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      <Desc>MOBILE INFIRMARY ASSOCIATION ("INFIRMARY") IS LICENSED TO OPERATE 689 BEDS IN THE MOBILE INFIRMARY MEDICAL CENTER INCLUDING 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. DURING FISCAL YEAR ENDING MARCH 31, 2016, THE INFIRMARY SERVICED 27,373 INPATIENTS AND PROVIDED ALMOST 213,000 OUTPATIENT SERVICES, DELIVERED ALMOST 1,100 BABIES, AND PERFORMED MORE THAN 23,500 SURGERIES, INCLUDING 331 OPEN-HEART CASES. THE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS WITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 50,353 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. THE ORGANIZATION'S E.A. ROBERTS ALZHEIMER'S CENTER IS THE FIRST DAY CENTER IN SOUTH ALABAMA DESIGNED SPECIFICALLY FOR PEOPLE WITH ALZHEIMER'S DISEASE AND OTHER FORMS OF DEMENTIA. THE CENTER IS A SECURE, 8,000-SQUARE-FOOT BUILDING WHICH INCLUDES LIVING ROOM AREAS, A DEN, A KITCHEN, REST AREAS, ENCLOSED COURTYARDS WITH FOUNTAINS, SCREENED PORCHES AND A LARGE FENCED YARD COMPLETE WITH A WALKING PATH AND PUTTING GREEN. IN OBSERVANCE OF NATIONAL ALZHEIMER'S AWARENESS MONTH, ALZHEIMER'S AWARENESS T-SHIRTS ARE SOLD. FUNDS RAISED ARE USED TO SUPPORT THE E.A. ROBERTS ALZHEIMER'S CENTER TO EXPAND THEIR SERVICES TO INCLUDE ONE SATURDAY A MONTH. 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. IN 2015, HELD THE 37TH ANNUAL BOUNCE-BACK BANQUET WITH MORE THAN 80 PATIENTS AND STAFF IN ATTENDANCE. MOBILE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, WHICH ACCOUNTED FOR 46.80% OF TOTAL INPATIENT VISITS AND 28.91% OF OUTPATIENT GROSS REVENUE IN THE FISCAL YEAR ENDED MARCH 31, 2016. WHILE THE ORGANIZATION IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL RECEIVED WAS APPROXIMATELY 330,000,000 LESS THAN WHAT WOULD HAVE BEEN RECEIVED HAD THESE PROGRAMS PAID FULL CHARGES. IN ADDITION TO SERVING MEDICARE AND MEDICAID PATIENTS, 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 2016 WAS APPROXIMATELY 49,549,145, INCLUDING PRESUMPTIVELY ELIGIBLE PATIENTS. SPONSORED BY THE AMERICAN COUNCIL ON EXERCISE, THE INFIRMARY'S OPERATION FITKIDS IS DESIGNED TO EDUCATE CHILDREN AND THEIR FAMILIES ON THE BENEFITS OF REGULAR PHYSICAL ACTIVITY AND PROPER NUTRITION. THE EIGHT WEEK PROGRAM IS OFFERED FREE WITH PHYSICIAN REFERRAL TO CHILDREN (AGES 7-11) AT THE ORGANIZATION'S FITNESS CENTER. 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 100,000 STUDENTS HAVE PARTICIPATED IN THE PROGRAM. INFIRMARY HEALTH ESTABLISHED A PROGRAM TO CENTRALIZE, SUPPORT AND RECOGNIZE EMPLOYEES IN EXISTING SERVICE INVOLVEMENT AND TO ENHANCE OVERALL COMMUNITY EFFORTS. A DEPARTMENT AND BUDGET WERE ALSO ESTABLISHED AND SOFTWARE WAS PURCHASED TO ASSIST IN TRACKING EMPLOYEE VOLUNTEER HOURS AND COMMUNITY REQUESTS. IN ADDITION, THE ORGANIZATION PROVIDES NUMEROUS COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, AND SCREENINGS TO BENEFIT AREA CITIZENS. THE PROGRAMS INCLUDE: SKIN CANCER, PROSTATE, HEART AND BLOOD PRESSURE SCREENINGS. THE ORGANIZATION ALSO PARTICIPATES IN AND FACILITATES A NUMBER OF HEALTH RELATED WALKS. THESE PROGRAMS BENEFIT THOUSANDS OF AREA CITIZENS ANNUALLY. MOBILE INFIRMARY PARTNERED WITH THE MOBILE PUBLIC SCHOOL SYSTEM TO SERVE AS THE FIRST HOST SITE IN OUR REGION FOR PROJECT SEARCH, AN INTERNSHIP PROGRAM FOR STUDENTS WITH DEVELOPMENTAL DISABILITIES, PROVIDING THEM WITH ON-THE- JOB TRAINING DURING THEIR SENIOR YEAR OF HIGH SCHOOL. DIRECTORS, MANAGERS AND THEIR DEPARTMENTS VOLUNTEER