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FLOYD HEALTHCARE MANAGEMENT INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
FLOYD HEALTHCARE MANAGEMENT INC (EIN 58-1973570)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201631349349300928
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T07:39:57-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31708ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581973570EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FLOYD HEALTHCARE MANAGEMENT INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFLOYBusinessNameControlTxt
Phone7065096074PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1Txt
CityROMECityNm
State AbbreviationGAStateAbbreviationCd
ZIP301620233ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD T SHEERINPersonNm
Person TitleCFOPersonTitleTxt
Phone7065096074PhoneNum
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACQUELINE G ATKINSPreparerPersonNm
PTINP00861721PTIN
Phone2298837878PhoneNum
Preparation2016-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKURT STUENKELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1Txt
CityROMECityNm
State AbbreviationGAStateAbbreviationCd
ZIP301620233ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$397,407,500GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FLOYD.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionOPERATE A NON-PROFIT HOSPITAL SYSTEM AND SUPPORT 501 (C)(3)ORGANIZATIONSActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee3843TotalEmployeeCnt
Total Volunteers198TotalVolunteersCnt
Total Gross UBI$997,393TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$372,598NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$452,870PYContributionsGrantsAmt
CY Contributions Grants$288,195CYContributionsGrantsAmt
PY Program Service Revenue$333,335,915PYProgramServiceRevenueAmt
CY Program Service Revenue$360,754,945CYProgramServiceRevenueAmt
PY Investment Income$5,852,093PYInvestmentIncomeAmt
CY Investment Income$5,729,074CYInvestmentIncomeAmt
PY Other Revenue$4,874,855PYOtherRevenueAmt
CY Other Revenue$330,294CYOtherRevenueAmt
PY Total Revenue$344,515,733PYTotalRevenueAmt
CY Total Revenue$367,102,508CYTotalRevenueAmt
PY Grants And Similar Paid$1,508,266PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,611,141CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$181,353,568PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$187,507,563CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$197,884CYTotalFundraisingExpenseAmt
PY Other Expenses$148,507,526PYOtherExpensesAmt
CY Other Expenses$150,688,941CYOtherExpensesAmt
PY Total Expenses$331,369,360PYTotalExpensesAmt
CY Total Expenses$339,807,645CYTotalExpensesAmt
PY Revenues Less Expenses$13,146,373PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$27,294,863CYRevenuesLessExpensesAmt
Total Assets BOY$361,388,788TotalAssetsBOYAmt
Total Assets EOY$379,641,237TotalAssetsEOYAmt
Total Liabilities BOY$215,720,786TotalLiabilitiesBOYAmt
Total Liabilities EOY$215,622,681TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$145,668,002NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$164,018,556NetAssetsOrFundBalancesEOYAmt
MissionOPERATE A NON-PROFIT HOSPITAL SYSTEM AND SUPPORT 501 (C)(3)ORGANIZATIONSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$263,540,267ExpenseAmt
Grant$1,611,141GrantAmt
Revenue$359,825,475RevenueAmt
DescFLOYD HEALTHCARE MANAGEMENT, INC. OPERATES FLOYD MEDICAL CENTER, A GENERAL ACUTE CARE HOSPITAL, AND FLOYD BEHAVIORAL HEALTH CENTER, A PSYCHIATRIC UNIT. SEE ADDITIONAL DISCLOSURES AT SCHEDULE O, "SUPPLEMENTAL INFORMATION TO FORM 990".Desc
Total Program Service Expenses$263,540,267TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonYes (true)GrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document117IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3843EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICHARD T SHEERINPersonNm
Phone7065096074PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1Txt
CityROMECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30161ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KURT STUENKEL
PRES/SECRE/C50.002.00Yes (X)Yes (X)$1,559,023$0$49,041
ROBERT HOLCOMBE JR MD
DIRECTOR41.001.00Yes (X)$346,644$0$22,443
JAMES COLLINS JR MD
DIRECTOR41.001.00Yes (X)$298,018$0$10,525
ANNE LULE MD
DIRECTOR1.00Yes (X)$166,864$0$15,531
BRAD WARD MD
DIRECTOR41.001.00Yes (X)$103,793$0$8,800
GEORGE BOSWORTH MD
CHAIRMAN1.002.00Yes (X)Yes (X)$5,225$3,250$0
JOHN SAM FREEMAN
DIRECTOR1.001.00Yes (X)$4,375$2,750$0
J ROGER SUMNER
PAST CHAIRMA1.001.00Yes (X)$4,000$2,750$0
DAVID JOHNSON
DIRECTOR1.001.00Yes (X)$6,600$0$0
KAY CHUMBLER
VICE CHAIRMA1.002.00Yes (X)Yes (X)$5,250$0$0
LARRY KUGLAR
DIRECTOR1.001.00Yes (X)$2,875$2,250$0
FRANK SHELLEY
DIRECTOR1.001.00Yes (X)$2,625$2,500$0
TIM MAHANAY
DIRECTOR1.001.00Yes (X)$4,500$0$0
GARRY FRICKS
DIRECTOR1.001.00Yes (X)$4,029$0$0
CARL HERRING MD
DIRECTOR1.001.00Yes (X)$2,625$0$0
MARK MANIS
DIRECTOR1.001.00Yes (X)$0$0$0
RHONDA WALLACE
DIRECTOR1.001.00Yes (X)$0$0$0
RICHARD T SHEERIN
CFO50.005.00Yes (X)$475,853$0$37,085
JOSEPH BIUSO MD
VP & CMO40.00$546,647$0$51,296Yes (X)
WARREN RIGAS
SVP COO40.00$477,600$0$37,428Yes (X)
C WADE MONK
GENERAL COUN40.000.00$417,249$0$50,744Yes (X)
SHEILA HORNER
VP & CNO40.000.00$343,464$0$8,818Yes (X)
GREG POLLEY
VICE PRESIDE40.000.00$325,082$0$46,645Yes (X)
REBEKAH LOWREY MD
SURGICAL DIR40.00$263,146$0$6,470Yes (X)
BETH BRADFORD
CHIEF HR OFF40.00$262,792$0$9,018Yes (X)
JEFFERY D BUDA
CHF INFORMAT40.00$247,834$0$19,529Yes (X)
ALISON LAND
VICE PRESIDE40.000.00$243,628$0$27,522Yes (X)
DAVID EARLY
DIRECTOR SUP40.00$225,375$0$17,947Yes (X)
JULIE ROGERS
CORP COMPLIA40.000.00$225,209$0$22,356Yes (X)
ROBERT PURCELL
PHARMACY DIR40.000.00$209,098$0$23,646Yes (X)
DAN SWEITZER
VP MARKET DE40.000.00$172,937$0$6,150Yes (X)
JOHN HARDWELL MD
PHYSICIAN40.00$818,243$0$22,156Yes (X)
MOLLY VICCHRILLI MD
PHYSICIAN40.00$523,054$0$21,456Yes (X)
LOUIS A SPENCER MD
PHYSICIAN40.00$515,093$0$20,697Yes (X)
NADIA MEYER MD
PHYSICIAN40.00$507,662$0$25,879Yes (X)
MATTHEW T CORNFORTH MD
PHYSICIAN40.00$474,942$0$9,028Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,791,354TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,500TotReportableCompRltdOrgAmt
Total Other Compensation$570,210TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K205IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BRASFIELD AND GORRIE LLC
PO BOX 11407BIRMINGHAMAL352461407GEN CONTRACTOR$9,907,657
CERNER CORP
PO BOX 412702KANSAS CITYMO641412702IT SERVICES$5,735,243
ARAMARK MANAGEMENT SERVICES
PO BOX 233ROMEGA301610233LAUNDRY$4,701,896
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA303682289DIETARY SVC$4,168,450
IN COMPASS HEALTH INC
318 MAXWELL ROAD SUITE 500ALPHARETTAGA30009HOSPITALIST$3,748,282
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K63CntrctRcvdGreaterThan100KCnt
Related Organizations$260,000RelatedOrganizationsAmt
All Other Contributions$28,195AllOtherContributionsAmt
Total Contributions$288,195TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE623000$358,232,187$358,232,187
FAMILY PRACTICE CAPITATION621990$1,525,365$1,525,365
REFERENCE LAB621500$997,393$997,393
FieldValueIRS element (for citing)
Total Program Service Revenue$360,754,945TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,021,067TotalRevenueColumnAmt
Exclusion$6,021,067ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$433,386RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$223,867RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$209,519RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$209,519TotalRevenueColumnAmt
Exclusion$209,519ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$29,702,843SecuritiesAmt
Other$86,289OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$29,959,362SecuritiesAmt
Other$121,763OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$256,519SecuritiesAmt
Other-$35,474OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$291,993TotalRevenueColumnAmt
Exclusion-$291,993ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA722513$52,852$52,852
PURCHASE DISCOUNTS621990$26,075$26,075
FAMILY PRACTICE REVENUE621110$23,386$23,386

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,462TotalRevenueColumnAmt
Related Or Exempt Func Income$18,462RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$120,775OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$367,102,508TotalRevenueColumnAmt
Related Or Exempt Func Income$359,825,475RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$997,393UnrelatedBusinessRevenueAmt
Exclusion$5,991,445ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,430,231TotalAmt
Program Services$1,430,231ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$180,910TotalAmt
Program Services$180,910ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,240,969TotalAmt
Management And General$7,240,969ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$142,858,309TotalAmt
Program Services$119,066,878ProgramServicesAmt
Management And General$23,636,214ManagementAndGeneralAmt
Fundraising$155,217FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,999,006TotalAmt
Program Services$2,486,608ProgramServicesAmt
Management And General$509,274ManagementAndGeneralAmt
Fundraising$3,124FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,334,354TotalAmt
Program Services$19,633,253ProgramServicesAmt
Management And General$4,676,436ManagementAndGeneralAmt
Fundraising$24,665FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,074,925TotalAmt
Program Services$7,509,945ProgramServicesAmt
Management And General$2,553,730ManagementAndGeneralAmt
Fundraising$11,250FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$560,539TotalAmt
Management And General$560,539ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$526,484TotalAmt
Management And General$526,484ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$32,759TotalAmt
