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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 OVER 15,000 EMERGENCY SERVICES, OVER 2,000 SURGICAL CASES, 230 NEWBORN DELIVERIES, AND 27,899 ADJUSTED PATIENT DAYS BEING PROVIDED. 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. IN RESPONSE TO A COMMUNITY NEED, IHS BUILT AND NOW OPERATES THE E.A. ROBERTS ALZHEIMER CENTER, A DAY CARE CENTER FOR THE PROVISION OF CARE TO PATIENTS SUFFERING FROM ALZHEIMER'S DISEASE OR SENILE DEMENTIA. THIS LOW- COST FACILITY, THE FIRST OF ITS KIND IN THE REGION, PROVIDES MUCH NEEDED ASSISTANCE AND RELIEF TO FAMILY MEMBERS FOR THESE PATIENTS. 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, GOODWILL, AMERICAN DIABETES ASSOCIATION AND MANY OTHER NATIONAL ORGANIZATIONS ARE ACTIVELY SUPPORTED BY THE ORGANIZATION AND ITS EMPLOYEES. THE IHS LEADERSHIP TEAM SERVES ON MORE THAN 32 BOARDS AND PLAYS AN ACTIVE ROLE WITH IHELP BY LEADING, SUPPORTING, ENCOURAGING AND PARTICIPATING IN ALL VOLUNTEER PROJECTS. IHELP SUPPORTS MORE THAN 130 ORGANIZATIONS AND NON-PROFIT ORGANIZATIONS THROUGH TEAMS, FUNDRAISING, HEALTH AND WELLNESS FAIRS AND IN-KIND DONATIONS. BLOOD DRIVES ARE CONDUCTED QUARTERLY ON IHS' CAMPUS, WHERE EMPLOYEE VOLUNTEERS AND DONATIONS ARE STRONGLY ENCOURAGED. THROUGH INFIRMARY HEALTH'S "GO RED GULF COAST," CAMPAIGN, IHS PARTNERED WITH FOX10 IN FEBRUARY WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE BY PROVIDING FREE SCREENINGS TO 250 COMMUNITY MEMBERS - 48 PERCENT OF WHICH HAD ABNORMAL CHOLESTEROL RESULTS AND HIGH BLOOD PRESSURE. FIFTY VOLUNTEERS HELPED PROVIDE CHOLESTEROL, WEIGHT AND BLOOD PRESSURE CHECKS. EMPLOYEES WORE RED ON FRIDAYS IN FEBRUARY IN HONOR OF NATIONAL HEART AWARENESS MONTH. BANNERS WERE PLACED AT HOSPITAL ENTRANCES AND SPECIAL E- SIGNATURES WERE CREATED FOR EMPLOYEE EMAILS TO BUILD COMMUNITY AWARENESS. T-SHIRTS WERE ALSO AVAILABLE TO PURCHASE THROUGH INFIRMARY HEALTH FITNESS CENTERS. IHS PARTNERED WITH THE AMERICAN HEART ASSOCIATION FOR THEIR ANNUAL HEART WALK RAISING MORE THAN 20,000 FOR THE AHA. INFIRMARY HEALTH EMPLOYEES NOT ONLY HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK, THEY SERVE ON THE PLANNING COMMITTEE. INFIRMARY HEALTH WAS ONCE AGAIN A FLAGSHIP SPONSOR FOR THE EVENT THAT HAD MORE THAN 25,000 PARTICIPANTS. MORE THAN 70 EMPLOYEES JOINED TO HONOR SURVIVORS AND RAISE AWARENESS. MORE THAN 20,000 WAS RAISED THROUGH SPONSORSHIP, PAYROLL DEDUCTION, ONLINE GIVING, AND TEAM FUNDRAISING EFFORTS. OUR EMPLOYEES CONTINUE TO LEAD A CANCER COMMITTEE THAT MEETS QUARTERLY AND PLANS SUPPORT GROUP MEETINGS, CHILI COOK-OFF AND RELAY FOR LIFE TEAM PARTICIPATION. TWO OF OUR EMPLOYEES BILL AND CASSIE CARROLL BEGAN THE GET YOUR REAR IN GEAR COLON CANCER WALK IN MOBILE IN HONOR OF A FELLOW CO- WORKER WHO PASSED AWAY FROM COLON CANCER. EMPLOYEES WORE PINK ON "THINK PINK THURSDAYS" IN OCTOBER TO RAISE AWARENESS OF BREAST CANCER. WE PAINTED THE CAMPUS PINK WITH BANNERS AND SIGNS CREATING AWARENESS OF BREAST CANCER AND THE IMPORTANCE OF EARLY DETECTION. INFIRMARY HEALTH ALSO PARTNERED WITH FOX10 NEWS STATION TO OFFER FREE SKIN CANCER SCREENINGS TO THE COMMUNITY IN MAY. A TOTAL OF 273 PEOPLE WERE SCREENED. A FREE PROSTATE CANCER SCREENING WAS ALSO HELD IN SEPTEMBER. TO DETERMINE BOTH THE NEEDS OF OUR COMMUNITIES AND HOW OUR EMPLOYEES WANT TO GIVE BACK, THE IHELP COMMITTEE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND AN EMPLOYEE SURVEY. BY SURVEYING AND INTERVIEWING COMMUNITY LEADERS THROUGH THE CHNA, TWO KEY AREAS OF NEED WERE IDENTIFIED: HEALTHY WEIGHT AND ACCESS TO CARE. MORE THAN 1,900 EMPLOYEES PARTICIPATED IN THE EMPLOYEE SURVEY. THIS DATA IS USED TO GUIDE IHELP. IN ALIGNMENT WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT INFIRMARY HEALTH INCREASED PROMOTION AND AWARENESS OF SCALE BACK ALABAMA, A FREE STATEWIDE WEIGHT-LOSS PROGRAM FOR ADULTS AGES 18 AND OLDER. 