﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2011v1.3">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-11-13T07:15:48-06:00</Timestamp>
    <TaxPeriodEndDate>2011-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>ERNST &amp; YOUNG US LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1100 HUNTINGTON CTR 41 S HIGH ST</AddressLine1>
        <City>COLUMBUS</City>
        <State>OH</State>
        <ZIPCode>43215</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>611293786</EIN>
      <Name>
        <BusinessNameLine1>University Medical Center Inc</BusinessNameLine1>
      </Name>
      <InCareOfName>% Phyllis Downs</InCareOfName>
      <NameControl>UNIV</NameControl>
      <Phone>5025623621</Phone>
      <USAddress>
        <AddressLine1>530 SOUTH JACKSON STREET</AddressLine1>
        <City>LOUISVILLE</City>
        <State>KY</State>
        <ZIPCode>40202</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Robert Barbier</Name>
      <Title>Senior VP and CFO</Title>
      <DateSigned>2012-11-12</DateSigned>
    </Officer>
    <Preparer>
      <Phone>6142245678</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="10">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <DoingBusinessAs>
        <BusinessNameLine1>University of Louisville Hospital</BusinessNameLine1>
      </DoingBusinessAs>
      <NameOfPrincipalOfficerPerson>James Taylor</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>530 South Jackson</AddressLine1>
        <City>Louisville</City>
        <State>KY</State>
        <ZIPCode>40202</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>450975529</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.UOFLHEALTHCARE.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1995</YearFormation>
      <StateLegalDomicile>KY</StateLegalDomicile>
      <ActivityOrMissionDescription>To provide patient care to our community and to serve as a major TEACHING HOSPITAL FOR EDUCATION AND TRAINING IN MEDICINE, DENTISTRY, NURSING, AND ALLIED HEALTH PROFESSIONS.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>15</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>15</NbrIndependentVotingMembers>
      <TotalNbrEmployees>3508</TotalNbrEmployees>
      <TotalNbrVolunteers>525</TotalNbrVolunteers>
      <TotalGrossUBI>8682</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>72</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>0</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>429951730</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>431058159</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>981229</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>595395</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>17499031</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>18607903</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>448431990</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>450261457</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>199425</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>232663</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>175298032</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>175468403</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>260124171</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>283389255</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>435621628</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>459090321</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>12810362</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-8828864</RevenuesLessExpensesCY>
      <TotalAssetsBOY>330429832</TotalAssetsBOY>
      <TotalAssetsEOY>339359007</TotalAssetsEOY>
      <TotalLiabilitiesBOY>164577203</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>181199616</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>165852629</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>158159391</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>To provide patient care to our community and to serve as a major TEACHING HOSPITAL FOR EDUCATION AND TRAINING IN MEDICINE, DENTISTRY, NURSING, AND ALLIED HEALTH PROFESSIONS.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>354994161</Expense>
      <Grants>232663</Grants>
      <Revenue>448170035</Revenue>
      <Description>University Medical Center operates the University of Louisville Hospital, which is a teaching facility hospital designated as a regional trauma center and provides care to the medically needy regardless of their ability to pay. See schedule O for a detailed description.</Description>
      <TotalProgramServiceExpense>354994161</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="IRS990ScheduleC">false</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="IRS990ScheduleC">true</LobbyingActivities>
      <SubjectToProxyTax referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">true</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">true</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital referenceDocumentId="IRS990ScheduleH">true</Hospital>
      <FinancialStmtAttached referenceDocumentId="BinaryAttach BinaryAttachN1">true</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="IRS990ScheduleK">true</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="IRS990ScheduleL">true</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>384</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>3508</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>true</UnrelatedBusinessIncome>
      <Form990-TFiled>true</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>15</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>15</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>false</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>true</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>true</WrittenPolicyOrProcedure>
      <StatesWhereCopyOfReturnIsFiled>KY</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NC</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Phyllis Downs</NamePerson>
        <TelephoneNumber>5025624151</TelephoneNumber>
        <AddressUS>
          <AddressLine1>530 South Jackson Street</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Gerard J Anderson</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Phillip Bond</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joan Coleman</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Martha Neal Cooke</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Keith Davis</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David L Dunn MD PhD</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Edward Halperin MD</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>J Blaine Hudson PhD</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert C Hughes MD</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charlie Johnson</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kelly M McMasters MD PhD</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Debra M Murphy</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert W Rounsavall III</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sandy Metts Snowden</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lindy B Street</NamePerson>
        <Title>Director / Board of Directors</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LARRY N COOK MD UNTIL 62011</NamePerson>
        <Title>DIRECTOR / BOARD OF DIRECTORS</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES R RAMSEY PHD UNTIL 62011</NamePerson>
        <Title>DIRECTOR / BOARD OF DIRECTORS</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Jane Adams</NamePerson>
        <Title>Senior VP &amp; CNO</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>269771</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>50166</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert P Barbier</NamePerson>
        <Title>Senior VP &amp; CFO</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>429706</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35697</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kenneth P Marshall</NamePerson>
        <Title>Senior VP &amp; COO</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>273649</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>44877</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Norma Racine</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>112159</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15381</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James H Taylor</NamePerson>
