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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. FOR THE FISCAL YEAR ENDED MARCH 31, 2016, NORTH BALDWIN INFIRMARY PROVIDED OVER 9,650 INPATIENT DAYS OF CARE, DELIVERED 210 BABIES, PERFORMED OVER 2,750 SURGERIES &amp; TREATED OVER 15,300 EMERGENCY CASES IN ITS EMERGENCY DEPARTMENT. NBI PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS.(CONTINUED ON SCHEDULE O) 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 31,2016 THOMAS HOSPITAL PROVIDED OVER 37,400 PATIENT DAYS OF CARE, DELIVERED OVER 1,200 BABIES, TREATED OVER 33,600 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED 7,550 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL PROVIDES AND/OR PARTICIPATES IN A NUMBER OF MONTHLY, QUARTERLY AND ANNUAL COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS AND VARIOUS SCREENINGS TO BENEFIT AREA CITIZENS. 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 AND THE MARCH OF DIMES. IN 2012, INFIRMARY HEALTH FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY. THE SYSTEM ALSO PARTNERED WITH THE SALVATION ARMY AND PROVIDED MORE THAN 40 EMPLOYEES AS VOLUNTEER KETTLE BELL RINGERS AT FOUR WAL-MART LOCATIONS. THROUGH THE COMBINED EFFORT OF T-SHIRT SALES AND THE KETTLE BELL RINGER PROGRAM, INFIRMARY HEALTH RAISED MORE THAN 4,000 FOR THE SALVATION ARMY. NORTH BALDWIN INFIRMARY CONTINUES TO SERVE AS THE HOST SITE FOR THE NORTH BALDWIN HEALTH SCIENCE ACADEMY. 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. THE PARTNERSHIP WITH THE HOSPITAL ALLOWS STUDENTS TO GAIN A GREATER UNDERSTANDING OF THE VARIOUS CAREERS IN THE HEALTHCARE INDUSTRY AND WHAT THOSE JOBS ENTAIL. THOMAS HOSPITAL PARTNERED WITH THE BALDWIN COUNTY PUBLIC SCHOOL SYSTEM TO SERVE AS THE FIRST HOST SITE (ALONG WITH MOBILE INFIRMARY) IN OUR 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 TRIP AND MARKETING. NINETEEN INTERNS ARE CURRENTLY EMPLOYED (SIX WITH INFIRMARY HEALTH AND AFFILIATES). TWO HAVE RECEIVED AWARDS: EMPLOYEE OF THE MONTH AND ASSOCIATE OF THE QUARTER. THOMAS HOSPITAL HOSTED THE 38TH ANNUAL SPRING FEVER CHASE IN FAIRHOPE. THE RACE HAD MORE THAN 1,700 PARTICIPANTS FROM 17 STATES. THERE WERE 165 VOLUNTEERS. PROCEEDS FROM THE RACE WENT TO LOCAL SCHOOLS. NEARLY 616 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 FLAG COURSE FOR NEW RIDERS. FOR THE TRULY ATHLETIC, A 20 MILE, 37-MILE OR 62-MILE COURSE WAS AVAILABLE FOR EXPERIENCED RIDERS. THE CHARITY BIKE RIDE BEGAN NINE 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 200 VOLUNTEERS, 193 FIRST TIME RIDERS AGES 13-84 WITH 10 STATES REPRESENTED AND 52 SPONSORS. SINCE ITS INCEPTION, RIDEYELLOW HAS DONATED MORE THAN 496,100 TO VARIOUS CANCER CHARITIES. INFIRMARY HEALTH SUPPORTS OUR LOCAL AMERICAN CANCER SOCIETY WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND AND FINANCIAL CONTRIBUTTIONS 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. INFIRMARY HEALTH ALSO DANCED AND WON THE 2015 MEDLINE PINK GLOVE DANCE VIDEO COMPETITION. AIMED AT RAISING BREST CANCER AWARENESS, THE CONTEST HAD HOSPITALS AND ORGANIZATIONS ACROSS THE U.S. SUBMIT 90-SECOND VIDEOS OF PEOPLE DANCING WHILE WEARING MEDLINE PINK HOSPITAL GLOVES. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL EMPLOYEES AND COMMUNITY MEMBERS GROOVED TO TAYLOR SWIFT'S SONG, "SHAKE IT OFF." RECEIVING MORE THAN 20 PERCENT OF THE TOTAL VOTES, INFIRMARY HEALTH WON A 15,000 DONATION FROM MEDLINE TO THE MID-SOUTH DIVISION OF THE AMERICAN CANCER SOCIETY. THROUGH FUNDRAISING EFFORTS, INFIRMARY HEALTH RAISED AN ADDITIONAL 43,000 FOR ACS. INFIRMARY HEALTH'S WINNING VIDEO REPRESENTS A BREAST CANCER PATIENT'S JOURNEY, FROM ENTERING THE HOSPITAL, RECEIVING A DIAGNOSIS, UNDERGOING TREATMENT TO RINGING THE BELL AND ENTERING REMISSION. AS THEY LEAVE THE HOSPITAL IN THE VIDEO, THEY THROW BACK POM-POMS TO THOSE THAT HAVE INSPIRED AND CHEERED THEM ON ALONG THE WAY. 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 THAT HAD MORE THAN 25,000 PARTICIPANTS. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL ALSO HAVE AMERICAN CANCER SOCIETY RELAY FOR LIFE TEAMS WHICH RAISED MORE THAN 15,000 THROUGH EMPLOYEE PAYROLL DEDUCTION AND HOSPITAL FUNDRAISERS. NORTH BALDWIN INFIRMARY WON THE "BEST GRUB" AWARD AT THE NORTH BALDWIN RELAY FOR LIFE. WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE, INFIRMARY HEALTH PROVIDED FREE SCREENINGS TO 290 COMMUNITY MEMBERS WHICH IS AN INCREASE OF 68 PEOPLE FROM 2015. THIRTY NBI AND TH EMPLOYEE VOLUNTEERS HELPED PROVIDE CHOLESTEROL, WEIGHT AND BLOOD PRESSURE CHECKS. 230 COMMUNITY MEMBERS WERE SCREENED--50% OF WHICH HAD EITHER ABNORMAL CHL RESULTS AND/OR HIGH BLOOD PRESSURE. 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 ALSO SPONSORED THE AMERICAN HEART ASSOCIATION'S ANNUAL BALDWIN COUNTY HEART WALK IN WHICH EMPLOYEES RAISED MORE THAN 16,000 FOR THEIR TEAM. NORTH BALDWIN INFIRMARY SERVES AS A CORPORATE "BIG" WITH BIG BROTHERS BIG SISTERS OF SOUTH ALABAMA TO PROVIDE EMPLOYEE MENTORS TO ELEMENTARY SCHOOL STUDENTS. NBI HOSTED 21 STUDENTS REFERRED TO AS "LITTLES" FROM BAY MINETTE ELEMENTARY SCHOOL FOR THEIR ANNUAL FIELD TRIP. STUDENTS WERE GIVEN A TOUR AND LEARNED ABOUT THE IMPORTANCE OF EXERCISE. THE LITTLES ALSO VISITED THE NBI HEALTH SCIENCES CLASSROOM WHERE THEY LEARNED ABOUT HAND WASHING, GERMS AND PULSE OXIMETERS. THEY VISITED OAKWOOD, NORTH BALDWIN INFIRMARY'S CENTER FOR LIVING, WHERE THEY HAD THEIR JOINTS TAPED TO EXPERIENCE WHAT IT'S LIKE TO HAVE ARTHRITIS/DECREASED RANGE OF MOTION. LITTLES ALSO SAMPLED PUREED SAUSAGE AND EGGS AS WELL AS THICKENED LIQUID WHICH GAVE STUDENTS INSIGHT INTO WHAT IT'S LIKE TO BE ELDERLY. INFIRMARY HEALTH PARTNERED WITH FOX10 TO OFFER FREE PROSTATE CANCER SCREENINGS FOR THE FIRST 100 MEN AT FOX10 NEWS, THOMAS FITNESS CENTER AND NORTH BALDWIN FITNESS CENTER. A TOTAL OF 303 MEN WERE SCREENED WITH 21 SCREENING RESULTS AT HIGH RISK. INFIRMARY HEALTH PARTNERED WITH FOX10 NEWS STATION TO OFFER FREE SKIN CANCER SCREENINGS TO THE COMMUNITY AT THOMAS FITNESS CENTER, NORTH BALDWIN FITNESS CENTER AND FOX10 NEWS STATION. A TOTAL OF 386 PEOPLE WERE SCREENED (A RECORD NUMBER)WITH 155 RECOMMENDED TO MAKE FOLLOW-UP APPOINTMENTS</Desc>