TO HOST INTERNS IN THEIR AREAS BY TAKING THE TIME TO COACH AND MENTOR STUDENTS. MOBILE INFIRMARY PROVICES AN ON-SITE CLASSROOM FOR DAILY USE, AN ANNUAL OPEN HOUSE EVENT, GRADUATION CEREMONY AND VARIOUS EVENTS PROVIDING GIFTS, CERTIFICATES, INVITATIONS, REFRESHMENTS AND MARKETING. NINETEEN INTERNS ARE CURRENTLY EMPLOYED WITH FULL-TIME JOBS (SIX WITH INFIRMARY HEALTH AND AFFILIATES). TWO HAVE RECEIVED AWARDS: EMPLOYEE OF THE MONTH AND ASSOCIATE OF THE QUARTER. MOBILE INFIRMARY WAS RECOGNIZED BY THE MOBILE COUNTY PUBLIC SCHOOL SYSTEM AT "THE FUTURE STARTS WITH US" AWARD CEREMONY WHICH RECOGNIZES STUDENTS, TEACHERS, BUSINESSES AND COMMUNITY PARTNERS WHO ARE MAKING AN IMPACT ON EDUCATION. MOBILE INFIRMARY WAS PRESENTED WITH THE LAST AWARD OF THE EVENING, "PARTNER OF THE YEAR" FOR EFFORTS IN PREPARING STUDENTS AT SEVERAL SCHOOLS FOR CAREERS IN THE MEDICAL PROFESSION. MOBILE INFIRMARY WAS RECOGNIZED AS BEING INSTRUMENTAL IN THE SUCCESS OF THE SIGNATURE ACADEMY OF HEALTH CAREERS AT BLOUNT HIGH SCHOOL, HOSTING JOB FAIRS TO EXPOSE STUDENTS FROM ACROSS THE COUNTY TO HEALTH CAREERS AS WELL AS PROVIDING OPPORTUNITIES FOR STUDENTS TO JOB SHADOW AND FOR HOSTING PROJECT SEARCH, WHERE MCPSS GRADUATES WITH DEVELOPMENTAL DISABILITIES HAVE INTERNED AT THE HOSPITAL AND LEARNED IMPORTANT SKILLS THAT HAVE ALLOWED THEM TO GET JOBS. INFIRMARY HEALTH CONTINUES TO PARTNER WITH THE MARCH OF DIMES AS ONE OF ONLY TWO HOSPITALS IN THE NATION TO PARTICIPATE AND GRADUATE FROM THE MARCH OF DIMES 39 WEEKS QUALITY INSURANCE PROGRAM--ELIMINATING EARLY ELECTIVE DELIVERIES BEFORE THE 39 WEEK MARK. RAIN OR SHINE WE "MARCH FOR BABIES" INFRMARY HEALTH RAISED MORE THAN 16,000 FOR THE MARCH OF DIMES AND MORE THAN 80 EMPLOYEES PARTICIPATED IN THE MOD MARCH FOR BABIES WALK. MORE THAN 1,300 EMPLOYEES PARTICIPATED IN QUARTERLY LIFESOUTH BLOOD DRIVES. INFIRMARY HEALTH IS THE SINGLE LARGEST BLOOD DONOR IN THE REGION. WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE, INFIRMARY HEALTH PROVIDED FREE SCREENINGS TO 290 COMMUNITY MEMBERS WHICH IS AN INCREASE OF 68% FROM 2015. FIFTEEN VOLUNTEERS HELPED PROVIDE CHOLESTEROL, WEIGHT AND BLOOD PRESSURE CHECKS. 230 COMMUNITY MEMBERS WERE SCREENED--50 PERCENT OF WHICH HAD ABNORMAL CHL RESULTS AND HIGH BLOOD PRESSURE. EMPLOYEES ALSO WORE RED ON FRIDAYS IN FEBRUARY IN HONOR OF NATIONAL HEART AWARENESS MONTH. BANNERS WERE PLACED AT HOSPITAL ENTRANCES AND SPECIAL E-SIGNATURES WERE CREATED FOR EMPLOYEE EMAILS TO BUILD COMMUNITY AWARENESS. T-SHIRTS WERE ALSO AVAILABLE TO PURCHASE THROUGH THE FITNESS CENTER WITH PROCEEDS BENEFITTING THE AHA. INFIRMARY HEALTH ALSO SPONSORED THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY HEART WALK WHICH EMPLOYEES RAISED MORE THAN 16,000 FOR THEIR TEAM. INFIRMARY HEALTH SUPPORTS OUR LOCAL AMERICAN CANCER SOCIETY WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND AND FINANCIAL CONTRIBUTIONS SUCH AS: RELAY FOR LIFE, MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, LOOK GOOD...FEEL BETTER SUPPORT GROUP, REACH TO RECOVERY AND NUMEROUS OTHER AMERICAN CANCER SOCIETY EVENTS THROUGHOUT THE YEAR. EMPLOYEES WORE PINK ON "THINK PINK THURSDAYS" IN OCTOBER TO RAISE AWARENESS OF BREAST CANCER. 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        <PersonNm>LAURA MORRISSETTE CLARK</PersonNm>
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        <PersonNm>T BESTOR WARD III</PersonNm>
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        <PersonNm>ASHLEIGH LELAND</PersonNm>
