2023-11-30T13:26:54-06:00 2022-12-31 990 2022-01-01 581973570 FLOYD HEALTHCARE MANAGEMENT INC FLOY 7065096074 304 TURNER MCCALL BLVD ROME GA 301620233 PHILIP WHEELER CFO 7065096074 2023-11-30 PHILIP WHEELER 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KURT STUENKEL 304 TURNER MCCALL BLVD ROME GA 301620233 689679199 0 X WWW.FLOYD.ORG X 1990 GA TO IMPROVE HEALTH, ELEVATE HOPE AND ADVANCE HEALING - FOR ALL. 17 11 4266 172 106324 84802 2111303 6075755 256264412 679109910 1357213 3208024 1278133 1004822 261011061 689398511 60672 375624 0 0 147991709 311942934 0 0 0 188220544 363597964 336272925 675916522 -75261864 13481989 745543952 718771073 329818958 291305267 415724994 427465806 X SEE SCHEDULE O 0 0 612633509 375624 654437236 SEE SCHEDULE O 22129597 0 24742894 ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER (AHFCMC) IS A 60-BED, ACUTE CARE HOSPITAL LOCATED IN CENTRE, ALABAMA. AHFCMC ALSO OPERATES THREE RURAL HEALTH CLINICS LOCATED IN CENTRE AND PIEDMONT, ALABAMA. THE HOSPITAL PROVIDES EMERGENCY CARE, IMAGING, DRUG AND ALCOHOL TREATMENT, LAB WORK, PHARMACY, RESPIRATORY CARE, AND SURGICAL SERVICES.AHFCMC IS OPERATED BY FLOYD CHEROKEE MEDICAL CENTER, LLC (FCMC), AN ALABAMA LIMITED LIABILITY CORPORATION WHOSE SOLE MEMBER IS THE FILING ORGANIZATION.DURING 2022, AHFCMC HAD APPROXIMATELY 4,500 PATIENT DAYS AND OVER 8,400 EMERGENCY ROOM VISITS. 634763106 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 126 0 1 4266 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 GA X X PHILLIP WHEELER 7065096074 304 TURNER MCCALL BLVD ROME GA 30161 KURT STUENKEL EX-OFCO DIRECTOR, PRES/SEC/CEO 36.00 4.00 X X 0 1395359 43026 KAY CHUMBLER VICE CHAIR 1.00 2.00 X X 5825 2700 0 CARL HERRING MD CHAIR 1.00 0.00 X X 5300 0 0 ROBERT HOLCOMBE JR MD DIRECTOR 40.00 0.00 X 308617 0 24317 JAMES COLLINS JR MD DIRECTOR 40.00 0.00 X 161357 0 14924 GEORGE BOSWORTH MD DIRECTOR 1.00 1.00 X 2875 2000 0 FRANK SHELLEY DIRECTOR 1.00 2.00 X 3375 2500 0 DAVID JOHNSON DIRECTOR 1.00 1.00 X 4925 0 0 W DAVID NEWBY DIRECTOR 1.00 0.00 X 3000 0 0 TODD BUSSEY DIRECTOR 1.00 0.00 X 2750 2250 0 GARRY FRICKS DIRECTOR 1.00 0.00 X 2875 0 0 SHANNON JOE VAUGHN MD DIRECTOR 1.00 0.00 X 424011 0 31604 KEN HAYNES DIRECTOR 1.00 39.00 X 0 2965556 439267 WRIGHT BAGBY JR DIRECTOR 1.00 1.00 X 0 0 0 MARK MANIS DIRECTOR 1.00 1.00 X 0 0 0 KRIS SHEPARD DIRECTOR 1.00 0.00 X 0 518145 69018 RHONDA WALLACE DIRECTOR 1.00 0.00 X 0 0 0 E CLARICE CABLE INTERIM CFO (TO 6/22) 37.00 3.00 X 429809 0 61008 PHILLIP WHEELER CFO (FR 6/22) 37.00 3.00 X 190650 0 6696 KEERTHY KRISHNAMANI EXEC. MED. DIRECTOR 40.00 0.00 X 450260 0 38825 TOMMY MANNING CORP COUNSEL 39.00 1.00 X 565628 0 77947 KENNETH JONES JR MD VP & CMO 40.00 0.00 X 689359 0 98338 WARREN SONNY RIGAS COO (TO 6/22) 25.00 15.00 X 653472 0 42615 SHEILA BENNETT VP & CNO 40.00 0.00 X 523506 0 11874 MATTHEW GORMAN VP CORP/NTWRK S 1.00 39.00 X 475437 0 62656 JEFFERY D BUDA CH INFO OFF 40.00 0.00 X 510048 0 63442 BETH BRADFORD CH HR OFF 40.00 0.00 X 489277 0 6765 DAVID EARLY DIRECTOR SPRT SVC 40.00 0.00 X 470375 0 18123 RICHARD CHILDS VP REV CYCLE MGT 40.00 0.00 X 445101 0 28643 TAUNYA FAULKNER VP PERF IMPROV 40.00 0.00 X 351110 0 41444 CHAD J BECK MD PHYSICIAN 40.00 0.00 X 