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
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 04-01-2012 , 2012, and ending 03-31-2013
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 $ 448,993,583
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.INFIRMARYHEALTH.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 9
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 2,839
6 Total number of volunteers (estimate if necessary) ............. 6 167
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 3,778,574
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 254,796
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,563,794 1,613,263
9 Program service revenue (Part VIII, line 2g) ......... 389,134,232 399,087,981
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 7,207,789 10,816,268
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 201,296 209,331
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 400,107,111 411,726,843
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) 130,315,199 133,236,338
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–24e).... 241,441,206 251,146,306
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 371,756,405 384,382,644
19 Revenue less expenses. Subtract line 18 from line 12....... 28,350,706 27,344,199
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 416,101,878 471,753,068
21 Total liabilities (Part X, line 26)............. 169,145,444 189,054,848
22 Net assets or fund balances. Subtract line 21 from line 20..... 246,956,434 282,698,220
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 Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 283,185,340 including grants of $   ) (Revenue $ 395,309,407 )
SEE SCHEDULE O MOBILE INFIRMARY ASSOCIATION ("INFIRMARY") IS LICENSED TO OPERATE 639 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. DURING FISCAL YEAR ENDING MARCH 31, 2013, THE INFIRMARY SERVICED 27,889 INPATIENTS AND PROVIDED NEARLY 213,000 OUTPATIENT SERVICES, DELIVERED OVER 1,000 BABIES, AND PERFORMED MORE THAN 21,000 SURGERIES, INCLUDING 540 OPEN-HEART CASES. THE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 43,673 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 650 PHYSICIANS ON THE OPEN MEDICAL STAFF. AS THE FIRST HOSPITAL IN THE REGION TO ACQUIRE THE DA VINCI SURGICAL SYSTEM (ONE OF THE MOST PRECISE AND LEAST INVASIVE SURGICAL TREATMENTS AVAILABLE), THE INFIRMARY IS THE MOST COMPREHENSIVE ROBOTIC PROGRAM ALONG THE GULF COAST. THE DA VINCI SYSTEM PUTS THE SURGEON'S HANDS AT THE CONTROLS OF A STATE-OF-THE-ART ROBOTIC PLATFORM WITH 3D, HIGH-DEFINITION VISION AND MINIATURIZED, WRISTED INSTRUMENTS DESIGNED TO HELP DOCTORS TAKE SURGERY BEYOND THE LIMITS OF THE HUMAN HAND. THE DA VINCI SYSTEM ENABLES SURGEONS TO PERFORM EVEN THE MOST COMPLEX AND DELICATE PROCEDURES THROUGH VERY SMALL INCISIONS WITH UNMATCHED PRECISION. ALL SURGERIES ARE PERFORMED WITH A TEAM OF HIGHLY SKILLED AND TRAINED MEDICAL PROFESSIONALS. THE ORGANIZATION'S E.A. ROBERTS ALZHEIMER'S CENTER IS THE FIRST DAY CENTER IN SOUTH ALABAMA DESIGNED SPECIFICALLY FOR PEOPLE WITH ALZHEIMER'S DISEASE AND OTHER FORMS OF DEMENTIA. THE CENTER IS A SECURE, 8,000-SQUARE-FOOT BUILDING WHICH INCLUDES LIVING ROOM AREAS, A DEN, A KITCHEN, REST AREAS, ENCLOSED COURTYARDS WITH FOUNTAINS, SCREENED PORCHES AND A LARGE FENCED YARD COMPLETE WITH A WALKING PATH AND PUTTING GREEN. THE OPERATION BOUNCE-BACK PROGRAM OFFERS MEDICALLY SUPERVISED EXERCISE, EDUCATION AND COUNSELING TO PATIENTS WITH CARDIOVASCULAR DISEASES. THE PROGRAM ASSISTS THEM IN LEADING PRODUCTIVE AND ACTIVE LIVES. OPERATION BOUNCE-BACK IS ONE OF THE 10 LARGEST CARDIAC REHABILITATION PROGRAMS IN THE UNITED STATES AND THE FIRST CARDIAC REHABILITATION PROGRAM IN ALABAMA. PATIENTS OF ALL AGES AND WITH MANY FORMS OF HEART DISEASE BENEFIT FROM THE PROGRAM. THE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, WHICH ACCOUNTED FOR 48.43% OF TOTAL INPATIENT VISITS AND 28.82% OF OUTPATIENT GROSS REVENUE IN FISCAL YEAR 2013. WHILE THE ORGANIZATION IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL RECEIVED WAS APPROXIMATELY 330,000,000 LESS THAN WHAT WOULD HAVE BEEN RECEIVED HAD THESE PROGRAMS PAID FULL CHARGES. IN ADDITION TO SERVING MEDICARE AND MEDICAID PATIENTS, THE INFIRMARY PROVIDES CARE TO PATIENTS WHO MEET THE CRITERIA OF ITS FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION HAS EXPANDED THE FEDERAL POVERTY GUIDELINES TO AFFORD CHARITABLE CARE TO LARGER NUMBERS OF ITS PATIENT POPULATION. ALSO, AS A RESULT OF OPERATING THE ONLY HOSPITAL BASED INPATIENT PSYCHIATRIC UNIT IN THE COMMUNITY FOR ADULTS, THERE IS A SIGNIFICANT AMOUNT OF INDIGENT CARE PROVIDED THROUGH THIS SERVICE. THE TOTAL AMOUNT OF CHARGES FOREGONE FOR HEALTHCARE SERVICES AND SUPPLIES FURNISHED UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR FISCAL-YEAR ENDING 2013 WAS APPROXIMATELY 49,600,000, INCLUDING PRESUMPTIVELY ELIGIBLE PATIENTS. SPONSORED BY THE AMERICAN COUNCIL ON EXERCISE, THE INFIRMARY'S OPERATION FITKIDS IS DESIGNED TO EDUCATE CHILDREN AND THEIR FAMILIES ON THE BENEFITS OF REGULAR PHYSICAL ACTIVITY AND PROPER NUTRITION. THE EIGHT WEEK PROGRAM IS OFFERED FREE WITH PHYSICIAN REFERRAL TO CHILDREN (AGES 7-11) AT THE ORGANIZATION'S FITNESS CENTER. THE DEBAKEY DRUG EDUCATION PROGRAM VEHICLE TRAVELS TO SCHOOLS THROUGHOUT FIVE COUNTIES OF SOUTHWEST ALABAMA TO EDUCATE CHILDREN ABOUT THE DANGERS OF ILLEGAL DRUG AND SUBSTANCE ABUSE. IN ADDITION TO VISITING PUBLIC, PRIVATE AND PAROCHIAL SCHOOLS, THE VEHICLE IS AVAILABLE FOR COMMUNITY EVENTS AND OTHER SPECIAL PROGRAMS. RECOGNIZED BY THE AMERICAN HOSPITAL ASSOCIATION, THE VEHICLE WAS THE FIRST OF ITS KIND IN THE COUNTRY. SINCE IT BEGAN IN 1994, MORE THAN 100,000 STUDENTS HAVE PARTICIPATED IN THE PROGRAM. SENIORS' BEST IS A FREE MEMBERSHIP PROGRAM FOR ADULTS, AGES 55 AND OLDER, DESIGNED WITH THEIR SPECIAL HEALTHCARE AND LIFESTYLE NEEDS IN MIND. EXCLUSIVE MEMBERSHIP BENEFITS INCLUDE: FREE AND LOW-COST QUARTERLY HEALTH SCREENINGS, EDUCATIONAL SEMINARS AND PROGRAMS ON HEALTH, WELLNESS AND FINANCIAL TOPICS; TRAVEL CLUB FOR SINGLE AND MULTI-DAY TRIPS; DISCOUNTS FROM LOCAL MERCHANTS; VISION DISCOUNT CARDS, NUTRITION COUNSELING, AND MEMBERSHIP DISCOUNTS AT ALL OF THE ORGANIZATION'S WELLNESS CENTERS. WOMEN'S BEST IS A COMMUNITY OUTREACH INITIATIVE DESIGNED EXCLUSIVELY FOR WOMEN TO EMPOWER, EDUCATE AND ENCOURAGE THEM TO TAKE CARE OF THEIR HEALTH AT EVERY DECADE OF THEIR LIVES-FROM PRE-CHILDBIRTH TO POST-MENOPAUSAL. PROGRAMS INCLUDE A VARIETY OF BENEFITS, INCLUDING: HEALTH SCREENINGS, SEMINARS, WELLNESS ACTIVITIES AND SPECIAL EVENTS SUCH AS ANNUAL WELLNESS CONFERENCES, HOLIDAY LUNCHEONS, AND AN ANNUAL GREAT EXPECTATIONS EVENT FOR EXPECTANT MOTHERS. THE ORGANIZATION PROVIDES NUMEROUS OTHER MONTHLY, QUARTERLY AND ANNUAL COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS, AND SCREENINGS TO BENEFIT AREA CITIZENS. SOME OF THE EDUCATIONAL PROGRAMS INCLUDE: SKIN CANCER, BLOOD PRESSURE, BLOOD SUGAR, ASTHMA AND BONE DENSITY SCREENINGS; LUNCH & LEARN PROGRAMS WITH PHYSICIAN SPEAKERS; BLOOD DRIVES; AN AARP DRIVING COURSE FOR SENIORS; AND AN AMERICAN CANCER SOCIETY PROGRAM FOR WOMEN UNDERGOING CANCER TREATMENT. IN ADDITION, MORE THAN A DOZEN HEALTH FAIRS WERE HELD AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. THE ORGANIZATION ALSO FACILITATED AT LEAST EIGHT HEALTH RELATED WALKS SPONSORED BY NATIONAL ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, AND THE MARCH OF DIMES. THESE PROGRAMS BENEFIT THOUSANDS OF AREA CITIZENS ANNUALLY.
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 expensesMediumBullet283,185,340
Form 990 (2012)
Form 990 (2012)
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 (see instructions)? 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, or have a section 501(h) election in effect during the tax year? 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 for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, 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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick 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 and XII Click to see attachment.................
12a
 
