4A (Expenses $ 278288048 including grants of $ 0) (Revenue $ 341016480)
"GULF HEALTH HOSPITALS, INC. (GHHI) OPERATES NORTH BALDWIN INFIRMARY (NBI), A 70 BED NONPROFIT ACUTE CARE HOSPITAL IN BAY MINETTE, BALDWIN COUNTY, ALABAMA AND THOMAS HOSPITAL, A 150 BED NONPROFIT ACUTE CARE HOSPITAL IN FAIRHOPE, BALDWIN COUNTY, ALABAMA. BOTH HOSPITALS PROVIDE SERVICES NECESSARY TO DELIVER ESSENTIAL HEALTH CARE TO THE GULF COAST COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. NORTH BALDWIN INFIRMARY IS A COMMUNITY HOSPITAL THAT SERVES A RURAL COMMUNITY IN THE NORTHERN PART OF BALDWIN COUNTY. NBI OFFERS A SENIOR BEHAVIORAL HEALTH PROGRAM AND LONG-TERM CARE AT OAKWOOD - NORTH BALDWIN'S CENTER FOR LIVING. DURING ITS TIME UNDER GHHI, THE ORGANIZATION IMPLEMENTED 25 MILLION DOLLARS IN EXPANSIONS TO IMPROVE THE HEALTHCARE OF RESIDENTS OF BALDWIN COUNTY. FOR THE FISCAL YEAR ENDED MARCH 31, 2022, NORTH BALDWIN INFIRMARY PROVIDED ALMOST 12,500 INPATIENT DAYS OF CARE, DELIVERED 227 BABIES, PERFORMED ALMOST 3,000 SURGERIES & TREATED OVER 15,000 EMERGENCY CASES IN ITS EMERGENCY DEPARTMENT. NBI PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL IS THE LARGEST COMMUNITY HOSPITAL IN BALDWIN COUNTY, ALABAMA, ONE OF THE FASTEST-GROWING COUNTIES IN ALABAMA. THE ABILITY TO KEEP UP WITH THE EVER-INCREASING DEMAND FOR HEALTH SERVICES IN THE COMMUNITY IS CRITICAL TO THE LONG-TERM WELFARE OF THE PATIENTS THOMAS HOSPITAL SERVES. GHHI LEASED THOMAS HOSPITAL IN AUGUST 2005 FROM A PUBLIC HEALTH CARE AUTHORITY AND IMMEDIATELY INITIATED EFFORTS TO ASSIST THOMAS HOSPITAL IN OBTAINING FUNDING FOR HOSPITAL EXPANSION AND RENOVATIONS. RECENT IMPROVEMENTS INCLUDE AN ENLARGED BIRTH CENTER, A FREESTANDING EMERGENCY ROOM BUILDING, A NEW CANCER CENTER FOR RADIATION TREATMENTS, AND A COMPREHENSIVE BREAST CENTER FOR 2D AND 3D MAMMOGRAPHY AND DIAGNOSTIC TESTING. FOR THE FISCAL YEAR ENDED MARCH 31, 2022 THOMAS HOSPITAL PROVIDED OVER 56,000 PATIENT DAYS OF CARE, DELIVERED OVER 1,300 BABIES, TREATED OVER 47,500 EMERGENCY CASES IN THE EMERGENCY DEPARTMENT, AND PERFORMED OVER 8,000 SURGERIES. THOMAS HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY PROVIDE AND/OR PARTICIPATE IN A NUMBER OF MONTHLY, QUARTERLY, AND ANNUAL COMMUNITY OUTREACH/EDUCATIONAL PROGRAMS, SUPPORT GROUPS, HEALTH FAIRS, WALKS, AND VARIOUS SCREENINGS TO BENEFIT AREA CITIZENS. THE HOSPITALS HAVE SPONSORED A NUMBER OF HEALTH FAIRS DURING THE YEAR ACROSS BALDWIN COUNTY IN PARTNERSHIP WITH LOCAL GOVERNMENT AND CORPORATE PARTNERS. THESE HEALTH FAIRS PROVIDED FREE HEALTH ASSESSMENTS, VACCINATIONS, AND WELLNESS INFORMATION TO THE COMMUNITY. THEY ALSO SPONSORED A WALK AT LUNCH EVENT TO PROMOTE HEALTHY HABITS IN PARTNERSHIP WITH BLUE CROSS BLUE SHIELD. NORTH BALDWIN INFIRMARY HAS SERVED AS THE LEAD APPLICANT AND IS A FOUNDING MEMBER OF THE NORTH BALDWIN RURAL