost Report. As a safety-net to the community, UH hospitals provide services to many low-income Medicare recipients. The Medicare losses sustained at these hospitals are a result of Medicare reimbursing at less than operating costs. IRS Rev. Rul. 69-545 established the community benefit standard for hospitals which indicates that if a hospital serves patients covered by governmental health benefits (including Medicare), then this indicates the hospital operates to promote the health of the community. In turn, treating Medicare patients should be considered a community benefit.
Part III, Line 9b: A new collections policy was approved by UH's governing board during 2010. UH answered "No" to Line 9b because the collections policy was adopted in 2010 and did not apply to the largest number of patients during the tax year. The policy that was adopted in 2010 was consistent with collections procedures in effect throughout the tax year.
Part VI, Line 2: In calendar year 2008, UH assessed community health care needs by conducting a comprehensive health needs assessment that reviewed demographics, household income, ambulatory care sensitive discharges, health status and access indicators, federally designated areas and facilities, and local data sources for the respective communities served by each of the hospitals in the UH system. The needs assessments have been used to guide UH community benefit program development and to inform strategic planning.
Part VI, Line 3: UH informs and educates patients and persons who may be billed for patient care about options for resolution of their balances, including assistance under government programs and under the UH Charity Assistance Program ("Assistance Program") in a variety of ways. Signage for the state of Ohio Health Care Assurance Program (HCAP) can be found in locations where patients register for care, patient access areas, and various points of entry such as our emergency departments. Supplemental brochures that reflect the UH Assistance Program and the HCAP program are also available. Information about the Assistance Program can also be found on the UH website in addition to being provided on the backs of patient statements, including a toll free phone number to call for assistance by one of our financial counselors.
Part VI, Line 4: The UH service area spans Northeast Ohio, and our clinical, education, research, and outreach programs benefit communities that extend well beyond this region. The main campus facility, UH Case Medical Center, is located in the city of Cleveland and provides high-quality health care in an urban setting for a diverse population that includes many low-income residents. UH Rainbow Babies & Children's Hospital (Rainbow) serves as a safety-net for Cleveland's children, with more than 50 percent of its patients enrolled in the state Medicaid program. Based on the 2008 needs assessment, the UH Primary Service Area (PSA) included about 3 million persons, and its Secondary Service Area (SSA) included a population of approximately 1.2 million persons for a total service area population of approximately 4.2 million. The PSA encompasses an eight-county region including Ashtabula, Cuyahoga, Geauga, Lake, Lorain, Medina, Portage and Summit (referred to as the "eight-county region"). The SSA encompasses seven counties including Ashland, Erie, Huron, Mahoning, Stark, Trumbull, and Wayne. Seventy percent of the UH service area population is located in the PSA, while the remaining 30 percent is located in the SSA. With approximately 1.3 million residents, Cuyahoga County accounts for 31 percent of the population comprising UH service area counties. Since the 2008 needs assessment, UH has made significant investments in access to care for low income and vulnerable populations. Four UH health clinics are designated as Health Professional Shortage Areas (HPSAs) by the Health Resources and Services Administration (HRSA). These clinics include the Douglas Moore Health Clinic, Women's Health Center, Rainbow Ambulatory Practice, and Family Medicine Clinic, all located on the UH Case Medical Center campus. HRSA also designates Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs) based on specific criteria. Twenty-five areas within the UH service area including Cuyahoga, Lorain, and Summit Counties qualify as MUAs, while one population in Kent, Portage County is a designated MUP. Cuyahoga County alone accounts for 20 MUAs located in 13 zip codes, representing 12 towns. The UH System's two critical access hospitals in Ashtabula County sit in Appalachia, as designated by the Appalachian Regional Commission.The 2008 needs assessment indicated that accross across Northern Ohio, 25 percent of households are estimated to have incomes less than $25,000; 53 percent less than $50,000.
Part VI, Line 6: Governed by a Board of Directors comprised primarily of persons residing in the UH Primary Service Area, UH continues to reinvest in itself and the community through enhanced clinical services, educational programs, research, and capital improvements that meet the health care needs of communities and patients it serves. UH provides an outstanding balance of high-quality clinical care within its walls, and community health outreach to local populations. As indicated in the above response to Part VI, Line 4, UH has made significant investments in access to care for low income and vulnerable populations. Four UH health clinics are designated as Health Professional Shortage Areas (HPSAs) by the Health Resources and Services Administration (HRSA). These clinics include the Douglas Moore Health Clinic, Women's Health Center, Rainbow Ambulatory Practice, and Family Medicine Clinic, all located on the UH Case Medical Center campus. HRSA also designates Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs) based on specific criteria. Twenty-five areas within the UH service area including Cuyahoga, Lorain, and Summit Counties qualify as MUAs, while one population in Kent, Portage County is a designated MUP. Cuyahoga County alone accounts for 20 MUAs located in 13 zip codes, representing 12 towns. The UH System's two critical access hospitals in Ashtabula County sit in Appalachia, as designated by the Appalachian Regional Commission.UH is committed to training the next generation of physicians, nurses, specialists and other allied health care providers annually. Many of these students and trainees complete their education and take their knowledge and expertise to other parts of the state or country, thereby benefiting other communities. UH works to increase health and medical knowledge through government and non-profit funded research. The shared knowledge derived from these efforts improves the health and well-being of people throughout the nation and the world when they lead to new standards of care, new medical devices, or breakthroughs in tackling diseases.
Part VI, Line 7: University Hospitals (parent organization) together with its affiliates and subsidiaries is an integrated, health care delivery system. The System includes an academic medical center, six wholly-owned community hospitals, two of which are critical access facilities, ambulatory health care centers and physician practice offices throughout the region. The System also provides skilled nursing, elder health, rehabilitation and home care services. UH serves a unique role in the community by providing diverse populations throughout the Northeast Ohio region with comprehensive health care - from primary care to highly specialized medical care for the most serious of health problems. It provides the same quality and compassionate service to all, no matter their income, ability to pay or socioeconomic status. UH cares for the well-insured and the uninsured; men, women and children from every community in the region, from urban centers, small towns, rural areas and suburbs.
Annual Community Benefit Report
Part VI, Line 7
UH publishes its Annual Community Benefit Report and makes it available to the public via its website at www.UHhospitals.org. University Hospitals does not file its community benefit report in any state.