Program Services$32,759ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,759,833TotalAmt
Program Services$26,735,563ProgramServicesAmt
Management And General$8,024,270ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,772,999TotalAmt
Program Services$192,543ProgramServicesAmt
Management And General$1,580,456ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,382,214TotalAmt
Program Services$4,579,314ProgramServicesAmt
Management And General$2,799,986ManagementAndGeneralAmt
Fundraising$2,914FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,693,271TotalAmt
Program Services$1,248,001ProgramServicesAmt
Management And General$6,445,270ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,083,345TotalAmt
Program Services$10,566,486ProgramServicesAmt
Management And General$2,516,859ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,533,320TotalAmt
Program Services$1,299,120ProgramServicesAmt
Management And General$2,233,486ManagementAndGeneralAmt
Fundraising$714FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$582,775TotalAmt
Program Services$448,900ProgramServicesAmt
Management And General$133,875ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$237,615TotalAmt
Management And General$237,615ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,256,129TotalAmt
Program Services$19,122,466ProgramServicesAmt
Management And General$3,133,663ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,131,082TotalAmt
Program Services$987,697ProgramServicesAmt
Management And General$3,143,385ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$43,772,085$43,661,335$110,750
REPAIRS & MAINTENANCE$4,291,531$2,720,075$1,571,456
LICENSE & TAXES$3,843,713$126,447$3,717,266
DUES & SUBSCRIPTIONS$1,147,021$339,209$807,812

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,082,226TotalAmt
Program Services$1,172,527ProgramServicesAmt
Management And General-$90,301ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$339,807,645TotalAmt
Program Services$263,540,267ProgramServicesAmt
Management And General$76,069,494ManagementAndGeneralAmt
Fundraising$197,884FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,869,580BOYAmt
EOY$20,495,334EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$44,039,612BOYAmt
EOY$57,088,179EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$65,869,855BOYAmt
EOY$52,714,943EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$72,871BOYAmt
EOY$45,924EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$790,348BOYAmt
EOY$680,725EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,727,134BOYAmt
EOY$9,320,766EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,993,776BOYAmt
EOY$3,858,931EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$345,459,632LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$189,086,138LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$168,266,309BOYAmt
EOY$156,373,494EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$61,485,969BOYAmt
EOY$72,693,088EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,583,919BOYAmt
EOY$2,841,319EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$948,989BOYAmt
EOY$857,151EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,740,426BOYAmt
EOY$2,671,383EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$361,388,788BOYAmt
EOY$379,641,237EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,272,117BOYAmt
EOY$35,345,470EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$120,301,042BOYAmt
EOY$117,727,660EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$32,225,769BOYAmt
EOY$25,897,882EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,921,858BOYAmt
EOY$36,651,669EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$215,720,786BOYAmt
EOY$215,622,681EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$145,668,002BOYAmt
EOY$164,018,556EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$145,668,002BOYAmt
EOY$164,018,556EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$361,388,788BOYAmt
EOY$379,641,237EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$27,294,863ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$175,244NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,769,065OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationSCHEDULE A, PART IV - REASON FOR NON-PRIVATE FOUNDATION STATUS ON JANUARY 1, 1998 FLOYD HEALTHCARE MANAGEMENT, INC. ACQUIRED BY LEASE ALL OF THE ASSETS OF THE HOSPITAL AUTHORITY OF FLOYD COUNTY AND THEREBY BECAME THE LICENSED OPERATOR OF FLOYD MEDICAL CENTER, A GENERAL, ACUTE CARE HOSPITAL WITH 300+ BEDS. SINCE THAT TIME, FLOYD HEALTHCARE MANAGEMENT, INC. HAS CONTINUED TO OPERATE FLOYD MEDICAL CENTER AS A NON-PROFIT HOSPITAL, OFFERING A WIDE ARRAY OF SERVICES TO THE COMMUNITY, INCLUDING AN EMERGENCY ROOM WHICH SEES APPROXIMATELY 76,000 PATIENTS PER YEAR AND A BUSY OUTPATIENT INDIGENT CLINIC.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$32,759OtherActivitiesAmt
Total Lobbying Expenditures$32,759TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,929,005OtherCostOrOtherBasisAmt
Book Value$12,929,005BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,650,864OtherCostOrOtherBasisAmt
Depreciation$44,936,796DepreciationAmt
Book Value$74,714,068BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,069,935OtherCostOrOtherBasisAmt
Depreciation$10,252,280DepreciationAmt
Book Value$4,817,655BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$190,441,088OtherCostOrOtherBasisAmt
Depreciation$133,897,062DepreciationAmt
Book Value$56,544,026BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,368,740OtherCostOrOtherBasisAmt
Book Value$7,368,740BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$156,373,494TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED PENSION$23,741,527
MALPRACTICE CLAIMS$7,103,448
THIRD PARTY SETTLEMENTS$3,129,150
ACCRUED INTEREST$2,677,544
FieldValueIRS element (for citing)
Total Liability$36,651,669TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE CORPORATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE CORPORATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2015 AND 2014 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other1.250000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other3.250000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,393,583TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,393,583NetCommunityBenefitExpnsAmt
Total Expense0.06880TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,592,742TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,193,512DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,399,230NetCommunityBenefitExpnsAmt
Total Expense0.01880TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,986,325TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,193,512DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,792,813NetCommunityBenefitExpnsAmt
Total Expense0.08760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$186,210TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$186,210NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,658,510TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,126,970DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,531,540NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,310,307TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,310,307NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$946,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,360DirectOffsettingRevenueAmt
Net Community Benefit Expns$943,266NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,101,653TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,130,330DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,971,323NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,087,978TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,323,842DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,764,136NetCommunityBenefitExpnsAmt
Total Expense0.10520TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$30,538,511BadDebtExpenseAmt
Bad Debt Expense Attributable$16,185,411BadDebtExpenseAttributableAmt
Reimbursed By Medicare$81,690,431ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$82,509,608CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$819,177MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FLOYD HEALTHCARE MANAGEMENT INCBusinessNameLine1Txt
Business Name Line2FLOYD MEDICAL CENTERBusinessNameLine2Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1Txt
CityROMECityNm
State AbbreviationGAStateAbbreviationCd
ZIP301620233ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.FLOYD.ORGWebsiteAddressTxt
State License057-556StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherHOSPICE, CLINICS, REHAB, PSYCHOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FLOYD HEALTHCARE MANAGEMENT INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.FLOYD.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care325.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, FLOYD HEALTHCARE MANAGEMENT INC. - PART V, LINE 5THE INTERESTS OF THE COMMUNITIES WERE ENLISTED THROUGH A SURVEY PROCESS, COMMUNITY FORUMS, AND DIRECT INPUT FROM REPRESENTATIVES OF THE GEORGIA DEPARTMENT OF PUBLIC HEALTH. THE SURVEY PROCESS WAS COMPLETED ON A CONVENIENCE BASIS AT PUBLIC EVENTS USING AN INSTRUMENT DESIGNED TO CAPTURE THE PUBLIC'S PERCEPTION OF HEALTH AND HEALTHCARE SERVICES IN THE COMMUNITY. THE SURVEY INSTRUMENT AND RESULTS ARE INCLUDED IN THE CHNA. THE INTERESTS OF THE COMMUNITY ARE ALSO REPRESENTED IN THE CHNA THROUGH PRIMARY DATA COLLECTED AT PUBLIC INPUT SESSIONS HELD IN EACH COUNTY. CARE WAS TAKEN TO INVITE A CROSS-SECTION OF THE COMMUNITY WITH REPRESENTATIVES FROM BUSINESS, HEALTHCARE, NON-PROFITS, PUBLIC HEALTH, LOCAL GOVERNMENT, AND EDUCATIONAL INSTITUTIONS. DISTRICT PUBLIC HEALTH REPRESENTATIVES WERE ASKED TO REVIEW RAW DATA AND PROVIDE ASSISTANCE DEVELOPING PRIORITY NEEDS.
