2023-05-11T15:51:59-05:00 2022-06-30 621046406 JOHNSON HICKEY & MURCHISON PC 2215 OLAN MILLS DRIVE CHATTANOOGA TN 37421 990 2021-07-01 621220402 SISKIN HOSPITAL FOR PHYSICAL REHABILITATION INC SISK 4236341200 1 SISKIN PLAZA CHATTANOOGA TN 37403 CAROL ARNHART CFO 4236341200 2023-05-03 1 CAROL ARNHART XXX-XX-XXXX TINA M HOWARD P01425228 4237560052 2023-05-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MATTHEW GIBSON ONE SISKIN PLAZA CHATTANOOGA TN 37403 201816739 0 X WWW.SISKINREHAB.ORG X 1984 TN REHABILITATION HEALTH CARE 18 17 677 0 387873 386862 2371023 1332381 48935795 49351166 5181768 527787 832719 874699 57321305 52086033 26426 36726 0 0 29866567 32627260 0 0 61950 15657335 16412580 45550328 49076566 11770977 3009467 148599121 138987345 37838238 35185672 110760883 103801673 X SISKIN HOSPITAL FOR PHYSICAL REHABILITATION IS COMMITTED TO PROVIDING A WIDE RANGE OF HIGH QUALITY PHYSICAL REHABILITATION SERVICES WHERE POSITIVE OUTCOMES ARE ACHIEVED THAT BENEFIT THE INDIVIDUAL SERVED, AS WELL AS THE COMMUNITY AT LARGE. 0 0 16695736 23756921 DURING THE FYE 06/30/22 THE HOSPITAL PROVIDED QUALITY NURSING SERVICES FOR ALL CATEGORIES OF PATIENTS. 27,895 INPATIENT REHABILITATION SERVICE DAYS AND 11,247 SUBACUTE WEST REHAB SERVICE DAYS WERE PROVIDED DURING THIS PERIOD. 7255956 10324742 THE HOSPITAL PROVIDED 138,813 INPATIENT UNITS AND 96,870 OUTPATIENT UNITS OF PHYSICAL THERAPY SERVICE DURING FYE 06/30/22. 3121291 4441390 THE HOSPITAL PROVIDED 74,923 INPATIENT UNITS AND 24,247 OUTPATIENT UNITS OF OCCUPATIONAL THERAPY SERVICE DURING THE FYE 06/30/22. 7934498 36726 11138361 ALL OTHER ACHIEVEMENTS - SERVICES PROVIDED BY THE HOSPITAL INCLUDING SPEECH THERAPY AND OTHER SERVICES. 7934498 36726 11138361 35007481 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 44 0 677 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 TN X CAROL ARNHART 4236341200 ONE SISKIN PLAZA CHATTANOOGA TN 37403 TRUDY A HARPER TREASURER 1.00 X X 0 0 0 ROSE E DECOSIMO CPA CGMA DIRECTOR 1.00 X 0 0 0 MICHAEL FILLAUER DIRECTOR 1.00 X 0 0 0 MICHAEL G MATHIS VICE CHAIR 1.00 X X 0 0 0 VALERIE C RUTLEDGE EDD SECRETARY 1.00 X X 0 0 0 RICHARD P MCKENNEY DIRECTOR 1.00 X 0 0 0 MONIQUE P BERKE DIRECTOR 1.00 X 0 0 0 CHARLES L ARANT DIRECTOR 1.00 X 0 0 0 JONES KROGH CPA CFP CHAIR 1.00 X X 0 0 0 JAMES J O'CONNELL III MD FABFP DIRECTOR 1.00 X 0 0 0 JENNIFER L WEAVER DIRECTOR 1.00 X 0 0 0 ELIZABETH BETSY MCCRIGHT DIRECTOR 1.00 X 0 0 0 VIMAL W RAMJEE MD FACC DIRECTOR 1.00 X 0 0 0 MARCUS K SHAW DIRECTOR 1.00 X 0 0 0 WILLIAM F WILDER JR DIRECTOR 1.00 X 0 0 0 TANGELA W JOHNSON DIRECTOR 1.00 X 0 0 0 MATTHEW A GIBSON PHD FACHE PRESIDENT AND CEO 50.00 X X 605991 0 40251 DAVID BINDER DIRECTOR 1.00 X 0 0 0 CAROL E ARNHART VP FINANCE/CFO 50.00 X 253557 0 20360 TOD CAIN VP ADMINISTRATION 50.00 X 213227 0 24117 MICHAEL PILCHER INFO SYS DIRECTOR 40.00 X 176394 0 13317 TRACY REED