HEALTH NETWORK WHICH FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY THROUGH A COLLABORATION OF PROVIDERS AND UTILIZATION OF TECHNOLOGY. THE PROGRAM IS FUNDED BY THE HEALTH RESOURCE SERVICES ADMINISTRATION AND HAS ESTABLISHED SEVERAL PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE CARE TRANSITIONS PROGRAM COORDINATES PATIENTS CARE FROM HOSPITAL TO HOME BY WORKING CLOSELY WITH POST-ACUTE PROVIDERS. THE PROGRAM UTILIZES THE WATERSHED PLATFORM TO COMMUNICATE WITH PATIENTS AND PROVIDERS TO ENSURE PATIENTS ARE ABLE TO RECEIVE SUPPORT AFTER THEY LEAVE THE HOSPITAL. GHHI PROVIDES WATERSHED ACCESS AT NO CHARGE TO PROVIDERS TO ENSURE THEY CHOOSE TO PARTICIPATE IN THE INITIATIVE. NORTH BALDWIN INFIRMARY ALSO PROVIDES FREE SMOKING CESSATION CLASSES TO THE COMMUNITY SEVERAL TIMES PER YEAR. THEY USE THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CURRICULUM. THEY ALSO OFFER INDIVIDUALS WITH LUNG DISEASE WITH A MONTHLY SUPPORT GROUP TO HELP THEM DEAL WITH THEIR DISEASE AND IMPROVE THEIR HEALTH. THE ORGANIZATION PROVIDES APPROXIMATELY A DOZEN MONTHLY SUPPORT GROUPS AND ANNUALLY ORGANIZES SEVERAL HEALTH RELATED WALKS SPONSORED BY ONE OF THE HOSPITALS OR A NATIONAL ORGANIZATION SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, OR THE MARCH OF DIMES. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL BOTH OFFER DIABETES SELF- MANAGEMENT PROGRAMS TO HELP INDIVIDUALS LIVING WITH DIABETES MANAGE THEIR CONDITION AND LIVE HEALTHIER LIVES. MENTAL HEALTH FIRST AID IS AN 8-HOUR COURSE THAT TEACHES PEOPLE THE SKILLS TO HELP SOMEONE WHO IS DEVELOPING A MENTAL HEALTH ILLNESS OR EXPERIENCING A MENTAL HEALTH CRISIS. THE EVIDENCE BEHIND THE PROGRAM DEMONSTRATES THAT IT BUILDS MENTAL HEALTH LITERACY, HELPING THE PUBLIC IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESS. THE TRAINING IS OFFERED MONTHLY AND IS FREE TO THE PUBLIC. IN 2012, INFIRMARY HEALTH (AN AFFILIATED COMPANY) FORMED A VOLUNTEER COMMITTEE TO SERVE AS A GOVERNING BODY FOR COMMUNITY INVOLVEMENT FOR THE SYSTEM, INCLUDING THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY. THIS COMMITTEE, KNOWN AS IHELP, HELPS BETTER MANAGE STAFF AND ORGANIZATIONAL RESOURCES BY ESTABLISHING A PROCESS TO EVALUATE COMMUNITY NEEDS AND ENSURE OUR COMMUNITY PROJECTS ARE IN LINE WITH OUR MISSION. ANNUALLY, NORTH BALDWIN INFIRMARY HOSTS RIDEYELLOW, A BIKE RIDE BENEFITING LOCAL CANCER CHARITIES. TRADITIONALLY, THE RIDE IS HELD ON FATHER'S DAY WEEKEND, AND IN 2021, THE RIDE WAS VIRTUAL DUE TO WEATHER. HOWEVER, THE RIDE GENERATED 15,000 FOR CAMP RAPAHOPE, A LOCAL CHILDREN'S CANCER CHARITY. THE CHARITY BIKE RIDE BEGAN 16 YEARS AGO TO RAISE CANCER AWARENESS AND TO GATHER SUPPORT FOR THE MISSION OF INSPIRING OTHERS TO JOIN THE FIGHT AGAINST THE DISEASE. THE EVENT HAD MANY VOLUNTEERS WITH THE MAJORITY BEING FROM INFIRMARY HEALTH. SINCE ITS