2026-02-11T12:34:04-05:00 2025-03-31 990 2024-04-01 630891904 GULF HEALTH HOSPITALS INC DBA THOMAS HOSPITAL NORTH BALDWIN GULF 2514353030 P O BOX 2226 MOBILE AL 366522226 KERRY TOLLESON TREASURER 2514353030 2026-02-10 false 2024 2025-03-06 01:10:19Z INFIRMARY D MARK NIX PO BOX 2226 MOBILE AL 36652 429679166 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. 7 6 2066 192 0 508848 1969978 347338068 409837208 400167 1875031 5397056 15967586 353644139 429649803 0 0 129500951 133631594 0 0 207029374 249469833 336530325 383101427 17113814 46548376 329366677 411925818 245355264 279471384 84011413 132454434 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 353459040 425777121 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. DURING ITS TIME UNDER GHHI, THE ORGANIZATION IMPLEMENTED 25 MILLION DOLLARS IN EXPANSIONS TO IMPROVE THE HEALTHCARE OF RESIDENTS OF BALDWIN COUNTY. FOR THE FISCAL YEAR ENDED MARCH 31, 2025, NORTH BALDWIN INFIRMARY PROVIDED NEARLY 13,000 INPATIENT DAYS OF CARE, DELIVERED 180 BABIES, PERFORMED 3,476 SURGERIES & TREATED OVER 15,900 EMERGENCY CASES IN ITS EMERGENCY DEPARTMENT. NBI PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL IS THE LARGEST COMMUNITY HOSPITAL IN BALDWIN COUNTY, ALABAMA, ONE OF THE FASTEST-GROWING COUNTIES IN ALABAMA. THE ABILITY TO KEEP UP WITH THE EVER-INCREASING DEMAND FOR HEALTH SERVICES IN THE COMMUNITY IS CRITICAL TO THE LONG-TERM WELFARE OF THE PATIENTS THOMAS HOSPITAL SERVES. GHHI LEASED THOMAS HOSPITAL IN AUGUST 2005 FROM A PUBLIC HEALTH CARE AUTHORITY AND IMMEDIATELY INITIATED EFFORTS TO ASSIST THOMAS HOSPITAL IN OBTAINING FUNDING FOR HOSPITAL EXPANSION AND RENOVATIONS. RECENT IMPROVEMENTS INCLUDE AN ENLARGED BIRTH CENTER, A FREESTANDING EMERGENCY ROOM BUILDING, A NEW CANCER CENTER FOR RADIATION TREATMENTS, AND A COMPREHENSIVE BREAST CENTER FOR 2D AND 3D MAMMOGRAPHY AND DIAGNOSTIC TESTING. FOR THE FISCAL YEAR ENDED MARCH 31, 2025 THOMAS HOSPITAL PROVIDED OVER 63,000 PATIENT DAYS OF CARE, DELIVERED 1448 BABIES, TREATED OVER 50,500 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED 9,090 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY PROVIDE AND/OR PARTICIPATE IN A NUMBER OF MONTHLY, QUARTERLY, AND ANNUAL COMMUNITY OUTREACH/EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS, AND VARIOUS SCREENINGS TO BENEFIT AREA CITIZENS. THE HOSPITALS HAVE SPONSORED A NUMBER OF HEALTH FAIRS DURING THE YEAR ACROSS BALDWIN COUNTY IN PARTNERSHIP WITH LOCAL GOVERNMENT AND CORPORATE PARTNERS. THESE HEALTH FAIRS PROVIDED FREE HEALTH ASSESSMENTS, VACCINATIONS, AND WELLNESS INFORMATION TO THE COMMUNITY. THEY ALSO SPONSORED A WALK AT LUNCH EVENT TO PROMOTE HEALTHY HABITS IN PARTNERSHIP WITH BLUE CROSS BLUE SHIELD. NORTH BALDWIN INFIRMARY HAS SERVED AS THE LEAD APPLICANT AND IS A FOUNDING MEMBER OF THE NORTH BALDWIN RURAL HEALTH NETWORK WHICH FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY THROUGH A COLLABORATION OF PROVIDERS AND UTILIZATION OF TECHNOLOGY. THE PROGRAM IS FUNDED BY THE HEALTH RESOURCE SERVICES ADMINISTRATION AND HAS ESTABLISHED SEVERAL PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE CARE TRANSITIONS PROGRAM COORDINATES PATIENTS CARE FROM HOSPITAL TO HOME BY WORKING CLOSELY WITH POST-ACUTE PROVIDERS. THE PROGRAM UTILIZES THE WATERSHED PLATFORM TO COMMUNICATE WITH PATIENTS AND PROVIDERS TO ENSURE PATIENTS ARE ABLE TO RECEIVE SUPPORT AFTER THEY LEAVE THE HOSPITAL. GHHI PROVIDES WATERSHED ACCESS AT NO CHARGE TO PROVIDERS TO ENSURE THEY CHOOSE TO PARTICIPATE IN THE INITIATIVE. NORTH BALDWIN INFIRMARY ALSO PROVIDES FREE SMOKING CESSATION CLASSES TO THE COMMUNITY SEVERAL TIMES PER YEAR. THEY USE THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM. THEY ALSO OFFER INDIVIDUALS WITH LUNG DISEASE WITH A MONTHLY SUPPORT GROUP TO HELP THEM DEAL WITH THEIR DISEASE AND IMPROVE THEIR HEALTH. THE ORGANIZATION PROVIDES APPROXIMATELY A DOZEN MONTHLY SUPPORT GROUPS AND ANNUALLY ORGANIZES SEVERAL HEALTH RELATED WALKS SPONSORED BY ONE OF THE HOSPITALS OR A NATIONAL ORGANIZATION SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, OR THE MARCH OF DIMES. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL BOTH OFFER DIABETES SELF- MANAGEMENT PROGRAMS TO HELP INDIVIDUALS LIVING WITH DIABETES MANAGE THEIR CONDITION AND LIVE HEALTHIER LIVES. MENTAL HEALTH FIRST AID IS AN 8-HOUR COURSE THAT TEACHES PEOPLE THE SKILLS TO HELP SOMEONE WHO IS DEVELOPING A MENTAL HEALTH ILLNESS OR EXPERIENCING A MENTAL HEALTH CRISIS. THE EVIDENCE BEHIND THE PROGRAM DEMONSTRATES THAT IT BUILDS MENTAL HEALTH LITERACY, HELPING THE PUBLIC IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESS. THE TRAINING IS OFFERED MONTHLY AND IS FREE TO THE PUBLIC. IN 2012, INFIRMARY HEALTH (AN AFFILIATED COMPANY) FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY (NBI). THIS COMMITTEE, KNOWN AS IHELP, HELPS BETTER MANAGE STAFF AND ORGANIZATIONAL RESOURCES BY ESTABLISHING A PROCESS TO EVALUATE COMMUNITY NEEDS AND ENSURE OUR COMMUNITY PROJECTS ARE IN LINE WITH OUR MISSION. IN FY25, THROUGH THE IHELP PROGRAM, INFIRMARY HEALTH GAVE 100,000 TO MORE THAN 50 LOCAL NON- PROFIT ORGANIZATIONS. IN SEPTEMBER 2024, NBI HOSTED THE INAUGURAL SUNSHINE SPRINT. THE 8K AND ACCOMPANYING FUN