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        <TitleTxt>CMO-UOFL HEALTH/UOFL ASSOC. PROFESSOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>43.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>581269</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54931</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIRK STRACK</PersonNm>
        <TitleTxt>CFO, UOFL HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>23.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>275548</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>275548</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39132</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISA ADKINS</PersonNm>
        <TitleTxt>CEO, MARY &amp; ELIZABETH</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52097</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN WALSH</PersonNm>
        <TitleTxt>CEO, JEWISH HOSPITAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>521445</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52669</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARI KRETZSCHMER</PersonNm>
        <TitleTxt>CNO - UOFL HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>194729</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30328</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHANE FITZGERALD</PersonNm>
        <TitleTxt>VP - OPERATIONS M&amp;E</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>224102</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51072</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AUNDREA L LEWIS</PersonNm>
        <TitleTxt>VP - PATIENT SERVICES (PEACE) (END 04/25)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>299535</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50697</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY D SHELBURNE</PersonNm>
        <TitleTxt>CHIEF ADMIN OFFICER/NURSE EXECUTIVE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>285773</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30095</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA AKINS</PersonNm>
        <TitleTxt>COO/CNO UMC/VP PATIENT CARE SVCS (M&amp;E)</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>152492</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>152492</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42124</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY MARSHMAN</PersonNm>
        <TitleTxt>CNO - JEWISH HOSPITAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>267044</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18802</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN TAYLOR MD</PersonNm>
        <TitleTxt>CMO - PEACE HOSPITAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>321519</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33343</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TINA VANDERGRIFF</PersonNm>
        <TitleTxt>COO/CNO, SOUTH HOSPITAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>217879</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26152</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL HUDSON</PersonNm>
        <TitleTxt>CEO-FRAZIER REHAB</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>253114</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17153</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELICA THOMPSON</PersonNm>
        <TitleTxt>CHIEF ADMIN OFFICER/NURSE EXEC. MEDICAL CENTERS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>191766</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30772</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA SCHOLL</PersonNm>
        <TitleTxt>VP REVENUE CYCLE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>339167</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46353</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL NAGY</PersonNm>
        <TitleTxt>VP CONTRACTING</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>334637</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28489</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SOHAIL CONTRACTOR</PersonNm>
        <TitleTxt>RADIOLOGIST (JEWISH)/UOFL PROFESSOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>450985</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>469689</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63631</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW MCCLELLAN</PersonNm>
        <TitleTxt>SYSTEM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>255112</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49524</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSHUA BEARDSLEY</PersonNm>
        <TitleTxt>VP, NEUROSCIENCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>264020</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35827</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>9066850</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2753948</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1043625</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>24</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>METZ CULINARY MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>TWO WOODLANDS DRIVE</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD/ENVIRONMENTAL SERVICES</ServicesDesc>
        <CompensationAmt>37014264</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRIMEDX HOLDINGS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5451 LAKEVIEW PKWY DR S</AddressLine1Txt>
            <CityNm>INDIANAPOLIS</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46268</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL ENGINEERING SERVICES</ServicesDesc>
        <CompensationAmt>12527835</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICAN RENAL ASSOCIATION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>500 CUMMINGS CENTER STE 6550</AddressLine1Txt>
            <CityNm>BEVERLY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01915</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIALYSIS SERVICES</ServicesDesc>
        <CompensationAmt>3783690</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARDIOSOLUTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4675 CORNELL ROAD</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RECRUITING SERVICES</ServicesDesc>
        <CompensationAmt>3738525</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL CENTER LAUNDRY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1400 STORY AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAUNDRY SERVICES</ServicesDesc>
        <CompensationAmt>3703007</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>137</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>168751</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2544204</AllOtherContributionsAmt>
      <TotalContributionsAmt>2712955</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1205874141</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1205874141</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>1205874141</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2059353</TotalRevenueColumnAmt>
        <ExclusionAmt>2059353</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>10028863</RealAmt>
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        <RealAmt>6124632</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>3904231</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3904231</TotalRevenueColumnAmt>
        <ExclusionAmt>3904231</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>7981869</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>3818740</CostOfGoodsSoldAmt>
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        <RelatedOrExemptFuncIncomeAmt>4163129</RelatedOrExemptFuncIncomeAmt>
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        <Desc>CORPORATE ALLOCATIONS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>88151032</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>88151032</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>DEBT FORGIVENESS - KEDFA</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4375000</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>551114</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3957952</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>419001</UnrelatedBusinessRevenueAmt>
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        <UnrelatedBusinessRevenueAmt>419001</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>5966704</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>669610</ProgramServicesAmt>
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        <TotalAmt>517820</TotalAmt>
        <ProgramServicesAmt>517820</ProgramServicesAmt>
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        <ProgramServicesAmt>6693661</ProgramServicesAmt>
        <ManagementAndGeneralAmt>943771</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>371978546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52447020</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>22777275</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2931008</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>48977659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6302507</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>27681150</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3562045</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2778398</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>194127</TotalAmt>