700263 0 27504 MATTHEW CORNFORTH MD PHYSICIAN 40.00 0.00 X 484996 0 24875 BRIDGETTE DINGLE MD NEONATOLOGIST 40.00 0.00 X 449569 0 30313 JOEL JAGER MD PHYSICIAN 40.00 0.00 X 492422 0 25835 SAMUEL QUAYNOR MD PHYSICIAN 40.00 0.00 X 571695 0 16642 9867887 4888510 1305701 527 0 1 0 HEALTHCARE WORKFORCE LOGISTICS LLC PO BOX 860573 MINNEAPOLIS MN 55486 CONTRACT LABOR 24142102 IN COMPASS HEALTH INC 318 MAXWELL ROAD SUITE 500 ALPHARETTA GA 30009 MEDICAL SERVICES 8937698 BRASFIELD AND GORRIE LLC PO BOX 11407 BIRMINGHAM AL 35246 CONSTRUCTION CONTRACT SERVICES 7036732 HARBIN CLINIC 221 TECHNOLOGY PKWY ROME GA 30165 CONTRACT LABOR 5430089 ARAMARK SERVICES INC PO BOX 978839 DALLAS TX 75397 FACILITIES SERVICES 4789597 68 433090 5622665 20000 6075755 PATIENT SERVICE REVENUE 622110 677317570 677211246 106324 OTHER HEALTHCARE INCOME 621990 1792340 1792340 679109910 2676518 2676518 473994 280688 193306 193306 193306 410073 121433 0 0 410073 121433 531506 531506 GIFT SHOP REVENUE 459420 741296 741296 OTHER REVENUE 900099 70220 70220 811516 689398511 679073806 106324 4142626 78569 78569 297055 297055 2931014 1465507 1465507 241349751 222517213 18832538 6191171 5708073 483098 45600740 41996259 3604481 15870258 14631901 1238357 1461471 1461471 537950 537950 119188 119188 675854 456422 219432 56503538 52138896 4364642 557973 473221 84752 4260469 3775484 484985 2221442 1968567 252875 37243537 33003966 4239571 607379 538239 69140 230742 204476 26266 7498592 5064000 2434592 30486905 28420492 2066413 4397983 3897344 500639 BAD DEBT 136987683 136987683 MEDICAL SUPPLIES 72397168 72397168 PROVIDER TAX 4876364 4876364 REPAIRS & MAINTENANCE 2170953 1923825 247128 362773 361723 1050 675916522 634763106 41153416 0 211738450 168977328 15875416 58098664 83655343 114456979 227278 403494 16535085 20658242 7254446 5910738 512572814 257064452 133172344 255508362 109588085 62716675 809629 0 59953 166687876 31980638 745543952 718771073 42092678 52616123 546064 6778326 80125 222093277 173629353 58854677 64433602 329818958 291305267 X 415724994 427115806 350000 415724994 427465806 745543952 718771073 X 13481989 -1962088 220911 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 40000 0 1 79188 119188 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE. IN 2022, THE ORGANIZATION PAID $40,000 TO GEORGIA PUBLIC AFFAIRS FOR A LOBBYING LIASON WITH THE GEORGIA STATE GOVERNMENT. 15605365 15605365 263232021 88341224 174890797 11966622 9976644 1989978 187724937 158746584 28978353 34043869 34043869 255508362 ACCRUED PENSION 21457539 MALPRACTICE CLAIMS 8424995 CAPITAL LEASES 29414477 OTHER LIABILITIES 5136591 64433602 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021. 1 1 X 1 X 1 X 1 1 0 1 1 16668369 16668369 0.03090 91431550 70985450 20446100 0.03790 108099919 70985450 37114469 0.06880 1499741 1499741 0.00280 2536943 2536943 0.00470 375624 375624 0.00070 4412308 4412308 0.00820 112512227 70985450 41526777 0.07700 1 20878536 0 172961864 236837581 -63875717 X 1 1 2 1 ATRIUM HEALTH FLOYD MEDICAL CENTER 304 TURNER MCCALL BLVD ROME GA 301620233 WWW.FLOYD.ORG 057-556 X X X X HOSPICE, CLINICS, REHAB, PSYCH A 2 ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER 400 NORTHWOOD DRIVE CENTRE AL 35960 