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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>231645</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2999</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DOUZUK JR</PersonNm>
        <TitleTxt>CFO, UOFL HEALTH (END 2023)</TitleTxt>
        <AverageHoursPerWeekRt>18.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>705824</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26123</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEN MARSHALL</PersonNm>
        <TitleTxt>COO, UOFL HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>18.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>999858</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44434</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIRK STRACK</PersonNm>
        <TitleTxt>CFO, UOFL HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>18.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>611197</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58071</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH F MULLINS</PersonNm>
        <TitleTxt>CIO, UOFL HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>502736</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22007</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARI KRETZSCHMER</PersonNm>
        <TitleTxt>VP PATEINT SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>559493</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61408</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN AMSLER</PersonNm>
        <TitleTxt>VP PLANT OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>344121</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63319</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAUNDRA DENHAM</PersonNm>
        <TitleTxt>SR. VP COMPLIANCE</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>16.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>343011</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48007</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA SCHOLL</PersonNm>
        <TitleTxt>VP REVENUE CYCLE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>372607</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61653</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL GOODE</PersonNm>
        <TitleTxt>DIRECTOR - IMAGING SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>232780</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50822</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL NAGY</PersonNm>
        <TitleTxt>VP CONTRACTING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>403492</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43746</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES RAYOME</PersonNm>
        <TitleTxt>ASSOCIATE COUNSEL ULH</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>473613</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41771</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT A VANBUSKIRK</PersonNm>
        <TitleTxt>VP SUPPLY CHAIN OPS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>362758</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33632</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT FINK</PersonNm>
        <TitleTxt>SYSTEM DIR, PHARMACY SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>327997</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38564</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE PARTRIDGE</PersonNm>
        <TitleTxt>VP MARKETING</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>390971</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43443</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY JOHNSON</PersonNm>
        <TitleTxt>SR. VP HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>16.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>554415</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47815</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY RALLIS</PersonNm>
        <TitleTxt>EXEC DIR TRANSPLANT PROGRAM</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109065</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>15248</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN BROGAN</PersonNm>
        <TitleTxt>DIR CLINICAL PHARMACY SERVICES</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>119209</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16914</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAMI WALKER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR QUALITY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>311698</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22055</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARRN POWELL</PersonNm>