No
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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
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 United States? If “Yes,” complete Schedule F, Parts II and IV
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 United States? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions)....
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
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization 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, line 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 lines 24b through 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, highest 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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 direct or indirect 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, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, 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...
35b
 
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
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
114
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
2,839
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, securities account, or other financial 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 as charitable contributions?...
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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
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
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
9
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
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
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 15a or 15b, 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,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletKERRY L TOLLESON5 MOBILE INFIRMARY CIRCLEMOBILEAL36607 (251) 435-2437
Form 990 (2012)
Form 990 (2012)
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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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
.......................40.00 		X   X       0 1,770,231 174,122
(2) DR GERHARD AW BOEHM........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(3) LAURA MORRISSETTE CLARK........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(4) MARSHA L DEBAKEY........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(5) DR JEFFREY K HANNON........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(6) MICHAEL HOLBERG........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(7) DR MARC S GOTTLIEB........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(8) WILLIAM R SEIFERT II........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(9) FRED T STIMPSON III........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(10) DR HERBERT A STONE........................................................................
DIRECTOR
 5.00
.......................   		X           0 0 0
(11) LESLIE LADD........................................................................
SECRETARY
 5.00
.......................   		X   X       0 0 0
(12) T BESTOR WARD III........................................................................
CHAIRMAN
 5.00
.......................   		X   X       0 0 0
(13) JOHN WHITE-SPUNNER........................................................................
VICE-CHAIRMA
 5.00
.......................   		X   X       0 0 0
(14) JOSEPH L DENTON........................................................................
EXECUTIVE VP
 5.00
.......................40.00 		    X       0 445,938 121,712
(15) SCOTT A BROWNING........................................................................
GENERAL COUN
 5.00
.......................40.00 		    X       0 312,927 69,672
(16) KERN A WILSON........................................................................
VP, BUSINESS
 5.00
.......................40.00 		    X       0 215,527 70,141
(17) PAMELA G HALLFORD........................................................................
VP, CONTROLL
 5.00
.......................40.00 		    X       54,949 130,585 57,258
Form 990 (2012)
Form 990 (2012)
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 (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) JOE T STOUGH III........................................................................
VP, ADMINIST
 40.00
.......................5.00 		      X     409,726 0 115,543
(20) SUZANNE C BIRD........................................................................
VP, CNO
 40.00
.......................5.00 		      X     284,403 0 71,312
(21) ALAN C HOLLEY........................................................................
VP, ADMINIST
 40.00
.......................5.00 		      X     215,711 0 67,369
(22) LEE ANN CAIN........................................................................
EXEC. DIR.,
 40.00
.......................0.00 		        X   204,583 0 15,798
(23) WILLIAM G MAURER........................................................................
DIRECTOR, PE
 40.00
.......................0.00 		        X   148,492 0 41,692
(24) ANTHONEY MOSLEY........................................................................
DIRECTOR, RA
 40.00
.......................0.00 		        X   141,443 0 30,157
(25) SUSAN J BRUTON........................................................................
DIRECTOR, NU
 40.00
.......................0.00 		        X   140,380 0 24,219
(26) VICKY TURBERVILLE-VEGA........................................................................
PHARMACIST
 40.00
.......................0.00 		        X   133,817 0 37,844








