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TO PROVIDE QUALITY PATIENT CARE THROUGH A DYNAMIC HEALTHCARE SYSTEM. false false 261865989 336078241 SEE SCHEDULE O 261865989 true true false true false false false false false true true true false false false false false false false false true false false true false false false false false false false true false false false false false true false true false true 113 0 true 3047 true true true false false false false false false false false 13 10 false false false false false true true true true false false false true true true true true true true false X PAMELA G HALLFORD 2514352437 PO BOX 2144 MOBILE AL 36652 D MARK NIX 5.00 X X 0 672504 159957 DR HERBERT A STONE 1.00 X 16650 0 0 MICHAEL HOLBERG 1.00 X 0 0 0 FRED T STIMPSON III 1.00 X X 0 0 0 WILLIAM R SEIFERT III 1.00 X 0 0 0 DR JEFFREY K HANNON 1.00 X 0 0 0 MRS EDWARD B LADD 1.00 X X 0 0 0 MRS MARSHA L DEBAKEY 1.00 X 0 0 0 DR CHARLES M ROGERS IV 1.00 X 0 0 0 CHERYL A THOMPSON 1.00 X 0 0 0 DR GERHARD A W BOEHM 1.00 X 0 0 0 JOHN WHITE-SPUNNER 1.00 X X 0 0 0 T BESTOR WARD III 1.00 X X 0 0 0 JOE DENTON 5.00 X 0 380136 67911 E WATSON SMITH 1.00 X 0 262611 14230 PAMELA G HALLFORD 50.00 X 172282 0 37248 MCGOWIN I PATRICK JR 1.00 X 0 0 0 KENNETH C BREWINGTON 50.00 X 408109 0 36270 JOE STOUGH III 50.00 X 328618 0 60587 ALAN C HOLLEY 50.00 X 182784 0 38440 KERN A WILSON 50.00 X 180545 0 38250 BILL MAURER 50.00 X 149753 0 0 JOSEPH HARRISON 50.00 X 141970 0 0 GAY HERRINGTON 50.00 X 141120 0 0 ANTHONEY MOSLEY 50.00 X 139951 0 0 PAMELA E GILBERT 50.00 X X 265556 0 18628 2127338 1315251 471521 49 true true false ANESTHESIA SERVICES PC 201 COX STREET ATLANTA GA 311934369 ANESTHESIA 1375703 BIOMEDICAL APPLICATIONS OF MOBILE PO BOX 62760 NEW ORLEANS LA 70162 HEMODIALYSIS 1235766 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 554809146 LAB TESTING 1017037 MOBILE BAY LITHOTRIPSY LLC 9825 SPECTRUM DRIVE BLDG 3 AUSTIN TX 78717 LITHOTRIPSY 710000 GREATER MOBILE-WASHINGTON COUNTY MENTAL RETARDATION BOARD 5750-A SOUTHLAND DRIVE MOBILE AL 36693 CONSULTING 503750 12 12978 579153 1292507 1884638 PROGRAM SERVICE REVENUE 900099 335017842 335017842 REFERENCE LAB REVENUE 621500 5116929 5116929 OTHER PROGRAM SERVICE REVENUE 900099 1060399 1060399 341195170 4401912 4401912 48976974 2671397 48722054 2087559 254920 583838 838758 838758 CAFETERIA 722210 2568961 2568961 CREDIT UNION COST RECOVERY 561000 459674 459674 ALL OTHER REVENUE 900099 202300 202300 3230935 351551413 336078241 5116929 8471605 1062388 1062388 178644 178644 104480979 83638482 20842497 6921277 5958710 962567 13987871 11113453 2874418 5260423 3721603 1538820 5207918 215939 4991979 526588 526588 145597 145597 731766 731766 5845559 4850440 995119 579682 579682 71950962 67825059 4125903 7313824 7313824 6341831 3703596 2638235 91685 91685 3387001 3387001 15833712 10925261 4908451 4659347 4659347 PROVISION FOR BAD DEBT 46639232 46639232 ALL OTHER EXPENSES 17036618 8369100 8667518 LAB SUPPLIES / PROCEDURES 9210010 6360258 2849752 REPAIR / REPLACEMENT 8566216 8379349 186867 DIETARY