University Health Network

Nonprofit profile at a glance

EIN
986000971
IRS 990 coverage
2014–2025
Official website data refreshed
Sep 2026
Forms available
Form 990 2025
Location
Toronto, Ontario, CA
Phone
4163404800
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$2,819,985,529
Expenses
$2,793,819,827
Assets
$3,594,831,049
Liabilities
$3,145,521,916

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

37 people listed

Executive titles in this filing

  • KEVIN SMITH (PRESIDENT AND CEO)
  • DARLENE DASENT (EXECUTIVE VICE PRESIDENT)
  • REBECCA REPA (EXECUTIVE VICE PRESIDENT)
  • BRIAN D HODGES (EXECUTIVE VICE PRESIDENT)
  • BRAD WOUTERS (EXECUTIVE VICE PRESIDENT)
  • KENNETH MARK SPENCER (EXECUTIVE VICE PRESIDENT)

Highest reported compensation

  • KEVIN SMITH (PRESIDENT AND CEO): $751,698 total reported compensation
  • STEPHEN MICHAEL SMITH (LABORATORY PHYSICIAN): $396,907 total reported compensation
  • ILAN WEINREB (LABORATORY DIVISION HEAD): $394,474 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

University health network/reseau universitaire de sante (“uhn”) is canada's largest healthcare research organization. Our primary value is the needs of patients come first. As the first and largest transplant program in Canada, the Ajmera Transplant Centre at UHN provides a broad spectrum of services currently encompassing heart, lung, liver, kidney, pancreas and small bowel transplantation. Our Living Liver and Kidney Donor Programs are very successful in providing organs for patients and the living liver program has become the largest program in North America. Altum Health Altum Health is a regional network of health care clinics, operating through highly experienced and trained health care professionals, specializing in the treatment of physical injury, concussion and mental health. Across our regional sites, our health care providers carefully assess, educa.

What it reported doing in 2025

University health network is canada's top research hospital; it is fully affiliated with the university of toronto and is a member of the toronto academic health science network. Uhn comprises five academic hospital sites, an education institute, and eleven research institutes. The scope of research and complexity of cases at uhn have made it a national and international source for discovery, education, and patient care. Supported in part by two uhn-affiliated foundations, research conducted at uhn spans the full spectrum of diseases and disciplines, including cancer, cardiovascular sciences, transplantation, neural and sensory sciences, musculoskeletal health, rehabilitation sciences, community and population health, and more.

Operating model

Revenue model
Other-operating. 81% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 98% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 69
  • Accountability: 95
  • Sustainability: 39
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 92.1%; rating input score 92
  • Program expense ratio: 92.9%; rating input score 93
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 66th percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: 1 of 8 controls in place; rating input score 12
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Fail
    • Conducts field audits: Fail
    • May suspend future funding: Fail
    • Requires financial reports: Fail
    • Conducts site visits: Fail
    • Requires grant agreements: Fail
    • May require repayment: Fail
  • Grant itemization coverage: 100%; rating input score 100; 81st percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 65th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 0.9%; rating input score 37; 37th percentile among comparable filings
  • Total-asset coverage ratio: 1.29; rating input score 35; 35th percentile among comparable filings
  • Liabilities to assets ratio: 0.88; rating input score 12; 12th percentile among comparable filings
  • Officer compensation ratio: 0.2%; rating input score 87; 87th percentile among comparable filings

Growth

  • Program expense growth: 4.4% per year; rating input score 100; 33rd percentile among comparable filings
  • Revenue growth: 4.7% per year; rating input score 100; 40th percentile among comparable filings
  • Asset growth: 7.2% per year; rating input score 100; 51st percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site
  • Where the money goes: 92.1% of revenue deployed · 92.9% of spending went to programs
  • Governance: 21 of 21 board members independent · 8 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $2.6B in reported program spending
  • Leadership: top reported pay $752K · 37 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $205.6M reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 8 filed schedules · includes major donors, foreign activity, executive pay, and related organizations
  • Filing history: 9 filing years from 2014 to 2025
  • Contacts: How to reach this organization
  • Money network: 16 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight: 7 of 8 not reported.
  • Moderate — Sustainability: Operating margin scored 37/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 35/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Liabilities to assets ratio scored 12/100.