GULF HEALTH HOSPITALS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: GULF HEALTH HOSPITALS INC (EIN 63-0891904)
Tax period: 2021-04-01 to 2022-03-31
Filed: 2023-01-31
IRS object ID: 202320319349300312
Schema version: 2021v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-01-31T10:02:54-05:00	ReturnTs
Tax Period End	2022-03-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	630891904	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GULF HEALTH HOSPITALS INC DBA	BusinessNameLine1Txt
Business Name Line2	THOMAS HOSPITAL NORTH BALDWIN	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	GULF	BusinessNameControlTxt
Phone	2514353030	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 2226	AddressLine1Txt
City	MOBILE	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	366522226	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH DENTON	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	2514353030	PhoneNum
Signature	2022-12-22	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOSEPH	PersonFirstNm
Person Last	DENTON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-03-07 01:45:13Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	INFIRMARY & OAKWOOD NURSING HOME	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	D MARK NIX	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2226	AddressLine1Txt
City	MOBILE	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	36652	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$344,046,332	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	THOMASHOSPITAL.ORG & NORTHBALDWININFIR	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	AL	LegalDomicileStateCd
Activity Or Mission	TO ADVANCE THE PROMOTION OF HEALTH & TO PARTICIPATE IN ANY ACTIVITY DESIGNED TO PROMOTE HEALTH OR HEALING IN THE GULF COAST REGION.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	1920	TotalEmployeeCnt
Total Volunteers	146	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$2,229,720	PYContributionsGrantsAmt
CY Contributions Grants	$638,629	CYContributionsGrantsAmt
PY Program Service Revenue	$270,724,600	PYProgramServiceRevenueAmt
CY Program Service Revenue	$327,927,318	CYProgramServiceRevenueAmt
PY Investment Income	$1,181,674	PYInvestmentIncomeAmt
CY Investment Income	$860,403	CYInvestmentIncomeAmt
PY Other Revenue	$9,834,565	PYOtherRevenueAmt
CY Other Revenue	$12,698,589	CYOtherRevenueAmt
PY Total Revenue	$283,970,559	PYTotalRevenueAmt
CY Total Revenue	$342,124,939	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$95,929,806	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$117,645,284	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$174,525,753	PYOtherExpensesAmt
CY Other Expenses	$197,416,900	CYOtherExpensesAmt
PY Total Expenses	$270,455,559	PYTotalExpensesAmt
CY Total Expenses	$315,062,184	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,515,000	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,062,755	CYRevenuesLessExpensesAmt
Total Assets BOY	$272,470,569	TotalAssetsBOYAmt
Total Assets EOY	$254,941,753	TotalAssetsEOYAmt
Total Liabilities BOY	$261,955,354	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$216,117,480	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$10,515,215	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$38,824,273	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ADVANCE THE PROMOTION OF HEALTH & TO PARTICIPATE IN ANY ACTIVITY DESIGNED TO PROMOTE HEALTH OR HEALING IN THE GULF COAST REGION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$278,288,048	ExpenseAmt
Revenue	$341,016,480	RevenueAmt
Desc	GULF HEALTH HOSPITALS, INC. (GHHI) OPERATES NORTH BALDWIN INFIRMARY (NBI), A 70 BED NONPROFIT ACUTE CARE HOSPITAL IN BAY MINETTE, BALDWIN COUNTY, ALABAMA AND THOMAS HOSPITAL, A 150 BED NONPROFIT ACUTE CARE HOSPITAL IN FAIRHOPE, BALDWIN COUNTY, ALABAMA. BOTH HOSPITALS PROVIDE SERVICES NECESSARY TO DELIVER ESSENTIAL HEALTH CARE TO THE GULF COAST COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. NORTH BALDWIN INFIRMARY IS A COMMUNITY HOSPITAL THAT SERVES A RURAL COMMUNITY IN THE NORTHERN PART OF BALDWIN COUNTY. NBI OFFERS A SENIOR BEHAVIORAL HEALTH PROGRAM AND LONG-TERM CARE AT OAKWOOD - NORTH BALDWIN'S CENTER FOR LIVING. DURING ITS TIME UNDER GHHI, THE ORGANIZATION IMPLEMENTED 25 MILLION DOLLARS IN EXPANSIONS TO IMPROVE THE HEALTHCARE OF RESIDENTS OF BALDWIN COUNTY. FOR THE FISCAL YEAR ENDED MARCH 31, 2022, NORTH BALDWIN INFIRMARY PROVIDED ALMOST 12,500 INPATIENT DAYS OF CARE, DELIVERED 227 BABIES, PERFORMED ALMOST 3,000 SURGERIES & TREATED OVER 15,000 EMERGENCY CASES IN ITS EMERGENCY DEPARTMENT. NBI PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL IS THE LARGEST COMMUNITY HOSPITAL IN BALDWIN COUNTY, ALABAMA, ONE OF THE FASTEST-GROWING COUNTIES IN ALABAMA. THE ABILITY TO KEEP UP WITH THE EVER-INCREASING DEMAND FOR HEALTH SERVICES IN THE COMMUNITY IS CRITICAL TO THE LONG-TERM WELFARE OF THE PATIENTS THOMAS HOSPITAL SERVES. GHHI LEASED THOMAS HOSPITAL IN AUGUST 2005 FROM A PUBLIC HEALTH CARE AUTHORITY AND IMMEDIATELY INITIATED EFFORTS TO ASSIST THOMAS HOSPITAL IN OBTAINING FUNDING FOR HOSPITAL EXPANSION AND RENOVATIONS. RECENT IMPROVEMENTS INCLUDE AN ENLARGED BIRTH CENTER, A FREESTANDING EMERGENCY ROOM BUILDING, A NEW CANCER CENTER FOR RADIATION TREATMENTS, AND A COMPREHENSIVE BREAST CENTER FOR 2D AND 3D MAMMOGRAPHY AND DIAGNOSTIC TESTING. FOR THE FISCAL YEAR ENDED MARCH 31, 2022 THOMAS HOSPITAL PROVIDED OVER 56,000 PATIENT DAYS OF CARE, DELIVERED OVER 1,300 BABIES, TREATED OVER 47,500 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED OVER 8,000 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY PROVIDE AND/OR PARTICIPATE IN A NUMBER OF MONTHLY, QUARTERLY, AND ANNUAL COMMUNITY OUTREACH/EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS, AND VARIOUS SCREENINGS TO BENEFIT AREA CITIZENS. THE HOSPITALS HAVE SPONSORED A NUMBER OF HEALTH FAIRS DURING THE YEAR ACROSS BALDWIN COUNTY IN PARTNERSHIP WITH LOCAL GOVERNMENT AND CORPORATE PARTNERS. THESE HEALTH FAIRS PROVIDED FREE HEALTH ASSESSMENTS, VACCINATIONS, AND WELLNESS INFORMATION TO THE COMMUNITY. THEY ALSO SPONSORED A WALK AT LUNCH EVENT TO PROMOTE HEALTHY HABITS IN PARTNERSHIP WITH BLUE CROSS BLUE SHIELD. NORTH BALDWIN INFIRMARY HAS SERVED AS THE LEAD APPLICANT AND IS A FOUNDING MEMBER OF THE NORTH BALDWIN RURAL HEALTH NETWORK WHICH FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY THROUGH A COLLABORATION OF PROVIDERS AND UTILIZATION OF TECHNOLOGY. THE PROGRAM IS FUNDED BY THE HEALTH RESOURCE SERVICES ADMINISTRATION AND HAS ESTABLISHED SEVERAL PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE CARE TRANSITIONS PROGRAM COORDINATES PATIENTS CARE FROM HOSPITAL TO HOME BY WORKING CLOSELY WITH POST-ACUTE PROVIDERS. THE PROGRAM UTILIZES THE WATERSHED PLATFORM TO COMMUNICATE WITH PATIENTS AND PROVIDERS TO ENSURE PATIENTS ARE ABLE TO RECEIVE SUPPORT AFTER THEY LEAVE THE HOSPITAL. GHHI PROVIDES WATERSHED ACCESS AT NO CHARGE TO PROVIDERS TO ENSURE THEY CHOOSE TO PARTICIPATE IN THE INITIATIVE. NORTH BALDWIN INFIRMARY ALSO PROVIDES FREE SMOKING CESSATION CLASSES TO THE COMMUNITY SEVERAL TIMES PER YEAR. THEY USE THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM. THEY ALSO OFFER INDIVIDUALS WITH LUNG DISEASE WITH A MONTHLY SUPPORT GROUP TO HELP THEM DEAL WITH THEIR DISEASE AND IMPROVE THEIR HEALTH. THE ORGANIZATION PROVIDES APPROXIMATELY A DOZEN MONTHLY SUPPORT GROUPS AND ANNUALLY ORGANIZES SEVERAL HEALTH RELATED WALKS SPONSORED BY ONE OF THE HOSPITALS OR A NATIONAL ORGANIZATION SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, OR THE MARCH OF DIMES. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL BOTH OFFER DIABETES SELF- MANAGEMENT PROGRAMS TO HELP INDIVIDUALS LIVING WITH DIABETES MANAGE THEIR CONDITION AND LIVE HEALTHIER LIVES. MENTAL HEALTH FIRST AID IS AN 8-HOUR COURSE THAT TEACHES PEOPLE THE SKILLS TO HELP SOMEONE WHO IS DEVELOPING A MENTAL HEALTH ILLNESS OR EXPERIENCING A MENTAL HEALTH CRISIS. THE EVIDENCE BEHIND THE PROGRAM DEMONSTRATES THAT IT BUILDS MENTAL HEALTH LITERACY, HELPING THE PUBLIC IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESS. THE TRAINING IS OFFERED MONTHLY AND IS FREE TO THE PUBLIC. IN 2012, INFIRMARY HEALTH (AN AFFILIATED COMPANY) FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN 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. ANNUALLY, NORTH BALDWIN INFIRMARY HOSTS RIDEYELLOW, A BIKE RIDE BENEFITING LOCAL CANCER CHARITIES. TRADITIONALLY, THE RIDE IS HELD ON FATHER'S DAY WEEKEND, AND IN 2021, THE RIDE WAS VIRTUAL DUE TO WEATHER. HOWEVER, THE RIDE GENERATED 15,000 FOR CAMP RAPAHOPE, A LOCAL CHILDREN'S CANCER CHARITY. THE CHARITY BIKE RIDE BEGAN 16 YEARS AGO TO RAISE CANCER AWARENESS AND TO GATHER SUPPORT FOR THE MISSION OF INSPIRING OTHERS TO JOIN THE FIGHT AGAINST THE DISEASE. THE EVENT HAD MANY VOLUNTEERS WITH THE MAJORITY BEING FROM INFIRMARY HEALTH. SINCE ITS INCEPTION, RIDEYELLOW HAS DONATED OVER 565,000 TO VARIOUS CANCER CHARITIES. ADDITIONALLY, FOR THE LAST 44 YEARS, THOMAS HOSPITAL AND WELLS FARGO HAVE HOSTED SPRING FEVER CHASE-A 10K AND 2-MILE FUN RUN THAT TAKES PLACE IN BALDWIN COUNTY. PROCEEDS FROM SPRING FEVER CHASE BENEFIT LOCAL BALDWIN COUNTY SCHOOLS WHO APPLY FOR PHYSICAL EDUCATION EQUIPMENT GRANTS. THE EVENT TOOK PLACE ON MARCH 19, 2022 AND HAD MORE THAN 1,000 PARTICIPANTS. IN TOTAL, THE EVENT GAVE BACK 10,800 TO LOCAL SCHOOLS. INFIRMARY HEALTH SUPPORTS OUR LOCAL AMERICAN CANCER SOCIETY WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS: RELAY FOR LIFE, MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, AND NUMEROUS OTHER AMERICAN CANCER SOCIETY EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2021, INFIRMARY HEALTH RAISED MONEY FOR BOTH THE CHILI COOK OFF, RAISING MONEY FOR COLON CANCER AWARENESS, AND MAKING STRIDES AGAINST BREAST CANCER. FOR THE CHILI COOK OFF, EACH HOSPITAL SOLD T-SHIRTS AND TICKETS TO THE EVENT. IN TOTAL, 296 SHIRTS WERE SOLD, AND 1,422 WAS RAISED. FOR MAKING STRIDES, EACH HOSPITAL SOLD T-SHIRTS AND BREAST CANCER AWARENESS FLAGS, RAISING NEARLY 3,500. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL EMPLOYEES HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK, AND INFIRMARY HEALTH SERVES AS THE SURVIVOR TENT SPONSOR FOR THE EVENT, WHICH HAD MORE THAN 3,500 PARTICIPANTS. INFIRMARY HEALTH IS ALSO AN ACTIVE SPONSOR OF THE AMERICAN HEART ASSOCIATION'S HEART WALK IN MOBILE AND BALDWIN COUNTIES. EMPLOYEES PARTICIPATED THROUGH PURCHASING T-SHIRTS, PARTICIPATING IN RAFFLES AND REGISTERING FOR THE WALK IN NOVEMBER. INFIRMARY HEALTH'S TEAM RAISED MORE THAN 10,000 FOR THEIR TEAM. EACH NOVEMBER OR DECEMBER, INFIRMARY HEALTH HOSTS AN ANNUAL "TURKEY TOSS", GIVING AWAY A FREE TURKEY TO EACH EMPLOYEE FOR THE HOLIDAYS. THE EXCESS TURKEYS ARE DONATED TO FEED THE HOMELESS AND LOW INCOME FAMILIES THROUGH ORGANIZATIONS SUCH AS: PRODISEE PANTRY, FAIRHOPE UNITED METHODIST CHURCH, FIRST BAPTIST CHURCH OF FAIRHOPE, AND FEEDING THE GULF COAST. INFIRMARY HEALTH AND INFIRMARY CANCER CARE ROLLED OUT ITS MOBILE CANCER SCREENING UNIT IN FEBRUARY 2019. THE MOBILE SCREENING UNIT HELPS ADDRESS THE NEED FOR ACCESS TO CARE IN RURAL COMMUNITIES, SO THE UNIT TRAVELED TO MANY OUTLYING AREAS OF THE COMMUNITY SUCH AS THEODORE, CITRONELLE, LILLIAN AND OTHERS. DURING THIS FISCAL YEAR, THE UNIT WAS UTILIZED TO PROVIDE COVID-19 VACCINES TO COMMUNITIES. IN TOTAL, THE UNIT SAW MORE THAN 500 PATIENTS WHO WERE SCREENED FOR VARIOUS CANCERS AND/OR PROVIDED COVID-19 VACCINES. INFIRMARY HEALTH WAS A LEADER DURING THE COVID-19 PANDEMIC AND SAW MORE COVID-19 PATIENTS THAN ANY OTHER PROVIDER IN THE REGION. FROM APRIL 2021 - MARCH 2022, INFIRMARY HEALTH TEAMS ADMINISTERED MORE THAN 30,000 VACCINES TO THE COMMUNITY. IN BALDWIN COUNTY, THE COVID VACCINE TEAM TRAVELED TO ANCILLARY AREAS IN THE COUNTY TO PROVIDE VACCINES TO THOSE WITH LIMITED ACCESS TO TRAVEL. THOMAS HOSPITAL HOSTED 15 COMMUNITY COVID VACCINE EVENTS, AND NORTH BALDWIN INFIRMARY HOSTED THREE. IN THIS FISCAL YEAR, NORTH BALDWIN INFIRMARY HOSTED CHILDBIRTH EDUCATION AND LACTATION SUPPORT CLASSES FOR THE COMMUNITY. THESE EVENTS ARE FREE TO MOMS TO COME AND LEARN LACTATION TIPS AND RECEIVE SUPPORT FROM OTHER WOMEN WHO ARE ALSO BREASTFEEDING. THE HOS	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,313,450	ExpenseAmt

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,313,450	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$279,601,498	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	198	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1920	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JIM MITCHELL	PersonNm
Phone	2514353030	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5 MOBILE INFIRMARY CIRCLE	AddressLine1Txt
City	MOBILE	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	36607	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
D MARK NIX
PRES/CEO	2.00	40.00	Yes (X)	Yes (X)	$0	$3,274,030	$216,071
FURHAN YUNAS
DIRECTOR	45.00				$744,825	$670,976	$32,406	Yes (X)
JOE T STOUGH III
VICE PRESIDE	2.00	40.00		Yes (X)	$0	$969,177	$114,727
JOSEPH DENTON
TREASURER	2.00	40.00		Yes (X)	$0	$864,569	$119,077
SCOTT A BROWNING
SECRETARY	2.00	40.00		Yes (X)	$0	$532,825	$71,526
KERN WILSON
ASST TREASUR	2.00	40.00		Yes (X)	$0	$392,874	$93,314
LEEANN CAIN
VICE PRESIDE	45.00				$387,290	$0	$58,308	Yes (X)
JULIE ROWELL
VICE PRESIDE	45.00				$323,592	$0	$68,463	Yes (X)
DAVID CLARKSON
MD	45.00				$316,782	$0	$17,667		Yes (X)
MATTHEW WILLIAMS
PHYSICIST	45.00				$209,806	$0	$27,470		Yes (X)
CHARLES BULLINGTON
PHYSICIST	45.00				$208,328	$0	$20,595		Yes (X)
MICHAEL MCBREARTY
PHYSICIAN	45.00				$185,304	$0	$23,921		Yes (X)
JOANN NIX
CNO	45.00				$164,186	$0	$37,360		Yes (X)
LAURA MORRISSETTE CLARK
DIRECTOR	0.10		Yes (X)		$0	$0	$0
MICHAEL HOLBERG
DIRECTOR	0.10		Yes (X)		$0	$0	$0
FRANK LOTT III
DIRECTOR	0.10		Yes (X)		$0	$0	$0
JOHN BAKER III
DIRECTOR	0.10		Yes (X)		$0	$0	$0
MICHAEL PIERCE
DIRECTOR	0.10		Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,540,113	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,704,451	TotReportableCompRltdOrgAmt
Total Other Compensation	$900,905	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	93	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EASTERN SHORE ANESTHESIA PC
PO BOX 1025	FAIRHOPE	AL	36533	ANESTHESIA	$1,677,821
GIFTED NURSES LLC
PO BOX 205426	DALLAS	TX	75320	TRAVEL NURSING	$1,366,431
HORIZON MENTAL HEALTH MANAGEMENT
P O BOX 840839	DALLAS	TX	75284	GERIATRIC PSYCH	$1,039,243
TOMORROW TOO INC
45200 CHALET DR	BAY MINETTE	AL	36507	ROOFING CONTR	$584,350
QUALIVIS LLC
PO BOX 123847	DALLAS	TX	75312	STAFFING AGENCY	$493,498

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Related Organizations	$489,148	RelatedOrganizationsAmt
All Other Contributions	$149,481	AllOtherContributionsAmt
Total Contributions	$638,629	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICES REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$327,927,318	TotalRevenueColumnAmt
Related Or Exempt Func Income	$327,927,318	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$327,927,318	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$860,403	TotalRevenueColumnAmt
Exclusion	$860,403	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,530,820	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,921,393	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$390,573	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$390,573	TotalRevenueColumnAmt
Exclusion	-$390,573	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DISCOUNTS/REBATES/MISC	900099	$12,925,280	$12,925,280
DIETARY	722514	$88,925	$88,925
MEANINGFUL USE	900099	$74,957	$74,957

Field	Value	IRS element (for citing)
Other Revenue Total	$13,089,162	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$342,124,939	TotalRevenueColumnAmt
Related Or Exempt Func Income	$341,016,480	RelatedOrExemptFuncIncomeAmt
Exclusion	$469,830	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,518,038	TotalAmt
Program Services	$1,313,450	ProgramServicesAmt
Management And General	$204,588	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$96,306,784	TotalAmt
Program Services	$94,945,169	ProgramServicesAmt
Management And General	$1,361,615	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,565,005	TotalAmt
Program Services	$2,528,750	ProgramServicesAmt
Management And General	$36,255	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,140,533	TotalAmt
