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        <PersonNm>JEREMY J THOMAS MD</PersonNm>
        <TitleTxt>DIRECTOR/EMER. CARE (UMC)/UOFL PROFESSOR</TitleTxt>
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        <ReportableCompFromOrgAmt>225494</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>434561</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>55138</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEN MARSHALL</PersonNm>
        <TitleTxt>COO, UOFL HEALTH</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>28.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>424097</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22266</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIRK STRACK</PersonNm>
        <TitleTxt>CFO, UOFL HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>18.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>335450</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JASON SMITH MD</PersonNm>
        <TitleTxt>CMO-UOFL HEALTH/UOFL ASSOC. PROFESSOR</TitleTxt>
        <AverageHoursPerWeekRt>18.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>48.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>614007</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54930</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH F MULLINS</PersonNm>
        <TitleTxt>SYSTEM VP, INFORMATION TECHNOLOGY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>220176</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARI KRETZSCHMER</PersonNm>
        <TitleTxt>VP PATEINT SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN AMSLER</PersonNm>
        <TitleTxt>SYSTEM VP, FACILITIES AND SECURITY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>31410</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAUNDRA DENHAM</PersonNm>
        <TitleTxt>SYSTEM VP, COMPLIANCE AND AUDIT</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>149305</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL NAGY</PersonNm>
        <TitleTxt>VP CONTRACTING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>47293</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES RAYOME</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>42519</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT A VAN BUSKIRK</PersonNm>
        <TitleTxt>VP SUPPLY CHAIN OPS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>305870</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>28282</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT FINK</PersonNm>
        <TitleTxt>VP PHARMACY SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>275509</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15175</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAMI WALKER</PersonNm>
        <TitleTxt>VP QUALITY &amp; SAFETY (END 4/25)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA AKINS</PersonNm>
        <TitleTxt>COO/CNO UMC/VP PATIENT CARE SVCS (M&amp;E)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>152492</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>152492</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42124</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA ATKINSON</PersonNm>
        <TitleTxt>CHIEF HR OFFICER, SR. VP (BEG 07/24)</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICKEY WELSCHER</PersonNm>
        <TitleTxt>VP OF REIMBURSEMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>262171</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>29236</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ABDULLAH ALMOSAWI</PersonNm>
        <TitleTxt>RADIOLOGIC TECHNOLOGIST</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH SOWARDS</PersonNm>
        <TitleTxt>PHYSICIST</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSHUA JAMES</PersonNm>
        <TitleTxt>PHYSICIST/UOFL ASSISTANT PROFESSOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN BLACKBURN</PersonNm>
        <TitleTxt>CHIEF PHYSICIST/UOFL CLINICAL PHYSICIST</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE PARTRIDGE</PersonNm>
        <TitleTxt>SR. VP MARKETING AND COMMUNICATION (END 06/24)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>120397</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>120397</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9668</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY JOHNSON</PersonNm>
