FLOYD HEALTHCARE MANAGEMENT INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FLOYD HEALTHCARE MANAGEMENT INC (EIN 58-1973570)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201421349349303172
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T10:41:23-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DRAFFIN & TUCKER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1
City	ALBANY	City
State	GA	State
ZIP Code	317081309	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	581973570	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FLOYD HEALTHCARE MANAGEMENT INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FLOY	NameControl
Phone	7065096074	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	304 TURNER MCCALL BLVD	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	301620233	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RICHARD T SHEERIN	Name
Title	CFO	Title
Phone	7065096074	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JACQUELINE G ATKINS	Name
Phone	2298837878	Phone
Date Prepared	2014-05-14	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Name Of Principal Officer Person	KURT STUENKEL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	304 TURNER MCCALL BLVD	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	301620233	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	346715902	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FLOYD.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1990	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	OPERATE A NON-PROFIT HOSPITAL SYSTEM AND SUPPORT 501 (C)(3) ORGANIZATIONS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	3290	TotalNbrEmployees
Total Nbr Volunteers	220	TotalNbrVolunteers
Total Gross UBI	1443124	TotalGrossUBI
Net Unrelated Business Txbl Income	108931	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	451500	ContributionsGrantsPriorYear
Contributions Grants Current Year	2485440	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	313013978	ProgramServiceRevenuePriorYear
Program Service Revenue CY	322128422	ProgramServiceRevenueCY
Investment Income Prior Year	2064697	InvestmentIncomePriorYear
Investment Income Current Year	1770360	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4600337	OtherRevenuePriorYear
Other Revenue Current Year	5442632	OtherRevenueCurrentYear
Total Revenue Prior Year	320130512	TotalRevenuePriorYear
Total Revenue Current Year	331826854	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3516540	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1899816	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	165867051	SalariesEtcPriorYear
Salaries Etc Current Year	175508158	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	196611	TotalFundrsngExpCurrentYear
Other Expense Prior Year	143580224	OtherExpensePriorYear
Other Expenses Current Year	149879280	OtherExpensesCurrentYear
Total Expenses Prior Year	312963815	TotalExpensesPriorYear
Total Expenses Current Year	327287254	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7166697	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4539600	RevenuesLessExpensesCY
Total Assets BOY	321675722	TotalAssetsBOY
Total Assets EOY	348973368	TotalAssetsEOY
Total Liabilities BOY	213447564	TotalLiabilitiesBOY
Total Liabilities EOY	218203492	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	108228158	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	130769876	NetAssetsOrFundBalancesEOY
Mission Description	OPERATE A NON-PROFIT HOSPITAL SYSTEM AND SUPPORT 501 (C)(3) ORGANIZATIONS	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	261930732	Expense
Grants	1899816	Grants
Revenue	321385532	Revenue
Description	FLOYD 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".	Description
Total Program Service Expense	261930732	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	true	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	316	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	3290	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RICHARD T SHEERIN	NamePerson
Telephone Number	7065096074	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	304 TURNER MCCALL BLVD	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	30161	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ROBERT HOLCOMBE JR MD
DIRECTOR	41.00	1.00	X	371363	0	21727
JAMES COLLINS JR MD
DIRECTOR	41.00	1.00	X	275035	0	0
BRAD WARD MD
DIRECTOR	41.00	1.00	X	204174	0	11630
JERRY NORMAN
DIRECTOR	1.00	3.00	X	8950	0	0
J ROGER SUMNER
PAST CHAIRMA	1.00	2.00	X	4750	3000	0
JOHN S FREEMAN
DIRECTOR	1.00	3.00	X	6125	750	0
DAVID JOHNSON
DIRECTOR	1.00	2.00	X	3600	2750	0
LARRY KUGLAR
DIRECTOR	1.00	2.00	X	5625	0	0
FRANK SHELLEY
DIRECTOR	1.00	2.00	X	5625	0	0
JOHN MAYES
DIRECTOR	1.00	2.00	X	5609	0	0
TIM MAHANAY
DIRECTOR	1.00	1.00	X	4250	750	0
GEORGE BOSWORTH MD
CHAIRMAN	1.00	2.00	X	4125	750	0	X
KAY CHUMBLER
DIRECTOR	1.00	2.00	X	2500	2250	0
GARRY FRICKS
DIRECTOR	1.00	1.00	X	3750	0	0
WILLIAM V WIGLEY
VICE CHAIRMA	1.00	1.00	X	3625	0	0	X
CARL HERRING MD
DIRECTOR	1.00	1.00	X	2875	0	0
MARK MANIS
DIRECTOR	1.00	2.00	X	0	0	0
KURT STUENKEL
PRES/SECRE/C	40.00	5.00		1402161	0	70505	X
RICHARD T SHEERIN
CFO	40.00	5.00		431630	0	50779	X
JOSEPH BIUSO MD
VP & CMO	40.00			445382	0	50420		X
WARREN RIGAS
SVP COO	40.00			426768	0	55629		X
C WADE MONK
GENERAL COUN	40.00			391400	0	65739		X
SHEILA HORNER
VP & CNO	40.00			305708	0	9775		X
GREG POLLEY
VICE PRESIDE	40.00			283654	0	73054		X
DAN SWEITZER
VP MARKET DE	40.00			270939	0	41191		X
DEE RUSSELL MD
CHIEF MED AF	40.00			253444	0	25951		X
ALISON LAND
VICE PRESIDE	40.00			246549	0	36572		X
REBEKAH LOWREY MD
SURGICAL DIR	40.00			240129	0	6852		X
BETH BRADFORD
CHIEF HR OFF	40.00			203164	0	13253		X
ROBERT PURCELL
PHARMACY DIR	40.00			202539	0	35997		X
DAVID EARLY
DIRECTOR SUP	40.00			175113	0	17858		X
KIMBERLY SCOGGINS
ADMINISTRATO	40.00			169746	0	13653		X
JOHN HARDWELL MD
PHYSICIAN	40.00			787057	0	18166			X
MATTHEW T CORNFORTH MD
PHYSICIAN	40.00			604275	0	11218			X
LOUIS A SPENCER MD
PHYSICIAN	40.00			561033	0	21493			X
JOEL JAGER MD
PHYSICIAN	40.00			517847	0	23788			X
GARRETT H BARNESMD
MEDICAL DIRE	52.00			501854	0	40462			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9332373	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	10250	TotalReportableCompFrmRltdOrgs
Total Other Compensation	715712	TotalOtherCompensation
Number Individuals GT100 K	168	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
BRASFIELD AND GORRIE LLC
PO BOX 11407	BIRMINGHAM	AL	352461407	GEN CONTRACTOR	8292094
CERNER CORP
PO BOX 412702	KANSAS CITY	MO	641412702	IT SERVICES	7773109
ARAMARK MANAGEMENT SERVICES
PO BOX 233	ROME	GA	301610233	ENVIRON SVCS	4000432
DUFFEY SOUTHEAST
PO BOX 108	CEDARTOWN	GA	301250108	GEN CONTRACTOR	2960261
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	303682289	DIETARY SVC	2786666

