University Hospitals Health System Inc, Amherst Hospital Association in Shaker Hts, Ohio (OH)

University Hospitals Health System Inc, Amherst Hospital Association
Employer Identification Number (EIN)	340067060
Name of Organization	University Hospitals Health System Inc
Secondary Name	Amherst Hospital Association
In Care of Name	Dave Cook Coo
Address	3605 Warrensville Center Rd, Shaker Hts, OH 44122-9100
Activities	Hospital
Subsection	Charitable Organization
Ruling Date	02/1989
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Association
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$1,000,000 to $4,999,999
Income	$1,000,000 to $4,999,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$2,664,278
Amount of Income	$1,094,848
Form 990 Revenue Amount	$1,094,848
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2013: $1,094,848 (it was $1,161,785 in 2012)

University Hospitals Health System Inc, Amherst Hospital Association:	$1,094,848
Other organizations performing similar types of work:	$1,843,198

Assets in 2013: $2,664,278 (it was $3,462,576 in 2012)

This organization:	$2,664,278
Other organizations performing similar types of work:	$2,785,898

Expenses in 2013: $1,211,694

University Hospitals Health System Inc, Amherst Hospital Association:	$1,211,694
Other organizations performing similar types of work:	$976,340

Income to expenses ratio in 2013: 0.9

This organization:	0.9
Other organizations performing similar types of work:	3.2

Grants share in income in 2013: 0.0%

University Hospitals Health System Inc, Amherst Hospital Association:	0.0%
Other organizations performing similar types of work:	86.3%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	Yes	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	No	No
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	No	No
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	No	No
Did the organization attach a copy of its audited financial statements?	No	No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	Yes	Yes
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	Yes	Yes
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		4	4
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		Yes	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		0	0
Did the organization file all required federal employment tax returns?		No	No
Did the organization have unrelated business gross income of $1,000 or more during the year?	No	No	No
Has it filed a Form 990-T for this year?		No	No
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$0	$0
Total reportable compensation from related organizations	$1,787,995	$2,831,183
Total estimated amount of other compensation from the organization and related organizations	$158,591	$171,777
Total number of individuals who received more than $100,000 of reportable compensation from the organization	0	0
Total number of independent contractors who received more than $100,000 of compensation from the organization	0	0

	2011	2012	2013
Statement of Revenue
Total revenue	$3,774,010	$1,161,785	$1,094,848
Contributions, Gifts, Grants and Other Similar Amounts	$0	$0	$0
Program Service Revenue	$3,519,876	$688,183	$388,287
General Medical and Surgical Hospitals		$376,533	$382,030
General Medical and Surgical Hospitals		$311,650	$6,257
All other program service revenue		$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$2,949	$5,900	$6,979
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$213,832	$451,332	$451,332
Gross rents (Real / Personal)	$213,832 / $0	$451,332 / $0	$451,332 / $0
Less: rental expenses (Real / Personal)	$0 / $0	$0 / $0	$0 / $0
Rental income or (loss) (Real / Personal)	$213,832 / $0	$451,332 / $0	$451,332 / $0
Net gain/loss from sales of assets other than inventory	$7,710	$1,500	$7,499
Gross amount from sales of assets other than inventory (Securities / Other)	$0 / $7,710	$0 / $1,500	$0 / $7,499
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $0	$0 / $0	$0 / $0
Gain or (loss) (Securities / Other)	$0 / $7,710	$0 / $1,500	$0 / $7,499
Net income/loss from fundraising events	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$29,643	$14,870	$240,751
900099		$14,795	$4,744
900099		$75	$236,007
All other revenue		$0	$0

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$5,798,389	$1,327,017	$1,211,694
Grants and other assistance to domestic organizations and domestic governments		$0	$0
Grants and other assistance to domestic individuals		$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$0	$0	$0
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$3,081,261	$0	$0
Pension plan accruals and contributions		$0	$0
Other employee benefits		$-48,176	$0
Payroll taxes	$265,416	$43,760	$-1,281
Fees for services (non-employees)
Management		$0	$0
Legal		$0	$0
Accounting		$24,475	$3,725
Lobbying		$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$351,231	$347,845
Advertising and promotion		$0	$0
Office expenses		$96,695	$46,169
Information technology		$0	$0
Royalties		$0	$0
Occupancy		$0	$0
Travel		$0	$0
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$0	$0
Interest		$0	$0
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$433,620	$364,877
Insurance		$15,000	$-3,750
Other expenses		$410,412	$454,109