RUN BENEFITED RAPAHOPE, A LOCAL NON-PROFIT THAT OFFERS FREE, YEAR-ROUND PROGRAMMING, INCLUDING ITS FLAGSHIP SUMMER CAMP, AS WELL AS WEEKEND AND DAY-LONG OPPORTUNITIES FOR FAMILIES AND SIBLINGS OF CHILDREN WITH CANCER. THE RACE HAD 60 REGISTERED PARTICIPANTS AND 25 VOLUNTEERS, AND IT RAISED 5,000 FOR RAPAHOPE. THE STAFF AND PHYSICIANS AT NBI ARE ACTIVE IN THE NORTH BALDWIN COMMUNITY THROUGH THE HOSPITAL'S LEAD-CHANGE-GROW TEAM. THROUGH THIS INITIATIVE, THE TEAM HAS PROVIDED SUPPORT TO NUMEROUS ORGANIZATIONS AND COMMUNITY PARTNERS, INCLUDING BAY MINETTE ELEMENTARY SCHOOL'S CAR LINE, THE FOSTER AND ADOPTIVE ASSOCIATION OF BALDWIN COUNTY, THE CITY OF BAY MINETTE THROUGH ROADSIDE CLEANUP, AMONG OTHERS. ADDITIONALLY, THE HOSPITAL PROVIDES COMMUNITY SUPPORT THROUGH HEALTH FAIRS, EDUCATIONAL SPEAKING EVENTS, AND FREE SUPPORT GROUPS FOR PATIENTS AND THEIR FAMILIES. FOR THE LAST 48 YEARS, THOMAS HOSPITAL AND WELLS FARGO HAVE HOSTED SPRING FEVER CHASE-A 10K AND 2-MILE FUN RUN THAT TAKES PLACE IN BALDWIN COUNTY. PROCEEDS FROM SPRING FEVER CHASE BENEFIT LOCAL BALDWIN COUNTY SCHOOLS WHO APPLY FOR PHYSICAL EDUCATION EQUIPMENT GRANTS. THE EVENT TOOK PLACE ON MARCH 15, 2025 AND HAD MORE THAN 1,000 RACERS AND FUN RUN PARTICIPANTS WHO RANGED AGES 8 TO 86. IN TOTAL, THE EVENT GAVE BACK 24,000 TO BALDWIN COUNTY SCHOOLS. INFIRMARY HEALTH IS ALSO AN ACTIVE SPONSOR OF THE AMERICAN HEART ASSOCIATION'S (AHA) HEART WALK IN MOBILE AND BALDWIN COUNTIES. THROUGH INFIRMARY HEALTH'S 10,000 SPONSORSHIP TO AHA, THOMAS HOSPITAL DONATED CPR TRAINING KITS TO A BALDWIN COUNTY SCHOOL. THE KITS PROVIDE HANDS-ON LEARNING EXPERIENCES AND EVERYTHING NEEDED TO TRAIN 10 STUDENTS AT ONCE IN CPR. INFIRMARY HEALTH SUPPORTS ITS LOCAL AMERICAN CANCER SOCIETY (ACS) CHAPTER WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, AND NUMEROUS OTHER EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2024, INFIRMARY HEALTH SPONSORED ACS'S ANNUAL MAKING STRIDES AGAINST BREAST CANCER WALK, WHICH HAD NEARLY 4,000 WALKERS. IN ADDITION TO PARTICIPATING IN THE WALK, INFIRMARY HEALTH EMPLOYEES PURCHASED T-SHIRTS TO RAISE FUNDS FOR ACS. INFIRMARY CANCER CARE DEPARTMENTS WITHIN NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL HAVE AN EMPLOYEE-LED TEAM EACH YEAR FOR THE ACS CHILI COOK OFF IN ADDITION TO SERVING AS THE EVENT'S FLAGSHIP SPONSOR. THE EVENT RAISES AWARENESS FOR COLON CANCER AND YIELDS MORE THAN 8,000 PARTICIPANTS EACH YEAR. WOMEN'S AND MATERNAL HEALTH CONTINUES TO BE A PRIORITY FOR INFIRMARY HEALTH. DURING FY25, INFIRMARY HEALTH PROVIDED FREE EDUCATIONAL INFORMATION RELATED TO WOMEN'S HEALTH AT 38 COMMUNITY EVENTS ACROSS MOBILE AND BALDWIN COUNTIES. MORE THAN 2,100 WOMEN WERE REACHED THROUGH THESE EFFORTS. ADDITIONALLY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY HELD FREE CHILDBIRTH EDUCATION, INFANT CPR, NEWBORN CARE AND SAFETY, AND BREASTFEEDING SUPPORT GROUP CLASSES THROUGHOUT THE YEAR. IN TOTAL, 200 INDIVIDUALS ATTENDED THE CLASSES OFFERED AT THOMAS HOSPITAL, AND AN ADDITIONAL 78 PEOPLE ATTENDED THE CLASSES AT NORTH BALDWIN INFIRMARY. THOMAS HOSPITAL SERVES AS A CORPORATE "BIG" WITH BIG BROTHERS BIG SISTERS OF THE CENTRAL GULF COAST TO PROVIDE EMPLOYEE MENTORS TO ELEMENTARY SCHOOL STUDENTS. EACH WEEK, THOMAS HOSPITAL ALLOWS THEIR CORPORATE BIGS TO GO MEET THEIR LITTLES FOR ONE HOUR DURING THE SCHOOL DAY. THESE INDIVIDUALS PROVIDE ENCOURAGEMENT AND FRIENDSHIP WHICH HAS A POSITIVE IMPACT ON THESE YOUNG PEOPLE. IN APRIL 2024, INFIRMARY HEALTH PARTICIPATED IN A FIELD TRIP WITH BIG BROTHERS BIG SISTERS. DURING THE FIELD TRIP, 160 LITTLES RECEIVED INFORMATION ABOUT HEALTHCARE CAREER OPPORTUNITIES, HEART DISEASE EDUCATION, AND PHYSICAL FITNESS EDUCATION. 353459040 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 222 0 true 2066 true false false false false false false false false false false false false X 7 6 false false false false false false false true true false false false false false false false true true false X JOSH WILLIAMS 2514353030 5 MOBILE INFIRMARY CIRCLE MOBILE AL 36607 D MARK NIX PRES/CEO 2.00 40.00 X X 0 1833567 66904 FURHAN YUNAS DIRECTOR 24.00 21.00 X 757250 716143 33590 JOE T STOUGH III VICE PRESIDE 2.00 40.00 X 0 799929 125099 JOSEPH DENTON ASSISTANTTRE 2.00 40.00 X 0 718649 132249 SCOTT A BROWNING SECRETARY 2.00 40.00 X 0 507626 78950 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600 SANDY SPRINGS GA 30350 5180183 EASTERN SHORE ANESTHESIA PC PO BOX 1025 FAIRHOPE AL 36533 ANESTHESIA 4991335 WITHERINGTON CONSTRUCTION GROUP 25387 FRIENDSHIP DRIVE DAPHNE AL 36532 1843887 47 1106762 863216 1969978 PATIENT SERVICES REVENUE 900099 410270903 410270903 RELATED ORG RENT INCOME 621500 -433695 -433695 409837208 1875031 1875031 57036 29363 27673 27673 27673 PHARMACY SALES 446110 13943053 13943053 DISCOUNTS/REBATES/MISC 900099 1870778 1870778 DIETARY 722514 81297 81297 44785 44785 15939913 429649803 425777121 1902704 1946277 1686999 259278 108273287 107019565 1253722 2735811 2704135 31676 13516697 13360198 156499 7159522 7076627 82895 10831536 10831536 615002 615002 31622119 28333419 3288700 16450 14739 1711 11992785 10537971 1454814 175312 157080 18232 40987 36724 4263 4528859 4528859 12761049 11433900 1327149 