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        <Explanation>University Medical Center paid membership dues to the Kentucky Hospital Association and American Hospital Association of which $22,602 and $9,702, respectively was related to lobbying activities.</Explanation>
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      <InvestmentsProgramRelated>
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      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>GUARANTEED INVESTMENT CONTRACT</Description>
        <BookValue>7837430</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>UHC PASSPORT</Description>
        <BookValue>1313250</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>SELF INSURANCE TRUST</Description>
        <BookValue>2823955</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>FUNDED DEPRECIATION</Description>
        <BookValue>14767778</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Investment in Cyberknife</Description>
        <BookValue>200000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>31150010</TotalOfBookValueProgramRelated>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>RESERVE FOR MALPRACTICE</Description>
        <Amount>6954904</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>RESERVE-WORKERS COMP CLAIMS</Description>
        <Amount>2132138</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>RESERVE - D&amp;O CLAIMS</Description>
        <Amount>125500</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ARBITRAGE FUNDS</Description>
        <Amount>21667</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PASSPORT GRANT REFUND</Description>
        <Amount>1064000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ESCHEAT PROPERTY</Description>
        <Amount>304</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>UMC Affiliation Agreement Payable</Description>
        <Amount>11000000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>21298513</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>463279704</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>-7828097</OtherRevenues>
      <RevenueNotRptdF990>-7828097</RevenueNotRptdF990>
      <RevenueSubtotal>471107801</RevenueSubtotal>
      <OtherRevenuesNotIncluded>9272</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>9272</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>471117073</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>455869411</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>477007</OtherExpensesIncluded>
      <ExpensesNotRptdF990>477007</ExpensesNotRptdF990>
      <ExpensesSubtotal>455392404</ExpensesSubtotal>
      <OtherExpensesNotIncluded>7828097</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>7828097</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>463220501</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Intended use of organization's endowment funds</Identifier>
        <ReturnReference>Schedule D, Part V, line 4</ReturnReference>
        <Explanation>The intended use of the endowment funds is for future capital. No specific project has been determined at this time.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Note Regarding ASC 740 (Formerly Fin 48)</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>University Medical Center, Inc. adopted Fin 48 in 2007. No disclosures were required under GAAP as university Medical Center, Inc. does not have any material tax contingencies that required disclosures in the footnotes.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Reconciliation of Revenue</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 2d</ReturnReference>
        <Explanation>Provision for Bad Debts: $7,828,097 SCHEDULE D, PART XI, LINE 4B EXPENSE RELATED TO RENTAL INCOME: ($477,007) PREMIER K-1: $12,743 RESTRICTED INTEREST: $494,876 JOINT VENTURE: $24,050 GAIN/LOSS: ($45,390) rounding: ($1) ----------- TOTAL $9,272</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Reconciliation of Expenses</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 2d</ReturnReference>
        <Explanation>Rent Expense Netted With revenue on 990, expensed on AFS: $477,007 Schedule D, Part XIII, Line 4b Provision for Bad Debts: $7,828.097</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>83248137</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>67665798</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>67665798</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03420</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>90753145</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>74430203</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>16322942</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03580</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>174001282</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>142096001</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>83988740</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07000</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>15405286</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>155941</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15249345</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03350</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>92209976</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>33991251</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>58218725</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12780</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>220133</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26533</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>193600</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>3072130</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3072130</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00670</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>110907525</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>34173725</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>76733800</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.16840</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>284908807</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>176269726</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>160722540</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.23840</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1595522</BadDebtExpenseAmount>
