﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-01-29T11:16:42-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-03-31</TaxPeriodEndDt>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-04-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>630288856</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MOBILE INFIRMARY ASSOCIATION</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>MOBI</BusinessNameControlTxt>
      <PhoneNum>2514353030</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 2144</AddressLine1Txt>
        <CityNm>MOBILE</CityNm>
        <StateAbbreviationCd>AL</StateAbbreviationCd>
        <ZIPCd>36652</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JOSEPH L DENTON</PersonNm>
      <PersonTitleTxt>ASSISTANT TREASURER</PersonTitleTxt>
      <PhoneNum>2514353030</PhoneNum>
      <SignatureDt>2025-01-29</SignatureDt>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc6" referenceDocumentId="RetDoc9 RetDoc2">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>MOBILE INFIRMARY MEDICAL CENTER</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>D MARK NIX</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 2144</AddressLine1Txt>
        <CityNm>MOBILE</CityNm>
        <StateAbbreviationCd>AL</StateAbbreviationCd>
        <ZIPCd>36652</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>714034059</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.INFIRMARYHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1897</FormationYr>
      <LegalDomicileStateCd>AL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>OUR MISSION IS "LIFE," LEADERSHIP-INTEGRITY-FAMILY-EXCELLENT SERVICE. TO PROVIDE QUALITY PATIENT CARE THROUGH A DYNAMIC HEALTHCARE SYSTEM.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>14</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>2958</TotalEmployeeCnt>
      <TotalVolunteersCnt>89</TotalVolunteersCnt>
      <TotalGrossUBIAmt>1271004</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>1403209</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1988038</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>577204732</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>619482501</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>3438469</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>33104572</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>88192</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>52502</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>582134602</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>654627613</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>202913624</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>202658101</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>355117106</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>400649359</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>558030730</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>603307460</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>24103872</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>51320153</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>771032622</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>850731347</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>171214555</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>172293137</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>599818067</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>678438210</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>OUR MISSION IS "LIFE," LEADERSHIP-INTEGRITY-FAMILY-EXCELLENT SERVICE. TO PROVIDE QUALITY PATIENT CARE THROUGH A DYNAMIC HEALTHCARE SYSTEM.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>423974218</ExpenseAmt>
      <RevenueAmt>618211497</RevenueAmt>
      <Desc>MOBILE INFIRMARY ASSOCIATION ("MOBILE INFIRMARY") IS LICENSED TO OPERATE 677 BEDS IN THE MOBILE INFIRMARY MEDICAL CENTER INCLUDING 41 PHYSICAL REHABILITATION BEDS IN THE J.L. BEDSOLE/ROTARY REHABILITATION HOSPITAL DIVISION, PROVIDING SERVICES NECESSARY TO DELIVER ESSENTIAL HEALTHCARE TO THE GULF COAST COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. DURING THE FISCAL YEAR ENDED MARCH 31, 2024, MOBILE INFIRMARY SERVED OVER 23,200 INPATIENTS AND PROVIDED OVER 302,000 OUTPATIENT SERVICES, DELIVERED 816 BABIES, AND PERFORMED ALMOST 19,850 SURGERIES, INCLUDING 271 OPEN-HEART CASES. MOBILE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS WITHOUT REGARD FOR ABILITY TO PAY, WHICH TREATED OVER 64,000 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 650 PHYSICIANS ON THE OPEN MEDICAL STAFF. (CONTINUED ON SCHEDULE O) AS THE FIRST HOSPITAL IN THE REGION TO ACQUIRE THE DA VINCI SURGICAL SYSTEM (ONE OF THE MOST PRECISE AND LEAST INVASIVE SURGICAL TREATMENTS AVAILABLE), MOBILE INFIRMARY HAS THE MOST COMPREHENSIVE ROBOTIC PROGRAM ALONG THE GULF COAST. THE DA VINCI SYSTEM PUTS THE SURGEON'S HANDS AT THE CONTROLS OF A STATE-OF-THE-ART ROBOTIC PLATFORM WITH 3D, HIGH- DEFINITION VISION AND MINIATURIZED, WRISTED INSTRUMENTS DESIGNED TO HELP DOCTORS TAKE SURGERY BEYOND THE LIMITS OF THE HUMAN HAND. THE DA VINCI SYSTEM ENABLES SURGEONS TO PERFORM EVEN THE MOST COMPLEX AND DELICATE PROCEDURES THROUGH VERY SMALL INCISIONS WITH UNMATCHED PRECISION. ALL SURGERIES ARE PERFORMED WITH A TEAM OF HIGHLY SKILLED AND TRAINED MEDICAL PROFESSIONALS. IN 2012, INFIRMARY HEALTH (AN AFFILIATED COMPANY) FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING MOBILE INFIRMARY. THIS COMMITTEE, KNOWN AS IHELP, HELPS BETTER MANAGE STAFF AND ORGANIZATIONAL RESOURCES BY ESTABLISHING A PROCESS TO EVALUATE COMMUNITY NEEDS AND ENSURE OUR COMMUNITY PROJECTS ARE IN LINE WITH OUR MISSION. THE OPERATION BOUNCE-BACK PROGRAM OFFERS MEDICALLY SUPERVISED EXERCISE, EDUCATION, AND COUNSELING TO PATIENTS WITH CARDIOVASCULAR DISEASES. THE PROGRAM ASSISTS THEM IN LEADING PRODUCTIVE AND ACTIVE LIVES. OPERATION BOUNCE-BACK IS ONE OF THE 10 LARGEST CARDIAC REHABILITATION PROGRAMS IN THE UNITED STATES AND THE FIRST CARDIAC REHABILITATION PROGRAM IN ALABAMA. PATIENTS OF ALL AGES, AND WITH MANY FORMS OF HEART DISEASE, BENEFIT FROM THE PROGRAM. MOBILE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. IN ADDITION TO THAT, MOBILE INFIRMARY PROVIDES CARE TO PATIENTS WHO MEET THE CRITERIA OF ITS FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION HAS EXPANDED THE FEDERAL POVERTY GUIDELINES TO AFFORD CHARITABLE CARE TO LARGER NUMBERS OF ITS PATIENT POPULATION. ALSO, AS A RESULT OF OPERATING THE ONLY HOSPITAL BASED INPATIENT PSYCHIATRIC UNIT IN THE COMMUNITY FOR ADULTS, THERE IS A SIGNIFICANT AMOUNT OF INDIGENT CARE PROVIDED THROUGH THIS SERVICE. THE TOTAL AMOUNT OF CHARGES FOREGONE FOR HEALTHCARE SERVICES AND SUPPLIES FURNISHED UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR FISCAL- YEAR ENDING 2024 WAS OVER 23,411,000, INCLUDING PRESUMPTIVELY ELIGIBLE PATIENTS. THE DEBAKEY DRUG EDUCATION PROGRAM VEHICLE TRAVELS TO SCHOOLS THROUGHOUT FIVE COUNTIES OF SOUTHWEST ALABAMA TO EDUCATE CHILDREN ABOUT THE DANGERS OF ILLEGAL DRUG AND SUBSTANCE ABUSE. IN ADDITION TO VISITING PUBLIC, PRIVATE AND PAROCHIAL SCHOOLS, THE VEHICLE IS AVAILABLE FOR COMMUNITY EVENTS AND OTHER SPECIAL PROGRAMS. RECOGNIZED BY THE AMERICAN HOSPITAL ASSOCIATION, THE VEHICLE WAS THE FIRST OF ITS KIND IN THE COUNTRY. SINCE IT BEGAN IN 1994, MORE THAN 215,000 STUDENTS HAVE PARTICIPATED IN THE PROGRAM. MOBILE INFIRMARY OPERATES A CHARITY PHARMACY PROGRAM THAT CONNECTS LOW INCOME PATIENTS WHO QUALIFY WITH FREE MEDICATIONS THAT THEY MAY NOT OTHERWISE GET FILLED DUE TO THE COSTS. DURING THE FISCAL YEAR ENDING MARCH 31, 2024, MOBILE INFIRMARY PROVIDED OVER 64,000 IN FREE MEDICATIONS. THE MOBILE INFIRMARY CASE MANAGEMENT DEPARTMENT ALSO HELPS OTHER PATIENTS REGISTER FOR INDUSTRY SPONSORED PROGRAMS THAT HELP PATIENTS GET PRESCRIPTIONS FILLED AT NO OR REDUCED COST. MOBILE INFIRMARY PARTICIPATES IN THE 340B DRUG PROGRAM. THIS PROGRAM ALLOWS THE HOSPITAL TO PURCHASE DRUGS AT LOWER COSTS AND ROLL THE SAVINGS INTO PROGRAMS THAT BENEFIT THE COMMUNITY. THESE SAVINGS ARE USED TO FILL CHARITY PRESCRIPTIONS FOR UNINSURED AND UNDER INSURED PATIENTS, OFFER FREE CANCER SCREENINGS AND PREVENTION EDUCATION