SUPPLIES / FOOD 3195343 165507 3029836 339154473 261865989 77288484 0 49113 79641 47707755 61816371 36225380 34698555 20897554 25960115 2744792 3370962 2029017 2822448 329921423 249858311 88396001 80063112 103377628 141466645 3083945 2066097 304511185 352343946 42399124 47915673 31418 1013444 7536487 6418379 103553954 104343972 153520983 159691468 X 146957539 188942282 4032663 3710196 150990202 192652478 304511185 352343946 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false X 65007 65007 334037544 603109037 334037544 603174044 1000000 1000000 250000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 18367 18274 35302 65007 136950 250000 250000 250000 250000 1000000 1500000 false false false false false false false false false false false false false false ADDITIONAL INFORMATION SCHEDULE C, PART IV SCHEDULE C, PART II-A, AFFILIATED ORGANIZATIONS ORGANIZATION NAME: MOBILE INFIRMARY ASSOCIATION EIN: 63-0288856 ADDRESS: P.O. BOX 2144 / MOBILE, AL 36652 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 334,037,544 TOTAL EXEMPT PURPOSE EXPENDITURES: 334,037,544 LOBBYING NONTAXABLE AMOUNT: 1,000,000 GRASSROOTS NONTAXABLE AMOUNT: 250,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0 ORGANIZATION NAME: INFIRMARY HEALTH SYSTEM, INC. EIN: 63-0841123 ADDRESS: P.O. BOX 2226 / MOBILE, AL 36652 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 65,007 TOTAL LOBBYING EXPENDITURES: 65,007 OTHER EXEMPT PURPOSE EXPENDITURES: 44,715,391 TOTAL EXEMPT PURPOSE EXPENDITURES: 44,780,398 LOBBYING NONTAXABLE AMOUNT: 1,000,000 GRASSROOTS NONTAXABLE AMOUNT: 250,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0 ORGANIZATION NAME: INFIRMARY FOUNDATION, INC. EIN: 63-0870620 ADDRESS: P.O. BOX 2226 / MOBILE, AL 36652 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 3,454,571 TOTAL EXEMPT PURPOSE EXPENDITURES: 3,454,571 LOBBYING NONTAXABLE AMOUNT: 322,729 GRASSROOTS NONTAXABLE AMOUNT: 80,682 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0 ORGANIZATION NAME: INFIRMARY HEALTH HOSPITALS, INC. EIN: 20-3713023 ADDRESS: P.O. BOX 2226 / MOBILE, AL 36652 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 72,017,364 TOTAL EXEMPT PURPOSE EXPENDITURES: 72,017,364 LOBBYING NONTAXABLE AMOUNT: 1,000,000 GRASSROOTS NONTAXABLE AMOUNT: 250,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0 ORGANIZATION NAME: GULF HEALTH HOSPITALS, INC. EIN: 63-0891904 ADDRESS: P.O. BOX 2226 / MOBILE, AL 36652 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 146,654,037 TOTAL EXEMPT PURPOSE EXPENDITURES: 146,654,037 LOBBYING NONTAXABLE AMOUNT: 1,000,000 GRASSROOTS NONTAXABLE AMOUNT: 250,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0 ORGANIZATION NAME: INFIRMARY HOSPICE CARE EIN: 72-1356598 ADDRESS: P.O. BOX 2226 / MOBILE, AL 36652 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 2,165,123 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,165,123 LOBBYING NONTAXABLE AMOUNT: 258,256 GRASSROOTS NONTAXABLE AMOUNT: 64,564 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0 false false false false false false false false