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        <PersonNm>MICHAEL HOLBERG</PersonNm>
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        <PersonNm>WILLIAM R SEIFERT II</PersonNm>
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        <PersonNm>ALLEN H LADD</PersonNm>
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        <PersonNm>CHRISTOPHER C WATKINS</PersonNm>
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        <PersonNm>FRANK J LOTT III</PersonNm>
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        <PersonNm>JOE T STOUGH III</PersonNm>
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        <PersonNm>JOSEPH L DENTON</PersonNm>
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        <PersonNm>SCOTT A BROWNING</PersonNm>
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        <PersonNm>KERN A WILSON</PersonNm>
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        <PersonNm>MCGOWIN I PATRICK JR</PersonNm>
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      <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>
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        <FormAndLineReferenceDesc>FACILITY 1, MOBILE INFIRMARY ASSOCIATION - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION INCLUDE PROVIDING THE POLICY TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. DURING FISCAL YEAR 2015, ORGANIZATIONS SUCH AS: THE MOBILE COUNTY HEALTH DEPARTMENT, FRANKLIN PRIMARY HEALTH CENTER, BALDWIN COUNTY HEALTH DEPARTMENT, AND THE HOPE CENTER WERE EACH PROVIDED A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
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        <ExplanationTxt>COMMUNITY HEALTH PRIORITIES FOR THE HOSPITALS INCLUDED IN THE 2015 CHNA FOR INFIRMARY HEALTH WHICH INCLUDES MOBILE INFIRMARY ASSOCIATION (MIA) ARE 1)HEALTHY WEIGHT AND 2)ACCESS TO CARE FOR RESIDENTS OF BOTH MOBILE AND BALDWIN COUNTIES. INFIRMARY HEALTH HAS ADOPTED IMPLEMENTATION STRATEGIES TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. THE SYSTEM DESIRES TO DEVELOP AND COLLABORATE ON SYSTEM-WIDE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE NEEDS PRIORITIZED IN THE 2015 CHNA. OBESITY IS TRENDING HIGHER IN MOBILE COUNTY WITH ADULT OBESITY CURRENTLY ESTIMATED AT 35%. BALDWIN COUNTY REMAINS UNCHANGED FROM THE PREVIOUS REPORT AT 25%. OBESITY CAN CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES AND INCREASES THE RISK OF A POOR OUTCOME IN TREATING OTHER ILLNESSES. IN ORDER TO ADDRESS THIS IDENTIFIED NEED PLANS ARE (1)TO EXPAND OUR INITIATIVE NAMED "OPERATION FITKIDS" ACROSS INFIRMARY HEALTH FACILITIES AND INTO THE COMMUNITIES SERVED. OPERATION FITKIDS IS AN 8 WEEK PROGRAM BASED ON AMERICAN COLLEGE OF SPORTS MEDICINE AND AMERICAN COUNCIL OF EXERCISE GUIDELINES FOR DAILY EXERCISE FOR CHILDREN; AND (2)INCREASE AWARENESS OF THE CAMPAIGN KNOWN AS "SCALE BACK ALABAMA", A STATE-WIDE CAMPAIGN TO ENCOURAGE CITIZENS TO HAVE FUN WHILE PARTICIPATING IN A HEALTHIER, MORE ACTIVE LIFESTYLE. ANOTHER GOAL IS TO EXPAND PARTICIPATING WEIGH-IN SITES AND ASSIST OTHER PARTNERS OF THE PROGRAM. WHILE THE PROGRAM IS STATEWIDE AND FREE, IT IS DESIGNED TO ADDRESS OBESITY FOR THE ENTIRE STATE. NEEDS IDENTIFIED BUT NOT ADDRESSED IN THE IMPLEMENTATION PLAN INCLUDE (1)MENTAL HEALTH NEEDS IN MOBILE COUNTY AND (2)CANCER DETECTION AND EDUCATION IN BALDWIN COUNTY. THE CHNA FOR MIA WAS CONDUCTED IN CONJUNCTION WITH GULF HEALTH HOSPITALS IN