VP PATIENT CARE 50.00 X 192245 0 20761 CURTIS POWELL VP QUALITY 50.00 X 173047 0 17492 TERESA DINGER ADMIN DIR MKTG 40.00 X 233678 0 8195 JODY NIX HR DIRECTOR 40.00 X 175976 0 9904 JOHN C YOUNG PSYCHOLOGIST 40.00 X 157434 0 18984 HOLLY TROTTER PHARMACY DIRECTOR 40.00 X 151971 0 12473 HERMAN GRIER PHARMACIST 40.00 X 124927 0 27153 AARON SPINKS NURSING HOME DIRECTOR 40.00 X 129232 0 0 LACY GRAY CONTROLLER 40.00 X 123540 0 5056 2711219 0 218063 13 0 1 0 GENTECH CONTRUCTION 820 BROAD ST SUITE 400 CHATTANOOGA TN 37402 CONSTRUCTION SERVICES 3173685 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURG PA 152516170 FOOD & FOOD SERVICE 2140409 ERLANGER MEDICAL CENTER 975 E THIRD STREET CHATTANOOGA TN 37403 MEDICAL SERVICES 879518 CHATTANOOGA SPINE & REHAB 1 SISKIN PLAZA SUITE 101 CHATTANOOGA TN 37403 MEDICAL SERVICES 597774 MEMORIAL HOSPITAL PO BOX 644497 PITTSBURG PA 152644497 MEDICAL SERVICES 378928 15 281649 638000 412732 1332381 NET PATIENT REVENUE 621990 49351166 49351166 49351166 252460 136114 116346 574660 0 574660 574660 574660 149945027 149669700 275327 275327 251759 23568 50797 281649 61006 -10209 -10209 CAFETERIA 621990 177553 177553 MISCELLANEOUS 621990 63518 63518 SUPPORT SERVICE CONTRACTS 621990 59998 59998 9179 9179 310248 52086033 49661414 387873 704365 36726 36726 2128581 2121600 6981 24920281 20474771 4401997 43513 464488 352163 112325 3228732 2447943 780429 360 1885178 1426329 455503 3346 409333 210756 198577 86100 44331 41769 3607431 1857384 1749170 877 12052 6205 5653 194 3131964 1612577 1516600 2787 52698 27133 25565 82317 42383 39780 154 1030240 781102 249138 2769370 2099666 669704 612628 464479 148149 UBIT TAX 149672 106761 42911 MEDICAL SUPPLIES & DRUG 2172138 2172138 BAD DEBTS 747984 747984 OTHER SUPPLIES 695296 423077 268746 3473 853357 421557 431535 265 49076566 35007481 14007135 61950 1200 1200 15462501 15198456 6259823 5399512 463891 326065 763773 517383 500376 645167 85340376 46251474 35736654 39088902 25585054 23597378 63803083 54200736 22766 12546 148599121 138987345 5395219 5157953 31017910 29472146 1425109 555573 37838238 35185672 X 110549423 103253584 211460 548089 110760883 103801673 148599121 138987345 X 3009467 -9968677 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11098 11098 0 PART II-B, LINE 1: PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. 25205505 -3633040 21572465 18887151 6318354 25205505 18301418 585733 18887151 17758123 543295 18301418 16011032 1747091 17758123 1 0 260000 260000 55633519 23035892 32597627 25619302 21204438 4414864 3827555 2011144 1816411 39088902 GT EMERGING MARKETS (QP) LP 2811222 F GT INTERNATIONAL EQUITY QP FUND LP 11528442 F GT OFFSHORE FUND LTD CLASS A 15282671 F GT OFFSHORE FUND LTD CLASS B 11408405 F GT REAL ASSETS II LP 1706208 F GT SPECIAL OPPORTUNITIES III LP 2268575 F GT US QP FUND LP 9195213 F 54200736 SWAP AGREEMENT-LIABILITY 538831 