false false 630498 630498 149797883 106251819 43546064 1916714 1215934 700780 165655185 139112669 26542516 11921143 3277889 8643254 80063112 CAPITAL LEASES - OBLIGATIONS TO AFF 100430874 LT OBLIGATIONS TO AFFILIATES 3913098 104343972 351551413 339154473 12396940 31026762 -1561243 29465519 41862459 379538036 31026762 2346112 33372874 346165162 731766 4654485 5386251 351551413 337675577 337675577 731766 747130 1478896 339154473 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 2,346,112 -4,654,485 747,130 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D 2,346,112 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B 4,654,485 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B 747,130 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV SEE SCHEDULE O true true X false false true true false true false 8950311 1928673 7021638 0.02070 17864620 13400866 4463754 0.01320 26814931 15329539 11485392 0.03390 413 21607 211837 14722 197115 0.00060 1591072 515162 1075910 0.00320 48128 9000 39128 0.00010 413 21607 1851037 538884 1312153 0.00390 413 21607 28665968 15868423 12797545 0.03770 false 13061029 107455349 105840037 1615312 X false MOBILE INFIRMARY ASSOCIATION

5 MOBILE INFIRMARY CIRCLE MOBILE AL 36607

X X INFIRMARY EASTERN SHORE SURGERY & DIAGNOSTIC CENTER

7101 HWY 90 DAPHNE AL 36526

SCHEDULE H, PART VI QUESTION 1: PART I, LINE 3C: THE ORGANIZATION CONSIDERS FPG, BUT DOES NOT HAVE A SPECIFIC LIMIT TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. THE ORGANIZATION ESTIMATES THE PATIENT'S DEMONSTRATED FINANCIAL NEED BASED ON THEIR RESPECTIVE OVERALL FINANCIAL AND SOCIAL SITUATION. THE ORGANIZATION DOES NOT UTILIZE ONE INCOME OR ASSET THRESHOLD UNIVERSALLY; BUT UTILIZES AN INTERNALLY DEVELOPED POINT SYSTEM IN AN ATTEMPT TO CONSISTENTLY ESTIMATE DEMONSTRATED FINANCIAL NEED. POINTS ARE ASSIGNED BASED ON MONTHLY INCOME, NUMBER OF DEPENDENTS, ASSETS, DEBT, AND MONTHLY EXPENSES, TO DETERMINE IF THE PATIENT MEETS THE ELIGIBILITY THRESHOLD FOR ASSISTANCE. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE REPORT FOR INFIRMARY HEALTH SYSTEM, INC., A RELATED ORGANIZATION. COSTS FOR PART I, LINE 7A AND 7B; AND PART III, SECTION A, LINE 2 WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. PART I, LINE 7 THE ORGANIZATION REPORTED A BAD DEBT EXPENSE OF 46,639,232 ON FORM 990, PART IX. PART III, LINES 2,3,& 4: AMOUNTS ON PART III, LINE 2 AND 3 WERE CALCULATED USING THE RCC CALCULATED PER WORKSHEET 2 OF INSTRUCTIONS. APPLICABLE PATIENT DISCOUNTS AND PAYMENTS ARE RECORDED SEPARATE FROM BAD DEBTS PER PART III, LINE 2. THE TEXT OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENT FOOTNOTE REGARDING UNCOLLECTIBLE ACCOUNTS: "ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES. DOUBTFUL ACCOUNTS ARE WRITTEN- OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORT IS EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED." THE AMOUNT OF BAD DEBT COST IN PART III, LINE 2 THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE IS NOT DETERMINABLE. SINCE THOSE PATIENTS HAVE NOT PROVIDED ANY FINANCIAL INFORMATION