	2011	2012	2013
Balance Sheet
Total assets	$3,870,240	$3,462,576	$2,664,278
Cash - non-interest-bearing		$150,722	$219,793
Savings and temporary cash investments		$0	$0
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$536,392	$33,900
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$0	$0
Inventories for sale or use		$0	$0
Prepaid expenses and deferred charges		$0	$0
Land, buildings, and equipment: cost or other basis		$2,775,462	$2,410,585
Investments - publicly traded securities		$0	$0
Investments - other securities		$0	$0
Investments - program-related		$0	$0
Intangible assets		$0	$0
Other assets		$0	$0
Total liabilities	$687,210	$528,696	$347,244
Accounts payable and accrued expenses		$528,696	$347,244
Grants payable		$0	$0
Deferred revenue		$0	$0
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$0	$0	$0
Unsecured notes and loans payable to unrelated third parties	$0	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$0	$0
Total net assets or fund balances	$3,183,030	$2,933,880	$2,317,034
Unrestricted net assets		$2,933,880	$2,317,034
Temporarily restricted net assets		$0	$0
Permanently restricted net assets		$0	$0
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported	0
Sum of amounts of support	$0

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$0	$0	$0
Gross receipts or sales less returns and allowances	$0	$0	$0
Cost of goods sold	$0	$0	$0
Gross profit	$0	$0	$0
Capital gain net income	$0	$0	$0
Net gain	$0	$0	$0
Capital loss deduction for trusts	$0	$0	$0
Income (loss) from partnerships and S corporations	$0	$0	$0
Rent income	$0	$0	$0
Unrelated debt-financed income	$0	$0	$0
Interest, annuities, royalties, and rents from controlled organizations	$0	$0	$0
Investment income of a section 501(c)(7), (9), or (17) organization	$0	$0	$0
Exploited exempt activity income	$0	$0	$0
Advertising income	$0	$0	$0
Other income	$2,096	$0	$2,096

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$1,042
Compensation of officers, directors, and trustees	$0
Salaries and wages	$211
Repairs and maintenance	$0
Bad debts	$0
Interest	$0
Taxes and licenses	$0
Charitable contributions	$0
Depreciation	$104
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$109
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$0
Unrelated business taxable income	$0
Unrelated business taxable income before net operating loss deduction	$1,466
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$630
Specific deduction	$630

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	University Hospitals Geauga Medical Center	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$84,760,000
2	University Hospitals Health System Inc, Royalton Senior Living Inc	2 Berea Commons Ste 1, Berea, OH 44017-2535	OH	1989-02	$2,011,158
3	Unified Health Solutions Inc	3440 Office Park Dr, Dayton, OH 45439-2214	OH	1967-03	$930,965
4	United Health Services Inc	7024 Applecreek Rd, Sylvania, OH 43560-1190	OH	1989-04	$493,831
5	University Home Care Services Corporation	700 Ackerman Rd Ste 240, Columbus, OH 43202-1559	OH	1998-06	$415,065
6	Deaconess Health Care Services Co	311 Straight St, Cincinnati, OH 45219-1018	OH	1996-10	$138,588
7	Southside Community Health Association	1430 S High St, Columbus, OH 43207-1045	OH	1985-04	$7
8	Bmh Professional Corporation	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
9	Care One Property Enterprises	2951 Maple Ave, Zanesville, OH 43701-1406	OH	1986-05	$0
10	Lake Erie Health Alliance	2142 N Cove, Toledo, OH 43606	OH	1996-09	$0
11	Pathology Associates Of University Hospitals Inc	11100 Euclid Avenue, Cleveland, OH 44106	OH	1989-02	$0
12	Uh Regional Hospitals	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
13	University Hospitals Ahuja Medical Center	11100 Euclid Ave, Cleveland, OH 44106-5000	OH	1989-02	$0
14	University Hospitals Bedford Medical Center	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
15	University Hospitals Geneva Medical Center	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
16	University Hospitals Health System	11100 Euclid Ave, Cleveland, OH 44106	OH	1989-02	$0
17	University Hospitals Health System Inc	158 W Main Rd, Conneaut, OH 44030	OH	1989-02	$0
18	University Hospitals Health System Inc, Memorial Hospital Health Foundation	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
19	University Hospitals Health System Inc, Uhhs Saint Michael Hospital Inc	11100 Euclid Avenue, Cleveland, OH 44106	OH	1989-02	$0
20	University Hospitals Health System Inc, Ulwh	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0