THROUGH OUR MOBILE CANCER SCREENING UNIT, PROVIDE UNCOMPENSATED CARE FOR UNDERINSURED PATIENTS, AND THE IMPLEMENTATION OF NEW SERVICES TO OPTIMIZE CARE FOR OUR PATIENTS. WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE, INFIRMARY HEALTH PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY HEART WALK IN NOVEMBER 2023. ADDITIONALLY, THROUGH INFIRMARY HEALTH'S 10,000 SPONSORSHIP TO AHA, MOBILE INFIRMARY DONATED CPR TRAINING KITS TO WILLIAMSON HIGH SCHOOL'S HEALTH SCIENCES PROGRAM. THE KITS PROVIDE HANDS-ON LEARNING EXPERIENCES AND EVERYTHING NEEDED TO TRAIN 10 STUDENTS AT ONCE IN CPR. MAY MARKS STROKE AWARENESS MONTH, AND TO CELEBRATE, MOBILE INFIRMARY'S STROKE COORDINATORS HELD SEVERAL COMMUNITY OUTREACH EFFORTS. THESE INCLUDED A COLORING CONTEST FOR LOCAL ELEMENTARY-AGED STUDENTS, WHICH INCLUDED A FREE COLORING BOOK FEATURING BEFAST (AN ACRONYM TO RECOGNIZE THE SYMPTOMS OF STROKE). ADDITIONALLY, THEY HELD COFFEE AND CLOTS EDUCATION EVENTS TO AND FREE BLOOD PRESSURE SCREENINGS FOR 250 INDIVIDUALS. THROUGHOUT FY24, THE STROKE COORDINATORS HELD MONTHLY FREE SUPPORT GROUPS FOR PATIENTS WHO HAD A STROKE. THEY ALSO ATTENDED 10 EVENTS THROUGHOUT THE YEAR AND PROVIDED STROKE EDUCATION TO MORE THAN 500 STUDENTS AND COMMUNITY MEMBERS. 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 2023, 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. THE FUNDRAISING EFFORTS GENERATED 2,285 FOR ACS. INFIRMARY HEALTH EMPLOYEES NOT ONLY HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK AND THE CHILI COOK OFF, BUT EMPLOYEES ALSO SERVE ON THE PLANNING COMMITTEE FOR THE EVENT. INFIRMARY HEALTH SERVES AS A FLAGSHIP SPONSOR FOR THE CHILI COOK OFF EVENT THAT HAD MORE THAN 8,000 PARTICIPANTS AND IS THE SURVIVOR SPONSOR FOR THE BREAST CANCER WALK THAT HAS NEARLY 4,000 WALKERS. 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 FY24, THE UNIT TRAVELED TO MANY AREAS OF MOBILE COUNTY. IN TOTAL, THE UNIT TRAVELED TO MORE THAN 20 EVENTS AND PROVIDED FREE SCREENING AND EDUCATION TO NEARLY 2,000 INDIVIDUALS. IN MAY 2023, INFIRMARY CANCER CARE PROVIDED FREE SKIN CANCER SPOT CHECKS IN MOBILE, AS WELL AS LOCATIONS IN BALDWIN COUNTY. IN TOTAL, 80 INDIVIDUALS WERE SCREENED, AND 40 ABNORMAL FINDINGS WERE DISCOVERED. NURSE NAVIGATORS FOLLOWED UP WITH THOSE WHO HAD ABNORMAL FINDINGS TO REFER THEM TO A DERMATOLOGIST FOR FURTHER SCREENINGS. TO PROVIDE FREE EDUCATION TO ADOLESCENT GIRLS, INFIRMARY HEALTH HOSTED A "THE TALK: FOR GIRLS ONLY" EVENT IN MOBILE. THE EVENT WAS HELD IN SEPTEMBER 2023 AND WAS TARGETED TOWARDS GIRLS AGES 8 - 13. AN INFIRMARY HEALTH PEDIATRICIAN SPOKE AT THE EVENT AND PROVIDED FREE EDUCATION REGARDING PUBERTY, MENSTRUAL CYCLES, AND OTHER TOPICS. MORE THAN 110 GIRLS AND THEIR SUPPORT PERSONS ATTENDED THE EVENT. WOMEN'S AND MATERNAL HEALTH CONTINUES TO BE A PRIORITY FOR INFIRMARY HEALTH. DURING FY24, INFIRMARY HEALTH PROVIDED FREE EDUCATIONAL INFORMATION RELATED TO WOMEN'S HEALTH AT 27 COMMUNITY EVENTS ACROSS MOBILE AND BALDWIN COUNTIES. MORE THAN 2,000 WOMEN WERE REACHED THROUGH THESE EFFORTS. ADDITIONALLY, MOBILE INFIRMARY HELD FREE CHILDBIRTH EDUCATION, INFANT CPR, NEWBORN CARE AND SAFETY, AND BREASTFEEDING SUPPORT GROUP CLASSES THROUGHOUT THE YEAR, WHICH HAD 165 TOTAL ATTENDEES. ADDITIONALLY, TO PROVIDE FURTHER EDUCATION TO THE COMMUNITY, INFIRMARY HEALTH OFFERED FREE POST-PARTUM AND WOMEN'S HEALTH EDUCATION THROUGH MONTHLY BLOG POSTS. THE POST-PARTUM BLOG, BUMP &amp; BEYOND, HAD 13,000 WEBSITE VISITS DURING FY24. THE WOMEN'S HEALTH BLOG, HEALTHY HER, HAD 500 WEBSITE VISITS DURING THE FISCAL YEAR. MOBILE INFIRMARY SERVES AS A CORPORATE "BIG" WITH BIG BROTHERS BIG SISTERS OF SOUTH ALABAMA TO PROVIDE EMPLOYEE MENTORS TO ELEMENTARY SCHOOL STUDENTS. EACH WEEK, MOBILE INFIRMARY ALLOWS THEIR CORPORATE BIGS TO GO MEET THEIR LITTLES FOR ONE HOUR DURING THE SCHOOL DAY. THESE INDIVIDUALS PROVIDE ENCOURAGEMENT AND FRIENDSHIP WHICH HAS A POSITIVE IMPACT ON THE</Desc>
      <TotalProgramServiceExpensesAmt>423974218</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc12">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc7">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc7">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc7">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc7">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc7">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc7">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc7">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc7">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc7">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc7">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc7">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc7">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc7">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc11">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc8">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc10">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc10">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc10">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc10">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>204</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>2958</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>14</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>JOSH WILLIAMS</PersonNm>
        <PhoneNum>2514353043</PhoneNum>
        <USAddress>
          <AddressLine1Txt>5 MOBILE INFIRMARY CIRCLE</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36607</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>D MARK NIX</PersonNm>
        <TitleTxt>PRESIDENT &amp;</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1869141</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61628</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THADDEUS BEEKER MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1054583</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19139</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL O'DOWD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>923497</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17747</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE T STOUGH III</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>776604</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>121531</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH L DENTON</PersonNm>
        <TitleTxt>ASSISTANT TR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>746455</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>128131</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER SOUTHWOOD</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>819426</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19998</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM ADMIRE</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>630147</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68087</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT A BROWNING</PersonNm>
        <TitleTxt>ASST SECRETA</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>533830</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>76279</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER GAMARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>517607</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21555</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERN A WILSON</PersonNm>
        <TitleTxt>ASSISTANT TR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>380333</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>101513</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>URSULA LAWRENCE</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>369991</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44575</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM MAURER</PersonNm>
        <TitleTxt>PERFUSIONIST</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>212266</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42841</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA LAWSON</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>234872</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH HARRISON</PersonNm>
