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      <Desc>INFIRMARY HEALTH SYSTEM (IHS) PROVIDES CENTRALIZED MANAGEMENT AND ADMINISTRATIVE SERVICES TO FOUR NOT-FOR-PROFIT HOSPITALS, A SKILLED NURSING FACILITY, A CHARITABLE FOUNDATION, AND A NETWORK OF MORE THAN TWENTY MEDICAL CLINICS. IHS IS FOCUSED ON ACHIEVING ECONOMIES OF SCALE FOR ITS SUPPORTED FACILITIES BY PROVIDING CENTRALIZED, COORDINATED SERVICES, ALLOWING THE FACILITIES TO OFFER STATE-OF-THE-ART MEDICAL SERVICES AT THE LOWEST POSSIBLE COST. CENTRALIZED AND COORDINATED SERVICES INCLUDE ACCOUNTING, ACCOUNTS PAYABLE, HUMAN RESOURCES, INFORMATION TECHNOLOGY, PURCHASING, BUSINESS OFFICE, AND MAINTENANCE, AMONG MANY OTHER SUPPORT SERVICES. THE SERVICES ARE PROVIDED TO SYSTEM FACILITIES AT A LEVEL OF KNOWLEDGE AND EXPERIENCE THAT, IN MANY CASES, WOULD NOT OTHERWISE BE AVAILABLE OR AFFORDABLE. IHS HAS SPEARHEADED EFFORTS TO IMPROVE THE AVAILABILITY OF HEALTHCARE SERVICES IN RURAL AREAS OF SOUTHWEST ALABAMA. RECRUITMENT OF PHYSICIANS TO THE RURAL COMMUNITY OF BAY MINETTE, ALABAMA HAS REMAINED A FOCUS, RESULTING IN SEVERAL PHYSICIANS RELOCATING TO THE AREA. CAPITAL INVESTMENT IN THE FACILITIES IN BAY MINETTE CONTINUE TO PROVIDE BENEFIT TO THE COMMUNITY, WITH OVER 16,000 EMERGENCY SERVICES, OVER 2,300 SURGICAL CASES, 252 NEWBORN DELIVERIES, AND 31,894 ADJUSTED PATIENT DAYS BEING PROVIDED. AS A RESULT OF AN ASSESSMENT OF COMMUNITY HEALTH NEEDS, IHS SUPPORTED THE INITIATION OF GERIATRIC PSYCHIATRIC SERVICES AT ITS FACILITY IN BAY MINETTE, THE ONLY ONE OF ITS KIND IN BALDWIN COUNTY. STUDIES TO DETERMINE ADDITIONAL HEALTHCARE NEEDS OF THE COMMUNITY ARE ONGOING. IN RESPONSE TO A COMMUNITY NEED, IHS BUILT AND NOW OPERATES THE E.A. ROBERTS ALZHEIMER CENTER, A DAY CARE CENTER FOR THE PROVISION OF CARE TO PATIENTS SUFFERING FROM ALZHEIMER'S DISEASE OR SENILE DEMENTIA. THIS LOW- COST FACILITY, THE FIRST OF ITS KIND IN THE REGION, PROVIDES MUCH NEEDED ASSISTANCE AND RELIEF TO FAMILY MEMBERS FOR THESE PATIENTS. BECAUSE IHS AND ITS EMPLOYEES ARE ACTIVELY INVOLVED IN SUPPORTING NUMEROUS LOCAL COMMUNITY BENEFIT ORGANIZATIONS, HEALTH FAIRS, AND HEALTH ADVOCACY ORGANIZATIONS, IHS CREATED, IHELP - A PROGRAM TO CENTRALIZE, TRACK AND IDENTIFY COMMUNITY SERVICE INCLUDING VOLUNTEER, IN-KIND AND FINANCIAL RESOURCES TO MAKE AN IMPACT ON THE HEALTH AND WELL-BEING OF OUR REGION. IHS ESTABLISHED A COMMUNITY DEPARTMENT WITH A BUDGET AND PURCHASED SOFTWARE TO TRACK EMPLOYEE INVOLVEMENT AND COMMUNITY REQUESTS. CAMPAIGNS FOR UNITED WAY, THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, MARCH OF DIMES, GOODWILL, AND MANY OTHER NATIONAL ORGANIZATIONS ARE ACTIVELY SUPPORTED BY THE ORGANIZATION AND ITS EMPLOYEES. THE IHS LEADERSHIP TEAM SERVES ON MORE THAN 62 BOARDS AND PLAYS AN ACTIVE ROLE WITH IHELP BY LEADING, SUPPORTING, ENCOURAGING AND PARTICIPATING IN ALL VOLUNTEER PROJECTS. IHELP SUPPORTS MORE THAN 130 ORGANIZATIONS AND NON-PROFIT ORGANIZATIONS THROUGH TEAMS, FUNDRAISING, HEALTH AND WELLNESS FAIRS AND IN-KIND DONATIONS. BLOOD DRIVES ARE CONDUCTED QUARTERLY ON INFIRMARY HEALTH'S CAMPUSES, WHERE EMPLOYEE VOLUNTEERS AND DONATIONS ARE STRONGLY ENCOURAGED. THROUGH INFIRMARY HEALTH'S "GO RED GULF COAST," CAMPAIGN, INFIRMARY HEALTH PROVIDED FREE SCREENINGS TO 300 COMMUNITY MEMBERS. FIFTY VOLUNTEERS HELPED PROVIDE CHOLESTEROL, WEIGHT, AND BLOOD PRESSURE CHECKS. OF THE COMMUNITY MEMBERS SCREENED, 48 PERCENT HAD ABNORMAL CHL RESULTS AND HIGH BLOOD PRESSURE. INFIRMARY HEALTH ALSO PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY AND BALDWIN COUNTY HEART WALKS FOR WHICH EMPLOYEES RAISED MORE THAN 10,000. CARDIAC REHABILITATION PATIENTS ALSO PARTICIPATED IN THE FUNDRAISING THROUGH PURCHASING T-SHIRTS AND REGISTERING FOR THE WALK. INFIRMARY HEALTH EMPLOYEES NOT ONLY HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK, EMPLOYEES ALSO SERVE ON THE PLANNING COMMITTEE FOR THE EVENT. INFIRMARY HEALTH SERVES AS A FLAGSHIP SPONSOR FOR THE EVENT THAT HAD MORE THAN 25,000 PARTICIPANTS, AND THE INFIRMARY HEALTH TEAM RAISED MORE THAN 25,000 FOR BREAST CANCER. INFIRMARY HEALTH ALSO PARTNERED WITH FOX10 NEWS STATION TO OFFER FREE SKIN AND PROSTATE CANCER SCREENINGS TO THE COMMUNITY. A TOTAL OF 300 PEOPLE WERE SCREENED FOR SKIN CANCER. INFIRMARY HEALTH AND INFIRMARY CANCER CARE (AN AFFILIATE) LAUNCHED A MOBILE CANCER SCREENING AND EDUCATION UNIT IN FEBRUARY 2019. THROUGHOUT THE YEAR, THE UNIT TRAVELED TO MORE THAN 150 EVENTS AND LOCAL