FACILITY 1, FLOYD HEALTHCARE MANAGEMENT INC. - PART V, LINE 7DTHE 2014 CHNA HAS BEEN DISTRIBUTED UPON REQUEST TO OTHER NON-PROFIT AGENCIES IN THE AREA TO ASSIST WITH GRANTS. COPIES HAVE ALSO BEEN MADE AVAILABLE TO ELECTED OFFICIALS, CHAMBERS OF COMMERCE, AND EDUCATIONAL INSTITUTIONS IN THE AREA. A LINK TO THE 2014 CHNA AND IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATION'S WEBSITE AT HTTP://FLOYDSTRAIGHTFORWARD.ORG/LIBRARY/2011- COMMUNITY-HEALTH-ASSESSMENT-REPORT.
FACILITY 1, FLOYD HEALTHCARE MANAGEMENT INC. - PART V, LINE 22DFLOYD USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
FLOYD HEYMAN HOSPICE
P O BOX 233ROMEGA30165HOME HOSPICE CARE
FLOYD EMERGENCY MEDICAL SERVICES
P O BOX 233ROMEGA30165EMERGENCY SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEIN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 339,807,647 ADD: EXPENSES REPORTED IN PART VIII 223,867 DENOMINATOR FOR COLUMN (F) 340,031,514
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONTHE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 2.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYAMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. THE FIGURE ON PART III LINE 3 REPRESENTS MANAGEMENT'S ESTIMATE (APPROXIMATELY 53%) BASED ON AN ANALYSIS OF SELF PAY PATIENTS' ABILITY TO PAY THEIR OUTSTANDING ACCOUNT. THIS ANALYSIS INCLUDES REVIEWING THE PATIENT'S CREDIT HISTORY, INCOME LEVELS AND OVERALL COLLECTIBILITY OF THE ACCOUNT.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS, SERVICE DATES, AND SERVICE TYPE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY, BASED ON THE ANTICIPATED REIMBURSEMENT. MANAGEMENT ALSO REVIEWS SUBSEQUENT COLLECTION ACTIVITY TO ASSESS THE ACCURACY OF THE ALLOWANCE ESTIMATED. THE ALLOWANCE ASSOCIATED WITH THESE ACCOUNTS DECREASED SIGNIFICANTLY IN 2015. DURING 2014, THE CORPORATION CHANGED MANY PROCESSES SURROUNDING THE BILLING AND COLLECTING OF THESE ACCOUNTS. THESE CHANGES CAUSED AN INCREASE IN THE PATIENT RECEIVABLES AT THE END OF 2014 THAT CAUSED AN INCREASE IN THE ALLOWANCES OVERALL. IN 2015 THESE RECEIVABLES DECREASED AS DID THE ALLOWANCE ASSOCIATED WITH THEM. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PRIOR PAYMENTS, SERVICE DATE, SERVICE TYPE, AND ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL AND PMCI'S COMBINED ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF- PAY PATIENTS WAS 95% AND 97% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2015 AND 2014, RESPECTIVELY. IN ADDITION, THE HOSPITAL AND PMCI'S COMBINED SELF-PAY WRITE OFFS, INCLUDING WRITE OFFS FOR CHARITY AND INDIGENT PATIENTS, INCREASED APPROXIMATELY 11,000,000 FROM 119,000,000 FOR FISCAL YEAR 2014 TO 130,000,000 FOR FISCAL YEAR 2015. THE INCREASE IN WRITE OFFS WAS MOSTLY ATTRIBUTED TO THE HOSPITAL PROCESSING MORE SELF-PAY CLAIMS, WHICH RESULTED IN MORE CLAIMS BEING SENT THROUGH THE COLLECTIONS PROCESS AND WRITTEN OFF. THE HOSPITAL DID NOT CHANGE ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2014 OR 2015.
PART III, LINE 8 - MEDICARE EXPLANATIONMEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONFOR PATIENTS RECEIVING ONLY A PORTION OF THEIR BILL AS CHARITY, THE REMAINING PORTION OF THE BILL IS TREATED THE SAME AS ALL OTHER PATIENTS IN REGARDS TO COLLECTIONS.
PART VI, LINE 2 - NEEDS ASSESSMENTFLOYD HEALTHCARE MANAGEMENT, INC. ("FHMI") COMPLETED A HEALTH CARE NEEDS ASSESSMENT IN CHATTOOGA, FLOYD, AND POLK COUNTIES IN FISCAL YEAR 2014. THIS INCLUDED A RANDOM PAPER SURVEY OF RESIDENTS OF EACH COUNTY AS WELL AS INTERVIEWS WITH COMMUNITY LEADERS AND HEALTH CARE PROFESSIONALS AND FOCUS GROUPS. IN ADDITION, FHMI DEVELOPS A STRATEGIC PLAN THAT IS UPDATED ANNUALLY. THE STRATEGIC PLAN TAKES INTO CONSIDERATION HEALTH NEEDS FOR OUR SERVICE AREA IN ADDITION TO UTILIZATION OF SERVICES, COMMUNITY PARTICIPATION, AND QUALITY OF SERVICES PROVIDED. BOTH THE 2014 CHNA AND IMPLEMENTATION PLAN ARE POSTED ON THE FACILITY'S HOME WEBPAGE.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFHMI COMMUNICATES THIS INFORMATION THROUGH SIGNAGE IN THE EMERGENCY CARE CENTER, PATIENT REGISTRATION AREAS, IN THE BUSINESS/PATIENT FINANCIAL SERVICES OFFICES, AND IN THE OFFICES OF OUR FINANCIAL COUNSELORS. DURING TIMES OF PREADMISSION AS WELL AS ON-SITE REGISTRATION THE ACCESS/REGISTRATION STAFF DISCUSS POLICIES WITH THE PATIENT/PATIENT'S FAMILY IF APPROPRIATE. AFTER DISCHARGE AND DURING THE "COLLECTION" PERIOD OUR STAFF ONCE AGAIN DISCUSS OUR FINANCIAL ASSISTANCE POLICIES. IN ADDITION THERE IS A DEMONSTRATED WORD-OF-MOUTH COMMUNICATION OF THESE POLICIES THROUGH OUR PATIENT POPULATION.