        <ManagementAndGeneralAmt>194127</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>36583</ManagementAndGeneralAmt>
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        <TotalAmt>306569634</TotalAmt>
        <ProgramServicesAmt>253909058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52660576</ManagementAndGeneralAmt>
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        <TotalAmt>1483</TotalAmt>
        <ProgramServicesAmt>30</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1453</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>307609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14668022</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>71167735</TotalAmt>
        <ProgramServicesAmt>58296159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12871576</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>495923</TotalAmt>
        <ProgramServicesAmt>10187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>485736</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>181030</TotalAmt>
        <ProgramServicesAmt>3718</ProgramServicesAmt>
        <ManagementAndGeneralAmt>177312</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>15177687</TotalAmt>
        <ProgramServicesAmt>23871</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15153816</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>36303219</TotalAmt>
        <ProgramServicesAmt>22562990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13740229</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>9970088</TotalAmt>
        <ProgramServicesAmt>204792</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9765296</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DRUGS &amp; MEDICAL SUPPLIE</Desc>
        <TotalAmt>269746356</TotalAmt>
        <ProgramServicesAmt>269392314</ProgramServicesAmt>
        <ManagementAndGeneralAmt>354042</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES AND HEALTHCARE LI</Desc>
        <TotalAmt>47188154</TotalAmt>
        <ProgramServicesAmt>969273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46218881</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
        <TotalAmt>12635375</TotalAmt>
        <ProgramServicesAmt>12635375</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - SOUTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 2: ON NOVEMBER 1, 2019, UOFL HEALTH ACQUIRED ASSETS THROUGH A BUSINESS ACQUISITION WITH KENTUCKYONE HEALTH UNDER THE CORPORATIONS OF JEWISH HOSPITAL AND JEWISH HOSPITAL SHELBYVILLE. IN MARCH OF 2024, MEDICAL CENTER SOUTH OPENED AS SOUTH HOSPITAL AND BEGAN OFFERING INPATIENT SERVICES.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - FRAZIER REHABILITATION INSTITUTE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COMPLETED THE CHNA, OVER THE COURSE OF THE 2024 CALENDAR YEAR. COMMUNITY ENGAGEMENT STAFF COORDINATED DATA COLLECTION WITH THE LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT. THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. IT WAS RELEASED TO PATIENTS THROUGH MYCHART, TO STAFF THROUGH INTERNAL NEWSLETTERS, AND TO THE COMMUNITY THROUGH SOCIAL MEDIA AND EXTERNAL NEWSLETTERS. DATA WAS ALSO COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND LOCAL EVENTS. PARTICIPANTS INCLUDED THE GENERAL PUBLIC, REPRESENTATIVES WHO SERVE MARGINALIZED POPULATIONS INCLUDING INDIVIDUALS FROM COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS, PUBLIC HEALTH OFFICALS, AS WELL AS MAJOR EMPLOYERS. REPRESENTATIVES FROM POPULATIONS MOST AFFECTED BY HEALTH NEEDS WERE INCLUDED THROUGH FOCUS GROUPS AND LISTENING SESSIONS WITH PATIENTS LIVING WITH DISABILITIES, REPRESENTATIVES WORKING WITH UNHOUSED INDIVIDUALS, AND THE MEMBERS OF LGBTQIA+ COMMUNITIES. DATA FROM THE INTERVIEWS AND SURVEYS INFORMED THE RESULTS AND ASSISTED THE HOSPITAL IN IDENTIFYING PRIORITY AREAS. FOR GENERAL FEEDBACK ON PREVIOUS CHNAS, AN ONLINE FEEDBACK FORM WAS MADE AVAILABLE ON THE UOFL HEALTH WEBSITE AT HTTPS://UOFLHEALTH.ORG/ABOUT/COMMUNITY-ENGAGEMENT/. ANY COMMENTS COLLECTED THROUGH THE FORM WERE INCLUDED IN THE CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - MARY AND ELIZABETH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COMPLETED THE CHNA, OVER THE COURSE OF THE 2024 CALENDAR YEAR. COMMUNITY ENGAGEMENT STAFF COORDINATED DATA COLLECTION WITH THE LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT. THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. IT WAS RELEASED TO PATIENTS THROUGH MYCHART, TO STAFF THROUGH INTERNAL NEWSLETTERS, AND TO THE COMMUNITY THROUGH SOCIAL MEDIA AND EXTERNAL NEWSLETTERS. DATA WAS ALSO COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND LOCAL EVENTS. PARTICIPANTS INCLUDED THE GENERAL PUBLIC, REPRESENTATIVES WHO SERVE MARGINALIZED POPULATIONS INCLUDING INDIVIDUALS FROM COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS, PUBLIC HEALTH OFFICALS, AS WELL AS MAJOR EMPLOYERS. REPRESENTATIVES FROM POPULATIONS MOST AFFECTED BY HEALTH NEEDS WERE INCLUDED THROUGH FOCUS GROUPS AND LISTENING SESSIONS WITH PATIENTS LIVING WITH DISABILITIES, REPRESENTATIVES WORKING WITH UNHOUSED INDIVIDUALS, AND THE MEMBERS OF LGBTQIA+ COMMUNITIES. DATA FROM THE INTERVIEWS AND SURVEYS INFORMED THE RESULTS AND ASSISTED THE HOSPITAL IN IDENTIFYING PRIORITY AREAS. FOR GENERAL FEEDBACK ON PREVIOUS CHNAS, AN ONLINE FEEDBACK FORM WAS MADE AVAILABLE ON THE UOFL HEALTH WEBSITE AT HTTPS://UOFLHEALTH.ORG/ABOUT/COMMUNITY-ENGAGEMENT/. ANY COMMENTS COLLECTED THROUGH THE FORM WERE INCLUDED IN THE CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - JEWISH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COMPLETED THE CHNA, OVER THE COURSE OF THE 2024 CALENDAR YEAR. COMMUNITY ENGAGEMENT STAFF COORDINATED DATA COLLECTION WITH THE LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT. THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. IT WAS RELEASED TO PATIENTS THROUGH MYCHART, TO STAFF THROUGH INTERNAL NEWSLETTERS, AND TO THE COMMUNITY THROUGH SOCIAL MEDIA AND EXTERNAL NEWSLETTERS. DATA WAS ALSO COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND LOCAL EVENTS. PARTICIPANTS INCLUDED THE GENERAL PUBLIC, REPRESENTATIVES WHO SERVE MARGINALIZED POPULATIONS INCLUDING INDIVIDUALS FROM COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS, PUBLIC HEALTH OFFICALS, AS WELL AS MAJOR EMPLOYERS. REPRESENTATIVES FROM POPULATIONS MOST AFFECTED BY HEALTH NEEDS WERE INCLUDED THROUGH FOCUS GROUPS AND LISTENING SESSIONS WITH PATIENTS LIVING WITH DISABILITIES, REPRESENTATIVES WORKING WITH UNHOUSED INDIVIDUALS, AND THE MEMBERS OF LGBTQIA+ COMMUNITIES. DATA FROM THE INTERVIEWS AND SURVEYS INFORMED THE RESULTS AND ASSISTED THE HOSPITAL IN IDENTIFYING PRIORITY AREAS. FOR GENERAL FEEDBACK ON PREVIOUS CHNAS, AN ONLINE FEEDBACK FORM WAS MADE AVAILABLE ON THE UOFL HEALTH WEBSITE AT HTTPS://UOFLHEALTH.ORG/ABOUT/COMMUNITY-ENGAGEMENT/. ANY COMMENTS COLLECTED THROUGH THE FORM WERE INCLUDED IN THE CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - PEACE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COMPLETED THE CHNA, OVER THE COURSE OF THE 2024 CALENDAR YEAR. COMMUNITY ENGAGEMENT STAFF COORDINATED DATA COLLECTION WITH THE LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT. THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. IT WAS RELEASED TO PATIENTS THROUGH MYCHART, TO STAFF THROUGH INTERNAL NEWSLETTERS, AND TO THE COMMUNITY THROUGH SOCIAL MEDIA AND EXTERNAL NEWSLETTERS. DATA WAS ALSO COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND LOCAL EVENTS. PARTICIPANTS INCLUDED THE GENERAL PUBLIC, REPRESENTATIVES WHO SERVE MARGINALIZED POPULATIONS INCLUDING INDIVIDUALS FROM COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS, PUBLIC HEALTH OFFICALS, AS WELL AS MAJOR EMPLOYERS. REPRESENTATIVES FROM POPULATIONS MOST AFFECTED BY HEALTH NEEDS WERE INCLUDED THROUGH FOCUS GROUPS AND LISTENING SESSIONS WITH PATIENTS LIVING WITH DISABILITIES, REPRESENTATIVES WORKING WITH UNHOUSED INDIVIDUALS, AND THE MEMBERS OF LGBTQIA+ COMMUNITIES. DATA FROM THE INTERVIEWS AND SURVEYS INFORMED THE RESULTS AND ASSISTED THE HOSPITAL IN IDENTIFYING PRIORITY AREAS. FOR GENERAL FEEDBACK ON PREVIOUS CHNAS, AN ONLINE FEEDBACK FORM WAS MADE AVAILABLE ON THE UOFL HEALTH WEBSITE AT HTTPS://UOFLHEALTH.ORG/ABOUT/COMMUNITY-ENGAGEMENT/. ANY COMMENTS COLLECTED THROUGH THE FORM WERE INCLUDED IN THE CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - SOUTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COMPLETED THE CHNA, OVER THE COURSE OF THE 2024 CALENDAR YEAR. COMMUNITY ENGAGEMENT STAFF COLLABORATED THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT (NCDHD) AND THE BULLITT COUNTY HEALTH DEPARTMENT (BCHD) ON SURVEY ADMINISTRATION. UOFL HEALTH AND NCDHD ADMINSTERED THE SURVEY AS ITS JOINT CHNA SURVEY FOR SHELBY, SPENCER, HENRY, AND TRIMBLE COUNTY. THE SURVEY WAS ALSO RELEASED IN BULLITT COUNTY THROUGH THE BULLITT COUNTY HEALTH DEPARTMENT. THE SURVEY WAS DISTRIBUTED THROUGH THE HEALTH DEPARTMENT COMMUNITY PARTNERS, A LOCAL NONPROFIT SERVING UNHOUSED AND LOW-INCOME POPULATIONS IN BULLIT COUNTY, AND THROUGH MYCHART USED BY PHYSICIAN PRACTICES. THE COMMUNITY ENGAGEMENT TEAM ALSO FACILITATED A COMMUNITY FORUM WITH LOCAL COMMUNITY LEADERS AND NONPROFIT REPRESENTATIVES IN COLLABORATION WITH THE BULLITT COUNTY HEALTH DEPARTMENT. REPRESENTATIVES FROM POPULATIONS MOST AFFECTED BY HEALTH NEEDS WERE ALSO INCLUDED THROUGH FOCUS GROUPS AND LISTENING SESSIONS WITH PATIENTS LIVING WITH DISABILITIES, REPRESENTATIVES WORKING