        <Title>President &amp; CEO</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>653151</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>318409</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stephen S Amsler</NamePerson>
        <Title>VP Facilities &amp; Planning</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>167188</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26091</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gary E Bensing</NamePerson>
        <Title>VP Human Resources</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>328260</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>45444</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Donald B Kupper</NamePerson>
        <Title>VP Supply Chain</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>254185</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>38253</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Linda Kay Lloyd</NamePerson>
        <Title>VP Operations Improvement</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>221807</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>36000</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Troy A May</NamePerson>
        <Title>Chief Information officer</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>305024</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>45020</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stephen J McGuire</NamePerson>
        <Title>VP Compliance &amp; Ethics</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>203412</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27974</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patricia Ann Melvin</NamePerson>
        <Title>VP JGBCC Operations</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>224444</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35352</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Timothy C Baize</NamePerson>
        <Title>Staff Pharmacist</Title>
        <AverageHoursPerWeek>51.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>173942</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28674</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Martha S brewer</NamePerson>
        <Title>Administrator/Director OR</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>175509</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23690</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Linda M Hummel</NamePerson>
        <Title>Director Quality</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>170339</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27711</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Paul D Mangino</NamePerson>
        <Title>PHARMACY MANAGER</Title>
        <AverageHoursPerWeek>51.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>175679</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28951</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Walter T Walton</NamePerson>
        <Title>Director Mgmt Engineerin</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>173727</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35396</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>4311952</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>863086</TotalOtherCompensation>
      <NumberIndividualsGT100K>146</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>University of Louisville</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>323 East Chestnut Street</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40292</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>healthcare services</DescriptionOfServices>
        <Compensation>30255626</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Crothall Healthcare Inc</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>955 Chesterbrook Blvd Ste 300</AddressLine1>
            <City>WAYNE</City>
            <State>PA</State>
            <ZIPCode>19087</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Environmental svcs</DescriptionOfServices>
        <Compensation>6137285</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Morrison Management Specialist</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 102289</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>303682289</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Food Services</DescriptionOfServices>
        <Compensation>4922222</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>UL Research Fund Inc</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>Division of Cardothoracic Surgery</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40621</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Healthcare Services</DescriptionOfServices>
        <Compensation>4785750</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Stites and Harbison</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>400 West Market St Suit 1800</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>402023352</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Legal Services</DescriptionOfServices>
        <Compensation>4060171</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>44</NumberOfContractorsGT100K>
      <TotalContributions>0</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Service Revenue</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>431035119</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>431035119</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Premier Purchasing Partners K-1</Description>
        <BusinessCode>561000</BusinessCode>
        <TotalRevenueColumn>18853</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>16976</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1877</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>UHC Patronage Dividend</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4187</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4187</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>431058159</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>354483</TotalRevenueColumn>
        <ExclusionAmount>354483</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>287065</TotalRevenueColumn>
        <ExclusionAmount>287065</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>335130</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>666669</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>-331539</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>-331539</TotalRevenueColumn>
        <ExclusionAmount>-331539</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>1250</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>47403</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-46153</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-46153</TotalRevenueColumn>
        <ExclusionAmount>-46153</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Pharmacy</Description>
        <BusinessCode>446110</BusinessCode>
        <TotalRevenueColumn>13886518</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13886518</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Cafeteria Sales</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>1818884</TotalRevenueColumn>
        <ExclusionAmount>1818884</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Reference Lab</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>889443</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>882638</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>6805</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>2344597</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2344597</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>18939442</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>450261457</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>448170035</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>8682</UnrelatedBusinessRevenue>
        <ExclusionAmount>2082740</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>232663</Total>
        <ProgramServices>232663</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>4161420</Total>
        <ProgramServices>4161420</ProgramServices>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>136830721</Total>
        <ProgramServices>119207675</ProgramServices>
        <ManagementAndGeneral>17623046</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1622819</Total>
        <ProgramServices>1622819</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>22573905</Total>
