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      <Desc>INFIRMARY HEALTH SYSTEM (IHS) PROVIDES CENTRALIZED MANAGEMENT AND ADMINISTRATIVE SERVICES TO FOUR NOT-FOR-PROFIT HOSPITALS, A SKILLED NURSING FACILITY, A CHARITABLE FOUNDATION, AND A NETWORK OF MORE THAN TWENTY MEDICAL CLINICS. IHS IS FOCUSED ON ACHIEVING ECONOMIES OF SCALE FOR ITS SUPPORTED FACILITIES BY PROVIDING CENTRALIZED, COORDINATED SERVICES, ALLOWING THE FACILITIES TO OFFER STATE-OF-THE-ART MEDICAL SERVICES AT THE LOWEST POSSIBLE COST. CENTRALIZED AND COORDINATED SERVICES INCLUDE ACCOUNTING, ACCOUNTS PAYABLE, HUMAN RESOURCES, INFORMATION TECHNOLOGY, PURCHASING, BUSINESS OFFICE, AND MAINTENANCE, AMONG MANY OTHER SUPPORT SERVICES. THE SERVICES ARE PROVIDED TO SYSTEM FACILITIES AT A LEVEL OF KNOWLEDGE AND EXPERIENCE THAT, IN MANY CASES, WOULD NOT OTHERWISE BE AVAILABLE OR AFFORDABLE. IHS HAS SPEARHEADED EFFORTS TO IMPROVE THE AVAILABILITY OF HEALTHCARE SERVICES IN RURAL AREAS OF SOUTHWEST ALABAMA. RECRUITMENT OF PHYSICIANS TO THE RURAL COMMUNITY OF BAY MINETTE, ALABAMA HAS REMAINED A FOCUS, RESULTING IN SEVERAL PHYSICIANS RELOCATING TO THE AREA. CAPITAL INVESTMENT IN THE FACILITIES IN BAY MINETTE CONTINUE TO PROVIDE BENEFIT TO THE COMMUNITY, WITH NEARLY 16,000 EMERGENCY SERVICES, 158 NEWBORN DELIVERIES, AND 40,600 INPATIENT AND OUTPATIENT VISITS. AS A RESULT OF AN ASSESSMENT OF COMMUNITY HEALTH NEEDS, IHS SUPPORTED THE INITIATION OF GERIATRIC PSYCHIATRIC SERVICES AT ITS FACILITY IN BAY MINETTE, THE ONLY ONE OF ITS KIND IN BALDWIN COUNTY. STUDIES TO DETERMINE ADDITIONAL HEALTHCARE NEEDS OF THE COMMUNITY ARE ONGOING. BECAUSE IHS AND ITS EMPLOYEES ARE ACTIVELY INVOLVED IN SUPPORTING NUMEROUS LOCAL COMMUNITY BENEFIT ORGANIZATIONS, HEALTH FAIRS, AND HEALTH ADVOCACY ORGANIZATIONS, IHS CREATED, IHELP - A PROGRAM TO CENTRALIZE, TRACK AND IDENTIFY COMMUNITY SERVICE INCLUDING VOLUNTEER, IN-KIND AND FINANCIAL RESOURCES TO MAKE AN IMPACT ON THE HEALTH AND WELL-BEING OF OUR REGION. IHS ESTABLISHED A COMMUNITY DEPARTMENT WITH A BUDGET AND PURCHASED SOFTWARE TO TRACK EMPLOYEE INVOLVEMENT AND COMMUNITY REQUESTS. CAMPAIGNS FOR UNITED WAY, THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, MARCH OF DIMES, AND MANY OTHER NATIONAL ORGANIZATIONS ARE ACTIVELY SUPPORTED BY THE ORGANIZATION AND ITS EMPLOYEES. THE IHS LEADERSHIP TEAM SERVES ON MORE THAN 100 BOARDS AND PLAYS AN ACTIVE ROLE WITH IHELP BY LEADING, SUPPORTING, ENCOURAGING AND PARTICIPATING IN ALL VOLUNTEER PROJECTS. IHELP SUPPORTS MORE THAN 55 ORGANIZATIONS AND NON- PROFIT ORGANIZATIONS THROUGH TEAMS, FUNDRAISING, HEALTH AND WELLNESS FAIRS, AND IN-KIND DONATIONS. BLOOD DRIVES ARE CONDUCTED QUARTERLY ON INFIRMARY HEALTH'S CAMPUSES, WHERE EMPLOYEES AND COMMUNITY MEMBERS ARE INVITED AND ENCOURAGED TO DONATE BLOOD TO LIFESOUTH. IN FY24, INFIRMARY HEALTH STAFF PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY AND BALDWIN COUNTY HEART WALKS. CARDIAC REHABILITATION PATIENTS ALSO PARTICIPATED BY REGISTERING FOR THE WALKS. ADDITIONALLY, THROUGH INFIRMARY HEALTH'S 10,000 SPONSORSHIP TO AHA, THOMAS HOSPITAL DONATED CPR TRAINING KITS TO DAPHNE HIGH SCHOOL, AND MOBILE INFIRMARY DONATED CPR TRAINING KITS TO WILLIAMSON HIGH SCHOOL. THE KITS PROVIDE HANDS-ON LEARNING EXPERIENCES AND EVERYTHING NEEDED TO TRAIN 10 STUDENTS AT ONCE IN CPR. INFIRMARY HEALTH SUPPORTS ITS LOCAL AMERICAN CANCER SOCIETY (ACS) CHAPTER WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, PINK PEARLS SUPPORT GROUP, AND NUMEROUS OTHER ACS EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2023, INFIRMARY HEALTH PARTICIPATED AS THE SURVIVOR SPONSOR IN ACS'S ANNUAL MAKING STRIDES AGAINST BREAST CANCER WALK. IN ADDITION TO PARTICIPATING IN THE WALK, INFIRMARY HEALTH EMPLOYEES PURCHASED T-SHIRTS. THE FUNDRAISING EFFORTS GENERATED 2,285 FOR ACS. INFIRMARY HEALTH EMPLOYEES NOT ONLY HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK AND THE CHILI COOK OFF, BUT EMPLOYEES ALSO SERVE ON THE PLANNING COMMITTEE FOR THE EVENT. INFIRMARY HEALTH SERVES AS A FLAGSHIP SPONSOR FOR THE CHILI COOK OFF EVENT THAT HAD MORE THAN 8,000 PARTICIPANTS AND IS THE SURVIVOR SPONSOR FOR THE BREAST CANCER WALK THAT HAS NEARLY 4,000 WALKERS. INFIRMARY HEALTH AND INFIRMARY CANCER CARE ROLLED OUT ITS MOBILE CANCER SCREENING UNIT IN FEBRUARY 2019. THE MOBILE SCREENING UNIT HELPS ADDRESS THE NEED FOR ACCESS TO CARE IN RURAL COMMUNITIES. IN FY24, THE UNIT TRAVELED TO MANY AREAS OF MOBILE COUNTY. IN TOTAL, THE UNIT TRAVELED TO MORE THAN 20 EVENTS AND PROVIDED FREE SCREENING AND EDUCATION TO NEARLY 2,000 INDIVIDUALS. IN MAY 2023, INFIRMARY CANCER CARE PROVIDED FREE SKIN CANCER SPOT CHECKS IN MOBILE, AS WELL AS LOCATIONS IN BALDWIN COUNTY. IN TOTAL, 80 INDIVIDUALS WERE SCREENED, AND 40 ABNORMAL FINDINGS WERE DISCOVERED. NURSE NAVIGATORS FOLLOWED UP WITH THOSE WHO HAD ABNORMAL FINDINGS TO REFER THEM TO A DERMATOLOGIST FOR FURTHER SCREENINGS. TO PROVIDE FREE EDUCATION TO ADOLESCENT GIRLS IN THE COMMUNITIES, INFIRMARY HEALTH HOSTED TWO "THE TALK: FOR GIRLS ONLY" EVENTS IN MOBILE AND BALDWIN COUNTIES. THE EVENTS WERE HELD IN SEPTEMBER 2023 AND TARGETED TOWARDS GIRLS AGES 8 - 13. INFIRMARY HEALTH AFFILIATE PHYSICIANS SPOKE AT THE