        <TitleTxt>PERFUSIONIST</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>188181</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40846</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM VOGEL</PersonNm>
        <TitleTxt>PERFUSIONIST</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>177491</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41410</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MOLLIE S BUFFKIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA MORRISSETTE CLARK</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT S FROST</PersonNm>
        <TitleTxt>VICE-CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HOLBERG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK J LOTT III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLEN H LADD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEIGH LELAND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL E PIERCE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER C WATKINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN WHITE-SPUNNER</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY TOLLESON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2632374</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>6802050</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>805280</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>279</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LABORATORY CORP OF AMERICA HOLDINGS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 12140</AddressLine1Txt>
            <CityNm>BURLINGTON</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>272162140</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB</ServicesDesc>
        <CompensationAmt>20897529</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROTHALL HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13028 COLLECTION CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE MGMT</ServicesDesc>
        <CompensationAmt>13239132</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ANESTHESIOLOGISTS ASSOCIATED PC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3104 BLUE LAKE DR</AddressLine1Txt>
            <AddressLine2Txt>STE 110</AddressLine2Txt>
            <CityNm>BIRMINGHAM</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35243</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIA</ServicesDesc>
        <CompensationAmt>8701528</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORRISONS MGT SERVICE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 NORTHRIDGE RD</AddressLine1Txt>
            <AddressLine2Txt>STE 600</AddressLine2Txt>
            <CityNm>SANDY SPRINGS</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30350</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE</ServicesDesc>
        <CompensationAmt>8072865</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MED ONE CAPITAL FUNDING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 708278</AddressLine1Txt>
            <CityNm>SANDY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84070</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EQUIPMENT RENTS</ServicesDesc>
        <CompensationAmt>4333545</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>58</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>898401</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>1089637</AllOtherContributionsAmt>
      <TotalContributionsAmt>1988038</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>612523018</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>612523018</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>5688479</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5688479</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REFERENCE LAB REVENUE</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>1271004</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>1271004</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>619482501</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3737645</TotalRevenueColumnAmt>
        <ExclusionAmt>3737645</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>88766207</SecuritiesAmt>
        <OtherAmt>7166</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>59406446</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>29359761</SecuritiesAmt>
        <OtherAmt>7166</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>29366927</TotalRevenueColumnAmt>
        <ExclusionAmt>29366927</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA REVENUE</Desc>
        <BusinessCd>721000</BusinessCd>
        <TotalRevenueColumnAmt>52502</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52502</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>52502</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>654627613</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>618263999</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1271004</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>33104572</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1070394</TotalAmt>
        <ProgramServicesAmt>53520</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1016874</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>172154633</TotalAmt>
        <ProgramServicesAmt>151691604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20463029</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>4496191</TotalAmt>
        <ProgramServicesAmt>532523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3963668</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>14908329</TotalAmt>
        <ProgramServicesAmt>1765723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13142606</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>10028554</TotalAmt>
        <ProgramServicesAmt>1187769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8840785</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>21800729</TotalAmt>
        <ProgramServicesAmt>2700056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19100673</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>383413</TotalAmt>
        <ManagementAndGeneralAmt>383413</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>29041559</TotalAmt>
        <ProgramServicesAmt>26483072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2558487</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>928144</TotalAmt>
        <ManagementAndGeneralAmt>928144</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>8089779</TotalAmt>
        <ProgramServicesAmt>6271424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1818355</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>13406628</TotalAmt>
        <ManagementAndGeneralAmt>13406628</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>6500389</TotalAmt>
        <ManagementAndGeneralAmt>6500389</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>109538</TotalAmt>
        <ManagementAndGeneralAmt>109538</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>4549721</TotalAmt>
        <ManagementAndGeneralAmt>4549721</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>14869562</TotalAmt>
        <ManagementAndGeneralAmt>14869562</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>7319787</TotalAmt>
        <ManagementAndGeneralAmt>7319787</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>154598050</TotalAmt>
        <ProgramServicesAmt>154306224</ProgramServicesAmt>
        <ManagementAndGeneralAmt>291826</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER PURCHASED SERVICES</Desc>
        <TotalAmt>45262510</TotalAmt>
        <ProgramServicesAmt>28496987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16765523</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVISION FOR BAD DEBT</Desc>
        <TotalAmt>30357018</TotalAmt>
        <ProgramServicesAmt>30357018</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SHARED SERVICES</Desc>
        <TotalAmt>21778027</TotalAmt>
        <ProgramServicesAmt>5012504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16765523</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>41654505</TotalAmt>
