2015-02-04T12:14:52-06:00 2014-03-31 990 2013-04-01 630891904 GULF HEALTH HOSPITALS INC DBA THOMAS HOSPITAL NORTH BALDWIN GULF 2514353030 P O BOX 2226 MOBILE AL 366522226 JOSEPH DENTON TREASURER 2514353030 2015-02-04 2015-02-04 2013 2016-04-25 22:37:26Z INFIRMARY & OAKWOOD NURSING HOME D MARK NIX P O BOX 2226 MOBILE AL 36652 173348624 false X THOMASHOSPITAL.ORG & NORTHBALDWININFIR X 1985 AL TO ADVANCE THE PROMOTION OF HEALTH & TO PARTICIPATE IN ANY ACTIVITY DESIGNED TO PROMOTE HEALTH OR HEALING IN THE GULF COAST REGION. 6 5 1489 610 81042 -14903 738148 590612 166411489 167571805 93871 39766 3945625 3701615 171189133 171903798 0 0 63021597 61825090 0 0 106319915 109668973 169341512 171494063 1847621 409735 162361061 168719628 202436796 203577803 -40075735 -34858175 X TO ADVANCE THE PROMOTION OF HEALTH & TO PARTICIPATE IN ANY ACTIVITY DESIGNED TO PROMOTE HEALTH OR HEALING IN THE GULF COAST REGION. false false 156225649 171229605 GULF HEALTH HOSPITALS, INC. (GHHI) OPERATES NORTH BALDWIN INFIRMARY, 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, 2014, NORTH BALDWIN INFIRMARY PROVIDED ALMOST 9,000 INPATIENT DAYS OF CARE, DELIVERED 228 BABIES, PERFORMED ALMOST 2,700 SURGERIES & TREATED OVER 14,000 EMERGENCY CASES IN ITS EMERGENCY DEPARTMENT. NORTH BALDWIN INFIRMARY PARTICIPATES IN THE (CONTINUED ON SCHEDULE O) 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 31,2014 THOMAS HOSPITAL PROVIDED OVER 35,300 PATIENT DAYS OF CARE, DELIVERED OVER 1,100 BABIES, TREATED OVER 30,300 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED ALMOST 7,200 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THE ORGANIZATION 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. THESE PROGRAMS INCLUDE HEART, COLON CANCER, SKIN CANCER, BLOOD PRESSURE, DIABETES BONE DENSITY SCREENINGS; LUNCH & LEARN PROGRAMS WITH PHYSICIAN SPEAKERS; BLOOD DRIVES; AN AARP DRIVING COURSE FOR SENIORS; AND AN AMERICAN CANCER SOCIETY PROGRAM FOR WOMEN UNDERGOING CANCER TREATMENT. 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 SYSTEM FORMED AN ALL VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY. DURING THE FISCAL YEAR ENDED MARCH 31, 2014 THE SYSTEM EMPLOYEES LOGGED OVER 12,000 VOLUNTEER HOURS IN THE COMMUNITY. THE ORGANIZATION PARTICIPATED IN THE FIRST ANNUAL INFIRMARY HEALTH SYSTEM GOODWILL DRIVE WHICH RESULTED IN THE MOST SUCCESSFUL DRIVE IN GOODWILL'S HISTORY. THE SYSTEM ALSO PARTNERED WITH THE SALVATION ARMY AND PROVIDED EMPLOYEE VOLUNTEERS AS KETTLE BELL RINGERS. THESE PROGRAMS BENEFIT THOUSANDS OF AREA CITIZENS ANNUALLY. BASED ON ESTABLISHED RATES, THE ORGANIZATION PROVIDED ALMOST 6,279,000 IN CHARITY CARE FOR THE FISCAL YEAR ENDED MARCH 31, 2014. 156225649 true true false false false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 131 0 true 1489 true true true false false false false false false false false false X 6 5 false false false false false false false true true false false false false false false false true true false X JIM MITCHELL VICE PRESIDENT 2514353030 5 MOBILE INFIRMARY CIRCLE MOBILE AL 36607 D MARK NIX PRES/CEO 5.00 40.00 X X 0 952806 332824 T BESTOR WARD III CHAIRMAN 0.50 X X 0 0 0 LAURA MORRISSETTE CLARK DIRECTOR 0.50 X 0 0 0 MICHAEL HOLBERG DIRECTOR 0.50 X 0 0 0 MCGOWIN I PATRICK JR DIRECTOR 0.50 X 0 0 0 TERRY J THOMPSON DIRECTOR 0.50 X 0 0 0 GENE MIYAMOTO CHIEF OPER O 5.00 35.00 X 0 509836 112395 JOSEPH DENTON TREASURER 5.00 40.00 X 0 468958 119595 JOE T STOUGH III VICE PRESIDE 5.00 40.00 X 0 460773 112073 SCOTT A BROWNING SECRETARY 5.00 40.00 X 0 315945 65649 KERN WILSON ASST TREASUR 5.00 40.00 X 0 217193 63560 