607 COMMUNITY MEMBERS WEIGHED IN JANUARY AT ONE OF INFIRMARY HEALTH'S FOUR HOST SITES. REDUCED OVERALL BMI FROM 32.9 TO 31.8 FROM THOSE THAT WEIGHED OUT. EACH TEAM TO WEIGH-IN AND WEIGH-OUT AT PROHEALTH FITNESS CENTER, THOMAS FITNESS CENTER, NORTH BALDWIN FITNESS CENTER OR ATMORE COMMUNITY HOSPITAL (AUDITORIUM) HAD A CHANCE TO WIN ONE OF THE FOLLOWING: TWO ONE YEAR INDIVIDUAL INFIRMARY FITNESS CENTER MEMBERSHIPS, TWO FITBIT ACTIVITY TRACKERS, TWO 100 VISA GIFT CARDS. INFIRMARY HEALTH OFFERS VARIOUS INCENTIVES TO ENCOURAGE EMPLOYEE VOLUNTEERISM. IHELP AWARDS ARE GIVEN TO THOSE EMPLOYEES THAT GO ABOVE AND BEYOND. AWARDS INCLUDE: 8 HOURS OF ETO, CHOICE OF A MASSAGE GIFT CERTIFICATE OR 2 PERSONAL TRAINING SESSIONS, 50 IHEALTHY WELLNESS POINTS, RECOGNITION IN EMPLOYEE NEWSLETTER, HOSPITAL TV MONITORS, DISPLAY BOARDS AND AT LEADERSHIP SUMMIT, AN EVENT HELD AT THE BATTLE HOUSE HOTEL FOR IH TEAM LEADERS AND ABOVE, AWARD RECIPIENTS ARE INVITED TO ATTEND THE EVENT AND ARE CALLED UP ON STAGE, IN FRONT OF 450 LEADERS, AS THEY ARE HIGHLIGHTED FOR THEIR VOLUNTEER SERVICES. VOLUNTEER TEAMS AND ON-CAMPUS FUNDRAISING ARE PROMOTED AND ENCOURAGED. IHEALTHY POINTS ARE AWARDED FOR EMPLOYEE PARTICIPATION IN COMMUNITY EVENTS. IHELP MATCHES EMPLOYEE DONATIONS THROUGH SPONSORSHIPS. INFIRMARY HEALTH HOSTS ITS ANNUAL "TURKEY TOSS" FOR EMPLOYEES IN DECEMBER, 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 HOPE (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 BRI</Desc>
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        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN C HOPE III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA CLARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HOLBERG</PersonNm>
        <TitleTxt>DIRECTOR/SEC</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MCGOWIN PATRICK JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>T BESTOR WARD III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN WHITE-SPUNNER</PersonNm>
        <TitleTxt>DIRECTOR/CHA</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOEL T DAVES IV</PersonNm>
        <TitleTxt>DIRECTOR/TRE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL G BLACKBURN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN M TURNER JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL E PIERCE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER WATKINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT S FROST</PersonNm>
        <TitleTxt>DIRECTOR/VIC</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK J LOTT III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE DENTON</PersonNm>
        <TitleTxt>ASSISTANT TR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BROWINING</PersonNm>
        <TitleTxt>ASSISTANT SE</TitleTxt>
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        <OtherCompensationAmt>50933</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MITCHELL</PersonNm>
        <TitleTxt>ASSISTANT TR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE STOUGH</PersonNm>
        <TitleTxt>EVP/COO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD B SANDERS</PersonNm>
        <TitleTxt>EXECUTIVE VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER ESLINGER</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILLY E STEPHENS</PersonNm>
        <TitleTxt>EXECUTIVE VP</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA YOUNG</PersonNm>
        <TitleTxt>VP HR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ORMAND THOMPSON</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY TOLLESON</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>338499</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERN A WILSON</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN HOLLEY</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS SUMMERFORD</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEEANN CAIN</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHERRI WALL</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARAN SCROGGIE</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>114791</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM ADMIRE JR</PersonNm>