        <ProgramServicesAmt>15115794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26538711</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>603307460</TotalAmt>
        <ProgramServicesAmt>423974218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>179333242</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>162803</BOYAmt>
        <EOYAmt>68352</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>61345948</BOYAmt>
        <EOYAmt>112688091</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>112029344</BOYAmt>
        <EOYAmt>141479685</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>209914203</BOYAmt>
        <EOYAmt>185564939</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>7988931</BOYAmt>
        <EOYAmt>9511710</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3555952</BOYAmt>
        <EOYAmt>3729501</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>458100078</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>384671983</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>73324397</BOYAmt>
        <EOYAmt>73428095</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>279410269</BOYAmt>
        <EOYAmt>303637854</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>23300775</BOYAmt>
        <EOYAmt>20623120</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>771032622</BOYAmt>
        <EOYAmt>850731347</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>64992695</BOYAmt>
        <EOYAmt>67286884</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>296095</BOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>105925765</BOYAmt>
        <EOYAmt>105006253</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>171214555</BOYAmt>
        <EOYAmt>172293137</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>593926021</BOYAmt>
        <EOYAmt>671682159</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>5892046</BOYAmt>
        <EOYAmt>6756051</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>599818067</BOYAmt>
        <EOYAmt>678438210</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>771032622</BOYAmt>
        <EOYAmt>850731347</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>51320153</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>26436073</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>863917</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc12">
      <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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc7">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>499727</OtherCostOrOtherBasisAmt>
        <BookValueAmt>499727</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>178476590</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>150775428</DepreciationAmt>
        <BookValueAmt>27701162</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5275753</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3292631</DepreciationAmt>
        <BookValueAmt>1983122</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>263715330</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>226440761</DepreciationAmt>
        <BookValueAmt>37274569</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>10132678</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4163163</DepreciationAmt>
        <BookValueAmt>5969515</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>73428095</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>L/T NOTE PAYABLE - INTERCOMPANY</Desc>
        <Amt>103577946</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>1428307</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>105006253</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc11">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent350Ind>X</Percent350Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>7391826</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>7391826</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01280</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>22587385</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>39935138</DirectOffsettingRevenueAmt>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>29979211</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>39935138</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7391826</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01280</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>973592</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>973592</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00170</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>12936378</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5241114</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7695264</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01340</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>55053</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>55053</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>13965023</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5241114</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8723909</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01520</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>43944234</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>45176252</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>16115735</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02800</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>30357018</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>17570642</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>81001653</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>182633459</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-101631806</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>false</WrittenDebtCollectionPolicyInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>MOBILE INFIRMARY ASSOCIATION</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5 MOBILE INFIRMARY CIRCLE</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36607</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MOBILE INFIRMARY ASSOCIATION</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.INFIRMARYHEALTH.ORG</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd referenceDocumentId="RetDoc2">true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>350.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.INFIRMARYHEALTH.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.INFIRMARYHEALTH.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.INFIRMARYHEALTH.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MOBILE INFIRMARY ASSOCIATION - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN PREPARING THE CHNA, DATA WAS GATHERED FROM MULTIPLE SOURCES IN AN EFFORT TO CONSTRUCT A CURRENT AND ACCURATE SNAPSHOT OF THE HEALTH ISSUES IN MOBILE COUNTY, ALABAMA. INFORMATION WAS OBTAINED FROM NUMEROUS PUBLIC DATABASES AND OPINIONS WERE SOLICITED FROM PUBLIC HEALTH EXPERTS, LOCAL CIVIC LEADERS, AND PATIENTS WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION. THIS INFORMATION WAS THEN SUMMARIZED FOR FINAL CONSIDERATION BY A CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM SENIOR MANAGEMENT, HOSPITAL OPERATIONAL MANAGERS, NURSING SERVICES, CASE MANAGEMENT AND OTHER SYSTEM STAFF.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MOBILE INFIRMARY ASSOCIATION - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>MOBILE INFIRMARY'S CHNA WAS PREPARED IN CONJUNCTION WITH AFFILIATED INFIRMARY LONG-TERM ACUTE CARE HOSPITAL. BOTH FACILITIES RESIDE WITHIN THE SAME BUILDING IN MOBILE COUNTY, ALABAMA. ALSO INCLUDED IS AFFILIATED GULF HEALTH HOSPITALS, INC. WHICH INCLUDES THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY, BOTH LOCATED IN BALDWIN COUNTY, ALABAMA. BOTH COUNTIES ARE LOCATED IN SOUTH ALABAMA ON THE GULF COAST.