WWW.FLOYD.ORG 010-033 X X X SWING BED SNF; RHCS A FLOYD HEALTHCARE MANAGEMENT INC 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.FLOYD.ORG/ABOUT-FLOYD/PAGES/REPORTS.ASPX X 1 21 1 HTTPS://WWW.FLOYD.ORG/ABOUT-FLOYD/PAGES/REPORTS.ASPX 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.FLOYD.ORG/PATIENTS-VISITORS/BILLING/PAGES/DEFAULT.ASPX X WWW.FLOYD.ORG/PATIENTS-VISITORS/BILLING/PAGES/DEFAULT.ASPX X WWW.FLOYD.ORG/PATIENTS-VISITORS/BILLING/PAGES/DEFAULT.ASPX X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ATRIUM HEALTH FLOYD MEDICAL CENTER, - FACILITY 2: ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER FLOYD HEALTHCARE MANAGEMENT, INC. PART V, SECTION B, LINE 5: DURING THE CONDUCTION OF ITS MOST RECENT CHNA, THE HOSPITAL FACILITY SOUGHT COMMUNITY INPUT THROUGH A COMMUNITY HEALTH SURVEY CONDUCTED BY THE HOSPITAL FACILITY TO VALIDATE DATA, GIVE MEMBERS OF THE COMMUNITY AN OPPORTUNITY TO COMMENT ON THE PREVIOUS CHNA, AND TO PROVIDE COMMUNITY-LEVEL INSIGHT INTO THE HEALTH NEEDS OF THE PRIMARY SERVICE AREAS. THE SURVEY WAS SOLICITED ELECTRONICALLY AND PARTICIPANTS WERE RECRUITED FROM HOSPITAL PATIENT-FAMILY ADVISORY PANELS, VOLUNTEER ADVISORY AND ADVOCACY GROUPS, AND COMMUNITY LEADERS, BOTH ELECTED AND VOLUNTEER. ADDITIONALLY, THE HOSPITAL FACILITY USED SECONDARY DATA SOURCES INCLUDING NATIONAL AND STATE SOURCES PROVIDING TARGET VIEWS OF THE PROGRAM SERVICE AREA; AS WELL AS, HOSPITAL-SPECIFIC DATA. FLOYD HEALTHCARE MANAGEMENT, INC. PART V, SECTION B, LINE 6A: THE CURRENT CHNA WAS CONDUCTED WITH ATRIUM HEALTH FLOYD MEDICAL CENTER, ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER AND ATRIUM HEALTH POLK MEDICAL CENTER, ALL RELATED HOSPITAL FACILITIES. FLOYD HEALTHCARE MANAGEMENT, INC. PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED NUMEROUS COMMUNITY HEALTH NEEDS AND CONCERNS. EACH IDENTIFIED HEALTH NEED WAS REVIEWED AND PRIORITIZED BASED ON THE BURDEN OF THE HEALTH NEED, THE FEASIBILITY OF INTERVENTIONS, AND THE IMPORTANCE THE COMMUNITY PLACES ON ADDRESSING THE HEALTH NEED. THE FOLLOWING HEALTH NEEDS WERE PRIORITIZED BY THE HOSPITAL FACILITY IN ITS MOST RECENT CHNA INCLUDE ACCESS TO CARE, CARDIOVASCULAR DISEASE, MENTAL HEALTH SERVICES, AND NUTRITION. THE HOSPITAL FACILITY IMPLEMENTATION STRATEGY OUTLINES THE PROGRAMS AND RESOURCES THE HOSPITAL FACILITY WILL USE TO ADDRESS THE ABOVE MENTIONED PRIORITIZED HEALTH NEEDS. ALL EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUE OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL FACILITY ACKNOWLEDGES THE IMPORTANCE OF ALL COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA; HOWEVER, THE HOSPITAL FACILITY'S RESOURCES AND ASSETS WERE BEST ALIGNED TO FOCUS ON THE PRIORITIZED NEEDS MENTIONED ABOVE. THE CHNA PROVIDES A COMPREHENSIVE LIST OF AVAILABLE RESOURCES IN THE COMMUNITY FOR THOSE NEEDS THAT WERE NOT PRIORITIZED BY THE HOSPITAL FACILITY. ALTHOUGH NOT PRIORITIZED, THE HOSPITAL FACILITY WILL CONTINUE TO PARTNER WITH COMMUNITY AND NON-PROFIT ORGANIZATIONS TO HELP ADDRESS THESE NEEDS. FLOYD HEALTHCARE MANAGEMENT, INC. PART V, SECTION B, LINE 13B: THE HOSPITAL USES A PRESUMPTIVE PROCESS TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY FOR (CATEGORY II) SERVICES. 