        <TitleTxt>SR. VP OF HR (END 05/24)</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18973</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>7025061</TotalReportableCompFromOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>1601</IndivRcvdGreaterThan100KCnt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPIC HOSTING</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>BIN 88065</AddressLine1Txt>
            <CityNm>MILWAUKEE</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>532880065</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>SOFTWARE IT SERVICES</ServicesDesc>
        <CompensationAmt>3125256</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LEARFIELD COMMUNICATIONS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 843038</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>641843038</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>MARKETING AND SPONSORSHIPS SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CORROHEALTH</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 654380</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <ServicesDesc>SOFTWARE IT SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SUNIT CHHIBBER</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5807 HARRODS GLEN DRIVE</AddressLine1Txt>
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            <ZIPCd>40059</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>KONICA MINOLTA</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 105743</AddressLine1Txt>
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        <ServicesDesc>IT SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>614455</GovernmentGrantsAmt>
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      <TotalContributionsAmt>1072777</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>966957959</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
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        <Desc>LAB SERVICES REVENUE</Desc>
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      <OtherRevenueMiscGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueMiscGrp>
        <Desc>EQUITY IN EARNINGS OF AFFILIATES</Desc>
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        <TotalRevenueColumnAmt>3838898</TotalRevenueColumnAmt>
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        <RelatedOrExemptFuncIncomeAmt>1308196</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>7506846</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <TotalAmt>7765676</TotalAmt>
        <ProgramServicesAmt>7765676</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>122400</TotalAmt>
        <ProgramServicesAmt>122400</ProgramServicesAmt>
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        <TotalAmt>5252314</TotalAmt>
        <ProgramServicesAmt>4603276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>649038</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>202060270</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26001370</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>35446910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4561353</ManagementAndGeneralAmt>
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        <TotalAmt>2881989</TotalAmt>
        <ProgramServicesAmt>2553413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>328576</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>15152809</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1949882</ManagementAndGeneralAmt>
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        <TotalAmt>15752</TotalAmt>
        <ManagementAndGeneralAmt>15752</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>31000</TotalAmt>
        <ManagementAndGeneralAmt>31000</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>33787</TotalAmt>
        <ManagementAndGeneralAmt>33787</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>314397</TotalAmt>
        <ManagementAndGeneralAmt>314397</ManagementAndGeneralAmt>