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MOBILE INFIRMARY ASSOCIATION - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE 2022 CHNA FOR INFIRMARY HEALTH AFFILIATE HOSPITALS INCLUDING: MOBILE INFIRMARY, INFIRMARY LONG TERM ACUTE CARE (ILTAC), THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY INCLUDE: ACCESS TO CARE, CANCER, DIABETES, HEART DISEASE, AND OBESITY/PHYSICAL INACTIVITY. THE RESULTING PRIORITY AREAS WERE STRATEGICALLY CONDENSED INTO TWO MAIN PRIORITY AREAS TO FEATURE THE APPROACH THAT THE HEALTH SYSTEM WOULD TAKE TO HAVE AN IMPACT ON THE MOST SIGNIFICANT DISEASES IN OUR COMMUNITY: (1) ACCESS TO CARE WITH A FOCUS ON CANCER, DIABETES, AND MENTAL HEALTH (2) OBESITY/PHYSICAL ACTIVITY WITH A FOCUS ON HEART DISEASE. TO ADDRESS ACCESS TO CARE, INFIRMARY HEALTH SEEKS TO ESTABLISH PROGRAMS THAT PROVIDE AFFORDABLE COMPREHENSIVE HEALTHCARE EDUCATIONAL PROGRAMS THAT INCLUDE EARLY DETECTION AND PREVENTION MEASURES WHICH PROMOTE PATIENT ENGAGEMENT AND SELF-MANAGEMENT FOR CANCER, DIABETES, AND HEART DISEASE. THE STRATEGIES TO ACHIEVE THIS WILL INCLUDE BRINGING HEALTH EDUCATION AND OUTREACH TO VULNERABLE COMMUNITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND BUSINESSES. THE HEALTH SYSTEM ALSO PLANS TO ESTABLISH A PREHAB CURRICULUM. ONE OF THE KEY WAYS THAT INFIRMARY HOSPITALS WILL IMPROVE ACCESS IS THROUGH ITS MOBILE SCREENING VEHICLE. IT WILL TRAVEL AROUND MOBILE AND BALDWIN COUNTIES PROVIDING SCREENING AND HEALTH EDUCATION IN THE AREAS OF CANCER, DIABETES AND HEART DISEASE. INFIRMARY HEALTH RECOGNIZES THE EFFECTS OF OBESITY ON CHRONIC DISEASES LIKE DIABETES AND HEART DISEASE. AS SUCH THEY PLAN TO ENHANCE AND ESTABLISH PROGRAMS THAT HELP INDIVIDUALS LOSE WEIGHT AND INCREASE THEIR PHYSICAL ACTIVITY LEVELS SO MOBILE AND BALDWIN COUNTIES CAN ACHIEVE THE LOWEST RATES OF DIABETES AND HEART DISEASE IN THE STATE OF ALABAMA. OBESITY CAN CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES AND INCREASES THE RISK OF A POOR OUTCOME IN OTHER ILLNESSES. TO ADDRESS THE IDENTIFIED NEED, MOBILE INFIRMARY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY WILL SEEK TO DEVELOP A SERIES OF CHILDREN'S AND ADULT PROGRAM PARTNERS SUCH AS BIG BROTHER BIG SISTERS, BOYS AND GIRLS CLUB, LOCAL SCHOOLS AND CHURCHES, SENIOR BOWL, AND COMMUNITY FESTIVALS, TO PROMOTE EDUCATION AND SCREENING OPPORTUNITIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MOBILE INFIRMARY ASSOCIATION - PART V, LINE 16J</FormAndLineReferenceDesc>
        <ExplanationTxt>A NOTICE PUBLICIZING THE FINANCIAL ASSISTANCE POLICY (FAP) WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSION OFFICES AND OUTLYING REGISTRATION AREAS INCLUDING THE FACILITY'S EMERGENCY DEPARTMENT AND THE FACILITY'S BUSINESS OFFICE. A PLAIN LANGUAGE SUMMARY OF THE FAP WAS ADDED TO BILLING AND COLLECTION STATEMENTS. DURING THE YEAR, THE FAP WAS PROVIDED TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE; THESE ORGANIZATIONS WERE THE MOBILE, ESCAMBIA, AND BALDWIN COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER, AND THE HOPE CENTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>INFIRMARY EASTERN SHORE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7101 HWY 90</AddressLine1Txt>
            <CityNm>DAPHNE</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36526</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SURGERY &amp; DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>INFIRMARY 65</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3290 DAUPHIN STREET</AddressLine1Txt>
            <CityNm>MOBILE</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36605</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>INFIRMARY IMAGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>845 HILLCREST RD</AddressLine1Txt>
            <CityNm>MOBILE</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36695</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>IMAGING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>95 SHELL ST</AddressLine1Txt>
            <CityNm>SARALAND</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36571</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART VI, QUESTION 1: COSTS WERE CALCULATED USING THE COST-TO-CHARGE RATIO METHODOLOGY OBTAINED FROM WORKSHEET 2 OF THE INSTRUCTIONS. ALL OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS 30,357,018. PART III, LINE 2: THE AMOUNT OF BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS THE ACTUAL AMOUNT OF CHARGES THAT WERE DEEMED UNCOLLECTIBLE AND WERE WRITTEN OFF TO BAD DEBT PER THE ORGANIZATION'S ACCOUNTING RECORDS. PART III, LINE 3: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS DERIVED USING RATIO ANALYSIS OF PATIENT BAD DEBT ACCOUNTS PROCESSED THROUGH A PRESUMPTIVE QUALIFICATION MODEL. THE ACCOUNTS ARE ANALYZED FOR DEMOGRAPHIC INFORMATION TO DETERMINE HOUSEHOLD INCOME LEVELS, CORRELATED TO FEDERAL POVERTY LEVEL GUIDELINES, AND APPLIED TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA. A LARGE NUMBER OF PATIENTS DO NOT COOPERATE WITH THE ELIGIBILITY PROCESS OF THE FINANCIAL ASSISTANCE PROGRAM, WHICH IS READILY AVAILABLE TO THEM. THEREFORE IT IS IN THE ORGANIZATION'S OPINION THAT THIS PORTION OF BAD DEBT EXPENSE BE TREATED AS COMMUNITY BENEFIT. PART III, LINE 4: THE TEXT OF THE AUDITED FINANCIAL STATEMENTS FOOTNOTE REGARDING BAD DEBT EXPENSE STATES, "ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES AND ANALYSIS OF OTHER CURRENT TRENDS AND INFORMATION. DOUBTFUL ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED." PART III, LINE 8: IT IS THE ORGANIZATION'S OPINION THAT FUTURE MEDICARE SHORTFALLS BE TREATED IN TOTAL AS COMMUNITY BENEFIT. HEALTHCARE SERVICES TO THE MEDICARE POPULATION REALISTICALLY MUST BE PROVIDED IN ORDER FOR SOCIETY TO CONTINUE TO FUNCTION AS WE KNOW IT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART VI, QUESTION 2: IN ADDITION TO THE CHNA CONDUCTED DURING FISCAL YEAR 2022, THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF OTHER MEANS. CONSTANT COMMUNICATION WITH THE OPEN MEDICAL STAFF OF MORE THAN 650 PHYSICIANS LOCATED THROUGHOUT THE COMMUNITY PROVIDES VALUABLE INSIGHT INTO HEALTH RELATED NEEDS. THE INDEPENDENT BOARD, REPRESENTING MEMBERS OF THE COMMUNITY PROVIDES INPUT FROM A DIFFERENT PERSPECTIVE. COMMENTS FROM PATIENT SATISFACTION SURVEYS ARE SCRUTINIZED FOR OPPORTUNITIES. FORMAL COMMITTEES IN THE ORGANIZATION, SUCH AS THE STROKE COMMITTEE, ASSESS DATA PROVIDED BY THE AMERICAN HEART ASSOCIATION AND SIMILAR ORGANIZATIONS, TO ASSIST IN IDENTIFYING COMMUNITY NEEDS. THROUGH WEEKLY LEADERSHIP AND STRATEGIC PLANNING MEETINGS HELD AT AFFILIATED HOSPITALS AND ENTITIES LOCATED THROUGHOUT THE SERVICE AREA, NEEDS OF THE COMMUNITIES SERVED ARE CONTINUOUSLY ASSESSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ADMITTING AREAS, BUSINESS OFFICE AREAS, AND EMERGENCY DEPARTMENTS HAVE SIGNAGE PROMINENTLY DISPLAYED WHICH INCLUDES SPECIFIC WORDING INTENDED TO INFORM AND PROMPT PATIENTS TO AVAIL THEMSELVES OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, THE ORGANIZATION INCLUDES SIMILAR WORDING WITHIN PATIENT-ACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED AND ON THE ORGANIZATION'S WEBSITE, WHICH IS AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION ALSO CONTRACTS WITH A THIRD-PARTY VENDOR TO HAVE THEM IDENTIFY, CONTACT, AND ASSIST WITH QUALIFYING PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS. THE VENDOR UTILIZES ADMISSION REPORTS, REFERRALS FROM FINANCIAL COUNSELORS OF THE ORGANIZATION, PATIENT SELF-REFERRALS, AND VARIOUS OTHER FORMS OF PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>MOBILE COUNTY IS LOCATED ON THE ALABAMA GULF COAST AND IS BORDERED BY MISSISSIPPI TO THE WEST AND FLORIDA TO THE EAST. THE COUNTY HAS A TOTAL AREA OF 1,640 SQUARE MILES, OF WHICH 1,230 IS LAND AND 410 IS WATER. IT ENCOMPASSES SEVERAL ISLANDS, INCLUDING DAUPHIN ISLAND AND MON LOUIS ISLAND. THE CITY OF MOBILE SERVES AS THE COUNTY SEAT. AS OF 2019 THE POPULATION OF MOBILE COUNTY WAS ESTIMATED AT APPROXIMATELY 414,000. OF THE 156,000 HOUSEHOLDS, 40,000 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 67,000 WERE MARRIED COUPLES LIVING TOGETHER, AND 53,000 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT. THE RACIAL MAKE-UP OF THE COUNTY FROM 2019 ESTIMATES WAS 59% WHITE, 36% BLACK OR AFRICAN-AMERICAN, 2% HISPANIC OR LATINO AND 2% ASIAN. THE AVERAGE HOUSEHOLD SIZE WAS 2.6 AND THE PER CAPITA INCOME FOR THE COUNTY WAS 21,500. ABOUT 20% OF THE POPULATION WAS LIVING AT OR BELOW THE POVERTY LINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE STATEMENT IN SCHEDULE O RELATED