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      <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 HAS IMPLEMENTED 25 MILLION DOLLARS' WORTH OF (CONTINUED ON SCHEDULE O) EXPANSIONS TO IMPROVE THE HEALTHCARE OF RESIDENTS OF BALDWIN COUNTY. FOR THE FISCAL YEAR ENDED MARCH 31, 2017, NORTH BALDWIN INFIRMARY PROVIDED OVER 9,800 INPATIENT DAYS OF CARE, DELIVERED 205 BABIES, PERFORMED OVER 2,550 SURGERIES &amp; TREATED OVER 15,200 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. FOR THE FISCAL YEAR ENDED MARCH 31,2017 THOMAS HOSPITAL PROVIDED ALMOST 41,000 PATIENT DAYS OF CARE, DELIVERED ALMOST 1,300 BABIES, TREATED OVER 35,500 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED ALMOST 8,300 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 PROVIDES FREE SMOKING CESSATION CLASSES TO THE COMMUNITY HELPING 10 PEOPLE SUCCESSFULLY KICK THE HABIT IN ITS FIRST YEAR. THE BABY BISTRO BREAST FEEDING SUPPORT GROUP WAS ESTABLISHED TO HELP INCREASE BREASTFEEDING RATES AND ENHANCE THE CHILDBIRTH AND BREASTFEEDING CLASSES THAT WERE BEING TAUGHT AT NBI. THE OUTCOME HAS INCLUDED INCREASED BREASTFEEDING RATES FROM 10% WHEN PROGRAM STARTED TO 26% IN 2016 SERVING 55 WOMEN. THE ORGANIZATION PROVIDES APPROXIMATELY A DOZEN MONTHLY SUPPORT GROUPS AND ANNUALLY ORGANIZES AT LEAST EIGHT 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. 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. ALMOST 5,000 WAS RAISED FOR UNITED CEREBRAL PALSY THROUGH EMPLOYEE T-SHIRT SALES. UCP IS DEDICATED TO ADVANCING THE INDEPENDENCE OF PEOPLE WITH DISABILITIES AND OFFERS A WIDE RANGE OF SERVICES FOR PEOPLE OF ALL AGES, FROM EARLY INTERVENTION TO ADULT SUPPORTED EMPLOYMENT PROGRAMS. IN ALIGNMENT WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS AREA OF HEALTHY WEIGHT, GHHI INCREASED PROMOTION AND AWARENESS OF SCALE BACK ALABAMA, A FREE STATEWIDE WEIGHT-LOSS PROGRAM FOR ADULTS AGES 18 AND OLDER. MORE THAN 800 PEOPLE (300 TEAMS) WEIGHED IN AT FOUR OF OUR HOSTS SITES IN AN EFFORT TO SCALE BACK THE POUNDS. NORTH BALDWIN INFIRMARY CONTINUES TO SERVE AS THE HOST SITE FOR THE NORTH BALDWIN HEALTH SCIENCE ACADEMY. NORTH BALDWIN INFIRMARY PROVIDES THE SCHOOL SYSTEM WITH USE OF SPACE THAT HAS BEEN CONVERTED TO A CLASSROOM FOR STUDENTS TO TAKE CLASSES MONDAY THROUGH FRIDAY. THE ACADEMY OFFERS COURSES WHICH PROVIDE A DIRECT LINK TO THE HEALTHCARE INDUSTRY WITH A GOAL OF HELPING STUDENTS BECOME CAREER READY. STUDENTS SPEND TIME IN THE CLASSROOM, AND ON-SITE, TAKING PART IN A ROTATION THROUGH THE HOSPITAL, GAINING A GREATER UNDERSTANDING OF THE VARIOUS CAREERS IN THE HEALTHCARE INDUSTRY AND WHAT THOSE JOBS ENTAIL. NORTH BALDWIN INFIRMARY PROVIDED 13 INTERNSHIP OPPORTUNITIES WITHIN VARIOUS HOSPITAL DEPARTMENTS TO STUDENTS IN THE PROGRAM TO GIVE THEM THE OPPORTUNITY TO OBSERVE AND HAVE APPROPRIATE HANDS ON EXPERIENCE IN A CLINICAL SETTING. THOMAS