EVENT AND PROVIDED FREE EDUCATION REGARDING PUBERTY, MENSTRUAL CYCLES, SEX EDUCATION AND OTHER TOPICS. IN MOBILE, MORE THAN 110 GIRLS AND THEIR SUPPORT PERSONS ATTENDED THE EVENT. WOMEN'S AND MATERNAL HEALTH CONTINUES TO BE A PRIORITY FOR INFIRMARY HEALTH. DURING FY24, INFIRMARY HEALTH PROVIDED FREE EDUCATIONAL INFORMATION RELATED TO WOMEN'S HEALTH AT 27 COMMUNITY EVENTS ACROSS MOBILE AND BALDWIN COUNTIES. MORE THAN 2,000 WOMEN WERE REACHED THROUGH THESE EFFORTS. ADDITIONALLY, TO PROVIDE FURTHER EDUCATION TO THE COMMUNITY, INFIRMARY HEALTH OFFERED FREE POST-PARTUM AND WOMEN'S HEALTH EDUCATION THROUGH MONTHLY BLOG POSTS. THE POST-PARTUM BLOG, BUMP &amp; BEYOND, HAD 13,000 WEBSITE VISITS DURING FY24. THE WOMEN'S HEALTH BLOG, HEALTHY HER, HAD 500 WEBSITE VISITS DURING THE FISCAL YEAR. INFIRMARY HEALTH HOSTS ITS ANNUAL "TURKEY TOSS" FOR EMPLOYEES IN NOVEMBER, GIVING EACH EMPLOYEE A TURKEY FOR THE HOLIDAYS. REMAINING TURKEYS WERE DONATED TO FEED THE HOMELESS AND LOW INCOME FAMILIES IN MOBILE AND BALDWIN COUNTIES THROUGH VARIOUS ORGANIZATIONS SUCH AS: FEEDING THE GULF COAST (FORMERLY BAY AREA FOOD BANK), HOME OF GRACE, WILMER HALL, L'ARCHE MOBILE, PENELOPE HOUSE, WINGS OF LIFE, PRODISEE PANTRY, FAIRHOPE UNITED METHODIST CHURCH, AND FIRST BAPTIST CHURCH OF FAIRHOPE. THOSE WHO DONATED THEIR TURKEY PROVIDED A MEAL FOR A FAMILY THAT MIGHT NOT, HAVE OTHERWISE, HAD ANYTHING TO EAT THIS HOLIDAY SEASON. IN SUPPORT OF ITS DESIRE TO LEAD BY EXAMPLE, IHS HAS INITIATED A WELLNESS PROGRAM FOR ITS EMPLOYEES, PROVIDING ENCOURAGEMENT AND INCENTIVES FOR EMPLOYEES TO LIVE A HEALTHY LIFESTYLE. THE PROGRAM INCLUDES HEALTH ASSESSMENTS THAT PROVIDE EACH PARTICIPATING EMPLOYEE WITH KEY HEALTH METRICS. PLANS FOR IMPROVING HEALTH ARE FORMULATED FOR EACH EMPLOYEE BASED UPON THEIR INDIVIDUAL ASSESSMENT RESULTS. IHS ACTIVELY SUPPORTS THE EFFORTS OF THE INFIRMARY FOUNDATION, A NON- PRIVATE FOUNDATION FORMED TO PROVIDE FINANCIAL SUPPORT FOR THE MOBILE INFIRMARY ASSOCIATION, A NOT-FOR-PROFIT HOSPITAL IN MOBILE, ALABAMA. THE INFIRMARY FOUNDATION PROVIDES FINANCIAL SUPPORT FOR INVESTMENT IN STATE- OF-THE-ART TECHNOLOGY, ALLOWING THE MOBILE INFIRMARY ASSOCIATION TO PROVIDE THE LATEST IN ADVANCED TREATMENT OPTIONS FOR ITS PATIENTS. THE INFIRMARY FOUNDATION, RECOGNIZING THE SHORTAGE OF QUALIFIED HEALTHCARE PROVIDERS IN THE COMMUNITY, ALSO INVESTS IN THE EDUCATION OF FUTURE HEALTHCARE PROVIDERS BY OFFERING SCHOLARSHIP OPPORTUNITIES FOR COLLEGE STUDENTS IN THE FIELD OF HEALTHCARE, AND BY PROVIDING FUNDING SUPPORT FOR SYSTEM EMPLOYEES WHO FURTHER THEIR EDUCATION IN THE FIELD OF NURSING. THE IHS BOARD, MANAGEMENT AND STAFF ARE COMMITTED TO ENHANCING THE HEALTHCARE STATUS AND RELATED QUALITY OF LIFE OF THE RESIDENTS IN THE AREAS WE SERVE ALONG THE CENTRAL GULF COAST REGION. BY BRINGING EFFICIENCY THROUGH THE COORDINATION OF SERVICES, ELIMINATING REDUNDANCY AND REDUCING COST, FOCUSING ON SPECIFIC COMMUNITY NEEDS, ENCOURAGING HEALTHY LIFESTYLES, SUPPORTING EMPLOYEE INVOLVEMENT IN HEALTHY INITIATIVES, AND ENHANCING EDUCATIONAL OPPORTUNITIES FOR TOMORROW'S CAREGIVERS, THESE GOALS ARE BEING REALIZED.</Desc>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK J LOTT III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN H BAKER III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RODNEY A PILOT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON M PADGET</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT S FROST</PersonNm>
        <TitleTxt>DIRECTOR/CHA</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HOLBERG</PersonNm>
        <TitleTxt>DIRECTOR/SEC</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER WATKINS</PersonNm>
        <TitleTxt>DIRECTOR/TRE</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>D MARK NIX</PersonNm>
        <TitleTxt>PRESIDENT/VI</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1869141</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61628</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE DENTON</PersonNm>
        <TitleTxt>ASSISTANT TR</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>746455</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>128131</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAY D ROBERDS II</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BROWINING</PersonNm>
        <TitleTxt>ASSISTANT SE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>533830</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>76279</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD B SANDERS</PersonNm>
        <TitleTxt>EXECUTIVE VP</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>664956</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60083</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA YOUNG</PersonNm>
        <TitleTxt>VP HR</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>658278</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>100168</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS SUMMERFORD</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>389099</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>80114</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERN A WILSON</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>380333</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>101513</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ORMAND THOMPSON</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>438575</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>97894</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE STOUGH</PersonNm>
