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        <PersonNm>HUGH NEIGHBORS III</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DON LILLY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER STEELE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATHIEW NADER MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA PRITCHETT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5482595</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>443542</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>33</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MCKESSON CORPORATION</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1220 SENTAC DRIVE</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75006</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY BENEF.</ServicesDesc>
        <CompensationAmt>9495408</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RD ENTERPRISES INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>142 COACHMANS DR</AddressLine1Txt>
            <CityNm>AUBURN</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36832</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUT MGT</ServicesDesc>
        <CompensationAmt>4742244</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MEDLINE INDUSTRIES INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>THREE LAKES DRIVE</AddressLine1Txt>
            <CityNm>NORTHFIELD</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60093</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIE</ServicesDesc>
        <CompensationAmt>1577714</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BLUE LAKE HEALTH ALABAMA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3104 BLUE LAKE DRIVE STE 110</AddressLine1Txt>
            <CityNm>BIRMINGHAM</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35243</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIA</ServicesDesc>
        <CompensationAmt>1209906</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HOAR CONSTRUCTION</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 660400</AddressLine1Txt>
            <CityNm>BIRMINGHAM</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>352660400</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCT MGT</ServicesDesc>
        <CompensationAmt>832703</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>83180</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>35720</AllOtherContributionsAmt>
      <TotalContributionsAmt>118900</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>65417950</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>65417950</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>2872801</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2872801</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>68290751</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>850009</TotalRevenueColumnAmt>
        <ExclusionAmt>850009</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>602578</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>77210</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>525368</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>525368</TotalRevenueColumnAmt>
        <ExclusionAmt>525368</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>1274</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <OtherAmt>1274</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1274</TotalRevenueColumnAmt>
        <ExclusionAmt>1274</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA AND VENDING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>483884</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>483884</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>358040</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>358040</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PURCHASE DISCOUNTS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>227147</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>227147</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>293789</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <TotalAmt>29949161</TotalAmt>
