Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 04-01-2010 and ending 03-31-2011
BCheck if applicable:
CName of organization
MOBILE INFIRMARY ASSOCIATION
 
Doing Business As
MOBILE INFIRMARY MEDICAL CENTER
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 2144
 
Room/suite
City or town, state or country, and ZIP + 4
MOBILE, AL36652
D Employer identification number

63-0288856
E Telephone number

G Gross receipts $ 436,927,615
F Name and address of principal officer:
D MARK NIX
PO BOX 2144
MOBILE,AL36652
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MOBILEINFIRMARY.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1897
M State of legal domicile: AL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: OUR MISSION IS "LIFE," LEADERSHIP-INTEGRITY-FAMILY-EXCELLENT SERVICE. TO PROVIDE QUALITY PATIENT CARE THROUGH A DYNAMIC HEALTHCARE SYSTEM.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 10
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,928
6 Total number of volunteers (estimate if necessary) .... 6 172
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 5,186,288
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 340,078
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,884,638 2,002,135
9 Program service revenue (Part VIII, line 2g) ......... 341,195,170 381,896,874
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,240,670 10,028,152
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,230,935 979,025
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 351,551,413 394,906,186
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 131,891,582 132,502,965
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 207,262,891 237,672,180
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 339,154,473 370,175,145
19 Revenue less expenses. Subtract line 18 from line 12...... 12,396,940 24,731,041
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 352,343,946 384,413,903
21 Total liabilities (Part X, line 26)............ 159,691,468 155,524,483
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 192,652,478 228,889,420
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: OUR MISSION IS "LIFE," LEADERSHIP-INTEGRITY-FAMILY-EXCELLENT SERVICE. TO PROVIDE QUALITY PATIENT CARE THROUGH A DYNAMIC HEALTHCARE SYSTEM.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 266,163,456 including grants of $   ) (Revenue $ 376,710,586 )
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 27,587 INPATIENTS AND PROVIDED MORE THAN 227,800 OUTPATIENT SERVICES DURING THE YEAR ENDING MARCH 31, 2011. THE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 40,375 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 550 PHYSICIANS ON THE OPEN MEDICAL STAFF. THE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. MEDICARE AND MEDICAID PATIENTS ACCOUNTED FOR 49.3% OF TOTAL INPATIENT VISITS AND 31.4% OF OUTPATIENT GROSS REVENUE. WHILE THE HOSPITAL IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL AMOUNT RECEIVED WAS 295,500,000 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 THE YEAR ENDING MARCH 31, 2011 WAS 29,832,000. 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. 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 1,800 HEALTHCARE PROFESSIONALS TOOK ADVANTAGE OF THE 156 CONTINUING EDUCATION HOURS OFFERED. THE INFIRMARY'S DRUG EDUCATION PROGRAM VEHICLE, THE ERNEST DEBAKEY DRUG EDUCATION BUS TRAVELS THROUGHOUT FIVE COUNTIES OF 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 ANY 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 2010-2011 FISCAL YEAR MORE THAN 10,600 INDIVIDUALS AT 196 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 15,100 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. APPROXIMATELY 840 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 APPROXIMATELY 60 MEETINGS WERE OFFERED TO OVER 1,150 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.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 266,163,456
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
119
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,928
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
13
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
PAMELA G HALLFORD
PO BOX 2144
MOBILE,AL36652
(251) 435-2437
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) D MARK NIX
PRESIDENT &
 5.00 X   X       0 848,100 202,466
(2) DR HERBERT A STONE
DIRECTOR
 5.00 X           13,250 0 0
(3) WILLIAM R SEIFERT II
 