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        <FAPSummaryOnWebsiteURLTxt>HTTPS://UOFLHEALTH.ORG/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTANCE/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY OF LOUISVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COMPLETED THE CHNA OVER THE COURSE OF THE 2024 CALENDAR YEAR. COMMUNITY ENGAGEMENT STAFF COORDINATED DATA COLLECTION WITH THE LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT. THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. IT WAS RELEASED TO PATIENTS THROUGH MYCHART, TO STAFF THROUGH INTERNAL NEWSLETTERS, AND TO THE COMMUNITY THROUGH SOCIAL MEDIA AND EXTERNAL NEWSLETTERS. DATA WAS ALSO COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND LOCAL EVENTS. PARTICIPANTS INCLUDED THE GENERAL PUBLIC, REPRESENTATIVES WHO SERVE MARGINALIZED POPULATIONS INCLUDING INDIVIDUALS FROM COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS, PUBLIC HEALTH OFFICALS, AS WELL AS MAJOR EMPLOYERS. REPRESENTATIVES FROM POPULATIONS MOST AFFECTED BY HEALTH NEEDS WERE INCLUDED THROUGH FOCUS GROUPS AND LISTENING SESSIONS WITH PATIENTS LIVING WITH DISABILITIES, REPRESENTATIVES WORKING WITH UNHOUSED INDIVIDUALS, AND THE MEMBERS OF LGBTQIA+ COMMUNITIES. DATA FROM THE INTERVIEWS AND SURVEYS INFORMED THE RESULTS AND ASSISTED THE HOSPITAL IN IDENTIFYING PRIORITY AREAS. FOR GENERAL FEEDBACK ON PREVIOUS CHNAS, AN ONLINE FEEDBACK FORM WAS MADE AVAILABLEON THE UOFL HEALTH WEBSITE AT HTTPS://UOFLHEALTH.ORG/ABOUT/COMMUNITY-ENGAGEMENT. ANY COMMENTS COLLECTED THROUGH THE FORM WERE INCLUDED IN THE CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY OF LOUISVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: UOFL HEALTH AS A HEALTHCARE SYSTEM CONDUCTED THE MOST RECENT CHNA DURING THE 2024 CALENDAR YEAR. ALL SEVEN HOSPITALS IN THE SYSTEM FELL INTO THE SAME CHNA TIMELINE. PRIMARY AND SECONDARY DATA FOR ALL HOSPITALS WAS COLLECTED AT THE SAME TIME. THREE CHNA REPORTS WERE CREATED BASED ON COUNTY LOCATION, WHICH RESULTED IN SEPARATE REPORTS FOR JEFFERSON, SHELBY, AND BULLITT COUNTIES. THE JEFFERSON COUNTY HOSPITALS WITHIN THE UOFL HEALTH-LOUISVILLE ORGANIZATION ALONG WITH UOFL HOSPITAL UTILIZED THE SAME SURVEY TOOL THAT WAS ADMINISTERED IN COORDINATION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS. THESE HOSPITALS INCLUDED: JEWISH HOSPITAL, PEACE HOSPITAL, MARY AND ELIZABETH HOSPITAL, UOFL HOSPITAL, AND FRAZIER REHABILITATION INSTITUTE. THE SAME DATA FROM FOCUS GROUPS WITH UNHOUSED SERVICE PROVIDERS, PATIENTS LIVING WITH DISABILITES, DATA COLLECTED AT EVENTS, AND KEY INFORMANT INTERVIEWS WAS UTILIZED FOR ALL UOFL HEALTH HOSPITALS IN JEFFERSON COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY OF LOUISVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COORDINATED DATA COLLECTION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT (LMPHW). THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. UOFL HEALTH AND THE LMPHW PARTNERED ON DISTRIBUTING THE SURVEY THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY OF LOUISVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED THE FOLLOWING OVERALL NEEDS IN JEFFERSON COUNTY: POOR OVERALL COMMUNITY HEALTH, PROJECTED GAPS IN WORKFORCE, DEMOGRAPHIC SHIFTS IN THE COMMUNITY AND CONTINUED HEALTH DISPARITIES, BEHAVIORAL HEALTH NEEDS, RESOURCE NAVIGATION, SOCIAL DETERMINANTS OF HEALTH, INTERPERSONAL SAFETY, AND ACCESS TO CARE. ONCE PRIORITIES WERE SET BY HOSPITAL LEADERS, A TRANSITION IN LEADERSHIP NECESSITATED A CHANGE IN PRIORITIES. PREVIOUSLY CHOSEN PRIORITIES WERE STREAMLINED INTO SYSTEM LEVEL PRIORITIES OF ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS. EACH HOSPITAL THEN TAILORED THESE PRIORITIES TO MEET THE NEEDS OF THEIR PATIENT POPULATIONS, COMMUNITY NEEDS, AND SERVICES. UOFL HOSPITAL PRIORITIES WILL INCLUDE: DECREASE BARRIERS TO ACCESSING CANCER CARE, DECREASE BARRIERS TO ACCESSING CARE FOR VICTIMS OF TRAUMA, ENHANCE WORKFORCE PIPELINES, AND INCREASE RESOURCES THROUGH COMMUNITY PARTNERSHIPS. THE FOLLOWING LISTS THE PRIORITIES AND STRATEGIES SPECIFIC TO THE HOSPITAL. 1. PRIORITY: DECREASE BARRIES TO ACCESSING CANCER CARE WILL BE ADDRESSED THROUGH THE FOLLOWING TARGET OUTCOME AND ACTION STEPS- TARGET OUTCOME(S): INCREASE CANCER SCREENING RATES FOR AT-RISK POPULATIONS; INCREASE TREATMENT ADHERENCE THROUGH SOCIAL DETERMINANTS OF HEALTH AND WELLNESS SUPPORT- ACTION STEPS: EXPAND EXTERNAL PARTNERSHIPS AND COMMUNITY PRESENCE TO SUPPORT SCREENING ACCESS AND NAVIGATION ACROSS THE LOUISVILLE AND SURROUNDING COUNTY AREA, WITH A FOCUS ON DESIGNATED CANCER 'HOT SPOTS' INCREASE LUNG CANCER SCREENINGS BY DECREASING BARRIERS TO CARE (E.G. MOBILE UNIT, TARGET OUTREACH, PARTNERSHIP OPPORTUNITIES) REDUCE BARRIERS TO CANCER CARE CREATED BY SOCIAL DETERMINANTS OF HEALTH (E.G. TRANSPORTATION, LODGING, WELLNESS)2. PRIORITY: DECREASE BARRIERS TO ACCESSING CARE FOR VICTIMS OF TRAUMA- TARGET OUTCOME(S): REDUCE REINJURY RATES- ACTION STEPS: SUSTAIN FULL PROGRAM MODEL FOR HOSPITAL VIOLENCE INTERVENTION PROGRAM AND ENHANCE CONNECTION TO CARE FOR VICTIMS OF GUN VIOLENCE ENHANCE OUTREACH THROUGH STREAMLINING