2024-01-31T11:10:45-05:00 2023-03-31 990 2022-04-01 630841123 INFIRMARY HEALTH SYSTEM INC INFI 2514353030 POST OFFICE BOX 2226 MOBILE AL 36652 JOE DENTON ASSISTANT TREASURER 2514353030 2024-01-31 JOE DENTON XXX-XX-XXXX false 2022 2023-04-26 12:10:37Z D MARK NIX POST OFFICE BOX 2226 MOBILE AL 36652 90827343 false X WWW.INFIRMARYHEALTH.ORG X 1982 AL 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. 13 12 1798 0 0 68596266 71959485 2603257 2017142 4137015 4434362 75336538 78410989 0 0 56319467 63237977 0 0 29563659 33502665 85883126 96740642 -10546588 -18329653 523349196 551550651 634179778 678249713 -110830582 -126699062 X 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. false false 68964677 72433135 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 16,000 EMERGENCY SERVICES, OVER 1,900 SURGICAL CASES, 174 NEWBORN DELIVERIES, AND 44,584 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, AND MANY OTHER NATIONAL ORGANIZATIONS ARE ACTIVELY SUPPORTED BY THE ORGANIZATION AND ITS EMPLOYEES. THE IHS LEADERSHIP TEAM SERVES ON MORE THAN 100 BOARDS AND PLAYS AN ACTIVE ROLE WITH IHELP BY LEADING, SUPPORTING, ENCOURAGING AND PARTICIPATING IN ALL VOLUNTEER PROJECTS. IHELP SUPPORTS MORE THAN 40 ORGANIZATIONS AND NON- PROFIT ORGANIZATIONS THROUGH TEAMS, FUNDRAISING, HEALTH AND WELLNESS FAIRS AND IN-KIND DONATIONS. BLOOD DRIVES ARE CONDUCTED QUARTERLY ON INFIRMARY HEALTH'S CAMPUSES, WHERE IN FY23, INFIRMARY HEALTH STAFF PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY AND BALDWIN COUNTY HEART WALKS. CARDIAC REHABILITATION PATIENTS ALSO PARTICIPATED BY REGISTERING FOR THE WALKS. ADDITIONALLY, THROUGH INFIRMARY HEALTH'S 10,000 SPONSORSHIP TO AHA, NORTH BALDWIN INFIRMARY DONATED CPR TRAINING KITS TO BALDWIN COUNTY HIGH SCHOOL, AND MOBILE INFIRMARY DONATED CPR TRAINING KITS TO THE BOYS & GIRLS CLUB OF SOUTH ALABAMA. THE KITS PROVIDE HANDS-ON LEARNING EXPERIENCES AND EVERYTHING NEEDED TO TRAIN 10 STUDENTS AT ONCE IN CPR. IN FEBRUARY 2023, INFIRMARY HEALTH RAISED AWARENESS FOR HEART MONTH. IN ADDITION TO PUBLISHING EDUCATIONAL INFORMATION ACROSS ITS WEBSITE AND SOCIAL MEDIA CHANNELS, INFIRMARY HEALTH HOSTED ITS ANNUAL FREE HEART SCREENINGS TITLED "GO RED GULF COAST." EACH OF THE INFIRMARY FITNESS CENTERS HOSTED A SCREENING IN PARTNERSHIP WITH THE LOCAL FOX AFFILIATE, AND MORE THAN 200 PARTICIPANTS RECEIVED FREE BLOOD PRESSURE AND GLUCOSE LEVEL CHECKS. INFIRMARY HEALTH STAFF EACH VOLUNTEERED THREE HOURS ON THE DAY OF THE EVENT CONDUCTED THE CHECKS. INFIRMARY HEALTH SUPPORTS ITS LOCAL AMERICAN CANCER SOCIETY (ACS) CHAPTER WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, PINK PEARLS SUPPORT GROUP, AND NUMEROUS OTHER ACS EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2022, INFIRMARY HEALTH PARTICIPATED AS THE SURVIVOR SPONSOR IN ACS'S ANNUAL MAKING STRIDES AGAINST BREAST CANCER WALK. IN ADDITION TO PARTICIPATING IN THE WALK, INFIRMARY HEALTH EMPLOYEES PURCHASED T-SHIRTS, HONOR FLAGS FOR THEIR LOVED ONES AND BUTTONS. THE FUNDRAISING EFFORTS GENERATED 2,500 FOR ACS. IN MARCH 2023, INFIRMARY HEALTH RAISED MONEY FOR ACS'S COLON CANCER AWARENESS EVENT, CHILI COOK OFF. EACH HOSPITAL SOLD T-SHIRTS AND TICKETS TO THE EVENT. IN TOTAL, 650 SHIRTS WERE SOLD, AND 2,390 WAS GIVEN BACK TO ACS. INFIRMARY