DIRECTOR
 5.00 X           0 0 0
(4) DR JEFFREY K HANNON
DIRECTOR
 5.00 X           0 0 0
(5) MICHAEL HOLBERG
DIRECTOR
 5.00 X           0 0 0
(6) MARSHA L DEBAKEY
DIRECTOR
 5.00 X           0 0 0
(7) DR CHARLES M ROGERS IV
DIRECTOR
 5.00 X           0 0 0
(8) DR GERHARD AW BOEHM
DIRECTOR
 5.00 X           0 0 0
(9) LAURA MORRISSETTE CLARK
DIRECTOR
 5.00 X           0 0 0
(10) FRED T STIMPSON III
CHAIRMAN
 5.00 X   X       0 0 0
(11) JOHN WHITE-SPUNNER
VICE CHAIRMA
 5.00 X   X       0 0 0
(12) T BESTOR WARD III
VICE CHAIRMA
 5.00 X   X       0 0 0
(13) MRS EDWARD B LADD
SECRETARY
 5.00 X   X       0 0 0
(14) JOSEPH L DENTON
ASSISTANT TR
 5.00     X       0 435,291 83,393
(15) E WATSON SMITH
ASSISTANT SE
 5.00     X       0 272,567 15,428
(16) SCOTT A BROWNING
ASSISTANT SE
 5.00     X       0 204,191 27,600
(17) PAMELA G HALLFORD
ASSISTANT TR
 40.00     X       193,498 0 44,938
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MCGOWIN I PATRICK JR
TREASURER
 5.00     X       0 0 0
(19) KENNETH C BREWINGTON
VP, CMO/ADMI
 40.00       X     451,714 0 42,696
(20) JOE STOUGH III
VP, COO
 40.00       X     353,971 0 81,676
(21) SUZANNE BIRD
VP, CNO
 40.00       X     231,919 0 17,530
(22) ALAN C HOLLEY
VP, ADMINIST
 40.00       X     207,198 0 45,999
(23) KERN A WILSON
VP, BUSINESS
 40.00         X   195,549 0 41,727
(24) MARIAN LOFTIN
PHARMACIST
 40.00         X   141,130 0 18,672
(25) VICKI TURBERVILLE-VEGA
PHARMACIST
 40.00         X   141,051 0 4,279
(26) HONG KIM DONG
PHARMACIST
 40.00         X   138,966 0 5,958
(27) WILLIAM MAURER
DIRECTOR PER
 40.00         X   138,795 0 28,143






1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,207,041 1,760,149 660,505
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet47
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ANESTHESIA SERVICES PC
201 COX STREET
ATLANTA,GA311934369 		ANESTHESIA 1,464,910
BIOMEDICAL APPLICATIONS OF MOBILE
PO BOX 62760
NEW ORLEANS,LA70162 		HEMODIALYSIS 1,273,791
MAYO CALLABORATIVE
PO BOX 9146
MINNEAPOLIS,MN554809146 		LAB TESTING 1,027,647
SIZEWISE RENTALS LLC
PO BOX 320
ELLIS,KS67637 		RENTAL 733,819
MOBILE BAY LITHOTRIPSY LLC
9825 SPECTRUM DR BLDG 3
AUSTIN,TX78717 		LITHOTRIPSY 548,000
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet22
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,166,498
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		835,637
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,002,135
Program Service Revenue Business Code
2a PROGRAM SERVICE REVENUE 900,099 374,665,123 374,665,123    
b REFERENCE LAB REVENUE 621,500 5,186,288   5,186,288  
c OTHER PROGRAM SERVICE REVENUE 900,099 2,045,463 2,045,463    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 381,896,874
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 5,306,863     5,306,863
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 46,732,482 10,236
b Less: cost or other basis and sales expenses 41,978,514 42,915
c Gain or (loss) 4,753,968 -32,679
d Net gain or (loss)..........MediumBullet 4,721,289     4,721,289
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a CREDIT UNION COST RECOVERY 722,210 483,034     483,034
b CAFETERIA 561,000 361,027     361,027
c ALL OTHER REVENUE 900,099 134,964     134,964
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 979,025
12 Total revenue. See Instructions....MediumBullet 394,906,186 376,710,586 5,186,288 11,007,177
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 1,490,185   1,490,185  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 105,060,225 84,812,892 20,247,333  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 6,914,090 5,940,077 974,013  
9 Other employee benefits ....... 13,678,325 10,924,046 2,754,279  
10 Payroll taxes ........... 5,360,140 3,863,137 1,497,003  
11 Fees for services (non-employees):        
a Management ...... 9,753,222 274,692 9,478,530  
b Legal ......... 202,568   202,568  
c Accounting ........... 153,179   153,179  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 802,351   802,351  
g Other .......... 6,954,998 4,328,312 2,626,686  
12 Advertising and promotion .... 669,512   669,512  
13 Office expenses ....... 73,061,718 43,498,692 29,563,026  
14 Information technology ...... 7,884,804   7,884,804  
15 Royalties ..        
16 Occupancy ........... 5,811,495 3,357,099 2,454,396  
17 Travel ............ 117,151   117,151  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 4,897,474   4,897,474  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 13,988,727 9,778,120 4,210,607  
23 Insurance .............. 3,389,592   3,389,592  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PROVISION FOR BAD DEBT 49,874,590 49,874,590    
b ALL OTHER EXPENSES 41,741,470 34,432,970 7,308,500  
c REPAIR / REPLACEMENT 10,889,794 7,860,404 3,029,390  
d LAB SUPPLIES/PROCEDURES 7,243,495 7,090,938 152,557  
e DIETARY SUPPLIES/FOOD 236,040 127,487 108,553  
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 370,175,145 266,163,456 104,011,689 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 79,641 1 100,109
2 Savings and temporary cash investments ....... 61,816,371 2 58,557,297
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 34,698,555 4 37,021,974
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 25,960,115 7 37,479,448
8 Inventories for sale or use .............. 3,370,962 8 3,191,316
9 Prepaid expenses and deferred charges ............ 2,822,448 9 7,599,230
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 339,434,825
b Less: accumulated depreciation. ..... 10b 262,176,519 80,063,112 10c 77,258,306
11 Investments—publicly traded securities .......... 141,466,645 11 162,265,822
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 2,066,097 15 940,401
16 Total assets. Add lines 1 through 15 (must equal line 34)... 352,343,946 16 384,413,903
Liabilities 17 Accounts payable and accrued expenses . 47,915,673 17 41,934,401
18 Grants payable ..........   18  
19 Deferred revenue .......... 1,013,444 19 4,856,795
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .... 6,418,379 24 2,412,202
25 Other liabilities. Complete Part X of Schedule D..... 104,343,972 25 106,321,085
26 Total liabilities. Add lines 17 through 25..... 159,691,468 26 155,524,483
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 188,942,282 27 225,668,767
28 Temporarily restricted net assets ..... 3,710,196 28 3,220,653
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 192,652,478 33 228,889,420
34 Total liabilities and net assets/fund balances ..... 352,343,946 34 384,413,903
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
394,906,186
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
370,175,145
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
24,731,041
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
192,652,478
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
11,505,901
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
228,889,420
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
MOBILE INFIRMARY ASSOCIATION
  		Employer identification number