ORGANIZATIONS TO PROVIDE FREE CANCER SCREENING AND EDUCATION TO UNDERSERVED POPULATIONS. THE UNIT, STAFFED WITH A DRIVER AND NURSE PRACTITIONER, PROVIDED EDUCATION AROUND COLON CANCER, LUNG CANCER AND SKIN CANCER. TO DETERMINE THE NEEDS OF OUR COMMUNITIES IN BOTH MOBILE AND BALDWIN COUNTIES, THE IHELP COMMITTEE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BY SURVEYING AND INTERVIEWING COMMUNITY LEADERS THROUGH THE CHNA, TWO KEY AREAS OF NEED WERE IDENTIFIED: ACCESS TO CARE AND OBESITY/PHYSICAL ACTIVITY. MORE THAN 15 INFIRMARY HEATH STAKEHOLDERS DEVELOPED A COMPREHENSIVE IMPLEMENTATION STRATEGY TO ADDRESS THESE TWO NEEDS THROUGH 2021. INFIRMARY HEALTH HOSTS A BI-ANNUAL LEADERSHIP SUMMIT, AN EVENT HELD AT THE BATTLE HOUSE HOTEL FOR IH TEAM LEADERS AND ABOVE TO PROVIDE CONTINUED LEADERSHIP EDUCATION AND AN AFTERNOON OF COMRADERY. AT THE MOST RECENT LEADERSHIP SUMMIT IN DECEMBER, EMPLOYEES RAISED MORE THAN 1,000 FOR LOCAL FOOD BANKS. THE MONIES WERE DISTRIBUTED EVENLY TO FOOD BANKS IN MOBILE AND BALDWIN COUNTIES. 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. INFIRMARY HEALTH, IN PARTNERSHIP WITH UAB MEDICINE AND THE ALABAMA GENOMIC HEALTH INITIATIVE, HELPED FACILITATE FREE GENOMIC HEALTH SCREENINGS FOR MORE THAN 300 COMMUNITY MEMBERS. THE ALABAMA GENOMIC HEALTH INITIATIVE COLLECTED THE PARTICIPANTS' DATA TO USE FOR STATE-WIDE RESEARCH, AND IN TURN, THE PARTICIPANTS LEARNED IF THEY WERE MORE SUSCEPTIBLE TO DISEASES LIKE CANCER, HEART DISEASE, ETC. INFIRMARY HEALTH PROVIDED THE SPACE AND STAFF TO HELP FACILITATE THE SCREENINGS. IHS ACTIVELY SUPPORTS THE EFFORTS OF THE INFIRMARY FOUNDATION, A NON- PRIVATE FOUNDATION FORMED TO PROVIDE FINANCIAL SUPPORT FOR THE MOBILE INFIRMARY ASSOCIATION, A NOT-FOR-PROFIT HOSPITAL IN MOBILE, ALABAMA. THE INFIRMARY FOUNDATION PROVIDES FINANCIAL SUPPORT FOR INVESTMENT IN STATE- OF-THE-ART TECHNOLOGY, ALLOWING THE MOBILE INFIRMARY ASSOCIATION TO PROVIDE THE LATEST IN ADVANCED TREATMENT OPTIONS FOR ITS PATIENTS. THE INFIRMARY FOUNDATION, RECOGNIZING THE SHORTAGE OF QUALIFIED HEALTHCARE PROVIDERS IN THE COMMUNITY, ALSO INVESTS IN THE EDUCATION OF FUTURE HEALTHCARE PROVIDERS BY OFFERING SCHOLARSHIP OPPORTUNITIES FOR COLLEGE STUDENTS IN THE FIELD OF HEALTHCARE, AND BY PROVIDING FUNDING SUPPORT FOR SYSTEM EMPLOYEES WHO FURTHER THEIR EDUCATION IN THE FIELD OF NURSING. THE IHS BOARD, MANAGEMENT AND STAFF ARE COMMITTED TO ENHANCING THE HEALTHCARE STATUS AND RELATED QUALITY OF LIFE OF THE RESIDENTS IN THE AREAS WE SERVE ALONG THE CENTRAL GULF COAST REGION. BY BRINGING EFFICIENCY THROUGH THE COORDINATION OF SERVICES, ELIMINATING REDUNDANCY AND REDUCING COST, FOCUSING ON SPECIFIC COMMUNITY NEEDS, ENCOURAGING HEALTHY LIFESTYLES, SUPPORTING EMPLOYEE INVOLVEMENT IN HEALTHY INITIATIVES, AND ENHANCING EDUCATIONAL OPPORTUNITIES FOR TOMORROW'S CAREGIVERS, THESE GOALS ARE BEING REALIZED.</Desc>
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        <ReportableCompFromRltdOrgAmt>149651</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BILLY E STEPHENS</PersonNm>
        <TitleTxt>EXECUTIVE VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT FENN</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>55305</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA YOUNG</PersonNm>
        <TitleTxt>VP HR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>414912</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>91725</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BROWINING</PersonNm>
        <TitleTxt>ASSISTANT SE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>58262</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ORMAND THOMPSON</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY TOLLESON</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN BOUDREAU</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KERN A WILSON</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>325820</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>86761</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN HOLLEY</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>312200</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>81045</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS SUMMERFORD</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>311699</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>65665</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROMIE ASHER</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>291491</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>59407</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MITCHELL</PersonNm>