WITH UNHOUSED INDIVIDUALS, AND THE LGBTQIA+ COMMUNITY. DATA FROM ALL SOURCES INFORMED THE RESULTS AND ASSISTED THE HOSPITAL IN IDENTIFYING PRIORITY AREAS. FOR GENERAL FEEDBACK ON PREVIOUS CHNAS, AN ONLINE FEEDBACK FORM WAS MADE AVAILABLE ON THE UOFL HEALTH WEBSITE AT HTTPS://UOFLHEALTH.ORG/ABOUT/COMMUNITY-ENGAGEMENT/. ANY COMMENTS COLLECTED THROUGH THE FORM WERE INCLUDED IN THE CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - FRAZIER REHABILITATION INSTITUTE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: UOFL HEALTH AS A HEALTHCARE SYSTEM CONDUCTED THE MOST RECENT CHNA DURING THE 2024 CALENDAR YEAR. ALL SEVEN HOSPITALS IN THE SYSTEM FELL INTO THE SAME CHNA TIMELINE. PRIMARY AND SECONDARY DATA FOR ALL HOSPITALS WAS COLLECTED AT THE SAME TIME. THREE CHNA REPORTS WERE CREATED BASED ON COUNTY LOCATION, WHICH RESULTED IN SEPARATE REPORTS FOR JEFFERSON, SHELBY, AND BULLITT COUNTIES. THE JEFFERSON COUNTY HOSPITALS WITHIN THE UOFL HEALTH-LOUISVILLE ORGANIZATION WITH UOFL HOSPITAL UTILIZED THE SAME SURVEY TOOL THAT WAS ADMINISTERED IN COORDINATION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS.THESE HOSPITALS INCLUDED: JEWISH HOSPITAL, PEACE HOSPITAL, MARY AND ELIZABETH HOSPITAL, UOFL HOSPITAL, AND FRAZIER REHABILITATION INSTITUTE. THE SAME DATA FROM FOCUS GROUPS WITH UNHOUSED SERVICE PROVIDERS, PATIENTS LIVING WITH DISABILITES, DATA COLLECTED AT EVENTS, AND KEY INFORMANT INTERVIEWS WAS UTILIZED FOR ALL UOFL HEALTH HOSPITALS IN JEFFERSON COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - MARY AND ELIZABETH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: UOFL HEALTH AS A HEALTHCARE SYSTEM CONDUCTED THE MOST RECENT CHNA DURING THE 2024 CALENDAR YEAR. ALL SEVEN HOSPITALS IN THE SYSTEM FELL INTO THE SAME CHNA TIMELINE. PRIMARY AND SECONDARY DATA FOR ALL HOSPITALS WAS COLLECTED AT THE SAME TIME. THREE CHNA REPORTS WERE CREATED BASED ON COUNTY LOCATION, WHICH RESULTED IN SEPARATE REPORTS FOR JEFFERSON, SHELBY, AND BULLITT COUNTIES. THE JEFFERSON COUNTY HOSPITALS WITHIN THE UOFL HEALTH-LOUISVILLE ORGANIZATION WITH UOFL HOSPITAL UTILIZED THE SAME SURVEY TOOL THAT WAS ADMINISTERED IN COORDINATION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS.THESE HOSPITALS INCLUDED: JEWISH HOSPITAL, PEACE HOSPITAL, MARY AND ELIZABETH HOSPITAL, UOFL HOSPITAL, AND FRAZIER REHABILITATION INSTITUTE. THE SAME DATA FROM FOCUS GROUPS WITH UNHOUSED SERVICE PROVIDERS, PATIENTS LIVING WITH DISABILITES, DATA COLLECTED AT EVENTS, AND KEY INFORMANT INTERVIEWS WAS UTILIZED FOR ALL UOFL HEALTH HOSPITALS IN JEFFERSON COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - JEWISH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: UOFL HEALTH AS A HEALTHCARE SYSTEM CONDUCTED THE MOST RECENT CHNA DURING THE 2024 CALENDAR YEAR. ALL SEVEN HOSPITALS IN THE SYSTEM FELL INTO THE SAME CHNA TIMELINE. PRIMARY AND SECONDARY DATA FOR ALL HOSPITALS WAS COLLECTED AT THE SAME TIME. THREE CHNA REPORTS WERE CREATED BASED ON COUNTY LOCATION, WHICH RESULTED IN SEPARATE REPORTS FOR JEFFERSON, SHELBY, AND BULLITT COUNTIES. THE JEFFERSON COUNTY HOSPITALS WITHIN THE UOFL HEALTH-LOUISVILLE ORGANIZATION WITH UOFL HOSPITAL UTILIZED THE SAME SURVEY TOOL THAT WAS ADMINISTERED IN COORDINATION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS.THESE HOSPITALS INCLUDED: JEWISH HOSPITAL, PEACE HOSPITAL, MARY AND ELIZABETH HOSPITAL, UOFL HOSPITAL, AND FRAZIER REHABILITATION INSTITUTE. THE SAME DATA FROM FOCUS GROUPS WITH UNHOUSED SERVICE PROVIDERS, PATIENTS LIVING WITH DISABILITES, DATA COLLECTED AT EVENTS, AND KEY INFORMANT INTERVIEWS WAS UTILIZED FOR ALL UOFL HEALTH HOSPITALS IN JEFFERSON COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - PEACE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: UOFL HEALTH AS A HEALTHCARE SYSTEM CONDUCTED THE MOST RECENT CHNA DURING THE 2024 CALENDAR YEAR. ALL SEVEN HOSPITALS IN THE SYSTEM FELL INTO THE SAME CHNA TIMELINE. PRIMARY AND SECONDARY DATA FOR ALL HOSPITALS WAS COLLECTED AT THE SAME TIME. THREE CHNA REPORTS WERE CREATED BASED ON COUNTY LOCATION, WHICH RESULTED IN SEPARATE REPORTS FOR JEFFERSON, SHELBY, AND BULLITT COUNTIES. THE JEFFERSON COUNTY HOSPITALS WITHIN THE UOFL HEALTH-LOUISVILLE ORGANIZATION WITH UOFL HOSPITAL UTILIZED THE SAME SURVEY TOOL THAT WAS ADMINISTERED IN COORDINATION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS.THESE HOSPITALS INCLUDED: JEWISH HOSPITAL, PEACE HOSPITAL, MARY AND ELIZABETH HOSPITAL, UOFL HOSPITAL, AND FRAZIER REHABILITATION INSTITUTE. THE SAME DATA FROM FOCUS GROUPS WITH UNHOUSED SERVICE PROVIDERS, PATIENTS LIVING WITH DISABILITES, DATA COLLECTED AT EVENTS, AND KEY INFORMANT INTERVIEWS WAS UTILIZED FOR ALL UOFL HEALTH HOSPITALS IN JEFFERSON COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - SOUTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: UOFL HEALTH AS A HEALTHCARE SYSTEM CONDUCTED THE MOST RECENT CHNA DURING THE 2024 CALENDAR YEAR. ALL HOSPITALS IN THE SYSTEM FELL INTO THE SAME CHNA TIMELINE. PRIMARY AND SECONDARY DATA FOR ALL HOSPITALS WAS COLLECTED AT THE SAME TIME. THREE CHNA REPORTS WERE CREATED BASED ON COUNTY LOCATION, WHICH RESULTED IN SEPARATE REPORTS FOR JEFFERSON, SHELBY, AND BULLITT COUNTIES. SOUTH HOSPITAL AND SHELBYVILLE HOSPTIALS UTILIZED THE SAME SURVEY TOOL THAT WAS ADMINISTERED IN COORDINATION WITH NORTH CENTRAL DISTRICT HEALTH DEPARTMENT AND BULLITT COUNTY HEALTH DEPARTMENT. THE SAME DATA FROM PATIENTS LIVING WITH DISABILITES, DATA COLLECTED AT EVENTS, DATA COLLECTED AT LIBRARIES, COMMUNITY LISTENING SESSIONS WAS UTILIZED FOR BOTH SHELBYVILLE AND SOUTH HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - FRAZIER REHABILITATION INSTITUTE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COORDINATED DATA COLLECTION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT (LMPHW). THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. UOFL HEALTH AND LMPHW PARTNERED ON DISTRIBUTING THE SURVEYU THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - MARY AND ELIZABETH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COORDINATED DATA COLLECTION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT (LMPHW). THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. UOFL HEALTH AND LMPHW PARTNERED ON DISTRIBUTING THE SURVEYU THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - JEWISH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COORDINATED DATA COLLECTION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT (LMPHW). THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. UOFL HEALTH AND LMPHW PARTNERED ON DISTRIBUTING THE SURVEYU THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - PEACE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COORDINATED DATA COLLECTION WITH LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS DEPARTMENT (LMPHW). THE SAME SURVEY WAS USED FOR THIS CHNA AND THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT. UOFL HEALTH AND LMPHW PARTNERED ON DISTRIBUTING THE SURVEYU THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - SOUTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE UOFL HEALTH COMMUNITY ENGAGEMENT TEAM COLLABORATED DATA COLLECTION WITH THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT (NCDHD) AND THE BULLITT COUNTY HEALTH DEPARTMENT (BCHD) ON SURVEY ADMINISTRATION. UOFL HEALTH ALSO PARTNERED WITH MARK 12 COMMUNITY MINITRIES, A LOCAL SOCIAL SERVICE AGENCY TO COLLECT DATA IN A HIGH TRAFFIC LOCAL THRIFT STORE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - FRAZIER REHABILITATION INSTITUTE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED THE FOLLOWING OVERALL NEEDS IN JEFFERSON COUNTY: POOR OVERALL COMMUNITY HEALTH, PROJECTED GAPS IN WORKFORCE, DEMOGRAPHIC SHIFTS IN THE COMMUNITY AND CONTINUED HEALTH DISPARITIES, BEHAVIORAL HEALTH NEEDS, RESOURCE NAVIGATION, SOCIAL DETERMINANTS OF HEALTH, INTERPERSONAL SAFETY, AND ACCESS TO CARE. ONCE PRIORITIES WERE SET BY HOSPITAL LEADERS, A TRANSITION IN LEADERSHIP NECESSITATED A CHANGE IN PRIORITIES. PREVIOUSLY CHOSEN PRIORITIES WERE STREAMLINED INTO SYSTEM LEVEL PRIORITIES OF ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS. EACH HOSPITAL THEN TAILORED THESE PRIORITIES TO MEET THE NEEDS OF THEIR PATIENT POPULATIONS, COMMUNITY NEEDS, AND SERVICES. FRAZIER REHAB INSTITUTE PRIORITIES WILL INCLUDE:DECREASE BARRIERS TO ACCESSING REHABILITATION CARE, ENHANCE WORKFORCE PIPELINES, AND INCREASE RESOURCES THROUGH COMMUNITY PARTNERSHIPS. ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS ARE BEING ADDRESSED AS SYSTEM-WIDE PRIORITIES. THE FOLLOWING LISTS THE PRIORITIES AND STRATEGIES SPECIFIC TO THE HOSPITAL. 