        <TitleTxt>AVP OF APPLICATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>234921</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37414</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA AKINS</PersonNm>
        <TitleTxt>VP PATIENT CARE SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>350236</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25394</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>9627224</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3149790</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>872219</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>386</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIED UNIVERSAL SECURITY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>161 WASHINGTON STREET STE 600</AddressLine1Txt>
            <CityNm>CONSHOKOCKEN</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19428</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROTHALL HEALTHCARE</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13028 COLLECTION CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>ENVIRONMENTAL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROCKY MOUNTAIN LOGISTICS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 436466</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40253</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DELIVERY SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PACIFIC INTERPRETERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 204313</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERPRETERS</ServicesDesc>
        <CompensationAmt>1892436</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LMH-MAR ARCHITECTURE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12808 TOWNEPARK WAY STE 200</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40243</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTURAL SERVICES</ServicesDesc>
        <CompensationAmt>1848142</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>39</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>846307</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>592090</AllOtherContributionsAmt>
      <TotalContributionsAmt>1438397</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621999</BusinessCd>
        <TotalRevenueColumnAmt>824991220</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>824991220</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY SERVICES</Desc>
        <BusinessCd>621399</BusinessCd>
        <TotalRevenueColumnAmt>47387331</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>47387331</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>872378551</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2795681</TotalRevenueColumnAmt>
        <ExclusionAmt>2795681</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>131735</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>131735</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>131735</TotalRevenueColumnAmt>
        <ExclusionAmt>131735</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>254051266</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>244296693</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>9754573</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>9754573</TotalRevenueColumnAmt>
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        <Desc>LAB SERVICES REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5100000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5100000</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4423834</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4423834</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>EQUITY IN EARNINGS OF AFFILIATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>257238</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>257238</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>782926</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>732436</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>50490</ExclusionAmt>