5 1 - FLOYD HEYMAN HOSPICE PO BOX 233 ROME GA 30165 HOME HOSPICE CARE 2 - FLOYD EMERGENCY MEDICAL SERVICES PO BOX 233 ROME GA 30165 EMERGENCY SERVICES 3 - FLOYD CHEROKEE MEDICAL CENTER RHC 395 NORTHWOOD DRIVE CENTRE AL 35960 RURAL HEALTH CLINIC 4 - FLOYD CHEROKEE MEDICAL CENTER RHC 32 ROUNDTREE DRIVE PIEDMONT AL 36272 RURAL HEALTH CLINIC 5 - FLOYD CHEROKEE MEDICAL CENTER RHC 391 NORTHWOOD DRIVE CENTRE AL 35960 RURAL HEALTH CLINIC PART I, LINE 3C: THE FINANCIAL ASSISTANCE PROGRAMS ARE DESIGNED TO ENSURE ASSISTANCE IS PROVIDED TO PATIENTS DEMONSTRATING A FINANCIAL NEED AND TO ENSURE THE ORGANIZATION COMPLIES WITH ANY REQUIRED FEDERAL OR STATE REGULATIONS RELATED TO FINANCIAL ASSISTANCE. THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NEVER BE BILLED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO AN INSURED PATIENT. THE ORGANIZATION USES THE LOOK-BACK METHOD TO CALCULATE AGB. PART I, LINE 6A: THE ORGANIZATION PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT IS AVAILABLE ON ITS WEBSITE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 136,987,683. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION PROVIDES RESOURCES AND FINANCIAL SUPPORT TO OTHER LOCAL ORGANIZATIONS WHOSE MISSIONS ARE TO IMPROVE PUBLIC HEALTH BY ADDRESSING THE ROOT CAUSES OF HEALTH ISSUES BY FOCUSING ON THE SOCIAL DETERMINANTS OF HEALTH SUCH AS POVERTY, LACK OF EDUCATION, RACISM, AND OTHER SOCIAL DISPARITIES. ADDITIONALLY, HOSPITAL EMPLOYEES PROVIDE COMMUNITY SUPPORT BY SERVING ON LOCAL BOARDS FOR COMMUNITY BASED ORGANIZATIONS OR PARTICIPATING IN COMMUNITY COALITIONS OR TASKFORCES. PART III, LINE 2: 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. PART III, LINE 4: FOOTNOTE 2.J (PATIENT SERVICE REVENUE) ON PAGE 30 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE TREATMENT OF BAD DEBT. 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. PART III, LINE 9B: THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS. ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THE HOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS. PART VI, LINE 2: THE HOSPITAL FACILITY'S MOST RECENT CHNA WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR CY2022 TO CY2024. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS, AND COLLABORATE WITH LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE PROVIDERS. COMMUNITY FEEDBACK IN THE FORM OF A COMMUNITY HEALTH SURVEY AND INTERVIEWS WITH COMMUNITY LEADERS, HEALTHCARE PROFESSIONALS, AND FOCUS GROUPS. THE HOSPITAL FACILITY DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE PRIORITIZED. BEYOND PROGRAMS ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL FACILITY WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF ABILITY TO PAY. PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR FINANCIAL ASSISTANCE OPTIONS. INFORMATION REGARDING FINANCIAL ASSISTANCE CAN BE FOUND ON THE HOSPITAL FACILITY'S WEBSITE, CONSPICUOUSLY DISPLAYED SIGNAGE THROUGHOUT THE HOSPITAL FACILITY, PATIENT BILL STATEMENTS, AND FROM TEAMMATES DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES DURING PREADMISSION, DISCHARGE, AND THE "COLLECTION" PERIOD. PART VI, LINE 4: THE FILING ORGANIZATION (DBA ATRIUM HEALTH FLOYD MEDICAL CENTER AND DBA