BALDWIN COUNTY. WHILE THE CURRENT CHNA HAS IDENTIFIED MENTAL HEALTH IN MOBILE COUNTY AS A COMMUNITY NEED, MOBILE INFIRMARY PROVIDES THE ONLY IN- PATIENT FACILITY TO TREAT MENTAL HEALTH ISSUES IN THE TWO COUNTY AREA. ALSO, THERE ARE OTHER RESOURCES AVAILABLE FOR MENTAL HEALTH ISSUES IN THE AREA THAT INCLUDE MOBILE MENTAL HEALTH CENTER, INC., SOUTHWEST ALABAMA MENTAL HEALTH BOARD AND BALDWIN COUNTY MENTAL HEALTH CENTER, INC. THE BALDWIN COUNTY NEED NOT ADDRESSED IN THE 2015 CHNA IS CANCER DETECTION AND EDUCATION. THOMAS HOSPITAL LOCATED IN BALDWIN COUNTY IS ANOTHER OF THE INFIRMARY HEALTH FACILITIES. THERE IS CURRENTLY UNDERWAY A SIGNIFICANT COMMITTMENT OF RESOURCES TO BUILD A STATE OF THE ART CANCER CENTER ON SITE. THE CENTER WILL PROVIDE DETECTION, EDUCATION AND TREATMENT FOR CANCER PATIENTS IN THE GEOGRAPHIC AREA SERVED.</ExplanationTxt>
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        <ExplanationTxt>A NOTICE PUBLICIZING THE FINANCIAL ASSISTANCE POLICY (FAP) WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSION OFFICES AD 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 FISCAL YEAR 2014 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 AND BALDWIN COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER, AND THE HOPE CENTER.</ExplanationTxt>
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            <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>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</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 59,185,360. 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>PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART VI, QUESTION 2: IN ADDITION TO THE CHNA CONDUCTED DURING FISCAL YEAR 2013, 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>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</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>PART VI, LINE 4 - COMMUNITY INFORMATION</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 2013 THE POPULATION OF MOBILE COUNTY WAS ESTIMATED AT APPROXIMATELY 413,000. OF THE 155,000 HOUSEHOLDS, 44,000 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 69,000 WERE MARRIED COUPLES LIVING TOGETHER, 50,000 WERE NON-FAMILIES, AND 29,000 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT. THE RACIAL MAKE-UP OF THE COUNTY FROM 2013 ESTIMATES WAS 60% WHITE, 35% 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>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</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>PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM</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>
    </IRS990ScheduleH>
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      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>D MARK NIX</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>702330</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>299135</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>269460</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>321712</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>15989</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1608626</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR MARC S GOTTLIEB</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>390098</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>138510</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>528608</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR ANN