1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,733,504 2,875,208 896,839
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet52
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ANESTHESIA SERVICES PC201 COX STREETATLANTAGA311934369 ANESTHESIA 1,577,293
BIOMEDICAL APPLICATIONS OF MOBILEPO BOX 62760NEW ORLEANSLA70162 HEMODIALYSIS 1,427,283
MAYO COLLABORATIVEPO BOX 9146MINNEAPOLISMN554809146 LAB 1,028,832
INPATIENT CONSULTANTS OF ALABAMAPO BOX 51254LOS ANGELESCA90051 HOSPITALIST 692,116
MILESTONE HEALTHCARE INC13083 COLLECTIONS CENTER DRIVECHICAGOIL60693 MANAGEMENT 563,160
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet19
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 691,115
e Government grants (contributions)1e 20,500
f All other contributions, gifts, grants, and
similar amounts not included above1f 		901,648
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 1,613,263
Program Service Revenue Business Code
2a PROGRAM SERVICE REVENUE 900099 392,297,802 392,297,802    
b REFERENCE LAB REVENUE 621500 3,778,574   3,778,574  
c OTHER PROGRAM SERVICE REVENUE 900099 3,011,605 3,011,605    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 399,087,981
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 3,324,006     3,324,006
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 44,551,846 207,156
b Less: cost or other basis and sales expenses 37,063,383 203,357
c Gain or (loss) 7,488,463 3,799
d Net gain or (loss)..........MediumBullet 7,492,262     7,492,262
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 GUEST HOUSE RENTAL REVENUE 721000 131,295     131,295
b CAFETERIA REVENUE 722100 78,036     78,036
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 209,331
12 Total revenue. See Instructions......MediumBullet 411,726,843 395,309,407 3,778,574 11,025,599
Form 990 (2012)
Form 990 (2012)
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).Check if Schedule O contains a response to any question in this Part IX ...............
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 United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 981,065   981,065  
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 107,508,727 90,409,691 17,099,036  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 7,118,451 6,358,312 760,139  
9 Other employee benefits ....... 12,552,440 10,462,636 2,089,804  
10 Payroll taxes ........... 5,075,655 3,805,648 1,270,007  
11 Fees for services (non-employees):        
a Management ...... 10,827,628 406,141 10,421,487  
b Legal ......... 155,323   155,323  
c Accounting ........... 140,475   140,475  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 8,186,601 4,668,275 3,518,326  
12 Advertising and promotion .... 760,523   760,523  
13 Office expenses ....... 71,933,452 49,651,510 22,281,942  
14 Information technology ...... 8,674,680   8,674,680  
15 Royalties ..        
16 Occupancy ........... 4,416,167 2,931,061 1,485,106  
17 Travel ............ 139,068   139,068  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 3,822,873   3,822,873  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 15,513,287 11,107,513 4,405,774  
23 Insurance .............. 5,487,995   5,487,995  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PROVISION FOR BAD DEBT 57,692,849 57,692,849    
b SHARED SERVICES 30,388,208 22,433,456 7,954,752  
c REPAIR / REPLACEMENT 10,459,506 7,713,264 2,746,242  
d OTHER PURCHASED SERVICES 10,497,961 5,138,201 5,359,760  
e All other expenses 12,049,710 10,406,783 1,642,927  
25 Total functional expenses. Add lines 1 through 24e 384,382,644 283,185,340 101,197,304 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 67,769 1 50,326
2 Savings and temporary cash investments ......... 80,717,420 2 94,236,736
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 41,964,453 4 44,871,060
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 38,107,817 7 60,682,029
8 Inventories for sale or use .............. 4,180,557 8 4,061,157
9 Prepaid expenses and deferred charges .......... 1,977,823 9 1,668,087
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 361,527,704
b Less: accumulated depreciation ..... 10b 277,733,625 81,327,065 10c 83,794,079
11 Investments—publicly traded securities .......... 160,019,164 11 175,522,485
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 ........... 7,739,810 15 6,867,109
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 416,101,878 16 471,753,068
Liabilities 17 Accounts payable and accrued expenses ......... 55,161,747 17 51,043,871
18 Grants payable .................   18  
19 Deferred revenue ................ 4,626,817 19 4,945,777
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other 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 .... 3,668,186 24 3,346,881
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 105,688,694 25 129,718,319
26 Total liabilities. Add lines 17 through 25......... 169,145,444 26 189,054,848
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 243,694,473 27 278,844,653
28 Temporarily restricted net assets ........... 3,261,961 28 3,853,567
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 246,956,434 33 282,698,220
34 Total liabilities and net assets/fund balances ........ 416,101,878 34 471,753,068
Form 990 (2012)
Form 990 (2012)
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
411,726,843
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
384,382,644
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
27,344,199
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
246,956,434
5
Net unrealized gains (losses) on investments ...............
5
5,296,283
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
3,101,304
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
282,698,220
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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
2012
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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
2012
Name of the 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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
MOBILE INFIRMARY ASSOCIATION
  		Employer identification number

63-0288856
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total 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)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
MOBILE INFIRMARY ASSOCIATION
  		Employer identification number

63-0288856
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
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
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(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) (2012)

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
2012
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 35c (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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) .......   3,181
c Total lobbying expenditures (add lines 1a and 1b) ...................   3,181
d Other exempt purpose expenditures ........................ 384,382,644 668,964,077
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 384,382,644 668,967,258
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable 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 65,007 66,017 63,137 3,181 197,342
             
d Grassroots nontaxable 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) 2012


Schedule C (Form 990 or 990-EZ) 2012
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)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(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? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
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? .......
 
 
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
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible 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; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
ADDITIONAL INFORMATION SCHEDULE C, PART IV 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: 384,382,644 TOTAL EXEMPT PURPOSE EXPENDITURES: 384,382,644 LOBBYING NONTAXABLE AMOUNT: 1,000,000 GRASSROOTS NONTAXABLE AMOUNT: 250,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: 0 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: 3,181 TOTAL LOBBYING EXPENDITURES: 3,181 OTHER EXEMPT PURPOSE EXPENDITURES: 67,496,074 TOTAL EXEMPT PURPOSE EXPENDITURES: 67,499,255 LOBBYING NONTAXABLE AMOUNT: 1,000,000 GRASSROOTS NONTAXABLE AMOUNT: 250,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: 0 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: 1,431,705 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,431,705 LOBBYING NONTAXABLE AMOUNT: 218,171 GRASSROOTS NONTAXABLE AMOUNT: 54,543 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: 0 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: 42,195,308 TOTAL EXEMPT PURPOSE EXPENDITURES: 42,195,308 LOBBYING NONTAXABLE AMOUNT: 1,000,000 GRASSROOTS NONTAXABLE AMOUNT: 250,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: 0 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: 169,341,512 TOTAL EXEMPT PURPOSE EXPENDITURES: 169,341,512 LOBBYING NONTAXABLE AMOUNT: 1,000,000 GRASSROOTS NONTAXABLE AMOUNT: 250,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: 0 SHARE OF EXCESS LOBBYING EXPENDITURES: 0 ORGANIZATION NAME: INFIRMARY HOSPICE CARE, INC. ADDRESS: P.O. BOX 2226 MOBILE, AL 36652 EIN: 72-1356598 ORGANIZATION IS AN ELECTING ORGANIZATION. GRASSROOTS LOBBYING AMOUNT: 0 DIRECT LOBBYING AMOUNT: 0 TOTAL LOBBYING EXPENDITURES: 0 OTHER EXEMPT PURPOSE EXPENDITURES: 4,116,834 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,116,834 LOBBYING NONTAXABLE AMOUNT: 355,842 GRASSROOTS NONTAXABLE AMOUNT: 88,961 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: 0 SHARE OF EXCESS LOBBYING EXPENDITURES: 0
Schedule C (Form 990 or 990EZ) 2012