ATRIUM HEALTH CHEROKEE MEDICAL CENTER), ALONG WITH RELATED ORGANIZATION, ATRIUM HEALTH POLK MEDICAL CENTER HAS A PRIMARY SERVICE AREA WHICH SERVES FOUR COUNTIES: CHATTOOGA, FLOYD, POLK, ALL LOCATED IN GEORGIA AND CHEROKEE COUNTY IN ALABAMA. BELOW IS A DEMOGRAPHIC SNAPSHOT OF THE POPULATION OF SERVICING AREA:TOTAL POPULATION: 192,096 (2021)INCOME:-MEDIAN HOUSEHOLD INCOME: $41,600 (CHATTOOGA), $50,500 (FLOYD), $47,900 (POLK), $46,000 (CHEROKEE)-PERCENT IN POVERTY: 19% (CHATTOOGA), 18% (FLOYD), 18% (POLK), 14% (CHEROKEE)EDUCATION: % OF HIGH SCHOOL GRADUATES: 86% (CHATTOOGA), 92% (FLOYD), 80% (POLK), 94% (CHEROKEE)PERCENT UNINSURED: 14% (CHATTOOGA), 13% (FLOYD), 16% (POLK), 9% (CHEROKEE) PART VI, LINE 5: THE ORGANIZATION IS COMMITTED TO BEING RESPONSIVE TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAM ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE ORGANIZATION HAS ADOPTED AND MAINTAINED A FINANCIAL ASSISTANCE POLICY, PROVIDES SUBSIDIZED HEALTH SERVICES TO PATIENTS IN NEED, AND ACCEPT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7, AND MAINTAINS STATUS AS A LEVEL II TRAUMA CENTER. IT IS ALSO THE SITE FOR THE REGIONAL POISON CONTROL CENTER, THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT, AND OPERATES A FAMILY MEDICINE RESIDENCY PROGRAM THAT OPERATES THE FLOYD COUNTY CLINIC TO PROVIDE BASIC HEALTH SERVICES FOR THE ECONOMICALLY DISADVANTAGED IN THE COMMUNITY. THE GOVERNING BOARD IS COMPRISED OF LEADERS WITHIN THE COMMUNITY THE HOSPITAL SERVES. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE THE COMMUNITY HEALTH NEEDS, INCLUDING PROVIDING SCHOOL-BASED CHILD SAFETY PROGRAMS, MOBILE MAMMOGRAPHY, CHILDBIRTH CLASSES, COMMUNITY HEALTH SCREENINGS AND HEALTH FAIRS, HEALTH CARE INTERNSHIPS, EXTERNSHIPS AND SHADOWING OPPORTUNITIES, AND SUPPORT FOR COMMUNITY-WIDE INITIATIVES WITH HEALTH PARTNERS INCLUDING THE NORTHWEST GEORGIA CANCER COALITION, CANCER NAVIGATORS, AND THE FREE CLINIC OF ROME. PART VI, LINE 6: THE FILING ORGANIZATION IS PART OF ADVOCATE HEALTH, WHICH IS HEADQUARTERED IN CHARLOTTE, NORTH CAROLINA, AND IS THE THIRD-LARGEST NONPROFIT HEALTH SYSTEM IN THE UNITED STATES, CREATED FROM THE COMBINATION OF ATRIUM HEALTH AND ADVOCATE AURORA HEALTH. TOGETHER WITH AN INTEGRATED GROUP OF 501(C)(3) HOSPITALS, PHYSICIAN NETWORKS, OTHER HEALTHCARE PROVIDERS, THE ORGANIZATION IS COMMITTED TO PROVIDING SIGNIFICANT BENEFITS TO THE COMMUNITIES IT SERVES ACROSS NORTHWEST GEORGIA AND NORTHEAST ALABAMA. EACH HOSPITAL ORGANIZATION IN THE ADVOCATE HEALTH SYSTEM REPORTS ITS OWN COMMUNITY BENEFIT ON FORM 990, SCHEDULE H. THE CONSOLIDATED COMMUNITY BENEFIT TOTAL OF THE HEALTH SYSTEM IS REPORTED AT HTTPS://WWW.FLOYD.ORG/ABOUT-FLOYD/PAGES/REPORTS.ASPX. PART VI, LINE 7, REPORTS FILED WITH STATES GA 1 FREE CLINIC OF ROME INC 3 PROFESSIONAL COURT SW ROME GA 30165 205296305 501(C)(3) 27000 0 SUPPORTING FREE CLINIC 1 0 PATIENT TRANSPORTATION 2028 295085 FMV TRANSPORTATION FOR INDIGENT PATIENTS PATIENT ASSISTANCE 2 1969 PART I, LINE 2: THE ORGANIZATION FOLLOWS A POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEVING CERTAIN EXEMPT PURPOSE FUNDS. THE ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. 