1. PRIORITY #1: DECREASE BARRIES TO ACCESSING REHABILITATION CARE- TARGET OUTCOME(S): DECREASE READMISSIONS; INCREASE PARTICIPATION IN CFW GYM MEMBERSHIP- ACTION STEPS: CONNECT PATIENTS TO COMMUNITY FITNESS AND WELLNESS AND RESOURCES FOR MEMBERSHIP BEFORE DISCHARGE (INPATIENT AND OUTPATIENT)2. PRIORITY #2: ENHANCE WORKFORCE PIPELINES- TARGET OUTCOME(S): DECREASE TALENT TIME/COST; INCREASE APPLICANTS AND NEW HIRES FOR OPEN POSITIONS; TRANSFER STUDENT ENGAGEMENT TO PERMANENT POSITIONS THAT FILL WORFORCE NEEDS- ACTION STEPS: IMPLEMENT LEADER LEGACY BUILDING FOR LEADERSHIP POSITIONS STREAMLINE PROCESS FROM NURSE EXTERN TO OPEN PERMANENT POSITIONS PARTNER WITH LOCAL REHAB HIGHER EDUCATION PROGRAMS TO ENHANCE STUDENT ENGAGEMENT3. PRIORITY #3: INCREASE ACCESS TO RESOURCES THROUGH COMMUNITY PARTNERSHIPS- TARGET OUTCOME(S): INCREASE THE COLLABORATIVE COMMUNITY PARTNERSHIPS- ACTION STEPS: EXPLORE OPPORTUNITIES TO WORK WITH HOMELESS SERVICE PROVIDERS TO ASSESS ACCESSIBILITY AND COLLABORATE ON EDUCATION OF PATIENT NEEDS EXPLORE OPPORTUNITIES TO PARTNER WITH EXISTING AGENCIES FOR ADAPTIVE RECREATION, SPORTS, SOCIAL ACTIVITIES IN OUR COMMUNITYHEALTH NEEDS CHOSEN AS PRIORITIES FOR EACH UOFL HEALTH HOSPITAL WERE CHOSEN BASED ON PATIENT POPULATION, MAJOR SERVICE LINES WITHIN THE HOPITALS, AND CURRENT OPERATIONAL PRIORITIES FOR THE HOSPITALS. PRIORITIES WERE CHOSEN TO ENSURE ALIGNMENT WITH THE CAPACITY OF THE HOSPITAL OF ADDRESSING THE HEALTH NEEDS AND AVOIDING MISALIGNMENT. MANY OF THE MAJOR THEMES FROM THE CHNA WERE ALSO COMBINED WERE APPROPRIATE. FOR INSTANCE, ACCESS TO CARE WAS SELECED AS A PRIORITY THAT WILL ADDRESS OVERALL HEALTH AND CHRONIC CONDITIONS. COMMUNITY PARTNERSHIPS WILL ADDRESS SDOH NEEDS AND WORKFORCE GAPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - MARY AND ELIZABETH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED THE FOLLOWING OVERALL NEEDS IN JEFFERSON COUNTY: POOR OVERALL COMMUNITY HEALTH, PROJECTED GAPS IN WORKFORCE, DEMOGRAPHIC SHIFTS IN THE COMMUNITY AND CONTINUED HEALTH DISPARITIES, BEHAVIORAL HEALTH NEEDS, RESOURCE NAVIGATION, SOCIAL DETERMINANTS OF HEALTH, INTERPERSONAL SAFETY, AND ACCESS TO CARE. ONCE PRIORITIES WERE SET BY HOSPITAL LEADERS, A TRANSITION IN LEADERSHIP NECESSITATED A CHANGE IN PRIORITIES. PREVIOUSLY CHOSEN PRIORITIES WERE STREAMLINED INTO SYSTEM LEVEL PRIORITIES OF ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS. EACH HOSPITAL THEN TAILORED THESE PRIORITIES TO MEET THE NEEDS OF THEIR PATIENT POPULATIONS, COMMUNITY NEEDS, AND SERVICES. MARY AND ELIZABETH PRIORITIES WILL INCLUDE DECREASE BARRIERS TO ACCESSING BEHAVIORAL HEALTH CARE, ENHANCE WORKFORCE PIPELINES, AND INCREASE RESOURCES THROUGH COMMUNITY PARTNERSHIPS. ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS ARE BEING ADDRESSED AS SYSTEM-WIDE PRIORITIES. THE FOLLOWING LISTS THE PRIORITIES AND STRATEGIES SPECIFIC TO THE HOSPITAL. 1. PRIORITY #1: DECREASE BARRIES TO ACCESSING CARE FOR BEHAVIORAL HEALTH- TARGET OUTCOME(S): DECREASE READMISSIONS AND LENGTH OF STAY FOR PATIENTS WITH BEHAVIORAL HEALTH NEEDS- ACTION STEPS: ADD PROGRAMIN IN SUPPORT OF PATIENTS IN THE DETOX CENTER AND MED/PSYCH UNIT TO PROVIDE FULL CLINIC WRAP AROUND SERVICES2. PRIORITY #2: ENHANCE WORKFORCE PIPELINES- TARGET OUTCOME(S): TRANSFER STUDENT ENGAGEMENT TO PERMANENT POSITIONS THAT FILL WORKFORCE NEEDS; INCREASE APPLICANTS AND NEW HIRES FROM MARGINALIZED DEMOGRAPHIC GROUPS; REFLECT THE COMMUNITY IN APPLICANTS AND NEW HIRES; FILL PROJECTED WORKFORCE GAPS FOR NURSING AND ALLIED HEALTH FIELDS- ACTION STEPS: DEEPEN SCHOOL PARTNERSHIPS FOR STUDENT ENGAGEMENT OPPORTUNITIES STREAMLINE PROCESS FROM NURSE EXTERN TO OPEN PERMANENT POSITIONS INCREASE RAD TECH GRADUATES IN THE ALLIED HEALTH ACADEMY DEVELOP RELATIONSHIPS WITH COMMUNITY ENTITIES TO CREATE WORKFORCE TRAINING AND RECRUITMENT PIPELINES FOR ALLIED HEALTH FIELDS TO INCLUDE APPLICANTS FROM MARGINALIZED COMMUNITIES3. PRIORITY #3: INCREASE ACCESS TO RESOURCES THROUGH COMMUNITY PARTNERSHIPS- TARGET OUTCOME(S): INCREASE THE NUMBER OF COLLABORATIVE PARTNERSHIPS TO MEET THE NEEDS OF BEHAVIORAL HELATH PATIENTS- ACTION STEPS: EXPAND PEER SUPPORT SERVICES FOR BEHAVIORAL HEALTH UNITS THROUGH PARTNERSHIPS MODELED AFTER SEVEN COUNTIES RELATIONSHIPS WITH JEWISH HOSPITAL AND UOFL HOSPITAL DEVELOP RELATIONSHIPS WITH COMMUNITY-BASED ORGANIZATION FOR SDOH NEEDS OF BEHAVIORAL HEALTH PATIENTSHEALTH NEEDS CHOSEN AS PRIORITIES FOR EACH UOFL HEALTH HOSPITAL WERE CHOSEN BASED ON PATIENT POPULATION, MAJOR SERVICE LINES WITHIN THE HOPITALS, AND CURRENT OPERATIONAL PRIORITIES FOR THE HOSPITALS. PRIORITIES WERE CHOSEN TO ENSURE ALIGNMENT WITH THE CAPACITY OF THE HOSPITAL OF ADDRESSING THE HEALTH NEEDS AND AVOIDING MISALIGNMENT. MANY OF THE MAJOR THEMES FROM THE CHNA WERE ALSO COMBINED WERE APPROPRIATE. FOR INSTANCE, ACCESS TO CARE WAS SELECED AS A PRIORITY THAT WILL ADDRESS OVERALL HEALTH AND CHRONIC CONDITIONS. COMMUNITY PARTNERSHIPS WILL ADDRESS SDOH NEEDS AND WORKFORCE GAPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - JEWISH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED THE FOLLOWING OVERALL NEEDS IN JEFFERSON COUNTY: POOR OVERALL COMMUNITY HEALTH, PROJECTED GAPS IN WORKFORCE, DEMOGRAPHIC SHIFTS IN THE COMMUNITY AND CONTINUED HEALTH DISPARITIES, BEHAVIORAL HEALTH NEEDS, RESOURCE NAVIGATION, SOCIAL DETERMINANTS OF HEALTH, INTERPERSONAL SAFETY, AND ACCESS TO CARE. ONCE PRIORITIES WERE SET BY HOSPITAL LEADERS, A TRANSITION IN LEADERSHIP NECESSITATED A CHANGE IN PRIORITIES. PREVIOUSLY CHOSEN PRIORITIES WERE STREAMLINED INTO SYSTEM LEVEL PRIORITIES OF ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS. EACH HOSPITAL THEN TAILORED THESE PRIORITIES TO MEET THE NEEDS OF THEIR PATIENT POPULATIONS, COMMUNITY NEEDS, AND SERVICES. JEWISH HOSPITAL PRIORITIES WILL INCLUDEDECREASE BARRIERS TO ACCESSING CARDIOVASCULAR CARE, ENHANCE WORKFORCE PIPELINES, AND INCREASE RESOURCES THROUGH COMMUNITY PARTNERSHIPS. ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS ARE BEING ADDRESSED AS SYSTEM-WIDE PRIORITIES. THE FOLLOWING LISTS THE PRIORITIES AND STRATEGIES SPECIFIC TO THE HOSPITAL. 1. PRIORITY #1: DECREASE BARRIES TO ACCESSING CARDIOVASCULAR CARE- TARGET OUTCOME(S): ENHANCE HEALTH LITERACY AND OUTREACH FOR CARDIOVASCULAR HEALTH- ACTION STEPS: UPDATE AND ENHANCE PULSE OF SURGERY PROGRAM WITH THE KY SCIENCE CENTER TO INCLUDE ENHANCED HEALTH EDUCATION FOR CARDIOVASCULAR CARE PARTICIPATE IN AMERICAN HEART ASSOCIATION CARDIOVASCULAR KIDNEY METABOLIC HEALTH INITIATIVE2. PRIORITY: ENHANCE WORKFORCE PIPELINES- TARGET OUTCOME(S): TRANSFER STUDENT ENGAGEMENT TO PERMANENT POSITIONS THAT FILL WORKFORCE NEEDS; INCREASE APPLICANTS AND NEW HIRES FROM MARGINALIZED DEMOGRAPHIC GROUPS; REFLECT THE COMMUNITY IN APPLICANTS AND NEW HIRES; FILL OROJECTS WORKFORCE GAPS FOR NURSING AND ALLIED HEALTH FIELDS- ACTION STEPS: REFRESH PULSE OF SURGERY PROGRAM WITH THE KENTUCKY SCIENCE CENTER TO INCLUDE TRACKING OF STUDENT ENGAGEMENT WITH UOFL HEALTH FOR WORKFORCE PIPELINE MONITORING STREAMLINE PROCESS FROM NURSE EXTERN TO OPEN PERMANENT POSITIONS INCREASE RAD TECH GRADUATES IN THE ALLIED HEALTH ACADEMY DEVELOP RELATIONSHIPS WITH COMMUNITY ENTITIES TO CREATE WORKFORCE TRAINING AND RECRUITMENT PIPELINES FOR ALLIED HEALTH FIELDS TO INCLUDE APPLICANTS FROM MARGINALIZED COMMUNITIES3. PRIORITY #3: INCREASE ACCESS TO RESOURCES THROUGH COMMUNITY PARTNERSHIPS- TARGET OUTCOME(S): INCREASE THE COLLABORATIVE COMMUNITY PARTNERSHIPS- ACTION STEPS: REFRESH PULSE OF SURGERY PROGRAM WITH THE KENTUCKY SCIENCE CENTER TO INCLUDE TRACKING OF STUDENT ENGAGEMENT WITH UOFL HEALTH EXPLORE PARTNERSHIPS WITH KENTUCKY HOSPITAL ASSOCIATION AND DEPARTMENT OF AGRICULTURE FOR FOOD AS MEDICINE OPPORTUNITIES HEALTH NEEDS CHOSEN AS PRIORITIES FOR EACH UOFL HEALTH HOSPITAL WERE CHOSEN BASED ON PATIENT POPULATION, MAJOR SERVICE LINES WITHIN THE HOPITALS, AND CURRENT OPERATIONAL PRIORITIES FOR THE HOSPITALS. PRIORITIES WERE CHOSEN TO ENSURE ALIGNMENT WITH THE CAPACITY OF THE HOSPITAL OF ADDRESSING THE HEALTH NEEDS AND AVOIDING MISALIGNMENT. MANY OF THE MAJOR THEMES FROM THE CHNA WERE ALSO COMBINED WERE APPROPRIATE. FOR INSTANCE, ACCESS TO CARE WAS SELECED AS A PRIORITY THAT WILL ADDRESS OVERALL HEALTH AND CHRONIC CONDITIONS. COMMUNITY PARTNERSHIPS WILL ADDRESS SDOH NEEDS AND WORKFORCE GAPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - PEACE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED THE FOLLOWING OVERALL NEEDS IN JEFFERSON COUNTY: POOR OVERALL COMMUNITY HEALTH, PROJECTED GAPS IN WORKFORCE, DEMOGRAPHIC SHIFTS IN THE COMMUNITY AND CONTINUED HEALTH DISPARITIES, BEHAVIORAL HEALTH NEEDS, RESOURCE NAVIGATION, SOCIAL DETERMINANTS OF HEALTH, INTERPERSONAL SAFETY, AND ACCESS TO CARE. ONCE PRIORITIES WERE SET BY HOSPITAL LEADERS, A TRANSITION IN LEADERSHIP NECESSITATED A CHANGE IN PRIORITIES. PREVIOUSLY CHOSEN PRIORITIES WERE STREAMLINED INTO SYSTEM LEVEL PRIORITIES OF ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS. EACH HOSPITAL THEN TAILORED THESE PRIORITIES TO MEET THE NEEDS OF THEIR PATIENT POPULATIONS, COMMUNITY NEEDS, AND SERVICES. PEACE HOSPITAL PRIORITIES WILL INCLUDE: DECREASE BARRIERS TO ACCESSING BEHAVIORAL HEALTH CARE, ENHANCE WORKFORCE PIPELINES, AND INCREASE RESOURCES THROUGH COMMUNITY PARTNERSHIPS. ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS ARE BEING ADDRESSED AS SYSTEM-WIDE PRIORITIES. THE FOLLOWING LISTS THE PRIORITIES AND STRATEGIES SPECIFIC TO THE HOSPITAL. 