63-0288856
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
MOBILE INFIRMARY ASSOCIATION
  		Employer identification number

63-0288856
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
MOBILE INFIRMARY ASSOCIATION
  		Employer identification number

63-0288856
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......   66,017
c Total lobbying expenditures (add lines 1a and 1b) ...................   66,017
d Other exempt purpose expenditures ........................ 364,988,857 627,568,300
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 364,988,857 627,634,317
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 18,274 35,302 65,007 66,017 184,600
             
d Grassroots non-taxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
No
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
No
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
No
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
ADDITIONAL INFORMATION SCHEDULE C, PART IV 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: 364,988,857 TOTAL EXEMPT PURPOSE EXPENDITURES: 364,988,857 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: 66,017 TOTAL LOBBYING EXPENDITURES: 66,017 OTHER EXEMPT PURPOSE EXPENDITURES: 43,317,193 TOTAL EXEMPT PURPOSE EXPENDITURES: 43,383,210 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: 1,328,516 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,328,516 LOBBYING NONTAXABLE AMOUNT: 207,852 GRASSROOTS NONTAXABLE AMOUNT: 51,963 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: 60,186,598 TOTAL EXEMPT PURPOSE EXPENDITURES: 60,186,598 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: 154,662,396 TOTAL EXEMPT PURPOSE EXPENDITURES: 154,662,396 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 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: 3,084,740 TOTAL EXEMPT PURPOSE EXPENDITURES: 3,084,740 LOBBYING NONTAXABLE AMOUNT: 304,237 GRASSROOTS NONTAXABLE AMOUNT: 76,059 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES: 0
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   630,498 630,498
b Buildings ................   153,709,834 111,033,353 42,676,481
c Leasehold improvements ............   1,916,714 1,297,942 618,772
d Equipment ................   174,497,081 146,456,712 28,040,369
e Other .................   8,680,698 3,388,512 5,292,186
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 77,258,306
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
CAPITAL LEASES - OBLIGATIONS TO AFF 106,321,085