        <TitleTxt>EVP/COO/ASST</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>776604</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>121531</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY TOLLESON</PersonNm>
        <TitleTxt>VP/ASST TREA</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>435087</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>72833</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN HOLLEY</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>397500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>96875</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNY BREAL</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>288346</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN BOUDREAU</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>519548</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN HANSERT</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>330862</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGIE CAIN</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>235888</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER FINNORN</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <ReportableCompFromOrgAmt>379046</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MITCHELL</PersonNm>
        <TitleTxt>ASST TREASUR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARAN SCROGGIE</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONY PALAZZO</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <OtherCompensationAmt>60885</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROMIE ASHER</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <ReportableCompFromOrgAmt>361358</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>85310</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT FENN</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>495383</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>89155</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN LEMOINE</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <OtherCompensationAmt>59221</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>11275753</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>90277</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1776098</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>193</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INNOVATIVE CONSULTING GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9210 PETERSBERG ROAD</AddressLine1Txt>
            <CityNm>EVANSVILLE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>47725</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>2744742</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE CENTURION FOUNDATION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3060 PEACHTREE RD NW</AddressLine1Txt>
            <AddressLine2Txt>SUITE 1030</AddressLine2Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30305</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>1439952</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>I-10 DAPHNE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>118 NORTH ROYAL ST</AddressLine1Txt>
            <AddressLine2Txt>SUITE 700</AddressLine2Txt>
            <CityNm>MOBILE</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36602</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEX IMAGING OF ALABAMA LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 17299</AddressLine1Txt>
            <CityNm>CLEARWATER</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33762</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OFFICE TECH</ServicesDesc>
        <CompensationAmt>828486</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EVERGREEN HEALTHCARE PARTNERS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6720 FRANK LLOYD WRIGHT AVE</AddressLine1Txt>
            <AddressLine2Txt>SUITE 200</AddressLine2Txt>
            <CityNm>MIDDLETON</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53562</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>807638</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>31</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>SHARED SUPPORT SERVICES</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>72187991</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>72187991</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BUILDING RENTAL</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>2003476</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2003476</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT SERVICES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>451465</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>451465</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE SERVICES</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>83394</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>83394</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>74726326</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3144608</TotalRevenueColumnAmt>
