4A (Expenses $ 46061843 including grants of $ 0) (Revenue $ 51973418)
"SEE SCHEDULE O INFIRMARY HEALTH HOSPITALS, INC. (""IHHI"") OPERATES INFIRMARY WEST, A 124 BED ACUTE CARE HOSPITAL, AND INFIRMARY LONG-TERM ACUTE CARE HOSPITAL, A 191 BED LONG-TERM CARE HOSPITAL. BOTH HOSPITALS PROVIDE SERVICES NECESSARY TO DELIVER ESSENTIAL HEALTHCARE TO THE GULF COAST COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. IHHI SERVICED 2,118 INPATIENTS AND PROVIDED MORE THAN 35,000 OUTPATIENT SERVICES DURING THE YEAR ENDING MARCH 31, 2012. IHHI OPERATES A FULL-TIME LEVEL II EMERGENCY DEPARTMENT, OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, WHICH TREATED 16,983 PATIENTS DURING THE YEAR. THERE ARE MORE THAN 650 PHYSICIANS ON THE OPEN MEDICAL STAFF. IHHI PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. MEDICARE AND MEDICAID PATIENTS ACCOUNTED FOR 48.39% OF TOTAL INPATIENT VISITS AND 20.73% OF OUTPATIENT GROSS REVENUE IN FISCAL 2012. WHILE THE HOSPITALS ARE REIMBURSED TO SOME EXTENT FOR TREATING MEDICARE AND MEDICAID PATIENTS, THE TOTAL RECEIVED WAS APPROXIMATELY 39,730,000 LESS THAN WHAT WOULD HAVE BEEN RECEIVED HAD THESE PROGRAMS PAID FULL CHARGES. IN ADDITION TO SERVING MEDICARE AND MEDICAID PATIENTS, IHHI PROVIDES CARE TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. IHHI HAS EXPANDED THE FEDERAL POVERTY GUIDELINE TO AFFORD CHARITABLE CARE TO LARGER NUMBERS OF ITS PATIENT POPULATION. THE AMOUNT OF CHARGES FORGEONE FOR HEALTHCARE SERVICES AND SUPPLIES FURNISHED UNDER THIS CHARITY CARE POLICY FOR FISCAL YEAR 2012 WAS APPROXIMATELY 9,857,000. INFIRMARY LONG-TERM ACUTE CARE HOSPITAL, THE ONLY HOSPITAL OF ITS KIND IN THE REGION, IS A SPECIALTY CARE HOSPITAL DESIGNED TO MEET THE NEEDS OF PATIENTS WHO ARE CRITICALLY ILL AND REQUIRE EXTENDED, MEDICALLY COMPLEX CARE. THE CARE IS PATIENT-CENTERED AND CUSTOMIZED TO MEET THE UNIQUE NEEDS OF PATIENTS AND THEIR FAMILIES. THROUGH AFFILIATION WITH THE UNIVERSITY OF SOUTH ALABAMA (USA), IHHI PROVIDED A WIDE CLINICAL AND EDUCATIONAL ENVIRONMENT FOR NURSING AND MEDICAL STUDENTS. CLINICAL FACILITIES WERE MADE AVAILABE FOR ROTATIONS OF NINE USA COLLEGE OF MEDICINE RESIDENTS. RESIDENT AND FELLOWSHIP PROGRAMS IN CARDIOLOGY, PULMONARY MEDICINE, GASTROENTEROLOGY, RADIOLOGY, SURGERY, AND PATHOLOGY UTILIZE THE CAMPUS OF INFIRMARY WEST FOR REAL TIME CLINICAL EXPERIENCES, AS WELL AS GRAND ROUNDS FOR ENHANCEMENT OF LEARNING OPPORTUNITIES. IN ADDITION, IHHI PROVIDED PRACTICUM EXPERIENCES TO STUDENTS IN PHYSICAL AND OCCUPATIONAL THERAPY, AS WELL AS RESPIRATORY MEDICINE."