        <TitleTxt>ASSISTANT TR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>261323</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>71864</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOUG TANNER</PersonNm>
        <TitleTxt>PRESIDENT AC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>269906</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TONY PALAZZO</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNY BREAL</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
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        <OtherCompensationAmt>43147</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL G BLACKBURN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA CLARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT S FROST</PersonNm>
        <TitleTxt>DIRECTOR/CHA</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HOLBERG</PersonNm>
        <TitleTxt>DIRECTOR/SEC</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK J LOTT III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN C HOPE III</PersonNm>
        <TitleTxt>DIRECTOR/VIC</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN H BAKER III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>T BESTOR WARD III</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOEL T DAVES IV</PersonNm>
        <TitleTxt>DIRECTOR/TRE</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN M TURNER JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL E PIERCE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RODNEY A PILOT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>R MICHAEL SAXON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER WATKINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN WHITE-SPUNNER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>149651</TotReportableCompRltdOrgAmt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOAR CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 METROPLEX DRIVE</AddressLine1Txt>
            <AddressLine2Txt>SUITE 400</AddressLine2Txt>
            <CityNm>BIRMINGHAM</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35209</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INNOVATIVE CONSULTING GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9210 PETERSBERG ROAD</AddressLine1Txt>
            <CityNm>EVANSVILLE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>47725</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>I-10 DAPHNE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>118 NORTH ROYAL ST</AddressLine1Txt>
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            <CityNm>MOBILE</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36602</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHANGE HEALTHCARE SOLUTIONS LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 572490</AddressLine1Txt>
            <CityNm>MURRAY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>841572490</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LEIDOS HEALTH HOLDINGS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 328866</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>152512866</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTING</ServicesDesc>
        <CompensationAmt>565052</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>SHARED SUPPORT SERVICES</Desc>
        <BusinessCd>561499</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>64910888</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT SERVICES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>2046155</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BUILDING RENTAL</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>1471028</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>224141</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>224141</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>68652212</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>959004</TotalRevenueColumnAmt>
        <ExclusionAmt>959004</ExclusionAmt>
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        <RealAmt>4943181</RealAmt>
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        <RealAmt>1601036</RealAmt>
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        <RealAmt>3342145</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3342145</TotalRevenueColumnAmt>