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        <ProgramServicesAmt>402181</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1567190</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>118627</TotalAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>163341</TotalAmt>
        <ManagementAndGeneralAmt>163341</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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      <OccupancyGrp>
        <TotalAmt>1463816</TotalAmt>
        <ProgramServicesAmt>1463816</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>130012</TotalAmt>
        <ProgramServicesAmt>40304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89708</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>2446183</TotalAmt>
        <ProgramServicesAmt>2446183</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>3643040</TotalAmt>
        <ProgramServicesAmt>3643040</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>874658</TotalAmt>
        <ProgramServicesAmt>271144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>603514</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>38169</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>1799738</TotalAmt>
        <ProgramServicesAmt>1799738</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>1537845</TotalAmt>
        <ProgramServicesAmt>1537845</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>212146</TotalAmt>
        <ProgramServicesAmt>212146</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>10280</TotalAmt>
        <ProgramServicesAmt>10280</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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      <OtherAssetsTotalGrp>
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      <TotalAssetsGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>51706725</EOYAmt>
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        <EOYAmt>15801699</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>16071073</EOYAmt>
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        <EOYAmt>31872772</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>89350679</BOYAmt>
        <EOYAmt>83579497</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-8742004</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1150185</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1175014</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc10">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <OtherCostOrOtherBasisAmt>3181389</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3181389</BookValueAmt>
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        <DepreciationAmt>3239687</DepreciationAmt>
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      <TotalBookValueLandBuildingsAmt>33040018</TotalBookValueLandBuildingsAmt>
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        <Desc>RUSSELL LEGACY RECEIVABLE</Desc>
        <BookValueAmt>12101126</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>457 (B) PENSION ASSET</Desc>
        <BookValueAmt>5563697</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RESTRICTED ASSETS-BENJAMIN RUSSELL</Desc>
        <BookValueAmt>3969947</BookValueAmt>
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        <Desc>SUPPLEMENTAL RETIREMENT PLAN</Desc>
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        <Desc>MORTGAGE RESERVE FUND</Desc>
        <BookValueAmt>2747582</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES/UAB</Desc>
        <BookValueAmt>811917</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>735370</BookValueAmt>
      </OtherAssetsOrgGrp>
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        <Desc>UNAMORTIZED LOAN COSTS</Desc>
        <BookValueAmt>517618</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECEIVABLE</Desc>
        <BookValueAmt>430000</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE ROU ASSETS</Desc>