HEALTH AND INFIRMARY CANCER CARE ROLLED OUT ITS MOBILE CANCER SCREENING UNIT IN FEBRUARY 2019. THE MOBILE SCREENING UNIT HELPS ADDRESS THE NEED FOR ACCESS TO CARE IN RURAL COMMUNITIES. IN FY2023, THE UNIT TRAVELED TO MANY OUTLYING AREAS OF MOBILE AND BALDWIN COUNTIES, INCLUDING TILLMAN'S CORNER, EIGHT MILE, GROVE HILL, LILLIAN AND OTHERS. IN TOTAL, THE UNIT ATTENDED MORE THAN 20 EVENTS AND PROVIDED FREE SCREENING AND EDUCATION TO NEARLY 1,900 INDIVIDUALS. PROSTATE CANCER AWARENESS MONTH FALLS EACH SEPTEMBER, AND IN 2022, INFIRMARY CANCER CARE BROUGHT BACK FREE PROSTATE PSA SCREENINGS FOR THE COMMUNITY. THE EVENTS WERE HELD IN PARTNERSHIP WITH THE LOCAL FOX AFFILIATE AT EACH INFIRMARY FITNESS CENTERS. MORE THAN 300 MEN OVER THE AGE OF 65 WERE INVITED TO RECEIVE A FREE PSA TEST. THOSE WHOSE PSA REGISTERED AS ABNORMAL WERE FOLLOWED UP WITH BY A NURSE NAVIGATOR FROM INFIRMARY CANCER CARE. IN MARCH 2023, FOR COLON CANCER AWARENESS MONTH, INFIRMARY CANCER CARE, IN PARTNERSHIP WITH INFIRMARY FITNESS CENTERS, HOSTED FREE "COLON ON CAMPUS WITH COFFEE" EVENTS FOR THE COMMUNITY. THE EVENTS UTILIZED THE MOBILE SCREENING UNIT AND A GIANT INFLATABLE COLON THAT PARTICIPANTS WERE ABLE TO WALK THROUGH TO GAIN EDUCATION ON THE SIGNS AND SYMPTOMS OF COLON CANCER. AT THESE EVENTS, MORE THAN 300 INDIVIDUALS WERE EDUCATED AND 70 FREE COLON CANCER SCREENING TESTS WERE PROVIDED. TO PROVIDE FREE EDUCATION TO ADOLESCENT GIRLS IN THE COMMUNITIES, INFIRMARY HEALTH HOSTED TWO "THE TALK: FOR GIRLS ONLY" EVENTS IN MOBILE AND BALDWIN COUNTIES. THE EVENTS WERE HELD IN SEPTEMBER 2022 AND TARGETED TOWARDS GIRLS AGES 8 - 13 IN MOBILE AND 14 - 18 IN BALDWIN COUNTY. INFIRMARY HEALTH AFFILIATE PHYSICIANS SPOKE AT THE EVENT AND PROVIDED FREE EDUCATION REGARDING PUBERTY, MENSTRUAL CYCLES, SEX EDUCATION AND OTHER TOPICS. IN MOBILE, MORE THAN 90 GIRLS AND THEIR SUPPORT PERSONS ATTENDED THE EVENT. INFIRMARY HEALTH HOSTS ITS ANNUAL "TURKEY TOSS" FOR EMPLOYEES IN NOVEMBER, GIVING EACH EMPLOYEE A TURKEY FOR THE HOLIDAYS. REMAINING TURKEYS WERE DONATED TO FEED THE HOMELESS AND LOW INCOME FAMILIES IN MOBILE AND BALDWIN COUNTIES THROUGH VARIOUS ORGANIZATIONS SUCH AS: FEEDING THE GULF COAST (FORMERLY BAY AREA FOOD BANK), HOME OF GRACE, WILMER HALL, L'ARCHE MOBILE, PENELOPE HOUSE, WINGS OF LIFE, PRODISEE PANTRY, FAIRHOPE UNITED METHODIST CHURCH AND FIRST 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 HE 68964677 true false false false false false false false false false true false false true true false false true false false true false false false false false false false false true true true false false false false false false false true false false false false false false true true true false false true 107 0 true 1798 true false true BD false false false false false false false false true false X 13 12 false false false false false false false true true false true true false true true true true true true true false X JAMES MITCHELL 2514353030 5 MOBILE INFIRMARY CIRCLE MOBILE AL 36607 LAURA CLARK DIRECTOR 0.10 X 0 0 0 T BESTOR WARD III DIRECTOR 0.10 X 0 0 0 JOHN WHITE-SPUNNER DIRECTOR 0.10 X 0 0 0 JOHN M TURNER JR DIRECTOR 0.10 X 0 0 0 MICHAEL E PIERCE DIRECTOR 0.10 X 0 0 0 FRANK J LOTT III DIRECTOR 0.10 X 0 0 0 JOHN H BAKER III 