RESIDENT TRUST FUND 12546 ESTIMATED THIRD-PARTY SETTLEMENT 4196 555573 X 41369372 -9968677 -9968677 51338049 747984 747984 52086033 48328582 0 48328582 747984 747984 49076566 PART V, LINE 4: TO PROVIDE RESOURCES FOR VARIOUS ACTIVITIES CONSISTENT WITH THE MISSION OF THE HOSPITAL. PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740-10 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES." ASC 740-10 PROVIDES GUIDANCE ON DERECOGNITION OF TAX BENEFITS, CLASSIFICATION ON THE BALANCE SHEET, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2022 AND 2021. AS OF JUNE 30, 2022 AND 2021, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS 2019 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON INTEREST RATE SWAP AGREEMENT -10,775,926. UNREALIZED GAIN ON OTHER THAN TRADING SECURITIES 807,249. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE 747,984. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE 747,984. GOLF TOURNAMENT 130680 87033 43647 24973 14195 6575 3727 POSSIBILITIES LUNCH 201766 194616 7150 9250 2286 332446 281649 50797 24973 14195 6575 9250 6013 61006 -10209 1 1 1 X 1 X 0 1 1 0 0 305324 305324 0.00630 1851846 1254481 597365 0.01240 2157170 1254481 902689 0.01870 1502734 472650 1030084 0.02130 10200 10200 0.00020 1512934 472650 1040284 0.02150 3670104 1727131 1942973 0.04020 1 718792 0 23351082 17761762 5589320 X 0 1 1 SISKIN HOSPITAL FOR PHYSICAL REHABILITATION 1 SISKIN PLAZA CHATTANOOGA TN 37403 WWW.SISKINREHAB.ORG #67 X INPATIENT REHABILITATION SISKIN HOSPITAL FOR PHYSICAL REHABILITAT 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X WWW.SISKINREHAB.ORG 1 20 1 WWW.SISKINREHAB.ORG 0 1 X 200.000000000000 400.000000000000 X X X 0 1 X X X 1 X WWW.SISKINREHAB.ORG X WWW.SISKINREHAB.ORG X WWW.SISKINREHAB.ORG X X X X 0 1 X X 0 X X 0 0 SISKIN HOSPITAL FOR PHYSICAL REHABILITATION PART V, SECTION B, LINE 5: SISKIN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE THE NEEDS OF OUR COMMUNITY. DATA WAS COLLECTED AND ANALYZED FORM LOCAL, REGIONAL AND STATE AGENCIES IN ORDER TO ACCURATELY AND ADEQUATELY IDENTIFY THE NEEDS OF OUR COMMUNITY THROUGH SERVICES PROVIDED BY SISKIN HOSPITAL.INCLUDED IN THE ASSESSMENT WERE THE FOLLOWING:-SURVEYS WERE SENT TO 2,284 INDIVIDUALS WHO HAD RECEIVED SERVICES WITHIN THE TWO-YEAR PERIOD PRECEDING THE SURVEY AND WHO HAD EMAIL ADDRESSES AVAILABLE FOR SURVEY DISSEMINATION.-GROUPS WHO REGULARLY INTERACT WITH SISKIN HOSPITAL INCLUDING CASE MANAGERS, PHYSICIANS, THERAPISTS, CAREGIVERS, AND SUPPORT GROUPS. SISKIN HOSPITAL FOR PHYSICAL REHABILITATION PART V, SECTION B, LINE 11: THE FOLLOWING AREAS OF CONSUMER AND COMMUNITY NEED WERE IDENTIFIED IN THE MOST RECENT CHNA:-ACCESS TO REHABILITATION SERVICES-SISKIN HOSPITAL'S OUTPATIENT THERAPY CLINIC LOCATED IN THE EAST BRAINERD AREA OF CHATTANOOGA WAS MOVED TO A LARGE, MORE CONVENIENT LOCATION TO ACCOMMODATE MORE PATIENTS.