Gulf Health Hospitals Inc Dba Thomas Hospital North Baldwin

Nonprofit profile at a glance

EIN
630891904
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Mobile, AL, USA
Phone
2514353030
Rating
71
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Reported finances

Revenue
$429,649,803
Expenses
$383,101,427
Assets
$411,925,818
Liabilities
$279,471,384

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

22 people listed

Executive titles in this filing

  • D MARK NIX (PRES/CEO)

Highest reported compensation

  • D MARK NIX (PRES/CEO): $1,900,471 total reported compensation
  • FURHAN YUNAS (DIRECTOR): $1,506,983 total reported compensation
  • JOE T STOUGH III (VICE PRESIDE): $925,028 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To advance the promotion of health & to participate in any activity designed to promote health or healing in the gulf coast region.

What it reported doing in 2024

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 baldw

Operating model

Revenue model
Earned-program. 95% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 76
  • Transparency & Controls: 65
  • Accountability: 64
  • Sustainability: 59
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.9%; rating input score 82
  • Program expense ratio: 92.3%; rating input score 92
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 85.7%; rating input score 86; 32nd percentile among comparable filings
  • Governance controls: 3 of 9 controls in place; rating input score 33
    • Conflict-of-interest policy: Fail
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Fail
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 10.8%; rating input score 75; 75th percentile among comparable filings
  • Total-asset coverage ratio: 1.08; rating input score 42; 42nd percentile among comparable filings
  • Liabilities to assets ratio: 0.68; rating input score 23; 23rd percentile among comparable filings
  • Officer compensation ratio: 1.1%; rating input score 73; 73rd percentile among comparable filings

Growth

  • Program expense growth: 7.4% per year; rating input score 100; 60th percentile among comparable filings
  • Revenue growth: 6.7% per year; rating input score 100; 58th percentile among comparable filings
  • Asset growth: 6.3% per year; rating input score 100; 46th percentile among comparable filings

Details

  • Where the money goes: 81.9% of revenue deployed · 92.3% of spending went to programs
  • Governance: 6 of 7 board members independent · 3 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $353.5M in reported program spending
  • Leadership: top reported pay $1.9M · 22 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $30.7M reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 12 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Governance controls: 6 of 9 not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 42/100.
  • High — Sustainability: Liabilities to assets ratio scored 23/100.