      <AmountAttributableTo>759</AmountAttributableTo>
      <AmountReimbursedByMedicare>88007249</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>75669087</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>12338162</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfEntity>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>university of louisville hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>530 s jackson street</AddressLine1>
          <City>louisville</City>
          <State>OH</State>
          <ZIPCode>40202</ZIPCode>
        </Address>
        <WebsiteAddress>http://www.uoflhealthcare.org/</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>university of louisville hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>100</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>200.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <LowestNegotiatedRates>X</LowestNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>PART I, LINE 6A</ReturnReference>
        <Explanation>The community benefit report is posted to the organizations' web site.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFIT AT COST</Identifier>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>The costing methodology is cost-to-charge ratio based on Medicare Cost Report methodology. Part I, Line 7, Column (F) Total expenses for the organization as reported on Form 990, Part IX, line 25 is $463,220,501. The bad debt expense reported on Form 990, Part IX, line 24 is $7,828,097 but subtracted for purposes of calculating the percentage in this column.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT FOOTNOTE; COSTING METHODOLOGY; BAD DEBT AS COMMUNITY BENEFIT</Identifier>
        <ReturnReference>PART III, LINE 4</ReturnReference>
        <Explanation>Bad debts are amounts owed on patients' accounts for services rendered by the hospital that were not anticipated as being uncollectible at the time services were rendered. Therefore, such things as policy discounts, charitable services, contractual adjustments, etc. must be allowed to remain as part of the patients' account balance to be written off as bad debt. Such allowances are handled as patient account adjustments in accordance with the provisions of other financial policies. This bad debt expense reported is based on a ratio of patient care cost to charges. This method is more appropriate as revenue amounts have a varying relationship to cost, ranging from cost-plus-margin to cost-minus-discount, depending on the various policies and the individual's income level.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SHORTFALL AS COMMUNITY BENEFIT AND ITS COSTING METHODOLOGY</Identifier>
        <ReturnReference>PART III, LINE 8</ReturnReference>
        <Explanation>The Medicare government program consists of individuals on fixed incomes. Shortfalls on services provided are covered by general funds of the organization.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION POLICY</Identifier>
        <ReturnReference>PART III, LINE 9B</ReturnReference>
        <Explanation>Patients who have qualified for the QCCT (Quality Charity Care Trust) under the term medically needy based on their income, will be allowed reconsideration for full charity. Full charity will be given upon verification that they have since become unemployed or that their income has been permanently reduced and they now fall below the federally published poverty guidelines. All other accounts will remain as originally processed. Accounts written off to the QCCT will not be reported to the credit bureau. Accounts receiving write-off as partial indigent/medically needy will be reported at the time of the bad debt write-off.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI, LINE 2</ReturnReference>
        <Explanation>The organization utilizes national and state data sources to assess the needs of the community and state. This data assists the organization in understanding where health care disparities exist for development of programs and partnerships. This analysis is performed on a quarterly basis for specific programs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI, LINE 3</ReturnReference>
        <Explanation>The organization contracts with an outside firm to review the hospital's patient population to determine their possible qualification for indigent care program coverage, interview and complete the application process for the patients eligible. For patients who qualify for assistance, applications are prepared and submitted on their behalf. The firm also requests hearings for denied applications or claims.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI, LINE 4</ReturnReference>
        <Explanation>The University of Louisville Hospital serves the entire adult population of the Commonwealth of Kentucky, concentrating in the Metro Louisville, Jefferson County area, as it is the only adult level I trauma hospital in this region of the state. Population in 2011: Jefferson County- 746,906, Kentucky-4,369,356. Median age: Jefferson County -37.7 years, Kentucky-35.9 years. Median household income in 2011: Jefferson County-$45,440, Kentucky-$41,236. Percentage of residents living in poverty in 2011: Kentucky-13.6%. Unemployment in 2011: Jefferson County-10.6%, Kentucky-10.5%. Uninsured population (percent adults under age 65): Jefferson County-14%, Kentucky-17%. Uninsured child population (percent children under age 19): Jefferson County-77%, Kentucky-9%. Prevalence of overweight (percent adults): Jefferson County-34%, Kentucky-33%. Prevalence of smoking (percent adults): Jefferson County-24%, Kentucky-27%</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>PART VI, LINE 5</ReturnReference>