-THE "DIRECT ACCESS" PROGRAM ALLOWS FOR PATIENT SELF-REFERRAL FOR OUTPATIENT PHYSICAL THERAPY SERVICES.-A NEW OUTPATIENT THERAPY CLINIC WAS OPENED IN THE HIXSON AREA OF CHATTANOOGA TO SERVE PATIENTS IN THE NORTHERN HAMILTON COUNTY.-TELEHEALTH SERVICES ARE AVAILABLE FOR THOSE WHO CANNOT OR PREFER NOT TO HAVE IN-PERSON REHABILITATION.-ADDITIONAL INPATIENT REHABILITATION BEDS WERE ADDED.-QUALITY OF HEALTHCARE AND CAREGIVING-PATIENT DISCHARGE SURVEYS ARE UTILIZED WITH THE GOAL OF CONTINUOUS IMPROVEMENT IN CUSTOMER SATISFACTION.-SISKIN HOSPITAL'S SUBACUTE PROGRAM HAS BEEN DESIGNATED A CMS 5-STAR FACILITY.-NEWSWEEK (AUGUST 2020) RECOGNIZED SISKIN HOSPITAL AS BEING AMONG THE NATION'S BEST PHYSICAL REHABILITATION FACILITIES.-U.S. NEWS AND WORLD REPORT (DECEMBER 2020) RECOGNIZED SISKIN AS BEING AMONG THE NATION'S TOP FIFTEEN PERCENT OF BEST-PERFORMING SHORT-TERM REHABILITATION FACILITIES.-SISKIN HOSPITAL HAS COLLABORATED WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO PROVIDE THE CLINICAL PORTION OF A NEW CERTIFIED NURSING ASSISTANT (CNA) COURSE. THIS EFFORT TO MEET THE GROWING NEEDS OF FRONT-LINE CAREGIVERS WILL HELP SISKIN HOSPITAL, AMONG OTHER HEALTHCARE ORGANIZATIONS, CONTINUE TO PROVIDE QUALITY CARE TO OUR PATIENTS.-KNOWLEDGE OF RESOURCES AVAILABLE-WHILE COVID-19 LIMITED SUPPORT GROUPS WHICH PREVIOUSLY MET IN PERSON AT SISKIN HOSPITAL, SOME OF THE GROUPS CONTINUED VIRTUALLY.-CONDITION-SPECIFIC PRINT AND DIGITAL EDUCATIONAL MATERIALS ARE PROVIDED TO OUR PATIENTS AND THEIR FAMILIES.-CHARITY ADMISSIONS-SISKIN HOSPITAL'S CHARITY PROGRAM SERVES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITHOUT ADEQUATE INSURANCE.-INSURANCE LIMITATIONS-SISKIN HOSPITAL WILL CONTINUE TO IDENTIFY AND SECURE CONTRACTS WITH INSURANCE PROVIDERS AND NETWORKS.THE FOLLOWING PROGRAMS BENEFIT COMMUNITIES SERVED:-TELEHEALTH THERAPY SERVICES - COVID-19 NECESSITATED THE DEVELOPMENT AND IMPLEMENTATION OF ALTERNATE DELIVERY METHODS FOR VARIOUS OUTPATIENT THERAPY SERVICES. FROM THE COMFORT AND SAFETY OF THEIR HOMES, PATIENTS MAY OPT TO CONTINUE THEIR THERAPY VIA REAL-TIME VIDEO CALLS WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS AS WELL AS BEHAVIORAL MEDICINE WITH PSYCHOLOGISTS.-COMMUNITY CARE PROGRAM - SISKIN HOSPITAL PROVIDES CHARITY CARE TO THOSE WHO HAVE SUSTAINED A DISABILITY THROUGH ACCIDENT, ILLNESS, OR INJURY.-CHARITABLE ASSISTANCE FOR ASSISTIVE DEVICES - SISKIN HOSPITAL'S PATIENT CARE FUND ALONG WITH COMMUNITY RESOURCES HELPS PROVIDE ASSISTIVE EQUIPMENT AND EDUCATION FOR PATIENTS BEING DISCHARGED.-PROFESSIONAL TRAINING, EDUCATION, CLINICAL RESEARCH ACTIVITIES - SISKIN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONTINUING EDUCATION AND PROFESSIONAL TRAINING FOR ITS ASSOCIATES TO BETTER SERVICE THOSE WITH DISABILITIES IN THE COMMUNITY. -THE NEUROLOGIC PHYSICAL THERAPY RESIDENCY PROGRAM EQUIPS NEW PHYSICAL THERAPISTS WITH THE MOST CURRENT EVIDENCE-BASED PRACTICES TO PROVIDE NEUROLOGIC PATIENTS WITH THE HIGHEST STANDARD OF CARE.