TO PROGRAM SERVICE ACCOMPLISHMENTS (PART III, LINE 4A) FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION FURTHERS THEIR EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH HOSPITAL AND ENTITY WITHIN INFIRMARY HEALTH SYSTEM HAS ITS OWN LEADERSHIP AND PROVIDES CERTAIN COMMUNITY BENEFITS AND PROGRAM SERVICES UNIQUELY RELATED TO THE COMMUNITY IT SERVES. HOWEVER, EXECUTIVE LEADERSHIP OF THE SYSTEM PROVIDES GUIDANCE FOR ALL AND THERE ARE CERTAIN COMMUNITY OUTREACH INITIATIVES AND SERVICES WHICH ARE COORDINATED FROM A SYSTEM PERSPECTIVE IN ORDER TO SERVE NEEDS WITHIN A BROADER SERVICE AREA, OR TO JOINTLY COORDINATE THE EFFORT FOR GREATER EFFICIENCY. ADDITIONALLY, THE ORGANIZATION HAS ESTABLISHED A PROGRAM TO FUND SPECIAL COMMUNITY HEALTH NEEDS IDENTIFIED AND APPROVED BY THE VOLUNTARY BOARD OF THE INFIRMARY FOUNDATION, THE 501(C)(3) PHILANTHROPIC AFFILIATE OF THE ORGANIZATION. EACH YEAR AN ACCOUNTING OF THE COMMUNITY BENEFIT FUNDS DISTRIBUTED BY THE FOUNDATION IS REVIEWED BY MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, 7A THE WEBSITE LINK TO THE CHNA CAN BE FOUND AT HTTPS://WWW.INFIRMARYHEALTH.ORG/PATIENTS-VISITORS/COMMUNITY/ SCHEDULE H, PART V, SECTION B, 16 THE WEBSITE LINK TO THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION IS: HTTPS://WWW.INFIRMARYHEALTH.ORG/PATIENTS- VISITORS/FINANCIAL-ASSISTANCE/</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc8">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>D MARK NIX</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1385637</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>477921</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>5583</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>39600</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22028</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1930769</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THADDEUS BEEKER MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1054527</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>56</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>19139</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1073722</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL O'DOWD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>923352</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>145</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17747</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>941244</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE T STOUGH III</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>544445</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>150290</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>81869</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>96073</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>25458</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>898135</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH L DENTON</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>530284</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>139220</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>76951</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>105523</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22608</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>874586</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER SOUTHWOOD</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>819426</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19998</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>839424</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM ADMIRE</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>444093</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>137846</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>48208</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>52107</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15980</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>698234</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT A BROWNING</PersonNm>
        <TitleTxt>ASST SECRETARY/TREAS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>373446</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>119691</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>40693</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>52171</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24108</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>610109</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER GAMARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>517514</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>93</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>21555</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>539162</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERN A WILSON</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>270311</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>76359</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>33663</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>79870</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>21643</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>481846</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>URSULA LAWRENCE</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>279982</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>62000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>28009</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>36405</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8170</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>414566</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM MAURER</PersonNm>
        <TitleTxt>PERFUSIONIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>195236</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10237</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6793</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21546</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21295</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255107</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA LAWSON</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>234872</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>234872</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH HARRISON</PersonNm>
        <TitleTxt>PERFUSIONIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>174211</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5620</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8350</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16485</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24361</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229027</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JIM VOGEL</PersonNm>
        <TitleTxt>PERFUSIONIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>169627</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>7864</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19158</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22252</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>218901</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JOE T. STOUGH, III 0 81,223 0 JOSEPH L. DENTON 0 77,473 0 WILLIAM ADMIRE 0 42,207 0 SCOTT A. BROWNING 0 37,321 0 KERN A. WILSON 0 40,270 0 URSULA LAWRENCE 0 27,531 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH FISCAL YEAR, INFIRMARY HEALTH SYSTEM, INC. AND ITS AFFILIATES ESTABLISH CORPORATE AND INDIVIDUAL GOALS BASED ON STRATEGIC INITIATIVES APPROVED BY THE BOARD OF DIRECTORS. THE GOALS ENSURE FOCUS ON AREAS SUCH AS: SAFETY, QUALITY, SERVICE, FINANCE, COMMUNITY, AND LEADERSHIP. A BOARD APPROVED COMPENSATION PHILOSOPHY OUTLINES THE PAYMENT OF ANNUAL INCENTIVES IF THE ESTABLISHED GOALS/CRITERIA ARE MET. GOAL SETTING AND ACCOMPLISHMENTS ARE REVIEWED ANNUALLY BY AN INTERNAL EXECUTIVE COMMITTE AND APPROVED BY THE COMPENSATION COMMITTE AND THE BOARD OF DIRECTORS. THE BOARD OR AUTHORIZED COMMITTEE THEREOF HAS THE DISCRETION TO DENY OR REDUCE PAYMENT UNDER THIS COMPENSATION PLAN DEPENDENT ON THE PARTICULAR FACTS AND CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE ORGANIZATION'S CEO SCHEDULE J, PART I, LINE 3: INFIRMARY HEALTH SYSTEM, INC. (IHS, A RELATED CORPORATION) ESTABLISHES THE PRESIDENT/CEO'S COMPENSATION. 