0
Alzheimers Association
23215 Commerce Park Dr Ste 300
Beachwood
OH
44122
341311175
501(c)3
5000
General Support
American Heart Association
PO Box 1590
Hagerstown
MD
217401590
135613797
501(c)3
180000
General Support
Arthritis Foundation of Northeastern Ohio Chapter
23811 Chagrin Blvd 210
Cleveland
OH
44122
345644884
501(c)3
33000
General Support
Audubon School
3055 Martin Luther King JR Dr
Cleveland
OH
44104
501(c)3
13000
General Support
Autism Speaks Inc
4700 Rockside Rd Ste 408
Independence
OH
44131
202329938
501(c)3
8000
General Support
Care Alliance Health Center
1530 St Clair Ave
Cleveland
OH
441142004
341748776
501(c)3
28000
General Support
Case Western Reserve
10900 Euclid Ave
Cleveland
OH
44106
341018992
501(c)3
29842000
General Support
Center For Families & Children
4500 Euclid Ave
Cleveland
OH
44103
237084455
501(c)3
5000
General Support
Cleveland Central Catholic
6550 Baxter Ave
Cleveland
OH
44105
341013635
501(c)3
29000
General Support
Cleveland Playhouse
8500 Euclid Ave
Cleveland
OH
44106
341868998
501(c)3
20000
General Support
Cystic Fibrosis Foundation
5001 Mayfield Rd Ste 111
Lydhurst
OH
44124
131930701
501(c)3
16000
General Support
Daily Dose of Reading
2226 Warrensville Center Rd
University Hts
OH
44118
341935776
501(c)3
10000
General Support
Epilepsy Foundation of NE Ohio
2800 Euclid Ave Ste 450
Cleveland
OH
44115
237198807
501(c)3
8000
General Support
Free Clinic of Greater Cleveland
12201 Euclid Ave
Cleveland
OH
44106
237078501
501(c)3
25000
General Support
Greater Cleveland RTA Health Line
PO Box 6566
Cleveland
OH
441019931
341170830
115000
General Support
Hispanic Round Table
1900 E 9th St Ste 3200
Cleveland
OH
44114
200932464
501(c)3
10000
General Support
March of Dimes NE Division
5425 Warner Rd Ste 10
Cleveland
OH
44125
131846306
501(c)3
9000
General Support
Medwish Intl
PO Box 181484
Cleveland
OH
44118
341903712
501(c)3
5000
General Support
National Council of Jewish Women
26055 Emery Rd
Warrensville Hts
OH
44128
340714651
501(c)3
5000
General Support
Cleveland Center for Arts & Technology
3634 Euclid Ave Ste 100
Cleveland
OH
44115
271193704
501(c)3
184000
General Support
Northeast Ohio Equality
PO Box 91697
Cleveland
OH
44101
342064724
501(c)3
5000
General Support
Playhouse Square Foundation
10501 Euclid Ave No 200
Cleveland
OH
44115
237304942
501(c)3
10000
General Support
Project Love
23611 Chagrin Blvd Ste 380
Beachwood
OH
44122
311795459
501(c)3
6000
General Support
Red Cross of Greater Cleveland
3747 Euclid Ave
Cleveland
OH
441152596
530196605
501(c)3
9000
General Support
Ronald Mcdonald House
10415 Euclid Ave
Cleveland
OH
44111
341269123
501(c)3
53000
General Support
Southwest General Health Foundation
18697 Bagley Rd
Middleburg Hts
OH
441303497
341465135
501(c)3
9000
General Support
Susan G Komen Race for the Cure
10819 Magnolia Dr
Cleveland
OH
44106
341793460
501(c)3
92000
General Support
The Heart Foundation
32107 Lindero Canyon Rd 235
Westlake Village
CA
91361
450471117
501(c)3
14000
General Support
Cuyahoga Community College
700 Carnegie Ave
Cleveland
OH
44115
340896630
16000
General Support
United Way Svc
1331 Euclid Ave
Cleveland
OH
441151854
346516654
501(c)3
10000
General Support
Youth & Young Adult Ministry
7911 Detroit Ave
Cleveland
OH
44102
341908590
501(c)3
10000
General Support
29
2
Procedure for Monitoring Grants in the U.S.:
Part I, Line 2:
Schedule I, Part I, Line 2: Donations made by members of the Group Return to charitable organizations are made in furtherance of the recipients organizations exempt purposes and are considered unrestricted with regard to use of funds.
X
X
X
X
X
X
1
1
0
0
0
0
0
1
1
1
AMC - James Benedict
333726
0
148493
0
32770
0
82430
0
19189
0
616608
0
31645
0
AMC - Richard Hanson
477031
0
45000
0
58310
0
72164
0
19227
0
671732
0
0
0
AMC - Richard Stein MD
0
442224
0
0
0
288
0
26243
0
11109
0
479864
0
0
BMC - Sean McKibben
228228
0
74016
0
12648
0
52991
0
22935
0
390818
0
12142
0
CMC - Benjamin Bryant MD
0
285346
0
0
0
990
0
14804
0
17825
0
318965
0
0
CMC - Robert David
102266
0
43314
0
1814
0
25818
0
9053
0
182265
0
1595
0
GMC - M Steven Jones
247474
0
65368
0
1241
0
65036
0
13799
0
392918
0
0
0
GMC - Peggy Kuhar
138675
0
10030
0
635
0
11868
0
6761
0
167969
0
0
0
UHGMC - Robert David
102266
0
43314
0
1814
0
25818
0
9052
0
182264
0
1594
0
UHECC - Richard J Frenchie
159654
0
89864
0
4174
0
10713
0
12901
0
277306
0
0
0
UHECC - Susan V Juris
245525
0
107326
0
17395
0
76710
0
12636
0
459592
0
15052
0
UHECC - David Kosnosky MD
0
192895
0
15523
0
990
0
31546
0
8809
0
249763
0
0
RMC - Laurie Delgado
296242
0
94905
0
8152
0
72330
0
17245
0
488874
0
7155
0
RMC - Rosemary Leeming MD
215995
0
0
0
4569
0
6509
0
19738
0
246811
0
0
0
UMI - Phyllis Hall
307409
0
177989
0
1536
0
82541
0
21876
0
591351
0
9
0
HCS - Keith Maitland
192765
0
74993
0
1765
0
65087
0
17808
0
352418
0
0
0
UHHS - Achilles A Demetriou MD
801410
0
920329
0
432371
0
55147
0
14140
0
2223397
0
426431
0
UHHS - Fred C Rothstein MD
623414
0
716804
0
257849
0
39661
0
22395
0
1660123
0
248213
0
UHHS - Thomas F Zenty III
945748
0
1127028
0
210340
0
346594
0
12239
0
2641949
0
189781
0
UHMG - Brian Berman MD
294218
0
0
0
33153
0
0
0
24708
0
352079
0
0
0
UHMG - Kevin Cooper MD
250025
0
0
0
23731
0
0
0
2504
0
276260
0
0
0
UHMG - Michael Konstan MD
265576
0
7097
0
979
0
5301
0
7563