JULIE ROWELL CHIEF NURSIN 45.00 X 206017 0 58507 DOUG GARNER ADMINSTRATIO 45.00 X 190353 0 70176 GEORGE FAHY III MD PHYSICIAN 45.00 X 401543 0 3646 LISA STANLEY PHARMACY DIR 45.00 X 147736 0 33032 KELLYE KNIGHT PHARMACY MAN 45.00 X 139124 0 24974 CHARLES DURANT PHARMACIST 45.00 X 126818 0 0 MICHAEL MCBREARTY CMO 25.00 X 124149 0 50905 ALAN WHALEY FORMER VP 0.00 0.00 X 0 146199 4904 1335740 3071710 1052240 19 true true false INPHYNET CONTRACTING SERVICES INC P O BOX 634850 CINCINNATI OH 452634850 EMERG. ROOM PHY 658790 HORIZON MENTAL HEALTH MANAGEMENT P O BOX 840839 DALLAS TX 75284 GERIATRIC PSYCH 584429 MOBILE INFIRMARY ASSOCIATION P O BOX 2144 MOBILE AL 36652 PROFUSION/LAB 530656 MARK R CROWELL PC 204 POTTERS MILL AVE DAPHNE AL 36526 ANESTHESIOLOGY 410025 INSIGHT HEALTH CORP P O BOX 847689 DALLAS TX 75284 PET SCAN 386306 19 7155 583457 590612 PATIENT SERVICES REVENUE 900099 167490763 167490763 OUTSIDE LAB SERVICES 621500 81042 81042 167571805 40936 40936 1430915 1443656 -12741 -12741 -12741 1170 -1170 -1170 -1170 MEANINGFUL USE 900099 2770111 2770111 DISCOUNTS/REBATES/MISC 900099 730430 730430 DIETARY 722514 157259 157259 56556 56556 3714356 171903798 171148563 81042 83581 1440434 1415620 24814 48430894 47596282 834612 2507005 2463802 43203 5835750 5735182 100568 3611007 3548778 62229 3873350 3873350 118345 118345 147055 147055 8234601 7112225 1122376 12316 10637 1679 251001 216790 34211 9496071 8201757 1294314 20412 20412 11107 9593 1514 1584804 1584804 11050684 9544476 1506208 2479880 2479880 MEDICAL & LAB SUPPLIES 32916281 32916281 BAD DEBTS 24359224 24359224 SHARED SERVICES 12789807 11046556 1743251 OTHER SUPPLIES & EXPENSES 1886809 1629637 257172 437226 418809 18417 171494063 156225649 15268414 0 20294019 27290493 5919927 3156615 17613815 18667960 3664384 3552003 1163367 1385817 228778366 129848552 100371228 98929814 13334321 15736926 162361061 168719628 12109320 13590721 358560 1593295 159243 189809673 188393787 202436796 203577803 X -44412464 -39942410 2898714 3653728 1438015 1430507 -40075735 -34858175 162361061 168719628 409735 2708995 2098830 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3322545 3322545 225455821 129848552 95607269 98929814 TRUSTEED FUNDS 9952023 NONCURRENT INVESTMENTS/OTHER 5611340 DUE FROM AFFILIATES 173563 15736926 DUE TO AFFILIATES 127873548 OTHER ACCRUED LIABILITIES 29741208 SWAP LIABILITY 13231123 ACCRUED PENSION 7854828 ACCRUED PROF LIAB & WORKERS COMP 7627064 DUE TO CONTRACTUAL AGENCIES 2066016 188393787 true true X true X true X true true true false false 4593645 4593645 0.03120 7528114 5140672 2387442 0.01620 12121759 5140672 6981087 0.04740 149551 149551 0.00100 280125 80503 199622 0.00140 34342 34342 0.00020 464018 80503 383515 0.00260 12585777 5221175 7364602 0.05000 false 25771761 14158851 45141688 44963703 177985 X false 2 1 THOMAS HOSPITAL P O DRAWER 929 FAIRHOPE AL 36533 X X X 1 2 NORTH BALDWIN INFIRMARY P O BOX 1409 BAY MINETTE AL 36507 X X X 1 1 true X X X X X X X X 13 true true true X THOMASHOSPITAL.ORG & NORTHBALDWININFIR X X X X X X X false false true true 200.000000000000 true 350.000000000000 true X X X true true X X X true false X true X false false FACILITY 1, THOMAS HOSPITAL - PART V, LINE 3 IN PREPARING THE CHNA DATA WAS GATHERED FROM MULTIPLE SOURCES IN AN EFFORT TO CONSTRUCT A CURRENT AND ACCURATE SNAPSHOT OF THE HEALTH ISSUES IN 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. FACILITY 1, THOMAS HOSPITAL - PART V, LINE 4 THOMAS HOSPITAL'S CHNA WAS PREPARED IN CONJUNCTION WITH NORTH BALDWIN INFIRMARY, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA. FACILITY 