Number of organizations performing similar types of work

Alaska	1
Alabama	4
Arkansas	4
Arizona	2
California	17
Colorado	8
Connecticut	9
District of Columbia	1
Delaware	1
Florida	5
Georgia	6
Hawaii	1
Iowa	3
Illinois	16
Indiana	7
Kansas	5
Kentucky	4
Louisiana	4
Massachusetts	21
Maryland	6
Maine	4
Michigan	12
Minnesota	7
Missouri	2

Mississippi	5
Montana	3
North Carolina	7
Nebraska	5
New Hampshire	5
New Jersey	12
New Mexico	1
Nevada	2
New York	24
Ohio	37
Oklahoma	7
Oregon	1
Pennsylvania	33
Rhode Island	1
South Carolina	3
South Dakota	3
Tennessee	6
Texas	11
Utah	1
Virginia	9
Vermont	2
Washington	4
Wisconsin	5
West Virginia	2

Total

339

Affiliation	Name	Address	State	Established	Total Income
20 biggest affiliated organizations
Central	University Hospitals Health System Inc, Management Services Center	3605 Warrensville Center Rd, Shaker Hts, OH 44122-5203	OH	1989-02	$305,182,000
Subordinate	University Hospitals Health System Inc, Group Return	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$2,327,281,400
Subordinate	University Hospitals Cleveland Medical Center Inc	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$871,274,000
Subordinate	University Hospitals Health System Inc, Emh Regional Medical Center	3605 Warrensville Center Rd, Shaker Hts, OH 44122-9100	OH	1989-02	$206,109,103
Subordinate	University Hospitals Health System Inc, Parma Community General Hospital	3605 Warrensville Center Rd, Shaker Hts, OH 44122-9100	OH	1989-02	$180,578,269
Subordinate	University Hospitals Health System Inc, University Mednet Inc	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$67,937,532
Subordinate	University Hospitals Health System Inc, Comprehensive Health Care Of Ohio	3605 Warrensville Center Rd, Shaker Hts, OH 44122-9100	OH	1989-02	$18,341,154
Subordinate	University Hospitals Laboratory Services Foundation	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$16,785,000
Subordinate	University Hospitals Health System Heather Hill Rehabilitation Hospit	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$13,115,159
Subordinate	University Hospitals Health System Inc, Heather Hill Inc	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$12,948,224
Subordinate	University Hospitals Geauga Medical Center	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$84,760,000
Subordinate	University Hospitals Health System Inc, Royalton Senior Living Inc	2 Berea Commons Ste 1, Berea, OH 44017-2535	OH	1989-02	$2,011,158
Subordinate	University Hospitals Health System Inc, Amherst Hospital Association	3605 Warrensville Center Rd, Shaker Hts, OH 44122-9100	OH	1989-02	$1,094,848
Subordinate	University Hospitals Ahuja Medical Center	11100 Euclid Ave, Cleveland, OH 44106-5000	OH	1989-02	$0
Subordinate	Bmh Professional Corporation	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
Subordinate	University Hospitals Health System Inc, Memorial Hospital Health Foundation	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
Subordinate	University Hospitals Bedford Medical Center	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
Subordinate	Uh Regional Hospitals	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
Subordinate	University Hospitals Home Care Services Inc	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0
Subordinate	University Hospitals Health System Inc, University Npi Inc	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$0

Number of affiliated organizations

Ohio