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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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        <ExplanationTxt>THOMAS HOSPITAL'S CHNA WAS PREPARED IN CONJUNCTION WITH NORTH BALDWIN INFIRMARY, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BALDWIN COUNTY NEED NOT ADDRESSED IN THE 2015 CHNA IS CANCER DETECTION AND EDUCATION. THOMAS HOSPITAL, LOCATED IN BALDWIN COUNTY, IS ANOTHER OF THE INFIRMARY HEALTH FACILITIES. THERE IS CURRENTLY UNDERWAY A SIGNIFICANT COMMITMENT OF RESOURCES TO BUILD A STATE OF THE ART CANCER CENER ON SITE. THE CENTER WILL PORVIDE DETECTION, EDUCATION, AND TREATMENT FOR CANCER PATIENTS IN THE GEOGRAPHIC AREA SERVED. THE ENTIRE INFIRMARY HEALTH SYSTEM OF WHICH GHHI, INC IS A PART, IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO ALL CITIZENS IN OUR COMMUNITY. GHHI PROVIDED OVER 3,700,000 IN CHARITY CARE THIS YEAR.</ExplanationTxt>
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        <ExplanationTxt>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 FISCAL YEAR 2015 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 AND BALDWIN COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER AND THE HOPE CENTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 5</FormAndLineReferenceDesc>
        <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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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTH BALDWIN INFIRMARY'S CHNA WAS PREPARED IN CONJUNCTION WITH THOMAS HOSPITAL, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BALDWIN COUNTY NEED NOT ADDRESSED IN THE 2015 CHNA IS CANCER DETECTION AND EDUCATION. THOMAS HOSPITAL, LOCATED IN BALDWIN COUNTY, IS ANOTHER OF THE INFIRMARY HEALTH FACILITIES. THERE IS CURRENTLY UNDERWAY A SIGNIFICANT COMMITMENT OF RESOURCES TO BUILD A STATE OF THE ART CANCER CENER ON SITE. THE CENTER WILL PORVIDE DETECTION, EDUCATION, AND TREATMENT FOR CANCER PATIENTS IN THE GEOGRAPHIC AREA SERVED. THE ENTIRE INFIRMARY HEALTH SYSTEM, OF WHICH GHHI, INC IS A PART, IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO ALL CITIZENS IN OUR COMMUNITY. GHHI PROVIDED OVER 3,700,000 IN CHARITY CARE THIS YEAR.</ExplanationTxt>
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        <ExplanationTxt>ADDITIONAL MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION INCLUDE PROVIDING THE POLICY TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. DURING FISCAL YEAR 2015 ORGANIZATIONS SUCH AS THE MOBILE COUNTY HEALTH DEPARTMENT, THE BALDWIN COUNTY HEALTH DEPARTEMENT, FRANKLIN PRIMARY HEALTH CENTER AND THE HOPE CENTER WERE EACH PROVIDED A COPY OF THIS ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
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        <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 26,081,342 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 IN 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 40,250. 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc8">