        <Explanation>University Medical Center, Inc. Board of Directors are comprised of the community's citizens who reside in the organization's primary service area who are neither employees nor contractors of the organization, nor family members thereof. University of Louisville Hospital's trauma center is the only level I trauma center in the region and one of the largest trauma facilities in the country. With 56,000 square feet, 43 patient bays, 14 trauma/surgical beds, 5 burn unit beds and 49 critical care beds, it can accommodate up to 86 patients simultaneously. The center features a dedicated 24-hour operating room and is staffed 24 hours a day by specialized multi-disciplinary trauma teams. Education is a key part of the University of Louisville Hospital's mission. The Trauma institute at the hospital leads the educational component of the hospital's trauma service. In addition to training tomorrow's leading trauma physicians through its residency programs, the Trauma Institute and Burn Unit staff facilitate both community and professional education programs. Examples of injury prevention classes: Risky Business - A teen drunk-driving prevention program, Straight Talk - A one day educational program for juvenile fire-setters, Boating and Water Safety-Prevention of boating and water accidents and immediate care. As the region's leading academic medical center, University of Louisville Hospital is dedicated to advancing treatments and providing rural access to innovative care. Amongst the many benefits from the robotic network is a near instant medical consult. U of L Physicians work with physicians and nurses in other Kentucky and southern Indiana hospitals to deliver prompt diagnoses and appropriate treatment plans. The ultimate goal is for the patient to remain in their hometown hospital without a transfer unless it is deemed necessary.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>PART VI, LINE 6</ReturnReference>
        <Explanation>N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>Kentucky</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Heart ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3455 N High Street</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Sponsorships for Heart Walks Sponsorships for Wrapped in Red Gala Sponsorship Red Zone Cycling Sponsorship of Art Show Sponsorship Race for the Cure and Pink Tie Ball Sponsor: Oration Lectur/Red Black Ball/Res Olympic Sponsor: Depression Conf/Yandell-polk/Mathews Orat</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CENTER FOR WOMEN AND FAMILIES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>226 W Breckinridge St</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610444846</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Sponsorship/2013 CELEBRATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MARCH OF DIMES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4802 Sherburn Lane</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40207</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131846366</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP/MARCH OF BABIES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>St James Court ASSOCIATION INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 3804</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40201</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611063002</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Sponsorship 2010 Employee participation</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Susan G Komen Breast Cancer</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>201 E Main St STE 103</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752855046</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>PINK TIE BALL, RACE FOR THE CURE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ST CATHERINE COLLEGE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>310 Xavier Campus</AddressLine1>
          <City>BARDSTOWN</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610846809</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>RESTRICTED GIFT PAYMENT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>University of Louisville</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>323 E Chestnut Street</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40292</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611029626</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>8333</AmountOfCashGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>7</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>Form 990, Schedule I</Identifier>
        <ReturnReference>Description of Organization's Procedures for Monitoring the Use of Grants</ReturnReference>
        <Explanation>Activities that support University Medical Center's (UMC) mission, fundraising events with close relationship to UMC clinical programs, requests that provide positive public awareness of UMC, activities that address and promote health improvement initiative. UMC will not contribute to: for-profit organizations, individuals, political campaigns/parties, groups that discriminate on the basis of age, race, sex or national origin, activities that do not advance UMC's mission. UMC's annual budget will be determined by the Senior Vice President and COO and maintained in the executive offices budget. Accounting will not process any payments for contributions to sponsorships unless they have been approved by the Senior Vice President and COO or President and CEO. Requests will be entered, tracked and retained for preparing the community benefit report. A designated employee will inform requestor of approval/denial. Check requests with the President and CEO's or Senior Vice President and COO's approval will be forwarded to Accounting for payment.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Jane Adams</NamePerson>
        <Title>Senior VP &amp; CNO</Title>
        <BaseCompensationFilingOrg>228710</BaseCompensationFilingOrg>
        <BonusFilingOrg>27786</BonusFilingOrg>
        <OtherCompensationFilingOrg>15426</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>26407</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23017</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>321346</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert P Barbier</NamePerson>
        <Title>Senior VP &amp; CFO</Title>
        <BaseCompensationFilingOrg>326938</BaseCompensationFilingOrg>
        <BonusFilingOrg>40097</BonusFilingOrg>
        <OtherCompensationFilingOrg>36419</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>21571</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13448</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>438473</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kenneth P Marshall</NamePerson>