SHAVER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>303503</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>55553</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>359056</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE T STOUGH III</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>399953</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>124423</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>79451</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>98457</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>15128</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>717412</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH L DENTON</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>368910</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>113164</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>93971</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>98026</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16099</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>690170</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT A BROWNING</PersonNm>
        <TitleTxt>ASST SECRETARY/TREAS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>271577</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>94122</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>25413</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>48108</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>15939</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>455159</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERN A WILSON</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>181197</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>36463</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>57711</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>62667</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13914</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>351952</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUZANNE C BIRD</PersonNm>
        <TitleTxt>VICE PRES-CN OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>207548</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>48482</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>23708</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>45642</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10930</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>336310</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLEY HICKS</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>144020</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12361</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>11645</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4863</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172889</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM G MAURER</PersonNm>
        <TitleTxt>DIRECT. OF PERFUSION</TitleTxt>
        <BaseCompensationFilingOrgAmt>147848</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7018</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>20349</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16219</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>191434</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY MOSLEY</PersonNm>
        <TitleTxt>DIRECT. OF RADIOLOGY</TitleTxt>
        <BaseCompensationFilingOrgAmt>140678</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>6529</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>9859</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8744</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165810</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANSLEY WHEAT</PersonNm>
        <TitleTxt>MANAGER-PHARMACY</TitleTxt>
        <BaseCompensationFilingOrgAmt>139749</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3958</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10483</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5195</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>159385</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICKY TURBERVILLE-VEGA</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>137417</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3875</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>16142</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14416</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>171850</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>D. MARK NIX 0 271,755 0 JOE T. STOUGH, III 0 65,387 0 JOSEPH L. DENTON 0 61,867 0 SCOTT A. BROWNING 0 32,071 0 KERN A. WILSON 0 23,239 0 SUZANNE C. BIRD 0 26,627 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE ORGANIZATION'S CEO SCHEDULE J, PART I, LINE 3: THE ORGANIZATION'S PARENT COMPANY INFIRMARY HEALTH SYSTEM, INC. ESTABLISHES THE PRESIDENT/CEO'S COMPENSATION. THE AMOUNT IS DETERMINED THROUGH A VARIETY OF RESOURCES INCLUDING A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS, AND APPROVAL BY THE BOARD OF DIRECTORS. SCHEDULE J, PART I, LINE 7: 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: 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 COMMITTEE AND THE BOARD OF DIRECTORS. THE BOARD OR AUTHORIZED COMMITTEE THEREOF HAS THE DISCRETION TO DENY OR REDUCE PAYMENT UNDER THIS COMPENSATION PLAN DEPENDENT ON THE PARTICULAR FACTS AND CIRCUMSTANCES. SCHEDULE J, PART III, LINE 4B 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>
    <IRS990ScheduleL documentId="RetDoc8">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DR MARC GOTTLIEB</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>17550</TransactionAmt>
        <TransactionDesc>PHYSICIAN SERVICES</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
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            <BusinessNameLine1Txt>SAFE ARCHIVES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>88751</TransactionAmt>
        <TransactionDesc>BUSINESS SERVICES</TransactionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IV: DR. GOTTLIEB IS A DIRECTOR OF MOBILE INFIRMARY ASSOCIATION AND ALSO AN EMPLOYEE OF AN AFFILIATED COMPANY. MR. WARD IS A DIRECTOR AND OFFICER OF MOBILE INFIRMARY ASSOCIATION AND IS THE OWNER OF SAFE ARCHIVES, LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE ORGANIZATION'S E.A. ROBERTS ALZHEIMER'S CENTER IS THE FIRST DAY CENTER IN SOUTH ALABAMA DESIGNED SPECIFICALLY FOR PEOPLE WITH ALZHEIMER'S DISEASE AND OTHER FORMS OF DEMENTIA. THE CENTER IS A SECURE, 8,000-SQUARE-FOOT BUILDING WHICH INCLUDES LIVING ROOM AREAS, A DEN, A KITCHEN, REST AREAS, ENCLOSED COURTYARDS WITH FOUNTAINS, SCREENED PORCHES AND A LARGE FENCED YARD COMPLETE WITH A WALKING PATH AND PUTTING GREEN. IN OBSERVANCE OF NATIONAL ALZHEIMER'S AWARENESS MONTH, ALZHEIMER'S AWARENESS T-SHIRTS ARE SOLD. FUNDS RAISED ARE USED TO SUPPORT THE E.A. ROBERTS ALZHEIMER'S CENTER TO EXPAND THEIR SERVICES TO INCLUDE ONE SATURDAY A MONTH. 