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      <OtherRevenueTotalAmt>10563998</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>902894411</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>882892059</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>637787</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>17926168</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>7903800</TotalAmt>
        <ProgramServicesAmt>7903800</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>50000</TotalAmt>
        <ProgramServicesAmt>50000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>9085972</TotalAmt>
        <ProgramServicesAmt>7753651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1332321</ManagementAndGeneralAmt>
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        <TotalAmt>205224660</TotalAmt>
        <ProgramServicesAmt>115573531</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89651129</ManagementAndGeneralAmt>
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        <TotalAmt>32607790</TotalAmt>
        <ProgramServicesAmt>18363278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14244512</ManagementAndGeneralAmt>
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        <TotalAmt>1467519</TotalAmt>
        <ProgramServicesAmt>826442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>641077</ManagementAndGeneralAmt>
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        <TotalAmt>15294959</TotalAmt>
        <ProgramServicesAmt>8613450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6681509</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
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        <TotalAmt>604</TotalAmt>
        <ManagementAndGeneralAmt>604</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>84065</TotalAmt>
        <ProgramServicesAmt>43228</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40837</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>173156</TotalAmt>
        <ManagementAndGeneralAmt>173156</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>323262</TotalAmt>
        <ManagementAndGeneralAmt>323262</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>157561138</TotalAmt>
        <ProgramServicesAmt>87429033</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70132105</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>170361</TotalAmt>
        <ProgramServicesAmt>47621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122740</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>8875096</TotalAmt>
        <ProgramServicesAmt>8841988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33108</ManagementAndGeneralAmt>
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      <RoyaltiesGrp>
        <TotalAmt>49308</TotalAmt>
        <ProgramServicesAmt>13783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35525</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>18594822</TotalAmt>
        <ProgramServicesAmt>9796792</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8798030</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>224421</TotalAmt>
        <ProgramServicesAmt>62732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>161689</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>124314</TotalAmt>
        <ProgramServicesAmt>34749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89565</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>65410</TotalAmt>
        <ProgramServicesAmt>36</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65374</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>35259968</TotalAmt>
        <ProgramServicesAmt>21197943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14062025</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
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        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
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        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY OF LOUISVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: UOFL HEALTH CONTRACTED WITH BLUE AND CO., LLC TO CONDUCT THE MOST RECENT CHNA IN THE SPRING OF 2022. DURING DATA COLLECTION FROM APRIL 2022-MAY 2022, BLUE AND CO. INTERVIEWED MEMBERS OF THE COMMUNITY FROM ACROSS THE HOSPITAL'S SERVICE AREA. THESE INCLUDED REPRESENTATIVES FROM GOVERNMENT, PUBLIC HEALTH, MEDICAL PROVIDERS, NONPROFIT LEADERS, FAITH-BASED INSTITUTIONS, ELECTED OFFICIALS, AND LAW ENFORCEMENT. ONLINE SURVEYS WERE ALSO DISTRIBUTED THROUGHOUT THE SERVICE AREA, MANY THROUGH THE COMMUNICATION CHANNELS OF THESE REPRESENTATIVES. DATA FROM THE INTERVIEWS AND SURVEYS INFORMED