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 THE COMPA-RATIO (HOURLY RATED RELATIVE TO THE SALARY RANGE MIDPOINT), THE NUMBER OF MONTHS SINCE THEIR LAST INCREASE AND PERFORMANCE SCORE (RATING) AND THE ORGANIZATION'S ANNUAL MERIT GUIDELINES. EACH POSITION IS ASSIGNED A SALARY RANGE BASED ON THE HAY METHODOLOGY OF 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. IHS 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 HAY CONSULTING. THE ANNUAL MERIT GUIDELINES ARE DETERMINED BY THE ORGANIZATION'S ABILITY TO PAY (BUDGET). THE ANNUAL MERIT GUIDELINES PROVIDE A MERIT INCREASE PERCENTAGE RANGE BASED ON THE INDIVIDUAL EMPLOYEE'S PERFORMANCE RATING AND COMPA-RATIO. FOR EXECUTIVES, THE CEO AND VP, 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. IHS HAS AN EXTERNAL REVIEW OF COMPENSATION PRACTICES EVERY TWO YEARS AND WAS MOST RECENTLY REVIEWED BY SULLIVAN COTTER IN 2023. THE INFIRMARY HEALTH 457(F) PLAN IS A TYPE OF 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 HIGHLY COMPENSATED EMPLOYEES, SUCH AS VICE PRESIDENTS AND ABOVE, OF THE ORGANIZATION AND MUST BE DESIGNATED AS ELIGIBLE BEFORE CONTRIBUTIONS CAN BE MADE. THE AMOUNT OF ANNUAL EMPLOYER CONTRIBUTIONS IS DETERMINED AS A PERCENT 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 FIVE YEARS. ONCE VESTED THE BENEFIT BECOMES TAXABLE AS WELL AS EARNINGS ON THE CONTRIBUTION AND IS PAID THROUGH NORMAL PAYROLL PROCESSING TO THE PARTICIPANT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>MOBILE INFIRMARY MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>MOBILE INFIRMARY ASSOCIATION ("MOBILE INFIRMARY") IS LICENSED TO OPERATE 677 BEDS IN THE MOBILE INFIRMARY MEDICAL CENTER INCLUDING 41 PHYSICAL REHABILITATION BEDS IN THE J.L. BEDSOLE/ROTARY REHABILITATION HOSPITAL DIVISION, PROVIDING SERVICES NECESSARY TO DELIVER ESSENTIAL HEALTHCARE TO THE GULF COAST COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. DURING THE FISCAL YEAR ENDED MARCH 31, 2024, MOBILE INFIRMARY SERVED OVER 23,200 INPATIENTS AND PROVIDED OVER 302,000 OUTPATIENT SERVICES, DELIVERED 816 BABIES, AND PERFORMED ALMOST 19,850 SURGERIES, INCLUDING 271 OPEN-HEART CASES. MOBILE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS WITHOUT REGARD FOR ABILITY TO PAY, WHICH TREATED OVER 64,000 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 650 PHYSICIANS ON THE OPEN MEDICAL STAFF. (CONTINUED ON SCHEDULE O) AS THE FIRST HOSPITAL IN THE REGION TO ACQUIRE THE DA VINCI SURGICAL SYSTEM (ONE OF THE MOST PRECISE AND LEAST INVASIVE SURGICAL TREATMENTS AVAILABLE), MOBILE INFIRMARY HAS THE MOST COMPREHENSIVE ROBOTIC PROGRAM ALONG THE GULF COAST. THE DA VINCI SYSTEM PUTS THE SURGEON'S HANDS AT THE CONTROLS OF A STATE-OF-THE-ART ROBOTIC PLATFORM WITH 3D, HIGH- DEFINITION VISION AND MINIATURIZED, WRISTED INSTRUMENTS DESIGNED TO HELP DOCTORS TAKE SURGERY BEYOND THE LIMITS OF THE HUMAN HAND. THE DA VINCI SYSTEM ENABLES SURGEONS TO PERFORM EVEN THE MOST COMPLEX AND DELICATE PROCEDURES THROUGH VERY SMALL INCISIONS WITH UNMATCHED PRECISION. ALL SURGERIES ARE PERFORMED WITH A TEAM OF HIGHLY SKILLED AND TRAINED MEDICAL PROFESSIONALS. IN 2012, INFIRMARY HEALTH (AN AFFILIATED COMPANY) FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING MOBILE INFIRMARY. THIS COMMITTEE, KNOWN AS IHELP, HELPS BETTER MANAGE STAFF AND ORGANIZATIONAL RESOURCES BY ESTABLISHING A PROCESS TO EVALUATE COMMUNITY NEEDS AND ENSURE OUR COMMUNITY PROJECTS ARE IN LINE WITH OUR MISSION. THE OPERATION BOUNCE-BACK PROGRAM OFFERS MEDICALLY SUPERVISED EXERCISE, EDUCATION, AND COUNSELING TO PATIENTS WITH CARDIOVASCULAR DISEASES. THE PROGRAM ASSISTS THEM IN LEADING PRODUCTIVE AND ACTIVE LIVES. OPERATION BOUNCE-BACK IS ONE OF THE 10 LARGEST CARDIAC REHABILITATION PROGRAMS IN THE UNITED STATES AND THE FIRST CARDIAC REHABILITATION PROGRAM IN ALABAMA. PATIENTS OF ALL AGES, AND WITH MANY FORMS OF HEART DISEASE, BENEFIT FROM THE PROGRAM. MOBILE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. IN ADDITION TO THAT, MOBILE INFIRMARY PROVIDES CARE TO PATIENTS WHO MEET THE CRITERIA OF ITS FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION HAS EXPANDED THE FEDERAL POVERTY GUIDELINES TO AFFORD CHARITABLE CARE TO LARGER NUMBERS OF ITS PATIENT POPULATION. ALSO, AS A RESULT OF OPERATING THE ONLY HOSPITAL BASED INPATIENT PSYCHIATRIC UNIT IN THE COMMUNITY FOR ADULTS, THERE IS A SIGNIFICANT AMOUNT OF INDIGENT CARE PROVIDED THROUGH THIS SERVICE. THE TOTAL AMOUNT OF CHARGES FOREGONE FOR HEALTHCARE SERVICES AND SUPPLIES FURNISHED UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR FISCAL- YEAR ENDING 2024 WAS OVER 23,411,000, INCLUDING PRESUMPTIVELY ELIGIBLE PATIENTS. THE DEBAKEY DRUG EDUCATION PROGRAM VEHICLE TRAVELS TO SCHOOLS THROUGHOUT FIVE COUNTIES OF SOUTHWEST ALABAMA TO EDUCATE CHILDREN ABOUT THE DANGERS OF ILLEGAL DRUG AND SUBSTANCE ABUSE. IN ADDITION TO VISITING PUBLIC, PRIVATE AND PAROCHIAL SCHOOLS, THE VEHICLE IS AVAILABLE FOR COMMUNITY EVENTS AND OTHER SPECIAL PROGRAMS. RECOGNIZED BY THE AMERICAN HOSPITAL ASSOCIATION, THE VEHICLE WAS THE FIRST OF ITS KIND IN THE COUNTRY. SINCE IT BEGAN IN 1994, MORE THAN 215,000 STUDENTS HAVE PARTICIPATED IN THE PROGRAM. MOBILE INFIRMARY OPERATES A CHARITY PHARMACY PROGRAM THAT CONNECTS LOW INCOME PATIENTS WHO QUALIFY WITH FREE MEDICATIONS THAT THEY MAY NOT OTHERWISE GET FILLED DUE TO THE COSTS. DURING THE FISCAL YEAR ENDING MARCH 31, 2024, MOBILE INFIRMARY PROVIDED OVER 64,000 IN FREE MEDICATIONS. THE MOBILE INFIRMARY CASE MANAGEMENT DEPARTMENT ALSO HELPS OTHER PATIENTS REGISTER FOR INDUSTRY SPONSORED PROGRAMS THAT HELP PATIENTS GET PRESCRIPTIONS FILLED AT NO OR REDUCED COST. MOBILE INFIRMARY PARTICIPATES IN THE 340B DRUG PROGRAM. THIS PROGRAM ALLOWS THE HOSPITAL TO PURCHASE DRUGS AT LOWER COSTS AND ROLL THE SAVINGS INTO PROGRAMS THAT BENEFIT THE COMMUNITY. THESE SAVINGS ARE USED TO FILL CHARITY PRESCRIPTIONS FOR UNINSURED AND UNDER INSURED PATIENTS, OFFER FREE CANCER SCREENINGS AND PREVENTION EDUCATION THROUGH OUR MOBILE CANCER SCREENING UNIT, PROVIDE UNCOMPENSATED CARE FOR UNDERINSURED PATIENTS, AND THE IMPLEMENTATION OF NEW SERVICES TO OPTIMIZE CARE FOR OUR PATIENTS. WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE, INFIRMARY HEALTH PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY HEART WALK IN NOVEMBER 2023. ADDITIONALLY, THROUGH INFIRMARY HEALTH'S 10,000 SPONSORSHIP TO AHA, MOBILE INFIRMARY DONATED CPR TRAINING KITS TO WILLIAMSON HIGH SCHOOL'S HEALTH SCIENCES PROGRAM. THE KITS PROVIDE HANDS-ON LEARNING EXPERIENCES AND EVERYTHING NEEDED TO TRAIN 10 STUDENTS AT ONCE IN CPR. MAY MARKS STROKE AWARENESS MONTH, AND TO CELEBRATE, MOBILE INFIRMARY'S STROKE COORDINATORS HELD SEVERAL COMMUNITY OUTREACH EFFORTS. THESE INCLUDED A COLORING CONTEST FOR LOCAL ELEMENTARY-AGED STUDENTS, WHICH INCLUDED A FREE COLORING BOOK FEATURING BEFAST (AN ACRONYM TO RECOGNIZE THE SYMPTOMS OF STROKE). ADDITIONALLY, THEY HELD COFFEE AND CLOTS EDUCATION EVENTS TO AND FREE BLOOD PRESSURE SCREENINGS FOR 250 INDIVIDUALS. THROUGHOUT FY24, THE STROKE COORDINATORS HELD MONTHLY FREE SUPPORT GROUPS FOR PATIENTS WHO HAD A STROKE. THEY ALSO ATTENDED 10 EVENTS THROUGHOUT THE YEAR AND PROVIDED STROKE EDUCATION TO MORE THAN 500 STUDENTS AND COMMUNITY MEMBERS. 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 2023, 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. THE FUNDRAISING EFFORTS GENERATED 2,285 FOR ACS. INFIRMARY HEALTH EMPLOYEES NOT ONLY HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK AND THE CHILI COOK OFF, BUT EMPLOYEES ALSO SERVE ON THE PLANNING COMMITTEE FOR THE EVENT. INFIRMARY HEALTH SERVES AS A FLAGSHIP SPONSOR FOR THE CHILI COOK OFF EVENT THAT HAD MORE THAN 8,000 PARTICIPANTS AND IS THE SURVIVOR SPONSOR FOR THE BREAST CANCER WALK THAT HAS NEARLY 4,000 WALKERS. 