HOSPITAL PARTNERED WITH THE BALDWIN COUNTY PUBLIC SCHOOL SYSTEM TO SERVE AS THE FIRST HOST SITE (ALONG WITH MOBILE INFIRMARY) IN THE REGION FOR PROJECT SEARCH, AN INTERNSHIP PROGRAM FOR STUDENTS WITH DEVELOPMENTAL DISABILITIES, PROVIDING THEM WITH ON-THE-JOB TRAINING DURING THEIR LAST YEAR OF HIGH SCHOOL ELIGIBILITY. DIRECTORS, MANAGERS, AND THEIR DEPARTMENTS VOLUNTEER TO HOST INTERNS IN THEIR AREAS BY TAKING THE TIME TO COACH AND MENTOR STUDENTS FOR APPROXIMATELY 750 HOURS PER STUDENT. THOMAS HOSPITAL PROVIDES AN ON-SITE CLASSROOM FOR DAILY USE, AN ANNUAL OPEN HOUSE EVENT, GRADUATION CEREMONY, AND VARIOUS EVENTS PROVIDING GIFTS, CERTIFICATES, INVITATIONS, REFRESHMENTS, FIELD TRIPS, AND MARKETING. TWENTY-SIX INTERNS ARE CURRENTLY EMPLOYED (SIX WITH INFIRMARY HEALTH AND AFFILIATES). THOMAS HOSPITAL HOSTED THE 39TH ANNUAL SPRING FEVER CHASE IN FAIRHOPE. THE RACE HAD MORE THAN 1,700 PARTICIPANTS FROM 17 STATES. THERE WERE 165 VOLUNTEERS. PROCEEDS TOTALING OVER 10,000 FROM THE RACE WENT TO SIX LOCAL SCHOOLS. NEARLY 550 CYCLISTS TOOK PART IN NORTH BALDWIN INFIRMARY'S ANNUAL RIDE YELLOW CHARITY BIKE RIDE IN BAY MINETTE. COURSES RANGED FROM A SIX-MILE TRIBUTE RIDE TO A 10-MILE COURSE FOR NEW RIDERS. FOR THE TRULY ATHLETIC, A 20 MILE OR 37-MILE COURSE WAS AVAILABLE FOR EXPERIENCED RIDERS. THE 62 MILE COURSE WAS CANCELLED DUE TO WEATHER THIS YEAR. RIDEYELLOW, THE LARGEST CHARITY BIKE RIDE IN ALABAMA, BEGAN 11 YEARS AGO TO RAISE CANCER AWARENESS AND GATHER SUPPORT FOR THE MISSION OF INSPIRING OTHERS TO JOIN THE FIGHT AGAINST THE DISEASE. THE EVENT HAD 200 VOLUNTEERS, 220 FIRST TIME RIDERS' AGES 11-81 WITH 6 STATES REPRESENTED AND 45 SPONSORS. SINCE ITS INCEPTION, RIDEYELLOW HAS DONATED MORE THAN 519,000 TO VARIOUS CANCER CHARITIES. 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, LOOK GOOD...FEEL BETTER SUPPORT GROUPS, REACH TO RECOVERY, AND NUMEROUS OTHER AMERICAN CANCER SOCIETY EVENTS THROUGHOUT THE YEAR. EMPLOYEES WORE PINK ON "THINK PINK THURSDAYS" IN OCTOBER TO RAISE AWARENESS OF BREAST CANCER. THE CAMPUS WAS PAINTED PINK WITH BANNERS AND SIGNS CREATING AWARENESS OF BREAST CANCER AND THE IMPORTANCE OF EARLY DETECTION. 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 A FLAGSHIP SPONSOR FOR THE EVENT WHICH HAD MORE THAN 20,000 PARTICIPANTS, AND RAISED OVER 400,000 FOR BREAST CANCER. GHHI HAD 70 EMPLOYEES PARTICIPATE AND RAISED OVER 23,000. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL ALSO HAVE AMERICAN CANCER SOCIETY RELAY FOR LIFE TEAMS AND RAISE MONEY THROUGH EMPLOYEE PAYROLL DEDUCTIONS AND HOSPITAL FUNDRAISERS. THE NORTH BALDWIN TEAM WON THE BIGGEST BANK AWARD, WITH 7,300 RAISED, AND THE BEST BOOTH AWARD AT THIS YEAR'S RELAY. WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE, INFIRMARY HEALTH PROVIDED FREE SCREENINGS TO 271 COMMUNITY MEMBERS. EMPLOYEE VOLUNTEERS FROM NBI AND TH HELPED PROVIDE