Agreement are set forth in the Academic Affiliation Agreement. Among these provisions is one which provides that
following the fifth anniversary of the Academic Affiliation Agreement, either party may give notice to the other
party to that agreement that the support payment be modified. If so modified, the modified agreement would
become effective as of the 6th year following the next anniversary of the Academic Affiliation Agreement following
the completion of successful negotiations. Otherwise, the Academic Affiliation Agreement would automatically
renew for an additional year unless the support payment is modified as described above, or unless the Academic
Affiliation Agreement is terminated (triggering a right in the University described below to repurchase the Health
System and its affiliates (as they are constituted at the time) at fair market value, during the next succeeding five
years of the remaining term of the Academic Affiliation Agreement). The Academic Affiliation Agreement
superseded and replaced the LUMC Affiliation Agreement (except as otherwise provided in the Academic
Affiliation Agreement) effective July 1, 2011.
The Definitive Agreement also provides the University with certain repurchase rights. If any of the
following events occurs, the University has the right to repurchase the Health System and its affiliates (as they are
constituted at the time), at fair market value: (i) a change of control of Trinity, the Health System or LUMC as a
result of which Trinity, the Health System or LUMC would no longer be bound by the Ethical and Religious
Directives for Catholic Health Services as promulgated by the United States Conference of Catholic Bishops, (ii)
any event that causes the failure of LUMC to maintain its status as an academic medical center as defined by and in
accordance with the Academic Affiliation Agreement, or (iii) upon the expiration of the Academic Affiliation
Agreement after failure of the parties to resolve a dispute related to the academic support payment amount or
academic support payment calculation methodology for any period after the initial 10 year term of the Academic
Affiliation Agreement. The specific terms and conditions of the University’s right to repurchase the Health System
and its affiliates are set forth in the Definitive Agreement and the Academic Affiliation Agreement.
In addition to the Research Facility Funding Agreement and the Academic Affiliation Agreement referred
to above, other agreements delivered in connection with the Trinity Transaction included a Branding and Trademark
License Agreement among the University, Trinity, the Health System, LUMC and certain of the other healthcare
affiliates regarding the use of the Loyola name, logo, trademarks, service marks, and all related goodwill in
connection with their healthcare operations; an Indemnification Escrow Agreement among Trinity, the University
and an escrow agent; a Shared Services Agreement among the University, the Health System and/or LUMC
regarding sharing certain services; a Real Estate Swap Agreement which resulted in transfers of real estate between
the University and LUMC as described below; various leases and other real estate agreements among the University,
the Health System and/or LUMC providing for the sharing or transfer of certain real estate on the Medical Center
Campus; and other instruments and documents.
As a result of the Real Estate Swap Agreement, the University now owns the central part of the Medical
Center Campus. This central part is the “Academic/Health Sciences Zone” and includes, among other facilities, the
Cuneo Center for the Stritch School of Medicine, the Center for Collaborative Studies/School of Nursing, the Center
for Health and Fitness, the Cardinal Bernardin Cancer Center (subject to a 99-year leasehold interest for the portion
of the Bernardin Center currently used by LUMC) and the space for the new research facility. The north end of the
campus is owned by LUMC, and includes the primary hospital building and other inpatient facilities and related
infrastructure. The south end of the campus is also owned by LUMC and includes outpatient/ambulatory facilities.
The Health System. The healthcare operations of the University’s affiliates prior to July 1, 2011 were
conducted through the Health System. Thereafter, these operations became the operations of Trinity. Prior to the
completion of the Trinity Transaction, the Health System controlled LUMC, GMH, LUCIC and various other
healthcare related entities. The Health System’s total assets were approximately $995.0 million as of June 30, 2010.
Operating revenues were $1,065.3 million and results of operations were $0.4 million for the fiscal year ended June
30, 2010. Outstanding indebtedness was $350.1 million at that date.
LUMC operates the Hospital, a tertiary-care teaching hospital operated in conjunction with the academic
programs of the University’s Medical School. The Hospital is, and under the Definitive Agreement, will continue to
be, staffed by the full-time medical faculty of the Medical School, which is augmented by a sizable part-time faculty
with staffing privileges. LUMC also operates outpatient care centers and certain other primary care sites.
Gottlieb Affiliates. On January 25, 2008, Gottlieb Health Resources, Inc. (“GHR”), an Illinois not-for-
profit corporation, and the Health System entered into a Membership Substitution Agreement. Under the terms of
the Membership Substitution Agreement, on July 1, 2008, the Health System became the sole member of GHR, and
the Health System was substituted for GHR as the sole member of GMH, an Illinois not-for-profit corporation.