        <ExclusionAmt>3144608</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>6043370</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>2229142</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>3814228</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3814228</TotalRevenueColumnAmt>
        <ExclusionAmt>3814228</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>12423437</SecuritiesAmt>
        <OtherAmt>9500</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>8555074</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>3868363</SecuritiesAmt>
        <OtherAmt>9500</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>3877863</TotalRevenueColumnAmt>
        <ExclusionAmt>3877863</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>644342</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>644342</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>644342</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>86207367</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>75370668</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>10836699</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>9921446</TotalAmt>
        <ProgramServicesAmt>3016576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6904870</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>36819062</TotalAmt>
        <ProgramServicesAmt>26023713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10795349</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>2935172</TotalAmt>
        <ProgramServicesAmt>2074579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>860593</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6587388</TotalAmt>
        <ProgramServicesAmt>4655966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1931422</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
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        <TotalCompensationFilingOrgAmt>494375</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNY BREAL</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>219882</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>47787</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>20677</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29802</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22608</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>340756</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN BOUDREAU</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>370128</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>103114</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>46306</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>75717</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19851</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>615116</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BEN HANSERT</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>251837</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>55779</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>23246</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>32449</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19402</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>382713</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEORGIE CAIN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>198470</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>36162</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1256</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>44866</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25173</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>305927</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER FINNORN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>310097</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>67648</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1301</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>41027</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22157</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>442230</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MITCHELL</PersonNm>