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        <PersonNm>D MARK NIX</PersonNm>
        <TitleTxt>PRES/CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>702330</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>299135</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>269460</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>321712</DeferredCompRltdOrgsAmt>
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        <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>
        <TitleTxt>SECRETARY</TitleTxt>
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        <PersonNm>KERN WILSON</PersonNm>
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        <PersonNm>JULIE ROWELL</PersonNm>
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        <DeferredCompensationFlngOrgAmt>41785</DeferredCompensationFlngOrgAmt>
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        <PersonNm>DOUG GARNER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEORGE FAHY III MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>KELLYE KNIGHT</PersonNm>
        <TitleTxt>PHARMACY MANAGER</TitleTxt>
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        <PersonNm>JENNIFER BROOME</PersonNm>
        <TitleTxt>PHARMACY MANAGER</TitleTxt>
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        <BonusFilingOrganizationAmount>3254</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEORGIE CAIN</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING</TitleTxt>
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        <PersonNm>ALAN WHALEY</PersonNm>
        <TitleTxt>FORMER VP</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>D. MARK NIX 0 271,755 0 JOE T. STOUGH, III 0 65,387 0 JOSEPH DENTON 0 61,867 0 SCOTT A. BROWNING 0 32,071 0 KERN WILSON 0 23,239 0 JULIE ROWELL 0 18,442 0 DOUG GARNER 0 19,017 0 ALAN WHALEY 145,857 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>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 31,2016 THOMAS HOSPITAL PROVIDED OVER 37,400 PATIENT DAYS OF CARE, DELIVERED OVER 1,200 BABIES, TREATED OVER 33,600 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED 7,550 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL PROVIDES AND/OR PARTICIPATES IN A NUMBER OF MONTHLY, QUARTERLY AND ANNUAL COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS AND VARIOUS SCREENINGS TO BENEFIT AREA CITIZENS. 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 AND THE MARCH OF DIMES. IN 2012, INFIRMARY HEALTH FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY. THE SYSTEM ALSO PARTNERED WITH THE SALVATION ARMY AND PROVIDED MORE THAN 40 EMPLOYEES AS VOLUNTEER KETTLE BELL RINGERS AT FOUR WAL-MART LOCATIONS. THROUGH THE COMBINED EFFORT OF T-SHIRT SALES AND THE KETTLE BELL RINGER PROGRAM, INFIRMARY HEALTH RAISED MORE THAN 4,000 FOR THE SALVATION ARMY. NORTH BALDWIN INFIRMARY CONTINUES TO SERVE AS THE HOST SITE FOR THE NORTH BALDWIN HEALTH SCIENCE ACADEMY. 