1. PRIORITY #1: DECREASE BARRIES TO ACCESSING CARE FOR BEHAVIORAL HEALTH- TARGET OUTCOME(S): A CLEAR JOURNEY CAN BE MAPPED THROUGH THE FULL BEHAVIORAL HEALTH CONTINUUM OF CARE- ACTION STEPS: COLLABORATE ACROSS UOFL HEALTH TO COORDINATE AND STREAMLINE BEHAVIORAL HEALTH ENTRY POINT(S) UTILIZE GAP ANALYSIS TO ENSURE A FULL CONTINUUM OF CARE FOR BEHAVIORAL HEALTH TO INCLUDE INPATIENT, RESIDENTIAL, OUTPATIENT, MOBILE, ALUMNI PROGRAMS AND URGENT/ CRISIS CARE EXPLORE OPPORTUNITIES FOR SERVICES TAILORED TO SPECIFIC POPULATIONS/NEEDS (E.G. EATING DISORDERS)2. PRIORITY #2: ENHANCE WORKFORCE PIPELINES- TARGET OUTCOME(S): TRANSFER STUDENT ENGAGEMENT TO PERMANENT POSITIONS THAT FILL WORKFORCE NEEDS- ACTION STEPS: SUSTAIN AND GROW STUDENT ENGAGMENT, TO INCLUDE PSYCHIATRY RESIDENCY PARTICIPATION STREAMLINE PROCESS FROM NURE EXTERN TO OPEN PERMANENT POSTIONS3. PRIORITY #3: INCREASE ACCESS TO RESOURCES THROUGH COMMUNITY PARTNERSHIPS- TARGET OUTCOME(S): INCREASE COMMUNITY PARTNERSHIPS AND REFERRALS- ACTION STEPS: PARTICIPATE IN BEHAVIORAL HEALTH COALITION TO COLLABORATE WITH COMMUNITY PARTNERS ON BEHAVIORAL HEALTH URGENT CARE CENTERS FOR YOUTH AND ADULTS EXPLORE JOINT VENTURES FOR LOWER ACUITY TREATMENT AND ONSITE SERVICES (E.G. DEPARTMENT OF JUVENILE JUSTICE, UOFL RESIDENT CLINICS)HEALTH NEEDS CHOSEN AS PRIORITIES FOR EACH UOFL HEALTH HOSPITAL WERE CHOSEN BASED ON PATIENT POPULATION, MAJOR SERVICE LINES WITHIN THE HOPITALS, AND CURRENT OPERATIONAL PRIORITIES FOR THE HOSPITALS. PRIORITIES WERE CHOSEN TO ENSURE ALIGNMENT WITH THE CAPACITY OF THE HOSPITAL OF ADDRESSING THE HEALTH NEEDS AND AVOIDING MISALIGNMENT. MANY OF THE MAJOR THEMES FROM THE CHNA WERE ALSO COMBINED WERE APPROPRIATE. FOR INSTANCE, ACCESS TO CARE WAS SELECED AS A PRIORITY THAT WILL ADDRESS OVERALL HEALTH AND CHRONIC CONDITIONS. COMMUNITY PARTNERSHIPS WILL ADDRESS SDOH NEEDS AND WORKFORCE GAPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UOFL HEALTH - SOUTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED THE FOLLOWING OVERALL NEEDS IN BULLITT COUNTY: POOR OVERALL COMMUNITY HEALTH, PROJECTED GAPS IN WORKFORCE, BEHAVIORAL HEALTH NEEDS, SOCIAL DETERMINANTS OF HEALTH, AND ACCESS TO CARE. ONCE PRIORITIES WERE SET BY HOSPITAL LEADERS, A TRANSITION IN LEADERSHIP NECESSITATED A CHANGE IN PRIORITIES. PREVIOUSLY CHOSEN PRIORITIES WERE STREAMLINED INTO SYSTEM LEVEL PRIORITIES OF ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS. EACH HOSPITAL THEN TAILORED THESE PRIORITIES TO MEET THE NEEDS OF THEIR PATIENT POPULATIONS, COMMUNITY NEEDS, AND SERVICES. SOUTH HOSPITAL PRIORITIES WILL INCLUDE: DECREASE BARRIERS TO ACCESSING CANCER CARE, ENHANCE WORKFORCE PIPELINES, AND INCREASE RESOURCES THROUGH COMMUNITY PARTNERSHIPS. ACCESS TO CARE, WORKFORCE PIPELINES, AND COMMUNITY PARTNERSHIPS ARE BEING ADDRESSED AS SYSTEM-WIDE PRIORITIES. THE FOLLOWING LISTS THE PRIORITIES AND STRATEGIES SPECIFIC TO THE HOSPITAL.1. PRIORITY #1: DECREASE BARRIES TO ACCESSING CANCER CARE- TARGET OUTCOME(S): INCREASE CANCER SCREENING RATES FOR AT-RISK POPULTIONS; INCREASE THE NUMBER OF PATIENTS SEEN FOR ONCOLOGY SERVICES AT THE HOSPITAL- ACTION STEPS: ADD UOFL HEALTH-BROWN CANCER CENTER TO SOUTH HOSPITAL CAMPUS EXPAND EXTERNAL PARTNERSHIPS AND COMMUNITY PRESENCE TO SUPPORT SCREENING ACCESS AND NAVIGATION ACROSS THE COUNTY, WITH A FOCUS ON DESIGNATED CANCER 'HOT SPOTS'2. PRIORITY #2: ENHANCE WORKFORCE PIPELINES- TARGET OUTCOME(S): TRANSFER STUDENT ENGAGEMENT TO PERMANENT POSTIONS THAT FILL WORKFORCE NEEDS; FILL PROJECTED WORKFORCE GAPS FOR NURSING AND ALLIED HEALTH FIELDS- ACTION STEPS: PARTNER WITH BULLITT COUNTY SCHOOLS ON OPPORTUNITIES FOR STUDENT LEARNING EXPERIENCES THROUGH THE HOSPITAL (E.G. PAID INTERNSHIP, SHADOWING, INTRO TO CAREERS, CO-OP EXPERIENCE) STREAMLINE PROCESS FROM NURSE EXTERN TO OPEN PERMANENT POSTIONS INCREASE RAD TECH GRADUATES IN THE ALLIED HEALTH ACADEMY3. PRIORITY #3: INCREASE ACCESS TO RESOURCES THROUGH COMMUNITY PARTNERSHIPS- TARGET OUTCOME(S): INCREASE COLLABORATIVE PARTNERSHIPS TO MEET PATIENT NEEDS- ACTION STEPS: PARTNER WITH BULLITT COUNTY HEALTH DEPARTMENT ON EVENTS AND PROGRAMS TO INCREASE HEALTH LITERACY AND ACCESS TO CARE EXPLORE PARTNERSHIPS WITH BULLITT COUNTY COMMUNITY-BASED/SOCIAL SERVICE ORGANIZATIONS TO MEET THE SOCIAL DETERMINATS OF HEALTH NEEDS OF PATIENTSHEALTH NEEDS CHOSEN AS PRIORITIES FOR EACH UOFL HEALTH HOSPITAL WERE CHOSEN BASED ON PATIENT POPULATION, MAJOR SERVICE LINES WITHIN THE HOPITALS, AND CURRENT OPERATIONAL PRIORITIES FOR THE HOSPITALS. PRIORITIES WERE CHOSEN TO ENSURE ALIGNMENT WITH THE CAPACITY OF THE HOSPITAL OF ADDRESSING THE HEALTH NEEDS AND AVOIDING MISALIGNMENT. MANY OF THE MAJOR THEMES FROM THE CHNA WERE ALSO COMBINED WERE APPROPRIATE. FOR INSTANCE, ACCESS TO CARE WAS SELECED AS A PRIORITY THAT WILL ADDRESS OVERALL HEALTH AND CHRONIC CONDITIONS. COMMUNITY PARTNERSHIPS WILL ADDRESS SDOH NEEDS AND WORKFORCE GAPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>24</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - UOFL HEALTH HEART HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 ABRAHAM FLEXNER WAY</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY FACILITY - ULH JEWISH</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - UNIVERSITY MEDICAL CENTER EAST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3920 DUTCHMANS LANE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40207</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT MEDICAL CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - UNIVERSITY MEDICAL CENTER NORTHEAST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2401 TERRA CROSSING BOULEVARD</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40245</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT MEDICAL CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - UNIVERSITY MEDICAL CENTER SOUTHEND</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5129 DIXIE HIGHWAY</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40216</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT MEDICAL CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - UNIVERSITY MEDICAL CENTER SOUTHWEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9700 STONECREST ROAD</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40272</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT MEDICAL CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - FRAZIER REHAB INSTITUTE - BULLIT COUNTY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1905 W HEBRON LANE STE 106</AddressLine1Txt>
            <CityNm>SHEPHERDSVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40165</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - FRAZIER REHAB INSTITUTE - JEFFERSONTOWN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9553 TAYLORSVILLE ROAD</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40299</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - KLEINERT AND KUTZ HAND THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3605 NORTHGATE CRT STE 103</AddressLine1Txt>
            <CityNm>NEW ALBANY</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>47150</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - KLEINERT AND KUTZ HAND THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>225 ABRAHAM FLEXNER WAY STE 760</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - KLEINERT AND KUTZ HAND THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4010 DUPONT CIRCLE STE 308A</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40207</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - KLEINERT AND KUTZ HAND THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4642 CHAMBERLAIN LANE STE 203</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40241</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - FRAZIER REHAB MEDICAL CENTER EAST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3920 DUTCHMANS LANE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40207</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - FRAZIER REHAB INSTITUTE - NEWBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3430 NEWBURG ROAD STE 111</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40218</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - FRAZIER REHAB INSTITUTE - NORTHEAST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2401 TERRA CROSSING BOULEVARD</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40245</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - FRAZIER REHAB INSTITUTE - STONESTREET</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9700 STONESTREET ROAD</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40272</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - FRAZIER REHAB INSTITUTE - SOUTHWEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5129 DIXIE HIGHWAY</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40216</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - FRAZIER REHAB INSTITUTE - M&amp;E HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4402 CHURCHMAN LANE STE 203</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40215</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - FRI - SHELBYVILLE HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>727 HOSPITAL DR</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40065</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - FRI - TRAGER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>204 E MARKET ST SUITE 103</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - FRI - OUTPATIENT REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>401 E CHESTNUT ST SUITE 270</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - OWSLEY BROWN FRAZIER SPORTS MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>215 CENTRAL AVE SUITE 200</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40208</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - FRI - SOUTHERN IN YMCA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4812 HAMBURG PIKE</AddressLine1Txt>