PART VI, LINE 4 - COMMUNITY INFORMATIONLOCATED IN NORTHWEST GA, FHMI DBA FLOYD MEDICAL CENTER ("FMC") IS BASED IN ROME, GA, WHICH IS THE COUNTY SEAT FOR FLOYD COUNTY, ABOUT 60 MILES NORTH OF ATLANTA AND 60 MILES SOUTH OF CHATTANOOGA, TN. THE 162,135 (2014 ESTIMATE) RESIDENTS OF THE THREE-COUNTY REGION ARE SERVED BY FMC AND TWO SMALLER HOSPITALS. THE POPULATION BASE IS APPROXIMATELY 76% CAUCASIAN, 13% AFRICAN AMERICAN, 9% HISPANIC OR LATINO AND 2% OTHER ETHNICITIES. NORTHWEST GA IS A MEDICAL AND EDUCATIONAL HUB. THREE OF THE LARGEST EMPLOYERS IN THE THREE-COUNTY AREA ARE HEALTH CARE PROVIDERS. THE AREA IS ALSO HOME TO FOUR POST-SECONDARY EDUCATIONAL INSTITUTIONS. STILL, THE MANUFACTURING SECTOR REMAINS AN ECONOMIC FORCE IN THE AREA. THE UNEMPLOYMENT RATE FOR THE THREE-COUNTY AREA WAS 7% IN 2014, AND ALMOST 23% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL. SLIGHTLY MORE THAN ONE-FOURTH OF THE ADULT POPULATION (26.8%) HAS NOT GRADUATED HIGH SCHOOL. THE PRIMARY CAUSES OF DEATH IN THESE COUNTIES ARE: "ISCHEMIC HEART AND VASCULAR DISEASE "MALIGNANT NEOPLASMS OF THE TRACHEA, BRONCHUS AND LUNG "COPD "CEREBROVASCULAR DISEASE "ALZHEIMER'S DISEASE "ACCIDENTAL POISONING AND EXPOSURE TO NOXIOUS SUBSTANCES "SUICIDE "FALLS
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHFHMI IS THE SAFETY-NET HEALTH CARE PROVIDER FOR NORTHWEST GEORGIA. IN ADDITION TO PROVIDING EMERGENCY CARE SERVICES, FMC HAS GONE THE EXTRA STEP OF PROVIDING 24-HOUR COVERAGE FOR SURGERY AND OTHER SERVICES TO MAINTAIN STATUS AS A LEVEL II TRAUMA CENTER. FHMI IS ALSO THE SITE FOR THE REGIONAL POISON CONTROL CENTER, HOUSES THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT, AND OPERATES A FAMILY MEDICINE RESIDENCY PROGRAM THAT OPERATES THE FLOYD COUNTY CLINIC TO PROVIDE BASIC HEALTH CARE SERVICES FOR THE ECONOMICALLY DISADVANTAGED IN THE COMMUNITY. IN ADDITION TO THESE SERVICES, FHMI ACTIVELY PROMOTES HEALTH AND SAFETY THROUGHOUT THE COMMUNITY THROUGH VARIOUS COMMUNITY BENEFIT ACTIVITIES, PRIMARILY THROUGH THE PROVISION OF INDIGENT AND CHARITY CARE TO UNDER-INSURED AND UNINSURED PATIENTS. IN ADDITION, FLOYD IS ACTIVE IN THE COMMUNITY PROVIDING SCHOOL- BASED CHILD SAFETY PROGRAMS; MOBILE MAMMOGRAPHY; CHILDBIRTH CLASSES; COMMUNITY HEALTH SCREENINGS AND HEALTH FAIRS; HEALTH CARE INTERNSHIPS; EXTERNSHIPS AND SHADOWING OPPORTUNITIES; AND SUPPORT FOR COMMUNITY-WIDE INITIATIVES WITH HEALTH PARTNERS INCLUDING THE NORTHWEST GEORGIA CANCER COALITION, CANCER NAVIGATORS, AND THE FREE CLINIC OF ROME.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMFLOYD HEALTHCARE MANAGEMENT, INC. (FHMI) OPERATES FLOYD MEDICAL CENTER (FMC), A GENERAL ACUTE CARE HOSPITAL, AND FLOYD BEHAVIORAL HEALTH CENTER, A PSYCHIATRIC UNIT. THESE TWO FACILITIES SERVE THE AREAS OF FLOYD COUNTY AND THE NORTHWEST GEORGIA REGION. OTHER AFFILIATED ORGANIZATIONS INCLUDE: - HOSPITAL AUTHORITY OF FLOYD COUNTY - A NONPROFIT ORGANIZATION THAT SUPPORTS FMC AND OPERATES POLK MEDICAL CENTER, A 25-BED, CRITICAL ACCESS HOSPITAL LOCATED IN CEDARTOWN, GA. - FLOYD HEALTHCARE RESOURCES, INC. - A NONPROFIT ORGANIZATION WHICH FACILITATES THE OPERATIONS OF FMC FOR THE BENEFIT OF CITIZENS LOCATED IN FLOYD COUNTY AND THE NORTHWEST GEORGIA REGION. - HOSPITAL AUTHORITY OF FLOYD COUNTY SELF INSURANCE TRUST - A NONPROFIT ORGANIZATION THAT SUPPORTS THE HOSPITAL AUTHORITY OF FLOYD COUNTY. THIS ORGANIZATION PROVIDES FUNDING TO SATISFY MALPRACTICE AND COMPREHENSIVE GENERAL PATIENT CLAIMS AGAINST THE AUTHORITY AND FHMI. - FLOYD HEALTH CARE FOUNDATION, INC. - A NONPROFIT ORGANIZATION THAT PROMOTES HEALTH CARE BY PROVIDING SUPPORT TO TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND PUBLIC CHARITIES IN AND AROUND THE ROME, GEORGIA AREA. - POLK MEDICAL CENTER, INC. - A 25-BED, CRITICAL ACCESS HOSPITAL WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTGEORGIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY OF FLOYD COUNTYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1Txt
CityROMECityNm
State AbbreviationGAStateAbbreviationCd
ZIP301610233ZIPCd
FieldValueIRS element (for citing)
Recipient EIN586001173RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$1,430,231CashGrantAmt
Purpose Of GrantPENSION PLAN FUNDINGPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
COBRA INSURANCE PREMIUM14$62,770
TUITION29$118,140

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationIT IS THE POLICY OF THE ORGANIZATION TO ESTABLISH PROCEDURES TO POTENTIALLY SECURE PAYMENT FOR HEALTHCARE SERVICES VIA EXTENSION OF INSURANCE BENEFITS THROUGH COBRA. THIS EXTENSION OF INSURANCE COVERAGE WILL BE PROVIDED ON A CASE-BY-CASE BASIS. THE HOSPITAL'S ROLE IN COVERAGE PAYMENT WILL BE REVIEWED MONTHLY; THERE IS NO OBLIGATION FOR THE HOSPITAL TO CONTINUE COVERAGE PAYMENT BEYOND THE INITIAL STATED LENGTH. THIS COVERAGE PAYMENT IS NOT TYPICALLY INTENDED FOR LONGER THAN A SPECIFIC SERVICE EVENT. IN GENERAL, ASSIGNED STAFF WILL EXAMINE PATIENTS FOR POTENTIAL QUALIFICATION FOR THIS PROGRAM. UPON QUALIFICATION, PAYMENT OF THE INSURANCE PREMIUM IS MADE TO THE EMPLOYER/INSURANCE COMPANY. PATIENT LIABILITY WILL BE EVALUATED AND DISCUSSED WITH THE PATIENT/GUARANTOR PRIOR TO DISCHARGE. THIS DISCUSSION WILL FOLLOW THE SAME PROTOCOL AS OTHER PATIENTS WITH RESIDUAL LIABILITIES. FINALLY, A 1099 TAX FORM IS ISSUED TO THE PATIENT. TUITION POLICY: THE ORGANIZATION PROVIDES OPPORTUNITIES FOR TRAINING, DEVELOPMENT, AND ADVANCEMENT WHICH ARE CONSISTENT WITH INDIVIDUAL ABILITY AND PERFORMANCE AS WELL AS BUDGETARY LIMITATIONS AND NEEDS OF THE ORGANIZATION. FHMI WILL SHARE IN THE COST OF TUITION AND BOOKS FOR CLASSROOM AND/OR CORRESPONDENCE COURSES FOR ELIGIBLE EMPLOYEES. THE EDUCATION MUST BE DIRECTLY RELATED TO THE EMPLOYEE'S DUTIES OR A POSITION TO WHICH THE EMPLOYEE MIGHT REASONABLY BE EXPECTED TO PROGRESS BY REASON OF PROMOTION. APPROVAL FROM THE EMPLOYEE'S DEPARTMENT HEAD, HUMAN RESOURCES DIRECTOR, AND APPLICABLE VICE PRESIDENT MUST BE GRANTED PRIOR TO ENROLLMENT, AND A GRADE OF B OR HIGHER MUST BE MAINTAINED. ALL EDUCATIONAL ASSISTANCE WILL BE SET UP AS A "FORGIVABLE LOAN" CONTRACT BETWEEN THE EMPLOYEE AND FHMI. THE LOAN WILL BE REPAID BY SERVICE. REIMBURSEMENT IS MADE SUBJECT TO RECEIPTS AND PROOF OF AWARDED GRADES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
KURT STUENKEL