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
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)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (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 ................   159,505,015 120,578,995 38,926,020
c Leasehold improvements ............   2,421,531 1,466,303 955,228
d Equipment ................   189,427,325 152,094,452 37,332,873
e Other .................   9,543,335 3,593,875 5,949,460
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 83,794,079
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
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) must 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) must 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) must 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) Book value
Federal income taxes  
L/T NOTE PAYABLE - INTERCOMPANY 105,098,645
DUE TO AFFILIATES 17,800,701
S/T LOAN PAYABLE - INTERCOMPANY 4,336,211
OTHER CURRENT LIABILITIES 2,482,762





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 129,718,319
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
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 XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2012

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
2012
Open to Public Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
 
No
b
If "Yes," did the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance 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 Financial Assistance at cost
(from Worksheet 1) .. 		    13,556,237   13,556,237 4.150 %
b Medicaid (from Worksheet 3,
column a) .... 		    42,547,974 40,381,752 2,166,222 0.660 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    56,104,211 40,381,752 15,722,459 4.810 %
Other Benefits
     451,212 2,460 448,752 0.140 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    947,631 467,008 480,623 0.150 %
g Subsidized health services
(from Worksheet 6) .. 		    8,224,693 4,615,339 3,609,354 1.100 %
h Research (from Worksheet 7)     67,619 9,000 58,619 0.020 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    42,271   42,271 0.010 %
j Total. Other Benefits ..     9,733,426 5,093,807 4,639,619 1.420 %
k Total. Add lines 7d and 7j .     65,837,637 45,475,559 20,362,078 6.230 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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
Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
61,415,003
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
37,578,304
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
113,754,660
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
110,897,762
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
2,856,898
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
 
No
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

 