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. IN 2015, HELD THE 37TH ANNUAL BOUNCE-BACK BANQUET WITH MORE THAN 80 PATIENTS AND STAFF IN ATTENDANCE. MOBILE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, WHICH ACCOUNTED FOR 46.80% OF TOTAL INPATIENT VISITS AND 28.91% OF OUTPATIENT GROSS REVENUE IN THE FISCAL YEAR ENDED MARCH 31, 2016. WHILE THE ORGANIZATION IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL RECEIVED WAS APPROXIMATELY 330,000,000 LESS THAN WHAT WOULD HAVE BEEN RECEIVED HAD THESE PROGRAMS PAID FULL CHARGES. IN ADDITION TO SERVING MEDICARE AND MEDICAID PATIENTS, 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 2016 WAS APPROXIMATELY 49,549,145, INCLUDING PRESUMPTIVELY ELIGIBLE PATIENTS. SPONSORED BY THE AMERICAN COUNCIL ON EXERCISE, THE INFIRMARY'S OPERATION FITKIDS IS DESIGNED TO EDUCATE CHILDREN AND THEIR FAMILIES ON THE BENEFITS OF REGULAR PHYSICAL ACTIVITY AND PROPER NUTRITION. THE EIGHT WEEK PROGRAM IS OFFERED FREE WITH PHYSICIAN REFERRAL TO CHILDREN (AGES 7-11) AT THE ORGANIZATION'S FITNESS CENTER. 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 100,000 STUDENTS HAVE PARTICIPATED IN THE PROGRAM. INFIRMARY HEALTH ESTABLISHED A PROGRAM TO CENTRALIZE, SUPPORT AND RECOGNIZE EMPLOYEES IN EXISTING SERVICE INVOLVEMENT AND TO ENHANCE OVERALL COMMUNITY EFFORTS. A DEPARTMENT AND BUDGET WERE ALSO ESTABLISHED AND SOFTWARE WAS PURCHASED TO ASSIST IN TRACKING EMPLOYEE VOLUNTEER HOURS AND COMMUNITY REQUESTS. IN ADDITION, THE ORGANIZATION PROVIDES NUMEROUS COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, AND SCREENINGS TO BENEFIT AREA CITIZENS. THE PROGRAMS INCLUDE: SKIN CANCER, PROSTATE, HEART AND BLOOD PRESSURE SCREENINGS. THE ORGANIZATION ALSO PARTICIPATES IN AND FACILITATES A NUMBER OF HEALTH RELATED WALKS. THESE PROGRAMS BENEFIT THOUSANDS OF AREA CITIZENS ANNUALLY. MOBILE INFIRMARY PARTNERED WITH THE MOBILE PUBLIC SCHOOL SYSTEM TO SERVE AS THE FIRST HOST SITE IN OUR REGION FOR PROJECT SEARCH, AN INTERNSHIP PROGRAM FOR STUDENTS WITH DEVELOPMENTAL DISABILITIES, PROVIDING THEM WITH ON-THE- JOB TRAINING DURING THEIR SENIOR YEAR OF HIGH SCHOOL. DIRECTORS, MANAGERS AND THEIR DEPARTMENTS VOLUNTEER TO HOST INTERNS IN THEIR AREAS BY TAKING THE TIME TO COACH AND MENTOR STUDENTS. MOBILE INFIRMARY PROVICES AN ON-SITE CLASSROOM FOR DAILY USE, AN ANNUAL OPEN HOUSE EVENT, GRADUATION CEREMONY AND VARIOUS EVENTS PROVIDING GIFTS, CERTIFICATES, INVITATIONS, REFRESHMENTS AND MARKETING. NINETEEN INTERNS ARE CURRENTLY EMPLOYED WITH FULL-TIME JOBS (SIX WITH INFIRMARY HEALTH AND AFFILIATES). TWO HAVE RECEIVED AWARDS: EMPLOYEE OF THE MONTH AND ASSOCIATE OF THE QUARTER. MOBILE INFIRMARY WAS RECOGNIZED BY THE MOBILE COUNTY PUBLIC SCHOOL SYSTEM AT "THE FUTURE STARTS WITH US" AWARD CEREMONY WHICH RECOGNIZES STUDENTS, TEACHERS, BUSINESSES AND COMMUNITY PARTNERS WHO ARE MAKING AN IMPACT ON EDUCATION. MOBILE INFIRMARY WAS PRESENTED WITH THE LAST AWARD OF THE EVENING, "PARTNER OF THE YEAR" FOR EFFORTS IN PREPARING STUDENTS AT SEVERAL SCHOOLS FOR CAREERS IN THE MEDICAL PROFESSION. MOBILE INFIRMARY WAS RECOGNIZED AS BEING INSTRUMENTAL IN THE SUCCESS OF THE SIGNATURE ACADEMY OF HEALTH CAREERS AT BLOUNT HIGH SCHOOL, HOSTING JOB FAIRS TO EXPOSE STUDENTS FROM ACROSS THE COUNTY TO HEALTH CAREERS AS WELL AS PROVIDING OPPORTUNITIES FOR STUDENTS TO JOB SHADOW AND FOR HOSTING PROJECT SEARCH, WHERE MCPSS GRADUATES WITH DEVELOPMENTAL DISABILITIES HAVE INTERNED AT THE HOSPITAL AND LEARNED IMPORTANT SKILLS THAT HAVE ALLOWED THEM TO