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 106,321,085
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 394,906,186
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 370,175,145
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 24,731,041
4 Net unrealized gains (losses) on investments .......................... 4 10,778,805
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -1,715,195
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 9,063,610
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 33,794,651
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 402,374,744
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 10,778,805
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d -25,842
e Add lines 2a through 2d ..................... 2e 10,752,963
3 Subtract line 2e from line 1..................... 3 391,621,779
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 802,351
b Other (Describe in Part XIV): ........... 4b 2,482,056
c Add lines 4a and 4b....................... 4c 3,284,407
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 394,906,186
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 368,580,092
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 368,580,092
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 802,351
b Other (Describe in Part XIV): ............ 4b 792,702
c Add lines 4a and 4b....................... 4c 1,595,053
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 370,175,145
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 -25,842 BOOK / TAX DEPRECIATION DIFFERENCE 2,991,346
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D -25,842
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B BOOK / TAX DEPRECIATION DIFFERENCE 2,991,346
SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV PART XI, LINE 8: CHANGE IN FMV OF INTEREST RATE SWAP, -60,003; CONTRIBUTIONS RECEIVED, - 875,527; INVESTMENT INCOME RECEIVED, -2,990; GRANTS RECEIVED, -813,827; CHANGE IN INTEREST IN NET ASSETS OF INFIRMARY FOUNDATION, -312,781; NET ASSETS RELEASED FOR OPERATING PURPOSES, 349,934. PART XII, LINE 2D: CHANGE IN INFIRMARY FOUNDATION ASSETS, -312,781; INVESTMENT INCOME, -2,990; CHANGE IN FMV OF INTEREST RATE SWAP, -60,003; RESTRICTED ASSETS TRANSFERRED FOR OPERATIONS, 349,934. PART XIII, LINE 4A: RECLASS COST RECOVERY REVENUE, 792,702; GRANTS RECEIVED, 813,827; CONTRIBUTIONS RECEIVED, 875,527.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
 
No
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
 
No
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
No
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    3,369,023 851,165 2,517,858  
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    47,622,875 50,957,817 -3,334,942  
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    50,991,898 51,808,982 -817,084  
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		275 32,528 520,617 84,757 435,860  
f Health professions education
(from Worksheet 5) .. 		    1,419,069 630,578 788,491 0.130 %
g Subsidized health services
(from Worksheet 6) .. 		  944 6,294,557 5,636,641 657,916 0.210 %
h Research (from Worksheet 7)     61,886 8,000 53,886 0.020 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		           
jTotal Other Benefits ... 275 33,472 8,296,129 6,359,976 1,936,153 0.360 %
kTotal. Add lines 7d and 7j. .. 275 33,472 59,288,027 58,168,958 1,119,069 0.360 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
14,158,347
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
6,423,642
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
107,504,093
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
107,733,422
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-229,329
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
 