Program Services	$10,983,068	ProgramServicesAmt
Management And General	$157,465	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,114,924	TotalAmt
Program Services	$6,028,493	ProgramServicesAmt
Management And General	$86,431	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$16,968,031	TotalAmt
Management And General	$16,968,031	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,149,374	TotalAmt
Management And General	$1,149,374	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$10,852	TotalAmt
Management And General	$10,852	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,141,419	TotalAmt
Program Services	$17,664,024	ProgramServicesAmt
Management And General	$2,477,395	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$51,886	TotalAmt
Program Services	$45,504	ProgramServicesAmt
Management And General	$6,382	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,053,847	TotalAmt
Program Services	$11,315,100	ProgramServicesAmt
Management And General	$1,738,747	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$69,012	TotalAmt
Program Services	$60,524	ProgramServicesAmt
Management And General	$8,488	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,542	TotalAmt
Program Services	$10,999	ProgramServicesAmt
Management And General	$1,543	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,470,593	TotalAmt
Management And General	$3,470,593	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,241,913	TotalAmt
Program Services	$11,613,158	ProgramServicesAmt
Management And General	$1,628,755	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,331,382	TotalAmt
Management And General	$3,331,382	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & LAB SUPPLIES	$68,515,875	$68,515,875
BAD DEBTS	$34,093,910	$34,093,910
SHARED SERVICES	$19,863,981	$17,420,711	$2,443,270
OTHER SUPPLIES & EXPENSES	$2,873,859	$2,520,374	$353,485

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$568,424	TotalAmt
Program Services	$542,389	ProgramServicesAmt
Management And General	$26,035	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$315,062,184	TotalAmt
Program Services	$279,601,498	ProgramServicesAmt
Management And General	$35,460,686	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$52,019,168	BOYAmt
EOY	$35,995,096	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,560,281	BOYAmt
EOY	$12,090,110	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,305,262	BOYAmt
EOY	$35,731,629	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,381,823	BOYAmt
EOY	$4,261,846	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,980,457	BOYAmt
EOY	$2,537,229	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$303,605,235	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$213,573,241	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,351,447	BOYAmt
EOY	$90,031,994	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$612,274	BOYAmt
EOY	$576,238	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$69,259,857	BOYAmt
EOY	$73,717,611	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$272,470,569	BOYAmt
EOY	$254,941,753	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,628,636	BOYAmt
EOY	$24,621,939	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,903,912	BOYAmt
EOY	$256,737	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$717,168	BOYAmt
EOY	$8,510,551	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$213,705,638	BOYAmt
EOY	$182,728,253	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$261,955,354	BOYAmt
EOY	$216,117,480	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,061,331	BOYAmt
EOY	$30,226,847	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,453,884	BOYAmt
EOY	$8,597,426	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,515,215	BOYAmt
EOY	$38,824,273	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$272,470,569	BOYAmt
EOY	$254,941,753	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$27,062,755	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$184,758	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,431,061	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	false	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,915,754	OtherCostOrOtherBasisAmt
Book Value	$3,915,754	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$299,689,481	OtherCostOrOtherBasisAmt
Depreciation	$213,573,241	DepreciationAmt
Book Value	$86,116,240	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$90,031,994	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$51,419,074
TRUSTEED FUNDS	$13,121,360
NONCURRENT INVESTMENTS/OTHER	$9,177,177

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$73,717,611	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$137,506,396
OTHER ACCRUED LIABILITIES	$29,692,098
ACCRUED PROF LIAB & WORKERS COMP	$10,116,893
OTHER CURRENT LIABILITIES	$3,127,075
NONCURRENT OPERATING LEASE LIABILITY	$1,915,493
DUE TO CONTRACTUAL AGENCIES	$370,298

Field	Value	IRS element (for citing)
Total Liability	$182,728,253	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,823,632	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,823,632	NetCommunityBenefitExpnsAmt
Total Expense	0.01850	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,969,868	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,272,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,697,484	NetCommunityBenefitExpnsAmt
Total Expense	0.03080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,793,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,272,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,521,116	NetCommunityBenefitExpnsAmt
Total Expense	0.04930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$428,461	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$428,461	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$179,281	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$179,281	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,025	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,025	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$641,767	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$641,767	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,435,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,272,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,162,883	NetCommunityBenefitExpnsAmt
Total Expense	0.05140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$34,093,910	BadDebtExpenseAmt
Bad Debt Expense Attributable	$16,686,212	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$56,575,549	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$54,468,644	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,106,905	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	false	WrittenDebtCollectionPolicyInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
THOMAS HOSPITAL
1	P O DRAWER 929	FAIRHOPE	AL	36533	THOMASHOSPITAL.ORG	Yes (X)	Yes (X)	Yes (X)	1
NORTH BALDWIN INFIRMARY
2	P O BOX 1409	BAY MINETTE	AL	36507	NORTHBALDWININFIRMARY.ORG	Yes (X)	Yes (X)	Yes (X)	2

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back MedicareLookBackMedicareInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
1
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	THOMASHOSPITAL.ORG	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	200.000000000000	350.000000000000	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.INFIRMARYHEALTH.OG	Yes (X)	WWW.INFIRMARYHEALTH.ORG	Yes (X)	WWW.INFIRMARYHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
2
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	NORTHBALDWININFIRMARY.ORG	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	200.000000000000	350.000000000000	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.INFIRMARYHEALTH.ORG	Yes (X)	WWW.INFIRMARYHEALTH.ORG	Yes (X)	WWW.INFIRMARYHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 5	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 BALDWIN 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 MANANGEMENT, NURSING SERVICES, PATIENT SERVICES, AND ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF), THE QUALITY IMPROVEMENT ORGANIZATION (QIO) FOR THE STATE OF ALABAMA.
GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 6A	THOMAS HOSPITAL'S CHNA WAS PREPARED IN CONJUNCTION WITH NORTH BALDWIN INFIRMARY, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA.
GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 11	THE 2019 COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE 2019 CHNA FOR INFIRMARY HEALTH AFFILIATE HOSPITALS INCLUDING: MOBILE INFIRMARY, INFIRMARY LONG TERM ACUTE CARE (ILTAC), THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY INCLUDE: ACCESS TO CARE, CANCER, DIABETES, HEART DISEASE, AND OBESITY/PHYSICAL INACTIVITY. THE RESULTING PRIORITY AREAS WERE STRATEGICALLY CONDENSED INTO TWO MAIN PRIORITY AREAS TO FEATURE THE APPROACH THAT THE HEALTH SYSTEM WOULD TAKE TO HAVE AN IMPACT ON THE MOST SIGNIFICANT DISEASES IN OUR COMMUNITY: (1) ACCESS TO CARE WITH A FOCUS ON CANCER, DIABETES, AND HEART DISEASE. (2) OBESITY/PHYSICAL ACTIVITY WITH A FOCUS ON DIABETES AND HEART DISEASE. TO ADDRESS ACCESS TO CARE, INFIRMARY HEALTH SEEKS TO ESTABLISH PROGRAMS THAT PROVIDE AFFORDABLE COMPREHENSIVE HEALTHCARE EDUCATIONAL PROGRAMS AND THAT INCLUDE EARLY DETECTION AND PREVENTION MEASURES AND THAT PROMOTE PATIENT ENGAGEMENT AND SELF-MANAGEMENT FOR CANCER, DIABETES, AND HEART DISEASE. THE STRATEGIES TO ACHIEVE THIS WILL INCLUDE BRINGING HEALTH EDUCATION AND OUTREACH TO VULNERABLE COMMUNITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND BUSINESSES. THE HEALTH SYSTEM ALSO PLANS TO ESTABLISH A PREHAB CURRICULUM. ONE OF THE KEY WAYS THAT INFIRMARY HOSPITALS WILL IMPROVE ACCESS IS THROUGH ITS MOBILE SCREENING VEHICLE. IT WILL TRAVEL AROUND MOBILE AND BALDWIN COUNTIES PROVIDING SCREENING AND HEALTH EDUCATION IN THE AREAS OF CANCER, DIABETES AND HEART DISEASE. INFIRMARY HEALTH RECOGNIZES THE EFFECTS OF OBESITY ON CHRONIC DISEASES LIKE DIABETES AND HEART DISEASE. AS SUCH THEY PLAN TO ENHANCE AND ESTABLISH PROGRAMS THAT HELP INDIVIDUALS LOSE WEIGHT AND INCREASE THEIR PHYSICAL ACTIVITY LEVELS SO MOBILE AND BALDWIN COUNTIES CAN ACHIEVE THE LOWEST RATES OF DIABETES AND HEART DISEASE IN THE STATE OF ALABAMA. OBESITY CAN CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES AND INCREASES THE RISK OF A POOR OUTCOME IN OTHER ILLNESSES. TO ADDRESS THE IDENTIFIED NEED, MOBILE INFIRMARY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY WILL INCREASE AWARENESS OF THE CAMPAIGN "SCALE BACK ALABAMA", A STATE-WIDE EFFORT TO ENCOURAGE CITIZENS TO PARTICIPATE IN A HEALTHIER LIFESTYLE. INFIRMARY HEALTH IS COMMITTED TO SERVING AS A HOST SITE AND PLANS TO EXPAND ITS PARTICIPATION TO INCREASE THE NUMBER OF INDIVIDUALS WHO ENROLL EACH YEAR. THEY WILL WORK THROUGH THEIR COMMUNITY PARTNERSHIPS TO EXPAND THE NUMBER OF PARTICIPATING WEIGH-IN SITES IN ORDER TO REACH MORE PEOPLE THROUGHOUT THE COMMUNITY.
GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 16J	A NOTICE PUBLICIZING THE FINANCIAL ASSISTANCE POLICY (FAP) WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSION OFFICES AND OUTLYING REGISTRATION AREAS INCLUDING THE FACILITY'S EMERGENCY DEPARTMENT, AND THE FACILITY'S BUSINESS OFFICE. A PLAIN LANGUAGE SUMMARY OF THE FAP WAS ADDED TO BILLING AND COLLECTION STATEMENTS. DURING THE YEAR, THE FAP WAS PROVIDED TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE; THESE ORGANIZATIONS WERE THE MOBILE, BALDWIN, AND ESCAMBIA COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER AND THE HOPE CENTER.
GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 5	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 BALDWIN 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 MANANGEMENT, NURSING SERVICES, PATIENT SERVICES, AND ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF), THE QUALITY IMPROVEMENT ORGANIZATION (QIO) FOR THE STATE OF ALABAMA.
GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 6A	NORTH BALDWIN INFIRMARY'S CHNA WAS PREPARED IN CONJUNCTION WITH THOMAS HOSPITAL, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA.
GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 11	THE 2019 COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE 2019 CHNA FOR INFIRMARY HEALTH AFFILIATE HOSPITALS INCLUDING: MOBILE INFIRMARY, INFIRMARY LONG TERM ACUTE CARE (ILTAC), THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY INCLUDE: ACCESS TO CARE, CANCER, DIABETES, HEART DISEASE, AND OBESITY/PHYSICAL INACTIVITY. THE RESULTING PRIORITY AREAS WERE STRATEGICALLY CONDENSED INTO TWO MAIN PRIORITY AREAS TO FEATURE THE APPROACH THAT THE HEALTH SYSTEM WOULD TAKE TO HAVE AN IMPACT ON THE MOST SIGNIFICANT DISEASES IN OUR COMMUNITY: (1) ACCESS TO CARE WITH A FOCUS ON CANCER, DIABETES, AND HEART DISEASE. (2) OBESITY/PHYSICAL ACTIVITY WITH A FOCUS ON DIABETES AND HEART DISEASE. TO ADDRESS ACCESS TO CARE, INFIRMARY HEALTH SEEKS TO ESTABLISH PROGRAMS THAT PROVIDE AFFORDABLE COMPREHENSIVE HEALTHCARE EDUCATIONAL PROGRAMS AND THAT INCLUDE EARLY DETECTION AND PREVENTION MEASURES AND THAT PROMOTE PATIENT ENGAGEMENT AND SELF-MANAGEMENT FOR CANCER, DIABETES, AND HEART DISEASE. THE STRATEGIES TO ACHIEVE THIS WILL INCLUDE BRINGING HEALTH EDUCATION AND OUTREACH TO VULNERABLE COMMUNITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND BUSINESSES. THE HEALTH SYSTEM ALSO PLANS TO ESTABLISH A PREHAB CURRICULUM. ONE OF THE KEY WAYS THAT INFIRMARY HOSPITALS WILL IMPROVE ACCESS IS THROUGH ITS MOBILE SCREENING VEHICLE. IT WILL TRAVEL AROUND MOBILE AND BALDWIN COUNTIES PROVIDING SCREENING AND HEALTH EDUCATION IN THE AREAS OF CANCER, DIABETES AND HEART DISEASE. INFIRMARY HEALTH RECOGNIZES THE EFFECTS OF OBESITY ON CHRONIC DISEASES LIKE DIABETES AND HEART DISEASE. AS SUCH THEY PLAN TO ENHANCE AND ESTABLISH PROGRAMS THAT HELP INDIVIDUALS LOSE WEIGHT AND INCREASE THEIR PHYSICAL ACTIVITY LEVELS SO MOBILE AND BALDWIN COUNTIES CAN ACHIEVE THE LOWEST RATES OF DIABETES AND HEART DISEASE IN THE STATE OF ALABAMA. OBESITY CAN CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES AND INCREASES THE RISK OF A POOR OUTCOME IN OTHER ILLNESSES. TO ADDRESS THE IDENTIFIED NEED, MOBILE INFIRMARY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY WILL INCREASE AWARENESS OF THE CAMPAIGN "SCALE BACK ALABAMA", A STATE-WIDE EFFORT TO ENCOURAGE CITIZENS TO PARTICIPATE IN A HEALTHIER LIFESTYLE. INFIRMARY HEALTH IS COMMITTED TO SERVING AS A HOST SITE AND PLANS TO EXPAND ITS PARTICIPATION TO INCREASE THE NUMBER OF INDIVIDUALS WHO ENROLL EACH YEAR. THEY WILL WORK THROUGH THEIR COMMUNITY PARTNERSHIPS TO EXPAND THE NUMBER OF PARTICIPATING WEIGH-IN SITES IN ORDER TO REACH MORE PEOPLE THROUGHOUT THE COMMUNITY.
GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 16J	A NOTICE PUBLICIZING THE FINANCIAL ASSISTANCE POLICY (FAP) WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSION OFFICES AND OUTLYING REGISTRATION AREAS INCLUDING THE FACILITY'S EMERGENCY DEPARTMENT, AND THE FACILITY'S BUSINESS OFFICE. A PLAIN LANGUAGE SUMMARY OF THE FAP WAS ADDED TO BILLING AND COLLECTION STATEMENTS. DURING THE YEAR, THE FAP WAS PROVIDED TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE; THESE ORGANIZATIONS WERE THE MOBILE, BALDWIN, AND ESCAMBIA COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER, AND THE HOPE CENTER.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OAKWOOD CENTER FOR LIVING
2010 MEDICAL CENTER DR	BAY MINETTE	AL	36507	SKILLED NURSING FACILITY
THOMAS MEDICAL CENTER
27961 US HWY 98	DAPHNE	AL	36526	OP SURGERY CENTER/RADIOLOGY/PHYS OFFICES
INFIRMARY CANCER CARE
5 MOBILE INFIRMARY CIRCLE	MOBILE	AL	36607	COORDINATED CANCER CARE
THOMAS HOSPITAL FREESTANDING EMERGE
29487 ST HWY 181	DAPHNE	AL	36526	EMERGENCY ROOM
GULF HEALTH THERAPY SERVICES
5 MOBILE INFIRMARY CIRCLE	MOBILE	AL	36607	THERAPY SERVICES

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE H, PART VI	FormAndLineReferenceDesc
Explanation	SCHEDULE H, PART VI, QUESTION 1 PART I, LINE 7: COSTS WERE CALCULATED USING THE COST-TO-CHARGE RATIO METHODOLOGY OBTAINED FROM WORKSHEET 2 OF THE INSTRUCTIONS. ALL OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. PART I, LINE 7, COLUMN (F); THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS 34,093,910 WHICH IS NET OF RECOVERIES. PART III, LINE 2: THE AMOUNT OF BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS THE ACTUAL AMOUNT OF CHARGES THAT WERE DEEMED UNCOLLECTIBLE AND WERE WRITTEN OFF TO BAD DEBT PER THE ORGANIZATION'S ACCOUNTING RECORDS. PART III, LINE 3: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS DERIVED USING RATIO ANALYSIS OF PATIENT BAD DEBT ACCOUNTS PROCESSED THROUGH A PRESUMPTIVE QUALIFICATION MODEL. THE ACCOUNTS ARE ANALYZED FOR DEMOGRAPHIC INFORMATION TO DETERMINE HOUSEHOLD INCOME LEVELS, CORRELATED TO FEDERAL POVERTY LEVEL GUIDELINES, AND APPLIED TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA. A LARGE NUMBER OF PATIENTS DO NOT COOPERATE WITH THE ELIGIBILITY PROCESS OF THE FINANCIAL ASSISTANCE PROGRAM, WHICH IS READILY AVAILABLE TO THEM. THEREFORE IT IS THE ORGANIZATION'S OPINION THAT THIS PORTION OF BAD DEBT EXPENSE BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 4: THE TEXT OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOOTNOTE REGARDING BAD DEBT EXPENSE STATES: "ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES AND ANALYSIS OF OTHER CURRENT TRENDS AND INFORMATION. DOUBTFUL ACCOUNTS ARE WRITTEN-OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED". PART III, LINE 8: IT IS IN THE ORGANIZATION'S OPINION THAT FUTURE MEDICARE SHORTFALLS BE TREATED IN TOTAL AS COMMUNITY BENEFIT. HEALTHCARE SERVICES TO THE MEDICARE POPULATION REALISTICALLY MUST BE PROVIDED IN ORDER FOR SOCIETY TO CONTINUE TO FUNCTION AS WE KNOW IT. NEEDS ASSESSMENT PART VI, QUESTION 2: IN ADDITION TO THE CHNA CONDUCTED DURING FISCAL YEAR 2019, 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 ORGANIZATION'S ADMITTING AREAS, BUSINESS OFFICE AREAS, AND EMERGENCY DEPARTMENTS HAVE SIGNAGE PROMINENTLY DISPLAYED WHICH INCLUDES SPECIFIC WORDING INTENDED TO INFORM AND PROMPT PATIENTS TO AVAIL THEMSELVES OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, THE ORGANIZATION INCLUDES SIMILAR WORDING WITHIN PATIENT-ACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED AND ON THE ORGANIZATION'S WEBSITE, WHICH IS AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION ALSO CONTRACTS WITH A THIRD-PARTY VENDOR TO HAVE THEM IDENTIFY, CONTACT, AND ASSIST WITH QUALIFYING PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS. THE VENDOR UTILIZES ADMISSION REPORTS, REFERRALS FROM FINANCIAL COUNSELORS OF THE ORGANIZATION, PATIENT SELF-REFERRALS, AND VARIOUS OTHER FORMS OF PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS. COMMUNITY