INCEPTION, RIDEYELLOW HAS DONATED OVER 565,000 TO VARIOUS CANCER CHARITIES. ADDITIONALLY, FOR THE LAST 44 YEARS, THOMAS HOSPITAL AND WELLS FARGO HAVE HOSTED SPRING FEVER CHASE-A 10K AND 2-MILE FUN RUN THAT TAKES PLACE IN BALDWIN COUNTY. PROCEEDS FROM SPRING FEVER CHASE BENEFIT LOCAL BALDWIN COUNTY SCHOOLS WHO APPLY FOR PHYSICAL EDUCATION EQUIPMENT GRANTS. THE EVENT TOOK PLACE ON MARCH 19, 2022 AND HAD MORE THAN 1,000 PARTICIPANTS. IN TOTAL, THE EVENT GAVE BACK 10,800 TO LOCAL SCHOOLS. INFIRMARY HEALTH SUPPORTS OUR LOCAL AMERICAN CANCER SOCIETY WITH NUMEROUS FUNDRAISERS AND EVENTS THROUGH VOLUNTEER, IN-KIND, AND FINANCIAL CONTRIBUTIONS SUCH AS: RELAY FOR LIFE, MAKING STRIDES AGAINST BREAST CANCER, CHILI COOK-OFF, AND NUMEROUS OTHER AMERICAN CANCER SOCIETY EVENTS THROUGHOUT THE YEAR. IN OCTOBER 2021, INFIRMARY HEALTH RAISED MONEY FOR BOTH THE CHILI COOK OFF, RAISING MONEY FOR COLON CANCER AWARENESS, AND MAKING STRIDES AGAINST BREAST CANCER. FOR THE CHILI COOK OFF, EACH HOSPITAL SOLD T-SHIRTS AND TICKETS TO THE EVENT. IN TOTAL, 296 SHIRTS WERE SOLD, AND 1,422 WAS RAISED. FOR MAKING STRIDES, EACH HOSPITAL SOLD T-SHIRTS AND BREAST CANCER AWARENESS FLAGS, RAISING NEARLY 3,500. NORTH BALDWIN INFIRMARY AND THOMAS HOSPITAL EMPLOYEES HAVE A TEAM EACH YEAR FOR THE MAKING STRIDES AGAINST BREAST CANCER WALK, AND INFIRMARY HEALTH SERVES AS THE SURVIVOR TENT SPONSOR FOR THE EVENT, WHICH HAD MORE THAN 3,500 PARTICIPANTS. INFIRMARY HEALTH IS ALSO AN ACTIVE SPONSOR OF THE AMERICAN HEART ASSOCIATION'S HEART WALK IN MOBILE AND BALDWIN COUNTIES. EMPLOYEES PARTICIPATED THROUGH PURCHASING T-SHIRTS, PARTICIPATING IN RAFFLES AND REGISTERING FOR THE WALK IN NOVEMBER. INFIRMARY HEALTH'S TEAM RAISED MORE THAN 10,000 FOR THEIR TEAM. EACH NOVEMBER OR DECEMBER, INFIRMARY HEALTH HOSTS AN ANNUAL ""TURKEY TOSS"", GIVING AWAY A FREE TURKEY TO EACH EMPLOYEE FOR THE HOLIDAYS. THE EXCESS TURKEYS ARE DONATED TO FEED THE HOMELESS AND LOW INCOME FAMILIES THROUGH ORGANIZATIONS SUCH AS: PRODISEE PANTRY, FAIRHOPE UNITED METHODIST CHURCH, FIRST BAPTIST CHURCH OF FAIRHOPE, AND FEEDING THE GULF COAST. INFIRMARY HEALTH AND INFIRMARY CANCER CARE ROLLED OUT ITS MOBILE CANCER SCREENING UNIT IN FEBRUARY 2019. THE MOBILE SCREENING UNIT HELPS ADDRESS THE NEED FOR ACCESS TO CARE IN RURAL COMMUNITIES, SO THE UNIT TRAVELED TO MANY OUTLYING AREAS OF THE COMMUNITY SUCH AS THEODORE, CITRONELLE, LILLIAN AND OTHERS. DURING THIS FISCAL YEAR, THE UNIT WAS UTILIZED TO PROVIDE COVID-19 VACCINES TO COMMUNITIES. IN TOTAL, THE UNIT SAW MORE THAN 500 PATIENTS WHO WERE SCREENED FOR VARIOUS CANCERS AND/OR PROVIDED COVID-19 VACCINES. INFIRMARY HEALTH WAS A LEADER DURING THE COVID-19 PANDEMIC AND SAW MORE COVID-19 PATIENTS THAN ANY OTHER PROVIDER IN THE REGION. FROM APRIL 2021 - MARCH 2022, INFIRMARY HEALTH TEAMS ADMINISTERED MORE THAN 30,000 VACCINES