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MOBILE INFIRMARY ASSOCIATION
5 MOBILE INFIRMARY CIRCLE
MOBILE,AL36607 		X X   X     X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MOBILE INFIRMARY ASSOCIATION
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.0%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 350.0%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care 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 65
3290 DAUPHIN STREET
MOBILE,AL36605 		OUTPATIENT DIAGNOSTIC CENTER
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
COSTING METHODOLOGY EXPLANATION PART I LINE 7 SCHEDULE H PART VI QUESTION 1 PART I LINE 7 COSTS WERE CALCULATED USING THE COSTTOCHARGE RATIO METHODOLOGY OBTAINED FROM WORKSHEET 2 OF THE INSTRUCTIONS ALL OTHER COSTS WERE OBTAINED FROM THE ORGANIZATIONS ACCOUNTING RECORDS PART I LINE 7 COLUMN F THE BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS 57692849 PART III LINE 2 THE AMOUNT OF BAD DEBT EXPENSE ON PART III LINE 2 REPRESENTS THE ACTUAL AMOUNT OF CHARGES THAT WERE DEEMED UNCOLLECTIBLE AND WERE WRITTEN OFF TO BAD DEBT PER THE ORGANIZATIONS ACCOUNTING RECORDS PART III LINE 3 THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY WAS DERIVED USING RATIO ANALYSIS OF PATIENT BAD DEBT ACCOUNTS PROCESSED THROUGH A PRESUMPTIVE QUALIFICATION MODEL THE ACCOUNTS ARE ANALYZED FOR DEMOGRAPHIC INFORMATION TO DETERMINE HOUSEHOLD INCOME LEVELS CORRELATED TO FEDERAL POVERTY LEVEL GUIDELINES AND APPLIED TO THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY CRITERIA A LARGE NUMBER OF PATIENTS DO NOT COOPERATE WITH THE ELIGIBILITY PROCESS OF THE FINANCIAL ASSISTANCE PROGRAM WHICH IS READILY AVAILABLE TO THEM THEREFORE IT IS IN THE ORGANIZATIONS OPINION THAT THIS PORTION OF BAD DEBT EXPENSE BE TREATED AS COMMUNITY BENEFIT PART III LINE 4 THE TEXT OF THE AUDITED FINANCIAL STATEMENTS FOOTNOTE REGARDING BAD DEBT EXPENSE STATES ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITEOFF PERCENTAGES AND ANALYSIS OF OTHER CURRENT TRENDS AND INFORMATION DOUBTFUL ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED PART III LINE 8 IT IS IN THE ORGANIZATIONS OPINION THAT FUTURE MEDICARE SHORTFALLS BE TREATED IN TOTAL AS COMMUNITY BENEFIT HEALTHCARE SERVICES TO THE MEDICARE POPULATION REALISTICALLY MUST BE PROVIDED IN ORDER FOR SOCIETY TO CONTINUE TO FUNCTION AS WE KNOW IT PART V SECTION B LINE 3 IN PREPARING THE CHNA DATA WAS GATHERED FROM MULTIPLE SOURCES IN AN EFFORT TO CONSTRUCT A CURRENT AND ACCURATE SNAPSHOT OF THE HEALTH ISSUES IN MOBILE COUNTY ALABAMA INFORMATION WAS OBTAINED FROM NUMEROUS PUBLIC DATABASES AND OPINIONS WERE SOLICITED FROM PUBLIC HEALTH EXPERTS LOCAL CIVIC LEADERS AND PATIENTS WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION THIS INFORMATION WAS THEN SUMMARIZED FOR FINAL CONSIDERATION BY A CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM HOSPITAL AND SYSTEM MANAGEMENT NURSING SERVICES PATIENT SERVICES AND ALABAMA QUALITY ASSURANCE FOUNDATION AQAF THE QUALITY IMPROVEMENT ORGANIZATION QIO FOR THE STATE OF ALABAMA PART V SECTION B LINE 4 MOBILE INFIRMARYS CHNA WAS PREPARED IN CONJUNCTION WITH INFIRMARY LONG TERM ACUTE CARE HOSPITAL AS BOTH FACILITIES ARE LOCATED WITHIN THE SAME BUILDING IN MOBILE COUNTY ALABAMA PART V SECTION B LINE 7 THE ORGANIZATION DID NOT ADDRESS THE IDENTIFIED NEED OF DECREASE UNEMPLOYMENT ALTHOUGH INFIRMARY HEALTH IS ONE OF THE LARGEST EMPLOYERS IN MOBILE COUNTY IT IS IN THE ORGANIZATIONS OPINION THAT ADDRESSING THIS NEED IS NOT A HEALTH CARE ISSUE THEREFORE A PLAN WAS NOT INCLUDED IN THE IMPLEMENTATION STRATEGY PART V SECTION B LINE 14G ADDITIONAL MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION INCLUDE PROVIDING THE POLICY TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE DURING FISCAL YEAR 2013 ORGANIZATIONS SUCH AS THE MOBILE COUNTY HEALTH DEPARTMENT FRANKLIN PRIMARY HEALTH CENTER BALDWIN COUNTY HEALTH DEPARTMENT AND THE HOPE CENTER WERE EACH PROVIDED A COPY OF THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY
NEEDS ASSESSMENT PART VI SCHEDULE H PART VI QUESTION 2 IN ADDITION TO THE CHNA CONDUCTED DURING FISCAL YEAR 2013 THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF OTHER MEANS CONSTANT COMMUNICATION WITH THE OPEN MEDICAL STAFF OF MORE THAN 650 PHYSICIANS LOCATED THROUGHOUT THE COMMUNITY PROVIDES VALUABLE INSIGHT INTO HEALTH RELATED NEEDS THE INDEPENDENT BOARD REPRESENTING MEMBERS OF THE COMMUNITY PROVIDES INPUT FROM A DIFFERENT PERSPECTIVE COMMENTS FROM PATIENT SATISFACTION SURVEYS ARE SCRUTINIZED FOR OPPORTUNITIES FORMAL COMMITTEES IN THE ORGANIZATION SUCH AS THE STROKE COMMITTEE ASSESS DATA PROVIDED BY THE AMERICAN HEART ASSOCIATION AND SIMILAR ORGANIZATIONS TO ASSIST IN IDENTIFYING COMMUNITY NEEDS THROUGH WEEKLY LEADERSHIP AND STRATEGIC PLANNING MEETINGS HELD AT AFFILIATED HOSPITALS AND ENTITIES LOCATED THROUGHOUT THE SERVICE AREA NEEDS OF THE COMMUNITIES SERVED ARE CONTINUOUSLY ASSESSED PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H PART VI QUESTION 3 THE ORGANIZATIONS ADMITTING AREAS BUSINESS OFFICE AREAS AND EMERGENCY DEPARTMENTS HAVE SIGNAGE PROMINENTLY DISPLAYED WHICH INCLUDES SPECIFIC WORDING INTENDED TO INFORM AND PROMPT PATIENTS TO AVAIL THEMSELVES OF THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ADDITIONALLY THE ORGANIZATION INCLUDES SIMILAR WORDING WITHIN PATIENTACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED AND ON THE ORGANIZATIONS WEBSITE WHICH IS AVAILABLE TO THE GENERAL PUBLIC THE ORGANIZATION ALSO CONTRACTS WITH A THIRDPARTY VENDOR TO HAVE THEM IDENTIFY CONTACT AND ASSIST WITH QUALIFYING PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS THE VENDOR UTILIZES ADMISSION REPORTS REFERRALS FROM FINANCIAL COUNSELORS OF THE ORGANIZATION PATIENT SELFREFERRALS AND VARIOUS OTHER FORMS OF PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS COMMUNITY INFORMATION SCHEDULE H PART VI QUESTION QUESTION 4 MOBILE COUNTY IS LOCATED ON THE ALABAMA GULF COAST AND IS BORDERED BY MISSISSIPPI TO THE WEST AND FLORIDA TO THE EAST THE COUNTY HAS A TOTAL AREA OF 1640 SQUARE MILES OF WHICH 1230 IS LAND AND 410 IS WATER IT ENCOMPASSES SEVERAL ISLANDS INCLUDING DAUPHIN ISLAND GAILLARD ISLAND AND MON LOUIS ISLAND THE CITY OF MOBILE SERVES AS THE COUNTY SEAT AS OF THE 2010 CENSUS THE POPULATION OF MOBILE COUNTY WAS APPROXIMATELY 413000 OF THE 160000 HOUSEHOLDS 47000 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM 71000 WERE MARRIED COUPLES LIVING TOGETHER 50000 WERE NON FAMILIES AND 30000 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT THE RACIAL MAKEUP OF THE COUNTY WAS 60 WHITE 35 BLACK OR AFRICANAMERICAN 25 HISPANIC OR LATINO AND 2 ASIAN THE AVERAGE HOUSEHOLD SIZE WAS 25 AND THE PER CAPITA INCOME FOR THE COUNTY WAS 21275 MORE THAN 20 OF THE POPULATION WAS LIVING AT OR BELOW THE POVERTY LINE PROMOTION OF COMMUNITY HEALTH SCHEDULE H PART VI QUESTION 5 SEE STATEMENT IN SCHEDULE O RELATED TO PROGRAM SERVICE ACCOMPLISHMENTS PART III LINE 4A FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION FURTHERS THEIR EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY AFFILIATED HEALTH CARE SYSTEM 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 UNIQUELY RELATED TO THE COMMUNITY IT SERVES HOWEVER EXECUTIVE LEADERSHIP OF THE SYSTEM PROVIDES GUIDANCE FOR ALL AND THERE ARE CERTAIN COMMUNITY OUTREACH INITIATIVES AND SERVICES WHICH ARE COORDINATED FROM A SYSTEM PERSPECTIVE IN ORDER TO SERVE NEEDS WITHIN A BROADER SERVICE AREA OR TO JOINTLY COORDINATE THE EFFORT FOR GREATER EFFICIENCY ADDITIONALLY THE ORGANIZATION HAS ESTABLISHED A PROGRAM TO FUND SPECIAL COMMUNITY HEALTH NEEDS IDENTIFIED AND APPROVED BY THE VOLUNTARY BOARD OF THE INFIRMARY FOUNDATION THE 501C3 PHILANTHROPIC AFFILIATE OF THE ORGANIZATION EACH YEAR AN ACCOUNTING OF THE COMMUNITY BENEFIT FUNDS DISTRIBUTED BY THE FOUNDATION IS REVIEWED BY MANAGEMENT STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H PART VI QUESTION 7 A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH ANY STATE FACILITY REPORTING GROUPS SCHEDULE H PART VI QUESTION 8 SEE STATEMENTS PROVIDED IN COSTING METHODOLOGY EXPLANATION INCLUDED UNDER QUESTION 1 FOR DESCRIPTIONS REQUIRED FOR PART V SECTION B
Schedule H (Form 990) 2012
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
2012
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 or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
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
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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
Yes
 
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)D MARK NIXPRESIDENT & CEO (i)
(ii)		  
644,945 		 
223,059 		 
902,227 		 
160,181 		 
13,941 		 
1,944,353 		 
 