        <TitleTxt>DIRECTOR WEL</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROMIE ASHER</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BEN HANSERT</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONY PALAZZO</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      <TotalReportableCompFromOrgAmt>8736111</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>412406</TotReportableCompRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOAR CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 METROPLEX DRIVE</AddressLine1Txt>
            <AddressLine2Txt>SUITE 400</AddressLine2Txt>
            <CityNm>BIRMINGHAM</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35209</ZIPCd>
          </USAddress>
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        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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      <ContractorCompensationGrp>
        <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>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KPMG LLP</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1501 N PLANO ROAD</AddressLine1Txt>
            <CityNm>RICHARDSON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75081</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIT</ServicesDesc>
        <CompensationAmt>329380</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HARMONY HEALTHCARE SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2909 W BAY TO BAY BLVD</AddressLine1Txt>
            <AddressLine2Txt>SUITE 500</AddressLine2Txt>
            <CityNm>TAMPA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33629</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFO MGMT</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHANGE HEALTHCARE SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 572490</AddressLine1Txt>
            <CityNm>MURRAY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>841572490</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE TECH</ServicesDesc>
        <CompensationAmt>297782</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>SHARED SUPPORT SERVICES</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>59125115</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT SERVICES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>4704858</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BUILDING RENTAL</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>1225421</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1225421</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>204722</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>204722</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>65260116</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>886813</TotalRevenueColumnAmt>
        <ExclusionAmt>886813</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>4769949</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>1646322</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>3123627</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3123627</TotalRevenueColumnAmt>
        <ExclusionAmt>3123627</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>9805265</SecuritiesAmt>
        <OtherAmt>18670025</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>7566560</SecuritiesAmt>
        <OtherAmt>17295985</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
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        <TitleTxt>VP HR</TitleTxt>
