UH had a non-recurring expense in its 2019 operating budget of $93 million. This was an insurance payout following a 2018 problem in its fertility clinic that rendered thousands of eggs and embryos unviable and brought a flurry of lawsuits seeking compensatory and punitive damages. The 2021 figures include the April addition of Lake Health. Over the nine month period it was part of UH in 2021, Lake Health accounted for $361 million in revenue and about $3.1 million in operating income of the system's total.