2431135 2431135 MEDICAL & LAB SUPPLIES 121716083 121716083 SHARED SERVICES 28620020 25643538 2976482 BAD DEBTS 20460477 20460477 OTHER SUPPLIES & EXPENSES 3390226 3037642 352584 267793 239943 27850 383101427 353459040 29642387 0 32607361 68567201 11619324 12555850 35991694 34307439 8113352 11321353 14410049 27881110 321802282 240634717 85900353 81167565 169535 564923 140555009 175560377 329366677 411925818 25419400 31362533 153824 225335 219782040 247883516 245355264 279471384 X 73459752 120215735 10551661 12238699 84011413 132454434 329366677 411925818 X 46548376 207607 1687038 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2451741 2451741 319350541 240634717 78715824 81167565 DUE FROM AFFILIATES 154889808 TRUSTEED FUNDS 16443380 NONCURRENT INVESTMENTS/OTHER 4227189 175560377 DUE TO AFFILIATES 203996182 OTHER ACCRUED LIABILITIES 29692098 ACCRUED PROF LIAB & WORKERS COMP 7071637 DUE TO CONTRACTUAL AGENCIES 4274276 OTHER CURRENT LIABILITIES 2609833 LONG-TERM DEBT LESS CURRENT MATURITY 119234 NONCURRENT OPERATING LEASE LIABILITY 61211 CURRENT PORTION , L/T DEBT 59045 247883516 true true X true X true X true true false false 3061025 3061025 0.00840 18498364 11976596 6521768 0.01800 21559389 11976596 9582793 0.02640 203879 203879 0.00060 32967 32967 0.00010 40283 40283 0.00010 277129 277129 0.00080 21836518 11976596 9859922 0.02720 false 20416327 8610019 64622853 58575444 6047409 X false 2 1 THOMAS HOSPITAL P O DRAWER 929 FAIRHOPE AL 36533 SEE SCHEDULE H ADDITIONAL INFORMATION X X X 1 2 NORTH BALDWIN INFIRMARY P O BOX 1409 BAY MINETTE AL 36507 SEE SCHEDULE H ADDITIONAL INFORMATION X X X 2 1 1 false false true X X X X X X X X X X 22 true true false true X SEE SCHEDULE H ADDITIONAL INFORMATION true 22 false true false true X 200.000000000000 350.000000000000 X true true X X X true X SEE SCHEDULE H ADDITIONAL INFORMATION X SEE SCHEDULE H ADDITIONAL INFORMATION X SEE SCHEDULE H ADDITIONAL INFORMATION X X X X X X true X false X X X X true X false false 2 2 false false true X X X X X X X X X X 22 true true false true X SEE SCHEDULE H ADDITIONAL INFORMATION true 22 false true false true X 200.000000000000 350.000000000000 X true true X X X true X SEE SCHEDULE H ADDITIONAL INFORMATION X SEE SCHEDULE H ADDITIONAL INFORMATION X SEE SCHEDULE H ADDITIONAL INFORMATION X X X X X X true X false X X X X true X false false GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 5 IN PREPARING THE CHNA, DATA WAS GATHERED FROM MULTIPLE SOURCES IN AN EFFORT TO CONSTRUCT A CURRENT AND ACCURATE SNAPSHOT OF THE HEALTH ISSUES IN BALDWIN COUNTY, ALABAMA. INFORMATION WAS OBTAINED FROM NUMEROUS PUBLIC DATABASES AND OPINIONS WERE SOLICITED FROM PUBLIC HEALTH EXPERTS, LOCAL CIVIC LEADERS, AND PATIENTS WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION. THIS INFORMATION WAS THEN SUMMARIZED FOR FINAL CONSIDERATION BY A CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM HOSPITAL AND SYSTEM MANANGEMENT, NURSING SERVICES, PATIENT SERVICES, AND ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF), THE QUALITY IMPROVEMENT ORGANIZATION (QIO) FOR THE STATE OF ALABAMA. GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 6A THOMAS HOSPITAL'S CHNA WAS PREPARED IN CONJUNCTION WITH NORTH BALDWIN INFIRMARY, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA. GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 11 THE 2022 COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE 2022 CHNA FOR INFIRMARY HEALTH AFFILIATE HOSPITALS INCLUDING: MOBILE INFIRMARY, INFIRMARY LONG TERM ACUTE CARE (ILTAC), THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY INCLUDE: ACCESS TO CARE, CANCER, DIABETES, HEART DISEASE, AND OBESITY/PHYSICAL INACTIVITY. THE RESULTING PRIORITY AREAS WERE STRATEGICALLY CONDENSED INTO TWO MAIN PRIORITY AREAS TO FEATURE THE APPROACH THAT THE HEALTH SYSTEM WOULD TAKE TO HAVE AN IMPACT ON THE MOST SIGNIFICANT DISEASES IN OUR COMMUNITY: (1) ACCESS TO CARE WITH A FOCUS ON CANCER, DIABETES, AND HEART DISEASE. (2) OBESITY/PHYSICAL ACTIVITY WITH A FOCUS ON DIABETES AND HEART DISEASE. TO ADDRESS ACCESS TO CARE, INFIRMARY HEALTH SEEKS TO ESTABLISH PROGRAMS THAT PROVIDE AFFORDABLE COMPREHENSIVE HEALTHCARE EDUCATIONAL PROGRAMS AND THAT INCLUDE EARLY DETECTION AND PREVENTION MEASURES AND THAT PROMOTE PATIENT ENGAGEMENT AND SELF-MANAGEMENT FOR CANCER, DIABETES, AND HEART DISEASE. THE STRATEGIES TO ACHIEVE THIS WILL INCLUDE BRINGING HEALTH EDUCATION AND OUTREACH TO VULNERABLE COMMUNITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND BUSINESSES. THE HEALTH SYSTEM ALSO PLANS TO ESTABLISH A PREHAB CURRICULUM. ONE OF THE KEY WAYS THAT INFIRMARY HOSPITALS WILL IMPROVE ACCESS IS THROUGH ITS MOBILE SCREENING VEHICLE. IT WILL TRAVEL AROUND MOBILE AND BALDWIN COUNTIES PROVIDING SCREENING AND HEALTH EDUCATION IN THE AREAS OF CANCER, DIABETES AND HEART DISEASE. INFIRMARY HEALTH RECOGNIZES THE EFFECTS OF OBESITY ON CHRONIC DISEASES LIKE DIABETES AND HEART DISEASE. AS SUCH THEY PLAN TO ENHANCE AND ESTABLISH PROGRAMS THAT HELP INDIVIDUALS LOSE WEIGHT AND INCREASE THEIR PHYSICAL ACTIVITY LEVELS SO MOBILE AND BALDWIN COUNTIES CAN ACHIEVE THE LOWEST RATES OF DIABETES AND HEART DISEASE IN THE STATE OF ALABAMA. OBESITY CAN CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES AND INCREASES THE RISK OF A POOR OUTCOME IN OTHER ILLNESSES. TO ADDRESS THE IDENTIFIED NEED, MOBILE INFIRMARY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY WILL SEEK TO DEVELOP A SERIES OF CHILDREN'S AND ADULT PROGRAM PARTNERS SUCH AS BIG BROTHER BIG SISTERS, BOYS AND GIRLS CLUB, LOCAL SCHOOLS AND CHURCHES, SENIOR BOWL, AND COMMUNITY FESTIVALS TO PROMOTE EDUCATION AND SCREENING OPPORTUNITIES. GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 16J A NOTICE PUBLICIZING THE FINANCIAL ASSISTANCE POLICY (FAP) WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSION OFFICES AND OUTLYING REGISTRATION AREAS INCLUDING THE FACILITY'S EMERGENCY DEPARTMENT, AND THE FACILITY'S BUSINESS OFFICE. A PLAIN LANGUAGE SUMMARY OF THE FAP WAS ADDED TO BILLING AND COLLECTION STATEMENTS. DURING THE YEAR, THE FAP WAS PROVIDED TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE; THESE ORGANIZATIONS WERE THE MOBILE, BALDWIN, AND ESCAMBIA COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER AND THE HOPE CENTER. GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 5 IN PREPARING THE CHNA, DATA WAS GATHERED FROM MULTIPLE SOURCES IN AN EFFORT TO CONSTRUCT A CURRENT AND ACCURATE SNAPSHOT OF THE HEALTH ISSUES IN BALDWIN COUNTY, ALABAMA. INFORMATION WAS OBTAINED FROM NUMEROUS PUBLIC DATABASES AND OPINIONS WERE SOLICITED FROM PUBLIC HEALTH EXPERTS, LOCAL CIVIC LEADERS, AND PATIENTS WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION. THIS INFORMATION WAS THEN SUMMARIZED FOR FINAL CONSIDERATION BY A CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM HOSPITAL AND SYSTEM MANANGEMENT, NURSING SERVICES, PATIENT SERVICES, AND ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF), THE QUALITY IMPROVEMENT ORGANIZATION (QIO) FOR THE STATE OF ALABAMA. GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 6A NORTH BALDWIN INFIRMARY'S CHNA WAS PREPARED IN CONJUNCTION WITH THOMAS HOSPITAL, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA. GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 11 THE 2022 COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE 2022 CHNA FOR INFIRMARY HEALTH AFFILIATE HOSPITALS INCLUDING: MOBILE INFIRMARY, INFIRMARY LONG TERM ACUTE CARE (ILTAC), THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY INCLUDE: ACCESS TO CARE, CANCER, DIABETES, HEART DISEASE, AND OBESITY/PHYSICAL INACTIVITY. THE RESULTING PRIORITY AREAS WERE STRATEGICALLY CONDENSED INTO TWO MAIN PRIORITY AREAS TO FEATURE THE APPROACH THAT THE HEALTH SYSTEM WOULD TAKE TO HAVE AN IMPACT ON THE MOST SIGNIFICANT DISEASES IN OUR COMMUNITY: (1) ACCESS TO CARE WITH A FOCUS ON CANCER, DIABETES, AND HEART DISEASE. (2) OBESITY/PHYSICAL ACTIVITY WITH A FOCUS ON DIABETES AND HEART DISEASE. TO ADDRESS ACCESS TO CARE, INFIRMARY HEALTH SEEKS TO ESTABLISH PROGRAMS THAT PROVIDE AFFORDABLE COMPREHENSIVE HEALTHCARE EDUCATIONAL PROGRAMS AND THAT INCLUDE EARLY DETECTION AND PREVENTION MEASURES AND THAT PROMOTE PATIENT ENGAGEMENT AND SELF-MANAGEMENT FOR CANCER, DIABETES, AND HEART DISEASE. THE STRATEGIES TO ACHIEVE THIS WILL INCLUDE BRINGING HEALTH EDUCATION AND OUTREACH TO VULNERABLE COMMUNITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND BUSINESSES. THE HEALTH SYSTEM ALSO PLANS TO ESTABLISH A PREHAB CURRICULUM. ONE OF THE KEY WAYS THAT INFIRMARY HOSPITALS WILL IMPROVE ACCESS IS THROUGH ITS MOBILE SCREENING VEHICLE. IT WILL TRAVEL AROUND MOBILE AND BALDWIN COUNTIES PROVIDING SCREENING AND HEALTH EDUCATION IN THE AREAS OF CANCER, DIABETES AND HEART DISEASE. INFIRMARY HEALTH RECOGNIZES THE EFFECTS OF OBESITY ON CHRONIC DISEASES LIKE DIABETES AND HEART DISEASE. AS SUCH THEY PLAN TO ENHANCE AND ESTABLISH PROGRAMS THAT HELP INDIVIDUALS LOSE WEIGHT AND INCREASE THEIR PHYSICAL ACTIVITY LEVELS SO MOBILE AND BALDWIN COUNTIES CAN ACHIEVE THE LOWEST RATES OF DIABETES AND HEART DISEASE IN THE STATE OF ALABAMA. OBESITY CAN CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES AND INCREASES THE RISK OF A POOR OUTCOME IN OTHER ILLNESSES. TO ADDRESS THE IDENTIFIED NEED, MOBILE INFIRMARY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY WILL SEEK TO DEVELOP A SERIES OF CHILDREN'S AND ADULT PARTNERS SUCH AS BIG BROTHER BIG SISTERS, BOYS AND GIRLS CLUB, LOCAL SCHOOLS AND CHURCHES, SENIOR BOWL, AND COMMUNITY FESTIVALS TO PROMOTE EDUCATION AND SCREENING OPPORTUNITIES. GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 16J A NOTICE PUBLICIZING THE FINANCIAL ASSISTANCE POLICY (FAP) WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSION OFFICES AND OUTLYING REGISTRATION AREAS INCLUDING THE FACILITY'S EMERGENCY DEPARTMENT, AND THE FACILITY'S BUSINESS OFFICE. A PLAIN LANGUAGE SUMMARY OF THE FAP WAS ADDED TO BILLING AND COLLECTION STATEMENTS. DURING THE YEAR, THE FAP WAS PROVIDED TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE; THESE ORGANIZATIONS WERE THE MOBILE, BALDWIN, AND ESCAMBIA COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER, AND THE HOPE CENTER. 