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        <BonusFilingOrganizationAmount>70908</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>36158</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>54978</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16278</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>441936</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ORMAND THOMPSON</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>257091</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>68058</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>36103</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>48344</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18609</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>428205</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERRY TOLLESON</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>258243</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>68717</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>11539</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>34129</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18659</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>391287</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERN A WILSON</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>214834</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>46873</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>51512</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>40375</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17139</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>370733</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN HOLLEY</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>205403</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>48397</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>40573</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>40650</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17179</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>352202</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENNIS SUMMERFORD</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>197439</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>47105</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>33297</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>36905</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18279</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>333025</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEEANN CAIN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>220047</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>54163</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1619</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23061</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11737</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>310627</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHERRI WALL</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>186207</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>44905</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1415</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31209</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5488</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>269224</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARAN SCROGGIE</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>285764</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>114791</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>64125</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>11106</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>27634</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16109</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>404738</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>114791</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM ADMIRE JR</PersonNm>
        <TitleTxt>DIRECTOR WELLNESS</TitleTxt>
        <BaseCompensationFilingOrgAmt>308111</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>73841</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2362</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>36448</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16109</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>436871</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROMIE ASHER</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>179249</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>42925</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1449</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>43515</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5488</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>272626</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BEN HANSERT</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>161069</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>42359</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1122</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17838</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>222388</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONY PALAZZO</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>167755</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>32692</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1328</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23582</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18659</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>244016</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>SOCIAL CLUB DUES ARE PAID FOR EXECUTIVES TO CARRY ON INFIRMARY HEALTH SYSTEM, INC. (IHS) 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 INFIRMARY HEALTH 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 BENEFIT IS THREE YEARS (AS OF 2017). 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>D. MARK NIX 0 284,626 0 JOE DENTON 0 62,409 0 SCOTT BROWINING 0 29,727 0 JAMES MITCHELL 0 17,588 0 JOE STOUGH 0 66,537 0 RICHARD B. SANDERS 0 53,536 0 JENNIFER ESLINGER 0 38,262 0 BILLY E. STEPHENS 0 29,956 0 SHEILA YOUNG 0 26,262 0 ORMAND THOMPSON 0 25,780 0 KERRY TOLLESON 0 26,029 0 KERN A. WILSON 0 21,114 0 ALAN HOLLEY 0 20,166 0 DENNIS SUMMERFORD 0 19,627 0 LEEANN CAIN 0 22,289 0 SHERRI WALL 0 18,533 0 DARAN SCROGGIE 0 25,900 0 WILLIAM ADMIRE, JR 0 30,690 0 ROMIE ASHER 0 16,833 0 BEN HANSERT 0 15,924 0 TONY PALAZZO 0 17,343 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH FISCAL YEAR, INFIRMARY HEALTH SYSTEM, INC. 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, COMMUNITY, AND LEADERSHIP. 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="RetDoc6">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>INFIRMARY HEALTH SYSTEM SPECIAL CAR</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>FACILITIES</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>631241115</BondIssuerEIN>
        <CUSIPNum>45663NAZ5</CUSIPNum>
        <BondIssuedDt>2010-02-04</BondIssuedDt>
        <IssuePriceAmt>67801753</IssuePriceAmt>
        <PurposeDesc>REVENUE BOND SERIES</PurposeDesc>
        <DefeasedInd>true</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>45663NBW1</CUSIPNum>
        <BondIssuedDt>2016-03-02</BondIssuedDt>
        <IssuePriceAmt>265266409</IssuePriceAmt>
        <PurposeDesc>REV BONDS SERIES 2016 A, B, C</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>24345000</RetiredAmt>
        <BondDefeasedAmt>36785000</BondDefeasedAmt>
        <TotalProceedsAmt>67801753</TotalProceedsAmt>
        <InReserveFundAmt>928181</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>1108803</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>65764769</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>4956273</RetiredAmt>
        <TotalProceedsAmt>265735377</TotalProceedsAmt>
        <RefundingEscrowAmt>37177649</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1374780</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>219221184</OtherSpentProceedsAmt>
        <UnspentAmt>7961764</UnspentAmt>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</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>true</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>true</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>SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>IHS SPECIAL CARE FACILITIES 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>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc7">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KATHLEEN DENTON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER SPOUSE</RelationshipDescriptionTxt>