THE RESULTS AND ASSISTED THE HOSPITAL IN IDENTIFYING PRIORITY AREAS. REPRESENTATIVES FROM PUBLIC HEALTH AND THE LOCAL SCHOOL SYSTEM WERE INVOLVED IN DEVELOPING IMPLEMENTATION STRATEGIES FOR EACH OF THE PRIORITY NEEDS IDENTIFIED. FOR FEEDBACK ON PREVIOUS CHNAS, AN ONLINE FEEDBACK FORM WAS MADE AVAILABLE ON THE UOFL HEALTH WEBSITE AT &lt;HTTPS://UOFLHEALTH.ORG/ABOUT/COMMUNITY-ENGAGEMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-FEEDBACK/&gt;. ANY COMMENTS COLLECTED THROUGH THE FORM WERE INCLUDED IN THE CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY OF LOUISVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: UOFL HEALTH, AS A HEALTH CARE SYSTEM, CONTRACTED WITH BLUE AND CO., LLC TO CONDUCT THE MOST RECENT CHNA IN THE SPRING OF 2022. THE OTHER FIVE HOSPITALS INCLUDED IN THE SYSTEM FELL INTO THE SAME CHNA TIMELINE AS UOFL HOSPITAL. THEREFORE, BLUE AND CO. COLLECTED PRIMARY AND SECONDARY FOR ALL HOSPITALS AT THE SAME TIME. THE SAME SURVEY TOOL WAS USED FOR ALL HOSPITALS. THESE INCLUDED: JEWISH HOSPITAL, PEACE HOSPITAL, MARY AND ELIZABETH HOSPITAL, UOFL HOSPITAL, SHELBYVILLE HOSPITAL, AND FRAZIER REHABILITATION INSTITUTE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY OF LOUISVILLE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED THE FOLLOWING OVERALL NEEDS FOR UOFL HOSPITAL: ACCESS TO HEALTH CARE, SUBSTANCE USE, SOCIAL ISOLATION OF SENIORS, MENTAL HEALTH, VIOLENCE, HEALTH EQUITY AND DISPARITIES, AND OBESITY/INACTIVITY. HOSPITAL LEADERSHIP DETERMINED NOT TO ADDRESS SUBSTANCE USE, SOCIAL ISOLATION, MENTAL HEALTH, AND OBESITY/INACTIVITY AS PRIORITIES SINCE THEY WERE NOT AREAS WHERE THE HOSPITAL HAD SERVICE LINES IN PLACE TO ADDRESS THEM, NOR COULD THEY MAKE A SIGNIFICANT IMPACT WITH AVAILABLE RESOURCES. CANCER WAS NOT A TOP THEME THROUGHOUT THE QUALITATIVE AND QUANTITATIVE DATA, HOWEVER, WAS ADDED AS A PRIORITY BASED ON THE FOLLOWING CRITERIA AVAILABLE RESOURCES, THE LARGE PATIENT POPULATION THAT LIVE IN THE COMMUNITY AND ARE SEEN AT THE BROWN CANCER CENTER AND STATE SECONDARY DATA THAT SHOWS KENTUCKY HAVING THE HIGHEST MORTALITY RATES RELATED TO CANCER OUT OF ALL 50 STATES. HEALTH EQUITY AND DISPARITIES ARE BEING ADDRESSED AS A SYSTEM-WIDE PRIORITY. EACH PRIORITY HAS A GOAL STATEMENT, CATEGORIES OF ACTION, AND SPECIFIC STRATEGIES.ACCESS TO HEALTH CARE WILL BE ADDRESSED THROUGH THE FOLLOWING GOAL AND CATEGORIES OF STRATEGYGOAL: INCREASE ACCESS TO HIGH QUALITY, EQUITABLE HEALTH CARE AND COMMUNITY RESOURCES FOR UNDERSERVED INDIVIDUALS AND COMMUNITIES INCREASE PHYSICIANS, FACILITIES, AND SERVICES FOCUS ON UNDERSERVED POPULATIONS CONNECT PATIENTS TO RESOURCESCANCER WILL BE ADDRESS THROUGH THE FOLLOWING GOAL AND CATEGORIES OF STRATEGYGOAL: REMOVE STRUCTURAL BARRIERS TO CANCER SCREENING AND TREATMENT ELIMINATE BARRIERS TO SCREENINGS PROVIDE RESOURCESVIOLENCE WILL BE ADDRESS THROUGH THE FOLLOWING GOALS AND CATEGORIES OF STRATEGYGOAL 1: PROVIDE PROGRAMMING AND SERVICES THAT INTERRUPT CYCLES OF VIOLENCE AND PREVENT RECIDIVISM AND RETALIATION BUILD SUSTAINABLE, MUTUALLY BENEFICIAL PARTNERSHIPS PROVIDE COMMUNITY-BASED PROGRAMMING PROVIDE DIRECT SERVICE RELATED TO VIOLENCEGOAL 2: CREATE A CULTURE OF SAFETY FOR PATIENTS AND STAFF THAT IS COMPASSIONATE AND TRAUMA-INFORMED BUILD INTERNAL SYSTEMS TO FOSTER SAFETY ENSURE THE SAFETY OF BUILDINGS HEALTH EQUITY AND DISPARITIES WILL BE ADDRESSED THROUGH THE FOLLOWING GOALS AND CATEGORIES OF STRATEGY.GOAL: INCREASE UOFL HEALTH'S FOCUS ON AND UNDERSTANDING OF HEALTH EQUITY THROUGH DATA ANALYSIS, PLANNING, AND POLICY/PROCEDURE CHANGES TO ADDRESS HEALTH DISPARITIES UTILIZE DATA TO BETTER UNDERSTAND THE NEED BUILD INTERNAL SYSTEMS TO ADDRESS THE NEED CONNECT PATIENTS TO RESOURCES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH FOCUS ON REACHING UNDERSERVED POPULATIONS</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - BROWN CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>529 S JACKSON STREET</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER TREATMENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC. (UMC)'S FINANCIAL ASSISTANCE POLICY APPLIES TO PATIENTS WHO COME TO OUR FACILITIES AND ARE UNINSURED/UNDERINSURED, INELIGIBLE FOR GOVERNMENT HEALTH PROGRAMS, OR OTHERWISE WITHOUT ADEQUATE FINANCIAL RESOURCES TO PAY FOR HEALTH CARE SERVICES. THIS POLICY PROVIDES FINANCIAL RELIEF TO PATIENTS WHO QUALIFY BASED ON A COMPARISON OF THEIR FINANCIAL RESOURCES AND/OR INCOME TO FEDERAL POVERTY GUIDELINES. THE PROGRAM IS DESIGNED