Infirmary Health

What it reported doing in 2024

Infirmary health system (ihs) provides centralized management and administrative services to four not-for-profit hospitals, a skilled nursing facility, a charitable foundation, and a network of more than twenty medical clinics. Ihs is focused on achieving economies of scale for its supported facilities by providing centralized, coordinated services, allowing the facilities to offer state-of-the-art medical services at the lowest possible cost. Centralized and coordinated services include accounting, accounts payable, human resources, information technology, purchasing, business office, and maintenance, among many other support services. The services are provided to system facilities at a level of knowledge and experience that, in many cases, would not otherwise be available or affordable. Ihs has spearheaded efforts to improve the availability of healthcare services in rural areas of southwest Alabama. Recruitment of physicians to the rural community of bay minette, Alabama has remained a focus, resulting in several physicians relocating to the area. Capital investment in the facilities in bay minette continue to provide benefit to the community, with nearly 16,000 emergency services, 198 newborn deliveries, and 51,100 inpatient and outpatient visits. As a result of an assessment of community health needs, ihs supported the initiation of geriatric psychiatric services at its facility in bay minette, the only one of its kind in baldwin county. Studies to determine additional healthcare needs of the community are ongoing. Because ihs and its employees are actively involved in supporting numerous local community benefit organizations, health fairs, and health advocacy organizations, ihs created, ihelp - a program to centralize, track and identify community service including volunteer, in-kind and financial resources to make an impact on the health and well-being of our region. Ihs established a community department with a budget and purchased software to track employee involvement and community requests. Campaigns for united way, the american cancer society, the american heart association, boy scouts of america, and many other national organizations are actively supported by the organization and its employees. The ihs leadership team serves on more than 100 boards and plays an active role with ihelp by leading, supporting, encouraging and participating in all volunteer projects. Ihelp supports more than 50 organizations and non- profit organizations through teams, fundraising, health and wellness fairs, and in-kind donations. Blood drives are conducted quarterly on infirmary health's campuses, where employees and community members are invited and encouraged to donate blood to lifesouth. As a not-for-profit organization, infirmary health conducts a community health needs assessment every three years. The fy25-fy27 chna survey was completed in february 2025 by USA polling group. The chna surveyed 612 individuals in mobile and baldwin counties in addition to 77 health leaders. The key findings from the survey highlighted areas of need in access to care, obesity, heart disease, stroke, and cancer. A committee of infirmary health stakeholders will develop and execute strategies focused on these needs throughout fy26 and fy27. 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 acs 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 health has 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 tha

Financial Efficiency

• Mission deployment rate: 77%; rating input score 77
• Program expense ratio: 71.5%; rating input score 71
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: Scored; rating input score 0
• Major donor itemization: Limited
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 93.3%; rating input score 93; 44th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -12.4%; rating input score 6; 6th percentile among comparable filings
• Total-asset coverage ratio: 5.02; rating input score 85; 85th percentile among comparable filings
• Liabilities to assets ratio: 1.28; rating input score 3; 3rd percentile among comparable filings
• Officer compensation ratio: 12.1%; rating input score 2; 2nd percentile among comparable filings

Growth

• Program expense growth: 3.5% per year; rating input score 100; 27th percentile among comparable filings
• Revenue growth: 5% per year; rating input score 100; 43rd percentile among comparable filings
• Asset growth: 1.8% per year; rating input score 100; 14th percentile among comparable filings