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      <MissionDescription>University Hospitals Health System's overall mission is "To Heal. To Teach. To Discover". In pursuit of this mission, University Hospitals remains at the forefront of health care delivery, physician education, and medical research nationwide. Yet what makes University Hospitals unique is its ability to bring expertise and resources together and respond to the individual needs of every patient, regardless of their ability to pay. That focus on the patient, combined with a remarkable level of achievement in the laboratory and medical education continues to propel University Hospitals to even greater successes.</MissionDescription>
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      <Description>Caring for the community has been an unwavering commitment of University Hospitals ("the System") since its founding in 1866. Commitment to the community remains at the core of the System's mission: To Heal. To Teach. To Discover. In 2010, University Hospitals dedicated $243.5 million to community benefit programs in Northeast Ohio consisting of:- Education and training = $47.0 million- Research = $41.8 million- Charity care = $35 million- Medicaid shortfall = $85.0 million- Community health improvement services = $10.3 million- Other community programs and support = $38.8 million- Hospital Care Assurance Program (HCAP) receipts = ($14.4 million)Defer to Schedule H for further detail on how the System measures and reports community benefit. Community benefit for 2010 totaled $243.5 million up from $233.8 million in 2009. It is important to note that in addition to charity care and insufficient funding from the Medicaid program, the System incurs significant losses related to self-pay patients who fail to make payment for services rendered or insured patients who fail to remit co-payments and deductibles as required under applicable health insurance arrangements. The 2010 provision for bad debt of $52.4 million represents revenues for services provided that are deemed uncollectible.The UH health system provides work directly for about 22,500 employees and physicians. As the seventh largest employer in Ohio, UH supports the economy as well as state and local governments. UH employees pay more than $47.6 million annually in state and local income taxes. At the same time, UH provides many more Community benefits directly and indirectly through new or expanded business opportunities and through important capital investments in our facilities.As part of our Vision 2010 strategic plan, UH has committed - and continues to commit - millions of dollars to facilities and operations within the city of Cleveland and throughout our region, providing thousands of new construction and hospital-based jobs. New facilities and services at UH Case Medical Center, our world-renowned academic medical center in Cleveland, provide Cleveland residents and people from throughout the region and the world with the finest in primary and specialty health care. The facilities allow us to conduct vital medical research and offer advanced training for students and health professionals.Vision 2010's Quentin &amp; Elisabeth Alexander Neonatal Intensive Care Unit at University Hospitals Rainbow Babies &amp; Children's Hospital serves our most vulnerable children. UH's new Cancer Hospital and emergency facilities at UH Case Medical Center and UH Ahuja Medical Center, all opening in 2011, will provide expanded employment opportunities while extending UH's mission to more patients. University Hospitals Ahuja Medical Center in Beachwood will provide hundreds of new jobs. New state-of-the-art outpatient health centers in the region have spurred economic growth while giving people access to the care they need close to home and expanding our community benefit programs. University Hospitals is proud to contribute to the health of our citizens and to be a positive economic force in our region.For more detailed information on the System's community benefit or to view the 2010 Community Benefit Report, please visit the System's website at www.UHhospitals.org.</Description>
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      </OtherExpenses>
      <OtherExpenses>
        <Description>Other expenses</Description>
        <Total>7286000</Total>
        <ProgramServices>7286000</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other than temporary de</Description>
        <Total>6812000</Total>
        <ProgramServices>6812000</ProgramServices>
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      <TotalFunctionalExpenses>
        <Total>223475000</Total>
        <ProgramServices>209601000</ProgramServices>
        <ManagementAndGeneral>13874000</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <SavingsAndTempCashInvestments>
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      <PledgesAndGrantsReceivable>
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      <LandBuildingsEquipmentBasis>880272000</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>154301000</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>499516000</BOY>
        <EOY>725971000</EOY>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsProgramRelated>
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      <OtherAssetsTotal>
        <BOY>57605000</BOY>
        <EOY>46514000</EOY>
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      <TotalAssets>
        <BOY>2414854000</BOY>
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      <AccountsPayableAccruedExpenses>
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      <DeferredRevenue>