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        <SecuritiesAmt>6056522</SecuritiesAmt>
        <OtherAmt>390000</OtherAmt>
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        <SecuritiesAmt>5095870</SecuritiesAmt>
        <OtherAmt>199657</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>960652</SecuritiesAmt>
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        <TotalRevenueColumnAmt>1150995</TotalRevenueColumnAmt>
        <ExclusionAmt>1150995</ExclusionAmt>
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        <Desc>MISCELLANEOUS REVENUE</Desc>
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      <OtherRevenueTotalAmt>372883</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>74477239</TotalRevenueColumnAmt>
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        <ExclusionAmt>5452144</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>7439223</TotalAmt>
        <ProgramServicesAmt>1880311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5558912</ManagementAndGeneralAmt>
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        <TotalAmt>38909900</TotalAmt>
        <ProgramServicesAmt>29533587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9376313</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1873207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>594705</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6207067</TotalAmt>
        <ProgramServicesAmt>4711319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1495748</ManagementAndGeneralAmt>
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        <TotalAmt>4209500</TotalAmt>
        <ProgramServicesAmt>3195116</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1014384</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>383674</TotalAmt>
        <ManagementAndGeneralAmt>383674</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>289407</TotalAmt>
        <ManagementAndGeneralAmt>289407</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>4504</TotalAmt>
        <ManagementAndGeneralAmt>4504</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>369414</TotalAmt>
        <ManagementAndGeneralAmt>369414</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
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        <BaseCompensationFilingOrgAmt>214768</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>71608</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>25824</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>64422</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16623</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>393245</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENNIS SUMMERFORD</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>231153</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>55318</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>25228</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>47742</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17923</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>377364</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROMIE ASHER</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>212213</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>60928</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>18350</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>51552</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7855</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>350898</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MITCHELL</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>184129</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>58192</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19002</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>56969</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14895</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>333187</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOUG TANNER</PersonNm>
        <TitleTxt>PRESIDENT ACH</TitleTxt>