        <ProgramServices>22567405</ProgramServices>
        <ManagementAndGeneral>6500</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>10279538</Total>
        <ProgramServices>9162050</ProgramServices>
        <ManagementAndGeneral>1117488</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>166698</Total>
        <ManagementAndGeneral>166698</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>14737909</Total>
        <ManagementAndGeneral>14737909</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>165000</Total>
        <ManagementAndGeneral>165000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>44452</Total>
        <ProgramServices>44452</ProgramServices>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>88762441</Total>
        <ProgramServices>45210062</ProgramServices>
        <ManagementAndGeneral>43552379</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>2973690</Total>
        <ProgramServices>12576</ProgramServices>
        <ManagementAndGeneral>2961114</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>4381762</Total>
        <ProgramServices>3980287</ProgramServices>
        <ManagementAndGeneral>401475</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>9333834</Total>
        <ProgramServices>6459289</ProgramServices>
        <ManagementAndGeneral>2874545</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>14584616</Total>
        <ProgramServices>14086636</ProgramServices>
        <ManagementAndGeneral>497980</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>336284</Total>
        <ProgramServices>211347</ProgramServices>
        <ManagementAndGeneral>124937</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>429168</Total>
        <ProgramServices>364920</ProgramServices>
        <ManagementAndGeneral>64248</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>3420172</Total>
        <ManagementAndGeneral>3420172</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>5500000</Total>
        <ProgramServices>5500000</ProgramServices>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>18489490</Total>
        <ProgramServices>18299711</ProgramServices>
        <ManagementAndGeneral>189779</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>6996563</Total>
        <ManagementAndGeneral>6996563</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Repairs and Maintenance</Description>
        <Total>8212703</Total>
        <ProgramServices>7915270</ProgramServices>
        <ManagementAndGeneral>297433</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVIDER TAXES</Description>
        <Total>7321671</Total>
        <ManagementAndGeneral>7321671</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>6230185</Total>
        <ProgramServices>6230185</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>88712134</Total>
        <ProgramServices>88712134</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2590483</Total>
        <ProgramServices>1013260</ProgramServices>
        <ManagementAndGeneral>1577223</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>459090321</Total>
        <ProgramServices>354994161</ProgramServices>
        <ManagementAndGeneral>104096160</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>44545722</BOY>
        <EOY>32470412</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>48474244</BOY>
        <EOY>34884828</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>70505921</BOY>
        <EOY>98846254</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>778000</BOY>
        <EOY>1055500</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>7181932</BOY>
        <EOY>7653772</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>5737045</BOY>
        <EOY>6345280</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>231707355</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>127075063</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>107162754</BOY>
        <EOY>104632292</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>30429811</BOY>
        <EOY>32800067</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>15614403</BOY>
        <EOY>20670602</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>330429832</BOY>
        <EOY>339359007</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>40056119</BOY>
        <EOY>64779499</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>25482623</BOY>
        <EOY>25598272</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>65130662</BOY>
        <EOY>59250501</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>5021405</BOY>
        <EOY>3437926</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>28886394</BOY>
        <EOY>28133418</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>164577203</BOY>
        <EOY>181199616</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>165852629</BOY>
        <EOY>157806754</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>352637</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>165852629</BOY>
        <EOY>158159391</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>330429832</BOY>
        <EOY>339359007</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-8828864</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1135626</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>44452</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>44452</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING ACTIVITIES INFORMATION</Identifier>
        <ReturnReference>Schedule C, Part II-B, 1i</ReturnReference>
        <Explanation>University Medical Center paid membership dues to the Kentucky Hospital Association and American Hospital Association of which $18,837 and $10,373, respectively was related to lobbying activities. Also, University Medical Center paid McBrayer McGinnis $15,242. McBrayer McGinnis provided representation with legislators for the issues related to the QCCT funding.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>14726997</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>19100</InvestmentEarningsOrLosses>
        <EndOfYearBalance>14746097</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>14697044</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>29953</InvestmentEarningsOrLosses>
        <EndOfYearBalance>14726997</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>14615749</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>81295</InvestmentEarningsOrLosses>
        <EndOfYearBalance>14697044</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>17512144</BeginningOfYearBalance>
        <Contributions>525000</Contributions>
        <InvestmentEarningsOrLosses>495369</InvestmentEarningsOrLosses>
        <OtherExpenditures>3916764</OtherExpenditures>
        <EndOfYearBalance>14615749</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <BoardDesignatedEOYBalance>1.00000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.00000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land />
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>102395149</OtherCostOrOtherBasis>
        <Depreciation>42981829</Depreciation>
        <BookValue>59413320</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2066475</OtherCostOrOtherBasis>
        <Depreciation>1089516</Depreciation>
        <BookValue>976959</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>122971548</OtherCostOrOtherBasis>
        <Depreciation>83003718</Depreciation>
        <BookValue>39967830</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>4274183</OtherCostOrOtherBasis>
        <BookValue>4274183</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>104632292</TotalOfBookValueLandBuildings>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT IN KMRRRG</Description>
        <BookValue>300000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT IN PREMIER, INC.</Description>
        <BookValue>558698</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>MONEY MARKET FUNDS</Description>
        <BookValue>3900615</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>GUARANTEED INVESTMENT CONTRACT</Description>
        <BookValue>7663027</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>UHC PASSPORT</Description>
        <BookValue>1313250</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>SELF INSURANCE TRUST</Description>
        <BookValue>4318382</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>FUNDED DEPRECIATION</Description>