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PRESIDE 40.00 X 227846 0 68095 PETER FINNORN VICE PRESIDE 40.00 X 283308 0 45721 BILLY E STEPHENS EXECUTIVE VP 30.00 X 290319 0 29765 DARAN SCROGGIE CMIO 40.00 X 476912 103974 68142 TONY PALAZZO VICE PRESIDE 40.00 X 316042 0 58730 ROMIE ASHER VICE PRESIDE 40.00 X 355612 0 81364 SCOTT FENN VICE PRESIDE 40.00 X 526518 0 86178 STEPHEN LEMOINE VICE PRESIDE 40.00 X 310658 0 58908 11543706 103974 1773730 151 true true false INNOVATIVE CONSULTING GROUP 9210 PETERSBERG ROAD EVANSVILLE IN 47725 CONSULTING 1527500 I-10 DAPHNE LLC 118 NORTH ROYAL ST SUITE 700 MOBILE AL 36602 RENT 1054682 DEX IMAGING OF ALABAMA LLC PO BOX 17299 CLEARWATER FL 33762 OFFICE TECH 828566 CHANGE HEALTHCARE SOLUTIONS LLC PO BOX 572490 MURRAY UT 841572490 HEALTHCARE TECH 620288 GM HEALTHCARE SOLUTIONS LLC PO BOX 1345 POINT CLEAR AL 36564 CONSULTING 597693 21 SHARED SUPPORT SERVICES 561499 67000252 67000252 MANAGEMENT SERVICES 561000 3028397 3028397 BUILDING RENTAL 532000 1827044 1827044 PATIENT CARE SERVICES 621400 103792 103792 71959485 1692680 1692680 6095463 2134751 3960712 3960712 3960712 8147883 2458182 7966112 2315491 181771 142691 324462 324462 MISCELLANEOUS REVENUE 900099 473650 473650 473650 78410989 72433135 5977854 8859320 2818630 6040690 36265296 26634140 9631156 5739280 4215071 1524209 6521583 4789614 1731969 5852498 4298221 1554277 500225 500225 378150 378150 5754 5754 888031 888031 4601531 4601531 919973 919973 2540865 2540865 12622439 12622439 1603068 1603068 301871 301871 148053 148053 1191667 1191667 5492787 5492787 1564777 1564777 TAXES AND LICENSES 393310 393310 DUES AND SUBSCRIPTIONS 167327 167327 SPONSORSHIPS 119365 119365 MISCELLANEOUS EXPENSES 63472 63472 96740642 68964677 27775965 0 52554324 89790671 46039081 39248663 16155351 20540742 220758084 217731599 5034582 5670409 203615590 78141943 127191982 125473647 149514 173895 55466278 52921025 523349196 551550651 302059683 353854591 285501438 275853137 46618657 48541985 634179778 678249713 X -110830582 -126699062 -110830582 -126699062 523349196 551550651 X -18329653 -5748210 8209383 X false true X true true true X 64462 15000 79462 70424900 69025095 66179583 68596266 71959486 346185330 70489362 69025095 66194583 68596266 71959486 346264792 346264792 5950969 5902185 5878779 6163610 7788143 31683686 5950969 5902185 5878779 6163610 7788143 31683686 322554 254407 473650 1050611 76440331 74927280 72395916 75014283 80221279 378999089 0.91360 0.91850 0.08000 0.08000 X PART III, LINE 12 1,050,611 28790660 28790660 142324284 57037857 85286427 3505653 1891719 1613934 19054459 16364550 2689909 9940534 2847817 7092717 125473647 SCFFA ACQUISITION FUND 39056999 RIGHT OF USE ASSETS OP LEASE 8510559 OTHER ASSETS 5353467 52921025 CAPITAL LEASES 34139853 INVESTMENT IN GULF HLTH MGT SVCS INC 14402132 48541985 false CENTRAL AMERICA/CARIBBEAN PROGRAM SERVICES SELF INSURANCE 4367463 CENTRAL AMERICA/CARIBBEAN INVESTMENTS 40021703 44389166 44389166 true false true false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA/CARIBBEAN 4,367,463 0 CENTRAL AMERICA/CARIBBEAN 0 40,021,703 X true true X X X X false true false false false false false true false D MARK NIX PRESIDENT/CHAIRMAN 1324545 535705 15060 36600 22337 1934247 JOE DENTON ASSISTANT TREASURER 502701 