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        <EOY>865366000</EOY>
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      <MortNotesPyblSecuredInvestProp>
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      <OtherLiabilities>
        <BOY>287166000</BOY>
        <EOY>339625000</EOY>
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      <TotalLiabilities>
        <BOY>1358082000</BOY>
        <EOY>1403010000</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>789854000</BOY>
        <EOY>820287000</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>5306000</BOY>
        <EOY>4296000</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>261612000</BOY>
        <EOY>271741000</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>1056772000</BOY>
        <EOY>1096324000</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>2414854000</BOY>
        <EOY>2499334000</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-24007000</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>63559000</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type3FuncInt>X</SupportingOrg509a3Type3FuncInt>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>0</ContribByControllingIndividual>
      <ContributionByRelatedParty>0</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>University Hospitals of Cleveland</BusinessNameLine1>
        </Name>
        <EIN>341567805</EIN>
        <TypeOfOrganization>170(b)(1)(A)(iii)</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>145118000</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>145118000</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>1</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>1</MailingsMembers>
      <MailingsMembersAmount>3237</MailingsMembersAmount>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>1</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>8533</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>1</DirectContactLegislators>
      <DirectContactLegislatorsAmount>1887</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>13657</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>103637000</BeginningOfYearBalance>
        <Contributions>3508000</Contributions>
        <InvestmentEarningsOrLosses>1680000</InvestmentEarningsOrLosses>
        <OtherExpenditures>1525000</OtherExpenditures>
        <EndOfYearBalance>107300000</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>95272000</BeginningOfYearBalance>
        <Contributions>6956000</Contributions>
        <InvestmentEarningsOrLosses>4047000</InvestmentEarningsOrLosses>
        <OtherExpenditures>2638000</OtherExpenditures>
        <EndOfYearBalance>103637000</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>91339000</BeginningOfYearBalance>
        <Contributions>10854000</Contributions>
        <InvestmentEarningsOrLosses>-4675000</InvestmentEarningsOrLosses>
        <OtherExpenditures>2246000</OtherExpenditures>
        <EndOfYearBalance>95272000</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.16450</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.83550</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>28630000</OtherCostOrOtherBasis>
        <BookValue>28630000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>118201000</OtherCostOrOtherBasis>
        <Depreciation>33222000</Depreciation>
        <BookValue>84979000</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1811000</OtherCostOrOtherBasis>
        <Depreciation>978000</Depreciation>
        <BookValue>833000</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>360631000</OtherCostOrOtherBasis>
        <Depreciation>119469000</Depreciation>
        <BookValue>241162000</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>370999000</OtherCostOrOtherBasis>
        <Depreciation>632000</Depreciation>
        <BookValue>370367000</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>725971000</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Investments held with bond trustee</Description>
        <BookValue>67613000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Investments - Alternatives</Description>
        <BookValue>94359000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Investments - Other</Description>
        <BookValue>295374000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>457346000</TotalOfBookValueSecurities>
      <InvestmentsProgramRelated>
        <Description>Investments in Affiliates</Description>
        <BookValue>643440000</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Investments - Beneficial Interest in Foundation</Description>
        <BookValue>164716000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>808156000</TotalOfBookValueProgramRelated>
      <OtherLiabilities>
        <Description>Interest payable</Description>
        <Amount>16974000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Payables to affiliates</Description>
        <Amount>5830000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Securities lending loan outstanding</Description>
        <Amount>10915000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Workers compensation liabilities</Description>
        <Amount>11148000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Pension liabilities</Description>
        <Amount>153393000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other liabilities</Description>
        <Amount>89441000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Self insured liability</Description>
        <Amount>15706000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Interest Rate Swap Liability</Description>