        <TitleTxt>ASST TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>220863</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>55859</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>36162</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>63402</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17917</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>394203</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARAN SCROGGIE</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>349147</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>90277</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>80415</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>36977</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>45649</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24458</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>536646</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>90277</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONY PALAZZO</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>226596</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>38219</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>25408</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35677</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25208</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>351108</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROMIE ASHER</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>265774</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>68696</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>26888</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>65800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19510</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>446668</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT FENN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>362491</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>89803</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>43089</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>64547</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24608</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>584538</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN LEMOINE</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>239471</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>60862</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5485</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33763</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25458</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>365039</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>SOCIAL CLUB DUES ARE PAID FOR EXECUTIVES TO CARRY ON IH BUSINESS. THESE AMOUNTS ARE PART OF THE OVERALL COMPENSATION PACKAGE AND ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 4A AND 4B THE IH 457(F) PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PLAN THAT TAX- EXEMPT ORGANIZATIONS CAN ESTABLISH FOR THEIR EMPLOYEES. THIS PLAN IS FUNDED ENTIRELY BY THE EMPLOYER FOR THE BENEFIT OF ITS PARTICIPANTS. THE ELIGIBILITY FOR THIS PLAN IS LIMITED TO DESIGNATED HIGHLY COMPENSATED EMPLOYEES (VICE-PRESIDENTS AND ABOVE) OF THE ORGANIZATION AND MUST BE DESIGNATED AS ELIGIBLE BEFORE CONTRIBUTIONS CAN BE MADE. THE AMOUNT OF THE ANNUAL EMPLOYER CONTRIBUTIONS IS DETERMINED AS A PERCENTAGE OF BASE SALARY FOR EACH ELIGIBLE PARTICIPANT. THE PARTICIPANT DESIGNATES THE ALLOCATION OF THE CONTRIBUTION IN THE FUND SELECTION IN THE PLAN AS WELL AS FUTURE VESTING DATES. THE EARLIEST THAT A PARTICIPANT MAY VEST IN A PARTICULAR YEARS' CONTRIBUTION AS OUTLINED IN THE IH COMPENSATION POLICY BENEFIT IS THREE YEARS. ONCE VESTED, THE BENEFIT AND ASSOCIATED EARNINGS BECOME TAXABLE TO THE INDIVIDUAL AND IS PAID THROUGH NORMAL PAYROLL PROCESSING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JOE DENTON 0 77,473 0 SCOTT BROWINING 0 37,321 0 SHEILA YOUNG 0 38,390 0 DENNIS SUMMERFORD 0 27,712 0 KERN A. WILSON 0 40,270 0 ORMAND THOMPSON 0 33,257 0 JOE STOUGH 0 81,223 0 KERRY TOLLESON 0 32,525 0 ALAN HOLLEY 0 37,309 0 KENNY BREAL 0 21,800 0 SUSAN BOUDREAU 0 36,117 0 BEN HANSERT 0 25,447 0 GEORGIE CAIN 0 19,985 0 JAMES MITCHELL 0 31,500 0 DARAN SCROGGIE 0 35,749 0 TONY PALAZZO 0 23,419 0 ROMIE ASHER 0 26,200 0 SCOTT FENN 0 54,647 0 STEPHEN LEMOINE 0 24,746 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH FISCAL YEAR, IH AND ITS AFFILIATES ESTABLISH CORPORATE AND INDIVIDUAL GOALS BASED ON STRATEGIC INITIATIVES APPROVED BY THE BOARD OF DIRECTORS. THE GOALS ENSURE FOCUS ON AREAS SUCH AS: SAFETY, QUALITY, SERVICE, FINANCE, LEADERSHIP AND COMMUNITY. A BOARD APPROVED COMPENSATION PHILOSOPHY OUTLINES THE PAYMENT OF ANNUAL INCENTIVES IF THE ESTABLISHED GOALS/CRITERIA ARE MET. GOAL SETTING AND ACCOMPLISHMENTS ARE REVIEWED ANNUALLY BY AN INTERNAL EXECUTIVE COMMITTEE, THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. THE BOARD OR AUTHORIZED COMMITTEE THEREOF HAS THE DISCRETION TO DENY OR REDUCE PAYMENT UNDER THIS COMPENSATION PLAN DEPENDENT UPON THE PARTICULAR FACTS AND CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc7">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>IHS SPECIAL CARE FACILITIES</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>AUTHORITY OF MOBILE</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>631241115</BondIssuerEIN>
        <CUSIPNum>45663NBW1</CUSIPNum>
        <BondIssuedDt>2016-03-02</BondIssuedDt>
        <IssuePriceAmt>265266409</IssuePriceAmt>
        <PurposeDesc>REV BONDS SERIES 2016 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2016A BONDS ARE BEI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>IHS SPECIAL CARE FACILITIES</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>AUTHORITY OF MOBILE</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>631241115</BondIssuerEIN>
        <CUSIPNum>45663NCD2</CUSIPNum>