COSTING METHODOLOGY EXPLANATION PART I LINE 7
SCHEDULE H PART VI QUESTION 1 PART I LINE 7 COSTS WERE CALCULATED USING THE COSTTOCHARGE RATIO METHODOLOGY OBTAINED FROM WORKSHEET 2 OF THE INSTRUCTIONS ALL OTHER COSTS WERE OBTAINED FROM THE ORGANIZATIONS 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 13877372 PART III LINE 4 THE TEXT OF THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS FOOTNOTE REGARDING BAD DEBT EXPENSE STATES ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITEOFF PERCENTAGES AND ANALYSIS OF OTHER CURRENT TRENDS AND INFORMATION DOUBTFUL ACCOUNTS ARE WRITTENOFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED THE AMOUNT OF BAD DEBT EXPENSE ON PART III LINE 2 WAS CALCULATED USING THE COSTTOCHARGE RATIO METHODOLOGY OBTAINED FROM WORKSHEET 2 OF THE INSTRUCTIONS THE AMOUNT OF BAD DEBT EXPENSE AT COST ON PART III LINE 3 THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY WAS DERIVED BY CALCULATING THE PERCENTAGE OF RESIDENTS WHO GENERATED BAD DEBT BY ZIP CODE AND APPLYING THE PERCENTAGE OF RESIDENTS BELOW 200 AND UP TO 350 OF THE FEDERAL POVERTY LEVEL PART III LINE 8 IT IS IN THE ORGANIZATIONS OPINION THAT 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 PART III LINE 9A RELATED TO COLLECTION PRACTICES OF THE ORGANIZATION COLLECTION EFFORTS ARE SUSPENDED FOR PATIENTS WHO ARE IN THE PROCESS OF APPLYING FOR ASSISTANCE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY OR THROUGH MEDICAID NEEDS ASSESSMENT SCHEDULE H PART VI QUESTION 2 THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A VARIETY OF 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 COOPERATION WITH OTHER AREA HOSPITALS AND UNIVERSITIES ALSO PROVIDES INSIGHT INTO NEEDS 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 THE ORGANIZATION HAS AFFILIATED HOSPITALS AND ENTITIES LOCATED THROUGHOUT THE SERVICE AREA THROUGH WEEKLY LEADERSHIP MEETINGS AND FORMALIZED JOINT STRATEGIC PLANNING NEEDS OF THE COMMUNITIES SERVED ARE ASSESSED PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H PART VI QUESTION 3 THE ORGANIZATIONS 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 ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAM ADDITIONALLY THE ORGANIZATION INCLUDES SIMILAR WORDING WITHIN PATIENTACCOUNT STATEMENTS MAILED TO PATIENTS WHO ARE BILLED FOR SERVICES RENDERED AND ON THE ORGANIZATIONS WEBSITE WHICH IS AVAILABLE TO THE GENERAL PUBLIC THE ORGANIZATION CONTRACTS WITH A THIRDPARTY VENDOR TO HAVE THEM IDENTIFY CONTACT AND ASSIST WITH QUALIFYING PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS THE THIRDPARTY VENDOR UTILIZES ADMISSION REPORTS REFERRALS FROM FINANCIAL COUNSELORS OF THE ORGANIZATION PATIENT SELFREFERRALS AND CURRENTPAST INTERNALPUBLIC PATIENT ELIGIBILITY DATA TO IDENTIFY POTENTIALLY ELIGIBLE PATIENTS WHOM THEY CONTACT ANDOR ASSIST IN