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FLOYD HEALTHCARE MANAGEMENT INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FLOYD HEALTHCARE MANAGEMENT INC (EIN 58-1973570)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201131369349301798
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T09:19:46-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 6AddressLine1
CityALBANYCity
StateGAState
ZIP Code317020006ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581973570EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FLOYD HEALTHCARE MANAGEMENT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFLOYNameControl
Phone7065096074Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1
CityROMECity
StateGAState
ZIP Code301620233ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD T SHEERINName
TitleCFOTitle
Phone7065096074Phone
Date Signed2011-05-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACQUELINE G ATKINSName
Phone2298837878Phone
Date Prepared2011-05-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKURT STUENKELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1
CityROMECity
StateGAState
ZIP Code30161ZIPCode
FieldValueIRS element (for citing)
Gross Receipts344898609GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.FLOYD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionOPERATE A NON-PROFIT HOSPITAL SYSTEM AND SUPPORT 501 (C)(3) ORGANIZATIONSActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2608TotalNbrEmployees
Total Nbr Volunteers285TotalNbrVolunteers
Total Gross UBI980455TotalGrossUBI
Net Unrelated Business Txbl Income207249NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7957683ContributionsGrantsPriorYear
Contributions Grants Current Year4934800ContributionsGrantsCurrentYear
Program Service Revenue Prior Year260119813ProgramServiceRevenuePriorYear
Program Service Revenue CY282448984ProgramServiceRevenueCY
Investment Income Prior Year-3795012InvestmentIncomePriorYear
Investment Income Current Year1278791InvestmentIncomeCurrentYear
Other Revenue Prior Year3086642OtherRevenuePriorYear
Other Revenue Current Year3487697OtherRevenueCurrentYear
Total Revenue Prior Year267369126TotalRevenuePriorYear
Total Revenue Current Year292150272TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year40446GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY102386GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year123176901SalariesEtcPriorYear
Salaries Etc Current Year134386054SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year188257TotalFundrsngExpCurrentYear
Other Expense Prior Year130966289OtherExpensePriorYear
Other Expenses Current Year144450049OtherExpensesCurrentYear
Total Expenses Prior Year254183636TotalExpensesPriorYear
Total Expenses Current Year278938489TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13185490RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13211783RevenuesLessExpensesCY
Total Assets BOY270623290TotalAssetsBOY
Total Assets EOY283273344TotalAssetsEOY
Total Liabilities BOY176749865TotalLiabilitiesBOY
Total Liabilities EOY180776253TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY93873425NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY102497091NetAssetsOrFundBalancesEOY
Mission DescriptionOPERATE A NON-PROFIT HOSPITAL SYSTEM AND SUPPORT 501 (C)(3) ORGANIZATIONSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense232456521Expense
Grants102386Grants
Revenue281554157Revenue
DescriptionFLOYD 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 Expense232456521TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersontrueGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096285NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2608NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRICHARD T SHEERINNamePerson
Telephone Number7065096074TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1
CityROMECity
StateGAState
ZIP Code30161ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
J ROGER SUMNER
CHAIRMAN1.00XX575015000
TIM MAHANAY
DIRECTOR1.00X492512500
JERRY NORMAN
DIRECTOR1.00X617500
WESLEY F JOHNSON
DIRECTOR1.00X537500
WILLIAM V WIGLEY
DIRECTOR1.00X512500
JOHN S FREEMAN
DIRECTOR1.00X300012500
JOHN MAYES
DIRECTOR1.00X420000
GEORGE BOSWORTH MD
DIRECTOR1.00X325000
GARRY FRICKS
DIRECTOR1.00X312500
CARL HERRING MD
DIRECTOR1.00X200000
MARK MANIS
DIRECTOR1.00X000
KURT STUENKEL
PRES/SECRE/C40.00X1316819035533
DEE RUSSELL MD
VICE-PRES.40.00554897032798X
RICHARD T SHEERIN
CFO40.00359723024920X
WARREN RIGAS
VICE-PRES.40.00351665022288X
C WADE MONK
GEN. COUNSEL40.00351546034894X
GREG POLLEY
VICE-PRES.40.00273712037424X
SHEILA BENNETT HORNER