        <BondIssuedDt>2021-09-14</BondIssuedDt>
        <IssuePriceAmt>155603209</IssuePriceAmt>
        <PurposeDesc>REV BONDS SERIES 2021 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2021A BONDS ARE BEI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>146618158</RetiredAmt>
        <TotalProceedsAmt>265955153</TotalProceedsAmt>
        <RefundingEscrowAmt>37177649</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1374780</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>227402725</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>8282514</RetiredAmt>
        <TotalProceedsAmt>158488030</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1234425</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>9963291</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>113047857</OtherSpentProceedsAmt>
        <UnspentAmt>34242457</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>false</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00870</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00110</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00980</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>IHS SPECIAL CARE FACILITIES REV BONDS SERIES 2016 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2016A BONDS ARE BEING ISSUED IN THE BOOK ENTRY SYSTEM AND WILL BE ASSIGNED CUSIP NUMBER 45663NBW1 ON ITS LATEST MATURITY. THE SERIES 2016B BONDS AND THE SERIES 2016C BONDS ARE BEING ISSUED IN THE BANK LOAN MODE UNDER THE RELATED INDENTURES FOR SUCH BONDS. THE SERIES 2016B BONDS AND SERIES 2016C BONDS WILL BE EVIDENCED BY A SINGLE PHYSICAL CERTIFICATE THAT WILL NOT BE IN THE BOOK ENTRY SYSTEM. THOSE BONDS WILL NOT BE ASSIGNED CUSIP NUMBERS. DESCRIPTION OF PURPOSE SCHEDULE K, LINE 1B, COLUMN (F) SERIES 2016A: REFUND SERIES 2012-E BONDS, A PORTION OF SERIES 2012-F BONDS, AND A PORTION OF SERIES 2010-A BONDS AND CONSTRUCTION/RENOVATION OF HOSPITAL FACILITIES. SERIES 2016B: REFUND 2012-B BONDS, A PORTION OF SERIES 2012-D BONDS, AND A PORTION OF SERIES 2012-F BONDS. SERIES 2016C: REFUND 2012-C BONDS AND A PORTION OF SERIES 2012-D BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>IHS SPECIAL CARE FACILITIES REV BONDS SERIES 2021 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2021A BONDS ARE BEING ISSUED IN THE BOOK ENTRY SYSTEM AND WILL BE ASSIGNED CUSIP NUMBER 45663NCD2 ON ITS LATEST MATURITY. THE SERIES 2021B BONDS ARE BEING ISSUED IN THE BOOK ENTRY SYSTEM AS A SINGLE PHYSICAL CERTIFICATE AND WILL BE ASSIGNED THE FOLLOWING CUSIP NUMBER: 45663NCE0. THE SERIES 2021C BONDS ARE BEING ISSUED IN THE DIRECT LOAN MODE UNDER THE RELATED INDENTURE FOR SUCH BONDS. THE SERIES 2021C BONDS WILL BE EVIDENCED BY A SINGLE PHYSICAL CERTIFICATE THAT WILL NOT BE IN THE BOOK ENTRY SYSTEM AND WILL NOT BE ASSIGNED CUSIP NUMBERS. DESCRIPTION OF PURPOSE SCHEDULE K, LINE 1B, COLUMN (F) SERIES 2021A: REFUND SERIES 2016B BONDS AND CONSTRUCTION/RENOVATION OF HOSPITAL FACILITIES. SERIES 2021B: CONSTRUCTION/RENOVATION OF HOSPITAL FACILITIES SERIES 2016C: REFUND 2016C BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc8">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RYAN SUMMERFORD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>KEY EE SON</RelationshipDescriptionTxt>
        <TransactionAmt>85130</TransactionAmt>
        <TransactionDesc>WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV RYAN SUMMERFORD IS THE SON OF DENNIS SUMMERFORD, A KEY EMPLOYEE OF THE ORGANIZATION. DURING THE TAX YEAR, HE RECEIVED 85,130 IN WAGES FROM THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFIRMARY HEALTH SYSTEM MISSION IS LIFE WHICH MEANS EMPHASIS IS PLACED ON LEADERSHIP, INTEGRITY, FAMILY AND EXCELLENT SERVICE. OUR VISION IS THAT WE ARE THE FIRST CHOICE FOR HEALTHCARE IN OUR REGION. THROUGHOUT INFIRMARY HEATLH SYSTEM EMPHASIS IS PLACED ON ENHANCING HEALTH AND THE QUALITY OF LIFE FOR EACH MEMEBER OF OUR COMMUNITY AND WE ACCOMPLISH THIS BY PROVIDING SUPPORT TO ORGANZATIONS THAT PROMOTE HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>INFIRMARY HEALTH SYSTEM (IHS) PROVIDES CENTRALIZED MANAGEMENT AND ADMINISTRATIVE SERVICES TO FOUR NOT-FOR-PROFIT HOSPITALS, A SKILLED NURSING FACILITY, A CHARITABLE FOUNDATION, AND A NETWORK OF MORE THAN TWENTY MEDICAL CLINICS. IHS IS FOCUSED ON ACHIEVING ECONOMIES OF SCALE FOR ITS SUPPORTED FACILITIES BY PROVIDING CENTRALIZED, COORDINATED SERVICES, ALLOWING THE FACILITIES TO OFFER STATE-OF-THE-ART MEDICAL SERVICES AT THE LOWEST POSSIBLE COST. CENTRALIZED AND COORDINATED SERVICES INCLUDE ACCOUNTING, ACCOUNTS PAYABLE, HUMAN RESOURCES, INFORMATION TECHNOLOGY, PURCHASING, BUSINESS OFFICE, AND MAINTENANCE, AMONG MANY OTHER SUPPORT SERVICES. THE SERVICES ARE PROVIDED TO SYSTEM FACILITIES AT A LEVEL OF KNOWLEDGE AND EXPERIENCE THAT, IN MANY CASES, WOULD NOT OTHERWISE BE AVAILABLE OR AFFORDABLE. IHS HAS SPEARHEADED EFFORTS TO IMPROVE THE AVAILABILITY OF HEALTHCARE SERVICES IN RURAL AREAS OF SOUTHWEST ALABAMA. RECRUITMENT OF PHYSICIANS TO THE RURAL COMMUNITY OF BAY MINETTE, ALABAMA HAS REMAINED A FOCUS, RESULTING IN SEVERAL PHYSICIANS RELOCATING TO THE AREA. CAPITAL INVESTMENT IN THE FACILITIES IN BAY MINETTE CONTINUE TO PROVIDE BENEFIT