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	63	NumberOfContractorsGT100K
All Other Contributions	2485440	AllOtherContributions
Total Contributions	2485440	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE	623000	319244581	319244581
FAMILY PRACTICE CAPITATION	621990	1440950	1440950
REFERENCE LAB	621500	866991		866991
SUBWAY/STARBUCKS	722513	575900		575900

Field	Value	IRS element (for citing)
Total Program Service Revenue	322128422	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1419516	TotalRevenueColumn
Exclusion	$1,419,516	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3597434	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	306273	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3291161	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3291161	TotalRevenueColumn
Exclusion	$3,291,161	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	14582625	Securities
Other	350964	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	14439912	Securities
Other	142833	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	142713	Securities
Other	208131	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	350844	TotalRevenueColumn
Exclusion	$350,844	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	263	GrossSalesOfInventory
Cost Of Goods Sold	30	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	233	TotalRevenueColumn
Unrelated Business Revenue	233	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	722513	1451237	$1,451,237
MISCELLANEOUS INCOME	621990	644212		644212
FAMILY PRACTICE REVENUE	621110	28334		28334

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	27455	TotalRevenueColumn
Related Or Exempt Function Income	27455	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2151238	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	331826854	TotalRevenueColumn
Related Or Exempt Function Income	321385532	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1443124	UnrelatedBusinessRevenue
Exclusion	$6,512,758	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1655913	Total
Program Services	1655913	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	243903	Total
Program Services	243903	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6076958	Total
Management And General	6076958	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	131892656	Total
Program Services	113623969	ProgramServices
Management And General	18118337	ManagementAndGeneral
Fundraising	150350	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8954494	Total
Program Services	7465613	ProgramServices
Management And General	1478955	ManagementAndGeneral
Fundraising	9926	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	19023230	Total
Program Services	15943711	ProgramServices
Management And General	3058320	ManagementAndGeneral
Fundraising	21199	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9560820	Total
Program Services	7126007	ProgramServices
Management And General	2424109	ManagementAndGeneral
Fundraising	10704	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	651812	Total
Management And General	651812	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	231612	Total
Management And General	231612	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	32371	Total
Management And General	32371	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	31674214	Total
Program Services	24180944	ProgramServices
Management And General	7493270	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2331563	Total
Program Services	250049	ProgramServices
Management And General	2081514	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11119437	Total
Program Services	8166242	ProgramServices
Management And General	2951549	ManagementAndGeneral
Fundraising	1646	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5067707	Total
Program Services	803849	ProgramServices
Management And General	4263858	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	15476484	Total
Program Services	13552756	ProgramServices
Management And General	1923728	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2707326	Total
Program Services	1205786	ProgramServices
Management And General	1498754	ManagementAndGeneral
Fundraising	2786	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	689094	Total
Program Services	509106	ProgramServices
Management And General	179988	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	189352	Total
Management And General	189352	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22693303	Total
Program Services	19872525	ProgramServices
Management And General	2820778	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2704449	Total
Program Services	915532	ProgramServices
Management And General	1788917	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	43004237	42939424	64813
R&M	5564662	2555276	3009386
LICENSE & TAXES	3388423	171795	3216628
DUES & SUBSCRIPTIONS	1161883	319039	842844