GET JOBS. INFIRMARY HEALTH CONTINUES TO PARTNER WITH THE MARCH OF DIMES AS ONE OF ONLY TWO HOSPITALS IN THE NATION TO PARTICIPATE AND GRADUATE FROM THE MARCH OF DIMES 39 WEEKS QUALITY INSURANCE PROGRAM--ELIMINATING EARLY ELECTIVE DELIVERIES BEFORE THE 39 WEEK MARK. RAIN OR SHINE WE "MARCH FOR BABIES" INFRMARY HEALTH RAISED MORE THAN 16,000 FOR THE MARCH OF DIMES AND MORE THAN 80 EMPLOYEES PARTICIPATED IN THE MOD MARCH FOR BABIES WALK. MORE THAN 1,300 EMPLOYEES PARTICIPATED IN QUARTERLY LIFESOUTH BLOOD DRIVES. INFIRMARY HEALTH IS THE SINGLE LARGEST BLOOD DONOR IN THE REGION. WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE, INFIRMARY HEALTH PROVIDED FREE SCREENINGS TO 290 COMMUNITY MEMBERS WHICH IS AN INCREASE OF 68% FROM 2015. FIFTEEN VOLUNTEERS HELPED PROVIDE CHOLESTEROL, WEIGHT AND BLOOD PRESSURE CHECKS. 230 COMMUNITY MEMBERS WERE SCREENED--50 PERCENT OF WHICH HAD ABNORMAL CHL RESULTS AND HIGH BLOOD PRESSURE. EMPLOYEES ALSO WORE RED ON FRIDAYS IN FEBRUARY IN HONOR OF NATIONAL HEART AWARENESS MONTH. BANNERS WERE PLACED AT HOSPITAL ENTRANCES AND SPECIAL E-SIGNATURES WERE CREATED FOR EMPLOYEE EMAILS TO BUILD COMMUNITY AWARENESS. T-SHIRTS WERE ALSO AVAILABLE TO PURCHASE THROUGH THE FITNESS CENTER WITH PROCEEDS BENEFITTING THE AHA. INFIRMARY HEALTH ALSO SPONSORED THE AMERICAN HEART ASSOCIATION'S ANNUAL MOBILE COUNTY HEART WALK WHICH EMPLOYEES RAISED MORE THAN 16,000 FOR THEIR TEAM. INFIRMARY HEALTH SUPPORTS OUR LOCAL AMERICAN CANCER SOCIETY WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND AND FINANCIAL CONTRIBUTIONS SUCH AS: RELAY FOR LIFE, MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, LOOK GOOD...FEEL BETTER SUPPORT GROUP, REACH TO RECOVERY AND NUMEROUS OTHER AMERICAN CANCER SOCIETY EVENTS THROUGHOUT THE YEAR. EMPLOYEES WORE PINK ON "THINK PINK THURSDAYS" IN OCTOBER TO RAISE AWARENESS OF BREAST CANCER. THE MOBILE INFIRMARY CAMPUS WAS PAINTED PINK WITH BANNERS AND SIGNS CREATING AWARENESS OF BREAST CANCER AND THE IMPORTANCE OF EARLY DETECTION. INFIRMARY HEALTH ALSO DANCED AND WON THE 2015 MEDLINE PINK GLOVE DANCE VIDEO COMPETITION. AIMED AT RAISING BREAST CANCER AWARENESS, THE CONTEST HAD HOSPITALS AND ORGANIZATIONS ACROSS THE U.S. SUBMIT 90-SECOND VIDEOS OF PEOPLE DANCING WHILE WEARING MEDLINE PINK HOSPITAL GLOVES. NORTH BALDWIN INFIRMARY, THOMAS HOSPITAL EMPLOYEES AND COMMUNITY MEMBERS GROOVED TO TAYLOR SWIFT'S SONG, "SHAKE IT OFF." RECEIVING MORE THAN 20 PERCENT OF THE TOTAL VOTES, INFIRMARY HEALTH WON A 15,000 DONATION FROM MEDLINE TO THE MID-SOUTH DIVISION OF THE AMERICAN CANCER SOCIETY. THROUGH FUNDRAISING EFFORTS, INFIRMARY HEALTH RAISED AN ADDITIONAL 43,000 FOR ACS. INFIRMARY HEALTH'S WINNING VIDEO REPRESENTS A BREAST CANCER PATIENT'S JOURNEY, FROM ENTERING TH</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>THE FORM 990 IS PREPARED BY THE OUTSIDE ACCOUNTING FIRM OF WARREN AVERETT, LLC WITH ASSISTANCE FROM INFIRMARY HEALTH ACCOUNTANTS. THE RETURN IS THEN REVIEWED AND SIGNED BY INFIRMARY HEALTH SYSTEM'S CHIEF FINANCIAL OFFICER.</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 AND 2013.</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 NET ASSETS OF INFIRMARY FND 489,147 INTERCOMPANY TRANSFERS -13,510,655 NET ASSETS RELEASED FROM RESTRICTION -42,255 FAS 158 ADJUSTMENT -9,228,562 TOTAL -22,292,325</ExplanationTxt>
      </SupplementalInformationDetail>
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      <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>