        <BaseCompensationFilingOrgAmt>108388</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>31429</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>130089</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22269</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19273</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>311448</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONY PALAZZO</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>183451</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>40206</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1338</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25973</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19510</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>270478</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNY BREAL</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>176937</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>48682</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1256</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24787</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18360</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>270022</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>SOCIAL CLUB DUES ARE PAID FOR EXECUTIVES TO CARRY ON INFIRMARY HEALTH SYSTEM, INC. (IHS) BUSINESS. THESE AMOUNTS ARE PART OF THE OVERALL COMPENSATION PACKAGE AND ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 4A AND 4B THE INFIRMARY HEALTH 457(F) PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PLAN THAT TAX-EXEMPT ORGANIZATIONS CAN ESTABLISH FOR THEIR EMPLOYEES. THIS PLAN IS FUNDED ENTIRELY BY THE EMPLOYER FOR THE BENEFIT OF ITS PARTICIPANTS. THE ELIGIBILITY FOR THIS PLAN IS LIMITED TO DESIGNATED HIGHLY COMPENSATED EMPLOYEES (VICE-PRESIDENTS AND ABOVE) OF THE ORGANIZATION AND MUST BE DESIGNATED AS ELIGIBLE BEFORE CONTRIBUTIONS CAN BE MADE. THE AMOUNT OF THE ANNUAL EMPLOYER CONTRIBUTIONS IS DETERMINED AS A PERCENTAGE OF BASE SALARY FOR EACH ELIGIBLE PARTICIPANT. THE PARTICIPANT DESIGNATES THE ALLOCATION OF THE CONTRIBUTION IN THE FUND SELECTION IN THE PLAN AS WELL AS FUTURE VESTING DATES. THE EARLIEST THAT A PARTICIPANT MAY VEST IN A PARTICULAR YEARS BENEFIT IS THREE YEARS (AS OF 2017). ONCE VESTED, THE BENEFIT AND ASSOCIATED EARNINGS BECOME TAXABLE TO THE INDIVIDUAL AND IS PAID THROUGH NORMAL PAYROLL PROCESSING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>D. MARK NIX 0 298,140 0 JOE STOUGH 0 69,763 0 JOE DENTON 0 66,749 0 RICHARD B. SANDERS 0 55,960 0 DARAN SCROGGIE 0 29,971 0 BILLY E. STEPHENS 0 47,140 0 SCOTT FENN 0 28,000 0 SHEILA YOUNG 0 42,750 0 SCOTT BROWINING 0 31,527 0 ORMAND THOMPSON 0 28,001 0 KERRY TOLLESON 0 27,244 0 SUSAN BOUDREAU 0 25,000 0 KERN A. WILSON 0 33,178 0 ALAN HOLLEY 0 31,615 0 DENNIS SUMMERFORD 0 23,500 0 ROMIE ASHER 0 21,199 0 JAMES MITCHELL 0 27,749 0 TONY PALAZZO 0 19,001 0 KENNY BREAL 0 17,911 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH FISCAL YEAR, INFIRMARY HEALTH SYSTEM, INC. AND ITS AFFILIATES ESTABLISH CORPORATE AND INDIVIDUAL GOALS BASED ON STRATEGIC INITIATIVES APPROVED BY THE BOARD OF DIRECTORS. THE GOALS ENSURE FOCUS ON AREAS SUCH AS: SAFETY, QUALITY, SERVICE, FINANCE, LEADERSHIP AND COMMUNITY. A BOARD APPROVED COMPENSATION PHILOSOPHY OUTLINES THE PAYMENT OF ANNUAL INCENTIVES IF THE ESTABLISHED GOALS/CRITERIA ARE MET. GOAL SETTING AND ACCOMPLISHMENTS ARE REVIEWED ANNUALLY BY AN INTERNAL EXECUTIVE COMMITTEE, THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. THE BOARD OR AUTHORIZED COMMITTEE THEREOF HAS THE DISCRETION TO DENY OR REDUCE PAYMENT UNDER THIS COMPENSATION PLAN DEPENDENT UPON THE PARTICULAR FACTS AND CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc7">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>IHS SPECIAL CARE FACILITIES</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>AUTHORITY OF MOBILE</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>631241115</BondIssuerEIN>
        <CUSIPNum>45663NBW1</CUSIPNum>
        <BondIssuedDt>2016-03-02</BondIssuedDt>
        <IssuePriceAmt>265266409</IssuePriceAmt>
        <PurposeDesc>REV BONDS SERIES 2016 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2016A BONDS ARE BEI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>10404443</RetiredAmt>
        <TotalProceedsAmt>265954641</TotalProceedsAmt>
        <RefundingEscrowAmt>37177649</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1374780</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>227048911</OtherSpentProceedsAmt>