        <Amount>36218000</Amount>
      </OtherLiabilities>
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      <Form990ScheduleDPartXIV>
        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>The intended use of the Organization's endownment funds varies depending on donor stipulations. All spending of endowment earnings are done so in accordance with donor intent and appropriate law.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>The System and most of its subsidiaries, including UHCMC, are not-for-profit corporations as described in 501(c)(3) of the Internal Revenue Code (Code) and are exempt from federal income tax pursuant to Section 501(a) of the Code. The System also has certain subsidiaries that are taxable for federal income tax purposes (see note 19).</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>Form 990, Schedule D, Part V, Endowment Funds: University Hosptials Health System, Inc. has changed the method for how it determines the fair market values of its endowments. The prior years amounts were changed for comparative purposes. The change was made to make tax reporting consistent with endowments reporting in University Hospitals Health System, Inc.'s Notes to the Consolidated Financial Statements.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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        <NumberOfOffices>0</NumberOfOffices>
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        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>0</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
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        <TypeOfActivitiesConducted>Program Investment</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Insurance</SpecificServicesProvided>
        <TotalExpenditures>0</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>0</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
      <TotalAmountSpent>0</TotalAmountSpent>
      <TransferToForeignCorp>1</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>1</OwnForeignCorp>
      <PassiveForeignInvestCo>0</PassiveForeignInvestCo>
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    </IRS990ScheduleF>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>1</AnyNonFixedPayments>
      <InitialContractException>1</InitialContractException>
      <RebuttablePresumptionProcedure>1</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>See Sched O TR 16033-2d5 Elect</NamePerson>
        <BaseCompensationFilingOrg>1747158</BaseCompensationFilingOrg>
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        <BonusFilingOrg>2047357</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>See Sched O TR 16033-2d5 Elect</NamePerson>
        <BaseCompensationFilingOrg>623414</BaseCompensationFilingOrg>
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        <BonusFilingOrg>716804</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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      <Form990ScheduleJPartII>
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        <OtherCompensationFilingOrg>350829</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>346637</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>2717352</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>186812</CompReportPrior990FilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>See Sched O TR 16033-2d5 Elect</NamePerson>
        <BaseCompensationFilingOrg>518639</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>217779</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>81840</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>96298</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>29349</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>943905</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>76027</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Lines 4a-b</ReturnReference>
        <Explanation>See Schedule O Treasury Regulation 1.6033-2(d)(5) Election Part I, Line 4b: See Schedule O Treasury Regulation 1.6033-2(d)(5) Election The listing of persons and amounts for above questions are included on University Hospitals Health System, Inc. Group Return.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>Certain employees disclosed in Part VII receive bonuses, 457f payments, and SERP payments which would qualify as non-fixed payments.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 8</ReturnReference>
        <Explanation>Certain employee compensation disclosed in Part VII meet the requirements of the initial contract exception.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Ohio Higher Educational Facility Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346849674</IssuerEIN>
        <CUSIPNumber>67756A2H4</CUSIPNumber>
        <DateIssued>2010-12-27</DateIssued>
        <IssuePrice>71125000</IssuePrice>
        <DescriptionOfPurpose>See Part V For Description</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Ohio Higher Educational Facility Commission</BusinessNameLine1>
        </IssuerName>
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        <CUSIPNumber>67756AU42</CUSIPNumber>
        <DateIssued>2010-02-12</DateIssued>
        <IssuePrice>94797375</IssuePrice>
        <DescriptionOfPurpose>See Part V For Description</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Ohio Higher Educational Facility Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346849674</IssuerEIN>
        <CUSIPNumber>67756AP30</CUSIPNumber>
        <DateIssued>2009-08-06</DateIssued>
        <IssuePrice>100914641</IssuePrice>