        <Title>Senior VP &amp; COO</Title>
        <BaseCompensationFilingOrg>285726</BaseCompensationFilingOrg>
        <BonusFilingOrg>31738</BonusFilingOrg>
        <OtherCompensationFilingOrg>46593</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>26445</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19394</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>409895</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James H Taylor</NamePerson>
        <Title>President &amp; CEO</Title>
        <BaseCompensationFilingOrg>529470</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>66550</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>303945</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13782</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>913747</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen S Amsler</NamePerson>
        <Title>VP Facilities &amp; Planning</Title>
        <BaseCompensationFilingOrg>153583</BaseCompensationFilingOrg>
        <BonusFilingOrg>17885</BonusFilingOrg>
        <OtherCompensationFilingOrg>17814</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9670</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16458</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>215411</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gary E Bensing</NamePerson>
        <Title>VP Human Resources</Title>
        <BaseCompensationFilingOrg>274034</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>36245</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>26445</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17174</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>353898</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Donald B Kupper</NamePerson>
        <Title>VP Supply Chain</Title>
        <BaseCompensationFilingOrg>188728</BaseCompensationFilingOrg>
        <BonusFilingOrg>23587</BonusFilingOrg>
        <OtherCompensationFilingOrg>47485</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>20380</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16800</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>296979</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Linda Kay Lloyd</NamePerson>
        <Title>VP Operations Improvement</Title>
        <BaseCompensationFilingOrg>184461</BaseCompensationFilingOrg>
        <BonusFilingOrg>22386</BonusFilingOrg>
        <OtherCompensationFilingOrg>23754</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>23635</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12191</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>266427</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Troy A May</NamePerson>
        <Title>Chief Information officer</Title>
        <BaseCompensationFilingOrg>236190</BaseCompensationFilingOrg>
        <BonusFilingOrg>28696</BonusFilingOrg>
        <OtherCompensationFilingOrg>23673</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>26445</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17011</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>332015</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen J McGuire</NamePerson>
        <Title>VP Compliance &amp; Ethics</Title>
        <BaseCompensationFilingOrg>164330</BaseCompensationFilingOrg>
        <BonusFilingOrg>19598</BonusFilingOrg>
        <OtherCompensationFilingOrg>13496</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10127</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17276</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>224827</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Timothy C Baize</NamePerson>
        <Title>Pharmacist</Title>
        <BaseCompensationFilingOrg>167448</BaseCompensationFilingOrg>
        <BonusFilingOrg>250</BonusFilingOrg>
        <OtherCompensationFilingOrg>11</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15607</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11374</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>194689</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jessie Morgan</NamePerson>
        <Title>Pharmacy Manager</Title>
        <BaseCompensationFilingOrg>162847</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>-1622</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12427</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6287</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>179939</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Harry Kahne</NamePerson>
        <Title>Pharmacy Manager</Title>
        <BaseCompensationFilingOrg>165803</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>-5855</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12736</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15233</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>187917</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Paul D Mangino</NamePerson>
        <Title>Pharmacy Manager</Title>
        <BaseCompensationFilingOrg>178138</BaseCompensationFilingOrg>
        <BonusFilingOrg>750</BonusFilingOrg>
        <OtherCompensationFilingOrg>337</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>16048</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11445</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>206718</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Amey Hugg</NamePerson>
        <Title>Pharmacy Manager</Title>
        <BaseCompensationFilingOrg>161942</BaseCompensationFilingOrg>
        <BonusFilingOrg>3000</BonusFilingOrg>
        <OtherCompensationFilingOrg>-543</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10045</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5995</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>180439</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>The following individuals participate in a 457(f) Plan: Mary J Adams $16,322 Stephen S Amsler $17,269 Robert P Barbier $38,493 Gary E Bensing $27,984 Donald B Kupper $44,019 Linda K Lloyd $21,491 Robert P Manning $11,019 Kenneth P Marshall $49,792 Troy A May $26,317 Stephen J McGuire $13,712 These amounts are included in reportable compensation</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Explanation of Deferred Compensation for James H. Taylor, CEO</Identifier>