-THE TRANSITION-TO-PRACTICE NURSE RESIDENCY PROGRAM PROVIDES ANNUAL TRAINING IN A REHABILITATION SETTING FOR NEW LPN OR RN GRADUATES. THE PARTICIPANTS RECEIVE EDUCATIONAL SUPPORT IN LEADERSHIP, PATIENT OUTCOMES, AND THE ROLE AND RESPONSIBILITIES OF THE PROFESSIONAL NURSE.-SISKIN HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS FROM AREA COLLEGES AND UNIVERSITIES INCLUDING LEE UNIVERSITY, SOUTHERN ADVENTIST UNIVERSITY, UNIVERSITY OF TENNESSEE CHATTANOOGA, CLEVELAND STATE COMMUNITY COLLEGE, AND CHATTANOOGA STATE COMMUNITY COLLEGE.-SISKIN HOSPITAL COLLABORATED WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO DEVELOP AN ACCREDITED CERTIFIED NURSING ASSISTANT (CNA) PROGRAM TO SUPPORT CURRENT AND FUTURE DEMAND FOR FRONTLINE HEALTHCARE WORKERS.-AS OF JUNE 2022, 35% OF SISKIN HOSPITAL'S ELIGIBLE NURSING ASSOCIATES ARE CRRN (CERTIFIED REHABILITATION REGISTERED NURSE) CERTIFIED. -IN ADDITION TO CRRNS, A DIVERSE RANGE OF CERTIFICATIONS IS HELD BY SISKIN HOSPITAL ASSOCIATES. THESE INCLUDE NEUROLOGICAL CLINICAL SPECIALIST, CERTIFIED BRAIN INJURY SPECIALIST, GERIATRIC CERTIFIED SPECIALIST, ORTHOPEDIC CLINICAL SPECIALIST, LOW VISION REHABILITATION, WOUND AND OSTOMY NURSE CERTIFICATION, LSVT BIG, AND NEUROMUSCULAR ELECTRICAL STIMULATION.-A GRANT FROM THE ACADEMY OF NEUROLOGIC PHYSICAL THERAPY IS FUNDING THE SISKIN HOSPITAL KNOWLEDGE TRANSLATION PROJECT, WHICH SEEKS TO IMPLEMENT STANDARDIZED MEASUREMENT ON THE INPATIENT STROKE UNIT.-A FALLS PREVENTION PROJECT, THE "NO PASS ZONE," WAS IMPLEMENTED TO HEIGHTEN THE FOCUS ON FALL PREVENTION.-THE SISKIN HOSPITAL HEALTH AND FITNESS CENTER IS A PLACE WHERE ABLE-BODIED AND DISABLED INDIVIDUALS CAN WORK OUT SIDE BY SIDE, FOCUSING ON PERSONAL STRENGTHENING AND FITNESS GOALS. THE HEALTH AND FITNESS CENTER PROVIDES THE IDEAL TRANSITION FOR PATIENTS TO CONTINUE TO EXPAND AND STRENGTHEN THEIR FUNCTIONAL INDEPENDENCE FOLLOWING OUTPATIENT REHABILITATION. MEMBERSHIP IN THE HEALTH AND FITNESS CENTER IS AVAILABLE TO THE COMMUNITY AT LARGE.-ADVOCACY-DRIVER SAFETY EVALUATION - SISKIN HOSPITAL WORKS CLOSELY WITH THE TENNESSEE DEPARTMENT OF TRANSPORTATION, HAMAN'S DRIVING SCHOOL, AND LOCAL OPHTHALMOLOGISTS AND PSYCHOLOGISTS TO ASSIST INDIVIDUALS WITH EDUCATION, TRAINING, AND EQUIPMENT NEEDED TO DRIVE SAFELY. THE PROGRAM INTRODUCES ALTERNATIVE TRANSPORTATION OPTIONS WHEN NEEDED.