4 THOMAS MEDICAL CENTER 27961 US HWY 98 DAPHNE AL 36526 OP SURGERY CENTER/RADIOLOGY/PHYS OFFICES INFIRMARY CANCER CARE 5 MOBILE INFIRMARY CIRCLE MOBILE AL 36607 COORDINATED CANCER CARE THOMAS HOSPITAL FREESTANDING EMERGE 29487 ST HWY 181 DAPHNE AL 36526 EMERGENCY ROOM GULF HEALTH THERAPY SERVICES 5 MOBILE INFIRMARY CIRCLE MOBILE AL 36607 THERAPY SERVICES SCHEDULE H, PART VI 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 20,416,327 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 2022, THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF OTHER MEANS. CONSTANT COMMUNICATION WITH THE OPEN MEDICAL STAFF OF MORE THAN 650 PHYSICIANS LOCATED THROUGHOUT THE COMMUNITY PROVIDES VALUABLE INSIGHT INTO HEALTH RELATED NEEDS. THE INDEPENDENT BOARD, REPRESENTING MEMBERS OF THE COMMUNITY, PROVIDES INPUT FROM A DIFFERENT PERSPECTIVE. COMMENTS FROM PATIENT SATISFACTION SURVEYS ARE SCRUTINIZED FOR OPPORTUNITIES. FORMAL COMMITTEES IN THE ORGANIZATION, SUCH AS THE STROKE COMMITTEE, ASSESS DATA PROVIDED BY THE AMERICAN HEART ASSOCIATION AND SIMILAR ORGANIZATIONS, TO ASSIST IN IDENTIFYING COMMUNITY NEEDS. THROUGH WEEKLY LEADERSHIP AND STRATEGIC PLANNING MEETINGS HELD AT AFFILIATED HOSPITALS AND ENTITIES LOCATED THROUGHOUT THE SERVICE AREA, NEEDS OF THE COMMUNITIES SERVED ARE CONTINUOUSLY ASSESSED. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, QUESTION 3: THE ORGANIZATION'S ADMITTING AREAS, BUSINESS OFFICE AREAS, AND EMERGENCY DEPARTMENTS HAVE SIGNAGE PROMINENTLY DISPLAYED WHICH INCLUDES SPECIFIC WORDING INTENDED TO INFORM AND PROMPT PATIENTS TO AVAIL THEMSELVES OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, THE ORGANIZATION INCLUDES SIMILAR WORDING WITHIN PATIENT-ACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED AND ON THE ORGANIZATION'S WEBSITE, WHICH IS AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION ALSO CONTRACTS WITH A THIRD-PARTY VENDOR TO HAVE THEM IDENTIFY, CONTACT, AND ASSIST WITH QUALIFYING PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS. THE VENDOR UTILIZES ADMISSION REPORTS, REFERRALS FROM FINANCIAL COUNSELORS OF THE ORGANIZATION, PATIENT SELF-REFERRALS, AND VARIOUS OTHER FORMS OF PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS. COMMUNITY INFORMATION, SCHEDULE H, PART VI, QUESTION 4: BALDWIN COUNTY, ALABAMA IS LOCATED ON THE SHORES OF THE GULF OF MEXICO AND MOBILE BAY, BORDERED ON THE WEST BY MOBILE COUNTY, ALABAMA, ON THE NORTHWEST BY WASHINGTON AND CLARKE COUNTIES, ALABAMA, ON THE NORTH BY MONROE COUNTY, ALABAMA, ON THE NORTHEAST BY ESCAMBIA COUNTY, ALABAMA, AND ON THE EAST BY ESCAMBIA COUNTY, FLORIDA. WITH A LAND AREA OF 1,590 SQUARE MILES AND 430 SQUARE MILES OF WATER, IT IS THE LARGEST COUNTY IN THE STATE OF ALABAMA AND IS THE 12TH LARGEST COUNTY EAST OF THE MISSISSIPPI RIVER. THE CITY OF BAY MINETTE IS THE COUNTY SEAT FOR BALDWIN COUNTY, AND FAIRHOPE IS THE LARGEST CITY. NORTH BALDWIN INFIRMARY IS LOCATED IN BAY MINETTE WHILE THOMAS HOSPITAL IS LOCATED IN FAIRHOPE. ACCORDING TO THE LATEST STATISTICS PROVIDED BY THE U.S. CENSUS BUREAU FROM 2020, THE POPULATION OF BALDWIN COUNTY WAS APPROXIMATELY 213,000. OF THE 81,000 HOUSEHOLDS, 19,000 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 43,000 WERE MARRIED COUPLES LIVING TOGETHER, AND 27,000 WERE NON-FAMILIES. THE RACIAL MAKEUP OF THE COUNTY WAS 86% WHITE, 9% BLACK OR AFRICAN- AMERICAN, AND 4.5% HISPANIC OR LATINO. THE AVERAGE HOUSEHOLD SIZE WAS 2.5 AND THE PER CAPITA INCOME FOR THE COUNTY WAS 32,626. JUST OVER 7% OF THE POPULATION WAS LIVING AT OR BELOW THE POVERTY LINE. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, QUESTION 5: SEE STATEMENT IN SCHEDULE O RELATED TO PROGRAM SERVICE ACCOMPLISHMENTS (PART III, LINE 4A) FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION'S HOSPITAL FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. AFFILIATED HEALTH CARE SYSTEM, SCHEDULE H, PART VI, QUESTION 6: EACH HOSPITAL AND ENTITY WITHIN INFIRMARY HEALTH SYSTEM HAS ITS OWN LEADERSHIP, AND PROVIDES CERTAIN COMMUNITY BENEFITS AND PROGRAM SERVICES UNIQUELY RELATED TO THE COMMUNITY IT SERVES. HOWEVER, EXECUTIVE LEADERSHIP OF THE SYSTEM PROVIDES GUIDANCE FOR ALL, AND THERE ARE CERTAIN COMMUNITY OUTREACH INITIATIVES AND SERVICES WHICH ARE COORDINATED FROM A SYSTEM PERSPECTIVE IN ORDER TO SERVE NEEDS WITHIN A BROADER SERVICE AREA, OR TO JOINTLY COORDINATE THE EFFORT FOR GREATER EFFICIENCY. ADDITIONALLY, THE ORGANIZATION HAS ESTABLISHED A PROGRAM TO FUND SPECIAL COMMUNITY HEALTH NEEDS IDENTIFIED AND APPROVED BY THE VOLUNTARY BOARD OF THE INFIRMARY FOUNDATION, THE 501(C)3 PHILANTHROPIC AFFILIATE OF THE ORGANIZATION. EACH YEAR AN ACCOUNTING OF THE COMMUNITY BENEFIT FUNDS DISTRIBUTED BY THE FOUNDATION IS REVIEWED BY MANAGEMENT. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, QUESTION 7: A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH ANY STATE. ADDITIONAL INFORMATION SCHEDULE H, LINE 7A COMMUNITY HEALTH NEEDS ASSESSMENT WEBSITE WWW.INFIRMARYHEALTH.ORG/PATIENTS-VISITORS/COMMUNITY SCHEDULE H, PART V, LINES 16A-16C FINANCIAL ASSISTANCE POLICY WEBSITE WWW.INFIRMARYHEALTH.ORG/FINANCIAL-ASSISTANCE false true false false false false false false false D MARK NIX PRES/CEO 1413353 405684 14530 41400 25504 1900471 FURHAN YUNAS DIRECTOR 648726 716087 107250 1274 56 10350 23240 767600 739383 JOE T STOUGH III VICE PRESIDENT 556576 158936 84417 98448 26651 925028 JOSEPH DENTON ASSISTANTTREASURER 541685 97430 79534 108498 23751 850898 SCOTT A BROWNING SECRETARY 382526 84938 40162 53699 25251 586576 KERRY TOLLESON TREASURER 339160 65845 32548 52889 26651 517093 PAUL GLISSON PHYSICIAN 383998 54029 2573 48942 23751 513293 X ASST TREASURER 276654 28104 37283 77507 22649 442197 LEEANN CAIN VICE PRESIDENT 265037 41984 27242 30639 23751 388653 DAVID CLARKSON MD 319090 7480 1468 20272 348310 HOLLY PURSLEY MD 252116 6510 6939 23751 289316 ARTHUR JOHNSON VICE PRESIDENT 188307 26793 1427 19138 23751 259416 MATTHEW WILLIAMS PHYSICIST 215664 518 6672 23750 246604 JOANN NIX VICE PRESIDENT 184640 16275 1177 23849 20450 246391 CHARLES BULLINGTON PHYSICIST 213200 516 23751 237467 ROLAND NASMAN DIRECTOR 177101 2624 1096 14956 8529 204306 SCHEDULE J, PAGE 1, PART I, LINE 4 JOE T. STOUGH, III 0 82,923 0 JOSEPH DENTON 0 79,173 0 SCOTT A. BROWNING 0 38,174 0 PAUL GLISSON 0 38,592 0 X 0 41,143 0 LEEANN CAIN 0 26,913 0 ARTHUR JOHNSON 0 19,138 0 SCHEDULE J, PART III SCHEDULE J, PART I, LINE 3 FOR TOP MANAGMENT OFFICIAL'S COMPENSATION INFIRMARY HEALTH SYSTEM, INC. (IHS, A RELATED CORPORATION) ESTABLISHES THE PRESIDENT/CEO'S COMPENSATION. THE IHS EMPLOYEES DESIGNATED AS OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PARTICIPANTS IN THE ORGANIZATION'S PERFORMANCE MANAGEMENT PROGRAM. EACH EMPLOYEE HAS AN INDIVIDUAL PERFORMANCE PLAN AND IS REVIEWED ANNUALLY FOR MERIT INCREASES. THE ANNUAL REVIEW COVERS THE EMPLOYEE'S PERFORMANCE FOR THE FISCAL YEAR OF APRIL 1 THROUGH MARCH 31 OF THE FOLLOWING YEAR. THE AMOUNT OF INDIVIDUAL MERIT/SALARY INCREASES ARE DETERMINED BASED ON THE COMPA-RATIO (HOURLY RATED RELATIVE TO THE 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 ON 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. IHS 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 INFIRMARY HEALTH SYSTEM COMPENSATION COMMITTEE. THE FINAL RECOMMENDATIONS PRESENTED BY THE COMPENSATION COMMITTEE ARE APPROVED BY THE IHS BOARD OF DIRECTORS. IHS HAS AN EXTERNAL REVIEW OF COMPENSATION PRACTICES EVERY TWO YEARS AND WAS MOST RECENTLY REVIEWED BY SULLIVAN COTTER IN 2023. SCHEDULE J, PART I, LINE 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 1, ITEM C INFIRMARY FORM 990, PAGE 2, PART III, LINE 4A GULF HEALTH HOSPITALS, INC. (GHHI) OPERATES NORTH BALDWIN INFIRMARY (NBI), A 70 BED NONPROFIT ACUTE CARE HOSPITAL IN BAY MINETTE, BALDWIN COUNTY, ALABAMA AND THOMAS HOSPITAL, A 150 BED NONPROFIT ACUTE CARE HOSPITAL IN FAIRHOPE, BALDWIN COUNTY, ALABAMA. BOTH HOSPITALS PROVIDE SERVICES NECESSARY TO DELIVER ESSENTIAL HEALTH CARE TO THE GULF COAST COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. NORTH BALDWIN INFIRMARY IS A COMMUNITY HOSPITAL THAT SERVES A RURAL COMMUNITY IN THE NORTHERN PART OF BALDWIN COUNTY. DURING ITS TIME UNDER GHHI, THE ORGANIZATION IMPLEMENTED 25 MILLION DOLLARS IN EXPANSIONS TO IMPROVE THE HEALTHCARE OF RESIDENTS OF BALDWIN COUNTY. FOR THE FISCAL YEAR ENDED MARCH 31, 2025, NORTH BALDWIN INFIRMARY PROVIDED NEARLY 13,000 INPATIENT DAYS OF CARE, DELIVERED 180 BABIES, PERFORMED 3,476 SURGERIES & TREATED OVER 15,900 EMERGENCY CASES IN ITS EMERGENCY DEPARTMENT. NBI PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL IS THE LARGEST COMMUNITY HOSPITAL IN BALDWIN COUNTY, ALABAMA, ONE OF THE FASTEST-GROWING COUNTIES IN ALABAMA. THE ABILITY TO KEEP UP WITH THE EVER-INCREASING DEMAND FOR HEALTH SERVICES IN THE COMMUNITY IS CRITICAL TO THE LONG-TERM WELFARE OF THE PATIENTS THOMAS HOSPITAL SERVES. GHHI LEASED THOMAS HOSPITAL IN AUGUST 2005 FROM A PUBLIC HEALTH CARE AUTHORITY AND IMMEDIATELY INITIATED EFFORTS TO ASSIST THOMAS HOSPITAL IN OBTAINING FUNDING FOR HOSPITAL EXPANSION AND RENOVATIONS. RECENT IMPROVEMENTS INCLUDE AN ENLARGED BIRTH CENTER, A FREESTANDING EMERGENCY ROOM BUILDING, A NEW CANCER CENTER FOR RADIATION TREATMENTS, AND A COMPREHENSIVE BREAST CENTER FOR 2D AND 3D MAMMOGRAPHY AND DIAGNOSTIC TESTING. FOR THE FISCAL YEAR ENDED MARCH 31, 2025 THOMAS HOSPITAL PROVIDED OVER 63,000 PATIENT DAYS OF CARE, DELIVERED 1448 BABIES, TREATED OVER 50,500 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED 9,090 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY PROVIDE AND/OR PARTICIPATE IN A NUMBER OF MONTHLY, QUARTERLY, AND ANNUAL COMMUNITY OUTREACH/EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS, AND VARIOUS SCREENINGS TO BENEFIT AREA CITIZENS. THE HOSPITALS HAVE SPONSORED A NUMBER OF HEALTH FAIRS DURING THE YEAR ACROSS BALDWIN COUNTY IN PARTNERSHIP WITH LOCAL GOVERNMENT AND CORPORATE PARTNERS. THESE HEALTH FAIRS PROVIDED FREE HEALTH ASSESSMENTS, VACCINATIONS, AND WELLNESS INFORMATION TO THE COMMUNITY. THEY ALSO SPONSORED A WALK AT LUNCH EVENT TO PROMOTE HEALTHY HABITS IN PARTNERSHIP WITH BLUE CROSS BLUE SHIELD. NORTH BALDWIN INFIRMARY HAS SERVED AS THE LEAD APPLICANT AND IS A FOUNDING MEMBER OF THE NORTH BALDWIN RURAL HEALTH NETWORK WHICH FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY THROUGH A COLLABORATION OF PROVIDERS AND UTILIZATION OF TECHNOLOGY. THE PROGRAM IS FUNDED BY THE HEALTH RESOURCE SERVICES ADMINISTRATION AND HAS ESTABLISHED SEVERAL PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE CARE TRANSITIONS PROGRAM COORDINATES PATIENTS CARE FROM HOSPITAL TO HOME BY WORKING CLOSELY WITH