AND PRIORITIZING LOCATION AND POPULATIONS FOR EFFICIENCY AND EFFECTIVENESS SERVE AS STATEWIDE CONNECTION POINT FOR RESOURCES RELATED TO TRAUMA VERIFICATION, TRAINING, DATA MANAGEMENT AND BEST PRACTICES3. PRIORITY: ENHANCE WORKFORCE PIPELINES- TARGET OUTCOME(S): INCREASE APPLICANTS AND NEW HIRES FROM MARGINALIZED DEMOGRAPHIC GROUPS; REFLECT THE COMMUNITY IN APPLICANT POOLS AND NEW HIRES; FILL PROJECTED WORKFORCE GAPS FOR NURSING AND ALLIED HEALTH FIELDS- ACTION STEPS: SUSTAIN FUTURE HEALERS PROGRAM OFFERINGS AND PROVIDE ADEQUATE INFRASTRUCTURE (DEDICATED STAFF, FUNDING, SPACE) DEVELOP RELATIONSHIPS WITH COMMUNITY ENTITIES TO CREATE WORKFORCE TRAINING AND RECRUITMENT PIPELINES FOR ALLIED HEALTH FIELDS TO INCLUDE APPLICANTS FROM MARGINALIZED COMMUNITIES INCREASE RAD TECH GRADUATES IN THE ALLIED HEALTH ACADEMY STREAMLINE PROCESS FROM NURSE EXTERN TO OPEN PERMANENT POSITIONS4. PRIORITY: INCREASE ACCESS TO RESOUCES THROUGH COMMUNITY PARTNERSHIPS- TARGET OUTCOME(S): REDUCE READMISSION FOR VETERANS AND UNHOUSED POPULATIONS- ACTION STEPS: EXPLORE USE OF HOMELESS MANAGEMENT INFORMATION SYSTEM THROUGH COALITION FOR THE HOMELESS FOR DATA SHARING AND COMMUNICATION PARTNER WITH VOLUNTEERS OF AMERICA TO OPEN MEDICAL RESPITE PROGRAM FOR UNHOUSED PATIENTS IN COMMUNITY CARE CAMPUS IMPLEMENT VETERANS' PROGRAM TO ENHANCE SCREENING AND SERVICES FOR VETERAN PATIENTS, CONNECTING THEM TO THE VA AND COMMUNITY RESOURCES EARLIERHEALTH NEEDS CHOSEN AS PRIORITIES FOR EACH UOFL HEALTH HOSPITAL WERE CHOSEN BASED ON PATIENT POPULATION, MAJOR SERVICE LINES WITHIN THE HOPITALS, AND CURRENT OPERATIONAL PRIORITIES FOR THE HOSPITALS. PRIORITIES WERE CHOSEN TO ENSURE ALIGNMENT WITH THE CAPACITY OF THE HOSPITAL OF ADDRESSING THE HEALTH NEEDS AND AVOIDING MISALIGNMENT. MANY OF THE MAJOR THEMES FROM THE CHNA WERE ALSO COMBINED WERE APPROPRIATE. FOR INSTANCE, ACCESS TO CARE WAS SELECED AS A PRIORITY THAT WILL ADDRESS OVERALL HEALTH AND CHRONIC CONDITIONS. COMMUNITY PARTNERSHIPS WILL ADDRESS SDOH NEEDS AND WORKFORCE GAPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - BROWN CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>529 S JACKSON STREET</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER TREATMENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - AMBULATORY CARE BUILDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>530 S JACKSON STREET</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC. (UMC)'S FINANCIAL ASSISTANCE POLICY APPLIES TO PATIENTS WHO COME TO OUR FACILITIES AND ARE UNINSURED/UNDERINSURED, INELIGIBLE FOR GOVERNMENT HEALTH PROGRAMS, OR OTHERWISE WITHOUT ADEQUATE FINANCIAL RESOURCES TO PAY FOR HEALTH CARE SERVICES. THIS POLICY PROVIDES FINANCIAL RELIEF TO PATIENTS WHO QUALIFY BASED ON A COMPARISON OF THEIR FINANCIAL RESOURCES AND/OR INCOME TO FEDERAL POVERTY GUIDELINES. THE PROGRAM IS DESIGNED SPECIFICALLY FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AND PATIENTS WHOSE HOUSEHOLD FINANCIAL RESOURCES AND/OR INCOME ARE AT OR BELOW 300 PERCENT OF THE FEDERAL POVERTY LEVEL. TO QUALIFY FOR ANY ASSISTANCE, PATIENTS WILL BE ASKED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHICH INCLUDES INFORMATION RELATING TO HOUSEHOLD INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARIES ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED, AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. THE ORGANIZATION'S COST ACCOUNTING PROGRAM WAS UTILIZED FOR CALCULATING PORTIONS OF THE SUBSIDIZED HEALTH SERVICES. THE ORGANIZATION'S COST ACCOUNTING PROGRAM ENCOMPASSES ALL PATIENT TYPES, SERVICES AND PAYORS. THE COSTS ASSOCIATED WITH A SERVICE ARE REVIEWED AND UPDATED ANNUALLY TO PROVIDE THE MOST ACCURATE COST POSSIBLE. BOTH DIRECT AND INDIRECT COSTS ARE UTILIZED IN CALCULATING COST. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION, RESEARCH PROGRAM, SOME SUBSIDIZED SERVICES AND DONATIONS ARE STATED AT ACTUAL COST. THE COSTS OF THESE ITEMS ARE TRACKED THROUGHOUT THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE. LINES 7E, 7F, AND 7G ARE BASED ON ACTUAL COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WERE DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC. HAS TAKEN REASONABLE AND PRUDENT STEPS TO ENSURE NO PORTION OF BAD DEBT COULD BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE AUDITED FINANCIAL STATEMENTS PAGES 13-16.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY OFF MEDICARE COST REPORT FILED WITH THE 6/30/25 YEAR END.