-ADVANCING CONTINUING EDUCATION-COMMUNITY SUPPORT GROUPS-COMMUNITY EDUCATION PROGRAMS-UNIQUE THERAPY PROGRAMS 4 1 - SISKIN SUBACUTE WEST 1 SISKIN PLAZA CHATTANOOGA TN 37403 SKILLED NURSING FACILITY 2 - SISKIN HOSPITAL THERAPY SERVICES 1309 PANORAMA DRIVE SUITE 103 CHATTANOOGA TN 37421 OUTPATIENT THERAPY CLINIC 3 - SISKIN HOSPITAL THERAPY SERVICES 3820 KEITH STREET CLEVELAND TN 37312 OUTPATIENT THERAPY CLINIC 4 - SISKIN HOSPITAL THERAPY SERVICES 271 NORTHGATE MALL R0040 CHATTANOOGA TN 37415 OUTPATIENT THERAPY CLINIC PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24D BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $747,984. PART III, LINE 4: TO DETERMINE THE AMOUNTS REPORTS IN PART III, LINE 2, SISKIN HOSPITAL REVIEWS INDIVIDUAL PATIENT ACCOUNTS ON AN ONGOING BASIS TO DETERMINE BAD DEBTS. THE AMOUNT IS ADJUSTED TO REFLECT COST USING COST TO CHARGE RATIO. BAD DEBT EXPENSE HAS NOT BEEN INCLUDED AS A COMMUNITY BENEFIT. SEE NOTE 2 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DESCRIBES CHANGE IN ESTIMATES OF TRANSACTION PRICE FOR AMOUNTS DUE FROM PATIENTS. PART VI, LINE 2: HEALTHCARE NEEDS ARE ASSESSED BY SISKIN HOSPITAL FOR PHYSICAL REHABILITATION THROUGH A VARIETY OF MECHANISMS, INCLUDING SURVEYS OF THOSE SERVED BY OUR PROGRAMS, FEEDBACK FROM VARIOUS SUPPORT GROUPS, INPUT VIA SURVEYS CONDUCTED, AND THE TRIENNIAL CHNA PROCESS. THE HOSPITAL ALSO CONSIDERS COMMUNITY NEEDS THROUGH ITS STRATEGIC PLANNING PROCESS WHERE INPUT IS SOUGHT FROM A VARIETY OF STAKEHOLDERS, INCLUDING COMMUNITY LEADERS, BOARD MEMBERS, OTHER PROVIDERS, ASSOCIATES, AND PATIENTS. PART VI, LINE 3: INFORMATION TO INFORM AND EDUCATE PATIENTS REGARDING ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS AND SISKIN HOSPITAL'S POLICIES IS AVAILABLE UPON ADMISSION AND IS POSTED IN PATIENT ROOMS. HOSPITAL BUSINESS OFFICE REPRESENTATIVES ARE AVAILABLE BEFORE, DURING AND FOLLOWING PATIENT STAYS TO DISCUSS PAYMENT ARRANGEMENTS, FINANCIAL ASSISTANCE, AND QUESTIONS ABOUT BILLING OR INSURANCE MATTERS. FOR INPATIENT AND SUBACUTE REFERRALS, THE HOSPITAL'S NURSE LIAISONS ARE THE FIRST POINT OF CONTACT FOR INFORMATION DISSEMINATION TO PROSPECTIVE PATIENTS REGARDING AVAILABILITY OF ASSISTANCE, ELIGIBILITY CRITERIA, AND APPLICATION INFORMATION. PART VI, LINE 4: SISKIN HOSPITAL FOR PHYSICAL REHABILITATION HAS A SERVICE AREA IN THE TRI-STATE AREA OF TENNESSEE, GEORGIA, AND ALABAMA. THIS INCLUDES URBAN AND RURAL AREAS OF THE CUMBERLAND PLATEAU. SISKIN HOSPITAL OPERATES SEVERAL OUTPATIENT THERAPY CLINICS IN ADDITION TO ITS MAIN FACILITY LOCATED IN DOWNTOWN CHATTANOOGA, TENNESSEE. THE POPULATIONS SERVED ENCOMPASS ALL ECONOMIC LEVELS. PART VI, LINE 5: SISKIN HOSPITAL IS AN INDEPENDENT, FREESTANDING REHABILITATION HOSPITAL WHICH IS GOVERNED BY A COMMUNITY BOARD. SISKIN HOSPITAL OFFERS A CONTINUUM OF REHABILITATION SERVICES FROM ACUTE INPATIENT REHABILITATION TO SUBACUTE AND OUTPATIENT REHABILITATION INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PSYCHOLOGY. PROGRAMS THAT BENEFIT COMMUNITIES SERVED, SOME OF WHICH ARE UNFUNDED OR UNDERFUNDED, ARE AS FOLLOWS:-TELEHEALTH THERAPY SERVICES - COVID-19 NECESSITATED THE DEVELOPMENT AND IMPLEMENTATION OF ALTERNATE DELIVERY METHODS FOR VARIOUS OUTPATIENT THERAPY SERVICES. FROM THE COMFORT AND SAFETY OF THEIR HOMES, PATIENTS MAY OPT TO CONTINUE THEIR THERAPY VIA REAL-TIME VIDEO CALLS WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS AS WELL AS BEHAVIORAL MEDICINE WITH PSYCHOLOGISTS.