VICE PRES40.0024116302514X
DAN SWEITZER
VICE-PRES.40.00232134036355X
MARY MAIRE
VICE-PRES.40.00220974044912X
REBEKAH LOWREY
SURGICAL DIR40.0019389600X
BOBBY PURCELL
PHARMACY DIR40.00178968014940X
JOHN HARDWELL MD
PHYSICIAN50.00477760018061X
GARRETT H BARNESMD
MED DIR.52.0045825104212X
SMITA VARSHNEY
HOSPITALIST40.00383640020108X
MOLLY REES MD
PHYSICIAN40.0034310909490X
JEFFREY BLACKMON
PHYSICIAN40.003340170755X
BG WATERS
FORMER CEO20232088544X
CHARLOTTE DOUGHERTY
FORMER CFO19582036531X
DON TATE
FORMER ADMIN19309018188X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6374322TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4000TotalReportableCompFrmRltdOrgs
Total Other Compensation482467TotalOtherCompensation
Number Individuals GT100 K108NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CERNER CORP
PO BOX 412702KANSAS CITYMO64141IT SERVICES6583908
BRASFIELD AND GORRIE LLC
PO BOX 11407BIRMINGHAMAL35246GENL CONTRACTOR4756120
ARAMARK MANAGEMENT SERVICES
PO BOX 233ROMEGA30161ENVIRON SVCS4083464
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA30368DIETARY SVC2298447
NELSON AND NELSON CONTRACTORS INC
527 WEST 12TH STREETROMEGA30165GENL CONTRACTOR1646193
FieldValueIRS element (for citing)
Number Of Contractors GT100 K69NumberOfContractorsGT100K
Government Grants1904260GovernmentGrants
All Other Contributions3030540AllOtherContributions
Noncash Contributions468461NoncashContributions
Total Contributions4934800TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE281468529281468529
REFERENCE LAB525026621500525026
SUBWAY/STARBUCKS455429722210455429
FieldValueIRS element (for citing)
Total Program Service Revenue282448984TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1092832TotalRevenueColumn
Exclusion$1,092,832ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2977941Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real757001Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2220940Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2220940TotalRevenueColumn
Exclusion$2,220,940ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities52058236Securities
Other119059Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities51755452Securities
Other235884Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities302784Securities
Other-116825Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column185959TotalRevenueColumn
Exclusion$185,959ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA1181129$1,181,129
PURCHASE DISCOUNTS5333453334
FAMILY PRACTICE REVENUE2625726257

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column6037TotalRevenueColumn
Related Or Exempt Function Income6037RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1266757TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column292150272TotalRevenueColumn
Related Or Exempt Function Income281554157RelatedOrExemptFunctionIncome
Unrelated Business Revenue980455UnrelatedBusinessRevenue
Exclusion$4,680,860ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total102386Total
Program Services102386ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4605000Total
Management And General4605000ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total110975267Total
Program Services94481784ProgramServices
Management And General16338354ManagementAndGeneral
Fundraising155129Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7053883Total
Program Services5629395ProgramServices
Management And General1414913ManagementAndGeneral
Fundraising9575Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3698803Total
Program Services3476984ProgramServices
Management And General215905ManagementAndGeneral
Fundraising5914Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8053101Total
Program Services6277650ProgramServices
Management And General1764654ManagementAndGeneral
Fundraising10797Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total445240Total
Management And General445240ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total429068Total
Management And General429068ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total123733Total
Management And General123733ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23615984Total
Program Services18335865ProgramServices
Management And General5277317ManagementAndGeneral
Fundraising2802Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2286986Total
Program Services398682ProgramServices
Management And General1888304ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total44329914Total
Program Services42080349ProgramServices
Management And General2247306ManagementAndGeneral
Fundraising2259Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1051614Total
