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      <Description>SEE SCHEDULE O MOBILE INFIRMARY ASSOCIATION ("THE 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. THE INFIRMARY SERVICED 28,532 INPATIENTS AND PROVIDED MORE THAN 218,000 OUTPATIENT SERVICES DURING THE YEAR ENDING MARCH 31, 2012. THE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 41,809 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 650 PHYSICIANS ON THE OPEN MEDICAL STAFF. THE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. MEDICARE AND MEDICAID PATIENTS ACCOUNTED FOR 49.6% OF TOTAL INPATIENT VISITS AND 29.9% OF OUTPATIENT GROSS REVENUE. WHILE THE HOSPITAL IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL AMOUNT RECEIVED WAS 335,600,000 LESS THAN WHAT WOULD HAVE BEEN RECEIVED HAD THESE PROGRAMS PAID FULL CHARGES. IN ADDITION TO SERVING MEDICARE AND MEDICAID PATIENTS, THE INFIRMARY PROVIDES CARE TO PATIENT TYPES WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. THE HOSPITAL HAS EXPANDED THE FEDERAL POVERTY GUIDELINE TO AFFORD CHARITY CARE TO LARGER NUMBERS OF ITS PATIENT POPULATION. THE AMOUNT OF CHARGES FOREGONE FOR HEALTH CARE SERVICES AND SUPPLIES FURNISHED UNDER THIS CHARITY CARE POLICY FOR FISCAL YEAR 2012 WAS APPROXIMATELY 43,645,000. THE 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. THE 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. THE INFIRMARY PROVIDED CONTINUING EDUCATION SEMINARS FOR DOCTORS AND OTHER HEALTHCARE PROFESSIONALS ON A REGULAR BASIS DURING THE YEAR. THERE WERE QUARTERLY STROKE CONFERENCES; MONTHLY COMMUNITY PHYSICIAN CONFERENCES; AND WEEKLY CANCER CONFERENCES. THROUGHOUT THE YEAR THERE WERE VARIOUS LECTURES AND INTERACTIVE SESSIONS PROVIDED IN AREAS SUCH AS: NEONATAL RESUSCITATION, ADVANCED CARDIAC LIFE SUPPORT, AND PEDIATRIC LIFE SUPPORT. OVER 150 CONTINUING EDUCATION HOURS WERE ALSO PROVIDED TO NEARLY 2,000 HEALTHCARE PROFESSIONALS. THE INFIRMARY'S DRUG EDUCATION PROGRAM VEHICLE, THE ERNEST DEBAKEY DRUG EDUCATION BUS TRAVELS TO SCHOOLS THROUGHOUT FIVE COUNTIES OF SOUTHWEST ALABAMA TO EDUCATE CHILDREN ABOUT THE DANGERS OF ILLEGAL DRUG USE AND SUBSTANCE ABUSE. THE DRUG EDUCATION PROGRAM IS AN EXPERIENTIAL PROGRAM, GIVING STUDENTS THE OPPORTUNITY TO SEE, HEAR, AND TOUCH DISPLAYS, WHILE 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 VEHICLE IS AVAILABLE FOR COMMUNITY EVENTS AND OTHER SPECIAL PROGRAMS. DURING THE 2011 -2012 FISCAL YEAR, MORE THAN 10,000 INDIVIDUALS AT NEARLY 200 DIFFERENT SITES PASSED THROUGH THE DRUG EDUCATION VEHICLE. THE INFIRMARY SPONSORS A PROGRAM FOR ADULTS AGE 55 AND OLDER CALLED "SENIORS' BEST." 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. SENIORS' BEST CURRENTLY HAS OVER 15,000 MEMBERS. ALSO SPONSORED BY THE INFIRMARY IS A PROGRAM CALLED "WOMEN'S BEST," WHICH IS DESIGNED EXCLUSIVELY TO EMPOWER, EDUCATE, AND ENCOURAGE WOMEN TO TAKE CARE OF THEIR HEALTH AT EVERY DECADE OF THEIR LIVES. MONTHLY BENEFITS INCLUDE A VARIETY OF HEALTH SCREENINGS, SEMINARS, WELLNESS ACTIVITIES, AND SPECIAL EVENTS. WOMEN'S BEST CURRENTLY HAS OVER 2,300 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. OVER 800 PEOPLE ATTENDED PROGRAMS OFFERED ON VARIOUS SUBJECTS INCLUDING: BREAST AND PROSTATE CANCER, HEART DISEASE, DIABETES, ARTHRITIS, AND OTHERS. 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        <Explanation>SCHEDULE C, PART II-A, AFFILIATED ORGANIZATIONS: ORGANIZATION NAME: MOBILE INFIRMARY ASSOCIATION ADDRESS: P.O. BOX 2144 MOBILE, AL 36652 EIN: 63-0288856 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 367,050,932 TOTAL EXEMPT PURPOSE EXPENDITURES: 367,050,932 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 HEALTH SYSTEM, INC. ADDRESS: P.O. BOX 2226 MOBILE, AL 36652 EIN: 63-0841123 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 63,137 TOTAL LOBBYING EXPENDITURES: 63,137 OTHER EXEMPT PURPOSE EXPENDITURES: 51,748,014 TOTAL EXEMPT PURPOSE EXPENDITURES: 51,811,151 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. ADDRESS: P.O. BOX 2226 MOBILE, AL 36652 EIN: 63-0870620 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 3,417,447 TOTAL EXEMPT PURPOSE EXPENDITURES: 3,417,447 LOBBYING NONTAXABLE AMOUNT: 320,874 GRASSROOTS NONTAXABLE AMOUNT: 80,219 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0 ORGANIZATION NAME: INFIRMARY HEALTH HOSPITALS, INC. ADDRESS: P.O. BOX 2226 MOBILE, AL 36652 EIN: 20-3713023 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 59,125,408 TOTAL EXEMPT PURPOSE EXPENDITURES: 59,125,408 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. ADDRESS: P.O. BOX 2226 MOBILE, AL 36652 EIN: 63-0891904 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 173,664,063 TOTAL EXEMPT PURPOSE EXPENDITURES: 173,664,063 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, INC. ADDRESS: P.O. BOX 2226 MOBILE, AL 36652 EIN: 72-1356598 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 3,882,346 TOTAL EXEMPT PURPOSE EXPENDITURES: 3,882,346 LOBBYING NONTAXABLE AMOUNT: 344,117 GRASSROOTS NONTAXABLE AMOUNT: 86,029 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0</Explanation>
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        <Explanation>PART XI, LN. 8 - OTHER: CHANGE IN FMV OF SWAP AGREEMENT - (443,093); CONTRIBUTIONS - (3,415,967); INVESTMENT (LOSS) - (2,884); CHANGE IN INTEREST IN NET ASSETS OF INFIRMARY FOUNDATION - 14,482; NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATING PURPOSES - 31,823. PART XII, LN. 2D - OTHER: CHANGE IN INTEREST IN NET ASSETS OF INFIRMARY FOUNDATION - 14,482; CHANGE IN FMV OF SWAP AGREEMENT - (443,093); NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATING PURPOSES - 31,823; INVESTMENT (LOSS) - (2,884); ROUNDING - (1). PART XII, LN. 4B - OTHER: RECLASS COST RECOVERY REVENUE - 308,189; CONTRIBUTIONS - 3,415,967. PART XIII, LN. 4B - OTHER: RECLASS COST RECOVERY REVENUE - 308,189.</Explanation>
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        <Identifier>COSTING METHODOLOGY EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7</ReturnReference>
        <Explanation>SCHEDULE H PART VI QUESTION 1 PART I LINE 7 COSTS WERE CALCULATED USING THE COSTTOCHARGE RATIO METHODOLOGY OBTAINED FROM WORKSHEET 2 OF THE INSTRUCTIONS ALL OTHER COSTS WERE OBTAINED FROM THE ORGANIZATIONS 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 54597195 PART III LINE 4 THE TEXT OF THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS FOOTNOTE REGARDING BAD DEBT EXPENSE STATES ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITEOFF PERCENTAGES AND ANALYSIS OF OTHER CURRENT TRENDS AND INFORMATION DOUBTFUL ACCOUNTS ARE WRITTENOFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED THE AMOUNT OF BAD DEBT EXPENSE ON PART III LINE 2 WAS CALCULATED USING THE COSTTOCHARGE RATIO METHODOLOGY OBTAINED FROM WORKSHEET 2 OF THE INSTRUCTIONS THE AMOUNT OF BAD DEBT EXPENSE AT COST ON PART III LINE 3 THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY WAS DERIVED BY CALCULATING THE PERCENTAGE OF RESIDENTS WHO GENERATED BAD DEBT BY ZIP CODE AND APPLYING THE PERCENTAGE OF RESIDENTS BELOW 200 AND UP TO 350 OF THE FEDERAL POVERTY LEVEL PART III LINE 8 IT IS IN THE ORGANIZATIONS 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 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 ORGANIZATIONS FINANCIAL ASSISTANCE POLICY OR THROUGH MEDICAID</Explanation>
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        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>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 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 COOPERATION WITH OTHER AREA HOSPITALS AND UNIVERSITIES ALSO PROVIDES INSIGHT INTO NEEDS 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 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H PART VI QUESTION 3 THE ORGANIZATIONS 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 ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAM ADDITIONALLY THE ORGANIZATION INCLUDES SIMILAR WORDING WITHIN PATIENTACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED AND ON THE ORGANIZATIONS WEBSITE WHICH IS AVAILABLE TO THE GENERAL PUBLIC THE ORGANIZATION CONTRACTS WITH A THIRDPARTY VENDOR TO HAVE THEM IDENTIFY CONTACT AND ASSIST WITH QUALIFYING PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS THE THIRDPARTY VENDOR UTILIZES ADMISSION REPORTS REFERRALS FROM FINANCIAL COUNSELORS OF THE ORGANIZATION PATIENT SELFREFERRALS AND CURRENTPAST INTERNALPUBLIC PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS WHOM THEY CONTACT ANDOR ASSIST IN QUALIFYING FOR GOVERNMENT ASSISTANCE PROGRAMS COMMUNITY INFORMATION 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 ALABAMAS SECOND LARGEST METROPOLITAN AREA WHICH CONSISTS OF ALL OF MOBILE COUNTY THE 2010 CENSUS DATA SHOWS THAT THERE WERE 78959 HOUSEHOLDS IN MOBILE OF WHICH 21073 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM 28073 WERE MARRIED COUPLES LIVING TOGETHER 17037 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT 3579 HAD A MALE HOUSEHOLDER WITH NO WIFE PRESENT 30270 WERE NONFAMILIES 25439 OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 8477 HAD SOMEONE LIVING ALONE WHO IS 65 YEARS OF AGE OR OLDER THE RACIAL MAKEUP OF THE CITY WAS 450 WHITE AND 506 BLACK OR AFRICAN AMERICAN THE AVERAGE HOUSEHOLD SIZE WAS 24 THE PRIMARY SERVICE AREA INCLUDES MOBILE AND BALDWIN COUNTIES IN ALABAMA WHICH HAVE A COMBINED POPULATION OF APPROXIMATELY 592000 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 HEALTH SERVICES AND GOVERNMENT THE UNEMPLOYMENT RATE FOR MOBILE COUNTY WAS APPROXIMATELY 9 AND FOR BALDWIN COUNTY WAS APPROXIMATELY 7 PER CAPITA INCOME IN 2010 FOR THE PRIMARY SERVICE AREA OF THE HOSPITAL WAS 22401 IN 2009 31 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 HEADOFHOUSEHOLD WITH NO HUSBAND PRESENT HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE SCHEDULE H PART VI QUESTION 5 SEE STATEMENT IN SCHEDULE O RELATED TO PROGRAM SERVICE ACCOMPLISHMENTS PART III LINE 4A AFFILIATED HEALTH CARE INFORMATION SCHEDULE H PART VI QUESTION 6 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 CERTAIN 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 501C3 PHILANTHROPIC AFFILIATE OF THE ORGANIZATION EACH YEAR AN ACCOUNTING OF THE COMMUNITY BENEFIT FUNDS DISTRIBUTED BY THE FOUNDATION IS REVIEWED BY MOBILE INFIRMARY MANAGEMENT ADDITIONAL INFORMATION SCHEDULE H PART VI QUESTION 7 A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH ANY STATE</Explanation>
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      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>D MARK NIX</NamePerson>
        <CompBasedOnRelatedOrgs>604696</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>192632</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>33459</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>197191</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>19513</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1047491</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOSEPH L DENTON</NamePerson>
        <CompBasedOnRelatedOrgs>334892</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>75210</BonusRelatedOrgs>
        <DeferredCompRelatedOrgs>78571</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>12646</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>501319</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN A SHELTON</NamePerson>
        <CompBasedOnRelatedOrgs>337651</CompBasedOnRelatedOrgs>
        <DeferredCompRelatedOrgs>49962</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>7141</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>394754</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SCOTT A BROWNING</NamePerson>
        <CompBasedOnRelatedOrgs>244605</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>53947</BonusRelatedOrgs>
        <DeferredCompRelatedOrgs>35986</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>12709</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>347247</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KERN A WILSON</NamePerson>
        <BaseCompensationFilingOrg>173661</BaseCompensationFilingOrg>
        <BonusFilingOrg>36746</BonusFilingOrg>
        <OtherCompensationFilingOrg>21500</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>52617</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12087</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>296611</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAMELA G HALLFORD</NamePerson>