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1191351	Total
Program Services	429293	ProgramServices
Management And General	762058	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	327287254	Total
Program Services	261930732	ProgramServices
Management And General	65159911	ManagementAndGeneral
Fundraising	196611	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-82982	BOY
EOY	2722055	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21299969	BOY
EOY	39160943	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	49651972	BOY
EOY	50531968	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	111928	BOY
EOY	93134	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	617200	BOY
EOY	804674	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10156932	BOY
EOY	10017186	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3516658	BOY
EOY	3664480	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	331202358	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	157342901	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	171816039	BOY
EOY	173859457	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	56491768	BOY
EOY	46952106	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1491848	BOY
EOY	1583919	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1132664	BOY
EOY	1040826	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5471726	BOY
EOY	18542620	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	321675722	BOY
EOY	348973368	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	33108358	BOY
EOY	30833373	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	123849124	BOY
EOY	122815472	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	16080247	BOY
EOY	35702371	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	40409835	BOY
EOY	28852276	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	213447564	BOY
EOY	218203492	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	108228158	BOY
EOY	130769876	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	108228158	BOY
EOY	130769876	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	321675722	BOY
EOY	348973368	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	4539600	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1016684	ReconciliationUnrealizedInvest
Reconcilation Other Changes	16985434	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
General Explanation	SCHEDULE 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 80,000 PATIENTS PER YEAR AND A BUSY OUTPATIENT INDIGENT CLINIC.	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$32,371	OtherActivitiesAmount
Total Lobbying Expenditures IIB	32371	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE C, PART II-B, LINE 1	ReturnReference
Explanation	THE ORGANIZATION PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12929005	OtherCostOrOtherBasis
Book Value	12929005	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	118049348	OtherCostOrOtherBasis
Depreciation	40996652	Depreciation
Book Value	77052696	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14377700	OtherCostOrOtherBasis
Depreciation	7852779	Depreciation
Book Value	6524921	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	170368482	OtherCostOrOtherBasis
Depreciation	108493470	Depreciation
Book Value	61875012	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15477823	OtherCostOrOtherBasis
Book Value	15477823	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	173859457	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM RELATED PARTIES	9369382
OTHER RECEIVABLES	5384945
DEFERRED FINANCING COSTS	1993427
ESTIMATED THIRD PARTY PAYORS	1794866

Field	Value	IRS element (for citing)
Total Book Value Other Assets	18542620	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION	$19,510,756
MALPRACTICE CLAIMS	$6,621,508
ACCRUED INTEREST	$2,720,012

Field	Value	IRS element (for citing)
Total Of Amounts	28852276	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	332595788	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1016684	NetUnrealizedGainsInvestments
Other Revenues	306303	OtherRevenues
Revenue Not Rptd F990	1322987	RevenueNotRptdF990
Revenue Subtotal	331272801	RevenueSubtotal
Other Revenues Not Included	554053	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	554053	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	331826854	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	325865341	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	328053	OtherExpensesIncluded
Expenses Not Rptd F990	328053	ExpensesNotRptdF990
Expenses Subtotal	325537288	ExpensesSubtotal
Other Expenses Not Included	1749966	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1749966	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	327287254	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	THE 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, 2013 AND 2012 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2010-2012.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	RENTAL EXPENSES 306,273 COST OF GOODS SOLD 30
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 4B	GAIN ON SALE/LEASEBACK MOB 94,053 CAPITAL CONTRIBUTIONS 460,000
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	RENTAL EXPENSES 306,273 COST OF GOODS SOLD 30 PMCI EXPENSES NOT INCLUDED ON THE 990 21,750
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	GAIN ON SALE/LEASEBACK MOB 94,053 EQUITY TRANSFER 1,655,913

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	1.25000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	3.25000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21542939	TotalCommunityBenefitExpense
Net Community Benefit Expense	21542939	NetCommunityBenefitExpense
Percent Of Total Expense	0.06580	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54770448	TotalCommunityBenefitExpense
Direct Offsetting Revenue	48119389	DirectOffsettingRevenue
Net Community Benefit Expense	6651059	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76313387	TotalCommunityBenefitExpense
Direct Offsetting Revenue	48119389	DirectOffsettingRevenue
Net Community Benefit Expense	28193998	NetCommunityBenefitExpense
Percent Of Total Expense	0.08610	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4404200	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1440949	DirectOffsettingRevenue
Net Community Benefit Expense	2963251	NetCommunityBenefitExpense
Percent Of Total Expense	0.00900	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1188997	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4925	DirectOffsettingRevenue
Net Community Benefit Expense	1184072	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5593197	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1445874	DirectOffsettingRevenue
Net Community Benefit Expense	4147323	NetCommunityBenefitExpense
Percent Of Total Expense	0.01260	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81906584	TotalCommunityBenefitExpense
Direct Offsetting Revenue	49565263	DirectOffsettingRevenue
Net Community Benefit Expense	32341321	NetCommunityBenefitExpense
Percent Of Total Expense	0.09870	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$38,063,455	BadDebtExpenseAmount
Amount Attributable To	20173631	AmountAttributableTo
Amount Reimbursed By Medicare	74676924	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	79004537	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4327613	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FLOYD HEALTHCARE MANAGEMENT INC	BusinessNameLine1
Business Name Line2	FLOYD MEDICAL CENTER	BusinessNameLine2