0
286516
0
0
0
UHMG - Nathan Levitan MD
446319
0
232509
0
174194
0
35690
0
17860
0
906572
0
169768
0
UHMG - Randall Marcus MD
584309
0
0
0
56269
0
7350
0
23226
0
671154
0
0
0
UHMG - Edward Michelson MD
411768
0
0
0
33416
0
16437
0
21873
0
483494
0
0
0
UHMG - Howard Nearman MD
388958
0
0
0
35983
0
7350
0
20655
0
452946
0
0
0
UHMG - Michael Nochomovitz MD
595471
0
242786
0
161931
0
39677
0
11716
0
1051581
0
152823
0
UHMG - Jeffrey Ponsky MD
609316
0
0
0
56704
0
7350
0
14639
0
688009
0
0
0
UHMG - Richard A Walsh MD
420655
0
0
0
38232
0
7350
0
14269
0
480506
0
0
0
UHCMC - Michael R Anderson MD
249785
0
96180
0
1127
0
15153
0
19491
0
381736
0
0
0
UHCMC - Eric Bieber MD
475304
0
50000
0
87769
0
0
0
20506
0
633579
0
0
0
UHCMC - Ronald E Dziedzicki BSN RN
264832
0
120181
0
1354
0
80323
0
20534
0
487224
0
0
0
UHCMC - Michael J Farrell
437976
0
197218
0
4313
0
111006
0
16774
0
767287
0
0
0
UHCMC - Catherine S Koppelman RN
288560
0
130236
0
4254
0
93977
0
20123
0
537150
0
0
0
UHCMC - Mark Loos
253930
0
114704
0
21424
0
61227
0
20205
0
471490
0
20581
0
UHCMC - Sonia Salvino
195975
0
70136
0
636
0
46941
0
20683
0
334371
0
0
0
HCS - Rebecca Ivcic
127494
0
11671
0
3670
0
22085
0
16325
0
181245
0
0
0
UHHS - Elliot A Kellman
370112
0
194936
0
304149
0
27224
0
16360
0
912781
0
298605
0
UHHS - Janet L Miller Esq
379909
0
191932
0
3705
0
123275
0
10434
0
709255
0
0
0
UHHS - Steven D Standley
389874
0
351927
0
23405
0
114029
0
14405
0
893640
0
19612
0
UHHS - Michael A Szubski
523631
0
273419
0
39737
0
148387
0
6578
0
991752
0
36967
0
UHLSF - Don M Landek
159053
0
16901
0
8216
0
31549
0
13522
0
229241
0
0
0
UHMG - Harlin G Adelman
275221
0
131729
0
917
0
59900
0
19755
0
487522
0
0
0
UHHS - Cliff J Coker
359680
0
0
0
60966
0
49998
0
18607
0
489251
0
55612
0
UHHS - Sherri L Bishop
319431
0
170579
0
49436
0
105886
0
23847
0
669179
0
47762
0
UHHS - Paul G Tait
314170
0
177534
0
1616
0
98548
0
18734
0
610602
0
0
0
UHCMC - Carl Lufter
159366
0
16526
0
6809
0
17683
0
13905
0
214289
0
0
0
UHHS - Nancy E Paton
169871
0
133713
0
238355
0
46192
0
14385
0
602516
0
83438
0
UHHS - Cheryl Wahl
208273
0
77860
0
456
0
46013
0
13202
0
345804
0
0
0
UHMG - Bahman Guyuron MD
1098315
0
0
0
144597
0
7350
0
22436
0
1272698
0
0
0
UHMG - Reuben Gobezie MD
1094865
0
0
0
71204
0
7350
0
21492
0
1194911
0
0
0
UHMG - Nicholas U Ahn MD
938605
0
0
0
82318
0
7350
0
15626
0
1043899
0
0
0
UHMG - Christopher G Furey MD
796231
0
0
0
59269
0
6500
0
19725
0
881725
0
0
0
UHMG - Kord S Honda MD
767670
0
0
0
31498
0
5887
0
21000
0
826055
0
0
0
UHCMC - John Nash
0
0
0
0
120519
0
0
0
0
0
120519
0
120519
0
UHLSF - Michael R Vehovec
211692
0
97866
0
34948
0
56615
0
2405
0
403526
0
34274
0
UHHS - Kevin V Roberts
0
0
0
0
406988
0
0
0
0
0
406988
0
406988
0
UHMG - Catherine E Keating MD
0
0
181145
0
460315
0
3875
0
2192
0
647527
0
214131
0
UHHS - Mary Alice Annecharico
318054
0
141483
0
80690
0
47641
0
8028
0
595896
0
76027
0
UHHS - Heidi Gartland
200585
0
76296
0
1150
0
48657
0
21321
0
348009
0
0
0
UHMG - Pablo R Ros MD
546405
0
59205
0
13606
0
7350
0
16281
0
642847
0
0
0
UHMG - Charles Lanzieri MD
514061
0
0
0
35345
0
7350
0
21648
0
578404
0
0
0
UHMG - Ann Lyren MD
192854
0
0
0
5254
0
4781
0
18315
0
221204
0
0
0
UHMG - Ross M Ungerleider MD
395927
0
0
0
64121
0
7350
0
13306
0
480704
0
0
0
UHMG - Matthew Kraay MD
725060
0
0
0
62214
0
7350
0
23992
0
818616
0
0
0
Part I, Lines 4a-b
The following persons received severance payments as required by their contract in 2010: - Nancy E. Paton $87,474 - Catherine Keating, M.D. $243,927 Part I, Line 4b: The following persons participated in, or received payment from a nonqualified retirement plan (457(f) or SERP) in 2010: - Harlin G. Adelman (No payments received in 2010) - Mary Alice Annecharico ($20,731-457(f), $55,295-SERP) - James J. Benedict ($31,645-457(f)) - Sherri L. Bishop ($47,762-457(f)) - Cliff J. Coker ($12,090-457(f), $43,522-SERP) - Robert G. David ($3,188-457(f)) - Laurie S. Delgado ($7,155-457(f)) - Achilles A. Demetriou, M.D. ($146,168-457(f), $280,263-SERP) - Ronald E. Dziedzicki (No payments received in 2010) - Michael J. Farrell (No payments received in 2010) - Richard J. Frenchie (No payments received in 2010) - Phyllis Hall ($9-457(f)) - Richard Hanson (No payments received in 2010) - Steven M. Jones (No payments received in 2010) - Susan V. Juris ($15,052-457(f)) - Catherine Keating, M.D. ($121,523-457(f), $92,608-SERP) - Elliot A. Kellman ($81,897-457(f), $216,709-SERP) - Catherine S. Koppelman (No payments recieved in 2010) - Don Landek (No payments received in 2010) - Nathan Levitan, M.D. ($32,583-457(f), $137,184-SERP) - Mark Loos (No payments received in 2010) - Keith Maitland (No payments received in 2010) - Sean McKibben ($12,142-457(f)) - Janet L. Miller (No payments received in 2010) - Michael L. Nochomovitz, M.D. ($26,405-457(f), $126,418-SERP) - Nancy Paton ($83,438-SERP) - Kevin. V. Roberts ($406,988-457(f)) - Fred C. Rothstein, M.D. ($47,261-457(f), $200,952-SERP) - Sonia Salvino (No payments received in 2010) - Steven D. Standley ($19,612-457(f)) - Michael A. Szubski ($36,967-457(f)) - Paul G. Tait (No payments received in 2010) - Michael R. Vehovec ($34,274-457(f)) - Thomas F. Zenty III ($189,781-457(f))
Part I, Line 7
Certain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments.