        <BookValueAmt>379662</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>186651</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RENT RECEIVABLE</Desc>
        <BookValueAmt>176839</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <BookValueAmt>72876</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>31050679</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>3255884</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES/UAB</Desc>
        <Amt>505613</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASES</Desc>
        <Amt>377740</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4139237</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>80931895</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1150185</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>8632548</OtherRevenueAmt>
      <RevenueNotReportedAmt>9782733</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>71149162</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>71149162</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>87053915</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>7162749</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>7162749</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>79891166</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>79891166</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C) (3). THE HOSPITAL HAS EVALUATED ITS TAX POSITIONS AS REQUIRED UNDER THE RELEVANT ACCOUNTING STANDARDS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT IT WOULD BE UNABLE TO SUBSTANTIATE UPON EXAMINATION. RETURNS HAVE BEEN FILED FOR ALL YEARS THROUGH DECEMBER 31, 2024. TAX RETURNS FOR 2020 AND SUBSEQUENT ARE SUBJECT TO AUDIT BY TAXING AUTHORITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>NET PERIODIC PENSION COST CHANGE 635,312 RENTAL EXPENSES 77,211 JV REVENUE - MINORITY INTEREST 7,920,025</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
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        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, RUSSELL MEDICAL CENTER - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH NEEDS OF RESIDENTS WITHIN RUSSELL MEDICALS PRIMARY SERVICE AREA WERE IDENTIFIED THROUGH INTERVIEWS WITH ADVOCATES REPRESENTING THE INTERESTS OF THE COMMUNITY. BASED ON THE INTERVIEWS, EXPERTISE, AND FEEDBACK FROM INDIVIDUALS REPRESENTING THE INTERESTS OF THE COMMUNITY A LIST OF COMMUNITY HEALTH NEEDS WAS DEVELOPED. THERE WAS CONSENSUS AROUND FIVE SPECIFIC COMMUNITY HEALTH NEEDS, BASED ON THE UNPROMPTED FREQUENCY THAT THESE NEEDS WERE IDENTIFIED BY PARTICIPANTS. FROM THIS LIST OF FIVE IDENTIFIED COMMUNITY HEALTH NEEDS, EACH PARTICIPANT WAS ASKED TO RANK COMMUNITY HEALTH NEED PRIORITIES ON AN ORDINAL SCALE WITH 1 BEING THE HIGHEST PRIORITY AND 5 BEING THE LOWEST PRIORITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN JUNE AND JULY 2022. A 100% RESPONSE RATE FROM ALL PARTICIPANTS WAS ACHIEVED, RESULTING IN THE FOLLOWING RANKING OF COMMUNITY HEALTH NEED PRIORITIES WITHIN RUSSELL MEDICALS COMMUNITY: 1. INCREASED ACCESS TO BEHAVIORAL HEALTH SERVICES. 2. ENHANCE DIABETES, HYPERTENSION, AND HEART DISEASE EDUCATION AND MANAGEMENT RESOURCES TO INCREASE PATIENT UNDERSTANDING OF THEIR DISEASE PROCESS AND MANAGEMENT TOOLS. 3. NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES FOR INDIVIDUALS WITH LIMITED RESOURCES. 4. ENHANCE THE PROMOTION OF HEALTHY NUTRITION, LIFESTYLE, AND EXERCISE IN THE COMMUNITY. 