SPECIFICALLY FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AND PATIENTS WHOSE HOUSEHOLD FINANCIAL RESOURCES AND/OR INCOME ARE AT OR BELOW 300 PERCENT OF THE FEDERAL POVERTY LEVEL.TO QUALIFY FOR ANY ASSISTANCE, PATIENTS WILL BE ASKED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHICH INCLUDES INFORMATION RELATING TO HOUSEHOLD INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED 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. LINES 7E, 7F, AND 7G ARE BASED ON ACTUAL COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WERE DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC. HAS TAKEN REASONABLE AND PRUDENT STEPS TO ENSURE NO PORTION OF BAD DEBT COULD BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE AUDITED FINANCIAL STATEMENTS PAGES 11-14.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY OFF MEDICARE COST REPORT FILED WITH THE 6/30/24 YEAR END.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC.'S DEBT COLLECTION POLICY PROVIDES THAT UNIVERSITY MEDICAL CENTER, INC. WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH UNIVERSITY MEDICAL CENTER, INC. FINANCIAL ASSISTANCE POLICY. ALL UNINSURED PATIENTS/GUARANTORS ARE BILLED DIRECTLY AND TIMELY AND WILL RECEIVE A STATEMENT AS PART OF THE NORMAL BILLING PROCESS. ALL PATIENTS/GUARANTORS MAY REQUEST AN ITEMIZED STATEMENT FOR THEIR ACCOUNTS AT ANY TIME. AT LEAST THREE SEPARATE POST-DISCHARGE BILLING STATEMENTS ARE SENT. AN ORAL ATTEMPT TO REACH THE PATIENT IS ALSO MADE BEFORE INITIATION OF ANY ECA. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE UNIVERSITY MEDICAL CENTER, INC. FINANCIAL ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO UNIVERSITY MEDICAL CENTER, INC. FOR APPROPRIATE FOLLOW-UP. UNIVERSITY MEDICAL CENTER, INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.</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. HOWEVER, THROUGH HOSPITAL BOARD MEMBERS AND THE INVOLVEMENT OF HOSPITAL LEADERSHIP IN THE COMMUNITY, OTHER NEEDS CAN COME TO LIGHT THAT MAY HAVE ARISEN AFTER THE CHNA WAS COMPLETED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM UOFL HEALTH ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE, &lt;WWW.UOFLHEALTH.ORG&gt; AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT.SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE UOFL HEALTH ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. UOFL HEALTH ORGANIZATIONS WILL PROVIDE FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR BILLS AND WILL MAKE THE AVAILABILITY OF SUCH COUNSELING KNOWN. IT IS THE RESPONSIBILITY OF THE PATIENT OR THE PATIENT'S GUARANTOR TO SCHEDULE CONSULTATIONS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE WITH A FINANCIAL COUNSELOR.IN ADDITION, UNIVERSITY MEDICAL CENTER, INC. REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER UNIVERSITY MEDICAL CENTER, INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION, ONCE ALL EMTALA REQUIREMENTS ARE MET, PATIENTS WHO ARE IDENTIFIED AS UNINSURED AND NOT COVERED BY MEDICARE OR MEDICAID ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. REGISTRATION CLERKS READ THE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH SPEAKING INDIVIDUALS. STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC'S PRIMARY SERVICE AREA INCLUDES JEFFERSON COUNTY WHICH HAS A POPULATION OF APPROXIMATELY 767,452 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 (82,182), HARDIN (111,309), NELSON (46,450), OLDHAM (66,999), AND SHELBY (49,611).THE MEDIAN AGE IN JEFFERSON COUNTY IS 38.4 (38.1 IN THE UNITED STATES). THE NUMBER OF PERSONS PER HOUSEHOLD IN JEFFERSON COUNTY IS 2.38 (2.53 IN THE U.S.). RACE IN JEFFERSON COUNTY IS AS FOLLOWS: 65.8% NON-HISPANIC WHITE, 22.1% BLACK OR AFRICAN AMERICAN, 0.2% NATIVE AMERICAN, 3.2% ASIAN, 0.1% PACIFIC ISLANDER, AND 2.4% FROM TWO OR MORE RACES. 