No
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
 
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 MOBILE INFIRMARY ASSOCIATION
5 MOBILE INFIRMARY CIRCLE
MOBILE,AL36607 		X X   X     X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:MOBILE INFIRMARY ASSOCIATION
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?2
Name and address Type of Facility (Describe)
1 INFIRMARY EASTERN SHORE
7101 HWY 90
DAPHNE,AL36526 		OUTPATIENT SURGERY & DIAGNOSTIC CENTER
2 INFIRMARY EASTERN SHORE
7101 HWY 90
DAPHNE,AL36526 		OUTPATIENT SURGERY & DIAGNOSTIC CENTER
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
COSTING METHODOLOGY EXPLANATION PART I LINE 7 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 PATIENTS 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 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 ORGANIZATIONS ACCOUNTING RECORDS PART I LINE 7 THE ORGANIZATION REPORTED A BAD DEBT EXPENSE OF 49874590 ON FORM 990 PART IX PART I LINE 7B A NEW REIMBURSEMENT PROGRAM WAS IMPLEMENTED FOR ALABAMA MEDICAID IN SEPTEMBER 2010 REIMBURSEMENT UNDER THIS PROGRAM RETROACTIVE TO OCTOBER 1 2009 WAS RECEIVED AND RECORDED IN THE TAX YEAR ENDED MARCH 31 2011 RESULTING IN EIGHTEEN MONTHS OF RELATED NET REIMBURSEMENT IN THE CURRENT TAX YEAR EIGHTEEN MONTHS TAXES UNDER THE PROGRAM WERE ALSO PAID AND RECORDED IN THE YEAR ENDED MARCH 31 2011 THE ADDITIONAL NET REIMBURSEMENT UNDER THIS NEW PROGRAM RELATED TO THE PRIOR YEAR IS THE REASON FOR THE NET NEGATIVE COMMUNITY BENEFIT EXPENSE FROM MEDICAID ON LINE 7B PART III LINES 23 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 ORGANIZATIONS AUDITED FINANCIAL STATEMENT FOOTNOTE REGARDING UNCOLLECTIBLE ACCOUNTS ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITEOFF 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 THE ORGANIZATION HAS ESTIMATED HOWEVER BY ESTIMATING THE PERCENTAGE OF PATIENTS WHO GENARATED BAD DEBT BY ZIP CODE AND APPLYING THE PERCENTAGE OF RESIDENTS IN THAT ZIP CODE WHO WERE BELOW 200 OF FEDERAL POVERTY LEVEL PART III LINE 8 IT IS IN THE ORGANIZATIONS OPINION THAT 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 ASSISTANCE POLICY OR THROUGH MEDICAID
NEEDS ASSESSMENT PART VI 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 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 PART VI SCHEDULE H PART VI QUESTION 3 THE ORGANIZATIONS REGISTRATION AND BUSINESS OFFICE LOCATIONS HAVE SIGNAGE PROMINENTLY DISPLAYED WHICH INCLUDES WORDING INTENDED TO INFORM AND PROMPT PATIENTS TO AVAIL THEMSELVES OF THE ORGANIZATIONS ASSISTANCE PROGRAM ADDITIONALLY THE ORGANIZATION INCLUDES SIMILAR WORDING 1WITHIN PATIENT ACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED BY THE ORGANIZATION AND 2 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 ORGANIZATION FINANCIAL COUNSELORS PATIENT SELF REFERRALS AND CURRENT PAST INTERNALPUBLIC PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS WHOM THEY CONTACT ANDOR ASSIST IN QUALIFYING FOR GOVERNMENT ASSISTANCE PROGRAMS
COMMUNITY INFORMATION PART VI 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 2006 CENSUS DATA SHOWS THAT THERE WERE 73057 HOUSEHOLDS IN MOBILE OF WHICH 22225 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM 29963 WERE MARRIED COUPLES LIVING TOGETHER 15360 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT 3488 HAD A MALE HOUSEHOLDER WITH NO WIFE PRESENT AND 24246 WERE NONFAMILIES THE RACIAL MAKEUP OF THE CITY WAS 482 WHITE AND 479 BLACK OR AFRICANAMERICAN THE AVERAGE HOUSEHOLD SIZE WAS 259 THE PRIMARY SERVICE AREA INCLUDES MOBILE AND BALDWIN COUNTIES IN ALABAMA THESE TWO COUNTIES HAVE A COMBINED POPULATION OF APPROXIMATELY 585000 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 2010 FOR THE PRIMARY SERVICE AREA OF THE HOSPITAL WAS 22095 AND 18157 FOR THE SECONDARY SERVICE AREA IN 2010 202 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
AFFILIATED HEALTH CARE INFORMATION PART VI 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 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 501C3PHILANTHROPIC 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 PART VI SCHEDULE H PART VI QUESTION 7 A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH ANY STATE
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) D MARK NIX (i)
(ii)		  
541,009 		 
214,870 		 
92,221 		 
183,711 		 
18,755 		 
1,050,566 		 
 
(2) JOSEPH L DENTON (i)
(ii)		  
320,955 		 
71,510 		 
42,826 		 
70,274 		 
13,119 		 
518,684 		 
 
(3) E WATSON SMITH (i)
(ii)		  
247,567 		 
25,000 		 
  		 
3,063 		 
12,365 		 
287,995 		 
 
(4) SCOTT A BROWNING (i)
(ii)		  
204,191 		 
  		 
  		 
17,250 		 
10,350 		 
231,791 		 
 
(5) PAMELA G HALLFORD (i)
(ii)		 155,517
  		22,300
  		15,681
  		29,684
  		15,254
  		238,436
  		 
 
(6) KENNETH C BREWINGTON (i)
(ii)		 391,589
  		60,125
  		 
  		29,452
  		13,244
  		494,410
  		 
 
(7) JOE STOUGH III (i)
(ii)		 303,331
  		50,640
  		 
  		67,230
  		14,446
  		435,647
  		 
 
(8) SUZANNE BIRD (i)
(ii)		 219,084
  		12,835
  		 
  		4,561
  		12,969
  		249,449
  		 
 
(9) ALAN C HOLLEY (i)
(ii)		 163,934
  		23,619
  		19,645
  		28,753
  		17,246
  		253,197
  		 