1, THOMAS HOSPITAL - PART V, LINE 7 THE ORGANIZATION DID NOT ADDRESS THE IDENTIFIED NEED OF "INCREASE TRANSPORTATION FOR SERVICES". PUBLIC TRANSPORTATION IS A LOCAL GOVERNMENTAL PROVISION AND IS NOT A DIRECT HEALTH CARE RELATED NEED, THEREFORE, A PLAN WAS NOT INCLUDED IN THE IMPLEMENTATION STRATEGY. FACILITY 1, THOMAS HOSPITAL - PART V, LINE 14G 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 2014 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. FACILITY 1, THOMAS HOSPITAL - PART V, LINE 18E THE ORGANIZATION MADE NO SUCH EFFORTS. FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 3 IN PREPARING THE CHNA DATA WAS GATHERED FROM MULTIPLE SOURCES IN AN EFFORT TO CONSTRUCT A CURRENT AND ACCURATE SNAPSHOT OF THE HEALTH ISSUES IN 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. FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 4 NORTH BALDWIN INFIRMARY'S CHNA WAS PREPARED IN CONJUNCTION WITH THOMAS HOSPITAL, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA. FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 7 THE ORGANIZATION DID NOT ADDRESS THE IDENTIFIED NEED OF "INCREASE TRANSPORTATION FOR SERVICES". PUBLIC TRANSPORTATION IS A LOCAL GOVERNMENTAL PROVISION AND IS NOT A DIRECT HEALTH CARE RELATED NEED, THEREFORE, A PLAN WAS NOT INCLUDED IN THE IMPLEMENTATION STRATEGY. FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 14G ADDITIONAL MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION INCLUDE PROVIDING THE POLICY TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. DURING FISCAL YEAR 2014 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. FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 18E THE ORGANIZATION MADE NO SUCH EFFORTS. 2 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 ADDITIONAL INFORMATION 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 24,359,224. 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 2013, THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF OTHER MEANS. CONSTANT COMMUNICATION WITH THE OPEN MEDICAL STAFF OF MORE THAN 650 PHYSICIANS LOCATED THROUGHOUT THE COMMUNITY PROVIDES VALUABLE INSIGHT INTO HEALTH RELATED NEEDS. THE INDEPENDENT BOARD, REPRESENTING MEMBERS OF THE COMMUNITY, PROVIDES INPUT FROM A DIFFERENT PERSPECTIVE. COMMENTS FROM PATIENT SATISFACTION SURVEYS ARE SCRUTINIZED FOR OPPORTUNITIES. FORMAL COMMITTEES IN THE ORGANIZATION, SUCH AS THE STROKE COMMITTEE, ASSESS DATA PROVIDED BY THE AMERICAN HEART ASSOCIATION AND SIMILAR ORGANIZATIONS, TO ASSIST IN IDENTIFYING COMMUNITY NEEDS. THROUGH WEEKLY LEADERSHIP AND STRATEGIC PLANNING MEETINGS HELD AT AFFILIATED HOSPITALS AND ENTITIES LOCATED THROUGHOUT THE SERVICE AREA, NEEDS OF THE COMMUNITIES SERVED ARE CONTINUOUSLY ASSESSED. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, 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. true true false false false false false false false D MARK NIX PRES/CEO 741926 210880 328027 4797 1285630 GENE MIYAMOTO CHIEF OPER OFFICER 435048 74788 108851 3544 622231 JOSEPH DENTON TREASURER 400887 68071 114468 5127 588553 JOE T STOUGH III VICE PRESIDENT 389642 71131 105746 6327 572846 SCOTT A BROWNING SECRETARY 269617 46328 59820 5829 381594 KERN WILSON ASST TREASURER 192503 24690 59080 4480 280753 JULIE ROWELL CHIEF NURSING OFFICE 182616 23401 52463 6044 264524 DOUG GARNER ADMINSTRATION 170811 19542 64030 6146 260529 GEORGE FAHY III MD PHYSICIAN 401543 3646 405189 LISA STANLEY PHARMACY DIRECTOR 138545 9191 28682 4350 180768 KELLYE KNIGHT PHARMACY MANAGER 132036 7088 18878 6096 164098 MICHAEL MCBREARTY CMO 124149 41233 9672 175054 