        <DescriptionOfPurpose>See Part V For Description</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Ohio Higher Educational Facility Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346849674</IssuerEIN>
        <CUSIPNumber>67756AM66</CUSIPNumber>
        <DateIssued>2009-03-24</DateIssued>
        <IssuePrice>170190624</IssuePrice>
        <DescriptionOfPurpose>See Part V For Description</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>71125000</TotalProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>94797375</TotalProceeds>
        <IssuanceCostsFromProceeds>1272375</IssuanceCostsFromProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>100968704</TotalProceeds>
        <AmountInReserveFund>8392992</AmountInReserveFund>
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        <CapitalExpenditures>39395930</CapitalExpenditures>
        <AmountUnspent>906010</AmountUnspent>
        <CurrentRefunding>1</CurrentRefunding>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
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      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Form 990 Schedule K, Part I, Lines A - D, Column (f)</Identifier>
        <ReturnReference>Description of Purpose</ReturnReference>
        <Explanation>Line A, Column (f), To redeem all of the outstanding Series 2008C Bonds issued 05/08/2008. Line B, Column (f), To redeem all of the outstanding Series 1985 Bonds, issued 12/10/1985, and Series 2008A Bonds, issued 05/08/2008 and a portion of the Series 2008B Bonds, issued 05/08/2008. Line C, Column (f), Construction and equipment Vision 2010 projects; Refund portion of series 1996A Bonds issued 04/18/1996 Line D, Column (f), Construction and equipment Vision 2010 projects Line A (pg 2), Column (f), Construction and equipment Vision 2010 projects; Refund series 1998A Bonds issued 07/15/1999, 1999C Bond issued 07/15/1999, 2007B Bonds issued 02/07/2007, 2007C Bonds issued 02/22/2007 Line B (pg 2), Column (f), Construction and equipment Vision 2010 projects</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Part II, Line 3, Col. C, Col. D, Col. A (pg 2), Col. B (pg 2)</Identifier>
        <ReturnReference>Difference between Bond Proceeds vs. Bond Issue Price</ReturnReference>
        <Explanation>Part II, Line 3 Column C - The cumulative investment earnings make up the difference between the Bond Proceeds and the Bond Issue Price. Part II, Line 3 Column D - The cumulative investment earnings make up the difference between the Bond Proceeds and the Bond Issue Price. Part II, Line 3 Column A (pg 2) - The cumulative investment earnings make up the difference between the Bond Proceeds and the Bond Issue Price. Part II, Line 3 Column B (pg 2) - The cumulative investment earnings make up the difference between the Bond Proceeds and the Bond Issue Price.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Form 990 Schedule K, Part I Column (f)</Identifier>
        <ReturnReference>Other Information</ReturnReference>
        <Explanation>Vision 2010 Projects include: new Center for Emergency Medicine, new Cancer Hospital, new NICU, new Suburban Medical Center, two new ambulatory facilities, electronic medical record, new parking garage, expansion of Geauga Medical Center, and upgrades to a management services center.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Ohio Higher Educational Facility Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346849674</IssuerEIN>
        <CUSIPNumber>67756AC67</CUSIPNumber>
        <DateIssued>2008-05-08</DateIssued>
        <IssuePrice>275000000</IssuePrice>
        <DescriptionOfPurpose>See Part V For Description</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Ohio Higher Educational Facility Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>346849674</IssuerEIN>
        <CUSIPNumber>67756AYZ9</CUSIPNumber>
        <DateIssued>2007-02-07</DateIssued>
        <IssuePrice>290313879</IssuePrice>
        <DescriptionOfPurpose>See Part V For Description</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
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        <CreditEnhancement>49825</CreditEnhancement>
        <CapitalExpenditures>55651301</CapitalExpenditures>
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      </Form990ScheduleKPartII>
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        <CapitalExpenditures>266929060</CapitalExpenditures>
        <AmountUnspent>40984366</AmountUnspent>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>KeyCorpKeyBank Foundation</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>UHHS - Director Ms. Margot Copeland is employed by KeyCorp as an Exec. VP</Relationship>
        <AmountOfTransaction>1506352</AmountOfTransaction>
        <DescriptionOfTransaction>KeyCorp is the parent of KeyBank. KeyBank provided banking, investment manager, and trust services to UHHS. These transactions were all at arms length.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>PNC Bank</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>UHHS - Director Mr. Paul Clark is the Pres. of Northern Ohio Banking at PNC</Relationship>
        <AmountOfTransaction>161124</AmountOfTransaction>
        <DescriptionOfTransaction>PNC Bank provides banking services to UHHS. These transactions were all at arms length.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>KeyCorp</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>UHHS - Director Mr. Henry Meyer III is Chairman/CEO of KeyCorp</Relationship>
        <AmountOfTransaction>1506352</AmountOfTransaction>