TO THE COMMUNITY, WITH NEARLY 16,000 EMERGENCY SERVICES, 158 NEWBORN DELIVERIES, AND 40,600 INPATIENT AND OUTPATIENT VISITS. AS A RESULT OF AN ASSESSMENT OF COMMUNITY HEALTH NEEDS, IHS SUPPORTED THE INITIATION OF GERIATRIC PSYCHIATRIC SERVICES AT ITS FACILITY IN BAY MINETTE, THE ONLY ONE OF ITS KIND IN BALDWIN COUNTY. STUDIES TO DETERMINE ADDITIONAL HEALTHCARE NEEDS OF THE COMMUNITY ARE ONGOING. BECAUSE IHS AND ITS EMPLOYEES ARE ACTIVELY INVOLVED IN SUPPORTING NUMEROUS LOCAL COMMUNITY BENEFIT ORGANIZATIONS, HEALTH FAIRS, AND HEALTH ADVOCACY ORGANIZATIONS, IHS CREATED, IHELP - A PROGRAM TO CENTRALIZE, TRACK AND IDENTIFY COMMUNITY SERVICE INCLUDING VOLUNTEER, IN-KIND AND FINANCIAL RESOURCES TO MAKE AN IMPACT ON THE HEALTH AND WELL-BEING OF OUR REGION. IHS ESTABLISHED A COMMUNITY DEPARTMENT WITH A BUDGET AND PURCHASED SOFTWARE TO TRACK EMPLOYEE INVOLVEMENT AND COMMUNITY REQUESTS. CAMPAIGNS FOR UNITED WAY, THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, MARCH OF DIMES, AND MANY OTHER NATIONAL ORGANIZATIONS ARE ACTIVELY SUPPORTED BY THE ORGANIZATION AND ITS EMPLOYEES. THE IHS LEADERSHIP TEAM SERVES ON MORE THAN 100 BOARDS AND PLAYS AN ACTIVE ROLE WITH IHELP BY LEADING, SUPPORTING, ENCOURAGING AND PARTICIPATING IN ALL VOLUNTEER PROJECTS. IHELP SUPPORTS MORE THAN 55 ORGANIZATIONS AND NON- PROFIT ORGANIZATIONS THROUGH TEAMS, FUNDRAISING, HEALTH AND WELLNESS FAIRS, AND IN-KIND DONATIONS. BLOOD DRIVES ARE CONDUCTED QUARTERLY ON INFIRMARY HEALTH'S CAMPUSES, WHERE EMPLOYEES AND COMMUNITY MEMBERS ARE INVITED AND ENCOURAGED TO DONATE BLOOD TO LIFESOUTH. IN FY24, INFIRMARY HEALTH STAFF PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY AND BALDWIN COUNTY HEART WALKS. CARDIAC REHABILITATION PATIENTS ALSO PARTICIPATED BY REGISTERING FOR THE WALKS. ADDITIONALLY, THROUGH INFIRMARY HEALTH'S 10,000 SPONSORSHIP TO AHA, THOMAS HOSPITAL DONATED CPR TRAINING KITS TO DAPHNE HIGH SCHOOL, AND MOBILE INFIRMARY DONATED CPR TRAINING KITS TO WILLIAMSON HIGH SCHOOL. THE KITS PROVIDE HANDS-ON LEARNING EXPERIENCES AND EVERYTHING NEEDED TO TRAIN 10 STUDENTS AT ONCE IN CPR. INFIRMARY HEALTH SUPPORTS ITS LOCAL AMERICAN CANCER SOCIETY (ACS) CHAPTER WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, PINK PEARLS SUPPORT GROUP, AND NUMEROUS OTHER ACS EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2023, INFIRMARY HEALTH PARTICIPATED AS THE SURVIVOR SPONSOR IN ACS'S ANNUAL MAKING STRIDES AGAINST BREAST CANCER WALK. IN ADDITION TO PARTICIPATING IN THE WALK, INFIRMARY HEALTH EMPLOYEES PURCHASED T-SHIRTS. THE FUNDRAISING EFFORTS GENERATED 2,285 FOR ACS. INFIRMARY HEALTH EMPLOYEES NOT ONLY HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK AND THE CHILI COOK OFF, BUT EMPLOYEES ALSO SERVE ON THE PLANNING COMMITTEE FOR THE EVENT. INFIRMARY HEALTH SERVES AS A FLAGSHIP SPONSOR FOR THE CHILI COOK OFF EVENT THAT HAD MORE THAN 8,000 PARTICIPANTS AND IS THE SURVIVOR SPONSOR FOR THE BREAST CANCER WALK THAT HAS NEARLY 4,000 WALKERS. INFIRMARY HEALTH AND INFIRMARY CANCER CARE ROLLED OUT ITS MOBILE CANCER SCREENING UNIT IN FEBRUARY 2019. THE MOBILE SCREENING UNIT HELPS ADDRESS THE NEED FOR ACCESS TO CARE IN RURAL COMMUNITIES. IN FY24, THE UNIT TRAVELED TO MANY AREAS OF MOBILE COUNTY. IN TOTAL, THE UNIT TRAVELED TO MORE THAN 20 EVENTS AND PROVIDED FREE SCREENING AND EDUCATION TO NEARLY 2,000 INDIVIDUALS. IN MAY 2023, INFIRMARY CANCER CARE PROVIDED FREE SKIN CANCER SPOT CHECKS IN MOBILE, AS WELL AS LOCATIONS IN BALDWIN COUNTY. IN TOTAL, 80 INDIVIDUALS WERE SCREENED, AND 40 ABNORMAL FINDINGS WERE DISCOVERED. NURSE NAVIGATORS FOLLOWED UP WITH THOSE WHO HAD ABNORMAL FINDINGS TO REFER THEM TO A DERMATOLOGIST FOR FURTHER SCREENINGS. TO PROVIDE FREE EDUCATION TO ADOLESCENT GIRLS IN THE COMMUNITIES, INFIRMARY HEALTH HOSTED TWO "THE TALK: FOR GIRLS ONLY" EVENTS IN MOBILE AND BALDWIN COUNTIES. THE EVENTS WERE HELD IN SEPTEMBER 2023 AND TARGETED TOWARDS GIRLS AGES 8 - 13. INFIRMARY HEALTH AFFILIATE PHYSICIANS SPOKE AT THE EVENT AND PROVIDED FREE EDUCATION REGARDING PUBERTY, MENSTRUAL CYCLES, SEX EDUCATION AND OTHER TOPICS. IN MOBILE, MORE THAN 110 GIRLS AND THEIR SUPPORT PERSONS ATTENDED THE EVENT. WOMEN'S AND MATERNAL HEALTH CONTINUES TO BE A PRIORITY FOR INFIRMARY HEALTH. DURING FY24, INFIRMARY HEALTH PROVIDED FREE EDUCATIONAL INFORMATION RELATED TO WOMEN'S HEALTH AT 27 COMMUNITY EVENTS ACROSS MOBILE AND BALDWIN COUNTIES. MORE THAN 2,000 WOMEN WERE REACHED THROUGH THESE EFFORTS. ADDITIONALLY, TO PROVIDE FURTHER EDUCATION TO THE COMMUNITY, INFIRMARY HEALTH OFFERED FREE POST-PARTUM AND WOMEN'S HEALTH EDUCATION THROUGH MONTHLY BLOG POSTS. THE POST-PARTUM BLOG, BUMP &amp; BEYOND, HAD 13,000 WEBSITE VISITS DURING FY24. THE WOMEN'S HEALTH BLOG, HEALTHY HER, HAD 500 WEBSITE VISITS DURING THE FISCAL YEAR. INFIRMARY HEALTH HOSTS ITS ANNUAL "TURKEY TOSS" FOR EMPLOYEES IN NOVEMBER, GIVING EACH EMPLOYEE A TURKEY FOR THE HOLIDAYS. REMAINING TURKEYS WERE DONATED TO FEED THE HOMELESS AND LOW INCOME FAMILIES IN MOBILE AND BALDWIN COUNTIES THROUGH VARIOUS ORGANIZATIONS SUCH AS: FEEDING THE GULF COAST (FORMERLY BAY AREA FOOD BANK), HOME OF GRACE, WILMER HALL, L'ARCHE MOBILE, PENELOPE HOUSE, WINGS OF LIFE, PRODISEE PANTRY, FAIRHOPE