-COMMUNITY CARE PROGRAM - SISKIN HOSPITAL PROVIDES CHARITY CARE TO THOSE WHO HAVE SUSTAINED A DISABILITY THROUGH ACCIDENT, ILLNESS, OR INJURY.-CHARITABLE ASSISTANCE FOR ASSISTIVE DEVICES - SISKIN HOSPITAL'S PATIENT CARE FUND ALONG WITH COMMUNITY RESOURCES HELPS PROVIDE ASSISTIVE EQUIPMENT AND EDUCATION FOR PATIENTS BEING DISCHARGED.-PROFESSIONAL TRAINING, EDUCATION, CLINICAL RESEARCH ACTIVITIES - SISKIN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONTINUING EDUCATION AND PROFESSIONAL TRAINING FOR ITS ASSOCIATES TO BETTER SERVICE THOSE WITH DISABILITIES IN THE COMMUNITY. -THE NEUROLOGIC PHYSICAL THERAPY RESIDENCY PROGRAM EQUIPS NEW PHYSICAL THERAPISTS WITH THE MOST CURRENT EVIDENCE-BASED PRACTICES TO PROVIDE NEUROLOGIC PATIENTS WITH THE HIGHEST STANDARD OF CARE.-THE TRANSITION-TO-PRACTICE NURSE RESIDENCY PROGRAM PROVIDES ANNUAL TRAINING IN A REHABILITATION SETTING FOR NEW LPN OR RN GRADUATES. THE PARTICIPANTS RECEIVE EDUCATIONAL SUPPORT IN LEADERSHIP, PATIENT OUTCOMES, AND THE ROLE AND RESPONSIBILITIES OF THE PROFESSIONAL NURSE.-SISKIN HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS FROM AREA COLLEGES AND UNIVERSITIES INCLUDING LEE UNIVERSITY, SOUTHERN ADVENTIST UNIVERSITY, UNIVERSITY OF TENNESSEE CHATTANOOGA, CLEVELAND STATE COMMUNITY COLLEGE, AND CHATTANOOGA STATE COMMUNITY COLLEGE.-SISKIN HOSPITAL COLLABORATED WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO DEVELOP AN ACCREDITED CERTIFIED NURSING ASSISTANT (CNA) PROGRAM TO SUPPORT CURRENT AND FUTURE DEMAND FOR FRONTLINE HEALTHCARE WORKERS.-AS OF JUNE 2022, 35% OF SISKIN HOSPITAL'S ELIGIBLE NURSING ASSOCIATES ARE CRRN (CERTIFIED REHABILITATION REGISTERED NURSE) CERTIFIED.-IN ADDITION TO CRRNS, A DIVERSE RANGE OF CERTIFICATIONS IS HELD BY SISKIN HOSPITAL ASSOCIATES. THESE INCLUDE NEUROLOGICAL CLINICAL SPECIALIST, CERTIFIED BRAIN INJURY SPECIALIST, GERIATRIC CERTIFIED SPECIALIST, ORTHOPEDIC CLINICAL SPECIALIST, LOW VISION REHABILITATION, WOUND AND OSTOMY NURSE CERTIFICATION, LSVT BIG, AND NEUROMUSCULAR ELECTRICAL STIMULATION.-A GRANT FROM THE ACADEMY OF NEUROLOGIC PHYSICAL THERAPY IS FUNDING THE SISKIN HOSPITAL KNOWLEDGE TRANSLATION PROJECT, WHICH SEEKS TO IMPLEMENT STANDARDIZED MEASUREMENT ON THE INPATIENT STROKE UNIT.-A FALLS PREVENTION PROJECT, THE "NO PASS ZONE," WAS IMPLEMENTED TO HEIGHTEN THE FOCUS ON FALL PREVENTION.-THE SISKIN HOSPITAL HEALTH AND FITNESS CENTER IS A PLACE WHERE ABLE-BODIED AND DISABLED INDIVIDUALS CAN WORK OUT SIDE BY SIDE, FOCUSING ON PERSONAL STRENGTHENING AND FITNESS GOALS. THE HEALTH AND FITNESS CENTER PROVIDES THE IDEAL TRANSITION FOR PATIENTS TO CONTINUE TO EXPAND AND STRENGTHEN THEIR FUNCTIONAL INDEPENDENCE FOLLOWING OUTPATIENT REHABILITATION. MEMBERSHIP IN THE HEALTH AND FITNESS CENTER IS AVAILABLE TO THE COMMUNITY AT LARGE.