Part I, Line 8
Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception.
Bahman Guyuron MD 5 Highest Pai
Tail Insurance Subject to Forgiveness (Fully Reserved On Books)
X
218225
43645
0
1
1
43645
Residence Inn
UHCMC Dir. Richard Horvitz owns many Residence Inns in the local area
171000
Residence Inn rents rooms to UHCMC for sleep studies or other activities. These transactions were all at arms length.
0
Diane Anderson
Family Member of Michael Anderson, M.D. UHCMC Interim CMO
13000
A family member of Dr. Anderson is employed by UHCMC.
0
0
First Energy
UHCMC Dir. Ernest J. Novak is a Director of First Energy
200000
First Energy provided energy services to UHCMC in 2010. These transactions were all at arms length.
0
First Energy
UHCMC Dir. Lorna Wisham is employed at First Energy
200000
First Energy provided energy services to UHCMC in 2010. These transactions were all at arms length.
0
Zachary Nearman
Family Member of Howard Nearman, M.D. UHMG - Director
43000
A family member of Dr. Nearman is employed by UHMG.
0
Form 990 Schedule L Part II
Loan Balance Fully Reserved
The loan balance disclosed on Schedule L has been fully reserved on the books of the organization. As a result, no amount will appear on Form 990 Part X Line 5.
X
114
265000
Appraised FMV
X
4000
Donor Declared FMV
X
1
465000
Purchase Agreement
X
52
1930000
Median Value/Share
X
Equipment
1
16000
Appraised FMV
X
Miscellaneous
340
23000
Appraisal, Receipt, or Valued at $1
0
1
1
Method for Determining Number of Contributors:
Part I, Column (b):
The numbers reported in Part I, Column (b) represent the number of items contributed.
Third Party Use:
Part I, Line 32b:
The organization utilizes third party vendors to solicit gifts. In addition, a third party is engaged by the organization to sell any donated securites.
Form 990, Part VI, Section A, line 2
The following information regarding family and business relationships was obtained while reviewing conflict of interest questionnaire responses received from Directors, Officers, and Key Employees. University Hospitals relies upon these questionnaire responses to determine these relationships. Mr. James Supplee (CMC Director) and Mr. Charles Deck (CMC Director) have a business relationship. Mr. Ralph Della Ratta (UHCMC Director) and Mr. Michael Siegel (UHCMC Director) have a business relationship. Mr. Richard Horvitz (UHCMC Director) and Mr. Ralph Della Ratta (UHCMC Director) have a business relationship. Mr. Thomas Adler (UHCMC Director) and Mr. Lawrence Sherman (UHCMC Director) have a business relationship. Mr. John Morley (UHCMC Director) and Mr. William O'Neill Jr. (UHCMC Director) have a business relationship. Mr. Craig Parker (UHHS/UHGMC Director) and Mr. Willard Raymond (UHGMC Director) have a business relationship.
Form 990, Part VI, Section A, line 6
University Hospitals Health System, Inc. is the Sole Member of the organizations included in this return. Its rights include electing the Board of Directors and approving significant decisions of each organization's Board.
Form 990, Part VI, Section A, line 7a
University Hospitals Health System, Inc. (Sole Member) elects the Board of Directors, including the designation of the Directors to be the Chairperson and Vice Chairperson of the Board.
Form 990, Part VI, Section A, line 7b
Certain decisions of each organization's governing body are subject to approval by University Hospitals Health System, Inc. (Sole Member). Examples include approving matters relating to finances and financing, matters relating to investments, legal matters, material assets sales or transfers, strategic plan, officers, and Directors to the Organizations Board.
Form 990, Part VI, Section B, line 11
The Form 990 for University Hospitals Health System, Inc. is approved for filing by its governing body. The Audit and Compliance Committee has been delegated authority to review and approve Form 990 by the UH Board. In addition, the Compensation Committee and Governance and Community Benefit Committee of the Board review relevant disclosures related to each Committee's specific area. The Board receives a copy of the return in its final form before it is filed with the Internal Revenue Service. Senior management reviews and approves the form while overseeing this process.
Form 990, Part VI, Section B, line 12c
UH has adopted three Conflict of Interest ("COI") policies: the first relates to UH and all its subsidiaries and applies to all directors, officers, other disqualified persons, pursuant to the intermediate sanctions regulations, the second applies to UH management (supervisors and above) and the third applies to physicians. UH regularly and consistently monitors and enforces compliance with the COI policies. All individuals to which the COI policies apply are required to complete an annual disclosure and provide information regarding any interests that may be potential conflicts pursuant to the COI policies. Individuals covered by the policies are required to provide any changes to or new disclosures should they occur. All disclosures and subsequent updates to disclosures are reviewed by the UH Compliance and Ethics Department. Board-level conflicts are reviewed and approved by the Audit and Compliance Committee of the UH Board. If a conflict exists with a Director, certain restrictions may be imposed, such as excusing the Director from voting with regard to a proposed transaction. Education regarding conflicts of interest is included in the annual compliance training that includes all Directors, employees and physicians.