        <UnspentAmt>353302</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00870</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00110</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00980</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>IHS SPECIAL CARE FACILITIES REV BONDS SERIES 2016 A, B, C SCHEDULE K, PART I, LINE 1B, COLUMN (C) THE SERIES 2016A BONDS ARE BEING ISSUED IN THE BOOK ENTRY SYSTEM AND WILL BE ASSIGNED CUSIP NUMBER 45663NBW1 ON ITS LATEST MATURITY. THE SERIES 2016B BONDS AND THE SERIES 2016C BONDS ARE BEING ISSUED IN THE BANK LOAN MODE UNDER THE RELATED INDENTURES FOR SUCH BONDS. THE SERIES 2016B BONDS AND SERIES 2016C BONDS WILL BE EVIDENCED BY A SINGLE PHYSICAL CERTIFICATE THAT WILL NOT BE IN THE BOOK ENTRY SYSTEM. THOSE BONDS WILL NOT BE ASSIGNED CUSIP NUMBERS. DESCRIPTION OF PURPOSE SCHEDULE K, LINE 1B, COLUMN (F) SERIES 2016A: REFUND SERIES 2012-E BONDS, A PORTION OF SERIES 2012-F BONDS, AND A PORTION OF SERIES 2010-A BONDS AND CONSTRUCTION/RENOVATION OF HOSPITAL FACILITIES. SERIES 2016B: REFUND 2012-B BONDS, A PORTION OF SERIES 2012-D BONDS, AND A PORTION OF SERIES 2012-F BONDS. SERIES 2016C: REFUND 2012-C BONDS AND A PORTION OF SERIES 2012-D BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc8">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOEL DAVES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR SON</RelationshipDescriptionTxt>
        <TransactionAmt>73272</TransactionAmt>
        <TransactionDesc>WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RYAN SUMMERFORD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>KEY EE SON</RelationshipDescriptionTxt>
        <TransactionAmt>67656</TransactionAmt>
        <TransactionDesc>WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV JOEL DAVES IS THE SONE OF JOEL T. DAVES, IV, DIRECTOR OF THE ORGANIZATION. DURING THE TAX YEAR, HE RECEIVED 73,272 IN WAGES FROM THE ORGANIZATION. RYAN SUMMERFORD IS THE SON OF DENNIS SUMMERFORD, A KEY EMPLOYEE OF THE ORGANIZATION. DURING THE TAX YEAR HE RECEIVED 67,656 IN WAGES FROM THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFIRMARY HEALTH SYSTEM MISSION IS LIFE WHICH MEANS EMPHASIS IS PLACED ON LEADERSHIP, INTEGRITY, FAMILY AND EXCELLENT SERVICE. OUR VISION IS THAT WE ARE THE FIRST CHOICE FOR HEALTHCARE IN OUR REGION. THROUGHOUT INFIRMARY HEATLH SYSTEM EMPHASIS IS PLACED ON ENHANCING HEALTH AND THE QUALITY OF LIFE FOR EACH MEMEBER OF OUR COMMUNITY AND WE ACCOMPLISH THIS BY PROVIDING SUPPORT TO ORGANZATIONS THAT PROMOTE HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>INFIRMARY HEALTH SYSTEM (IHS) PROVIDES CENTRALIZED MANAGEMENT AND ADMINISTRATIVE SERVICES TO FOUR NOT-FOR-PROFIT HOSPITALS, A SKILLED NURSING FACILITY, A CHARITABLE FOUNDATION, AND A NETWORK OF MORE THAN TWENTY MEDICAL CLINICS. IHS IS FOCUSED ON ACHIEVING ECONOMIES OF SCALE FOR ITS SUPPORTED FACILITIES BY PROVIDING CENTRALIZED, COORDINATED SERVICES, ALLOWING THE FACILITIES TO OFFER STATE-OF-THE-ART MEDICAL SERVICES AT THE LOWEST POSSIBLE COST. CENTRALIZED AND COORDINATED SERVICES INCLUDE ACCOUNTING, ACCOUNTS PAYABLE, HUMAN RESOURCES, INFORMATION TECHNOLOGY, PURCHASING, BUSINESS OFFICE, AND MAINTENANCE, AMONG MANY OTHER SUPPORT SERVICES. THE SERVICES ARE PROVIDED TO SYSTEM FACILITIES AT A LEVEL OF KNOWLEDGE AND EXPERIENCE THAT, IN MANY CASES, WOULD NOT OTHERWISE BE AVAILABLE OR AFFORDABLE. IHS HAS SPEARHEADED EFFORTS TO IMPROVE THE AVAILABILITY OF HEALTHCARE SERVICES IN RURAL AREAS OF SOUTHWEST ALABAMA. RECRUITMENT OF PHYSICIANS TO THE RURAL COMMUNITY OF BAY MINETTE, ALABAMA HAS REMAINED A FOCUS, RESULTING IN SEVERAL PHYSICIANS RELOCATING TO THE AREA. CAPITAL INVESTMENT IN THE FACILITIES IN BAY MINETTE CONTINUE TO PROVIDE BENEFIT TO THE COMMUNITY, WITH OVER 16,000 EMERGENCY SERVICES, OVER 2,300 SURGICAL CASES, 252 NEWBORN DELIVERIES, AND 31,894 ADJUSTED PATIENT DAYS BEING PROVIDED. AS A RESULT OF AN ASSESSMENT OF COMMUNITY HEALTH NEEDS, IHS SUPPORTED THE INITIATION OF GERIATRIC PSYCHIATRIC SERVICES AT ITS FACILITY IN BAY MINETTE, THE ONLY ONE OF ITS KIND IN BALDWIN COUNTY. STUDIES TO DETERMINE ADDITIONAL HEALTHCARE NEEDS OF THE COMMUNITY ARE ONGOING. IN RESPONSE TO A COMMUNITY NEED, IHS BUILT AND NOW OPERATES THE E.A. ROBERTS ALZHEIMER CENTER, A DAY CARE CENTER FOR THE PROVISION OF CARE TO PATIENTS SUFFERING FROM ALZHEIMER'S DISEASE OR SENILE DEMENTIA. THIS LOW- COST FACILITY, THE FIRST OF ITS KIND IN THE REGION, PROVIDES MUCH NEEDED ASSISTANCE AND RELIEF TO FAMILY MEMBERS FOR THESE PATIENTS. BECAUSE IHS AND ITS EMPLOYEES ARE ACTIVELY INVOLVED IN SUPPORTING NUMEROUS LOCAL COMMUNITY BENEFIT ORGANIZATIONS, HEALTH FAIRS, AND