 
(10) KERN A WILSON (i)
(ii)		 160,531
  		19,511
  		15,507
  		29,306
  		12,421
  		237,276
  		 
 
(11) MARIAN LOFTIN (i)
(ii)		 141,130
  		 
  		 
  		15,060
  		3,612
  		159,802
  		 
 
(12) WILLIAM MAURER (i)
(ii)		 132,719
  		6,076
  		 
  		17,534
  		10,609
  		166,938
  		 
 




Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III SCHEDULE J, PART I, LINE 4B 457(F) PARTICIPATION: D. MARK NIX - 161,959 JOSEPH L. DENTON - 46,800 JOE STOUGH, III - 45,000 SCOTT A. BROWNING - 17,250 ALAN C. HOLLEY - 16,099 KERN A. WILSON - 15,850 PAMELA G. HALLFORD - 14,699
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) WHITE-SPUNNER CONSTRUCTION
  		VICE CHAIRMAN 2,037,533 CONSTRUCTION SVCS   No
(2) MOBILE EMERGENCY GROUP PC
  		DIRECTOR 419,369 ED PHYSICIAN SVCS   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
ADDITIONAL INFORMATION SCHEDULE L PART V 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
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Identifier Return Reference Explanation
FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A 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 27,587 INPATIENTS AND PROVIDED MORE THAN 227,800 OUTPATIENT SERVICES DURING THE YEAR ENDING MARCH 31, 2011. THE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 40,375 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 550 PHYSICIANS ON THE OPEN MEDICAL STAFF. THE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. MEDICARE AND MEDICAID PATIENTS ACCOUNTED FOR 49.3% OF TOTAL INPATIENT VISITS AND 31.4% OF OUTPATIENT GROSS REVENUE. WHILE THE HOSPITAL IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL AMOUNT RECEIVED WAS 295,500,000 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 THE YEAR ENDING MARCH 31, 2011 WAS 29,832,000. 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. 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 1,800 HEALTHCARE PROFESSIONALS TOOK ADVANTAGE OF THE 156 CONTINUING EDUCATION HOURS OFFERED. THE INFIRMARY'S DRUG EDUCATION PROGRAM VEHICLE, THE ERNEST DEBAKEY DRUG EDUCATION BUS TRAVELS THROUGHOUT FIVE COUNTIES OF 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 ANY 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 2010-2011 FISCAL YEAR MORE THAN 10,600 INDIVIDUALS AT 196 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 15,100 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. APPROXIMATELY 840 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 APPROXIMATELY 60 MEETINGS WERE OFFERED TO OVER 1,150 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.
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 11B 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 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.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B 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 WATSON WYATT IN 2008 AND BY HEWITT & ASSOCIATES IN 2010.
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. FORM 990, PART IX, LINE 24B - ALL OTHER EXPENSES OTHER PURCHASED SERVICES - 10,264,972; SHARED SERVICES - 5,353,008; MEDICAID PROVIDER TAXES - 25,044,387; RENTAL - 286,402; CREDIT UNION COST RECOVERY - 483,034; MANAGEMENT SERVICES COST RECOVERY - 309,668; ROUNDING - (1).
OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 UNREALIZED GAIN ON INVESTMENTS - 10,778,805; CHANGE IN FAIR MARKET VALUE OF SWAP - (60,003); NET TRANSFERS (TO)/FROM AFFILIATES - (2,152); PENSION PLAN CHANGE UNDER ASC 715 - 789,251. REASONABLE CAUSE STATEMENT NOTICE 2010-04 THIS RETURN IS BEING FILED BETWEEN MARCH 1, 2012, AND MARCH 30, 2012, AS DIRECTED BY THE IRS IN NOTICE 2012-04, BECAUSE ELECTRONIC FILING WAS NOT AVAILABLE JANUARY 1, 2012 THROUGH FEBRUARY 29, 2012. WE REQUEST THAT PENALTIES BE WAIVED BECAUSE IT WOULD BE INEQUITABLE TO IMPOSE A PENALTY ON US DUE TO THE UNUSUAL CIRCUMSTANCES REQUIRING US TO DELAY THE FILING OF THIS RETURN.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) GULF HEALTH HOSPITALS INC

