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      <Desc>SPONSORED MEETINGS: THE ALABAMA HOSPITAL ASSOCIATION CONDUCTS TWO MAJOR MEETINGS FOR ITS MEMBERSHIP EACH YEAR. BOTH OF THESE MEETINGS PROVIDED TIMELY EDUCATIONAL PROGRAMS QUALIFYING FOR CONTINUING EDUCATION CREDIT FROM EXECUTIVE, FINANCIAL AND CLINICAL LICENSING ENTITIES. THE LARGEST OF THESE MEETINGS IS A REQUIREMENT OF THE ORGANIZATION'S BYLAWS. AT THIS FOUR-DAY ANNUAL MEMBERSHIP MEETING, ORGANIZATIONAL BUSINESS IS CONDUCTED TO INCLUDE THE ELECTION OF OFFICERS, REVIEWING THE PAST YEAR'S ACTIVITIES AND VOTING ON ISSUES BROUGHT BEFORE THE GENERAL MEMBERSHIP. 80 HOSPITAL SENIOR STAFF MEMBERS ATTENDED THE JUNE 2018 MEETING. EDUCATIONAL TOPICS INCLUDED LEGACY HEALTHCARE, HOSPITAL HOT TAKES, TAX REFORM, PREPARING FOR THE WORST, HOSPITAL MERGERS &amp; ACQUISITIONS AND ENSURING PHYSICIAN COVERAGE. THE ASSOCIATION RECOGNIZED $165,147 IN SPONSORSHIP REVENUE AND $24,165 IN REGISTRATION FEES FOR THIS MEETING. THE OTHER MAJOR EDUCATIONAL PROGRAM CONDUCTED DURING THE YEAR IS GEARED TOWARD SENIOR HOSPITAL MANAGEMENT AND TRUSTEE BOARD MEMBERS. THIS TWO-DAY MEETING HELD IN FEBRUARY 2018 WAS ATTENDED BY 94 HOSPITAL SENIOR STAFF AND TRUSTEES. EDUCATIONAL TOPICS INCLUDED DISCOVERING AND LEARNING HOW TO CROSS ANYTHING OFF YOUR BUCKET LIST, OPIOIDS, COMPLIANCE OVERSIGHT, TRANSFORMING A RESOURCE INTO A REFERRAL SOURCE, SEXUAL HARASSMENT IN THE HEALTHCARE WORKPLACE, CREATING CASH WITH CAPTIVES, CYBER-ATTACKS AND A REVIEW OF THE CURRENT STATE OF POLITICS. THE ASSOCIATION RECOGNIZED $88,756 IN SPONSORSHIP REVENUE AND $24,880 IN REGISTRATION FEES FOR THIS MEETING.</Desc>
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        <Desc>GRANTS &amp; ADMINISTRATIVE FEES: THE ALABAMA HOSPITAL ASSOCIATION CONTRACTS WITH THE STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH FOR THE ADMINISTRATION OF HOSPITAL PREPAREDNESS GRANTS. THESE GRANTS PROVIDE REDUNDANT TELECOMMUNICATIONS VIA CELLULAR SERVICE TO PREPARE HOSPITALS FOR NATURAL AND MAN-MADE DISASTERS. DURING THE YEAR, 106 HOSPITALS PARTICIPATED IN THE GRANT RECEIVING A TOTAL OF $37,661 IN FUNDING. THE ASSOCIATION ALSO ADMINISTERED A GRANT TARGETING RURAL HOSPITALS TO INCLUDE THOSE DESIGNATED AS MEDICARE CRITICAL ACCESS HOSPITALS. THE GRANT FUNDED THE FOLLOWING PROJECTS/INITIATIVES: RURAL QUALITY NETWORK COVERING QUALITY INITIATIVES AND TRANSITION OF CARE, FINANCIAL IMPROVEMENT AND STABILIZATION OF THE CRITICAL ACCESS HOSPITALS BY CONDUCTING EDUCATIONAL SESSIONS ON MEDICARE COST REPORTS AND RURAL HEALTH CLINIC COST REPORTS. A TOTAL OF $543,701 WAS EXPENDED IN SUPPORT OF THESE EFFORTS BENEFITING 33 HOSPITALS. THE ASSOCIATION ALSO WORKED WITH THE AMERICAN HOSPITAL ASSOCIATION HEALTH RESEARCH AND EDUCATION TRUST (AHARET) IN CONJUNCTION WITH THE HIIN (HOSPITAL IMPROVEMENT INNOVATION GRANT) BEGAN SEPTEMBER 28, 2016 WITH 41 HOSPITALS NOW PARTICIPATING. THE GOAL OF THE GRANT IS TO REDUCE HARMS BY 20% AND READMISSIONS BY 12%. THIS PROJECT WAS DESIGNED TO BUILD ON THE PROGRESS THAT THE HEN 2.0 PROJECT MADE IN 2015-2017 BY CONTINUING TO FOCUS ON REDUCTION IN HARMS/READMISSIONS BY FURTHER SPREADING LESSONS LEARNED AND SHARING BEST PRACTICES. DURING THE YEAR, $299,409 WAS EXPENDED ON THIS GRANT. THE ASSOCIATION ALSO WORKED WITH AHARET ON A COMPREHENSIVE UNIT-BASED SAFETY PROGRAM (CUSP) TO REDUCE CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI) AND CATHETER-ASSOCIATED URINARY TRACT INFECTIONS (CAUTI) IN INTENSIVE CARE UNITS WITH PERSISTENTLY ELEVATED INFECTION RATES. 12 HOSPITALS PARTICIPATED IN THIS PROGRAM. DURING THE YEAR, $2,236 WAS EXPENDED ON THIS GRANT. THE ASSOCIATION RECEIVED $707,524 IN ADMINISTRATIVE FEES FROM THE ABOVE REFERENCED GRANTS AND OR CONTRACTS.</Desc>
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        <Desc>SUPPORT OF MEDICAID MANAGED CARE: THE ASSOCIATION CONTINUED WORKING CLOSELY WITH THE STATE OF ALABAMA MEDICAID AGENCY, THE LEGISLATIVE AND EXECUTIVE BRANCHES OF STATE GOVERNMENT AS WELL AS ITS MEMBERS TO PLAN FOR A TRANSITION TO A MANAGED CARE MODEL FOR MEDICAID. WORK ALSO CONTINUED TO REVIEW PLANS FOR THE POSSIBLE EXPANSION OF MEDICAID. $281,017 WAS EXPENDED IN SUPPORT OF THESE IMPORTANT INITIATIVES.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE STEWART</PersonNm>
        <TitleTxt>MEMBER AT LARGE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE WOODS</PersonNm>
        <TitleTxt>MEMBER AT LARGE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF BRANNON</PersonNm>
        <TitleTxt>MEMBER AT LARGE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH MARCHANT</PersonNm>
        <TitleTxt>MEMBER AT LARGE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROSEMARY BLACKMON</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANNE HOWARD</PersonNm>
        <TitleTxt>EXECUTIVE VICE PRESIDENT CHIEF POLICY OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD E WILLIAMSON</PersonNm>
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        <PersonNm>TIMOTHY THOMPSON</PersonNm>
        <TitleTxt>CONTROLLER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JANE KNIGHT</PersonNm>
        <TitleTxt>VP OF MEMBER RELATIONS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WESLEY ASHMORE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>J MICHAEL HORSLEY</PersonNm>
        <TitleTxt>PRESIDENT (RETIRED 12/31/15)</TitleTxt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MANATT PHELPS PHILLIPS LLP</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>11355 WEST OLYMPIC BOULEVARD</AddressLine1Txt>
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      <ProgramServiceRevenueGrp>
        <Desc>ADPH GRANT &amp; ADMIN FEES</Desc>
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        <BusinessCd>900099</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>AHA GRANT</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <OtherAmt>0</OtherAmt>
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        <ExclusionAmt>137770</ExclusionAmt>
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        <ExclusionAmt>233521</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
        <TotalAmt>103437</TotalAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>12500</TotalAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <InformationTechnologyGrp>
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      <ConferencesMeetingsGrp>
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        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>39113</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>PRINTING AND PUBLICATIO</Desc>
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      <AllOtherExpensesGrp>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>417161</BOYAmt>
        <EOYAmt>405966</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>948454</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>595429</EOYAmt>
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        <EOYAmt>392911</EOYAmt>
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        <EOYAmt>8571306</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>467631</ReconcilationRevenueExpnssAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001" />
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      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
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        <BookValueAmt>52557</BookValueAmt>
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        <MethodValuationCd>F</MethodValuationCd>
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        <Desc>ASSETS HELD FOR OTHERS</Desc>
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        <Desc>INTERCOMPANY RECEIVABLE</Desc>
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      <TotalLiabilityAmt>392911</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION FOLLOWS THE GUIDANCE ISSUED BY THE ACCOUNTING STANDARDS CODIFICATION (ASC) RELATING TO UNCERTAINTY IN INCOME TAXES. THIS GUIDANCE REQUIRES ENTITIES TO ASSESS THEIR TAX POSITIONS FOR THE LIKELIHOOD THAT THEY WOULD BE OVERTURNED UPON INTERNAL REVENUE SERVICE (IRS) EXAMINATION OR UPON EXAMINATION BY STATE TAXING AUTHORITIES. IN ACCORDANCE WITH THIS GUIDANCE, THE ASSOCIATION HAS ASSESSED ITS TAX POSITIONS AND DETERMINED THAT IT DOES NOT HAVE ANY POSITIONS AT JUNE 30, 2018 AND 2017, THAT IT WOULD BE UNABLE TO SUBSTANTIATE. UNDER STATUTE, THE ASSOCIATION IS SUBJECT TO IRS AND STATE TAXING AUTHORITY REVIEW FOR TAX YEARS 2015 THROUGH 2017. THE ASSOCIATION HAS FILED TAX RETURNS THROUGH 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>ALABAMA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 NORTHEAST BOULEVARD</AddressLine1Txt>
          <CityNm>MONTGOMERY</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36117</ZIPCd>
        </USAddress>
        <RecipientEIN>630338569</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ATMORE COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 MEDICAL PARK DRIVE</AddressLine1Txt>
          <CityNm>ATMORE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36502</ZIPCd>
        </USAddress>
        <RecipientEIN>631143638</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIBB MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>208 PIERSON AVENUE</AddressLine1Txt>
          <CityNm>CENTREVILLE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35042</ZIPCd>
        </USAddress>
        <RecipientEIN>636005283</RecipientEIN>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BULLOCK COUNTY HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>102 CONECUH AVENUE WEST</AddressLine1Txt>
          <CityNm>UNION SPRINGS</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36089</ZIPCd>
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        <CashGrantAmt>11246</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHOCTAW GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 VANITY FAIR LANE</AddressLine1Txt>
          <CityNm>BUTLER</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36904</ZIPCd>
        </USAddress>
        <RecipientEIN>640655993</RecipientEIN>
        <CashGrantAmt>46888</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLAY COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>83825 HIGHWAY 9</AddressLine1Txt>
          <CityNm>ASLAND</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36251</ZIPCd>
        </USAddress>
        <RecipientEIN>636002184</RecipientEIN>
        <CashGrantAmt>11154</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>805 FRIENDSHIP ROAD</AddressLine1Txt>
          <CityNm>TALLASSEE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36078</ZIPCd>
        </USAddress>
        <RecipientEIN>630047680</RecipientEIN>
        <CashGrantAmt>10042</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CRENSHAW COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 BAPTIST LANE</AddressLine1Txt>
          <CityNm>LUVERNE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36049</ZIPCd>
        </USAddress>
        <RecipientEIN>020606516</RecipientEIN>
        <CashGrantAmt>9642</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DW MCMILLAN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1301 BELLEVILLE AVENUE</AddressLine1Txt>
          <CityNm>BREWTON</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36426</ZIPCd>
        </USAddress>
        <RecipientEIN>636000288</RecipientEIN>
        <CashGrantAmt>11883</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EVERGREEN MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 CRESTVIEW AVENUE</AddressLine1Txt>
          <CityNm>EVERGREEN</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36401</ZIPCd>
        </USAddress>
        <RecipientEIN>208057151</RecipientEIN>
        <CashGrantAmt>11975</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAYETTE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1653 TEMPLE AVENUE NORTH</AddressLine1Txt>
          <CityNm>FAYETTE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35555</ZIPCd>
        </USAddress>
        <RecipientEIN>636004942</RecipientEIN>
        <CashGrantAmt>9876</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEORGIANA HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 MIRANDA STREET</AddressLine1Txt>
          <CityNm>GOERGIANA</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36033</ZIPCd>
        </USAddress>
        <RecipientEIN>311524243</RecipientEIN>
        <CashGrantAmt>8744</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREENE COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>509 WILSON AVENUE</AddressLine1Txt>
          <CityNm>EUTAW</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35462</ZIPCd>
        </USAddress>
        <RecipientEIN>636005451</RecipientEIN>
        <CashGrantAmt>10668</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GROVE HILL MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>295 SOUTH JACKSON STREET</AddressLine1Txt>
          <CityNm>GROVE HILL</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36451</ZIPCd>
        </USAddress>
        <RecipientEIN>630436871</RecipientEIN>
        <CashGrantAmt>10795</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HALE COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>508 FIRST GREENE STREETS</AddressLine1Txt>
          <CityNm>GREENSBORO</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36744</ZIPCd>
        </USAddress>
        <RecipientEIN>630859464</RecipientEIN>
        <CashGrantAmt>10576</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HILL HOSPITAL OF SUMTER COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>751 DERBY DRIVE</AddressLine1Txt>
          <CityNm>YORK</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36925</ZIPCd>
        </USAddress>
        <RecipientEIN>630961535</RecipientEIN>
        <CashGrantAmt>6942</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JACKSON MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>220 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36545</ZIPCd>
        </USAddress>
        <RecipientEIN>208057478</RecipientEIN>
        <CashGrantAmt>9884</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JOHN PAUL JONES HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>317 MCWILLIAMS AVENUE</AddressLine1Txt>
          <CityNm>CAMDEN</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36726</ZIPCd>
        </USAddress>
        <RecipientEIN>636004960</RecipientEIN>
        <CashGrantAmt>9999</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LAKE MARTIN COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 MARIARDEN ROAD</AddressLine1Txt>
          <CityNm>DADEVILLE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36853</ZIPCd>
        </USAddress>
        <RecipientEIN>631282722</RecipientEIN>
        <CashGrantAmt>10617</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LAWRENCE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>202 HOSPITAL STREET</AddressLine1Txt>
          <CityNm>MOULTON</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35650</ZIPCd>
        </USAddress>
        <RecipientEIN>721589022</RecipientEIN>
        <CashGrantAmt>11075</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDICAL CENTER BARBOUR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>820 WEST WASHINGTON STREET</AddressLine1Txt>
          <CityNm>EUFAULA</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36027</ZIPCd>
        </USAddress>
        <RecipientEIN>680640677</RecipientEIN>
        <CashGrantAmt>12009</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MIZELL MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>702 MAIN STREET</AddressLine1Txt>
          <CityNm>OPP</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36467</ZIPCd>
        </USAddress>
        <RecipientEIN>630307951</RecipientEIN>
        <CashGrantAmt>10907</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MONROE COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2016 SOUTH ALABAMA AVENUE</AddressLine1Txt>
          <CityNm>MONROEVILLE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36460</ZIPCd>
        </USAddress>
        <RecipientEIN>630438739</RecipientEIN>
        <CashGrantAmt>10287</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH MISSISSIPPI MEDICAL CENTER - HAMILTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1315 MILITARY STREET SOUTH</AddressLine1Txt>
          <CityNm>HAMILTON</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35570</ZIPCd>
        </USAddress>
        <RecipientEIN>640926753</RecipientEIN>
        <CashGrantAmt>10683</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PICKENS COUNTY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>241 ROBERT K WILSON DRIVE</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35447</ZIPCd>
        </USAddress>
        <RecipientEIN>630920915</RecipientEIN>
        <CashGrantAmt>10570</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RED BAY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>211 HOSPITAL ROAD</AddressLine1Txt>
          <CityNm>RED BAY</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35582</ZIPCd>
        </USAddress>
        <RecipientEIN>630288825</RecipientEIN>
        <CashGrantAmt>32547</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST VINCENT'S BLOUNT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>150 GILBREATH DRIVE</AddressLine1Txt>
          <CityNm>ONEONTA</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35121</ZIPCd>
        </USAddress>
        <RecipientEIN>630909073</RecipientEIN>
        <CashGrantAmt>28991</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TROY REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1330 HIGHWAY 231 SOUTH</AddressLine1Txt>
          <CityNm>TROY</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36081</ZIPCd>
        </USAddress>
        <RecipientEIN>202460145</RecipientEIN>
        <CashGrantAmt>11936</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ST STEVENS AVENUE</AddressLine1Txt>
          <CityNm>CHATOM</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36518</ZIPCd>
        </USAddress>
        <RecipientEIN>636003514</RecipientEIN>
        <CashGrantAmt>42369</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEDOWEE HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>209 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>WEDOWEE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36278</ZIPCd>
        </USAddress>
        <RecipientEIN>636004185</RecipientEIN>
        <CashGrantAmt>11937</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LAKELAND COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>HIGHWAY 195 EAST</AddressLine1Txt>
          <CityNm>HALEYVILLE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35565</ZIPCd>
        </USAddress>
        <RecipientEIN>300109979</RecipientEIN>
        <CashGrantAmt>8054</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUSSELLVILLE HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>15155 HIGHWAY 43</AddressLine1Txt>
          <CityNm>RUSSELLVILLE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35653</ZIPCd>
        </USAddress>
        <RecipientEIN>030464224</RecipientEIN>
        <CashGrantAmt>8054</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLOYD CHEROKEE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 NORTHWOOD DRIVE</AddressLine1Txt>
          <CityNm>CENTRE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35960</ZIPCd>
        </USAddress>
        <RecipientEIN>204370931</RecipientEIN>
        <CashGrantAmt>10074</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS GRANT</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE REVIEWED BEFORE DISBURSEMENTS ARE MADE TO ENSURE RECIPIENTS QUALIFY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROSEMARY BLACKMON</PersonNm>
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        <BonusRelatedOrganizationsAmt>17000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>233324</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DANNE HOWARD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J MICHAEL HORSLEY</PersonNm>
        <TitleTxt>PRESIDENT (RETIRED 12/31/15)</TitleTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <ExplanationTxt>J. MICHAEL HORSLEY - $532,926</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEMBERS ARE APPOINTED BY A NOMINATING COMMITTEE (CONSISTING OF PAST BOARD CHAIRMEN) THEN APPROVED BY THE GENERAL MEMBERSHIP AT THE ANNUAL MEETING. TO BE ELIGIBLE TO SERVE, THE NOMINEE MUST BE AN EMPLOYEE WHO IS ALSO A SENIOR MANAGER OF A HOSPITAL OR CORPORATE OFFICE OF A MULTI-INSTITUTIONAL SYSTEM. ANY BOARD MEMBER WHO CEASES TO BE EMPLOYED BY THE PREVIOUSLY NOTED QUALIFYING ENTITIES SHALL BE DEEMED TO HAVE AUTOMATICALLY RESIGNED FROM OFFICE UPON CESSATION OF EMPLOYMENT. THE ONLY EXCEPTION IS THAT THE NOMINATING COMMITTEE MAY NOMINATE A PERSON NOT EMPLOYED BY THE PREVIOUSLY NOTED QUALIFYING ENTITIES TO FILL ONE OF THE AT-LARGE BOARD SLOTS. THE CHAIRMAN, VICE CHAIRMAN/CHAIRMAN ELECT, SECRETARY TREASURER AND IMMEDIATE PAST CHAIRMAN AUTOMATICALLY ASSUME BOARD MEMBERSHIP UPON ELECTION OF THEIR RESPECTIVE POSITIONS. ANY MEMBER SERVING TWO FULL THREE-YEAR TERMS SHALL NOT BE ELIGIBLE FOR RE-ELECTION UNTIL ONE YEAR AFTER THE DATE OF LAST SERVICE. SERVICE AS AN ELECTED OFFICER SHALL BE IN ADDITION TO THE TWO FULL THREE-YEAR TERM LIMITATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF ALABAMA HOSPITAL ASSOCIATION MAY ELECT UP TO 19 BOARD MEMBERS PER YEAR 18 OF WHICH ARE VOTING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ELECTION OF ALL OFFICERS AND BOARD MEMBERS AS WELL AS ANY CHANGES TO BYLAWS ARE SUBJECT TO APPROVAL BY MEMBERS OF ALABAMA HOSPITAL ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND IS AN AGENDA ITEM AT A REGULARLY SCHEDULED BOARD MEETING OPEN FOR ANY DISCUSSION BEFORE THE RETURN IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO FILE ANNUAL CONFLICT OF INTEREST FORMS. THE FORMS ARE REVIEWED BY THE PRESIDENT AND GENERAL COUNSEL. BOARD MEMBERS DEEMED TO HAVE A CONFLICT OF INTEREST WILL BE RECUSED FROM VOTING ON MATTERS RELATED TO THE CONFLICT. EMPLOYEE CONFLICTS OF INTEREST ARE EITHER CORRECTED OR DUTIES THAT GAVE RISE TO THE CONFLICT ARE REASSIGNED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION PARTICIPATES IN A NATIONAL COMPENSATION SURVEY OF STATE HOSPITAL ASSOCIATIONS CONDUCTED BY INTEGRATED HEALTHCARE STRATEGIES. THIS INFORMATION IS PROVIDED TO THE EXECUTIVE COMMITTEE EACH YEAR AS PART OF A FORMAL PERFORMANCE REVIEW PROCESS. THE CEO EVALUATES OTHER OFFICERS AND KEY EMPLOYEES USING THE SAME SURVEY INSTRUMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUEST BY THE PUBLIC WOULD BE REVIEWED AND ACTED UPON BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY IN AHM, INC. -779,046. ROUNDING -3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALABAMA DIVERSIFIED HEALTH SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>500 NORTH EAST BOULEVARD</AddressLine1Txt>
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          <StateAbbreviationCd>AL</StateAbbreviationCd>
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        <DirectControllingEntityName>
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          <CityNm>MONTGOMERY</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>HEALTH AND RESEARCH EDUCATION</PrimaryActivitiesTxt>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>9869</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AHM INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1498900</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>