Address Address

Field	Value	IRS element (for citing)
Address Line1	304 TURNER MCCALL BLVD	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	301620233	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWWFLOYDORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	HOSPICE, CLINICS, REHAB, PSYCH	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FLOYD HEALTHCARE MANAGEMENT INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Prioritize Services	X	PrioritizeServices
All Needs Addressed	true	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	125.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	325.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FLOYD HEYMAN HOSPICE
P O BOX 233	ROME	GA	30165	HOME HOSPICE CARE
FLOYD EMERGENCY MEDICAL SERVICES
P O BOX 233	ROME	GA	30165	EMERGENCY SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	IN 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 XXX-XX-XXXX ADD EXPENSES REPORTED IN PART VIII 306303 DENOMINATOR FOR COLUMN F XXX-XX-XXXX
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATIONS A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS 2008 SEE ALSO THE DESCRIPTION FOR PART III LINE 4
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	AMOUNTS 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 MANAGEMENTS ESTIMATE APPROXIMATELY 53 BASED ON AN ANALYSIS OF SELF PAY PATIENTS ABILITY TO PAY THEIR OUTSTANDING ACCOUNT THIS ANALYSIS INCLUDES REVIEWING THE PATIENTS CREDIT HISTORY INCOME LEVELS AND OVERALL COLLECTIBILITY OF THE ACCOUNT EXCERPT FROM AUDITED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN EVALUATING THE COLLECTIBILITY 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 THIRDPARTY COVERAGE THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IF NECESSARY FOR EXAMPLE FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRDPARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY 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 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 OR THE DISCOUNTED RATES IF NEGOTIATED AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THE HOSPITALS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELFPAY PATIENTS WAS 96 AND 95 OF SELFPAY ACCOUNTS RECEIVABLE AT JUNE 30 2013 AND 2012 RESPECTIVELY IN ADDITION THE HOSPITALS SELFPAY WRITEOFFS INCLUDING WRITE OFFS FOR CHARITY AND INDIGENT PATIENTS INCREASED APPROXIMATELY 9000000 FROM 96000000 FOR FISCAL YEAR 2012 TO 105000000 FOR FISCAL YEAR 2013 THE INCREASE IN WRITEOFFS WAS MOSTLY ATTRIBUTED TO AN INCREASE IN BAD DEBT WRITE OFFS FOR 2013 THE HOSPITAL CHANGED ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES DURING FISCAL YEAR 2013 TO COMPLY WITH IRS REGULATION 501R
MEDICARE EXPLANATION	PART III LINE 8	MEDICARE 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
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	FOR 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
NEEDS ASSESSMENT	PART VI	FLOYD HEALTHCARE MANAGEMENT INC FHMI COMPLETED A HEALTH CARE NEEDS ASSESSMENT IN CHATTOOGA FLOYD AND POLK COUNTIES IN FISCAL YEAR 2012 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 DEVELOPES 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
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	FHMI COMMUNICATES THIS INFORMATION THROUGH SIGNAGE IN THE EMERGENCY CARE CENTER PATIENT REGISTRATION AREAS IN THE BUSINESSPATIENT FINANCIAL SERVICES OFFICES AND IN THE OFFICES OF OUR FINANCIAL COUNSELORS DURING TIMES OF PREADMISSION AS WELL AS ONSITE REGISTRATION THE ACCESSREGISTRATION STAFF DISCUSS POLICIES WITH THE PATIENTPATIENTS 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 WORDOFMOUTH COMMUNICATION OF THESE POLICIES THROUGH OUR PATIENT POPULATION
COMMUNITY INFORMATION	PART VI	LOCATED 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 163000 2011 ESTIMATE RESIDENTS OF THE THREECOUNTY REGION ARE SERVED BY FMC AND TWO SMALLER HOSPITALS THE POPULATION BASE IS APPROXIMATELY 81 CAUCASIAN 15 AFRICAN AMERICAN AND 4 OTHER ETHNICITIES NORTHWEST GA IS A MEDICAL AND EDUCATIONAL HUB THREE OF THE LARGEST EMPLOYERS IN THE THREECOUNTY AREA ARE HEALTH CARE PROVIDERS THE AREA IS ALSO HOME TO FOUR POSTSECONDARY EDUCATIONAL INSTITUTIONS STILL THE MANUFACTURING SECTOR REMAINS AN ECONOMIC FORCE IN THE AREA AS IN OTHER PARTS OF THE COUNTRY THE UNEMPLOYMENT RATE REMAINED IN DOUBLE DIGITS IN 2011 AND ALMOST 19 OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL JUST UNDER ONETHIRD OF THE ADULT POPULATION HAS NOT GRADUATED HIGH SCHOOL MALIGNANT CANCER PRIMARILY LUNG CANCER AND CARDIOVASCULAR DISEASE ARE THE PRIMARY CAUSES OF DEATH IN THESE COUNTIES
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	FHMI IS THE SAFETYNET HEALTH CARE PROVIDER FOR NORTHWEST GEORGIA IN ADDITION TO PROVIDING EMERGENCY CARE SERVICES FMC HAS GONE THE EXTRA STEP OF PROVIDING 24HOUR 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 REGIONS 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 INCLUDING BUT NOT LIMITED TO BICYCLE SAFETY HELMET GIVEAWAYS AND CLINICS SCHOOLBASED CHILD SAFETY PROGRAMS MOBILE MAMMOGRAPHY AND ACTIVE SPEAKERS BUREAU CHILDBIRTH CLASSES COMMUNITY HEALTH SCREENINGS AND HEALTH FAIRS AN ANNUAL CAMP FOR CHILDREN WITH DIABETES HEALTH CARE INTERNSHIPS EXTERNSHIPS AND SHADOWING OPPORTUNITIES AND SUPPORT FOR COMMUNITYWIDE INITIATIVES WITH HEALTH PARTNERS INCLUDING THE NORTHWEST GEORGIA CANCER COALITION CANCER NAVIGATORS AND THE FREE CLINIC OF ROME
AFFILIATED HEALTH CARE INFORMATION	PART VI	FLOYD 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 25BED 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 TAXEXEMPT HEALTH CARE ORGANIZATIONS AND PUBLIC CHARITIES IN AND AROUND THE ROME GEORGIA AREA POLK MEDICAL CENTER INC A 25BED CRITICAL ACCESS HOSPITAL WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	GEORGIA
FLOYD HEALTHCARE MANAGEMENT INC LINE NUMBER 1 PART V LINE 3	PART V LINE 3	THE 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 PUBLICS 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 CROSSSECTION OF THE COMMUNITY WITH REPRESENTATIVES FROM BUSINESS HEALTHCARE NONPROFITS PUBLIC HEALTH LOCAL GOVERNMENT AND EDUCATIONAL INSTITUTIONS DISTRICT PUBLIC HEALTH REPRESENTATIVES WERE ASKED TO REVIEW RAW DATA AND PROVIDE ASSISTANCE DEVELOPING PRIORITY NEEDS
FLOYD HEALTHCARE MANAGEMENT INC LINE NUMBER 1 PART V LINE 5C	PART V LINE 5C	THE 2011 CHNA HAS BEEN DISTRIBUTED UPON REQUEST TO OTHER NONPROFIT 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
FLOYD HEALTHCARE MANAGEMENT INC LINE NUMBER 1 PART V LINE 20D	PART V LINE 20D	FLOYD USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL AUTHORITY OF FLOYD COUNTY	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	304 TURNER MCCALL BLVD	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	301610233	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	586001173	EINOfRecipient
IRC Section	501C3	IRCSection
Amount Of Cash Grant	1655913	AmountOfCashGrant
Purpose Of Grant	PENSION PLAN FUNDING	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
COBRA INSURANCE PREMIUM	37	103432
TUITION	60	140471

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	ReturnReference
Explanation	IT 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Discretionary Spending Account	X	DiscretionarySpendingAccount
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg
ROBERT HOLCOMBE JR MD
DIRECTOR	370538	825	21727	393090
JAMES COLLINS JR MD
DIRECTOR	272816	2219		275035
BRAD WARD MD
DIRECTOR	202678	1496	11630	215804
KURT STUENKEL
PRESSECRECEO	562050	563066	25029	1472666	277045	45476
RICHARD T SHEERIN
CFO	304665	13714	15832	482409	113251	34947
JOSEPH BIUSO MD
VP & CMO	303705	12226	6123	495802	129451	44297
WARREN RIGAS
SVP COO	305003	13714	21727	482397	108051	33902
C WADE MONK
GENERAL COUNSEL	271181	9868	19868	457139	110351	45871
SHEILA HORNER
VP & CNO	210823	12734	9775	315483	82151
GREG POLLEY
VICE PRESIDENT	199578	4125	31180	356708	79951	41874
DAN SWEITZER
VP MARKET DEVELOP	177639	22849	15088	312130	70451	26103
DEE RUSSELL MD
CHIEF MED AFFAIRS	178764	4954	25951	279395	69726
ALISON LAND
VICE PRESIDENT	169411	6687	15347	283121	70451	21225
REBEKAH LOWREY MD
SURGICAL DIRECTOR	210602	2956	6852	246981	26571
BETH BRADFORD
CHIEF HR OFFICER	175161	1562	13253	216417	26441
ROBERT PURCELL
PHARMACY DIRECTOR	177887	538	11218	238536	24114	24779
DAVID EARLY
DIRECTOR SUPPORT SVC	151923	306	17858	192971	22884
KIMBERLY SCOGGINS
ADMINISTRATOR	99866	6629	13653	183399	63251
JOHN HARDWELL MD
PHYSICIAN	786318	739	18166	805223
MATTHEW T CORNFORTH MD
PHYSICIAN	603955	320	11218	615493
LOUIS A SPENCER MD
PHYSICIAN	559893	1140	21493	582526
JOEL JAGER MD
PHYSICIAN	517314	533	23788	541635
GARRETT H BARNESMD
MEDICAL DIRECTOR	501090	764	21493	542316		18969

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	TRAVEL 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.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	KURT STUENKEL 0 534,087 0
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 6A	BONUS/INCENTIVE AWARDS: 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 ORGANIZATION'S NET INCOME. THESE BONUSES ARE A CASH-BASED SYSTEM.
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	THE 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 1,402,161 LISTED AS COMPENSATION FOR MR. STUENKEL, 277,045 REPRESENTS A PERFORMANCE BASED PAYMENT ARISING FROM THE 2012 PERFORMANCE PERIOD AND 534,087 REPRESENTS THE NONQUALIFIED SERP PLAN. ACCORDINGLY, MR. STUENKEL'S SALARY FOR 2012 WOULD HAVE BEEN 591,029 EXCLUDING THE 2012 PORTION OF THE INCENTIVE BASED PAYMENT AND THE SERP PLAN AMOUNT.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HOSPITAL AUTHORITY OF FLOYD COUNTY
A	REVENUE CERTIFICATES 2003	586001973	343575ER3	2003-12-17	40000000	HOSPITAL IMPROVEMENTS	false	false	false
HOSPITAL AUTHORITY OF FLOYD COUNTY
B	2009 REVENUE ANTICIPATION BONDS	586001973	343575FQ4	2009-06-30	40000000	IMPROVEMENTS/DEFEASE 2005-2006 BONDS	false	false	false
HOSPITAL AUTHORITY OF FLOYD COUNTY
C	REVENUE BOND SERIES 2012 A	586001173	343575GH3	2012-06-27	20000000	CAPITAL IMPROVEMENTS	false	false	false
HOSPITAL AUTHORITY OF FLOYD COUNTY
D	REVENUE BONDS SERIES 2012B	586001173	343575GY6	2012-06-27	31885000	DEFEASE 2003 REVENUE SERIES BONDS	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Other Spent ProceedsOtherSpentProceeds
A	11983883	40710583	1572553	25989711	576451	12571868	2004	false	false	true	true
B		40232146	1332751		588380	18170340	2010	false	false	true	true	18595720
C		20074922	279011		243560	19552351	2013	false	false	true	true
D		34970725	444814	36387986	388296		2013	false	false	true	true		1777

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	false	false	false	false	false	true
B	false	false	false	false	false	false	false	true
C	false	false	false	false	false	false	false	true
D	false	false	false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	false	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false	false
D	false	false	false	false	false	false	false	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	DIFFERENCES IN ISSUE PRICE EXPLANATION	Identifier
Return Reference	SCHEDULE K	ReturnReference
Explanation	HOSPITAL AUTHORITY OF FLOYD COUNTY PART II LINE 4 COLUMN A 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 PART II LINE 4 COLUMN B 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 PART II LINE 4 COLUMN C 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 PART II LINE 4 COLUMN D 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 PART II LINE 6 COLUMN D EXPENDITURES INCLUDE 2252148 IN FUNDS FROM THE SERIES 2002 DEBT SERVICE RESERVE FUNDS	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	BRAD WARD MD	NamePerson
Relationship With Organization	BOARD MEMBER	RelationshipWithOrganization
Purpose Of Loan	EDUCATIONAL LOAN	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$150,285	OriginalPrincipalAmount
Balance Due	93134	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	93134	TotalBalanceDue

Form990 Schedule L Part III Form990ScheduleLPartIII

Field	Value	IRS element (for citing)
Name Of Interested Person	SHEILA B HORNER	NameOfInterestedPerson
Relationship With Organization	VP OF NURSING	RelationshipWithOrganization
Amount Of Grant	2215	AmountOfGrant
Type Of Assistance	TUITION PAYMENT	TypeOfAssistance