INFORMATION, SCHEDULE H, PART VI, QUESTION 4: BALDWIN COUNTY, ALABAMA IS LOCATED ON THE SHORES OF THE GULF OF MEXICO AND MOBILE BAY, BORDERED ON THE WEST BY MOBILE COUNTY, ALABAMA, ON THE NORTHWEST BY WASHINGTON AND CLARKE COUNTIES, ALABAMA, ON THE NORTH BY MONROE COUNTY, ALABAMA, ON THE NORTHEAST BY ESCAMBIA COUNTY, ALABAMA, AND ON THE EAST BY ESCAMBIA COUNTY, FLORIDA. WITH A LAND AREA OF 1,590 SQUARE MILES AND 430 SQUARE MILES OF WATER, IT IS THE LARGEST COUNTY IN THE STATE OF ALABAMA AND IS THE 12TH LARGEST COUNTY EAST OF THE MISSISSIPPI RIVER. THE CITY OF BAY MINETTE IS THE COUNTY SEAT FOR BALDWIN COUNTY, AND FAIRHOPE IS THE LARGEST CITY. NORTH BALDWIN INFIRMARY IS LOCATED IN BAY MINETTE WHILE THOMAS HOSPITAL IS LOCATED IN FAIRHOPE. ACCORDING TO THE LATEST STATISTICS PROVIDED BY THE U.S. CENSUS BUREAU FROM 2020, THE POPULATION OF BALDWIN COUNTY WAS APPROXIMATELY 213,000. OF THE 81,000 HOUSEHOLDS, 19,000 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 43,000 WERE MARRIED COUPLES LIVING TOGETHER, AND 27,000 WERE NON-FAMILIES. THE RACIAL MAKEUP OF THE COUNTY WAS 86% WHITE, 9% BLACK OR AFRICAN- AMERICAN, AND 4.5% HISPANIC OR LATINO. THE AVERAGE HOUSEHOLD SIZE WAS 2.5 AND THE PER CAPITA INCOME FOR THE COUNTY WAS 32,626. JUST OVER 7% 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'S HOSPITAL FACILITIES FURTHER 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 501(C)3 PHILANTHROPIC AFFILIATE OF THE ORGANIZATION. EACH YEAR AN ACCOUNTING OF THE COMMUNITY BENEFIT FUNDS DISTRIBUTED BY THE FOUNDATION IS REVIEWED BY MANAGEMENT. 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
D MARK NIX
PRES/CEO	$845,685	$515,789	$1,912,556	$194,013	$22,058	$3,490,101
FURHAN YUNAS
DIRECTOR	$670,976				$23,706	$694,682	$588,953	$155,862	$10	$8,700	$753,525
JOE T STOUGH III
VICE PRESIDENT	$515,144	$260,391	$193,642	$91,382	$23,345	$1,083,904
JOSEPH DENTON
TREASURER	$490,246	$237,257	$137,066	$98,482	$20,595	$983,646
SCOTT A BROWNING
SECRETARY	$348,848	$108,128	$75,849	$49,431	$22,095	$604,351
KERN WILSON
ASST TREASURER	$244,525	$78,575	$69,774	$72,454	$20,860	$486,188
LEEANN CAIN
VICE PRESIDENT							$247,984	$87,306	$52,000	$37,713	$445,598	$20,595
JULIE ROWELL
VICE PRESIDENT ADMIN							$215,866	$62,631	$45,095	$50,865	$392,055	$17,598
DAVID CLARKSON
MD							$297,568	$18,552	$662		$334,449	$17,667
MATTHEW WILLIAMS
PHYSICIST							$209,201		$605	$6,277	$237,276	$21,193
CHARLES BULLINGTON
PHYSICIST							$206,436		$1,892		$228,923	$20,595
MICHAEL MCBREARTY
PHYSICIAN							$175,294	$10,000	$10	$3,465	$209,225	$20,456
JOANN NIX
CNO							$147,852	$9,493	$6,841	$19,654	$201,546	$17,706

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 4

D. MARK NIX 0 156,363 0 JOE T. STOUGH, III 0 76,194 0 JOSEPH DENTON 0 71,694 0 SCOTT A. BROWNING 0 34,243 0 KERN WILSON 0 34,804 0 LEEANN CAIN 0 24,663 0 JULIE ROWELL 0 20,548 0

SCHEDULE J, PART III

SCHEDULE J, PART I, LINE 3 FOR TOP MANAGMENT OFFICIAL'S COMPENSATION A RELATED CORPORATION ESTABLISHES THE PRESIDENT/CEO'S COMPENSATION. THE RELATED CORPORATION RELIES ON A NUMBER OF RESOURCES TO DETERMINE THE AMOUNT INCLUDING A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS/STUDIES AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4A AND 4B THE INFIRMARY HEALTH 457(F) PLAN IS A TYPE OF NONQUALIFIED DEFERRED COMPENSATION PLAN THAT TAX-EXEMPT ORGANIZATIONS CAN ESTABLISH FOR THEIR EMPLOYEES. THIS PLAN IS FUNDED ENTIRELY BY THE EMPLOYER FOR THE BENEFIT OF ITS PARTICIPANTS. THE ELIGIBILITY FOR THIS PLAN IS LIMITED TO HIGHLY COMPENSATED EMPLOYEES, SUCH AS VICE-PRESIDENTS AND ABOVE, OF THE ORGANIZATION AND MUST BE DESIGNATED AS ELIGIBLE BEFORE CONTRIBUTIONS CAN BE MADE. THE AMOUNT OF ANNUAL EMPLOYER CONTRIBUTIONS ARE DETERMINED AS A PERCENT OF BASE SALARY FOR EACH ELIGIBLE PARTICIPANT. THE PARTICIPANT DESIGNATES THE ALLOCATION OF THE CONTRIBUTION IN THE FUND SELECTION IN THE PLAN AS WELL AS FUTURE VESTING DATES. THE EARLIEST THAT A PARTICIPANT MAY VEST IN A PARTICULAR YEARS BENEFIT IS FIVE YEARS. ONCE VESTED THE BENEFIT BECOMES TAXABLE AS WELL AS EARNINGS ON THE CONTRIBUTION AND IS PAID THROUGH NORMAL PAYROLL PROCESSING TO THE PARTICIPANT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, ITEM C	INFIRMARY & OAKWOOD NURSING HOME
FORM 990, PAGE 2, PART III, LINE 4A	GULF HEALTH HOSPITALS, INC. (GHHI) OPERATES NORTH BALDWIN INFIRMARY (NBI), A 70 BED NONPROFIT ACUTE CARE HOSPITAL IN BAY MINETTE, BALDWIN COUNTY, ALABAMA AND THOMAS HOSPITAL, A 150 BED NONPROFIT ACUTE CARE HOSPITAL IN FAIRHOPE, BALDWIN COUNTY, ALABAMA. BOTH HOSPITALS PROVIDE SERVICES NECESSARY TO DELIVER ESSENTIAL HEALTH CARE TO THE GULF COAST COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. NORTH BALDWIN INFIRMARY IS A COMMUNITY HOSPITAL THAT SERVES A RURAL COMMUNITY IN THE NORTHERN PART OF BALDWIN COUNTY. NBI OFFERS A SENIOR BEHAVIORAL HEALTH PROGRAM AND LONG-TERM CARE AT OAKWOOD - NORTH BALDWIN'S CENTER FOR LIVING. DURING ITS TIME UNDER GHHI, THE ORGANIZATION IMPLEMENTED 25 MILLION DOLLARS IN EXPANSIONS TO IMPROVE THE HEALTHCARE OF RESIDENTS OF BALDWIN COUNTY. FOR THE FISCAL YEAR ENDED MARCH 31, 2022, NORTH BALDWIN INFIRMARY PROVIDED ALMOST 12,500 INPATIENT DAYS OF CARE, DELIVERED 227 BABIES, PERFORMED ALMOST 3,000 SURGERIES & TREATED OVER 15,000 EMERGENCY CASES IN ITS EMERGENCY DEPARTMENT. NBI PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL IS THE LARGEST COMMUNITY HOSPITAL IN BALDWIN COUNTY, ALABAMA, ONE OF THE FASTEST-GROWING COUNTIES IN ALABAMA. THE ABILITY TO KEEP UP WITH THE EVER-INCREASING DEMAND FOR HEALTH SERVICES IN THE COMMUNITY IS CRITICAL TO THE LONG-TERM WELFARE OF THE PATIENTS THOMAS HOSPITAL SERVES. GHHI LEASED THOMAS HOSPITAL IN AUGUST 2005 FROM A PUBLIC HEALTH CARE AUTHORITY AND IMMEDIATELY INITIATED EFFORTS TO ASSIST THOMAS HOSPITAL IN OBTAINING FUNDING FOR HOSPITAL EXPANSION AND RENOVATIONS. RECENT IMPROVEMENTS INCLUDE AN ENLARGED BIRTH CENTER, A FREESTANDING EMERGENCY ROOM BUILDING, A NEW CANCER CENTER FOR RADIATION TREATMENTS, AND A COMPREHENSIVE BREAST CENTER FOR 2D AND 3D MAMMOGRAPHY AND DIAGNOSTIC TESTING. FOR THE FISCAL YEAR ENDED MARCH 31, 2022 THOMAS HOSPITAL PROVIDED OVER 56,000 PATIENT DAYS OF CARE, DELIVERED OVER 1,300 BABIES, TREATED OVER 47,500 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED OVER 8,000 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY PROVIDE AND/OR PARTICIPATE IN A NUMBER OF MONTHLY, QUARTERLY, AND ANNUAL COMMUNITY OUTREACH/EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS, AND VARIOUS SCREENINGS TO BENEFIT AREA CITIZENS. THE HOSPITALS HAVE SPONSORED A NUMBER OF HEALTH FAIRS DURING THE