190143 73288 100924 22572 889628 JAMES MITCHELL ASSISTANT TREASURER 203187 73735 38072 63389 19238 397621 SCOTT BROWINING ASSISTANT SECRETARY 357232 120971 46362 49807 24072 598444 RICHARD B SANDERS EXECUTIVE VP 441825 160215 210909 68776 20451 902176 SHEILA YOUNG VP HR 330842 130179 51772 84449 22050 619292 DENNIS SUMMERFORD VICE PRESIDENT 266109 84654 30162 57365 21336 459626 KERN A WILSON VICE PRESIDENT 259881 90430 46839 75600 19482 492232 ORMAND THOMPSON VICE PRESIDENT 317737 71632 38743 68832 24908 521852 JOE STOUGH EVP/COO 518863 202384 76660 92474 25322 915703 KERRY TOLLESON VICE PRESIDENT 307489 99110 38112 40296 25322 510329 ALAN HOLLEY VICE PRESIDENT 241767 86572 62087 72754 22158 485338 KENNY BREAL VICE PRESIDENT 208289 54889 19410 29114 22572 334274 SUSAN BOUDREAU VICE PRESIDENT 350763 111852 39521 71477 22294 595907 BEN HANSERT VICE PRESIDENT 242920 58575 24298 31482 19374 376649 GEORGIE CAIN VICE PRESIDENT 188842 38116 888 43681 24414 295941 PETER FINNORN VICE PRESIDENT 262567 20338 403 23696 22025 329029 BILLY E STEPHENS EXECUTIVE VP 193538 96735 46 19458 10307 320084 DARAN SCROGGIE CMIO 338690 103289 101372 36850 685 43772 24370 545054 103974 TONY PALAZZO VICE PRESIDENT 219458 65229 31355 34208 24522 374772 ROMIE ASHER VICE PRESIDENT 251246 75025 29341 61953 19411 436976 SCOTT FENN VICE PRESIDENT 347790 138850 39878 62106 24072 612696 STEPHEN LEMOINE VICE PRESIDENT 239465 70139 1054 33586 25322 369566 SCHEDULE J, PAGE 1, PART I, LINE 1A SOCIAL CLUB DUES ARE PAID FOR EXECUTIVES TO CARRY ON IH BUSINESS. THESE AMOUNTS ARE PART OF THE OVERALL COMPENSATION PACKAGE AND ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 4A AND 4B THE IH 457(F) PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PLAN THAT TAX- EXEMPT ORGANIZATIONS CAN ESTABLISH FOR THEIR EMPLOYEES. THIS PLAN IS FUNDED ENTIRELY BY THE EMPLOYER FOR THE BENEFIT OF ITS PARTICIPANTS. THE ELIGIBILITY FOR THIS PLAN IS LIMITED TO DESIGNATED HIGHLY COMPENSATED EMPLOYEES (VICE-PRESIDENTS AND ABOVE) OF THE ORGANIZATION AND MUST BE DESIGNATED AS ELIGIBLE BEFORE CONTRIBUTIONS CAN BE MADE. THE AMOUNT OF THE ANNUAL EMPLOYER CONTRIBUTIONS IS DETERMINED AS A PERCENTAGE OF BASE SALARY FOR EACH ELIGIBLE PARTICIPANT. THE PARTICIPANT DESIGNATES THE ALLOCATION OF THE CONTRIBUTION IN THE FUND SELECTION IN THE PLAN AS WELL AS FUTURE VESTING DATES. THE EARLIEST THAT A PARTICIPANT MAY VEST IN A PARTICULAR YEARS' AS OUTLINED IN THE IH COMPENSATION POLICY BENEFIT IS THREE YEARS. ONCE VESTED, THE BENEFIT AND ASSOCIATED EARNINGS BECOME TAXABLE TO THE INDIVIDUAL AND IS PAID THROUGH NORMAL PAYROLL PROCESSING. SCHEDULE J, PAGE 1, PART I, LINE 4 JOE DENTON 0 74,999 0 JAMES MITCHELL 0 30,545 0 SCOTT BROWINING 0 36,082 0 RICHARD B. SANDERS 0 32,301 0 SHEILA YOUNG 0 49,649 0 DENNIS SUMMERFORD 0 26,865 0 KERN A. WILSON 0 39,000 0 ORMAND THOMPSON 0 32,232 0 JOE STOUGH 0 78,749 0 KERRY TOLLESON 0 31,500 0 ALAN HOLLEY 0 36,155 0 KENNY BREAL 0 21,100 0 SUSAN BOUDREAU 0 34,877 0 GEORGIE CAIN 0 19,286 0 DARAN SCROGGIE 0 34,622 0 TONY PALAZZO 0 22,649 0 ROMIE ASHER 0 25,353 0 SCOTT FENN 0 52,956 0 STEPHEN LEMOINE 0 24,746 0 SCHEDULE J, PAGE 1, PART I, LINE 7 EACH FISCAL YEAR, IH AND ITS AFFILIATES ESTABLISH CORPORATE AND INDIVIDUAL GOALS BASED ON STRATEGIC INITIATIVES