        <DescriptionOfTransaction>KeyCorp is the parent company of KeyBank. KeyBank provided banking, investment manager and trust services to UHHS. These transactions were all at arms length.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>FirstEnergy Corp</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>UHHS - Director Mr. Ernest Novak is a Director for FirstEnergy Corp.</Relationship>
        <AmountOfTransaction>413416</AmountOfTransaction>
        <DescriptionOfTransaction>FirstEnergy provides electrical power to UHHS. These transactions were all at arms length.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Lloyd Chelette</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Family Member of Mr. Michael A. Szubski, Treasurer/CFO UHHS</Relationship>
        <AmountOfTransaction>27000</AmountOfTransaction>
        <DescriptionOfTransaction>A family member of Mr. Szubski is employed by UHHS.</DescriptionOfTransaction>
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      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>The following information regarding family and business relationships was obtained while reviewing conflict of interest questionnaire responses received from Directors, Officers, and Key Employees. University Hospitals relies upon these questionnaire responses to determine these relationships. Mr. Christopher Connor (UHHS Director) and Mr. Arthur Anton (UHHS Director) have a business relationship. Ms. Margot Copeland (UHHS Director) and Mr. Henry Meyer III (UHHS Director) have a business relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The Form 990 for University Hospitals Health System, Inc. is approved for filing by its governing body. The Audit and Compliance Committee has been delegated authority to review and approve Form 990 by the UH Board. In addition, the Compensation Committee and Governance and Community Benefit Committee of the Board review relevant disclosures related to each Committee's specific area. The Board receives a copy of the return in its final form before it is filed with the Internal Revenue Service. Senior management reviews and approves the form while overseeing this process.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>UH has adopted three Conflict of Interest ("COI") policies: the first relates to UH and all its subsidiaries and applies to all directors, officers, other disqualified persons, pursuant to the intermediate sanctions regulations, the second applies to UH management (supervisors and above) and the third applies to physicians. UH regularly and consistently monitors and enforces compliance with the COI policies. All individuals to which the COI policies apply are required to complete an annual disclosure and provide information regarding any interests that may be potential conflicts pursuant to the COI policies. Individuals covered by the policies are required to provide any changes to or new disclosures should they occur. All disclosures and subsequent updates to disclosures are reviewed by the UH Compliance and Ethics Department. Board-level conflicts are reviewed and approved by the Audit and Compliance Committee of the UH Board. If a conflict exists with a Director, certain restrictions may be imposed, such as excusing the Director from voting with regard to a proposed transaction. Education regarding conflicts of interest is included in the annual compliance training that includes all Directors, employees and physicians.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Executive compensation is approved by the Compensation Committee of the Board (the "Committee"). The Committee has retained an independent compensation consultant who provides information to the Committee on changes and trends in executive compensation and objective third party information on competitive and comparable executive compensation and benefit level/programs. The Consultant collects and provides to the Committee, appropriate market compensation and benefits information, appropriate market practices for comparable organizations' positions and best practices. The Consultant also provides advice on developing and modifying UH's executive compensation philosophy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Financial Statements for University Hospitals Health System, Inc. and its Subsidiaries are made publicly available through the use of DAC Bond (disclosure dissemination agent) and can be found on the internet at www.dacbond.com.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net change in temporarily restricted net assets -1,010,000. Net change in permanently restricted net assets 10,129,000. Unrealized gain(loss) on investments 9,383,000. Cumulative effect of change in accounting for investment in subsidiaries -149,177,000. Additional minimum pension liability -41,248,000. Less: restricted assets included on line 1e -1,606,000. Equity Transfer 237,120,000. Other Changes -32,000. Total to Form 990, Part XI, Line 5: 63,559,000.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Election to Report on a Consolidated Basis</Identifier>
        <ReturnReference>Treasury Regulation 1.6033-2(d)(5) Election</ReturnReference>
        <Explanation>Pursuant to Treasury Regulation Section 1.6033-2(d)(5), University Hospitals Health System, Inc. ("Parent Organization") has elected to report information about contributions, gifts and grants, and compensation and other information about officers, directors, trustees, key employees, certain highly compensated employees, and certain professional contractors on a consolidated basis for all the members of its Group Exemption, including the Parent Organization, on University Hospitals Health System, Inc. Group Return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Volunteer Information</Identifier>