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JOSHUA POLLEY
FAMILY-KEY EMP	55056	EMPLOYEE WAGES	false
ROXANNE NORMAN
FAMILY-BD MBR	39630	EMPLOYEE WAGES	false
BEN RIGAS
FAMILY-KEY EMP	10013	EMPLOYEE WAGES	false
JOAN BIUSO
FAMILY-KEY EMP	17247	EMPLOYEE WAGES	false
DAVID JOHNSON
BOARD MEMBER		BANKING SERVICES	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE L PART V	ReturnReference
Explanation	LISTED ABOVE ARE THE FAMILY MEMBERS OF CORPORATE OFFICERSKEY EMPLOYEES AND BOARD MEMBERS WHO ARE ACTIVELY EMPLOYED AND COMPENSATED BY FHMI THE ORGANIZATION MANINTAINS A BANK ACCOUNT FOR MALPRACTICE SELF INSURANCE FUND ACTIVITY AT UNITED COMMUNITY BANK DIRECTOR DAVID JOHNSON IS AN OFFICER AT UNITED COMMUNITY BANK	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PAGE 6, PART VI, LINE 4	THE ORGANIZATION AMENDED ITS BYLAWS AS OF FEBRUARY 25, 2013 TO REVISE THE NUMBER OF BOARD MEMBERS FROM 12, 11 OF WHICH WERE ELECTED, TO 18 (17 OF WHICH ARE ELECTED BY THE ORGANIZATION'S BOARD OF DIRECTORS AND ONE, THE CEO, WHO SITS ON THE BOARD AS EX OFFICIO). REQUIRED REPRESENTATION SHALL NOW INCLUDE TWO FLOYD COUNTY COMMISSIONERS (ONE OF WHOM WAS APPOINTED BY THE FLOYD COUNTY COMMISSION AS A MEMBER OF THE HOSPITAL AUTHORITY OF FLOYD COUNTY, A RELATED ORGANIZATION), TWO ADDITIONAL MEMBERS OF THE HOSPITAL AUTHORITY OF FLOYD COUNTY, THREE PRACTICING PHYSICIANS EMPLOYED BY THE CORPORATION, AND TWO BOARD MEMBERS FROM POLK MEDICAL CENTER, INC. PREVIOUSLY ONLY ONE COUNTY COMMISSIONER SERVING ON THE BOARD WAS REQUIRED AND REPRESENTATION FROM POLK COUNTY WAS UNNECESSARY. THE AMENDED BYLAWS ALSO PLACED LIMITATIONS AND RULES RESPECTING CERTAIN DIRECTORS' ACTIONS AND RESPONSIBILITIES. THE ORGANIZATION'S CEO MAY NOT SERVE AS CHAIRMAN OF THE BOARD AND SHALL NOT BE COMPENSATED FOR SERVICES ON THE BOARD. THE CEO SHALL NOT PARTICIPATE IN ANY BOARD DELIBERATION OR DECISION CONCERNING ANY CONTRACT DISPUTE ISSUE, COMPENSATION ISSUE OR DISCIPLINARY ISSUE RESPECTING A MEMBER OF THE BOARD OF DIRECTORS WHO IS A PHYSICIAN EMPLOYED BY THE ORGANIZATION. ALSO, NO MEMBER OF THE BOARD WHO IS A PHYSICIAN EMPLOYED BY THE ORGANIZATION SHALL PARTICIPATE IN ANY BOARD DELIBERATION OR DECISION RESPECTING THE HIRING OR FIRING OF THE CEO OR IN ANY BOARD DECISION RESPECTING DISCIPLINARY ACTION OR COMPENSATION OF THE CEO.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	THE 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. BY CONTRACT, THE ORGANIZATION AGREES TO HAVE TWO OF THE FLOYD COUNTY BOARD COMMISSIONERS ON THE BOARD.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE 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.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	FLOYD 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.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	IT 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.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	SEE NARRATIVE UNDER PART VI, LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE 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.
RELATED ORGANIZATIONS	FORM 990, PAGE 7, PART VII	FORM 990, PART VII SECTION A - COMPENSATION FROM RELATED ORGANIZATIONS MEMBERS OF THE BOARD OF DIRECTORS FOR FLOYD HEALTHCARE RESOURCES, INC., RELATED PARTY OF FLOYD HEALTHCARE MANAGEMENT, INC., RECEIVE A STIPEND FOR EACH BOARD MEETING ATTENDED. FOR THE 2012 TAXABLE YEAR, DIRECTORS JOHNSON, 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 IS A PRACTICING NEUROSURGEON WHO HAS CLINICAL PRIVILEGES AT FLOYD MEDICAL CENTER (FMC). AS SUCH, HE IS 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 CALENDAR YEAR 2012 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 IS 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 REHAB, 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 & 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 2013, PATIENT DAYS AT FLOYD MEDICAL CENTER TOTALED 77,117 AND DISCHARGES TOTALED 13,939. FLOYD MEDICAL CENTER PROVIDED APPROXIMATELY 73,303,000 IN DIRECT CHARITY AND INDIGENT CARE, AND IT INCURRED UNREIMBURSED MEDICARE AND MEDICAID ADJUSTMENTS OF 292,752,000 AND 144,132,000 RESPECTIVELY. A COPY OF THE REPORT TO THE COMMUNITY FOR FLOYD MEDICAL CENTER CAN BE FOUND AT WWW.FLOYD.ORG/ABOUT/INDEX.HTM.
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	RENTAL EXPENSES 306,273 COST OF GOODS SOLD 30 GAIN ON SALE/LEASEBACK MOB -94,053 CAPITAL CONTRIBUTIONS -460,000 RENTAL EXPENSES -306,273 COST OF GOODS SOLD -30 PMCI EXPENSES NOT INCLUDED ON THE 990 -21,750 GAIN ON SALE/LEASEBACK MOB 94,053 EQUITY TRANSFER 1,655,913
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	AMORTIZATION OF ACTUARIAL LOSS 3,239,574 AMORTIZATION OF PRIOR SERVICE CREDIT 29,062 CURRENT YEAR ACTUARIAL LOSS 13,704,095 PMCI NET ASSETS ON PY RETURN 12,750 EQUITY TRANSFER -1,655,913 CAPITAL CONTRIBUTIONS 460,000 PMCI EXPENSES NOT INCLUDED ON 990 21,750 PRIOR YEAR ADJUSTMENT -47 TOTAL INCREASE IN NET ASSETS 16,985,434