APPROVED BY THE BOARD OF DIRECTORS. THE GOALS ENSURE FOCUS ON AREAS SUCH AS: SAFETY, QUALITY, SERVICE, FINANCE, LEADERSHIP AND COMMUNITY. A BOARD APPROVED COMPENSATION PHILOSOPHY OUTLINES THE PAYMENT OF ANNUAL INCENTIVES IF THE ESTABLISHED GOALS/CRITERIA ARE MET. GOAL SETTING AND ACCOMPLISHMENTS ARE REVIEWED ANNUALLY BY AN INTERNAL EXECUTIVE COMMITTEE, THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. THE BOARD OR AUTHORIZED COMMITTEE THEREOF HAS THE DISCRETION TO DENY OR REDUCE PAYMENT UNDER THIS COMPENSATION PLAN DEPENDENT UPON THE PARTICULAR FACTS AND CIRCUMSTANCES. A IHS SPECIAL CARE FACILITIES AUTHORITY OF MOBILE 631241115 45663NBW1 2016-03-02 265266409 REV BONDS SERIES 2016 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2016A BONDS ARE BEI false false false B IHS SPECIAL CARE FACILITIES AUTHORITY OF MOBILE 631241115 45663NCD2 2021-09-14 155603209 REV BONDS SERIES 2021 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2021A BONDS ARE BEI false false false A 140258154 265955153 37177649 1374780 227402725 2020 true true true true B 4758328 156433058 1234425 3093778 113047857 39056999 true false false false A false false true true false false false false B false false true true false 0.00870 0.00110 0.00980 false false false A false false false false false false false false false B false false false false false false false false false A false B false PURPOSE OF ISSUE DESCRIPTION IHS SPECIAL CARE FACILITIES REV BONDS SERIES 2016 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2016A BONDS ARE BEING ISSUED IN THE BOOK ENTRY SYSTEM AND WILL BE ASSIGNED CUSIP NUMBER 45663NBW1 ON ITS LATEST MATURITY. THE SERIES 2016B BONDS AND THE SERIES 2016C BONDS ARE BEING ISSUED IN THE BANK LOAN MODE UNDER THE RELATED INDENTURES FOR SUCH BONDS. THE SERIES 2016B BONDS AND SERIES 2016C BONDS WILL BE EVIDENCED BY A SINGLE PHYSICAL CERTIFICATE THAT WILL NOT BE IN THE BOOK ENTRY SYSTEM. THOSE BONDS WILL NOT BE ASSIGNED CUSIP NUMBERS. DESCRIPTION OF PURPOSE SCHEDULE K, LINE 1B, COLUMN (F) SERIES 2016A: REFUND SERIES 2012-E BONDS, A PORTION OF SERIES 2012-F BONDS, AND A PORTION OF SERIES 2010-A BONDS AND CONSTRUCTION/RENOVATION OF HOSPITAL FACILITIES. SERIES 2016B: REFUND 2012-B BONDS, A PORTION OF SERIES 2012-D BONDS, AND A PORTION OF SERIES 2012-F BONDS. SERIES 2016C: REFUND 2012-C BONDS AND A PORTION OF SERIES 2012-D BONDS PURPOSE OF ISSUE DESCRIPTION IHS SPECIAL CARE FACILITIES REV BONDS SERIES 2021 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2021A BONDS ARE BEING ISSUED IN THE BOOK ENTRY SYSTEM AND WILL BE ASSIGNED CUSIP NUMBER 45663NCD2 ON ITS LATEST MATURITY. THE SERIES 2021B BONDS ARE BEING ISSUED IN THE BOOK ENTRY SYSTEM AS A SINGLE PHYSICAL CERTIFICATE AND WILL BE ASSIGNED THE FOLLOWING CUSIP NUMBER: 45663NCE0. THE SERIES 2021C BONDS ARE BEING ISSUED IN THE DIRECT LOAN MODE UNDER THE RELATED INDENTURE FOR SUCH BONDS. THE SERIES 2021C BONDS WILL BE EVIDENCED BY A SINGLE PHYSICAL CERTIFICATE THAT WILL NOT BE IN THE BOOK ENTRY SYSTEM AND WILL NOT BE ASSIGNED CUSIP NUMBERS. DESCRIPTION OF PURPOSE SCHEDULE K, LINE 1B, COLUMN (F) SERIES 2021A: REFUND SERIES 2016B BONDS AND CONSTRUCTION/RENOVATION OF HOSPITAL FACILITIES. SERIES 2021B: CONSTRUCTION/RENOVATION OF HOSPITAL FACILITIES SERIES 2016C: REFUND 2016C BONDS RYAN SUMMERFORD KEY EE SON 95643 WAGES false KATHLEEN DENTON DIRECTOR SPOUSE 39696 WAGES false SCHEDULE L, PART V DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV RYAN SUMMERFORD IS THE SON OF DENNIS SUMMERFORD, A KEY EMPLOYEE OF THE ORGANIZATION. DURING THE TAX YEAR, HE RECEIVED 95,643 IN WAGES FROM THE ORGANIZATION. KATHLEEN DENTON IS THE SPOUSE OF JOE DENTON, AN OFFICER OF THE ORGANIZATION. DURING THE TAX YEAR, SHE RECEIVED 39,696 IN WAGES FROM THE ORGANIZATION. FORM 990 - ORGANIZATION'S MISSION 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. FORM 990, PAGE 2, PART III, LINE 4A 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 16,000 EMERGENCY SERVICES, OVER 1,900 SURGICAL CASES, 174 NEWBORN DELIVERIES, AND 44,584 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, AND MANY OTHER NATIONAL ORGANIZATIONS ARE ACTIVELY SUPPORTED BY THE ORGANIZATION AND ITS EMPLOYEES. THE IHS LEADERSHIP TEAM SERVES ON MORE THAN 100 BOARDS AND PLAYS AN ACTIVE ROLE WITH IHELP BY LEADING, SUPPORTING, ENCOURAGING AND PARTICIPATING IN ALL VOLUNTEER PROJECTS. IHELP SUPPORTS MORE THAN 40 ORGANIZATIONS AND NON- PROFIT ORGANIZATIONS THROUGH TEAMS, FUNDRAISING, HEALTH AND WELLNESS FAIRS AND IN-KIND DONATIONS. BLOOD DRIVES ARE CONDUCTED QUARTERLY ON INFIRMARY HEALTH'S CAMPUSES, WHERE IN FY23, INFIRMARY HEALTH STAFF PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY AND BALDWIN COUNTY HEART WALKS. CARDIAC REHABILITATION PATIENTS ALSO PARTICIPATED BY REGISTERING FOR THE WALKS. ADDITIONALLY, THROUGH INFIRMARY HEALTH'S 10,000 SPONSORSHIP TO AHA, NORTH BALDWIN INFIRMARY DONATED CPR TRAINING KITS TO BALDWIN COUNTY HIGH SCHOOL, AND MOBILE INFIRMARY DONATED CPR TRAINING KITS TO THE BOYS & GIRLS CLUB OF SOUTH ALABAMA. THE KITS PROVIDE HANDS-ON LEARNING EXPERIENCES AND EVERYTHING NEEDED TO TRAIN 10 STUDENTS AT ONCE IN CPR. IN FEBRUARY 2023, INFIRMARY HEALTH RAISED AWARENESS FOR HEART MONTH. IN ADDITION TO PUBLISHING EDUCATIONAL INFORMATION ACROSS ITS WEBSITE AND SOCIAL MEDIA CHANNELS, INFIRMARY HEALTH HOSTED ITS ANNUAL FREE HEART SCREENINGS TITLED "GO RED GULF COAST." EACH OF THE INFIRMARY FITNESS CENTERS HOSTED A SCREENING IN PARTNERSHIP WITH THE LOCAL FOX AFFILIATE, AND MORE THAN 200 PARTICIPANTS RECEIVED FREE BLOOD PRESSURE AND GLUCOSE LEVEL CHECKS. INFIRMARY HEALTH STAFF EACH VOLUNTEERED THREE HOURS ON THE DAY OF THE EVENT CONDUCTED THE CHECKS. INFIRMARY HEALTH SUPPORTS ITS LOCAL AMERICAN CANCER SOCIETY (ACS) CHAPTER WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, PINK PEARLS SUPPORT GROUP, AND NUMEROUS OTHER ACS EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2022, INFIRMARY HEALTH PARTICIPATED AS THE SURVIVOR SPONSOR IN ACS'S ANNUAL MAKING STRIDES AGAINST BREAST CANCER WALK. IN ADDITION TO PARTICIPATING IN THE WALK, INFIRMARY HEALTH EMPLOYEES PURCHASED T-SHIRTS, HONOR FLAGS FOR THEIR LOVED ONES AND BUTTONS. THE FUNDRAISING EFFORTS GENERATED 2,500 FOR ACS. IN MARCH 2023, INFIRMARY HEALTH RAISED MONEY FOR ACS'S COLON CANCER AWARENESS EVENT, CHILI COOK OFF. EACH HOSPITAL SOLD T-SHIRTS AND TICKETS TO THE EVENT. IN TOTAL, 650 SHIRTS WERE SOLD, AND 2,390 WAS GIVEN BACK TO ACS. INFIRMARY HEALTH AND INFIRMARY CANCER CARE ROLLED OUT ITS MOBILE CANCER SCREENING UNIT IN FEBRUARY 2019. THE