TO THE ORGANIZATION, ANY ESTIMATES COULD NOT BE RELIED UPON AS BEING REASONABLE. PART III, LINE 6: THE ORGANIZATION'S AS-FILED MEDICARE COST REPORT WAS USED IN DETERMINING THE AMOUNT REPORTED ON PART III, LINE 6, WHICH USES THE COST-TO-CHARGE RATIO METHODOLOGY IN CALCULATING TOTAL MEDICARE ALLOWABLE COSTS. THERE WAS AN ADDITIONAL LOSS OF 1,597,965 ATTRIBUTABLE TO ADDITIONAL SERVICES PROVIDED TO MEDICARE PATIENTS, BUT NOT INCLUDED IN PART III, SECTION B PER INSTRUCTIONS (PRIMARILY LAB AND PHYSICAL THERAPY SERVICES). PART III, LINE 9A: RELATED TO COLLECTION PRACTICES OF THE ORGANIZATION, COLLECTION EFFORTS ARE SUSPENDED FOR PATIENTS WHO ARE IN THE PROCESS OF APPLYING FOR ASSISTANCE UNDER THE ORGANIZATION'S ASSISTANCE POLICY, OR THROUGH MEDICAID. PART V: THE ORGANIZATION ALSO OPERATES A DIAGNOSTIC CLINIC IN ADDITION TO FACILITIES LISTED IN PART V. QUESTION 8: A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH ANY STATE. SCHEDULE H, PART VI QUESTION 2: THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF MEANS. CONSTANT COMMUNICATION WITH THE OPEN MEDICAL STAFF OF MORE THAN 550 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. COOPERATION WITH OTHER AREA HOSPITALS AND UNIVERSITIES PROVIDES INSIGHT INTO NEEDS. AS AN EXAMPLE, IN THE CURRENT YEAR, A COLLABORATIVE EFFORT BETWEEN THE ORGANIZATION AND THE UNIVERSITY OF SOUTH ALABAMA CULMINATED IN THE OPENING OF THE USA MITCHELL CANCER CENTER ADJACENT TO THE ORGANIZATION'S CAMPUS, TO PROVIDE MUCH NEEDED CANCER SERVICES TO THE AREA. 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. THE ORGANIZATION HAS AFFILIATED HOSPITALS AND ENTITIES LOCATED THROUGHOUT THE SERVICE AREA. THROUGH WEEKLY LEADERSHIP MEETINGS, AND FORMALIZED JOINT STRATEGIC PLANNING, NEEDS OF THE COMMUNITIES SERVED ARE ASSESSED. SCHEDULE H, PART VI QUESTION 3: THE ORGANIZATION'S REGISTRATION AND BUSINESS OFFICE LOCATIONS HAVE SIGNAGE PROMINENTLY DISPLAYED WHICH INCLUDES WORDING INTENDED TO INFORM AND PROMPT PATIENTS TO AVAIL THEMSELVES OF THE ORGANIZATION'S ASSISTANCE PROGRAM. ADDITIONALLY, THE ORGANIZATION INCLUDES SIMILAR WORDING: 1)WITHIN PATIENT- ACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED BY THE ORGANIZATION, AND 2) ON THE ORGANIZATION'S WEBSITE, WHICH IS AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION 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 THIRD-PARTY VENDOR UTILIZES ADMISSION REPORTS, REFERRALS FROM ORGANIZATION FINANCIAL COUNSELORS, PATIENT SELF REFERRALS, AND CURRENT / PAST INTERNAL/PUBLIC PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS WHOM THEY CONTACT AND/OR ASSIST IN QUALIFYING FOR GOVERNMENT ASSISTANCE PROGRAMS. SCHEDULE H, PART VI QUESTION 4: THE ORGANIZATION IS LOCATED IN MOBILE, ALABAMA, ON THE CENTRAL GULF COAST. MOBILE IS THE THIRD MOST POPULOUS CITY IN THE STATE OF ALABAMA AND IS THE COUNTY SEAT OF MOBILE COUNTY. MOBILE IS THE CENTER OF ALABAMA'S SECOND- LARGEST METROPOLITAN AREA, WHICH CONSISTS OF ALL OF MOBILE COUNTY. THE 2000 CENSUS DATA SHOWS THAT THERE WERE 73,057 HOUSEHOLDS IN MOBILE, OF WHICH 22,225 