-ADVOCACY-DRIVER SAFETY EVALUATION - SISKIN HOSPITAL WORKS CLOSELY WITH THE TENNESSEE DEPARTMENT OF TRANSPORTATION, HAMAN'S DRIVING SCHOOL, AND LOCAL OPHTHALMOLOGISTS AND PSYCHOLOGISTS TO ASSIST INDIVIDUALS WITH EDUCATION, TRAINING, AND EQUIPMENT NEEDED TO DRIVE SAFELY. THE PROGRAM INTRODUCES ALTERNATIVE TRANSPORTATION OPTIONS WHEN NEEDED.-ADVANCING CONTINUING EDUCATION-COMMUNITY SUPPORT GROUPS-COMMUNITY EDUCATION PROGRAMS-UNIQUE THERAPY PROGRAMS 1 SCHOLARSHIP/TUITION REIMBURSEMENT 9 36726 PART I, LINE 2: APPLICATIONS ARE FILED TO DETERMINE QUALIFICATIONS. SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMATORY BASIS BASED ON NEED AND QUALIFICATIONS. X 1 1 X X X 0 0 0 0 0 0 0 0 0 MATTHEW A GIBSON PHD FACHE PRESIDENT AND CEO 429253 0 173469 0 3269 0 28851 0 11400 0 646242 0 0 0 CAROL E ARNHART VP FINANCE/CFO 204013 0 32852 0 16692 0 8700 0 11660 0 273917 0 0 0 TERESA DINGER ADMIN DIR MKTG 154315 0 31297 0 48066 0 7695 0 500 0 241873 0 0 0 TOD CAIN VP ADMINISTRATION 161813 0 30482 0 20932 0 8101 0 16016 0 237344 0 0 0 TRACY REED VP PATIENT CARE 158855 0 22730 0 10660 0 8411 0 12350 0 213006 0 0 0 CURTIS POWELL VP QUALITY 136644 0 27703 0 8700 0 5948 0 11544 0 190539 0 0 0 MICHAEL PILCHER INFO SYS DIRECTOR 157492 0 18902 0 0 0 8131 0 5186 0 189711 0 0 0 JODY NIX HR DIRECTOR 149673 0 20265 0 6038 0 0 0 9904 0 185880 0 0 0 JOHN C YOUNG PSYCHOLOGIST 89713 0 62201 0 5520 0 3383 0 15601 0 176418 0 0 0 HOLLY TROTTER PHARMACY DIRECTOR 140579 0 1914 0 9478 0 7287 0 5186 0 164444 0 0 0 HERMAN GRIER PHARMACIST 124927 0 0 0 0 0 5625 0 21528 0 152080 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN WILL BE REVIEWED BY THE AUDIT COMMITTEE AND DISTRIBUTED TO ALL DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL'S CONFLICT OF INTEREST POLICY REQUIRES ANNUAL DISCLOSURE AND COVERS ALL MEMBERS OF THE BOARD OF DIRECTORS, THOSE SERVING ON BOARD COMMITTEES, AND PERSONNEL OF SISKIN HOSPITAL WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY SISKIN HOSPITAL. DISCLOSURES BY COVERED PERSONNEL ARE REVIEWED BY THE HOSPITAL'S CHIEF COMPLIANCE OFFICER WHO DETERMINES IF A MATERIAL CONFLICT OF INTEREST EXISTS AND RECOMMENDS TO THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AN APPROPRIATE COURSE OF CONDUCT OR CORRECTIVE ACTION FOR SISKIN HOSPITAL AND INVOLVED PERSONNEL. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FUNCTIONS AS THE COMPENSATION COMMITTEE FOR THE PERFORMANCE REVIEW OF THE CHIEF EXECUTIVE OFFICER AND FOR ANY ADJUSTMENTS IN COMPENSATION. THE EXECUTIVE COMMITTEE UTILIZES DATA FROM SALARIES AND COMPENSATION PROGRAMS AND SELECTED BENEFIT PROGRAMS USING DATA FROM EXTERNAL COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NET UNREALIZED GAINS ON OTHER THAN TRADING SECURITIES -10,775,926. UNREALIZED GAIN ON INTEREST SWAP AGREEMENT 807,249.