(2)JOSEPH L DENTONEXECUTIVE VP CFO (i)
(ii)		  
352,208 		 
93,730 		 
  		 
108,528 		 
13,184 		 
567,650 		 
 
(3)SCOTT A BROWNINGGENERAL COUNSEL (i)
(ii)		  
247,498 		 
65,429 		 
  		 
56,550 		 
13,122 		 
382,599 		 
 
(4)KERN A WILSONVP BUSINESS SVCS (i)
(ii)		  
179,980 		 
35,547 		 
  		 
58,019 		 
12,122 		 
285,668 		 
 
(5)PAMELA G HALLFORDVP CONTROLLER (i)
(ii)		 54,949
88,677 		 
41,908 		 
  		 
52,614 		 
4,644 		54,949
187,843 		 
 
(6)JOE T STOUGH IIIVP ADMINISTRATOR (i)
(ii)		 325,735
  		83,991
  		 
  		101,904
  		13,639
  		525,269
  		 
 
(7)SUZANNE C BIRDVP CNO (i)
(ii)		 230,018
  		54,385
  		 
  		58,324
  		12,988
  		355,715
  		 
 
(8)ALAN C HOLLEYVP ADMINISTRATION (i)
(ii)		 170,714
  		38,893
  		6,104
  		54,683
  		12,686
  		283,080
  		 
 
(9)LEE ANN CAINEXEC DIR PHARMACY (i)
(ii)		 194,726
  		9,857
  		 
  		4,299
  		11,499
  		220,381
  		 
 
(10)WILLIAM G MAURERDIRECTOR PERFUSION (i)
(ii)		 140,416
  		8,076
  		 
  		30,235
  		11,457
  		190,184
  		 
 
(11)ANTHONEY MOSLEYDIRECTOR RADIOLOGY (i)
(ii)		 133,755
  		7,688
  		 
  		25,453
  		4,704
  		171,600
  		 
 
(12)SUSAN J BRUTONDIRECTOR NURSING (i)
(ii)		 134,585
  		5,795
  		 
  		19,513
  		4,706
  		164,599
  		 
 
(13)VICKY TURBERVILLE-VEGAPHARMACIST (i)
(ii)		 133,817
  		 
  		 
  		27,461
  		10,383
  		171,661
  		 
 
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III CHARTER TRAVEL AND SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A: CHARTER TRAVEL AND SOCIAL CLUB DUES ARE PAID FOR EXECUTIVES TO CARRY ON THE BUSINESS OF MOBILE INFIRMARY ASSOCIATION. THESE AMOUNTS ARE PART OF THE OVERALL COMPENSATION PACKAGE AND ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. COMPENSATION OF THE ORGANIZATION'S CEO SCHEDULE J, PART I, LINE 3: THE ORGANIZATION'S PARENT COMPANY INFIRMARY HEALTH SYSTEM, INC. ESTABLISHES THE PRESIDENT/CEO'S COMPENSATION. THE AMOUNT IS DETERMINED THROUGH A VARIETY OF RESOURCES INCLUDING A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS, AND APPROVAL BY THE BOARD OF DIRECTORS. 457(F) PARTICIPATION SCHEDULE J, PART I, LINE 4B: D. MARK NIX - 107,067 JOE T. STOUGH, III - 51,751 JOSEPH L. DENTON - 49,440 KERN A. WILSON - 17,341 ALAN C. HOLLEY - 16,727 PAMELA G. HALLFORD - 15,964 NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PART I, LINE 7: EACH FISCAL YEAR, INFIRMARY HEALTH SYSTEM, INC. AND ITS AFFILIATES ESTABLISH CORPORATE AND INDIVIDUAL GOALS BASED ON STRATEGIC INITIATIVES APPROVED BY THE BOARD OF DIRECTORS. THE GOALS ENSURE FOCUS ON AREAS SUCH AS: QUALITY, SERVICE, FINANCE, COMMUNITY, AND LEADERSHIP. A BOARD APPROVED COMPENSATION PHILOSOPHY OUTLINES THE PAYMENT OF ANNUAL INCENTIVES IF THE ESTABLISHED GOALS/CRITERIA ARE MET. GOAL SETTING AND ACCOMPLISHMENTS ARE REVIEWED ANNUALLY BY AN INTERNAL EXECUTIVE COMMITTEE AND APPROVED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. THE BOARD OR AUTHORIZED COMMITTEE THEREOF HAS THE DISCRETION TO DENY OR REDUCE PAYMENT UNDER THIS COMPENSATION PLAN DEPENDENT UPON THE PARTICULAR FACTS AND CIRCUMSTANCES.
Schedule J (Form 990) 2012

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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
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 1,002,483 CONSTRUCTION SVCS   No
(2) MOBILE EMERGENCY GROUP PC
  		DIRECTOR 318,750 PHYSICIAN SVCS   No
(3) INFIRMARY MEDICAL CLINICS PC
  		DIRECTOR 18,000 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 PRESIDENT AND CEO OF WHITESPUNNER CONSTRUCTION INC DR HERBERT STONE IS A DIRECTOR OF MOBILE INFIRMARY ASSOCIATION AND IS PRESIDENT AND CEO OF MOBILE EMERGENCY GROUP PC DR MARC GOTTLIEB IS A DIRECTOR OF MOBILE INFIRMARY ASSOCIATION AND IS AN EMPLOYEE OF AFFILIATED INFIRMARY MEDICAL CLINICS PC
Schedule L (Form 990 or 990-EZ) 2012

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
2012
Open to Public
Inspection
Name of the organization
MOBILE INFIRMARY ASSOCIATION
 