CHOLESTEROL, WEIGHT, AND BLOOD PRESSURE CHECKS. EMPLOYEES ALSO WORE RED ON FRIDAYS IN FEBRUARY IN HONOR OF NATIONAL HEART AWARENESS MONTH. BANNERS WERE PLACED AT HOSPITAL ENTRANCES AND SPECIAL E-SIGNATURES WERE CREATED FOR EMPLOYEE EMAILS TO BUILD COMMUNITY AWARENESS. T-SHIRTS WERE ALSO AVAILABLE TO PURCHASE TH</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL PIERCE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY J THOMPSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN BAKER III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL BLACKBURN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE T STOUGH III</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH DENTON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT A BROWNING</PersonNm>
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        <ReportableCompFromRltdOrgAmt>406689</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERN WILSON</PersonNm>
        <TitleTxt>ASST TREASUR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>276820</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUG GARNER</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE ROWELL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE FAHY III MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLYE KNIGHT</PersonNm>
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        <OtherCompensationAmt>26093</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER ANDERSON-FUNG</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES DURANT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN HAYWOOD</PersonNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QUEST DIAGNOSTICS</PersonNm>
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            <AddressLine1Txt>811A FAIRHOPE AVE</AddressLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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 28,734,485 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 2015, 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, QUESTON 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 2010, THE POPULATION OF BALDWIN COUNTY WAS APPROXIMATELY 182,000. OF THE 73,000 HOUSEHOLDS, 23,000 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 40,000 WERE MARRIED COUPLES LIVING TOGETHER, 22,000 WERE NON-FAMILIES, AND 8,000 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT. THE RACIAL MAKEUP OF THE COUNTY WAS 86% WHITE, 9% BLACK OR AFRICAN-AMERICAN, AND 4% HISPANIC OR LATINO. THE AVERAGE HOUSEHOLD SIZE WAS 2.5 AND THE PER CAPITA INCOME FOR THE COUNTY WAS 27,317. JUST OVER 10% 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>
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        <PersonNm>D MARK NIX</PersonNm>
        <TitleTxt>PRES/CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE T STOUGH III</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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        <PersonNm>JOSEPH DENTON</PersonNm>