            <CityNm>JEFFERSONVILLE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>47130</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - FRI - SPRINGHURST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4801 OLYMPIA PARK PLAZE SUTIE 1600</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40241</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>24 - FRI - COMMUNITY FITNESS &amp; WELLNESS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>250 E LIBERTY ST</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>UOFL HEALTH'S FINANCIAL ASSISTANCE POLICY APPLIES TO PATIENTS WHO COME TO OUR FACILITIES AND ARE UNINSURED/UNDERINSURED, INELIGIBLE FOR GOVERNMENT HEALTH PROGRAMS, OR OTHERWISE WITHOUT ADEQUATE FINANCIAL RESOURCES TO PAY FOR HEALTH CARE SERVICES WHO. THIS POLICY PROVIDES FINANCIAL RELIEF TO PATIENTS WHO QUALIFY BASED ON A COMPARISON OF THEIR FINANCIAL RESOURCES AND/OR INCOME TO FEDERAL POVERTY GUIDELINES. THE PROGRAM IS DESIGNED SPECIFICALLY FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AND PATIENTS WHOSE HOUSEHOLD FINANCIAL RESOURCES AND/OR INCOME ARE AT OR BELOW 300 PERCENT OF THE FEDERAL POVERTY LEVEL. TO QUALIFY FOR ANY ASSISTANCE, PATIENTS ARE ASKED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHICH INCLUDES INFORMATION RELATING TO HOUSEHOLD INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. THE ORGANIZATION'S COST ACCOUNTING PROGRAM WAS UTILIZED FOR CALCULATING PORTIONS OF THE SUBSIDIZED HEALTH SERVICES. THE ORGANIZATION'S COST ACCOUNTING PROGRAM ENCOMPASSES ALL PATIENT TYPES, SERVICES AND PAYORS. THE COST ASSOCIATED WITH A SERVICE ARE REVIEWED AND UPDATED ANNUALLY TO PROVIDE THE MOST ACCURATE COST POSSIBLE. BOTH DIRECT AND INDIRECT COSTS ARE UTILIZED IN CALCULATING COST. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION, RESEARCH PROGRAM, SOME SUBSIDIZED SERVICES AND DONATIONS ARE STATED AT ACTUAL COST. THE COST OF THESE ITEMS ARE TRACKED THROUGHOUT THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE. THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES FOR LINES 7A AND 7B. LINES 7E, 7F, AND 7G ARE BASED ON ACTUAL COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WERE DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>U OF L HEALTH - LOUISVILLE, INC. HAS TAKEN REASONABLE AND PRUDENT STEPS TO ENSURE NO PORTION OF BAD DEBT COULD BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE AUDITED FINANCIAL STATEMENTS PAGES 13-16.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY OFF THE MEDICARE COST REPORT FILED FOR THE 6/30/25 YEAR-END. ANY SHORTFALL SHALL BE TREATED AS COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>U OF L HEALTH - LOUISVILLE INC.'S BILLING AND COLLECTION POLICY PROVIDES THAT THE HOSPITAL WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ALL UNINSURED PATIENTS/GUARANTORS ARE BILLED DIRECTLY AND TIMELY AND WILL RECEIVE A STATEMENT AS PART OF THE NORMAL BILLING PROCESS. ALL PATIENTS/GUARANTORS MAY REQUEST AN ITEMIZED STATEMENT FOR THEIR ACCOUNTS AT ANY TIME. AT LEAST THREE SEPARATE POST-DISCHARGE BILLING STATEMENTS ARE SENT. AN ORAL ATTEMPT TO REACH THE PATIENT IS ALSO MADE BEFORE INITIATION OF ANY ECA. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE HOSPITAL FOR APPROPRIATE FOLLOW-UP. U OF L HEALTH - LOUISVILLE INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE HOSPITAL'S CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS:- NEITHER U OF L HEALTH - LOUISVILLE INC. NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT,- NEITHER U OF L HEALTH - LOUISVILLE INC. NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE, AND - U OF L HEALTH - LOUISVILLE INC.'S COLLECTION AGENCY MAY NOT SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>UOFL HEALTH HAS A BILLING AND COLLECTION POLICY IN PLACE THAT WORKS IN TANDEM WITH THE FINANCIAL ASSISTANCE POLICY. ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY AND APPLICATION FOR ASSISTANCE AS PART OF THE DISCHARGE OR INTAKE PROCESS. AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO INCLUDED IN BILLING STATEMENTS FOR SELF-PAY ACCOUNTS. ONCE A PATIENT COMPLETES A FAP APPLICATION, NO ADDITIONAL STATEMENTS ARE SENT. PRIOR TO INITIATION OF ECAS, AN ORAL ATTEMPT TO CONTACT THE PATIENT WILL BE MADE AND INFORMATION ABOUT FINANCIAL ASSISTANCE WILL BLE GIVEN. IF A PATIENT FAILS TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP WITHIN 120 DAYS AFTER THE FIRST POST-DISCHARGE STATEMENT AND THEY HAVE RECEIVED A BILLING STATEMENT, THE HOSPITAL MAY INITIATE ECAS. IF A PATIENT SUBMITS AN INCOMPLETE APPLICATION FOR ASSISTANCE PRIOR TO THE APPLICATION DEADLINE, ECAS WILL NOT BE INITIATED UNTIL THE FOLLOWING STEPS ARE COMPLETED: PATIENT IS PROVIDED WITH WRITTEN NOTICE OF WHAT IS REQUIRED AND ALLOWED TIME TO GATHER DOCUMENTATION, WRITTEN NOTICE IS GIVEN OF THE ECAS IF THE FAP APPLICATION IS NOT COMPLETED, COMPLETION OF APPLICATION AND DEEMED INELIGIBLE, FAILURE TO COMPLETE THE APPLICATION BY THE DEADLINE. ECAS ARE SUSPENDED WHILE A FINANCIAL ASSISTANCE APPLICATION IS PENDING. ONCE A PATIENT HAS BEEN DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT SHALL NOT RECEIVE A BILL OR STATEMENTS FROM THE TREATING HOSPITAL FOR THE ENTIRETY OF THE ELIGIBILITY PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHNAS ARE THE PRIMARY METHOD USED BY THIS FACILITY FOR ASSESSING THE NEEDS OF THE COMMUNITY. A FURTHER UNDERSTANDING OF THE NEEDS OF THE COMMUNITY IS GARNERED FROM PARTICIPATION IN COMMUNITY COLLABORATIVES AND COALITIONS WHERE COMMUNITY-BASED ORGANIZATIONS SHARE BARRIERS TO HEALTH AND WELL-BEING, ANALYSIS OF SOCIAL DETERMINANTS OF HEALTH DATA FROM PATIENTS ADMITTED TO THE HOSPITALS AND ACCESSING SERVICES IN PHYSICIAN CLINICS, AND DATA COLLECTION PROJECTS TIED TO STRATEGIC PLANNING. THE COMMUNITY ENGAGEMENT ALSO TEAM CONSISTENTLY ATTENDS COMMUNITY HEALTH FOCUSED EVENTS, WEBINARS, AND MEETINGS, WHERE INFORMATION IS SHARED TO RELEVANT STAKEHOLDERS WITHIN THE HEALTH CARE SYSTEM. THROUGH HOSPITAL BOARD MEMBERS AND THE INVOLVEMENT OF HOSPITAL LEADERSHIP IN THE COMMUNITY, OTHER NEEDS CAN COME TO LIGHT THAT MAY HAVE ARISEN AFTER THE CHNA WAS COMPLETED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM UOFL HEALTH ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO:- CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS;- INCLUDED IN THE PATIENTS' RIGHTS PACKETS GIVEN TO PATIENTS FOLLOWING ADMISSION AND AVAILABLE AT REGISTRATION DESKS- NOTICES POSTED IN EMERGENCY ROOMS,- ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND- PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE, &lt;WWW.UOFLHEALTH.ORG&gt; AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT.SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE UOFL HEALTH ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A PATIENT MAY ALSO RECEIVE A FREE PAPER COPY OF THE FAA, FAP, AND PLAIN LANGUAGE SUMMARY UPON REQUEST IN ALL ADMISSION AREAS AND THE EMERGENCY ROOMS, OR BY REQUESTING THAT FREE COPIES BE MAILED TO PATIENTS.A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. UOFL HEALTH ORGANIZATIONS WILL PROVIDE FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR BILLS AND WILL MAKE THE AVAILABILITY OF SUCH COUNSELING KNOWN. IT IS THE RESPONSIBILITY OF THE PATIENT OR THE PATIENT'S GUARANTOR TO SCHEDULE CONSULTATIONS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE WITH A FINANCIAL COUNSELOR.IN ADDITION, REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER UNIVERSITY MEDICAL CENTER, INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION, ONCE ALL EMTALA REQUIREMENTS ARE MET, PATIENTS WHO ARE IDENTIFIED AS UNINSURED AND NOT COVERED BY MEDICARE OR MEDICAID ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. REGISTRATION CLERKS READ THE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH SPEAKING INDIVIDUALS. STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESPONSE FOR FRAZIER, JEWISH, MARY AND ELIZABETH, PEACE:UOFL HEALTH-LOUISVILLE, INC'S PRIMARY SERVICE AREA INCLUDES JEFFERSON COUNTY WHICH HAS A POPULATION OF APPROXIMATELY 772,144 RESIDENTS AND COVERS APPROXIMATELY 398 SQUARE MILES. THE HOSPITAL ALSO SERVES THE PATIENTS FROM NEIGHBORING COMMUNITIES AND PROVIDES SERVICES TO MEMBERS OF THE BORDERING COUNTIES OF BULLITT (84,863), HARDIN (112,273), NELSON (47,730), OLDHAM (70,183), AND SHELBY (49,515) IN KENTUCKY AND CLARK (125,467) AND FLOYD (80,809) IN INDIANA. THE MEDIAN AGE IN JEFFERSON COUNTY IS 38.5 (39.2 IN THE UNITED STATES). THE NUMBER OF PERSONS PER HOUSEHOLD IN JEFFERSON COUNTY IS 2.32 (2.54 IN THE U.S.). RACE IN JEFFERSON COUNTY IS AS FOLLOWS: 62.5% NON-HISPANIC WHITE, 23.3% BLACK OR AFRICAN AMERICAN, 0.2% NATIVE AMERICAN, 3.5% ASIAN, 0.1% PACIFIC ISLANDER, AND 3.0% FROM TWO OR MORE RACES. 8.5% OF THE POPULATION WERE HISPANIC OR LATINO OF ANY RACE. IN JEFFERSON COUNTY THERE IS 1 PRIMARY CARE DOCTOR TO 1,090 RESIDENTS (1,090:1) WHICH IS LESS (LOWER IS BETTER) THAN THE KENTUCKY AVERAGE OF 1,600:1. THE OVERALL HEALTH RANKING FOR JEFFERSON COUNTY IS 32 OUT OF 120 WITH THE OVERALL STATE RANKING AT 41ST OUT OF 50 STATES.RESPONSE FOR SOUTH HOSPITAL:SOUTHS HOSPITAL'S PRIMARY SERVICE AREA INCLUDES BULLITT COUNTY WHICH HAS A POPULATION OF APPROXIMATELY 84,863 RESIDENTS AND COVERS ROUGHLY 300 SQUARE MILES, WITH THE LOCAL ECONOMY AND SURROUNDING AREAS FOCUSED ON MANUFACTURING, HEALTH CARE AND SOCIAL ASSISTANCE, AND RETAIL TRADE. THE MEDIAN AGE IN BULLITT COUNTY IS 42.2. THE MEDIAN AGE FOR THE UNITED STATES IS 39.2 YEARS. THE NUMBER OF PERSONS PER HOUSEHOLD IN BULLITT COUNTY IS 2.64. THE U.S. AVERAGE NUMBER OF PERSONS PER HOUSEHOLD IS 2.64. RACE IN SHELBY COUNTY IS AS FOLLOWS: 94.6% NON-HISPANIC WHITE, 2.2% BLACK OR AFRICAN AMERICAN, 0.9% ASIAN, 0.1% NATIVE HAWAIIAN OR PACIFIC ISLANDER, 0.1% NATIVE AMERICAN, AND 1.8% FROM TWO OR MORE RACES. 