Management And General1051614ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15952356Total
Program Services14345954ProgramServices
Management And General1606402ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1172424Total
Program Services798493ProgramServices
Management And General372150ManagementAndGeneral
Fundraising1781Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total549363Total
Program Services334990ProgramServices
Management And General214373ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total149225Total
Management And General149225ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15225504Total
Program Services13692296ProgramServices
Management And General1533208ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3061732Total
Program Services1141581ProgramServices
Management And General1920151ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS2669692126696921
R&M675152430151603736364
DUES & SUBSCRIPTIONS10466121046612
EMPLOYEE RECOGNITION783331504948278383
RECRUITING427382427382

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total351136Total
Program Services96471ProgramServices
Management And General254665ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total278938489Total
Program Services232456521ProgramServices
Management And General46293711ManagementAndGeneral
Fundraising188257Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1582266BOY
EOY2579831EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY23691109BOY
EOY12369478EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY38015466BOY
EOY40899343EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY249715BOY
EOY309314EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8546173BOY
EOY9109654EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2606818BOY
EOY3228350EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis310321021LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec158957987LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY134052428BOY
EOY151363034EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY55761234BOY
EOY55888410EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1716864BOY
EOY1834372EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1408177BOY
EOY1316339EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2993040BOY
EOY4375219EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY270623290BOY
EOY283273344EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19477700BOY
EOY25516076EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY108732506BOY
EOY107132584EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9257330BOY
EOY10989246EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY39282329BOY
EOY37138347EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY176749865BOY
EOY180776253EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY93873425BOY
EOY102497091EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY93873425BOY
EOY102497091EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY270623290BOY
EOY283273344EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
General ExplanationSCHEDULE A, PART IV - REASON FOR NON-PRIVATE FOUNDATION STATUS ON JANUARY 1, 1998 FLOYD HEALTHCARE MANAGEMENT, INC. ACQUIRED BY LEASE ALL OF THE ASSETS OF THE HOSPITAL AUTHORITY OF FLOYD COUNTY AND THEREBY BECAME THE LICENSED OPERATOR OF FLOYD MEDICAL CENTER, A GENERAL, ACUTE CARE HOSPITAL WITH 300+ BEDS. SINCE THAT TIME, FLOYD HEALTHCARE MANAGEMENT, INC. HAS CONTINUED TO OPERATE FLOYD MEDICAL CENTER AS A NON-PROFIT HOSPITAL, OFFERING A WIDE ARRAY OF SERVICES TO THE COMMUNITY, INCLUDING AN EMERGENCY ROOM WHICH SEES APPROXIMATELY 70,000 PATIENTS PER YEAR AND A BUSY OUTPATIENT INDIGENT CLINIC.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$123,733DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB123733TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationCOSTS INCURRED IN TRAVEL AND LODGING FOR CFO & CEO MEETING WITH LEGISLATORS AND MEETING WITH CHAMBER OF COMMERCE IN WASHINGTON DC PLUS 121,829 IN GENERAL LOBBYING FEES PAID TO PROFESSIONAL LOBBYIST.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis9362290OtherCostOrOtherBasis
Book Value9362290BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10269845OtherCostOrOtherBasis
Depreciation5080302Depreciation
Book Value5189543BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis174645725OtherCostOrOtherBasis
Depreciation108621923Depreciation
Book Value66023802BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17313258OtherCostOrOtherBasis
Book Value17313258BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings97888893TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION$16,473,583
DUE RELATED PARTIES$8,621,884
MALPRACTICE CLAIMS$7,301,745
ACCRUED INTEREST$2,636,742
THIRD PARTY SETTLEMENTS$2,104,393
PAYROLL AND WITHHOLDINGS
FieldValueIRS element (for citing)
Total Of Amounts37138347TotalOfAmounts
Total Revenue292150272TotalRevenue
Total Expenses278938489TotalExpenses
Excess Or Deficit For Year13211783ExcessOrDeficitForYear
Other-$526,589OtherAmount
Total Adjustments-526589TotalAdjustments
Excess Or Deficit Per FS12685194ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt292286629TotRevenueEtcAuditedFinclStmt
Other Revenues757001OtherRevenues
Revenue Not Rptd F990757001RevenueNotRptdF990
Revenue Subtotal291529628RevenueSubtotal
Other Revenues Not Included620644OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt620644RevenueNotRptdOnFinStmt
Total Revenue Per Form990292150272TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt279601435TotExpensesEtcAuditedFinclStmt
Other Expenses Included757001OtherExpensesIncluded
Expenses Not Rptd F990757001ExpensesNotRptdF990
Expenses Subtotal278844434ExpensesSubtotal
Other Expenses Not Included94055OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt94055ExpensesNotRptdOnFinStmt
Total Expenses Per Form990278938489TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XEXCERPT FROM AUDITED FINANCIAL STATEMENTS - INCOME TAXES EFFECTIVE DECEMBER 15, 2009 THE CORPORATION ADOPTED ASC 740-10-50-15, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE STANDARD PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION, TAKEN OR EXPECTED TO BE TAKEN, IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CUMULATIVE EFFECT OF THIS CHANGE IN ACCOUNTING PRINCIPLE WAS IMMATERIAL. AS OF JUNE 30, 2010, THE CORPORATION HAS NO UNRECOGNIZED TAX BENEFITS OR ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE CORPORATION'S OPEN AUDIT PERIODS ARE 2007-2009.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8RENTAL EXPENSES 757,001 GAIN ON SALE/LEASEBACK MOB -94,055 CAPITAL CONTRIBUTIONS -526,589 RENTAL EXPENSES -757,001 GAIN ON SALE/LEASEBACK MOB 94,055
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DRENTAL EXPENSES 757,001
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BGAIN ON SALE/LEASEBACK MOB 94,055 CAPITAL CONTRIBUTIONS 526,589
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DRENTAL EXPENSES 757,001
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BGAIN ON SALE/LEASEBACK MOB 94,055

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage1.25000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage3.25000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense13174078TotalCommunityBenefitExpense
Net Community Benefit Expense13174078NetCommunityBenefitExpense
Percent Of Total Expense0.05220PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense44719808TotalCommunityBenefitExpense
Direct Offsetting Revenue37682416DirectOffsettingRevenue
Net Community Benefit Expense7037392NetCommunityBenefitExpense
Percent Of Total Expense0.02790PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense57893886TotalCommunityBenefitExpense
Direct Offsetting Revenue37682416DirectOffsettingRevenue
Net Community Benefit Expense20211470NetCommunityBenefitExpense
Percent Of Total Expense0.08010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1198401TotalCommunityBenefitExpense
Net Community Benefit Expense1198401NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2339172TotalCommunityBenefitExpense
Net Community Benefit Expense2339172NetCommunityBenefitExpense
Percent Of Total Expense0.00930PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2616675TotalCommunityBenefitExpense
Net Community Benefit Expense2616675NetCommunityBenefitExpense
Percent Of Total Expense0.01040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6154248TotalCommunityBenefitExpense
Net Community Benefit Expense6154248NetCommunityBenefitExpense
Percent Of Total Expense0.02450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense64048134TotalCommunityBenefitExpense
Direct Offsetting Revenue37682416DirectOffsettingRevenue
Net Community Benefit Expense26365718NetCommunityBenefitExpense
Percent Of Total Expense0.10460PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,743,673BadDebtExpenseAmount
Amount Attributable To3800000AmountAttributableTo
Amount Reimbursed By Medicare62451254AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare60418663CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2032591MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1FLOYD HEALTHCARE MANAGEMENT INCBusinessNameLine1
Business Name Line2DBA FLOYD MEDICAL CENTERBusinessNameLine2

Address Address

FieldValueIRS element (for citing)
Address Line1304 TURNER MCCALL BLVDAddressLine1
CityROMECity
StateGAState
ZIP Code30161ZIPCode
FieldValueIRS element (for citing)
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Percent Of Total Expense ExplnIN 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 25 278,938,489 LESS: BAD DEBTS IN PART IX ( 26,696,921) DENOMINATOR FOR COLUMN (F) 252,241,568PercentOfTotalExpenseExpln
Bad Debt FootnoteEXCERPT FROM AUDITED FINANCIAL STATEMENTS - ALLOWANCE FOR DOUBTFUL ACCOUNTS THE CORPORATION PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE.BadDebtFootnote
Shortfall As Community BenefitMEDICARE COSTS AND REVENUES WERE EXTRACTED FROM THE MEDICARE COST REPORT FILED FOR THE SAME FISCAL TIME FRAME.ShortfallAsCommunityBenefit
Debt Collection PolicyFOR 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.DebtCollectionPolicy
Needs AssessmentFLOYD HEALTHCARE MANAGEMENT, INC. ("FHMI") IS CURRENTLY IN THE PROCESS OF COMPLETING A HEALTH CARE NEEDS ASSESSMENT IN CHATTOOGA, FLOYD AND POLK COUNTIES. THIS INCLUDES A RANDOM PAPER SURVEY OF RESIDENTS OF EACH COUNTY AS WELL AS INTERVIEWS WITH COMMUNITY LEADERS AND HEALTH CARE PROFESSIONALS AND FOCUS GROUPS. IN ADDITION, FHMI DEVELOPS A STRATEGIC PLAN PERIODICALLY 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.NeedsAssessment
Patient Education AssistanceFHMI COMMUNICATES THIS INFORMATION THROUGH SIGNAGE IN THE EMERGENCY CARE CENTER, PATIENT REGISTRATION AREAS, IN THE BUSINESS/PATIENT FINANCIAL SERVICES OFFICES AND IN THE OFFICES OF OUR FINANCIAL COUNSELORS. DURING TIMES OF PREADMISSION AS WELL AS ON SITE REGISTRATION THE ACCESS/REGISTRATION STAFF DISCUSS POLICIES WITH THE PATIENT/PATIENTS FAMILY IF APPROPRIATE. AFTER DISCHARGE AND DURING THE COLLECTION PERIOD OUR STAFF ONCE AGAIN DISCUSS OUR FINANCIAL ASSISTANCE POLICES. IN ADDITION, THERE IS A DEMONSTRATED WORD-OF-MOUTH COMMUNICATION OF THESE POLICIES THROUGH OUR PATIENT POPULATION.PatientEducationAssistance
Community InformationLOCATED IN NORTHWEST GEORGIA, FHMI DBA FLOYD MEDICAL CENTER ("FMC") IS BASED IN ROME, GEORGIA, WHICH IS THE COUNTY SEAT FOR FLOYD COUNTY, ABOUT 60 MILES NORTH OF ATLANTA AND 60 MILES SOUTH OF CHATTANOOGA, TENN. THE 165,000 (2009 ESTIMATE) RESIDENTS OF THE THREE-COUNTY REGION ARE SERVED BY FMC AND TWO SMALLER HOSPITALS. THIS POPULATION BASE IS 78-PERCENT CAUCASIAN, 12 PERCENT AFRICAN AMERICAN, 8 PERCENT HISPANIC, 2 PERCENT OTHER ETHNICITIES. NORTHWEST GEORGIA IS A MEDICAL AND EDUCATIONAL HUB. THREE OF THE LARGEST EMPLOYERS IN THE THREE- COUNTY AREA ARE HEALTH CARE PROVIDERS. THE AREA IS ALSO HOME TO FOUR POST- SECONDARY EDUCATIONAL INSTITUTIONS. STILL, THE MANUFACTURING SECTOR REMAINS AN ECONOMIC FORCE IN THE AREA. AS IN OTHER PARTS OF THE COUNTRY, THE UNEMPLOYMENT RATE CLIMBED INTO DOUBLE DIGITS IN EARLY 2009, AND APPROXIMATELY 15 PERCENT OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL. OVER ONE-THIRD OF THE ADULT POPULATION HAS NOT GRADUATED HIGH SCHOOL. MALIGNANT CANCERPRIMARILY LUNG CANCER AND CARDIOVASCULAR DISEASE ARE THE PRIMARY CAUSES OF DEATH IN THESE COUNTIES. OF THOSE PATIENTS SEEKING HEALTH CARE IN THE PRIMARY SERVICE AREA, 47.1 PERCENT DEPEND ON MEDICARE FOR THEIR PRIMARY HEALTHCARE COVERAGE; 24.1 PERCENT ARE COVERED BY COMMERCIAL INSURANCE AND 17.3 PERCENT ARE COVERED BY THE STATE MEDICAID PROGRAM.CommunityInformation
Other InformationFHMI IS THE SAFETY-NET HEALTH CARE PROVIDER FOR NORTHWEST GEORGIA. IN ADDITION TO PROVIDING EMERGENCY CARE SERVICES, FMC HAS GONE THE EXTRA STEP OF PROVIDING 24-HOUR COVERAGE FOR SURGERY AND OTHER SERVICES TO MAINTAIN STATUS AS A LEVEL II TRAUMA CENTER. FHMI IS ALSO THE SITE FOR THE REGIONAL POISON CONTROL CENTER, HOUSES THE REGIONS ONLY LEVEL II 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 OUR 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; SCHOOL-BASED CHILD SAFETY PROGRAMS; MOBILE MAMMOGRAPHY; AN 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 COMMUNITY-WIDE INITIATIVES WITH HEALTH PARTNERS INCLUDING THE NORTHWEST GEORGIA CANCER COALITION, CANCER NAVIGATORS AND THE FREE CLINIC OF ROME.OtherInformation
Reports Filed With StatesGAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
COBRA INSURANCE PREMIUM4193286
TUITION19100

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationIT IS THE POLICY OF THE ORGANIZATION TO ESTABLISH PROCEDURES TO POTENTIALLY SECURE PAYMENT FOR HEALTHCARE SERVICES VIA EXTENSION OF INSURANCE BENEFITS THROUGH COBRA. THIS EXTENSION OF INSURANCE COVERAGE WILL BE PROVIDED ON A CASE-BY-CASE BASIS. THE HOSPITAL'S ROLE IN COVERAGE PAYMENT WILL BE REVIEWED MONTHLY; THERE IS NO OBLIGATION FOR THE HOSPITAL TO CONTINUE COVERAGE PAYMENT BEYOND THE INITIAL STATED LENGTH. THIS COVERAGE PAYMENT IS NOT TYPICALLY INTENDED FOR LONGER THAN A SPECIFIC SERVICE EVENT. IN GENERAL, ASSIGNED STAFF WILL EXAMINE PATIENTS FOR POTENTIAL QUALIFICATION FOR THIS PROGRAM. UPON QUALIFICATION, PAYMENT OF THE INSURANCE PREMIUM IS MADE TO THE EMPLOYER/INSURANCE COMPANY. PATIENT LIABILITY WILL BE EVALUATED AND DISCUSSED WITH THE PATIENT/GUARANTOR PRIOR TO DISCHARGE. THIS DISCUSSION WILL FOLLOW THE SAME PROTOCOL AS OTHER PATIENTS WITH RESIDUAL LIABILITIES. FINALLY, A 1099 TAX FORM IS ISSUED TO THE PATIENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Discretionary Spending AccountXDiscretionarySpendingAccount
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
KURT STUENKEL
5270183429514468502755179821352352
DEE RUSSELL MD
3485462010825269244208378587695
RICHARD T SHEERIN
264298940721353192395681384643
WARREN RIGAS
255816945551294187003588373953
C WADE MONK
259805892592482290015893386440
GREG POLLEY
1960807574318892558711837311136
SHEILA BENNETT HORNER
192485477399392514243677
DAN SWEITZER
167833619802321325243831268489
MARY MAIRE
168851506321491382566656265886
REBEKAH LOWREY
168687237851424193896
BOBBY PURCELL
15869619804468116283312193908
JOHN HARDWELL MD
477274486165001561495821
GARRETT H BARNESMD
4575806714212462463
SMITA VARSHNEY
383149491165003608403748
MOLLY REES MD
34272138872112279352599
JEFFREY BLACKMON
333725292755334772
BG WATERS
2023288544108776
CHARLOTTE DOUGHERTY
195823653156113
DON TATE
193091818837497

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ATRAVEL FOR COMPANIONS SPOUSAL TRAVEL EXPENSES ARE REIMBURSED WHEN ATTENDANCE IS NECESSARY AND APPROPRIATE. THE POLICY RECOGNIZES THAT GOVERNING BOARD MEMBERS AND SENIOR EXECUTIVES ARE OFTEN PLACED IN SOCIAL SITUATIONS AT SUCH MEETINGS AND WOULD REPRESENT THE HOSPITAL OPTIMALLY WITH THE ASSISTANCE OF THEIR SPOUSES. CONSEQUENTLY, THESE BENEFITS ARE NOT INCLUDED IN THEIR TAXABLE WAGES. SPOUSAL TRAVEL EXPENSES REQUIRE PRIOR APPROVAL AND ARE LIMITED TO EVENTS WHERE BOARD MEMBERS AND SENIOR EXECUTIVES ATTEND. REIMBURSEMENT SHALL BE LIMITED TO TRANSPORTATION EXPENSE NOT TO EXCEED THE AIR TRAVEL RATE IN COACH CLASS AND OUT-OF-POCKET EXPENSES WITH RESPECT TO LODGING AND FOOD. REIMBURSEMENT SHALL BE LIMITED TO LODGING BASED ON DOUBLE ACCOMMODATIONS. FLOYD HEALTHCARE MANAGEMENT, INC. ("FHMI") PROVIDES THE CEO WITH A MONTHLY AUTO ALLOWANCE. EACH YEAR THE AMOUNT THAT IS NONBUSINESS RELATED IS INCLUDED IN TAXABLE INCOME. FHMI PROVIDES A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR THE CEO AND CMO. ANY AMOUNT CONSIDERED NONBUSINESS IS INCLUDED IN THE RECIPIENT'S TAXABLE INCOME.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4KURT STUENKEL 0 441,528 0
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 6AALL 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 THESE GOALS RELATES TO THE ORGANIZATION'S NET INCOME. THESE BONUSES ARE A CASH-BASED SYSTEM.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIIADDITIONALLY, OF THE 1,352,352 LISTED AS COMPENSATION FOR MR. KURT STUENKEL, 342,951 REPRESENTS A PERFORMANCE BASED PAYMENT ARISING FROM THE 2009 PERFORMANCE PERIOD, AND 441,528 REPRESENTS THE NONQUALIFIED SERP PLAN. ACCORDINGLY, MR. STUENKEL'S SALARY FOR 2009 WOULD HAVE BEEN 567,873 EXCLUDING THE 2009 PORTION OF THE INCENTIVE BASED PAYMENT AND THE SERP PLAN AMOUNT. TOTAL DIRECT CASH COMPENSATION (SALARY AND BONUS) IS 869,969, WHICH DOES NOT INCLUDE A PAYMENT FOR RETIREMENT OF 441,528, NOR OTHER FRINGE BENEFITS WHICH TOTAL 40,855. 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Business Name Line2IssuerName/BusinessNameLine2Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
HOSPITAL AUTHORITY OF FLOYD COUNTY
REVENUE CERTIFICATES 2003586001973343575ER32003-12-1740000000HOSPITAL IMPROVEMENTfalsefalse
HOSPITAL AUTHORITY OF FLOYD COUNTY
2009 REVENUE ANTICIPATION BONDS586001173343575GG52009-06-3040240151IMPROVEMENTS/DEFEASEfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount DefeasedAmountDefeasedWorking Capital ExpendituresWorkingCapitalExpenditures
317250001572848710583125718682004falsefalsetruetrue
4023214613327385883802010falsefalsetruetrue1859572019723314

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part III Form990ScheduleLPartIII

FieldValueIRS element (for citing)
Name Of Interested PersonSHEILA B HORNERNameOfInterestedPerson
Relationship With OrganizationEMPLOYEE/TUITION PYMRelationshipWithOrganization
Amount Of Grant9100AmountOfGrant

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOSHUA POLLEY
FAMILY-KEY EMPL39059EMPLOYEEfalse
ROXANNE NORMAN
FAMILY-BD MEMBR30792EMPLOYEEfalse
MISTY DRAKE
FAMILY-BD MEMBR66122EMPLOYEEfalse
JOY HOWARD
FAMILY-BD MEMBR28557EMPLOYEEfalse

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990468461NoncashContribsRptdF990
Method Of Determining RevenuesBOOK VALUE APPROX FMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE ORGANIZATION'S CEO, CFO, CONTROLLER AND INHOUSE COUNSEL REVIEW THE FORM 990 FOR FINANCIAL AND DISCLOSURE ACCCURACY. PRIOR TO ITS FILING, AN ELECTRONIC COPY OF THE ORGANIZATION'S 990 RETURN IS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S GOVERNING BOARD FOR REVIEW AND COMMENT. THIS IS ACCOMPLISHED BY E-MAILING IT TO THE BOARD MEMBER'S PERSONAL E-MAIL ADDRESS. AT THE REGULAR BOARD MEETING IMMEDIATELY PRIOR TO THE FILING DATE, THE BOARD MEMBERS ARE INFORMED THAT THE 990 RETURN WILL SOON BE FILED WITH THE IRS AND THAT A COPY HAS BEEN (OR WILL SHORTLY BE) E-MAILED TO THEM.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CFLOYD HEALTHCARE MANAGEMENT, INC. ("FHMI") HAS A WRITTEN POLICY RESPECTING CONFLICTS OF INTEREST AND DISCLOSURE OF SAME. GENERALLY SPEAKING, THE POLICY REQUIRES ANY "COVERED PERSON" WHO BELIEVES HE/SHE 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/HERSELF 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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AIT IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE OF FLOYD HEALTHCARE MANAGEMENT, INC. BOARD TO ACTIVELY MANAGE AND MONITOR EXECUTIVE COMPENSATION. TO DO SO, THE COMMITTEE HAS ESTABLISHED THE FOLLOWING OBJECTIVES FOR THE EXECUTIVE COMPENSATION PROGRAM: -PROVIDE A COMPETITIVE TOTAL COMPENSATION EARNING OPPORTUNITY TO RECRUIT, RETAIN, AND REWARD THE EXECUTIVES NEEDED TO MEET THE COMMUNITY'S HEALTHCARE NEEDS, NOW AND IN THE FUTURE; -PROVIDE PAY OPPORTUNITIES THAT WILL REWARD THE EXECUTIVE TEAM WHEN ORGANIZATIONAL PERFORMANCE IN KEY AREAS IS DEMONSTRATED; -INCENTIVE COMPENSATION UNDER THE EXECUTIVE INCENTIVE COMPENSATION PLAN IS PAYABLE ONLY IN THE EVENT THE ORGANIZATION'S OPERATING MARGIN FROM OPERATING REVENUE EXCEEDS CERTAIN PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE; -ENSURE THAT THE COMPENSATION PROGRAMS ARE EASY FOR ALL INTERESTED PARTIES TO UNDERSTAND. ANNUALLY, THE COMMITTEE REVIEWS THE APPROPRIATENESS OF THE TOTAL COMPENSATION PROVIDED TO EACH EXECUTIVE: -AS RELATED TO THE COMPETITIVE MARKET PAY RATES; -AS RELATED TO THE INDIVIDUAL'S ROLE AND RESPONSIBILITY IN THE ORGANIZATION; -AS IT PERTAINS TO VARIABLE OR INCENTIVE EARNING OPPORTUNITIES RELATING TO THE PERFORMANCE OF THE ORGANIZATION. TO DETERMINE THE MARKET RATES FOR EACH POSITION, THE COMMITTEE UTILIZES AN OUTSIDE CONSULTANT TO SURVEY COMPARABLE ORGANIZATIONS TO DEVELOP AN APPROPRIATE RANGE OF PAY FOR EACH EXECUTIVE POSITION. THIS RANGE GENERALLY REFLECTS THE PAY PRACTICES AND LEVELS OF COMPARABLE ORGANIZATIONS IN GEORGIA, THE SOUTHEAST, AND ACROSS THE COUNTRY. SPECIFICALLY, THE COMMITTEE REVIEWS DATA FOR MARKET RATES OF BASE SALARY AND TOTAL COMPENSATION (THE COMBINATION OF BASE SALARY AND BONUSES). AFTER REVIEWING THIS DATA, THE COMMITTEE ASSESSES THE APPROPRIATENESS OF THE BASE PAY LEVELS FOR EACH EXECUTIVE WITHIN A RANGE THAT GENERALLY REFLECTS INDUSTRY NORMS. IN ADDITION TO MONITORING BASE SALARIES, THE COMMITTEE IS RESPONSIBLE FOR ADMINISTERING THE EXECUTIVE INCENTIVE COMPENSATION PROGRAM. THE PROGRAM IS DESIGNED TO: -FURTHER ALIGN EXECUTIVE PAY WITH THE STRATEGIC AND OPERATIONAL ACHIEVEMENTS OF THE ORGANIZATION; -WHEN THE ORGANIZATION ACHIEVES RESULTS IN KEY AREAS OF PERFORMANCE, TO APPROPRIATELY REWARD EXECUTIVES ACCORDING TO THAT PROGRAM; THE COMMITTEE HAS ALSO ESTABLISHED SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAMS (SERPS). THESE SERPS WERE DESIGNED WITH THE ADVICE AND HELP OF CONSULTANTS AND ARE DESIGNED TO RETAIN AND REWARD EXECUTIVES WITH RETIREMENT OPPORTUNITIES THAT ARE CONSISTENT WITH MARKET PRACTICES IN GEORGIA, THE SOUTHEAST, AND ACROSS THE COUNTRY. IN 2001, THESE PLANS VESTED TWO EXECUTIVES. IT IS THE PHILOSOPHY OF THE FHMI BOARD THAT THE COMBINATION OF THE INCENTIVE EARNING OPPORTUNITY, THE BASE SALARY, AND THE SERPS WILL PROVIDE A COMPETITIVE COMPENSATION LEVEL TO EACH EXECUTIVE THAT REFLECTS THE MARKET FOR EACH POSITION AND ORGANIZATION PERFORMANCE. THE COMMITTEE HAS DEVELOPED THE PROGRAM TO RECRUIT, RETAIN, AND REWARD EXECUTIVES IN ORDER TO MEET THE PRESENT AND FUTURE NEEDS OF THE ORGANIZATION TO PROVIDE A HIGH QUALITY OF PATIENT CARE TO THE COMMUNITY IN A COST EFFECTIVE MANNER.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE NARRATIVE UNDER PART VI, LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE AT THE ADMINISTRATIVE OFFICE.
ADDITIONAL INFORMATIONSCHEDULE OFORM 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 2009 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 2009 WAS PAID A PER DIEM OF 1,000. 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. SCHEDULE R, PART IV - INFORMATION REGARDING TAXABLE SUBSIDIARIES IN DECEMBER OF 1990, THE HOSPITAL AUTHORITY OF FLOYD COUNTY, GEORGIA SPONSORED THE CREATION OF FLOYD HEALTH VENTURES I, INC. ("VENTURES"), A GEORGIA NONPROFIT, TAXABLE CORPORATION. VENTURES I HAS A FOUR-PERSON 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 FHM AND TAXABLE SUBSIDIARIES SCHEDULE R, 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 MEMBER/OWNER OF FEP AND HAS THE SOLE AUTHORITY TO APPOINT FEP'S FIVE PERSON BOARD OF DIRECTORS. FEP WAS FORMED FOR THE PURPOSE OF HIRING OR OTHERWISE ENGAGING EMERGENCY PHYSICIANS TO PROVIDE PROFESSIONAL MEDICAL SEVICES TO PATIENTS PRESENTING TO FLOYD MEDICAL CENTER'S EMERGENCY CARE CENTER. IN AUGUST 2006, FLOYD HEALTHCARE MANAGEMENT, INC. (FHMI) SPONSORED THE CREATION OF FLOYD PHYSICIANS, LLC (FP), A GEORGIA LIMITED LIABILITY COMPANY. FHMI IS THE SOLE MEMBER/OWNER OF FP AND HAS THE SOLE AUTHORITY TO APPOINT FP'S FIVE PERSON BOARD OF DIRECTORS. FP WAS FORMED FOR THE PURPOSE OF HIRING OR OTHERWISE ENGAGING PHYSICIANS TO PROVIDE PROFESSIONAL MEDICAL SERVICES TO PATIENTS. 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; CHILD CARE CENTER; CORONARY CARE UNIT; CHAPLAIN SERVICE; CHEMICAL DEPENDENCY UNIT; CRISIS INTERVENTION; CT RESONANCE IMAGING; NEUROLOGY; LEVEL II, 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 2010, PATIENT DAYS AT FLOYD MEDICAL CENTER TOTALED 73,128 AND DISCHARGES TOTALED 16,088. FLOYD MEDICAL CENTER PROVIDED APPROXIMATELY 59,025,000 IN DIRECT CHARITY AND INDIGENT CARE. ADDITIONALLY, FLOYD MEDICAL CENTER INCURRED UNREIMBURSED MEDICARE AND MEDICAID ADJUSTMENTS OF 202,345,000 AND 121,122,000 RESPECTIVELY. A COPY OF THE REPORT TO THE COMMUNITY FOR FLOYD MEDICAL CENTER CAN BE FOUND AT WWW.FLOYD.ORG/ABOUT/INDEX.HTM.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
FLOYD EMERGENCY PHYSICIANS LLC
304 TURNER MCCALL BLVDROMEGA30161050608795ER SVCGA5729924NA
FLOYD PHYSICIANS LLC
304 TURNER MCCALL BLVDROMEGA30161205415285SPEC PHYSGA1967697NA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOSPITAL AUTHORITY OF FLOYD COUNTY
304 TURNER MCCALL BLVDROMEGA301610233586001173HEALTHCAREGA5013NA
FLOYD HEALTHCARE RESOURCES INC
304 TURNER MCCALL BLVDROMEGA301610233582010524HEALTHCAREGA5019NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
NORTHWEST GA COMMUNITY CARE NETWORK
402 EAST 2ND AVENUEROMEGA30161582076826MNGD CAREGAN/A
FLOYD HEALTH VENTURES INC
304 TURNER MCCALL BLVDROMEGA30162581925982MED SVCSGAN/A
FieldValueIRS element (for citing)
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Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
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Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
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Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
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Other Transfer From Other OrgfalseOtherTransferFromOtherOrg