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        <PersonNm>SCOTT A BROWNING</PersonNm>
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        <PersonNm>KERN WILSON</PersonNm>
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        <PersonNm>DOUG GARNER</PersonNm>
        <TitleTxt>VICE PRESIDENT ADMIN</TitleTxt>
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        <PersonNm>JULIE ROWELL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEORGE FAHY III MD</PersonNm>
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        <PersonNm>KELLYE KNIGHT</PersonNm>
        <TitleTxt>PHARMACY MANAGER</TitleTxt>
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        <PersonNm>JENNIFER ANDERSON-FUNG</PersonNm>
        <TitleTxt>PHARMACY MANAGER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES DURANT</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>D. MARK NIX 0 283,593 0 JOE T. STOUGH, III 0 70,385 0 JOSEPH DENTON 0 66,070 0 SCOTT A. BROWNING 0 33,383 0 KERN WILSON 0 25,460 0 JULIE ROWELL 0 19,641 0</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPANSIONS TO IMPROVE THE HEALTHCARE OF RESIDENTS OF BALDWIN COUNTY. FOR THE FISCAL YEAR ENDED MARCH 31, 2017, NORTH BALDWIN INFIRMARY PROVIDED OVER 9,800 INPATIENT DAYS OF CARE, DELIVERED 205 BABIES, PERFORMED OVER 2,550 SURGERIES &amp; TREATED OVER 15,200 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. FOR THE FISCAL YEAR ENDED MARCH 31,2017 THOMAS HOSPITAL PROVIDED ALMOST 41,000 PATIENT DAYS OF CARE, DELIVERED ALMOST 1,300 BABIES, TREATED OVER 35,500 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED ALMOST 8,300 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 PROVIDES FREE SMOKING CESSATION CLASSES TO THE COMMUNITY HELPING 10 PEOPLE SUCCESSFULLY KICK THE HABIT IN ITS FIRST YEAR. THE BABY BISTRO BREAST FEEDING SUPPORT GROUP WAS ESTABLISHED TO HELP INCREASE BREASTFEEDING RATES AND ENHANCE THE CHILDBIRTH AND BREASTFEEDING CLASSES THAT WERE BEING TAUGHT AT NBI. THE OUTCOME HAS INCLUDED INCREASED BREASTFEEDING RATES FROM 10% WHEN PROGRAM STARTED TO 26% IN 2016 SERVING 55 WOMEN. THE ORGANIZATION PROVIDES APPROXIMATELY A DOZEN MONTHLY SUPPORT GROUPS AND ANNUALLY ORGANIZES AT LEAST EIGHT 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. 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. ALMOST 5,000 WAS RAISED FOR UNITED CEREBRAL PALSY THROUGH EMPLOYEE T-SHIRT SALES. UCP IS DEDICATED TO ADVANCING THE INDEPENDENCE OF PEOPLE WITH DISABILITIES AND OFFERS A WIDE RANGE OF SERVICES FOR PEOPLE OF ALL AGES, FROM EARLY INTERVENTION TO ADULT SUPPORTED EMPLOYMENT PROGRAMS. IN ALIGNMENT WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS AREA OF HEALTHY WEIGHT, GHHI INCREASED PROMOTION AND AWARENESS OF SCALE BACK ALABAMA, A