YEAR ACROSS BALDWIN COUNTY IN PARTNERSHIP WITH LOCAL GOVERNMENT AND CORPORATE PARTNERS. THESE HEALTH FAIRS PROVIDED FREE HEALTH ASSESSMENTS, VACCINATIONS, AND WELLNESS INFORMATION TO THE COMMUNITY. THEY ALSO SPONSORED A WALK AT LUNCH EVENT TO PROMOTE HEALTHY HABITS IN PARTNERSHIP WITH BLUE CROSS BLUE SHIELD. NORTH BALDWIN INFIRMARY HAS SERVED AS THE LEAD APPLICANT AND IS A FOUNDING MEMBER OF THE NORTH BALDWIN RURAL HEALTH NETWORK WHICH FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY THROUGH A COLLABORATION OF PROVIDERS AND UTILIZATION OF TECHNOLOGY. THE PROGRAM IS FUNDED BY THE HEALTH RESOURCE SERVICES ADMINISTRATION AND HAS ESTABLISHED SEVERAL PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE CARE TRANSITIONS PROGRAM COORDINATES PATIENTS CARE FROM HOSPITAL TO HOME BY WORKING CLOSELY WITH POST-ACUTE PROVIDERS. THE PROGRAM UTILIZES THE WATERSHED PLATFORM TO COMMUNICATE WITH PATIENTS AND PROVIDERS TO ENSURE PATIENTS ARE ABLE TO RECEIVE SUPPORT AFTER THEY LEAVE THE HOSPITAL. GHHI PROVIDES WATERSHED ACCESS AT NO CHARGE TO PROVIDERS TO ENSURE THEY CHOOSE TO PARTICIPATE IN THE INITIATIVE. NORTH BALDWIN INFIRMARY ALSO PROVIDES FREE SMOKING CESSATION CLASSES TO THE COMMUNITY SEVERAL TIMES PER YEAR. THEY USE THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM. THEY ALSO OFFER INDIVIDUALS WITH LUNG DISEASE WITH A MONTHLY SUPPORT GROUP TO HELP THEM DEAL WITH THEIR DISEASE AND IMPROVE THEIR HEALTH. THE ORGANIZATION PROVIDES APPROXIMATELY A DOZEN MONTHLY SUPPORT GROUPS AND ANNUALLY ORGANIZES SEVERAL HEALTH RELATED WALKS SPONSORED BY ONE OF THE HOSPITALS OR A NATIONAL ORGANIZATION SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, OR THE MARCH OF DIMES. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL BOTH OFFER DIABETES SELF- MANAGEMENT PROGRAMS TO HELP INDIVIDUALS LIVING WITH DIABETES MANAGE THEIR CONDITION AND LIVE HEALTHIER LIVES. MENTAL HEALTH FIRST AID IS AN 8-HOUR COURSE THAT TEACHES PEOPLE THE SKILLS TO HELP SOMEONE WHO IS DEVELOPING A MENTAL HEALTH ILLNESS OR EXPERIENCING A MENTAL HEALTH CRISIS. THE EVIDENCE BEHIND THE PROGRAM DEMONSTRATES THAT IT BUILDS MENTAL HEALTH LITERACY, HELPING THE PUBLIC IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESS. THE TRAINING IS OFFERED MONTHLY AND IS FREE TO THE PUBLIC. IN 2012, INFIRMARY HEALTH (AN AFFILIATED COMPANY) FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN 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. ANNUALLY, NORTH BALDWIN INFIRMARY HOSTS RIDEYELLOW, A BIKE RIDE BENEFITING LOCAL CANCER CHARITIES. TRADITIONALLY, THE RIDE IS HELD ON FATHER'S DAY WEEKEND, AND IN 2021, THE RIDE WAS VIRTUAL DUE TO WEATHER. HOWEVER, THE RIDE GENERATED 15,000 FOR CAMP RAPAHOPE, A LOCAL CHILDREN'S CANCER CHARITY. THE CHARITY BIKE RIDE BEGAN 16 YEARS AGO TO RAISE CANCER AWARENESS AND TO GATHER SUPPORT FOR THE MISSION OF INSPIRING OTHERS TO JOIN THE FIGHT AGAINST THE DISEASE. THE EVENT HAD MANY VOLUNTEERS WITH THE MAJORITY BEING FROM INFIRMARY HEALTH. SINCE ITS INCEPTION, RIDEYELLOW HAS DONATED OVER 565,000 TO VARIOUS CANCER CHARITIES. ADDITIONALLY, FOR THE LAST 44 YEARS, THOMAS HOSPITAL AND WELLS FARGO HAVE HOSTED SPRING FEVER CHASE-A 10K AND 2-MILE FUN RUN THAT TAKES PLACE IN BALDWIN COUNTY. PROCEEDS FROM SPRING FEVER CHASE BENEFIT LOCAL BALDWIN COUNTY SCHOOLS WHO APPLY FOR PHYSICAL EDUCATION EQUIPMENT GRANTS. THE EVENT TOOK PLACE ON MARCH 19, 2022 AND HAD MORE THAN 1,000 PARTICIPANTS. IN TOTAL, THE EVENT GAVE BACK 10,800 TO LOCAL SCHOOLS. INFIRMARY HEALTH SUPPORTS OUR LOCAL AMERICAN CANCER SOCIETY WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS: RELAY FOR LIFE, MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, AND NUMEROUS OTHER AMERICAN CANCER SOCIETY EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2021, INFIRMARY HEALTH RAISED MONEY FOR BOTH THE CHILI COOK OFF, RAISING MONEY FOR COLON CANCER AWARENESS, AND MAKING STRIDES AGAINST BREAST CANCER. FOR THE CHILI COOK OFF, EACH HOSPITAL SOLD T-SHIRTS AND TICKETS TO THE EVENT. IN TOTAL, 296 SHIRTS WERE SOLD, AND 1,422 WAS RAISED. FOR MAKING STRIDES, EACH HOSPITAL SOLD T-SHIRTS AND BREAST CANCER AWARENESS FLAGS, RAISING NEARLY 3,500. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL EMPLOYEES HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK, AND INFIRMARY HEALTH SERVES AS THE SURVIVOR TENT SPONSOR FOR THE EVENT, WHICH HAD MORE THAN 3,500 PARTICIPANTS. INFIRMARY HEALTH IS ALSO AN ACTIVE SPONSOR OF THE AMERICAN HEART ASSOCIATION'S HEART WALK IN MOBILE AND BALDWIN COUNTIES. EMPLOYEES PARTICIPATED THROUGH PURCHASING T-SHIRTS, PARTICIPATING IN RAFFLES AND REGISTERING FOR THE WALK IN NOVEMBER. INFIRMARY HEALTH'S TEAM RAISED MORE THAN 10,000 FOR THEIR TEAM. EACH NOVEMBER OR DECEMBER, INFIRMARY HEALTH HOSTS AN ANNUAL "TURKEY TOSS", GIVING AWAY A FREE TURKEY TO EACH EMPLOYEE FOR THE HOLIDAYS. THE EXCESS TURKEYS ARE DONATED TO FEED THE HOMELESS AND LOW INCOME FAMILIES THROUGH ORGANIZATIONS SUCH AS: PRODISEE PANTRY, FAIRHOPE UNITED METHODIST CHURCH, FIRST BAPTIST CHURCH OF FAIRHOPE, AND FEEDING THE GULF COAST. INFIRMARY HEALTH AND INFIRMARY CANCER CARE ROLLED OUT ITS MOBILE CANCER SCREENING UNIT IN FEBRUARY 2019. THE MOBILE SCREENING UNIT HELPS ADDRESS THE NEED FOR ACCESS TO CARE IN RURAL COMMUNITIES, SO THE UNIT TRAVELED TO MANY OUTLYING AREAS OF THE COMMUNITY SUCH AS THEODORE, CITRONELLE, LILLIAN AND OTHERS. DURING THIS FISCAL YEAR, THE UNIT WAS UTILIZED TO PROVIDE COVID-19 VACCINES TO COMMUNITIES. IN TOTAL, THE UNIT SAW MORE THAN 500 PATIENTS WHO WERE SCREENED FOR VARIOUS CANCERS AND/OR PROVIDED COVID-19 VACCINES. INFIRMARY HEALTH WAS A LEADER DURING THE COVID-19 PANDEMIC AND SAW MORE COVID-19 PATIENTS THAN ANY OTHER PROVIDER IN THE REGION. FROM APRIL 2021 - MARCH 2022, INFIRMARY HEALTH TEAMS ADMINISTERED MORE THAN 30,000 VACCINES TO THE COMMUNITY. IN BALDWIN COUNTY, THE COVID VACCINE TEAM TRAVELED TO ANCILLARY AREAS IN THE COUNTY TO PROVIDE VACCINES TO THOSE WITH LIMITED ACCESS TO TRAVEL. THOMAS HOSPITAL HOSTED 15 COMMUNITY COVID VACCINE EVENTS, AND NORTH BALDWIN INFIRMARY HOSTED THREE. IN THIS FISCAL YEAR, NORTH BALDWIN INFIRMARY HOSTED CHILDBIRTH EDUCATION AND LACTATION SUPPORT CLASSES FOR THE COMMUNITY. THESE EVENTS ARE FREE TO MOMS TO COME AND LEARN LACTATION TIPS AND RECEIVE SUPPORT FROM OTHER WOMEN WHO ARE ALSO BREASTFEEDING. THE HOS
FORM 990, PAGE 6, PART VI, LINE 11B	SYSTEM ACCOUNTANTS GATHER DATA AND PREPARE A DRAFT OF THE FORM 990 FOR REVIEW BY THE BIRMINGHAM ACCOUNTING FIRM, WARREN AVERETT, LLC. AFTER THE RETURN HAS BEEN COMPLETED AND SIGNED BY WARREN AVERETT, IT IS RETURNED FOR FINAL REVIEW AND OFFICER SIGNATURE BEFORE FILING.