        <TransactionAmt>13449</TransactionAmt>
        <TransactionDesc>WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOEL DAVES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR SON</RelationshipDescriptionTxt>
        <TransactionAmt>69438</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 KATHLEEN DENTON IS THE WIFE OF JOE DENTON, ASSISTANT TREASURER OF THE ORGANIZATION. DURING THE TAX YEAR SHE RECEIVED 34,097 IN WAGES FROM THE ORGANIZATION. JOEL DAVES IS THE SONE OF JOEL T. DAVES, IV, DIRECTOR OF THE ORGANIZATION. DURING THE TAX YEAR, HE RECEIVED 37,881 IN WAGES FROM THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc8">
      <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>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 OVER 15,000 EMERGENCY SERVICES, OVER 2,000 SURGICAL CASES, 230 NEWBORN DELIVERIES, AND 27,899 ADJUSTED PATIENT DAYS BEING PROVIDED. 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. IN RESPONSE TO A COMMUNITY NEED, IHS BUILT AND NOW OPERATES THE E.A. ROBERTS ALZHEIMER CENTER, A DAY CARE CENTER FOR THE PROVISION OF CARE TO PATIENTS SUFFERING FROM ALZHEIMER'S DISEASE OR SENILE DEMENTIA. THIS LOW- COST FACILITY, THE FIRST OF ITS KIND IN THE REGION, PROVIDES MUCH NEEDED ASSISTANCE AND RELIEF TO FAMILY MEMBERS FOR THESE PATIENTS. 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, GOODWILL, AMERICAN DIABETES ASSOCIATION AND MANY OTHER NATIONAL ORGANIZATIONS ARE ACTIVELY SUPPORTED BY THE ORGANIZATION AND ITS EMPLOYEES. THE IHS LEADERSHIP TEAM SERVES ON MORE THAN 32 BOARDS AND PLAYS AN ACTIVE ROLE WITH IHELP BY LEADING, SUPPORTING, ENCOURAGING AND PARTICIPATING IN ALL VOLUNTEER PROJECTS. IHELP SUPPORTS MORE THAN 130 ORGANIZATIONS AND NON-PROFIT ORGANIZATIONS THROUGH TEAMS, FUNDRAISING, HEALTH AND WELLNESS FAIRS AND IN-KIND DONATIONS. BLOOD DRIVES ARE CONDUCTED QUARTERLY ON IHS' CAMPUS, WHERE EMPLOYEE VOLUNTEERS AND DONATIONS ARE STRONGLY ENCOURAGED. THROUGH INFIRMARY HEALTH'S "GO RED GULF COAST," CAMPAIGN, IHS PARTNERED WITH FOX10 IN FEBRUARY WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE BY PROVIDING FREE SCREENINGS TO 250 COMMUNITY MEMBERS - 48 PERCENT OF WHICH HAD ABNORMAL CHOLESTEROL RESULTS AND HIGH BLOOD PRESSURE. FIFTY VOLUNTEERS HELPED PROVIDE CHOLESTEROL, WEIGHT AND BLOOD PRESSURE CHECKS. EMPLOYEES WORE RED ON FRIDAYS IN FEBRUARY IN HONOR OF NATIONAL HEART AWARENESS MONTH. BANNERS WERE PLACED AT HOSPITAL ENTRANCES AND SPECIAL E- SIGNATURES WERE CREATED FOR EMPLOYEE EMAILS TO BUILD COMMUNITY AWARENESS. T-SHIRTS WERE ALSO AVAILABLE TO PURCHASE THROUGH INFIRMARY HEALTH FITNESS CENTERS. IHS PARTNERED WITH THE AMERICAN HEART ASSOCIATION FOR THEIR ANNUAL HEART WALK RAISING MORE THAN 20,000 FOR THE AHA. INFIRMARY HEALTH EMPLOYEES NOT ONLY HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK, THEY SERVE ON THE PLANNING COMMITTEE. INFIRMARY HEALTH WAS ONCE AGAIN A FLAGSHIP SPONSOR FOR THE EVENT THAT HAD MORE THAN 25,000 PARTICIPANTS. MORE THAN 70 EMPLOYEES JOINED TO HONOR SURVIVORS AND RAISE AWARENESS. MORE THAN 20,000 WAS RAISED THROUGH SPONSORSHIP, PAYROLL DEDUCTION, ONLINE GIVING, AND TEAM FUNDRAISING EFFORTS. OUR EMPLOYEES CONTINUE TO LEAD A CANCER COMMITTEE THAT MEETS QUARTERLY AND PLANS SUPPORT GROUP MEETINGS, CHILI COOK-OFF AND RELAY FOR LIFE TEAM PARTICIPATION. TWO OF OUR EMPLOYEES BILL AND CASSIE CARROLL BEGAN THE GET YOUR REAR IN GEAR COLON CANCER WALK IN MOBILE IN HONOR OF A FELLOW CO- WORKER WHO PASSED AWAY FROM COLON CANCER. EMPLOYEES WORE PINK ON "THINK PINK THURSDAYS" IN OCTOBER TO RAISE AWARENESS OF BREAST CANCER. WE PAINTED THE CAMPUS PINK WITH BANNERS AND SIGNS CREATING AWARENESS OF BREAST CANCER AND THE IMPORTANCE OF EARLY DETECTION. INFIRMARY HEALTH ALSO PARTNERED WITH FOX10 NEWS STATION TO OFFER FREE SKIN CANCER SCREENINGS TO THE COMMUNITY IN MAY. A TOTAL OF 273 PEOPLE WERE SCREENED. A FREE PROSTATE CANCER SCREENING WAS ALSO HELD IN SEPTEMBER. TO DETERMINE BOTH THE NEEDS OF OUR COMMUNITIES AND HOW OUR EMPLOYEES WANT TO GIVE BACK, THE IHELP COMMITTEE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND AN EMPLOYEE SURVEY. BY SURVEYING AND INTERVIEWING COMMUNITY LEADERS THROUGH THE CHNA, TWO KEY AREAS OF NEED WERE IDENTIFIED: HEALTHY WEIGHT AND ACCESS TO CARE. MORE THAN 1,900 EMPLOYEES PARTICIPATED IN THE EMPLOYEE SURVEY. THIS DATA IS USED TO GUIDE IHELP. IN ALIGNMENT WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT INFIRMARY HEALTH INCREASED PROMOTION AND AWARENESS OF SCALE BACK ALABAMA, A FREE STATEWIDE WEIGHT-LOSS PROGRAM FOR ADULTS AGES 18 AND OLDER. 