1 1 0 0 0 0 0 1 0 KEN HAYNES DIRECTOR 0 1330997 0 1392000 0 242559 0 395000 0 44267 0 3404823 0 0 KURT STUENKEL EX-OFCO DIRECTOR, PRES/SEC/CEO 0 842379 0 357510 0 195470 0 12200 0 30826 0 1438385 0 0 KENNETH JONES JR MD VP & CMO 541835 0 113500 0 34024 0 75278 0 23060 0 787697 0 0 0 CHAD J BECK MD PHYSICIAN 652243 0 35456 0 12564 0 9150 0 18354 0 727767 0 0 0 WARREN SONNY RIGAS COO (TO 6/22) 197637 0 88100 0 367735 0 36931 0 5684 0 696087 0 36915 0 TOMMY MANNING CORP COUNSEL 408451 0 86200 0 70977 0 54988 0 22959 0 643575 0 0 0 SAMUEL QUAYNOR MD PHYSICIAN 349892 0 201148 0 20655 0 0 0 16642 0 588337 0 0 0 KRIS SHEPARD DIRECTOR 0 302000 0 183100 0 33045 0 32897 0 36121 0 587163 0 0 JEFFERY D BUDA CH INFO OFF 328595 0 120600 0 60853 0 40739 0 22703 0 573490 0 0 0 MATTHEW GORMAN VP CORP/NTWRK S 357076 0 79000 0 39361 0 41053 0 21603 0 538093 0 0 0 SHEILA BENNETT VP & CNO 401647 0 78100 0 43759 0 4999 0 6875 0 535380 0 31350 0 JOEL JAGER MD PHYSICIAN 329856 0 123241 0 39325 0 12200 0 13635 0 518257 0 0 0 MATTHEW CORNFORTH MD PHYSICIAN 383571 0 68451 0 32974 0 8502 0 16373 0 509871 0 0 0 BETH BRADFORD CH HR OFF 0 0 238368 0 250909 0 2501 0 4264 0 496042 0 0 0 E CLARICE CABLE INTERIM CFO (TO 6/22) 282814 0 110300 0 36695 0 39504 0 21504 0 490817 0 0 0 KEERTHY KRISHNAMANI EXEC. MED. DIRECTOR 349363 0 79572 0 21325 0 29920 0 8905 0 489085 0 0 0 DAVID EARLY DIRECTOR SPRT SVC 195124 0 106500 0 168751 0 17118 0 1005 0 488498 0 0 0 BRIDGETTE DINGLE MD NEONATOLOGIST 423272 0 25072 0 1225 0 8489 0 21824 0 479882 0 0 0 RICHARD CHILDS VP REV CYCLE MGT 245472 0 58300 0 141329 0 9842 0 18801 0 473744 0 0 0 SHANNON JOE VAUGHN MD DIRECTOR 354282 0 67161 0 2568 0 12200 0 19404 0 455615 0 0 0 TAUNYA FAULKNER VP PERF IMPROV 275335 0 56700 0 19075 0 26585 0 14859 0 392554 0 0 0 ROBERT HOLCOMBE JR MD DIRECTOR 295088 0 10365 0 3164 0 10949 0 13368 0 332934 0 0 0 PHILLIP WHEELER CFO (FR 6/22) 154104 0 25000 0 11546 0 2776 0 3920 0 197346 0 0 0 JAMES COLLINS JR MD DIRECTOR 149890 0 10467 0 1000 0 6115 0 8809 0 176281 0 0 0 PART I, LINES 4A-B CERTAIN DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP) AND/OR RECEIVED PAYMENTS FOR SEVERANCE. THE DETERMINATION OF THE PAYMENT AMOUNT FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS, OFFICERS, AND KEY EMPLOYEES RECEIVED PAYMENTS FOR SEVERANCE AND/OR PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: SEVERANCE PAYMENTS: BETH BRADFORD $230,409 DAVID EARLY $114,692 WARREN "SONNY" RIGAS $304,866 NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: TOMMY MANNING $46,173 WARREN "SONNY" RIGAS $37,893 SHEILA BENNETT $32,176 MATTHEW GORMAN $38,535 JEFFERY D BUDA $36,870 DAVID EARLY $28,306 E. CLARICE CABLE $14,651 RICHARD CHILDS $95,997 TAUNYA FAULKNER $16,653 KEN HAYNES $203,562 KURT STUENKEL $168,949 KRIS SHEPARD $10,583 PART I, LINE 7 CERTAIN OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES HAVE INCENTIVE COMPENSATION COMPONENTS CONTAINED IN THEIR EMPLOYMENT AGREEMENTS THROUGH THE FILING ORGANIZATION'S OR APPLICABLE RELATED ORGANIZATIONS' POLICIES. THESE ARE OFTEN GOAL-BASED AND ARE DETERMINED IN THE COURSE OF EVALUATION OF THE INDIVIDUAL'S PERFORMANCE BY HIS/HER DEPARTMENT CHAIR, SUPERVISOR OR THE COMPENSATION COMMITTEE OF THE BOARD, AS APPLICABLE. BENJAMIN RIGAS FAMILY-KEY EMP 135351 EMPLOYEE WAGES 0 RUSSELL BISHOP FAMILY-KEY EMP 92775 EMPLOYEE WAGES 0 DEBORAH BISHOP FAMILY-KEY EMP 88634 EMPLOYEE WAGES 0 ZELMA CABLE FAMILY-KEY EMP 27596 EMPLOYEE WAGES 0 PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS FLOYD HEALTHCARE MANAGEMENT, INC. (FHMI) OPERATES TWO HOSPITALS AND A BEHAVIORAL HEALTH FACILITY. AT THE CENTER OF THESE SERVICES IS ATRIUM HEALTH FLOYD MEDICAL CENTER (AHFMC), A 304-BED FULL-SERVICE, ACUTE CARE HOSPITAL AND REGIONAL REFERRAL CENTER. ATRIUM HEALTH FLOYD EMPLOYS MORE THAN 3,500 EMPLOYEES WHO PROVIDE CARE IN OVER 40 MEDICAL SPECIALTIES AT THREE HOSPITALS: ATRIUM HEALTH FLOYD MEDICAL CENTER IN ROME, GEORGIA; ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER IN CENTRE, ALABAMA; ATRIUM HEALTH FLOYD POLK MEDICAL CENTER IN CEDARTOWN, GEORGIA, AS WELL AS ATRIUM HEALTH FLOYD MEDICAL CENTER BEHAVIORAL HEALTH, A FREESTANDING 53-BED BEHAVIORAL HEALTH FACILITY, ALSO IN ROME; AND A PRIMARY CARE AND URGENT CARE NETWORK WITH LOCATIONS THROUGHOUT THE SERVICE AREA OF NORTHWEST GEORGIA AND NORTHEAST ALABAMA. DURING 2022, AHFMC HAD APPROXIMATELY 90,000 PATIENT DAYS AND OVER 59,000 EMERGENCY ROOM VISITS. FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION'S SOLE MEMBER IS AH GEORGIA, INC. FORM 990, PART VI, SECTION A, LINE 7A AH GEORGIA, INC., THE FILING ORGANIZATION'S SOLE MEMBER, MUST RATIFY A NOMINEE TO BECOME ONE OF THE FOURTEEN ELECTED DIRECTORS. ADDITONALLY, THREE OF THE ELECTED DIRECTORS MUST BE MEMBERS OF THE HOSPITAL AUTHORITY OF FLOYD COUNTY, THREE MUST BE PHYSICIANS EMPLOYED BY THE FILING ORGANIZATION AND TWO MUST BE SERVING AS DIRECTORS OF POLK MEDICAL CENTER, INC., A RELATED TAX-EXEMPT ORGANIZATION. TWO ADDITIONAL VOTING DIRECTORS SHALL BE APPOINTED BY THE SOLE MEMBER AND TWO DIRECTORS SHALL BE EX-OFFICIO DIRECTORS BY VIRTUE OF THEIR POSITIONS WITHIN THE ORGANIZATION (CHAIRMAN OF THE BOARD AND CEO/PRESIDENT). FORM 990, PART VI, SECTION A, LINE 7B THE POWER TO UNDERTAKE THE FOLLOWING ACTIONS ARE HEREBY RESERVED TO THE SOLE MEMBER, SUBJECT TO THE BOARD'S AUTHORITIES AND APPROVAL RIGHTS: A. REMOVE THE PRESIDENT & CHIEF EXECUTIVE OFFICER OF THE CORPORATION, AND APPROVE ANY NEW APPOINTMENTS TO THE POSITION OF PRESIDENT & CHIEF EXECUTIVE OFFICER PROPOSED BY THE BOARD; B. APPROVE AMENDMENTS TO THE BYLAWS OR THE CORPORATION'S ARTICLES OF INCORPORATION (OR THOSE OF ITS AFFILIATES AND SUBSIDIARIES) IN ACCORDANCE WITH THE TERMS THEREOF AND THE MSA, AND IN EACH CASE AS PROPOSED BY THE BOARD; C. APPROVE THE ADOPTION OF OPERATING AND CAPITAL BUDGETS PROPOSED BY THE BOARD; D. THE ADOPTION OR MODIFICATION OF STRATEGIC PLANS OR CAPITAL PLANS OF THE CORPORATION THAT ARE PROPOSED BY THE BOARD; E. APPROVE ANY CHANGE IN THE MISSION OF THE CORPORATION PROPOSED BY THE BOARD, OR PROPOSE TO THE BOARD FOR APPROVAL A CHANGE IN ITS MISSION; F. AFTER REVIEW AND CONSULTATION WITH THE COMPENSATION COMMITTEE, APPROVE ANY INCREASE OR DECREASES IN COMPENSATION OF, OR ANY MATERIAL CHANGES TO, THE COMPENSATION AND/OR BENEFITS PLANS APPLICABLE TO, THE FLOYD SENIOR EXECUTIVES; G. APPROVE ANY NEW DEBT PROPOSED BY THE BOARD TO BE INCURRED IN THE CORPORATION'S NAME, OR PROPOSE TO THE BOARD FOR APPROVAL, THE INCURRENCE OF NEW DEBT