        <BaseCompensationFilingOrg>171493</BaseCompensationFilingOrg>
        <BonusFilingOrg>31081</BonusFilingOrg>
        <DeferredCompFilingOrg>60120</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14922</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>277616</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR KENNETH C BREWINGTON</NamePerson>
        <BaseCompensationFilingOrg>397281</BaseCompensationFilingOrg>
        <BonusFilingOrg>103031</BonusFilingOrg>
        <DeferredCompFilingOrg>48893</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11817</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>561022</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOE T STOUGH III</NamePerson>
        <BaseCompensationFilingOrg>324553</BaseCompensationFilingOrg>
        <BonusFilingOrg>85173</BonusFilingOrg>
        <DeferredCompFilingOrg>75891</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13076</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>498693</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUZANNE C BIRD</NamePerson>
        <BaseCompensationFilingOrg>224941</BaseCompensationFilingOrg>
        <BonusFilingOrg>50047</BonusFilingOrg>
        <DeferredCompFilingOrg>42507</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12655</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>330150</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALAN C HOLLEY</NamePerson>
        <BaseCompensationFilingOrg>186385</BaseCompensationFilingOrg>
        <BonusFilingOrg>33313</BonusFilingOrg>
        <OtherCompensationFilingOrg>11856</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>48664</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16813</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>297031</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LEE ANN CAIN</NamePerson>
        <BaseCompensationFilingOrg>187275</BaseCompensationFilingOrg>
        <BonusFilingOrg>9572</BonusFilingOrg>
        <DeferredCompFilingOrg>2577</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11066</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>210490</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM G MAURER</NamePerson>
        <BaseCompensationFilingOrg>137810</BaseCompensationFilingOrg>
        <BonusFilingOrg>9752</BonusFilingOrg>
        <DeferredCompFilingOrg>28684</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11348</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>187594</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANTHONEY MOSLEY</NamePerson>
        <BaseCompensationFilingOrg>134460</BaseCompensationFilingOrg>
        <BonusFilingOrg>9420</BonusFilingOrg>
        <DeferredCompFilingOrg>7231</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4652</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>155763</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUSAN J BRUTON</NamePerson>
        <BaseCompensationFilingOrg>131680</BaseCompensationFilingOrg>
        <BonusFilingOrg>8552</BonusFilingOrg>
        <DeferredCompFilingOrg>48352</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4647</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>193231</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>D. MARK NIX 0 179,110 0 JOSEPH L. DENTON 0 48,001 0 JOHN A. SHELTON 0 47,499 0 KERN A. WILSON 0 17,000 0 PAMELA G. HALLFORD 0 15,500 0 JOE T. STOUGH, III 0 46,500 0 ALAN C. HOLLEY 0 16,401 0</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc11">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>WHITE-SPUNNER CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>VICE CHAIRMAN</Relationship>
        <AmountOfTransaction>1133025</AmountOfTransaction>
        <DescriptionOfTransaction>CONSTRUCTION SVCS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MOBILE EMERGENCY GROUP PC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>DIRECTOR</Relationship>
        <AmountOfTransaction>533458</AmountOfTransaction>