        <BookValue>14746095</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>32800067</TotalOfBookValueProgramRelated>
      <OtherAssets>
        <Description>INSURANCE SETTLEMENT</Description>
        <BookValue>18665240</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LT PLEDGE RECEIVABLE</Description>
        <BookValue>-70383</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED FINANCING COSTS</Description>
        <BookValue>519034</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>EXECUTIVE BENEFITS</Description>
        <BookValue>301612</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>457 (b) Plan</Description>
        <BookValue>456340</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>WORKERS COMP SETTLEMENT</Description>
        <BookValue>798759</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>20670602</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>RESERVE FOR MALPRACTICE</Description>
        <Amount>23904578</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>RESERVE-WORKERS COMP CLAIMS</Description>
        <Amount>2299107</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>RESERVE - D&amp;O CLAIMS</Description>
        <Amount>125500</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ARBITRAGE FUNDS</Description>
        <Amount>157064</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PASSPORT GRANT REFUND</Description>
        <Amount>1596000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ESCHEAT PROPERTY</Description>
        <Amount>51169</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>28133418</TotalOfAmounts>
      <TotalRevenue>450261457</TotalRevenue>
      <TotalExpenses>459090321</TotalExpenses>
      <ExcessOrDeficitForYear>-8828864</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>678211</NetUnrealizedGLOnInvestments>
      <OtherAmount>104778</OtherAmount>
      <TotalAdjustments>782989</TotalAdjustments>
      <ExcessOrDeficitPerFS>-8045875</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>450926249</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>450926249</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-664792</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-664792</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>450261457</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>459756990</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>666669</OtherExpensesIncluded>
      <ExpensesNotRptdF990>666669</ExpensesNotRptdF990>
      <ExpensesSubtotal>459090321</ExpensesSubtotal>
      <TotalExpensesPerForm990>459090321</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <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>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <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>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Reconciliation of Change in Net Assets</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 8</ReturnReference>
        <Explanation>Premier Purchasing Revenue on 990, not on AFS - $ (1,877) Assets released from restrictions - $ 106,655 Total - $ 104,778</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Reconciliation of Revenue</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 4b</ReturnReference>
        <Explanation>Rent expense netted with revenue on 990, expensed on AFS - $(666,669) Premier Purchasing Revenue on 990, not on AFS - $1,877 Total - $(664,792)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Reconciliation of Expenses</Identifier>
        <ReturnReference>Schedule D, Part XIII, Line 2d</ReturnReference>
        <Explanation>Rent expense netted with revenue on 990, expensed on AFS $(666,669)</Explanation>
      </Form990ScheduleDPartXIV>
    </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>91415583</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>67320518</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>24095065</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05320</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>85050195</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>79424641</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5625554</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01240</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>176465778</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>146745159</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>29720619</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06560</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>9907417</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>83155</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9824262</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02170</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>90710131</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>42608450</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>48101681</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10620</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <Research>
        <TotalCommunityBenefitExpense>210708</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>22302</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>188406</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>2354643</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2354643</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00520</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>103182899</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>42713907</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>60468992</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.13350</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>279648677</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>189459066</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>90189611</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.19910</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1460044</BadDebtExpenseAmount>
      <AmountAttributableTo>1273</AmountAttributableTo>
      <AmountReimbursedByMedicare>75047471</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>66386961</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>8660510</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>KY</State>
          <ZIPCode>40202</ZIPCode>
        </Address>
        <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 $459,090,321. The bad debt expense reported on Form 990, Part IX, line 24 is $6,230,185 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 Assn</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>31250</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>American Red Cross</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>510 E chestnut Street</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>530196605</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Sponsorship for Annual Heroes Gala Event</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Red Zone Cycling</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2402 Merrick Road</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40207</ZIPCode>
        </AddressUS>
        <EINOfRecipient>364628129</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <PurposeOfGrant>Subsidy for Americana Clinic</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>St James Court Art Show</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>2301 Hurstbourne Vlg Dr Louisville</AddressLine1>
          <AddressLine2>Suite 700</AddressLine2>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40299</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752855046</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>Social services for discharged brain injuury patients</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UL Research Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>550 S Jackson Street</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611014882</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>7000</AmountOfCashGrant>
        <PurposeOfGrant>Sponsorship of Race for the Cure</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>12000</AmountOfCashGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>7</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Description of Organization's Procedures for Monitoring the Use of Grants</Identifier>
        <ReturnReference>Schedule I, Part I, Line 2</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>