5. SLIDING SCALE MEDICAL SERVICES FOR PERSONS WITH LIMITED RESOURCES REQUIRING NON-URGENT, ON-GOING, AND FOLLOW-UP MEDICAL CARE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, RUSSELL MEDICAL CENTER - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELL MEDICALS APPROACH TO ACHIEVING COMMUNITY HEALTH IMPROVEMENT PRIORITIES FOLLOWS A SIX-STEP PROCESS DESIGNED TO BE UPDATED EVERY THREE YEARS TO ASSESS PROGRESS IN ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. IT BEGINS WITH DEFINING RUSSELL MEDICALS TARGET COMMUNITY, AND THEN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY USING AVAILABLE HEALTH DATA AND INPUT FROM A BROAD RANGE OF ADVOCATES REPRESENTING THE HEALTH INTERESTS OF THE RESIDENTS WITHIN THE COMMUNITY, INCLUDING THE EXECUTIVE DIRECTOR OF THE LOCAL UNITED WAY; THE ADMINISTRATOR OF A LOCAL NURSING HOME; LEADERSHIP AND CLINICAL EMPLOYEES OF RUSSELL MEDICAL; THE INTERIM SUPERINTENDENT OF THE ALEXANDER CITY BOARD OF EDUCATION; THE PUBLIC RELATIONS DIRECTO OF ALEXANDER CITY SCHOOLS; AND A PROFESSOR FROM AUBURN UNIVERSITY COLLEGE OF NURSING. AFTER THE HEALTH NEEDS ARE IDENTIFIED, INDIVIDUALS REPRESENTING THE TARGET COMMUNITY ESTABLISH THE HEALTH IMPROVEMENT PRIORITIES FOR THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, RUSSELL MEDICAL CENTER - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>WHILE RUSSELL MEDICAL CURRENTLY PROVIDES A WIDE RANGE OF PROGRAMS AND SERVICES TO MEET THE COMMUNITY HEALTH NEEDS OF RESIDENTS OF TALLAPOOSA COUNTY, NO SINGLE HEALTHCARE ORGANIZATION HAS THE RESOURCES TO ADDRESS ALL THE UNMET HEALTH NEEDS WITHIN THE COMMUNITY. THE OVERALL OBJECTIVE OF RUSSELL MEDICALS 2022-2025 COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN IS TO ENSURE THAT MOST OF THE PIECES OF THE COMMUNITY HEALTH NEEDS PUZZLE ARE IN PLACE TO ASSIST EACH PERSON IN THE COMMUNITY IN ACHIEVING THEIR HIGHEST LEVEL OF HEALTH AND WELLNESS. FOR EACH OF THE FIVE COMMUNITY HEALTH NEEDS ASSESSED BY PERSONS WITH SPECIALIZED KNOWLEDGE AND EXPERTISE OF COMMUNITY HEALTH NEEDS IN TALLAPOOSA COUNTY, WE WILL PROVIDE THE FOLLOWING: DESCRIPTION OF COMMUNITY NEED OBJECTIVES FOR ADDRESSING NEED ONGOING PROGRAMS AND SERVICES ADDRESSING NEED PROGRESS IN ADDRESSING NEED SEE PAGES 22 - 26 OF THE CHNA FOR THE COMPLETE IMPLEMENTATION STRATEGIES REPORT. DUE TO LIMITED RESOURCES AND THE EXTRAORDINARY COST OF MAINTAINING STATE- OF-THE-ART MEDICAL DIAGNOSTIC AND TREATMENT SERVICES TO MEET THE NEEDS OF ITS INPATIENT AND OUTPATIENT POPULATIONS, RUSSELL MEDICALS COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY IS FOCUSED ON LEVERAGING EXISTING PROGRAMS, SERVICES, AND RESOURCES. IN ADDITION, RUSSELL MEDICAL WILL PRIMARILY FOCUS ON HEALTH NEED PRIORITIES OF RESIDENTS WHO RESIDE IN OUR PRIMARY SERVICE AREA OF TALLAPOOSA COUNTY. WHENEVER POSSIBLE AND FINANCIALLY FEASIBLE, RUSSELL MEDICAL WILL ASSIST OTHER HEALTH NEED EFFORTS IN PARTNERSHIP WITH OTHER COMMUNITY, REGIONAL, AND STATEWIDE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>THE MILL TWO EIGHTY</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>3562 HIGHWAY 280</AddressLine1Txt>
            <CityNm>ALEXANDER CITY</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35010</ZIPCd>
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          <FacilityTxt>EVENT SPACE</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". FOR LINE 7A, COSTS WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 AS PROVIDED IN THE IRS INSTRUCTIONS. ALL OTHER COSTS PRESENTED IN THE TABLE WERE ACCUMULATED BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606), THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEM'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ESTIMATES 50% OF BAD DEBTS ARE ATTRIBUTABLE TO FAP-ELIGIBLE PATIENTS THAT DO NOT COMPLETE A FINANCIAL ASSISTANCE APPLICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE DISCUSSING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBTS (PRICE CONCESSIONS) CAN BE FOUND ON PAGES 12-14 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COSTS REFLECT ALLOWABLE COSTS PER THE MEDICARE COST REPORT USING ACCEPTABLE ALLOCATIONS OF INDIRECT COSTS BASED ON APPROPRIATE STATISTICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELL MEDICAL CENTER INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR THE ORGANZIATION'S CHARITY CARE POLICY IN SEVERAL DIFFERENT WAYS. EACH PATIENT BILL HAS A PRINTED STATEMENT ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND WHO THE PATIENT SHOULD CONTACT. THIS SAME PRINTED STATEMENT IS DISPLAYED IN ALL REGISTRATION AND ADMISSION AREAS THROUGHOUT RUSSELL MEDICAL CENTER, THE PROFESSIONAL