FREE STATEWIDE WEIGHT-LOSS PROGRAM FOR ADULTS AGES 18 AND OLDER. MORE THAN 800 PEOPLE (300 TEAMS) WEIGHED IN AT FOUR OF OUR HOSTS SITES IN AN EFFORT TO SCALE BACK THE POUNDS. NORTH BALDWIN INFIRMARY CONTINUES TO SERVE AS THE HOST SITE FOR THE NORTH BALDWIN HEALTH SCIENCE ACADEMY. NORTH BALDWIN INFIRMARY PROVIDES THE SCHOOL SYSTEM WITH USE OF SPACE THAT HAS BEEN CONVERTED TO A CLASSROOM FOR STUDENTS TO TAKE CLASSES MONDAY THROUGH FRIDAY. THE ACADEMY OFFERS COURSES WHICH PROVIDE A DIRECT LINK TO THE HEALTHCARE INDUSTRY WITH A GOAL OF HELPING STUDENTS BECOME CAREER READY. STUDENTS SPEND TIME IN THE CLASSROOM, AND ON-SITE, TAKING PART IN A ROTATION THROUGH THE HOSPITAL, GAINING A GREATER UNDERSTANDING OF THE VARIOUS CAREERS IN THE HEALTHCARE INDUSTRY AND WHAT THOSE JOBS ENTAIL. NORTH BALDWIN INFIRMARY PROVIDED 13 INTERNSHIP OPPORTUNITIES WITHIN VARIOUS HOSPITAL DEPARTMENTS TO STUDENTS IN THE PROGRAM TO GIVE THEM THE OPPORTUNITY TO OBSERVE AND HAVE APPROPRIATE HANDS ON EXPERIENCE IN A CLINICAL SETTING. THOMAS HOSPITAL PARTNERED WITH THE BALDWIN COUNTY PUBLIC SCHOOL SYSTEM TO SERVE AS THE FIRST HOST SITE (ALONG WITH MOBILE INFIRMARY) IN THE REGION FOR PROJECT SEARCH, AN INTERNSHIP PROGRAM FOR STUDENTS WITH DEVELOPMENTAL DISABILITIES, PROVIDING THEM WITH ON-THE-JOB TRAINING DURING THEIR LAST YEAR OF HIGH SCHOOL ELIGIBILITY. DIRECTORS, MANAGERS, AND THEIR DEPARTMENTS VOLUNTEER TO HOST INTERNS IN THEIR AREAS BY TAKING THE TIME TO COACH AND MENTOR STUDENTS FOR APPROXIMATELY 750 HOURS PER STUDENT. THOMAS HOSPITAL PROVIDES AN ON-SITE CLASSROOM FOR DAILY USE, AN ANNUAL OPEN HOUSE EVENT, GRADUATION CEREMONY, AND VARIOUS EVENTS PROVIDING GIFTS, CERTIFICATES, INVITATIONS, REFRESHMENTS, FIELD TRIPS, AND MARKETING. TWENTY-SIX INTERNS ARE CURRENTLY EMPLOYED (SIX WITH INFIRMARY HEALTH AND AFFILIATES). THOMAS HOSPITAL HOSTED THE 39TH ANNUAL SPRING FEVER CHASE IN FAIRHOPE. THE RACE HAD MORE THAN 1,700 PARTICIPANTS FROM 17 STATES. THERE WERE 165 VOLUNTEERS. PROCEEDS TOTALING OVER 10,000 FROM THE RACE WENT TO SIX LOCAL SCHOOLS. NEARLY 550 CYCLISTS TOOK PART IN NORTH BALDWIN INFIRMARY'S ANNUAL RIDE YELLOW CHARITY BIKE RIDE IN BAY MINETTE. COURSES RANGED FROM A SIX-MILE TRIBUTE RIDE TO A 10-MILE COURSE FOR NEW RIDERS. FOR THE TRULY ATHLETIC, A 20 MILE OR 37-MILE COURSE WAS AVAILABLE FOR EXPERIENCED RIDERS. THE 62 MILE COURSE WAS CANCELLED DUE TO WEATHER THIS YEAR. RIDEYELLOW, THE LARGEST CHARITY BIKE RIDE IN ALABAMA, BEGAN 11 YEARS AGO TO RAISE CANCER AWARENESS AND GATHER SUPPORT FOR THE MISSION OF INSPIRING OTHERS TO JOIN THE FIGHT AGAINST THE DISEASE. THE EVENT HAD 200 VOLUNTEERS, 220 FIRST TIME RIDERS' AGES 11-81 WITH 6 STATES REPRESENTED AND 45 SPONSORS. SINCE ITS INCEPTION, RIDEYELLOW HAS DONATED MORE THAN 519,000 TO VARIOUS CANCER CHARITIES. 