PRES/SECRE/CEO$646,282$294,288$618,453$19,409$29,632$1,608,064
ROBERT HOLCOMBE JR MD
DIRECTOR$198,622$146,276$1,746$22,443$369,087
JAMES COLLINS JR MD
DIRECTOR$199,058$93,915$5,045$10,525$308,543
ANNE LULE MD
DIRECTOR$130,007$36,277$580$15,531$182,395
RICHARD T SHEERIN
CFO$348,998$123,583$3,272$15,583$21,502$512,938
JOSEPH BIUSO MD
VP & CMO$380,789$162,262$3,596$19,921$31,375$597,943
WARREN RIGAS
SVP COO$347,845$126,483$3,272$16,177$21,251$515,028
C WADE MONK
GENERAL COUNSEL$299,907$113,036$4,306$20,332$30,412$467,993
SHEILA HORNER
VP & CNO$252,950$88,228$2,286$8,818$352,282
GREG POLLEY
VICE PRESIDENT$220,602$101,385$3,095$15,544$31,101$371,727
REBEKAH LOWREY MD
SURGICAL DIRECTOR$227,357$32,703$3,086$6,470$269,616
BETH BRADFORD
CHIEF HR OFFICER$225,004$34,699$3,089$9,018$271,810
JEFFERY D BUDA
CHF INFORMATION OFCR$222,262$24,551$1,021$19,529$267,363
ALISON LAND
VICE PRESIDENT$189,483$53,551$594$7,975$19,547$271,150
DAVID EARLY
DIRECTOR SUPPORT SVC$197,646$27,220$509$17,947$243,322
JULIE ROGERS
CORP COMPLIANCE OFCR$152,273$71,547$1,389$22,356$247,565
ROBERT PURCELL
PHARMACY DIRECTOR$185,413$22,823$862$9,933$13,713$232,744
DAN SWEITZER
VP MARKET DEVELOP$101,135$68,900$2,902$6,150$179,087
JOHN HARDWELL MD
PHYSICIAN$604,624$212,880$739$22,156$840,399
MOLLY VICCHRILLI MD
PHYSICIAN$405,838$116,477$739$21,456$544,510
LOUIS A SPENCER MD
PHYSICIAN$513,332$51$1,710$20,697$535,790
NADIA MEYER MD
PHYSICIAN$299,337$207,946$379$25,879$533,541
MATTHEW T CORNFORTH MD
PHYSICIAN$225,436$249,186$320$9,028$483,970

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1ATRAVEL FOR COMPANIONS SPOUSAL TRAVEL EXPENSES ARE REIMBURSED WHEN ATTENDANCE IS NECESSARY AND APPROPRIATE. THE POLICY RECOGNIZES THAT GOVERNING BOARD MEMBERS AND SENIOR EXECUTIVES ARE OFTEN PLACED IN SOCIAL SITUATIONS AT SUCH MEETINGS AND WOULD REPRESENT THE HOSPITAL OPTIMALLY WITH THE ASSISTANCE OF THEIR SPOUSES. CONSEQUENTLY, THESE BENEFITS ARE NOT INCLUDED IN THEIR TAXABLE WAGES. SPOUSAL TRAVEL EXPENSES REQUIRE PRIOR APPROVAL AND ARE LIMITED TO EVENTS WHERE BOARD MEMBERS AND SENIOR EXECUTIVES ATTEND. REIMBURSEMENT SHALL BE LIMITED TO TRANSPORTATION EXPENSE NOT TO EXCEED THE AIR TRAVEL RATE IN COACH CLASS AND OUT-OF-POCKET EXPENSES WITH RESPECT TO LODGING AND FOOD. REIMBURSEMENT SHALL BE LIMITED TO LODGING BASED ON DOUBLE ACCOMMODATIONS. FLOYD HEALTHCARE MANAGEMENT, INC. (FHMI) PROVIDES THE CEO WITH A MONTHLY AUTO ALLOWANCE. EACH YEAR THE AMOUNT THAT IS NONBUSINESS RELATED IS INCLUDED IN TAXABLE INCOME. FHMI PROVIDES A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR THE CEO AND CMO. ANY AMOUNT CONSIDERED NONBUSINESS IS INCLUDED IN THE RECIPIENT'S TAXABLE INCOME.
SCHEDULE J, PAGE 1, PART I, LINE 4KURT STUENKEL 0 608,759 0
SCHEDULE J, PART IIITHE CEO PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH IS FUNDED ANNUALLY IN AN AMOUNT WHICH, WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME, WILL AFFORD A RETIREMENT INCOME AT A TARGETED PERCENTAGE OF PRE-RETIREMENT COMPENSATION. THE SERP IS A NON-QUALIFIED RETIREMENT PLAN, AND AS SUCH THE ANNUAL FUNDING PAYMENTS PAID INTO IT ARE TAXABLE TO THE PARTICIPANT IN THE YEAR IN WHICH MADE. EFFECTIVE WITH CALENDAR YEAR 2009, MR. STUENKEL'S SERP IS A CASH-BASED PROGRAM. ADDITIONALLY, OF THE 1,599,022 LISTED AS W-2 COMPENSATION FOR MR. KURT STUENKEL ON PART VII SECTION A COLUMN (D), 608,759 REPRESENTS THE NONQUALIFIED SERP PLAN. ACCORDINGLY, MR. STUENKEL'S SALARY FOR 2014 WOULD HAVE BEEN 950,263 EXCLUDING THE 2014 SERP PLAN AMOUNT. BONUS/INCENTIVE PAY ALL MEMBERS OF THE EXECUTIVE TEAM FOR FHMI PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN UNDER WHICH ANNUAL YEAR-END BONUSES ARE PAID BASED ON INDIVIDUAL AND CORPORATE-WIDE ACHIEVEMENT OF SPECIFIC GOALS AND OBJECTIVES. ONE OF THE GOALS RELATES TO THE RELATED ORGANIZATION'S NET INCOME. THE BONUSES ARE AWARDED ON A CASH-BASED SYSTEM.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBusiness Name Line2IssuerName/BusinessNameLine2TxtBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL AUTHORITY OF FLOYD COUNTY
AREVENUE CERTIFICATES 2003586001973343575ER32003-12-17$40,000,000HOSPITAL IMPROVEMENTSfalsefalsefalse
HOSPITAL AUTHORITY OF FLOYD COUNTY
B2009 REVENUE ANTICIPATION BONDS586001973343575FQ42009-06-30$40,000,000IMPROVEMENTS/DEFEASE 2005-2006 BONDSfalsefalsefalse
HOSPITAL AUTHORITY OF FLOYD COUNTY
CREVENUE BOND SERIES 2012 A586001173343575GH32012-06-27$20,000,000CAPITAL IMPROVEMENTSfalsefalsefalse
HOSPITAL AUTHORITY OF FLOYD COUNTY
DREVENUE BONDS SERIES 2012B586001173343575GY62012-06-27$31,885,000DEFEASE 2003 REVENUE SERIES BONDSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtOther Spent ProceedsOtherSpentProceedsAmt
A$14,010,000$40,710,583$1,572,553$25,989,711$576,451$12,571,8682004falsefalseYes (true)Yes (true)
B$40,232,146$1,332,751$588,380$18,170,3402010falsefalseYes (true)Yes (true)$18,595,720
C$750,000$20,074,922$279,011$243,560$19,552,3512013falsefalseYes (true)Yes (true)
D$2,165,000$34,970,725$444,814$36,387,986$388,2962013falsefalseYes (true)Yes (true)$1,777

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)
CfalsefalsefalsefalsefalsefalseYes (true)
DfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Afalsefalsefalsefalsefalsefalsefalsefalsefalse
Bfalsefalsefalsefalsefalsefalsefalsefalsefalse
Cfalsefalsefalsefalsefalsefalsefalsefalsefalse
Dfalsefalsefalsefalsefalsefalsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse
Dfalse

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATIONHOSPITAL AUTHORITY OF FLOYD COUNTY THE DIFFERENCE IN THE ISSUE PRICE REPORTED IN SCHEDULE K PART I AND TOTAL PROCEEDS OF ISSUE REPORTED IN SCHEDULE K PART II IS A PREMIUM ASSOCIATED WITH THE 2003 ISSUE. HOSPITAL AUTHORITY OF FLOYD COUNTY THE DIFFERENCE IN THE ISSUE PRICE REPORTED IN SCHEDULE K PART I AND TOTAL PROCEEDS OF ISSUE REPORTED IN SCHEDULE K PART II IS A PREMIUM ASSOCIATED WITH THE 2009 ISSUE. HOSPITAL AUTHORITY OF FLOYD COUNTY THE DIFFERENCE IN THE ISSUE PRICE REPORTED IN SCHEDULE K PART I AND TOTAL PROCEEDS OF ISSUE REPORTED IN SCHEDULE K PART II IS A PREMIUM ASSOCIATED WITH THE 2012A ISSUE. HOSPITAL AUTHORITY OF FLOYD COUNTY THE DIFFERENCE IN THE ISSUE PRICE REPORTED IN SCHEDULE K PART I AND TOTAL PROCEEDS OF ISSUE REPORTED IN SCHEDULE K PART II IS A PREMIUM ASSOCIATED WITH THE 2012B ISSUE.
SCHEDULE K - ADDITIONAL INFORMATIONHOSPITAL AUTHORITY OF FLOYD COUNTY EXPENDITURES INCLUDE 2,252,148 IN FUNDS FROM THE SERIES 2002 DEBT SERVICE RESERVE FUNDS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonBRAD WARD MDPersonNm
Relationship With OrgBOARD MEMBERRelationshipWithOrgTxt
Loan PurposePROFESSIONAL OFFICE RENTALLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$150,285OriginalPrincipalAmt
Balance Due$45,924BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$45,924TotalBalanceDueAmt

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonSHEILA B HORNERPersonNm
Relationship With OrgVP OF NURSINGRelationshipWithOrgTxt
Cash Grant$10,182CashGrantAmt
Type Of AssistanceGRANTTypeOfAssistanceTxt
Assistance PurposeTUITIONAssistancePurposeTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JOSHUA POLLEY
FAMILY-KEY EMP$67,787EMPLOYEE WAGESfalse
DAVID JOHNSON
BOARD MEMBERBANKING SERVICESfalse
JOSEPH D BIUSO
FAMILY-KEY EMP$31,643EMPLOYEE WAGESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationLISTED ABOVE ARE THE FAMILY MEMBERS OF CORPORATE OFFICERS/KEY EMPLOYEES AND BOARD MEMBERS WHO ARE ACTIVELY EMPLOYED AND COMPENSATED BY FHMI. THE ORGANIZATION MAINTAINS A BANK ACCOUNT FOR MALPRACTICE SELF INSURANCE FUND ACTIVITY AT UNITED COMMUNITY BANK. DIRECTOR DAVID JOHNSON IS AN OFFICER AT UNITED COMMUNITY BANK.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 7ATHE ORGANIZATION'S BOARD MAKES ALL DECISIONS RELATED TO APPOINTMENT OF MEMBERS OF THE BOARD. THE CEO IS AUTOMATICALLY A MEMBER OF THE BOARD BY VIRTUE OF HIS POSITION IN THE ORGANIZATION. FLOYD HEALTHCARE RESOURCES' BOARD CHAIRMAN IS AUTOMATICALLY A MEMBER OF THE FHMI'S BOARD BY VIRTUE OF HIS POSITION IN THE ORGANIZATION. BY CONTRACT, THE ORGANIZATION AGREES TO HAVE TWO OF THE FLOYD COUNTY BOARD COMMISSIONERS ON THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION'S CEO, CFO, CONTROLLER, LEGAL COUNSEL AND EMPLOYEES OF FHMI REVIEW THE FORM 990 FOR FINANCIAL AND DISCLOSURE ACCURACY. PRIOR TO ITS FILING, A COPY OF THE ORGANIZATION'S 990 RETURN IS POSTED ON THE BOARD OF DIRECTOR'S SECURE WEBSITE FOR THEIR REVIEW. MANAGEMENT WILL SEND AN EMAIL NOTIFYING MEMBERS OF ITS POSTING.
FORM 990, PAGE 6, PART VI, LINE 12CFLOYD HEALTHCARE MANAGEMENT, INC. ("FHMI") HAS A WRITTEN POLICY RESPECTING CONFLICTS OF INTEREST AND DISCLOSURE OF SAME. GENERALLY SPEAKING, THE POLICY REQUIRES ANY "COVERED PERSON" WHO BELIEVES HE HAS A CONFLICT OF INTEREST TO: -DISCLOSE THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST (INCLUDING ALL FACTS KNOWN RESPECTING THE SUBJECT MATTER) TO THE CHAIRMAN OF THE BOARD; -PLAY NO PART, DIRECTLY OR INDIRECTLY, IN THE DELIBERATION OR VOTE OF THE BOARD OF DIRECTORS WITH RESPECT TO THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS; AND -ABSENT HIMSELF FROM THAT PORTION OF THE MEETING AT WHICH THE CONFLICT OF INTEREST IS DISCUSSED. THE DEFINITION OF A "COVERED PERSON" INCLUDES ALL BOARD MEMBERS, OFFICERS AND MEMBERS OF SENIOR MANAGEMENT OF FHMI. WHEN A COVERED PERSON DISCLOSES A POTENTIAL CONFLICT OF INTEREST TO THE BOARD CHAIRMAN, THE CHAIRMAN IS OBLIGED TO BRING THE MATTER TO THE ATTENTION OF THE FULL BOARD. THE BOARD DETERMINES WHETHER A CONFLICT OF INTEREST ACTUALLY EXISTS. IF THE BOARD DETERMINES THAT THERE IS A CONFLICT OF INTEREST, THE TRANSACTION OR MATTER GIVING RISE TO THE CONFLICT OF INTEREST MAY NOT PROCEED UNLESS THE BOARD DETERMINES, BY A MAJORITY VOTE, THAT, DESPITE THE CONFLICT OF INTEREST, THE TRANSACTION/MATTER IS NEVERTHELESS IN THE CORPORATION'S BEST INTEREST AND IS FAIR AND REASONABLE TO THE CORPORATION. IN ADDITION TO THE REQUIREMENT THAT A COVERED PERSON DISCLOSE A POTENTIAL CONFLICT OF INTEREST AT THE TIME IT ARISES, EACH COVERED PERSON IS ALSO REQUIRED TO SUBMIT, ON AN ANNUAL BASIS, A `CONFLICT AND DISCLOSURE OF INTEREST QUESTIONNAIRE'. THIS MULTI-QUESTION DOCUMENT SERVES AS A REMINDER AND PROMPTS EACH COVERED PERSON TO PONDER THOSE AREAS AND SITUATIONS WHERE A POTENTIAL CONFLICT MIGHT EXIST. ADDITIONALLY, ANY PROPOSED TRANSACTION AT FHMI WHICH INVOLVES AN "INSIDER" (I.E., A BOARD MEMBER, OFFICER, MANAGER, ETC.) IS SCRUTINIZED, WITH THE ASSISTANCE OF CORPORATE LEGAL COUNSEL, FROM THE STANDPOINT OF WHETHER THE TRANSACTION WILL RESULT IN ANY EXCESS BENEFIT TO THE INSIDER. TYPICALLY THIS INVOLVES OBTAINING APPROPRIATE DATA REGARDING COMPARABILITY WHICH IS PROVIDED TO THE BOARD FOR ITS USE IN DETERMINING THAT THE CONSIDERATION BEING PAID TO THE INSIDER AS A PART OF THE TRANSACTION IS REASONABLE AND DOES NOT EXCEED THE VALUE OF THE BENEFIT RECEIVED BY FHMI.