POST-ACUTE PROVIDERS. THE PROGRAM UTILIZES THE WATERSHED PLATFORM TO COMMUNICATE WITH PATIENTS AND PROVIDERS TO ENSURE PATIENTS ARE ABLE TO RECEIVE SUPPORT AFTER THEY LEAVE THE HOSPITAL. GHHI PROVIDES WATERSHED ACCESS AT NO CHARGE TO PROVIDERS TO ENSURE THEY CHOOSE TO PARTICIPATE IN THE INITIATIVE. NORTH BALDWIN INFIRMARY ALSO PROVIDES FREE SMOKING CESSATION CLASSES TO THE COMMUNITY SEVERAL TIMES PER YEAR. THEY USE THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM. THEY ALSO OFFER INDIVIDUALS WITH LUNG DISEASE WITH A MONTHLY SUPPORT GROUP TO HELP THEM DEAL WITH THEIR DISEASE AND IMPROVE THEIR HEALTH. THE ORGANIZATION PROVIDES APPROXIMATELY A DOZEN MONTHLY SUPPORT GROUPS AND ANNUALLY ORGANIZES SEVERAL HEALTH RELATED WALKS SPONSORED BY ONE OF THE HOSPITALS OR A NATIONAL ORGANIZATION SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, OR THE MARCH OF DIMES. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL BOTH OFFER DIABETES SELF- MANAGEMENT PROGRAMS TO HELP INDIVIDUALS LIVING WITH DIABETES MANAGE THEIR CONDITION AND LIVE HEALTHIER LIVES. MENTAL HEALTH FIRST AID IS AN 8-HOUR COURSE THAT TEACHES PEOPLE THE SKILLS TO HELP SOMEONE WHO IS DEVELOPING A MENTAL HEALTH ILLNESS OR EXPERIENCING A MENTAL HEALTH CRISIS. THE EVIDENCE BEHIND THE PROGRAM DEMONSTRATES THAT IT BUILDS MENTAL HEALTH LITERACY, HELPING THE PUBLIC IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESS. THE TRAINING IS OFFERED MONTHLY AND IS FREE TO THE PUBLIC. IN 2012, INFIRMARY HEALTH (AN AFFILIATED COMPANY) FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY (NBI). THIS COMMITTEE, KNOWN AS IHELP, HELPS BETTER MANAGE STAFF AND ORGANIZATIONAL RESOURCES BY ESTABLISHING A PROCESS TO EVALUATE COMMUNITY NEEDS AND ENSURE OUR COMMUNITY PROJECTS ARE IN LINE WITH OUR MISSION. IN FY25, THROUGH THE IHELP PROGRAM, INFIRMARY HEALTH GAVE 100,000 TO MORE THAN 50 LOCAL NON- PROFIT ORGANIZATIONS. IN SEPTEMBER 2024, NBI HOSTED THE INAUGURAL SUNSHINE SPRINT. THE 8K AND ACCOMPANYING FUN RUN BENEFITED RAPAHOPE, A LOCAL NON-PROFIT THAT OFFERS FREE, YEAR-ROUND PROGRAMMING, INCLUDING ITS FLAGSHIP SUMMER CAMP, AS WELL AS WEEKEND AND DAY-LONG OPPORTUNITIES FOR FAMILIES AND SIBLINGS OF CHILDREN WITH CANCER. THE RACE HAD 60 REGISTERED PARTICIPANTS AND 25 VOLUNTEERS, AND IT RAISED 5,000 FOR RAPAHOPE. THE STAFF AND PHYSICIANS AT NBI ARE ACTIVE IN THE NORTH BALDWIN COMMUNITY THROUGH THE HOSPITAL'S LEAD-CHANGE-GROW TEAM. THROUGH THIS INITIATIVE, THE TEAM HAS PROVIDED SUPPORT TO NUMEROUS ORGANIZATIONS AND COMMUNITY PARTNERS, INCLUDING BAY MINETTE ELEMENTARY SCHOOL'S CAR LINE, THE FOSTER AND ADOPTIVE ASSOCIATION OF BALDWIN COUNTY, THE CITY OF BAY MINETTE THROUGH ROADSIDE CLEANUP, AMONG OTHERS. ADDITIONALLY, THE HOSPITAL PROVIDES COMMUNITY SUPPORT THROUGH HEALTH FAIRS, EDUCATIONAL SPEAKING EVENTS, AND FREE SUPPORT GROUPS FOR PATIENTS AND THEIR FAMILIES. FOR THE LAST 48 YEARS, THOMAS HOSPITAL AND WELLS FARGO HAVE HOSTED SPRING FEVER CHASE-A 10K AND 2-MILE FUN RUN THAT TAKES PLACE IN BALDWIN COUNTY. PROCEEDS FROM SPRING FEVER CHASE BENEFIT LOCAL BALDWIN COUNTY SCHOOLS WHO APPLY FOR PHYSICAL EDUCATION EQUIPMENT GRANTS. THE EVENT TOOK PLACE ON MARCH 15, 2025 AND HAD MORE THAN 1,000 RACERS AND FUN RUN PARTICIPANTS WHO RANGED AGES 8 TO 86. IN TOTAL, THE EVENT GAVE BACK 24,000 TO BALDWIN COUNTY SCHOOLS. INFIRMARY HEALTH IS ALSO AN ACTIVE SPONSOR OF THE AMERICAN HEART ASSOCIATION'S (AHA) HEART WALK IN MOBILE AND BALDWIN COUNTIES. THROUGH INFIRMARY HEALTH'S 10,000 SPONSORSHIP TO AHA, THOMAS HOSPITAL DONATED CPR TRAINING KITS TO A BALDWIN COUNTY SCHOOL. THE KITS PROVIDE HANDS-ON LEARNING EXPERIENCES AND EVERYTHING NEEDED TO TRAIN 10 STUDENTS AT ONCE IN CPR. INFIRMARY HEALTH SUPPORTS ITS LOCAL AMERICAN CANCER SOCIETY (ACS) CHAPTER WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, AND NUMEROUS OTHER EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2024, INFIRMARY HEALTH SPONSORED ACS'S ANNUAL MAKING STRIDES AGAINST BREAST CANCER WALK, WHICH HAD NEARLY 4,000 WALKERS. IN ADDITION TO PARTICIPATING IN THE WALK, INFIRMARY HEALTH EMPLOYEES PURCHASED T-SHIRTS TO RAISE FUNDS FOR ACS. INFIRMARY CANCER CARE DEPARTMENTS WITHIN NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL HAVE AN EMPLOYEE-LED TEAM EACH YEAR FOR THE ACS CHILI COOK OFF IN ADDITION TO SERVING AS THE EVENT'S FLAGSHIP SPONSOR. THE EVENT RAISES AWARENESS FOR COLON CANCER AND YIELDS MORE THAN 8,000 PARTICIPANTS EACH YEAR. WOMEN'S AND MATERNAL HEALTH CONTINUES TO BE A PRIORITY FOR INFIRMARY HEALTH. DURING FY25, INFIRMARY HEALTH PROVIDED FREE EDUCATIONAL INFORMATION RELATED TO WOMEN'S HEALTH AT 38 COMMUNITY EVENTS ACROSS MOBILE AND BALDWIN COUNTIES. MORE THAN 2,100 WOMEN WERE REACHED THROUGH THESE EFFORTS. ADDITIONALLY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY HELD FREE CHILDBIRTH EDUCATION, INFANT CPR, NEWBORN CARE AND SAFETY, AND BREASTFEEDING SUPPORT GROUP CLASSES THROUGHOUT THE YEAR. IN TOTAL, 200 INDIVIDUALS ATTENDED THE CLASSES OFFERED AT THOMAS HOSPITAL, AND AN ADDITIONAL 78 PEOPLE ATTENDED THE CLASSES AT NORTH BALDWIN INFIRMARY. THOMAS HOSPITAL SERVES AS A CORPORATE "BIG" WITH BIG BROTHERS BIG SISTERS OF THE CENTRAL GULF COAST TO PROVIDE EMPLOYEE MENTORS TO ELEMENTARY SCHOOL