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC.'S DEBT COLLECTION POLICY PROVIDES THAT UNIVERSITY MEDICAL CENTER, INC. WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH UNIVERSITY MEDICAL CENTER, INC. FINANCIAL ASSISTANCE POLICY. ALL UNINSURED PATIENTS/GUARANTORS ARE BILLED DIRECTLY AND TIMELY AND WILL RECEIVE A STATEMENT AS PART OF THE NORMAL BILLING PROCESS. ALL PATIENTS/GUARANTORS MAY REQUEST AN ITEMIZED STATEMENT FOR THEIR ACCOUNTS AT ANY TIME. AT LEAST THREE SEPARATE POST-DISCHARGE BILLING STATEMENTS ARE SENT. AN ORAL ATTEMPT TO REACH THE PATIENT IS ALSO MADE BEFORE INITIATION OF ANY ECA. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE UNIVERSITY MEDICAL CENTER, INC. FINANCIAL ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO UNIVERSITY MEDICAL CENTER, INC. FOR APPROPRIATE FOLLOW-UP. UNIVERSITY MEDICAL CENTER, INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. UMC'S CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS:- NEITHER UMC NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT,- NEITHER UMC NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE, AND- UMC'S COLLECTION AGENCY MAY NOT SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHNAS ARE THE PRIMARY METHOD USED BY THIS FACILITY FOR ASSESSING THE NEEDS OF THE COMMUNITY. A FURTHER UNDERSTANDING OF THE NEEDS OF THE COMMUNITY IS GARNERED FROM PARTICIPATION IN COMMUNITY COLLABORATIVES AND COALITIONS WHERE COMMUNITY-BASED ORGANIZATIONS SHARE BARRIERS TO HEALTH AND WELL-BEING, ANALYSIS OF SOCIAL DETERMINANTS OF HEALTH DATA FROM PATIENTS ADMITTED TO THE HOSPITALS AND ACCESSING SERVICES IN PHYSICIAN CLINICS, AND DATA COLLECTION PROJECTS TIED TO STRATEGIC PLANNING. THE COMMUNITY ENGAGEMENT ALSO TEAM CONSISTENTLY ATTENDS COMMUNITY HEALTH FOCUSED EVENTS, WEBINARS, AND MEETINGS, WHERE INFORMATION IS SHARED TO RELEVANT STAKEHOLDERS WITHIN THE HEALTH CARE SYSTEM. THROUGH HOSPITAL BOARD MEMBERS AND THE INVOLVEMENT OF HOSPITAL LEADERSHIP IN THE COMMUNITY, OTHER NEEDS CAN COME TO LIGHT THAT MAY HAVE ARISEN AFTER THE CHNA WAS COMPLETED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM UOFL HEALTH ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE, &lt;WWW.UOFLHEALTH.ORG&gt; AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE UOFL HEALTH ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. UOFL HEALTH ORGANIZATIONS WILL PROVIDE FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR BILLS AND WILL MAKE THE AVAILABILITY OF SUCH COUNSELING KNOWN. IT IS THE RESPONSIBILITY OF THE PATIENT OR THE PATIENT'S GUARANTOR TO SCHEDULE CONSULTATIONS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE WITH A FINANCIAL COUNSELOR. IN ADDITION, UNIVERSITY MEDICAL CENTER, INC. REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER UNIVERSITY MEDICAL CENTER, INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION, ONCE ALL EMTALA REQUIREMENTS ARE MET, PATIENTS WHO ARE IDENTIFIED AS UNINSURED AND NOT COVERED BY MEDICARE OR MEDICAID ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. REGISTRATION CLERKS READ THE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH SPEAKING INDIVIDUALS. STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>UOFL HEALTH-LOUISVILLE, INC'S PRIMARY SERVICE AREA INCLUDES JEFFERSON COUNTY WHICH HAS A POPULATION OF APPROXIMATELY 772,144 RESIDENTS AND COVERS APPROXIMATELY 398 SQUARE MILES. THE HOSPITAL ALSO SERVES THE PATIENTS FROM NEIGHBORING COMMUNITIES AND PROVIDES SERVICES TO MEMBERS OF THE BORDERING COUNTIES OF BULLITT (84,863), HARDIN (112,273), NELSON (47,730), OLDHAM (70,183), AND SHELBY (49,515) IN KENTUCKY AND CLARK (125,467) AND FLOYD (80,809) IN INDIANA. THE MEDIAN AGE IN JEFFERSON COUNTY IS 38.5 (39.2 IN THE UNITED STATES). THE NUMBER OF PERSONS PER HOUSEHOLD IN JEFFERSON COUNTY IS 2.32 (2.54 IN THE U.S.). RACE IN JEFFERSON COUNTY IS AS FOLLOWS: 62.5% NON-HISPANIC WHITE, 23.3% BLACK OR AFRICAN AMERICAN, 0.2% NATIVE AMERICAN, 3.5% ASIAN, 0.1% PACIFIC ISLANDER, AND 3.0% FROM TWO OR MORE RACES. 