ALAN WHALEY FORMER VP 146199 4904 151103 SCHEDULE J, PAGE 1, PART I, LINE 4 D. MARK NIX 0 258,875 0 GENE MIYAMOTO 0 64,703 0 JOSEPH DENTON 0 57,508 0 JOE T. STOUGH, III 0 58,582 0 SCOTT A. BROWNING 0 29,342 0 KERN WILSON 0 20,715 0 JULIE ROWELL 0 17,511 0 DOUG GARNER 0 17,215 0 ALAN WHALEY 146,199 0 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. FORM 990, PAGE 2, PART III, LINE 4A 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 31,2014 THOMAS HOSPITAL PROVIDED OVER 35,300 PATIENT DAYS OF CARE, DELIVERED OVER 1,100 BABIES, TREATED OVER 30,300 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED ALMOST 7,200 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THE ORGANIZATION 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. THESE PROGRAMS INCLUDE HEART, COLON CANCER, SKIN CANCER, BLOOD PRESSURE, DIABETES BONE DENSITY SCREENINGS; LUNCH & LEARN PROGRAMS WITH PHYSICIAN SPEAKERS; BLOOD DRIVES; AN AARP DRIVING COURSE FOR SENIORS; AND AN AMERICAN CANCER SOCIETY PROGRAM FOR WOMEN UNDERGOING CANCER TREATMENT. 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 SYSTEM FORMED AN ALL VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY. DURING THE FISCAL YEAR ENDED MARCH 31, 2014 THE SYSTEM EMPLOYEES LOGGED OVER 12,000 VOLUNTEER HOURS IN THE COMMUNITY. THE ORGANIZATION PARTICIPATED IN THE FIRST ANNUAL INFIRMARY HEALTH SYSTEM GOODWILL DRIVE WHICH RESULTED IN THE MOST SUCCESSFUL DRIVE IN GOODWILL'S HISTORY. THE SYSTEM ALSO PARTNERED WITH THE SALVATION ARMY AND PROVIDED EMPLOYEE VOLUNTEERS AS KETTLE BELL RINGERS. THESE PROGRAMS BENEFIT THOUSANDS OF AREA CITIZENS ANNUALLY. BASED ON ESTABLISHED RATES, THE ORGANIZATION PROVIDED ALMOST 6,279,000 IN CHARITY CARE FOR THE FISCAL YEAR ENDED MARCH 31, 2014. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PREPARED BY THE ACCOUNTANTS OF AN AFFILIATED COMPANY WITH ASSISTANCE FROM SEVERAL KNOWLEDGEABLE EMPLOYEES OF THE REPORTING ORGANIZATION. THE RETURN WAS REVIEWED BEFORE FILING BY THE INDEPENDENT ACCOUNTING FIRM OF ERNST AND YOUNG, LLP. 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 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. 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 WATSON WYATT IN 2008 AND BY HEWITT & ASSOCIATES IN 2010. 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. GULF HEALTH PROPERTIES INC P O BOX 2226 MOBILE AL 36652 630933700 REALESTATE AL 501C2 INFHLTHSYS false INFIRMARY HOSPICE CARE INC P O BOX 2226 MOBILE AL 36652 721356598 HOSPICE AL 501C3 9 INFHLTHSYS false INFIRMARY FOUNDATION INC P O BOX 2226 MOBILE AL 36652 630870620 FOUNDATION AL 501C3 7 INFHLTHSYS false INFIRMARY HEALTH HOSPITALS INC P O BOX 2226 MOBILE AL 36652 203713023 HOSPITALS AL 501C3 3 INFHLTHSYS false INFIRMARY HEALTH SYSTEM INC P O BOX 2226 MOBILE AL 36652 630841123 MANAGEMENT AL 501C3 11C INFHLTHSYS false MOBILE INFIRMARY ASSOCIATION P O BOX 2226 MOBILE AL 36652 630288856 HOSPITAL AL 501C3 3 INFHLTHSYS false GULF HEALTH SERVICES INC P O BOX 2226 MOBILE AL 36652 630943206 MANAGEMENT AL IMC C CORP false GULF HEALTH MANAGEMENT SERVICES IN P O BOX 2226 MOBILE AL 36652 562332377 MANAGEMENT AL IHS C CORP false INFIRMARY MEDICAL CLINICS PC P O BOX 2226 MOBILE AL 36652 630985524 PHYOFFICES AL IHS C CORP false INDUSTRIAL REHAB INC P O BOX 2226 MOBILE AL 36652 200978395 PHYTHERAPY AL GHS C CORP false AMERICAN OAK HILL ASSURANCE LTD P O BOX 2226 MOBILE AL 36652 980604272 SELF INSUR BD IHS C CORP false 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 false false false false true false false false false false false false true false true false false false true