3.5% OF THE POPULATION WERE HISPANIC OR LATINO OF ANY RACE. THE RATIO OF PATIENTS TO PRIMARY CARE PHYSICIANS IN BULLITT COUNTY IS 5,530 PATIENTS TO 1. THE KENTUCKY AVERAGE IS 1,600 TO 1. THE OVERALL HEALTH RANKING FOR BULLITT COUNTY IS 10 OUT OF 120 WITH THE OVERALL STATE RANKING BEING 41ST OUT OF 50 STATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>UOFL HEALTH-LOUISVILLE, INC. WORKS TO ENHANCE THE HEALTH OF THE COMMUNITY. MOST COMMUNITY OUTREACH IS OPEN TO THE PUBLIC AND SERVES THE BROADER COMMUNITY. THE FOLLOWING PROVIDES A SNAPSHOT OF THE HOSPITAL'S ENGAGEMENT WITH THE COMMUNITY:- FACILITATION OF HEALTH FAIRS AND HEALTH LITERACY OUTREACH IN THE LOCAL COMMUNITY- MONITORING HOSPITAL PROVIDER OPIATE PRESCRIBING PRACTICES- INVOLVEMENT OF HOSPITAL LEADERSHIP ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS, COMMITTEES, AND ADVISORY GROUPS- DONATIONS AND IN-KIND CONTRIBUTIONS WITHIN THE COMMUNITY- PARTNERSHIPS WITH LOCAL SCHOOLS ON HEALTH CARE WORKFORCE DEVELOPMENT INITIATIVES- SCREENING FOR SOCIAL DETERMINANTS OF HEALTH AND REFERRAL OF PATIENTS TO COMMUNITY RESOURCES- INVOLVEMENT IN THE EDUCATION OF HEALTH PROFESSIONALS THROUGH CLINICAL ROTATIONS AND CAPSTONES- ASSISTING PATIENTS WITH INSURANCE ENROLLMENT- DISCHARGE PLANNING THAT INCLUDES STREAMLINED PRIMARY CARE ACCESS- AVAILABILITY OF REGISTERED DIETICIAN AND DIABETES EDUCATORS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>UOFL HEALTH, INC. IS THE PARENT ORGANIZATION FOR A NUMBER OF TAX-EXEMPT HOSPITALS AND HEALTH CARE ORGANIZATIONS. ITS GENERAL PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF EACH ENTITY DIRECTLY OR INDIRECTLY CONTROLLED BY IT AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)3. UOFL HEALTH, INC. IS SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATIONS BECAUSE THE SAME PEOPLE MANAGE UOFL HEALTH, INC. AND THE SUPPORTED ORGANIZATIONS. THE SUPPORTED ORGANIZATIONS INCLUDE UNIVERSITY MEDICAL CENTER, INC., UNIVERSITY OF LOUISVILLE PHYSICIANS, INC, UOFL HEALTH-SHELBYVILLE, AND UOFL HEALTH-LOUISVILLE, INC., ALL OF WHICH ARE KENTUCKY, NONPROFIT CORPORATIONS RECOGNIZED BY THE IRS AS BEING TAX-EXEMPT UNDER SECTION 501(C)3 OF THE CODE. UOFL HEALTH-LOUISVILLE, INC. INCLUDES FOUR FIVE HOSPITALS IN THE LOUISVILLE METRO AREA INCLUDING JEWISH HOSPITAL, MARY AND ELIZABETH HOSPITAL, SOUTH HOSPITAL, PEACE HOSPITAL, AND FRAZIER REHABILITATION INSTITUTE. UOFL HEALTH IS DEDICATED TO COMMUNITY HEALTH PROMOTION AND IMPROVEMENT, WHICH IS PRESENT THROUGHOUT EACH OF ITS HOSPITALS AND SERVICE LINES. EACH OF THE SUPPORTED ORGANIZATIONS CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND THE CORRESPONDING HOSPITALS DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THOSE NEEDS. BEYOND THE CHNA PROCESS, MANY SERVICE LINES, PROGRAMS, AND FACILITIES THROUGHOUT THE UOFL HEALTH SYSTEM HAVE A COMMUNITY HEALTH COMPONENTS SUCH THAT THEY PROVIDE OUTREACH, HEALTH LITERACY, ACCESS TO CARE FOR UNDERSERVED POPULATIONS, AND CHRONIC DISEASE MANAGEMENT AND PREVENTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMMUNITY BENEFIT REPORT IS NOT REQUIRED IN THE STATE OF KENTUCKY. COMMUNITY BENEFIT TOTALS WERE POSTED TO THE ORGANIZATION'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>743 EAST BROADWAY STE 201</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <RecipientEIN>992273612</RecipientEIN>
        <IRCSectionDesc>FOR-PROFIT</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHWEST COMMUNITY FESTIVAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 58224</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40268</ZIPCd>
        </USAddress>
        <RecipientEIN>611268980</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATIONMIDWEST HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7272 GREENVILLE AVENUE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>19049</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>HOURLY WAGE RATES</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>DONATED TIME - BOARD MEMBERSHIP AND INVOLVEMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>13</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CLINICAL SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>32</RecipientCnt>
        <CashGrantAmt>517438</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>OTHER SCHOLARSHIP</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>382</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT RECORDS ARE PROCESSED AND RECORDED IN OUR ACCOUNTING/ERP SYSTEM AS PAYMENTS ARE MADE. THE CRITERIA FOR RECIPIENT SELECTION IS BASED ON REVIEWS WITH EXECUTIVE LEADERSHIP AND MARKETING DEPARTMENTS. ORGANIZATIONAL CAUSES AS WELL AS HISTORICAL ALIGNMENT WITH THE MISSION OF ULH ARE THE MAJOR DETERMINING FACTORS IN SELECTING RECIPIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6521</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6521</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6038</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>753139</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>5869</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>1217258</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SOHAIL CONTRACTOR</PersonNm>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>15277</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>7328</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>43369</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>350232</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAMELA AKINS</PersonNm>
        <TitleTxt>COO/CNO UMC/VP PATIENT CARE SVCS (M&amp;</TitleTxt>
        <BaseCompensationFilingOrgAmt>151677</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>151677</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>815</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>815</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5150</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15912</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15912</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>173554</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>173554</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY D SHELBURNE</PersonNm>
        <TitleTxt>CHIEF ADMIN OFFICER/NURSE EXECUTIVE</TitleTxt>
        <BaseCompensationFilingOrgAmt>280432</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5341</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9998</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20097</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>315868</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW MCCLELLAN</PersonNm>
        <TitleTxt>SYSTEM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>251905</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3207</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9114</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>40410</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>304636</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA BEARDSLEY</PersonNm>
        <TitleTxt>VP, NEUROSCIENCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>257142</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6878</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7534</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28293</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>299847</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY MARSHMAN</PersonNm>
        <TitleTxt>CNO - JEWISH HOSPITAL</TitleTxt>
        <BaseCompensationFilingOrgAmt>263581</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3463</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8905</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9897</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>285846</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHANE FITZGERALD</PersonNm>
        <TitleTxt>VP - OPERATIONS M&amp;E</TitleTxt>
        <BaseCompensationFilingOrgAmt>200497</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23605</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8233</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>42839</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>275174</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL HUDSON</PersonNm>
        <TitleTxt>CEO-FRAZIER REHAB</TitleTxt>
        <BaseCompensationFilingOrgAmt>245326</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7788</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7323</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9830</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270267</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TINA VANDERGRIFF</PersonNm>
        <TitleTxt>COO/CNO, SOUTH HOSPITAL</TitleTxt>
        <BaseCompensationFilingOrgAmt>199328</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18551</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7026</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19126</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>244031</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELICA THOMPSON</PersonNm>
        <TitleTxt>CHIEF ADMIN OFFICER/NURSE EXEC. MEDI</TitleTxt>
        <BaseCompensationFilingOrgAmt>190241</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1525</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3765</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27007</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>222538</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A SHORT TERM INCENTIVE PLAN THAT ELGIBLE UOFL HEALTH- LOUISVILLE, INC. EMPLOYEES MAY RECEIVE BASED ON MEETING CERTAIN BENCHMARKS. THE PLAN IS BASED ON MEETING FINANCIAL GOALS, DESIRED PATIENT QUALITY OUTCOMES, PATIENT SATISFACTION SCORES AND IS CONSISTENT WITH MARKET PRACTICES AND THE ORGANIZATION'S COMPENSATION PHILOSOPHY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT KENTUCKY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>320049006</BondIssuerEIN>