8.5% OF THE POPULATION WERE HISPANIC OR LATINO OF ANY RACE. IN JEFFERSON COUNTY THERE IS 1 PRIMARY CARE DOCTOR TO 1,090 RESIDENTS (1,090:1) WHICH IS LESS (LOWER IS BETTER) THAN THE KENTUCKY AVERAGE OF 1,600:1. THE OVERALL HEALTH RANKING FOR JEFFERSON COUNTY IS 32 OUT OF 120 WITH THE OVERALL STATE RANKING AT 41ST OUT OF 50 STATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC. WORKS TO ENHANCE THE HEALTH OF THE COMMUNITY. MOST COMMUNITY OUTREACH IS OPEN TO THE PUBLIC AND SERVES THE BROADER COMMUNITY. THE FOLLOWING PROVIDES A SNAPSHOT OF THE HOSPITAL'S ENGAGEMENT WITH THE COMMUNITY. - FACILITATION OF HEALTH FAIRS AND HEALTH LITERACY OUTREACH IN THE LOCAL COMMUNITY- MONITORING HOSPITAL PROVIDER OPIATE PRESCRIBING PRACTICES - INVOLVEMENT OF HOSPITAL LEADERSHIP ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS, COMMITTEES, AND ADVISORY GROUPS- DONATIONS AND IN-KIND CONTRIBUTIONS WITHIN THE COMMUNITY- PARTNERSHIPS WITH LOCAL SCHOOLS ON HEALTH CARE WORKFORCE DEVELOPMENT INITIATIVES- SCREENING FOR SOCIAL DETERMINANTS OF HEALTH AND REFERRAL OF PATIENTS TO COMMUNITY RESOURCES- INVOLVEMENT IN THE EDUCATION OF HEALTH PROFESSIONALS THROUGH CLINICAL ROTATIONS AND CAPSTONES- INVOLVEMENT IN COMMUNITY-PARTNERSHIPS FOR VIOLENCE INTERVENTION AND PREVENTION- ASSISTING PATIENTS WITH INSURANCE ENROLLMENT- DISCHARGE PLANNING THAT INCLUDES STREAMLINED PRIMARY CARE ACCESS- AVAILABILITY OF REGISTERED DIETICIAN AND DIABETES EDUCATORS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>UOFL HEALTH, INC. IS THE PARENT ORGANIZATION FOR A NUMBER OF TAX-EXEMPT HOSPITALS AND HEALTH CARE ORGANIZATIONS. ITS GENERAL PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF EACH ENTITY DIRECTLY OR INDIRECTLY CONTROLLED BY IT AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). UOFL HEALTH, INC. IS SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATIONS BECAUSE THE SAME PEOPLE MANAGE UOFL HEALTH, INC. AND THE SUPPORTED ORGANIZATIONS. THE SUPPORTED ORGANIZATIONS INCLUDE UNIVERSITY MEDICAL CENTER, INC., UNIVERSITY OF LOUISVILLE PHYSICIANS, INC, UOFL HEALTH-SHELBYVILLE, AND UOFL HEALTH-LOUISVILLE, INC., ALL OF WHICH ARE KENTUCKY, NONPROFIT CORPORATIONS RECOGNIZED BY THE IRS AS BEING TAX-EXEMPT UNDER SECTION 501(C)(3) OF THECODE. UOFL HEALTH-LOUISVILLE, INC. INCLUDES FIVE HOSPITALS IN THE LOUISVILLE METRO AREA INCLUDING JEWISH HOSPITAL, MARY AND ELIZABETH HOSPITAL, PEACE HOSPITAL, SOUTH HOSPITAL AND FRAZIER REHABILITATION INSTITUTE, AND SHELBYVILLE HOSPITAL LOCATED IN SHELBY COUNTY. UOFL HEALTH IS DEDICATED TO COMMUNITY HEALTH PROMOTION AND IMPROVEMENT, WHICH IS PRESENT THROUGHOUT EACH OF ITS HOSPITALS AND SERVICE LINES. EACH OF THE SUPPORTED ORGANIZATIONS CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND THE CORRESPONDING HOSPITALS DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THOSE NEEDS. BEYOND THE CHNA PROCESS, MANY SERVICE LINES, PROGRAMS, AND FACILITIES THROUGHOUT THE UOFL HEALTH SYSTEM HAVE A COMMUNITY HEALTH COMPONENT SUCH THAT THEY PROVIDE OUTREACH, HEALTH LITERACY, ACCESS TO CARE FOR UNDERSERVED POPULATIONS, AND CHRONIC DISEASE MANAGEMENT AND PREVENTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>KY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMMUNITY BENEFIT REPORT IS NOT REQUIRED IN THE STATE OF KENTUCKY. COMMUNITY BENEFIT TOTALS WERE POSTED TO THE ORGANIZATION'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF LOUISVILLE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2301 S 3RD STREET</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40292</ZIPCd>
        </USAddress>
        <RecipientEIN>611014882</RecipientEIN>
        <IRCSectionDesc>SECTION 115</IRCSectionDesc>
        <CashGrantAmt>7500000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT OF THE UNIVERSITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SUPPLY OVER SEAS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 ARLINGTON AVE</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40206</ZIPCd>
        </USAddress>
        <RecipientEIN>272624272</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>265546</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>SOS WEBSITE</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>DONATION OF DRY MEDICAL SUPPLIES TO OTHER COUNTRIES AND COMMUNITIES IN NEED</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EMPLOYEE EMERGENCY ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>64</RecipientCnt>
        <CashGrantAmt>114000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATIONAL GRANTS</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>8400</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT RECORDS ARE PROCESSED AND RECORDED IN OUR ACCOUNTING/ERP SYSTEM AS PAYMENTS ARE MADE. THE CRITERIA FOR RECIPIENT SELECTION IS BASED ON REVIEWS WITH EXECUTIVE LEADERSHIP AND MARKETING DEPARTMENTS. ORGANIZATIONAL CAUSES AS WELL AS HISTORICAL ALIGNMENT WITH THE MISSION OF ULH ARE THE MAJOR DETERMINING FACTORS IN SELECTING RECIPIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>THOMAS D MILLER</PersonNm>