FORM 990, PAGE 6, PART VI, LINE 15AIT IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE OF FLOYD HEALTHCARE MANAGEMENT, INC. BOARD TO ACTIVELY MANAGE AND MONITOR EXECUTIVE COMPENSATION. TO DO SO, THE COMMITTEE HAS ESTABLISHED THE FOLLOWING OBJECTIVES FOR THE EXECUTIVE COMPENSATION PROGRAM: -PROVIDE A COMPETITIVE TOTAL COMPENSATION EARNING OPPORTUNITY TO RECRUIT, RETAIN, AND REWARD THE EXECUTIVES NEEDED TO MEET THE COMMUNITY'S HEALTHCARE NEEDS, NOW AND IN THE FUTURE; -PROVIDE PAY OPPORTUNITIES THAT WILL REWARD THE EXECUTIVE TEAM WHEN ORGANIZATIONAL PERFORMANCE IN KEY AREAS IS DEMONSTRATED; -INCENTIVE COMPENSATION UNDER THE EXECUTIVE INCENTIVE COMPENSATION PLAN IS PAYABLE ONLY IN THE EVENT THE ORGANIZATION'S OPERATING MARGIN FROM OPERATING REVENUE EXCEEDS CERTAIN PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE; -ENSURE THAT THE COMPENSATION PROGRAMS ARE EASY FOR ALL INTERESTED PARTIES TO UNDERSTAND. ANNUALLY, THE COMMITTEE REVIEWS THE APPROPRIATENESS OF THE TOTAL COMPENSATION PROVIDED TO EACH EXECUTIVE: -AS RELATED TO THE COMPETITIVE MARKET PAY RATES; -AS RELATED TO THE INDIVIDUAL'S ROLE AND RESPONSIBILITY IN THE ORGANIZATION; -AS IT PERTAINS TO VARIABLE OR INCENTIVE EARNING OPPORTUNITIES RELATING TO THE PERFORMANCE OF THE ORGANIZATION. TO DETERMINE THE MARKET RATES FOR EACH POSITION, THE COMMITTEE UTILIZES AN OUTSIDE CONSULTANT TO SURVEY COMPARABLE ORGANIZATIONS TO DEVELOP AN APPROPRIATE RANGE OF PAY FOR EACH EXECUTIVE POSITION. THIS RANGE GENERALLY REFLECTS THE PAY PRACTICES AND LEVELS OF COMPARABLE ORGANIZATIONS IN GEORGIA, THE SOUTHEAST, AND ACROSS THE COUNTRY. SPECIFICALLY, THE COMMITTEE REVIEWS DATA FOR MARKET RATES OF BASE SALARY AND TOTAL COMPENSATION (THE COMBINATION OF BASE SALARY AND BONUSES). AFTER REVIEWING THIS DATA, THE COMMITTEE ASSESSES THE APPROPRIATENESS OF THE BASE PAY LEVELS FOR EACH EXECUTIVE WITHIN A RANGE THAT GENERALLY REFLECTS INDUSTRY NORMS. IN ADDITION TO MONITORING BASE SALARIES, THE COMMITTEE IS RESPONSIBLE FOR ADMINISTERING THE EXECUTIVE INCENTIVE COMPENSATION PROGRAM. THE PROGRAM IS DESIGNED TO: -FURTHER ALIGN EXECUTIVE PAY WITH THE STRATEGIC AND OPERATIONAL ACHIEVEMENTS OF THE ORGANIZATION; -WHEN THE ORGANIZATION ACHIEVES RESULTS IN KEY AREAS OF PERFORMANCE, TO APPROPRIATELY REWARD EXECUTIVES ACCORDING TO THAT PROGRAM; THE COMMITTEE HAS ALSO ESTABLISHED SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAMS (SERPS). THESE SERPS WERE DESIGNED WITH THE ADVICE AND HELP OF CONSULTANTS AND ARE DESIGNED TO RETAIN AND REWARD EXECUTIVES WITH RETIREMENT OPPORTUNITIES THAT ARE CONSISTENT WITH MARKET PRACTICES IN GEORGIA, THE SOUTHEAST, AND ACROSS THE COUNTRY. IN 2001, THESE PLANS VESTED TWO EXECUTIVES. IT IS THE PHILOSOPHY OF THE FHMI BOARD THAT THE COMBINATION OF THE INCENTIVE EARNING OPPORTUNITY, THE BASE SALARY, AND THE SERPS WILL PROVIDE A COMPETITIVE COMPENSATION LEVEL TO EACH EXECUTIVE THAT REFLECTS THE MARKET FOR EACH POSITION AND ORGANIZATION PERFORMANCE. THE COMMITTEE HAS DEVELOPED THE PROGRAM TO RECRUIT, RETAIN, AND REWARD EXECUTIVES IN ORDER TO MEET THE PRESENT AND FUTURE NEEDS OF THE ORGANIZATION TO PROVIDE A HIGH QUALITY OF PATIENT CARE TO THE COMMUNITY IN A COST EFFECTIVE MANNER.
FORM 990, PAGE 6, PART VI, LINE 15BSEE NARRATIVE UNDER PART VI, LINE 15A.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHEN THE REQUEST IS MADE AT THE ADMINISTRATIVE OFFICE OF THE FILING CORPORATION.
FORM 990, PAGE 7, PART VIIFORM 990, PART VII SECTION A - COMPENSATION FROM RELATED ORGANIZATIONS MEMBERS OF THE BOARD OF DIRECTORS FOR FLOYD HEALTHCARE RESOURCES, INC., A RELATED PARTY OF FLOYD HEALTHCARE MANAGEMENT, INC., RECEIVE A STIPEND FOR EACH BOARD MEETING ATTENDED. FOR THE FISCAL YEAR 2015, DIRECTORS MANIS, BOSWORTH, CHUMBLER, AND SUMNER ALSO SERVED ON THE BOARD OF FLOYD HEALTHCARE RESOURCES, INC. THREE BOARD MEMBERS (COLLINS, HOLCOMBE, AND WARD) ARE PHYSICIANS WHO ARE EMPLOYED AND COMPENSATED BY FHMI. DIRECTOR DAVID JOHNSON IS A SENIOR OFFICER OF UNITED COMMUNITY BANK. FHMI MAINTAINS AN ACCOUNT FOR MALPRACTICE SELF-INSURANCE ACTIVITY AT UNITED COMMUNITY BANK. FORM 990, PART VII SECTION A - COMPENSATION DR. CARL HERRING BOARD MEMBER CARL HERRING, MD, A PRACTICING NEUROSURGEON HAD CLINICAL PRIVILEGES AT FLOYD MEDICAL CENTER (FMC) UNTIL HIS RETIREMENT ON JANUARY 9, 2015. AS SUCH, HE WAS A PARTY TO A CONTRACT UNDER WHICH FMC PAYS THE NEUROSURGEONS ON ITS MEDICAL STAFF A PER DIEM FOR COVERING TRAUMA CALL IN THE EMERGENCY ROOM. UNDER THIS CONTRACT, THE NEUROSURGEON COVERING CALL FOR THE DAY DURING THE CALENDAR YEAR 2014 WAS PAID A PER DIEM OF 2,000. FMC HAS DETERMINED WITH THE ASSISTANCE OF OUTSIDE EXPERT VALUATION CONSULTANTS THAT THIS AMOUNT IS CONSISTENT WITH FAIR MARKET VALUE. ADDITIONALLY, DR. HERRING WAS AN EMPLOYEE AND SHAREHOLDER IN THE HARBIN CLINIC, LLC, A 140+ DOCTOR MULTI-SPECIALTY GROUP MEDICAL PRACTICE. FMC HAS NUMEROUS CONTRACTS WITH HARBIN CLINIC UNDER WHICH HARBIN SUPPLIES ITS PHYSICIANS TO SERVE AS MEDICAL DIRECTORS OF VARIOUS DEPARTMENTS AND SERVICE LINES AT FMC, INCLUDING RESPIRATORY THERAPY, BARIATRICS, NEUROLOGY, VASCULAR LAB, HOSPICE, BREAST