TO THE COMMUNITY. IN BALDWIN COUNTY, THE COVID VACCINE TEAM TRAVELED TO ANCILLARY AREAS IN THE COUNTY TO PROVIDE VACCINES TO THOSE WITH LIMITED ACCESS TO TRAVEL. THOMAS HOSPITAL HOSTED 15 COMMUNITY COVID VACCINE EVENTS, AND NORTH BALDWIN INFIRMARY HOSTED THREE. IN THIS FISCAL YEAR, NORTH BALDWIN INFIRMARY HOSTED CHILDBIRTH EDUCATION AND LACTATION SUPPORT CLASSES FOR THE COMMUNITY. THESE EVENTS ARE FREE TO MOMS TO COME AND LEARN LACTATION TIPS AND RECEIVE SUPPORT FROM OTHER WOMEN WHO ARE ALSO BREASTFEEDING. THE HOS"

4D (Expenses $ 1313450 including grants of $ 0) (Revenue $ 0)

GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 5
IN PREPARING THE CHNA, DATA WAS GATHERED FROM MULTIPLE SOURCES IN AN EFFORT TO CONSTRUCT A CURRENT AND ACCURATE SNAPSHOT OF THE HEALTH ISSUES IN BALDWIN COUNTY, ALABAMA. INFORMATION WAS OBTAINED FROM NUMEROUS PUBLIC DATABASES AND OPINIONS WERE SOLICITED FROM PUBLIC HEALTH EXPERTS, LOCAL CIVIC LEADERS, AND PATIENTS WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION. THIS INFORMATION WAS THEN SUMMARIZED FOR FINAL CONSIDERATION BY A CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM HOSPITAL AND SYSTEM MANANGEMENT, NURSING SERVICES, PATIENT SERVICES, AND ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF), THE QUALITY IMPROVEMENT ORGANIZATION (QIO) FOR THE STATE OF ALABAMA.

GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 6A
THOMAS HOSPITAL'S CHNA WAS PREPARED IN CONJUNCTION WITH NORTH BALDWIN INFIRMARY, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA.

GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 11
"THE 2019 COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE 2019 CHNA FOR INFIRMARY HEALTH AFFILIATE HOSPITALS INCLUDING: MOBILE INFIRMARY, INFIRMARY LONG TERM ACUTE CARE (ILTAC), THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY INCLUDE: ACCESS TO CARE, CANCER, DIABETES, HEART DISEASE, AND OBESITY/PHYSICAL INACTIVITY. THE RESULTING PRIORITY AREAS WERE STRATEGICALLY CONDENSED INTO TWO MAIN PRIORITY AREAS TO FEATURE THE APPROACH THAT THE HEALTH SYSTEM WOULD TAKE TO HAVE AN IMPACT ON THE MOST SIGNIFICANT DISEASES IN OUR COMMUNITY: (1) ACCESS TO CARE WITH A FOCUS ON CANCER, DIABETES, AND HEART DISEASE. (2) OBESITY/PHYSICAL ACTIVITY WITH A FOCUS ON DIABETES AND HEART DISEASE. TO ADDRESS ACCESS TO CARE, INFIRMARY HEALTH SEEKS TO ESTABLISH PROGRAMS THAT PROVIDE AFFORDABLE COMPREHENSIVE HEALTHCARE EDUCATIONAL PROGRAMS AND THAT INCLUDE EARLY DETECTION AND PREVENTION MEASURES AND THAT PROMOTE PATIENT ENGAGEMENT AND SELF-MANAGEMENT FOR CANCER, DIABETES, AND HEART DISEASE. THE STRATEGIES TO ACHIEVE THIS WILL INCLUDE BRINGING HEALTH EDUCATION AND OUTREACH TO VULNERABLE COMMUNITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND BUSINESSES. THE HEALTH SYSTEM ALSO PLANS TO ESTABLISH A PREHAB CURRICULUM. ONE OF THE KEY WAYS THAT INFIRMARY HOSPITALS WILL IMPROVE ACCESS IS THROUGH ITS MOBILE SCREENING VEHICLE. IT WILL TRAVEL AROUND MOBILE AND BALDWIN COUNTIES PROVIDING SCREENING AND HEALTH EDUCATION IN THE AREAS OF CANCER, DIABETES AND HEART DISEASE. INFIRMARY HEALTH RECOGNIZES THE EFFECTS OF OBESITY ON CHRONIC DISEASES LIKE DIABETES AND HEART DISEASE. AS SUCH THEY PLAN TO ENHANCE AND ESTABLISH PROGRAMS THAT HELP INDIVIDUALS LOSE WEIGHT AND INCREASE THEIR PHYSICAL ACTIVITY LEVELS SO MOBILE AND BALDWIN COUNTIES CAN ACHIEVE THE LOWEST RATES OF DIABETES AND HEART DISEASE IN THE STATE OF ALABAMA. OBESITY CAN CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES AND INCREASES THE RISK OF A POOR OUTCOME IN OTHER ILLNESSES. TO ADDRESS THE IDENTIFIED NEED, MOBILE INFIRMARY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY WILL INCREASE AWARENESS OF THE CAMPAIGN ""SCALE BACK ALABAMA"", A STATE-WIDE EFFORT TO ENCOURAGE CITIZENS TO PARTICIPATE IN A HEALTHIER LIFESTYLE. INFIRMARY HEALTH IS COMMITTED TO SERVING AS A HOST SITE AND PLANS TO EXPAND ITS PARTICIPATION TO INCREASE THE NUMBER OF INDIVIDUALS WHO ENROLL EACH YEAR. THEY WILL WORK THROUGH THEIR COMMUNITY PARTNERSHIPS TO EXPAND THE NUMBER OF PARTICIPATING WEIGH-IN SITES IN ORDER TO REACH MORE PEOPLE THROUGHOUT THE COMMUNITY."

GROUP 1, FACILITY 1, THOMAS HOSPITAL - PART V, LINE 16J
A NOTICE PUBLICIZING THE FINANCIAL ASSISTANCE POLICY (FAP) WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSION OFFICES AND OUTLYING REGISTRATION AREAS INCLUDING THE FACILITY'S EMERGENCY DEPARTMENT, AND THE FACILITY'S BUSINESS OFFICE. A PLAIN LANGUAGE SUMMARY OF THE FAP WAS ADDED TO BILLING AND COLLECTION STATEMENTS. DURING THE YEAR, THE FAP WAS PROVIDED TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE; THESE ORGANIZATIONS WERE THE MOBILE, BALDWIN, AND ESCAMBIA COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER AND THE HOPE CENTER.

GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 5
IN PREPARING THE CHNA, DATA WAS GATHERED FROM MULTIPLE SOURCES IN AN EFFORT TO CONSTRUCT A CURRENT AND ACCURATE SNAPSHOT OF THE HEALTH ISSUES IN BALDWIN COUNTY, ALABAMA. INFORMATION WAS OBTAINED FROM NUMEROUS PUBLIC DATABASES AND OPINIONS WERE SOLICITED FROM PUBLIC HEALTH EXPERTS, LOCAL CIVIC LEADERS, AND PATIENTS WITHIN THE COMMUNITY SERVED BY THE ORGANIZATION. THIS INFORMATION WAS THEN SUMMARIZED FOR FINAL CONSIDERATION BY A CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM HOSPITAL AND SYSTEM MANANGEMENT, NURSING SERVICES, PATIENT SERVICES, AND ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF), THE QUALITY IMPROVEMENT ORGANIZATION (QIO) FOR THE STATE OF ALABAMA.

GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 6A
NORTH BALDWIN INFIRMARY'S CHNA WAS PREPARED IN CONJUNCTION WITH THOMAS HOSPITAL, AS THEY ARE BOTH LOCATED IN BALDWIN COUNTY, ALABAMA.

GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 11
"THE 2019 COMMUNITY HEALTH PRIORITIES IDENTIFIED IN THE 2019 CHNA FOR INFIRMARY HEALTH AFFILIATE HOSPITALS INCLUDING: MOBILE INFIRMARY, INFIRMARY LONG TERM ACUTE CARE (ILTAC), THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY INCLUDE: ACCESS TO CARE, CANCER, DIABETES, HEART DISEASE, AND OBESITY/PHYSICAL INACTIVITY. THE RESULTING PRIORITY AREAS WERE STRATEGICALLY CONDENSED INTO TWO MAIN PRIORITY AREAS TO FEATURE THE APPROACH THAT THE HEALTH SYSTEM WOULD TAKE TO HAVE AN IMPACT ON THE MOST SIGNIFICANT DISEASES IN OUR COMMUNITY: (1) ACCESS TO CARE WITH A FOCUS ON CANCER, DIABETES, AND HEART DISEASE. (2) OBESITY/PHYSICAL ACTIVITY WITH A FOCUS ON DIABETES AND HEART DISEASE. TO ADDRESS ACCESS TO CARE, INFIRMARY HEALTH SEEKS TO ESTABLISH PROGRAMS THAT PROVIDE AFFORDABLE COMPREHENSIVE HEALTHCARE EDUCATIONAL PROGRAMS AND THAT INCLUDE EARLY DETECTION AND PREVENTION MEASURES AND THAT PROMOTE PATIENT ENGAGEMENT AND SELF-MANAGEMENT FOR CANCER, DIABETES, AND HEART DISEASE. THE STRATEGIES TO ACHIEVE THIS WILL INCLUDE BRINGING HEALTH EDUCATION AND OUTREACH TO VULNERABLE COMMUNITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND BUSINESSES. THE HEALTH SYSTEM ALSO PLANS TO ESTABLISH A PREHAB CURRICULUM. ONE OF THE KEY WAYS THAT INFIRMARY HOSPITALS WILL IMPROVE ACCESS IS THROUGH ITS MOBILE SCREENING VEHICLE. IT WILL TRAVEL AROUND MOBILE AND BALDWIN COUNTIES PROVIDING SCREENING AND HEALTH EDUCATION IN THE AREAS OF CANCER, DIABETES AND HEART DISEASE. INFIRMARY HEALTH RECOGNIZES THE EFFECTS OF OBESITY ON CHRONIC DISEASES LIKE DIABETES AND HEART DISEASE. AS SUCH THEY PLAN TO ENHANCE AND ESTABLISH PROGRAMS THAT HELP INDIVIDUALS LOSE WEIGHT AND INCREASE THEIR PHYSICAL ACTIVITY LEVELS SO MOBILE AND BALDWIN COUNTIES CAN ACHIEVE THE LOWEST RATES OF DIABETES AND HEART DISEASE IN THE STATE OF ALABAMA. OBESITY CAN CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES AND INCREASES THE RISK OF A POOR OUTCOME IN OTHER ILLNESSES. TO ADDRESS THE IDENTIFIED NEED, MOBILE INFIRMARY, THOMAS HOSPITAL AND NORTH BALDWIN INFIRMARY WILL INCREASE AWARENESS OF THE CAMPAIGN ""SCALE BACK ALABAMA"", A STATE-WIDE EFFORT TO ENCOURAGE CITIZENS TO PARTICIPATE IN A HEALTHIER LIFESTYLE. INFIRMARY HEALTH IS COMMITTED TO SERVING AS A HOST SITE AND PLANS TO EXPAND ITS PARTICIPATION TO INCREASE THE NUMBER OF INDIVIDUALS WHO ENROLL EACH YEAR. THEY WILL WORK THROUGH THEIR COMMUNITY PARTNERSHIPS TO EXPAND THE NUMBER OF PARTICIPATING WEIGH-IN SITES IN ORDER TO REACH MORE PEOPLE THROUGHOUT THE COMMUNITY."

GROUP 2, FACILITY 2, NORTH BALDWIN INFIRMARY - PART V, LINE 16J
A NOTICE PUBLICIZING THE FINANCIAL ASSISTANCE POLICY (FAP) WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSION OFFICES AND OUTLYING REGISTRATION AREAS INCLUDING THE FACILITY'S EMERGENCY DEPARTMENT, AND THE FACILITY'S BUSINESS OFFICE. A PLAIN LANGUAGE SUMMARY OF THE FAP WAS ADDED TO BILLING AND COLLECTION STATEMENTS. DURING THE YEAR, THE FAP WAS PROVIDED TO CERTAIN COMMUNITY ORGANIZATIONS WHO SERVE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE; THESE ORGANIZATIONS WERE THE MOBILE, BALDWIN, AND ESCAMBIA COUNTY HEALTH DEPARTMENTS, FRANKLIN PRIMARY HEALTH CENTER, AND THE HOPE CENTER.

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 34,093,910 WHICH IS NET OF RECOVERIES. PART III, LINE 2: THE AMOUNT OF BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS THE ACTUAL AMOUNT OF CHARGES THAT WERE DEEMED UNCOLLECTIBLE AND WERE WRITTEN OFF TO BAD DEBT PER THE ORGANIZATION'S ACCOUNTING RECORDS. PART III, LINE 3: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS DERIVED USING RATIO ANALYSIS OF PATIENT BAD DEBT ACCOUNTS PROCESSED THROUGH A PRESUMPTIVE QUALIFICATION MODEL. THE ACCOUNTS ARE ANALYZED FOR DEMOGRAPHIC INFORMATION TO DETERMINE HOUSEHOLD INCOME LEVELS, CORRELATED TO FEDERAL POVERTY LEVEL GUIDELINES, AND APPLIED TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA. A LARGE NUMBER OF PATIENTS DO NOT COOPERATE WITH THE ELIGIBILITY PROCESS OF THE FINANCIAL ASSISTANCE PROGRAM, WHICH IS READILY AVAILABLE TO THEM. THEREFORE IT IS THE ORGANIZATION'S OPINION THAT THIS PORTION OF BAD DEBT EXPENSE BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 4: THE TEXT OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOOTNOTE REGARDING BAD DEBT EXPENSE STATES: ""ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES AND ANALYSIS OF OTHER CURRENT TRENDS AND INFORMATION. DOUBTFUL ACCOUNTS ARE WRITTEN-OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED"". PART III, LINE 8: IT IS IN THE ORGANIZATION'S OPINION THAT FUTURE MEDICARE SHORTFALLS BE TREATED IN TOTAL AS COMMUNITY BENEFIT. HEALTHCARE SERVICES TO THE MEDICARE POPULATION REALISTICALLY MUST BE PROVIDED IN ORDER FOR SOCIETY TO CONTINUE TO FUNCTION AS WE KNOW IT. NEEDS ASSESSMENT PART VI, QUESTION 2: IN ADDITION TO THE CHNA CONDUCTED DURING FISCAL YEAR 2019, THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF OTHER MEANS. CONSTANT COMMUNICATION WITH THE OPEN MEDICAL STAFF OF MORE THAN 650 PHYSICIANS LOCATED THROUGHOUT THE COMMUNITY PROVIDES VALUABLE INSIGHT INTO HEALTH RELATED NEEDS. THE INDEPENDENT BOARD, REPRESENTING MEMBERS OF THE COMMUNITY, PROVIDES INPUT FROM A DIFFERENT PERSPECTIVE. COMMENTS FROM PATIENT SATISFACTION SURVEYS ARE SCRUTINIZED FOR OPPORTUNITIES. FORMAL COMMITTEES IN THE ORGANIZATION, SUCH AS THE STROKE COMMITTEE, ASSESS DATA PROVIDED BY THE AMERICAN HEART ASSOCIATION AND SIMILAR ORGANIZATIONS, TO ASSIST IN IDENTIFYING COMMUNITY NEEDS. THROUGH WEEKLY LEADERSHIP AND STRATEGIC PLANNING MEETINGS HELD AT AFFILIATED HOSPITALS AND ENTITIES LOCATED THROUGHOUT THE SERVICE AREA, NEEDS OF THE COMMUNITIES SERVED ARE CONTINUOUSLY ASSESSED. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, QUESTION 3: THE ORGANIZATION'S ADMITTING AREAS, BUSINESS OFFICE AREAS, AND EMERGENCY DEPARTMENTS HAVE SIGNAGE PROMINENTLY DISPLAYED WHICH INCLUDES SPECIFIC WORDING INTENDED TO INFORM AND PROMPT PATIENTS TO AVAIL THEMSELVES OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, THE ORGANIZATION INCLUDES SIMILAR WORDING WITHIN PATIENT-ACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED AND ON THE ORGANIZATION'S WEBSITE, WHICH IS AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION ALSO CONTRACTS WITH A THIRD-PARTY VENDOR TO HAVE THEM IDENTIFY, CONTACT, AND ASSIST WITH QUALIFYING PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS. THE VENDOR UTILIZES ADMISSION REPORTS, REFERRALS FROM FINANCIAL COUNSELORS OF THE ORGANIZATION, PATIENT SELF-REFERRALS, AND VARIOUS OTHER FORMS OF PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS. COMMUNITY INFORMATION, SCHEDULE H, PART VI, QUESTION 4: BALDWIN COUNTY, ALABAMA IS LOCATED ON THE SHORES OF THE GULF OF MEXICO AND MOBILE BAY, BORDERED ON THE WEST BY MOBILE COUNTY, ALABAMA, ON THE NORTHWEST BY WASHINGTON AND CLARKE COUNTIES, ALABAMA, ON THE NORTH BY MONROE COUNTY, ALABAMA, ON THE NORTHEAST BY ESCAMBIA COUNTY, ALABAMA, AND ON THE EAST BY ESCAMBIA COUNTY, FLORIDA. WITH A LAND AREA OF 1,590 SQUARE MILES AND 430 SQUARE MILES OF WATER, IT IS THE LARGEST COUNTY IN THE STATE OF ALABAMA AND IS THE 12TH LARGEST COUNTY EAST OF THE MISSISSIPPI RIVER. THE CITY OF BAY MINETTE IS THE COUNTY SEAT FOR BALDWIN COUNTY, AND FAIRHOPE IS THE LARGEST CITY. NORTH BALDWIN INFIRMARY IS LOCATED IN BAY MINETTE WHILE THOMAS HOSPITAL IS LOCATED IN FAIRHOPE. ACCORDING TO THE LATEST STATISTICS PROVIDED BY THE U.S. CENSUS BUREAU FROM 2020, THE POPULATION OF BALDWIN COUNTY WAS APPROXIMATELY 213,000. OF THE 81,000 HOUSEHOLDS, 19,000 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 43,000 WERE MARRIED COUPLES LIVING TOGETHER, AND 27,000 WERE NON-FAMILIES. THE RACIAL MAKEUP OF THE COUNTY WAS 86% WHITE, 9% BLACK OR AFRICAN- AMERICAN, AND 4.5% HISPANIC OR LATINO. THE AVERAGE HOUSEHOLD SIZE WAS 2.5 AND THE PER CAPITA INCOME FOR THE COUNTY WAS 32,626. JUST OVER 7% OF THE POPULATION WAS LIVING AT OR BELOW THE POVERTY LINE. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, QUESTION 5: SEE STATEMENT IN SCHEDULE O RELATED TO PROGRAM SERVICE ACCOMPLISHMENTS (PART III, LINE 4A) FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION'S HOSPITAL FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. AFFILIATED HEALTH CARE SYSTEM, SCHEDULE H, PART VI, QUESTION 6: EACH HOSPITAL AND ENTITY WITHIN INFIRMARY HEALTH SYSTEM HAS ITS OWN LEADERSHIP, AND PROVIDES CERTAIN COMMUNITY BENEFITS AND PROGRAM SERVICES UNIQUELY RELATED TO THE COMMUNITY IT SERVES. HOWEVER, EXECUTIVE LEADERSHIP OF THE SYSTEM PROVIDES GUIDANCE FOR ALL, AND THERE ARE CERTAIN COMMUNITY OUTREACH INITIATIVES AND SERVICES WHICH ARE COORDINATED FROM A SYSTEM PERSPECTIVE IN ORDER TO SERVE NEEDS WITHIN A BROADER SERVICE AREA, OR TO JOINTLY COORDINATE THE EFFORT FOR GREATER EFFICIENCY. ADDITIONALLY, THE ORGANIZATION HAS ESTABLISHED A PROGRAM TO FUND SPECIAL COMMUNITY HEALTH NEEDS IDENTIFIED AND APPROVED BY THE VOLUNTARY BOARD OF THE INFIRMARY FOUNDATION, THE 501(C)3 PHILANTHROPIC AFFILIATE OF THE ORGANIZATION. EACH YEAR AN ACCOUNTING OF THE COMMUNITY BENEFIT FUNDS DISTRIBUTED BY THE FOUNDATION IS REVIEWED BY MANAGEMENT. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, QUESTION 7: A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH ANY STATE."