PO BOX 2226

MOBILE,AL36652
63-0891904 		HOSPITALS AL 501C3 3 IHS
 
 
No
(2) GULF HEALTH PROPERTIES INC

PO BOX 2166

MOBILE,AL36652
63-0933700 		REALESTATE AL 501C2   IHS
 
 
No
(3) INFIRMARY FOUNDATION INC

PO BOX 2166

MOBILE,AL36652
63-0870620 		FOUNDATION AL 501C3 7 IHS
 
 
No
(4) INFIRMARY HEALTH HOSPITALS INC

PO BOX 2166

MOBILE,AL36652
20-3713023 		HOSPITALS AL 501C3 3 IHS
 
 
No
(5) INFIRMARY HEALTH SYSTEM INC

PO BOX 2226

MOBILE,AL36652
63-0841123 		MANAGEMENT AL 501C3 11C N/A
 
No
(6) INFIRMARY HOSPICE CARE INC

PO BOX 2226

MOBILE,AL36652
72-1356598 		HOSPICE AL 501C3 9 IHS
 
 
No


For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) GULF HEALTH PLANS PPO INC
PO BOX 2226
MOBILE,AL36652
63-0888584 		PPO AL GHS
GULF HEALTH SERVICES INC 		C CORP      
(2) GULF HEALTH SERVICES INC
PO BOX 2226
MOBILE,AL36652
63-0943206 		MANAGEMENT AL NA
  		C CORP      
(3) GULF HEALTH MANAGEMENT SVCS INC
PO BOX 2226
MOBILE,AL36652
56-2332377 		MANAGEMENT AL NA
  		C CORP      
(4) INFIRMARY MEDICAL CLINICS PC
PO BOX 2226
MOBILE,AL36652
63-0985524 		PHYS OFFIC AL GHS
GULF HEALTH SERVICES INC 		C CORP      
(5) INDUSTRIAL REHAB INC
PO BOX 2226
MOBILE,AL36652
20-0978395 		PHY THERAP AL NA
  		C CORP      
(6) AMERICAN OAK HILL ASSURANCE
PO BOX 2226
MOBILE,AL36652
63-6117376 		SELF-INSUR BD NA
  		C CORP      
(7) PROF & COMP GEN PAT SELF INS TRUST
PO BOX 2226
MOBILE,AL36652
63-6117376 		SELF-INSUR AL NA
  		TRUST      
(8) WORKER'S COMPENSATION TRUST
PO BOX 2226
MOBILE,AL36652
63-6118459 		SELF-INSUR AL NA
  		TRUST      
(9) GULF HEALTH PLANS PPO INC
PO BOX 2226
MOBILE,AL36652
63-0888584 		PPO AL GHS
GULF HEALTH SERVICES INC 		C CORP      
(10) GULF HEALTH SERVICES INC
PO BOX 2226
MOBILE,AL36652
63-0943206 		MANAGEMENT AL NA
  		C CORP      
(11) GULF HEALTH MANAGEMENT SVCS INC
PO BOX 2226
MOBILE,AL36652
56-2332377 		MANAGEMENT AL NA
  		C CORP      
(12) INFIRMARY MEDICAL CLINICS PC
PO BOX 2226
MOBILE,AL36652
63-0985524 		PHYS OFFIC AL GHS
GULF HEALTH SERVICES INC 		C CORP      
(13) INDUSTRIAL REHAB INC
PO BOX 2226
MOBILE,AL36652
20-0978395 		PHY THERAP AL NA
  		C CORP      
(14) AMERICAN OAK HILL ASSURANCE
PO BOX 2226
MOBILE,AL36652
63-6117376 		SELF-INSUR BD NA
  		C CORP      
(15) PROF & COMP GEN PAT SELF INS TRUST
PO BOX 2226
MOBILE,AL36652
63-6117376 		SELF-INSUR AL NA
  		TRUST      
(16) WORKER'S COMPENSATION TRUST
PO BOX 2226
MOBILE,AL36652
63-6118459 		SELF-INSUR AL NA
  		TRUST      
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Yes
 
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) WORKER'S COMPENSATION TRUST

 Q 431,846 CASH
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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