HEALTH ADVOCACY ORGANIZATIONS, IHS CREATED, IHELP - A PROGRAM TO CENTRALIZE, TRACK AND IDENTIFY COMMUNITY SERVICE INCLUDING VOLUNTEER, IN-KIND AND FINANCIAL RESOURCES TO MAKE AN IMPACT ON THE HEALTH AND WELL-BEING OF OUR REGION. IHS ESTABLISHED A COMMUNITY DEPARTMENT WITH A BUDGET AND PURCHASED SOFTWARE TO TRACK EMPLOYEE INVOLVEMENT AND COMMUNITY REQUESTS. CAMPAIGNS FOR UNITED WAY, THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, MARCH OF DIMES, GOODWILL, AND MANY OTHER NATIONAL ORGANIZATIONS ARE ACTIVELY SUPPORTED BY THE ORGANIZATION AND ITS EMPLOYEES. THE IHS LEADERSHIP TEAM SERVES ON MORE THAN 62 BOARDS AND PLAYS AN ACTIVE ROLE WITH IHELP BY LEADING, SUPPORTING, ENCOURAGING AND PARTICIPATING IN ALL VOLUNTEER PROJECTS. IHELP SUPPORTS MORE THAN 130 ORGANIZATIONS AND NON-PROFIT ORGANIZATIONS THROUGH TEAMS, FUNDRAISING, HEALTH AND WELLNESS FAIRS AND IN-KIND DONATIONS. BLOOD DRIVES ARE CONDUCTED QUARTERLY ON INFIRMARY HEALTH'S CAMPUSES, WHERE EMPLOYEE VOLUNTEERS AND DONATIONS ARE STRONGLY ENCOURAGED. THROUGH INFIRMARY HEALTH'S "GO RED GULF COAST," CAMPAIGN, INFIRMARY HEALTH PROVIDED FREE SCREENINGS TO 300 COMMUNITY MEMBERS. FIFTY VOLUNTEERS HELPED PROVIDE CHOLESTEROL, WEIGHT, AND BLOOD PRESSURE CHECKS. OF THE COMMUNITY MEMBERS SCREENED, 48 PERCENT HAD ABNORMAL CHL RESULTS AND HIGH BLOOD PRESSURE. INFIRMARY HEALTH ALSO PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY AND BALDWIN COUNTY HEART WALKS FOR WHICH EMPLOYEES RAISED MORE THAN 10,000. CARDIAC REHABILITATION PATIENTS ALSO PARTICIPATED IN THE FUNDRAISING THROUGH PURCHASING T-SHIRTS AND REGISTERING FOR THE WALK. INFIRMARY HEALTH EMPLOYEES NOT ONLY HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK, EMPLOYEES ALSO SERVE ON THE PLANNING COMMITTEE FOR THE EVENT. INFIRMARY HEALTH SERVES AS A FLAGSHIP SPONSOR FOR THE EVENT THAT HAD MORE THAN 25,000 PARTICIPANTS, AND THE INFIRMARY HEALTH TEAM RAISED MORE THAN 25,000 FOR BREAST CANCER. INFIRMARY HEALTH ALSO PARTNERED WITH FOX10 NEWS STATION TO OFFER FREE SKIN AND PROSTATE CANCER SCREENINGS TO THE COMMUNITY. A TOTAL OF 300 PEOPLE WERE SCREENED FOR SKIN CANCER. INFIRMARY HEALTH AND INFIRMARY CANCER CARE (AN AFFILIATE) LAUNCHED A MOBILE CANCER SCREENING AND EDUCATION UNIT IN FEBRUARY 2019. THROUGHOUT THE YEAR, THE UNIT TRAVELED TO MORE THAN 150 EVENTS AND LOCAL ORGANIZATIONS TO PROVIDE FREE CANCER SCREENING AND EDUCATION TO UNDERSERVED POPULATIONS. THE UNIT, STAFFED WITH A DRIVER AND NURSE PRACTITIONER, PROVIDED EDUCATION AROUND COLON CANCER, LUNG CANCER AND SKIN CANCER. TO DETERMINE THE NEEDS OF OUR COMMUNITIES IN BOTH MOBILE AND BALDWIN COUNTIES, THE IHELP COMMITTEE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BY SURVEYING AND INTERVIEWING COMMUNITY LEADERS THROUGH THE CHNA, TWO KEY AREAS OF NEED WERE IDENTIFIED: ACCESS TO CARE AND OBESITY/PHYSICAL ACTIVITY. MORE THAN 15 INFIRMARY HEATH STAKEHOLDERS DEVELOPED A COMPREHENSIVE IMPLEMENTATION STRATEGY TO ADDRESS THESE TWO NEEDS THROUGH 2021. INFIRMARY HEALTH HOSTS A BI-ANNUAL LEADERSHIP SUMMIT, AN EVENT HELD AT THE BATTLE HOUSE HOTEL FOR IH TEAM LEADERS AND ABOVE TO PROVIDE CONTINUED LEADERSHIP EDUCATION AND AN AFTERNOON OF COMRADERY. AT THE MOST RECENT LEADERSHIP SUMMIT IN DECEMBER, EMPLOYEES RAISED MORE THAN 1,000 FOR LOCAL FOOD BANKS. THE MONIES WERE DISTRIBUTED EVENLY TO FOOD BANKS IN MOBILE AND BALDWIN COUNTIES. 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. INFIRMARY HEALTH, IN PARTNERSHIP WITH UAB MEDICINE AND THE ALABAMA GENOMIC HEALTH INITIATIVE, HELPED FACILITATE FREE GENOMIC HEALTH SCREENINGS FOR MORE THAN 300 COMMUNITY MEMBERS. THE ALABAMA GENOMIC HEALTH INITIATIVE COLLECTED THE PARTICIPANTS' DATA TO USE FOR STATE-WIDE RESEARCH, AND IN TURN, THE PARTICIPANTS LEARNED IF THEY WERE MORE SUSCEPTIBLE TO DISEASES LIKE CANCER, HEART DISEASE, ETC. INFIRMARY HEALTH PROVIDED THE SPACE AND STAFF TO HELP FACILITATE THE SCREENINGS. IHS ACTIVELY SUPPORTS THE EFFORTS OF THE INFIRMARY FOUNDATION, A NON- PRIVATE FOUNDATION FORMED TO PROVIDE FINANCIAL SUPPORT FOR THE MOBILE INFIRMARY ASSOCIATION, A NOT-FOR-PROFIT HOSPITAL IN MOBILE, ALABAMA. THE INFIRMARY FOUNDATION PROVIDES FINANCIAL SUPPORT FOR INVESTMENT IN STATE- OF-THE-ART TECHNOLOGY, ALLOWING THE MOBILE INFIRMARY ASSOCIATION TO PROVIDE THE LATEST IN ADVANCED TREATMENT OPTIONS FOR ITS PATIENTS. THE INFIRMARY FOUNDATION, RECOGNIZING THE SHORTAGE OF QUALIFIED HEALTHCARE PROVIDERS IN THE COMMUNITY, ALSO INVESTS IN THE EDUCATION OF