IN THE CORPORATION'S NAME; H. THE INCURRENCE, RESTRUCTURE, REFINANCE, DISCHARGE OR DEFEASANCE OF DEBT OF THE CORPORATION (OTHER THAN INCURRING NEW DEBT IN THE CORPORATION'S NAME, WHICH REQUIRES BOARD APPROVAL); I. THE AMENDMENT, TERMINATION, OR ANY ACTION THAT MAY CAUSE THE AMENDMENT OR TERMINATION, OF ANY LEASE BETWEEN THE CORPORATION AND ANY LOCAL HOSPITAL AUTHORITY, IN EACH CASE, SUBJECT TO APPROVAL BY THE BOARD; J.APPROVE ANY CLOSURE, SALE, LEASE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE LEGACY ASSETS OF THE CORPORATION PROPOSED BY THE BOARD, OR PROPOSE ANY SUCH ACTION TO THE BOARD FOR APPROVAL; K. APPROVE THE MERGER, CONSOLIDATION OR OTHER BUSINESS COMBINATION OF THE CORPORATION WITH ANOTHER ENTITY; L. THE CREATION, MAJOR CHANGE OR MATERIAL REDUCTION OR DISCONTINUATION OF MAJOR SERVICES OR KEY CLINICAL PROGRAMS OF THE CORPORATION AND ITS AFFILIATES AND SUBSIDIARIES; AND M. ANY ACTION PROPOSED BY THE BOARD THAT CAUSES OR IS LIKELY TO CAUSE A CHANGE IN THE TAX STATUS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ITS OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS NOTED IN THE QUESTIONNAIRE ARE REVIEWED BY A STANDING COMMITTEE FOR APPROPRIATE RESOLUTION. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DETERMINE AND REPORT ANNUALLY, AND AS THEY ARISE, ANY POTENTIAL CONFLICTS OF INTEREST TO THE SECRETARY OF THE BOARD OF DIRECTORS. THE RESOLUTION OF POTENTIAL AND ACTUAL CONFLICTS IS SUBJECT TO THE APPROVAL OF THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15B THE ORGANIZATION'S CEO & PRESIDENT AND ONE DIRECTOR ARE COMPENSATED BY CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY (CMHA), A RELATED ORGANIZATION. THE ORGANIZATION'S OTHER OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE COMPENSATED BY THE FILING ORGANIZATION AND THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE FLOYD HEALTHCARE MANAGEMENT (FHMI) BOARD, AS FOLLOWS: THE DIVERSITY, INCLUSION, & COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE ATRIUM HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE FHMI BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ATRIUM HEALTH, INC. LEGAL DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFER 220,911. FLOYD PHYSICIANS LLC 304 TURNER MCCALL BLVD ROME GA 301620233 205415285 HEALTHCARE GA 4163663 1379161 FHMI FLOYD CHEROKEE MEDICAL CENTER LLC 400 NORTHWOOD DRIVE CENTRE AL 359601023 825207287 HOSPITAL AL 20444751 4870552 FHMI ACCOUNTABLE CARE ORGANIZATION OF 304 TURNER MCCALL BLVD ROME GA 301620233 474054900 DORMANT GA FHMI FLOYD EMERGENCY PHYSICIANS 304 TURNER MCCALL BLVD ROME GA 301620233 050608795 DORMANT GA FHMI FLOYD HEALTH CARE FOUNDATION INC PO BOX 233 ROME GA 301620233 581375074 FOUNDATION GA 501C3 LINE 12A, I FHMI 1 POLK MEDICAL CENTER INC 420 E SECOND AVENUE STE 102 ROME GA 301613210 453957368 HOSPITAL GA 501C3 LINE 3 FHMI 1 CANCER NAVIGATORS INC 255 W 5TH STREET SUITE 300 ROME GA 301652817 030397867 EDUCATION GA 501C3 LINE 7 FHMI 1 FLOYD-POLK HEALTHCARE FOUNDATION 304 TURNER MCCALL BLVD ROME GA 301620233 872546864 SUPPORT GA 501C3 LINE 12A, I N/A 0 AH GEORGIA INC PO BOX 32861 CHARLOTTE NC 282322861 831707383 HOLDING CO. 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