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 29,963 WERE MARRIED COUPLES LIVING TOGETHER, 15,360 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, 3,488 HAD A MALE HOUSEHOLDER WITH NO WIFE PRESENT, AND 24,246 WERE NON-FAMILIES. THE RACIAL MAKEUP OF THE CITY WAS 48.2% WHITE AND 47.9% BLACK OR AFRICAN-AMERICAN. THE AVERAGE HOUSEHOLD SIZE WAS 2.59. THE PRIMARY SERVICE AREA INCLUDES MOBILE AND BALDWIN COUNTIES IN ALABAMA. THESE TWO COUNTIES HAVE A COMBINED POPULATION OF APPROXIMATELY 585,000. THE SECONDARY SERVICE AREA FOR THE HOSPITAL INCLUDES THE RURAL AREAS OF GEORGE COUNTY IN MISSISSIPPI AND WASHINGTON, CLARKE, ESCAMBIA AND MONROE COUNTIES IN ALABAMA. THERE ARE FOUR MAJOR MEDICAL CENTERS WITHIN THE CITY LIMITS. THE MAJORITY OF THE PERSONS SERVED ARE EMPLOYED WITHIN SERVICE INDUSTRIES SUCH AS TRADE, TRANSPORTATION, AND UTILITIES. PROFESSIONAL AND BUSINESS SERVICES, EDUCATION AND HEALTH SERVICES AND GOVERNMENT. THE UNEMPLOYMENT RATE FOR MOBILE COUNTY IS APPROXIMATELY 11%, AND FOR BALDWIN COUNTY IS APPROXIMATELY 9%. PER CAPITA INCOME IN 2009 FOR THE PRIMARY SERVICE AREA OF THE HOSPITAL WAS 22,095, AND 18,157 FOR THE SECONDARY SERVICE AREA. IN 2009 22.2% OF THE RESIDENTS OF THE CITY OF MOBILE WERE LIVING BELOW THE POVERTY LEVEL. OF THESE HOUSEHOLDS LIVING BELOW THE POVERTY LEVEL, 74% HAD A FEMALE HEAD-OF-HOUSEHOLD WITH NO HUSBAND PRESENT. SCHEDULE H, PART VI QUESTION 6: SEE STATEMENT RELATED TO PROGRAM SERVICE ACCOMPLISHMENTS (PART III, LINE 4A) SCHEDULE H, PART VI QUESTION 7: EACH HOSPITAL AND ENTITY WITHIN INFIRMARY HEALTH SYSTEM HAS ITS OWN LEADERSHIP, AND PROVIDES CERTAIN COMMUNITY BENEFITS AND PROGRAM SERVICES RELATED UNIQUELY TO THE COMMUNITY IT SERVES. HOWEVER, EXECUTIVE LEADERSHIP OF THE SYSTEM PROVIDES GUIDANCE FOR ALL, AND THERE ARE MANY COMMUNITY BENEFITS AND SERVICES WHICH ARE COORDINATED FROM A SYSTEM PERSPECTIVE IN ORDER TO SERVE A NEED WITHIN THE BROADER SERVICE AREA, OR TO JOINTLY COORDINATE THE EFFORT FOR MORE EFFICIENCY. 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 MOBILE INFIRMARY MANAGEMENT. AL X X X X true true false false false false false false false D MARK NIX 578002 94502 140762 19195 832461 JOE DENTON 333336 46800 55401 12510 448047 E WATSON SMITH 262611 4005 10225 276841 PAMELA G HALLFORD 161103 11179 25865 11383 209530 KENNETH C BREWINGTON 408109 25308 10962 444379 JOE STOUGH III 328618 48572 12015 389205 ALAN C HOLLEY 169563 13221 26053 12387 221224 KERN A WILSON 167736 12809 26395 11855 218795 PAMELA E GILBERT 204070 61486 12434 6194 284184 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 D. MARK NIX 0 26,188 0 PAMELA E. GILBERT 179,046 0 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III SCHEDULE J, PART III SUPPLEMENTAL INFORMATION 457(F) DISTRIBUTIONS: D. MARK NIX - 94,502 JOSEPH L. DENTON - 46,800 PAMELA G. HALLFORD - 14,699 ALAN C. HOLLEY - 16,099 KERN A. WILSON - 15,850 SERP DISTRIBUTIONS: D. MARK NIX - 26,188 SERVERANCE AMOUNT PAID: PAMELA E. GILBERT - 179,046 WHITE-SPUNNER CONSTRUCTION VICE CHAIRMAN 1092189 CONSTRUCTION SVCS false MOBILE EMERGENCY GROUP PC DIRECTOR 307103 ED PHYSICIAN SVCS false ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE GOVERNING BODY OF THE PARENT ELECTS THE BOARD MEMBERS OF THE ORGANIZATION. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B CERTAIN ACTIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OF THE PARENT COMPANY, INFIRMARY HEALTH SYSTEM, INC. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 THE CURRENT REVIEW POLICY IS BEING REVISED AND FUTURE 990'S WILL BE REVIEWED BY THE BOARD PRIOR TO FILING. CURRENTLY THE 990 IS PREPARED BY THE ACCOUNTING DEPARTMENT. A DETAILED REVIEW IS COMPLETED BY AN OFFICER AND A COPY OF THE FINAL 990,INCLUDING ALL REQUIRED SCHEDULES, IS PROVIDED TO THE PRESIDENT / CHIEF EXECUTIVE OFFICER FOR REVIEW AND APPROVAL WITH SIGNATURE. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C A DIRECTOR SHALL DISCLOSE AT THE EARLIEST POSSIBLE MEETING OF THE BOARD OF DIRECTORS AFTER THE DIRECTOR BECOMES AWARE OF THE EXISTING OR POTENTIAL CONFLICTING INTEREST. THE BOARD OF DIRECTORS SHALL ASK THE INTERESTED DIRECTOR TO LEAVE THE MEETING DURING DELIBERATIONS WITH RESPECT TO THE MATTER THAT GIVES RISE TO THE EXISTING OR POTENTIAL CONFLICTING INTEREST. THE OFFICERS ARE REQUIRED EACH YEAR TO REVIEW THE CONFLICT OF INTEREST POLICIES WHICH DEFINE CONFLICTS OF INTEREST AND ADVISE THAT ALL SHOULD BE AVOIDED IF POSSIBLE. ALL OFFICERS ARE REQUIRED ANNUALLY TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A AS AN AFFILIATE OF INFIRMARY HEALTH SYSTEM, MOBILE INFIRMARY ASSOCIATION 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 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. THE INFIRMARY 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, SALARY.COM, AND HAY CONSULTING. 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 INFIRMARY HEALTH SYSTEM COMPENSATION COMMITTEE. THE FINAL RECOMMENDATIONS ARE APPROVED BY THE INFIRMARY BOARD OF DIRECTORS. INFIRMARY HEALTH SYSTEM, INC. HAD AN EXTERNAL REVIEW OF COMPENSATION PRACTICES PERFORMED BY WATSON WYATT IN 2008. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE ANSWER TO QUESTION 15A. THE SAME PROCESS IS USED FOR ALL EMPLOYEES OF THE SYSTEM. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 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. ADDITIONAL INFORMATION SCHEDULE O PART III-PROGRAM SERVICES, LINE 4A: THE MOBILE INFIRMARY ASSOCIATION ("INFIRMARY") IS LICENSED TO OPERATE 654 ACUTE CARE BEDS IN THE MOBILE INFIRMARY MEDICAL CENTER AND 50 PHYSICAL REHABILITATION BEDS IN THE J.L. BEDSOLE/ROTARY REHABILITATION HOSPITAL DIVISION, PROVIDING SERVICES NECESSARY TO DELIVER ESSENTIAL HEALTHCARE TO THE GULF COAST COMMUNITY. INFIRMARY SERVICED 26,448 INPATIENTS AND PROVIDED MORE THAN 246,800 OUTPATIENT SERVICES DURING THE YEAR ENDING MARCH 31, 2010. INFIRMARY OPERATES A FULL-TIME LEVELL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS, WHITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 39,977 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 550 PHYSICIANS ON THE OPEN MEDICAL STAFF. INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. MEDICARE AND