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. THE PARTNERSHIP WITH THE HOSPITAL ALLOWS STUDENTS TO GAIN A GREATER UNDERSTANDING OF THE VARIOUS CAREERS IN THE HEALTHCARE INDUSTRY AND WHAT THOSE JOBS ENTAIL. THOMAS HOSPITAL PARTNERED WITH THE BALDWIN COUNTY PUBLIC SCHOOL SYSTEM TO SERVE AS THE FIRST HOST SITE (ALONG WITH MOBILE INFIRMARY) IN OUR 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 TRIP AND MARKETING. NINETEEN INTERNS ARE CURRENTLY EMPLOYED (SIX WITH INFIRMARY HEALTH AND AFFILIATES). TWO HAVE RECEIVED AWARDS: EMPLOYEE OF THE MONTH AND ASSOCIATE OF THE QUARTER. THOMAS HOSPITAL HOSTED THE 38TH ANNUAL SPRING FEVER CHASE IN FAIRHOPE. THE RACE HAD MORE THAN 1,700 PARTICIPANTS FROM 17 STATES. THERE WERE 165 VOLUNTEERS. PROCEEDS FROM THE RACE WENT TO LOCAL SCHOOLS. NEARLY 616 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 FLAG COURSE FOR NEW RIDERS. FOR THE TRULY ATHLETIC, A 20 MILE, 37-MILE OR 62-MILE COURSE WAS AVAILABLE FOR EXPERIENCED RIDERS. THE CHARITY BIKE RIDE BEGAN NINE 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 200 VOLUNTEERS, 193 FIRST TIME RIDERS AGES 13-84 WITH 10 STATES REPRESENTED AND 52 SPONSORS. SINCE ITS INCEPTION, RIDEYELLOW HAS DONATED MORE THAN 496,100 TO VARIOUS CANCER CHARITIES. INFIRMARY HEALTH SUPPORTS OUR LOCAL AMERICAN CANCER SOCIETY WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND AND FINANCIAL CONTRIBUTTIONS 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. INFIRMARY HEALTH ALSO DANCED AND WON THE 2015 MEDLINE PINK GLOVE DANCE VIDEO COMPETITION. AIMED AT RAISING BREST CANCER AWARENESS, THE CONTEST HAD HOSPITALS AND ORGANIZATIONS ACROSS THE U.S. SUBMIT 90-SECOND VIDEOS OF PEOPLE DANCING WHILE WEARING MEDLINE PINK HOSPITAL GLOVES. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL EMPLOYEES AND COMMUNITY MEMBERS GROOVED TO TAYLOR SWIFT'S SONG, "SHAKE IT OFF." RECEIVING MORE THAN 20 PERCENT OF THE TOTAL VOTES, INFIRMARY HEALTH WON A 15,000 DONATION FROM MEDLINE TO THE MID-SOUTH DIVISION OF THE AMERICAN CANCER SOCIETY. THROUGH FUNDRAISING EFFORTS, INFIRMARY HEALTH RAISED AN ADDITIONAL 43,000 FOR ACS. INFIRMARY HEALTH'S WINNING VIDEO REPRESENTS A BREAST CANCER PATIENT'S JOURNEY, FROM ENTERING THE HOSPITAL, RECEIVING A DIAGNOSIS, UNDERGOING TREATMENT TO RINGING THE BELL AND ENTERING REMISSION. AS THEY LEAVE THE HOSPITAL IN THE VIDEO, THEY THROW BACK POM-POMS TO THOSE THAT HAVE INSPIRED AND CHEERED THEM ON ALONG THE WAY. 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 THAT HAD MORE THAN 25,000 PARTICIPANTS. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL ALSO HAVE AMERICAN CANCER SOCIETY RELAY FOR LIFE TEAMS WHICH RAISED MORE THAN 15,000 THROUGH EMPLOYEE PAYROLL DEDUCTION AND HOSPITAL FUNDRAISERS. NORTH BALDWIN INFIRMARY WON THE "BEST GRUB" AWARD AT THE NORTH BALDWIN RELAY FOR LIFE. WITH THE GOAL OF BRINGING AWARENESS TO AMERICAN HEART MONTH AND HEART DISEASE, INFIRMARY HEALTH PROVIDED FREE SCREENINGS TO 290 COMMUNITY MEMBERS WHICH IS AN INCREASE OF 68 PEOPLE FROM 2015. THIRTY NBI AND TH EMPLOYEE VOLUNTEERS HELPED PROVIDE CHOLESTEROL, WEIGHT AND BLOOD PRESSURE CHECKS. 