Form 990, Part VI, Section B, line 15
Executive compensation is approved by the Compensation Committee of the Board (the "Committee"). The Committee has retained an independent compensation consultant who provides information to the Committee on changes and trends in executive compensation and objective third party information on competitive and comparable executive compensation and benefit level/programs. The Consultant collects and provides to the Committee, appropriate market compensation and benefits information, appropriate market practices for comparable organizations' positions and best practices. The Consultant also provides advice on developing and modifying UH's executive compensation philosophy.
Form 990, Part VI, Section C, line 19
The Financial Statements for University Hospitals Health System, Inc. and its Subsidiaries are made publicly available through the use of DAC Bond (disclosure dissemination agent) and can be found on the internet at www.dacbond.com. The organization's governing documents and conflict of interest policy may be made available upon request.
Changes in Net Assets or Fund Balances:
Form 990, Part XI, line 5:
Net change in temporarily restricted net assets 7,441,000. Net change in permanently restricted net assets -173,000. Equity Transfer -262,823,000. Less: restricted monies included on Form 990 Page 1, Line 8 -26,480,000. Gain/Loss from sale of discontinued operations -20,200,000. Other Changes 371,000. Total to Form 990, Part XI, Line 5: -301,864,000.
UH Entity DBA Names/Acronyms
The list below shows all the entities included in this Group Return along with any applicable dba names and/or acronyms that will be used throughout this return. For purposes of this Group Return University Hospitals is at times notes as "UH". University Hospitals Cleveland Medical Center (UHCMC) - 34-1567805 dba University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106 University Hospitals Ahuja Medical Center, Inc. (AMC) - 26-4827222 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Bedford Medical Center (BMC) - 34-1271115 44 Blaine Avenue Bedford, OH 44146 University Hospitals Conneaut Medical Center (CMC) - 34-0714550 158 West Main Road Conneaut, OH 44030 BMH Professional Corporation (BMHPC) - 34-1749966 158 West Main Road Conneaut, OH 44030 University Hospitals Geauga Medical Center (GMC) - 34-0816492 13207 Ravenna Road Chardon, OH 44024 University Hospitals Geneva Medical Center (UHGMC) - 34-0714461 870 West Main Street Geneva, OH 44041 UHHS Heather Hill Inc. (HHI) - 34-0771884 12340 Bass Lake Road Chardon, OH 44024 UHHS - Heather Hill Rehabilitation Hospital Inc. (UHECC) - 34-1465745 dba University Hospitals Extended Care Campus 12340 Bass Lake Road Chardon, OH 44024 University Hospitals Richmond Medical Center (RMC) - 34-1924226 27100 Chardon Road Richmond Hts, OH 44143 University Mednet (UMI) - 34-0750341 23001 Euclid Avenue Cleveland, OH 44117 University Hospitals Home Care Services, Inc. (HCS) - 34-1527536 4901 Galaxy Parkway Warrensville Hts, OH 44128 University Hospitals Laboratory Services Foundation (UHLSF) - 34-1720429 11100 Euclid Avenue Cleveland, OH 44106 University Hospitals Medical Group (UHMG) - 20-4881619 11100 Euclid Avenue Cleveland, OH 44106 UH Foundation - 20-5999979 11100 Euclid Avenue Cleveland, OH 44106 University NPI Inc. - 34-1571623 11100 Euclid Avenue Cleveland, OH 44106 Memorial Hospital Health Foundation - 34-1810018 11100 Euclid Avenue Cleveland, OH 44106
Election to report certain Information on consolidated basis.
Treasury Regulation Section 1.6033-2(d)(5)
Pursuant to Treasury Regulation Section 1.6033-2(d)(5), University Hospitals Health System, Inc. ("Parent Organization") has elected to report information about contributions, gifts and grants, and compensation and other information about officers, directors, trustees, key employees, certain highly compensated employees, and certain professional contractors on a consolidated basis for all the members of its Group Exemption, including the Parent Organization, on the University Hospitals Health System, Inc. Group Return.
Volunteer Information
Form 990 Part I Line 6
The total number of volunteers is provided by each UH Medical Center's volunteer coordinator. Volunteers provide assistance in many different departments throughout the UH medical centers. The roles of a volunteer fall into three categories: patient contact, limited patient contact and no patient contact. Roles in the patient contact category include those where the volunteer is working directly with a patient or the patient's family. Examples of volunteer roles from this category include but are not limited to pastoral case volunteers and newborn nursery volunteers. Volunteers who serve in roles where there is limited patient contact work in areas where they may be working more with hospital staff than our patients or visitors. Examples of volunteer roles under the limited patient contact include but are not limited to flower delivery volunteers and Atrium gift shop volunteers. And finally, examples of volunteer roles from the no patient contact category include but are not limited to mailroom and clerical volunteers (working in offices throughout the UH medical centers).
Endowment Activity
Form 990 Part IV Line 10
All Endowments are held on the books of the Parent organization of the Group members. Spending allocations are made to the proper UH entity by the Parent to comply with donor wishes.
Common Pay Agent
Form 990 Part V Line 2a
University Hospitals Health System, Inc. acts as a common pay agent for the various entities that comprise the System. As a result the number of employees reported on Form W-3 will be different than what is shown in Part V Line 2a because this Group Return does not encompass all entities for which the Parent acts as a common pay agent.
Compensation disclosed for Employees showing only 2 hours work per week:
Form 990 Part VII Section A
The individuals listed below serving as current Officers/Directors are also employees of other UH entities included in this Group Return. The hours listed in this section reflect only the individual's time spent directly related to the activity of the board on which they serve. UMI - Phyllis Hall UHMG - Harlin G. Adelman UHMG - Nathan Levitan, M.D. UHECC - Richard Frenchie
Compensation disclosed for Richard Hanson
Form 990 Part VII Section A
Mr. Richard Hanson is University Hospitals President of Community Hospitals & Ambulatory Networks. In this role he oversees all of the community hospitals. He also serves on all of the community hospitals boards. Mr. Hanson serves on multiple boards, however, his total compensation is being reported only on one board. If an allocation of compensation were made to each entity a disclosure would not be necessary.
Hours Disclosed For Fredrick C. Rothstein, M.D. - UHCMC Pres./Ex Off. Dir.