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, LOOK GOOD...FEEL BETTER SUPPORT GROUPS, REACH TO RECOVERY, AND NUMEROUS OTHER AMERICAN CANCER SOCIETY EVENTS THROUGHOUT THE YEAR. EMPLOYEES WORE PINK ON "THINK PINK THURSDAYS" IN OCTOBER TO RAISE AWARENESS OF BREAST CANCER. THE CAMPUS WAS PAINTED PINK WITH BANNERS AND SIGNS CREATING AWARENESS OF BREAST CANCER AND THE IMPORTANCE OF EARLY DETECTION. 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 A FLAGSHIP SPONSOR FOR THE EVENT WHICH HAD MORE THAN 20,000 PARTICIPANTS, AND RAISED OVER 400,000 FOR BREAST CANCER. GHHI HAD 70 EMPLOYEES PARTICIPATE AND RAISED OVER 23,000. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL ALSO HAVE AMERICAN CANCER SOCIETY RELAY FOR LIFE TEAMS AND RAISE MONEY THROUGH EMPLOYEE PAYROLL DEDUCTIONS AND HOSPITAL FUNDRAISERS. THE NORTH BALDWIN TEAM WON THE BIGGEST BANK AWARD, WITH 7,300 RAISED, AND THE BEST BOOTH AWARD AT THIS YEAR'S RELAY. WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE, INFIRMARY HEALTH PROVIDED FREE SCREENINGS TO 271 COMMUNITY MEMBERS. EMPLOYEE VOLUNTEERS FROM NBI AND TH HELPED PROVIDE CHOLESTEROL, WEIGHT, AND BLOOD PRESSURE CHECKS. EMPLOYEES ALSO WORE RED ON FRIDAYS IN FEBRUARY IN HONOR OF NATIONAL HEART AWARENESS MONTH. BANNERS WERE PLACED AT HOSPITAL ENTRANCES AND SPECIAL E-SIGNATURES WERE CREATED FOR EMPLOYEE EMAILS TO BUILD COMMUNITY AWARENESS. T-SHIRTS WERE ALSO AVAILABLE TO PURCHASE THROUGH THE INFIRMARY HEALTH FITNESS CENTERS WITH PROCEEDS BENEFITTING THE AHA. INFIRMARY HEALTH SPONSORED THE AMERICAN HEART ASSOCIATION'S ANNUAL BALDWIN COUNTY HEART WALK IN WHICH EMPLOYEES RAISED MORE THAN 12,000 FOR THEIR TEAM. THOMAS HOSPITAL WAS THE FIT-FRIENDLY SPONSOR FOR THE EVENT, PARTNERING WITH THE AHA TO HOST AN INAUGURAL CORPORATE WELLNESS SYMPOSIUM, WHERE 8 COMPANIES WERE AWARDED FIT-FRIENDLY AWARDS FOR THEIR CORPORATE WELLNESS PROGRAMS. INFIRMARY HEALTH RECEIVED THE HIGHEST RECOGNITION BEING NAMED A PLATINUM FIT-FRIENDLY COMPANY. NORTH BALDWIN INFIRMARY SERVES AS A CORPORATE "BIG" WITH BIG BROTHERS BIG SISTERS OF SOUTH ALABAMA TO PROVIDE EMPLOYEE MENTORS TO ELEMENTARY SCHOOL STUDENTS. EACH WEEK NBI ALLOWS THEIR CORPORATE BIGS TO GO MEET THEIR LI</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>INFIRMARY HEALTH SYSTEM HAS RETAINED THE BIRMINGHAM ACCOUNTING FIRM OF WARREN AVERETT, LLC CPAS TO PREPARE THE FORM 990 FOR GHHI. SYSTEM ACCOUNTANTS ARE SUBSTANTIALLY INVOLVED IN GATHERING DATA AND PRELIMINARY PREPARATION. AFTER THE RETURN HAS BEEN COMPLETED AND SIGNED BY WARREN AVERETT, IT IS RETURNED TO IHS FOR FINAL REVIEW AND OFFICER SIGNATURE BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 WATSON WYATT IN 2008 AND BY HEWITT &amp; ASSOCIATES IN 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFICIAL INTEREST IN THOMAS FOUNDATION 1,014,324 FAS 158 PENSION CHANGE 2,840,169 INTERCOMPANY TRANSFERS 537 ROUNDING -2 TOTAL 3,855,028</ExplanationTxt>
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