        <BaseCompensationFilingOrg>222178</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19789</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>27804</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25976</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24190</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>319937</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert P Barbier</NamePerson>
        <BaseCompensationFilingOrg>317272</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>28368</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>84066</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>21186</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14511</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>465403</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kenneth P Marshall</NamePerson>
        <BaseCompensationFilingOrg>251730</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>21919</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>24393</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20484</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>318526</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James H Taylor</NamePerson>
        <BaseCompensationFilingOrg>509902</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>92086</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>51163</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>303476</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14933</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>971560</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen S Amsler</NamePerson>
        <BaseCompensationFilingOrg>143173</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>14835</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>9180</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7916</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18175</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>193279</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gary E Bensing</NamePerson>
        <BaseCompensationFilingOrg>245121</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>27095</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>56044</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25976</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19468</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>373704</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Donald B Kupper</NamePerson>
        <BaseCompensationFilingOrg>188609</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19126</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>46450</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19736</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18517</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>292438</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Linda Kay Lloyd</NamePerson>
        <BaseCompensationFilingOrg>179190</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18751</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>23866</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>22488</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13512</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>257807</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Troy A May</NamePerson>
        <BaseCompensationFilingOrg>229590</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>25398</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>50036</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25232</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19788</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>350044</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen J McGuire</NamePerson>
        <BaseCompensationFilingOrg>145428</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>37513</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>20471</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9544</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18430</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>231386</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Patricia Ann Melvin</NamePerson>
        <BaseCompensationFilingOrg>188199</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>16525</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>19720</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12199</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23153</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>259796</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Timothy C Baize</NamePerson>
        <BaseCompensationFilingOrg>173192</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>250</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16362</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12312</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>202616</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Martha S brewer</NamePerson>
        <BaseCompensationFilingOrg>148664</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>26500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>345</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16226</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7464</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>199199</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Linda M Hummel</NamePerson>
        <BaseCompensationFilingOrg>144108</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>26231</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9522</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18189</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>198050</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Paul D Mangino</NamePerson>
        <BaseCompensationFilingOrg>173538</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1141</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>17093</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11858</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>204630</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Walter T Walton</NamePerson>
        <BaseCompensationFilingOrg>146545</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>26131</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1051</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>17230</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18166</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>209123</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation</Identifier>
        <ReturnReference>Schedule J, Part III</ReturnReference>
        <Explanation>The following individuals participate in a 457(f) Plan: Robert P Barbier $73,371 Gary E Bensing $49,534 Donald B Kupper $45,651 Linda K Lloyd $25,376 Troy A May $52,005 Mary J Adams $28,345 Patricia A Melvin $20,536 Stephen J McGuire $19,012 Stephen S Amsler $14,459 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 $25,976 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>
        <IssuerName>
          <BusinessNameLine1>LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>320049006</IssuerEIN>
        <DateIssued>2008-09-05</DateIssued>
        <IssuePrice>16000000</IssuePrice>
        <DescriptionOfPurpose>See Schedule K Part V</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <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>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <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, as confirmed by the American Hospital Association's Guide for depreciable life, and/or any other essential use medical equipment approved by the lessor.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>JAMES H TAYLOR</NamePerson>
        <PurposeOfLoan>SPLITDOLLAR LIFE INS</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>277500</OriginalPrincipalAmount>
        <BalanceDue>778000</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>778000</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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Changes in Net Assets or Fund Balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS OR FUND BALANCES CONSIST OF THE FOLLOWING: CHANGE IN FAIR MARKET VALUE OF GOVERNMENT AND AGENCY SECURITIES:678,211 ASSETS RELEASED FROM RESTRICTED FUNDS: 459,292 PREMIER PURCHASING-UNRELATED REVENUE (INCL IN TOTAL REVENUE): (1,877) TOTAL: $1,135,626</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>