Form 990 Part VII Section A
Dr. Rothstein is the President of University Hospitals Cleveland Medical Center (UHCMC) of which he is listed as an Officer and a Director. Dr. Rothstein also is a Executive Vice President of University Hospitals Health System, Inc. (UHHS) and serves on its Board as Director. Dr. Rothstein is paid by UHHS and as such his compensation is disclosed on this Board. To avoid any confusion his hours per week is listed at 60 for both UHCMC and UHHS.
Net Asset Change from 2009 to 2010
Form 990 Part I Line 22, Form 990 Part X Line 33
Intercompany balances for all UH organizations were closed out to net assets during 2010. This resulted in a large change in net assets when comparing the 2009 balance vs. the 2010 balance. Aiding the difference is that the Parent Organization (University Hospitals Health System, Inc.) files its own Form 990 and is not part of this Group Return.
Change in Investments - publicly traded securities
Form 990 Part X Line 11
In June of 2010 certain investments were moved to the Parent Organizations books. The large change from 2009 to 2010 is related to this movement.
University Mednet Physicians LLC
3605 Warrensville Center Rd
Shaker Hts
OH
44122
341599711
Inactive
OH
N/A
University Hospitals Faculty Services Ltd
11100 Euclid Ave
Cleveland
OH
44106
341872525
Inactive
OH
University Hospitals Case Medical Center
Zeeba Surgery Center LP
29017 Cedar Road
Lyndhurst
OH
44124
320039956
Surgery Center
OH
N/A
Western Reserve Assurance Co Ltd SPC
PO Box 1051GT
George Town Grand Cayman
Cayman Islands
CJ
980462740
Liability Insurance
CJ
N/A
C
University Hospitals Holdings Inc
11100 Euclid Avenue
Cleveland
OH
44106
341768931
Holding Company
OH
N/A
C
University Hospitals Physician Services Inc
11100 Euclid Avenue
Cleveland
OH
44106
341768929
Physician Admin. Services
OH
N/A
C
University Primary Care Practices Inc
11100 Euclid Avenue
Cleveland
OH
44106
341768928
Physicians Group
OH
N/A
C
University Hospitals Health System MCO Inc
11100 Euclid Avenue
Cleveland
OH
44106
341843674
Workers Comp. Managed Care Services
OH
N/A
C
UHHS Provider & Central Verification Organization Inc
11100 Euclid Avenue
Cleveland
OH
44106
341908517
Medical Management
OH
N/A
C
Cedar Brainard Surgery Center Inc
11100 Euclid Avenue
Cleveland
OH
44106
204957632
Holding Company
OH
N/A
C
University Hospitals Health Care Enterprises Inc
11100 Euclid Avenue
Cleveland
OH
44106
341510005
Medical Management
OH
N/A
C
BMH Development Corporation Inc
158 West Main Street
Conneaut
OH
44030
341346212
Land Development
OH
N/A
C
Conneaut Health Enterprises Inc
PO Box 648
Conneaut
OH
44060
341503949
Inactive
OH
N/A
C
University Hospitals Accountable Care Organization Inc
3605 Warrensville Center Rd
Shaker Heights
OH
44122
273970270
Health Care Model That Coordinates Patient Care
OH
N/A
C
0
1
1
0
0
0
0
1
0
1
1
1
0
1
1
1
1
1
UH Ahuja Medical CenterUniversity Hospitals Health System
N
79529
General Ledger
UH Ahuja Medical CenterUniversity Hospitals Health System
O
106383
General Ledger
UH Ahuja Medical CenterUniversity Hospitals Health System
C
231651
General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
R
1250210
General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
N
4537505
General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
L
642467
General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
P
299665
General Ledger
University Hospitals Health SystemUH Ahuja Medical Center
B
31285477
General Ledger
UH Cleveland Medical CenterUH Ahuja Medical Center
R
203000
General Ledger
UH Cleveland Medical CenterUH Ahuja Medical Center
P
242134
General Ledger
UH Medical GroupUH Ahuja Medical Center
L
197681
General Ledger
UH Conneaut Medical CenterUH Ahuja Medical Center
L
55276
General Ledger
UH Health Care EnterprisesUH Ahuja Medical Center
P
117938
General Ledger
UH Bedford Medical CenterUniversity Hospitals Health System
Q
225538
General Ledger
UH Bedford Medical CenterUniversity Hospitals Health System
P
1051399
General Ledger
UH Bedford Medical CenterUH Cleveland Medical Center
Q
68645
General Ledger
UH Bedford Medical CenterUH Medical Group
P
227306
General Ledger
University Hospitals Health SystemUH Bedford Medical Center
R
15660580
General Ledger
University Hospitals Health SystemUH Bedford Medical Center
N
25340761
General Ledger
University Hospitals Health SystemUH Bedford Medical Center
O
2329916
General Ledger
University Hospitals Health SystemUH Bedford Medical Center
L
2948497
General Ledger
UH Cleveland Medical CenterUH Bedford Medical Center
O
893521
General Ledger
UH Laboratory Services FoundationUH Bedford Medical Center
O
340243
General Ledger
UH Medical GroupUH Bedford Medical Center
O
290290
General Ledger
UH Medical PracticesUH Bedford Medical Center
L
272732
General Ledger
UH Conneaut Medical CenterUH Health System
Q
78098
General Ledger
UH Conneaut Medical CenterUH Health System
P
93103
General Ledger
UH Conneaut Medical CenterUH Cleveland Medical Center
Q
672294
General Ledger
UH Conneaut Medical CenterUH Medical Practices
Q
124213
General Ledger
UH Health SystemUH Conneaut Medical Center
R
9085946
General Ledger
UH Health SystemUH Conneaut Medical Center
N
12034546
General Ledger
UH Health SystemUH Conneaut Medical Center
P
927237
General Ledger
UH Health SystemUH Conneaut Medical Center
L
2121146
General Ledger
UH Cleveland Medical CenterUH Conneaut Medical Center
R
577060
General Ledger
UH Cleveland Medical CenterUH Conneaut Medical Center
P
193183
General Ledger
UH Laboratory Services FoundationUH Conneaut Medical Center
L
121888
General Ledger
UH Medical GroupUH Conneaut Medical Center
L
199227
General Ledger
UH Geneva Medical CenterUH Conneaut Medical Center
L
151300
General Ledger
UH Medical PracticesUH Conneaut Medical Center
L
317237
General Ledger
UH Extended Care CampusUH Health System
P
11329211
General Ledger
UH Extended Care CampusUH Case Medical Center
Q
266283
General Ledger
UH Extended Care CampusUH Case Medical Center
C
118443
General Ledger
UH Health SystemUH Extended Care Campus
R
8996672
General Ledger
UH Health SystemUH Extended Care Campus
P
2395051
General Ledger
UH Health SystemUH Extended Care Campus
N
15837802
General Ledger
UH Health SystemUH Extended Care Campus
L
1208013
General Ledger
UH Case Medical CenterUH Extended Care Campus
L
147691
General Ledger
UH Laboratory Services FoundationUH Extended Care Campus
L
128106
General Ledger
UH Laboratory Services FoundationUH Extended Care Campus
P
87192
General Ledger
UH Geauga Medical CenterUH Extended Care Campus
L
54772
General Ledger
UH Medical PracticesUH Extended Care Campus
L
733356
General Ledger
UH Geauga Medical CenterUH Health System
Q
616980
General Ledger
UH Geauga Medical CenterUH Health System
N
51445
General Ledger
UH Geauga Medical CenterUH Health System
P
1207548
General Ledger
UH Geauga Medical CenterUH Health System
C
18565795
General Ledger
UH Geauga Medical CenterUH Case Medical Center
Q
81628
General Ledger
UH Geauga Medical CenterUH Case Medical Center
H
198160
General Ledger
UH Geauga Medical CenterUH Case Medical Center
C
514181
General Ledger
UH Geauga Medical CenterUH Extended Care Campus
K
54771
General Ledger
UH Geauga Medical CenterUH Medical Practices
Q
336293
General Ledger
UH Health SystemUH Geauga Medical Center
R
30177144
General Ledger
UH Health SystemUH Geauga Medical Center
L
4704844
General Ledger
UH Health SystemUH Geauga Medical Center
N
42691911
General Ledger
UH Health SystemUH Geauga Medical Center
P
3377580
General Ledger
UH Case Medical CenterUH Geauga Medical Center
P
1015159
General Ledger
UH Case Medical CenterUH Geauga Medical Center
R
54696
General Ledger
UH Laboratory Services FoundationUH Geauga Medical Center
L
506861
General Ledger
UH Medical GroupUH Geauga Medical Center
L
1380329
General Ledger
UH Richmond Medical CenterUH Geauga Medical Center
L
97682
General Ledger
UH Medical PracticesUH Geauga Medical Center
L
1995514
General Ledger
UH Geneva Medical CenterUH Health System
Q
165008
General Ledger
UH Geneva Medical CenterUH Health System
O
541533
General Ledger
UH Geneva Medical CenterUH Case Medical Center
Q
151374
General Ledger
UH Geneva Medical CenterUH Medical Practice
L
183691
General Ledger
UH Health SystemUH Geneva Medical Center
R
10711564
General Ledger
UH Health SystemUH Geneva Medical Center
N
15851598
General Ledger
UH Health SystemUH Geneva Medical Center
P
1669521
General Ledger
UH Health SystemUH Geneva Medical Center
L
2700043
General Ledger
UH Case Medical CenterUH Geneva Medical Center
R
88897
General Ledger
UH Case Medical CenterUH Geneva Medical Center
P
324157
General Ledger
UH Laboratory Services FoundationUH Geneva Medical Center
L
179893
General Ledger
UH Medical GroupUH Geneva Medical Center
L
354856
General Ledger
UH Medical PracticesUH Geneva Medical Center
L
375133
General Ledger
UH Home Care ServicesUH Case Medical Center
Q
675199
General Ledger
UH Health SystemUH Home Care Services
R
10075672
General Ledger
UH Health SystemUH Home Care Services
N
14868506
General Ledger
UH Health SystemUH Home Care Services
P
736632
General Ledger
UH Health SystemUH Home Care Services
L
1463269
General Ledger
UH Richmond Medical CenterUH Health System
Q
205881
General Ledger
UH Richmond Medical CenterUH Health System
O
978077
General Ledger
UH Richmond Medical CenterUH Case Medical Center
O
113415
General Ledger
UH Richmond Medical CenterUH Case Medical Center
Q
58073
General Ledger
UH Richmond Medical CenterUH Case Medical Center
K
2636866
General Ledger
UH Richmond Medical CenterUH Medical Practices
K
161449
General Ledger
UH Health SystemUH Richmond Medical Center
R
18135769
General Ledger
UH Health SystemUH Richmond Medical Center
L
3348316
General Ledger
UH Health SystemUH Richmond Medical Center
N
27465095
General Ledger
UH Health SystemUH Richmond Medical Center
P
2069146
General Ledger
UH Health SystemUH Richmond Medical Center
C
14103024
General Ledger
UH Case Medical CenterUH Richmond Medical Center
L
959369
General Ledger
UH Case Medical CenterUH Richmond Medical Center
P
519927
General Ledger
UH Laboratory Services FoundationUH Richmond Medical Center
L
343561
General Ledger
UH Medical GroupUH Richmond Medical Center
L
812775
General Ledger
UH Medical PracticesUH Richmond Medical Center
L
1652868
General Ledger
UH Laboratory Services FoundationUH Health System
O
73792
General Ledger
UH Laboratory Services FoundationUH Case Medical Center
Q
462426
General Ledger
UH Laboratory Services FoundationUH Case Medical Center
N
320896
General Ledger
UH Laboratory Services FoundationUH Case Medical Center
O
2147451
General Ledger
UH Laboratory Services FoundationUH Medical Group
K
117587
General Ledger
UH Health SystemUH Laboratory Service Foundation
R
8175692
General Ledger
UH Health SystemUH Laboratory Service Foundation
L
1111940
General Ledger
UH Health SystemUH Laboratory Service Foundation
N
4046306
General Ledger
UH Health SystemUH Laboratory Service Foundation
P
245538
General Ledger
UH Cleveland Medical CenterUH Laboratory Service Foundation
R
1348350
General Ledger
UH Cleveland Medical CenterUH Laboratory Service Foundation
N
2962859
General Ledger
UH Cleveland Medical CenterUH Laboratory Service Foundation
L
7375908
General Ledger
UH Cleveland Medical CenterUH Laboratory Service Foundation
P
1187154
General Ledger
UH Cleveland Medical CenterUH Laboratory Service Foundation
H
276597
General Ledger
UH Medical GroupUH Health System
Q
92212
General Ledger
UH Medical GroupUH Health System
N
595980
General Ledger
UH Medical GroupUH Health System
O
1315982
General Ledger
UH Medical GroupUH Cleveland Medical Center
Q
13631580
General Ledger
UH Medical GroupUH Cleveland Medical Center
O
1891870
General Ledger
UH Medical GroupUH Cleveland Medical Center
K
69610023
General Ledger
UH Medical GroupUH Cleveland Medical Center
N
68155
General Ledger
UH Health SystemUH Medical Group
R
40257348
General Ledger
UH Health SystemUH Medical Group
L
9477533
General Ledger
UH Health SystemUH Medical Group
N
257839275
General Ledger
UH Health SystemUH Medical Group
J
268642
General Ledger
UH Health SystemUH Medical Group
P
11113978
General Ledger
UH Health SystemUH Medical Group
C
206193319
General Ledger
UH Cleveland Medical CenterUH Medical Group
R
204568
General Ledger
UH Cleveland Medical CenterUH Medical Group
P
2554353
General Ledger
UH Cleveland Medical CenterUH Medical Group
L
4327481
General Ledger
UH Cleveland Medical CenterUH Medical Group
J
90560
General Ledger
UH Cleveland Medical CenterUH Medical Group
N
276935
General Ledger
UH Case Medical CenterUH Health System
Q
6765709
General Ledger
UH Case Medical CenterUH Health System
N
2217783
General Ledger
UH Case Medical CenterUH Health System
O
65515957
General Ledger
UH Case Medical CenterUH Health System
H
179450
General Ledger
UH Health SystemUH Case Medical Center
R
174581820
General Ledger
UH Health SystemUH Case Medical Center
N
162621427
General Ledger
UH Health SystemUH Case Medical Center
L
86866867
General Ledger
UH Health SystemUH Case Medical Center
H
1055525
General Ledger
UH Health SystemUH Case Medical Center
P
10044973
General Ledger
University Hospitals Cleveland Medical Center - dba UH Case Medical Center
11100 Euclid Avenue
Cleveland
OH
44106
341567805
UNIV
University Hospitals Bedford Medical Center
44 Blaine Avenue
Bedford
OH
44146
341271115
UNIV
University Hospitals Conneaut Medical Center
158 West Main Road
Conneaut
OH
44030
340714550
UNIV
BMH Professional Corporation
158 West Main Road
Conneaut
OH
44030
341749966
UNIV
University Hospitals Geauga Medical Center
13207 Ravenna Road
Chardon
OH
44024
340816492
UNIV
University Hospitals Geneva Medical Center
870 West Main Street
Geneva
OH
44041
340714461
UNIV
UHHS Heather Hill Inc
12340 Bass Lake Road
Chardon
OH
44024
340771884
UNIV
UHHS - Heather Hill Rehabilitation Hospital Inc - dba UH Extended Care Camp
12340 Bass Lake Road
Chardon
OH
44024
341465745
UNIV
University Hospitals Richmond Medical Center
27100 Chardon Road
Richmond Hts
OH
44143
341924226
UNIV
University Mednet
23001 Euclid Avenue
Cleveland
OH
44117
340750341
UNIV
University Hospitals Home Care Services Inc
4901 Galaxy Parkway
Warrensville Hts
OH
44128
341527536
UNIV
University Hospitals Laboratory Services Foundation
11100 Euclid Avenue
Cleveland
OH
44106
341720429
UNIV
University Hospitals Medical Group Inc
11100 Euclid Avenue
Cleveland
OH
44106
204881619
UNIV
UH Foundation
11100 Euclid Avenue
Cleveland
OH
44106
205999979
UNIV
University NPI Inc
11100 Euclid Avenue
Cleveland
OH
44106
341571623
UNIV
Memorial Hospital Health Foundation
11100 Euclid Avenue
Cleveland
OH
44106
341810018
UNIV
University Hospitals Ahuja Medical Center Inc
11100 Euclid Avenue
Cleveland
OH
44106
264827222
UNIV
University Hospitals Cleveland Medical Center
11100 Euclid Ave
Cleveland
OH
44106
341567805
X
4674
245176
249850
1059775150
1060025000
1000000
250000
0
0
0
University Hospitals Bedford Medical Center
44 Blaine Ave
Bedford
OH
44146
341271115
201
7496
7697
51729303
51737000
1000000
250000
0
0
0
University Hospitals Conneaut Medical Center
158 West Main Rd
Conneaut
OH
44030
340750341
101
3778
3879
25739121
25743000
1000000
250000
0
0
0
BMH Professional Corp
158 West Main Rd
Conneaut
OH
44030
341749966
0
0
0
0
0
0
0
0
0
0
University Hospitals Geauga Medical Center
13207 Ravenna Rd
Chardon
OH
44024
340816492
385
14326
14711
94185289
94200000
1000000
250000
0
0
0
University Hospitals Geneva Medical Center
870 West Main St
Geneva
OH
44041
340714461
148
5508
5656
34454344
34460000
1000000
250000
0
0
0
University Hospitals Extended Care Campus
12340 Bass Lake Road
Chardon
OH
44024
341465745
104
3886
3990
29852010
29856000
1000000
250000
0
0
0
UHHS - Heather Hill Inc
12340 Bass Lake Road
Chardon
OH
44024
340771884
0
0
0
0
0
0
0
0
0
0
University Hospitals Richmond Medical Center
27100 Chardon Road
Richmond Hts
OH
44024
341924226
243
9057
9300
61139700
61149000
1000000
250000
0
0
0
University Mednet
23001 Euclid Ave
Cleveland
OH
44117
340750341
0
0
0
0
0
0
0
0
0
0
University Hospitals Home Care Services Inc
4901 Galaxy Parkway
Warrensville Hts
OH
44128
341527536
105
3922
4027
27723973
27728000
1000000
250000
0
0
0
University Hospitals Laboratory Services Foundation
11100 Euclid Ave
Cleveland
OH
44106
341720429
115
4279
4394
25324606
25329000
1000000
250000
0
0
0
University Hospitals Medical Group Inc
11100 Euclid Ave
Cleveland
OH
44106
204881619
1141
42483
43624
338808376
338852000
1000000
250000
0
0
0
UH Foundation
11100 Euclid Ave
Cleveland
OH
44106
205999979
0
0
0
0
0
0
0
0
0
0
University NPI Inc
11100 Euclid Ave
Cleveland
OH
44106
341571623
0
0
0
0
0
0
0
0
0
0
Memorial Hospital Health Foundation
11100 Euclid Ave
Cleveland
OH
44106
341810018
0
0
0
0
0
0
0
0
0
0
University Hospitals Health System Inc
11100 Euclid Ave
Cleveland
OH
44106
340714775
294
10420
10714
227939286
227950000
1000000
250000
0
0
0