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 FY24, THE UNIT TRAVELED TO MANY AREAS OF MOBILE COUNTY. IN TOTAL, THE UNIT TRAVELED TO MORE THAN 20 EVENTS AND PROVIDED FREE SCREENING AND EDUCATION TO NEARLY 2,000 INDIVIDUALS. IN MAY 2023, INFIRMARY CANCER CARE PROVIDED FREE SKIN CANCER SPOT CHECKS IN MOBILE, AS WELL AS LOCATIONS IN BALDWIN COUNTY. IN TOTAL, 80 INDIVIDUALS WERE SCREENED, AND 40 ABNORMAL FINDINGS WERE DISCOVERED. NURSE NAVIGATORS FOLLOWED UP WITH THOSE WHO HAD ABNORMAL FINDINGS TO REFER THEM TO A DERMATOLOGIST FOR FURTHER SCREENINGS. TO PROVIDE FREE EDUCATION TO ADOLESCENT GIRLS, INFIRMARY HEALTH HOSTED A "THE TALK: FOR GIRLS ONLY" EVENT IN MOBILE. THE EVENT WAS HELD IN SEPTEMBER 2023 AND WAS TARGETED TOWARDS GIRLS AGES 8 - 13. AN INFIRMARY HEALTH PEDIATRICIAN SPOKE AT THE EVENT AND PROVIDED FREE EDUCATION REGARDING PUBERTY, MENSTRUAL CYCLES, AND OTHER TOPICS. MORE THAN 110 GIRLS AND THEIR SUPPORT PERSONS ATTENDED THE EVENT. WOMEN'S AND MATERNAL HEALTH CONTINUES TO BE A PRIORITY FOR INFIRMARY HEALTH. DURING FY24, INFIRMARY HEALTH PROVIDED FREE EDUCATIONAL INFORMATION RELATED TO WOMEN'S HEALTH AT 27 COMMUNITY EVENTS ACROSS MOBILE AND BALDWIN COUNTIES. MORE THAN 2,000 WOMEN WERE REACHED THROUGH THESE EFFORTS. ADDITIONALLY, MOBILE INFIRMARY HELD FREE CHILDBIRTH EDUCATION, INFANT CPR, NEWBORN CARE AND SAFETY, AND BREASTFEEDING SUPPORT GROUP CLASSES THROUGHOUT THE YEAR, WHICH HAD 165 TOTAL ATTENDEES. ADDITIONALLY, TO PROVIDE FURTHER EDUCATION TO THE COMMUNITY, INFIRMARY HEALTH OFFERED FREE POST-PARTUM AND WOMEN'S HEALTH EDUCATION THROUGH MONTHLY BLOG POSTS. THE POST-PARTUM BLOG, BUMP &amp; BEYOND, HAD 13,000 WEBSITE VISITS DURING FY24. THE WOMEN'S HEALTH BLOG, HEALTHY HER, HAD 500 WEBSITE VISITS DURING THE FISCAL YEAR. MOBILE INFIRMARY SERVES AS A CORPORATE "BIG" WITH BIG BROTHERS BIG SISTERS OF SOUTH ALABAMA TO PROVIDE EMPLOYEE MENTORS TO ELEMENTARY SCHOOL STUDENTS. EACH WEEK, MOBILE INFIRMARY ALLOWS THEIR CORPORATE BIGS TO GO MEET THEIR LITTLES FOR ONE HOUR DURING THE SCHOOL DAY. THESE INDIVIDUALS PROVIDE ENCOURAGEMENT AND FRIENDSHIP WHICH HAS A POSITIVE IMPACT ON THE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY OF THE PARENT ELECTS THE BOARD MEMBERS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCORDING TO THE BYLAWS OF MOBILE INFIRMARY, CERTAIN ACTIONS OF THE BOARD OF DIRECTORS SHALL BE SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OF INFIRMARY HEALTH SYSTEM, INC. IN ACCORDANCE WITH THE STATEMENT OF OPERATING AUTHORITY ADOPTED BY THE BOARD OF INFIRMARY HEALTH SYSTEM, INC. AND THIS BOARD OF DIRECTORS. THE STATEMENT OF OPERATING AUTHORITY MAY BE AMENDED FROM TIME TO TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>SYSTEM ACCOUNTANTS GATHER DATA AND PREPARE A DRAFT OF THE FORM 990 FOR REVIEW BY THE BIRMINGHAM ACCOUNTING FIRM, WARREN AVERETT, LLC. AFTER THE RETURN HAS BEEN COMPLETED AND SIGNED BY WARREN AVERETT, IT IS RETURNED FOR FINAL REVIEW AND OFFICER SIGNATURE BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS AND DIRECTORS OF INFIRMARY HEALTH SYSTEM, INC. AND ITS AFFILIATES ARE REQUIRED ANNUALLY TO REVIEW THE CONFLICT OF INTEREST POLICY WHICH PROVIDES A DEFINITION OF CONFLICTS OF INTEREST AND ADVISES THAT ALL CONFLICTS SHOULD BE AVOIDED IF POSSIBLE. OFFICERS ARE REQUIRED TO REPORT ANY SUCH CONFLICTS AS THEY BECOME AWARE AND DIRECTORS ARE REQUIRED ANNUALLY TO SIGN AND RETURN THE CONFLICT OF INTEREST STATEMENT. DIRECTORS SHALL DISCLOSE AT THE EARLIEST POSSIBLE MEETING OF THE BOARD OF DIRECTORS ANY EXISTING OR POTENTIAL CONFLICT. THE BOARD OF DIRECTORS SHALL THEN ASK ANY CONFLICTED MEMBER TO LEAVE THE MEETING DURING DELIBERATIONS WITH RESPECT TO THE MATTER THAT GIVES RISE TO THE EXISTING OR POTENTIAL CONFLICTING INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS AN AFFILIATE OF INFIRMARY HEALTH SYSTEM, INC., THE INFIRMARY FOLLOWS THE SYSTEM-WIDE COMPENSATION PHILOSOPHY. THE SYSTEM EMPLOYEES DESIGNATED AS OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE PARTICIPANTS IN THE ORGANIZATION'S PERFORMANCE PLAN THAT IS REVIEWED ANNUALLY FOR MERIT INCREASES. THE ANNUAL REVIEW COVERS THE EMPLOYEE'S PERFORMANCE FOR THE FISCAL YEAR OF APRIL 1ST THROUGH MARCH 31ST OF THE FOLLOWING YEAR. THE AMOUNT OF INDIVIDUAL MERITS/SALARY INCREASES ARE DETERMINED BASED ON THE COMPA-RATIO (HOURLY RATE RELATIVE TO SALARY RANGE MIDPOINT), THE NUMBER OF MONTHS SINCE THEIR LAST INCREASE AND PERFORMANCE SCORE (RATING) AND THE ORGANIZATION'S ANNUAL MERIT GUIDELINES. EACH POSITION IS ASSIGNED A SALARY RANGE BASED ON MARKET DATA, INTERNAL EQUITY, AND EVALUATION FACTORS SUCH AS ACCOUNTABILITY, KNOW HOW, AND PROBLEM SOLVING ABILITY. SALARY RANGE MIDPOINTS (REPRESENTING 100% OF THE MARKET) INCREASE EACH YEAR BASED ON EXTERNAL DATA. THE ORGANIZATION 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 DATA COMES FROM WATSON WYATT, INTEGRATED HEALTHCARE STRATEGIES, AND SULLIVAN COTTER. THE ANNUAL MERIT GUIDELINES PROVIDE A MERIT INCREASE PERCENTAGE RANGE BASED ON THE INDIVIDUAL EMPLOYEE'S PERFORMANCE RATING AND COMPA- RATIO. FOR EXECUTIVES, THE CEO AND THE VP-HUMAN RESOURCES REVIEW THE SUGGESTED MERIT INCREASE AND MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE BEFORE FINAL RECOMMENDATIONS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. THE ORGANIZATION HAD AN EXTERNAL REVIEW OF COMPENSATION PRACTICES PERFORMED BY SULLIVAN COTTER IN 2012, 2013, 2017, 2019, 2021, AND 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE CHARTER OF MOBILE INFIRMARY ASSOCIATION IS A MATTER OF PUBLIC RECORD IN THE PROBATE COURT OF MOBILE COUNTY, ALABAMA. THE CORPORATE BYLAWS, THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEREST IN INFIRMARY FOUNDATION 863,983 NET ASSETS RELEASED FROM RESTRICTION 1,987,950 INVESTMENT INCOME 22 NET ASSETS RELEASED FROM RESTRICTION -1,988,038 TOTAL 863,917</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GULF HEALTH HOSPITALS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>630891904</EIN>
        <PrimaryActivitiesTxt>HOSPITALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GULF HEALTH PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>630933700</EIN>
        <PrimaryActivitiesTxt>REALESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C2</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INFIRMARY FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>630870620</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INFIRMARY HEALTH HOSPITALS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>203713023</EIN>
        <PrimaryActivitiesTxt>HOSPITALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INFIRMARY HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>630841123</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12C</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GULF HEALTH MANAGEMENT SVCS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>562332377</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>INFIRMARY HEALTH SYSTEM INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INFIRMARY MEDICAL CLINICS PC &amp; SUBS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>630985524</EIN>
        <PrimaryActivitiesTxt>PHYS OFFIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>INFIRMARY HEALTH SYSTEM INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AMERICAN OAK HILL ASSURANCE LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>980604272</EIN>
        <PrimaryActivitiesTxt>SELF-INSUR</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>INFIRMARY HEALTH SYSTEM INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROF &amp; COMP GEN PAT SELF INS TRUST</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>636117376</EIN>
        <PrimaryActivitiesTxt>SELF-INSUR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>INFIRMARY HEALTH SYSTEM INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>TRUST</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WORKER'S COMPENSATION TRUST</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2226</AddressLine1Txt>
          <CityNm>MOBILE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36652</ZIPCd>
        </USAddress>
        <EIN>636118459</EIN>
        <PrimaryActivitiesTxt>SELF-INSUR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IHS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>INFIRMARY HEALTH SYSTEM INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>TRUST</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>