UNITED METHODIST CHURCH, AND FIRST BAPTIST CHURCH OF FAIRHOPE. THOSE WHO DONATED THEIR TURKEY PROVIDED A MEAL FOR A FAMILY THAT MIGHT NOT, HAVE OTHERWISE, HAD ANYTHING TO EAT THIS HOLIDAY SEASON. IN SUPPORT OF ITS DESIRE TO LEAD BY EXAMPLE, IHS HAS INITIATED A WELLNESS PROGRAM FOR ITS EMPLOYEES, PROVIDING ENCOURAGEMENT AND INCENTIVES FOR EMPLOYEES TO LIVE A HEALTHY LIFESTYLE. THE PROGRAM INCLUDES HEALTH ASSESSMENTS THAT PROVIDE EACH PARTICIPATING EMPLOYEE WITH KEY HEALTH METRICS. PLANS FOR IMPROVING HEALTH ARE FORMULATED FOR EACH EMPLOYEE BASED UPON THEIR INDIVIDUAL ASSESSMENT RESULTS. IHS ACTIVELY SUPPORTS THE EFFORTS OF THE INFIRMARY FOUNDATION, A NON- PRIVATE FOUNDATION FORMED TO PROVIDE FINANCIAL SUPPORT FOR THE MOBILE INFIRMARY ASSOCIATION, A NOT-FOR-PROFIT HOSPITAL IN MOBILE, ALABAMA. THE INFIRMARY FOUNDATION PROVIDES FINANCIAL SUPPORT FOR INVESTMENT IN STATE- OF-THE-ART TECHNOLOGY, ALLOWING THE MOBILE INFIRMARY ASSOCIATION TO PROVIDE THE LATEST IN ADVANCED TREATMENT OPTIONS FOR ITS PATIENTS. THE INFIRMARY FOUNDATION, RECOGNIZING THE SHORTAGE OF QUALIFIED HEALTHCARE PROVIDERS IN THE COMMUNITY, ALSO INVESTS IN THE EDUCATION OF FUTURE HEALTHCARE PROVIDERS BY OFFERING SCHOLARSHIP OPPORTUNITIES FOR COLLEGE STUDENTS IN THE FIELD OF HEALTHCARE, AND BY PROVIDING FUNDING SUPPORT FOR SYSTEM EMPLOYEES WHO FURTHER THEIR EDUCATION IN THE FIELD OF NURSING. THE IHS BOARD, MANAGEMENT AND STAFF ARE COMMITTED TO ENHANCING THE HEALTHCARE STATUS AND RELATED QUALITY OF LIFE OF THE RESIDENTS IN THE AREAS WE SERVE ALONG THE CENTRAL GULF COAST REGION. BY BRINGING EFFICIENCY THROUGH THE COORDINATION OF SERVICES, ELIMINATING REDUNDANCY AND REDUCING COST, FOCUSING ON SPECIFIC COMMUNITY NEEDS, ENCOURAGING HEALTHY LIFESTYLES, SUPPORTING EMPLOYEE INVOLVEMENT IN HEALTHY INITIATIVES, AND ENHANCING EDUCATIONAL OPPORTUNITIES FOR TOMORROW'S CAREGIVERS, THESE GOALS ARE BEING REALIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BERMUDA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>WARREN AVERETT, LLC PREPARED FORM 990 FROM INFORMATION PROVIDED BY IHS. THE FORM 990 IS THEN REVIEWED BY THE IHS ACCOUNTING DEPARTMENT BEFORE A FINAL DRAFT COPY IS PROVIDED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND IN- HOUSE COUNSEL FOR REVIEW. THE FORM 990 WILL NOT BE PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING WITH INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS ARE REQUIRED ANNUALLY TO REVIEW THE CONFLICT OF INTEREST POLICY WHICH DEFINES CONFLICTS OF INTEREST AND ADVISES THAT ALL SUCH CONFLICTS SHOULD BE AVOIDED IF POSSIBLE. ALL OFFICERS ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AS THEY BECOME AWARE. DIRECTORS ARE ASKED ANNUALLY TO SIGN A CONFLICT OF INTEREST STATEMENT WHICH INCLUDES THE CONFLICT OF INTEREST POLICY. THE DIRECTOR IS ASKED TO DISCLOSE THE EARLIEST POSSIBLE MEETING OF THE BOARD OF DIRECTORS AFTER THE DIRECTOR BECOMES AWARE OF THE EXISTING OR POTENTIAL CONFLICTING INTEREST. THE CHAIRMAN OF THE BOARD MAKES THE DECISION AS TO WHETHER THERE IS A CONFLICT OF INTEREST AND WILL ALSO RESOLVE ANY CONFLICTS WITHIN THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFIRMARY HEALTH (IH) EMPLOYEES DESIGNATED AS OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PARTICIPANTS IN THE ORGANIZATION'S CORPORATE MEASURES PROGRAM. EACH EMPLOYEE HAS INDIVIDUAL PERFORMANCE GOALS ALONG WITH CORPORATE SCORECARD GOALS FOR ANY GIVEN YEAR. THE EMPLOYEES ARE ALSO CONSIDERED FOR ANNUAL SALARY INCREASES. THE ANNUAL REVIEW COVERS THE EMPLOYEE'S PERFORMANCE FOR THE FISCAL YEAR OF APRIL 1 THROUGH MARCH 31 OF THE PREVIOUS FISCAL YEAR. THE AMOUNT OF INDIVIDUAL SALARY INCREASES IS DETERMINED BASED ON THE COMPA-RATIO (HOURLY RATED RELATIVE TO SALARY RANGE MIDPOINT), AND THE ORGANIZATION'S ANNUAL INCREASE BUDGET. POSITIONS ARE ASSIGNED A SALARY RANGE BASED ON ACCOUNTABILITY, KNOW-HOW AND PROBLEM- SOLVING REQUIREMENTS. SALARY RANGE MIDPOINTS (MIDPOINT REPRESENTS 100% OF THE MARKET) INCREASE EACH YEAR BASED ON EXTERNAL MARKET DATA. IH PARTICIPATES IN NUMEROUS SALARY SURVEYS. DEPENDING ON THE POSITION, THE SURVEY DATA MAY BE INDUSTRY SPECIFIC, (E.G. HEALTHCARE) OR FROM OTHER INDUSTRIES. CURRENTLY, EXECUTIVE POSITION MARKET DATA COMES FROM INTEGRATED HEALTHCARE STRATEGIES, SULLIVAN COTTER AND WILLIS TOWERS WATSON. THE ANNUAL MERIT GUIDELINES ARE DETERMINED BY THE ORGANIZATION'S ABILITY TO PAY (BUDGET). FOR EXECUTIVES, THE CEO AND SVP, HUMAN RESOURCES REVIEW THE SUGGESTED MERIT INCREASE AND MAKE RECOMMENDATIONS TO THE INFIRMARY HEALTH SYSTEM COMPENSATION COMMITTEE. THE FINAL RECOMMENDATIONS PRESENTED BY THE COMPENSATION COMMITTEE ARE APPROVED BY THE IHS BOARD OF DIRECTORS. IH PERFORMS AN EXTERNAL REVIEW OF COMPENSATION PRACTICES EVERY TWO YEARS AND WAS MOST RECENTLY REVIEWED BY SULLIVAN COTTER IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE RESPONSE TO 15A ABOVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE CHARTER OF INFIRMARY HEALTH SYSTEM IS A MATTER OF PUBLIC RECORD IN THE PROBATE COURT OF MOBILE COUNTY, AL. THE CORPORATE BYLAWS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC AT THIS TIME.</ExplanationTxt>
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