OFFICE BUILDING AND THE CANCER CENTER. PATIENTS WHO PRESENT TO AN ADMISSIONS CLERK AS SELF PAY OR UNDER- INSURED ARE DIRECTED TO THE BUSINESS OFFICE FOR FINANCIAL COUNSELING. PATIENTS ARE OFFERED A CHARITY APPLICATION PACKET WHICH INSTRUCTS THEM ON THE REQUIREMENTS FOR COMPLETING HE APPLICATION PROCESS. IT IS ULTIMATELY THE PATIENT'S RESPONSIBILITY TO RETURN THE DOCUMENTATION TO THE BUSINESS OFFICE FOR ELIGIBILITY DETERMINATION. WHEN THE APPLICATION IS RETURNED, THE FINANCIAL COUNSELOR CHECKS FOR COMPLETENESS. IF DETERMINATION IS MADE THAT NO OTHER ASSISTANCE IS AVAILABLE, THE APPLICATION IS RETURNED TO THE PATIENT ACCOUNTS SUPERVISOR. THE CURRENT FEDERAL POVERTY GUIDELINES ARE FOLLOWED TO DETERMINE THE AMOUNT OF CHARITY, IF ANY, THE PATIENT IS ELIGIBLE FOR. ACCOUNTS THAT TOTAL 5,000.00 AND LESS ARE SENT TO THE BUSINESS OFFICE DIRECTOR FOR APPROVAL AND ACCOUNTS GREATER THAN 5,000.00 ARE SENT TO THE CFO FOR APPROVAL. AFTER 1 YEAR OF THE INTITIAL APPLICATION, PATIENTS MUST PROVIDE ADDITIONAL DOCUMENTATION FOR ANY NEW ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH FAIRS, COMMUNITY EDUCATION PROGRAMS AND A VARIETY OF HEALTH SCREENINGS ARE PROVIDED THROUGHOUT THE YEAR, AND SHORT HEALTH QUESTIONNAIRES AND INTERVIEWS ARE SECURED THROUGH THESE EVENTS. IN ADDITION, A MARKET ANALYSIS TEAM WAS DEVELOPED AS PART OF THE HOSPITAL'S STRATEGIC PLAN TO RESEARCH, ANALYZE AND TREND THE DEMOGRAPHICS AND HEALTH STATUS OF OUR PRIMARY AND SECONDARY SERVICE AREA THROUGH VARIOUS DATA ASES INCLUDING REAL TIME MEDICAL DATA. THE HOSPITAL ALSO CONSIDERS INFORMATION PROVIDED BY LOCAL PEDIATRICIANS, PRIMARY CARE PHYSICIANS,INDUSTRY HR DIRECTORS AND THE TALLAPOOSA COUNTY PUBLIC HEALTH DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELL MEDICAL CENTER INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR THE ORGANZIATION'S CHARITY CARE POLICY IN SEVERAL DIFFERENT WAYS. EACH PATIENT BILL RECEIVES A PRINTED STATEMENT ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND WHO THE PATIENT SHOULD CONTACT. THIS SAME PRINTED STATEMENT IS DISPLAYED IN ALL REGISTRATION AND ADMISSION AREAS THROUGHOUT RUSSELL MEDICAL CENTER, THE PROFESSIONAL OFFICE BUILDING AND THE CANCER CENTER. PATIENTS WHO PRESENT TO AN ADMISSIONS CLERK AS SELF PAY OR UNDER-INSURED ARE DIRECTED TO THE BUSINESS OFFICE FOR FINANCIAL COUNSELING. PATIENTS ARE OFFERED A CHARITY APPLICATION PACKET WHICH INSTRUCTS THEM ON THE REQUIREMENTS FOR COMPLETING THE APPLICATION PROCESS. IT IS ULTIMATELY THE PATIENT'S RESPONSIBILITY TO RETURN THE DOCUMENTATION TO THE BUSINESS OFFICE FOR ELIGIBILITY DETERMINATION. WHEN THE APPLICATION IS RETURNED, THE FINANCIAL COUNSELOR CHECKS FOR COMPLETENESS. IF DETERMINATION IS MADE THAT NO OTHER ASSISTANCE IS AVAILABLE, THE APPLICATION IS RETURNED TO THE PATIENT ACCOUNTS SUPERVISOR. THE CURRENT FEDERAL POVERTY GUIDELINES ARE FOLLOWED TO DETERMINE THE AMOUNT OF CHARITY, IF ANY, THE PATIENT IS ELIGIBLE FOR. ACCOUNTS THAT TOTAL 5,000.00 AND LESS ARE SENT TO THE BUSINESS OFFICE DIRECTOR FOR APPROVAL AND ACCOUNTS GREATER THAN 5,000.00 ARE SENT TO THE CFO FOR APPROVAL. AFTER 1 YEAR OF THE INITIAL APPLICATION, PATIENTS MUST PROVIDE ADDITIONAL DOCUMENTATION FOR ANY NEW ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELL MEDICAL CENTER'S SERVICE AREAS ARE DETERMINED BY PATIENT ORIGIN PATTERNS. THE PRIMARY SERVICE AREA IS DEFINED BY THE NATURAL GEOGRAPHIC BOUNDARY POSTED BY LAKE MARTIN, WHICH DIVIDES TALLAPOSSA COUNTY INTO A NORTHWEST SECTOR (INCLUDING ALEXANDER CITY) AND A SOUTHEAST SECTOR (INCLUDING DADEVILLE). THE PRIMARY SERVICE AREA CONSISTS OF ALEXANDER CITY, DADEVILLE, GOODWATER, KELLYTON AND JACKSON'S GAP. THE SECONDARY SERVICE AREA CONSISTS OF DAVISTON, EQUALITY, ROCKFORD AND CAMP HILL. OTHER AREAS NOT CONSIDERED PRIMARY OR SECONDARY BUT SUPPLYING RUSSELL MEDICAL CENTER WITH A FAIRLY SIGNIFICANT NUMBER OF PATIENTS (IN TOTAL) INCLUDE ASHLAND, LINEVILLE, ECLECTIC, WADLEY, TALLASSEE AND SYLACAUGA. DEMOGRAPHIC DATA INCLUDING RACE, GENDER AND AGE IS CAPTURED THROUGH THE REGISTRATION PROCESS. FOR 