        <ReturnReference>Schedule J, Part II, Column C</ReturnReference>
        <Explanation>Retirement and other deferred compensation for James H. Taylor includes $26,445 for employer contribution to a qualified retirement plan and $277,500 premium payment for planned premiums on split dollar serp.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>LouisvilleJefferson County Metro Government</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>320049006</IssuerEIN>
        <DateIssued>2008-09-05</DateIssued>
        <IssuePrice>16000000</IssuePrice>
        <DescriptionOfPurpose>See Schedule K Part VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>16118030</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>16000000</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>false</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>false</RebateNotDueYet>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>false</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>DESCRIPTION OF BOND PURPOSE</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>Schedule K, Part I Essential use of Medical Equipment with depreciable life of 5 or 7 years, lessor.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>JAMES H TAYLOR</NamePerson>
        <RelationshipWithOrganization>PRESIDENT &amp; CEO</RelationshipWithOrganization>
        <PurposeOfLoan>SPLITDOLLAR LIFE INS</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>277500</OriginalPrincipalAmount>
        <BalanceDue>1333000</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>1333000</TotalBalanceDue>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Program Service Accomplishments</Identifier>
        <ReturnReference>Form 990, Part III, Question 4</ReturnReference>
        <Explanation>UNIVERSITY OF LOUISVILLE HOSPITAL HERE AT UNIVERSITY OF LOUISVILLE HOSPITAL AND THE JAMES GRAHAM BROWN CANCER CENTER, WE HAVE A CLEAR VISION: TO BE THE HEALTH CARE PROVIDERS OF CHOICE FOR THE MOST ADVANCED, SAFE, COMPREHENSIVE, AND COMPASSIONATE PATIENT- AND FAMILY- CENTERED HEALTH CARE IN THE REGION. EACH ONE OF OUR NEARLY 3,000 EMPLOYEES, AS WELL AS THE UNIVERSITY FACULTY PHYSICIANS WHO PRACTICE AND TEACH HERE, ARE DEDICATED TO PROVIDING THE BEST POSSIBLE CARE FOR TODAY'S PATIENTS. IN THAT PROCESS, WE ARE ALSO TRAINING PHYSICIANS AND CREATING NEW TREATMENTS THAT WILL BENEFIT TOMORROW'S PATIENTS. WE ARE PROUD TO PROVIDE STATE-OF-THE-ART CARE FOR EVERY PATIENT, EVERY TIME, REGARDLESS OF THEIR ABILITY TO PAY. WHILE PROVIDING THIS EXCEPTIONAL CARE FOR ALL IN OUR COMMUNITY, WE CONTINUE TO BUILD ON A LEGACY OF EXCELLENCE. OUR TRAUMA CENTER - THE FIRST TRAUMA SERVICE IN THE COUNTRY - SETS THE STANDARD OF CARE PROVIDED FOR THIS COMPLEX TREATMENT TO ALL. IN ADDITION, THE BROWN CANCER CENTER CONTINUES TO DELIVER THE LATEST MEDICAL ADVANCES WITH COMPASSION AND RESPECT WHILE STRIVING TO BE A LEADER IN ADVANCING CANCER RESEARCH AND TREATMENT. FINALLY, WE ARE DEDICATED TO IMPROVING OUR COMMUNITY'S FUTURE HEALTH BEYOND DIRECT PATIENT CARE. THIS DEDICATION COMES IN MANY FORMS, SUCH AS INTERVENTION CLASSES FOR AT-RISK YOUTH THROUGH OUR TRAUMA INSTITUTE, INNOVATIVE EDUCATIONAL OPPORTUNITIES FOR CURRENT AND FUTURE PHYSICIANS AND NURSES, AND INCREASED PUBLIC ACCESS TO SCREENINGS THROUGH COMMUNITY OUTREACH. ACCESS TO HIGH QUALITY HEALTH CARE IS AT THE HEART OF A HEALTHY COMMUNITY. WE HOPE THIS REPORT HELPS YOU UNDERSTAND OUR HISTORIC COMMITMENT AND PLEDGE TO CONTINUE SERVING ALL PATIENTS IN THE FUTURE. IT IS OUR PRIVILEGE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Describe the process used by management &amp;/or governing body to review 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11</ReturnReference>
        <Explanation>NO REVIEW WAS OR WILL BE CONDUCTED BEFORE FILING. THE BOARD WILL REVIEW THE 990 AFTER IT HAS BEEN FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Process to monitor transactions for conflicts of Interest</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12C</ReturnReference>
        <Explanation>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. C. A "CONTROLLED ENTITY" IN WHICH AT LEAST 35% OF THE CONTROL OR BENEFICIAL INTEREST IS HELD BY ANY ONE OR COMBINATION OF INDIVIDUALS 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 COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE TRANSACTION 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 does not vote on any transaction 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Offices &amp; Positions for which process was used, &amp; year process was begun</Identifier>
        <ReturnReference>Form 990, Part VI, Questions 15a &amp; 15b</ReturnReference>
        <Explanation>COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD THROUGH A YEARLY PROCESS. FOR ALL OTHER EXECUTIVE DIRECTORS, TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES, THE FOLLOWING PROCESS IS USED: 1) HUMAN RESOURCES (HR) HAS AN 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 COMMITTEE. 5) THE FINANCE COMMITTEE DECIDES AND VOTES ON THE COMPENSATION. THE LAST TIME THIS ANALYSIS WAS PERFORMED WAS OCTOBER 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Avail of Gov Docs, conflict of interest policy &amp; fin stmts to gen public</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE ON THE ORGANIZATION'S WEB SITE. THE INFORMATION CAN ALSO BE REQUESTED VIA EMAIL. FORM 990, PART IX, LINE 11G OTHER EXPENSES Credit &amp; Collection Services 7,177,996 Laundry Services and Cleaning 2,016,611 Mail and copying services 2,409,895 Miscellaneous consulting fees 1,828,705 Non Management Agency 578,105 Outside Direct Department Services 13,118,008 Patient Services from outside sources 8,757,118 Patient Transportation 221,719 Security Services 2,077,844 University House based servies &amp; fees 51,441,296 --------------- TOTAL 89,627,297</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Changes in Net Assets or Fund Balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 9</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS OR FUND BALANCES CONSIST OF THE FOLLOWING: ASSETS RELEASED FROM RESTRICTED FUNDS: 75,747</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>