6.2% OF THE POPULATION WERE HISPANIC OR LATINO OF ANY RACE. IN JEFFERSON COUNTY THERE IS 1 PRIMARY CARE DOCTOR TO 1,060 RESIDENTS (1,060:1) WHICH IS LESS (LOWER IS BETTER) THAN THE KENTUCKY AVERAGE OF 1,540:1. THE OVERALL HEALTH RANKING FOR JEFFERSON COUNTY IS 32 OUT OF 120 WITH THE OVERALL STATE RANKING AT 47TH OUT OF 50 STATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC. WORKS TO ENHANCE THE HEALTH OF THE COMMUNITY. MOST COMMUNITY OUTREACH IS OPEN TO THE PUBLIC AND SERVES THE BROADER COMMUNITY. THE FOLLOWING PROVIDES A SNAPSHOT OF THE HOSPITAL'S ENGAGEMENT WITH THE COMMUNITY. - FACILITATION OF HEALTH FAIRS AND HEALTH LITERACY OUTREACH IN THE LOCAL COMMUNITY- MONITORING HOSPITAL PROVIDE 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- FACILITATING CONVERSATIONS RELATED PATIENTS' EXPERIENCES WITH THE SOCIAL DETERMINANTS OF HEALTH- INVOLVEMENT IN THE EDUCATION OF HEALTH PROFESSIONALS THROUGH CLINICAL ROTATIONS AND CAPSTONES- INVOLVEMENT IN COMMUNITY-PARTNERSHIPS FOR VIOLENCE INTERVENTION AND PREVENTION- ASSISTING PATIENTS WITH INSURANCE ENROLLMENT- DISCHARGE PLANNING THAT INCLUDES STREAMLINED PRIMARY CARE ACCESS- AVAILABILITY OF REGISTERED DIETICIAN AND DIABETES EDUCATORS- COVID TESTING AND VACCINATIONS</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 FIVEOUR HOSPITALS IN THE LOUISVILLE METRO AREA INCLUDING JEWISH HOSPITAL, MARY AND ELIZABETH HOSPITAL, PEACE HOSPITAL, SOUTH HOSPITAL AND FRAZIER REHABILITATION INSTITUTE, AND SHELBYVILLE HOSPITAL LOCATED IN SHELBY COUNTY. UOFL HEALTH IS DEDICATED TO COMMUNITY HEALTH PROMOTION AND IMPROVEMENT, WHICH IS PRESENT THROUGHOUT EACH OF ITS HOSPITALS AND SERVICE LINES. EACH OF THE SUPPORTED ORGANIZATIONS CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND THE CORRESPONDING HOSPITALS DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THOSE NEEDS. BEYOND THE CHNA PROCESS, MANY SERVICE LINES, PROGRAMS, AND FACILITIES THROUGHOUT THE UOFL HEALTH SYSTEM HAVE A COMMUNITY HEALTH COMPONENTS SUCH THAT THEY PROVIDE OUTREACH, HEALTH LITERACY, ACCESS TO CARE FOR UNDERSERVED POPULATIONS, AND CHRONIC DISEASE MANAGEMENT AND PREVENTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>KY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMMUNITY BENEFIT REPORT IS NOT REQUIRED IN THE STATE OF KENTUCKY. COMMUNITY BENEFIT TOTALS WERE POSTED TO THE ORGANIZATION'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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          <AddressLine1Txt>2301 S 3RD STREET</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40292</ZIPCd>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT OF THE UNIVERSITY</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>SUPPLY OVER SEAS</BusinessNameLine1Txt>
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          <AddressLine1Txt>1500 ARLINGTON AVE</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40206</ZIPCd>
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        <NonCashAssistanceAmt>403450</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>SOS WEBSITE</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>DONATION OF DRY MEDICAL SUPPLIES TO OTHER COUNTRIES AND COMMUNITIES IN NEED</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER, INC. RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELP PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. CHARITY CARE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS' ACCOUNTS RECEIVABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SeverancePaymentInd>0</SeverancePaymentInd>
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        <PersonNm>THOMAS D MILLER</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>TERRY JOHNSON</PersonNm>
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        <PersonNm>ROBERT FINK</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTINE KRUEGER MD</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAMI WALKER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL GOODE</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARRN POWELL</PersonNm>
        <TitleTxt>AVP OF APPLICATIONS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>272335</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMY THOMAS MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>191069</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>576</OtherCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEAN FRANCIS MD</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A SHORT-TERM INCENTIVE PLAN THAT ELIGIBLE UMC EMPLOYEES MAY RECEIVE BASED ON MEETING CERTAIN BENCHMARKS. THE PLAN IS BASED ON MEETING FINANCIAL GOALS, DESIRED PATIENT QUALITY OUTCOMES, PATIENT SATISFACTION SCORES AND IS CONSISTENT WITH MARKET PRACTICES AND THE ORGANIZATION'S COMPENSATION PHILOSOPHY.</ExplanationTxt>
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    </IRS990ScheduleJ>
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        <PersonNm>JIM TAYLOR</PersonNm>
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        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1333000</OriginalPrincipalAmt>