Employer identification number

63-0288856
Identifier Return Reference Explanation
FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A MOBILE INFIRMARY ASSOCIATION ("INFIRMARY") IS LICENSED TO OPERATE 639 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. DURING FISCAL YEAR ENDING MARCH 31, 2013, THE INFIRMARY SERVICED 27,889 INPATIENTS AND PROVIDED NEARLY 213,000 OUTPATIENT SERVICES, DELIVERED OVER 1,000 BABIES, AND PERFORMED MORE THAN 21,000 SURGERIES, INCLUDING 540 OPEN-HEART CASES. THE INFIRMARY OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 43,673 PEOPLE DURING THE YEAR. THERE ARE MORE THAN 650 PHYSICIANS ON THE OPEN MEDICAL STAFF. AS THE FIRST HOSPITAL IN THE REGION TO ACQUIRE THE DA VINCI SURGICAL SYSTEM (ONE OF THE MOST PRECISE AND LEAST INVASIVE SURGICAL TREATMENTS AVAILABLE), THE INFIRMARY IS THE MOST COMPREHENSIVE ROBOTIC PROGRAM ALONG THE GULF COAST. THE DA VINCI SYSTEM PUTS THE SURGEON'S HANDS AT THE CONTROLS OF A STATE-OF-THE-ART ROBOTIC PLATFORM WITH 3D, HIGH-DEFINITION VISION AND MINIATURIZED, WRISTED INSTRUMENTS DESIGNED TO HELP DOCTORS TAKE SURGERY BEYOND THE LIMITS OF THE HUMAN HAND. THE DA VINCI SYSTEM ENABLES SURGEONS TO PERFORM EVEN THE MOST COMPLEX AND DELICATE PROCEDURES THROUGH VERY SMALL INCISIONS WITH UNMATCHED PRECISION. ALL SURGERIES ARE PERFORMED WITH A TEAM OF HIGHLY SKILLED AND TRAINED MEDICAL PROFESSIONALS. THE ORGANIZATION'S E.A. ROBERTS ALZHEIMER'S CENTER IS THE FIRST DAY CENTER IN SOUTH ALABAMA DESIGNED SPECIFICALLY FOR PEOPLE WITH ALZHEIMER'S DISEASE AND OTHER FORMS OF DEMENTIA. THE CENTER IS A SECURE, 8,000-SQUARE-FOOT BUILDING WHICH INCLUDES LIVING ROOM AREAS, A DEN, A KITCHEN, REST AREAS, ENCLOSED COURTYARDS WITH FOUNTAINS, SCREENED PORCHES AND A LARGE FENCED YARD COMPLETE WITH A WALKING PATH AND PUTTING GREEN. THE OPERATION BOUNCE-BACK PROGRAM OFFERS MEDICALLY SUPERVISED EXERCISE, EDUCATION AND COUNSELING TO PATIENTS WITH CARDIOVASCULAR DISEASES. THE PROGRAM ASSISTS THEM IN LEADING PRODUCTIVE AND ACTIVE LIVES. OPERATION BOUNCE-BACK IS ONE OF THE 10 LARGEST CARDIAC REHABILITATION PROGRAMS IN THE UNITED STATES AND THE FIRST CARDIAC REHABILITATION PROGRAM IN ALABAMA. PATIENTS OF ALL AGES AND WITH MANY FORMS OF HEART DISEASE BENEFIT FROM THE PROGRAM. THE INFIRMARY PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, WHICH ACCOUNTED FOR 48.43% OF TOTAL INPATIENT VISITS AND 28.82% OF OUTPATIENT GROSS REVENUE IN FISCAL YEAR 2013. WHILE THE ORGANIZATION IS REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL RECEIVED WAS APPROXIMATELY 330,000,000 LESS THAN WHAT WOULD HAVE BEEN RECEIVED HAD THESE PROGRAMS PAID FULL CHARGES. IN ADDITION TO SERVING MEDICARE AND MEDICAID PATIENTS, THE INFIRMARY PROVIDES CARE TO PATIENTS WHO MEET THE CRITERIA OF ITS FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION HAS EXPANDED THE FEDERAL POVERTY GUIDELINES TO AFFORD CHARITABLE CARE TO LARGER NUMBERS OF ITS PATIENT POPULATION. ALSO, AS A RESULT OF OPERATING THE ONLY HOSPITAL BASED INPATIENT PSYCHIATRIC UNIT IN THE COMMUNITY FOR ADULTS, THERE IS A SIGNIFICANT AMOUNT OF INDIGENT CARE PROVIDED THROUGH THIS SERVICE. THE TOTAL AMOUNT OF CHARGES FOREGONE FOR HEALTHCARE SERVICES AND SUPPLIES FURNISHED UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR FISCAL-YEAR ENDING 2013 WAS APPROXIMATELY 49,600,000, INCLUDING PRESUMPTIVELY ELIGIBLE PATIENTS. SPONSORED BY THE AMERICAN COUNCIL ON EXERCISE, THE INFIRMARY'S OPERATION FITKIDS IS DESIGNED TO EDUCATE CHILDREN AND THEIR FAMILIES ON THE BENEFITS OF REGULAR PHYSICAL ACTIVITY AND PROPER NUTRITION. THE EIGHT WEEK PROGRAM IS OFFERED FREE WITH PHYSICIAN REFERRAL TO CHILDREN (AGES 7-11) AT THE ORGANIZATION'S FITNESS CENTER. THE DEBAKEY DRUG EDUCATION PROGRAM VEHICLE TRAVELS TO SCHOOLS THROUGHOUT FIVE COUNTIES OF SOUTHWEST ALABAMA TO EDUCATE CHILDREN ABOUT THE DANGERS OF ILLEGAL DRUG AND SUBSTANCE ABUSE. IN ADDITION TO VISITING PUBLIC, PRIVATE AND PAROCHIAL SCHOOLS, THE VEHICLE IS AVAILABLE FOR COMMUNITY EVENTS AND OTHER SPECIAL PROGRAMS. RECOGNIZED BY THE AMERICAN HOSPITAL ASSOCIATION, THE VEHICLE WAS THE FIRST OF ITS KIND IN THE COUNTRY. SINCE IT BEGAN IN 1994, MORE THAN 100,000 STUDENTS HAVE PARTICIPATED IN THE PROGRAM. SENIORS' BEST IS A FREE MEMBERSHIP PROGRAM FOR ADULTS, AGES 55 AND OLDER, DESIGNED WITH THEIR SPECIAL HEALTHCARE AND LIFESTYLE NEEDS IN MIND. EXCLUSIVE MEMBERSHIP BENEFITS INCLUDE: FREE AND LOW-COST QUARTERLY HEALTH SCREENINGS, EDUCATIONAL SEMINARS AND PROGRAMS ON HEALTH, WELLNESS AND FINANCIAL TOPICS; TRAVEL CLUB FOR SINGLE AND MULTI-DAY TRIPS; DISCOUNTS FROM LOCAL MERCHANTS; VISION DISCOUNT CARDS, NUTRITION COUNSELING, AND MEMBERSHIP DISCOUNTS AT ALL OF THE ORGANIZATION'S WELLNESS CENTERS. WOMEN'S BEST IS A COMMUNITY OUTREACH INITIATIVE DESIGNED EXCLUSIVELY FOR WOMEN TO EMPOWER, EDUCATE AND ENCOURAGE THEM TO TAKE CARE OF THEIR HEALTH AT EVERY DECADE OF THEIR LIVES-FROM PRE-CHILDBIRTH TO POST-MENOPAUSAL. PROGRAMS INCLUDE A VARIETY OF BENEFITS, INCLUDING: HEALTH SCREENINGS, SEMINARS, WELLNESS ACTIVITIES AND SPECIAL EVENTS SUCH AS ANNUAL WELLNESS CONFERENCES, HOLIDAY LUNCHEONS, AND AN ANNUAL GREAT EXPECTATIONS EVENT FOR EXPECTANT MOTHERS. THE ORGANIZATION PROVIDES NUMEROUS OTHER MONTHLY, QUARTERLY AND ANNUAL COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS, AND SCREENINGS TO BENEFIT AREA CITIZENS. SOME OF THE EDUCATIONAL PROGRAMS INCLUDE: SKIN CANCER, BLOOD PRESSURE, BLOOD SUGAR, ASTHMA AND BONE DENSITY SCREENINGS; LUNCH & LEARN PROGRAMS WITH PHYSICIAN SPEAKERS; BLOOD DRIVES; AN AARP DRIVING COURSE FOR SENIORS; AND AN AMERICAN CANCER SOCIETY PROGRAM FOR WOMEN UNDERGOING CANCER TREATMENT. IN ADDITION, MORE THAN A DOZEN HEALTH FAIRS WERE HELD AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. THE ORGANIZATION ALSO FACILITATED AT LEAST EIGHT HEALTH RELATED WALKS SPONSORED BY NATIONAL ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, AND THE MARCH OF DIMES. THESE PROGRAMS BENEFIT THOUSANDS OF AREA CITIZENS ANNUALLY.
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 FORM 990 IS PREPARED BY THE ACCOUNTANTS OF AN AFFILIATED COMPANY WITH ASSISTANCE FROM SEVERAL KNOWLEDGEABLE EMPLOYEES OF THE REPORTING ORGANIZATION. A DETAILED REVIEW IS CONDUCTED BY THE OUTSIDE ACCOUNTING FIRM OF ERNST & YOUNG, LLP. THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER BEFORE A FINAL DRAFT COPY IS PROVIDED TO THE PRESIDENT AND CEO FOR APPROVAL AND SIGNATURE.
ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ALL OFFICERS AND DIRECTORS OF INFIRMARY HEALTH SYSTEM, INC. AND ITS AFFILIATES ARE REQUIRED ANNUALLY TO REVIEW THE CONFLICT OF INTEREST POLICY WHICH PROVIDES A DEFINITION OF CONFLICTS OF INTEREST AND ADVISES THAT ALL CONFLICTS SHOULD BE AVOIDED IF POSSIBLE. OFFICERS ARE REQUIRED TO REPORT ANY SUCH CONFLICTS AS THEY BECOME AWARE AND DIRECTORS ARE REQUIRED ANNUALLY TO SIGN AND RETURN THE CONFLICT OF INTEREST STATEMENT. DIRECTORS SHALL DISCLOSE AT THE EARLIEST POSSIBLE MEETING OF THE BOARD OF DIRECTORS ANY EXISTING OR POTENTIAL CONFLICT. THE BOARD OF DIRECTORS SHALL THEN ASK ANY CONFLICTED MEMBER TO LEAVE THE MEETING DURING DELIBERATIONS WITH RESPECT TO THE MATTER THAT GIVES RISE TO THE EXISTING OR POTENTIAL CONFLICTING INTEREST.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B AS AN AFFILIATE OF INFIRMARY HEALTH SYSTEM, INC., THE INFIRMARY FOLLOWS THE SYSTEM-WIDE COMPENSATION PHILOSOPHY. THE SYSTEM EMPLOYEES DESIGNATED AS OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE PARTICIPANTS IN THE ORGANIZATION'S PERFORMANCE PLAN THAT IS REVIEWED ANNUALLY FOR MERIT INCREASES. THE ANNUAL REVIEW COVERS THE EMPLOYEE'S PERFORMANCE FOR THE FISCAL YEAR OF APRIL 1ST THROUGH MARCH 31ST OF THE FOLLOWING YEAR. THE AMOUNT OF INDIVIDUAL MERITS/SALARY INCREASES ARE DETERMINED BASED ON THE COMPA-RATIO (HOURLY RATE RELATIVE TO SALARY RANGE MIDPOINT), THE NUMBER OF MONTHS SINCE THEIR LAST INCREASE AND PERFORMANCE SCORE (RATING) AND THE ORGANIZATION'S ANNUAL MERIT GUIDELINES. EACH POSITION IS ASSIGNED A SALARY RANGE BASED ON MARKET DATA, INTERNAL EQUITY, AND EVALUATION FACTORS SUCH AS ACCOUNTABILITY, KNOW HOW, AND PROBLEM SOLVING ABILITY. SALARY RANGE MIDPOINTS (REPRESENTING 100% OF THE MARKET) INCREASE EACH YEAR BASED ON EXTERNAL DATA. THE ORGANIZATION PARTICIPATES IN NUMEROUS SALARY SURVEYS. DEPENDING ON THE POSITION, THE SURVEY DATA MAY BE INDUSTRY SPECIFIC (E.G. HEALTHCARE) OR FROM OTHER INDUSTRIES. CURRENTLY, EXECUTIVE POSITION DATA COMES FROM WATSON WYATT, INTEGRATED HEALTHCARE STRATEGIES, AND SULLIVAN COTTER. THE ANNUAL MERIT GUIDELINES PROVIDE A MERIT INCREASE PERCENTAGE RANGE BASED ON THE INDIVIDUAL EMPLOYEE'S PERFORMANCE RATING AND COMPA- RATIO. FOR EXECUTIVES, THE CEO AND THE VP, HUMAN RESOURCES REVIEW THE SUGGESTED MERIT INCREASE AND MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE BEFORE FINAL RECOMMENDATIONS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. THE ORGANIZATION HAD AN EXTERNAL REVIEW OF COMPENSATION PRACTICES PERFORMED BY HEWIT & ASSOCIATES IN 2010 AND SULLIVAN COTTER IN 2012.
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 XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION NET ASSETS RELEASED FROM RESTRICTIONS - 1,270,005; INTERCOMPANY TRANSFERS - 178,535; CONTRIBUTIONS - 1,652,764.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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
2012
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" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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" to 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 entity?
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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" to 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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) GULF HEALTH SERVICES INC

PO BOX 2226
MOBILE,AL36652
63-0943206 		MANAGEMENT AL IMC
INFIRMARY MEDICAL CLINICS PC 		C CORP         No
(2) GULF HEALTH MANAGEMENT SVCS INC

PO BOX 2226
MOBILE,AL36652
56-2332377 		MANAGEMENT AL IHS
INFIRMARY HEALTH SYSTEM INC 		C CORP         No
(3) INFIRMARY MEDICAL CLINICS PC

PO BOX 2226
MOBILE,AL36652
63-0985524 		PHYS OFFIC AL IHS
INFIRMARY HEALTH SYSTEM INC 		C CORP         No
(4) INDUSTRIAL REHAB INC

PO BOX 2226
MOBILE,AL36652
20-0978395 		PHY THERAP AL GHS
GULF HEALTH SERVICES INC 		C CORP         No
(5) AMERICAN OAK HILL ASSURANCE LTD

PO BOX 2226
MOBILE,AL36652
63-6117376 		SELF-INSUR BD IHS
INFIRMARY HEALTH SYSTEM INC 		C CORP         No
(6) PROF & COMP GEN PAT SELF INS TRUST

PO BOX 2226
MOBILE,AL36652
63-6117376 		SELF-INSUR AL IHS
INFIRMARY HEALTH SYSTEM INC 		TRUST         No
(7) WORKER'S COMPENSATION TRUST

PO BOX 2226
MOBILE,AL36652
63-6118459 		SELF-INSUR AL IHS
INFIRMARY HEALTH SYSTEM INC 		TRUST         No
(8) GULF HEALTH SERVICES INC

PO BOX 2226
MOBILE,AL36652
63-0943206 		MANAGEMENT AL IMC
INFIRMARY MEDICAL CLINICS PC 		C CORP         No
(9) GULF HEALTH MANAGEMENT SVCS INC

PO BOX 2226
MOBILE,AL36652
56-2332377 		MANAGEMENT AL IHS
INFIRMARY HEALTH SYSTEM INC 		C CORP         No
(10) INFIRMARY MEDICAL CLINICS PC

PO BOX 2226
MOBILE,AL36652
63-0985524 		PHYS OFFIC AL IHS
INFIRMARY HEALTH SYSTEM INC 		C CORP         No
(11) INDUSTRIAL REHAB INC

PO BOX 2226
MOBILE,AL36652
20-0978395 		PHY THERAP AL GHS
GULF HEALTH SERVICES INC 		C CORP         No
(12) AMERICAN OAK HILL ASSURANCE LTD

PO BOX 2226
MOBILE,AL36652
63-6117376 		SELF-INSUR BD IHS
INFIRMARY HEALTH SYSTEM INC 		C CORP         No
(13) PROF & COMP GEN PAT SELF INS TRUST

PO BOX 2226
MOBILE,AL36652
63-6117376 		SELF-INSUR AL IHS
INFIRMARY HEALTH SYSTEM INC 		TRUST         No
(14) WORKER'S COMPENSATION TRUST

PO BOX 2226
MOBILE,AL36652
63-6118459 		SELF-INSUR AL IHS
INFIRMARY HEALTH SYSTEM INC 		TRUST         No
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
Yes
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
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-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) WORKER'S COMPENSATION TRUST

 R 593,675 CASH





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
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


Software ID:  
Software Version: