FLOYD HEALTHCARE MANAGEMENT INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: FLOYD HEALTHCARE MANAGEMENT INC (EIN 58-1973570)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201321359349301177
Schema version: 2011v1.5
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	2013-05-15T08:12:01-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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	2013-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JACQUELINE G ATKINS	Name
Phone	2298837878	Phone
Date Prepared	2013-05-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	380411767	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	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2811	TotalNbrEmployees
Total Nbr Volunteers	263	TotalNbrVolunteers
Total Gross UBI	1591683	TotalGrossUBI
Net Unrelated Business Txbl Income	216739	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2526479	ContributionsGrantsPriorYear
Contributions Grants Current Year	451500	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	323912023	ProgramServiceRevenuePriorYear
Program Service Revenue CY	313013978	ProgramServiceRevenueCY
Investment Income Prior Year	2565486	InvestmentIncomePriorYear
Investment Income Current Year	2064697	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3810831	OtherRevenuePriorYear
Other Revenue Current Year	4600337	OtherRevenueCurrentYear
Total Revenue Prior Year	332814819	TotalRevenuePriorYear
Total Revenue Current Year	320130512	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	141685	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3516540	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	156964007	SalariesEtcPriorYear
Salaries Etc Current Year	165867051	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	218094	TotalFundrsngExpCurrentYear
Other Expense Prior Year	164237033	OtherExpensePriorYear
Other Expenses Current Year	143580224	OtherExpensesCurrentYear
Total Expenses Prior Year	321342725	TotalExpensesPriorYear
Total Expenses Current Year	312963815	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11472094	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7166697	RevenuesLessExpensesCY
Total Assets BOY	305664058	TotalAssetsBOY
Total Assets EOY	321675722	TotalAssetsEOY
Total Liabilities BOY	186201842	TotalLiabilitiesBOY
Total Liabilities EOY	213447564	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	119462216	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	108228158	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	250062367	Expense
Grants	3516540	Grants
Revenue	311689575	Revenue
Description	FLOYD HEALTHCARE MANAGEMENT, INC. OPERATES FLOYD MEDICAL CENTER, A GENERAL ACUTE CARE HOSPITAL, AND FLOYD BEHAVIORAL HEALTH CENTER, A PSYCHIATRIC HOSPITAL. SEE ADDITIONAL DISCLOSURES AT SCHEDULE O, "SUPPLEMENTAL INFORMATION TO FORM 990".	Description
Total Program Service Expense	250062367	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	false	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	false	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
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	283	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2811	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	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	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 (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
J ROGER SUMNER
CHAIRMAN	1.00	X	X	6000	3000	0
JERRY NORMAN
DIRECTOR	1.00	X		7575	0	0
TIM MAHANAY
DIRECTOR	1.00	X		5475	750	0
JOHN MAYES
DIRECTOR	1.00	X		6200	0	0
WESLEY F JOHNSON
DIRECTOR	1.00	X		5875	0	0
WILLIAM V WIGLEY
DIRECTOR	1.00	X		5875	0	0
GARRY FRICKS
DIRECTOR	1.00	X		4500	0	0
JOHN S FREEMAN
DIRECTOR	1.00	X		3000	1000	0
GEORGE BOSWORTH MD
DIRECTOR	1.00	X		3875	0	0
CARL HERRING MD
DIRECTOR	1.00	X		2750	0	0
MARK MANIS
DIRECTOR	1.00	X		0	0	0
LARRY KUGLAR
DIRECTOR	1.00	X		0	0	0
FRANK SHELLEY
DIRECTOR	1.00	X		0	0	0
KURT STUENKEL
PRES/SECRE/C	40.00		X	1086769	0	43096
RICHARD T SHEERIN
CFO	40.00		X	379272	0	32508
DEE RUSSELL MD
CHIEF MED AF	40.00			392897	0	8066	X
WARREN RIGAS
SVP COO	40.00			373841	0	29857	X
C WADE MONK
GENERAL COUN	40.00			369157	0	40989	X
JOSEPH BIUSO MD
VP & CMO	40.00			324555	0	35574	X
GREG POLLEY
VICE PRESIDE	40.00			277168	0	41836	X
SHEILA HORNER
VP & CNO	40.00			263587	0	4992	X
MARY MAIRE
VP & CCO	40.00			229827	0	55059	X
REBEKAH LOWREY MD
SURGICAL DIR	40.00			228157	0	0	X
DAN SWEITZER
VP MARKET DE	40.00			227766	0	47171	X
ALISON LAND
VICE PRESIDE	40.00			208919	0	15309	X
ROBERT PURCELL
PHARMACY DIR	40.00			190253	0	21001	X
DAVID EARLY
DIRECTOR SUP	40.00			160794	0	858	X
BRIAN BARNETTE
CIO	40.00			156906	0	18356	X
JOHN HARDWELL MD
PHYSICIAN	50.00			647809	0	2548		X
LOUIS A SPENCER MD
PHYSICIAN	40.00			611310	0	4680		X
GARRETT H BARNESMD
MEDICAL DIRE	52.00			502670	0	17098		X
CLINE T JACKSON MD
PHYSICIAN	40.00			446196	0	3822		X
MOLLY VICCHRILLI MD
NEONATOLOGIS	40.00			437408	0	3900		X
CHARLOTTE DOUGHERTY
FORMER CFO	0.00			19582	0	0			X
DON TATE
FORMER ADMIN	0.00			19309	0	0			X
BG WATERS
FORMER CEO	0.00			6744	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7612021	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4750	TotalReportableCompFrmRltdOrgs
Total Other Compensation	426720	TotalOtherCompensation
Number Individuals GT100 K	164	NumberIndividualsGT100K
Formers Listed	true	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	35246	GENL CONTRACTOR	7511183
CERNER CORP
PO BOX 412702	KANSAS CITY	MO	64141	IT SERVICES	6711712
ARAMARK MANAGEMENT SERVICES
PO BOX 233	ROME	GA	30161	ENVIRON SVCS	3459122
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	DIETARY SVC	2550472
IN COMPASS HEATLH INC
318 MAXWELL ROAD SUITE 500	ALPHARETTA	GA	30009	HOSPITALIST	2092034

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	62	NumberOfContractorsGT100K
All Other Contributions	451500	AllOtherContributions
Total Contributions	451500	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	310194980	310194980
FAMILY PRACTICE CAPITATION	621990	1227732	1227732
REFERENCE LAB	621500	1031685		1031685
SUBWAY/STARBUCKS	722210	559581		559581

Field	Value	IRS element (for citing)
Total Program Service Revenue	313013978	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1542823	TotalRevenueColumn
Exclusion	$1,542,823	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3275610	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	340933	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2934677	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2934677	TotalRevenueColumn
Exclusion	$2,934,677	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	60107230	Securities
Other	354134	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	59646315	Securities
Other	293175	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	460915	Securities
Other	60959	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	521874	TotalRevenueColumn
Exclusion	$521,874	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	1249	GrossSalesOfInventory
Cost Of Goods Sold	832	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	417	TotalRevenueColumn
Unrelated Business Revenue	417	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	624200	1398380	$1,398,380
MISCELLANEOUS INCOME	621990	210550		210550
FAMILY PRACTICE REVENUE	621110	30907		30907

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	25406	TotalRevenueColumn
Related Or Exempt Function Income	25406	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	1665243	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	320130512	TotalRevenueColumn
Related Or Exempt Function Income	311689575	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1591683	UnrelatedBusinessRevenue
Exclusion	$6,397,754	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3271448	Total
Program Services	3271448	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	245092	Total
Program Services	245092	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5315665	Total
Management And General	5315665	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	125378561	Total
Program Services	106227090	ProgramServices
Management And General	18982997	ManagementAndGeneral
Fundraising	168474	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5991353	Total
Program Services	5150667	ProgramServices
Management And General	832476	ManagementAndGeneral
Fundraising	8210	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20237939	Total
Program Services	16563837	ProgramServices
Management And General	3647701	ManagementAndGeneral
Fundraising	26401	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8943533	Total
Program Services	6694604	ProgramServices
Management And General	2236846	ManagementAndGeneral
Fundraising	12083	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	364607	Total
Management And General	364607	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	504400	Total
Management And General	504400	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	81404	Total
Management And General	81404	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	30903893	Total
Program Services	22074745	ProgramServices
Management And General	8829148	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1471200	Total
Program Services	173798	ProgramServices
Management And General	1297402	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11202856	Total
Program Services	8424063	ProgramServices
Management And General	2777992	ManagementAndGeneral
Fundraising	801	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4019083	Total
Program Services	676792	ProgramServices
Management And General	3342291	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	14618054	Total
Program Services	12745481	ProgramServices
Management And General	1872573	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2704647	Total
Program Services	1146293	ProgramServices
Management And General	1556229	ManagementAndGeneral
Fundraising	2125	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	641362	Total
Program Services	422787	ProgramServices
Management And General	218575	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	144941	Total
Management And General	144941	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22204478	Total
Program Services	19360084	ProgramServices
Management And General	2844394	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1671426	Total
Program Services	926068	ProgramServices
Management And General	745358	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	43033285	42969940	63345
R&M	4364487	2185946	2178541
LICENSE & TAXES	3139517	117265	3022252
DUES & SUBSCRIPTIONS	940456	320997	619459

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1570128	Total
Program Services	365370	ProgramServices
Management And General	1204758	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	312963815	Total
Program Services	250062367	ProgramServices
Management And General	62683354	ManagementAndGeneral
Fundraising	218094	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-187421	BOY
EOY	-82982	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	10297588	BOY
EOY	21299969	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	47957467	BOY
EOY	49651972	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	370261	BOY
EOY	617200	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9641637	BOY
EOY	10156932	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3415204	BOY
EOY	3516658	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	343998339	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	172182300	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	168246690	BOY
EOY	171816039	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	59298918	BOY
EOY	56491768	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1453170	BOY
EOY	1491848	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1224502	BOY
EOY	1132664	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3946042	BOY
EOY	5583654	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	305664058	BOY
EOY	321675722	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	28900554	BOY
EOY	33108358	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	105916554	BOY
EOY	123849124	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	16551555	BOY
EOY	16080247	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	34833179	BOY
EOY	40409835	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	186201842	BOY
EOY	213447564	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	119462216	BOY
EOY	108228158	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	119462216	BOY
EOY	108228158	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	305664058	BOY
EOY	321675722	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7166697	ReconcilationRevenueExpenses
Reconcilation Other Changes	-18400755	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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 76,000 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)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Form1120 Pol Filed	false	Form1120PolFiled
Form4720 Filed	false	Form4720Filed
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	true	GrantsOtherOrganizations
Grants Other Organizations	$50,000	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$2,338	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$29,066	OtherActivitiesAmount
Total Lobbying Expenditures IIB	81404	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE C, PART II-B, LINE 1	ReturnReference
Explanation	NATIONAL AND STATE ORGANIZATION DUES ARE PAID, A PERCENTAGE OF WHICH ARE DEVOTED TO LOBBYING EXPENDITURES. ADDITIONALLY, A DONATION WAS MADE TO "COALITION TO PROTECT AMERICA'S HEALTH CARE", AN ORGANIZATION WHOSE MISSION IS TO PROTECT HIGH QUALITY PATIENT CARE BY CREATING MEDIA STRATEGIES TO PRESERVE THE FINANCIAL VIABILITY OF AMERICA'S HOSPITALS. THE FILING ORGANIZATION ALSO PAID LOBBYING FEES TO THE RUSS REID COMPANY AND REIMBURSED DIRECTOR FOR THEIR LOBBYING TRIP TO WASHINGTON DC RELATED TO HEALTHCARE ISSUES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12803932	OtherCostOrOtherBasis
Book Value	12803932	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	114170801	OtherCostOrOtherBasis
Depreciation	48198176	Depreciation
Book Value	65972625	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15096900	OtherCostOrOtherBasis
Depreciation	7155120	Depreciation
Book Value	7941780	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	186580191	OtherCostOrOtherBasis
Depreciation	116829004	Depreciation
Book Value	69751187	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15346515	OtherCostOrOtherBasis
Book Value	15346515	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	171816039	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION	$32,398,591
MALPRACTICE CLAIMS	$6,339,271
ACCRUED INTEREST	$1,671,973

Field	Value	IRS element (for citing)
Total Of Amounts	40409835	TotalOfAmounts
Total Revenue	320130512	TotalRevenue
Total Expenses	312963815	TotalExpenses
Excess Or Deficit For Year	7166697	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-226729	NetUnrealizedGLOnInvestments
Other	$2,819,948	OtherAmount
Total Adjustments	2593219	TotalAdjustments
Excess Or Deficit Per FS	9759916	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	319699995	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-226729	NetUnrealizedGainsInvestments
Other Revenues	341765	OtherRevenues
Revenue Not Rptd F990	115036	RevenueNotRptdF990
Revenue Subtotal	319584959	RevenueSubtotal
Other Revenues Not Included	545553	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	545553	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	320130512	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	309940079	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	341765	OtherExpensesIncluded
Expenses Not Rptd F990	341765	ExpensesNotRptdF990
Expenses Subtotal	309598314	ExpensesSubtotal
Other Expenses Not Included	3365501	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3365501	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	312963815	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 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, 2012 AND 2011 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2009-2011.
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	RENTAL EXPENSES 340,933 COST OF GOODS SOLD 832 GAIN ON SALE/LEASEBACK MOB -94,053 CAPITAL CONTRIBUTIONS -451,500 RENTAL EXPENSES -340,933 COST OF GOODS SOLD -832 GAIN ON SALE/LEASEBACK MOB 94,053 EQUITY TRANSFER 3,271,448
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	RENTAL EXPENSES 340,933 COST OF GOODS SOLD 832
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	GAIN ON SALE/LEASEBACK MOB 94,053 CAPITAL CONTRIBUTIONS 451,500
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	RENTAL EXPENSES 340,933 COST OF GOODS SOLD 832
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	GAIN ON SALE/LEASEBACK MOB 94,053 EQUITY TRANSFER 3,271,448

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	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
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	20353457	TotalCommunityBenefitExpense
Net Community Benefit Expense	20353457	NetCommunityBenefitExpense
Percent Of Total Expense	0.06500	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	52840624	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41263910	DirectOffsettingRevenue
Net Community Benefit Expense	11576714	NetCommunityBenefitExpense
Percent Of Total Expense	0.03700	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	73194081	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41263910	DirectOffsettingRevenue
Net Community Benefit Expense	31930171	NetCommunityBenefitExpense
Percent Of Total Expense	0.10200	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9133524	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5843139	DirectOffsettingRevenue
Net Community Benefit Expense	3290385	NetCommunityBenefitExpense
Percent Of Total Expense	0.01050	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	0.00380	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10322521	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5848064	DirectOffsettingRevenue
Net Community Benefit Expense	4474457	NetCommunityBenefitExpense
Percent Of Total Expense	0.01430	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	83516602	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47111974	DirectOffsettingRevenue
Net Community Benefit Expense	36404628	NetCommunityBenefitExpense
Percent Of Total Expense	0.11630	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$33,715,038	BadDebtExpenseAmount
Amount Attributable To	17868970	AmountAttributableTo
Amount Reimbursed By Medicare	68287878	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	72094107	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3806229	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	30161	ZIPCode

Field	Value	IRS element (for citing)
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
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 (13 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 341765 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 PAST EXPERIENCE FROM INCOMPLETE FINANCIAL APPLICATIONS EXCERPT FROM AUDITED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS THE CORPORATION PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE
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 PORTIN OF THE BILL IS TREATED THE SAME AS ALL OTHER PATIENTS IN REGARDS TO COLLECTIONS
NEEDS ASSESSMENT	PART VI	FLOYD HEALTHCARE MANAGEMENT INC FHMI HAS COMPLETED A HEALTH CARE NEEDS ASSESSMENT IN CHATTOOGA FLOYD AND POLK COUNTIES 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
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 19D	PART V LINE 19D	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 (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
HOSPITAL AUTHORITY OF FLOYD COUNTY
304 TURNER MCCALL BLVD	ROME	GA	301610233	586001173	501	1453571	CAPITAL CONTRIBUTION
HOSPITAL AUTHORITY OF FLOYD COUNTY
304 TURNER MCCALL BLVD	ROME	GA	301610233	586001173	501	1817877	PENSION PLAN FUNDING

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
COBRA INSURANCE PREMIUM	42	167872
TUITION	32	77220

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)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
KURT STUENKEL
539081	187371	360317	35542	7554	1129865
RICHARD T SHEERIN
286876	90951	1445	25878	6630	411780
DEE RUSSELL MD
274547	110551	7799		8066	400963
WARREN RIGAS
287061	85351	1429	25177	4680	403698
C WADE MONK
282897	82351	3909	36959	4030	410146
JOSEPH BIUSO MD
286054	35889	2612	34716	858	360129
GREG POLLEY
209328	65951	1889	32998	8838	319004
SHEILA HORNER
199661	62951	975		4992	268579
MARY MAIRE
176987	50551	2289	48039	7020	284886
REBEKAH LOWREY MD
203901	22429	1827			228157
DAN SWEITZER
171774	53651	2341	43401	3770	274937
ALISON LAND
156187	52251	481	12189	3120	224228
ROBERT PURCELL
167838	21900	515	17861	3140	211254
DAVID EARLY
137981	22551	262		858	161652
BRIAN BARNETTE
131522	15666	9718	11076	7280	175262
JOHN HARDWELL MD
647144		665		2548	650357
LOUIS A SPENCER MD
610326		984		4680	615990
GARRETT H BARNESMD
501906		764	12418	4680	519768
CLINE T JACKSON MD
445525		671		3822	450018
MOLLY VICCHRILLI MD
436788		620		3900	441308
CHARLOTTE DOUGHERTY
19582					19582
DON TATE
19309					19309
BG WATERS
6744					6744

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 0 351,447 0
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 6A	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 1,086,769 LISTED AS COMPENSATION FOR MR. STUENKEL, 187,371 REPRESENTS A PERFORMANCE BASED PAYMENT ARISING FROM THE 2011 PERFORMANCE PERIOD AND 351,447 REPRESENTS THE NONQUALIFIED SERP PLAN. ACORDINGLY, MR. STUENKEL'S SALARY FOR 2011 WOULD HAVE BEEN 547,951 EXCLUDING THE 2011 PORTION OF THE INCENTIVE BASED PAYMENT AND THE SERP PLAN AMOUNT. TOTAL DIRECT CASH COMPENSATION (SALARY AND BONUS) IS 726,452 WHICH DOES NOT INCLUDE A PAYMENT FOR RETIREMENT OF 351,447, NOR OTHER FRINGE BENEFITS WHICH TOTAL 43,096.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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
REVENUE CERTIFICATES 2003	586001973	343575ER3	2003-12-17	40000000	HOSPITAL IMPROVEMENTS	false	false	false
HOSPITAL AUTHORITY OF FLOYD COUNTY
2009 REVENUE ANTICIPATION BONDS	586001973	343575FQ4	2009-06-30	40000000	IMPROVEMENTS/DEFEASE 2005-2006 BONDS	false	false	false
HOSPITAL AUTHORITY OF FLOYD COUNTY
REVENUE BOND SERIES 2012 A	586001173	343575GH3	2012-06-27	20000000	CAPITAL IMPROVEMENTS	false	false	false
HOSPITAL AUTHORITY OF FLOYD COUNTY
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)

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	Working Capital ExpendituresWorkingCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds
11182808	40710583	1572553	25989711	576451	12571868	2004	false	false	true	true
	40240151	1332751		588380	18170340	2010	false	false	true	true	18595720	1552974
	20074922	279011		243560	19552351		false	false	true	true
	34970725	444814	36387986	388296			false	false	false	false			1777

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	true	true
false	false	false	false	false	true	true
false	false	false	false	false	false	true
false	false	false	false	false	false	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false

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 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 EXPENDITURES INCLUDE 2252148 IN FUNDS FROM THE SERIES 2002 DEBT SERVICE RESERVE FUNDS	Explanation

Schedule L IRS990ScheduleL

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	2714	AmountOfGrant
Type Of Assistance	TUITION PAYMENT	TypeOfAssistance

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JOSHUA POLLEY
FAMILY-OFFICER	43242	EMPLOYEE WAGES	false
ROXANNE NORMAN
FAMILY-BD MBR	41625	EMPLOYEE WAGES	false
MISTY RIGAS
FAMILY-OFFICER	25038	EMPLOYEE WAGES	false
JOY HOWARD
FAMILY-BD MBR	14022	EMPLOYEE WAGES	false
ELIZABETH BROOKS
FAMILY-BD MBR	20311	EMPLOYEE WAGES	false
JOAN BIUSO
FAMILY-OFFICER	22840	EMPLOYEE WAGES	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	VARIOUS FAMILY MEMBERS OF BOARD OFFICERS AND BOARD MEMBERS ARE ACTIVELY EMPLOYED AND COMPENSATED BY FHMI	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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	AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS BILL WIGLEY 1 HOUR CARL HERRING 1 HOUR GARRY FRICKS 1 HOUR GEORGE BOSWORTH, MD 1 HOUR JERRY NORMAN 2 HOURS JOHN MAYES 2 HOURS MARK MANIS 2 HOURS ROGER SUMNER 2 HOURS SAM FREEMAN 2 HOURS TIM MAHANAY 2 HOURS WESLEY JOHNSON 1 HOUR LARRY KUGLAR 1 HOUR FRANK SHELLEY 1 HOUR KURT STUENKEL 4 HOURS RICHARD T. SHEERIN 4 HOURS FORM 990, PART VII SECTION A - COMPENSATION FROM RELATED ORGANIZATIONS MEMBERS OF THE BOARD OF DIRECTORS FOR FLOYD HEALTHCARE RESOURCES, INC., AND FOR THE HOSPITAL AUTHORITY OF FLOYD COUNTY, RELATED PARTIES OF FLOYD HEALTHCARE MANAGEMENT, INC., RECEIVE A STIPEND FOR EACH BOARD MEETING ATTENDED. FOR THE 2011 TAXABLE YEAR, DIRECTORS SUMNER AND MANIS ALSO SERVED ON THE BOARD OF FLOYD HEALTHCARE RESOURCES, INC. WHILE DIRECTORS NORMAN, MAYES, AND MAHANAY SERVED ON THE BOARD OF THE HOSPITAL AUTHORITY OF FLOYD COUNTY. 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 2011 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 2012, PATIENT DAYS AT FLOYD MEDICAL CENTER TOTALED 73,189 AND DISCHARGES TOTALED 13,878. FLOYD MEDICAL CENTER PROVIDED APPROXIMATELY 68,204,000 IN DIRECT CHARITY AND INDIGENT CARE, AND IT INCURRED UNREIMBURSED MEDICARE AND MEDICAID ADJUSTMENTS OF 256,414,000 AND 134,850,000 RESPECTIVELY. A COPY OF THE REPORT TO THE COMMUNITY FOR FLOYD MEDICAL CENTER CAN BE FOUND AT WWW.FLOYD.ORG/ABOUT/INDEX.HTM.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	INCREASES IN NET ASSETS AMORTIZATION OF ACTUARIAL LOSS 1,297,067 AMORTIZATION OF PRIOR SERVICE CREDIT 29,062 DECREASES IN NET ASSETS CURRENT YEAR ACTUARIAL LOSS 19,500,155 UNREALIZED LOSS ON INVESTMENTS 226,729 TOTAL CHANGES IN NET ASSETS 18,400,755

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	30161	050608795	ER SVC	GA	5730078	2485514	FHMI
FLOYD PHYSICIANS LLC
304 TURNER MCCALL BLVD	ROME	GA	30161	205415285	SPEC PHYS	GA	2232032	885337	FHMI

Form990 Schedule R Part II Form990ScheduleRPartII (3 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
HOSPITAL AUTHORITY OF FLOYD COUNTY
304 TURNER MCCALL BLVD	ROME	GA	301610233	586001173	HEALTHCARE	GA	501C3	3	NA	false
FLOYD HEALTHCARE RESOURCES INC
304 TURNER MCCALL BLVD	ROME	GA	301610233	582010524	HEALTHCARE	GA	501C3	9	NA	false
HOSPITAL AUTHORITY OF FLOYD COUNTY
304 TURNER MCCALL BLVD	ROME	GA	301610233	586140617	TRUST	GA	501C3	11D	FHMI	false	SELF INSURANCE TRUST

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
NORTHWEST GA COMMUNITY CARE NETWORK
402 EAST 2ND AVENUE	ROME	GA	30161	582076826	MNGD CARE	GA	N/A
FLOYD HEALTH VENTURES INC
304 TURNER MCCALL BLVD	ROME	GA	30162	581925982	MED SVCS	GA	N/A

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	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
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	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	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 (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
FLOYD EMERGENCY PHYSICIANS
N	4901578	GENERAL LEDGER
FLOYD EMERGENCY PHYSICIANS
P	4800872	GENERAL LEDGER
FLOYD PHYSICIANS LLC
N	1711010	GENERAL LEDGER
FLOYD PHYSICIANS LLC
P	2050000	GENERAL LEDGER

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 NORTHWEST GEORGIA COMMUNITY CARE NETWORK INC DBA GEORGIA HEALTH PLUS INC CEASED OPERATION IN SEPTEMBER 2002 THE FINAL DISTRIBUTION HAS NOT BEEN MADE AT THIS TIME THERE WERE NO TRANSFERS BETWEEN FHMI AND TAXABLE SUBSIDIARIES	Explanation