MOBILE SCREENING UNIT HELPS ADDRESS THE NEED FOR ACCESS TO CARE IN RURAL COMMUNITIES. IN FY2023, THE UNIT TRAVELED TO MANY OUTLYING AREAS OF MOBILE AND BALDWIN COUNTIES, INCLUDING TILLMAN'S CORNER, EIGHT MILE, GROVE HILL, LILLIAN AND OTHERS. IN TOTAL, THE UNIT ATTENDED MORE THAN 20 EVENTS AND PROVIDED FREE SCREENING AND EDUCATION TO NEARLY 1,900 INDIVIDUALS. PROSTATE CANCER AWARENESS MONTH FALLS EACH SEPTEMBER, AND IN 2022, INFIRMARY CANCER CARE BROUGHT BACK FREE PROSTATE PSA SCREENINGS FOR THE COMMUNITY. THE EVENTS WERE HELD IN PARTNERSHIP WITH THE LOCAL FOX AFFILIATE AT EACH INFIRMARY FITNESS CENTERS. MORE THAN 300 MEN OVER THE AGE OF 65 WERE INVITED TO RECEIVE A FREE PSA TEST. THOSE WHOSE PSA REGISTERED AS ABNORMAL WERE FOLLOWED UP WITH BY A NURSE NAVIGATOR FROM INFIRMARY CANCER CARE. IN MARCH 2023, FOR COLON CANCER AWARENESS MONTH, INFIRMARY CANCER CARE, IN PARTNERSHIP WITH INFIRMARY FITNESS CENTERS, HOSTED FREE "COLON ON CAMPUS WITH COFFEE" EVENTS FOR THE COMMUNITY. THE EVENTS UTILIZED THE MOBILE SCREENING UNIT AND A GIANT INFLATABLE COLON THAT PARTICIPANTS WERE ABLE TO WALK THROUGH TO GAIN EDUCATION ON THE SIGNS AND SYMPTOMS OF COLON CANCER. AT THESE EVENTS, MORE THAN 300 INDIVIDUALS WERE EDUCATED AND 70 FREE COLON CANCER SCREENING TESTS WERE PROVIDED. TO PROVIDE FREE EDUCATION TO ADOLESCENT GIRLS IN THE COMMUNITIES, INFIRMARY HEALTH HOSTED TWO "THE TALK: FOR GIRLS ONLY" EVENTS IN MOBILE AND BALDWIN COUNTIES. THE EVENTS WERE HELD IN SEPTEMBER 2022 AND TARGETED TOWARDS GIRLS AGES 8 - 13 IN MOBILE AND 14 - 18 IN BALDWIN COUNTY. INFIRMARY HEALTH AFFILIATE PHYSICIANS SPOKE AT THE EVENT AND PROVIDED FREE EDUCATION REGARDING PUBERTY, MENSTRUAL CYCLES, SEX EDUCATION AND OTHER TOPICS. IN MOBILE, MORE THAN 90 GIRLS AND THEIR SUPPORT PERSONS ATTENDED THE EVENT. INFIRMARY HEALTH HOSTS ITS ANNUAL "TURKEY TOSS" FOR EMPLOYEES IN NOVEMBER, GIVING EACH EMPLOYEE A TURKEY FOR THE HOLIDAYS. REMAINING TURKEYS WERE DONATED TO FEED THE HOMELESS AND LOW INCOME FAMILIES IN MOBILE AND BALDWIN COUNTIES THROUGH VARIOUS ORGANIZATIONS SUCH AS: FEEDING THE GULF COAST (FORMERLY BAY AREA FOOD BANK), HOME OF GRACE, WILMER HALL, L'ARCHE MOBILE, PENELOPE HOUSE, WINGS OF LIFE, PRODISEE PANTRY, FAIRHOPE UNITED METHODIST CHURCH AND FIRST 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 HE FORM 990, PART V, LINE 4B BERMUDA FORM 990, PAGE 6, PART VI, LINE 11B 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. FORM 990, PAGE 6, PART VI, LINE 12C 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. FORM 990, PAGE 6, PART VI, LINE 15A THE INFIRMARY HEALTH (IH) 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 THE COMPA-RATIO (HOURLY RATED RELATIVE TO THE SALARY RANGE MIDPOINT), THE NUMBER OF MONTHS SINCE THEIR LAST INCREASE AND THE ORGANIZATION'S ANNUAL MERIT GUIDELINES. EACH POSITION IS ASSIGNED A SALARY RANGE BASED ON THEIR ACCOUNTABILITY, KNOW-HOW AND PROBLEM-SOLVING ABILITY. SALARY RANGE MIDPOINTS (THE MIDPOINT REPRESENTS 100% OF THE MARKET) INCREASE EACH YEAR BASED ON EXTERNAL MARKET DATA. IH PARTICIPATES IN NUMEROUS SALARY SURVEYS. DEPENDING ON THE POSITION, THE SURVEY DATA MAY BE INDUSTRY SPECIFIC, (E.G. HEALTHCARE) OR FROM OTHER INDUSTRIES. CURRENTLY, EXECUTIVE POSITION MARKET DATA COMES FROM WATSON WYATT, INTEGRATED