230 COMMUNITY MEMBERS WERE SCREENED--50% OF WHICH HAD EITHER ABNORMAL CHL RESULTS AND/OR HIGH BLOOD PRESSURE. 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 ALSO SPONSORED THE AMERICAN HEART ASSOCIATION'S ANNUAL BALDWIN COUNTY HEART WALK IN WHICH EMPLOYEES RAISED MORE THAN 16,000 FOR THEIR TEAM. NORTH BALDWIN INFIRMARY SERVES AS A CORPORATE "BIG" WITH BIG BROTHERS BIG SISTERS OF SOUTH ALABAMA TO PROVIDE EMPLOYEE MENTORS TO ELEMENTARY SCHOOL STUDENTS. NBI HOSTED 21 STUDENTS REFERRED TO AS "LITTLES" FROM BAY MINETTE ELEMENTARY SCHOOL FOR THEIR ANNUAL FIELD TRIP. STUDENTS WERE GIVEN A TOUR AND LEARNED ABOUT THE IMPORTANCE OF EXERCISE. THE LITTLES ALSO VISITED THE NBI HEALTH SCIENCES CLASSROOM WHERE THEY LEARNED ABOUT HAND WASHING, GERMS AND PULSE OXIMETERS. THEY VISITED OAKWOOD, NORTH BALDWIN INFIRMARY'S CENTER FOR LIVING, WHERE THEY HAD THEIR JOINTS TAPED TO EXPERIENCE WHAT IT'S LIKE TO HAVE ARTHRITIS/DECREASED RANGE OF MOTION. LITTLES ALSO SAMPLED PUREED SAUSAGE AND EGGS AS WELL AS THICKENED LIQUID WHICH GAVE STUDENTS INSIGHT INTO WHAT IT'S LIKE TO BE ELDERLY. INFIRMARY HEALTH PARTNERED WITH FOX10 TO OFFER FREE PROSTATE CANCER SCREENINGS FOR THE FIRST 100 MEN AT FOX10 NEWS, THOMAS FITNESS CENTER AND NORTH BALDWIN FITNESS CENTER. A TOTAL OF 303 MEN WERE SCREENED WITH 21 SCREENING RESULTS AT HIGH RISK. INFIRMARY HEALTH PARTNERED WITH FOX10 NEWS STATION TO OFFER FREE SKIN CANCER SCREENINGS TO THE COMMUNITY AT THOMAS FITNESS CENTER, NORTH BALDWIN FITNESS CENTER AND FOX10 NEWS STATION. A TOTAL OF 386 PEOPLE WERE SCREENED (A RECORD NUMBER)WITH 155 RECOMMENDED TO MAKE FOLLOW-UP APPOINTMENTS WITH THEIR PHYSICIANS. MORE THAN 200 EMPLOYEES AT NORTH BALDWIN INFIRMARY VISITED THE EMPLOYEE TOGETHER WE SHARE FAIR, EMPLOYEE PAYROLL DEDUCTION CAMPAIGN AGENCY BOOTHS. EMPLOYEES WHO VISITED EACH BOOTH WERE ENTERED TO WIN 25, 50, AND 100 VISA GIFT CARDS. THE INFIRMARY FOUNDATION, UNITED WAY, GOODWILL EASTER SEALS OF THE GULF COAST, AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, MARCH OF DIMES AND AMERICAN HEART ASSOCIATION PARTICIPATED IN THE EVENT. RAIN OR SHINE WE "MARCH FOR BABIES" INFIRMARY HEALTH RAISED MORE THAN 16,000 FOR THE MARCH OF DIMES WALK AND WON THE T-SHIRT DESIGN CONTEST WITH NORTH BALDWIN INFIRMARY'S "BE A BABY'S LIFESAVER" DESIGN. BASED ON ESTABLISHED RATES, THE ORGANIZATION PROVIDED OVER 3,743,0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ALAN WHALEY 10416 PAPAS ST DAPHNE, AL 36526</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE ACCOUNTANTS OF AN AFFILIATED COMPANY WITH ASSISTANCE FROM SEVERAL KNOWLEDGEABLE EMPLOYEES OF THE REPORTING ORGANIZATION. THE RETURN WAS REVIEWED BEFORE FILING BY THE INDEPENDENT ACCOUNTING FIRM OF WARREN AVERETT,LLC.</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 CORPORATIONS OF INFIRMARY HEALTH SYSTEM, INC. HAVE 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 307,491 FAS 158 PENSION CHANGE -1,824,266 INTERCOMPANY TRANSFERS 7,297 NET ASSETS RELEASED FROM RESTRICTION -15,063 TOTAL -1,524,541</ExplanationTxt>
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