        <CUSIPNum>54660DAC3</CUSIPNum>
        <BondIssuedDt>2022-04-05</BondIssuedDt>
        <IssuePriceAmt>227617179</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>204145000</TotalProceedsAmt>
        <CreditEnhancementAmt>1117977</CreditEnhancementAmt>
        <OtherSpentProceedsAmt>203027023</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2023</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I,</FormAndLineReferenceDesc>
        <ExplanationTxt>TO HELP FUND THE UOFL HEALTH PROJECT INCLUDING LAND, BUILDINGS, AND EQUIPMENT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>U OF L HEALTH, INC., A KENTUCKY NONPROFIT CORPORATION, SHALL BE THE HOSPITAL'S SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>U OF L HEALTH-LOUISVILLE, INC.'S SOLE CORPORATE MEMBER, U OF L HEALTH, INC., APPOINTS THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING MATTERS SHALL REQUIRE THE APPOVAL OF THE MEMBER, U OF L HEALTH, INC.: (A) ANY CHANGE IN THE MISSION OR PURPOSE OF THE CORPORATION (B) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION (C) ANY ADDITION OF NEW MEMBERS (D) APPOINTMENT OF DIRECTORS OF THE CORPORATION (E) EXCEPT AS OTHERWISE COVERDED, ANY SUCH PURCHASE OR ACQUISITION, SALE, GIFT, LEASE, DISPOSITION OF, MORTGAGE OR OTHER ENCUMBRANCE OF ANY PROPERTY, REAL, PERSONAL, OR MIXED BY THE CORPORATION, EXCLUDING ROUTINE OR BUDGETED EXPENDITURES, THE VALUE OF WHICH IN THE AGGREGATE EXCEEDS $250,000 (F) SELLING, EXCHANGING, OR OTHERWISE DISPOSING OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS (G) EXCEPT AS OTHERWISE COVERED, ANY UNBUDGETED INCURRENCE OR GUARANTEE OF INDEBTEDNESS BY THE CORPORATION THAT IN THE AGGREGATE EXCEEDS $250,000 (H) ANY MERGER, ACQUISITION, OR CONSOLIDATION OF THE CORPORATION OR ENTERING INTO ANY JOINT BUSINESS VENTURE WITH ANY OTHER PERSON, CORPORATION OR OTHER LEGAL ENTITY (I) ANY DISSOLUTION OF THE CORPORATION (J) CREATION, ACQUISITION, OR DISPOSITION OF ANY SUBSIDIARY OR AFFILIATED ENTITY OF THE CORPORATION (K) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS FOR THE CORPORATION, AND (L) EXERCISING ANY OTHER POWER OR AUTHORITY SPECIFICALLY RESERVED TO THE MEMBER OR THE BOARD OF DIRECTORS OF THE MEMBER (THE "CORPORATE BOARD"), PURSUANT TO THE BYLAWS OR THE MEMBER'S BYLAWS, AS AMENDED FROM TIME TO TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER REVIEW AND APPROVAL BY THE ORGANIZATION'S BOARD OF DIRECTORS AND FINANCE DEPARTMENT, THE CONTRACTED TAX PROFESSIONAL FILES A COPY OF THE FORM 990 WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO AFFECT E-FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF THE HOSPITAL THAT AN INTERESTED PERSON WHO KNOWS THAT HE OR SHE HAS AN ACTUAL OR APPARENT CONFLICT OF INTEREST SHALL DISCLOSE IT PROMPTLY AND FULLY TO ALL NECESSARY PARTIES WHENEVER IT OCCURS. INTERESTED PERSONS ARE (A) VOTING MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS AND VOTING MEMBERS OF COMMITTEES THAT EXERCISE BOARD-DELEGATED AUTHORITY, (B) OFFICERS OF THE HOSPITAL ELECTED OR APPROVED BY THE BOARD OF DIRECTORS OR (C) A "CONTROLLED ENTITY" IN WHICH AT LEAST 35% OF THE CONTROL OR BENEFICIAL INTEREST IS HELD BY ANY ONE OR COMBINATION OF INDVIDUALS DESCRIBED IN A AND B. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER KNOWN INTEREST IN A PROPOSED TRANSACTION TO THE DIRECTORS AND MEMBERS OF COMMITTE WITH BOARD DELEGATED POWERS CONSIDERING THE TRANSATION OR ARRANGEMENT WHEN A CONFLICT OF INTEREST IS DECLARED. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE PROPOSED TRANSACTION. THE INTERESTED PERSON SHALL LEAVE THE MEETING AND THE VOTE ON ANY TRANSACTIONS INVOLVING THE CONFLICT OF INTEREST THE MINUTES OF THE BOARD WILL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSE OR OTHERWISE WERE FOUND TO HAVE INTEREST IN CONNECTION WITH A CONFLICT OF INTEREST, THE NATURE OF THE INTEREST AND ANY ACTION TAKEN TO DETERMINE THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. THE HOSPITAL USES THE MERCER GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE MERCER GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO THE HOSPITAL'S COMPENSATION PHILOSOPHY AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY MERCER GROUP TO THE COMPENSATION COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS ANNUALLY. FOR ALL EXECUTIVE DIRECTORS, TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES, THE FOLLOWING PROCESS IS USED. 1) HUMAN RESOURCES (HR) HAS INDEPENDENT COMPANY DO A COMPARISON OF LIKE POSITIONS WITHIN THE COMMUNITY AND COME UP WITH A RANGE. THEY PREPARE A PROPOSAL THAT IS SUBMITTED TO HR FOR REVIEW 2) A SALARY IS DETERMINED WITHIN THAT RANGE BASED ON YEARS OF SERVICE EDUCATION AND OTHER FACTORS, SUCH AS ADDITIONAL RESPONSIBILITIES. HR PREPARES A PROPOSAL TO SUBMIT TO THE CEO 3) THE PROPOSAL, CONTAINING THE POSITION, RANGE AND FINAL COMPENSATION IS TURNED OVER TO THE CEO FOR REVIEW 4) AFTER REVIEW, THE CEO TAKES THE PROPOSAL INFORMATION AND PRESENTS IT TO THE FINANCE COMMTTEE. 5) THE FINANCE COMMITTEE DECIDES AND VOTES ON THE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>U OF L HEALTH - LOUISVILLE, INC. DOES NOT ISSUE ANY 1099S UNDER ITS EIN. ALL INDEPENDENT CONTRACTORS ARE PAID BY RELATED ORGANIZATION UNIVERSITY MEDICAL CENTER UNDER A COMMON PAYMASTER ARRANGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 81,509,922. MANAGEMENT AND GENERAL EXPENSES 2,870,899. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,380,821. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 113,412,166. MANAGEMENT AND GENERAL EXPENSES 47,078,335. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 160,490,501. TRANSLATION SERVICES: PROGRAM SERVICE EXPENSES 1,668,218. MANAGEMENT AND GENERAL EXPENSES 692,491. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,360,709. INTERCOMPANY LAB FEES: PROGRAM SERVICE EXPENSES 7,265,660. MANAGEMENT AND GENERAL EXPENSES 255,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,521,567. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 50,053,092. MANAGEMENT AND GENERAL EXPENSES 1,762,944. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,816,036.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO AFFILIATES -12,320,211. LONG LIVED ASSET DONATION 486,118. EQUITY IN EARNINGS OF AFFILIATE 1,422,790.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>REHABILITATION HOSPITAL OF LOUISVILLE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>330 SEVEN SPRINGS WAY</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <EIN>853490777</EIN>
        <PrimaryActivitiesTxt>REHAB SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <TotalIncomeAmt>-1812</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2253232</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH - LOUISVILLE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KLEINHERT KUTX SURGERY CENTER LLC (UOFL HEALTH - KLEINERT KUTZ SURGERY)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3605 NORTHGATE COURT SUITE 101</AddressLine1Txt>
          <CityNm>NEW ALBANY</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47150</ZIPCd>
        </USAddress>
        <EIN>352095662</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <TotalIncomeAmt>-290535</TotalIncomeAmt>
        <EndOfYearAssetsAmt>552372</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH - LOUISVILLE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY OF LOUISVILLE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2301 S 3RD STREET</AddressLine1Txt>
          <CityNm>LOUSIVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40292</ZIPCd>
        </USAddress>
        <EIN>611014882</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY OF LOUISVILLE PHYSICIANS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 EAST MARKET ST 400</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <EIN>273645560</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>530 S JACKSON STREET</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <EIN>611293786</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>530 S JACKSON STREET</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <EIN>843125292</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH - SHELBYVILLE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>530 S JACKSON STREET</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <EIN>843196350</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>U OF L HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>530 S JACKSON STREET</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <EIN>863084814</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIVERSITY MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KENTUCKIANA MEDICAL RECIPROCAL RISK RETENTION GROUP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10200 FOREST GREEN BLVD SUITE 605</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40223</ZIPCd>
        </USAddress>
        <EIN>920184981</EIN>
        <PrimaryActivitiesTxt>LIABILITY COVERAGE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UOFL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-35239</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>633383</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.00600</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>