FORM 990, PAGE 6, PART VI, LINE 12C	THE BOARD OF DIRECTORS OF GULF HEALTH HOSPITALS, INC. HAS NOT APPROVED INDIVIDUAL POLICIES FOR THE ORGANIZATION. HOWEVER, THE AFFILIATED CORPORATION OF INFIRMARY HEALTH SYSTEM, INC. HAS, AND GHHI HAS AGREED TO ABIDE BY THE POLICIES APPROVED BY INFIRMARY HEALTH SYSTEM. INFIRMARY HEALTH SYSTEM HAS FORMALLY ADOPTED WRITTEN CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES. OFFICERS AND DIRECTORS ARE REQUIRED ANNUALLY TO REVIEW A CONFLICT OF INTEREST POLICY FOR INFIRMARY HEALTH SYSTEM, INC. WHICH DEFINES CONFLICTS OF INTEREST AND ADVISES THAT ALL SUCH CONFLICTS SHOULD BE AVOIDED IF POSSIBLE. ALL OFFICERS ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AS THEY BECOME AWARE. DIRECTORS ARE REQUIRED TO SIGN AND RETURN THE CONFLICT OF INTEREST STATEMENT ANNUALLY. 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.
FORM 990, PAGE 6, PART VI, LINE 15B	THE OFFICERS AND OTHER KEY EMPLOYEES ARE PARTICIPANTS IN THE ORGANIZATION'S PERFORMANCE MANAGEMENT PROGRAM. EACH SUCH EMPLOYEE HAS AN INDIVIDUAL PERFORMANCE PLAN AND ARE REVIEWED ANNUALLY FOR MERIT INCREASES. THE AMOUNT OF INDIVIDUAL MERIT/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 IN THE HAY METHODOLOGY OF ACCOUNTABILITY, KNOW HOW AND PROBLEM SOLVING ABILITY. SALARY RANGE MIDPOINTS (THE MIDPOINT REPRESENTS 100% OF THE MARKET)INCREASE EACH YEAR BASED ON EXTERNAL MARKET DATA. THE INFIRMARY PARTICIPATES IN NUMEROUS SALARY SURVEYS. DEPENDING ON THE POSITION, THE SURVEY DATA MAY BE INDUSTRY SPECIFIC (E.G. HEALTHCARE) OR FROM OTHER INDUSTRIES. CURRENTLY, EXECUTIVE POSITION MARKET DATA COMES FROM WATSON WYATT, INTEGRATED HEALTHCARE STRATEGIES, SULLIVAN COTTER AND HAY CONSULTING. THE ANNUAL MERIT GUIDELINES ARE DETERMINED BY THE ORGANIZATION'S ABILITY TO PAY (BUDGET). 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 VP, HUMAN RESOURCES REVIEW THE SUGGESTED MERIT INCREASE AND MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE COMPOSED OF DIRECTORS. THE FINAL RECOMMENDATIONS OF THE COMPENSATION COMMITTEE ARE APPROVED BY THE BOARD OF DIRECTORS. THE ORGANIZATION HAD AN EXTERNAL REVIEW OF COMPENSATION PRACTICES PERFORMED BY SULLIVAN COTTER IN 2021.
FORM 990, PAGE 6, PART VI, LINE 19	THE CORPORATE CHARTER OF GULF HEALTH HOSPITALS, INC. IS A MATTER OF PUBLIC RECORD IN THE PROBATE COURT OF MOBILE COUNTY, AL. THE ORGANIZATION'S FORMS 990 AND 990T ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION AND FOR INSPECTION AT THE CORPORATE OFFICES LOCATED ON THE MOBILE INFIRMARY CAMPUS. THE CORPORATE BY-LAWS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9	FAS 158 CHANGE 746,205 INTEREST IN THOMAS FOUNDATION 1,143,542 ROUNDING 4 CHANGE IN SWAP -347,349 PRIOR PERIOD ADJUSTMENT -111,341 TOTAL 1,431,061

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
GULF HEALTH PROPERTIES INC
P O BOX 2226	MOBILE	AL	36652	630933700	REALESTATE	AL	501C2	INFHLTHSYS	false
INFIRMARY FOUNDATION INC
P O BOX 2226	MOBILE	AL	36652	630870620	FOUNDATION	AL	501C3	INFHLTHSYS	false	7
INFIRMARY HEALTH HOSPITALS INC
P O BOX 2226	MOBILE	AL	36652	203713023	HOSPITAL	AL	501C3	INFHLTHSYS	false	3
INFIRMARY HEALTH SYSTEM INC
P O BOX 2226	MOBILE	AL	36652	630841123	MANAGEMENT	AL	501C3	INFHLTHSYS	false	12C
MOBILE INFIRMARY ASSOCIATION
P O BOX 2226	MOBILE	AL	36652	630288856	HOSPITAL	AL	501C3	INFHLTHSYS	false	3
THOMAS HOSPITAL FOUNDATION
P O BOX 929	FAIRHOPE	AL	36532	631109256	FOUNDATION	AL	501C3	INFHLTHSYS	false	7

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
GULF HEALTH MANAGEMENT SERVICES IN
P O BOX 2226	MOBILE	AL	36652	562332377	MANAGEMENT	AL	IHS	C CORP	false
INFIRM MEDICAL CLINICS PC & SUBSID
P O BOX 2226	MOBILE	AL	36652	630985524	PHYOFFICES	AL	IHS	C CORP	false
AMERICAN OAK HILL ASSURANCE LTD
P O BOX 2226	MOBILE	AL	36652	980604272	SELF INSUR		IHS	C CORP	false	BD
PROF & COMP GEN PAT SELF INS TRUST
P O BOX 2226	MOBILE	AL	36652	636117376	SELF INSUR	AL	IHS	TRUST	false
WORKER'S COMPENSATION TRUST
P O BOX 2226	MOBILE	AL	36652	636118459	SELF INSUR	AL	IHS	TRUST	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd