Infirmary Health

What it reported doing in 2024

Mobile infirmary association ("mobile infirmary") is licensed to operate 677 beds in the mobile infirmary medical center including 41 physical rehabilitation beds in the j.l. Bedsole/rotary rehabilitation hospital division, providing services necessary to deliver essential healthcare to the gulf coast community regardless of race, creed, sex, national origin, handicap, or age. During the fiscal year ended march 31, 2025, mobile infirmary served almost 23,200 inpatients and provided over 274,000 outpatient services, delivered 900 babies, and performed over 15,300 surgeries, including 345 open-heart cases. Mobile infirmary operates a full-time level ii emergency department, open to all persons without regard for ability to pay, which treated almost 64,000 people during the year. There are more than 650 physicians on the open medical staff. (continued on schedule o) as the first hospital in the region to acquire the da vinci surgical system (one of the most precise and least invasive surgical treatments available), mobile infirmary has the most comprehensive robotic program along the gulf coast. The da vinci system puts the surgeon's hands at the controls of a state-of-the-art robotic platform with 3d, high- definition vision and miniaturized, wristed instruments designed to help doctors take surgery beyond the limits of the human hand. The da vinci system enables surgeons to perform even the most complex and delicate procedures through very small incisions with unmatched precision. All surgeries are performed with a team of highly skilled and trained medical professionals. In 2012, infirmary health (an affiliated company) formed a volunteer committee to serve as a governing body for community involvement for the system, including mobile infirmary. This committee, known as ihelp, helps better manage staff and organizational resources by establishing a process to evaluate community needs and ensure our community projects are in line with our mission. In fy25, through the ihelp program, infirmary health gave 100,000 to more than 50 local non-profit organizations. 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. Mobile infirmary participates in the medicare and medicaid programs. In addition to that, mobile infirmary provides care to patients who meet the criteria of its financial assistance policy. The organization has expanded the federal poverty guidelines to afford charitable care to larger numbers of its patient population. Also, as a result of operating the only hospital based inpatient psychiatric unit in the community for adults, there is a significant amount of indigent care provided through this service. The total amount of charges foregone for healthcare services and supplies furnished under the organization's financial assistance policy for fiscal- year ending 2025 was over 26,896,000, including presumptively eligible patients. 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 350,000 students have participated in the program. Mobile infirmary operates a charity pharmacy program that connects low income patients who qualify with free medications that they may not otherwise get filled due to the costs. During the fiscal year ending

Financial Efficiency

• Mission deployment rate: 64.8%; rating input score 65
• Program expense ratio: 67.1%; rating input score 67
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 71.4%; rating input score 71; 22nd percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 5.5%; rating input score 59; 59th percentile among comparable filings
• Total-asset coverage ratio: 1.42; rating input score 51; 51st percentile among comparable filings
• Liabilities to assets ratio: 0.2; rating input score 69; 69th percentile among comparable filings
• Officer compensation ratio: 0.7%; rating input score 81; 81st percentile among comparable filings

Growth

• Program expense growth: 3.4% per year; rating input score 100; 25th percentile among comparable filings
• Revenue growth: 4% per year; rating input score 100; 33rd percentile among comparable filings
• Asset growth: 5.7% per year; rating input score 100; 42nd percentile among comparable filings