QUALIFYING FOR GOVERNMENT ASSISTANCE PROGRAMS COMMUNITY INFORMATION SCHEDULE H PART VI QUESTION 4 THE ORGANIZATION IS LOCATED IN MOBILE ALABAMA ON THE CENTRAL GULF COAST MOBILE IS THE THIRD MOST POPULOUS CITY IN THE STATE OF ALABAMA AND IS THE COUNTY SEAT OF MOBILE COUNTY MOBILE IS THE CENTER OF ALABAMAS SECOND LARGEST METROPOLITAN AREA WHICH CONSISTS OF ALL OF MOBILE COUNTY THE 2010 CENSUS DATA SHOWS THAT THERE WERE 78959 HOUSEHOLDS IN MOBILE OF WHICH 21073 HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM 28073 WERE MARRIED COUPLES LIVING TOGETHER 17037 HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT 3579 HAD A MALE HOUSEHOLDER WITH NO WIFE PRESENT 30270 WERE NONFAMILIES 25439 OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 8477 HAD SOMEONE LIVING ALONE WHO IS 65 YEARS OF AGE OR OLDER THE RACIAL MAKEUP OF THE CITY WAS 450 WHITE AND 506 BLACK OR AFRICAN AMERICAN THE AVERAGE HOUSEHOLD SIZE WAS 24 THE PRIMARY SERVICE AREA INCLUDES MOBILE AND BALDWIN COUNTIES IN ALABAMA WHICH HAVE A COMBINED POPULATION OF APPROXIMATELY 592000 THE SECONDARY SERVICE AREA INCLUDES THE RURAL AREAS OF GEORGE COUNTY IN MISSISSIPPI AND WASHINGTON CLARKE ESCAMBIA AND MONROE COUNTIES IN ALABAMA THERE ARE FOUR MAJOR MEDICAL CENTERS WITHIN THE CITY LIMITS THE MAJORITY OF THE PERSONS SERVED ARE EMPLOYED WITHIN SERVICE INDUSTRIES SUCH AS TRADE TRANSPORTATION AND UTILITIES PROFESSIONAL AND BUSINESS SERVICES EDUCATION HEALTH SERVICES AND GOVERNMENT THE UNEMPLOYMENT RATE FOR MOBILE COUNTY WAS APPROXIMATELY 9 AND FOR BALDWIN COUNTY WAS APPROXIMATELY 7 IN 2009 31 OF THE RESIDENTS IN THE CITY OF MOBILE WERE LIVING BELOW THE POVERTY LEVEL OF THESE HOUSEHOLDS LIVING BELOW THE POVERTY LEVEL 74 HAD A FEMALE HEADOF HOUSEHOLD WITH NO HUSBAND PRESENT HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE SCHEDULE H PART VI QUESTION 5 SEE STATEMENT ON FORM 990 SCHEDULE O RELATED TO PROGRAM SERVICE ACCOMPLISHMENT PART III LINE 4A AFFILIATED HEALTH CARE INFORMATION 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 RELATED UNIQUELY TO THE COMMUNITY IT SERVES HOWEVER EXECUTIVE LEADERSHIP OF THE SYSTEM PROVIDES GUIDANCE FOR ALL AND THERE ARE CERTAIN COMMUNITY BENEFITS AND SERVICES WHICH ARE COORDINATED FROM A SYSTEM PERSPECTIVE IN ORDER TO SERVE A NEED WITHIN THE BROADER SERVICE AREA OR TO JOINTLY COORDINATE THE EFFORT FOR MORE EFFICIENCY THE ORGANIZATION HAS ESTABLISHED A PROGRAM TO FUND SPECIAL COMMUNITY HEALTH NEEDS IDENTIFIED AND APPROVED BY THE VOLUNTARY BOARD OF THE INFIRMARY FOUNDATION THE 501C3 PHILANTHROPIC AFFILIATE OF THE ORGANIZATION EACH YEAR AN ACCOUNTING OF THE COMMUNITY BENEFIT FUNDS DISTRIBUTED BY THE FOUNDATION IS REVIEWED BY INFIRMARY HEALTH SYSTEM MANAGEMENT ADDITIONAL INFORMATION SCHEDULE H PART VI QUESTION 7 A COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH ANY STATE