        <DescriptionOfTransaction>ED PHYSICIAN SVCS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE L PART V</ReturnReference>
        <Explanation>PART IV JOHN WHITESPUNNER IS A DIRECTOR AND OFFICER OF MOBILE INFIRMARY ASSOCIATION AND IS AN OWNER AND OFFICER OF WHITESPUNNER CONSTRUCTION DR HERBERT STONE IS A DIRECTOR OF MOBILE INFIRMARY ASSOCIATION AND IS AN OFFICER OF MOBILE EMERGENCY GROUP PC</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc12">
      <GeneralExplanation>
        <Identifier>FIRST ACCOMPLISHMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4A</ReturnReference>
        <Explanation>MOBILE INFIRMARY ASSOCIATION ("THE 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. THE INFIRMARY SERVICED 28,532 INPATIENTS AND PROVIDED MORE THAN 218,000 OUTPATIENT SERVICES DURING THE YEAR ENDING MARCH 31, 2012. THE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 41,809 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 650 PHYSICIANS ON THE OPEN MEDICAL STAFF. THE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. MEDICARE AND MEDICAID PATIENTS ACCOUNTED FOR 49.6% OF TOTAL INPATIENT VISITS AND 29.9% OF OUTPATIENT GROSS REVENUE. WHILE THE HOSPITAL IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL AMOUNT RECEIVED WAS 335,600,000 LESS THAN WHAT WOULD HAVE BEEN RECEIVED HAD THESE PROGRAMS PAID FULL CHARGES. IN ADDITION TO SERVING MEDICARE AND MEDICAID PATIENTS, THE INFIRMARY PROVIDES CARE TO PATIENT TYPES WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. THE HOSPITAL HAS EXPANDED THE FEDERAL POVERTY GUIDELINE TO AFFORD CHARITY CARE TO LARGER NUMBERS OF ITS PATIENT POPULATION. THE AMOUNT OF CHARGES FOREGONE FOR HEALTH CARE SERVICES AND SUPPLIES FURNISHED UNDER THIS CHARITY CARE POLICY FOR FISCAL YEAR 2012 WAS APPROXIMATELY 43,645,000. THE 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. THE 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. THE INFIRMARY PROVIDED CONTINUING EDUCATION SEMINARS FOR DOCTORS AND OTHER HEALTHCARE PROFESSIONALS ON A REGULAR BASIS DURING THE YEAR. THERE WERE QUARTERLY STROKE CONFERENCES; MONTHLY COMMUNITY PHYSICIAN CONFERENCES; AND WEEKLY CANCER CONFERENCES. THROUGHOUT THE YEAR THERE WERE VARIOUS LECTURES AND INTERACTIVE SESSIONS PROVIDED IN AREAS SUCH AS: NEONATAL RESUSCITATION, ADVANCED CARDIAC LIFE SUPPORT, AND PEDIATRIC LIFE SUPPORT. OVER 150 CONTINUING EDUCATION HOURS WERE ALSO PROVIDED TO NEARLY 2,000 HEALTHCARE PROFESSIONALS. THE INFIRMARY'S DRUG EDUCATION PROGRAM VEHICLE, THE ERNEST DEBAKEY DRUG EDUCATION BUS TRAVELS TO SCHOOLS THROUGHOUT FIVE COUNTIES OF SOUTHWEST ALABAMA TO EDUCATE CHILDREN ABOUT THE DANGERS OF ILLEGAL DRUG USE AND SUBSTANCE ABUSE. THE DRUG EDUCATION PROGRAM IS AN EXPERIENTIAL PROGRAM, GIVING STUDENTS THE OPPORTUNITY TO SEE, HEAR, AND TOUCH DISPLAYS, WHILE 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 VEHICLE IS AVAILABLE FOR COMMUNITY EVENTS AND OTHER SPECIAL PROGRAMS. DURING THE 2011 -2012 FISCAL YEAR, MORE THAN 10,000 INDIVIDUALS AT NEARLY 200 DIFFERENT SITES PASSED THROUGH THE DRUG EDUCATION VEHICLE. THE INFIRMARY SPONSORS A PROGRAM FOR ADULTS AGE 55 AND OLDER CALLED "SENIORS' BEST." 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. SENIORS' BEST CURRENTLY HAS OVER 15,000 MEMBERS. ALSO SPONSORED BY THE INFIRMARY IS A PROGRAM CALLED "WOMEN'S BEST," WHICH IS DESIGNED EXCLUSIVELY TO EMPOWER, EDUCATE, AND ENCOURAGE WOMEN TO TAKE CARE OF THEIR HEALTH AT EVERY DECADE OF THEIR LIVES. MONTHLY BENEFITS INCLUDE A VARIETY OF HEALTH SCREENINGS, SEMINARS, WELLNESS ACTIVITIES, AND SPECIAL EVENTS. WOMEN'S BEST CURRENTLY HAS OVER 2,300 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. OVER 800 PEOPLE ATTENDED PROGRAMS OFFERED ON VARIOUS SUBJECTS INCLUDING: BREAST AND PROSTATE CANCER, HEART DISEASE, DIABETES, ARTHRITIS, AND OTHERS. AS PART OF ITS CONTINUED COMMITMENT TO MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY, THE INFIRMARY SPONSORS VARIOUS SUPPORT GROUPS ON AN ON-GOING BASIS. THEY INCLUDE: THE DIABETIC EXCHANGE PROGRAM, CANCER SUPPORT, GASTRIC BAND AND 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 OVER 50 MEETINGS WERE OFFERED TO NEARLY 1,200 