2020, CAUCASIAN, AFRICAN AMERICAN, HISPANIC AND OTHER RACES ACCOUNTED FOR 70.43%, 28.06%, 0.59% AND 0.92% RESPECTIVELY, OF THE PATIENTS SERVED WHILE 4.73%, 56.13% AND 39.14% WERE AGES 0-13, 14-65 AND 66+ YEARS, RESPECTIVELY. ECONOMIC DEMOGRAPHIC DATA IS NOT SPECIFICALLY CAPTURED; HOWEVER BASED ON THE LATEST MARKET SHARE DATA THE MEDICAL CENTER PROVIDED SERVICES TO 12.0% OF MEDICAID AND 6.00% OF SELF PAY PATIENTS IN TALLAPOOSA COUNTY AND 11.0% OF MEDICAID AND 6.0% OF SELF PAY PATIENTS IN COOSA COUNTY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELL MEDICAL CENTER IS THE PRIMARY SOURCE OF ACUTE CARE IN OUR SERVICE AREA. THE HOSPITAL OPERATES AN OPEN MEDICAL STAFF AND ACTIVELY RECRUITS PHYSICIAN SPECIALTIES BASED ON NEED IN OUR COMMUNITY. THE HOSPITAL HAS A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND MEDICAL STAFF TO ENSURE WE ARE CONNECTED TO COMMUNITY NEEDS WITH THE HIGHEST QUALITY OF SERVICE. RUSSELL MEDICAL CENTER ANNUALLY PREPARES A COMMUNITY BENEFIT REPORT OUTLINING OUR NUMEROUS ACTIVITES AS WELL AS DOCUMENTS OUR FINANCIAL BENEFITS TO OUR LOCAL AREA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ORGANIZATIONS AFFILIATED WITH RUSSELL HOSPITAL CORPORATION ARE ORGANIZED FOR THE PURPOSE OF ENSURING THE HIGHEST QUALITY OF HEALTHCARE IN OUR SERVICE AREA.</ExplanationTxt>
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      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
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        <PersonNm>JUSTIN VINES</PersonNm>
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        <PersonNm>ROBERTS EDWARDS</PersonNm>
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        <PersonNm>JAMES M FISHER</PersonNm>
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        <PersonNm>PAULA DAVENPORT</PersonNm>
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        <ExplanationTxt>STEVEN BAKER, MD 0 27,522 0 WILLIAM MOORE, MD 0 270,659 0</ExplanationTxt>
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          <PersonNm>THOMAS RADNEY</PersonNm>
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        <TransactionDesc>LEGAL SERVICES</TransactionDesc>
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        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELL MEDICAL CENTER IS A PROGRESSIVE, NOT-FOR-PROFIT, ACUTE CARE FACILITY, SERVING THE NEEDS OF EAST CENTRAL ALABAMA. RUSSELL MEDICAL CENTER AND ITS PHYSICIANS ARE COMMITTED TO PROVIDING THE HIGHEST STANDARDS OF PATIENT CARE AND CUSTOMER SERVICE. OUR MISSION IS SIMPLE: BEING THE BEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELL MEDICAL CENTER IS IN A MANAGEMENT RELATIONSHIP WITH UAB - PLANNING/EXECUTING BUDGETS AND FIANCIAL OPERATIONS, AND SUPERVISING EXEMPT OPERATIONS. UAB IS PART OF THE UNIVERSITY OF ALABAMA SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS AND IS AN AGENDA ITEM AT A REGULARLY SCHEDULED BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS MUST COMPLETE AN ANNUAL DISCLOSURE STATEMENT. THEY ARE REQUIRED TO RECUSE THEMSELVES FROM ALL DISCUSSION AND VOTES WHEN A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED. THE BOARD, ALONG WITH HOSPITAL ADMINISTRATION, IS RESPONSIBLE FOR MONITORING EVENTS WHICH MAY GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELL MEDICAL CENTER DETERMINES APPROPRIATE COMPENSATION FOR THE CEO ALL OTHER OFFICERS AND ANY KEY EMPLOYEES THROUGH THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT. RESULTS AND RECOMMMENDATIONS ARE FORWARDED TO THE BOARD OF DIRECTORS FOR FINAL DETERMINATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE 15(A) ABOVE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>IN GENERAL, THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN PENSION LIABILITY 1,114,473 PERIODIC PENSION COST 635,312 LEGACY PROJECT PLEDGE NPV ADJUSTMENT 338,922 CHANGE IN MINORITY INTEREST JV 834,483 TRANSFER OF ASSETS TO RUSSELL LEGACY, LLC -1,748,176 TOTAL 1,175,014</ExplanationTxt>
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