HEALTHCARE STRATEGIES, SULLIVAN COTTER AND WILLIS TOWERS WATSON. THE ANNUAL MERIT GUIDELINES ARE DETERMINED BY THE ORGANIZATION'S ABILITY TO PAY (BUDGET). FOR EXECUTIVES, THE CEO AND SVP, HUMAN RESOURCES REVIEW THE SUGGESTED MERIT INCREASE AND MAKE RECOMMENDATIONS TO THE INFIRMARY HEALTH SYSTEM COMPENSATION COMMITTEE. THE FINAL RECOMMENDATIONS PRESENTED BY THE COMPENSATION COMMITTEE ARE APPROVED BY THE IHS BOARD OF DIRECTORS. IH HAS AN EXTERNAL REVIEW OF COMPENSATION PRACTICES EVERY TWO YEARS AND WAS MOST RECENTLY REVIEWED BY SULLIVAN COTTER IN 2023. FORM 990, PAGE 6, PART VI, LINE 15B SEE RESPONSE TO 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 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. FORM 990, PART XI, LINE 9 PENSION PLAN CHANGES 8,721,885 INTERCOMPANY TRANSFERS -512,502 TOTAL 8,209,383 GULF HEALTH HOSPITALS INC PO BOX 2226 MOBILE AL 36652 630891904 HOSPITAL AL 3 3 IHS true GULF HEALTH PROPERTIES INC PO BOX 2226 MOBILE AL 36652 630933700 REAL ESTAT AL 2 IHS true INFIRMARY FOUNDATION INC PO BOX 2226 MOBILE AL 36652 630870620 FOUNDATION AL 3 7 IHS true INFIRMARY HEALTH HOSPITALS INC PO BOX 2226 MOBILE AL 36652 203713023 HOSPITALS AL 3 3 IHS true MOBILE INFIRMARY ASSOCIATION PO BOX 2226 MOBILE AL 36652 630288856 HOSPITAL AL 3 3 IHS true PROF&GEN PATIENT LIAB SELF-INS TRST PO BOX 2226 MOBILE AL 36652 636117376 SELF INS AL IHS TRUST 26064 1202283 1.00000 true WORKER'S COMPENSATION TRUST PO BOX 2226 MOBILE AL 36652 936118459 SELF INS AL IHS TRUST 15659 1273141 1.00000 true INFIRMARY MEDICAL CLINICS INC & SUBSIIDIARIES PO BOX 2226 MOBILE AL 36652 630985524 PHY OFFICE AL IHS C CORP 170569028 84671750 1.00000 true GULF HEALTH MGT SERVC INC PO BOX 2226 MOBILE AL 36652 562332377 MANAGEMENT AL IHS C CORP 319604 9119747 1.00000 true AMERICAN OAK HILL ASSUR LTD PO BOX 2226 MOBILE AL 36652 980604272 SELF INS AL IHS C CORP 4521584 40021703 1.00000 true true false false false false false false false false false false true false true false true true true true MOBILE INFIRMARY ASSOCIATION A 2208126 FMV INFIRMARY MEDICAL CLINICS INC A 5037551 FMV GULF HEALTH HOSPITALS INC A 603662 FMV MOBILE INFIRMARY ASSOCIATION L 25901400 FMV INFIRMARY MEDICAL CLINICS INC L 78264 FMV GULF HEALTH PROPERTIES INC L 80574 FMV GULF HEALTH HOSPITALS INC L 16949755 FMV INFIRMARY FOUNDATION INC L 90161 FMV INFIRMARY HEALTH HOSPITALS INC L 2149348 FMV MOBILE INFIRMARY ASSOCIATION N 40681048 FMV INFIRMARY MEDICAL CLINICS INC N 10868118 FMV GULF HEALTH PROPERTIES INC N 166776 FMV GULF HEALTH HOSPITALS INC N 23392915 FMV GULF HEALTH MANAGEMENT SERVICES INC N 191340 FMV INFIRMARY HEALTH HOSPITALS INC N 1185928 FMV MOBILE INFIRMARY ASSOCIATION P 2162097 FMV GULF HEALTH HOSPITALS INC P 117389 FMV MOBILE INFIRMARY ASSOCIATION Q 46176300 FMV INFIRMARY MEDICAL CLINICS INC Q 14205521 FMV GULF HEALTH PROPERTIES INC Q 60545 FMV GULF HEALTH HOSPITALS INC Q 25242509 FMV GULF HEALTH MANAGEMENT SERVICES INC Q 116747 FMV INFIRMARY HEALH HOSPITALS INC Q 957367 FMV INFIRMARY FOUNDATION INC Q 852011 FMV MOBILE INFIRMARY ASSOCIATION R 14904649 FMV GULF HEALTH PROPERTIES INC R 1935780 FMV GULF HEALTH HOSPITALS INC R 927689 FMV AMERICAN OAK HILL ASSUR LTD R 100000 FMV MOBILE INFIRMARY ASSOCIATION S 1613350 FMV GULF HEALTH HOSPITALS INC S 601557 FMV