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, ALONG WITH THEIR FAMILIES. SPEAKERS AND LITERATURE ARE PROVIDED MONTHLY. CPR CERTIFICATION CLASSES ARE ALSO OFFERED TO SPOUSES AND FAMILY MEMBERS OF BOUNCE-BACK PATIENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>THE GOVERNING BODY OF THE PARENT ELECTS THE BOARD MEMBERS OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>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 BOARD MEMBERS ARE REQUIRED ANNUALLY TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. FORM 990, PART VI, LINE 14 - DOCUMENT RETENTION AND DESTRUCTION POLICY ALTHOUGH THE ORGANIZATION AS A WHOLE DOES NOT HAVE ONE BOARD APPROVED POLICY REGARDING DOCUMENT RETENTION AND DESTRUCTION, THERE ARE DEPARTMENT- SPECIFIC POLICIES IN PLACE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>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 MARKET DATA, INTERNAL EQUITY, AND EVALUATION FACTORS SUCH AS 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, 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 INFIRMARY HEALTH SYSTEM COMPENSATION COMMITTEE. THE FINAL RECOMMENDATIONS ARE APPROVED BY THE INFIRMARY BOARD OF DIRECTORS. INFIRMARY HEALTH SYTEM, INC. HAD AN EXTERNAL REVIEW OF COMPENSATION PRACTICES PERFORMED BY HEWITT &amp; ASSOCIATES IN 2010 AND BY SULLIVAN COTTER IN 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GROUP RETURN METHOD</Identifier>
        <ReturnReference>FORM 990, PAGE 7, PART VII</ReturnReference>
        <Explanation>PARENT ORGANIZATION HAS FILED A SEPARATE RETURN</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>NET UNREALIZED GAIN/(LOSS) ON INVESTMENTS - (404,821); CHANGE IN FMV OF SWAP AGREEMENT - (443,093); NET TRANSFERS (TO)/FROM AFFILIATES - (74,744); PENSION PLAN CHANGE UNDER ASC 715 - (9,520,336); INVESTMENT INCOME - (2,884); GRANT REVENUE - 162,309; OTHER - (123).</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc13">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GULF HEALTH HOSPITALS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2226</AddressLine1>
          <City>MOBILE</City>
          <State>AL</State>
          <ZIPCode>36652</ZIPCode>
        </AddressUS>
        <EIN>630891904</EIN>
        <PrimaryActivities>HOSPITALS</PrimaryActivities>
        <LegalDomicileState>AL</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>IHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GULF HEALTH PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2166</AddressLine1>
          <City>MOBILE</City>
          <State>AL</State>
          <ZIPCode>36652</ZIPCode>
        </AddressUS>
        <EIN>630933700</EIN>
        <PrimaryActivities>REALESTATE</PrimaryActivities>
        <LegalDomicileState>AL</LegalDomicileState>
        <ExemptCodeSection>501C2</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>IHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>INFIRMARY FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2166</AddressLine1>
          <City>MOBILE</City>
          <State>AL</State>
          <ZIPCode>36652</ZIPCode>
        </AddressUS>
        <EIN>630870620</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>AL</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>IHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>INFIRMARY HEALTH HOSPITALS INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO BOX 2166</AddressLine1>
          <City>MOBILE</City>
          <State>AL</State>
          <ZIPCode>36652</ZIPCode>
        </AddressUS>
        <EIN>203713023</EIN>
        <PrimaryActivities>HOSPITALS</PrimaryActivities>
        <LegalDomicileState>AL</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>IHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>INFIRMARY HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2226</AddressLine1>
          <City>MOBILE</City>
          <State>AL</State>
          <ZIPCode>36652</ZIPCode>
        </AddressUS>
        <EIN>630841123</EIN>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>AL</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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</Return>