MEDICAID PATIENTS ACCOUNTED FOR 48.8% OF TOTAL INPATIENT VISITS AND 33.2% OF OUTPATIENT GROSS REVENUE. WHILE THE HOSPITAL IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL AMOUNT RECEIVED WAS 334,000,000 LESS THAN WHAT WOULD HAVE BEEN RECEIVED HAD THESE PROGRAMS PAID FULL CHARGES. IN ADDITION TO SERVING MEDICARE AND MEDICAID PATIENTS, INFIRMARY PROVIDES CARE TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. THE HOSPITAL HAS EXPANDED THE FEDERAL POVERTY GUIDELINE TO AFFORD CHARITABLE CARE TO LARGER NUMBERS OF ITS PATIENT POPULATION. THE CHARITY CARE PROCESS IS ADMINISTERED IN A NON-DISCRIMINATORY MANNER GUIDED BY MEMBERS OF THE VOLUNTARY BOARD OF DIRECTORS (MOST OF WHOM ARE INDEPENDENT CIVIC LEADERS) WHO REVIEW THE PROCESS AT REGULARLY SCHEDULED MEETINGS. THE AMOUNT OF CHARGES FOREGONE FOR HEALTHCARE SERVICES AND SUPPLIES FURNISHED UNDER THIS CHARITY CARE POLICY FOR THE YEAR ENDING MARCH 31, 2010 WAS 30,710,000. INFIRMARY OPERATES THE ONLY HOSPITAL BASED INPATIENT PSYCHIATRIC UNIT IN THE COMMUNITY FOR ADULTS. AS A RESULT, THERE IS A SIGNIFICANT AMOUNT OF INDIGENT CARE PROVIDED THROUGH THIS SERVICE. VARIOUS OTHER CHARITABLE ORGANIZATIONS IN THE COMMUNITY ARE SERVED BY THE CHARITY CARE PROCESS. SOME EXAMPLES WOULD BE THE ALABAMA CHILDREN'S HOME WHOSE RESIDENTS HAVE RECEIVED CARE AT MOBILE INFIRMARY FOR MANY YEARS, THE KNIGHTS TEMPLAR EYE FOUNDATION AND THE KATE MIDDLETON ASSISTANCE FUND FOR MOBILE COUNTY CITIZENS. INFIRMARY PARTICIPATES IN EDUCATIONAL SUPERVISION, PROGRAM DEVELOPMENT AND CLINICAL AFFILIATIONS WITH MORE THAN 20 COLLEGES AND UNIVERSITIES THROUGHOUT THE U.S. IN REHABILITATION CLINICAL DISCIPLINES. INFIRMARY PROVIDES CLINICAL EXPERIENCE TO COLLEGE STUDENTS IN MORE THAN 10 DIFFERENT DISCIPLINES THROUGHOUT THE HOSPITAL. DURING THE YEAR, 15 FULL-TIME EQUIVALENT RESIDENTS OF THE UNIVERSITY OF SOUTH ALABMA, COLLEGE OF MEDICINE ROTATED THROUGH INFIRMARY AS PART OF A PROFESSIONAL RESIDENCY PROGRAM TO CONTRIBUTE TO THE EDUCATIONAL PREPARATION OF A FUTURE SUPPLY OF PHYSICIANS. INFIRMARY PROVIDED CONTINUING EDUCATION SEMINARS FOR DOCTORS AND OTHER HEALTHCARE PROFESSIONALS ON A REGULAR BASIS. THERE WERE QUARTERLY STROKE CONFERENCES; CANCER CONFERENCES WERE HELD WEEKLY, AND THE COMMUNITY PHYSICIAN CONFERENCES WERE HELD MONTHLY. THERE WERE LECTURES PROVIDED ON TOPICS AND THROUGHOUT THE YEAR THERE WERE INTERACTIVE SESSIONS PROVIDED IN NEONATAL RESUSCITATION, ADVANCED CARDIAC LIFE SUPPORT, AND PEDIATRIC LIFE SUPPORT. OVER 2,239 HEALTHCARE PROFESSIONALS TOOK ADVANTAGE OF THE 194 CONTINUING EDUCATION HOURS OFFERED. MOBILE INFIRMARY'S DRUG EDUCATION VEHICLE, THE ERNEST DEBAKEY DRUG EDUCATION BUS TRAVELS THROUGHOUT SOUTHWEST ALABAMA, EDUCATING CHILDREN ABOUT THE DANGERS OF ILLEGAL DRUG USE, AS WELL AS THE DETRIMENTAL EFFECT OF TOBACCO AND ALCOHOL ON THE HUMAN BODY. THE DRUG EDUCATION PROGRAM IS AN EXPERIENTIAL PROGRAM, GIVING STUDENTS THE OPPORTUNITY TO SEE, HEAR, AND TOUCH DISPLAYS. A FACILITATOR IS AVAILABLE TO ANSWER QUESTIONS. INDIVIDUALS TOURING THE DRUG VEHICLE ARE GIVEN BROCHURES, FACT SHEETS, AND STATISTICAL