FUTURE HEALTHCARE PROVIDERS BY OFFERING SCHOLARSHIP OPPORTUNITIES FOR COLLEGE STUDENTS IN THE FIELD OF HEALTHCARE, AND BY PROVIDING FUNDING SUPPORT FOR SYSTEM EMPLOYEES WHO FURTHER THEIR EDUCATION IN THE FIELD OF NURSING. THE IHS BOARD, MANAGEMENT AND STAFF ARE COMMITTED TO ENHANCING THE HEALTHCARE STATUS AND RELATED QUALITY OF LIFE OF THE RESIDENTS IN THE AREAS WE SERVE ALONG THE CENTRAL GULF COAST REGION. BY BRINGING EFFICIENCY THROUGH THE COORDINATION OF SERVICES, ELIMINATING REDUNDANCY AND REDUCING COST, FOCUSING ON SPECIFIC COMMUNITY NEEDS, ENCOURAGING HEALTHY LIFESTYLES, SUPPORTING EMPLOYEE INVOLVEMENT IN HEALTHY INITIATIVES, AND ENHANCING EDUCATIONAL OPPORTUNITIES FOR TOMORROW'S CAREGIVERS, THESE GOALS ARE BEING REALIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BERMUDA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>WARREN AVERETT, LLC PREPARED FORM 990 FROM INFORMATION PROVIDED BY IHS. THE FORM 990 IS THEN REVIEWED BY THE IHS ACCOUNTING DEPARTMENT BEFORE A FINAL DRAFT COPY IS PROVIDED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND IN- HOUSE COUNSEL FOR REVIEW. THE FORM 990 WILL NOT BE PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING WITH INTERNAL REVENUE SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS ARE REQUIRED ANNUALLY TO REVIEW THE CONFLICT OF INTEREST POLICY WHICH DEFINES CONFLICTS OF INTEREST AND ADVISES THAT ALL SUCH CONFLICTS SHOULD BE AVOIDED IF POSSIBLE. ALL OFFICERS ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AS THEY BECOME AWARE. DIRECTORS ARE ASKED ANNUALLY TO SIGN A CONFLICT OF INTEREST STATEMENT WHICH INCLUDES THE CONFLICT OF INTEREST POLICY. THE DIRECTOR IS ASKED TO DISCLOSE THE EARLIEST POSSIBLE MEETING OF THE BOARD OF DIRECTORS AFTER THE DIRECTOR BECOMES AWARE OF THE EXISTING OR POTENTIAL CONFLICTING INTEREST. THE CHAIRMAN OF THE BOARD MAKES THE DECISION AS TO WHETHER THERE IS A CONFLICT OF INTEREST AND WILL ALSO RESOLVE ANY CONFLICTS WITHIN THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IHS EMPLOYEES DESIGNATED AS OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PARTICIPANTS IN THE ORGANIZATION'S PERFORMANCE MANAGEMENT PROGRAM. EACH EMPLOYEE HAS AN INDIVIDUAL PERFORMANCE PLAN AND IS REVIEWED ANNUALLY FOR MERIT INCREASES. THE ANNUAL REVIEW COVERS THE EMPLOYEE'S PERFORMANCE FOR THE FISCAL YEAR OF APRIL 1 THROUGH MARCH 31 OF THE FOLLOWING YEAR. THE AMOUNT OF INDIVIDUAL MERIT/SALARY INCREASES ARE DETERMINED BASED ON THEIR INDIVIDUAL PERFORMANCE SCORE, THEIR COMPA-RATIO (HOURLY RATED RELATIVE TO THE SALARY RANGE MIDPOINT), AND THE ORGANIZATION'S ANNUAL MERIT GUIDELINES. THE ANNUAL MERIT GUIDELINES ARE DETERMINED BY THE ORGANIZATION'S ABILITY TO PAY (BUDGET). SALARY GRADES ARE DETERMINED BASED ON THE SCOPE AND REQUIREMENTS OF THE POSITION. SALARY RANGE MIDPOINTS (THE MIDPOINT REPRESENTS 100% OF THE MARKET) INCREASE EACH YEAR BASED ON EXTERNAL MARKET DATA. IHS PARTICIPATES IN NUMEROUS SALARY SURVEYS AND DEPENDING ON THE POSITION, THE SURVEY DATA MAY BE INDUSTRY SPECIFIC, (E.G. HEALTHCARE) OR FROM OTHER INDUSTRIES. CURRENTLY, EXECUTIVE POSITION MARKET DATA SOURCES ARE COMPDATA, TOWERS WATSON, INTEGRATED HEALTHCARE STRATEGIES, SULLIVAN COTTER AND SALARY.COM. FOR EXECUTIVE POSITIONS, THE CEO AND SVP, HUMAN RESOURCES REVIEW THE SUGGESTED MERIT INCREASES AND MAKE RECOMMENDATIONS TO THE INFIRMARY HEALTH SYSTEM COMPENSATION COMMITTEE. THE FINAL RECOMMENDATIONS ARE PRESENTED BY THE COMPENSATION COMMITTEE TO AND ARE APPROVED BY THE IHS BOARD OF DIRECTORS. IHS HAS AN EXTERNAL REVIEW OF COMPENSATION PRACTICES EVERY TWO YEARS AND WAS MOST RECENTLY REVIEWED BY SULLIVAN COTTER IN 2019.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE RESPONSE TO 15A ABOVE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE CHARTER OF INFIRMARY HEALTH SYSTEM IS A MATTER OF PUBLIC RECORD IN THE PROBATE COURT OF MOBILE COUNTY, AL. THE CORPORATE BYLAWS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC AT THIS TIME.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY TRANSFERS -34,770,263 PENSION PLAN CHANGES -4,468,566 TOTAL -39,238,829</ExplanationTxt>
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          <BusinessNameLine1Txt>AMERICAN OAK HILL ASSUR LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>2200000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GULF HEALTH HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>9531946</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>