CENTER, INPATIENT REHABILITATION, INFECTIOUS DISEASE, ETC. UNDER THESE CONTRACTS HARBIN CLINIC IS PAID FAIR MARKET COMPENSATION BASED ON AN HOURLY RATE FOR THE ACTUAL TIME EXPENDED BY ITS PHYSICIANS IN THE PERFORMANCE OF THE DUTIES CALLED FOR IN THESE CONTRACTS. OTHER COMMENTS AND DISCLOSURES: FLOYD MEDICAL CENTER IS A 300+ BED GENERAL ACUTE-CARE HEALTH INSTITUTION, OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. SUCH SERVICES AND PROGRAMS INCLUDE: ACUTE, MEDICAL/SURGICAL CARE; AMBULANCE SERVICE; BLOOD BANK; CANCER CARE UNIT; CARDIOVASCULAR LABORATORY; CORONARY CARE UNIT; CHAPLAIN SERVICE; CHEMICAL DEPENDENCY UNIT; CRISIS INTERVENTION; CT SCANNER; DIABETES CARE UNIT; LITHOTRIPSY, MEDICAL/SURGICAL INTENSIVE CARE; MAGNETIC RESONANCE IMAGING; NEUROLOGY; LEVEL III NEWBORN NURSERY/NEONATAL INTENSIVE CARE UNIT; OB/GYN; ORTHOPEDIC SURGERY, OUTPATIENT SURGERY CENTER; PATIENT REPRESENTATIVES; PEDIATRIC CARE; PHARMACY; DIAGNOSTIC RADIOLOGY; A 24-HOUR EMERGENCY SERVICE; ENDOSCOPIC LABORATORY; FAMILY PRACTICE RESIDENCY PROGRAM; PRIMARY CARE PHYSICIAN NETWORK; HEALTH EDUCATION AND PROMOTION; HOSPITAL AUXILIARY; INDUSTRIAL MEDICINE PROGRAM; INPATIENT REHABILITATION UNIT; LAPAROSCOPIC CHOLECYSTECTOMY SURGERY; LASER SURGERY; PHYSICAL THERAPY; OCCUPATIONAL THERAPY; SPEECH THERAPY; POISON CONTROL CENTER; POST-OPERATIVE RECOVERY ROOM; PROGRESSIVE INTENSIVE CARE UNIT; RESPIRATORY CARE SERVICES; SOCIAL WORK SERVICES; ULTRASOUND; CONGESTIVE HEART FAILURE CLINIC; WOUND OSTOMY CLINIC; BREAST CENTER, MOBILE MAMMOGRAPHY. DURING FISCAL YEAR 2015, PATIENT DAYS AT FLOYD MEDICAL CENTER TOTALED 86,639 AND DISCHARGES TOTALED 14,191. FLOYD MEDICAL CENTER PROVIDED APPROXIMATELY 93,500,000 IN DIRECT CHARITY AND INDIGENT CARE, AND IT INCURRED UNREIMBURSED MEDICARE AND MEDICAID ADJUSTMENTS OF 382,178,000 AND 199,710,000 RESPECTIVELY. A COPY OF THE REPORT TO THE COMMUNITY FOR FLOYD MEDICAL CENTER CAN BE FOUND AT WWW.FLOYD.ORG/ABOUT/INDEX.HTM.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES 10,219,532 2,586,918 0 PURCHASED SERVICES 14,300,908 3,630,825 0 CONSULTING FEES 165,991 1,025,678 0 BILLING AND COLLECTIONS 1,945,634 780,849 0 FPC MANAGEMENT FEES 103,498 0 0
FORM 990, PART XI, LINE 9AMORTIZATION OF ACTUARIAL LOSS 222,665 CURRENT YEAR ACTUARIAL LOSS -8,991,730 NET DECREASE IN NET ASSETS -8,769,065

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FLOYD EMERGENCY PHYSICIANS LLC
304 TURNER MCCALL BLVDROMEGA301620233050608795ER SVCGA$8,426,457$3,055,429FHMI
FLOYD PHYSICIANS LLC
304 TURNER MCCALL BLVDROMEGA301620233205415285SPEC PHYSGA$2,181,796$7,954FHMI
ACCOUNTABLE CARE ORGANIZATION OF
304 TURNER MCCALL BLVDROMEGA301620233474054900GAFHMI

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndBusiness Name Line2DirectControllingEntityName/BusinessNameLine2Txt
HOSPITAL AUTHORITY OF FLOYD COUNTY
304 TURNER MCCALL BLVDROMEGA301620233586001173HEALTHCAREGA501C33NAfalse
FLOYD HEALTHCARE RESOURCES INC
304 TURNER MCCALL BLVDROMEGA301620233582010524HEALTHCAREGA501C39NAfalse
HOSP AUTH OF FLOYD CO SELF INSUR TR
304 TURNER MCCALL BLVDROMEGA301620233586140617TRUSTGA501C4FHMIYes (true)FLOYD HEALTHCARE MANAGEMENT INC
FLOYD HEALTH CARE FOUNDATION INC
PO BOX 233ROMEGA301620233581375074FOUNDATIONGA501C311AFHMIYes (true)FLOYD HEALTHCARE MANAGEMENT INC
POLK MEDICAL CENTER INC
420 E SECOND AVENUE STE 102ROMEGA301613210453957368HOSPITALGA501C33FHMIYes (true)FLOYD HEALTHCARE MANAGEMENT INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtMethod Of Amount DeterminationMethodOfAmountDeterminationTxtInvolvedInvolvedAmt
ALL ENTITIES
NAMOUNT INDETERMINABLE
ALL ENTITIES
OAMOUNT INDETERMINABLE
ALL ENTITIES
QAMOUNT INDETERMINABLE
FLOYD HEALTH CARE FOUNDATION INC
CCASH$260,000
ALL ENTITIES
DGENERAL LEDGER BALANCE$5,601,628
ALL ENTITIES
MAMOUNTS INDETERMINABLE
ALL ENTITIES
LAMOUNT INDETERMINABLE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationPART I - DISREGARDED ENTITIES IN SEPTEMBER 2004, FLOYD HEALTHCARE MANAGEMENT, INC. (FHMI) SPONSORED THE CREATION OF FLOYD EMERGENCY PHYSICIANS, LLP (FEP), A GEORGIA LIMITED LIABILITY COMPANY. FHMI IS THE SOLE MEMBER/OWNER OF FEP AND HAS THE SOLE AUTHORITY TO APPOINT FEP'S FIVE-PERSON BOARD OF DIRECTORS. FEP WAS FORMED FOR THE PURPOSE OF HIRING OR OTHERWISE ENGAGING EMERGENCY PHYSICIANS TO PROVIDE PROFESSIONAL MEDICAL SERVICES TO PATIENTS PRESENTING TO FLOYD MEDICAL CENTER'S EMERGENCY CARE CENTER. FEP ALSO PROVIDES EMERGENCY PHYSICIAN STAFFING TO POLK MEDICAL CENTER. IN AUGUST 2006, FHMI SPONSORED THE CREATION OF FLOYD PHYSICIANS, LLC (FP), A GEORGIA LIMITED LIABILITY COMPANY. FHMI IS THE SOLE MEMBER/OWNER OF FP AND HAS THE SOLE AUTHORITY TO APPOINT FP'S FIVE-PERSON BOARD OF DIRECTORS. FP WAS FORMED FOR THE PURPOSE OF HIRING OR OTHERWISE ENGAGING PHYSICIANS TO PROVIDE PROFESSIONAL MEDICAL SERVICES TO PATIENTS. PART II - DISCONTINUED ENTITIES THE HOSPITAL AUTHORITY OF FLOYD COUNTY SELF INSURANCE TRUST WAS LEGALLY DISSOLVED AUGUST 4, 2014 AND THE REMAINING ASSETS WERE TRANSFERRED IN FULL TO FHMI IN ACCORDANCE WITH THE ORGANIZATION'S GOVERNING DOCUMENTS' DISSOLUTION CLAUSE.ExplanationTxt