INFORMATION. IN ADDITION TO VISITING PUBLIC, PRIVATE, AND PAROCHIAL SCHOOLS, THE SUMMER MONTHS FIND THE DRUG VEHICLE VISITING COMMUNITY ORGANIZATIONS, CHURCHES, AND INDUSTRY. DURING THE 2009-2010 FISCAL YEAR, MORE THAN 8,085 INDIVIDUALS AT 310 DIFFERENT SITES PASSED THROUGH THE DRUG EDUCATION VEHICLE. THE INFIRMARY SPONSORS A PROGRAM FOR ADULTS AGE 55 AND OLDER CALLED INFIRMARY SENIORS. THIS PROGRAM IS DESIGNED WITH THE GROWING SENIOR POPULATION IN MIND. SENIORS RECEIVE UP-TO-DATE INFORMATION ON FREE HEALTH SCREENINGS AND SEMINARS RELEVANT TO THEIR AGE GROUP SUCH AS AARP DRIVING CLASSES. OTHER BENEFITS ARE PROVIDED TO ENCOURAGE WELLNESS WITHIN THIS POPULATION. INFIRMARY SENIORS CURRENTLY HAS 10,800 MEMBERS. THE GULF COAST COMMUNITY AND PATIENT EDUCATION WERE ENHANCED THROUGH MOBILE INFIRMARY'S MONTHLY SEMINARS, WHICH FEATURED MEDICAL AND CLINICAL PROFESSIONALS SPEAKING ON A WIDE VARIETY OF HEALTH AND WELLNESS ISSUES. APPROXIMATELY 400 PEOPLE ATTENDED PROGRAMS OFFERED ON VARIOUS SUBJECTS INCLUDING: BREAST AND PROSTATE CANCER, HEART DISEASE, ARTHRITIS, AND OTHERS. AS PART OF ITS CONTINUED COMMITTMENT TO MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY, THE INFIRMARY SPONSORS VARIOUS SUPPORT GROUPS ON AN ONGOING BASIS. THEY INCLUDE THE DIABETIC EXCHANGE PROGRAM, CANCER SUPPORT, GASTRIC BYPASS SUPPORT, AND ALZHEIMER'S DISEASE SUPPORT. IN ADDITION TO THE CAMARADERIE OF THE SUPPORT GROUPS, PARTICIPANTS HAVE THE OPPORTUNITY TO LEARN HOW TO LIVE FULLER LIVES AFTER A DIFFICULT DIAGNOSIS OR PROCEDURE. DURING THE YEAR APPROXIMATELY 50 MEETINGS WERE OFFERED TO OVER 500 PATIENTS, FAMILY MEMBERS, CARE GIVERS, AND FRIENDS. OPERATION BOUNCE-BACK, THE INFIRMARY'S CARDIAC REHABILITATION PROGRAM PROVIDES SEMINARS OF INTEREST TO PEOPLE WITH HEART DISEASE AND THEIR FAMILIES. SPEAKERS AND LITERATURE ARE PROVIDED MONTHLY. CPR CERTIFICATION CLASSES ARE OFFERED TO SPOUSES AND FAMILY MEMBERS OF BOUNCE-BACK PATIENTS. SCHEDULE D, PART XIV, SUPPLEMENTAL INFORMATION: PART XI, LINE 8: CHANGE IN FMV OF INTEREST RATE SWAP, 285,473; CONTRIBUTIONS RECEIVED, -3,791,554; INVESTMENT INCOME RECEIVED, 1,353; GRANTS RECEIVED, -115,801 CHANGE IN INTEREST IN NET ASSETS OF INFIRMARY FOUNDATION, 2,022,718; NET ASSETS RELEASED FOR OPERATING PURPOSES, 36,568. PART XII, LINE 2D: CHANGE IN INFIRMARY FOUNDATION NET ASSETS, 2,022,718; INVESTMENT INCOME, 1,353; CHANGE IN FMV OF INTEREST RATE SWAP, 285,473; RESTRICTED ASSETS TRANSFERRED FOR OPERATIONS, 36,568. PART XII LINE 4B: RECLASS COST RECOVERY REVENUE, 747,130; GRANTS RECEIVED, 115,801; CONTRIBUTIONS RECEIVED, 3,791,554. PART XIII, LINE 4B: RECLASS COST RECOVERY REVENUE, 747,130 SCHEDULE L, PART IV: JOHN WHITE-SPUNNER IS A DIRECTOR AND OFFICER OF MOBILE INFIRMARY ASSOCIATION AND IS AN OWNER AND OFFICER OF WHITE-SPUNNER CONSTRUCTION. DR. HERBERT STONE IS A DIRECTOR OF MOBILE INFIRMARY ASSOCIATION AND IS AN OFFICER OF MOBILE EMERGENCY GROUP, P.C. PART IX, LINE 6: THE 178,644 AMOUNT REPRESENTS SEVERANCE PAY FOR A FORMER KEY EMPLOYEE AS REPORTED ON SCHEDULE J. 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