        <ReturnReference>Form 990 Part I Page 1 Line 6</ReturnReference>
        <Explanation>Volunteer Information can be found in the University Hospitals Health System, Inc. Group Return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Election to Report on a Consolidated Basis</Identifier>
        <ReturnReference>Form 990, Part IV Line 2</ReturnReference>
        <Explanation>University Hospitals Health System, Inc. ("Parent Organization") has elected to report information about contributions, gifts and grants, and compensation and other information about officers, directors, trustees, key employees, certain highly compensated employees, and certain professional contractors on a consolidated basis for all the members of its Group Exemption, including the Parent Organization, on University Hospitals Health System, Inc. Group Return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Treatment of Corporate Allocations</Identifier>
        <ReturnReference>Form 990, Part VIII Line 2</ReturnReference>
        <Explanation>Program Service Revenue includes Corporate Allocations that are eliminated upon consolidation (via offsets to expenses) for purposes of the Audited Financial Statements.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>University Hospitals Physicians I Ltd</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>11100 Euclid Ave</AddressLine1>
          <City>Cleveland</City>
          <State>OH</State>
          <ZIPCode>44106</ZIPCode>
        </AddressUS>
        <EIN>331024829</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>University Hospitals Physicians II Ltd</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>11100 Euclid Ave</AddressLine1>
          <City>Cleveland</City>
          <State>OH</State>
          <ZIPCode>44106</ZIPCode>
        </AddressUS>
        <EIN>331024832</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>University Hospitals Professionals Ltd</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>11100 Euclid Ave</AddressLine1>
          <City>Cleveland</City>
          <State>OH</State>
          <ZIPCode>44106</ZIPCode>
        </AddressUS>
        <EIN>010716790</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Medina Community Healthcare Properties LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>11100 Euclid Ave</AddressLine1>
          <City>Cleveland</City>
          <State>OH</State>
          <ZIPCode>44106</ZIPCode>
        </AddressUS>
        <EIN>340714775</EIN>
        <PrimaryActivities>Real Estate Holdings</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Auburn Road Development Company LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>11100 Euclid Ave</AddressLine1>
          <City>Cleveland</City>
          <State>OH</State>
          <ZIPCode>44106</ZIPCode>
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        <EIN>340714775</EIN>
        <PrimaryActivities>Real Estate Holdings</PrimaryActivities>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>4A Properties LLC</BusinessNameLine1>
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          <AddressLine1>11100 Euclid Ave</AddressLine1>
          <City>Cleveland</City>
          <State>OH</State>
          <ZIPCode>44106</ZIPCode>
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        <EIN>340714775</EIN>
        <PrimaryActivities>Real Estate Holdings</PrimaryActivities>
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      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Clague Road Propertis LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>11100 Euclid Ave</AddressLine1>
          <City>Cleveland</City>
          <State>OH</State>
          <ZIPCode>44106</ZIPCode>
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        <EIN>340714775</EIN>
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      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
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          <BusinessNameLine1>University Hospitals at Landerbrook Ltd</BusinessNameLine1>
        </NameOfDisregardedEntity>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UH Health SystemUH Case Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>2217783</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UH Health SystemUH Case Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
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        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UH Health SystemUH Case Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>H</TransactionType>
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        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UH Case Medical CenterUH Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
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        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UH Case Medical CenterUH Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>162621427</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UH Case Medical CenterUH Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>86866867</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UH Case Medical CenterUH Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>H</TransactionType>
        <AmountInvolved>1055525</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UH Case Medical CenterUH Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
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        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>