        <TitleTxt>CEO, UOFL HEALTH/SEC./TREASURER</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>18560</DeferredCompRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationRltdOrgsAmt>725938</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompRltdOrgsAmt>46000</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>22509</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>598459</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DINESH KALRA MD</PersonNm>
        <TitleTxt>DIRECTOR/CARDIOLOGIST (ULP/JEWISH)/U</TitleTxt>
        <BaseCompensationFilingOrgAmt>258375</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>509167</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3299</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>30914</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>34500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>22862</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>261674</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>597443</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>DIRECTOR/UOFL PROFESSOR</TitleTxt>
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        <DeferredCompRltdOrgsAmt>50500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4772</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON SMITH MD</PersonNm>
        <TitleTxt>CMO-UOFL HEALTH/UOFL ASSOC. PROFESSO</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>668520</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTINE KRUEGER MD</PersonNm>
        <TitleTxt>VICE CHAIR/GASTROENTEROLOGIST (ULP)</TitleTxt>
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        <PersonNm>KEN MARSHALL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RODRIGO CAVALLAZZI MD</PersonNm>
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        <BaseCompensationFilingOrgAmt>14362</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>143262</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6043</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6043</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6971</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6971</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16091</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>16091</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>43467</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>172367</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A SHORT-TERM INCENTIVE PLAN THAT ELIGIBLE UMC EMPLOYEES MAY RECEIVE BASED ON MEETING CERTAIN BENCHMARKS. THE PLAN IS BASED ON MEETING FINANCIAL GOALS, DESIRED PATIENT QUALITY OUTCOMES, PATIENT SATISFACTION SCORES AND IS CONSISTENT WITH MARKET PRACTICES AND THE ORGANIZATION'S COMPENSATION PHILOSOPHY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JIM TAYLOR</PersonNm>
        <RelationshipWithOrgTxt>FORMER CEO</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE PREMIUMS FOR SUPPLEMENTAL LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1333000</OriginalPrincipalAmt>
        <BalanceDueAmt>1336000</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>1336000</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>U OF L HEALTH, INC., A KENTUCKY NONPROFIT CORPORATION, SHALL BE THE HOSPITAL'S SOLE MEMBER AS OF NOVEMBER 1, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT OF THE UNIVERSITY OF LOUISVILLE APPOINTS THE BOARD MEMBERS FOR THE UNIVERSITY MEDICAL CENTER INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER REVIEW BY THE ORGANIZATION'S FINANCE DEPARTMENT, THE CONTRACTED TAX PROFESSIONAL FILES THE TAX RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF THE HOSPITAL THAT AN INTERESTED PERSON WHO KNOWS THAT HE OR SHE HAS AN ACTUAL OR APPARENT CONFLICT OF INTEREST SHALL DISCLOSE IT PROMPTLY AND FULLY TO ALL NECESSARY PARTIES WHENEVER IT OCCURS. INTERESTED PERSONS ARE (A) VOTING MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS AND VOTING MEMBERS OF COMMITTEES THAT EXERCISE BOARD-DELEGATED AUTHORITY, (B) OFFICERS OF THE HOSPITAL ELECTED OR APPROVED BY THE BOARD OF DIRECTORS OR (C) A "CONTROLLED ENTITY" IN WHICH AT LEAST 35% OF THE CONTROL OR BENEFICIAL INTEREST IS HELD BY ANY ONE OR COMBINATION OF INDVIDUALS DESCRIBED IN A AND B. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER KNOWN INTEREST IN A PROPOSED TRANSACTION TO THE DIRECTORS AND MEMBERS OF COMMITTE WITH BOARD DELEGATED POWERS CONSIDERING THE TRANSATION OR ARRANGEMENT WHEN A CONFLICT OF INTEREST IS DECLARED. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE PROPOSED TRANSACTION. THE INTERESTED PERSON SHALL LEAVE THE MEETING AND THE VOTE ON ANY TRANSACTIONS INVOLVING THE CONFLICT OF INTEREST THE MINUTES OF THE BOARD WILL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSE OR OTHERWISE WERE FOUND TO HAVE INTEREST IN CONNECTION WITH A CONFLICT OF INTEREST, THE NATURE OF THE INTEREST AND ANY ACTION TAKEN TO DETERMINE THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 15A: BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. UMC USES THE MERCER GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE MERCER GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO UMC'S COMPENSATION PHILOSOPHY AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY MERCER GROUP TO THE COMPENSATION COMMITTEE OF THE UMC BOARD OF DIRECTORS ANNUALLY. LINE 15B: FOR ALL EXECUTIVE DIRECTORS, TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES, THE FOLLOWING PROCESS IS USED. 1) HUMAN RESOURCES (HR) HAS INDEPENDENT COMPANY DO A COMPARISON OF LIKE POSITIONS WITHIN THE COMMUNITY AND COME UP WITH A RANGE. THEY PREPARE A PROPOSAL THAT IS SUBMITTED TO HR FOR REVIEW 2) A SALARY IS DETERMINED WITHIN THAT RANGE BASED ON YEARS OF SERVICE EDUCATION AND OTHER FACTORS, SUCH AS ADDITIONAL RESPONSIBILITIES. HR PREPARES A PROPOSAL TO SUBMIT TO THE CEO 3)THE PROPOSAL, CONTAINING THE POSITION, RANGE AND FINAL COMPENSATION IS TURNED OVER TO THE CEO FOR REVIEW 4) AFTER REVIEW, THE CEO TAKES THE PROPOSAL INFORMATION AND PRESENTS IT TO THE FINANCE COMMTTEE. 5) THE FINANCE COMMITTEE DECIDES AND VOTES ON THE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 45,107,976. MANAGEMENT AND GENERAL EXPENSES 18,724,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,832,673. PROFESSIONAL SERVICES - OTHER: PROGRAM SERVICE EXPENSES 66,379,297. MANAGEMENT AND GENERAL EXPENSES 2,337,976. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,717,273. PROFESSIONAL SERVICES TO ULP: PROGRAM SERVICE EXPENSES 21,329,569. MANAGEMENT AND GENERAL EXPENSES 751,259. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,080,828. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 10,146,960. MANAGEMENT AND GENERAL EXPENSES 357,391. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,504,351.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO/FROM AFFILIATES -103,103,656. LONG LIVED ASSET DONATION 12,987,370.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY OF LOUISVILLE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2301 S 3RD STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2215 S BROOK STREET</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
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        </USAddress>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY OF LOUISVILLE PHYSICIANS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 EAST MARKET ST 400</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UOFL HEALTH - SHELBYVILLE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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        <DisregardedEntityName>
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        </USAddress>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <ZIPCd>40202</ZIPCd>
        </USAddress>
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        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIVERSITY MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CYBERKNIFE ASSOCIATES OF LOUISVILLE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 19532</AddressLine1Txt>
          <CityNm>IRVINE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92623</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>CANCER TREATMENT CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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        <ShareOfTotalIncomeAmt>537400</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>318538</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KENTUCKIANA MEDICAL RECIPROCAL RISK RETENTION GROUP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10200 FOREST GREEN BLVD SUITE 605</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40223</ZIPCd>
        </USAddress>
        <EIN>920184981</EIN>
        <PrimaryActivitiesTxt>LIABILITY COVERAGE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UOFL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-2901306</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>52148552</ShareOfEOYAssetsAmt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>