        <BalanceDueAmt>1336000</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7A AND 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN AMENDED 990 IS BEING FILED TO UPDATE AMOUNTS REPORTED FOR COMMUNITY BENEFIT EXPENSE AND THE CORRESPONDING OFFSETTING REVENUE ON SCHEDULE H, LINE 7B-UNREIMBURSED MEDICAID AND SCHEDULE H, LINE 7A-FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>U OF L HEALTH, INC., A KENTUCKY NONPROFIT CORPORATION, SHALL BE THE HOSPITAL'S SOLE MEMBER AS OF NOVEMBER 1, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER REVIEW BY THE ORGANIZATION'S FINANCE DEPARTMENT, THE CONTRACTED TAX PROFESSIONAL FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF THE HOSPITAL THAT AN INTERESTED PERSON WHO KNOWS THAT HE OR SHE HAS AN ACTUAL OR APPARENT CONFLICT OF INTEREST SHALL DISCLOSE IT PROMPTLY AND FULLY TO ALL NECESSARY PARTIES WHENEVER IT OCCURS. INTERESTED PERSONS ARE (A) VOTING MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS AND VOTING MEMBERS OF COMMITTEES THAT EXERCISE BOARD-DELEGATED AUTHORITY, (B) OFFICERS OF THE HOSPITAL ELECTED OR APPROVED BY THE BOARD OF DIRECTORS OR (C) A "CONTROLLED ENTITY" IN WHICH AT LEAST 35% OF THE CONTROL OR BENEFICIAL INTEREST IS HELD BY ANY ONE OR COMBINATION OF INDVIDUALS DESCRIBED IN A AND B. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER KNOWN INTEREST IN A PROPOSED TRANSACTION TO THE DIRECTORS AND MEMBERS OF COMMITTE WITH BOARD DELEGATED POWERS CONSIDERING THE TRANSATION OR ARRANGEMENT WHEN A CONFLICT OF INTEREST IS DECLARED. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE PROPOSED TRANSACTION. THE INTERESTED PERSON SHALL LEAVE THE MEETING AND THE VOTE ON ANY TRANSACTIONS INVOLVING THE CONFLICT OF INTEREST THE MINUTES OF THE BOARD WILL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSE OR OTHERWISE WERE FOUND TO HAVE INTEREST IN CONNECTION WITH A CONFLICT OF INTEREST, THE NATURE OF THE INTEREST AND ANY ACTION TAKEN TO DETERMINE THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 15A: BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. UMC USES THE MERCER GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE MERCER GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO UMC'S COMPENSATION PHILOSOPHY AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY MERCER GROUP TO THE COMPENSATION COMMITTEE OF THE UMC BOARD OF DIRECTORS ANNUALLY. LINE 15B: FOR ALL EXECUTIVE DIRECTORS, TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES, THE FOLLOWING PROCESS IS USED. 1) HUMAN RESOURCES (HR) HAS INDEPENDENT COMPANY DO A COMPARISON OF LIKE POSITIONS WITHIN THE COMMUNITY AND COME UP WITH A RANGE. THEY PREPARE A PROPOSAL THAT IS SUBMITTED TO HR FOR REVIEW 2) A SALARY IS DETERMINED WITHIN THAT RANGE BASED ON YEARS OF SERVICE EDUCATION AND OTHER FACTORS, SUCH AS ADDITIONAL RESPONSIBILITIES. HR PREPARES A PROPOSAL TO SUBMIT TO THE CEO 3)THE PROPOSAL, CONTAINING THE POSITION, RANGE AND FINAL COMPENSATION IS TURNED OVER TO THE CEO FOR REVIEW 4) AFTER REVIEW, THE CEO TAKES THE PROPOSAL INFORMATION AND PRESENTS IT TO THE FINANCE COMMTTEE. 5) THE FINANCE COMMITTEE DECIDES AND VOTES ON THE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 61,244,855. MANAGEMENT AND GENERAL EXPENSES 57,858,188. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,103,043. CONTRACTED PROFESSIONALS: PROGRAM SERVICE EXPENSES 35,218. MANAGEMENT AND GENERAL EXPENSES 2,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,872. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 14,299,911. MANAGEMENT AND GENERAL EXPENSES 1,077,434. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,377,345. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 11,849,049. MANAGEMENT AND GENERAL EXPENSES 11,193,829. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,042,878.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO/FROM AFFILIATES -41,695,023. LONG LIVED ASSET DONATION 372,818.</ExplanationTxt>
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        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 19532</AddressLine1Txt>
          <CityNm>IRVINE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92623</ZIPCd>
        </USAddress>
        <EIN>262421659</EIN>
        <PrimaryActivitiesTxt>CANCER TREATMENT CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>568875</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>232228</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.20000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>