607 COMMUNITY MEMBERS WEIGHED IN JANUARY AT ONE OF INFIRMARY HEALTH'S FOUR HOST SITES. REDUCED OVERALL BMI FROM 32.9 TO 31.8 FROM THOSE THAT WEIGHED OUT. EACH TEAM TO WEIGH-IN AND WEIGH-OUT AT PROHEALTH FITNESS CENTER, THOMAS FITNESS CENTER, NORTH BALDWIN FITNESS CENTER OR ATMORE COMMUNITY HOSPITAL (AUDITORIUM) HAD A CHANCE TO WIN ONE OF THE FOLLOWING: TWO ONE YEAR INDIVIDUAL INFIRMARY FITNESS CENTER MEMBERSHIPS, TWO FITBIT ACTIVITY TRACKERS, TWO 100 VISA GIFT CARDS. INFIRMARY HEALTH OFFERS VARIOUS INCENTIVES TO ENCOURAGE EMPLOYEE VOLUNTEERISM. IHELP AWARDS ARE GIVEN TO THOSE EMPLOYEES THAT GO ABOVE AND BEYOND. AWARDS INCLUDE: 8 HOURS OF ETO, CHOICE OF A MASSAGE GIFT CERTIFICATE OR 2 PERSONAL TRAINING SESSIONS, 50 IHEALTHY WELLNESS POINTS, RECOGNITION IN EMPLOYEE NEWSLETTER, HOSPITAL TV MONITORS, DISPLAY BOARDS AND AT LEADERSHIP SUMMIT, AN EVENT HELD AT THE BATTLE HOUSE HOTEL FOR IH TEAM LEADERS AND ABOVE, AWARD RECIPIENTS ARE INVITED TO ATTEND THE EVENT AND ARE CALLED UP ON STAGE, IN FRONT OF 450 LEADERS, AS THEY ARE HIGHLIGHTED FOR THEIR VOLUNTEER SERVICES. VOLUNTEER TEAMS AND ON-CAMPUS FUNDRAISING ARE PROMOTED AND ENCOURAGED. IHEALTHY POINTS ARE AWARDED FOR EMPLOYEE PARTICIPATION IN COMMUNITY EVENTS. IHELP MATCHES EMPLOYEE DONATIONS THROUGH SPONSORSHIPS. INFIRMARY HEALTH HOSTS ITS ANNUAL "TURKEY TOSS" FOR EMPLOYEES IN DECEMBER, 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 HOPE (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>
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      <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 IHS EMPLOYEES DESIGNATED AS OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PARTICIPANTS IN THE ORGANIZATION'S PERFORMANCE MANAGEMENT PROGRAM. EACH EMPLOYEE HAS AN INDIVIDUAL PERFORMANCE PLAN AND IS REVIEWED ANNUALLY FOR MERIT INCREASES. THE ANNUAL REVIEW COVERS THE EMPLOYEE'S PERFORMANCE FOR THE FISCAL YEAR OF APRIL 1 THROUGH MARCH 31 OF THE FOLLOWING YEAR. THE AMOUNT OF INDIVIDUAL MERIT/SALARY INCREASES ARE DETERMINED BASED ON THEIR COMPA-RATIO (HOURLY RATED RELATIVE TO THE SALARY RANGE MIDPOINT), AND THE ORGANIZATION'S ANNUAL MERIT GUIDELINES. THE ANNUAL MERIT GUIDELINES ARE DETERMINED BY THE ORGANIZATION'S ABILITY TO PAY (BUDGET). SALARY GRADES ARE DETERMINED BASED ON THE SCOPE AND REQUIREMENTS OF THE POSITION. SALARY RANGE MIDPOINTS (THE MIDPOINT REPRESENTS 100% OF THE MARKET) INCREASE EACH YEAR BASED ON EXTERNAL MARKET DATA. IHS PARTICIPATES IN NUMEROUS SALARY SURVEYS AND DEPENDING ON THE POSITION, THE SURVEY DATA MAY BE INDUSTRY SPECIFIC, (E.G. HEALTHCARE) OR FROM OTHER INDUSTRIES. CURRENTLY, EXECUTIVE POSITION MARKET DATA SOURCES ARE COMPDATA, TOWERS WATSON, INTEGRATED HEALTHCARE STRATEGIES, SULLIVAN COTTER AND SALARY.COM. FOR EXECUTIVES, THE CEO AND VP, HUMAN RESOURCES REVIEW THE SUGGESTED MERIT INCREASES AND MAKE RECOMMENDATIONS TO THE INFIRMARY HEALTH SYSTEM COMPENSATION COMMITTEE. THE FINAL RECOMMENDATIONS ARE PRESENTED BY THE COMPENSATION COMMITTEE TO AND ARE APPROVED BY THE IHS BOARD OF DIRECTORS. IHS HAS AN EXTERNAL REVIEW OF COMPENSATION PRACTICES EVERY TWO YEARS AND WAS MOST RECENTLY REVIEWED BY SULLIVAN COTTER IN 2017.</ExplanationTxt>
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      <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION PLAN CHANGES 832,411 INTERCOMPANY TRANSFERS -39,596,321 TOTAL -38,763,910</ExplanationTxt>
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