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
FLOYD EMERGENCY PHYSICIANS LLC
304 TURNER MCCALL BLVD	ROME	GA	301620233	050608795	ER SVC	GA	7241377	3823589	FHMI
FLOYD PHYSICIANS LLC
304 TURNER MCCALL BLVD	ROME	GA	301620233	205415285	SPEC PHYS	GA	2332427	629745	FHMI

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Business Name Line2NameOfDisregardedEntity/BusinessNameLine2	Business Name Line2DirectControllingEntityName/BusinessNameLine2
HOSPITAL AUTHORITY OF FLOYD COUNTY
304 TURNER MCCALL BLVD	ROME	GA	301620233	586001173	HEALTHCARE	GA	501C3	3	NA	false
FLOYD HEALTHCARE RESOURCES INC
304 TURNER MCCALL BLVD	ROME	GA	301620233	582010524	HEALTHCARE	GA	501C3	9	NA	false
HOSPITAL AUTHORITY OF FLOYD COUNTY
304 TURNER MCCALL BLVD	ROME	GA	301620233	586140617	TRUST	GA	501C3	11D	FHMI	true	SELF INSURANCE TRUST	FLOYD HEALTHCARE MANAGEMENT INC
FLOYD HEALTH CARE FOUNDATION INC
PO BOX 233	ROME	GA	301620233	581375074	FOUNDATION	GA	501C3	11A	FHMI	true		FLOYD HEALTHCARE MANAGEMENT INC
POLK MEDICAL CENTER INC
420 E SECOND AVENUE STE 102	ROME	GA	301613210	453957368	HOSPITAL	GA	501C3	3	FHMI	true		FLOYD HEALTHCARE MANAGEMENT INC

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	FLOYD HEALTH VENTURES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	304 TURNER MCCALL BLVD	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	30162	ZIPCode

Field	Value	IRS element (for citing)
EIN	581925982	EIN
Primary Activity	MED SVCS	PrimaryActivity
Legal Domicile State	GA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	true	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Method Of Amt DeterminationMethodOfAmtDetermination	Amount InvolvedAmountInvolved
ALL ENTITIES
N	AMOUNT INDETERMINABLE
ALL ENTITIES
O	AMOUNT INDETERMINABLE
ALL ENTITIES
Q	AMOUNT INDETERMINABLE
FLOYD HEALTH CARE FOUNDATION INC
C	CASH	460000
POLK MEDICAL CENTER INC
D	GENERAL LEDGER BALANCE	11297127
FLOYD HEALTH CARE FOUNDATION INC
M	AMOUNTS INDETERMINABLE
ALL OTHER ENTITIES
M	AMOUNTS INDETERMINABLE
ALL ENTITIES
L	AMOUNT INDETERMINABLE
ALL ENTITIES
N	AMOUNT INDETERMINABLE
ALL ENTITIES
O	AMOUNT INDETERMINABLE
ALL ENTITIES
Q	AMOUNT INDETERMINABLE
FLOYD HEALTH CARE FOUNDATION INC
C	CASH	460000
POLK MEDICAL CENTER INC
D	GENERAL LEDGER BALANCE	11297127
FLOYD HEALTH CARE FOUNDATION INC
M	AMOUNTS INDETERMINABLE
ALL OTHER ENTITIES
M	AMOUNTS INDETERMINABLE
ALL ENTITIES
L	AMOUNT INDETERMINABLE

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE R	ReturnReference
Explanation	PART 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 MEMBEROWNER OF FEP AND HAS THE SOLE AUTHORITY TO APPOINT FEPS FIVEPERSON 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 CENTERS EMERGENCY CARE CENTER IN AUGUST 2006 FHMI SPONSORED THE CREATION OF FLOYD PHYSICIANS LLC FP A GEORGIA LIMITED LIABILITY COMPANY FHMI IS THE SOLE MEMBEROWNER OF FP AND HAS THE SOLE AUTHORITY TO APPOINT FPS FIVEPERSON BOARD OF DIRECTORS FP WAS FORMED FOR THE PURPOSE OF HIRING OR OTHERWISE ENGAGING PHYSICIANS TO PROVIDE PROFESSIONAL MEDICAL SERVICES TO PATIENTS PART IV TAXABLE SUBSIDIARIES IN DECEMBER OF 1990 THE HOSPITAL AUTHORITY OF FLOYD COUNTY GEORGIA AUTHORITY SPONSORED THE CREATION OF FLOYD HEALTH VENTURES I INC VENTURES A GEORGIA NONPROFIT TAXABLE CORPORATION VENTURES I HAS A FOURPERSON BOARD OF DIRECTORS THE MEMBERS OF WHICH ARE APPOINTED BY THE AUTHORITY BECAUSE VENTURES I IS A NONPROFIT NONSTOCK CORPORATION THE AUTHORITY DOES NOT HAVE AN OWNERSHIP INTEREST VENTURES HAS BEEN INACTIVE FOR A NUMBER OF YEARS THERE WERE NO TRANSFERS BETWEEN FHMI AND TAXABLE SUBSIDIARIES	Explanation