STUDENTS. EACH WEEK, THOMAS HOSPITAL ALLOWS THEIR CORPORATE BIGS TO GO MEET THEIR LITTLES FOR ONE HOUR DURING THE SCHOOL DAY. THESE INDIVIDUALS PROVIDE ENCOURAGEMENT AND FRIENDSHIP WHICH HAS A POSITIVE IMPACT ON THESE YOUNG PEOPLE. IN APRIL 2024, INFIRMARY HEALTH PARTICIPATED IN A FIELD TRIP WITH BIG BROTHERS BIG SISTERS. DURING THE FIELD TRIP, 160 LITTLES RECEIVED INFORMATION ABOUT HEALTHCARE CAREER OPPORTUNITIES, HEART DISEASE EDUCATION, AND PHYSICAL FITNESS EDUCATION. FORM 990, PAGE 6, PART VI, LINE 11B SYSTEM ACCOUNTANTS GATHER DATA AND PREPARE A DRAFT OF THE FORM 990 FOR REVIEW BY THE BIRMINGHAM ACCOUNTING FIRM, WARREN AVERETT, LLC. AFTER THE RETURN HAS BEEN COMPLETED AND SIGNED BY WARREN AVERETT, IT IS RETURNED FOR FINAL REVIEW AND OFFICER SIGNATURE BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD OF DIRECTORS OF GULF HEALTH HOSPITALS, INC. HAS NOT APPROVED INDIVIDUAL POLICIES FOR THE ORGANIZATION. HOWEVER, THE AFFILIATED CORPORATION OF INFIRMARY HEALTH SYSTEM, INC. HAS, AND GHHI HAS AGREED TO ABIDE BY THE POLICIES APPROVED BY INFIRMARY HEALTH SYSTEM. INFIRMARY HEALTH SYSTEM HAS FORMALLY ADOPTED WRITTEN CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES. OFFICERS AND DIRECTORS ARE REQUIRED ANNUALLY TO REVIEW A CONFLICT OF INTEREST POLICY FOR INFIRMARY HEALTH SYSTEM, INC. WHICH DEFINES CONFLICTS OF INTEREST AND ADVISES THAT ALL SUCH CONFLICTS SHOULD BE AVOIDED IF POSSIBLE. ALL OFFICERS ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AS THEY BECOME AWARE. DIRECTORS ARE REQUIRED TO SIGN AND RETURN THE CONFLICT OF INTEREST STATEMENT ANNUALLY. DIRECTORS SHALL DISCLOSE AT THE EARLIEST POSSIBLE MEETING OF THE BOARD OF DIRECTORS ANY EXISTING OR POTENTIAL CONFLICT. THE BOARD OF DIRECTORS SHALL THEN ASK ANY CONFLICTED MEMBER TO LEAVE THE MEETING DURING DELIBERATIONS WITH RESPECT TO THE MATTER THAT GIVES RISE TO THE EXISTING OR POTENTIAL CONFLICTING INTEREST. FORM 990, PAGE 6, PART VI, LINE 15B THE OFFICERS AND OTHER KEY EMPLOYEES ARE PARTICIPANTS IN THE ORGANIZATION'S PERFORMANCE MANAGEMENT PROGRAM. EACH SUCH EMPLOYEE HAS AN INDIVIDUAL PERFORMANCE PLAN AND ARE REVIEWED ANNUALLY FOR MERIT INCREASES. THE AMOUNT OF INDIVIDUAL MERIT/SALARY INCREASES ARE DETERMINED BASED ON THE COMPA-RATIO (HOURLY RATE RELATIVE TO SALARY RANGE MIDPOINT), THE NUMBER OF MONTHS SINCE THEIR LAST INCREASE AND PERFORMANCE SCORE (RATING) AND THE ORGANIZATION'S ANNUAL MERIT GUIDELINES. EACH POSITION IS ASSIGNED A SALARY RANGE BASED IN THE HAY METHODOLOGY OF ACCOUNTABILITY, KNOW HOW AND PROBLEM SOLVING ABILITY. SALARY RANGE MIDPOINTS (THE MIDPOINT REPRESENTS 100% OF THE MARKET)INCREASE EACH YEAR BASED ON EXTERNAL MARKET DATA. THE INFIRMARY PARTICIPATES IN NUMEROUS SALARY SURVEYS. DEPENDING ON THE POSITION, THE SURVEY DATA MAY BE INDUSTRY SPECIFIC (E.G. HEALTHCARE) OR FROM OTHER INDUSTRIES. CURRENTLY, EXECUTIVE POSITION MARKET DATA COMES FROM WATSON WYATT, INTEGRATED HEALTHCARE STRATEGIES, SULLIVAN COTTER AND HAY CONSULTING. THE ANNUAL MERIT GUIDELINES ARE DETERMINED BY THE ORGANIZATION'S ABILITY TO PAY (BUDGET). THE ANNUAL MERIT GUIDELINES PROVIDE A MERIT INCREASE PERCENTAGE RANGE BASED ON THE INDIVIDUAL EMPLOYEE'S PERFORMANCE RATING AND COMPA-RATIO. FOR EXECUTIVES, THE CEO AND VP, HUMAN RESOURCES REVIEW THE SUGGESTED MERIT INCREASE AND MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE COMPOSED OF DIRECTORS. THE FINAL RECOMMENDATIONS OF THE COMPENSATION COMMITTEE ARE APPROVED BY THE BOARD OF DIRECTORS. THE ORGANIZATION HAD AN EXTERNAL REVIEW OF COMPENSATION PRACTICES PERFORMED BY SULLIVAN COTTER IN 2023. FORM 990, PAGE 6, PART VI, LINE 19 THE CORPORATE CHARTER OF GULF HEALTH HOSPITALS, INC. IS A MATTER OF PUBLIC RECORD IN THE PROBATE COURT OF MOBILE COUNTY, AL. THE ORGANIZATION'S FORMS 990 AND 990T ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION AND FOR INSPECTION AT THE CORPORATE OFFICES LOCATED ON THE MOBILE INFIRMARY CAMPUS. THE CORPORATE BY-LAWS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 INTEREST IN THOMAS FOUNDATION 1,687,038 GULF HEALTH PROPERTIES INC P O BOX 2226 MOBILE AL 36652 630933700 REALESTATE AL 501C2 INFHLTHSYS false INFIRMARY FOUNDATION INC P O BOX 2226 MOBILE AL 36652 630870620 FOUNDATION AL 501C3 7 INFHLTHSYS false INFIRMARY HEALTH HOSPITALS INC P O BOX 2226 MOBILE AL 36652 203713023 HOSPITAL AL 501C3 3 INFHLTHSYS false INFIRMARY HEALTH SYSTEM INC P O BOX 2226 MOBILE AL 36652 630841123 MANAGEMENT AL 501C3 12C INFHLTHSYS false MOBILE INFIRMARY ASSOCIATION P O BOX 2226 MOBILE AL 36652 630288856 HOSPITAL AL 501C3 3 INFHLTHSYS false THOMAS HOSPITAL FOUNDATION P O BOX 929 FAIRHOPE AL 36532 631109256 FOUNDATION AL 501C3 12B INFHLTHSYS false NORTH BALDWIN INFIRMARY FOUNDATION PO BOX 2226 MOBILE AL 36652 630772796 FOUNDATION AL 501C3 12A INFHLTHSYS false GULF HEALTH MANAGEMENT SERVICES IN P O BOX 2226 MOBILE AL 36652 562332377 MANAGEMENT AL IHS C CORP false INFIRM MEDICAL CLINICS PC & SUBSID P O BOX 2226 MOBILE AL 36652 630985524 PHYOFFICES AL IHS C CORP false AMERICAN OAK HILL ASSURANCE LTD P O BOX 2226 MOBILE AL 36652 980604272 SELF INSUR 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 true true true false false false false false false false true false true false false true true